Skills Checklist

Psychiatric/Mental Health Technician Checklist

Requested By:

Today's date

First Name:

Last Name:

Mobile Number:

Email Address:

Confirm Email:

GENERAL RESPONSIBILITIES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Vital Signs monitoring: Respiratory Rate
Vital Signs monitoring: Pulse
Vital Signs monitoring: Blood pressure
Height and weight
Oral Temperature
Rectal Temperature
Axillary Temperature
Intake & output charting
Measuring fluid output: Diaper
Measuring fluid output: Foley bag
Ambulatory Cuffs
Assist Activities of Daily Living
Wrist restraints
Full restraints

GENERAL RESPONSIBILITIES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Vital Signs monitoring: Respiratory Rate
Vital Signs monitoring: Pulse
Vital Signs monitoring: Blood pressure
Height and weight
Oral Temperature
Rectal Temperature
Axillary Temperature
Intake & output charting
Measuring fluid output: Diaper
Measuring fluid output: Bedpan
Measuring fluid output: Foley bag
Ambulatory Cuffs
Assist Activities of Daily Living
Wrist restraints
Full restraints

PERSONAL CARE * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Assisting patient to bathroom
Placing a urinal
Use of bed pan
Special mouth care
Assisting patient brushing teeth
Changing diaper
Combing hair
Shampoo in bed
Shampoo in shower
Dressing
Shower
Tub bath
Partial bed bath
Complete bed bath

PERSONAL CARE * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Assisting patient to bathroom
Placing a urinal
Use of bed pan
Special mouth care
Assisting patient brushing teeth
Changing diaper
Combing hair
Shampoo in bed
Shampoo in shower
Dressing
Shower
Tub bath
Partial bed bath
Complete bed bath

INFECTION CONTROL/SAFETY * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Hand washing
Linen handling
Universal precaution
Reverse isolation
Airborne precaution
Contact precaution
Proper waste disposal

INFECTION CONTROL/SAFETY * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Hand washing
Linen handling
Universal precaution
Reverse isolation
Airborne precaution
Contact precaution
Proper waste disposal

EMERGENCY PROCEDURES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

First Aid/CPR
Assist with Code

EMERGENCY PROCEDURES * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

First Aid/CPR
Assist with Code

MEDICATION ADMINISTRATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Oral
Topical
Suppository
Eye drops
Ear drops
Immunizations
Intradermal injections for allergy testing

MEDICATION ADMINISTRATION *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Oral
Topical
Suppository
Eye drops
Ear drops
Immunizations
Intradermal injections for allergy testing

FEEDING * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Meal Serving
Assistance with feeding
Assisting to patients with difficulty swallowing
Assisting patients with vision impairment

FEEDING FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Meal Serving
Assistance with feeding
Assisting to patients with difficulty swallowing
Assisting patients with vision impairment

COMMON PSYCHIATRIC DISORDERS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

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

COMMON EATING DISORDERS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Anorexia Nervosa
Bulimia Nervosa
Obesity

COMMON EATING DISORDERS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Anorexia Nervosa
Bulimia Nervosa
Obesity

ASSIST WITH PSYCHOTHERAPY *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Behavioral
Couple/Family
Group
Individual

ASSIST WITH PSYCHOTHERAPY *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Behavioral
Couple/Family
Group
Individual

PERSONALITY DISORDERS *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Cluster A-Paranoid/Schizoid
Cluster B-Antisocial/Borderline
Cluster C-Anxious/Fearful

PERSONALITY DISORDERS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Cluster A-Paranoid/Schizoid
Cluster B-Antisocial/Borderline
Cluster C-Anxious/Fearful

PERSONAL CARE *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Assisting patient to bathroom
Placing a urinal
Use of bed pan
Special mouth care
Assisting patient brushing teeth
Changing diaper
Combing hair
Shampoo in bed
Shampoo in shower
Dressing
Shower
Tub bath
Partial bed bath
Complete bed bath

ASSIST WITH ALTERNATIVE THERAPIES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Biofeedback
Electroconvulsive Therapy
Expressive Therapy (Art, Movement)
Guided Imagery
Massage Therapy
Mediation
Recreational Therapy
Therapeutic Touch

ASSIST WITH ALTERNATIVE THERAPIES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Biofeedback
Electroconvulsive Therapy
Expressive Therapy (Art, Movement)
Guided Imagery
Massage Therapy
Mediation
Recreational Therapy
Therapeutic Touch

PSYCHOTROPIC AGENTS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Antianxiety Agents
Anticholinergics/Antiparkinsons
Anticonvulsants
Antidepressants/Mood Elevators
Antimanic Agents
Antipsychotic Agents
Hypnotics
Recognition of Medication Side Effects

PSYCHOTROPIC AGENTS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Antianxiety Agents
Anticholinergics/Antiparkinsons
Anticonvulsants
Antidepressants/Mood Elevators
Antimanic Agents
Antipsychotic Agents
Hypnotics
Antianxiety Agents
Anticholinergics/Antiparkinsons
Anticonvulsants
Antidepressants/Mood Elevators
Antimanic Agents
Antipsychotic Agents
Hypnotics
Recognition of Medication Side Effects

ELECTRONIC DOCUMENTATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Athena
Greenway Primesuite
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian

ELECTRONIC DOCUMENTATION *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Athena
Greenway Primesuite
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian

AGE SPECIFIC COMPETENCIES *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)

AGE SPECIFIC COMPETENCIES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)