At the Royal Columbian Hospital, CPSTs have been playing an important role in the delivery of pharmaceutical care in the ICU. They have provided assistance to the clinical pharmacy specialists by assisting with the technical components of the pharmacists’ practice. At the time this article was prepared, the CPSTs were performing the activities described below in the ICU, under the supervision of the clinical pharmacy specialists.

Triage of Patients

To facilitate the delivery of pharmaceutical care by the clinical pharmacy specialists, the CPST helps to keep track of admissions, transfers, and discharges of all critically ill patients in the hospital throughout the day. Each morning, the CPST generates a list of patients who have been admitted to the ICU, and then compares the newly generated list with the previous day’s list, notifying the clinical pharmacy specialist of any patient who has moved to a different unit or a different hospital (trans­fers). This alerts the clinical pharmacy specialist in the ICU to contact the receiving clinical pharmacists to inform them of any pertinent drug-related issues needing follow-up. In addition, if a patient is being transferred out of the unit unexpectedly, which usually occurs because another patient requires the bed, the CPST alerts the clinical pharmacy specialist so that he or she can ensure that the transfer orders are accurate. This activity expedites the movement of patients. At the same time, the clinical pharmacy specialist is informed of any new patients admitted to the ICU, to allow priorities for patient work-up to be adjusted accordingly. eriacta 100 mg

Throughout the day, the CPST keeps track of hospital inpatients who may be referred to the ICU team. The CPST can identify these patients with the help of the clinical pharmacy specialist or by identifying patients who are receiving mechanical ventilation elsewhere in the hospital. Once such a patient is identified, the CPST can proceed with the initial work-up by starting a patient monitoring form and collecting information for predefined parameters. The CPST also notifies the pharmacy dispensary about these patients and resolves any potential drug-distribution problems associated with transferring care to the ICU team. Such problems might include medications going missing during transfer and the need to expedite “stat” medication orders. With the CPST tracking the patients, issues originating in the dispensary or raised by other members of the health care team can be resolved or referred to the pharmacist in an efficient manner. Using up-to-date information about patients’ movements, as provided by the CPST, the clinical phar­macy specialist is able to triage his or her priorities accordingly.