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PTA Skill Checklist

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Timeframe(Required)
Completion of visit paperwork per policy(Required)
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Home safety check and assessment of the patient’s home environment ev visit(Required)
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Documentation of visit notes: complete and timely (i.e. PTA Note etc.).(Required)
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Follows the PTA written Plan of Care (POC)(Required)
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Demonstrates proper body mechanics(Required)
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ADL instruction(Required)
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Infection Control: PPE, exposure plan, disposal of infectious waste.(Required)
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Implements POC and/or home exercise program safely & effectively(Required)
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Communication skills with patient/family(Required)
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Communication with care team/supervisor(Required)
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ROM exercises per POC(Required)
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Ongoing attention to PT’s functional findings such as gait and equipment management, and bed mobility and transfer activities and reports changes(Required)
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Instruction in use/ safety of orthotic devices and other assistive devices as per POC(Required)
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Teaching of energy conservation techniques as per the POC under the direction of the PT(Required)
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Standard precautions(Required)
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Hand Hygiene(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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