Skills Checklist – Psychiatric

CARE OF PATIENTS WITH*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Affective Disorders
Alcohol Dependency
Bipolar Disorder
Delirium Tremens
Detoxification
Drug Dependency
Dual Diagnosis
Eating Disorders
Electroconvulsive Therapy
Extrapyramial Syndrome
Hallucinations
Medical-Psychiatric Disorder
Necroleptic Malignant Syndrome
Obsessive-Compulsive Disorder
Organic Disorder
Schizoaffective Disorder
Schizophrenia
Seizure Disorder
Suicidal Behavior
Tardive Dyskinesia
Violent/Assaultive Behavior

PROCEDURES/SKILLS*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Assaultive Behavior Management
Behavior Modification Techniques
Contraband Search
Diabetic Patient Care
Electroconvulsive Therapy - assist
Elopement Precautions

PROCEDURES/SKILLS - FOLEY CATHETER INSERTION/CARE*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Male
Female

PROCEDURES/SKILLS - INTRAVENOUS THERAPY*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Angiocath insertion
Butterfly insertion
IV site maintenance
Hyperalimentation infusion
Saline/Heparin Lock
Blood/Blood Product Infusions
Venous Blood Draw
Isolation Procedures
Locked Unit Routine
Lumbar Puncture - assist
Milieu Therapy
NG Tube Insertion/Care
Open Unit Routine

PROCEDURES/SKILLS - PATIENT TEACHING (GROUP)*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Anger Management
Cognitive Behavioral Therapy
Depression Education
Dialectical Behavioral Therapy
Discharge Issues
Family Education
Medication Education
Relapse Prevention
Relaxation Techniques

PROCEDURES/SKILLS - PSYCHOTHERAPY*
Rarely Some Experience Proficient Trainer / Preceptor N/A
a. Group
b. Individual
Rapid Tranquilization
PROCEDURES/SKILLS - RESTRAINTS*
Rarely Some Experience Proficient Trainer / Preceptor N/A
a. Wrist
b. Full (4 point)
c. Chemical
d. Leather
Seclusion Procedures
PROCEDURES/SKILLS - SUCTIONING*
Rarely Some Experience Proficient Trainer / Preceptor N/A
a. oropharyngeal
b. nasopharyngeal
Suicide Prevention
Time-Out/Quiet Time Management
Tube Feedings

ASSESSMENT/OTHER*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Admission of patients to unit
Care Planning
Charge Nurse responsibilities
Computerized Charting
CPR
Neurological Assessments
Universal Precautions
Vital Signs
Pediatric Patients
Adolescent Patients
Adult Patients
Geriatric Patients

EQUIPMENT*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Automated Med. Dispensing Systems
Automatic BP cuffs
Glucometer/Accucheck
Pulse Oximetry
Computer Charting Systems
PAIN MANAGEMENT
Pain assessment using pain scales
Narcotic Agents
Non-narcotic agents
Non-pharmacological measures
IV Infusion Pumps (Specify Brands)

INFUSION PUMP BRAND #1
INFUSION PUMP BRAND #2
EQUIPMENT - INFUSION PUMPS EXPERTISE
Rarely Some Experience Proficient Trainer / Preceptor N/A
BRAND #1
BRAND #2
Do you speak any languages other than English?*
- No
If yes, enter languages above, separated by commas.

Age Group Experience*

Confirmation*
- I attest that the information I have given is both true and, to the best of my knowledge, represents an accurate self assessment of my professional skills and/or education.
Signature
Date
MM slash DD slash YYYY

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