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Skills Assessment - Psychiatric
 
The following checklist will be used to match your skills and interests with available assignments. Please enter your information, and we will store this information with your application/profile. Please indicate your level of proficiency by marking the appropriate number.
 
First Name:
Middle Initial:
Last Name:
SSN: - -
E-mail Address:
Home Phone: - -
Work Phone: - -
Cell Phone: - -
City:
State:
 
 
0. Theory, no practice   1. Limited   2. Confident   3. Very Confident
 
Medications: Experience:
IV addictives, IVPB, IV push - Dilantin 0   1   2   3  
IV addictives, IVPB, IV push - Librium 0   1   2   3  
IV addictives, IVPB, IV push - Valium 0   1   2   3  
Administration of anti-psychotic drugs 0   1   2   3  
Management of adverse effects and adverse reaction of anti-psychotic drugs 0   1   2   3  
Administration of anti-cholinergic drugs 0   1   2   3  
Assessment for possible misuse or abuse of anti-cholinergic drugs 0   1   2   3  
Administration of anti-depressant drugs 0   1   2   3  
Management of side effects and adverse reactions from ant-depressants 0   1   2   3  
Administration of MAO inhibitors 0   1   2   3  
Knowledge of adverse response to MAO inhibitors, dietary restrictions and management of hypertensive crisis 0   1   2   3  
Administration of lithium 0   1   2   3  
Knowledge of lithium side effects 0   1   2   3  
Stabilizing lithium levels 0   1   2   3  
Management of patients who are noncompliant with medications and instituting appropriate interventions 0   1   2   3  
 
Acute Care Interventions:
Knowledge of progressive containment - Medications 0   1   2   3  
Knowledge of progressive containment - Seclusions 0   1   2   3  
Knowledge of progressive containment - Restraints 0   1   2   3  
Knowledge of legal responsibility regarding use of restraint and seclusion 0   1   2   3  
Use of interventions with acute suicidal 0   1   2   3  
Use of interventions with Alzheimer's 0   1   2   3  
Use of interventions with delusional patient 0   1   2   3  
Use of interventions with hallucinating patient 0   1   2   3  
Use of interventions with organic brain syndrome 0   1   2   3  
Use of interventions with physically aggressive 0   1   2   3  
Use of interventions with self-abusive 0   1   2   3  
Use of interventions with severe to panic level of anxiety 0   1   2   3  
 
Management of Suicidal Patient:
Crisis intervention on phone 0   1   2   3  
Suicidal precautions 0   1   2   3  
Knowledge of patients that are high risk 0   1   2   3  
 
Child Psychiatric:
Knowledge of child psychiatric disorders and treatments 0   1   2   3  
Knowledge of effective child rearing practice 0   1   2   3  
Use of PRN medication for behavioral management 0   1   2   3  
Family interventions 0   1   2   3  
Effects of locked door seclusion on child psychiatric patients 0   1   2   3  
Curative factors of the milieu of child psychiatric patient 0   1   2   3  
 
Adolescent Psychiatric:
Knowledge of technique used to promote an alliance with adolescent 0   1   2   3  
Knowledge of effectiveness of limit setting interventions 0   1   2   3  
Knowledge of indications, actions and possible side effects of psychotropic drugs on adolescent 0   1   2   3  
Knowledge of intake screening 0   1   2   3  
 
Gerontologic Psychiatric:
Differentiating depression from dementia 0   1   2   3  
Factors contribute to Sundown Syndrome 0   1   2   3  
Factors that contribute to withdrawal of elderly 0   1   2   3  
Interventions with agitated elderly 0   1   2   3  
Interventions with confused elderly 0   1   2   3  
Preventive measures for disoriented elderly 0   1   2   3  
 
Legal Aspects:
Knowledge of patient's right 0   1   2   3  
Confidentiality 0   1   2   3  
Voluntary and involuntary commitment 0   1   2   3  
Discharge AMA 0   1   2   3  
 
General Psychiatric Nursing:
Use of milieu to enhance patient care 0   1   2   3  
Use of milieu to decrease confusion and tension 0   1   2   3  
Initiate treatment plans 0   1   2   3  
Complete nursing assessment 0   1   2   3  
Seizure precautions 0   1   2   3  
Knowledge of somatic therapies 0   1   2   3  
Knowledge of major categories of abused substances 0   1   2   3  
Knowledge of experimental behavioral responses, behavior related to withdrawal syndrome 0   1   2   3  
Isolation procedures 0   1   2   3  
 
Age-Specific Practice Criteria:
Please check the box corresponding to each age group for which you have expertise in providing age-appropriate nursing care. Pediatric (1 - 12years)  
Adolescents (12 - 18 years)  
Adult (19 - 65 years)  
Older Adult (Older than 65 years)  
 
Experience With Age Groups:
Calculate body weight to verify correct dosing of medication 0   1   2   3  
Assess immunization status for pediatric, and adolescent 0   1   2   3  
Set age-appropriate short-term and long-term goals in care planning 0   1   2   3  
Provide age-appropriate education, considering possible vision and hearing impairment for older than 65 years 0   1   2   3  
 
 
 
 


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