I get why people resign from positions of authority when organisation/leadership goes down the wrong path (yes, looking at the RFK vaccine nonsense) BUT Who do you think replaces the leavers? A similarly minded person, or someone more allied to those views? We give way, and so facilitate

Looking for help…! #CriticalCarePharmacist #Oxford www.jobs.nhs.uk/candidate/jo...

Whole day was great UKCPA Critical Care Symposium @ukcpa.bsky.social

Jonathan presents the UK respiratory metagenomics implementation, route to routine. @ukcpa.bsky.social was great 👍

Just a week to go until the launch of the NCEPOD report Recovery Beyond Survival - a review of the quality of rehabilitation care provided to patients following an admission to an ICU. Register now to for the lunchtime webinar on 12 June👇 bit.ly/NCEPODwebinar

Have stress ulcer prophylaxis practices changed in the UK since the publication of PEPTIC? Yes, but highly likely nothing to do with PEPTIC journals.sagepub.com/doi/10.1177/...

#COVID5years Quotes that made us laugh in the moment are added to a whiteboard My niece asks pertinent questions for a school project

Dear ICU pharmacist colleague. Please complete our brief clinical pharmacysurvey for adult ICU. @rsbournie.bsky.social @markborthwick.bsky.social @chrisremmington.bsky.social @esicm.bsky.social @sccmcriticalcare.bsky.social @ukcpa.bsky.social #together #weareICU docs.google.com/forms/d/e/1F...

#COVID5years Impromptu hugs between nursing staff before a shift in the critical care covid bays

#COVID5years A little ‘thank you’ light show is projected onto the hospital Parallels are made between the Nightingale facility nearing completion, and pandemic flu facilities 100years earlier We start collecting handprints from our ICU workers

docs.google.com/forms/d/e/1F... Dear Intensive pharmacist, please complete our short international survey . This one for pharmacists, more coming for pharmacy team, including pharmacy technicians #bepartofresearch @markborthwick.bsky.social @chrisremmington.bsky.social and team

#COVID5years PIPA going strong Clinical trials aseptic unit making hundreds of propofol and NMB syringes each day Clinical pharmacy services to crit care now 7 days a week, 12hours a day

#COVID5years Renal replacement fluid supplies now under pressure, and start to be micromanaged Regular counts commence to report back to NHS central, we write on anything handy

#COVID5years Neuro ICU takes all general ICU work, other expanded/specialist units take covid patients PIPA in full flow Clinical trials mass produce propofol and atracurium syringes Nationally: Propofol supply begins to wobble Epoprostenol demand surges and detabilises supply

#COVID5years A more robust near patient IV prep area is developed - Pharmacy Intravenous Preparation Area (*PIPA*) Staff trained in IV making and ANTT in a medical school facility Nurses, medical students, pharmacy technicians, pharmacists collaborate Critical care surges into cardiothoracics

#COVID5years After the IV making service falls over, a new collaboration gets it on its feet again Outpatient areas are earmarked for an expanded service, shielding nurses and medical students are added to the initiative More critical care areas are converted to covid bays

#COVID5years The near patient IV making service falls over: new staff supporting the weekend are not trained in time, the weekday staff are exhausted Clinical trials aseptics unit start production of prefilled syringes of propofol and atracurium Home haircuts begin

#COVID5years Paediatric ICU empties and hands over the space to adult critical care to make ready for further influx The near patient IV medicines making area is pushed out of ICU as bays fill up with COVID, putting it in the “PPE only area” New spaces are eyed up to locate the service to

#COVID5years Urgent planning for national medicines in critical care is underway Nightingale hospitals soak up infusion pump supplies (amongst other equipment and resources) “Making service” commences at OUH (this will morph into PIPA over time “Pharmacy Intravenous Prep Area”)

The protocol for our PHOENIX trial has been published today, evaluating the feasibility of optimised nutrition and enhanced Physiotherapy for survivors of critical illness #ICURehab bmjopen.bmj.com/content/15/3...

#COVID5years Pharmacist upskilling webinars by UKCPA and RPS experience high demand (each event ran at least twice) Businesses begin supporting NHS staff with care packages

#COVID5years The redeployment of pharmacists to critical care requires rapid upskilling at scale The UKCPA and RPS pull together webinars and resources to quickly address the need

#COVID5years PPE training for pharmacists newly deployed to critical care Atracurium supply comes under strain, initial plans to consider cisatracurium Begin looking at 7day rosters

#COVID5years Inside, urgent planning occurred Lightening nursing workload a key aim: -Simplify CD process -Prefilled syringes made in aseptics -Individual patient doses made nearby -COVID order sets simplify prescribing and administration timing Outside, it was beautiful

#COVID5years Planning continues in the pharmacy critical care corner Rest of department swings in to support Outside, Spring gets underway

It's World Delirium Awareness Day. This year, the theme is 'Raising Awareness', so let's start by sharing this animation of my #PatientExperience #WDAD2025 youtu.be/JrK5zZC1rbw?si…

National campaign launch - 10% minimum of pharmacist time must be dedicated for Supporting Professional Activities (SPAs). Demands on pharmacists are rapidly reaching untenable levels. Read more: www.ghp.org.uk/protected-ti...

A 'Prevention of future deaths' report has highlighted the problem of pharmacists not being permitted to issue different strengths of medicines without an amended prescription following the death of a toddler #ukpharmacy #prescribing

We appear to be past the peak of #Flu in UK 🙌

Does enteral nutrition protect against stress ulceration in the critically ill? Probably, but little in the way of direct robust evidence journals.lww.com/co-clinicaln...

#Flu UKHSA report 3rd Jan www.gov.uk/government/s...

#Flu Increasing hospital and ICU admission rate Dominant strain H1N1: In severe immunosuppression*, it’s Zanamivir rather than the usual Oseltamivir first line *severe immunosuppression is defined in UKHSA guidance www.gov.uk/government/p...

#Flu ▪️Hospital admissions low but rising ▪️Crit care admissions low ▪️When subtyped, almost all are found to be A(H1N1) ▪️H1N1 has higher risk of antiviral resistance ▪️No resistance seen so far ▪️Historically, H1N1 hits NHS system less hard, but unfortunately hits the ICU system hard