Name:
Title:
Employee Number:
Dept:
Transplant Pharmacist Competency
Performance Levels:
4. Can perform all aspects of the criteria independently, adapt to problem situations, and teach this skill
3. Can perform all aspects of the criteria independently/without any coaching/without hints/without education
2. Can perform some or all of the aspects of the criteria with assistance and/or supervision
1. Cannot perform this skill
PERFORMANCE CRITERIA
Standard
Drug Administration
 Understands the mechanism of action, appropriate
therapeutic use, dosing, adverse effects, monitoring
parameters, pharmacokinetic and
pharmacodynamic properties of all transplant
medications (including: cyclosporine, tacrolimus,
mycophenolate, simulect, prednisone, and
thymoglobulin)
 Demonstrates ability to prevent, detect, monitor,
document, and report adverse drug reactions and
medication errors
 Interprets immunosuppressant drug levels while
considering patient-specific data and
pharmacokinetic principles. Able to make
recommendations on dose adjustments to
transplant team
 Understands frequency of immunosuppression drug
level monitoring
 Familiar with standard transplant and post-
Level of Performance
Assessment Method
Comments
transplant protocols regarding medication dosage
and schedule


Understands variables that may impact
immunosuppressant dosing and/or target trough
levels including, but not limited to, hepatic
function, renal function, malignancy, infection,
rejection, drug interactions, or adverse effects.
Minimizes avoidable adverse effects of medications
through identification of high risk patients or
possible food-drug or drug-drug interactions
Staff Education
 Routine and systematic teaching of medical,
nursing, pharmacists, and other personnel
regarding transplant medications
Transplant Team Member
 Understands members of multi-disciplinary team
 Conducts CMS-mandated interdisciplinary patient
assessment pre- and post-transplant
 Appropriately communicates with multidisciplinary
team and provides medication-related
recommendations
 Rounds on inpatients as part of multidisciplinary
team
 Participation in developing total care plan for
patient
 Participates in transplant selection committee
 Review patient records and create transplant plan
with regards to medications and
immunosuppression
 Provides pertinent drug information as requested
to other health care providers in both the inpatient
and outpatient setting
QA


Participates in transplant QAPI program
Creates and participates in department QA
initiatives related to medications
Patient Care
 Relates to the patient in a professional manner and
uses interactive techniques to confirm patient
understanding
 Demonstrates proficiency in teaching patients
medication specific administration, dosing,
indication, and possible adverse effects posttransplant
 Demonstrates proficiency in documenting patient
education in the medical record
 Recognizes risk factor for non-adherence and work
to resolve any identifiable patient barriers
Professional Development
 Completes transplant specific continuing education
annually
 Reviews and integrates into practice current
professional literature in the field of transplantation
 Attends practice related conferences
 Participates as a preceptor in the area of transplant
pharmacology for students and residents
 Reviewed current protocol for standard
immunosuppression for heart, kidney and liver
transplant
Comments:
Signature: ____________________________________________________
Date:______________________________