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