Psych Skills Assessment

Psych Unit Skills Assessment

Congrats on taking the necessary step to applying for a travel nursing position with us! Before we can offer you an amazing nursing assignment, the following skills assessment must be completed. Take your time and review your information before submitting. We look forward to seeing your results!

Instructions:

This checklist is for assessing your experience in specific clinical areas. It will not be a determining factor in accepting your application to become an employee of Trusted Nurse Staffing LLC.

Please rate your experience using the following scale (check the appropriate boxes below):

0 = No Experience / Observed Only
1 = Less than 1 year experience
2 = 1 - 2 years of experience
3 = Over 2 years of experience

Your Information: *This question is required.

Today's Date: This question requires a valid date format of MM/DD/YYYY.

calendar

First Name

Last Name

Email Address

Phone Number

INTERVENTIONS/THERAPIES *This question is required.

Space Cell	0	1	2	3
Crisis Intervention	Crisis Intervention: 0	Crisis Intervention: 1	Crisis Intervention: 2	Crisis Intervention: 3
Therapeutic Communication	Therapeutic Communication: 0	Therapeutic Communication: 1	Therapeutic Communication: 2	Therapeutic Communication: 3
Therapeutic Milieu	Therapeutic Milieu: 0	Therapeutic Milieu: 1	Therapeutic Milieu: 2	Therapeutic Milieu: 3
Education or Vocational Training	Education or Vocational Training: 0	Education or Vocational Training: 1	Education or Vocational Training: 2	Education or Vocational Training: 3
Drug & Alcohol Education	Drug & Alcohol Education: 0	Drug & Alcohol Education: 1	Drug & Alcohol Education: 2	Drug & Alcohol Education: 3
ElectroConvulsive Therapy	ElectroConvulsive Therapy: 0	ElectroConvulsive Therapy: 1	ElectroConvulsive Therapy: 2	ElectroConvulsive Therapy: 3
Biofeedback	Biofeedback: 0	Biofeedback: 1	Biofeedback: 2	Biofeedback: 3
Guided Imagery	Guided Imagery: 0	Guided Imagery: 1	Guided Imagery: 2	Guided Imagery: 3
Expressive Therapy (Art, Movement)	Expressive Therapy (Art, Movement): 0	Expressive Therapy (Art, Movement): 1	Expressive Therapy (Art, Movement): 2	Expressive Therapy (Art, Movement): 3
Massage Therapy	Massage Therapy: 0	Massage Therapy: 1	Massage Therapy: 2	Massage Therapy: 3
Meditation	Meditation: 0	Meditation: 1	Meditation: 2	Meditation: 3
Recreational Therapy	Recreational Therapy: 0	Recreational Therapy: 1	Recreational Therapy: 2	Recreational Therapy: 3
Therapeutic Touch	Therapeutic Touch: 0	Therapeutic Touch: 1	Therapeutic Touch: 2	Therapeutic Touch: 3
Psychotherapy	Psychotherapy: 0	Psychotherapy: 1	Psychotherapy: 2	Psychotherapy: 3
Individual	Individual: 0	Individual: 1	Individual: 2	Individual: 3
Group	Group: 0	Group: 1	Group: 2	Group: 3
Couple / Family	Couple / Family: 0	Couple / Family: 1	Couple / Family: 2	Couple / Family: 3
Behavioral	Behavioral: 0	Behavioral: 1	Behavioral: 2	Behavioral: 3

GENERAL NURSING *This question is required.

Space Cell	0	1	2	3
Admit/Orient Voluntary Clients	Admit/Orient Voluntary Clients: 0	Admit/Orient Voluntary Clients: 1	Admit/Orient Voluntary Clients: 2	Admit/Orient Voluntary Clients: 3
Admit/Orient Involuntary Clients	Admit/Orient Involuntary Clients: 0	Admit/Orient Involuntary Clients: 1	Admit/Orient Involuntary Clients: 2	Admit/Orient Involuntary Clients: 3
Initial Comprehensive Assessment	Initial Comprehensive Assessment: 0	Initial Comprehensive Assessment: 1	Initial Comprehensive Assessment: 2	Initial Comprehensive Assessment: 3
Initial Focused Assessment	Initial Focused Assessment: 0	Initial Focused Assessment: 1	Initial Focused Assessment: 2	Initial Focused Assessment: 3
Initial Screening Assessment	Initial Screening Assessment: 0	Initial Screening Assessment: 1	Initial Screening Assessment: 2	Initial Screening Assessment: 3
Initiate Care Plan	Initiate Care Plan: 0	Initiate Care Plan: 1	Initiate Care Plan: 2	Initiate Care Plan: 3
Reassessment/Update Care Plan	Reassessment/Update Care Plan: 0	Reassessment/Update Care Plan: 1	Reassessment/Update Care Plan: 2	Reassessment/Update Care Plan: 3
Multi-Disciplinary Planning	Multi-Disciplinary Planning: 0	Multi-Disciplinary Planning: 1	Multi-Disciplinary Planning: 2	Multi-Disciplinary Planning: 3
Supervise Unlicensed Personnel	Supervise Unlicensed Personnel: 0	Supervise Unlicensed Personnel: 1	Supervise Unlicensed Personnel: 2	Supervise Unlicensed Personnel: 3
Vital Sign Monitoring	Vital Sign Monitoring: 0	Vital Sign Monitoring: 1	Vital Sign Monitoring: 2	Vital Sign Monitoring: 3
Full Restraints	Full Restraints: 0	Full Restraints: 1	Full Restraints: 2	Full Restraints: 3
Wrist Restraints	Wrist Restraints: 0	Wrist Restraints: 1	Wrist Restraints: 2	Wrist Restraints: 3
Ambulatory Cuffs	Ambulatory Cuffs: 0	Ambulatory Cuffs: 1	Ambulatory Cuffs: 2	Ambulatory Cuffs: 3
Oxygen Administration	Oxygen Administration: 0	Oxygen Administration: 1	Oxygen Administration: 2	Oxygen Administration: 3
Admin/Monitor Tube Feedings	Admin/Monitor Tube Feedings: 0	Admin/Monitor Tube Feedings: 1	Admin/Monitor Tube Feedings: 2	Admin/Monitor Tube Feedings: 3
Insert/Care of Foley Catheter	Insert/Care of Foley Catheter: 0	Insert/Care of Foley Catheter: 1	Insert/Care of Foley Catheter: 2	Insert/Care of Foley Catheter: 3
Assist with Lumbar Puncture	Assist with Lumbar Puncture: 0	Assist with Lumbar Puncture: 1	Assist with Lumbar Puncture: 2	Assist with Lumbar Puncture: 3
Isolation Techniques	Isolation Techniques: 0	Isolation Techniques: 1	Isolation Techniques: 2	Isolation Techniques: 3
Advance Directives	Advance Directives: 0	Advance Directives: 1	Advance Directives: 2	Advance Directives: 3
Patient Teaching	Patient Teaching: 0	Patient Teaching: 1	Patient Teaching: 2	Patient Teaching: 3
Case Manager	Case Manager: 0	Case Manager: 1	Case Manager: 2	Case Manager: 3
Discharge Planning	Discharge Planning: 0	Discharge Planning: 1	Discharge Planning: 2	Discharge Planning: 3
Discharge Clients	Discharge Clients: 0	Discharge Clients: 1	Discharge Clients: 2	Discharge Clients: 3
Cultural Diversity	Cultural Diversity: 0	Cultural Diversity: 1	Cultural Diversity: 2	Cultural Diversity: 3
Ethnic Awareness	Ethnic Awareness: 0	Ethnic Awareness: 1	Ethnic Awareness: 2	Ethnic Awareness: 3
Forensic Nurse	Forensic Nurse: 0	Forensic Nurse: 1	Forensic Nurse: 2	Forensic Nurse: 3

CARE OF PSYCHIATRIC DISORDERS *This question is required.

Space Cell	0	1	2	3
Schizophrenia	Schizophrenia: 0	Schizophrenia: 1	Schizophrenia: 2	Schizophrenia: 3
Paranoid Psychotic Disorder	Paranoid Psychotic Disorder: 0	Paranoid Psychotic Disorder: 1	Paranoid Psychotic Disorder: 2	Paranoid Psychotic Disorder: 3
Catatonic Psychotic Disorder	Catatonic Psychotic Disorder: 0	Catatonic Psychotic Disorder: 1	Catatonic Psychotic Disorder: 2	Catatonic Psychotic Disorder: 3
Hallucinations	Hallucinations: 0	Hallucinations: 1	Hallucinations: 2	Hallucinations: 3
Bipolar Disorder	Bipolar Disorder: 0	Bipolar Disorder: 1	Bipolar Disorder: 2	Bipolar Disorder: 3
Depression	Depression: 0	Depression: 1	Depression: 2	Depression: 3
Suicidal Ideation/Attempts	Suicidal Ideation/Attempts: 0	Suicidal Ideation/Attempts: 1	Suicidal Ideation/Attempts: 2	Suicidal Ideation/Attempts: 3
Delusional Disorders	Delusional Disorders: 0	Delusional Disorders: 1	Delusional Disorders: 2	Delusional Disorders: 3
Anxiety Disorders	Anxiety Disorders: 0	Anxiety Disorders: 1	Anxiety Disorders: 2	Anxiety Disorders: 3
Panic Attacks	Panic Attacks: 0	Panic Attacks: 1	Panic Attacks: 2	Panic Attacks: 3
Phobias	Phobias: 0	Phobias: 1	Phobias: 2	Phobias: 3
Obsessive/Compulsive Disorder	Obsessive/Compulsive Disorder: 0	Obsessive/Compulsive Disorder: 1	Obsessive/Compulsive Disorder: 2	Obsessive/Compulsive Disorder: 3
Dissociative Identity Disorder	Dissociative Identity Disorder: 0	Dissociative Identity Disorder: 1	Dissociative Identity Disorder: 2	Dissociative Identity Disorder: 3
Paranoid/Schizoid	Paranoid/Schizoid: 0	Paranoid/Schizoid: 1	Paranoid/Schizoid: 2	Paranoid/Schizoid: 3
Antisocial/Borderline	Antisocial/Borderline: 0	Antisocial/Borderline: 1	Antisocial/Borderline: 2	Antisocial/Borderline: 3
Anxious/Fearful	Anxious/Fearful: 0	Anxious/Fearful: 1	Anxious/Fearful: 2	Anxious/Fearful: 3
Delirium	Delirium: 0	Delirium: 1	Delirium: 2	Delirium: 3
Dementia	Dementia: 0	Dementia: 1	Dementia: 2	Dementia: 3
Alzheimer's (Dementia)	Alzheimer's (Dementia): 0	Alzheimer's (Dementia): 1	Alzheimer's (Dementia): 2	Alzheimer's (Dementia): 3
Amnestic Disorders	Amnestic Disorders: 0	Amnestic Disorders: 1	Amnestic Disorders: 2	Amnestic Disorders: 3
Anorexia Nervosa	Anorexia Nervosa: 0	Anorexia Nervosa: 1	Anorexia Nervosa: 2	Anorexia Nervosa: 3
Bulimia Nervosa	Bulimia Nervosa : 0	Bulimia Nervosa : 1	Bulimia Nervosa : 2	Bulimia Nervosa : 3
Obesity	Obesity: 0	Obesity: 1	Obesity: 2	Obesity: 3
Alcohol -Related Disorders	Alcohol -Related Disorders: 0	Alcohol -Related Disorders: 1	Alcohol -Related Disorders: 2	Alcohol -Related Disorders: 3
Drug -Related Disorders	Drug -Related Disorders: 0	Drug -Related Disorders: 1	Drug -Related Disorders: 2	Drug -Related Disorders: 3
Sexual Disorders	Sexual Disorders: 0	Sexual Disorders: 1	Sexual Disorders: 2	Sexual Disorders: 3
Sexual Abuse/Assault	Sexual Abuse/Assault: 0	Sexual Abuse/Assault: 1	Sexual Abuse/Assault: 2	Sexual Abuse/Assault: 3
Survivor of Abuse/Violence	Survivor of Abuse/Violence: 0	Survivor of Abuse/Violence: 1	Survivor of Abuse/Violence: 2	Survivor of Abuse/Violence: 3
Post Traumatic Stress Disorder	Post Traumatic Stress Disorder: 0	Post Traumatic Stress Disorder: 1	Post Traumatic Stress Disorder: 2	Post Traumatic Stress Disorder: 3
Somatoform Disorders (Pain etc.)	Somatoform Disorders (Pain etc.): 0	Somatoform Disorders (Pain etc.): 1	Somatoform Disorders (Pain etc.): 2	Somatoform Disorders (Pain etc.): 3
Mental Retardation	Mental Retardation: 0	Mental Retardation: 1	Mental Retardation: 2	Mental Retardation: 3
ADHD	ADHD: 0	ADHD: 1	ADHD: 2	ADHD: 3
Developmental/Autistic Disorders	Developmental/Autistic Disorders: 0	Developmental/Autistic Disorders: 1	Developmental/Autistic Disorders: 2	Developmental/Autistic Disorders: 3

CONTINUUM OF CARE SETTINGS *This question is required.

Space Cell	0	1	2	3
Med-Psych Unit	Med-Psych Unit: 0	Med-Psych Unit: 1	Med-Psych Unit: 2	Med-Psych Unit: 3
Transitional Care Hospital	Transitional Care Hospital: 0	Transitional Care Hospital: 1	Transitional Care Hospital: 2	Transitional Care Hospital: 3
Freestanding Psych Hospital	Freestanding Psych Hospital: 0	Freestanding Psych Hospital: 1	Freestanding Psych Hospital: 2	Freestanding Psych Hospital: 3
Community-Based Hospital	Community-Based Hospital: 0	Community-Based Hospital: 1	Community-Based Hospital: 2	Community-Based Hospital: 3
Forensic Hospital	Forensic Hospital: 0	Forensic Hospital: 1	Forensic Hospital: 2	Forensic Hospital: 3
Subacute Care Units	Subacute Care Units: 0	Subacute Care Units: 1	Subacute Care Units: 2	Subacute Care Units: 3
Long-term Care Facilities	Long-term Care Facilities: 0	Long-term Care Facilities: 1	Long-term Care Facilities: 2	Long-term Care Facilities: 3
Emergency Clinic	Emergency Clinic: 0	Emergency Clinic: 1	Emergency Clinic: 2	Emergency Clinic: 3
Day-Treatment Programs	Day-Treatment Programs: 0	Day-Treatment Programs: 1	Day-Treatment Programs: 2	Day-Treatment Programs: 3
Residential Programs	Residential Programs: 0	Residential Programs: 1	Residential Programs: 2	Residential Programs: 3
Home Care	Home Care: 0	Home Care: 1	Home Care: 2	Home Care: 3
Aftercare/Rehabilitation Clinics	Aftercare/Rehabilitation Clinics: 0	Aftercare/Rehabilitation Clinics: 1	Aftercare/Rehabilitation Clinics: 2	Aftercare/Rehabilitation Clinics: 3

MEDS/IV THERAPY *This question is required.

Space Cell	0	1	2	3
Administer PO Medications	Administer PO Medications: 0	Administer PO Medications: 1	Administer PO Medications: 2	Administer PO Medications: 3
Administer NG / GT Meds	Administer NG / GT Meds: 0	Administer NG / GT Meds: 1	Administer NG / GT Meds: 2	Administer NG / GT Meds: 3
Administer Rectal Medications	Administer Rectal Medications: 0	Administer Rectal Medications: 1	Administer Rectal Medications: 2	Administer Rectal Medications: 3
Administer IM & SQ Meds	Administer IM & SQ Meds: 0	Administer IM & SQ Meds: 1	Administer IM & SQ Meds: 2	Administer IM & SQ Meds: 3
Peripheral IV Insertion	Peripheral IV Insertion: 0	Peripheral IV Insertion: 1	Peripheral IV Insertion: 2	Peripheral IV Insertion: 3
Administer IV Medications	Administer IV Medications: 0	Administer IV Medications: 1	Administer IV Medications: 2	Administer IV Medications: 3
Use of Heparin/Saline Locks	Use of Heparin/Saline Locks: 0	Use of Heparin/Saline Locks: 1	Use of Heparin/Saline Locks: 2	Use of Heparin/Saline Locks: 3
Needle-less Systems	Needle-less Systems: 0	Needle-less Systems: 1	Needle-less Systems: 2	Needle-less Systems: 3
Care of Central Lines	Care of Central Lines: 0	Care of Central Lines: 1	Care of Central Lines: 2	Care of Central Lines: 3
Care of PICC Lines	Care of PICC Lines: 0	Care of PICC Lines: 1	Care of PICC Lines: 2	Care of PICC Lines: 3
Admin of Hyperalimentation	Admin of Hyperalimentation: 0	Admin of Hyperalimentation: 1	Admin of Hyperalimentation: 2	Admin of Hyperalimentation: 3
Admin of Blood / Blood Products	Admin of Blood / Blood Products: 0	Admin of Blood / Blood Products: 1	Admin of Blood / Blood Products: 2	Admin of Blood / Blood Products: 3
Infusion Pumps	Infusion Pumps: 0	Infusion Pumps: 1	Infusion Pumps: 2	Infusion Pumps: 3
Discontinue Peripheral IVs	Discontinue Peripheral IVs: 0	Discontinue Peripheral IVs: 1	Discontinue Peripheral IVs: 2	Discontinue Peripheral IVs: 3
Venipuncture Blood Draws	Venipuncture Blood Draws: 0	Venipuncture Blood Draws: 1	Venipuncture Blood Draws: 2	Venipuncture Blood Draws: 3
Pain Assessment/Management	Pain Assessment/Management: 0	Pain Assessment/Management: 1	Pain Assessment/Management: 2	Pain Assessment/Management: 3

PSYCHOTROPIC AGENTS *This question is required.

Space Cell	0	1	2	3
Rapid Tranquilization	Rapid Tranquilization: 0	Rapid Tranquilization: 1	Rapid Tranquilization: 2	Rapid Tranquilization: 3
Antipsychotic Agents	Antipsychotic Agents: 0	Antipsychotic Agents: 1	Antipsychotic Agents: 2	Antipsychotic Agents: 3
Hypnotics	Hypnotics: 0	Hypnotics: 1	Hypnotics: 2	Hypnotics: 3
Antianxiety Agents	Antianxiety Agents: 0	Antianxiety Agents: 1	Antianxiety Agents: 2	Antianxiety Agents: 3
Antidepressants/Mood Elevators	Antidepressants/Mood Elevators: 0	Antidepressants/Mood Elevators: 1	Antidepressants/Mood Elevators: 2	Antidepressants/Mood Elevators: 3
Antimanic Agents	Antimanic Agents: 0	Antimanic Agents: 1	Antimanic Agents: 2	Antimanic Agents: 3
Anticonvulsants	Anticonvulsants: 0	Anticonvulsants: 1	Anticonvulsants: 2	Anticonvulsants: 3
Anticholinergics/Antiparkinsons	Anticholinergics/Antiparkinsons: 0	Anticholinergics/Antiparkinsons: 1	Anticholinergics/Antiparkinsons: 2	Anticholinergics/Antiparkinsons: 3

MEDS SIDE EFFECTS (Recognition/Management) *This question is required.

Space Cell	0	1	2	3
Blurred Vision	Blurred Vision: 0	Blurred Vision: 1	Blurred Vision: 2	Blurred Vision: 3
Constipation	Constipation: 0	Constipation: 1	Constipation: 2	Constipation: 3
Drowsiness	Drowsiness: 0	Drowsiness: 1	Drowsiness: 2	Drowsiness: 3
Dry Mouth	Dry Mouth: 0	Dry Mouth: 1	Dry Mouth: 2	Dry Mouth: 3
Gastrointestinal Effects	Gastrointestinal Effects: 0	Gastrointestinal Effects: 1	Gastrointestinal Effects: 2	Gastrointestinal Effects: 3
Hyp/Hyperglycemia	Hyp/Hyperglycemia: 0	Hyp/Hyperglycemia: 1	Hyp/Hyperglycemia: 2	Hyp/Hyperglycemia: 3
Hypotension/Orthostatic	Hypotension/Orthostatic: 0	Hypotension/Orthostatic: 1	Hypotension/Orthostatic: 2	Hypotension/Orthostatic: 3
Insomnia	Insomnia: 0	Insomnia: 1	Insomnia: 2	Insomnia: 3
Changes in Libido	Changes in Libido: 0	Changes in Libido: 1	Changes in Libido: 2	Changes in Libido: 3
Tachycardia	Tachycardia: 0	Tachycardia: 1	Tachycardia: 2	Tachycardia: 3
Urinary Retention	Urinary Retention: 0	Urinary Retention: 1	Urinary Retention: 2	Urinary Retention: 3
Weight Gain	Weight Gain: 0	Weight Gain: 1	Weight Gain: 2	Weight Gain: 3
Parkinsonism Symptoms	Parkinsonism Symptoms: 0	Parkinsonism Symptoms: 1	Parkinsonism Symptoms: 2	Parkinsonism Symptoms: 3
Akathisia (Motor Restlessness)	Akathisia (Motor Restlessness): 0	Akathisia (Motor Restlessness): 1	Akathisia (Motor Restlessness): 2	Akathisia (Motor Restlessness): 3
Acute Dystonic Reactions	Acute Dystonic Reactions: 0	Acute Dystonic Reactions: 1	Acute Dystonic Reactions: 2	Acute Dystonic Reactions: 3
Tardive Dyskinesia	Tardive Dyskinesia: 0	Tardive Dyskinesia: 1	Tardive Dyskinesia: 2	Tardive Dyskinesia: 3
Neuroleptic Malignant Syndrome	Neuroleptic Malignant Syndrome: 0	Neuroleptic Malignant Syndrome: 1	Neuroleptic Malignant Syndrome: 2	Neuroleptic Malignant Syndrome: 3

AGE OF PATIENTS CARED FOR *This question is required.

Space Cell	0	1	2	3
Newborn (birth-30 days)	Newborn (birth-30 days): 0	Newborn (birth-30 days): 1	Newborn (birth-30 days): 2	Newborn (birth-30 days): 3
Infant (30 days - 1 year)	Infant (30 days - 1 year): 0	Infant (30 days - 1 year): 1	Infant (30 days - 1 year): 2	Infant (30 days - 1 year): 3
Toddler (1 - 3 years)	Toddler (1 - 3 years): 0	Toddler (1 - 3 years): 1	Toddler (1 - 3 years): 2	Toddler (1 - 3 years): 3
Preschooler (3 - 5 years)	Preschooler (3 - 5 years): 0	Preschooler (3 - 5 years): 1	Preschooler (3 - 5 years): 2	Preschooler (3 - 5 years): 3
School Age (5 - 12 years)	School Age (5 - 12 years): 0	School Age (5 - 12 years): 1	School Age (5 - 12 years): 2	School Age (5 - 12 years): 3
Adolescents (12 - 18 years)	Adolescents (12 - 18 years): 0	Adolescents (12 - 18 years): 1	Adolescents (12 - 18 years): 2	Adolescents (12 - 18 years): 3
Young Adults (18 - 39 years)	Young Adults (18 - 39 years): 0	Young Adults (18 - 39 years): 1	Young Adults (18 - 39 years): 2	Young Adults (18 - 39 years): 3
Middle Adults (39 - 64 years)	Middle Adults (39 - 64 years): 0	Middle Adults (39 - 64 years): 1	Middle Adults (39 - 64 years): 2	Middle Adults (39 - 64 years): 3
Older Adults (64+ years)	Older Adults (64+ years): 0	Older Adults (64+ years): 1	Older Adults (64+ years): 2	Older Adults (64+ years): 3

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