Psychiatric Skills Checklist

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Candidate Name

Email of Recruiter / POC

Select Submission Date

SSN (Last 4 digits)

Proficiency Scale & Legend

1 No experience; Theory/observed only

2 Limited competency; < 5 times per year; Needs supervision

3 Acceptable competency; > 5 times per year

4 Competent; Performs on a daily or weekly basis; Proficient

Assessment

Admission

Initial nursing assessment and care plan

Initial treatment plan

Neurological vital signs

Nursing diagnoses

Nursing reassessment and care planning update

Suicide risk assessment

Equipment & Procedures

Care Of Patients With

Medications

Phlebotomy/iv Therapy

Age Specific Practice Criteria

Emr

Please list any areas of expertise below:

Please list any additional skills/training/equipment:

Skills

Training

Equipment

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency.