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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


Pharmacist 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*
E-Mail Address* Phone Number*
 
 
Please mark your level of experience
1. No experience; requires education, training and supervision
2. Intermittent experience; may need support or supervision
3. Proficient; consistent experience, independent
4. Expert level; can teach/supervise others
 
Practice settings
1 2 3 4
 
Ambulatory Care
 
Correctional Facility (Jail)
 
Home Health
 
Hospital– Inpatient
 
Hospital– Outpatient
 
Long Term Care (LTC)
 
Mail Order
 
Military/Government/VA/I.H.S.
 
Oncology Center
 
Outpatient Clinic
 
Retail
 
Other: Specify
 
PHARMACY SOFTWARE SYSTEMS & EMR
1 2 3 4
 
Allscripts
 
Bar Coding for Medication Administration
 
Cerner
 
Computer Physician Order Entry
 
CPSI
 
Dr. First
 
Eclipsys
 
Epic
 
GE
 
McKesson
 
MedHost
 
Meditech
 
PDX
 
Quadramed
 
QS1
 
ScriptPro
 
Siemens
 
SureScript
 
Other : Specify
 
Other : Specify
 
EMR Conversion
 
Automation
1 2 3 4
 
Accumed/baker cells
 
Baxter
 
McKesson– AcuDose-Rx
 
McKesson– MedCarousel
 
McKesson– ROBOT– Rx
 
McKesson– PACMED
 
Omnicell
 
Parata
 
PharmAssist
 
Pyxis
 
Other: Specify
 
Other: Specify
 
Job related experience
1 2 3 4
 
Aseptic techniques
 
Blister Packs
 
Cart Check & Fill
 
Chemotherapy Preparation
 
Critical care unit
 
Drug Information rounds
 
Emergency Room
 
Enteral nutrition products
 
Formulary compliance
 
Formulary management
 
Hazardous drug handling
 
Home Infusion
 
Informatics
 
IV Admixture
 
Managed Care
 
Non-Sterile Compounding
 
Pain Management
 
PBM prior authorization initiation/follow-up
 
Poison control
 
Psychiatric patient management
 
Renal patient management
 
Sterile Compounding
 
TPN preparation
 
Other: Specify
 
Pharmacists in Pharmacokinetic Dosing
 
Aminoglycosides
 
Anticoagulation
 
Digoxin
 
Lithium
 
Phenobarbital
 
Phenytoin
 
Valporic Acid
 
Vancomycin
 
PHARMACISTS in Clinical Disease State Management
 
Anticoagulation
 
Asthma
 
Cardiovascular Disease
 
Depression
 
Diabetes
 
Infectious Disease
 
Oncology
 
Pain Management
 
Smoking Cessation D
 
Solid Organ Transplant
 
Pharmacists in Ambulatory Care
 
Adult Internal Medicine
 
Advanced Heart Failure/Pulmonary Hypertension
 
Anticoagulation
 
Asthma/COPD
 
Diabetes
 
Hematology/Oncology
 
Multidisciplinary HIV/Infectious Disease
 
Pediatrics
 
Pharmacists in Hospital Pharmacy – Inpatient
 
Cardiology
 
Critical Care
 
Drug Information – Medication Safety Officer
 
Emergency Room
 
ICU
 
Infectious Disease
 
Informatics
 
Internal Medicine
 
Neurology
 
NICU
 
Pediatrics
 
Solid Organ Transplant
 
Pharmacists in Home Infusion
 
Preparation
 
Verification Only
 
AGE SPECIFIC/POPULATION-BASED CARE
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age
 
Adolescents
 
Young/Middle Adults
 
Older Adults/Geriatrics
 
CERTIFICATIONS (Current at time of completing this form)
 
APhA (please specify)
 
ASHP (please specify)
 
Board Cert Specialization : Specify
 
Other: Specify
 
BLS
 
ACLS
 
PALS
Pharmacist Skills Checklist, version 2

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. Falsification of any information provided, will result in being ineligible to travel with AMN. 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.