PPR Healthcare Staffing, Inc.
333 1st. St. North -- Suite 200
Jacksonville Beach, FL 32250
Fax:(888) 794-5038

PSYCHIATRIC SKILLS CHECKLIST
Name:   Date:  
Instructions: Use the following Answer Key to indicate the extent of your previous experience:
Key - for each box mark:   1 - Limited or no experience, 2 - Somewhat experienced but may need review,
    3 - Can function independently, 4 - Competent to supervise
  1     2     3     4     1     2     3     4
Psychiatric Knowledge   |   Treatment Modalities  
  Assessment and Planning   |     Conduct Group Therapy
    Initial Assessment |     Behavioral Modification
    Mental Status Assessment |     Psychodynamic/Psychoanalytic
    Suicide Risk Assessment |     Therapies
    Environmental Assessment |     Rational-Emotive Therapy
    Care Plan Development |     Milieu Therapy
    Initial Treatment Plan |     Individual Therapy
  Procedures   |     Group Therapy
    Admission Procedures |     Play Therapy
    Discharge Planning |     Family Therapy
    Assist Electroconvulsive Therapy (ECT) |     Therapeutic Limit-Setting
    Multi-disciplinary Interventions |     ECT
    Legal Issues |   Equipment  
    Milieu Management |     Ambulatory Cuffs
    Crisis Intervention |     Full Restraints
    Behavioral Contracting |     Wrist Restraints
    Behavioral Charting |     Alarm Systems
    Milieu Therapy |   Care of Patient with  
    Patient Searches |     Thought Disorders
    Utilization of Security Personnel |     Depressive Disorder
    Patient Teaching |     Bipolar Disorder
    Application of Restraints |     Character Disorders/
    Seclusion |     Personality Disorders
    Locked and Unlocked Unit Precautions |     Borderline Personality Disorder
    Therapeutic Communication |     Dissociative Disorders
    Therapeutic Nurse/Patient Relationship |     Post-Traumatic Stress Disorder
    Suicide Precautions and Prevention |     Eating Disorders
    Reality Orientation |     Drug/Alcohol Dependence
    Detoxification Procedures |     Withdrawal Syndromes
Click here to Continue | Click here to Continue



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  1     2     3     4     1     2     3     4
  Care of Patient with Continued... |   Equipment  
    Suicidal/Self-Destructive Behavior |     Oxygen Delivery Systems
    Aggressive, Violent Behavior |       Bag and Mask
    Provocative, Disruptive Behavior |       External Continuous Positive
    Manipulative, |       Airway Pressure (CPAP)
    Attention-Seeking Behavior |       Face Mask
    Threatening, Intimidating Behavior |       Inhalers
    Disorders of Children/Adolescents |       Nasal Cannula
    Chronic Mentally Ill Adult Disorders |       Portable Oxygen Tank
  Psychotropic Medications   |       Trach Collar
    Anti-Anxiety Agents |     Feeding Pumps
    Anti-Convulsant Agents |   Care of Patient with  
    Anti-Psychotic Agents |     Seizure Disorder
    Anti-Parkinsonism Agents |     Alzheimer’s Disease/Dementia
    Anti-Depressants |     Esophageal Varices
    Lithium Carbonate |     Diabetes
      Blood Levels |     COPD
    Antabuse |     Hypertension
    Methadone |   Medications  
    Medications for Hyperactivity |     Insulins
Medical Knowledge   |     Tube Feedings
  Assessment   |     Digoxin
    Head to Toe Physical Assessment |     Anti-hypertensives
    Vital Signs | Click here to Continue
    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 |
Click here to Continue |

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



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