ATT D4 Skills Checklist PT.doc

Physical Therapy

Skills Checklist Name:____ _________________________Service:____PM&R__________________________ Position/Grade:________ ________________Date Entered Position:_____________ _________________ Verification Method Codes:

Verification Level Codes:

C. Course/Class

AV. Audiovisual

I. Inservice

S. Satisfactorily Meets

D. Demonstration

S. Standard of Care Review M. Mandatory

NT. Need Training

W. Written Materials/Policy V. Verbalizes Knowledge NA. Not Applicable

NA. Not Applicable to Position

Initial Orientation

(For Newly Assigned Employees)

1. Attended New Employee Orientation

2. Discussed position description/functional statement

3. Discussed performance standards.

Position Specific Competencies

(include, but not limited to, clinical, technical, equipment)

1. Patient Assessment

· Vital Signs

· Muscle Testing, ROM, Sensation, Tone, Posture

· Goniometry

· Functional Independence Measure (FIM)

· Wheelchair Mobility

· Prosthetic/Orthotic Need

· Cognition

· Equipment Evaluation

· Pain

· Special Tests

· Function Based Outcome Measures

· Balance Assessment

2. Therapeutic Skills/Modalities

· Body Mechanics

· Myofascial Release

· Transfers

· Therapeutic Exercise Prescription and Progression

· Patient Lifting/Positioning

· Debridement/Wound Care

· Gait Analysis & Training

· Home Accessibility and Safety Training

· Posture Analysis and Correction

· Diabetic Foot Care

· Manual Therapy

· Electrical Stimulation (TENS)

· Compression Garments

· Iontophoresis

2. Therapeutic Skills/Modalities continued

· Lumbar Traction

· Cervical Traction

· Amputation Rehabilitation

· Dry Needling

· Thermal Modalities-US, hot packs, cold packs

· Additional Skills:

3. Diagnostic Specific Groups (understanding of patient’s medical condition)

a. Neurological

· CVA

· Organic Brain Syndrome

· Traumatic Brain Injury

· Neuropathy

· Parkinson’s Disease

· Guillain-Barre

· Amyotrophic Lateral Sclerosis

b. Orthopedics

· DJD/Arthritis

· ORIF

· THA

· TKA

· Other ortho surgery (ACL, achilles)

· Arthroscope procedure

· Spinal Cord Disease (MS, paraplegia, quadriplegia)

· Amputee

· Shoulder

· Spine/Back Pain

· Sports Medicine

c. Geriatric

· Social Needs

· Special Nutritional Needs

· Activity Needs/Limitations/Functional Limitations

· Cognitive Changes

· Emotional & Behavioral Needs

· Motivation of Older Clients

· Physical Changes

d. Psychiatric

· Schizophrenia

· Addiction

· Depression

· PTSD

· Bipolar

e. Miscellaneous

· Wound Care

· Burn Care

5. Equipment Utilized

· Wheelchairs

· Prostheses

· Orthoses

· Mobility Aids

· Ambulation Aids

· Hoyer Lift

6. Patient Education (education will be provided in a manner that considers learning abilities, readiness to learn, barriers to learning and learning style preferences)

Infection Control

· Demonstrates proper standard precautions and isolation procedures, including TB precautions.

· Complies with service-level guidelines for reusable medical equipment

Quality Improvement Verbalizes individual role in quality improvement process: demonstrates knowledge of medical center’s Mission and Customer Service standards, demonstrates knowledge of performance improvement initiatives.

CPR

Demonstrates proper procedure for initiating CPR

Safety

· General

· Hazardous Waste and Materials

· Emergency Management

· Fire Prevention

· Medical Equipment Management

· Utility Systems Management

· Secure Environment

Principles of Information Management

Demonstrates knowledge of information management as appropriate, including VISTA/GUI, CPRS, and other PC software. Complies with HIPAA and other health information safety policy. (Applies to all employees with computer access.)

Specific Age Appropriate Care

Early Adulthood (18-45 years old) Recognizes chosen lifestyle and assists with necessary adjustments relating to changes in health. Other age-specific competencies include:

· Physical changes

· Motor/sensory adaptation

· Psychosocial

· Cognitive

(e.g., begins to express concerns for health; maintains body integrity based on diet, exercise, rest, stress, genetics; is free from disability and health problems; reaches muscular efficiency peak between ages 20 – 30; continues to learn formally and informally)

Middle Adulthood (45-65 years old) Recognizes risk factors related to health, copes with concerns expressed by patient, provides direction and clarifications as needed. Other age-specific competencies include:

· Physical changes

· Motor/sensory adaptation

· Psychosocial

(e.g., mental performance abilities decrease; muscles and joints respond more slowly; elasticity of blood vessels decrease; susceptibility to HTN and cardiovascular disease increase; adjusting to changes in body image)

Later Adulthood (65-death)

Encourages physical and social activity, explains procedures and routines, provides physical, intellectual and emotional assistance; reassures and comforts patient as needed; assists patient with self care as required to encourage as much independent living as possible; provides necessary safety measures; assists patient to cope with loss (i.e., hearing, vision, death of loved one, psychosocial support).

Other age-specific competencies include:

· Physical changes

· Motor/sensory adaptation

· Psychosocial

(e.g., decreased peripheral circulation; increased likelihood of HTN and susceptibility to infection; decreased mobility and ability to learn; adapting to changes in social role)

VHA All Employee Competencies

1. Communication

· Demonstrates mastery of oral, non-verbal, and written communication principles.

2. Interpersonal Effectiveness

· Demonstrates mastery of interpersonal interaction, encourages diversity, develops collaborative relationships, and contributes to a culture of civility and trust.

3. Critical Thinking

· Uses systematic approaches to gather, analyze, and evaluate information to make sound, well-informed, and timely decisions or recommendations.

4. Organization Stewardship

· Takes responsibility and initiative, sets and meets priorities, follows through on commitments, safeguards information, and organizes and uses time and resources to achieve desired results.

5. Veteran and Customer Focus

· Understands the VA’s mission and uses this knowledge to guide actions; provides outstanding customer service and represents the organization effectively.

6. Personal Mastery

· Assumes responsibility for personal well-being and career goals. Demonstrates self-awareness. Actively seeks feedback from others and takes action to improve performance, effectiveness, and resilience. Engages in continuous learning while balancing competing priorities and demands.

The age-specific standards outlined above specifically define the special needs and behavior of the age groups of patients served by the named employee. Employee has been assessed to be competent in the performance of the duties and responsibilities, which support these standards.

COMPETENCY LEVEL:__ _________

Competency Levels:

I. Minimal experience and training in providing the service

II. With supervision, uses practice standards in providing service.

III. Independently uses practice standards in providing care.

IV. Highly skilled/expert. Takes a leadership/mentoring role to assist other practitioners.

The above name employee is competent to perform the assessed skills on the Competency Assessment Checklist. Related policies and procedures were reviewed with competent demonstration as assessed by employee’s supervisor.

Employee

Supervisor

Date

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