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Pharmacy Tech Skills Evaluation
Pharmacy Tech
Name
First
Last
Date
MM slash DD slash YYYY
Self Assessment Rating Scale
No Experience
Theory only during the past 12 months
Observed and/or Assisted
Never performed independently, but have seen the procedure and/or assisted in the past 12 months
Limited Experience
Performed less than 12 times within the past 12 months and may need a review
Competent
Performed at least once per month within the past 12 months and may need minimal assistance
Highly Skilled
Performed on at least a weekly basis over the past 12 months; proficient
Assessment/Patient Care
No Experience
Observed and/or Assisted
Limited Experience
Competent
Highly Skilled
Recognize Adverse Reactions
Computerized Documentation
Medication/Therapeutic Intervention – General
No Experience
Observed and/or Assisted
Limited Experience
Competent
Highly Skilled
Adverse Medication Interactions
Compounding (ie: Oral Solutions, Topical)
Dosage Calculations
Food/Medication Interactions
Inventory and Stocking
Look Alike Sound Alike Medications
Med/Med Interactions
Medication Exchange System
Medication Recall
Medication Safety Intiatives
Monitoring of High Risk Meds
Pharmaceutical Equivalence / Substitutions
Therapeutic Equivalence / Substitutions
Medication/Therapeutic Intervention – Medication Administration
No Experience
Observed and/or Assisted
Limited Experience
Competent
Highly Skilled
After Hours Med Systems
Blood Derivatives (Albumin)
Control of Sample Medications
Dispensing of Medications
Emergency Med Systems
Epidural/PCA Medications
Investigational Medications
Narcotic Accountability
Preparation of Medications
Radiographic Contrast
Storage of Medications
Unit Dose Systems
Medication/Therapeutic Intervention – IV Therapy
No Experience
Observed and/or Assisted
Limited Experience
Competent
Highly Skilled
Antibiotics
Calculation of Dosages
Chemotherapy Admixtures
Epidural Infusions
Intrathecal Syringes/Infusions
Laminar Flow Hood
Piggyback
Large Volumes
Sterile Technique
TPN
Syringes
Automated Mixing
Manual Mixing
Mixing and Checking IVs
Procedures/Equipment – Documentation
No Experience
Observed and/or Assisted
Limited Experience
Competent
Highly Skilled
Appropriate Labeling
Billing & Credits
Drug Utilization Review
Formulary Management
Patient Profiles
Compliance with State & Federal Regulations
Procedures/Equipment – Automation Type
No Experience
Observed and/or Assisted
Limited Experience
Competent
Highly Skilled
Abbot
Baxter
Accudose
McKesson
Pyxis
Other
Procedures/Equipment – Home Infusion Setting
No Experience
Observed and/or Assisted
Limited Experience
Competent
Highly Skilled
Automated Mixing
Manual Mixing
Age Specific Care Criteria
No Experience
Observed and/or Assisted
Limited Experience
Competent
Highly Skilled
Newborn/neonate (birth to 30 days)
Infant (30 days to 1 year)
Toddler (1 to 3 years)
Preschooler (3 to 5 years)
School Age Children (5 to 12 years)
Adolescents (12 to 18 years)
Young Adults (18 to 39 years)
Middle Adults (39 to 64 years)
Older Adults (64+ years)
Clinical Settings
No Experience
Observed and/or Assisted
Limited Experience
Competent
Highly Skilled
Centralized Hospital Pharmacy
Decentralized Hospital Pharmacy
Critical Care
Assisted Living
Oncology
Hospice Outpatient
Hospice Inpatient
Retail
Out Patient Clinics
LTC
LTAC
Rehab
SNU
Surgery
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