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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
! 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.
Denotes a required field.
Please enter your full name as it appears on your Social Security Card:
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:
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.
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
Total hip/knee replacement
Total joint replacement/upper extremities
Transmandibular joint dysfunction
Spinal cord injury
Strength and endurance training
Continuous passive motion machine
Muscle energy techniques
Myofascial release techniques
Therapeutic exercise/home programs
Strain/counter strain techniques
Above knee prosthetics
Ankle foot orthosis
Below knee prosthetics
Upper extremity prosthetics
Activities of daily living
Gross motor assessment tools
Net muscular torque
Work capacity evaluation
AGE SPECIFIC PRACTICE
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+)
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.
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 (18.104.22.168) which will be used as a digital signature.
Your resource for traveling nurse and allied health career opportunities.
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