Physical Therapist | Magnet Medical

Orthopedic

Adult Treatment Experience

Neck Injuries/Surgeries*

1
2
3
4

Back Injuries/Surgeries*

1
2
3
4

Hip Fractures/Injuries*

1
2
3
4

Total Hip Replacement*

1
2
3
4

Knee Injuries*

1
2
3
4

Total Knee Replacement*

1
2
3
4

Upper Extremity Joint Replacements*

1
2
3
4

Shoulder Injuries*

1
2
3
4

Degenerative Joint Disease/Arthritis*

1
2
3
4

Hand Injuries*

1
2
3
4

Temporomandibular Joint (TMJ)*

1
2
3
4

Post Operative Care*

1
2
3
4

Amputations*

1
2
3
4

Neurologic

Adult Treatment Experience

Stroke Rehabilitation*

1
2
3
4

Cognitive Disorders*

1
2
3
4

Head Trauma*

1
2
3
4

Spinal Cord Injury*

1
2
3
4

Functional Splinting*

1
2
3
4

Adaptive Equipment-Wheelchair*

1
2
3
4

Multiple Sclerosis*

1
2
3
4

Neuromuscular Diseases*

1
2
3
4

Prosthetics/Orthotics

Adult Treatment Experience

Upper Extremity Prosthetics*

1
2
3
4

Above Knee Prosthetics*

1
2
3
4

Below Knee Prosthetics*

1
2
3
4

Sports Medicine

Adult Treatment Experience

LIDO Machine*

1
2
3
4

NAUTILUS Machine*

1
2
3
4

Taping*

1
2
3
4

Procedures/Treatments

Adult Treatment Experience

Ankle/Foot Orthosis*

1
2
3
4

Slings*

1
2
3
4

Splints – Wrist/Hand*

1
2
3
4

CPM Machine*

1
2
3
4

Hydrotherapy*

1
2
3
4

Whirlpool*

1
2
3
4

Hubbard Tank*

1
2
3
4

Therapeutic Pool*

1
2
3
4

TENS*

1
2
3
4

Electrical Stimulation*

1
2
3
4

Ultrasound*

1
2
3
4

Cryotherapy*

1
2
3
4

Massage*

1
2
3
4

Diathermy*

1
2
3
4

Acupressure*

1
2
3
4

Spinal Mobilization*

1
2
3
4

Extremity Mobilization*

1
2
3
4

Myofacial Release*

1
2
3
4

Craniosacral Techniques*

1
2
3
4

Cervical Traction*

1
2
3
4

Lumbar Traction*

1
2
3
4

Activities of Daily Living*

1
2
3
4

Gait Training*

1
2
3
4

Transfers*

1
2
3
4

Sports Medicine*

1
2
3
4

Athletic Injuries*

1
2
3
4

Biodex*

1
2
3
4

Orthotron*

1
2
3
4

Cybex*

1
2
3
4

Other

Chest PT*

1
2
3
4

Cardiac Rehab*

1
2
3
4

CCU Procedures*

1
2
3
4

SICU Procedures*

1
2
3
4

Burn Management*

1
2
3
4

Work Hardening - Work Site Eval*

1
2
3
4

Work Capacity Eval*

1
2
3
4

Functional Capacity Eval*

1
2
3
4

Muscle Energy Techniques*

1
2
3
4

Universal Precautions*

1
2
3
4

Skilled Nursing Documentation*

1
2
3
4

Medicare A*

1
2
3
4

Medicare B*

1
2
3
4

State Healthcare*

1
2
3
4

I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Magnet Medical to release this Skills Checklist to staffing clients of Magnet Medical. Submit this skills evaluation with your initial application. To be updated annually.

Name*

First Last

Email*

Signature

Date*

skills checklist

Physical Therapist Skills

Orthopedic

Neurologic

Prosthetics/Orthotics

Sports Medicine

Procedures/Treatments

Other

Travelers

Providers

Magnet

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