Hudson Staffing Travel Nurses & Allied Health Careers
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Hudson Staffing Travel Nurses| Physical Therapist Online Checklist
Physical Therapist Online Checklist

Thank you for your decision to apply for a travel nursing position with Hudson Staffing! Before we can offer you a nursing employment opportunity in the Physical Therapist field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.

GENERAL INFORMATION        
Note: * Denotes a required field.
Please enter your full name as it appears on your Social Security Card:

First Name
 
Middle Name
 
Last Name
 *


Please enter the Last Four digits of your Social Security Number:

 -   -   *       Please check here if you do not hold a valid social security card.


Please provide your contact information:

Phone Number
 *
E-mail Address
 *
Confirm E-mail Address
 *
Type your e-mail address again above.
       
This profile is for use by healthcare professionals in the Physical Therapist discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS        
Please mark your level of experience

     1. No theory and/or experience
     2. Limited experience/need supervision and/or support
     3. Experienced/minimal support needed to perform
     4. Proficient/can perform independently

Orthopedic 1 2 3 4
     Back syndromes
     Hand injury
     Arthritis programs
     Hip fractures
     Mobilization techniques
     Neck injuries
     Total hip/knee replacement
     Total joint replacement/upper extremities
     Transmandibular joint dysfunction
Neurologic 1 2 3 4
     Neurosurgery
     Spinal cord injury
     Functional splinting
     Head trauma
     Stroke rehabilitation
     Adaptive equipment
Sports Medicine 1 2 3 4
     Bracing/joint immobilization
     Biodex
     Cybex
     LIDO
     Orthotron
     Strength and endurance training
     Taping/strapping
     Nautilus/Eagle
Modalities/Manual Skills 1 2 3 4
     Biofeedback
     Acuscope
     Continuous passive motion machine
     Craniosacral therapy
     Diathermy
     Electro-acupunture
     Extremity mobilization
     Fluidotherapy
     Hot/coldpacks
     Hydrotherapy
       
     Hubbard tank
       
     Therapeutic pool
       
     Whirlpool
       
     Massage
     Muscle energy techniques
     Muscle stimulation
     Myofascial release techniques
     Neuro probe
     Spinal mobilization
     TENS
     Therapeutic exercise/home programs
     Traction
       
     Cervical
       
     Lumbar
       
     Ultrasound
     Vasopneumatic devices
     Wound dressing
     Strain/counter strain techniques
     Paraffin
Prosthetics/Orthotics 1 2 3 4
     Above knee prosthetics
     Ankle foot orthosis
     Below knee prosthetics
     Dynamic splints
     Gait analysis
     Orthoplast/aquaplast
     Serial/inhibitory casting
     Static splints
     Upper extremity prosthetics
Pediatrics 1 2 3 4
     Cerebralpalsy
     Early intervention
     Equipment assessment
       
     Activities of daily living
       
     Adaptive
       
     Gross motor assessment tools
     Learning disabled
     Mental retardation
     Neurodevelopmental treatment
     Orthotics
     Spina bifida
Computerized Testing 1 2 3 4
     Fatigue-characteristics
     Fiber-type
     Functional strength
     Net muscular torque
     ROM
     Work-capacity
Other 1 2 3 4
     Burn management
     Cardiac rehabilitation
     Chest physiotherapy
     Computerized charting
     Geriatrics
     Inservice education
     Wheelchair/equipment assessment
     Work capacity evaluation
AGE SPECIFIC PRACTICE 1 2 3 4
     Newborn/Neonate (birth - 30 days)
     Infant (30 days - 1 year)
     Toddler (1 - 3 years)
     Preschooler (3 - 5 years)
     School age children (5 - 12 years)
     Adolescents (12 - 18 years)
     Young adults (18 - 39 years)
     Middle adults (39 - 64 years)
     Older adults (64+)
Certification        
     BCLS
     CPR
     Computerized Charting System
Please read and agree to the statements below by marking the checkbox. You will not be able to submit until you have marked the checkbox.

* I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize Hudson Staffing to release this Physical Therapist Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.




Privacy Note: Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (44.192.65.228) which will be used as a digital signature.



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Phone: 1(866)256-8773
E-mail: info@hudsonstaffing.net

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