I hereby certify that
ALL information I have provided 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