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OCCUPATIONAL THERAPY ASSISTANT Skills

Using the scale(s) below, please complete the following skill self assessment based upon your experience within the last 2 years.

* * *

*Indicates Required Fields

	PROFICIENCY	FREQUENCY
I want a copy on email
KEY
Proficiency : [1] None [2] Intermittent [3] Experienced [4] Supervise / Teach
Frequency : [1] Never / Observation only [2] Less Than 6 Months [3] Twice / Month [4] Daily - Weekly
General skills
Oversee Therapy Aide	1 2 3 4	1 2 3 4
Assess Home Setting	1 2 3 4	1 2 3 4
Multidisciplinary Team work	1 2 3 4	1 2 3 4
Monitor Patient Vital Signs	1 2 3 4	1 2 3 4
Limited Patient (Family) Education	1 2 3 4	1 2 3 4
Activities of Daily Living	1 2 3 4	1 2 3 4
Adaptive Equipment Assessment/training	1 2 3 4	1 2 3 4
Functional Mobility Training for Bed Transfers	1 2 3 4	1 2 3 4
Functional- Dynamic Splinting	1 2 3 4	1 2 3 4
Ice Pack Application	1 2 3 4	1 2 3 4
Moist Heat Application	1 2 3 4	1 2 3 4
Joint Mobilization	1 2 3 4	1 2 3 4
Balance Training	1 2 3 4	1 2 3 4
Myofacial Release	1 2 3 4	1 2 3 4
Soft Tissue Manipulation	1 2 3 4	1 2 3 4
Theraputty	1 2 3 4	1 2 3 4
Theraband	1 2 3 4	1 2 3 4
Transfers	1 2 3 4	1 2 3 4
Wheelchair Positioning	1 2 3 4	1 2 3 4
Ultrasound	1 2 3 4	1 2 3 4
Adult Neurologic
Head Trauma	1 2 3 4	1 2 3 4
Cognitive Disorders	1 2 3 4	1 2 3 4
Spinal Cord Injury	1 2 3 4	1 2 3 4
Stroke Rehabilitation	1 2 3 4	1 2 3 4
Parkinson's disease	1 2 3 4	1 2 3 4
Alzheimer's/Dementia	1 2 3 4	1 2 3 4
Neuromuscular Diseases	1 2 3 4	1 2 3 4
Adult Orthopedic
Back/Neck Injuries	1 2 3 4	1 2 3 4
Hand injuries/Surgeries	1 2 3 4	1 2 3 4
Arthritis Programs	1 2 3 4	1 2 3 4
Fractures	1 2 3 4	1 2 3 4
Amputations	1 2 3 4	1 2 3 4
Osteoarthritis	1 2 3 4	1 2 3 4
Frozen Shoulder	1 2 3 4	1 2 3 4
Post Operative Care	1 2 3 4	1 2 3 4
Pediatric Neurologic
Cerebral Palsy	1 2 3 4	1 2 3 4
Cystic Fibrosis	1 2 3 4	1 2 3 4
Head Injury	1 2 3 4	1 2 3 4
Spina Bifida	1 2 3 4	1 2 3 4
Muscular Dystrophy	1 2 3 4	1 2 3 4
Spinal Cord Injury	1 2 3 4	1 2 3 4
Neurodevelopmental Delays/Deficits	1 2 3 4	1 2 3 4
Pediatric Orthopedic
Trauma	1 2 3 4	1 2 3 4
Fractures	1 2 3 4	1 2 3 4
Birth Defects	1 2 3 4	1 2 3 4
Development Diseases of the Bones	1 2 3 4	1 2 3 4
Clinical Setting
Assisted Living	1 2 3 4	1 2 3 4
Home Health	1 2 3 4	1 2 3 4
LTC	1 2 3 4	1 2 3 4
SNF	1 2 3 4	1 2 3 4
LTAC	1 2 3 4	1 2 3 4
Rehab	1 2 3 4	1 2 3 4
Pulmonary Rehab	1 2 3 4	1 2 3 4
Cardiac Rehab	1 2 3 4	1 2 3 4
Outpatient Clinic	1 2 3 4	1 2 3 4
Pediatrics	1 2 3 4	1 2 3 4
PICU	1 2 3 4	1 2 3 4
SICU	1 2 3 4	1 2 3 4
ICU	1 2 3 4	1 2 3 4
Age Group Experience
0-30 days	1 2 3 4	1 2 3 4
30 days-1 year	1 2 3 4	1 2 3 4
1-5 years	1 2 3 4	1 2 3 4
5-12 years	1 2 3 4	1 2 3 4
12-18 years	1 2 3 4	1 2 3 4
18-64 years	1 2 3 4	1 2 3 4
64+ years	1 2 3 4	1 2 3 4
By affixing the last 4 digit of the SSN, I certify that I have electronically completed this skills checklist on the date shown below.
Last 4 digit of SSN	Date

INSTANT APPLICATION

OCCUPATIONAL THERAPY ASSISTANT Skills

KEY

PROFICIENCY

FREQUENCY