Fillable PTA Competency Check Off (Indian Hills Community College)

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PTA Competency Check Off (Indian Hills Community College)

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Competency Check-O
Physical Therapist Assistant Program
Name:
Instructions: The student’s clinical supervisor is to initial and date in each of the designated areas when the
student has competently completed that task. The student should be able to give a basic explanation of the
specific intervention, the expected response to the intervention and the basic rationale for the use of the
intervention. If the student has proven competent in performing a task, it may not be necessary to check o
“observed” or “assisted.”
The student is to return the completed Competency Check-o to the ACCE at Indian Hills Community College.
INTERVENTION
OBSERVED
(Initials & Date)
ASSISTED
(Initials & Date)
PERFORMED
(Initials & Date)
Measure Standard Vital Signs (pulse, respiration, blood pressure)
Perform Standard Measurements (leg length, and/or girth)
Posture Analysis
a. palpate anatomical landmarks
b. identify postural deviations
Body Mechanics
a. appropriate body mechanics during patient care
b. instruction of proper body mechanics
Patient Positioning (appropriate)
a. supine
b. prone
c. side lying
d. sitting
Activities of Daily Living
a. educate use of adaptive equipment (reachers, tub bench, leg lifter, etc)
INTERVENTION
OBSERVED
(Initials & Date)
ASSISTED
(Initials & Date)
PERFORMED
(Initials & Date)
Gait
a. abnormal components of gait
b. appropriate assistive device
c. proper fitting of assistive device
1. cane
2. crutches
3. walker
d. gait training
1. 2-point gait
2. 3-point gait
3. 4-point gait
e. gait training on non-level surfaces
1. walker
2. cane
3. crutches
f. gait training through doorway
Wheelchairs
a. appropriate use of wheelchair features
b. wheelchair training
1. ramp
2. curb
3. doorway
Range of Motion
a. passive
b. active-assistive
c. active
INTERVENTION
OBSERVED
(Initials & Date)
ASSISTED
(Initials & Date)
PERFORMED
(Initials & Date)
Goniometry
a. lower extremity
b. lower extremity
c. lower extremity
d. upper extremity
e. upper extremity
f. upper extremity
g. spine
h. spine
Transfers/Transitions
a. bed <-> stand
b. sit <-> stand
c. supine <-> sit
d. wheelchair <-> mat/bed
Documentation
Contains Components of Adequate Documentation for Each Type
a. treatment note
b. progress note
c. terminal visit note
(gather information for discharge on final patient visit)
The following proficiencies are not introduced in the PTA curriculum until after
the first clinical experience.
Superficial/Deep Thermal Agents
a. hot packs
b. paran
c. ultrasound
INTERVENTION
OBSERVED
(Initials & Date)
ASSISTED
(Initials & Date)
PERFORMED
(Initials & Date)
Cryotherapy
a. ice packs
b. ice massage
Hydrotherapy
a. whirlpool
Electrotherapeutic Agents
a. biofeedback
b. functional electric stimulation
c. iontophoresis
d. interferential
e. TENS
Traction (Mechanical)
a. cervical
b. pelvic
Therapeutic Exercise
a. stretching
b. strengthening
c. endurance
Soft-tissue Mobilization
Manual Muscle Testing
a. upper extremity
(name of muscle)
b. upper extremity
(name of muscle)
c. upper extremity
(name of muscle)
d. trunk
(name of muscle)
e. trunk
(name of muscle)
INTERVENTION
OBSERVED
(Initials & Date)
ASSISTED
(Initials & Date)
PERFORMED
(Initials & Date)
f. lower extremity
(name of muscle)
g. lower extremity
(name of muscle)
h. lower extremity
(name of muscle)
The following proficiencies are introduced in the PTA curriculum during or after
the second clinical experience.
Wound Care: (list type)
Patient Care Experience in Orthopedics
(clinical instructors each initial and list number of clinical experience: I-IVB)
Patient Care Experience in Neuromuscular
(clinical instructors each initial and list number of clinical experience: I-IVB)
Patient Care Experience in Cardiopulmonary
(clinical instructors each initial and list number of clinical experience: I-IVB)
Patient Care Experience in Geriatrics
(clinical instructors each initial and list number of clinical experience: I-IVB)
Patient Care Experience in Pediatrics
(clinical instructors each initial and list number of clinical experience: I-IVB)
Participation as a member of the PT/PTA team
(clinical instructors each initial and list number of clinical experience: I-IVB)
Interdisciplinary collaboration/list discipline: OT, SP, Nursing, etc.
(clinical instructors each initial and list number of clinical experience: I-IVB)
Other (optional additional experiences)
a.
b.
c.
d.
e.
Signatures:
Clinical Site CI Signature Initials
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PTA Competency Check Off (Indian Hills Community College)

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Completed 18 July 2020

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