Psychiatric Competency Self Assessment

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Abner McCarthy
7 years ago
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1 Psychiatric Competency Self Assessment Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values confirm your strengths within your specialty and assist the facility in the selection process of the healthcare professional. 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Print Name Last 4 Digits of SS# Date Treatment Settings 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 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 Use of rapid response teams Cardiac arrest/cpr Airway management Oxygen therapy Oral/nasotracheal suctioning Pulse oximetry IV therapy Start & maintaining peripheral IVs Cross Country Healthcare, Inc. Rev. 09/12 F0054 Psychiatric 1 of 6

1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Print Name Last 4 Digits of SS# Date Treatment Settings

2 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Emergency Care - cont. Blood draw: venous Infusion pumps Skilled Nursing Care 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 Intelligence Assessment Wechsler Intelligence Scale (WAIS) Wechsler Intelligence Scale for Children Psychological Testing Minnesota Multiphasic Personality Inventory (MMPI) Beck Depression Inventory (BDI) Thematic Apperception Test (TAT) Child s Apperception Test (CAT) Cross Country Healthcare, Inc. Rev. 09/12 F0054 Psychiatric 2 of 6

insertion/maintenance 0 1 2 3 4 5 NG tube insertion/maintenance 0 1 2 3 4 5 Wound care/dressing changes 0 1 2 3 4 5 Administration of blood/blood products 0 1 2 3 4 5 Management of fluid/electrolyte

3 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Clinical Assessment Tools - cont. Informal cognitive status assessment Mental status assessment Gestalt test Stanford-Binet test Communication Techniques Active listening Restatement/reflection Clarification Focusing Confronting Summarizing Therapeutic Interventions Limit setting Positive reinforcement Reality orientation Questioning Psychiatric Disorders Mood Disorders Major depression Dysthymia Bipolar disorder (manic-depressive illness) Type I Type II Anxiety Disorders GAD - Generalized Anxiety Disorder Panic Post Traumatic Stress Disorder Obsessive-compulsive Phobias Psychotic Disorders Schizophrenia Schizoaffective disorder Schizophreniform disorder Personality Disorders Antisocial Cross Country Healthcare, Inc. Rev. 09/12 F0054 Psychiatric 3 of 6

Restatement/reflection 0 1 2 3 4 5 Clarification 0 1 2 3 4 5 Focusing 0 1 2 3 4 5 Confronting 0 1 2 3 4 5 Summarizing 0 1 2 3 4 5 Therapeutic Interventions Limit setting 0 1 2 3 4 5 Positive

4 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Psychiatric Disorders - cont. Passive/aggressive Paranoia Borderline Schizotypal personality disorder Congenital Disorders Mental retardation Down s syndrome Cystic fibrosis Cerebral palsy Spina bifida Degenerative Disorders Alzheimer s disease Parkinson s disease Huntington s chorea Eating Disorders Anorexia nervosa Bulimia nervosa Pica Crisis Management Homicide Suicide/suicide precautions Rape Violence/family & individuals Substance Use / Abuse Withdrawal syndrome Alcohol or ETOH CIWA scale Delirium tremens (DTs) Wernicke-Korsakoff Drug Use/Abuse Hallucinogenics Opiates Heroin Prescription Stimulants (amphetamines/cocaine/mdma) Benzodiazepine Cross Country Healthcare, Inc. Rev. 09/12 F0054 Psychiatric 4 of 6

Cystic fibrosis 0 1 2 3 4 5 Cerebral palsy 0 1 2 3 4 5 Spina bifida 0 1 2 3 4 5 Degenerative Disorders Alzheimer s disease 0 1 2 3 4 5 Parkinson s disease 0 1 2 3 4 5 Huntington s chorea 0 1 2 3 4 5

5 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Substance Use / Abuse - cont. Drug withdrawal/detoxification COWS scale for opiate withdrawal symptom assessment Sexuality Dysfunction Gender Identity Disorders Paraphilias Psychosexual dysfunctions Child/Adolescent Dysfunction Conduct disorder Separation anxiety disorders ADHD (Attention Deficit Hyperactivity Disorder) ADD (Attention Deficit Disorder) Elimination Disorders Encopresis Enuresis Pervasive Developmental Disorders 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 Psychotherapy Behavior therapy Milieu management Relationship/family therapy Electroconvulsive Therapy (ECT) Crisis counseling Behavior modification Group therapy Cross Country Healthcare, Inc. Rev. 09/12 F0054 Psychiatric 5 of 6

dysfunctions 0 1 2 3 4 5 Child/Adolescent Dysfunction Conduct disorder 0 1 2 3 4 5 Separation anxiety disorders 0 1 2 3 4 5 ADHD (Attention Deficit Hyperactivity Disorder) 0 1 2 3 4 5 ADD (Attention

6 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Medications 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 School age (ages 6-12 years) Adolescents (ages years) Young adult (ages years) Adults (ages years) Older adult (ages years) Elderly (ages 80+ years) Please list any Additional Skills: Additional training: Additional equipment: Fax to: The information on this and all preceding pages is true and correct. Signature Date 2012 Cross Country Healthcare, Inc. Rev. 09/12 F0054 Psychiatric 6 of 6

(Thorazine, Haldol, zyrexa, Seroquel) 0 1 2 3 4 5 Mood stabilizer (lithium, Depakote, Tegretol) 0 1 2 3 4 5 Automated Medication Dispensing System, Pyxis, Omnicell, or other 0 1 2 3 4 5 Age Specific

[KQ 804] FEBRUARY 2007 Sub. Code: 9105

[KQ 804] FEBRUARY 2007 Sub. Code: 9105 (Revised Regulations) Theory : Two hours and forty minutes Q.P. Code: 419105 Maximum : 100 marks Theory : 80 marks M.C.Q. : Twenty minutes M.C.Q. : 20 marks 1. A