Social Worker Checklist


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.

Total Stars:

Obtained Stars:

Ranking: 0%

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

  Knowledge of Assessment Process         Rating Stars (Click) 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 community / caregiver support  
  family discord  
  Communication Abilities         Rating Stars (Click) 1 2 3 4
  Develop and maintain communication with people on complex matters  
  issues and ideas  
  and/or in complex situations  
  Personal and People Development         Rating Stars (Click) 1 2 3 4
  Develop oneself and contribute to the development of others  
  Quality Improvement & Service         Rating Stars (Click) 1 2 3 4
  Contribute to the improvement of services & maintain quality in own work and encourage others to do so  
  Health Protection & Well Being         Rating Stars (Click) 1 2 3 4
  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  
  Care Planning         Rating Stars (Click) 1 2 3 4
  Assess complex health and well being needs and develop  
  monitor and review care plans to meet those needs  
  Knowledge and InformationResources         Rating Stars (Click) 1 2 3 4
  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  
  Equality and Diversity         Rating Stars (Click) 1 2 3 4
  Promote equality and value diversity  
  Experience in all or any of the following         Rating Stars (Click) 1 2 3 4
  Medical Social Work  
  School Social Work  
  Clinical Social Work  
  Social Work-Admin/management  
  Social work-case manager  
  International Social Work  
  Social Work-Children & Families  
  Social Work in Acute Psychiatric Hospital  
  Forensic Social Work  
  Employment/Occupational Social Work  
  Social Work- Community Organizer  
  Age Specific Competencies         Rating Stars (Click) 1 2 3 4
  Infant (Birth - 1 year)  
  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)  
  Elderly (ages 80+ years)