ࡱ > q s n o p y % bjbj k { { t r r r r r $ P \ B l $ . / r l l l / r r D ! ! ! l X r r ! l ! ! } I ;oz m P Z 0 Ȋ Ȋ I Ȋ r I " ! / / L l l l l Ȋ 8 : Initial Competency Assessment Skills ChecklistPhysical therapist Name: _____________________________________________________________________ Date of Employment: ________________________Date Completed: ___________________ Self AssessmentCompetency for the Physical TherapistProficiency RequiredEvaluation MethodCompetency Validation Indicated by Preceptors Initials and DateDo you have experience with this skill?Are you competent performing the following:YESNOYESNOVITAL SIGNS/BP & PULSEa. Demonstration of BP & Pulse testingb. Verbalization of alternate measure placementsc. Pulse Ox readingd. Indications for taking vital signsCOMPREHENSIVE ASSESSMENTa. Heart Soundsb. Lung Soundsc. Bowel SoundsROM/GONIOMETRYa. Demonstration of using goniometer at selected jointsb. Demonstration of checking functional ROM (recognizing pain limitations)c. Demonstrate assessment of end feel/joint integrityd. Verbalize contraindications for ROM testingMMT/STRENGTHa. Demonstration of testing muscle strength at selected jointsb. Verbalization of testing functional strengthc. Verbalization contraindications for MMT testingBALANCEa. Examples of testing balance (e.g. TUG, Tinetti, Functional Reach)b. Verbalization and examples of functional progressive balance exercisesCOORDINATIONa. Examples of coordination/gross motor function tests (finger to nose, heel to shin, heel to toes, alternating rapid movement, cross body movement) SENSATION/PROPRIOCEPTIONa. Verbalization of examples of sensation tests (Hot/Cold, Two point, Sharp/Dull, Light touch/Pressure)b. Recognize deficits in proprioception and provide treatment strategies.MUSCLE TONE/REFLEXa. Verbalization of muscle tone (Increased, Decreased, Flaccid, Paresis, Paralysis, Paresthesia, Hyperesthesia, Kynesthesia)EDEMAa. Demonstration of pitting testb. Edema measurement sitesc. Examples of edema reduction techniquesd. Identify indications for lymphedema managementAMBULATION DEVICESCane, Walker, WW, Crutches Height adjustment- demonstrate Indication- clinician will list indications for ST walker vs. WW vs. Cane Use- PT will demonstrate institution of AD use Evaluation of gait patterns and strategies to improveBEDSAppropriate height of bed, location Verbalizes proper position of patient sitting at edge and promoting safe transition thru height and location of bed.b. Modifications- discuss rails vs. trapeze vs. hospital bed (electrical vs. manual)O2a. Change tankb. Adjust liter flowc. Flow rate readingd. Nasal canula applicatione. Safety instruction ( no smokingf. Pulse ox- indication, orderCPMa. Demonstration and instruction to patient of proper use- axis of rotation, heel plate, ROM, setting position of leg.b. Able to identify indications and contraindications for use of CPM.STRENGTHENING PROGRESSIONa. List options for strengthening modalities Creative strengthening tools, t-band, weights, pedal bike, wheelchair pushups Bed ( sitting ( standing progression Functional exercises (i.e. progressive weight bearing, open and closed chain)HOYER LIFTa. Verbalizes safe use of hoyer, sling sizes, adjustment/fixation to hoyer, and instruction to caregiver with demo, if able. b. Indications (trunk control)SEATING AND MOBILITY- WHEELCHAIRa. Indications for power vs. manualb. Proper fitting ( leg rests, arm rests, seat depth, seat width, height, ability to go to table (take cushion in to account) c. Proper fitting of cushion and indication for different cushion typesORTHOTICS/PROSTHETICSa. Indication and types of bracing- based on prognosisb. Make appropriate recommendations based on physical presentation of the patientENDURANCEa. Borg/RPE (rate of perceived exertion scale)b. Recognize signs and symptoms of endurance limitationsPOSTUREa. Demonstrate proficiency in normal postural alignment in sitting and standingBODY MECHANICSa. Use of transfer/gait beltb. Proper body mechanics for bending, lifting, reaching and computer ergonomicsPAINa. Faces scaleb. Verbal analog scalec. Visual analog scaled. Pain management techniques- verbalize traditional and alternative therapiese. identify ineffective and inappropriate pain management and appropriate follow-upMENTAL/COGNITIVE STATUSa. Alert and oriented x 3b. Patients current level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.HOME SAFETY/ENVIRONMENTAL ADAPTATIONSa. Evaluation and adaptation of environmental barriers in bathroom, bedroom, kitchen, entrance/exitb. Provide examples of adaptive equipmentFUNCTIONAL MOBILITYa. Demonstrate, assess and teach Bed mobility Transfers Ambulation Wheelchair managementINTEGUMENTARYa. Identification of impaired integumentary systemb. Treatment ideas and referral indicationsc. Recognize signs and symptoms of infectionUSE OF PHYSICAL AGENTSa. List 3 contraindications/ List 3 indications Electrical Stimulation ______________________________________________________________________________________________________ Ultrasound ______________________________________________________________________________________________________b. Hot/cold Massage- can demonstrate safe use on agency specific machineCARDIO-PULMONARYa. Identify indications for: Pulm ex Postural drainage Energy conservationTeach Caregiver/Patient __________________________ __________________________ __________________________c. Demonstrate- Percussion post drainageDMEa. Recognize providers in areab. Verbalize ordering processc. Be familiar with insurance coverageOTHERa. Acknowledge precautions for the population being treated: Allergies Medication reaction Bleeding precautions Fall precautions Seizure precautionsb. Medication baseline knowledge **This tool is recommended by the MHHA Rehab Subcommittee to assess new hire competency. 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