CYNET_SYSTEMS_MAIN_LOGO.gif   PHARMACY TECHNICIAN SKILLS COMPETENCY CHECKLIST
   NAME    
   LAST 4 OF SSN      
   DATE      
I hereby certify that ALL information I have provided to IMCS Group on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.  
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.  
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

  
       
Rating Stars (Click) SKILL: Communication  1 2 3 4  
Organize written and oral communication in a logical manner  
Question other health care professionals to collect pertinent patient information  
Communicate appropriately with the level of understanding of one's audience  
Use good listening skills in all aspects of job  
Interested in improving self and asks questions  
Other by site:  
Other by site:  
Rating Stars (Click) SKILL: Patient Interaction / Staff Relations 1 2 3 4  
Greets patient and introduces self  
Puts others at ease  
Interview patient or caregiver to collect pertinent patient information  
Use different strategies for communicating with non-English
speakers or patients who are impaired i.e. deaf, cognitively
impaired, etc 		 
Exhibit empathy and compassion  
Cooperation / Diplomacy and Tact with Staff  
Emotional Maturity to Function Under Stress  
Appropriate Conversation with Staff/Patients  
Use of Correct Terminology  
Sensitivity to Patient Comfort  
Other by site:  
Rating Stars (Click) SKILL: Personal Characteristics 1 2 3 4  
Problem solve in the workplace to better a situation i.e. coworker
conflict, workflow mechanics, etc. 		 
Adaptable to change; industrious  
Ability to learn and retain information  
Sufficent speed in completing tasks  
Ability to adapt to new procedures  
Displays initiative  
Demonstrate ethical behavior with emphasis on
confidentiality, realization of professional liability, and
importance of following protocol 		 
Maintain emotional stability to withstand the stresses,
uncertainties, and changing circumstances that characterize
patient/client care responsibilities 		 
Accept direction and guidance from a supervisor or faculty member  
Understands that each facility has some procedures that may differ from others and easily adapts to yours  
Arrives for shift on time / punctual  
Undertaking of appropriate & additional duties  
Maintains impeccable personal hygiene & professional personal appearance  
Anticipates Doctor’s / Co-worker needs  
Neatness in accomplishing work  
Other by site:  
Rating Stars (Click) SKILL: Essential Job Functions 1 2 3 4  
Collect pertinent patient information for use by the pharmacist from the chart or patient profile with efficiency
and accuracy 		 
Be able to locate specific information from a medical record, profile, or electronic medical device  
Understand what is needed by the pharmacist to efficiently and accurately manage pharmacy services  
Demonstrate proficiency with word processing and database software  
Be able to use the internet, e-mail and computerized medication information databases  
Follow an established procedure for purchasing and pharmaceuticals, devices and supplies  
Understand, observe, and comply with State/Federal laws at practice site  
Be able to compound a sterile and non-sterile product  
Prepare an IV admixture  
Observe or prepare a T.P.N. order  
Suggest alternative avenues for procuring a product which is unavailable  
Understand alternative avenues for pricing and products available  
Know proper storage conditions for pharmaceutical items  
Know how to return expired, damaged or recalled pharmaceuticals  
Understand how to deter theft and/or medication diversion  
Inventory and maintain records for controlled substances  
Screen medication orders/prescriptions for completeness  
Create new patient profile  
Enter information accurately into computer to obtain label and MAR  
Accurately prepare medication order/prescription  
Know how to dispose of hazardous materials/waste  
Know how to prepare and label repackaged products  
Process reimbursement claim forms  
Sterilize a laminar or horizontal air flow hood  
Efficiently deliver the correct medication to the correct patient/representative  
Know the Pertinent policies and procedures for distribution of medications/controlled substances  
Know the facets of patient consultation a technician can/can’t perform  
Know how to handle 3rd party rejection claims  
Understand how to prevent and report medication errors  
Be able to work a cash register  
Reconstitute a granular antibiotic into suspension form  
Know how to prepare, store and distribute investigational drug products  
Know how to obtain technician licensure and certification  
Determine patient eligibility and co-pay  
Calibrate a device  
Rating Stars (Click) EMR 1 2 3 4  
Epic  
Cerner  
Eclipsys  
McKesson  
Meditech  
Other Computerized System  
Computerized Physician Order Entry  
Bar Coding for Medication Administration  
MY EXPERIENCE IS PRIMARILY IN:  
Unit No. of Years Unit No. of Years  
BURN POST PARTUM  
CRITICAL UNIT LABOR & DELIVERY  
PACU NEWBORN NURSERY  
NEUROLOGY LEVEL II NICU  
TELEMETRY LEVEL III NICU  
MEDICAL PICU  
SURGICAL  PEDIATRICS  
ONCOLOGY OB/GYN  
ORTHOPEDICS PSYCHIATRY  
OPERATING ROOM RRT  
EMERGENCY ROOM CRT  
TRAUMA CENTER LEVEL 1    
COMMUNITY ER    
RURAL ER    
Rating Stars (Click)  Age Specific Competencies 1 2 3 4  
Newborn/Neonatal (birth – 30 days)  
Infant (30 days-1 year)  
Toddler (1-3 years)  
Preschool (3-5 years)  
School Age Children (5-12 years)  
Adolescent (12-17 years)  
Young Adults (18-44 years)  
Middle Adults (45-64 years)  
Older Adults (>65 years)