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    Performance Evaluation For Pharmacy Internship-1

    Uploaded by

    Desiree Sarmiento-Hidalgo
    This document contains a performance evaluation report for a pharmacy student trainee. It evaluates the student on their job knowledge, quantity and quality of work, and personal characteristics. The report contains rating scales to score the student on parameters like background information, facility familiarity, productivity, accuracy, communication skills, and more. It is meant to assess the student's performance over the course of their training placement at an industrial, community, or hospital pharmacy. The evaluating pharmacist provides an overall average score and comments.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Performance Evaluation For Pharmacy Internship-1

    Uploaded by

    Desiree Sarmiento-Hidalgo
    650 views3 pages
    This document contains a performance evaluation report for a pharmacy student trainee. It evaluates the student on their job knowledge, quantity and quality of work, and personal characteristics. The report contains rating scales to score the student on parameters like background information, facility familiarity, productivity, accuracy, communication skills, and more. It is meant to assess the student's performance over the course of their training placement at an industrial, community, or hospital pharmacy. The evaluating pharmacist provides an overall average score and comments.

    Original Description:

    Saint Louis University Pharmacy Evaluation (Internship)

    Original Title

    Performance Evaluation for Pharmacy Internship-1

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    © © All Rights Reserved

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    This document contains a performance evaluation report for a pharmacy student trainee. It evaluates the student on their job knowledge, quantity and quality of work, and personal characteristics. The report contains rating scales to score the student on parameters like background information, facility familiarity, productivity, accuracy, communication skills, and more. It is meant to assess the student's performance over the course of their training placement at an industrial, community, or hospital pharmacy. The evaluating pharmacist provides an overall average score and comments.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    650 views3 pages

    Performance Evaluation For Pharmacy Internship-1

    Uploaded by

    Desiree Sarmiento-Hidalgo
    This document contains a performance evaluation report for a pharmacy student trainee. It evaluates the student on their job knowledge, quantity and quality of work, and personal characteristics. The report contains rating scales to score the student on parameters like background information, facility familiarity, productivity, accuracy, communication skills, and more. It is meant to assess the student's performance over the course of their training placement at an industrial, community, or hospital pharmacy. The evaluating pharmacist provides an overall average score and comments.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3
    At a glance
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    The documents describe evaluation reports for student trainees in industrial, community and hospital pharmacy settings. They contain sections on job knowledge, quantity and quality of work, and personal characteristics that are evaluated.

    The documents describe evaluating students on parameters like job knowledge, quantity of work, quality of work, and personal characteristics. Job knowledge includes understanding of facilities, policies, laws etc. Quantity and quality of work relate to productivity, accuracy, initiative. Personal characteristics cover communication, conduct, punctuality etc.

    The documents describe facilities like raw materials warehouses, quarantine areas, production areas, quality control labs, research and development facilities in industrial pharmacies. In community pharmacies, facilities like stores, dispensing areas and in hospitals, wards, administration areas and pharmacies are described.

    SAINT LOUIS UNIVERSITY

    SCHOOL OF NATURAL SCIENCES


    DEPARTMENT OF PHARMACY
    PERFORMANCE EVALUATION REPORT
    FOR

    INDUSTRIAL

    PHARMACY STUDENT TRAINEE

    NAME OF STUDENT : ____________________________________________________________________________________________


    NAME AND ADDRESS OF ESTABLISHMENT : ______________________________________________________________________
    ______________________________________________________________________
    DATE STARTED : ___________________________
    DATE ENDED: ______________________________

    EVALUATION PARAMETERS

    RATING SCALE

    I. JOB KNOWLEDGE
    A. Background Information/organization/

    Facilities/ policies/ laws/ references


    1. Organizational Set-up
    2. Facilities
    3. Company Policies
    4. Laws, Regulations and Other Pharmacy References
    B. Practicum
    1. Overview of Plant & Facilities
    2. Familiarity of buildings & premises and activities
    a. Raw packaging materials warehouse
    b. Quarantine area
    a. Equipment
    b. Weighing Area
    c. Production and Process Control
    d. Quality Control Laboratory
    e. Research and Development Activities
    f. Personnel
    g. Synthesis and Evaluation
    II. QUANTITY OF WORK
    A. Productivity
    B. Accomplishment of Assigned Task
    III. QUALITY OF WORK
    A. Accuracy and Efficiency
    B. Initiative and Cooperation
    IV. STUDENT PERSONAL CHARACTERISTICS
    A. Communication Skills
    B. Ability to Work with Others
    C. Professional Conduct
    D. Courtesy to Personnel
    E. Honesty and Integrity
    F. Punctuality
    G. Neatness and Composure
    H. Interest and Attention

    5
    5
    5
    5

    4
    4
    4
    4

    3
    3
    3
    3

    2
    2
    2
    2

    1
    1
    1
    1

    5
    5
    5
    5
    5
    5
    5
    5
    5

    4
    4
    4
    4
    4
    4
    4
    4
    4

    3
    3
    3
    3
    3
    3
    3
    3
    3

    2
    2
    2
    2
    2
    2
    2
    2
    2

    1
    1
    1
    1
    1
    1
    1
    1
    1

    5
    5

    4
    4

    3
    3

    2
    2

    1
    1

    5
    5

    4
    4

    3
    3

    2
    2

    1
    1

    5
    5
    5
    5
    5
    5
    5
    5

    4
    4
    4
    4
    4
    4
    4
    4

    3
    3
    3
    3
    3
    3
    3
    3

    2
    2
    2
    2
    2
    2
    2
    2

    1
    1
    1
    1
    1
    1
    1
    1

    AVERAGE : _______________________
    OTHER COMMENTS: _______________________________________________________________________________________
    _______________________________________________________________________________________
    __________________________________
    PRINTED NAME AND SIGNATURE
    OF SUPERVISING PHARMACIST
    LICENSE NO.: ____________________
    PTR : ____________________________
    DATE ISSUED : ___________________
    Rating Interpretation:
    5 = Excellent, exceeds general requirements
    2 = Needs Improvement

    4 = Very Good
    3 = Satisfactory, meets general requirements
    1= Unsatisfactory

    SAINT LOUIS UNIVERSITY


    SCHOOL OF NATURAL SCIENCES
    DEPARTMENT OF PHARMACY
    PERFORMANCE EVALUATION REPORT
    FOR

    COMMUNITY

    PHARMACY STUDENT TRAINEE

    NAME OF STUDENT : ____________________________________________________________________________________________


    NAME AND ADDRESS OF ESTABLISHMENT : ______________________________________________________________________
    ______________________________________________________________________
    DATE STARTED : ___________________________
    DATE ENDED: ______________________________
    EVALUATION PARAMETERS

    RATING SCALE

    I. JOB KNOWLEDGE
    A. Background Information/General Orientation
    1. Organizational Set-up
    (Lines of authority/ manpower)
    2. Facilities
    2
    a. Office and Administration
    b. Pharmacy
    3. Company Policies
    4. Laws, Regulations and Other Pharmacy References
    B. Practicum
    1. Merchandising (Display and Arrangement of Stocks)
    2. Trainee-patient Interaction
    a. Initial (Reading and Interpretation of Prescription)
    b. Final (Patient Counseling and Drug Information)
    3. Filling of Prescription with the Pharmacist
    3
    a. Compounding and Labeling
    4
    b. Packaging or Repacking
    5
    c. Preparation of Stock Solutions
    6
    d. Proper Handling of Ethical Drugs
    7
    e. Proper Handling of Dangerous and Emergency Drugs
    4. Pricing of Prescriptions
    5. Recording of Prescriptions
    6. Drug Procurement and Inventory Control
    7. Product Knowledge/Information
    8
    a. Classification of Drugs
    9
    b. Therapeutic Use
    10
    c. Nomenclature
    II. QUANTITY OF WORK
    A. Productivity
    B. Accomplishment of Assigned Task
    III. QUALITY OF WORK
    A. Accuracy and Efficiency
    B. Initiative and Cooperation
    IV. STUDENT PERSONAL CHARACTERISTICS
    A. Communication Skills
    B. Ability to Work with Others
    C. Professional Conduct
    D. Courtesy to Personnel and Patients
    E. Honesty and Integrity
    F. Punctuality
    G. Neatness and Composure
    H. Interest and Attention

    5
    5
    5

    4
    4
    4

    3
    3
    3

    2
    2
    2

    1
    1
    1

    5
    5

    4
    4

    3
    3

    2
    2

    1
    1

    5
    5
    5
    5
    5
    5
    5
    5

    4
    4
    4
    4
    4
    3
    4
    4

    3
    3
    3
    3
    3
    3
    3
    3

    2
    2
    2
    2
    2
    2
    2
    2

    1
    1
    1
    1
    1
    1
    1
    1

    5
    5
    5

    4
    4
    4

    3
    3
    3

    2
    2
    2

    1
    1
    1

    5
    5

    4
    4

    3
    3

    2
    2

    1
    1

    5
    5

    4
    4

    3
    3

    2
    2

    1
    1

    5
    5
    5
    5
    5
    5
    5
    5

    4
    4
    4
    4
    4
    4
    4
    4

    3
    3
    3
    3
    3
    3
    3
    3

    2
    2
    2
    2
    2
    2
    2
    2

    1
    1
    1
    1
    1
    1
    1
    1

    AVERAGE: ________________________
    OTHER COMMENTS: _______________________________________________________________________________________
    _______________________________________________________________________________________

    __________________________________
    PRINTED NAME AND SIGNATURE
    OF SUPERVISING PHARMACIST
    LICENSE NO.: ____________________
    PTR : ____________________________
    DATE ISSUED : ___________________
    Rating Interpretation:
    5 = Excellent, exceeds general requirements
    2 = Needs Improvement

    4 = Very Good
    3 = Satisfactory, meets general requirements
    1= Unsatisfactory

    SAINT LOUIS UNIVERSITY


    SCHOOL OF NATURAL SCIENCES
    DEPARTMENT OF PHARMACY
    PERFORMANCE EVALUATION REPORT
    FOR

    HOSPITAL PHARMACY STUDENT TRAINEE


    NAME OF STUDENT : ____________________________________________________________________________________________
    NAME AND ADDRESS OF ESTABLISHMENT : ______________________________________________________________________
    ______________________________________________________________________
    DATE STARTED : ___________________________
    DATE ENDED: ______________________________
    EVALUATION PARAMETERS

    RATING SCALE

    I. JOB KNOWLEDGE
    A. Background Information/General Orientation
    1. Organizational Set-up
    a. Hospital
    b. Hospital Pharmacy
    c. Duties and Responsibilities
    2. Facilities
    h. Office and Administration
    i. Pharmacy
    3. Company Policies
    a. General Hospital Policies
    b. Hospital Pharmacy Policies
    c. Student Trainee Policies
    4. Laws, Regulations and Other Pharmacy References
    B. Practicum
    1. Merchandising (Display and Arrangement of Stocks)
    2. Trainee-patient Interaction
    a. Initial (Reading and Interpretation of Prescription)
    b. Final (Patient Counseling and Drug Information)
    3. Filling of Prescription with the Pharmacist
    a. Compounding and Labeling
    b. Packaging or Repacking
    c. Preparation of Stock Solutions
    d. Proper Handling of Ethical Drugs
    e. Proper Handling of Dangerous and Emergency Drugs
    4. Pricing of Prescriptions
    5. Recording of Prescriptions
    6. Drug Procurement and Inventory Control
    7. Product Knowledge/Information
    a. Classification of Drugs
    b. Therapeutic Use
    c. Nomenclature
    II. QUANTITY OF WORK
    A. Productivity
    B. Accomplishment of Assigned Task
    III. QUALITY OF WORK
    A. Accuracy and Efficiency
    B. Initiative and Cooperation
    IV. STUDENT PERSONAL CHARACTERISTICS
    A. Communication Skills
    B. Ability to Work with Others
    C. Professional Conduct
    D. Courtesy to Personnel and Patients
    E. Honesty and Integrity
    F. Punctuality
    G. Neatness and Composure
    H. Interest and Attention

    5
    5
    5

    4
    4
    4

    3
    3
    3

    2
    2
    2

    1
    1
    1

    5
    5

    4
    4

    3
    3

    2
    2

    1
    1

    5
    5
    5
    5

    4
    4
    4
    4

    3
    3
    3
    3

    2
    2
    2
    2

    1
    1
    1
    1

    5
    5

    4
    4

    3
    3

    2
    2

    1
    1

    5
    5
    5
    5
    5
    5
    5
    5

    4
    4
    4
    4
    4
    3
    4
    4

    3
    3
    3
    3
    3
    3
    3
    3

    2
    2
    2
    2
    2
    2
    2
    2

    1
    1
    1
    1
    1
    1
    1
    1

    5
    5
    5

    4
    4
    4

    3
    3
    3

    2
    2
    2

    1
    1
    1

    5
    5

    4
    4

    3
    3

    2
    2

    1
    1

    5
    5

    4
    4

    3
    3

    2
    2

    1
    1

    5
    5
    5
    5
    5
    5
    5
    5

    4
    4
    4
    4
    4
    4
    4
    4

    3
    3
    3
    3
    3
    3
    3
    3

    2
    2
    2
    2
    2
    2
    2
    2

    1
    1
    1
    1
    1
    1
    1
    1

    AVERAGE: ________________________
    OTHER COMMENTS: _______________________________________________________________________________________
    _______________________________________________________________________________________
    __________________________________
    PRINTED NAME AND SIGNATURE
    OF SUPERVISING PHARMACIST
    LICENSE NO.: ____________________
    PTR: _____________________________
    DATE ISSUED: ____________________
    Rating Interpretation:
    5 = Excellent, exceeds general requirements
    2 = Needs Improvement

    4 = Very Good

    3 = Satisfactory, meets general requirements


    1= Unsatisfactory

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