This checklist was electronically signed on (Today’s date)
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
Retail
Other (List)
Hospital
Long term care facility
Mckesson
Pyxiz Rx
Meditech
Baxter
Abbott
Sublingual medications
Interpret Prescriptions for accuracy
Counsel patients or refer to pharmacist
Record keeping for controlled substances
Narcotic inventory control Enemas
Familarities with medical records / profiles injections
Eye drops with oinments
Nose drops
Transdermal patches
Topical Ointments
Working with word processor
Familarity with internet database
Purchasing medications, medical devices and supplies
Stocking medications, medical devices and supplies
Billing for services
Handling 3rd party rejected claims
Reporting medication errors
Oral Tablets and capsules
Prepares and fill presriptions
Prepare simple preparations
Create new patients profiles
Screen medications orders for completeness
Ear Drops
Suppositories
Enemas
Computerized medication information databases
Disposal of hazardous materials/ waste
Compliance with State/ Federal Laws
Reconstitution
Insulin
Subcutaneous
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-school (3-6 years)
School Age (6-12 years)
Adolescent (12-18 years)
Young Adult (18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)
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