PT/PTA Skills Checklist

    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

    ADULT:

    Orthopedic:

    Neurologic:

    ADULT:

    SPORTS MEDICINE:

    Prosthetics / Orthotics:

    PROCEDURES / TREATMENTS:

    Procedures / Treatments:

    OTHER:

    AGE:

    AGE:

    CERTIFICATIONS