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
(PROFICIENCY)
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
(FREQUENCY)
1 = Never performed observed only
2 = Less than 6 times per year
3 = 1-2 times per month
4 = Daily or Weekly
PROFICIENCY / FREQUENCY
PROFICIENCY
FREQUENCY
Knowledge of Assessment Process
Psychosocial assessment (social history, living situation, career, hobbies, support systems, decision making, communication difficulties, flexibility, prolonged mental illness / emotional Problems, lack of community / caregiver support, family discord, ability to deal with loss)
Develop and maintain communication with people on complex matters, issues and ideas, and/or in complex situations
Personal and People Development
Develop oneself and contribute to the development of others
Quality Improvement & Service
Contribute to the improvement of services & maintain quality in own work and encourage others to do so
Health Protection & Well Being
Implement aspects of a protection plan and review its effectiveness
High risk intervention / patient vulnerability or safety risk
Monitor and maintain health, safety and security of self and others
Provide crisis intervention
Assess complex health and well being needs and develop, monitor and review care plans to meet those needs
Knowledge and Information Resources
Organize knowledge and information resources and provide information to meet needs
Demonstrates respect for patient/family confidentiality
Documentation Skills (accurate, timely, complete and legible)
Counseling for long range planning and decision making
Promote equality and value diversity
Experience in all or any of the following:
Social Work-Admin/management
International Social Work
Social Work-Children & Families
Social Work in Acute Psychiatric Hospital
Employment/Occupational Social Work
Social Work- Community Organizer
Age Specific Competencies
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)