1/14/25, 9:27 AM Psychiatric Tech Skills Checklist

Psychiatric Tech Skills

Checklist
NAME Josephine Buckman

LAST 4 OF SSN

DATE 01/14/2025

I hereby certify that ALL information I have provided on this

skills checklist and all other documentation, is true and
accurate. I understand and acknowledge that any
misrepresentation or omission may result in disqualification
from employment and/or immediate termination.

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: 1 = No Experience

2 = Need Training
3 = Able to perform with
supervision
4 = Able to perform
independently

Rating Stars (Click) Proficiency Scale 1 2 3 4

General Duties x

Admit/Orient Involuntary Clients x

Admit/Orient Voluntary Clients x

Advance Directives x

Ambulatory Cuffs x

Assist Activities of Daily Living x

Assist with Personal Hygiene x

Cultural Diversity x

Discharge Clients x

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Discharge Planning x

Documentation-Computer x

Documentation-Written x

Full Restraints x

HIPAA Regulations x

Initial Interview x

Initial Screening Assessment x

Isolation Techniques x

Mutli-Disciplinary Planning x

Oxygen Administration x

Participate in Interdisciplinary Team x

Patient Teaching x

Reassess/Update Plan of Care x

Referral to Community Resources x

Supervise Unlicensed Personnel x

Vital Signs x

Wrist Restraints x

Rating Stars (Click) Eating Disorders 1 2 3 4

Anorexia Nervosa x

Bulimia Nervosa x

Obesity x

Interventions/Therapies x

Assultive Behavior x

Rating Stars (Click) Care of Psychiatric Disorders 1 2 3 4

Anxiety Disorders x

Bipolar Disorder x

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Catatonic Psychotic Disorder x

Delusional Disorders x

Depression x

Dissociative Identity Disorder x

Hallucinations x

Obsessive/Compulsive Disorder x

Panic Attacks x

Paranoid Psychotic Disorder x

Phobias x

Schizophrenia x

Suicidal Ideation/Attempts x

Rating Stars (Click) Assist with Psychotherapy 1 2 3 4

Behavioral x

Couple/Family x

Group x

Individual x

Rating Stars (Click) Personality Disorders 1 2 3 4

Cluster A-Paranoid/Schizoid x

Cluster B-Antisocial/Borderline x

Cluster C-Anxious/Fearful x

Rating Stars (Click) Cognitive Disorders 1 2 3 4

Alzheimer's (Dementia) x

Amnestic Disorders x

Delirium x

Dementia x

Rating Stars (Click) Certified "Management of Assultive Behavior" 1 2 3 4

Crisis Intervention x

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Drug & Alcohol Education x

Education or Vocational Training x

Teach Independent Living Skills x

Therapeutic Communication x

Therapeutic Milieu x

Rating Stars (Click) Assist with Alternative Therapies: 1 2 3 4

Biofeedback x

ElectroConvulsive Therapy x

Expressive Therapy (Art, Movement) x

Guided Imagery x

Massage Therapy x

Mediation x

Recreational Therapy x

Therapeutic Touch x

Rating Stars (Click) Meds/IV Therapy 1 2 3 4

Administer IM & SQ Meds x

Administer PO Medications x

Administer Topical Medications x

Identify Appropriate Level of Care x

Discontinue Peripheral IV's x

Pain Assessment/Management x

Rating Stars (Click) Substance-Related Disorders: 1 2 3 4

ADHD x

Alcohol-Related x

Developemntal/Autistic Disorders x

Drug-Related x

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Mental Retardation x

Post Traumatic Stress Disorder x

Sexual Abuse/Assault x

Sexual Disorders x

Somatoform Disorders (Pain etc.) x

Survivor of Abuse/Violence x

Rating Stars (Click) Psychotropic Agents: 1 2 3 4

Antianxiety Agents x

Anticholinergics/Antiparkinsons x

Anticonvulsants x

Antidepressants/Mood Elevators x

Antimanic Agents x

Antipsychotic Agents x

Hypnotics x

Management of Med Side Effects x

Recognition of Med Side Effects x

Years of Experience Continuum of Care Settings

Years
Hospital Settings
Med-Psych Unit
Transitional Care Hospital
Freestanding Psych Hospital
Community-Based Hospital
Subacute Care Units
Long-Term Care Facilities
Community Mental Health Services Years
Emergency Clinic
Day Treatment Programs
Residential Programs
Home Care
Aftercare/Rehab Clinic
Corrections/ Prison
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Rating Stars (Click) PROFICIENCY SCALE 1 2 3 4

Newborn (birth-30 days) x

Infant (30 days-1 yrs) x

Toddler (1-3 yrs) x

Preschooler (3-5 yrs)

School Age (5-12 yrs) x

Adolescents (12-18 yrs) x

Young Adults (18-39 yrs) x

Middle Adults (39-64 yrs) x

Older Adults (64 yrs +) x

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