Occupational Therapy Skills Checklist
   NAME  
   Email-Id
   DATE    
I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

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.

 
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

 
Rating Stars (Click)
Work Settings 1
2
3
4
General acute care
Adult/adult ICU
Pediatrics/PICU
Children’s hospital
Hand therapy
Home health care
Outpatient neuro
Outpatient ortho
Psychiatric hospital
Rehabilitation hospital/inpatient rehabilitation unit
Skilled care facility
School setting
Early intervention
Subacute
Rating Stars (Click)
Orthopedics 1
2
3
4
Hand injury
Total joint replacement/upper extremities
Lower back/spinal surgeries
Arthritis programs
Soft tissue injuries
Knee injuries & total knee replacement
Hip fractures & total hip replacement
Mobilization techniques
Prosthetics/amputations
Rating Stars (Click)
Neurologic 1
2
3
4
Alzheimers/dementia
Degenerative diseases of the CNS
Multiple sclerosis
Parkinson’s disease
Spinal cord injury
Adaptive equipment
Neurodevelopmental testing (NDT)
Wheelchair evaluation
Stroke acute
Stroke rehabilitation
Functional splinting
Traumatic brain injury
Rating Stars (Click)
Pediatric Assessments 1
2
3
4
Neurodevelopmental testing
Developmental screening
Sensory-motor testing
Visual perceptual testing
Feeding/swallowing/oral motor
Seating & positioning assessment (i.e. w/c)
Rating Stars (Click)
Other Assessments 1
2
3
4
Physical capacity evaluation
Home assessments/home accessibility
Activities of daily living
Driving evaluation
Cognitive/perception
Rating Stars (Click)
Treatment Approaches 1
2
3
4
ADL
Cognitive retraining
Community re-entry
Energy conservation/work simplification techniques
Functional transfer training
Home safety
Lymphedema management
Orthotics/Prosthetics training
Rating Stars (Click)
Treatment Approaches - cont. 1
2
3
4
Patient, family & staff training
PNF
SI
Therapeutic exercises/activities
Work hardening
Splinting
Neurodevelopmental testing (NDT)
Incontinence management
Rating Stars (Click)
Modalities 1
2
3
4
Anodyne
Biofeedback
Electrical stimulation
Feeding techniques
Fluidotherapy
Oral motor facilities
Paraffin bath
TENS
Therapeutic pool
Ultrasound
Rating Stars (Click)
Prosthetics/Orthotics 1
2
3
4
UE prosthetics
Static splints
Dynamic splints
Serial casting
Rating Stars (Click)
Other 1
2
3
4
Burn management
Cardiac rehabilitation
Cognitive retraining
Computer skills
FIM scoring
Geriatrics
Group dynamics
IEP skills
Rating Stars (Click)
Other - cont. 1
2
3
4
Inservice education
Job task analysis
Therapeutic media
Knowledge of payment sources
Medicare
Medicaid
MDS
Rating Stars (Click)
General Skills 1
2
3
4
Patient/family teaching
Patients in isolation
Patients in restraints
Initial evaluation
Lift/transfer devices
Specialty beds
End of life care/palliative care
Cerner
EPIC
McKesson
Meditech
Accurate patient identification
Effective communication
Pain assessment & management
Infection control
Universal precautions
Care of patients in isolation
Minimize risk of falls
Prevention of pressure ulcers
Rating Stars (Click)
Age Specific Competencies 1
2
3
4
Infant (birth to 1 year)
Toddler (ages 1-3 years)
Preschooler (ages 3-5 years)
Childhood (ages 6-12 years)
Rating Stars (Click)
Age Specific Competencies - cont. 1
2
3
4
Adolescents (ages 12-21 years)
Young Adults (ages 21-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)
Elderly (ages 80+ years)