Psychiatric Tech Skills Checklist One program to handle all talent management needs from acquisition to development Personal Information HiddenOverall ScoreOut of 4Name(Required) First Middle Last Last 4 Digits of Social Security Number Email(Required) HiddenDate MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyProficiency ScaleGeneral Duties(Required) 1 2 3 4 Admit/Orient Involuntary Clients(Required) 1 2 3 4 Admit/Orient Voluntary Clients(Required) 1 2 3 4 Advance Directives(Required) 1 2 3 4 Ambulatory Cuffs(Required) 1 2 3 4 Assist Activities of Daily Living(Required) 1 2 3 4 Assist with Personal Hygiene(Required) 1 2 3 4 Cultural Diversity(Required) 1 2 3 4 Discharge Clients(Required) 1 2 3 4 Discharge Planning(Required) 1 2 3 4 Documentation-Computer(Required) 1 2 3 4 Documentation-Written(Required) 1 2 3 4 Full Restraints(Required) 1 2 3 4 HIPAA Regulations(Required) 1 2 3 4 Initial Interview(Required) 1 2 3 4 Initial Screening Assessment(Required) 1 2 3 4 Isolation Techniques(Required) 1 2 3 4 Mutli-Disciplinary Planning(Required) 1 2 3 4 Oxygen Administration(Required) 1 2 3 4 Participate in Interdisciplinary Team(Required) 1 2 3 4 Patient Teaching(Required) 1 2 3 4 Reassess/Update Plan of Care(Required) 1 2 3 4 Referral to Community Resources(Required) 1 2 3 4 Supervise Unlicensed Personnel(Required) 1 2 3 4 Vital Signs(Required) 1 2 3 4 Wrist Restraints(Required) 1 2 3 4 Eating DisordersAnorexia Nervosa(Required) 1 2 3 4 Bulimia Nervosa(Required) 1 2 3 4 Obesity(Required) 1 2 3 4 Interventions/Therapies(Required) 1 2 3 4 Assultive Behavior(Required) 1 2 3 4 Care of Psychiatric DisordersAnxiety Disorders(Required) 1 2 3 4 Bipolar Disorder(Required) 1 2 3 4 Catatonic Psychotic Disorder(Required) 1 2 3 4 Delusional Disorders(Required) 1 2 3 4 Depression(Required) 1 2 3 4 Dissociative Identity Disorder(Required) 1 2 3 4 Hallucinations(Required) 1 2 3 4 Obsessive/Compulsive Disorder(Required) 1 2 3 4 Panic Attacks(Required) 1 2 3 4 Paranoid Psychotic Disorder(Required) 1 2 3 4 Phobias(Required) 1 2 3 4 Schizophrenia(Required) 1 2 3 4 Suicidal Ideation/Attempts(Required) 1 2 3 4 Assist with PsychotherapyBehavioral(Required) 1 2 3 4 Couple/Family(Required) 1 2 3 4 Group(Required) 1 2 3 4 Individual(Required) 1 2 3 4 Personality DisordersCluster A-Paranoid/Schizoid(Required) 1 2 3 4 Cluster B-Antisocial/Borderline(Required) 1 2 3 4 Cluster C-Anxious/Fearful(Required) 1 2 3 4 Cognitive DisordersAlzheimer's (Dementia)(Required) 1 2 3 4 Amnestic Disorders(Required) 1 2 3 4 Delirium(Required) 1 2 3 4 Dementia(Required) 1 2 3 4 Certified "Management of Assultive Behavior"Crisis Intervention(Required) 1 2 3 4 Drug & Alcohol Education(Required) 1 2 3 4 Education or Vocational Training(Required) 1 2 3 4 Teach Independent Living Skills(Required) 1 2 3 4 Therapeutic Communication(Required) 1 2 3 4 Therapeutic Milieu(Required) 1 2 3 4 Assist with Alternative Therapies:Biofeedback(Required) 1 2 3 4 ElectroConvulsive Therapy(Required) 1 2 3 4 Expressive Therapy (Art, Movement)(Required) 1 2 3 4 Guided Imagery(Required) 1 2 3 4 Massage Therapy(Required) 1 2 3 4 Mediation(Required) 1 2 3 4 Recreational Therapy(Required) 1 2 3 4 Therapeutic Touch(Required) 1 2 3 4 Meds/IV TherapyAdminister IM & SQ Meds(Required) 1 2 3 4 Administer PO Medications(Required) 1 2 3 4 Administer Topical Medications(Required) 1 2 3 4 Identify Appropriate Level of Care(Required) 1 2 3 4 Discontinue Peripheral IV's(Required) 1 2 3 4 Pain Assessment/Management(Required) 1 2 3 4 Substance-Related Disorders:ADHD(Required) 1 2 3 4 Alcohol-Related(Required) 1 2 3 4 Developemntal/Autistic Disorders(Required) 1 2 3 4 Drug-Related(Required) 1 2 3 4 Mental Retardation(Required) 1 2 3 4 Post Traumatic Stress Disorder(Required) 1 2 3 4 Sexual Abuse/Assault(Required) 1 2 3 4 Sexual Disorders(Required) 1 2 3 4 Somatoform Disorders (Pain etc.)(Required) 1 2 3 4 Survivor of Abuse/Violence(Required) 1 2 3 4 Psychotropic Agents:Antianxiety Agents(Required) 1 2 3 4 Anticholinergics/Antiparkinsons(Required) 1 2 3 4 Anticonvulsants(Required) 1 2 3 4 Antidepressants/Mood Elevators(Required) 1 2 3 4 Antimanic Agents(Required) 1 2 3 4 Antipsychotic Agents(Required) 1 2 3 4 Hypnotics(Required) 1 2 3 4 Management of Med Side Effects(Required) 1 2 3 4 Recognition of Med Side Effects(Required) 1 2 3 4 Years of Experience Continuum of Care Settings Hospital SettingsMed-Psych Unit YearsTransitional Care Hospital YearsFreestanding Psych Hospital YearsCommunity-Based Hospital YearsSubacute Care Units YearsLong-Term Care Facilities YearsCommunity Mental Health ServicesEmergency Clinic YearsDay Treatment Programs YearsResidential Programs YearsHome Care YearsAftercare/Rehab Clinic YearsCorrections/ Prison YearsPROFICIENCY SCALENewborn (birth-30 days)(Required) 1 2 3 4 Infant (30 days-1 yrs)(Required) 1 2 3 4 Toddler (1-3 yrs)(Required) 1 2 3 4 Preschooler (3-5 yrs)(Required) 1 2 3 4 School Age (5-12 yrs)(Required) 1 2 3 4 Adolescents (12-18 yrs)(Required) 1 2 3 4 Young Adults (18-39 yrs)(Required) 1 2 3 4 Middle Adults (39-64 yrs)(Required) 1 2 3 4 Older Adults (64 yrs +)(Required) 1 2 3 4 AuthorizationsLegal Consent(Required) I agree to the terms and conditions.Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. 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