THERAPY SKILLS CHECKLIST

THERAPY SKILLS CHECKLIST

INSTRUCTIONS: Review the skills list and indicate your current competence with each skill by checking the appropriate response

Any skills you are not proficient at should be identified. You will be checked off on each of these skills by a licensed therapist.

PLEASE NOTE: New therapist may be asked to demonstrate skilled performance at the discretion of the trainer even when current skill competency has been indicated by the new therapist. I understand that I am responsible and accountable for my actions, which are commensurate with

SKILLS Never Done Desire Review Skilled Mastered Demo Done COMMENTS
Vital Signs
Universal Precautions
Personal Protective Equipment
Bio-hazardous Waste Disposal
Aspiration Precautions
Aggressive Behavior
Seizure Precautions
Apnea monitor
Asthma Awareness
Respiratory Distress
Feeding pumps and tubes
Pump alarms
Positioning and Adaptive equipment
Equipment
Hoyer lift
Wheelchair
Walker
Standers
Crawler
Documentation
Emergency Preparedness
Home Safety

Educational preparation and experience in Therapy. I further understand my responsibility to notify my supervisor prior to skill performance should I be assigned to provide care involving skills with which I am unfamiliar, or in which I have not demonstrated competence. I am aware that a Medical Services Procedure Manual is available to reference improper skill performance.