Pharmacy Tech Skills Checklist Personal InformationName(Required) First Middle Last Last 4 Digits of Social Security NumberEmail(Required) Date MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyCommunication SkillsOrganize written and oral communication in a logical manner 1 2 3 4 Question other health care professionals to collect pertinent patient information 1 2 3 4 Communicate appropriately with the level of understanding of one's audience 1 2 3 4 Use good listening skills in all aspects of job 1 2 3 4 Interested in improving self and asks questions 1 2 3 4 Patient Interaction / Staff Relations SkillsGreets patient and introduces self 1 2 3 4 Puts others at ease 1 2 3 4 Interview patient or caregiver to collect pertinent patient information 1 2 3 4 Use different strategies for communicating with non-English speakers or patients who are impaired i.e. deaf, cognitively impaired, etc. 1 2 3 4 Exhibit empathy and compassion 1 2 3 4 Cooperation / Diplomacy and Tact with Staff 1 2 3 4 Emotional Maturity to Function Under Stress 1 2 3 4 Appropriate Conversation with Staff/Patients 1 2 3 4 Use of Correct Terminology 1 2 3 4 Sensitivity to Patient Comfort 1 2 3 4 Personal CharacteristicsProblem solve in the workplace to better a situation i.e. coworker conflict, workflow mechanics, etc. 1 2 3 4 Adaptable to change; industrious 1 2 3 4 Ability to learn and retain information 1 2 3 4 Sufficient speed in completing tasks 1 2 3 4 Ability to adapt to new procedures 1 2 3 4 Displays initiative 1 2 3 4 Demonstrate ethical behavior with emphasis on confidentiality, realization of professional liability, and importance of following protocol 1 2 3 4 Maintain emotional stability to withstand the stresses, uncertainties, and changing circumstances that characterize patient/client care responsibilities 1 2 3 4 Accept direction and guidance from a supervisor or faculty member 1 2 3 4 Understands that each facility has some procedures that may differ from others and easily adapts to yours 1 2 3 4 Arrives for shift on time / punctual 1 2 3 4 Undertaking of appropriate & additional duties 1 2 3 4 Maintains impeccable personal hygiene & professional personal appearance 1 2 3 4 Anticipates Doctor’s / Co-worker needs 1 2 3 4 Neatness in accomplishing work 1 2 3 4 Essential Job FunctionsCollect pertinent patient information for use by the pharmacist from the chart or patient profile with efficiency and accuracy 1 2 3 4 Be able to locate specific information from a medical record, profile, or electronic medical device 1 2 3 4 Understand what is needed by the pharmacist to efficiently and accurately manage pharmacy services 1 2 3 4 Demonstrate proficiency with word processing and database software 1 2 3 4 Be able to use the internet, e-mail and computerized medication information databases 1 2 3 4 Follow an established procedure for purchasing and pharmaceuticals, devices and supplies 1 2 3 4 Understand, observe, and comply with State/Federal laws at practice site 1 2 3 4 Be able to compound a sterile and non-sterile product 1 2 3 4 Prepare an IV admixture 1 2 3 4 Observe or prepare a T.P.N. order 1 2 3 4 Suggest alternative avenues for procuring a product which is unavailable 1 2 3 4 Understand alternative avenues for pricing and products available 1 2 3 4 Know proper storage conditions for pharmaceutical items 1 2 3 4 Know how to return expired, damaged or recalled pharmaceuticals 1 2 3 4 Understand how to deter theft and/or medication diversion 1 2 3 4 Inventory and maintain records for controlled substances 1 2 3 4 Screen medication orders/prescriptions for completeness 1 2 3 4 Create new patient profile 1 2 3 4 Enter information accurately into computer to obtain label and MAR 1 2 3 4 Accurately prepare medication order/prescription 1 2 3 4 Know how to dispose of hazardous materials/waste 1 2 3 4 Know how to prepare and label repackaged products 1 2 3 4 Process reimbursement claim forms 1 2 3 4 Sterilize a laminar or horizontal air flow hood 1 2 3 4 Efficiently deliver the correct medication to the correct patient/representative 1 2 3 4 Know the Pertinent policies and procedures for distribution of medications/controlled substances 1 2 3 4 Know the facets of patient consultation a technician can/can’t perform 1 2 3 4 Know how to handle 3rd party rejection claims 1 2 3 4 Understand how to prevent and report medication errors 1 2 3 4 Be able to work a cash register 1 2 3 4 Reconstitute a granular antibiotic into suspension form 1 2 3 4 Know how to prepare, store and distribute investigational drug products 1 2 3 4 Know how to obtain technician licensure and certification 1 2 3 4 Determine patient eligibility and co-pay 1 2 3 4 Calibrate a device 1 2 3 4 Age Specific CompetenciesInfant (Birth - 1 year) 1 2 3 4 Preschooler (ages 2-5 years) 1 2 3 4 Childhood (ages 6-12 years) 1 2 3 4 Adolescents (ages 13-21 years) 1 2 3 4 Young Adults (ages 22-39 years) 1 2 3 4 Adults (ages 40-64 years) 1 2 3 4 Older Adults (ages 65-79 years) 1 2 3 4 Elderly (ages 80+ years) 1 2 3 4 AuthorizationsSignature(Required)The information I have given is true and accurate to the best of my knowledge. I hereby authorize Hired by Matrix, Inc. to release this Pharmacy Tech Skills Checklist to Client facilities of Hired by Matrix, Inc. in consideration of my assignment to work at those facilities.
