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Skills Checklists

Congratulations on your decision to apply for an allied position with ClubStaffing! Before we can offer you an allied employment opportunity, an electronic skills assessment must be completed. From the skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!

ClubStaffing
5901 Broken Sound Pkwy.
Suite 450
Boca Raton, Florida 33487
Fax: (561) 367-0884


Pharmacy Tech Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
Last 4 of Social Security Number*
- -
E-Mail Address* Phone Number*
or
 
 
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
 
Practice settings/experience
1 2 3 4
 
Ambulatory care
 
Compounding Pharmacy
 
Correctional facility (jail)
 
Drug information
 
Home infusion
 
Hospital– inpatient
 
Hospital– outpatient
 
Long term care (LTC)
 
Mail order
 
Managed Care
 
Military/Government/VA/I.H.S.
 
Oncology Center
 
Outpatient Clinic
 
Psychiatric Center Pharmacy
 
Other:
 
Other:
 
Other:
 
Pharmacy software systems
1 2 3 4
 
Allscripts
 
Cerner
 
CPSI
 
Dr. First
 
Epic
 
McKesson
 
MedHost
 
Meditech
 
PDX
 
Quadramed
 
QS1
 
ScriptPro
 
Siemens
 
SureScript
 
Other:
 
Other:
 
Other:
 
Other:
 
Automation
1 2 3 4
 
Accumed/baker cells
 
Baxter
 
McKesson– AcuDose-Rx
 
McKesson– MedCarousel
 
McKesson– ROBOT– Rx
 
McKesson– PACMED
 
Omnicell
 
Parata
 
PharmAssist
 
Pyxis
 
Other:
 
Other:
 
Job related experience
1 2 3 4
 
Aseptic techniques
 
Blister Packs
 
Cart Check & Fill
 
Chemotherapy Preparation
 
CPOE
 
Drug information
 
Drug rehabilitation programs
 
Emergency Room
 
Enteral nutrition products
 
Hazardous drug handling
 
Informatics
 
Inventory ordering
 
IV Admixture
 
Knowledge of branded drugs & their generic equivalent
 
Large volume IV preparation
 
Non Sterile Compounding
 
Oral suspension reconstitution
 
PBM prior authorization initiation/follow-up
 
Pharmaceutical calculations
 
Processing of prescriptions through third party processors
 
Record keeping requirements for compounded medications
 
Resolution of third party processor rejects
 
TPN preparation
 
Other:
 
Other:
 
Other:
 
Pharm Techs in Community / Ambulatory Care
 
Accept Refills via Phone / Fax / EMail
 
Blister Packs
 
Compounding Various Non-Sterile Products
 
Creates / Maintains a Patient Profile
 
Data Entry
 
Durable Medical Equipment
 
Entry of Prescription Orders into the Computer Systems
 
Filling Prescription Orders for Verification
 
Inventory Management
 
Oral Suspension Reconstitution
 
Prior Authorizations
 
Third Party Rejections
 
Third Party Submission
 
Thorough Knowledge of Brand Versus Generic Equivalent
 
Pharm Techs in Hospital Pharmacy / Inpatient Setting
 
Automation Problem Resolution
 
Automation Stocking
 
Automation Use
 
Cart Check & Fill
 
Extemporaneous Compounding
 
Fill and Delivery of Medication
 
Hazardous Medication Handling
 
Inventory Management
 
IV Admixture
 
IV Calculations
 
Thorough Knowledge of Brand Versus Generic Equivalent
 
Age specific practice criteria
A. Newborn/Neonate (birth - 30 days) F. Adolescents (12 - 18 years)
B. Infant (30 days - 1 year) G. Young adults (18 - 39 years)
C. Toddler (1 - 3 years) H. Middle adults (39 - 64 years)
D. Preschooler (3 - 5 years) I. Older Adults (64+)
E. School age children (5 - 12 years)
 
Please check the boxes below for each age group for which you have expertise in providing age-appropriate care
 
Experience with age groups
A B C D E F G H I
 
Able to adapt care to incorporate normal growth and development.
 
Able to adapt method and terminology of patient instructions to their age, comprehension, and maturity level.
 
Can ensure a safe environment reflecting specific needs of various age groups.
 
National Certifications
 
BLS
Small calendar
Exp. Date: 
 
IV Certification
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Exp. Date: 
 
PTCB
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Exp. Date: 
 
Other (specify) 
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Exp. Date: 
 
CERTIFICATIONS/LICENSURES/REGISTRATIONS
 
State Certification:
 
State: 
Small calendar
Exp. Date: 
 
State: 
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Exp. Date: 
 
State: 
Small calendar
Exp. Date: 
Pharmacy Tech Skills Checklist, version 3

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

© 2018 AMN Healthcare, Inc. All rights reserved. Reproduction and distribution of these materials is prohibited without the expressed written authorization of AMN Healthcare, Inc.