Psych / Behavioral Health Checklist

TREATMENT SETTINGS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Inpatient hospital psychiatric unit
Inpatient acute psychiatric facility
Chronic psychiatric facility
Outpatient clinic/community setting
Forensic unit (prison)
Eating disorder unit
Substance abuse/rehab unit
Locked unit/ward

LEGAL/ETHICAL EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Advanced directives
Legal right’s of the mentally ill
Informed consent
Right to refuse treatment
Voluntary commitment
Involuntary commitment
Restrictive devices (restraints)
Use of seclusion
Terrasoff “duty to warn”

EMERGENCY CARE EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Use of rapid response teams
Cardiac arrest/CPR
Airway management
Oxygen therapy
Oral/nasotracheal suctioning
Pulse oximetry
IV therapy
Start & maintaining peripheral IVs
Blood draw: venous
Infusion pumps

SKILLED NURSING CARE EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Assessment of circulation/peripheral pulses
Blood Glucose Monitoring (BGM)
Foley catheter insertion/maintenance
NG tube insertion/maintenance
Wound care/dressing changes
Administration of blood/blood products
Management of fluid/electrolyte balance
Seizure precautions
National Patient Safety Goals
Accurate patient identification
Effective communication
Interpretation & communication of lab values
Medication administration
Awareness of HCAHPS
Bar coding for medication administration
Labeling (medications & specimens)
Medication reconciliation
Anticoagulation therapy
Pain assessment & management
Infection control
Universal precautions
Isolation
Minimize risk for falls
Prevention of pressure ulcers

CLINICAL ASSESSMENT TOOLS EXPERIENCE - INTELLIGENC

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Wechsler Intelligence Scale (WAIS)
Wechsler Intelligence Scale for Children

PSYCHOLOGICAL TESTING:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Minnesota Multiphasic Personality Inventory (MMPI)
Beck Depression Inventory (BDI)
Child’s Apperception Test (CAT)
Informal cognitive status assessment
Mental status assessment
Gestalt test
Stanford-Binet test

COMMUNICATION TECHNIQUES EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Active listening
Restatement/reflection
Clarification
Focusing
Confronting
Summarizing

THERAPEUTIC INTERVENTIONS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Limit setting
Positive reinforcement
Reality orientation
Questioning

PSYCHIATRIC DISORDERS EXPERIENCE - MOOD DISORDERS

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Major depression
Dysthymia
Bipolar disorder (manic-depressive illness)
Type I
Type II

ANXIETY DISORDERS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
GAD - Generalized Anxiety Disorder
Panic
Post Traumatic Stress Disorder
Obsessive-compulsive
Phobias

PSYCHOTIC DISORDERS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Schizophrenia
Schizoaffective disorder
Schizophreniform disorder

PERSONALITY DISORDERS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Antisocial
Passive/aggressive
Paranoia
Borderline
Schizotypal personality disorder

CONGENITAL DISORDERS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Mental retardation
Down’s syndrome
Cystic fibrosis
Cerebral palsy
Spina bifida

DEGENERATIVE DISORDERS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Alzheimer’s disease
Parkinson’s disease
Huntington’s chorea

EATING DISORDERS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Anorexia nervosa
Bulimia nervosa
Pica

CRISIS MANAGEMENT EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Homicide
Suicide/suicide precautions
Rape
Violence/family & individuals

SUBSTANCE USE / ABUSE EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Withdrawal syndrome
Alcohol or ETOH
CIWA scale
Delirium tremens (DTs)
Wernicke-Korsakoff

DRUG USE/ABUSE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Hallucinogenics
Opiates
Heroin
Prescription
Stimulants (amphetamines/cocaine/MDMA)
Benzodiazepine
Drug withdrawal/detoxification
COWS scale for opiate withdrawal symptom assessment

SEXUALITY DYSFUNCTION EXPERIENCE - GENDER IDENTITY

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Paraphilias
Psychosexual dysfunctions

CHILD/ADOLESCENT DYSFUNCTION EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Conduct disorder
Separation anxiety disorders
ADHD (Attention Deficit Hyperactivity Disorder)
ADD (Attention Deficit Disorder)

ELIMINATION DISORDERS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Encopresis
Enuresis

PERVASIVE DEVELOPMENTAL DISORDERS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Autism
Asperger’s syndrome
Rett syndrome
Self destructiveness
Suicidal behavior
Runaway behavior
Substance abuse
Delinquent behavior
Neglect/lack of parental involvement
Physical/sexual abuse
Care of the patient with delusions
Care of the patient with hallucinations

THERAPEUTIC APPROACHES EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Psychotherapy
Behavior therapy
Milieu management
Relationship/family therapy
Electroconvulsive Therapy (ECT)
Crisis counseling
Behavior modification
Group therapy

MEDICATIONS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Analgesics/narcotics (MS, Dilaudid, Demerol, fentanyl, methadone)
Antidepressants (TCA, MAOIs, SSRIs)
Antiolytics (Valium, Ativan, Xanax)
Antiparkinson (levodopa, Sinemet)
Antipsychotic (Thorazine, Haldol, zyrexa, Seroquel)
Mood stabilizer (lithium, Depakote, Tegretol)
Automated Medication Dispensing System, Pyxis, Omnicell, or other

AGE-SPECIFIC COMPETENCIES EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
School age (ages 6-12 years)
Adolescents (ages 13-21 years)
Young adult (ages 22-39 years)
Adults (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)