Pharmacy Technician Skills Checklist Form
Complete this form to review and document pharmacy technician skills and competency areas.
Technician Name
*
First Name
Last Name
Technician Role
*
Please Select
Pharmacy Technician
Lead Pharmacy Technician
Trainee
Other
Site / Location
*
Years of Pharmacy Experience
*
Training/Competency Areas Completed
*
Medication Preparation
Prescription Processing
Inventory Management
Customer Service
Compounding
Automated Dispensing Systems
Insurance Processing
Other
Task Proficiency Ratings
*
Rows
Not Observed
Needs Improvement
Competent
Proficient
Medication Preparation
1
2
3
4
Prescription Processing
5
6
7
8
Inventory Management
9
10
11
12
Customer Service
13
14
15
16
Compounding
17
18
19
20
Level of Supervision/Support Required
*
Independent
Requires Occasional Supervision
Requires Frequent Supervision
Additional Training Needs
Medication Preparation
Prescription Processing
Inventory Management
Customer Service
Compounding
Automated Dispensing Systems
Insurance Processing
Other
Evaluator Comments
Overall Readiness Assessment
*
Ready for Independent Practice
Ready with Supervision
Not Ready
Submit Checklist
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