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Psych RN
Psychiatric/Behavioral Health RN
Name
First
Last
Date
MM slash DD slash YYYY
Self-Assessment Rating Scale:
No Experience
Theory or observation only during the past 12 months
Limited Experience
Performed less than 12 times within the past 12 months and may need a review
Experienced
Performed at least once per month within the past 12 months and may need minimal assistance
Highly Skilled
Performed on at least a weekly basis over the past 12 months; proficient
Psychiatrics
No Experience
Limited Experience
Experienced
Highly Skilled
Assessment - Admission
Assessment - Initial nursing assessment and care plan
Assessment - Initial treatment plan
Assessment - Neurological vital signs
Assessment - Nursing care plan updates
Assessment - Nursing diagnosis
Assessment - Suicide risk
Assist with Electroconvulsive Therapy (ECT)
Care of patient - Alcohol dependency
Care of patient - Drug dependency
Care of patient - ECT
Care of patient - Hallucinations
Care of patient - Manic behavior
Care of patient - Med-Psych patient
Care of patient - Organic disorder
Care of patient - Partial hospital/intensive outpatient patient
Care of patient - Seclusion and Restraints
Care of patient - Seizure disorder
Care of patient - Suicide behavior
Care of patient - Tracheostomy
Charting - Behavioristic
Charting - Discharge planning
Charting - ECT
Charting - Treatment/goal oriented
Manage drug/alcohol detox symptoms
Management of assaultive behavior
Medications - Heparin
Medications - Manage EPS symptoms
Medications - Oral Psychotropic medications
Medications - Z-technique (IM)
O2 Therapy - Bag and Mask
O2 Therapy - External CPAP
O2 Therapy - Face masks
O2 Therapy - Inhalers
O2 Therapy - Nasal cannula
O2 Therapy - Trach collar
Participate in multi-disciplinary staffing
Participation in milieu therapy
Patient teaching
Perform - Cardiopulmonary Resuscitation
Perform - Group Therapy Leader
Perform - Insert Foley Catheter
Perform - Tube Feeding
Psychiatric emergency response team
Psychiatric home health
Rapid tranquilization
Restraints - application and assessment of Ambulatory cuffs
Restraints - application and assessment of Full restraints
Restraints - application and assessment of Wrist restraints
Telephonic crisis intervention
Therapeutic communication skills
Phlebotomy/IV Therapy
No Experience
Limited Experience
Experienced
Highly Skilled
Assessment - Site and patency
Perform - Administer Hyperalimentation/TPN
Perform - Administer Packed RBC's
Perform - Discontinue IV Therapy
Perform - Draw blood from central line
Perform - Draw venous blood
Perform - Start IV (heparin lock)
Medical Proficiency
No Experience
Limited Experience
Experienced
Highly Skilled
Perform - Administer medications (oral)
Perform - Administer medications (rectal)
Perform - Administer medications (subcutaneous)
Perform - Administer medications (unit dose)
Perform - injections (intramuscular)
Signature
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