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1.877.891.4286
1.877.891.4286
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Psychiatric RN – Skills Checklist
This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Precision Nationwide Staffing.
0 = Not Applicable
1 = No Experience
2 = Some Experience
3 = Intermittent Experience
4 = Experienced
5 = Very Experienced
Age of Patient Cared For
Newborn/Neonate (birth - 30 days)
*
0
1
2
3
4
5
Infant (30 days - 1 year)
*
0
1
2
3
4
5
Toddler (1 - 3 years)
*
0
1
2
3
4
5
Preschooler (3 - 5 years)
*
0
1
2
3
4
5
School Age Child (5 - 12 years)
*
0
1
2
3
4
5
Adolescents (12 - 18 years)
*
0
1
2
3
4
5
Young Adults (18 - 39 years)
*
0
1
2
3
4
5
Middle Adults (39 - 64 years)
*
0
1
2
3
4
5
Older Adults (64 - 79 years)
*
0
1
2
3
4
5
Elderly Adults (over 79+ years)
*
0
1
2
3
4
5
Psychiatric & General Skills
Admission
*
0
1
2
3
4
5
Therapeutic Communication Skills
*
0
1
2
3
4
5
Neurological Assessment
*
0
1
2
3
4
5
Initial Treatment Plan
*
0
1
2
3
4
5
Initial Nursing Assessment & Care Plan
*
0
1
2
3
4
5
Nursing Diagnoses
*
0
1
2
3
4
5
Nursing Reassessment & Care Planning Update
*
0
1
2
3
4
5
Behavioristic Charting
*
0
1
2
3
4
5
Treatment/Goal Oriented
*
0
1
2
3
4
5
Electronic Documentation
*
0
1
2
3
4
5
Electronic Documentation - List Types
*
Discharge Planning
*
0
1
2
3
4
5
Patient Teaching
*
0
1
2
3
4
5
Active Participation in Multi-Disciplinary Staffing
*
0
1
2
3
4
5
Group Therapy Leader
*
0
1
2
3
4
5
Multi-Disciplinary Treatment Team Participation
*
0
1
2
3
4
5
Participation in Milieu Therapy
*
0
1
2
3
4
5
Assist Physician in Administration of Electroconvulsive Therapy
*
0
1
2
3
4
5
Suicide Risk Assessment
*
0
1
2
3
4
5
Suicide Precautions
*
0
1
2
3
4
5
Psychiatric Emergency Response Team
*
0
1
2
3
4
5
Rapid Tranquilization
*
0
1
2
3
4
5
Telephonic Crisis Intervention
*
0
1
2
3
4
5
Restraints - Application, Assessment, & Reassessment Of:
*
0
1
2
3
4
5
Seclusion
*
0
1
2
3
4
5
Management of Drug/Alcohol Detox Symptoms
*
0
1
2
3
4
5
Management of Assaultive Behavior
*
0
1
2
3
4
5
Involuntary/Voluntary Commitment
*
0
1
2
3
4
5
Vital Signs
*
0
1
2
3
4
5
Patient Head to Toe Physical Assessment
*
0
1
2
3
4
5
Insertion and Care of Straight & Foley Catheter
*
0
1
2
3
4
5
Tube Feeding
*
0
1
2
3
4
5
Standard Precautions
*
0
1
2
3
4
5
Isolation Precautions
*
0
1
2
3
4
5
Pediatric Respiratory/Cardiac Arrest
*
0
1
2
3
4
5
Adult Respiratory/Cardiac Arrest
*
0
1
2
3
4
5
Crash Carts
*
0
1
2
3
4
5
Defibrillators
*
0
1
2
3
4
5
Pain Management
*
0
1
2
3
4
5
Automated Med Dispensing Systems
*
0
1
2
3
4
5
Automated Med Dispensing Systems - List Types
*
O2 Therapy & Medication Delivery Systems:
Bag & Mask
*
0
1
2
3
4
5
External CPAP
*
0
1
2
3
4
5
Face Mask
*
0
1
2
3
4
5
Inhaler
*
0
1
2
3
4
5
Nasal Cannula
*
0
1
2
3
4
5
Portable O2 Tank
*
0
1
2
3
4
5
Oronaso Pharygeal Suctioning
*
0
1
2
3
4
5
Psychiatric - Care of Patient With
Alzheimers/Dementia
*
0
1
2
3
4
5
Bipolar Disorder
*
0
1
2
3
4
5
PTSD
*
0
1
2
3
4
5
Anxiety Disorder
*
0
1
2
3
4
5
Alcohol/Drug Dependency
*
0
1
2
3
4
5
Depressive Disorder
*
0
1
2
3
4
5
Eating Disorder
*
0
1
2
3
4
5
Schizophrenic Disorder
*
0
1
2
3
4
5
Electroconvulsive Therapy
*
0
1
2
3
4
5
Hallucinations
*
0
1
2
3
4
5
Manic Behavior
*
0
1
2
3
4
5
Med-Psych Patient
*
0
1
2
3
4
5
Organic Disorder
*
0
1
2
3
4
5
Violent Behavior
*
0
1
2
3
4
5
Seclusion & Restraints
*
0
1
2
3
4
5
Seizure Disorder
*
0
1
2
3
4
5
Suicidal Behavior
*
0
1
2
3
4
5
Medications
Administration of Oral Psychotropic Medications
*
0
1
2
3
4
5
Antabuse
*
0
1
2
3
4
5
Methadone
*
0
1
2
3
4
5
Heparin
*
0
1
2
3
4
5
Management of Extrapyramidal Symptoms (EPS)
*
0
1
2
3
4
5
Intramuscular
*
0
1
2
3
4
5
Oral
*
0
1
2
3
4
5
Rectal
*
0
1
2
3
4
5
Sub-Q
*
0
1
2
3
4
5
Unit Dose
*
0
1
2
3
4
5
Z-Track
*
0
1
2
3
4
5
Phlebotomy/IV Therapy
Peripheral IV Insertion, Care and Maintenance
*
0
1
2
3
4
5
Care and Maintenance of PICC Line
*
0
1
2
3
4
5
Care and Maintenance of Central Line
*
0
1
2
3
4
5
Administration of Blood/Blood Products
Drawing Blood from Central Line
*
0
1
2
3
4
5
Drawing Venous Blood
*
0
1
2
3
4
5
Management of Patient with Hyperalimentation
*
0
1
2
3
4
5
Settings
Substance Abuse/Rehab
*
0
1
2
3
4
5
Pediatric/Adolescent
*
0
1
2
3
4
5
Adult
*
0
1
2
3
4
5
Partial
*
0
1
2
3
4
5
Inpatient
*
0
1
2
3
4
5
Outpatient
*
0
1
2
3
4
5
Eating Disorder Clinic
*
0
1
2
3
4
5
Locked Unit
*
0
1
2
3
4
5
Rehab Unit
*
0
1
2
3
4
5
Information & Agreement
Application ID
*
Please enter your application ID. This ID should be 15 characters long and have the format of PHNMS##########. You should have received an email containing your application ID when you submitted your initial application. If not, please contact our staff.
Applicant Name
*
First
Last
Applicant Email
*
Applicant Phone
*
I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.
*
I agree to the terms below.
The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Precision Nationwide Staffing. Submit this skills evaluation with your initial application. To be updated annually.
Signature
*