Pharmacy Tech Checklist

WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
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
Ambulatory Care
Clinic
Compounding
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

PHARMACY EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Pharmacy Experience
Admixture
Anticoagulant Dosing
Aseptic Technique
Blister Packs
Burns
Cardiothoracic/Cardiology
Cart Fill & Check
Chemotherapy Compound
Compound
Consulting
Critical Care
DME Equipment
Drug Information Specialist
Drug Interactions
Drug Interactions
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

SOFTWARE EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Pharmacy Software
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

DOSING & CONVERSION:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
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

AGE-SPECIFIC COMPETENCIES:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently
Infant (birth to 1 year)
Toddler (ages 1-3 years)
Preschooler (ages 3-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 12-21 years)
Young Adults (ages 21-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)
Elderly (ages 80+ years)

PEDIATRICS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Early intervention
NICU Treatment
Neurodevelopmental Treatment
Developmental Disability Sequencing Test
Orthotics
Adaptive Equipment Assessment
Activities of Daily Living
Mental Retardation
Learning Disabled
Spina Bifida