Skill Checklists
Pharmacist
Name
Email
LAST 4 OF SSN
This checklist was electronically signed on (Today’s date)
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
Academia
Ambulatory Care
Clinic
Compounding
Consulting
Correctional Facility (Jail)
Diabetes
Drug Information
Formulary Management
Geriatrics (Jail)
Home Health
Home Infusion
Hospital– Inpatient
Hospital– Outpatient
Infectious Disease
Long Term Care (LTC)
Mail Order
Military/Government/VA
Nuclear
Oncology
Pain Management
Pediatrics
Pharmaceutical Research
Pharmaceutical Sales
Pharmacy Benefits Management (PBM )
Poison Control
Psychiatric Patient Management
Public Health
Renal Patient Management
Retail– Chain
Retail– Independent
Sub-Acute Care
Veterinary
Other:
Etreby
HBS
JASRx
McKesson– 3PM
Meditech
McKesson– Pharmserv
NDC
OPUS– ISM
OSCOR
PDX
PharmNet
Pharmtrak
PROScript 2000
QS1
Renlar
Rescot– Omni-DX
Rx-Link
Speed Script
TechRx
WinPharm
Accumed/Baker Cells
BAXA– Rapid-Fill (ASF)
BAXA– Repeater Pump
Baxter
Baxter– AUTOMIX Compounder
Baxter– MICROMIX Compounder
Kirby Lester
McKesson– AcuDose-Rx
McKesson– Baker Scale
McKesson– IntelliShelf-Rx
McKesson– MedCarousel
McKesson– ROBOT– Rx
McKesson– PACMED
MTS– Automated Sealers
MTS– Prepackaging
Parata– PACMED
Parata– RDS
Parata– APM
PharmASSIST– RDS ROBOTx
PharmASSIST– ROBOTx
PharmASSIST– SmartCabinet
PharmASSIST– SmartScale
Pyxis
AIDS/HIV
Anticoagulation
Asthma
Cardiovascular Disease
Chemotherapy
Cystic Fibrosis
Depression
Dyslipidemia
Hormone Replacement Therapy
Hypertension
Osteoporosis
Smoking Cessation
Transplant
Admixture
Adolescent Care
Aseptic Techniques
Blister Packs
Cart Check
Cart Fill
Computerized Physician Order Entry
Discharge Counseling
DME Equipment
Drug Information Rounds
Drug Rehabilitation Programs
Emergency Room
Enteral Nutrition Products
Geriatric Care
Hazardous Drug Handling
Homeopathic Treatments
Hyperalimentation Calculation
Immunizations
Immunoglobulin Therapy
Incontinence Supplies
Infusion Pumps and Systems
Intensive Care (ICU)
IV Preparation
Neonatal Intensive Care (NICU)
Ostomy Supplies
OTC selection and recommendations
P&T committee participant
PCA Pumps
Pediatric Care
Psychiatric Care
Retail Compounding
Surgical Supplies
Tocolytic Therapy
TPN Preparation
Transplant Therapy
Urological Supplies
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)
Aminoglycosides
Digoxin
Lithium
Theophylline
Vancomycin
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.
