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Pharmacy Skills Checklist

 

My responses in this checklist represent a true reflection of my experience and comfort level.

 

Please self-rate your comfort level in performing tasks in connection with the below checklist.  Rate your level of comfort for each line item by following the below ranking system.  Simply fill in the appropriate option immediately following the rating number.

 

Typed Name (Typing your name below serves as an electronic signature) *      Date*

                                                         

 

Phone*

             

 

Recruiter

 

Level of Comfort/Experience

N/A=Non-applicable

1=Inexperienced in this area

2=Limited comfort/experience in this area

3=Comfortable/experienced in this area

4=Very comfortable/highly experienced in this area
Area N/A Yes No
Pharmacist

N/A  

Yes

No

Pharmacist Technician

N/A  

Yes

No

CPhT

N/A  

Yes

No

 
States Licensed
Original State Licensed
Active States
Inactive States
Education
Date Graduated
 

Area

Not Applicable

Inexperienced

Limited

 Experienced

Highly Experienced
 
Clinical Setting

Hospital

N/A  

1

2

3

4

Retail

N/A  

1

2

3

4

Home Health

N/A  

1

2

3

4

Long Term Care

N/A  

1

2

3

4

Geriatrics

N/A  

1

2

3

4

Mail Order

N/A  

1

2

3

4

Clinic

N/A  

1

2

3

4

Ambulatory Care

N/A  

1

2

3

4

 

General  Experience

Admixture

N/A  

1

2

3

4

Automixers

N/A  

1

2

3

4

Chemo Therapy

N/A  

1

2

3

4

Consulting

N/A  

1

2

3

4

Delivery / Runner

N/A  

1

2

3

4

Enteral Feedings

N/A  

1

2

3

4

Infusion Pumps

N/A  

1

2

3

4

IVPB

N/A  

1

2

3

4

Kinetic Dosing

N/A  

1

2

3

4

Nutrition protocols

N/A  

1

2

3

4

PCA

N/A  

1

2

3

4

Pyxis 10 mnicell

N/A  

1

2

3

4

Unit dose

N/A  

1

2

3

4

Nuclear pharmacy

N/A  

1

2

3

4

IV preparation

N/A  

1

2

3

4

Hyper alimental

N/A  

1

2

3

4

Dispensing

N/A  

1

2

3

4

Third-party insurance

N/A  

1

2

3

4

TPN’s

N/A  

1

2

3

4

Compounding

N/A  

1

2

3

4

Cart fill

N/A  

1

2

3

4

 
Computer Skills

HBOC

N/A  

1

2

3

4

Meditech

N/A  

1

2

3

4

McKesson 3 pm

N/A  

1

2

3

4

Mega Source

N/A  

1

2

3

4

NDC

N/A  

1

2

3

4

PDX

N/A  

1

2

3

4

PPC (Pacific)

N/A  

1

2

3

4

QS1

N/A  

1

2

3

4

RX2000

N/A  

1

2

3

4

Pharmark on 2000

N/A  

1

2

3

4

RX Express

N/A  

1

2