Call & Apply Now!

(800) 875 8999

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*
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
 
Correctional facility (jail)
 
Diabetic Care Management
 
Drug information
 
Formulary management
 
Geriatric Patient Management
 
Home Health
 
Home infusion
 
Hospital– inpatient
 
Hospital– outpatient
 
Infectious Disease Case Management
 
Long term care (LTC)
 
Mail order
 
Managed Care
 
Military/Government/VA/I.H.S.
 
Non-Sterile Compounding
 
Oncology Center
 
Outpatient Clinic
 
Pain Management
 
Pediatric Patient Population
 
Pharmacy benefits management (PBM)
 
Poison control
 
Psychiatric patient management
 
Renal patient management
 
Retail– chain
 
Retail– independent
 
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
 
Critical care unit
 
Drug Information rounds
 
Emergency Room
 
Enteral nutrition products
 
Formulary compliance
 
Hazardous drug handling
 
Informatics
 
IV Admixture
 
PBM prior authorization initiation/follow-up
 
TPN preparation
 
Other:
 
Other:
 
Other:
 
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 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.
 
CERTIFICATION
 
AHA ACLS
 
AHA BLS
 
AHA Ped ACLS
 
APHA Immunization
 
Diabetes
 
IV CERT
 
MTM
 
Board Cert Specialization
 
• Specify
 
Other (specify)
 
LICENSURES
 
State Certification:
 
State: 
Small calendar
Exp. Date: 
 
State: 
Small calendar
Exp. Date: 
 
State: 
Small calendar
Exp. Date: 
 
Other (specify)
Pharmacist Skills Checklist, version 1

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.