Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
General Duties |
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Admit/Orient Involuntary Clients |
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Admit/Orient Voluntary Clients |
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Advance Directives |
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Ambulatory Cuffs |
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Assist Activities of Daily Living |
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Assist with Personal Hygiene |
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Cultural Diversity |
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Discharge Clients |
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Discharge Planning |
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Documentation-Computer |
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Documentation-Written |
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Full Restraints |
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HIPAA Regulations |
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Initial Interview |
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Initial Screening Assessment |
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Isolation Techniques |
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Mutli-Disciplinary Planning |
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Oxygen Administration |
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Participate in Interdisciplinary Team |
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Patient Teaching |
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Reassess/Update Plan of Care |
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Referral to Community Resources |
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Supervise Unlicensed Personnel |
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Vital Signs |
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Wrist Restraints |
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Eating Disorders | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Anorexia Nervosa |
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Bulimia Nervosa |
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Obesity |
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Interventions/Therapies |
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Assultive Behavior |
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Care of Psychiatric Disorders | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Anxiety Disorders |
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Bipolar Disorder |
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Catatonic Psychotic Disorder |
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Delusional Disorders |
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Depression |
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Dissociative Identity Disorder |
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Hallucinations |
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Obsessive/Compulsive Disorder |
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Panic Attacks |
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Paranoid Psychotic Disorder |
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Phobias |
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Schizophrenia |
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Suicidal Ideation/Attempts |
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Assist with Psychotherapy | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Behavioral |
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Couple/Family |
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Group |
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Individual |
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Personality Disorders | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Cluster A-Paranoid/Schizoid |
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Cluster B-Antisocial/Borderline |
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Cluster C-Anxious/Fearful |
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Cognitive Disorders | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Alzheimer's (Dementia) |
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Amnestic Disorders |
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Delirium |
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Dementia |
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Certified "Management of Assultive Behavior" | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Crisis Intervention |
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Drug & Alcohol Education |
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Education or Vocational Training |
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Teach Independent Living Skills |
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Therapeutic Communication |
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Therapeutic Milieu |
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Assist with Alternative Therapies: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Biofeedback |
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ElectroConvulsive Therapy |
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Expressive Therapy (Art, Movement) |
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Guided Imagery |
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Massage Therapy |
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Mediation |
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Recreational Therapy |
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Therapeutic Touch |
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Meds/IV Therapy | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Administer IM & SQ Meds |
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Administer PO Medications |
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Administer Topical Medications |
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Identify Appropriate Level of Care |
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Discontinue Peripheral IV's |
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Pain Assessment/Management |
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Substance-Related Disorders: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
ADHD |
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Alcohol-Related |
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Developemntal/Autistic Disorders |
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Drug-Related |
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Mental Retardation |
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Post Traumatic Stress Disorder |
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Sexual Abuse/Assault |
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Sexual Disorders |
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Somatoform Disorders (Pain etc.) |
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Survivor of Abuse/Violence |
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Psychotropic Agents: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Antianxiety Agents |
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Anticholinergics/Antiparkinsons |
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Anticonvulsants |
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Antidepressants/Mood Elevators |
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Antimanic Agents |
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Antipsychotic Agents |
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Hypnotics |
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Management of Med Side Effects |
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Recognition of Med Side Effects |
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PROFICIENCY SCALE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Newborn (birth-30 days) |
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Infant (30 days-1 yrs) |
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Toddler (1-3 yrs) |
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Preschooler (3-5 yrs) |
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School Age (5-12 yrs) |
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Adolescents (12-18 yrs) |
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Young Adults (18-39 yrs) |
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Middle Adults (39-64 yrs) |
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Older Adults (64 yrs +) |
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