| Skills Checklist
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| EXPERIENCE WITH AGE GROUPS > Able to ensure a safe environment reflecting specific needs of various age groups. > Middle Adults (39 - 64 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to ensure a safe environment reflecting specific needs of various age groups. > Young Adults (18 - 39 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to ensure a safe environment reflecting specific needs of various age groups. > Adolescents (12 - 18 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to ensure a safe environment reflecting specific needs of various age groups. > School Age Children (5 - 12 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to ensure a safe environment reflecting specific needs of various age groups. > Preschooler (3 - 5 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to ensure a safe environment reflecting specific needs of various age groups. > Toddler (1 - 3 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to ensure a safe environment reflecting specific needs of various age groups. > Infant (30 days - 1 year) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to ensure a safe environment reflecting specific needs of various age groups. > Newborn / neonate (birth - 30 days) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level > Middle Adults (39 - 64 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level > Young Adults (18 - 39 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level > Adolescents (12 - 18 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level > School Age Children (5 - 12 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level > Preschooler (3 - 5 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level > Toddler (1 - 3 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level > Infant (30 days - 1 year) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level > Newborn / neonate (birth - 30 days) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt care to incorporate normal growth and development > Middle Adults (39 - 64 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt care to incorporate normal growth and development > Young Adults (18 - 39 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt care to incorporate normal growth and development > Adolescents (12 - 18 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt care to incorporate normal growth and development > School Age Children (5 - 12 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt care to incorporate normal growth and development > Preschooler (3 - 5 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt care to incorporate normal growth and development > Toddler (1 - 3 years) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt care to incorporate normal growth and development > Infant (30 days - 1 year) > Yes
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| EXPERIENCE WITH AGE GROUPS > Able to adapt care to incorporate normal growth and development > Newborn / neonate (birth - 30 days) > Yes
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| INFECTION CONTROL > Disposal of Hazardous Waste > Experienced (can function independently)
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| INFECTION CONTROL > Bloodbourne Pathogens > Experienced (can function independently)
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| INFECTION CONTROL > TB Precautions > Experienced (can function independently)
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| INFECTION CONTROL > Universal Precautions > Experienced (can function independently)
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| OTHER > Positioning > Somewhat Experienced (performs infrequently)
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| OTHER > Postural Drainage > Somewhat Experienced (performs infrequently)
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| OTHER > Breathing Exercises > No Experience (theory only)
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| OTHER > Cardiopulmonary Conditioning > Somewhat Experienced (performs infrequently)
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| OTHER > Pulmonary Physical Therapy > No Experience (theory only)
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| OTHER > Back Protection > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Tomogram > No Experience (theory only)
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| OTHER > Proper Posture > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Thoracic spine > Experienced (can function independently)
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| ADMINISTER > Paraffin Wax Dip > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Therapy placement films > No Experience (theory only)
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| ADMINISTER > Ultrasound > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Surgery experience-C arm > No Experience (theory only)
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| ADMINISTER > Electrostimulation > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Specimen radiographs > No Experience (theory only)
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| ADMINISTER > TNS Setting > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Soft issue > Experienced (can function independently)
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| ADMINISTER > Cold > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Small bowel series > No Experience (theory only)
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| ADMINISTER > Heat > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Skull series > No Experience (theory only)
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| EXERCISE > Tactile Stimulation > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Sialography > No Experience (theory only)
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| EXERCISE > Muscle Re-Education > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Selective angiographies > No Experience (theory only)
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| EXERCISE > Home Program > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Salpingogram > No Experience (theory only)
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| EXERCISE > Balance > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Renal cyst puncture > No Experience (theory only)
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| EXERCISE > Pre-Gait Coordination > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Renal arteriogram > No Experience (theory only)
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| EXERCISE > PNF > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Pulmonary arteriogram > No Experience (theory only)
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| EXERCISE > Mobilization > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Portables > Experienced (can function independently)
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| EXERCISE > Resistive > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Peripheral dexascan > No Experience (theory only)
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| EXERCISE > Active Assist > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Pediatric exams > Somewhat Experienced (performs infrequently)
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| EXERCISE > Active > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > OR exams > Somewhat Experienced (performs infrequently)
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| EXERCISE > Passive > Experienced (can function independently)
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| GENERAL DIAGNOSTIC > Needle localization > Somewhat Experienced (performs infrequently)
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| TRANSFERS > With Hemovac > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Myelogram > No Experience (theory only)
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| TRANSFERS > Hoyer > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Mesenteric arteriogram > No Experience (theory only)
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| TRANSFERS > Commode/Toilet > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Mastoids > No Experience (theory only)
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| TRANSFERS > Tub/Shower > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Mammogram > No Experience (theory only)
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| TRANSFERS > Low Surfaces > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Lung biopsy > No Experience (theory only)
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| TRANSFERS > W/C > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Lumbar spine > Experienced (can function independently)
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| TRANSFERS > Chair > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > KUB > No Experience (theory only)
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| TRANSFERS > Elevated Surfaces > Somewhat Experienced (performs infrequently)
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| EXPERIENCE WITH AGE GROUPS > Able to ensure a safe environment reflecting specific needs of various age groups. > Older Adults (64 + ) > Yes
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| GENERAL DIAGNOSTIC > IVP > No Experience (theory only)
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| TRANSFERS > Bed > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Hysterosalpingogram > No Experience (theory only)
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| BED MOBILITY > Prone > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Hypo tonic duodenography > No Experience (theory only)
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| BED MOBILITY > Supine To/From Sit > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Hip series > Somewhat Experienced (performs infrequently)
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| BED MOBILITY > Scoot Supine > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > GI series > No Experience (theory only)
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| BED MOBILITY > Rolling > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Gall bladder > Experienced (can function independently)
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| GAIT TRAINING > Measuring Endurance > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Foreign body localization > Somewhat Experienced (performs infrequently)
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| GAIT TRAINING > Measuring Distance > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Femoral arteriogram > No Experience (theory only)
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| GAIT TRAINING > Wt. Bearing > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Facial series > No Experience (theory only)
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| GAIT TRAINING > Level of Assistance > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Extremities > Experienced (can function independently)
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| EXPERIENCE WITH AGE GROUPS > Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level > Older Adults (64 + ) > Yes
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| GAIT TRAINING > Stairs > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Esophogram > No Experience (theory only)
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| GAIT TRAINING > Ramps > No Experience (theory only)
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| GENERAL DIAGNOSTIC > ERCP > No Experience (theory only)
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| GAIT TRAINING > Uneven Surfaces > No Experience (theory only)
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| GENERAL DIAGNOSTIC > ER exams > No Experience (theory only)
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| GAIT TRAINING > Even Surfaces > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Chest series > No Experience (theory only)
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| GAIT TRAINING > Gait Belt > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Cervical spine > Experienced (can function independently)
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| GAIT TRAINING > Prosthesis > Somewhat Experienced (performs infrequently)
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| GENERAL DIAGNOSTIC > Carotid arteriogram > No Experience (theory only)
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| GAIT TRAINING > Str. Cane > No Experience (theory only)
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| GENERAL DIAGNOSTIC > C-arm fluoroscope > No Experience (theory only)
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| GAIT TRAINING > Quad Cane > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Bronchogram > No Experience (theory only)
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| GAIT TRAINING > Crutches > Somewhat Experienced (performs infrequently)
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| EXPERIENCE WITH AGE GROUPS > Able to adapt care to incorporate normal growth and development > Older Adults (64 + ) > Yes
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| GENERAL DIAGNOSTIC > Brachial arteriogram > No Experience (theory only)
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| GAIT TRAINING > O2 > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Bone density > No Experience (theory only)
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| GAIT TRAINING > Manual Assist > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Barium swallow/ small bowel series > No Experience (theory only)
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| GAIT TRAINING > Orthosis > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Barium enema > No Experience (theory only)
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| GAIT TRAINING > Hemi Walker/3 Point Cane > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Arch arteriogram > No Experience (theory only)
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| GAIT TRAINING > Walker (PU/FW) > No Experience (theory only)
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| GENERAL DIAGNOSTIC > Angioplasty > No Experience (theory only)
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| DOCUMENTATION > Discharge Summary > Experienced (can function independently)
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| PRIMARY EXPERIENCE > Chemical dependency / detox > Years > 0
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| GENERAL DIAGNOSTIC > Air-Contrast barium enema > No Experience (theory only)
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| DOCUMENTATION > Multidisciplinary Team Case Conference Note > Experienced (can function independently)
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| PRIMARY EXPERIENCE > Adult > Years > 1
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| GENERAL DIAGNOSTIC > Abdominal arteriogram > No Experience (theory only)
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| DOCUMENTATION > Therapy Care Plan > Expert (competent to supervise)
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| GENERAL DIAGNOSTIC > Abdomen > Experienced (can function independently)
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| PRIMARY EXPERIENCE > Adolescent > Years > 1
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| DOCUMENTATION > Therapy Assessment > Expert (competent to supervise)
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| PRIMARY EXPERIENCE > Physical Therapy > Years > 13
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