Psychiatry Skills Checklist Personal InformationName(Required) First Middle Last Last 4 Digits of Social Security NumberEmail(Required) Date MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyGeneral NursingAdmit/Orient Voluntary Clients 1 2 3 4 Admit/Orient Involuntary Clients 1 2 3 4 Initial Comprehensive Assessment 1 2 3 4 Initial Focused Assessment 1 2 3 4 Initial Screening Assessment 1 2 3 4 Initial Care Plan 1 2 3 4 Reassessment/Update Care Plan 1 2 3 4 Multi-disciplinary Planning 1 2 3 4 Supervise Unlicensed Personal 1 2 3 4 Vital Sign Monitoring 1 2 3 4 Full Restraints 1 2 3 4 Wrist Restraints 1 2 3 4 Ambulatory Cuffs 1 2 3 4 Admin/Monitor Tube Feedings 1 2 3 4 Insert/Care of Foley Catheter 1 2 3 4 Assist with Lumbar Puncture 1 2 3 4 Isolation Techniques 1 2 3 4 Advance Directives 1 2 3 4 Patient Teaching 1 2 3 4 Case Manager 1 2 3 4 Discharge Planning 1 2 3 4 Case Manager 1 2 3 4 Discharge Planning 1 2 3 4 Discharge Clients 1 2 3 4 Cultural Diversity 1 2 3 4 Ethnic Awareness 1 2 3 4 Forensic Nurse 1 2 3 4 Care of Psych DisordersSchizophrenia 1 2 3 4 Paranoid Psychotic Disorder 1 2 3 4 Catatonic Psychotic Disorder 1 2 3 4 Hallucinations 1 2 3 4 Bipolar Disorder 1 2 3 4 Depression 1 2 3 4 Suicidal Ideation/Attempts 1 2 3 4 Delusional Disorders 1 2 3 4 Anxiety Disorders 1 2 3 4 Panic Attacks 1 2 3 4 Phobias 1 2 3 4 Obsessive/Compulsive Disorder 1 2 3 4 Dissociative Identity Disorder 1 2 3 4 Sexual Disorders 1 2 3 4 Sexual Abuse/Assault 1 2 3 4 Survivor of Abuse/Violence 1 2 3 4 Post Traumatic Stress Disorder 1 2 3 4 Somatoform Disorders (Pain, etc.) 1 2 3 4 Mental Retardation 1 2 3 4 Care of Psych DisordersADHD 1 2 3 4 Developmental/Autistic Disorders 1 2 3 4 Cognitive DisordersDelirium 1 2 3 4 Dementia 1 2 3 4 Alzheimer's (Dementia) 1 2 3 4 Amnestic Disorders 1 2 3 4 Personality DisordersCluster A - Paranoid/Schizoid 1 2 3 4 Cluster B - Antisocial/Borderline 1 2 3 4 Cluster C - Anxious/Fearful 1 2 3 4 Eating DisordersAnorexia Nervosa 1 2 3 4 Bulimia Nervosa 1 2 3 4 Obesity 1 2 3 4 Substance Related DisordersAlcohol - Related 1 2 3 4 Drug - Related 1 2 3 4 Interventions/TherapiesCrisis Intervention 1 2 3 4 Therapeutic Communication 1 2 3 4 Therapeutic Milieu 1 2 3 4 Education or Vocational Training 1 2 3 4 Drug & Alcohol Education 1 2 3 4 Electroconvulsive Therapies 1 2 3 4 Alternative TherapiesBiofeedback 1 2 3 4 Guided Imagery 1 2 3 4 Expressive Therapy (Art, Movement) 1 2 3 4 Massage Therapy 1 2 3 4 Meditation 1 2 3 4 Recreational Therapy 1 2 3 4 Therapeutic Touch 1 2 3 4 Conducting PsychotherapyIndividual 1 2 3 4 Group 1 2 3 4 Couple/Family 1 2 3 4 Behavioral 1 2 3 4 Meds/IV TherapyAdminister PO Medications 1 2 3 4 Administer NG/GT Medications 1 2 3 4 Administer Rectal Medications 1 2 3 4 Administer IM & SQ Medications 1 2 3 4 Peripheral IV Insertion 1 2 3 4 Use of Heparin/Saline Locks 1 2 3 4 Administer IV Medications 1 2 3 4 Needle - Less Systems 1 2 3 4 Care of Central Lines 1 2 3 4 Care of PICC Lines 1 2 3 4 Admin of Hyperalimentation 1 2 3 4 Admin of Blood/Blood Products 1 2 3 4 Infusion Pumps 1 2 3 4 Discontinue Peripheral IVs 1 2 3 4 Venipuncture Blood Draws 1 2 3 4 Pain Assessment/Management 1 2 3 4 Psychotropic AgentsRapid Tranquilization 1 2 3 4 Antipsychotic Agents 1 2 3 4 Hypnotics 1 2 3 4 Antianxiety Agents 1 2 3 4 Antidepressants/Mood Elevators 1 2 3 4 Antimanic Agents 1 2 3 4 Anticonvulsants 1 2 3 4 Anticholinergics/Antiparkinsons 1 2 3 4 Meds Side Effects - Recognition and ManagementBlurred Vision 1 2 3 4 Constipation 1 2 3 4 Drowsiness 1 2 3 4 Dry Mouth 1 2 3 4 Gastrointestinal Effects 1 2 3 4 Hypo/Hyperglycemia 1 2 3 4 Hypotension/Orthostatic 1 2 3 4 Insomnia 1 2 3 4 Changes in Libido 1 2 3 4 Tachycardia 1 2 3 4 Urinary Retention 1 2 3 4 Weight Gain 1 2 3 4 Parkinsonism Symptoms 1 2 3 4 Akathisia (Motor Restlessness) 1 2 3 4 Accute Dystonic Reactions 1 2 3 4 Tardive Dyskinesia 1 2 3 4 Neuroleptic Malignant Syndrome 1 2 3 4 Age Specific CompetenciesNewborn (Birth - 30 days) 1 2 3 4 Infant (30 days - 1 year) 1 2 3 4 Toddler (1 - 3 years) 1 2 3 4 Preschooler (3 - 5 years) 1 2 3 4 School Age (5 - 12 years) 1 2 3 4 Adolescents (12 - 18 years) 1 2 3 4 Young Adults (18 - 39 years) 1 2 3 4 Middle Adults (39 - 64 years) 1 2 3 4 Older Adults (64+ years) 1 2 3 4 AuthorizationsSignature(Required)The information I have given is true and accurate to the best of my knowledge. I hereby authorize Hired by Matrix, Inc. to release this Emergency Room RN Skills Checklist to Client facilities of Hired by Matrix, Inc. in consideration of my assignment to work at those facilities.
