[checklist name= "Psychiatric Tech" mailto="[email protected]" templatedoc="1MT2chLMVUWzgz1TF5tlfTK9JCU2iu1tyyesTj0VBkVY" templatedrive="1LG9WAg21_L3L-ZkZEChBzrYRhBOjpmcc" savedrive="15FFQjDXxe9nC9FkAAcuxbswGy1hq4sWm" sheetid="1xJkggLvktsyYL6zuIhdO-OURJhJTkWdDKunR11agspw"] [checklistHeading title="Psychiatric Tech"] Please rate your experience / frequency (within the last year) using the scale (check the appropriate boxes below) 0 = No theory and/or experience 1 = Limited experience/need supervision and/or support 2 = Experienced/minimal support needed to perform) 3 = Proficient/can perform independently 4 = Expert/very experienced in the field [/checklistHeading] [checklistInputGroup name="Recruiter Information"] [checklistInput type="text"]Recruiter TEEMA email[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Personal Information"] [checklistInput type="text"]Full Name[/checklistInput] [checklistInput type="email"]Your Email[/checklistInput] [checklistInput type="text"]Your phone number[/checklistInput] [checklistInput type="text"]Last 4 of Social Security Number[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="General Duties"] [checklistInput type="scale"]Admit/Orient Involuntary Clients[/checklistInput] [checklistInput type="scale"]Admit/Orient Voluntary Clients[/checklistInput] [checklistInput type="scale"]Advance Directives[/checklistInput] [checklistInput type="scale"]Ambulatory Cuffs[/checklistInput] [checklistInput type="scale"]Assist Activities of Daily Living[/checklistInput] [checklistInput type="scale"]Assist with Personal Hygiene[/checklistInput] [checklistInput type="scale"]Cultural Diversity[/checklistInput] [checklistInput type="scale"]Discharge Clients[/checklistInput] [checklistInput type="scale"]Discharge Planning[/checklistInput] [checklistInput type="scale"]Documentation-Computer[/checklistInput] [checklistInput type="scale"]Documentation-Written[/checklistInput] [checklistInput type="scale"]Full Restraints[/checklistInput] [checklistInput type="scale"]HIPAA Regulations[/checklistInput] [checklistInput type="scale"]Initial Interview[/checklistInput] [checklistInput type="scale"]Initial Screening Assessment[/checklistInput] [checklistInput type="scale"]Isolation Techniques[/checklistInput] [checklistInput type="scale"]Mutli-Disciplinary Planning[/checklistInput] [checklistInput type="scale"]Oxygen Administration[/checklistInput] [checklistInput type="scale"]Participate in Interdisciplinary Team[/checklistInput] [checklistInput type="scale"]Patient Teaching[/checklistInput] [checklistInput type="scale"]Reassess/Update Plan of Care[/checklistInput] [checklistInput type="scale"]Referral to Community Resources[/checklistInput] [checklistInput type="scale"]Supervise Unlicensed Personnel[/checklistInput] [checklistInput type="scale"]Vital Signs[/checklistInput] [checklistInput type="scale"]Wrist Restraints[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Eating Disorders"] [checklistInput type="scale"]Anorexia Nervosa[/checklistInput] [checklistInput type="scale"]Bulimia Nervosa[/checklistInput] [checklistInput type="scale"]Obesity[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Interventions/Therapies"] [checklistInput type="scale"]Assultive Behavior[/checklistInput] [checklistInput type="scale"]Certified 'Management of Assultive Behavior'[/checklistInput] [checklistInput type="scale"]Crisis Intervention[/checklistInput] [checklistInput type="scale"]Drug & Alcohol Education[/checklistInput] [checklistInput type="scale"]Education or Vocational Training[/checklistInput] [checklistInput type="scale"]Teach Independent Living Skills[/checklistInput] [checklistInput type="scale"]Therapeutic Communication[/checklistInput] [checklistInput type="scale"]Therapeutic Milieu[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Assist with Alternative Therapies"] [checklistInput type="scale"]Biofeedback[/checklistInput] [checklistInput type="scale"]ElectroConvulsive Therapy[/checklistInput] [checklistInput type="scale"]Expressive Therapy (Art, Movement)[/checklistInput] [checklistInput type="scale"]Guided Imagery[/checklistInput] [checklistInput type="scale"]Massage Therapy[/checklistInput] [checklistInput type="scale"]Mediation[/checklistInput] [checklistInput type="scale"]Recreational Therapy[/checklistInput] [checklistInput type="scale"]Therapeutic Touch[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Meds/IV Therapy"] [checklistInput type="scale"]Administer IM & SQ Meds[/checklistInput] [checklistInput type="scale"]Administer PO Medications[/checklistInput] [checklistInput type="scale"]Administer Topical Medications[/checklistInput] [checklistInput type="scale"]Discontinue Peripheral IV's[/checklistInput] [checklistInput type="scale"]Pain Assessment/Management[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Care of Psychiatric Disorders"] [checklistInput type="scale"]Anxiety Disorders[/checklistInput] [checklistInput type="scale"]Bipolar Disorder[/checklistInput] [checklistInput type="scale"]Catatonic Psychotic Disorder[/checklistInput] [checklistInput type="scale"]Delusional Disorders[/checklistInput] [checklistInput type="scale"]Depression[/checklistInput] [checklistInput type="scale"]Dissociative Identity Disorder[/checklistInput] [checklistInput type="scale"]Hallucinations[/checklistInput] [checklistInput type="scale"]Obsessive/Compulsive Disorder[/checklistInput] [checklistInput type="scale"]Panic Attacks[/checklistInput] [checklistInput type="scale"]Paranoid Psychotic Disorder[/checklistInput] [checklistInput type="scale"]Phobias[/checklistInput] [checklistInput type="scale"]Schizophrenia[/checklistInput] [checklistInput type="scale"]Suicidal Ideation/Attempts[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Assist with Psychotherapy"] [checklistInput type="scale"]Behavioral[/checklistInput] [checklistInput type="scale"]Couple/Family[/checklistInput] [checklistInput type="scale"]Group[/checklistInput] [checklistInput type="scale"]Individual[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Personality Disorders"] [checklistInput type="scale"]Cluster A-Paranoid/Schizoid[/checklistInput] [checklistInput type="scale"]Cluster B-Antisocial/Borderline[/checklistInput] [checklistInput type="scale"]Cluster C-Anxious/Fearful[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Cognitive Disorders"] [checklistInput type="scale"]Alzheimer's (Dementia)[/checklistInput] [checklistInput type="scale"]Amnestic Disorders[/checklistInput] [checklistInput type="scale"]Delirium[/checklistInput] [checklistInput type="scale"]Dementia[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Substance-Related Disorders"] [checklistInput type="scale"]ADHD[/checklistInput] [checklistInput type="scale"]Alcohol-Related[/checklistInput] [checklistInput type="scale"]Developmental/Autistic Disorders[/checklistInput] [checklistInput type="scale"]Drug-Related[/checklistInput] [checklistInput type="scale"]Mental Retardation[/checklistInput] [checklistInput type="scale"]Post Traumatic Stress Disorder[/checklistInput] [checklistInput type="scale"]Sexual Abuse/Assault[/checklistInput] [checklistInput type="scale"]Sexual Disorders[/checklistInput] [checklistInput type="scale"]Somatoform Disorders (Pain etc.)[/checklistInput] [checklistInput type="scale"]Survivor of Abuse/Violence[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Psychotropic Agents"] [checklistInput type="scale"]Antianxiety Agents[/checklistInput] [checklistInput type="scale"]Anticholinergics/Antiparkinsons[/checklistInput] [checklistInput type="scale"]Anticonvulsants[/checklistInput] [checklistInput type="scale"]Antidepressants/Mood Elevators[/checklistInput] [checklistInput type="scale"]Antimanic Agents[/checklistInput] [checklistInput type="scale"]Antipsychotic Agents[/checklistInput] [checklistInput type="scale"]Hypnotics[/checklistInput] [checklistInput type="scale"]Management of Med Side Effects[/checklistInput] [checklistInput type="scale"]Recognition of Med Side Effects[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Years of Experience: Continuum of Care Settings (Hospital)"] [checklistInput type="scale"]Med-Psych Unit (years)[/checklistInput] [checklistInput type="scale"]Transitional Care Hospital (years)[/checklistInput] [checklistInput type="scale"]Freestanding Psych Hospital (years)[/checklistInput] [checklistInput type="scale"]Community-Based Hospital (years)[/checklistInput] [checklistInput type="scale"]Subacute Care Units (years)[/checklistInput] [checklistInput type="scale"]Long-Term Care Facilities (years)[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Age-Appropriate Care of"] [checklistInput type="scale"]Newborn (birth – 30 days)[/checklistInput] [checklistInput type="scale"]Infant (31 days – 1 year)[/checklistInput] [checklistInput type="scale"]Toddler (1 – 3 years)[/checklistInput] [checklistInput type="scale"]Preschooler (3 – 5 years)[/checklistInput] [checklistInput type="scale"]School Age (5 – 12 years)[/checklistInput] [checklistInput type="scale"]Adolescents (12 – 18 years)[/checklistInput] [checklistInput type="scale"]Young Adults (18 - 39 years)[/checklistInput] [checklistInput type="scale"]Middle Adults (39 – 64 years)[/checklistInput] [checklistInput type="scale"]Older Adults (64+ years)[/checklistInput] [/checklistInputGroup] [checklistFooter] [/checklistFooter] [/checklist]