Skills Checklist

PSYCHIATRY
Name: Date:

Directions: Please complete this checklist as accurately as possible. This will better enable us to match your skills with the available assignments at our client hospitals.

Print this form and fax or mail it to Matrix Personnel Service, Inc.
FAX number 713-944-3810



PSYCHIATRY DEPARTMENT
Locked Ward Open Ward Crisis Intervention
Group Psychotherapy Multi-Disciplinary Milieu Therapy
Adolescent Patients Behavioristic Charting Discharge Planning
Diabetic Planning Oncology Patients Pediaritcs
OB/GYN - L&D Medical/Surgical Neurosurgery
ICU/CCU Telemetry OR
ER Detoxication Therapy Overdose Patients
Suicidal Patients Assaultive Patients Substance Abuse
Manc-Depressive Patients Schizophrenic Patients Hallucinatory
Seizure Disorder Seizure Precautions Isolation
Rapid Tranquilization Electroconvulsive Therapy Eating Disorders
Insertion of Foley Catheters Infusion Pumps NG Feeding Tubes
Neuro Signs Oxygen Administration CPR
IV Therapy Heparin Locks Hanging Blood/Blood Products
Hyperalimentation/TPN Obtaining Venous Blood Samples OTHER PLEASE EXPLAIN





This checklist is true and accurate to the best of my knowledge.
Name (please print):
Signature: Date:

 

Print this form and fax or mail it to Matrix Personnel Service, Inc.
FAX number 713-944-3810



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