Pharmacy Weekend Work Checklist
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Prepared by
*
First Name
Last Name
Prepared for Weekend Employee 1
*
First Name
Last Name
Prepared for Weekend Employee 2
First Name
Last Name
Print Queue Patients
*
Environmental Assistance Needed
*
Other Queues to Work ON
Third Party Reject Queue
Patient Case(s) to Work On/ Language assistance needed
Immunization Billing/ Scheduling Patient Appointments
Stock Checking
MD/Prescriber Call Planning
Home Delivery Planning
Med Trays
Expiration Audits/Inspections of Shelf Areas
Ringing out Scan Outs in the 'Good Faith Effort' pile after verification
RX is ready Calls/ calling patient for information
NOVA Billing Assistance needed
Audit Correspondence
Supplies Check and Replenishment
Other
Explanation of Requirements or Scenarios
Back
Next
Weekend Employee 1 : Progress of Assignment
Everything Completed
Everything Completed + Additional Items
More assistance is required
Need additional time to complete
Other
Weekend Employee Name 1
First Name
Last Name
Feedback for Sunday or Monday Staff
Weekend Employee 1 Completed Signature
Time
Hour Minutes
AM
PM
AM/PM Option
Back
Next
Weekend Employee 2 : Progress of Assignment
Everything Completed
Everything Completed + Additional Items
More assistance is required
Need additional time to complete
Other
Weekend Employee 2 Name
First Name
Last Name
Feedback for Sunday or Monday Staff
Weekend Employee 2 Completed Signature
Time
Hour Minutes
AM
PM
AM/PM Option
Submit
Should be Empty: