Advantage RN ~ Travel Nurse Staffing Company

SPEECH LANGUAGE PATHOLOGIST SKILLS CHECKLIST

This profile is for use by speech lanugage pathologists with more than one year experience in their discipline and specialty. It will not be a determining factor for the program.

Please enter your full legal name as it appears on your Social Security Card.

First Name: Last Name: Email:

Please check the boxes below for each age group for which you have provided age-appropriate care:

A. Newborn/Neonatal (birth - 30days)
B. Infant (30 days - 1 year)
C. Toddler (1-3 years)
D .Preschooler (3-5 years)
E. School age children (5-12 years)
F. Adolescents (12-18 years)
G. Young adults (18-39 years)
H. Middle adults (39-64 years)
I. Older adults (64+)

Please indicate your level of experience in the following procedures: A: Theory, no practice  B. Intermittent  C. One-Two Years Current Experience  D. Two-plus years experience, can function independently

Skill

Experience

 Skill

Experience
A. Pediatrics A B C D D. Clinical Skills Standardized Tests A B C D
1. Early intervention 1. ALPS (Aphasia Language Performance Scale)
2. Cerebral palsy 2. CADL (Communication Ability for Daily Living)
3. Cleft palate 3. PICA (Porch Index of Communication Ability)
4. Mental retardation 4. Boston
5. Autism 5. Detroit
6. Language disablities 6. Minnesota (Shuell)
7. Articulation 7. Token
8. Fluency 8. WAB (Western Aphasia Battery)
9. Feeding disorders E. Screening  
10. Hearing Impaired 1. Familiarize self with chart
11. Learning disabilities 2. Expressive/receptive skills
12. Traumatic brain injury 3. Communication with staff
13. Voice 4. Ability to follow directions
B. Disorders   5. Hearing
1. Aphasia 6. Oral motor movement
2. CVA 7. Memory skills
3. Head trauma/injury 8. Attention span
4. Low level functioning patients F. Other Skills  
5. Laryngectomy 1. Group activities
6. Parkinson's disease 2. Accent reduction
7. Dysarthria 3. Family education
8. Dysphagia 4. Biofeedback - EMG
9. Trachs 5. Myofunctional therapy
10. Ventilator dependent patients 6. Aural rehab/speech reading
11. Hearing impaired 7. Sign Language
12. Fluency/stuttering 8. Videofluoroscopy
13. Oral Motor Disorders 9. Ventilator
14. ALS 10. Prosthetics
15. Alzheimers 11. Rehab feeding group
16. Cleft palate 12. Co-treatment with physical therapy
17. Augmentative communication 13. Co-treatment with occupational therapy
18. Communication boards 14. Co-treatment with physicians
19. Electronic devices 15. Inservice education
20. Hearing aids 16. Community awareness activities
C. Medicare Guidelines   17. Establishing a caseload
1. Documentation 18. Cognitive assessment
2. Measurable goals 19. Interaction with nursing staff
3. SOAP notes 20. Multidisciplinary teamwork
4. Daily treatment notes  
5. Narrative notes  

The information I have given is true and accurate to the best of my knowledge.  I hereby authorize Advantage RN to release this Speech Language Pathologist Skills Checklist to facilities of Advantage RN in relation to consideration of my employment.