Occupational Therapy Skills Checklist

Fill Out and Submit your Skills Checklist
Skills Checklist
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:
1No Experience
2Need Training
3Able to perform with supervisione
4Able to perform independently
Work Settings
Orthopedics
Neurologic
Pediatric Assessments
Other Assessments
Treatment Approaches
Treatment Approaches - cont.
Modalities
Prosthetics/Orthotics
Other
Other - cont.
General Skills
Computerized Charting:
National Patient Safety Goals:
Age Specific Competencies
Age Specific Competencies - cont.
Please list any Additional Skills:
Additional training:
Additional equipment:

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  • care@selectsourceintl.com
  • Phone: +1-952-546-3300
  • Fax: +1-952-546-3500
  • 13911 Ridgedale Drive, Suite 230
    Minnetonka, Minnesota 55305, United States

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