A.  Appearance   

1.  Wears appropriate hat                          
2.  
Wears appropriate undershirt                        
3.  
Wears appropriate shirt                                                               
7.  
Wears appropriate pants                              
8.  
Wears appropriate shorts                   
11.
Wears socks                                 
12.  
Wear appropriate shoes                                 
14.  
Maintains groomed facial hair
15.  Clean finger nails                              
16.   
Trimmed finger nails
17.  Applies deodorant

        FEMALE                       
18.  
Shaves underarms                                        
19.  
Shaves legs                                                       

      FEMALE                                              
2.  
Wears skirt                                    
3.  
Makeup is appropriate for work setting  
4.  
Fragrance is appropriate        

B.  Ethics      

1.  
Identifies transportation rules
2.  Abides by transportation rules
3.  Signs in upon arrival
4.  Identifies workplace rules
5.  Follows workplace rules
6.  Designated work area
7.  Follows time limits                               
8.  
Washes hands after bathroom use
9.  Blows nose as needed
10.  Washes hands before lunch
11.  Use condiments appropriately
12.  Uses napkin                                     
13.  Uses towel to dry hand
14.  Trims toenails
15.  
Transportation

C.  Quality

D.  Time management

E.  Dispute resolution

F.   Social interaction

G.  Self management

1.  Maintains a clean wheelchair/ walker
2.   Follows pressure relief schedule                       
3.  
Documents pressure relief exercise         
4.  
Catheterize self                       
5.  Understands universal precautions  
6.   
Follows universal precautions                          
7.   
Wheels himself              
8.   
Operates electronic device for mobility    
11.
Utilize a walker    

           
  
H.  Job application skills

I.  Computer skills

J.  Interview skills

             
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