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SCHOOLS
TELEPRACTICE

About Us
Employees
Employers
Contact
Blog

HEALTHCARE
- Nursing
- Therapy
SCHOOLS
TELEPRACTICE

Psychiatric RN Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1-2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

"*" indicates required fields

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Full Name*

Email*

Todays Date*

MM slash DD slash YYYY

Age Of Patients Cared For

Newborn/Neonate (birth to 30 days)

0

1

2

3

Infant (31 days to 12 months)

0

1

2

3

Toddler/Preschool (13 months to 5 years)

0

1

2

3

School Age Child/adolescent (6 years to 18 years)

0

1

2

3

Young Adults/Middle Adult (19 years to 64 years)

0

1

2

3

Older Adults/Elderly (65+ years)

0

1

2

3

General Skills

Fall Risk Assessment

0

1

2

3

Automated Med Dispensing Systems

Accudose

Metro

Omnicell

Promanager Rx

Pyxis

N/A

Other Automated Med Dispensing Systems:

Electronic Documentation

Allscripts

Care360

Cerner

eCLinicalWorks

EPIC

MACLAB

McKesson

Meditech

PACS

Soarian

N/A

Other Electronic Documentation:

IV Pumps

Alaris

Alibaba

Bard

Baxter

Braun

CADD

IVAC

Zynomed

N/A

Other IV Pumps:

Peripheral IV Insertion, Care and Maintenance

0

1

2

3

Access/Management of Implanted Ports

0

1

2

3

Access/Management of Central Lines (CVL, Hickman, Broviac, Groshong, etc.)

0

1

2

3

Administration of Blood/Blood Products

0

1

2

3

Insertion and Care of Straight & Foley Catheter

0

1

2

3

Tube Feeding

0

1

2

3

Standard Precautions

0

1

2

3

Isolation Precautions

0

1

2

3

Pain Management

0

1

2

3

Knowledge of "Do Not Use Abbreviations"

0

1

2

3

Do you have charge/supervisor experience?

Yes

No

Knowledge of current Joint Commission National Patient Safety Goals

0

1

2

3

Knowledge/familiarity with HCAHPS scores

0

1

2

3

Psychiatric & General Skills

Admission

0

1

2

3

Therapeutic Communication Skills

0

1

2

3

Neurological Assessment

0

1

2

3

Initial Treatment Plan

0

1

2

3

Initial Nursing Assessment & Care Plan

0

1

2

3

Nursing Diagnoses

0

1

2

3

Nursing Reassessment & Care Planning Update

0

1

2

3

Behavioristic charting

0

1

2

3

Treatment/Goal Oriented charting

0

1

2

3

Discharge Planning

0

1

2

3

Patient Teaching

0

1

2

3

Active Participation in Multi-Disciplinary Staffing

0

1

2

3

Group Therapy Leader

0

1

2

3

Multi-disciplinary Treatment Team Participation

0

1

2

3

Participation in Milieu Therapy

0

1

2

3

Assist Physician in Administration of Electroconvulsive Therapy

0

1

2

3

Suicide Risk Assessment

0

1

2

3

Suicide Precautions

0

1

2

3

Psychiatric Emergency Response Team

0

1

2

3

Rapid Tranquilization

0

1

2

3

Telephonic Crisis Intervention

0

1

2

3

Therapeutic Limit Setting

0

1

2

3

Restraints-application, Assessment & Reassessment Of

Seclusion

0

1

2

3

Management of Drug/Alcohol Detox Symptoms

0

1

2

3

Management of Assaultive Behavior

0

1

2

3

Involuntary/Voluntary Commitment

0

1

2

3

Crisis Prevention

0

1

2

3

Vital Signs

0

1

2

3

Knowledge of State Specific Regulations on Emergency

0

1

2

3

O2 Therapy & Medication Delivery Systems

Bag & Mask

0

1

2

3

External CPAP

0

1

2

3

Face Masks

0

1

2

3

Inhalers

0

1

2

3

Nasal Cannula

0

1

2

3

Portable O2 Tank

0

1

2

3

Oro-naso-pharynx Suctioning

0

1

2

3

Psychiatric -Care Of Patient With:

Alcohol/Drug Abuse

0

1

2

3

Alzheimer's/Dementia

0

1

2

3

Anxiety Disorder

0

1

2

3

Alcohol/Drug Dependency

0

1

2

3

Bipolar Disorder

0

1

2

3

Depressive Disorder

0

1

2

3

Eating Disorder

0

1

2

3

Schizophrenic Disorder

0

1

2

3

Electroconvulsive Therapy

0

1

2

3

Hallucinations

0

1

2

3

History of Sexual/Physical Abuse

0

1

2

3

Manic Behavior

0

1

2

3

Organic Disorder

0

1

2

3

Post Traumatic Stress Disorder (PTSD)

0

1

2

3

Violent Behavior

0

1

2

3

Seizure Disorder

0

1

2

3

Suicidal Behavior

0

1

2

3

Medications

Administration of Oral Psychotropic Medications

0

1

2

3

Antabuse

0

1

2

3

Anticonvulsants

0

1

2

3

Antidepressants

0

1

2

3

Antianxiety

0

1

2

3

Antihypertensive

0

1

2

3

Antipsychotics

0

1

2

3

Cholinesterase Inhibitors ( Aracept/Namenda)

0

1

2

3

Digoxin

0

1

2

3

Heparin

0

1

2

3

Insulin

0

1

2

3

Lithium

0

1

2

3

Methadone

0

1

2

3

Management of Extrapyramidal Symptoms (EPS)

0

1

2

3

Intramuscular

0

1

2

3

Oral

0

1

2

3

Rectal

0

1

2

3

Sub-q

0

1

2

3

Unit Dose

0

1

2

3

Z-Technique

0

1

2

3

Settings

Pediatric/Adolescent

0

1

2

3

Adult

0

1

2

3

Partial

0

1

2

3

Inpatient

0

1

2

3

Outpatient

0

1

2

3

Eating Disorder Clinic

0

1

2

3

Home Health

0

1

2

3

Locked Unit

0

1

2

3

Rehab Unit

0

1

2

3

Substance Abuse/Rehabilitation

0

1

2

3

awards updated 2022

SIA_CM_Member_2018

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