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Acute Rehab

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Work Settings

General Acute Care *

Home Health *

Nursing Home *

Outpatient Clinic *

Pediatric Rehab *

Acute Rehab Hospital *

Rehab Unit in Hospital *

Neuro

Cerebral Vascular Accident *

Coma Patients *

Head Trauma *

Spinal Cord Injury *

Parkinson's Disease *

Traumatic Brain Injury *

Neuromuscular Disease *

Post Craniotomy *

Bowel/Bladder Programs *

Ortho

Arthritis Programs *

Back Syndrome *

Cervical Traction *

Continuous Passive Motion Machine N/A *

Gait Training *

Hand Injury *

Hip Fractures *

Care of Patient with Halo *

Hot/Cold Packs *

Mobilization Techniques *

Neck Injuries *

TMJ Dysfunction *

Total Hip Replacement *

Total Knee Replacement *

Pulmonary

Assessment of Breath Sounds *

Chest Physiotherapy *

Oximetry *

Nasal Cannula *

Face Mask *

Portable O2 Tank *

Nasotracheal Suctioning *

Tracheal Suctioning *

Care of Patient with Mechanical Vent *

COPD *

Pediatrics

Cerebral Palsy *

Activities of Daily Living *

Learning Disabilities *

Orthotics *

Spina Bifida *

Autism *

AK Prosthetics *

Amputees *

BK Prosthetics *

Bracing/Joint Immobilization *

Resting Splints *

Casts/Check for Circulation *

Upper Extremity Prosthetics *

Nutritional Requirements

Thickened Liquids *

Minimal *

Thick *

Extra Thick *

Pudding Thick *

NG Tubes *

PEG Tubes *

Restraints

4pt *

Shoulder Strap *

Hand Mitts *

Wrist *

Ankle *

Pelvic Strap *

EMR

Epic *

Cerner *

Eclipsys *

McKesson *

Meditech *

Other Computerized System *

Computerized Physician Order Entry *

Bar Coding for Medication Administration *

Other Competencies

Ability to evaluate and assign Functional Independence Score *

AIDS Patients *

Burn Management *

Cardiac Rehabilitation *

Function Capacity Evaluation *

Geriatrics *

Manual Therapy *

Massage Therapy *

Muscle Stimulation *

Pain Management/Giving Meds *

Physical Capacity *

Pulmonary Rehab *

Sterilization Technique *

TENS *

Wound Debridement/Dressing Change *

Age Specific Competencies

Infant (Birth - 1 year) *

Preschooler (ages 2-5 years) *

Childhood (ages 6-12 years) *

Adolescents (ages 13-21 years) *

Young Adults (ages 22-39 years) *

Adults (ages 40-64 years) *

Older Adults (ages 65-79 years) *

Elderly (ages 80+ years) *

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