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PT Skill Checklist

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Timeframe(Required)
PT Eval process(Required)
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General Mobility eval(Required)
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Home safety check and environmental assessment(Required)
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Flexibility testing(Required)
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Documentation accordingly (i.e. OASIS / PT Note)(Required)
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Performs review of all body systems(Required)
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Development of POC & need for physician approval(Required)
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Determination of medical necessity for other services(Required)
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Evaluation of ADL and iADLs(Required)
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Development of HHA POC when HHA services are ordered(Required)
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Supervision requirement of HHA and PTA(Required)
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Effective communication with client/family/care team(Required)
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Strength evaluation(Required)
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Balance evaluation(Required)
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Utilization of Proper Body mechanics(Required)
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Pain assessment(Required)
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Teaching skills : pulmonary exercises, breathing and energy conservation techniques(Required)
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Appropriate goal setting(Required)
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Prosthetic Training such as care of prosthesis and stump conditioning ( if applicable)(Required)
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Eval of functional findings such as gait and equipment management, and bed mobility and transfer activities.(Required)
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Submits ALL OASIS documentation within 48 hours(Required)
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Infection Control: PPE, exposure plan, disposal of infectious waste(Required)
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Nursing Bag policy and techniques(Required)
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Handwashing(Required)
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Standard precautions(Required)
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*S = SATISFACTORY    U = UNSATISFACTORY    NA = NON-APPLICABLE

I attest that I am a licensed PT and have determined that the above named employee has successfully completed these skills.

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