SIOUXLAND COMMUNITY HEALTH CENTER SIOUX CITY, IOWA PERFORMANCE EVALUATION-COMPETENCY

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SIOUXLAND COMMUNITY HEALTH CENTER SIOUX CITY, IOWA PERFORMANCE EVALUATION-COMPETENCY Employee Position Pharmacy Manager Department Review Date Rating for: 90 day Probation Extended Probation Annual Special Review Rating: +2 = Exemplary Performance +1 = Exceeds Criteria 0 = Meets Criteria -1 = Partially Met Criteria -2 = Unsatisfactory Score of -2 requires comments written in Comments/Action Plan. A. Demonstrates ability to perform the general functions of the position. a. Performs Pharmacist-in-Charge duties for SCHC s outpatient pharmacy. b. Involved in direct staff contact to assure daily pharmacy standards. c. Assist and support clinical staff on pharmaceutical matters d. Supervise, advise and support clinical and administrative staff on pharmacy matters. e. Assure fiscal responsibility of pharmacy operations. f. Assist in the development of future pharmacy-related programs and services within the Center. g. Responsible for the implementation and execution of all systems, policies and procedures for pharmacy services at SCHC. h. Ensure that all federal and state laws and regulations are adhered to in regard to pharmacy operations and dispensing. i. Advise providers and clinical staff in matters pertaining to drug activity and dosage. j. Confer with Medical Director, Dental Director, providers, staff and drug

Performance Evaluation Page 2 B. & C. Accountable for maintaining and updating specific knowledge and competence. D. Responsible to demonstrate dependability as an employee through flexibility, punctuality and attendance. company representatives. k. Obtain formulary items and maintain inventory at the lowest possible cost consistent with usage. l. Review patients' records to monitor drug therapy and reactions. m. Counsel patients regarding proper and safe use of medications and monitor patient compliance. n. Chair the Pharmacy and Therapeutics Committee at least four times per year. o. Responsible for instituting new pharmacy services as well as periodic review of existing programs. p. Responsible for recruiting, hiring and training of pharmacists and pharmacy technicians 1. Maintains valid Pharmacist license. 2. Obtains CEU s to maintain current pharmacist license. 3. Assures CEU certificates are given to Personnel Department. 1. Observes work hours. 2. Consistently punctual in reporting to work and to and from work breaks. 3. Maintains a good attendance record, keeping absenteeism at a minimum. 4. Demonstrates flexibility in staffing and work practices and supports cross training as patient/customer needs require. 5. Regularly attends department meetings. 6. Participates in mandatory inservices as

Performance Evaluation Page 3 E. Responsible to demonstrate initiative and judgment F. Demonstrates the ability to work with coworkers, patients, visitors and other members of the healthcare team. stipulated by the department and/or SCHC. 1. Demonstrates self-motivation and the ability to work independently. 2. Demonstrates the ability to comply with established policies and procedures. 3. Demonstrates good time management in the completion of job functions. 4. Demonstrates sound judgment and composure in response to emotional or emergent situations. 5. Demonstrates good judgment through characteristics of appropriate personal appearance and personal hygiene. 6. Demonstrates the ability to work without direct supervision. The work is in a field where only general methods or policies are defined and where the making of decisions involves the use of considerable ingenuity, initiative and judgment. 7. Assists supervisor with development and updating of policies and procedures. 1. Able to communicate effectively with all ages served (newborn, pediatric, adolescent, adult and geriatric) as applicable. 2. Demonstrates the ability to work in a team environment, reaffirming the contribution of each person to the delivery of care/services. 3. Promotes/maintains positive inter and intra department relations.

Performance Evaluation Page 4 G. Complies with SCHC ethical standards H. Responsible to obtain and maintain knowledge of measures to ensure self, patient, family and coworker safety. 4. Participates in department/schc committees as applicable 1. Required to comply with SCHC ethical standards. 2. Demonstrates stewardship in the performance of daily business operations through accuracy of work and compliance with regulations. 3. Demonstrates knowledge of the SCHC personnel manual. 4. Demonstrates knowledge of SCHC policies, procedures and manuals pertinent to department. 1. Demonstrates knowledge of safety/security measures in the Environment of Care (responses to tornado, fire, violence, bomb threats). 2. Practices safe work habits. Ergonomics (back safety, repetitive action) Environmental Safety Surveillance Hazardous Materials Utility Management Infection Control Practices (Standard Precautions) 3. Demonstrates ability to employ effective coping mechanisms to deal with emotional situations. I. Contributes to the 1. Demonstrates respect for the dignity and

Performance Evaluation Page 5 mission, vision and values of the SCHC. integrity of each person with courtesy and compassion while respecting cultural differences. 2. Demonstrates efficient, high-quality and cost effective services in a thorough, efficient, caring and knowledgeable manner providing family-centered holistic care. 3. Demonstrates quality care that is missiondriven, accessible, patient-oriented and fulfills our responsibility to meet the health care needs of the Siouxland community. 4. Manages information in a professional, private and confidential manner. Note: Enter average of each section below, then average A through I for total score. A B-C D E F G H I Total Score = 0 + 1 + 2 = Meets Expectations -1-2 = Does not meet expectations Supervisor Goals or Recommendations: Employee

Performance Evaluation Page 6 Comment or Self-Goals: Retain on Probation: YES NO N/A Evaluation Completed: YES NO Date: Employee Signature Date Next evaluation Date: Department Manager Signature Date