Coding Team
About Us
Physical Therapy Skills Checklist
Physical Therapy Skills Checklist
Contains the info that should appear on all forms
AGE OF PATIENTS CARED FOR
Newborn/Neonate (Birth to 30 days)
(Required)
0
1
2
3
Infant (31 days to 12 months)
(Required)
0
1
2
3
Toddler/Preschool (13 months to 5 years)
(Required)
0
1
2
3
School Age Child/Adolescent (6 years to 18 years)
(Required)
0
1
2
3
Young Adults Middle Adult (19 years to 64 years)
(Required)
0
1
2
3
Older Adults/Elderly (65+ years)
(Required)
0
1
2
3
SETTINGS
Acute Care/Hospital ICU
(Required)
0
1
2
3
Children's Hospital
(Required)
0
1
2
3
Early Intervention
(Required)
0
1
2
3
General Acute Care
(Required)
0
1
2
3
Home Health
(Required)
0
1
2
3
Outpatient
(Required)
0
1
2
3
Pediatrics/PICU
(Required)
0
1
2
3
Psychiatric Hospital
(Required)
0
1
2
3
Rehabilitation
(Required)
0
1
2
3
School
(Required)
0
1
2
3
Skilled Nursing Facility
(Required)
0
1
2
3
ORTHOPEDICS
Arthritis
(Required)
0
1
2
3
Cervical/thoracic, lumbar spine treatment
(Required)
0
1
2
3
Chronic Fatigue
(Required)
0
1
2
3
Elbow, Wrist, Hand Injury
(Required)
0
1
2
3
Fibromyalgia
(Required)
0
1
2
3
Halo Traction
(Required)
0
1
2
3
Kyphoplasty
(Required)
0
1
2
3
Pelvic Fractures
(Required)
0
1
2
3
Post Operative Conditions (ACL, rotator, cuff repair, hip arthroscopy)
(Required)
0
1
2
3
Shoulder, Hip, Knee, Ankle Arthroscopy
(Required)
0
1
2
3
Temporomandibular Dysfunction
(Required)
0
1
2
3
Total Joint Replacement
(Required)
0
1
2
3
NEUROLOGIC
Adaptive equipment
(Required)
0
1
2
3
ALS
(Required)
0
1
2
3
Brain Tumors
(Required)
0
1
2
3
Cerebral Palsy
(Required)
0
1
2
3
Functional Splinting/Bracing
(Required)
0
1
2
3
Glasgow Coma Scale
(Required)
0
1
2
3
Multiple Sclerosis
(Required)
0
1
2
3
Muscular Dystrophy
(Required)
0
1
2
3
Neurodevelopment Testing (NDT)
(Required)
0
1
2
3
Postoperative Neurosurgery Rehabilitation
(Required)
0
1
2
3
Spinal Cord Injury
(Required)
0
1
2
3
Stroke Rehabilitation
(Required)
0
1
2
3
Traumatic Brain Injury
(Required)
0
1
2
3
Wheelchair Prescription
(Required)
0
1
2
3
PEDIATRICS
Activities of Daily Living
(Required)
0
1
2
3
Adaptive Equipment
(Required)
0
1
2
3
Cerebral Palsy
(Required)
0
1
2
3
Developmental Disability
(Required)
0
1
2
3
Gross Motor Assessment Tools
(Required)
0
1
2
3
Neurodevelopmental Testing (NDT)
(Required)
0
1
2
3
Orthotics
(Required)
0
1
2
3
Sequencing Testing
(Required)
0
1
2
3
Special Needs Patient
(Required)
0
1
2
3
Spina Bifida
(Required)
0
1
2
3
OTHER
Aquatic Therapy
(Required)
0
1
2
3
Burn Management
(Required)
0
1
2
3
Cardiac Rehabilitation
(Required)
0
1
2
3
Chest Physiotherapy
(Required)
0
1
2
3
DME Ordering
(Required)
0
1
2
3
FIM Scoring
(Required)
0
1
2
3
Functional Capacity Evaluation
(Required)
0
1
2
3
Job Task Analysis
(Required)
0
1
2
3
Lymphedema Management
(Required)
0
1
2
3
OASIS assessment for home health
(Required)
0
1
2
3
Obsetrics in Physical Therapy
(Required)
0
1
2
3
Tone Management/Spasticity
(Required)
0
1
2
3
Wheelchair/Equipment Assessment
(Required)
0
1
2
3
Wound Care
(Required)
0
1
2
3
SPORTS MEDICINE
Biodex/BTE Testing
(Required)
0
1
2
3
Bracing/Casting/Splinting
(Required)
0
1
2
3
Functional Movement Screening
(Required)
0
1
2
3
Immobilization
(Required)
0
1
2
3
Injury Prevention Programs
(Required)
0
1
2
3
Nautilus/Eagle
(Required)
0
1
2
3
Physical Performance Testing
(Required)
0
1
2
3
Stabilization Techniques
(Required)
0
1
2
3
Strength/Endurance Training
(Required)
0
1
2
3
Taping/Trapping
(Required)
0
1
2
3
PROSTHETICS/ORTHOTICS
Above Knee Prosthetics
(Required)
0
1
2
3
Ankle Foot Orthosis
(Required)
0
1
2
3
Below Knee Prosthetics
(Required)
0
1
2
3
Dynamic Splints
(Required)
0
1
2
3
Gait Analysis
(Required)
0
1
2
3
LE Prosthetics
(Required)
0
1
2
3
Orthoplast/Aquaplast
(Required)
0
1
2
3
Protonics
(Required)
0
1
2
3
Removable Rigid Dressings
(Required)
0
1
2
3
Serial/Inhibitory Casting
(Required)
0
1
2
3
Static Splints
(Required)
0
1
2
3
UE Prosthetics
(Required)
0
1
2
3
MODALITIES
Anodyne
(Required)
0
1
2
3
Biofeedback
(Required)
0
1
2
3
Continuous Passive Motion Machine
(Required)
0
1
2
3
Craniosacral Therapy
(Required)
0
1
2
3
Cryotherapy
(Required)
0
1
2
3
Diathermy
(Required)
0
1
2
3
Edema Massage
(Required)
0
1
2
3
Fluidotherapy
(Required)
0
1
2
3
Ionotophoresis
(Required)
0
1
2
3
JOBST Compression Pump
(Required)
0
1
2
3
Massage
(Required)
0
1
2
3
Muscle Stimulation
(Required)
0
1
2
3
Myofascial Release Techniques
(Required)
0
1
2
3
Neuro Probe
(Required)
0
1
2
3
Paraffin
(Required)
0
1
2
3
Phonophoresis
(Required)
0
1
2
3
Strain/Counter Strain Techniques
(Required)
0
1
2
3
TENS
(Required)
0
1
2
3
Traction
(Required)
0
1
2
3
Ultrasound
(Required)
0
1
2
3
GENERAL SKILLS
Electronic Documentation
Allscripts
Care360
Cerner
eCLinicalWorks
EPIC
MACLAB
McKesson
Meditech
PACS
Soarian
N/A
Other
Charge/Supervisor Experience
(Required)
0
1
2
3
End of life care/palliative care
(Required)
0
1
2
3
Knowledge of "Do Not Use Abbreviations"
(Required)
0
1
2
3
Knowledge of current Joint Commission National Patient Safety Goals
(Required)
0
1
2
3
Knowledge/familiarity HCAHPS scores
(Required)
0
1
2
3
Patient Identification
(Required)
0
1
2
3
Patient/Family teaching
(Required)
0
1
2
3
Specialty Beds
(Required)
0
1
2
3
Universal Precautions
(Required)
0
1
2
3
Working with patients in isolation
(Required)
0
1
2
3
Working with patients in restraints
(Required)
0
1
2
3
Personal Info
Name
(Required)
First
Last
Email
(Required)
Years Experience in Specialty
(Required)
Please enter a number from
0
to
99
.
Years Experience as a Traveler
(Required)
Please enter a number from
0
to
99
.
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