Psychiatric Skills Checklist

Name*
First Last
Email*
Phone*
Proficiency:
1 = Minimal Experience
2 = Limited Experience
3 = Competent
4 = Highly Skilled
Psychiatric
Admission*
- 1
- 2
- 3
- 4
Initial Nursing Assessment and Care Plan*
- 1
- 2
- 3
- 4
Initial Treatment Plan*
- 1
- 2
- 3
- 4
Neurological Vital Signs*
- 1
- 2
- 3
- 4
Nursing Diagnoses*
- 1
- 2
- 3
- 4
Nursing Reassessment and Care Planning Update*
- 1
- 2
- 3
- 4
Suicide Risk Assessment*
- 1
- 2
- 3
- 4
Equipment & Procedures*
- 1
- 2
- 3
- 4
Active Participation in Multi-Disciplinary Staffing*
- 1
- 2
- 3
- 4
Electroconvulsive Therapy*
- 1
- 2
- 3
- 4
Assist with Lumbar Puncture*
- 1
- 2
- 3
- 4
Cardiopulmonary Resuscitation*
- 1
- 2
- 3
- 4
Charge Nurse Experience*
- 1
- 2
- 3
- 4
Charting*
- 1
- 2
- 3
- 4
Discharge Planning*
- 1
- 2
- 3
- 4
Electroconvulsive Therapy*
- 1
- 2
- 3
- 4
Group Therapy Leader*
- 1
- 2
- 3
- 4
Insertion & Care of Straight and Foley Catheter*
- 1
- 2
- 3
- 4
Management of Drug / Alcohol Detox Symptoms*
- 1
- 2
- 3
- 4
Management of Assaultive Behavior*
- 1
- 2
- 3
- 4
Multi-Disciplinary Treatment Team Participation*
- 1
- 2
- 3
- 4
O2 Therapy & Medication Delivery Systems*
- 1
- 2
- 3
- 4
Bag and Mask*
- 1
- 2
- 3
- 4
External CPAP*
- 1
- 2
- 3
- 4
Face Masks*
- 1
- 2
- 3
- 4
Inhalers*
- 1
- 2
- 3
- 4
Nasal Cannula*
- 1
- 2
- 3
- 4
Portable O2 Tank*
- 1
- 2
- 3
- 4
Trach Collar*
- 1
- 2
- 3
- 4
Phlebotomy / IV Therapy
Administration of Blood / Blood Products*
- 1
- 2
- 3
- 4
Packed Red Blood Cells*
- 1
- 2
- 3
- 4
Whole Blood*
- 1
- 2
- 3
- 4
Drawing Blood from Central Line*
- 1
- 2
- 3
- 4
Drawing Venous Blood*
- 1
- 2
- 3
- 4
Management of Patient with Hyperalimentation*
- 1
- 2
- 3
- 4
Management of Patient with IV*
- 1
- 2
- 3
- 4
Starting IVs*
- 1
- 2
- 3
- 4
Angiocath*
- 1
- 2
- 3
- 4
Butterfly*
- 1
- 2
- 3
- 4
Heparin Lock*
- 1
- 2
- 3
- 4
Psychiatric
Oro-Naso-Pharynx Suctioning*
- 1
- 2
- 3
- 4
Participation in Milieu Therapy*
- 1
- 2
- 3
- 4
Patient Teaching*
- 1
- 2
- 3
- 4
Psychiatric Emergency Response Team*
- 1
- 2
- 3
- 4
Psychiatric Home Health*
- 1
- 2
- 3
- 4
Rapid Tranquilization*
- 1
- 2
- 3
- 4
Restraints*
- 1
- 2
- 3
- 4
Ambulatory Cuffs*
- 1
- 2
- 3
- 4
Full Restraints*
- 1
- 2
- 3
- 4
Wrist Restraints*
- 1
- 2
- 3
- 4
Telephonic Crisis Intervention*
- 1
- 2
- 3
- 4
Therapeutic Communication Skills*
- 1
- 2
- 3
- 4
Tube Feeding*
- 1
- 2
- 3
- 4
Alcohol Dependency*
- 1
- 2
- 3
- 4
Drug Dependency*
- 1
- 2
- 3
- 4
Hallucinations*
- 1
- 2
- 3
- 4
Manic Behavior*
- 1
- 2
- 3
- 4
Med-Psych Patient*
- 1
- 2
- 3
- 4
Organic Disorder*
- 1
- 2
- 3
- 4
Partial Hospital / Intensive Outpatient*
- 1
- 2
- 3
- 4
Seclusion and Restraints*
- 1
- 2
- 3
- 4
Seizure Disorder*
- 1
- 2
- 3
- 4
Suicidal Behavior*
- 1
- 2
- 3
- 4
Tracheostomy*
- 1
- 2
- 3
- 4
Medications*
- 1
- 2
- 3
- 4
Administration of Oral Psychotropic Medications*
- 1
- 2
- 3
- 4
Heparin*
- 1
- 2
- 3
- 4
Intramuscular*
- 1
- 2
- 3
- 4
Management of Extrapyramidal Symptoms (EPS)*
- 1
- 2
- 3
- 4
Oral*
- 1
- 2
- 3
- 4
Rectal*
- 1
- 2
- 3
- 4
Sub-Q*
- 1
- 2
- 3
- 4
Unit Dose*
- 1
- 2
- 3
- 4
Z-Technique*
- 1
- 2
- 3
- 4
Age Specific Competency
Newborn / Neonate (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 Children (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 - 79 years)*
- 1
- 2
- 3
- 4
Elderly Adults (Over 79+ years)*
- 1
- 2
- 3
- 4

Proficiency:

Psychiatric

Phlebotomy / IV Therapy

Psychiatric

Age Specific Competency