Our critical care community is one of our most active and innovative in the UK. Often working as sole critical care pharmacists within their hospitals, practitioners in this area can receive support and advice from this community, wherever they are located.
The UKCPA Critical Care Committee paved the way in pharmacist-led national guidelines, professional recognition for advanced practitioners, and the need for practitioner-led education and training in clinical pharmacy.
With strong links to the Faculty of Intensive Care Medicine and the Intensive Care Society, our Critical Care Committee are involved in advocating for the impact and value of critical care pharmacy to inform workforce standards in critical care wards. They also regularly develop and deliver UKCPA learning events in critical care subjects, and have provided significant, instant support and training to practitioners during the COVID pandemic.
Members of the UKCPA Critical care Committee have been instrumental in advocating for the value of pharmacy within critical care. They contributed to the development of the core standards for intensive care units which outlined minimum staffing levels of critical care pharmacists, pharmacy technicians and the availability of clinical pharmacy services.
Members of the Committee were part of the working group which produced the NHS Adult Critical Care Pharmacy Workforce Strategy in 2022.
The Committee produced guidelines on pharmacy services needed for enhanced care in 2022.
The Committee developed the advanced pharmacist critical care curriculum which defines the purpose, programme of learning and the programme of assessment for entry-level advanced pharmacists practising in critical care. This work was undertaken in collaboration with the Royal Pharmaceutical Society and the Faculty of Intensive Care Medicine.
Critical care pharmacists are highly-specialised professionals who function as part of a multidisciplinary critical care team by optimising pharmacotherapy for intensive care patients. Critical care pharmacists will use their expert knowledge to determine the right drug therapy for individuals and optimise the use of medications within intensive care cases.
Regardless of their discipline, all pharmacists must complete their MPharm Pharmacy undergraduate degree, followed by one year of further training within the workplace. After this year of additional training, pharmacists will undergo their examination and subsequent registration with the General Pharmaceutical Council (GPC), after which newly qualified pharmacists can apply for jobs within their chosen sector.
Pharmacists wanting to specialise in critical care still need to undergo rotational job roles and complete the foundational training across the common specialities and departments within pharmacy, such as medicines, paediatrics and aseptic manufacturing. Following this, they are able to seek opportunities to work in the critical care setting.
Critical care pharmacists are a vital part of ICU healthcare teams, particularly when managing patients with complex medical conditions. Within a critical care setting, pharmacists can be expected to:
As critical care pharmacists work in intensive care units, most of these roles are stationed within a hospital or similar clinical setting. Some pharmacists choose to devote some time to education within the sector and will work as teaching fellows or lecturers in universities, and some may get involved in research activities.
Typically, a critical care pharmacist’s initial role managing patients within an intensive care setting will require supervision from more senior pharmacists when caring for complex patients. As they progress towards more advanced practice, they are able to undergo the advanced pharmacist critical care credentialing assessment, using the advanced pharmacist critical care curriculum as a framework.
From here, critical care pharmacists are able to apply for more advanced roles when suitably experienced and can also complete further training in their chosen field to enhance their knowledge and career prospects, such as completing a Critical Care MSc.
In larger clinical environments, many critical care pharmacists progress to management roles within intensive care. Generally, the more senior the critical care role, the more professional support will be required from the pharmacists to junior staff. This includes developing and implementing guidelines, helping to educate junior pharmacists, managing the expenditure of medicines, and conducting ongoing research.
In order to become a consultant critical care pharmacist, senior pharmacists are required to complete the consultant pharmacist credentialing process. This is to demonstrate the pharmacist’s ability to:
Once the consultant pharmacist credentialing process has been completed, critical care consultants are officially recognised as an expert in intensive care pharmaceuticals beyond their clinical setting. Many of these critical care pharmacists have chosen to become part of UKCPA’s critical care community and committee, pioneering the future of critical care pharmacy within the UK and beyond.
David Sapsford - Consultant pharmacist in critical care
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