Psychiatry Skills Checklist
  Psychiatry 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) GENERAL NURSING 1 2 3 4  
ADMIT / ORIENT VOLUNTARY CLIENTS  
ADMIT / ORIENT INVOLUNTARY CLIENTS  
INITIAL COMPREHENSIVE ASSESSMENT  
INITIAL FOCUSED ASSESSMENT  
INITIAL SCREENING ASSESSMENT  
INITIATE CARE PLAN  
REASSESSMENT / UPDATE CARE PLAN  
MULTI-DISCIPLINARY PLANNING  
SUPERVISE UNLICENSED PERSONNEL  
VITAL SIGN MONITORING  
FULL RESTRAINTS  
WRIST RESTRAINTS  
AMBULATORY CUFFS  
ADMIN / MONITOR TUBE FEEDINGS  
ADMIN / MONITOR TUBE FEEDINGS  
INSERT / CARE OF FOLEY CATHETER  
ASSIST WITH LUMBAR PUNCTURE  
ISOLATION TECHNIQUES  
ADVANCE DIRECTIVES  
PATIENT TEACHING  
CASE MANAGER  
DISCHARGE PLANNING  
DISCHARGE CLIENTS  
CULTURAL DIVERSITY  
ETHNIC AWARENESS  
FORENSIC NURSE  
Rating Stars (Click) CARE OF PSYCH DISORDERS 1 2 3 4  
SCHIZOPHRENIA  
PARANOID PSYCHOTIC DISORDER  
CATATONIC PSYCHOTIC DISORDER  
HALLUCINATIONS  
BIPOLAR DISORDER  
DEPRESSION  
SUICIDAL IDEATION / ATTEMPTS  
DELUSIONAL DISORDERS  
ANXIETY DISORDERS  
PANIC ATTACKS  
PHOBIAS  
OBSESSIVE / COMPULSIVE DISORDER  
DISSOCIATIVE IDENTITY DISORDER  
SEXUAL DISORDERS  
SEXUAL ABUSE / ASSAULT  
SURVIVOR OF ABUSE / VIOLENCE  
POST TRAUMATIC STRESS DISORDER  
SOMATOFORM DISORDERS (PAIN ETC.)  
MENTAL RETARDATION  
MENTAL RETARDATION  
Rating Stars (Click) CARE OF PSYCH DISORDERS 1 2 3 4  
ADHD  
DEVELOPMENTAL / AUTISTIC DISORDERS  
Rating Stars (Click) COGNITIVE DISORDERS 1 2 3 4  
DELIRIUM  
DEMENTIA  
ALZHEIMER'S (DEMENTIA)  
AMNESTIC DISORDERS  
Rating Stars (Click) PERSONALITY DISORDERS 1 2 3 4  
CLUSTER A - PARANOID / SCHIZOID  
CLUSTER B - ANTISOCIAL / BORDERLINE  
CLUSTER C - ANXIOUS / FEARFUL  
Rating Stars (Click) EATING DISORDERS 1 2 3 4  
ANOREXIA NERVOSA  
BULIMIA NERVOSA  
OBESITY  
Rating Stars (Click) SUBSTANCE RELATED DISORDERS 1 2 3 4  
ALCOHOL -RELATED  
DRUG -RELATED  
Rating Stars (Click) INTERVENTIONS / THERAPIES 1 2 3 4  
CRISIS INTERVENTION  
THERAPEUTIC COMMUNICATION  
THERAPEUTIC MILIEU  
EDUCATION OR VOCATIONAL TRAINING  
DRUG & ALCOHOL EDUCATION  
ELECTROCONVULSIVE THERAPY  
Rating Stars (Click) ALTERNATIVE THERAPIES 1 2 3 4  
BIOFEEDBACK  
GUIDED IMAGERY  
EXPRESSIVE THERAPY (ART, MOVEMENT)  
MASSAGE THERAPY  
MEDITATION  
RECREATIONAL THERAPY  
THERAPEUTIC TOUCH  
Rating Stars (Click) CONDUCTING PSYCHOTHERAPY 1 2 3 4  
INDIVIDUAL  
GROUP  
COUPLE / FAMILY  
BEHAVIORAL  
Rating Stars (Click) MEDS / IV THERAPY 1 2 3 4  
ADMINISTER PO MEDICATIONS  
ADMINISTER NG / GT MEDS  
ADMINISTER RECTAL MEDICATIONS  
ADMINISTER IM & SQ MEDS  
PERIPHERAL IV INSERTION  
USE OF HEPARIN / SALINE LOCKS  
ADMINISTER IV MEDICATIONS  
NEEDLE - LESS SYSTEMS  
CARE OF CENTRAL LINES  
CARE OF PICC LINES  
ADMIN OF HYPERALIMENTATION  
ADMIN OF BLOOD / BLOOD PRODUCTS  
INFUSION PUMPS  
DISCONTINUE PERIPHERAL IVS  
VENIPUNCTURE BLOOD DRAWS  
PAIN ASSESSMENT / MANAGEMENT  
Rating Stars (Click) PSYCHOTROPIC AGENTS 1 2 3 4  
RAPID TRANQUILIZATION  
ANTIPSYCHOTIC AGENTS  
HYPNOTICS  
ANTIANXIETY AGENTS  
ANTIDEPRESSANTS / MOOD ELEVATORS  
ANTIMANIC AGENTS  
ANTICONVULSANTS  
ANTICHOLINERGICS / ANTIPARKINSONS  
Rating Stars (Click) MEDS SIDE EFFECTS - RECOGNITION AND MANAGEMENT 1 2 3 4  
BLURRED VISION  
CONSTIPATION  
DROWSINESS  
DRY MOUTH  
GASTROINTESTINAL EFFECTS  
HYPO / HYPERGLYCEMIA  
HYPOTENSION / ORTHOSTATIC  
INSOMNIA  
CHANGES IN LIBIDO  
TACHYCARDIA  
URINARY RETENTION  
WEIGHT GAIN  
PARKINSONISM SYMPTOMS  
AKATHISIA (MOTOR RESTLESSNESS)  
ACUTE DYSTONIC REACTIONS  
TARDIVE DYSKINESIA  
NEUROLEPTIC MALIGNANT SYNDROME  
Rating Stars (Click) AGE APPROPRIATE CARE 1 2 3 4  
NEWBORN (BIRTH-30 DAYS)  
INFANT (30 DAYS - 1 YEAR)  
TODDLER (1 - 3 YEARS)  
PRESCHOOLER (3 - 5 YEARS)  
SCHOOL AGE (5 - 12 YEARS)  
ADOLESCENTS (12 - 18 YEARS)  
YOUNG ADULTS (18 - 39 YEARS)  
MIDDLE ADULTS (39 - 64 YEARS)  
OLDER ADULTS (64+ YEARS)