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.
Practice Settings/Experience | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Academia |
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Ambulatory Care |
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Clinic |
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Compounding |
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Consulting |
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Correctional Facility (Jail) |
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Diabetes |
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Drug Information |
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Formulary Management |
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Geriatrics |
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Home Health |
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Home Infusion |
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Hospital– Inpatient |
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Hospital– Outpatient |
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Infectious Disease |
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Long Term Care (LTC) |
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Mail Order |
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Military/Government/VA |
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Nuclear |
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Oncology |
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Pain Management |
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Pediatrics |
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Pharmaceutical Research |
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Pharmaceutical Sales |
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Pharmacy Benefits Management (PBM ) |
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Poison Control |
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Psychiatric Patient Management |
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Public Health |
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Renal Patient Management |
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Retail– Chain |
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Retail– Independent |
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Sub-Acute Care |
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Veterinary |
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Other: |
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Other: |
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Other: |
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Pharmacy Software Systems | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Etreby |
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HBS |
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JASRx |
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McKesson– 3PM |
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McKesson– Pharmserv |
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Meditech |
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NDC |
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OPUS– ISM |
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OSCOR |
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PDX |
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PharmNet |
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Pharmtrak |
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PROScript 2000 |
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QS1 |
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Renlar |
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Rescot– Omni-DX |
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Rx-Link |
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Speed Script |
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TechRx |
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WinPharm |
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Other: |
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Automation | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Accumed/Baker Cells |
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BAXA– Rapid-Fill (ASF) |
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BAXA– Repeater Pump |
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Baxter |
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Baxter– AUTOMIX Compounder |
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Baxter– MICROMIX Compounder |
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Kirby Lester |
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McKesson– AcuDose-Rx |
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McKesson– Baker Scale |
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McKesson– IntelliShelf-Rx |
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McKesson– MedCarousel |
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McKesson– ROBOT– Rx |
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McKesson– PACMED |
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MTS– Automated Sealers |
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MTS– Prepackaging |
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Parata– PACMED |
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Parata– RDS |
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Parata– APM |
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PharmASSIST– RDS ROBOTx |
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PharmASSIST– ROBOTx |
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PharmASSIST– SmartCabinet |
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PharmASSIST– SmartScale |
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Pyxis |
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Other: |
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Other: |
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Disease State Management | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
AIDS/HIV |
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Anticoagulation |
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Asthma |
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Cardiovascular Disease |
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Chemotherapy |
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Cystic Fibrosis |
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Depression |
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Diabetes |
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Dyslipidemia |
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Hormone Replacement Therapy |
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Hypertension |
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Osteoporosis |
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Pain Management |
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Smoking Cessation |
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Transplant |
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Other: |
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Other: |
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Other: |
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Clinical and Job related Experience | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Admixture |
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Adolescent Care |
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Aseptic Techniques |
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Blister Packs |
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Cart Check |
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Cart Fill |
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Chemotherapy |
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Computerized Physician Order Entry |
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Consulting |
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Discharge Counseling |
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DME Equipment |
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Drug Information |
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Drug Information Rounds |
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Drug Rehabilitation Programs |
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Emergency Room |
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Enteral Nutrition Products |
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Formulary Management |
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Geriatric Care |
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Hazardous Drug Handling |
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Homeopathic Treatments |
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Hyperalimentation Calculation |
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Immunizations |
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Immunoglobulin Therapy |
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Incontinence Supplies |
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Infectious Disease |
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Infusion Pumps and Systems |
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Intensive Care (ICU) |
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IV Preparation |
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Neonatal Intensive Care (NICU) |
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Oncology |
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Ostomy Supplies |
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OTC selection and recommendations |
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P&T committee participant |
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Pain Management |
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PCA Pumps |
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Pediatric Care |
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Poison Control |
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Psychiatric Care |
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Retail Compounding |
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Surgical Supplies |
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Tocolytic Therapy |
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TPN Preparation |
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Transplant Therapy |
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Urological Supplies |
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Other: |
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Other: |
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Other: |
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Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Infant (Birth - 1 year) |
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Preschooler (ages 2-5 years) |
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Childhood (ages 6-12 years) |
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Adolescents (ages 13-21 years) |
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Young Adults (ages 22-39 years) |
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Adults (ages 40-64 years) |
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Older Adults (ages 65-79 years) |
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Elderly (ages 80+ years) |
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Pharmacokinetic Dosing of | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Aminoglycosides |
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Anticoagulation |
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Digoxin |
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Lithium |
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Theophylline |
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Vancomycin |
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Other: |
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Other: |
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Other: |
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