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The Pharmacy Professionals
                                   Main Office:
                         14271 Fern Ave. Chino CA. 91710
                            Fax Number: 510-922-9585




        Short Term, Quality, and Affordable Pharmacy Technician Courses

           Pharmacy Technician Externship Weekly Evaluation Form
Name of Extern                                Start Date- End Date


             Daily Attendance (example: Monday 9:00am- 5:00pm)
Monday      Tuesday Wednesday Thursday        Friday     Saturday           Sunday


        Total Hours this period
         Hours earned to date

NOTE: Evaluation form must be submitted to Sonia Ruiz on a weekly basis, in
order to receive credit for all hours. You may fax your time sheets to the number
above or arrange to drop them off at our office.

A total of 160 hours of uncompensated externship practice is required for
completion of this Pharmacy Technician Course.


Ratings:
NA= Not Observed
EX= Excellent
G= Good
S= Satisfactory
U= Unsatisfactory

     Overall Professional Development, Knowledge Skills, and Equipment Skills
Appearance
Work Habits
Patient Relations
Staff Relations
Subject Knowledge
Hand Washing
Dispensing Medicines

                         Ontario Courses:(909) 217-6323
                        Los Angeles Courses:(323) 636-6446
                         Oakland Courses:(510) 292- 3730
Control Substances
Abbreviations
Conversion equivalents
Aseptic Technique
IV Admixture preparation
TPN preparation
Medication areas inspections
Patient rights
Technician skills
Calculator
Fax Machine
Telephone
Pharmacy Computer
Laminar Flow Hood
Prepackaging Equipment
Measuring/compounding equipment
Automated dispensing equipment

Overall Comments
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Required Signatures

Supervisor: ____________________ Date: ____________________

Extern:    ____________________ Date: ____________________




                       Ontario Courses:(909) 217-6323
                      Los Angeles Courses:(323) 636-6446
                       Oakland Courses:(510) 292- 3730

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Externship time sheet

  • 1. The Pharmacy Professionals Main Office: 14271 Fern Ave. Chino CA. 91710 Fax Number: 510-922-9585 Short Term, Quality, and Affordable Pharmacy Technician Courses Pharmacy Technician Externship Weekly Evaluation Form Name of Extern Start Date- End Date Daily Attendance (example: Monday 9:00am- 5:00pm) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Total Hours this period Hours earned to date NOTE: Evaluation form must be submitted to Sonia Ruiz on a weekly basis, in order to receive credit for all hours. You may fax your time sheets to the number above or arrange to drop them off at our office. A total of 160 hours of uncompensated externship practice is required for completion of this Pharmacy Technician Course. Ratings: NA= Not Observed EX= Excellent G= Good S= Satisfactory U= Unsatisfactory Overall Professional Development, Knowledge Skills, and Equipment Skills Appearance Work Habits Patient Relations Staff Relations Subject Knowledge Hand Washing Dispensing Medicines Ontario Courses:(909) 217-6323 Los Angeles Courses:(323) 636-6446 Oakland Courses:(510) 292- 3730
  • 2. Control Substances Abbreviations Conversion equivalents Aseptic Technique IV Admixture preparation TPN preparation Medication areas inspections Patient rights Technician skills Calculator Fax Machine Telephone Pharmacy Computer Laminar Flow Hood Prepackaging Equipment Measuring/compounding equipment Automated dispensing equipment Overall Comments ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Required Signatures Supervisor: ____________________ Date: ____________________ Extern: ____________________ Date: ____________________ Ontario Courses:(909) 217-6323 Los Angeles Courses:(323) 636-6446 Oakland Courses:(510) 292- 3730