1 Page 1 2 Page 2 3 Preview 4 Complete Page 1 of 4 (0%) Please note that completion of this evaluation form is required to receive credits. Please complete the evaluation by answering all questions. Please choose your profession: * Pharmacist Pharmacy Technician Other Please choose your profession: Other Please enter your NABP e-Profile ID * This is required to receive your CEUs/Contact Hours. If you do not have an NABP e-Profile ID or are from outside of the United States, please enter N/A. Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDecMonth Day Day12345678910111213141516171819202122232425262728293031Day Year Year20232024202520262027 Pharmacist Learning Objectives * Were these learning objectives achieved? Strongly AgreeAgreeNeutralDisagreeStrongly Disagree Strongly AgreeAgreeNeutralDisagreeStrongly Disagree Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous - Strongly Agree Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous - Agree Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous - Neutral Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous - Disagree Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous - Strongly Disagree Demonstrate how to manage a workstation, its equipment and chemical inventory Demonstrate how to manage a workstation, its equipment and chemical inventory - Strongly Agree Demonstrate how to manage a workstation, its equipment and chemical inventory - Agree Demonstrate how to manage a workstation, its equipment and chemical inventory - Neutral Demonstrate how to manage a workstation, its equipment and chemical inventory - Disagree Demonstrate how to manage a workstation, its equipment and chemical inventory - Strongly Disagree Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment - Strongly Agree Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment - Agree Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment - Neutral Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment - Disagree Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment - Strongly Disagree Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous - Strongly Agree Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous - Agree Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous - Neutral Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous - Disagree Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous - Strongly Disagree Demonstrate how to clean and disinfect an analytical balance Demonstrate how to clean and disinfect an analytical balance - Strongly Agree Demonstrate how to clean and disinfect an analytical balance - Agree Demonstrate how to clean and disinfect an analytical balance - Neutral Demonstrate how to clean and disinfect an analytical balance - Disagree Demonstrate how to clean and disinfect an analytical balance - Strongly Disagree Demonstrate how to verify the internal calibration of an analytical balance Demonstrate how to verify the internal calibration of an analytical balance - Strongly Agree Demonstrate how to verify the internal calibration of an analytical balance - Agree Demonstrate how to verify the internal calibration of an analytical balance - Neutral Demonstrate how to verify the internal calibration of an analytical balance - Disagree Demonstrate how to verify the internal calibration of an analytical balance - Strongly Disagree Record data in standard operating procedure logs Record data in standard operating procedure logs - Strongly Agree Record data in standard operating procedure logs - Agree Record data in standard operating procedure logs - Neutral Record data in standard operating procedure logs - Disagree Record data in standard operating procedure logs - Strongly Disagree Demonstrate the use of electromechanical equipment, and reusable and disposable devices Demonstrate the use of electromechanical equipment, and reusable and disposable devices - Strongly Agree Demonstrate the use of electromechanical equipment, and reusable and disposable devices - Agree Demonstrate the use of electromechanical equipment, and reusable and disposable devices - Neutral Demonstrate the use of electromechanical equipment, and reusable and disposable devices - Disagree Demonstrate the use of electromechanical equipment, and reusable and disposable devices - Strongly Disagree Perform a broad range of non-sterile compounding techniques Perform a broad range of non-sterile compounding techniques - Strongly Agree Perform a broad range of non-sterile compounding techniques - Agree Perform a broad range of non-sterile compounding techniques - Neutral Perform a broad range of non-sterile compounding techniques - Disagree Perform a broad range of non-sterile compounding techniques - Strongly Disagree Prepare a number of non-sterile compounded medications Prepare a number of non-sterile compounded medications - Strongly Agree Prepare a number of non-sterile compounded medications - Agree Prepare a number of non-sterile compounded medications - Neutral Prepare a number of non-sterile compounded medications - Disagree Prepare a number of non-sterile compounded medications - Strongly Disagree Determine the beyond-use date for non-sterile compounded medications Determine the beyond-use date for non-sterile compounded medications - Strongly Agree Determine the beyond-use date for non-sterile compounded medications - Agree Determine the beyond-use date for non-sterile compounded medications - Neutral Determine the beyond-use date for non-sterile compounded medications - Disagree Determine the beyond-use date for non-sterile compounded medications - Strongly Disagree Select appropriate dispensing containers for finished non-sterile dosage forms Select appropriate dispensing containers for finished non-sterile dosage forms - Strongly Agree Select appropriate dispensing containers for finished non-sterile dosage forms - Agree Select appropriate dispensing containers for finished non-sterile dosage forms - Neutral Select appropriate dispensing containers for finished non-sterile dosage forms - Disagree Select appropriate dispensing containers for finished non-sterile dosage forms - Strongly Disagree Complete formulation records for finished non-sterile dosage forms Complete formulation records for finished non-sterile dosage forms - Strongly Agree Complete formulation records for finished non-sterile dosage forms - Agree Complete formulation records for finished non-sterile dosage forms - Neutral Complete formulation records for finished non-sterile dosage forms - Disagree Complete formulation records for finished non-sterile dosage forms - Strongly Disagree Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing - Strongly Agree Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing - Agree Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing - Neutral Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing - Disagree Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing - Strongly Disagree Pharmacy Technician Learning Objectives * Were these learning objectives achieved? Strongly AgreeAgreeNeutralDisagreeStrongly Disagree Strongly AgreeAgreeNeutralDisagreeStrongly Disagree Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous - Strongly Agree Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous - Agree Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous - Neutral Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous - Disagree Demonstrate proper donning and doffing of personal protective equipment; non-hazardous and hazardous - Strongly Disagree Demonstrate how to manage a workstation, its equipment and chemical inventory Demonstrate how to manage a workstation, its equipment and chemical inventory - Strongly Agree Demonstrate how to manage a workstation, its equipment and chemical inventory - Agree Demonstrate how to manage a workstation, its equipment and chemical inventory - Neutral Demonstrate how to manage a workstation, its equipment and chemical inventory - Disagree Demonstrate how to manage a workstation, its equipment and chemical inventory - Strongly Disagree Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment - Strongly Agree Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment - Agree Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment - Neutral Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment - Disagree Demonstrate how to properly sanitize a workstation in a non-hazardous and hazardous drug environment - Strongly Disagree Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous - Strongly Agree Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous - Agree Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous - Neutral Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous - Disagree Demonstrate how to properly manage and dispose of waste; non-hazardous and hazardous - Strongly Disagree Demonstrate how to clean and disinfect an analytical balance Demonstrate how to clean and disinfect an analytical balance - Strongly Agree Demonstrate how to clean and disinfect an analytical balance - Agree Demonstrate how to clean and disinfect an analytical balance - Neutral Demonstrate how to clean and disinfect an analytical balance - Disagree Demonstrate how to clean and disinfect an analytical balance - Strongly Disagree Demonstrate how to verify the internal calibration of an analytical balance Demonstrate how to verify the internal calibration of an analytical balance - Strongly Agree Demonstrate how to verify the internal calibration of an analytical balance - Agree Demonstrate how to verify the internal calibration of an analytical balance - Neutral Demonstrate how to verify the internal calibration of an analytical balance - Disagree Demonstrate how to verify the internal calibration of an analytical balance - Strongly Disagree Record data in standard operating procedure logs Record data in standard operating procedure logs - Strongly Agree Record data in standard operating procedure logs - Agree Record data in standard operating procedure logs - Neutral Record data in standard operating procedure logs - Disagree Record data in standard operating procedure logs - Strongly Disagree Demonstrate the use of electromechanical equipment, and reusable and disposable devices Demonstrate the use of electromechanical equipment, and reusable and disposable devices - Strongly Agree Demonstrate the use of electromechanical equipment, and reusable and disposable devices - Agree Demonstrate the use of electromechanical equipment, and reusable and disposable devices - Neutral Demonstrate the use of electromechanical equipment, and reusable and disposable devices - Disagree Demonstrate the use of electromechanical equipment, and reusable and disposable devices - Strongly Disagree Perform a broad range of non-sterile compounding techniques Perform a broad range of non-sterile compounding techniques - Strongly Agree Perform a broad range of non-sterile compounding techniques - Agree Perform a broad range of non-sterile compounding techniques - Neutral Perform a broad range of non-sterile compounding techniques - Disagree Perform a broad range of non-sterile compounding techniques - Strongly Disagree Prepare a number of non-sterile compounded medications Prepare a number of non-sterile compounded medications - Strongly Agree Prepare a number of non-sterile compounded medications - Agree Prepare a number of non-sterile compounded medications - Neutral Prepare a number of non-sterile compounded medications - Disagree Prepare a number of non-sterile compounded medications - Strongly Disagree Determine the beyond-use date for non-sterile compounded medications Determine the beyond-use date for non-sterile compounded medications - Strongly Agree Determine the beyond-use date for non-sterile compounded medications - Agree Determine the beyond-use date for non-sterile compounded medications - Neutral Determine the beyond-use date for non-sterile compounded medications - Disagree Determine the beyond-use date for non-sterile compounded medications - Strongly Disagree Select appropriate dispensing containers for finished non-sterile dosage forms Select appropriate dispensing containers for finished non-sterile dosage forms - Strongly Agree Select appropriate dispensing containers for finished non-sterile dosage forms - Agree Select appropriate dispensing containers for finished non-sterile dosage forms - Neutral Select appropriate dispensing containers for finished non-sterile dosage forms - Disagree Select appropriate dispensing containers for finished non-sterile dosage forms - Strongly Disagree Complete formulation records for finished non-sterile dosage forms Complete formulation records for finished non-sterile dosage forms - Strongly Agree Complete formulation records for finished non-sterile dosage forms - Agree Complete formulation records for finished non-sterile dosage forms - Neutral Complete formulation records for finished non-sterile dosage forms - Disagree Complete formulation records for finished non-sterile dosage forms - Strongly Disagree Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing - Strongly Agree Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing - Agree Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing - Neutral Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing - Disagree Analyze finished dosage forms by assessing organoleptic properties and performing weight variance testing - Strongly Disagree Leave this field blank
