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PHYSICIANS

ADVANCED PRACTICE

PHARMACY

THERAPY

RADIATION ONCOLOGY

LABORATORY

IMAGING

RESPIRATORY

EMPLOYERS
 
PHARMACY SKILLS CHECKLIST
 
The following checklist is used to assess your experience and skills in order to assist us in placing you in a successful assignment. Please provide an accurate self-assessment of your skills using the following guidelines:
Frequency
Experience
  1. Never Done or Observed Only
  2. Rarely Done (less than 6 times/year)
  3. Occasionally Done (1-2 times/month)
  4. Frequently Done (daily or weekly)
  1. No Experience
  2. Limited Experience
  3. Experienced
  4. Highly Skilled
 
Contact Information      
Name:
Home Phone:
Cell Phone:
Email:
 
Frequency
Experience
Specialty: Pharmacy Tech                  
Pharmacy Setting
1
2
3
4
1
2
3
4
Ambulatory Care  
Clinic  
Compounding  
Consulting  
Correctional Facility  
Geriatrics  
Home Health  
Home Infusion  
Hospital-in patient  
Hospital-Outpatient  
Long Term Care  
Mail Order  
Military/VA  
Oncology  
Pain Management  
Pediatrics  
Pharmaceutical Research  
Pharmaceutical Sales  
Private Pharmacy  
Psychiatric  
Retail  
Sub-Acute  
Other:  
                   
Pharmacy Experience
1
2
3
4
1
2
3
4
Admixture  
Anticoagulant Dosing  
Aseptic Technique  
Blister Packs  
Burns  
Cardiothoracic/Cardiology  
Cart Fill & Check  
Chemotherapy  
Chemotherapy Compound  
Compound  
Consulting  
Critical Care  
DME Equipment  
Drug Information Specialist  
Drug Interactions  
Drug Rehabilitation Programs  
Emergency Rooms  
Enteral Feeding  
Formulary Compliance  
Emergency Pharmacy Experience  
General Surgery  
Geriatric  
Hazardous Drug Handling  
High Risk Pregnancies  
Homeopathic Treatments  
Immune Globulin Therapy  
Infectious Disease  
Infusion Pumps  
Injections  
Intensive Care Unit  
IV Preparations  
Inventory Ordering  
Kinetic Dosing  
Knowledge of OTC  
Low Pressure Technique  
Medical Nutrition Therapy  
Multi-Disease Treatments  
Narcotic Dispensing protocols  
Neonatal  
Nuclear Pharmacy  
Nutritional Formulas  
Nutrition Pharmacist  
Nutritional Protocols  
Oncology  
Oral Suspension Reconstitution  
Ostomy Supplies  
PMB Prior Authorization Initiation/Follow-up  
Pediatric Infusion Therapy  
Pharmaceutical Calculations  
Pharmacy Benefits Manager  
Poison Control Pharmacist  
Process prescriptions through 3rd party processors  
Record Keeping Requirements for compounded medications  
Restocking of Legend & OTC items  
Retail Compounding  
Skin Care Products  
Surgical Supplies  
TPN Preperation  
Ulcer Care Products  
Urological Supplies  
Other: Specify  
                   
Pharmacy Software
1
2
3
4
1
2
3
4
Abbott  
Access  
BAXA  
Baxter/Sure Med  
Cerner  
Etreby  
HBS  
Etreby  
McKesson  
Meditech  
NDC  
Opus-ISM  
OSCO  
PDX  
Parata  
Pharm ASSIST  
PharmNet  
Pharmtrak  
Pyxis  
Rx-Link  
Tech Rx  
Win Pharm  
Other:  
Other:  
                   
Dosing
1
2
3
4
1
2
3
4
Conversion for Medications:                  
Intravenous to oral  
Intravenous to intravenous (for changes in brand)  
Medication dosing for neonates/peds  
Medication dosing for young adults/adult/geri/obese  
Oral to intravenous  
Oral to intravenous  
Unit Dose: solids & oral liquids  
Use of actual body weight for dosing  
Use of ideal body weight for dosing  
                   
Pharmacy Technicians in Community
1
2
3
4
1
2
3
4
Accepting called in prescriptions from Physician’s offices  
Enter prescriptions into Pharmacy computer  
Check the work of other Technicians  
Call Physicians for Refill Authorizations  
Compound Medications for Dispensing  
Transfer Prescription orders  
                   
Pharmacy Technician in Institutional Setting
1
2
3
4
1
2
3
4
Accepting called in prescriptions from Physicians Office  
Call Physicians for Refill Authorizations  
Check the work of other Technicians  
Compound Medications for Dispensing  
Enter prescriptions into Pharmacy computer  
Transfer Prescription Orders  
                   
Age
1
2
3
4
1
2
3
4
Newborn (birth – 30 days)  
Infant (30 days – 1 year)  
Toddler (1 – 3 years)  
Preschooler (3 – 5 years)  
School Age (5 – 12 years)  
Adolescents (12 – 18 years)  
Young Adults (18 – 39 years)  
Middle Adults (39 – 64 years)  
Older Adults (64+ years)  
                   
Additional Skills                  
 
Additional Training                  
 
Additional Tools & Equipment                  
 

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Next Medical Staffing to release this Skills Checklist and any supporting information to staffing clients of Next Medical Staffing.
                 

 

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