Occupational Therapist/Assistant Skills Checklist

  • LEVELS OF EXPERIENCE:
    Use the following values to rate your level of experience and/or frequency within the last two years.

    1=No Experience
    2=Limited Experience/Supervision or Support
    3=Experience/Needs Minimal Support
    4=Proficient Independently
  • Work Settings
  • 1234
    Acute Care Hospital
    Rehab Hospital/Sub-Acute
    Extended Care Facility
    Assisted Living
    Skilled Nursing Facility
  • 1234
    Hospital Outpatient
    Outpatient Clinic
    Home Helathcare
    School Setting
    Pediatrics
  • Orthopedic
  • 1234
    Hand Injury
    Total Hip/Knee Replacement
    Arthritis-Energy Conservation
  • 1234
    Hip Fracture
    Upper Extremity Joint Replace
    Arthritis-Joint Protection
  • ADL Training
  • 1234
    Adaptive Equipment
    Wheelchair Eval & Positioning
  • 1234
    Home Assessment
    Driver's Evaluation/Education
    Strength Training
    Nautilius/Eagle
  • Modalities/Manual Skills/Therapies
  • 1234
    Feeding Technique Oral/Motor
    Kinesiotaping
    Luidotherapy
    Diathermy
    Electrical Stimulation
    Iontopheresis
    Burn/Wound Management
    Vision Rehabilitation
  • 1234
    Edema Massage
    Aquatic Therapy
    Paraffin Bath
    Myofascial Release
    Biofeedback
    TENS
    Cardiac Rehabilitation
  • Neurologic
  • 1234
    Brain Injury
    CVA
    Progressive Neuro Disorder
  • 1234
    SCI
    Peripheral Nerve Injury
    Feeding/Swallowing
  • Prosthetics/Orthotics
  • 1234
    Above/Below Knee Prosthetics
    Static Splints
  • 1234
    Upper Extremity Prosthe
    Dynamic Splints
  • Vocational Training
  • 1234
    Functional Capacity Evaluation
    Cognitive Assessment
    Work Hardening
  • 1234
    Perceptual Assessment
    Job Task Analysis
  • Pediatrics
  • 1234
    Development Testing
    Visual Perceptual Skills Testing
    Feeding/Swallowing
    Sensory Diet Program
  • 1234
    Sensory Integrative Testing
    ADLs
    Orthotics
    Handwriting
  • Billing/Documentation
  • 1234
    RUG Levels
    Medicare Part B
  • 1234
    Medicare Part A
    Medicaid/Medical
  • Professional Knowledge and Skills
  • 1234
    Management Experience
    National Patient Safety Goals
    Population-Based Care
    Pain Assessment & Management
  • 1234
    Screening/Adding Caseload
    Fall Risk Assess/Prevention
    Infection Prevention