Psychiatric Skills One program to handle all talent management needs from acquisition to development Personal Information This field is hidden when viewing the formOverall ScoreName(Required) First Middle Last Last 4 Digits of Social Security NumberEmail(Required) This field is hidden when viewing the formDate MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyGeneral Psychiatric SkillsAdolescent(Required) 1 2 3 4 Adult(Required) 1 2 3 4 Geriatric(Required) 1 2 3 4 Suicidal risk assessment(Required) 1 2 3 4 Admin of psychotropic medications(Required) 1 2 3 4 Charge nurse experience(Required) 1 2 3 4 Contact precautions(Required) 1 2 3 4 Discharge patient AMA(Required) 1 2 3 4 DSM IV diagnosis(Required) 1 2 3 4 Emergency custody order(Required) 1 2 3 4 Group therapy leader(Required) 1 2 3 4 Management of assaultive behavior(Required) 1 2 3 4 Management of alcohol withdrawal(Required) 1 2 3 4 Management of Narcotic withdrawal(Required) 1 2 3 4 Management of violent patient(Required) 1 2 3 4 Patient rights(Required) 1 2 3 4 Psychiatric emergency response team(Required) 1 2 3 4 Rapid tranquilization(Required) 1 2 3 4 Telephonic crisis intervention(Required) 1 2 3 4 Therapeutic communication skills(Required) 1 2 3 4 Eating disorders(Required) 1 2 3 4 Hallucinations(Required) 1 2 3 4 Lithium toxicity(Required) 1 2 3 4 Manic-depression(Required) 1 2 3 4 Overdoses(Required) 1 2 3 4 Substance abuse(Required) 1 2 3 4 Schizophrenia(Required) 1 2 3 4 Seclusion(Required) 1 2 3 4 Suicidal behavior(Required) 1 2 3 4 CardiovascularBasic 12 lead EKG Interpretation(Required) 1 2 3 4 Defibrillation/cardioversion(Required) 1 2 3 4 Congestive Heart Failure(Required) 1 2 3 4 Care of patient w/ perm pacemaker(Required) 1 2 3 4 PulmonaryAssessment of breath sounds(Required) 1 2 3 4 Chest physiotherapy(Required) 1 2 3 4 Oral suctioning(Required) 1 2 3 4 Nasotracheal suctioning(Required) 1 2 3 4 Pulse oximeter use(Required) 1 2 3 4 Interpretation of ABG's panic values(Required) 1 2 3 4 Chest tube(Required) 1 2 3 4 COPD(Required) 1 2 3 4 Tracheostomy(Required) 1 2 3 4 Face mask(Required) 1 2 3 4 Nasal cannula(Required) 1 2 3 4 Portable O2 tank(Required) 1 2 3 4 NeurologyAssessment of neurological status(Required) 1 2 3 4 Assist with Lumbar Puncture(Required) 1 2 3 4 CVA(Required) 1 2 3 4 DT's(Required) 1 2 3 4 Seizure Activity(Required) 1 2 3 4 GastrointestinalAssessment of abdomen(Required) 1 2 3 4 Administration of tube feeding(Required) 1 2 3 4 Colostomy/ileostomy(Required) 1 2 3 4 Hepatitis(Required) 1 2 3 4 NG tube(Required) 1 2 3 4 IV TherapyStart/maintenance of peripheral IV's(Required) 1 2 3 4 Saline/heparin lock(Required) 1 2 3 4 Administration of IV fluids(Required) 1 2 3 4 Admin of blood/blood products(Required) 1 2 3 4 Administration and mixing of IV meds(Required) 1 2 3 4 Hang IV piggybacks(Required) 1 2 3 4 Use of infusion pumps(Required) 1 2 3 4 Central lines and catheters(Required) 1 2 3 4 Additional Nursing ResponsibilitiesCast care(Required) 1 2 3 4 Insertion and care of Foley catheter(Required) 1 2 3 4 Knowledge of Normal Serum Lab Values(Required) 1 2 3 4 Knowledge of isolation techniques(Required) 1 2 3 4 Universal precautions(Required) 1 2 3 4 Insulin administration(Required) 1 2 3 4 Blood glucose testing(Required) 1 2 3 4 Insulin administration(Required) 1 2 3 4 Assessment and care of pressure sores(Required) 1 2 3 4 Decubitus ulcers(Required) 1 2 3 4 Care of the pt. With AIDS(Required) 1 2 3 4 Age SpecificNewborn/Neonatal (up to 30 days)(Required) 1 2 3 4 Infant (30 days to 1 year)(Required) 1 2 3 4 Toddler (1 to 3 years)(Required) 1 2 3 4 Preschooler (3 to 5 years)(Required) 1 2 3 4 School Age (5 to 12 years)(Required) 1 2 3 4 Adolescents (12 to 18 years)(Required) 1 2 3 4 Young Adults (18 to 39 years)(Required) 1 2 3 4 Middle Adults (40 to 64 years)(Required) 1 2 3 4 Older Adults (65 & up)(Required) 1 2 3 4 AuthorizationsLegal Consent(Required) I agree to the terms and conditions.Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. 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