Pharmacist Skills Checklist
   NAME  
   Email-Id
   DATE    
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)
Practice Settings/Experience 1
2
3
4
Academia
Ambulatory Care
Clinic
Compounding
Consulting
Correctional Facility (Jail)
Diabetes
Drug Information
Formulary Management
Geriatrics
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
Rating Stars (Click)
Pharmacy Software Systems 1
2
3
4
Etreby
HBS
JASRx
McKesson– 3PM
McKesson– Pharmserv
Meditech
NDC
OPUS– ISM
OSCOR
PDX
PharmNet
Pharmtrak
PROScript 2000
QS1
Renlar
Rescot– Omni-DX
Rx-Link
Speed Script
TechRx
WinPharm
Rating Stars (Click)
Automation 1
2
3
4
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
Rating Stars (Click)
Disease State Management 1
2
3
4
AIDS/HIV
Anticoagulation
Asthma
Cardiovascular Disease
Chemotherapy
Cystic Fibrosis
Depression
Diabetes
Dyslipidemia
Hormone Replacement Therapy
Hypertension
Osteoporosis
Pain Management
Smoking Cessation
Transplant
Rating Stars (Click)
Clinical and Job related Experience 1
2
3
4
Admixture
Adolescent Care
Aseptic Techniques
Blister Packs
Cart Check
Cart Fill
Chemotherapy
Computerized Physician Order Entry
Consulting
Discharge Counseling
DME Equipment
Drug Information
Drug Information Rounds
Drug Rehabilitation Programs
Emergency Room
Enteral Nutrition Products
Formulary Management
Geriatric Care
Hazardous Drug Handling
Homeopathic Treatments
Hyperalimentation Calculation
Immunizations
Immunoglobulin Therapy
Incontinence Supplies
Infectious Disease
Infusion Pumps and Systems
Intensive Care (ICU)
IV Preparation
Neonatal Intensive Care (NICU)
Oncology
Ostomy Supplies
OTC selection and recommendations
P&T committee participant
Pain Management
PCA Pumps
Pediatric Care
Poison Control
Psychiatric Care
Retail Compounding
Surgical Supplies
Tocolytic Therapy
TPN Preparation
Transplant Therapy
Urological Supplies
Rating Stars (Click)
Age Specific Competencies 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)
Rating Stars (Click)
Pharmacokinetic Dosing of 1
2
3
4
Aminoglycosides
Anticoagulation
Digoxin
Lithium
Theophylline
Vancomycin