Physical Therapist Checklist

Job Skills Checklist Instructions

This self-evaluation is for assessing your experience in specific clinical areas. This self-evaluation will not be a determining factor in accepting your application to become an employee of Operis Workforce.

Please select ONE answer per line item.

0 = Not Applicable
1 = No Experience
2 = Some Experience
3 = Intermittent Experience
4 = Experienced
5 = Very Experienced

*Required field

Adult Treatment Experience

Orthopedic

Neck Injuries/Surgeries* 012345
Back Injuries/Surgeries* 012345
Hip Fractures/Injuries* 012345
Total Hip Replacement* 012345
Knee Injuries* 012345
Total Knee Replacement* 012345
Upper Extremity Joint Replacements* 012345
Shoulder Injuries* 012345
Degenerative Joint Disease/Arthritis* 012345
Hand Injuries* 012345
Temporomandibular Joint (TMJ)* 012345
Post Operative Care* 012345
Amputations* 012345

Neurologic

Stroke Rehabilitation* 012345
Cognitive Disorders* 012345
Head Trauma* 012345
Spinal Cord Injury* 012345
Functional Splinting* 012345
Adaptive Equipment-Wheelchair* 012345
Multiple Sclerosis* 012345
Neuromuscular Diseases* 012345

Prosthetics/Orthotics

Upper Extremity Prosthetics* 012345
Above Knee Prosthetics* 012345
Below Knee Prosthetics* 012345

Sports Medicine

LIDO Machine* 012345
NAUTILUS Machine* 012345
Taping* 012345

Procedures/Treatments

Ankle/Foot Orthosis* 012345
Slings* 012345
Splints – Wrist/Hand* 012345
CPM Machine* 012345
Hydrotherapy* 012345
Whirlpool* 012345
Hubbard Tank* 012345
Therapeutic Pool* 012345
TENS* 012345
Electrical Stimulation* 012345
Ultrasound* 012345
Cryotherapy* 012345
Massage* 012345
Diathermy* 012345
Acupressure* 012345
Spinal Mobilization* 012345
Extremity Mobilization* 012345
Myofacial Release* 012345
Craniosacral Techniques* 012345
Cervical Traction* 012345
Lumbar Traction* 012345
Activities of Daily Living* 012345
Gait Training* 012345
Transfers* 012345
Sports Medicine* 012345
Athletic Injuries* 012345
Biodex* 012345
Orthotron* 012345
Cybex* 012345

Other

Chest PT* 012345
Cardiac Rehab* 012345
CCU Procedures* 012345
SICU Procedures* 012345
Burn Management* 012345
Work Hardening - Work Site Eval* 012345
Work Capacity Eval* 012345
Functional Capacity Eval* 012345
Muscle Energy Techniques* 012345
Universal Precautions* 012345
Skilled Nursing Documentation* 012345
Medicare A* 012345
Medicare B* 012345
State Healthcare* 012345



Application Agreement*

By filling out the information below, I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years. The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Operis Workforce to release this Skills Checklist to staffing clients. Submit this skills evaluation with your initial application. To be updated annually.