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.
Knowledge of Assessment Process | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Psychosocial assessment (social history, living situation, career, hobbies, support systems, decision making, communication difficulties, flexibility, prolonged mental illness / emotional Problems, lack of community / caregiver support, family discord, ab |
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Communication Abilities | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Develop and maintain communication with people on complex matters, issues and ideas, and/or in complex situations |
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Personal and People Development | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Develop oneself and contribute to the development of others |
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Quality Improvement & Service | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Contribute to the improvement of services & maintain quality in own work and encourage others to do so |
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Health Protection & Well Being | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Implement aspects of a protection plan and review its effectiveness |
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High risk intervention / patient vulnerability or safety risk |
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Monitor and maintain health, safety and security of self and others |
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Provide crisis intervention |
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Care Planning | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Assess complex health and well being needs and develop, monitor and review care plans to meet those needs |
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Knowledge and InformationResources | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Organize knowledge and information resources and provide information to meet needs |
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Demonstrates respect for patient/family confidentiality |
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Documentation Skills (accurate, timely, complete and legible) |
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Counseling for long range planning and decision making |
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Equality and Diversity | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Promote equality and value diversity |
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Experience in all or any of the following: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Medical Social Work |
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School Social Work |
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Clinical Social Work |
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Social Work-Admin/management |
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Social work-case manager |
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International Social Work |
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Social Work-Children & Families |
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Social Work in Acute Psychiatric Hospital |
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Forensic Social Work |
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Employment/Occupational Social Work |
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Social Work- Community Organizer |
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Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Infant (Birth - 1 year) |
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Preschooler (ages 2-5 years) |
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Childhood (ages 6-12 years) |
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Adolescents (ages 13-21 years) |
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Young Adults (ages 22-39 years) |
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Adults (ages 40-64 years) |
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Older Adults (ages 65-79 years) |
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Elderly (ages 80+ years) |
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