This checklist was electronically signed on (Today’s date)
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
Admission
Intial nursing assessment and care plane
Intial treatment plan
Nursing Diagnoses
Suicide risk Assessment
Neurological Vital Signs
Nursing reassessment and care planning update
Assist with Lumbar puncture
Cardiopulmonary resuscitation
Charge nurse experience
Treatment / Goal oriented Charting
Participationin Milieu Therapy
Psychiatric home health
Rapid traquilization
Telephonic crisis intervention
Assist physician with ECT
Group theraphy leader
Management of drug/ alcohol detoz symptoms
Management of Assaultive behavior
Patient Teaching
Restraints, Application and Assessment
Electroconvulsion therapy
Multi-disciplinary treatment team participation
Discharge planning
Therpeutic communication skills
Tube Feeding
Electroconvulsive therapy
Med-psych patient
Seizures Disorder
Tracheostomy
Alcohol dependency
Seculsion and restraints
Manic behavior
Organic disorder
Hallucinations
Partial hospital / intensive outpatient program patient
Suicidal behavior
Drug Dependency
Administration of Oral psychotropic medications
Oral
Rectal
Sub-q
Management of extrpyramidal symptoms (EPS)
Heparin
Unit Dose
Intramuscular
Z - Technique
Management of Patient with IV- Staring IVs
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-school (3-6 years)
School Age (6-12 years)
Adolescent (12-18 years)
Young Adult (18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)
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