Hospital patient workup guide for pharmacists

[taterbean]

Hey, we have a lot of pharmacy students that come through the hospital on rotations, I was wondering if anyone has a comprehensive guide on mental checks all pharmacists should go through when working up patients? Sort of an easy to follow flow sheet that I can give to the students, because they all do it differently and often omit important considerations. I know what I do, but seeing what everyone else does to supplement, thanks!

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[njac]

Obviously gi and dvt prophy, as well as appropriateness of dosing, butbeyond that it depends on the patient and what service they're on (neurosurg vs im vs gen peds etc)