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Psychiatric Tech

    Instruction

    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
Personal Information

Full Name

Email

Phone number

Date

General Duties

Admit/Orient Involuntary Clients

Admit/Orient Voluntary Clients

Advance Directives

Ambulatory Cuffs

Assist Activities of Daily Living

Assist with Personal Hygiene

Cultural Diversity

Discharge Clients

Discharge Planning

Documentation-Computer

Documentation-Written

Full Restraints

HIPAA Regulations

Initial Interview

Initial Screening Assessment

Isolation Techniques

Mutli-Disciplinary Planning

Oxygen Administration

Participate in Interdisciplinary Team

Patient Teaching

Reassess/Update Plan of Care

Referral to Community Resources

Supervise Unlicensed Personnel

Vital Signs

Wrist Restraints

Eating Disorders

Anorexia Nervosa

Bulimia Nervosa

Obesity

Interventions/Therapies

Assultive Behavior

Certified "Management of Assultive Behavior"

Crisis Intervention

Drug & Alcohol Education

Education or Vocational Training

Teach Independent Living Skills

Therapeutic Communication

Therapeutic Milieu

Assist with Alternative Therapies

Biofeedback

ElectroConvulsive Therapy

Expressive Therapy (Art, Movement)

Guided Imagery

Massage Therapy

Mediation

Recreational Therapy

Therapeutic Touch

Meds/IV Therapy

Administer IM & SQ Meds

Administer PO Medications

Administer Topical Medications

Discontinue Peripheral IV's

Pain Assessment/Management

Care of Psychiatric Disorders

Anxiety Disorders

Bipolar Disorder

Catatonic Psychotic Disorder

Delusional Disorders

Depression

Dissociative Identity Disorder

Hallucinations

Obsessive/Compulsive Disorder

Panic Attacks

Paranoid Psychotic Disorder

Phobias

Schizophrenia

Suicidal Ideation/Attempts

Assist with Psychotherapy

Behavioral

Couple/Family

Group

Individual

Personality Disorders

Cluster A-Paranoid/Schizoid

Cluster B-Antisocial/Borderline

Cluster C-Anxious/Fearful

Cognitive Disorders

Alzheimer's (Dementia)

Amnestic Disorders

Delirium

Dementia

Substance-Related Disorders

ADHD

Alcohol-Related

Developemntal/Autistic Disorders

Drug-Related

Mental Retardation

Post Traumatic Stress Disorder

Sexual Abuse/Assault

Sexual Disorders

Somatoform Disorders (Pain etc.)

Survivor of Abuse/Violence

Psychotropic Agents

Antianxiety Agents

Anticholinergics/Antiparkinsons

Anticonvulsants

Antidepressants/Mood Elevators

Antimanic Agents

Antipsychotic Agents

Hypnotics

Management of Med Side Effects

Recognition of Med Side Effects

Years of Experience: Continuum of Care Settings (Hospital)

Med-Psych Unit (years)

Transitional Care Hospital (years)

Freestanding Psych Hospital (years)

Community-Based Hospital (years)

Subacute Care Units (years)

Long-Term Care Facilities (years)

Age-Appropriate Care of

Newborn (birth – 30 days)

Infant (31 days – 1 year)

Toddler (1 – 3 years)

Preschooler (3 – 5 years)

School Age (5 – 12 years)

Adolescents (12 – 18 years)

Young Adults (18-39 years)

Middle Adults (39 – 64 years)

Older Adults (64+ years)

Please read and agree to the statements below by marking the checkbox.

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

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