Hudson Staffing Travel Nurses & Allied Health Careers
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Hudson Staffing Travel Nurses| Psychiatric Online Checklist
Psychiatric Online Checklist

Thank you for your decision to apply for a travel nursing position with Hudson Staffing! Before we can offer you a nursing employment opportunity in the Psychiatric field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.

GENERAL INFORMATION        
Note: * Denotes a required field.
Please enter your full name as it appears on your Social Security Card:

First Name
 
Middle Name
 
Last Name
 *


Please enter the Last Four digits of your Social Security Number:

 -   -   *       Please check here if you do not hold a valid social security card.


Please provide your contact information:

Phone Number
 *
E-mail Address
 *
Confirm E-mail Address
 *
Type your e-mail address again above.
       
This profile is for use by healthcare professionals in the Psychiatric discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS        
Please mark your level of experience

     1. No theory and/or experience
     2. Limited experience/need supervision and/or support
     3. Experienced/minimal support needed to perform
     4. Proficient/can perform independently

TREATMENT SETTINGS 1 2 3 4
     Inpatient
     Outpatient
     Adolescent/Pediatrics
     Substance Abuse/Rehab
     Special Care Unit
     Eating Disorders Unit
     Locked Unit
ADULT DISORDERS 1 2 3 4
     Violent Behavior
     Suicidal Ideation
     Suicidal Attempt
     Depression
     Bipolar Disorders
     Anxiety/Panic Disorders
     Psychotic Disorders
     Schizophrenia
     Post Traumatic Stress Disorder
     History of Physical/Sexual Abuse
     Alcohol/Drug Abuse
     Alzheimer's Disease/Dementia
     Anorexia/Bulimia
CHILD/ADOLESCENT DISORDERS 1 2 3 4
     Violent Behavior
     Suicidal Ideation/Self Destructive Behavior
     Suicidal Attempt
     Depression
     Bipolar Disorders
     Anxiety/Panic Disorders
     Psychotic Disorders
     Schizophrenia
     History of Physical/Sexual Abuse
     Alcohol/Drug Abuse
     Anorexia/Bulimia
     Autism
TREATMENT MODALITIES 1 2 3 4
     Conduct Group Therapy
     Therapeutic Limit Setting
     Follow Behavior Modification Plans
     Medication Management
     Supervise Ancillary staff
EQUIPMENT AND PROCEDURES 1 2 3 4
     Managing Assaultive Behavior
     Crisis Prevention
     Electroconvulsive Therapy
     Restraints
     Seclusion
     Suicide Precautions
     State Specific Regulations on Emergency Medications
     Head to Toe Assessment
     IV Start
     IV Maintenance
MEDICATIONS 1 2 3 4
     Antianxiety
     Anticonvulsants
     Antidepressants
     Antipsychotics
     Lithium
     Cholinesterase Inhibitors/Memantine (Aracept/Namenda)
     Sedative/Analgesics
     Insulin
     Anticoagulants
     Digoxin
     Antihypertensives
     Automated Medication Dispensing (i.e. Pyxis, Omnicell)
PROFESSIONAL KNOWLEDGE AND SKILLS 1 2 3 4
     National Patient Safety Goals/Core Measures
     Use of Rapid Response Teams
     Fall Risk Assessment/Prevention
     Pressure Ulcer Risk Assessment/Prevention
     Patient/Family Teaching
     Age Specific/Population-Based Care
     Isolation Precautions
     Infection Prevention
     Pain Assessment & Management
     Charge Experience
     Interpretation and Communication of Lab Values
EMR 1 2 3 4
     Cerner
     Eclipsys
     McKesson
     Meditech
     Other Computerized System
     Computerized Physician Order Entry
     Bar Coding for Medication Administration
       
     EMR Conversion Yes No
Certifications 1 2 3 4
     BLS
     Managing Assaultive Behavior
     Crisis Prevention Institute (CPI)
Please read and agree to the statements below by marking the checkbox. You will not be able to submit until you have marked the checkbox.

* I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize Hudson Staffing to release this Psychiatric Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.




Privacy Note: Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (44.192.65.228) which will be used as a digital signature.



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Phone: 1(866)256-8773
E-mail: info@hudsonstaffing.net

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