American College of Clinical Pharmacy
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Mon-15 - Critical Care PRN advocacy for the advancement of critical care pharmacy practice

Scientific Poster Session III - PRN Contributed Posters

PRN Contributed Posters
  Monday, November 13, 2023
  01:00 PM–02:30 PM

Abstract

Pharmacists first established ICU practices around the 1970s. Since then, it has been established that critical care pharmacists (CCPs) are essential members of the interprofessional care team, improve patient-centered outcomes, and lead to the avoidance of unnecessary healthcare expenditures. The American College of Clinical Pharmacy Critical Care Practice & Research Network (PRN) has consistently advocated for advancement of CCP practice.

In 2020, a task force convened between the Critical Care PRN, Society of Critical Care Medicine (SCCM), and American Society of Health-System Pharmacists (ASHP) to update the roadmap for establishing and refining CCP services through 82 recommendations across five key domains: patient care, quality improvement, research and scholarship, training and education, and professional development.

A subsequent opinion paper endorsed by the Critical Care PRN outlined CCP patient care activities that align with the 2020 task force recommendations. However, the COVID-19 pandemic and financial pressures have brought significant changes to CCP practice, resulting in high rates of attrition and burnout.

It is incumbent on the Critical Care PRN to lead in advocacy and serve as the voice of CCPs. A new task force has been established that includes CCPs from the PRN, hospital administrators, an organizational psychologist, and representation by the SCCM, ASHP, American Academy of Critical Care Nurses, the Joint Commission, Institute for Safe Medication Practices, and U.S. Public Health Service. The task force is surveying the Critical Care PRN listserv to ensure inclusivity and represent the membership's collective voice. Thereafter, a modified Delphi process will build upon prior efforts and establish 1) frameworks for optimal CCP practice models, 2) recommendations for optimal practice, and 3) agendas for future areas of research and advocacy. The goal is to prioritize and provide a description of implementation models that optimize clinical cognitive services provided by CCPs that improve patient-centered outcomes.

Presenting Author

Mojdeh Heavner PharmD, BCPS, BCCCP, FCCM
University of Maryland School of Pharmacy

Authors

Michael Behal PharmD, BCCCP
Nicole Palm PharmD, BCCCP, FCCM
Cleveland Clinic Main

Deepali Dixit PharmD, BCPS, BCCCP, FCCM
Ernest Mario School of Pharmacy

Andrea Sikora Newsome PharmD, MSCR, BCCCP, FCCM
Augusta University Medical Center/UGA College of Pharmacy

Susan E. Smith PharmD, BCPS, BCCCP, FCCM
University of Georgia College of Pharmacy

Zachary Smith PharmD, BCPS, BCCCP
Henry Ford Hospital