Psychiatric Tech Skills Checklist
  Psychiatric Tech Skills Checklist
   NAME    
   LAST 4 OF SSN      
   DATE    
I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.  
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.  
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

 
       
Rating Stars (Click) Proficiency Scale 1 2 3 4  
General Duties  
Admit/Orient Involuntary Clients  
Admit/Orient Voluntary Clients  
Advance Directives  
Ambulatory Cuffs  
Assist Activities of Daily Living  
Assist with Personal Hygiene  
Cultural Diversity  
Discharge Clients  
Discharge Planning  
Documentation-Computer  
Documentation-Written  
Full Restraints  
HIPAA Regulations  
Initial Interview  
Initial Screening Assessment  
Isolation Techniques  
Mutli-Disciplinary Planning  
Oxygen Administration  
Participate in Interdisciplinary Team  
Patient Teaching  
Reassess/Update Plan of Care  
Referral to Community Resources  
Supervise Unlicensed Personnel  
Vital Signs  
Wrist Restraints  
Rating Stars (Click) Eating Disorders 1 2 3 4  
Anorexia Nervosa  
Bulimia Nervosa  
Obesity  
Interventions/Therapies  
Assultive Behavior  
Rating Stars (Click) Care of Psychiatric Disorders 1 2 3 4  
Anxiety Disorders  
Bipolar Disorder  
Catatonic Psychotic Disorder  
Delusional Disorders  
Depression  
Dissociative Identity Disorder  
Hallucinations  
Obsessive/Compulsive Disorder  
Panic Attacks  
Paranoid Psychotic Disorder  
Phobias  
Schizophrenia  
Suicidal Ideation/Attempts  
Rating Stars (Click) Assist with Psychotherapy 1 2 3 4  
Behavioral  
Couple/Family  
Group  
Individual  
Rating Stars (Click) Personality Disorders 1 2 3 4  
Cluster A-Paranoid/Schizoid  
Cluster B-Antisocial/Borderline  
Cluster C-Anxious/Fearful  
Rating Stars (Click) Cognitive Disorders 1 2 3 4  
Alzheimer's (Dementia)  
Amnestic Disorders  
Delirium  
Dementia  
Rating Stars (Click) Certified "Management of Assultive Behavior" 1 2 3 4  
Crisis Intervention  
Drug & Alcohol Education  
Education or Vocational Training  
Teach Independent Living Skills  
Therapeutic Communication  
Therapeutic Milieu  
Rating Stars (Click) Assist with Alternative Therapies: 1 2 3 4  
Biofeedback  
ElectroConvulsive Therapy  
Expressive Therapy (Art, Movement)  
Guided Imagery  
Massage Therapy  
Mediation  
Recreational Therapy  
Therapeutic Touch  
Rating Stars (Click) Meds/IV Therapy 1 2 3 4  
Administer IM & SQ Meds  
Administer PO Medications  
Administer Topical Medications  
Identify Appropriate Level of Care  
Discontinue Peripheral IV's  
Pain Assessment/Management  
Rating Stars (Click) Substance-Related Disorders: 1 2 3 4  
ADHD  
Alcohol-Related  
Developemntal/Autistic Disorders  
Drug-Related  
Mental Retardation  
Post Traumatic Stress Disorder  
Sexual Abuse/Assault  
Sexual Disorders  
Somatoform Disorders (Pain etc.)  
Survivor of Abuse/Violence  
Rating Stars (Click) Psychotropic Agents: 1 2 3 4  
Antianxiety Agents  
Anticholinergics/Antiparkinsons  
Anticonvulsants  
Antidepressants/Mood Elevators  
Antimanic Agents  
Antipsychotic Agents  
Hypnotics  
Management of Med Side Effects  
Recognition of Med Side Effects  
  Years of Experience Continuum of Care Settings Hospital Settings Years  
  Med-Psych Unit  
  Transitional Care Hospital  
  Freestanding Psych Hospital  
  Community-Based Hospital  
  Subacute Care Units  
  Long-Term Care Facilities  
  Community Mental Health Services Years  
  Emergency Clinic  
  Day Treatment Programs  
  Residential Programs  
  Home Care  
  Aftercare/Rehab Clinic  
  Corrections/ Prison  
Rating Stars (Click) PROFICIENCY SCALE 1 2 3 4  
Newborn (birth-30 days)  
Infant (30 days-1 yrs)  
Toddler (1-3 yrs)  
Preschooler (3-5 yrs)  
School Age (5-12 yrs)  
Adolescents (12-18 yrs)  
Young Adults (18-39 yrs)  
Middle Adults (39-64 yrs)  
Older Adults (64 yrs +)