Speech-Language Pathologist Skills Checklist

* = Required

Name:*
Date:*
Original State License:*
License Number:*
Exp. Date:*
Additional State Licenses:*
ASHA Certification #:

The following checklist will be used as a guide to help us match you with the assignment in which you will be most successful. Using the key below, place a check in the box corresponding with the column best describing your level of experience with each skill or proficiency.

KEY

Level of Skill and/or Proficiency:

  1. Limited or No Experience
  2. Moderate Experience: comfortable with procedure – may need review
  3. Experienced: very comfortable with procedure – can function independently
 
  • 1
  • 2
  • 3
Fluency Voice
Videostroboscopy
Visipitch
LSVT
Aural Rehab
Sign Language
Audiometric Screenings
Cued Speech
Speechreading
Cleft Palate
Prosthetic Devices
Palatal Lifts
Obturators
Feeding Disorders
Augmentative Communication
Computer Applications
Communication Board
Dysphagia
Videofluoroscopy (MBS)
Ultrasound
Cervical Auscultation
Patient/Care Giver Training and Instruction
Diet Classification
Electrical Stimulation
DPNS
Thermo-Stim
Bedside Exams
FEESST
Adaptive Equipment
SEMG –Surface Electromyography
Neurogenic
CVA
Aphasia
Traumatic Brain Surgery
Cognitive Rehab
Coma Stimulation
Rancho Levels
Craniotomy
Motor Speech Disorders
Dysarthria
Apraxia
E-Stim
Progressive Disorders
ALS
MS
Parkinson’s

Technique Assessment and Treatment

Vents and Trachs
Trach Management
Ventilator Dependent
Passy-Muir Valves (PMV’s)
Pulse Oximetry
Medical
Suctioning
Head and Neck Cancers
Trauma
Vital Signs
Pediatrics
Autism
Phonological Processes
Articulation
Phonetic Transcription
Dysphasia
Language Stimulation
Developmental Delays
Feeding Disorders
Cerebral Palsy
Genetic Syndromes
Oral/Motor
Early Intervention Evaluations
Documentation
Care Planning Meetings
CMS-700 and CMS-701 Forms
MDS Forms
PPS Forms
FIM Scores (Functional Independence Measure)
Outcome Measurement Tools
S.O.A.P. Notes
Education
In-Service/Education
Special Education
IEP (Individual Education Program)

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