Psychiatric Skills Checklist

First name:	Last name:
Phone:	Email:
SSN (last 4 only):	Date: (MM/DD/YYYY)

Key - for each box mark:

Limited or no experience
Somewhat experienced but may need review
Can function independently
Competent to supervise

	1	2	3	4
Psychiatric Knowledge
Assessment and Planning
Initial Assessment
Mental Status Assessment
Suicide Risk Assessment
Environmental Assessment
Care Plan Development
Initial Treatment Plan
Procedures
Admission Procedures
Discharge Planning
Assist Electroconvulsive Therapy (ECT)
Multi-disciplinary Interventions
Legal Issues
Milieu Management
Crisis Intervention
Behavioral Contracting
Behavioral Charting
Milieu Therapy
Patient Searches
Utilization of Security Personnel
Patient Teaching
Application of Restraints
Seclusion
Locked and Unlocked Unit Precautions
Therapeutic Communication
Therapeutic Nurse/Patient Relationship
Suicide Precautions and Prevention
Reality Orientation
Detoxification Procedures
Treatment Modalities
Conduct Group Therapy
Behavioral Modification
Psychodynamic/Psychoanalytic Therapies
Rational-Emotive Therapy
Milieu Therapy
Individual Therapy
Group Therapy
Play Therapy
Family Therapy
Therapeutic Limit-Setting
ECT
Equipment
Ambulatory Cuffs
Full Restraints
Wrist Restraints
Alarm Systems
Care of Patient with
Thought Disorders
Depressive Disorder
Bipolar Disorder
Character Disorders/Personality Disorders
Borderline Personality Disorder
Dissociative Disorders
Post-Traumatic Stress Disorder
Eating Disorders
Drug/Alcohol Dependence
Withdrawal Syndromes
Care of Patient with
Suicidal/Self-Destructive Behavior
Aggressive, Violent Behavior
Provocative, Disruptive Behavior
Manipulative,Attention-Seeking Behavior

	1	2	3	4
Threatening, Intimidating Behavior
Disorders of Children/Adolescents
Chronic Mentally Ill Adult Disorders
Psychotropic Medications
Anti-Anxiety Agents
Anti-Convulsant Agents
Anti-Psychotic Agents
Anti-Parkinsonism Agents
Anti-Depressants
Lithium Carbonate
Blood Levels
Antabuse
Methadone
Medications for Hyperactivity
Medical Knowledge
Assessment
Head to Toe Physical Assessment
Vital Signs
Normal Serum Lab Values
Nursing Diagnoses
Procedures
Assist with Lumbar Puncture
Oxygenation Management
Heimlich Maneuver
Insertion of Oropharyngeal Airway
Intubation
Assisted Ventilation – Ambu
Oxygen Administration
Oronasopharyngeal Suctioning
Informed Consent for
Medical Procedures
Tube Feeding
Equipment
Oxygen Delivery Systems
Bag and Mask
CPAP
Face Mask
Inhalers
Nasal Cannula
Portable Oxygen Tank
Trach Collar
Feeding Pumps
Care of Patient with
Seizure Disorder
Alzheimer’s Disease/Dementia
Esophageal Varices
Diabetes
COPD
Hypertension
Medications
Insulins
Tube Feedings
Digoxin
Anti-hypertensives

Age Specific Experiences and Certifications

Age Specific Experiences	Infants and Toddlers (birth-2 years)	Children (3-12 years)	Adolescent (13-18 years)	Young Adult (19-39 years)	Middle Adults (40-64 years)	Older Adult (65+ years)
1. Knows the normal growth and development for each age group and adapts care accordingly.
2. Knows the different communication needs for each age group and changes communication methods and terminology accordingly.
3. Knows the different safety risks for each age group and alters the environment accordingly.
4. Knows the different medications, dosages, and possible side effects for each age group and administers medications accordingly.

The information I have provided in this skills checklist is true and accurate to the best of my knowledge. I hereby authorize Fortus Group to release this information to client facilities in relation to consideration of my employment.