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Harbor Hospice Skill Observation: Massage Therapy

Massage Therapy Competency Assessment By Observation – For New Hires & Every 3 Years

Employee name(Required)
MM slash DD slash YYYY
Evaluator name(Required)
1. Observes professional boundaries with patients and families(Required)
2. Demonstrates sensitive, gentle touch(Required)
3. Demonstrates flexibility regarding the wishes of the patients and families(Required)
4. Demonstrates open communication style with patients and families(Required)
5. Manifests a nurturing attitude(Required)
6. Demonstrates understanding of massage techniques and own body mechanics(Required)
8. Rate the clinician's overall understanding (1 = Lowest, 5 = Highest)(Required)
Clear Signature
MM slash DD slash YYYY
Clear Signature
MM slash DD slash YYYY

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