Practical Skills Checkoff Master

Use this as a competency sheet. Sequence alone is not a passing practical.

Before touch

Room/table/supplies prepared and equipment inspected.

Relevant intake and health changes reviewed.

Treatment goal clarified.

Contraindications/areas of caution screened.

Plan, positioning and relevant sensitive-area work explained.

Consent obtained.

Client enters/exits table safely.

Bolstering supports comfort and breathing.

Draping protects privacy and exposes only intended region.

Lubricant is dispensed hygienically.

Therapist stance/table height supports safe mechanics.

Pressure is intentional and responsive rather than automatically deep.

Broad strokes establish/integrate before and after specific work.

Bony landmarks and endangerment sites are recognized.

Client limbs/head are supported during movement.

Therapist uses body weight and appropriate tools rather than thumb/wrist strain.

Transitions remain smooth and draping is restored before moving on.

Opening and scalp sequence complete.

Full-back warmup and side-to-side coverage complete.

Low-, mid-, upper-back and back closeout complete.

Glute/posterior leg sequence complete bilaterally as planned.

Turnover managed safely and professionally.

Anterior legs/feet complete.

Arms complete.

Chest/neck/shoulders complete with appropriate consent/draping.

Closing sequence complete without abrupt disengagement.

Student can name major muscles/landmarks under selected strokes.

Student can identify nearby endangerment sites.

Student modifies/skips when client response or contraindication requires it.

Student stops and reassesses neurological or other concerning symptoms.

Student does not diagnose or make unsupported physiological claims.

Relevant goal/symptom/ROM reassessed when appropriate.

Client given safe time/privacy to transition off table.

Session documented objectively.

Linens handled and surfaces/equipment cleaned/disinfected appropriately.

Therapist performs hand hygiene.