Social Worker 2 3

SOCIAL WORKER

CHECKLIST

NAME Patrick Efiom

LAST 4 OF SSN 6492

DATE 06/26/2024

I hereby certify that ALL information I have

provided on this skills checklist and all other

documentation, is true and accurate. I

understand and acknowledge that any

misrepresentation or omission may result in

disqualification from employment and/or

immediate termination.

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 below to describe your experience/expertise in each area listed below.

Proficiency Scale: 1 = No Experience

2 = Need Training

3 = Able to perform

with supervision

4 = Able to perform

independently

Rating Stars (Click) Knowledge of Assessment Process 1 2 3 4 Psychosocial assessment (social

history, living situation, career,

hobbies, support systems, decision

making, communication difficulties,

flexibility, prolonged mental illness /

emotional Problems, lack of

x

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community / caregiver support, family

discord, ability to deal with loss)

Rating Stars (Click) Communication Abilities 1 2 3 4 Develop and maintain communication

with people on complex matters,

issues and ideas, and/or in complex

situations

x

Rating Stars (Click) Personal and People Development 1 2 3 4 Develop oneself and contribute to the

development of others

x

Rating Stars (Click) Quality Improvement & Service 1 2 3 4 Contribute to the improvement of

services & maintain quality in own

work and encourage others to do so

x

Rating Stars (Click) Health Protection & Well Being 1 2 3 4 Implement aspects of a protection

plan and review its effectiveness

x

High risk intervention / patient

vulnerability or safety risk

x

Monitor and maintain health, safety

and security of self and others

x

Provide crisis intervention x

Rating Stars (Click) Care Planning 1 2 3 4

Assess complex health and well being

needs and develop, monitor and

review care plans to meet those needs

x

Rating Stars (Click) Knowledge and

InformationResources 1 2 3 4

Organize knowledge and information

resources and provide information to

meet needs

x

Demonstrates respect for

patient/family confidentiality

x

Documentation Skills (accurate,

timely, complete and legible)

x

Counseling for long range planning

and decision making

x

Rating Stars (Click) Equality and Diversity 1 2 3 4 https://www.rehabilitycare.com/checklists/social_worker.html 6/26/24, 3:21 PM Page 2 of 4

Promote equality and value diversity x

Rating Stars (Click) Experience in all or any of the following: 1 2 3 4

Medical Social Work x

School Social Work x

Clinical Social Work x

Social Work-Admin/management x

Social work-case manager x

International Social Work x

Social Work-Children & Families x

Social Work in Acute Psychiatric

Hospital

x

Forensic Social Work x

Employment/Occupational Social

Work

x

Social Work- Community Organizer x

Rating Stars (Click) Age Specific Competencies 1 2 3 4 Infant (Birth - 1 year) x

Preschooler (ages 2-5 years) x

Childhood (ages 6-12 years) x

Adolescents (ages 13-21 years) x

Young Adults (ages 22-39 years) x

Adults (ages 40-64 years) x

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Older Adults (ages 65-79 years) x

Elderly (ages 80+ years) x

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