Competency Checklist, Psychiatry

							PSYCHIATRY
First Name: _______________                   Last Name: ________________                Date: ______________________


Age – Specific Practice
Please list your TOTAL years’ experience in caring for the following age groups:

A. Newborn (Up to 30 days)                  D. Preschooler (4-5 yrs.)                    G. Young Adults (18-39 yrs.)
B. Infant (30 days to 1 yr.)                E. School Age (5-12 yrs.)                    H. Middle Aged Adults (39-64 yrs.)
C. Toddler (1-3 yrs.)                       F. Adolescents (12-18 yrs.)                  I. Older Adults (64 yrs. And older)



Please indicate your experience with the above-listed age groups: (Check the appropriate boxes)

                                                                                           A    B    C    D    E    F     G    H   I
Able to adapt care to incorporate normal growth and development
Able to adapt method and terminology of patient instructions to their age,
comprehension and maturity level
Can ensure a safe environment reflecting specific needs of various age groups




Experience
Please indicate your level of experience in the following areas. Rank each skill using the following
numbers to indicate your level of proficiency:

1. Clinical Observation or didactic learning: No experience

2. Limited or infrequent experience

3. Experienced. May occasionally need resource assistance

4. Proficient: Can perform/teach without assistance

                GENERAL SKILLS                                EXP.                        GENERAL SKILLS                       EXP.
General Admission Procedures                                            Oxygen therapy and medication delivery systems:
                                                                        bag and mask, CPAP, face masks, nasal cannula,
                                                                        portable oxygen tanks, trach collar
Initial Nursing Assessment and Care Plan                                Personality Assessment:
                                                                          Minnesota Mulitphasic Personality Inventory
                                                                        (MMPI)
Initial Treatment Plan                                                  Personality Assessment:
                                                                          Rorschach Test
Insertion/Care of Foley Catheter                                        Personality Assessment:
                                                                          Thematic Apperception Test (TAT)
Neurological Vital Signs                                                Personality Assessment:
                                                                          Child's Apperception Test (CAT)
Nursing Diagnoses                                                        Informal Cognitive Status Assessment



                                         developed by Beth Nash, RN from NursesNetwork.com
Nursing Reassessment/Care Plan Updating                         Mental Status Assessment
Suicide Risk Assessment                                         Gestalt Test
Intelligence Assessment:
  Wechsler Intelligence Scale (WAIS)                            Stanford-Binet Test
Intelligence Assessment:
  Wechsler Intelligence Scale for Children


            EQUIPMENT/PROCEDURES                        EXP.                EQUIPMENT/PROCEDURES                      EXP.
Behavior therapy                                                Patient teaching/education
Cardiopulmonary Resuscitation                                   Psychotherapy
Charting: behavioristic; treatment/goal-oriented                Psychiatric Emergency Response Team
Crisis counseling                                               Psychiatric home health
Discharge planning                                              Rapid tranquilization
Electroconvulsive therapy                                       Relationship/family therapy
                                                                Restraints: Application and assessment of:
Group therapy leader                                            ambulatory cuffs, full restraints, wrist restraints
Participation in Milieu therapy                                 Suicide precautions
Participation in multi-disciplinary staffing                    Telephonic crisis intervention


            CARE OF THE PATIENT WITH:                   EXP.               CARE OF THE PATIENT WITH:                  EXP.
Alzheimer's Disease                                             Elimination Disorders (Encopresis/Enuresis)
Anxiety Disorders                                               Huntington's Chorea
Asperger's Syndrome                                             Mental Retardation
Assault/Violence                                                Parkinson's Disease
Attention Deficit Disorders (ADD/ADHD)                          Personality Disorders
Autism                                                          Rape Victimization
Cerebral Palsy                                                  Rett Syndrome
Conduct Disorder                                                Schizophrenia-Spectrum Disorders
Cystic Fibrosis                                                 Separation Anxiety Disorder
Depressive Disorders                                            Spina Bifida
Down's Syndrome                                                 Suicidal Behavior
Eating Disorders


       PHLEBOTOMY/INTRAVENOUS SKILLS                    EXP.           PHLEBOTOMY/INTRAVENOUS SKILLS                  EXP.
Starting IV's                                                   Central line/catheter/dressing:
Change IV dressings                                             Broviac, Groshong, Hickman, Portacath, Quinton,
Administer continuous infusions                                 Monitor central lines
Administer IV antibiotics/piggybacks                            Administer blood/blood products: plasma,
                                                                cryoprecipitate, PRBC’s, whole blood
Administer IV push                                              Infusion pumps
Peripheral Line                                                 Hyperalimentation


              COMMUNICATION SKILLS                      EXP.                 COMMUNICATION SKILLS                     EXP.
Active Listening                                                Focusing
Boundaries                                                      Orientation assessment
Clarification                                                   Positive reinforcement
Confrontation                                                   Reframing skills
De-escalation                                                   Restatement/Reflection
Empathizing                                                     Summarizing




                                       developed by Beth Nash, RN from NursesNetwork.com
                   LEGAL/ETHICAL                     EXP.                        LEGAL/ETHICAL    EXP.
AMA Procedures                                               Use of restraints
Legal Rights of the Mentally Ill:                            Use of seclusion
  Informed consent
  Right to refuse treatment
  Involuntary commitment


         MEDICATION ADMINISTRATION                   EXP.             MEDICATION ADMINISTRATION   EXP.
Anti-anxiety                                                 Methods of Delivery:
Analgesics/Narcotics                                          Intramuscular
Anti-convulsants                                              Oral
Anti-depressants                                              Rectal
Anti-Parkinsons                                               Subcutaneous
Anti-psychotics                                               Unit Dose




                                    developed by Beth Nash, RN from NursesNetwork.com