Facebook-f Linkedin-in Google Instagram
Quick Inquiry
Schedule Appointment

OTA Skill Checklist

MM slash DD slash YYYY
Timeframe(Required)
Knowledge of OTA ongoing assessment process(Required)
MM slash DD slash YYYY
Home safety evals during visits/instruction(Required)
MM slash DD slash YYYY
Skilled Treatments per POC: adl program, energy conservation, etc(Required)
MM slash DD slash YYYY
Documentation per agency policy(Required)
MM slash DD slash YYYY
Evaluation ADL and iADL abilities(Required)
MM slash DD slash YYYY
Communication with team/supervisors(Required)
MM slash DD slash YYYY
Communication with patient/family(Required)
MM slash DD slash YYYY
ROM exercises per POC(Required)
MM slash DD slash YYYY
Demonstration of use of proper body mechanics(Required)
MM slash DD slash YYYY
Arranges for/advises supervisor of adaptive equipment needs(Required)
MM slash DD slash YYYY
Ongoing evaluation of pain/reporting to supervisor(Required)
MM slash DD slash YYYY
Patient/family teaching- approach(Required)
MM slash DD slash YYYY
Infection Control: Handwashing(Required)
MM slash DD slash YYYY
Infection Control: Visit bag technique(Required)
MM slash DD slash YYYY
Infection Control: Standard precautions(Required)
MM slash DD slash YYYY
Infection Control: PPE, exposure plan, disposal of infectious waste.(Required)
MM slash DD slash YYYY
Adherence to the established patient POC(Required)
MM slash DD slash YYYY
Teaches exercises per POC(Required)
MM slash DD slash YYYY

*S = SATISFACTORY    U = UNSATISFACTORY    NA = NON-APPLICABLE

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

Clear Signature
MM slash DD slash YYYY

Quick Inquiry

This field is for validation purposes and should be left unchanged.

Schedule Consultation

This field is for validation purposes and should be left unchanged.