Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
ADULT | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Neck Injuries / Surgeries |
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Back Injuries / Surgeries |
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Hip Fractures / Injuries |
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Total Hip Replacement |
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Knee Injuries |
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Total Knee Replacement |
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Upper Extrem Joint Replacements |
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Shoulder Injuries |
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Degen. Joint Disease / Arthritis |
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Hand Injuries |
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Temporomandibular Joint (TMJ) |
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Post Operative Care |
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Amputations |
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Stroke Rehabilitation |
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Cognitive Disorders |
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Head Trauma |
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Spinal Cord Injury |
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Functional Splinting |
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Adaptive Equipment-Wheelchair |
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Neuromuscular Diseases |
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Multiple Sclerosis |
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ADULT | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Upper Extremity Prosthetics |
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Above Knee Prosthetics |
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Below Knee Prosthetics |
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Sports Medicine | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
LIDO |
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Nautilus / Eagle |
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Taping |
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Other |
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Chest PT |
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Cardiac Rehab |
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ICU Procedures |
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CCU Procedures |
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SICU Procedures |
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Burn Management |
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Work Hardening - Work Site Eval |
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Work Capacity Eval |
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Procedures / Treatments: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Ankle / Foot Orthosis |
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Slings |
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Splints - Wrist / Hand |
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CPM Machine |
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Hydrotherapy |
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Whirlpool |
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Hubbard Tank |
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Therapeutic Pool |
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TENS |
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Electrical Stimulation |
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Ultrasound |
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Cryotherapy |
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Massage |
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Diathermy |
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Acupressure |
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Spinal Mobilization |
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Extremity Mobilization |
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Myofacial Release |
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Craniosacral Techniques |
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Cervical Traction |
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Lumbar Traction |
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Activities of Daily Living |
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Gait Training |
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transfers |
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Sports Medecine |
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Athletic Injuries |
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Biodex |
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Cybex |
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Orthotron |
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Other | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Functional Capacity Eval |
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Muscle Energy Techniques |
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Activities of Daily Living |
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Universal Precautions |
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Skilled Nursing Documentation |
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Medicare A |
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Medicare B |
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State Healthcare |
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Skilled Nursing Documentation |
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AGE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Newborn (birth-30 days) |
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Infant (30 days - 1 year) |
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Toddler (1 - 3 years) |
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Preschooler (3 - 5 years) |
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School Age (5 - 12 years) |
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AGE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Adolescents (12 - 18 years) |
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Young Adults (18 - 39 years) |
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Middle Adults (39 - 64 years) |
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Older Adults (64+ years) |
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