PSYCHIATRIC_TECH_SKILLS

		Psychiatric Tech Skills Checklist
NAME

LAST 4 OF SSN

DATE

	I hereby certify that ALL information I have provided to IMCS Group 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)	Proficiency Scale		1	2	3	4
	General Duties
	Admit/Orient Involuntary Clients
	Admit/Orient Voluntary Clients
	Advance Directives
	Ambulatory Cuffs
	Assist Activities of Daily Living
	Assist with Personal Hygiene
	Cultural Diversity
	Discharge Clients
	Discharge Planning
	Documentation-Computer
	Documentation-Written
	Full Restraints
	HIPAA Regulations
	Initial Interview
	Initial Screening Assessment
	Isolation Techniques
	Mutli-Disciplinary Planning
	Oxygen Administration
	Participate in Interdisciplinary Team
	Patient Teaching
	Reassess/Update Plan of Care
	Referral to Community Resources
	Supervise Unlicensed Personnel
	Vital Signs
	Wrist Restraints
Rating Stars (Click)	Eating Disorders		1	2	3	4
	Anorexia Nervosa
	Bulimia Nervosa
	Obesity
	Interventions/Therapies
	Assultive Behavior
Rating Stars (Click)	Care of Psychiatric Disorders		1	2	3	4
	Anxiety Disorders
	Bipolar Disorder
	Catatonic Psychotic Disorder
	Delusional Disorders
	Depression
	Dissociative Identity Disorder
	Hallucinations
	Obsessive/Compulsive Disorder
	Panic Attacks
	Paranoid Psychotic Disorder
	Phobias
	Schizophrenia
	Suicidal Ideation/Attempts
Rating Stars (Click)	Assist with Psychotherapy		1	2	3	4
	Behavioral
	Couple/Family
	Group
	Individual
Rating Stars (Click)	Personality Disorders		1	2	3	4
	Cluster A-Paranoid/Schizoid
	Cluster B-Antisocial/Borderline
	Cluster C-Anxious/Fearful
Rating Stars (Click)	Cognitive Disorders		1	2	3	4
	Alzheimer's (Dementia)
	Amnestic Disorders
	Delirium
	Dementia
Rating Stars (Click)	Certified "Management of Assultive Behavior"		1	2	3	4
	Crisis Intervention
	Drug & Alcohol Education
	Education or Vocational Training
	Teach Independent Living Skills
	Therapeutic Communication
	Therapeutic Milieu
Rating Stars (Click)	Assist with Alternative Therapies:		1	2	3	4
	Biofeedback
	ElectroConvulsive Therapy
	Expressive Therapy (Art, Movement)
	Guided Imagery
	Massage Therapy
	Mediation
	Recreational Therapy
	Therapeutic Touch
Rating Stars (Click)	Meds/IV Therapy		1	2	3	4
	Administer IM & SQ Meds
	Administer PO Medications
	Administer Topical Medications
	Identify Appropriate Level of Care
	Discontinue Peripheral IV's
	Pain Assessment/Management
Rating Stars (Click)	Substance-Related Disorders:		1	2	3	4
	ADHD
	Alcohol-Related
	Developemntal/Autistic Disorders
	Drug-Related
	Mental Retardation
	Post Traumatic Stress Disorder
	Sexual Abuse/Assault
	Sexual Disorders
	Somatoform Disorders (Pain etc.)
	Survivor of Abuse/Violence
Rating Stars (Click)	Psychotropic Agents:		1	2	3	4
	Antianxiety Agents
	Anticholinergics/Antiparkinsons
	Anticonvulsants
	Antidepressants/Mood Elevators
	Antimanic Agents
	Antipsychotic Agents
	Hypnotics
	Management of Med Side Effects
	Recognition of Med Side Effects
Years of Experience Continuum of Care Settings Hospital Settings			Years
Med-Psych Unit
Transitional Care Hospital
Freestanding Psych Hospital
Community-Based Hospital
Subacute Care Units
Long-Term Care Facilities
Community Mental Health Services			Years
Emergency Clinic
Day Treatment Programs
Residential Programs
Home Care
Aftercare/Rehab Clinic
Corrections/ Prison
Rating Stars (Click)	EMR		1	2	3	4
	Epic
	Cerner
	Eclipsys
	McKesson
	Meditech
	Other Computerized System
	Computerized Physician Order Entry
	Bar Coding for Medication Administration
MY EXPERIENCE IS PRIMARILY IN:
Unit	No. of Years	Unit	No. of Years
BURN		POST PARTUM
CRITICAL UNIT		LABOR & DELIVERY
PACU		NEWBORN NURSERY
NEUROLOGY		LEVEL II NICU
TELEMETRY		LEVEL III NICU
MEDICAL		PICU
SURGICAL		PEDIATRICS
ONCOLOGY		OB/GYN
ORTHOPEDICS		PSYCHIATRY
OPERATING ROOM		RRT
EMERGENCY ROOM		CRT
TRAUMA CENTER LEVEL 1
COMMUNITY ER
RURAL ER
Rating Stars (Click)	PROFICIENCY SCALE		1	2	3	4
	Newborn (birth-30 days)
	Infant (30 days-1 yrs)
	Toddler (1-3 yrs)
	Preschooler (3-5 yrs)
	School Age (5-12 yrs)
	Adolescents (12-18 yrs)
	Young Adults (18-39 yrs)
	Middle Adults (39-64 yrs)
	Older Adults (64 yrs +)