Hospital pharmacist appraisal form
This free sample/template/form of job performance appraisal include information as follows:
1. Employee Details
• Employee Name
• Review Period
• Date of joining
• Review Date
• Line Hospital pharmacist
2. Key duties/responsibilities of Hospital pharmacist
State your understanding of your main duties and responsibilities of Hospital pharmacist, for examples:
• Responding to medication-related queries from within the hospital, other hospitals and the general public.
• Keeping up to date with, and contributing to, research and development, often in collaboration with medical staff and colleagues in the pharmaceutical industry.
• Writing guidelines for drug use within the hospital, preparing bulletins and implementing hospital regulations.
• Ensuring medicinal products are stored appropriately and securely to ensure freshness and potency.
• Ensuring medication reaches the patient in the correct form and dose – this may include tablets, capsules, ointments, injections, inhalers and creams.
• Being responsible for the accurate dispensing and timely distribution of drugs and medicines for inpatients or outpatients.
• Supervising and checking the work of less experienced and less qualified staff.
You should design a table for this area that include columns: No, duties, weight, core, comments.
3. Key result areas (KRAs) of Hospital pharmacist
Using the 4-point scale below, please assess your employee performance in the following areas:
• 4 – Performance was always successful, consistent and respectable and at times clearly superior and exceeding standards.
• 3.5 – Performance was at most times clearly superior and exceeding standards.
• 3 – Performance was successful, consistent, and respectable in every regard with few exceptions.
• 2.5 – Performance at times was inconsistent and did not meet standards.
• 2 – Performance at most times was inconsistent and did not always meet standards.
• 1 – Performance was overall unsuccessful and unacceptable with regard to expectations and the requirements of the position.
Then, you can create a table with columns: No, KRAs, weight, performance score, descriptions.
4. Job objectives of Hospital pharmacist
List the objectives you set out for your staff (Hospital pharmacist) to achieve in the past 12 months (or the period covered by this appraisal) with the measures or standards agreed – against each comment on achievement or otherwise, with reasons where appropriate.
Score the performance against each objective (1-3 = poor, 4-6 = satisfactory, 7-9 = good, 10 = excellent):
Then you create a table with columns: No – Objectives – Measure/standard - Score - Comment
5. Job competencies
Discuss and agree the skills, capabilities and experience required for competence in current role, and if appropriate, for readiness to progress to the next role or roles.
Using the 4 point scale below, fill up the following table:
• 4 – Exceeds expectations
• 3.5 – Somewhat Exceeds Expectations
• 3 – Meets expectations
• 2.5 – Somewhat meets expectations
• 2 – Less than expectations
• 1.5 – Somewhat less than expectations
• 1 – Inadequately short of expectations 4
Core Values And Leadership Skills
• Results Orientation [e.g. quality of delivery].
• Customer Focus – internal as well as external.
• Leadership Qualities (e.g.initiative , integrity, enthusiasm and zeal, instilling trust, stretching the goals, caring and sharing , interested in people development).
• Organizational alignment [e.g. corporate initiative, acceptance of change].
• Communication (e.g. Written and verbal communication, presentation skills, facilitation skills).
• Problem Solving.
• Team work.
• Self-confidence (e.g. .taking on new responsibility, confronting and dealing with issues and problems with confidence, risk taking ability).
• Professional Demeanor and Appearance.
• Openness to Feedback and Suggestions.
• Time management.
6. Career development of Hospital pharmacist
Discuss and agree (as far as is possible, given budgetary, availability and authorisation considerations) the training and development support to be given to help the appraisee meet the agreed objectives above.
7. Overall rating of Hospital pharmacist:
• Fully Competent
• Continued Development
• New to Position
Name of Hospital pharmacist
Appraisal acceptable to Employee: Yes / No Date
HR Hospital pharmacist’s Signature
Comments, if any
New Title (if applicable)
Distribution: (1) Copy to HR departmental Personnel File (2) Copy to line Hospital pharmacist. (3) Copy to Hospital pharmacist / Supervisor.
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