#WeNurses - Thursday 20th July 2017 8pm (GMT Standard Time) Identifying deteriorating residents in care homes

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Hosted by WeNurses using #WeNurses

This chat is guest hosted by @FSHCNurses

This tweet-chat will explore how nurses can quickly identify deteriorating patients within a care home setting.  It will focus on how to spot early signs of deterioration, how to interpret clinical observations, how to use the SBAR tool to communicate meaningful information to supporting practitioners and how to respond to an emergency.  Consideration will also be given to the timely recognition of sepsis within a care home setting.

The tweet-chat will focus on five main areas:

1. How to spot early signs of deterioration.

2. How to interpret clinical observations.

Clinical observations that will be considered include; respiration rate, heart rate, oxygen saturation level, blood pressure, temperature, consciousness, blood glucose and urinalysis.

3. How to use the SBAR tool to communicate meaningful information to supporting practitioners.

SBAR is an easy to remember acronym that can be used to frame conversations especially critical ones needing immediate medical attention/action.  It can be summarised as the following:

S: Situation aboutwhat the problem is

B: Background includingrelevant medical history

A: Assessment usingthe ABCDE approach and supplemented with clinical observations.

R: Recommendationsabout what the plan of care should be.

The benefit of SBAR isthat it enables nurses to clarify what information should be communicatedbetween members of the team in a timely and effective manner.

4. How to respond to an emergency.

Consideration to immediate first aid within a care home setting and examples that might include: choking, cardiac arrest, head injury, suspected fracture and loss of consciousness.

5. How to recognise sepsis within a care home setting.

Sepsis is a life threatening condition that arises when the body’s response to an infection injures its own tissues and organs. Sepsis leads to shock, multiple organ failure and death especially if not recognised early and treated promptly. Sepsis is one of the most common causes of a person’s deterioration in hospitals and long term care facilities; and in the community it accounts for between 10 and 20% of adult medical emergencies.  It was previously known as septicaemia or blood poisoning and is caused by a huge variety of different bacteria such as streptococcus, E-coli, MRSA and C-diff.

   

About our guest host

Dr Gary Mitchell is a nurse specialist with Four Seasons Health Care (FSHC).  FSHC provide care to 16,000 older people across 350 care homes in the UK.  Gary coordinates @FSHCNurses which is a brand new twitter page that seeks to provide a voice to our 3000 nurses who work at FSHC. Gary has previously hosted a tweet-chat with WeNurses & has previous experience as a social media editor with the British Medical Journal.





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 #WeNurses transcript

 
@cherylwilson2
20 July 2017 20:00
RT @WeNurses: Hello and welcome to #WeNurses Please say hello if you are joining us this evening https://t.co/rfXQnAIipn
@learnhospice
20 July 2017 20:00
RT @WeNurses: How do you spot the early signs of deterioration in people in care homes ? > http://buff.ly/2uCvIe8 #WeNurses at…
@SueMarsden6
20 July 2017 20:00
@WeNurses #WeNurses hello! Lurking mostly
@cherylwilson2
20 July 2017 20:00
@WeNurses Sort of here #WeNurses
@GaryMitchellRN
20 July 2017 20:00
RT @WeNurses: Hello and welcome to #WeNurses Please say hello if you are joining us this evening https://t.co/rfXQnAIipn
@GaryMitchellRN
20 July 2017 20:00
RT @livinginhope: @HullNursing @FacHealthHull - get the kettle on #WeNurses chat starts soon https://twitter.com/wenurses/status/888108765291044864
@WeNurses
20 July 2017 20:01
Tonights discussion is around caring for people when they rapidly deteriorate in care homes Our guest hosts are @FSHCnurses #Wenurses
@LooBlackburn
20 July 2017 20:01
RT @WeNurses: 1/2 an hour until #WeNurses Identifying deteriorating residents in care homes > http://buff.ly/2uDO3HK Join u…
@Tigerlilyflower
20 July 2017 20:01
#WeNurses hello, sitting with my Gin as on hols in Holland :)
@AgencyNurse
20 July 2017 20:01
Hello - I'm here #WeNurses
@JillAnneWill
20 July 2017 20:01
Evening all #WeNurses @WeNurses #carehomes #deterioratingresidents
@Hutchison_88
20 July 2017 20:01
@WeNurses hello #WeNurses am looking forward to this chat!
@FSHCNurses
20 July 2017 20:01
Hello @WeNurses ???? #ThankYou for hosting such an important chat ?????? Delighted to join you #WeNurses
@LooBlackburn
20 July 2017 20:01
@WeNurses @FSHCNurses opps forgot the #wenurses !
@WeNurses
20 July 2017 20:02
OOH lovely :) thanks for joining but do take a break too! #wenurses https://twitter.com/Tigerlilyflower/status/888111628599701505
@JillAnneWill
20 July 2017 20:02
@Tigerlilyflower Great to see you here Liane #WeNurses
@WeNurses
20 July 2017 20:02
Question 1 Lets define "deteriorating" #WeNurses https://t.co/pmNvgHTWUB
@WeNurses
20 July 2017 20:02
@cherylwilson2 better than sort of not here :) Hi @cherylwilson2 #wenurses
@FSHCNurses
20 July 2017 20:02
RT @JillAnneWill: @Tigerlilyflower Great to see you here Liane #WeNurses
@FSHCNurses
20 July 2017 20:02
RT @WeNurses: OOH lovely :) thanks for joining but do take a break too! #wenurses https://twitter.com/Tigerlilyflower/status/888111628599701505
@FSHCNurses
20 July 2017 20:02
RT @Hutchison_88: @WeNurses hello #WeNurses am looking forward to this chat!
@FSHCNurses
20 July 2017 20:02
RT @JillAnneWill: Evening all #WeNurses @WeNurses #carehomes #deterioratingresidents
@FSHCNurses
20 July 2017 20:03
RT @AgencyNurse: Hello - I'm here #WeNurses
@FSHCNurses
20 July 2017 20:03
RT @Tigerlilyflower: #WeNurses hello, sitting with my Gin as on hols in Holland :)
@WeNurses
20 July 2017 20:03
Thank you for such a great tweetchat suggestion #WeNurses https://twitter.com/FSHCNurses/status/888111762905509889
@sroo91
20 July 2017 20:03
@WeNurses Hi! Looking forward to this chat! #wenurses
@FSHCNurses
20 July 2017 20:03
RT @SueMarsden6: @WeNurses #WeNurses hello! Lurking mostly
@FSHCNurses
20 July 2017 20:03
RT @WeNurses: Question 1 Lets define "deteriorating" #WeNurses https://t.co/pmNvgHTWUB
@FSHCNurses
20 July 2017 20:03
RT @WeNurses: Thank you for such a great tweetchat suggestion #WeNurses https://twitter.com/FSHCNurses/status/888111762905509889
@WeNurses
20 July 2017 20:03
@SueMarsden6 lurk away :) welcome @SueMarsden6 #WeNurses
@GaryMitchellRN
20 July 2017 20:03
RT @WeNurses: Question 1 Lets define "deteriorating" #WeNurses https://t.co/pmNvgHTWUB
@cherylwilson2
20 July 2017 20:03
@WeNurses Ha ha #WeNurses
@GaryMitchellRN
20 July 2017 20:03
RT @WeNurses: Thank you for such a great tweetchat suggestion #WeNurses https://twitter.com/FSHCNurses/status/888111762905509889
@GaryMitchellRN
20 July 2017 20:03
RT @sroo91: @WeNurses Hi! Looking forward to this chat! #wenurses
@AgencyNurse
20 July 2017 20:03
Becoming very unwell ... sometimes very quickly ! #WeNurses https://twitter.com/WeNurses/status/888111933865328641
@FSHCNurses
20 July 2017 20:03
RT @sroo91: @WeNurses Hi! Looking forward to this chat! #wenurses
@learnhospice
20 July 2017 20:03
RT @WeNurses: Hello and welcome to #WeNurses Please say hello if you are joining us this evening https://t.co/rfXQnAIipn
@LynneBowers2
20 July 2017 20:03
RT @FSHCNurses: Hello @WeNurses ???? #ThankYou for hosting such an important chat ?????? Delighted to join you #WeNurses
@cherylwilson2
20 July 2017 20:04
RT @AgencyNurse: Becoming very unwell ... sometimes very quickly ! #WeNurses https://twitter.com/WeNurses/status/888111933865328641
@FSHCNurses
20 July 2017 20:04
RT @AgencyNurse: Becoming very unwell ... sometimes very quickly ! #WeNurses https://twitter.com/WeNurses/status/888111933865328641
@LynneBowers2
20 July 2017 20:04
RT @WeNurses: Question 1 Lets define "deteriorating" #WeNurses https://t.co/pmNvgHTWUB
@SueMarsden6
20 July 2017 20:04
@WeNurses #WeNurses . To me it's a change from what is normal for that person.
@zimbasplace
20 July 2017 20:04
RT @AgencyNurse: Becoming very unwell ... sometimes very quickly ! #WeNurses https://t.co/j6LdfscCdH
@WeNurses
20 July 2017 20:04
@AgencyNurse @JillAnneWill @Hutchison_88 @LooBlackburn @sroo91 @FSHCNurses welcome all :) #wenurses
@WeDistrictNurse
20 July 2017 20:05
RT @WeNurses: Question 1 Lets define "deteriorating" #WeNurses https://t.co/pmNvgHTWUB
@WeGPNs
20 July 2017 20:05
RT @WeNurses: Question 1 Lets define "deteriorating" #WeNurses https://t.co/pmNvgHTWUB
@WeNurses
20 July 2017 20:05
RT @WeNurses: Question 1 Lets define "deteriorating" #WeNurses https://t.co/pmNvgHTWUB
@FSHCNurses
20 July 2017 20:05
RT @WeNurses: @AgencyNurse @JillAnneWill @Hutchison_88 @LooBlackburn @sroo91 @FSHCNurses welcome all :) #wenurses
@FSHCNurses
20 July 2017 20:05
RT @SueMarsden6: @WeNurses #WeNurses . To me it's a change from what is normal for that person.
@AgencyNurse
20 July 2017 20:05
This looks good re deterioration from @NursingTimes > https://t.co/5s9paPHFJM #WeNurses #EBP https://t.co/XWGyzCOQXt
@WeNurses
20 July 2017 20:05
RT @SueMarsden6: @WeNurses #WeNurses . To me it's a change from what is normal for that person.
@AgencyNurse
20 July 2017 20:05
RT @SueMarsden6: @WeNurses #WeNurses . To me it's a change from what is normal for that person.
@DeeDavies12
20 July 2017 20:05
@WeNurses The person may be experiencing changes in mental alertness,appetite,increasing number of trips etc #WeNurses
@cherylwilson2
20 July 2017 20:06
RT @AgencyNurse: This looks good re deterioration from @NursingTimes > https://www.nursingtimes.net/Journals/2011/08/24/f/p/p/The-Deteriorating-Patient.pdf #WeNurses #EBP https://t.co/XWGyzCOQXt
@LynneBowers2
20 July 2017 20:06
RT @AgencyNurse: This looks good re deterioration from @NursingTimes > https://www.nursingtimes.net/Journals/2011/08/24/f/p/p/The-Deteriorating-Patient.pdf #WeNurses #EBP https://t.co/XWGyzCOQXt
@AgencyNurse
20 July 2017 20:06
Nicely said Sue .. if we have no baseline "normal" then very tricky to ascertain deterioration #WeNurses https://twitter.com/SueMarsden6/status/888112458644070400
@LooBlackburn
20 July 2017 20:06
RT @SueMarsden6: @WeNurses #WeNurses . To me it's a change from what is normal for that person.
@WeNurses
20 July 2017 20:06
RT @DeeDavies12: @WeNurses The person may be experiencing changes in mental alertness,appetite,increasing number of trips etc #WeNurses
@AgencyNurse
20 July 2017 20:06
RT @DeeDavies12: @WeNurses The person may be experiencing changes in mental alertness,appetite,increasing number of trips etc #WeNurses
@GaryMitchellRN
20 July 2017 20:06
@WeNurses #WeNurses Deterioration can happen quickly or can be slow - sometimes difficult to spot in #CareHomes due to frailty.
@FSHCNurses
20 July 2017 20:06
RT @AgencyNurse: This looks good re deterioration from @NursingTimes > https://www.nursingtimes.net/Journals/2011/08/24/f/p/p/The-Deteriorating-Patient.pdf #WeNurses #EBP https://t.co/XWGyzCOQXt
@WeNurses
20 July 2017 20:06
#WeNurses https://twitter.com/CraigPriestley5/status/888112765428158469
@WeDocs
20 July 2017 20:06
our friends over on #WeNurses talking about "Identifying deteriorating residents in care homes" do feel free to joi… https://twitter.com/i/web/status/888112915252887555
@FSHCNurses
20 July 2017 20:06
RT @DeeDavies12: @WeNurses The person may be experiencing changes in mental alertness,appetite,increasing number of trips etc #WeNurses
@FSHCNurses
20 July 2017 20:06
RT @AgencyNurse: Nicely said Sue .. if we have no baseline "normal" then very tricky to ascertain deterioration #WeNurses https://t.co/o5oa…
@WeNurses
20 July 2017 20:06
#WeNurses > https://twitter.com/mlofthouse1888/status/888112671354007552
@cherylwilson2
20 July 2017 20:07
RT @WeDocs: our friends over on #WeNurses talking about "Identifying deteriorating residents in care homes" do feel free to joi…
@JillAnneWill
20 July 2017 20:07
@WeNurses #WeNurses declining health which changes their abilities, engagement or perceived quality of life. It can… https://twitter.com/i/web/status/888113096060948481
@StrainJoanne
20 July 2017 20:07
RT @AgencyNurse: Nicely said Sue .. if we have no baseline "normal" then very tricky to ascertain deterioration #WeNurses https://t.co/o5oa…
@StrainJoanne
20 July 2017 20:07
RT @GaryMitchellRN: @WeNurses #WeNurses Deterioration can happen quickly or can be slow - sometimes difficult to spot in #CareHomes due to…
@CraigPriestley5
20 July 2017 20:07
RT @GaryMitchellRN: @WeNurses #WeNurses Deterioration can happen quickly or can be slow - sometimes difficult to spot in #CareHomes due to…
@Hutchison_88
20 July 2017 20:07
@WeNurses deteriorating for me is when a patient presents signs/symptoms that differ from their base line. #WeNurses
@WeNurses
20 July 2017 20:07
@WeDocs thanks and yes... do join in :) #wenurses All welcome and everybody adds value!
@WeNurses
20 July 2017 20:07
RT @Hutchison_88: @WeNurses deteriorating for me is when a patient presents signs/symptoms that differ from their base line. #WeNurses
@WeNurses
20 July 2017 20:08
RT @JillAnneWill: @WeNurses #WeNurses declining health which changes their abilities, engagement or perceived quality of life. It can…
@jawad_hala
20 July 2017 20:08
RT @WePharmacists: Seen tonights #wenurses? http://wecommunities.org/tweet-chats/chat-details/3007 We can all have some input & learn from "Identifying deteriorating…
@JillAnneWill
20 July 2017 20:08
@AgencyNurse #WeNurses particularly relevant for care homes supporting respite residents
@FSHCNurses
20 July 2017 20:08
RT @Hutchison_88: @WeNurses deteriorating for me is when a patient presents signs/symptoms that differ from their base line. #WeNurses
@FSHCNurses
20 July 2017 20:08
RT @JillAnneWill: @WeNurses #WeNurses declining health which changes their abilities, engagement or perceived quality of life. It can…
@FSHCNurses
20 July 2017 20:08
RT @WeNurses: #WeNurses > https://twitter.com/mlofthouse1888/status/888112671354007552
@AgencyNurse
20 July 2017 20:08
@FSHCNurses @WeNurses indeed - perhaps no one thing is an indicator ? an amalgamation of things ? #WeNurses
@StrainJoanne
20 July 2017 20:08
RT @Hutchison_88: @WeNurses deteriorating for me is when a patient presents signs/symptoms that differ from their base line. #WeNurses
@FSHCNurses
20 July 2017 20:08
RT @WeDocs: our friends over on #WeNurses talking about "Identifying deteriorating residents in care homes" do feel free to joi…
@FSHCNurses
20 July 2017 20:08
RT @GaryMitchellRN: @WeNurses #WeNurses Deterioration can happen quickly or can be slow - sometimes difficult to spot in #CareHomes due to…
@Tigerlilyflower
20 July 2017 20:08
#WeNurses a negative change in the persons health or general wellbeing
@SASCONSULTPARA
20 July 2017 20:08
RT @Hutchison_88: @WeNurses deteriorating for me is when a patient presents signs/symptoms that differ from their base line. #WeNurses
@FSHCNurses
20 July 2017 20:08
RT @WeNurses: #WeNurses https://twitter.com/CraigPriestley5/status/888112765428158469
@JonathanCliffe8
20 July 2017 20:08
@WeNurses An observation which indicates a decline in the health & wellbeing of an individual #WeNurses
@sroo91
20 July 2017 20:08
Can be a very "acute" change in an individuals wellbeing or can be slowly over a longer period of time #WeNurses
@FSHCNurses
20 July 2017 20:08
RT @WeNurses: @WeDocs thanks and yes... do join in :) #wenurses All welcome and everybody adds value!
@JaneTurnerStH
20 July 2017 20:09
@WeNurses Hello. A change in cognitive function with the person being less alert than usual. #WeNurses
@FSHCNurses
20 July 2017 20:09
RT @AgencyNurse: @FSHCNurses @WeNurses indeed - perhaps no one thing is an indicator ? an amalgamation of things ? #WeNurses
@sroo91
20 July 2017 20:09
RT @GaryMitchellRN: @WeNurses #WeNurses Deterioration can happen quickly or can be slow - sometimes difficult to spot in #CareHomes due to…
@StrainJoanne
20 July 2017 20:09
RT @JillAnneWill: @WeNurses #WeNurses declining health which changes their abilities, engagement or perceived quality of life. It can…
@FSHCNurses
20 July 2017 20:09
RT @JillAnneWill: @AgencyNurse #WeNurses particularly relevant for care homes supporting respite residents
@AgencyNurse
20 July 2017 20:09
oh gosh yes indeed .... as very often don't know these people as well #WeNurses https://twitter.com/JillAnneWill/status/888113396758872065
@GaryMitchellRN
20 July 2017 20:09
RT @JaneTurnerStH: @WeNurses Hello. A change in cognitive function with the person being less alert than usual. #WeNurses
@GaryMitchellRN
20 July 2017 20:09
RT @sroo91: Can be a very "acute" change in an individuals wellbeing or can be slowly over a longer period of time #WeNurses
@GaryMitchellRN
20 July 2017 20:09
RT @JonathanCliffe8: @WeNurses An observation which indicates a decline in the health & wellbeing of an individual #WeNurses
@GaryMitchellRN
20 July 2017 20:09
RT @Tigerlilyflower: #WeNurses a negative change in the persons health or general wellbeing
@GaryMitchellRN
20 July 2017 20:09
RT @AgencyNurse: @FSHCNurses @WeNurses indeed - perhaps no one thing is an indicator ? an amalgamation of things ? #WeNurses
@FSHCNurses
20 July 2017 20:09
RT @Tigerlilyflower: #WeNurses a negative change in the persons health or general wellbeing
@WeNurses
20 July 2017 20:09
RT @sroo91: Can be a very "acute" change in an individuals wellbeing or can be slowly over a longer period of time #WeNurses
@AgencyNurse
20 July 2017 20:09
RT @sroo91: Can be a very "acute" change in an individuals wellbeing or can be slowly over a longer period of time #WeNurses
@FSHCNurses
20 July 2017 20:09
RT @JonathanCliffe8: @WeNurses An observation which indicates a decline in the health & wellbeing of an individual #WeNurses
@Derekw_Johnson
20 July 2017 20:09
#wenurses https://twitter.com/derekw_johnson/status/888112419721039873
@FSHCNurses
20 July 2017 20:09
RT @sroo91: Can be a very "acute" change in an individuals wellbeing or can be slowly over a longer period of time #WeNurses
@FSHCNurses
20 July 2017 20:09
RT @JaneTurnerStH: @WeNurses Hello. A change in cognitive function with the person being less alert than usual. #WeNurses
@FSHCNurses
20 July 2017 20:09
RT @AgencyNurse: oh gosh yes indeed .... as very often don't know these people as well #WeNurses https://twitter.com/JillAnneWill/status/888113396758872065
@mynameisAndyJ
20 July 2017 20:09
RT @WeNurses: @WeDocs thanks and yes... do join in :) #wenurses All welcome and everybody adds value!
@FSHCNurses
20 July 2017 20:10
RT @Derekw_Johnson: #wenurses https://twitter.com/derekw_johnson/status/888112419721039873
@StrainJoanne
20 July 2017 20:10
RT @sroo91: Can be a very "acute" change in an individuals wellbeing or can be slowly over a longer period of time #WeNurses
@WeNurses
20 July 2017 20:10
QUESTION 2 What early signs should we look out for ? #WeNurses https://t.co/HJIz3XmN1x
@mynameisAndyJ
20 July 2017 20:10
RT @JonathanCliffe8: @WeNurses An observation which indicates a decline in the health & wellbeing of an individual #WeNurses
@JillAnneWill
20 July 2017 20:10
@AgencyNurse #WeNurses deterioration is not always unexpected, many residents live with life limiting or chronic co… https://twitter.com/i/web/status/888113920946221057
@mynameisAndyJ
20 July 2017 20:10
RT @Tigerlilyflower: #WeNurses a negative change in the persons health or general wellbeing
@Derekw_Johnson
20 July 2017 20:10
This is where the recording of changes and screening are important #wenurses https://twitter.com/deedavies12/status/888112710432440321
@WeNurses
20 July 2017 20:11
#wenurses https://twitter.com/mlofthouse1888/status/888113800397729792
@LooBlackburn
20 July 2017 20:11
@SueMarsden6 would be keen to learn more about this. #wenurses
@learnhospice
20 July 2017 20:11
RT @WeNurses: Question 1 Lets define "deteriorating" #WeNurses https://t.co/pmNvgHTWUB
@cherith_rogers
20 July 2017 20:11
@WeNurses there is a great deal of responsibility on the Nurse and knowing what each residents 'normal' is #wenurses
@learnhospice
20 July 2017 20:11
RT @WeDocs: our friends over on #WeNurses talking about "Identifying deteriorating residents in care homes" do feel free to joi…
@AgencyNurse
20 July 2017 20:11
Like this definition .. though "observation" may not necessarily be clinical observations eg BP, Pulse etc #WeNurses https://twitter.com/JonathanCliffe8/status/888113484872929294
@learnhospice
20 July 2017 20:11
RT @WeNurses: Thank you for such a great tweetchat suggestion #WeNurses https://twitter.com/FSHCNurses/status/888111762905509889
@JillAnneWill
20 July 2017 20:11
@WeNurses #WeNurses withdraw, reduced intake or output, excessive sleepiness, change in "mood"
@AgencyNurse
20 July 2017 20:11
RT @JillAnneWill: @AgencyNurse #WeNurses deterioration is not always unexpected, many residents live with life limiting or chronic co…
@WeNurses
20 July 2017 20:11
RT @JillAnneWill: @AgencyNurse #WeNurses deterioration is not always unexpected, many residents live with life limiting or chronic co…
@mynameisAndyJ
20 July 2017 20:11
RT @Derekw_Johnson: This is where the recording of changes and screening are important #wenurses https://twitter.com/deedavies12/status/888112710432440321
@malestudntnurse
20 July 2017 20:11
@WeNurses A change from the norm of that individual with consideration to all aspects of health including mental, physical etc #WeNurses
@AgencyNurse
20 July 2017 20:12
yes indeed #WeNurses https://twitter.com/Tigerlilyflower/status/888114158104788994
@WeNurses
20 July 2017 20:12
RT @JillAnneWill: @WeNurses #WeNurses withdraw, reduced intake or output, excessive sleepiness, change in "mood"
@FSHCNurses
20 July 2017 20:12
Difficult to spot deterioration without validated assessment tool & if person is in advanced stages of disease #WeNurses @WeNurses
@WeNurses
20 July 2017 20:12
#Wenurses https://twitter.com/mlofthouse1888/status/888114316578136064
@mynameisAndyJ
20 July 2017 20:12
RT @AgencyNurse: Like this definition .. though "observation" may not necessarily be clinical observations eg BP, Pulse etc #WeNurses https…
@JillAnneWill
20 July 2017 20:12
@mlofthouse1888 @WeNurses yes part of the disease trajectory #WeNurses
@StrainJoanne
20 July 2017 20:12
RT @JillAnneWill: @WeNurses #WeNurses withdraw, reduced intake or output, excessive sleepiness, change in "mood"
@WeNurses
20 July 2017 20:12
Don't forget to add #wenurses to your tweets :) This allows those not following you (yet) to see your input & gets… https://twitter.com/i/web/status/888114456055631876
@FSHCNurses
20 July 2017 20:12
RT @AgencyNurse: yes indeed #WeNurses https://twitter.com/Tigerlilyflower/status/888114158104788994
@FSHCNurses
20 July 2017 20:12
RT @JillAnneWill: @WeNurses #WeNurses withdraw, reduced intake or output, excessive sleepiness, change in "mood"
@FSHCNurses
20 July 2017 20:12
RT @AgencyNurse: Like this definition .. though "observation" may not necessarily be clinical observations eg BP, Pulse etc #WeNurses https…
@WeNurses
20 July 2017 20:12
Looks interesting #WeNurses https://twitter.com/SueMarsden6/status/888113769846521856
@FSHCNurses
20 July 2017 20:12
RT @cherith_rogers: @WeNurses there is a great deal of responsibility on the Nurse and knowing what each residents 'normal' is #wenurses
@FSHCNurses
20 July 2017 20:13
RT @Derekw_Johnson: This is where the recording of changes and screening are important #wenurses https://twitter.com/deedavies12/status/888112710432440321
@FSHCNurses
20 July 2017 20:13
RT @JillAnneWill: @AgencyNurse #WeNurses deterioration is not always unexpected, many residents live with life limiting or chronic co…
@JonathanCliffe8
20 July 2017 20:13
@AgencyNurse #HolisticObservation - taking into account physical, mental and emotional health & wellbeing #WeNurses
@FSHCNurses
20 July 2017 20:13
RT @WeNurses: QUESTION 2 What early signs should we look out for ? #WeNurses https://t.co/HJIz3XmN1x
@WeDocs
20 July 2017 20:13
RT @WeNurses: QUESTION 2 What early signs should we look out for ? #WeNurses https://t.co/HJIz3XmN1x
@WeDistrictNurse
20 July 2017 20:13
RT @WeNurses: QUESTION 2 What early signs should we look out for ? #WeNurses https://t.co/HJIz3XmN1x
@WeGPNs
20 July 2017 20:13
RT @WeNurses: QUESTION 2 What early signs should we look out for ? #WeNurses https://t.co/HJIz3XmN1x
@WePharmacists
20 July 2017 20:13
RT @WeNurses: QUESTION 2 What early signs should we look out for ? #WeNurses https://t.co/HJIz3XmN1x
@JonathanCliffe8
20 July 2017 20:13
RT @AgencyNurse: Like this definition .. though "observation" may not necessarily be clinical observations eg BP, Pulse etc #WeNurses https…
@AgencyNurse
20 July 2017 20:13
Any changes in that person can be an indicator #WeNurses https://twitter.com/WeNurses/status/888113898112507904
@DeeDavies12
20 July 2017 20:13
@WeNurses The signs can be subtle such as not wanting to get out of bed or lack of hygiene such as not wanting to wash #WeNurses
@AgencyNurse
20 July 2017 20:13
nicely said #WeNurses https://twitter.com/JonathanCliffe8/status/888114579754033152
@LynneBowers2
20 July 2017 20:13
@WeNurses #wenurses The importance of continuity of care, and staff empowered to intervene, escalate or manage end… https://twitter.com/i/web/status/888114771240771585
@jawad_hala
20 July 2017 20:14
RT @WeNurses: Question 1 Lets define "deteriorating" #WeNurses https://t.co/pmNvgHTWUB
@Tigerlilyflower
20 July 2017 20:14
@cherith_rogers @WeNurses #wenurses not all on the nurse important we enable our care staff to look of signs
@AgencyNurse
20 July 2017 20:14
RT @Derekw_Johnson: This is where the recording of changes and screening are important #wenurses https://twitter.com/deedavies12/status/888112710432440321
@sroo91
20 July 2017 20:14
People living in a care home some of the earliest signs for staff can be a change in that persons behaviour #WeNurses
@LynneBowers2
20 July 2017 20:14
RT @AgencyNurse: Like this definition .. though "observation" may not necessarily be clinical observations eg BP, Pulse etc #WeNurses https…
@Hutchison_88
20 July 2017 20:14
@WeNurses #WeNurses depends on the patient and their original condition. fever, D and V, reluctance to eat/drink, d… https://twitter.com/i/web/status/888114911812796416
@Rae74k
20 July 2017 20:14
RT @WeNurses: Looks interesting #WeNurses https://twitter.com/SueMarsden6/status/888113769846521856
@lynnewalsall
20 July 2017 20:14
RT @AgencyNurse: nicely said #WeNurses https://twitter.com/JonathanCliffe8/status/888114579754033152
@GaryMitchellRN
20 July 2017 20:14
I think #Nursing Intuition plays a huge role - know your resident & what is "normal". If resident is anxious you should be too! #WeNurses
@cherylwilson2
20 July 2017 20:14
RT @WeNurses: QUESTION 2 What early signs should we look out for ? #WeNurses https://t.co/HJIz3XmN1x
@FSHCNurses
20 July 2017 20:14
RT @FSHCNurses: Difficult to spot deterioration without validated assessment tool & if person is in advanced stages of disease #WeNurses @W…
@AgencyNurse
20 July 2017 20:14
There is but I have found care staff invaluable with this ... its a team effort ! #WeNurses https://twitter.com/cherith_rogers/status/888114103725678599
@FSHCNurses
20 July 2017 20:14
RT @WeNurses: #Wenurses https://twitter.com/mlofthouse1888/status/888114316578136064
@FSHCNurses
20 July 2017 20:14
RT @JillAnneWill: @mlofthouse1888 @WeNurses yes part of the disease trajectory #WeNurses
@sroo91
20 July 2017 20:14
i.e. Changes in eating habits, changes in levels of engagement, sleep #WeNurses
@JillAnneWill
20 July 2017 20:14
@Tigerlilyflower @cherith_rogers @WeNurses #WeNurses absolutely- many care homes do not have nursing staff
@FSHCNurses
20 July 2017 20:15
RT @WeNurses: Don't forget to add #wenurses to your tweets :) This allows those not following you (yet) to see your input & gets…
@FSHCNurses
20 July 2017 20:15
RT @WeNurses: Looks interesting #WeNurses https://twitter.com/SueMarsden6/status/888113769846521856
@LynneBowers2
20 July 2017 20:15
@WeNurses #wenurses A great deal of responsibility that may not be recognised https://twitter.com/cherith_rogers/status/888114103725678599
@cherylwilson2
20 July 2017 20:15
RT @WeNurses: Don't forget to add #wenurses to your tweets :) This allows those not following you (yet) to see your input & gets…
@FSHCNurses
20 July 2017 20:15
RT @JonathanCliffe8: @AgencyNurse #HolisticObservation - taking into account physical, mental and emotional health & wellbeing #WeNurses
@mynameisAndyJ
20 July 2017 20:15
RT @sroo91: People living in a care home some of the earliest signs for staff can be a change in that persons behaviour #WeNurses
@FSHCNurses
20 July 2017 20:15
RT @AgencyNurse: Any changes in that person can be an indicator #WeNurses https://twitter.com/WeNurses/status/888113898112507904
@WeNurses
20 July 2017 20:15
Yes indeed #Wenurses https://twitter.com/cherith_rogers/status/888115025704960001
@FSHCNurses
20 July 2017 20:15
RT @AgencyNurse: nicely said #WeNurses https://twitter.com/JonathanCliffe8/status/888114579754033152
@FSHCNurses
20 July 2017 20:15
RT @LynneBowers2: @WeNurses #wenurses The importance of continuity of care, and staff empowered to intervene, escalate or manage end…
@FSHCNurses
20 July 2017 20:15
RT @Tigerlilyflower: @cherith_rogers @WeNurses #wenurses not all on the nurse important we enable our care staff to look of signs
@SueMarsden6
20 July 2017 20:16
RT @sprod_karen: @SueMarsden6 That looks great, thanks for sharing @SueMarsden6 #WeNurses #NursingStudent @obu_nurses
@GaryMitchellRN
20 July 2017 20:16
RT @CraigPriestley5: @WeNurses #WeNurses early signs for sudden deterioration includes an increased respiratory rate then other organs t…
@WeNurses
20 July 2017 20:16
RT @Hutchison_88: @WeNurses #WeNurses if it's a stroke, you would look out for the FAST symptoms.
@FSHCNurses
20 July 2017 20:17
RT @CraigPriestley5: @WeNurses #WeNurses early signs for sudden deterioration includes an increased respiratory rate then other organs t…
@Derekw_Johnson
20 July 2017 20:17
RT @sroo91: i.e. Changes in eating habits, changes in levels of engagement, sleep #WeNurses
@mynameisAndyJ
20 July 2017 20:17
#WeNurses Ensuring staff are trained to spot the signs of any deterioration inc loss of appetite or fluid intake
@FSHCNurses
20 July 2017 20:17
RT @AlresfordBear: Through care which is often lacking in integration and resource transfer #wenurses https://twitter.com/AgencyNurse/status/888114761077891072
@Derekw_Johnson
20 July 2017 20:17
RT @Hutchison_88: @WeNurses #WeNurses if it's a stroke, you would look out for the FAST symptoms.
@FSHCNurses
20 July 2017 20:17
RT @WeNurses: #wenurses https://twitter.com/cherith_rogers/status/888115025704960001
@FSHCNurses
20 July 2017 20:17
RT @Hutchison_88: @WeNurses #WeNurses if it's a stroke, you would look out for the FAST symptoms.
@CraigPriestley5
20 July 2017 20:17
@WeNurses #wenurses the patient states they don't feel well or right
@FSHCNurses
20 July 2017 20:17
RT @WeNurses: #wenurses https://twitter.com/MissZoeB95/status/888115017630924802
@StrainJoanne
20 July 2017 20:17
Care staff are often the first to recognise something 'just not right' #WeNurses @FSHCNurses @WeNurses
@FSHCNurses
20 July 2017 20:17
RT @Derekw_Johnson: Staff awareness and training are key to this it's a multi disciplinary requirement to spot the signs #wenurses https://…
@Derekw_Johnson
20 July 2017 20:17
RT @mynameisAndyJ: #WeNurses Ensuring staff are trained to spot the signs of any deterioration inc loss of appetite or fluid intake
@FSHCNurses
20 July 2017 20:17
RT @JonathanCliffe8: @WeNurses This is where - #ContinuityOfCarer is essential.... #NamedNurse #NamedCarer #WeNurses
@sroo91
20 July 2017 20:17
Vital and one of the first things we learn in nurse training the importance of the counting respirations #wenurses https://twitter.com/craigpriestley5/status/888115266592231424
@FSHCNurses
20 July 2017 20:17
RT @StrainJoanne: Care staff are often the first to recognise something 'just not right' #WeNurses @FSHCNurses @WeNurses
@AgencyNurse
20 July 2017 20:17
And care staff having the confidence to report this accurately to the nurse #WeNurses https://twitter.com/mynameisAndyJ/status/888115556036915200
@StrainJoanne
20 July 2017 20:17
RT @Hutchison_88: @WeNurses #WeNurses depends on the patient and their original condition. fever, D and V, reluctance to eat/drink, d…
@GaryMitchellRN
20 July 2017 20:17
RT @StrainJoanne: Care staff are often the first to recognise something 'just not right' #WeNurses @FSHCNurses @WeNurses
@EllzSummary
20 July 2017 20:17
@WeNurses A bit late to #WeNurses, deterioration signalled by decreased physical/mental acuity also fragility facto… https://twitter.com/i/web/status/888115788510408704
@LynneBowers2
20 July 2017 20:18
RT @StrainJoanne: Care staff are often the first to recognise something 'just not right' #WeNurses @FSHCNurses @WeNurses
@StrainJoanne
20 July 2017 20:18
RT @AgencyNurse: There is but I have found care staff invaluable with this ... its a team effort ! #WeNurses https://twitter.com/cherith_rogers/status/888114103725678599
@FSHCNurses
20 July 2017 20:18
RT @CraigPriestley5: @WeNurses #wenurses the patient states they don't feel well or right
@sroo91
20 July 2017 20:18
RT @StrainJoanne: Care staff are often the first to recognise something 'just not right' #WeNurses @FSHCNurses @WeNurses
@LooBlackburn
20 July 2017 20:18
RT @Derekw_Johnson: Staff awareness and training are key to this it's a multi disciplinary requirement to spot the signs #wenurses https://…
@SueMarsden6
20 July 2017 20:18
@WeNurses #WeNurses using NEWS is useful too, have also adapted this for bespoke supported living service
@mynameisAndyJ
20 July 2017 20:18
RT @AgencyNurse: And care staff having the confidence to report this accurately to the nurse #WeNurses https://twitter.com/mynameisAndyJ/status/888115556036915200
@FSHCNurses
20 July 2017 20:18
RT @EllzSummary: @WeNurses A bit late to #WeNurses, deterioration signalled by decreased physical/mental acuity also fragility facto…
@FSHCNurses
20 July 2017 20:18
RT @AgencyNurse: And care staff having the confidence to report this accurately to the nurse #WeNurses https://twitter.com/mynameisAndyJ/status/888115556036915200
@JillAnneWill
20 July 2017 20:18
@CraigPriestley5 @WeNurses #WeNurses Need to consider residents wishes DNACPR and preferred place of care. End of life planning.
@StrainJoanne
20 July 2017 20:18
RT @CraigPriestley5: @WeNurses #WeNurses early signs for sudden deterioration includes an increased respiratory rate then other organs t…
@FSHCNurses
20 July 2017 20:18
RT @sroo91: Vital and one of the first things we learn in nurse training the importance of the counting respirations #wenurses https://t.co…
@AgencyNurse
20 July 2017 20:18
I agree - I have so often been alerted to deterioration by care staff .... ALWAYS go and check immediately #WeNurses https://twitter.com/StrainJoanne/status/888115639419674624
@WeNurses
20 July 2017 20:18
RT @AgencyNurse: I agree - I have so often been alerted to deterioration by care staff .... ALWAYS go and check immediately #WeNurses https…
@StrainJoanne
20 July 2017 20:19
RT @AgencyNurse: I agree - I have so often been alerted to deterioration by care staff .... ALWAYS go and check immediately #WeNurses https…
@WeNurses
20 July 2017 20:19
Anyone else adapted this ? #WeNurses https://twitter.com/SueMarsden6/status/888115852364492803
@FSHCNurses
20 July 2017 20:19
RT @AgencyNurse: I agree - I have so often been alerted to deterioration by care staff .... ALWAYS go and check immediately #WeNurses https…
@HelenCCowan
20 July 2017 20:19
@WeNurses Continuity of care is so important to spot changes - need to know our residents #wenurses
@FSHCNurses
20 July 2017 20:19
RT @JillAnneWill: @CraigPriestley5 @WeNurses #WeNurses Need to consider residents wishes DNACPR and preferred place of care. End of life pl…
@FSHCNurses
20 July 2017 20:19
RT @SueMarsden6: @WeNurses #WeNurses using NEWS is useful too, have also adapted this for bespoke supported living service
@LynneBowers2
20 July 2017 20:19
@WeNurses #wenurses Fab! Can you share? https://twitter.com/suemarsden6/status/888115852364492803
@Derekw_Johnson
20 July 2017 20:19
#wenurses and the nurse respecting the care staffs concern too! Multi disciplinary. https://twitter.com/agencynurse/status/888115719887503360
@WeNurses
20 July 2017 20:19
Thanks for joining :) @EllzSummary #wenurses https://twitter.com/EllzSummary/status/888115788510408704
@SueMarsden6
20 July 2017 20:19
#Wenurses yes very much so... so include frail elderly, or mental health patients, anyone on whom clinical obs can… https://twitter.com/i/web/status/888116199120191488
@CraigPriestley5
20 July 2017 20:19
@sroo91 #wenurses National Early Warning Score tool proven to recognise suddenly deterioration, its the decision ma… https://twitter.com/i/web/status/888116252480229376
@Derekw_Johnson
20 July 2017 20:19
RT @AgencyNurse: I agree - I have so often been alerted to deterioration by care staff .... ALWAYS go and check immediately #WeNurses https…
@runnist1
20 July 2017 20:19
RT @WeNurses: Don't forget to add #wenurses to your tweets :) This allows those not following you (yet) to see your input & gets…
@StrainJoanne
20 July 2017 20:19
RT @mynameisAndyJ: #WeNurses Ensuring staff are trained to spot the signs of any deterioration inc loss of appetite or fluid intake
@CraigPriestley5
20 July 2017 20:19
RT @sroo91: Vital and one of the first things we learn in nurse training the importance of the counting respirations #wenurses https://t.co…
@WeNurses
20 July 2017 20:19
QUESTION 3 What about clinical observations ? #WeNurses https://t.co/GqyuSFvyXh
@StrainJoanne
20 July 2017 20:19
RT @CraigPriestley5: @WeNurses #wenurses the patient states they don't feel well or right
@Derekw_Johnson
20 July 2017 20:20
RT @WeNurses: Anyone else adapted this ? #WeNurses https://twitter.com/SueMarsden6/status/888115852364492803
@AgencyNurse
20 July 2017 20:20
RT @Derekw_Johnson: #wenurses and the nurse respecting the care staffs concern too! Multi disciplinary. https://twitter.com/agencynurse/status/888115719887503360
@sroo91
20 July 2017 20:20
Also important to consider a person with impaired communication who may not be able to alert staff they are feeling unwell #WeNurses
@skimmingstones1
20 July 2017 20:20
#WeNurses frailty means small change = big impact must know the persons baseline and have plan for appropriate action #bestinterests #ACP
@mynameisAndyJ
20 July 2017 20:20
RT @WeNurses: Anyone else adapted this ? #WeNurses https://twitter.com/SueMarsden6/status/888115852364492803
@sroo91
20 July 2017 20:20
RT @AgencyNurse: I agree - I have so often been alerted to deterioration by care staff .... ALWAYS go and check immediately #WeNurses https…
@StrainJoanne
20 July 2017 20:20
RT @sroo91: Vital and one of the first things we learn in nurse training the importance of the counting respirations #wenurses https://t.co…
@Hutchison_88
20 July 2017 20:20
@StrainJoanne @FSHCNurses @WeNurses #WeNurses also family/visitors, who may notice something "out of character" for… https://twitter.com/i/web/status/888116407782711304
@StrainJoanne
20 July 2017 20:20
RT @AgencyNurse: And care staff having the confidence to report this accurately to the nurse #WeNurses https://twitter.com/mynameisAndyJ/status/888115556036915200
@Derekw_Johnson
20 July 2017 20:20
RT @WeNurses: Thanks for joining :) @EllzSummary #wenurses https://twitter.com/EllzSummary/status/888115788510408704
@LooBlackburn
20 July 2017 20:20
RT @Tigerlilyflower: @cherith_rogers @WeNurses #wenurses not all on the nurse important we enable our care staff to look of signs
@SueMarsden6
20 July 2017 20:20
Um.....#WeNurses not from my iPad no!! Not that clever! But yes... https://twitter.com/lynnebowers2/status/888116165217669120
@JillAnneWill
20 July 2017 20:20
@WeNurses #WeNurses depends on how it is implemented. My background in SW so keen not to medicalise the experience of life in a care home
@AgencyNurse
20 July 2017 20:21
@Derekw_Johnson could not agree more ... care staff are our eyes and ears, they need to be listened too #WeNurses
@mynameisAndyJ
20 July 2017 20:21
RT @SueMarsden6: @WeNurses #WeNurses using NEWS is useful too, have also adapted this for bespoke supported living service
@FSHCNurses
20 July 2017 20:21
RT @Hutchison_88: @StrainJoanne @FSHCNurses @WeNurses #WeNurses also family/visitors, who may notice something "out of character" for…
@LynneBowers2
20 July 2017 20:21
@WeNurses #WeNurses @cherylwilson2 Need to have the conversation https://twitter.com/jillannewill/status/888115921872605184
@Derekw_Johnson
20 July 2017 20:21
#wenurses not seen as clinical but a huge factor in quality of life food and drink intake https://twitter.com/wenurses/status/888116291747192839
@GaryMitchellRN
20 July 2017 20:21
RT @JillAnneWill: @WeNurses #WeNurses depends on how it is implemented. My background in SW so keen not to medicalise the experience of lif…
@SueMarsden6
20 July 2017 20:21
#Wenurses I think use of NEWS is key https://twitter.com/wenurses/status/888116291747192839
@GaryMitchellRN
20 July 2017 20:21
RT @SueMarsden6: Um.....#WeNurses not from my iPad no!! Not that clever! But yes... https://twitter.com/lynnebowers2/status/888116165217669120
@GaryMitchellRN
20 July 2017 20:21
RT @Hutchison_88: @StrainJoanne @FSHCNurses @WeNurses #WeNurses also family/visitors, who may notice something "out of character" for…
@GaryMitchellRN
20 July 2017 20:21
RT @skimmingstones1: #WeNurses frailty means small change = big impact must know the persons baseline and have plan for appropriate action…
@Jo_Thomas67
20 July 2017 20:22
@WeNurses #WeNurses - I'll just leave this here - https://www.ncbi.nlm.nih.gov/m/pubmed/21675463/
@GaryMitchellRN
20 July 2017 20:22
RT @WeNurses: QUESTION 3 What about clinical observations ? #WeNurses https://t.co/GqyuSFvyXh
@Derekw_Johnson
20 July 2017 20:22
RT @AgencyNurse: @Derekw_Johnson could not agree more ... care staff are our eyes and ears, they need to be listened too #WeNurses
@GaryMitchellRN
20 July 2017 20:22
RT @CraigPriestley5: @sroo91 #wenurses National Early Warning Score tool proven to recognise suddenly deterioration, its the decision ma…
@LynneBowers2
20 July 2017 20:22
RT @Hutchison_88: @StrainJoanne @FSHCNurses @WeNurses #WeNurses also family/visitors, who may notice something "out of character" for…
@GaryMitchellRN
20 July 2017 20:22
RT @SueMarsden6: #Wenurses yes very much so... so include frail elderly, or mental health patients, anyone on whom clinical obs can…
@AgencyNurse
20 July 2017 20:22
Not care home based but this is good - How to assess deteriorating patients > http://journals.rcni.com/doi/pdfplus/10.7748/ns.30.11.34.s44 #WeNurses… https://twitter.com/i/web/status/888116868002717701
@GaryMitchellRN
20 July 2017 20:22
RT @Derekw_Johnson: #wenurses and the nurse respecting the care staffs concern too! Multi disciplinary. https://twitter.com/agencynurse/status/888115719887503360
@GaryMitchellRN
20 July 2017 20:22
RT @HelenCCowan: @WeNurses Continuity of care is so important to spot changes - need to know our residents #wenurses
@mynameisAndyJ
20 July 2017 20:22
@SueMarsden6 @WeNurses Sue do like this a idea a lot des sharing wider @FabNHSStuff #wenurses
@GaryMitchellRN
20 July 2017 20:22
RT @WeNurses: Anyone else adapted this ? #WeNurses https://twitter.com/SueMarsden6/status/888115852364492803
@StrainJoanne
20 July 2017 20:22
RT @CraigPriestley5: @sroo91 #wenurses National Early Warning Score tool proven to recognise suddenly deterioration, its the decision ma…
@GaryMitchellRN
20 July 2017 20:22
RT @AgencyNurse: I agree - I have so often been alerted to deterioration by care staff .... ALWAYS go and check immediately #WeNurses https…
@SiobhanF02
20 July 2017 20:22
RT @AgencyNurse: I agree - I have so often been alerted to deterioration by care staff .... ALWAYS go and check immediately #WeNurses https…
@EllzSummary
20 July 2017 20:22
@JillAnneWill @WeNurses @AgencyNurse Oops forgot the #WeNurses (should know better by now)
@WeNurses
20 July 2017 20:22
great link thank you #WeNurses #EBP https://twitter.com/Jo_Thomas67/status/888116802215002112
@WeGPNs
20 July 2017 20:22
RT @WeNurses: QUESTION 3 What about clinical observations ? #WeNurses https://t.co/GqyuSFvyXh
@WePharmacists
20 July 2017 20:22
RT @WeNurses: QUESTION 3 What about clinical observations ? #WeNurses https://t.co/GqyuSFvyXh
@WeDocs
20 July 2017 20:22
RT @WeNurses: QUESTION 3 What about clinical observations ? #WeNurses https://t.co/GqyuSFvyXh
@WeDistrictNurse
20 July 2017 20:22
RT @WeNurses: QUESTION 3 What about clinical observations ? #WeNurses https://t.co/GqyuSFvyXh
@FSHCNurses
20 July 2017 20:22
RT @mynameisAndyJ: @SueMarsden6 @WeNurses Sue do like this a idea a lot des sharing wider @FabNHSStuff #wenurses
@StrainJoanne
20 July 2017 20:22
RT @skimmingstones1: #WeNurses frailty means small change = big impact must know the persons baseline and have plan for appropriate action…
@AgencyNurse
20 July 2017 20:22
RT @SueMarsden6: #Wenurses I think use of NEWS is key https://twitter.com/wenurses/status/888116291747192839
@WeNurses
20 July 2017 20:22
RT @SueMarsden6: #Wenurses I think use of NEWS is key https://twitter.com/wenurses/status/888116291747192839
@FSHCNurses
20 July 2017 20:22
RT @AgencyNurse: Not care home based but this is good - How to assess deteriorating patients > http://journals.rcni.com/doi/pdfplus/10.7748/ns.30.11.34.s44 #WeNurses…
@FSHCNurses
20 July 2017 20:23
RT @Jo_Thomas67: @WeNurses #WeNurses - I'll just leave this here - https://www.ncbi.nlm.nih.gov/m/pubmed/21675463/
@StrainJoanne
20 July 2017 20:23
RT @Hutchison_88: @StrainJoanne @FSHCNurses @WeNurses #WeNurses also family/visitors, who may notice something "out of character" for…
@Tigerlilyflower
20 July 2017 20:23
#WeNurses observations are fine when acute change but not appropriate if end of life in a care home.
@FSHCNurses
20 July 2017 20:23
RT @SueMarsden6: #Wenurses I think use of NEWS is key https://twitter.com/wenurses/status/888116291747192839
@FSHCNurses
20 July 2017 20:23
RT @Derekw_Johnson: #wenurses not seen as clinical but a huge factor in quality of life food and drink intake https://twitter.com/wenurses/status/888116291747192839
@AgencyNurse
20 July 2017 20:23
RT @Derekw_Johnson: #wenurses not seen as clinical but a huge factor in quality of life food and drink intake https://twitter.com/wenurses/status/888116291747192839
@WeNurses
20 July 2017 20:23
RT @Derekw_Johnson: #wenurses not seen as clinical but a huge factor in quality of life food and drink intake https://twitter.com/wenurses/status/888116291747192839
@FSHCNurses
20 July 2017 20:23
RT @LynneBowers2: @WeNurses #WeNurses @cherylwilson2 Need to have the conversation https://twitter.com/jillannewill/status/888115921872605184
@FSHCNurses
20 July 2017 20:23
RT @AgencyNurse: @Derekw_Johnson could not agree more ... care staff are our eyes and ears, they need to be listened too #WeNurses
@WeNurses
20 July 2017 20:23
#wenurses https://twitter.com/katikins2004/status/888117042385006592
@FSHCNurses
20 July 2017 20:23
RT @JillAnneWill: @WeNurses #WeNurses depends on how it is implemented. My background in SW so keen not to medicalise the experience of lif…
@JillAnneWill
20 July 2017 20:23
@SueMarsden6 #WeNurses Q3 subtle deterioration picked up in monthly evaluations such as PPS, MUST, IoRN etc...
@StrainJoanne
20 July 2017 20:23
RT @AgencyNurse: @Derekw_Johnson could not agree more ... care staff are our eyes and ears, they need to be listened too #WeNurses
@FSHCNurses
20 July 2017 20:23
RT @WeNurses: great link thank you #WeNurses #EBP https://twitter.com/Jo_Thomas67/status/888116802215002112
@LooBlackburn
20 July 2017 20:23
@cherith_rogers @Tigerlilyflower @WeNurses and vital theyhave access to high qual training + feel supported in these situations #wenurses
@FSHCNurses
20 July 2017 20:23
RT @Tigerlilyflower: #WeNurses observations are fine when acute change but not appropriate if end of life in a care home.
@AgencyNurse
20 July 2017 20:23
Excellent point #wenurses https://twitter.com/Hutchison_88/status/888116407782711304
@StrainJoanne
20 July 2017 20:24
RT @LynneBowers2: @WeNurses #WeNurses @cherylwilson2 Need to have the conversation https://twitter.com/jillannewill/status/888115921872605184
@SueMarsden6
20 July 2017 20:24
RT @Tigerlilyflower: #WeNurses observations are fine when acute change but not appropriate if end of life in a care home.
@N_H_Associates
20 July 2017 20:24
RT @AgencyNurse: @Derekw_Johnson could not agree more ... care staff are our eyes and ears, they need to be listened too #WeNurses
@JillAnneWill
20 July 2017 20:24
@Jo_Thomas67 @WeNurses #WeNurses great resource
@Kristie_CPD
20 July 2017 20:24
RT @WeNurses: great link thank you #WeNurses #EBP https://twitter.com/Jo_Thomas67/status/888116802215002112
@GaryMitchellRN
20 July 2017 20:24
RT @WeNurses: great link thank you #WeNurses #EBP https://twitter.com/Jo_Thomas67/status/888116802215002112
@AgencyNurse
20 July 2017 20:24
RT @JillAnneWill: @SueMarsden6 #WeNurses Q3 subtle deterioration picked up in monthly evaluations such as PPS, MUST, IoRN etc...
@WeNurses
20 July 2017 20:24
RT @JillAnneWill: @SueMarsden6 #WeNurses Q3 subtle deterioration picked up in monthly evaluations such as PPS, MUST, IoRN etc...
@GaryMitchellRN
20 July 2017 20:24
RT @JillAnneWill: @SueMarsden6 #WeNurses Q3 subtle deterioration picked up in monthly evaluations such as PPS, MUST, IoRN etc...
@N_H_Associates
20 July 2017 20:24
RT @AgencyNurse: I agree - I have so often been alerted to deterioration by care staff .... ALWAYS go and check immediately #WeNurses https…
@N_H_Associates
20 July 2017 20:24
RT @Hutchison_88: @WeNurses #WeNurses if it's a stroke, you would look out for the FAST symptoms.
@CraigPriestley5
20 July 2017 20:24
@WeNurses #wenurses Increased RR first sign a patient is deteriorating or is acutely unwell, a visual assessment is… https://t.co/b5j7YgPcWv
@N_H_Associates
20 July 2017 20:24
RT @sroo91: i.e. Changes in eating habits, changes in levels of engagement, sleep #WeNurses
@AgencyNurse
20 July 2017 20:24
RT @CraigPriestley5: @WeNurses #wenurses Increased RR first sign a patient is deteriorating or is acutely unwell, a visual assessment is im…
@WeNurses
20 July 2017 20:24
RT @CraigPriestley5: @WeNurses #wenurses Increased RR first sign a patient is deteriorating or is acutely unwell, a visual assessment is im…
@SueMarsden6
20 July 2017 20:24
@Tigerlilyflower #WeNurses totally agree, so important to be clear on what to expect at EOL and to know ACPs.
@N_H_Associates
20 July 2017 20:24
RT @Derekw_Johnson: #wenurses not seen as clinical but a huge factor in quality of life food and drink intake https://twitter.com/wenurses/status/888116291747192839
@JillAnneWill
20 July 2017 20:25
@Tigerlilyflower #WeNurses completely agree, avoid unnecessary interventions if they will not inform the course of action taken.
@karan_massey
20 July 2017 20:25
@StrainJoanne @LynneBowers2 @FSHCNurses @WeNurses You have to recognise it's sometimes good old gut instinct #wenurses
@cherylwilson2
20 July 2017 20:25
RT @SueMarsden6: #Wenurses I think use of NEWS is key https://twitter.com/wenurses/status/888116291747192839
@mynameisAndyJ
20 July 2017 20:25
RT @CraigPriestley5: @WeNurses #wenurses Increased RR first sign a patient is deteriorating or is acutely unwell, a visual assessment is…
@SueMarsden6
20 July 2017 20:25
Oh my God how does anyone keep up?! #WeNurses
@Derekw_Johnson
20 July 2017 20:25
RT @CraigPriestley5: @WeNurses #wenurses Increased RR first sign a patient is deteriorating or is acutely unwell, a visual assessment is…
@mynameisAndyJ
20 July 2017 20:25
RT @AgencyNurse: Excellent point #wenurses https://twitter.com/Hutchison_88/status/888116407782711304
@StrainJoanne
20 July 2017 20:25
@AgencyNurse @Derekw_Johnson #WeNurses Care staff play critical role
@AmandaPhelan1
20 July 2017 20:25
RT @WeNurses: Looks interesting #WeNurses https://twitter.com/SueMarsden6/status/888113769846521856
@JillAnneWill
20 July 2017 20:26
@SueMarsden6 https://tweetdeck.twitter.com/# tweedeck is amazing! #WeNurses
@CraigPriestley5
20 July 2017 20:26
RT @StrainJoanne: @AgencyNurse @Derekw_Johnson #WeNurses Care staff play critical role
@sroo91
20 July 2017 20:26
RT @StrainJoanne: @AgencyNurse @Derekw_Johnson #WeNurses Care staff play critical role
@mandolin_8
20 July 2017 20:26
@WeNurses Definitely think any change from the norm for that particular resident, be it mood, appetite, physical appearance #wenurses
@FSHCNurses
20 July 2017 20:26
In addition to obvious consider #Urinalysis & #BloodGlucose Monitoring Also Crucial to Think #Delirium & Think #Sepsis #WeNurses @WeNurses
@DeeDavies12
20 July 2017 20:26
@Derekw_Johnson What about taking to the family - they normally know if changes have occurred !? #WeNurses
@StrainJoanne
20 July 2017 20:26
RT @mynameisAndyJ: @SueMarsden6 @WeNurses Sue do like this a idea a lot des sharing wider @FabNHSStuff #wenurses
@Derekw_Johnson
20 July 2017 20:26
RT @StrainJoanne: @AgencyNurse @Derekw_Johnson #WeNurses Care staff play critical role
@JonathanCliffe8
20 July 2017 20:26
@angelamarston1 @WeNurses #ContinutyOfCarer would aid measurement. #WeNurses
@mynameisAndyJ
20 July 2017 20:26
#WeNurses A great observation they use in my nans care home in Canadais she watching her fav TV shows if not they investigate why 1/2
@AgencyNurse
20 July 2017 20:26
Information on NEWS here > https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news #WeNurses #EBP https://t.co/cAs8YeF9s7
@FSHCNurses
20 July 2017 20:27
RT @DeeDavies12: @Derekw_Johnson What about taking to the family - they normally know if changes have occurred !? #WeNurses
@StrainJoanne
20 July 2017 20:27
RT @Tigerlilyflower: #WeNurses observations are fine when acute change but not appropriate if end of life in a care home.
@Derekw_Johnson
20 July 2017 20:27
RT @SueMarsden6: #Wenurses I think use of NEWS is key https://twitter.com/wenurses/status/888116291747192839
@Derekw_Johnson
20 July 2017 20:27
RT @AgencyNurse: Excellent point #wenurses https://twitter.com/Hutchison_88/status/888116407782711304
@FSHCNurses
20 July 2017 20:27
RT @StrainJoanne: @AgencyNurse @Derekw_Johnson #WeNurses Care staff play critical role
@FSHCNurses
20 July 2017 20:27
RT @SueMarsden6: Oh my God how does anyone keep up?! #WeNurses
@FSHCNurses
20 July 2017 20:27
RT @karan_massey: @StrainJoanne @LynneBowers2 @FSHCNurses @WeNurses You have to recognise it's sometimes good old gut instinct #wenurses
@skimmingstones1
20 July 2017 20:27
Admission to care home usually indicates significant #frailty open and honest communication with patient & family vital #wenurses
@WeNurses
20 July 2017 20:27
tweets coming in think & fast :) but missing #wenurses :( Add #WeNurses to your tweets so we can all see them, we d… https://twitter.com/i/web/status/888118162562072576
@SueMarsden6
20 July 2017 20:27
@mlofthouse1888 @WeNurses #Wenurses absolutely @mlofthouse1888 it was designed after exactly that scenario
@Derekw_Johnson
20 July 2017 20:27
RT @mynameisAndyJ: #WeNurses A great observation they use in my nans care home in Canadais she watching her fav TV shows if not they invest…
@FSHCNurses
20 July 2017 20:27
RT @JillAnneWill: @Tigerlilyflower #WeNurses completely agree, avoid unnecessary interventions if they will not inform the course of action…
@FSHCNurses
20 July 2017 20:27
RT @SueMarsden6: @Tigerlilyflower #WeNurses totally agree, so important to be clear on what to expect at EOL and to know ACPs.
@FSHCNurses
20 July 2017 20:27
RT @CraigPriestley5: @WeNurses #wenurses Increased RR first sign a patient is deteriorating or is acutely unwell, a visual assessment is…
@AgencyNurse
20 July 2017 20:27
Yes agree ... but sometimes this is difficult to communicate as important to GPs etc #WeNurses https://twitter.com/EllzSummary/status/888118004201906176
@mynameisAndyJ
20 July 2017 20:27
#WeNurses 2/2 found that she was going blind so small things find important things wrong
@FSHCNurses
20 July 2017 20:27
RT @AgencyNurse: Excellent point #wenurses https://twitter.com/Hutchison_88/status/888116407782711304
@cherylwilson2
20 July 2017 20:27
@FSHCNurses @WeNurses #NEWS score #wenurses
@FSHCNurses
20 July 2017 20:27
RT @JillAnneWill: @SueMarsden6 #WeNurses Q3 subtle deterioration picked up in monthly evaluations such as PPS, MUST, IoRN etc...
@FSHCNurses
20 July 2017 20:27
RT @WeNurses: #wenurses https://twitter.com/katikins2004/status/888117042385006592
@WeNurses
20 July 2017 20:28
#WeNurses https://twitter.com/AnyaTerry1/status/888118240148193281
@cherylwilson2
20 July 2017 20:28
RT @WeNurses: tweets coming in think & fast :) but missing #wenurses :( Add #WeNurses to your tweets so we can all see them, we d…
@WeNurses
20 July 2017 20:28
#wenurses https://twitter.com/lew_helen/status/888117897372901378
@cherith_rogers
20 July 2017 20:28
@WeNurses the family may be able to advise on presentation of infections and direct as to investigations such as urinealyis #WeNurses
@SueMarsden6
20 July 2017 20:28
@mlofthouse1888 @WeNurses Ah sorry talking at cross purposes... #Wenurses . #ACC good for working in CB, NEWS less… https://twitter.com/i/web/status/888118455479574533
@Tigerlilyflower
20 July 2017 20:28
@mynameisAndyJ Love this true person centred thinking #wenurses
@CraigPriestley5
20 July 2017 20:28
RT @cherylwilson2: @FSHCNurses @WeNurses #NEWS score #wenurses
@LynneBowers2
20 July 2017 20:28
@WeNurses #Wenurses Yes research showed minimal changes in gait strong predictor of fall https://twitter.com/ellzsummary/status/888118004201906176
@Derekw_Johnson
20 July 2017 20:28
RT @mynameisAndyJ: #WeNurses 2/2 found that she was going blind so small things find important things wrong
@StrainJoanne
20 July 2017 20:29
RT @AgencyNurse: Excellent point #wenurses https://twitter.com/Hutchison_88/status/888116407782711304
@LynneBowers2
20 July 2017 20:29
RT @mynameisAndyJ: #WeNurses A great observation they use in my nans care home in Canadais she watching her fav TV shows if not they invest…
@susieep21
20 July 2017 20:29
RT @JonathanCliffe8: @WeNurses An observation which indicates a decline in the health & wellbeing of an individual #WeNurses
@sroo91
20 July 2017 20:29
Also need to consider bowel habits, urinary output, blood glucose levels, wounds, infection, history of seizures? #WeNurses
@StrainJoanne
20 July 2017 20:29
RT @CraigPriestley5: @WeNurses #wenurses Increased RR first sign a patient is deteriorating or is acutely unwell, a visual assessment is…
@mandolin_8
20 July 2017 20:29
@SueMarsden6 @AgencyNurse NEWS, neuro obs, MMSE, ECG, blood glucose are a good start #wenurses
@N_H_Associates
20 July 2017 20:30
RT @mynameisAndyJ: #WeNurses A great observation they use in my nans care home in Canadais she watching her fav TV shows if not they invest…
@StrainJoanne
20 July 2017 20:30
RT @karan_massey: @StrainJoanne @LynneBowers2 @FSHCNurses @WeNurses You have to recognise it's sometimes good old gut instinct #wenurses
@N_H_Associates
20 July 2017 20:30
RT @mynameisAndyJ: #WeNurses 2/2 found that she was going blind so small things find important things wrong
@LooBlackburn
20 July 2017 20:30
@FSHCNurses @WeNurses teaching urinalysis yesterday + signs of dehydration- often overlooked if "neg" to testing for infection #wenurses
@FSHCNurses
20 July 2017 20:30
RT @mandolin_8: @SueMarsden6 @AgencyNurse NEWS, neuro obs, MMSE, ECG, blood glucose are a good start #wenurses
@FSHCNurses
20 July 2017 20:30
RT @sroo91: Also need to consider bowel habits, urinary output, blood glucose levels, wounds, infection, history of seizures? #WeNurses
@FSHCNurses
20 July 2017 20:30
RT @LynneBowers2: @WeNurses #Wenurses Yes research showed minimal changes in gait strong predictor of fall https://twitter.com/ellzsummary/status/888118004201906176
@N_H_Associates
20 July 2017 20:30
RT @AgencyNurse: And care staff having the confidence to report this accurately to the nurse #WeNurses https://twitter.com/mynameisAndyJ/status/888115556036915200
@FSHCNurses
20 July 2017 20:30
RT @Tigerlilyflower: @mynameisAndyJ Love this true person centred thinking #wenurses
@FSHCNurses
20 July 2017 20:30
RT @SueMarsden6: @mlofthouse1888 @WeNurses Ah sorry talking at cross purposes... #Wenurses . #ACC good for working in CB, NEWS less…
@cherylwilson2
20 July 2017 20:30
@FSHCNurses @WeNurses It's used in my carehome @AneurinBevanUHB we use #unified approach with LHB primary care #wenurses
@N_H_Associates
20 July 2017 20:30
RT @sroo91: People living in a care home some of the earliest signs for staff can be a change in that persons behaviour #WeNurses
@FSHCNurses
20 July 2017 20:30
RT @WeNurses: #wenurses https://twitter.com/lew_helen/status/888117897372901378
@FSHCNurses
20 July 2017 20:30
RT @WeNurses: #WeNurses https://twitter.com/AnyaTerry1/status/888118240148193281
@parajon82
20 July 2017 20:31
RT @AgencyNurse: Information on NEWS here > https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news #WeNurses #EBP https://t.co/cAs8YeF9s7
@SueMarsden6
20 July 2017 20:31
@mandolin_8 @AgencyNurse #WeNurses yes agree, but very clinical.... have to be careful on roles of care homes v nursing...
@FSHCNurses
20 July 2017 20:31
RT @cherylwilson2: @FSHCNurses @WeNurses It's used in my carehome @AneurinBevanUHB we use #unified approach with LHB primary care #wenurses
@AgencyNurse
20 July 2017 20:31
yes to all of this #WeNurses Sometimes it's about enquiring and persisting until you come to a conclusion https://twitter.com/sroo91/status/888118673071669249
@JillAnneWill
20 July 2017 20:31
@StrainJoanne @SueMarsden6 #WeNurses yes subtle but some elements are measurable too, multi-factorial and requires… https://twitter.com/i/web/status/888119147799785476
@cherith_rogers
20 July 2017 20:31
#WeNurses need to also consider pain assessment.
@CraigPriestley5
20 July 2017 20:32
@FSHCNurses @cherylwilson2 @WeNurses #Wenurses would be great to have a NEWS for care homes for used as an indicati… https://twitter.com/i/web/status/888119331015360514
@karan_massey
20 July 2017 20:32
RT @WeNurses: #WeNurses https://twitter.com/AnyaTerry1/status/888118240148193281
@JillAnneWill
20 July 2017 20:32
#WeNurses Q3- listen to residents too, they may even tell you that they feel unwell! ;-)
@EllzSummary
20 July 2017 20:32
@LynneBowers2 @WeNurses I heard other day on radio that early changes in gait may be an early predictor in dementia #WeNurses
@AgencyNurse
20 July 2017 20:32
I think this is an important point #WeNurses https://twitter.com/cherith_rogers/status/888119187335372802
@N_H_Associates
20 July 2017 20:32
RT @CraigPriestley5: @WeNurses #wenurses Increased RR first sign a patient is deteriorating or is acutely unwell, a visual assessment is…
@LynneBowers2
20 July 2017 20:32
@WeNurses #wenurses that's a problem https://twitter.com/agencynurse/status/888118250063618049
@N_H_Associates
20 July 2017 20:32
RT @sroo91: Can be a very "acute" change in an individuals wellbeing or can be slowly over a longer period of time #WeNurses
@FSHCNurses
20 July 2017 20:32
RT @CraigPriestley5: @FSHCNurses @cherylwilson2 @WeNurses #Wenurses would be great to have a NEWS for care homes for used as an indicati…
@LooBlackburn
20 July 2017 20:32
@FSHCNurses @WeNurses 2/2 and dehydration can be result of deterioration but also a cause #wenurses
@Hutchison_88
20 July 2017 20:32
@WeNurses #WeNurses clinical observations are crucial to pick up subtle changes, but can be hard to implement in ca… https://twitter.com/i/web/status/888119515120140288
@SueMarsden6
20 July 2017 20:32
RT @JillAnneWill: #WeNurses Q3- listen to residents too, they may even tell you that they feel unwell! ;-)
@FSHCNurses
20 July 2017 20:32
RT @LynneBowers2: @WeNurses #wenurses that's a problem https://twitter.com/agencynurse/status/888118250063618049
@N_H_Associates
20 July 2017 20:32
RT @SueMarsden6: #Wenurses I think use of NEWS is key https://twitter.com/wenurses/status/888116291747192839
@FSHCNurses
20 July 2017 20:32
RT @AgencyNurse: I think this is an important point #WeNurses https://twitter.com/cherith_rogers/status/888119187335372802
@mynameisAndyJ
20 July 2017 20:33
RT @cherith_rogers: #WeNurses need to also consider pain assessment.
@FSHCNurses
20 July 2017 20:33
RT @JillAnneWill: #WeNurses Q3- listen to residents too, they may even tell you that they feel unwell! ;-)
@N_H_Associates
20 July 2017 20:33
RT @mynameisAndyJ: #WeNurses Ensuring staff are trained to spot the signs of any deterioration inc loss of appetite or fluid intake
@FSHCNurses
20 July 2017 20:33
RT @cherith_rogers: #WeNurses need to also consider pain assessment.
@FSHCNurses
20 July 2017 20:33
RT @JillAnneWill: @StrainJoanne @SueMarsden6 #WeNurses yes subtle but some elements are measurable too, multi-factorial and requires…
@N_H_Associates
20 July 2017 20:33
RT @Derekw_Johnson: This is where the recording of changes and screening are important #wenurses https://twitter.com/deedavies12/status/888112710432440321
@GraceWall
20 July 2017 20:33
@AgencyNurse And cognitive assessments #WeNurses
@FSHCNurses
20 July 2017 20:33
RT @AgencyNurse: yes to all of this #WeNurses Sometimes it's about enquiring and persisting until you come to a conclusion https://t.co/q…
@FSHCNurses
20 July 2017 20:33
RT @SueMarsden6: @mandolin_8 @AgencyNurse #WeNurses yes agree, but very clinical.... have to be careful on roles of care homes v nursing...
@cherylwilson2
20 July 2017 20:33
@cherith_rogers Also part of #NEWS assessment #wenurses
@FSHCNurses
20 July 2017 20:33
RT @LooBlackburn: @FSHCNurses @WeNurses 2/2 and dehydration can be result of deterioration but also a cause #wenurses
@Derekw_Johnson
20 July 2017 20:33
RT @cherith_rogers: #WeNurses need to also consider pain assessment.
@StrainJoanne
20 July 2017 20:34
@FSHCNurses @WeNurses #WeNurses Delirium- now there's a dilemma - confusion often seen as part of ageing process!
@FSHCNurses
20 July 2017 20:34
RT @StrainJoanne: @FSHCNurses @WeNurses #WeNurses Delirium- now there's a dilemma - confusion often seen as part of ageing process!
@cherylwilson2
20 July 2017 20:34
Better than that download the app All Wales NEWS @1000LivesWales #wenurses https://t.co/sw3gIWk4e0
@sroo91
20 July 2017 20:34
RT @StrainJoanne: @FSHCNurses @WeNurses #WeNurses Delirium- now there's a dilemma - confusion often seen as part of ageing process!
@FSHCNurses
20 July 2017 20:35
RT @cherylwilson2: Better than that download the app All Wales NEWS @1000LivesWales #wenurses https://twitter.com/fshcnurses/status/888119426528067585
@N_H_Associates
20 July 2017 20:35
This is why food and fluid records are important #wenurses https://twitter.com/LooBlackburn/status/888119497541918720
@LynneBowers2
20 July 2017 20:35
@WeNurses #wenurses Absolutely! https://twitter.com/agencynurse/status/888119748378017794
@Tigerlilyflower
20 July 2017 20:35
@AgencyNurse @LynneBowers2 @WeNurses #wenurses very true having strong trusting relationships with local practice i… https://twitter.com/i/web/status/888120132853157890
@FSHCNurses
20 July 2017 20:35
@cherylwilson2 @1000LivesWales #ThankYou ?? #WeNurses
@mynameisAndyJ
20 July 2017 20:35
#WeNurses Dare I say this chat proves that we have to have more joined up process care and hospitals inc using IT more
@StrainJoanne
20 July 2017 20:35
RT @mynameisAndyJ: #WeNurses A great observation they use in my nans care home in Canadais she watching her fav TV shows if not they invest…
@SueMarsden6
20 July 2017 20:35
@StrainJoanne @FSHCNurses @WeNurses #WeNurses which takes us back to good baseline so evidence of sudden change rather than gradual.
@LynneBowers2
20 July 2017 20:35
@WeNurses #wenurses And against context of increasing complexity in both/either setting https://twitter.com/suemarsden6/status/888119107152887810
@LynneBowers2
20 July 2017 20:36
RT @CraigPriestley5: @FSHCNurses @cherylwilson2 @WeNurses #Wenurses would be great to have a NEWS for care homes for used as an indicati…
@StrainJoanne
20 July 2017 20:36
RT @mynameisAndyJ: #WeNurses 2/2 found that she was going blind so small things find important things wrong
@Derekw_Johnson
20 July 2017 20:36
RT @LooBlackburn: @FSHCNurses @WeNurses 2/2 and dehydration can be result of deterioration but also a cause #wenurses
@FSHCNurses
20 July 2017 20:36
RT @SueMarsden6: @StrainJoanne @FSHCNurses @WeNurses #WeNurses which takes us back to good baseline so evidence of sudden change rather tha…
@FSHCNurses
20 July 2017 20:36
RT @LynneBowers2: @WeNurses #wenurses And against context of increasing complexity in both/either setting https://twitter.com/suemarsden6/status/888119107152887810
@FSHCNurses
20 July 2017 20:36
RT @mynameisAndyJ: #WeNurses Dare I say this chat proves that we have to have more joined up process care and hospitals inc using IT more
@LynneBowers2
20 July 2017 20:37
RT @Tigerlilyflower: @AgencyNurse @LynneBowers2 @WeNurses #wenurses very true having strong trusting relationships with local practice i…
@StrainJoanne
20 July 2017 20:37
RT @sroo91: Also need to consider bowel habits, urinary output, blood glucose levels, wounds, infection, history of seizures? #WeNurses
@FSHCNurses
20 July 2017 20:37
RT @Tigerlilyflower: @AgencyNurse @LynneBowers2 @WeNurses #wenurses very true having strong trusting relationships with local practice i…
@FSHCNurses
20 July 2017 20:37
RT @LynneBowers2: @WeNurses #wenurses Absolutely! https://twitter.com/agencynurse/status/888119748378017794
@AgencyNurse
20 July 2017 20:37
yes indeed - relationships with other HCPs are key in care homes. Nurses need to nurture and develop them #WeNurses https://twitter.com/cherith_rogers/status/888120300889448448
@FSHCNurses
20 July 2017 20:37
RT @N_H_Associates: This is why food and fluid records are important #wenurses https://twitter.com/LooBlackburn/status/888119497541918720
@StrainJoanne
20 July 2017 20:37
RT @AgencyNurse: I think this is an important point #WeNurses https://twitter.com/cherith_rogers/status/888119187335372802
@Derekw_Johnson
20 July 2017 20:37
But staff can pick up other changes which can be followed up clinically. #wenurses https://twitter.com/hutchison_88/status/888119515120140288
@Tigerlilyflower
20 July 2017 20:37
@mynameisAndyJ #wenurses that is the integration dream but we are only at the start of the journey
@FSHCNurses
20 July 2017 20:37
RT @mynameisAndyJ: #WeNurses A great observation they use in my nans care home in Canadais she watching her fav TV shows if not they invest…
@SueMarsden6
20 July 2017 20:37
@LynneBowers2 @WeNurses #Wenurses yes absolutely. Blurred lines... what's a nursing task, and who makes the clinical judgement....
@NRCUK
20 July 2017 20:37
Don't under estimate what a fresh pair of eyes can offer! Even an eagle eyed @AgencyNurse ^Especially this one^ :) #wenurses
@LooBlackburn
20 July 2017 20:37
@AgencyNurse @LynneBowers2 @WeNurses programme has HCSWsGP CareHome + Dom Care learning together, work shadow in others worksetti #wenurses
@KhadijahMuning1
20 July 2017 20:37
RT @NRCUK: Don't under estimate what a fresh pair of eyes can offer! Even an eagle eyed @AgencyNurse ^Especially this one^ :) #wenurses
@Derekw_Johnson
20 July 2017 20:38
RT @N_H_Associates: This is why food and fluid records are important #wenurses https://twitter.com/LooBlackburn/status/888119497541918720
@WeNurses
20 July 2017 20:38
QUESTION 4 How do we get our concerns across to other HCPs ? #WeNurses https://t.co/RvH3UBrNwu
@FSHCNurses
20 July 2017 20:38
RT @NRCUK: Don't under estimate what a fresh pair of eyes can offer! Even an eagle eyed @AgencyNurse ^Especially this one^ :) #wenurses
@cherylwilson2
20 July 2017 20:38
@FSHCNurses @1000LivesWales No problem we live in 21st century #digital tools key #wenurses All Wales NEWS app @1000LivesWales ??#wenurses
@LooBlackburn
20 July 2017 20:38
@AgencyNurse @LynneBowers2 @WeNurses break down the barriers and enable integration! #wenurses
@FSHCNurses
20 July 2017 20:38
RT @SueMarsden6: @LynneBowers2 @WeNurses #Wenurses yes absolutely. Blurred lines... what's a nursing task, and who makes the clinical judge…
@FSHCNurses
20 July 2017 20:38
RT @Tigerlilyflower: @mynameisAndyJ #wenurses that is the integration dream but we are only at the start of the journey
@FSHCNurses
20 July 2017 20:38
RT @Derekw_Johnson: But staff can pick up other changes which can be followed up clinically. #wenurses https://t.co/mB7vbdmRHo
@cherith_rogers
20 July 2017 20:38
@SueMarsden6 @mandolin_8 @AgencyNurse #wenurses but sometimes the NEWS is within normal ranges but you know the patient is deteriorating
@FSHCNurses
20 July 2017 20:38
RT @AgencyNurse: yes indeed - relationships with other HCPs are key in care homes. Nurses need to nurture and develop them #WeNurses https…
@FSHCNurses
20 July 2017 20:38
RT @cherylwilson2: @FSHCNurses @1000LivesWales No problem we live in 21st century #digital tools key #wenurses All Wales NEWS app @1000Live…
@LynneBowers2
20 July 2017 20:39
@WeNurses #wenurses Sounds great! Which Programme ? Where? https://t.co/fUP4cxqPKb
@FSHCNurses
20 July 2017 20:39
RT @WeNurses: QUESTION 4 How do we get our concerns across to other HCPs ? #WeNurses https://t.co/RvH3UBrNwu
@WeGPNs
20 July 2017 20:39
RT @WeNurses: QUESTION 4 How do we get our concerns across to other HCPs ? #WeNurses https://t.co/RvH3UBrNwu
@WeDistrictNurse
20 July 2017 20:39
RT @WeNurses: QUESTION 4 How do we get our concerns across to other HCPs ? #WeNurses https://t.co/RvH3UBrNwu
@WeDocs
20 July 2017 20:39
RT @WeNurses: QUESTION 4 How do we get our concerns across to other HCPs ? #WeNurses https://t.co/RvH3UBrNwu
@WePharmacists
20 July 2017 20:39
RT @WeNurses: QUESTION 4 How do we get our concerns across to other HCPs ? #WeNurses https://t.co/RvH3UBrNwu
@StrainJoanne
20 July 2017 20:39
RT @Derekw_Johnson: But staff can pick up other changes which can be followed up clinically. #wenurses https://t.co/mB7vbdmRHo
@AgencyNurse
20 July 2017 20:39
It helps if you develop relationships with other HCP's and build trust #WeNurses https://t.co/SLeMTk7eMl
@SueMarsden6
20 July 2017 20:39
@WeNurses #Wenurses @mrsapea we talk to each other don't we?!
@cherylwilson2
20 July 2017 20:39
Onevunder development for community teams I'm sure @algorithmuk #wenurses ?? https://t.co/c72OmpmBIE
@AgencyNurse
20 July 2017 20:40
though have got very assertive with many an out of hours GP in my career #WeNurses
@SueMarsden6
20 July 2017 20:40
RT @AgencyNurse: It helps if you develop relationships with other HCP's and build trust #WeNurses https://twitter.com/WeNurses/status/888120892483543045
@Tigerlilyflower
20 July 2017 20:40
#WeNurses Q4 - back to the relationship for me and knowing the person we are communicating with dictates how you present.
@LooBlackburn
20 July 2017 20:40
@LynneBowers2 @WeNurses pilot programme "enhanced support worker pilot!" supported HHENWL employer drive curriculum 60 HCSWs #wenurses
@cherylwilson2
20 July 2017 20:40
RT @AgencyNurse: It helps if you develop relationships with other HCP's and build trust #WeNurses https://twitter.com/WeNurses/status/888120892483543045
@FSHCNurses
20 July 2017 20:40
@WeNurses #Situation #Background #Assessment #Recommendation #SBAR @wenurses #WeNurses https://t.co/ELHqm9yLSX
@LooBlackburn
20 July 2017 20:40
@LynneBowers2 @WeNurses happy to share ! #wenurses
@AgencyNurse
20 July 2017 20:40
RT @cherylwilson2: @FSHCNurses @1000LivesWales No problem we live in 21st century #digital tools key #wenurses All Wales NEWS app @1000Live…
@RoofusSmith
20 July 2017 20:40
@WeNurses Must use appropriate medical terminology to demonstrate your own competence and confidence. #wenurses
@FSHCNurses
20 July 2017 20:40
RT @LooBlackburn: @AgencyNurse @LynneBowers2 @WeNurses break down the barriers and enable integration! #wenurses
@FSHCNurses
20 July 2017 20:40
RT @cherith_rogers: @SueMarsden6 @mandolin_8 @AgencyNurse #wenurses but sometimes the NEWS is within normal ranges but you know the patient…
@LynneBowers2
20 July 2017 20:40
@WeNurses #wenurses Yes and it looks like in more than one place! https://t.co/Ay0Xk6eEBY
@FSHCNurses
20 July 2017 20:40
RT @LynneBowers2: @WeNurses #wenurses Sounds great! Which Programme ? Where? https://t.co/fUP4cxqPKb
@CraigPriestley5
20 July 2017 20:41
@WeNurses #WeNurses the SBAR handover, Situation Background Assessment and Recomendation enables effective communication and patient safety!
@FSHCNurses
20 July 2017 20:41
RT @AgencyNurse: It helps if you develop relationships with other HCP's and build trust #WeNurses https://t.co/SLeMTk7eMl
@FSHCNurses
20 July 2017 20:41
RT @SueMarsden6: @WeNurses #Wenurses @mrsapea we talk to each other don't we?!
@StrainJoanne
20 July 2017 20:41
RT @SueMarsden6: @StrainJoanne @FSHCNurses @WeNurses #WeNurses which takes us back to good baseline so evidence of sudden change rather tha…
@FSHCNurses
20 July 2017 20:41
RT @cherylwilson2: Onevunder development for community teams I'm sure @algorithmuk #wenurses ?? https://t.co/c72OmpmBIE
@sroo91
20 July 2017 20:41
RT @FSHCNurses: @WeNurses #Situation #Background #Assessment #Recommendation #SBAR @wenurses #WeNurses https://t.co/ELHqm9yLSX
@mynameisAndyJ
20 July 2017 20:41
RT @FSHCNurses: @WeNurses #Situation #Background #Assessment #Recommendation #SBAR @wenurses #WeNurses https://t.co/ELHqm9yLSX
@LynneBowers2
20 July 2017 20:41
@WeNurses #wenurses Go @AgencyNurse ! https://t.co/TX5Rm71kl0
@SueMarsden6
20 July 2017 20:41
@mynameisAndyJ #Wenurses @NHSWestKentCCG has CPMS shared careplans and access to records...not quite to care homes yet but good start.
@Derekw_Johnson
20 July 2017 20:41
Again it's sharing information with all staff inc care staff and domestics plus catering staff too #wenurses https://t.co/Gaxvu6GIS9
@FSHCNurses
20 July 2017 20:41
RT @AgencyNurse: though have got very assertive with many an out of hours GP in my career #WeNurses
@FSHCNurses
20 July 2017 20:41
RT @Tigerlilyflower: #WeNurses Q4 - back to the relationship for me and knowing the person we are communicating with dictates how you prese…
@CraigPriestley5
20 July 2017 20:41
RT @AgencyNurse: It helps if you develop relationships with other HCP's and build trust #WeNurses https://t.co/SLeMTk7eMl
@JonathanCliffe8
20 July 2017 20:41
@WeNurses SBAR - simple but highly effective handover tool- Situation, Background, Assessment and Recommendation #WeNurses
@JillAnneWill
20 July 2017 20:41
@WeNurses #WeNurses advocacy role crucial, SBAR good tool, quality relationships, clearly communicating limitations of staff team and ACP
@FSHCNurses
20 July 2017 20:41
RT @LooBlackburn: @LynneBowers2 @WeNurses happy to share ! #wenurses
@FSHCNurses
20 July 2017 20:41
RT @RoofusSmith: @WeNurses Must use appropriate medical terminology to demonstrate your own competence and confidence. #wenurses
@FSHCNurses
20 July 2017 20:41
RT @LynneBowers2: @WeNurses #wenurses Yes and it looks like in more than one place! https://twitter.com/cherylwilson2/status/888121237708259328
@FSHCNurses
20 July 2017 20:42
RT @CraigPriestley5: @WeNurses #WeNurses the SBAR handover, Situation Background Assessment and Recomendation enables effective communicati…
@NatHumanServ
20 July 2017 20:42
#wenurses - What do you do outside of work? Share and celebrate what makes you human with #NationalHumanService!
@StrainJoanne
20 July 2017 20:42
RT @cherylwilson2: Onevunder development for community teams I'm sure @algorithmuk #wenurses ?? https://twitter.com/craigpriestley5/status/888119331015360514
@N_H_Associates
20 July 2017 20:42
RT @AgencyNurse: Information on NEWS here > https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news #WeNurses #EBP https://t.co/cAs8YeF9s7
@Hutchison_88
20 July 2017 20:42
@WeNurses #WeNurses effective communication! MDT meetings, clear, accurate documentation, handovers, raising concerns with GP, DN, OT etc
@AgencyNurse
20 July 2017 20:42
Also talk to your colleagues .... ask them "what do you think?" two heads are better than one #WeNurses
@FSHCNurses
20 July 2017 20:42
RT @JillAnneWill: @WeNurses #WeNurses advocacy role crucial, SBAR good tool, quality relationships, clearly communicating limitations of st…
@SueMarsden6
20 July 2017 20:42
@mynameisAndyJ #Wenurses and @NHSKentCHFT uses CIS which we all curse but has been invaluable in sharing informatio… https://twitter.com/i/web/status/888121961183821825
@FSHCNurses
20 July 2017 20:42
RT @Derekw_Johnson: Again it's sharing information with all staff inc care staff and domestics plus catering staff too #wenurses https://t.…
@cherith_rogers
20 July 2017 20:42
#WeNurses being confident in what you are communicating but allowing other points of view to be heard
@FSHCNurses
20 July 2017 20:42
RT @SueMarsden6: @mynameisAndyJ #Wenurses @NHSWestKentCCG has CPMS shared careplans and access to records...not quite to care homes yet but…
@N_H_Associates
20 July 2017 20:42
RT @JillAnneWill: #WeNurses Q3- listen to residents too, they may even tell you that they feel unwell! ;-)
@FSHCNurses
20 July 2017 20:42
RT @LynneBowers2: @WeNurses #wenurses Go @AgencyNurse ! https://twitter.com/agencynurse/status/888121351185195015
@AnyaTerry1
20 July 2017 20:42
@AgencyNurse #wenurses SBAR communication tool
@AgencyNurse
20 July 2017 20:42
Agree - great way to get your message across #WeNurses https://twitter.com/JonathanCliffe8/status/888121740718518272
@N_H_Associates
20 July 2017 20:42
RT @LooBlackburn: @FSHCNurses @WeNurses 2/2 and dehydration can be result of deterioration but also a cause #wenurses
@FSHCNurses
20 July 2017 20:43
RT @AgencyNurse: Also talk to your colleagues .... ask them "what do you think?" two heads are better than one #WeNurses
@sroo91
20 July 2017 20:43
RT @AgencyNurse: Also talk to your colleagues .... ask them "what do you think?" two heads are better than one #WeNurses
@WeNurses
20 July 2017 20:43
RT @LynneBowers2: @WeNurses #wenurses Sounds great! Which Programme ? Where? https://twitter.com/looblackburn/status/888120810090577920
@FSHCNurses
20 July 2017 20:43
RT @Hutchison_88: @WeNurses #WeNurses effective communication! MDT meetings, clear, accurate documentation, handovers, raising concerns wit…
@Tigerlilyflower
20 July 2017 20:43
@JillAnneWill @WeNurses #wenurses absolutely agree
@AgencyNurse
20 July 2017 20:43
@LynneBowers2 @WeNurses lol - don't mess with me ! ;D #WeNurses
@LooBlackburn
20 July 2017 20:43
@Derekw_Johnson ABSOLUTELY! #wenurses
@SueMarsden6
20 July 2017 20:43
RT @cherith_rogers: #WeNurses being confident in what you are communicating but allowing other points of view to be heard
@AgencyNurse
20 July 2017 20:43
RT @Derekw_Johnson: Again it's sharing information with all staff inc care staff and domestics plus catering staff too #wenurses https://t.…
@N_H_Associates
20 July 2017 20:43
RT @mynameisAndyJ: #WeNurses Dare I say this chat proves that we have to have more joined up process care and hospitals inc using IT more
@SueMarsden6
20 July 2017 20:43
RT @AgencyNurse: Also talk to your colleagues .... ask them "what do you think?" two heads are better than one #WeNurses
@mynameisAndyJ
20 July 2017 20:43
#wenurses A4 ensure in the HCP also includes facilites teams ie caterer to cleaner they can spot and also valuable role to play in care
@LynneBowers2
20 July 2017 20:43
@WeNurses #wenurses And the roll out of NHSMail and the new Health and Social Care Network (replacing N3) ( see… https://twitter.com/i/web/status/888122281578250241
@WeNurses
20 July 2017 20:43
#WeNurses https://twitter.com/lew_helen/status/888122215052398592
@FSHCNurses
20 July 2017 20:44
RT @LooBlackburn: @Derekw_Johnson ABSOLUTELY! #wenurses
@FSHCNurses
20 July 2017 20:44
RT @AgencyNurse: Agree - great way to get your message across #WeNurses https://twitter.com/JonathanCliffe8/status/888121740718518272
@FSHCNurses
20 July 2017 20:44
RT @AnyaTerry1: @AgencyNurse #wenurses SBAR communication tool
@JaneTurnerStH
20 July 2017 20:44
#WeNurses @SueMarsden6 Great ?? comment! The importance of effective & clear communication cannot be underestimated.… https://twitter.com/i/web/status/888122393947889665
@mynameisAndyJ
20 July 2017 20:44
RT @Derekw_Johnson: Again it's sharing information with all staff inc care staff and domestics plus catering staff too #wenurses https://t.…
@FSHCNurses
20 July 2017 20:44
RT @cherith_rogers: #WeNurses being confident in what you are communicating but allowing other points of view to be heard
@Tigerlilyflower
20 July 2017 20:44
#WeNurses work in partnership with the resident and where you can enable them to explain
@N_H_Associates
20 July 2017 20:44
RT @Derekw_Johnson: Again it's sharing information with all staff inc care staff and domestics plus catering staff too #wenurses https://t.…
@LynneBowers2
20 July 2017 20:44
@WeNurses #wenurses key finding of Care Home Vanguards but MDT availability variable https://twitter.com/hutchison_88/status/888121906896949252
@mynameisAndyJ
20 July 2017 20:44
RT @LooBlackburn: @Derekw_Johnson ABSOLUTELY! #wenurses
@StrainJoanne
20 July 2017 20:44
RT @CraigPriestley5: @WeNurses #WeNurses the SBAR handover, Situation Background Assessment and Recomendation enables effective communicati…
@WeNurses
20 July 2017 20:44
#wenurses https://twitter.com/DeeDee12040109/status/888122398582554629
@N_H_Associates
20 July 2017 20:44
RT @mynameisAndyJ: #wenurses A4 ensure in the HCP also includes facilites teams ie caterer to cleaner they can spot and also valuable role…
@BritneyHangart1
20 July 2017 20:44
RT @RoofusSmith: @WeNurses Must use appropriate medical terminology to demonstrate your own competence and confidence. #wenurses
@WeNurses
20 July 2017 20:45
RT @LynneBowers2: @WeNurses #wenurses key finding of Care Home Vanguards but MDT availability variable https://twitter.com/hutchison_88/status/888121906896949252
@FSHCNurses
20 July 2017 20:45
RT @WeNurses: #wenurses https://twitter.com/DeeDee12040109/status/888122398582554629
@FSHCNurses
20 July 2017 20:45
RT @LynneBowers2: @WeNurses #wenurses key finding of Care Home Vanguards but MDT availability variable https://twitter.com/hutchison_88/status/888121906896949252
@N_H_Associates
20 July 2017 20:45
#wenurses great to see this conversation this evening
@FSHCNurses
20 July 2017 20:45
RT @Tigerlilyflower: #WeNurses work in partnership with the resident and where you can enable them to explain
@StrainJoanne
20 July 2017 20:45
RT @Derekw_Johnson: Again it's sharing information with all staff inc care staff and domestics plus catering staff too #wenurses https://t.…
@WeNurses
20 July 2017 20:45
#Wenurses https://twitter.com/DeeDee12040109/status/888122398582554629
@FSHCNurses
20 July 2017 20:45
RT @WeNurses: #WeNurses https://twitter.com/lew_helen/status/888122215052398592
@FSHCNurses
20 July 2017 20:45
RT @LynneBowers2: @WeNurses #wenurses And the roll out of NHSMail and the new Health and Social Care Network (replacing N3) ( see…
@Derekw_Johnson
20 July 2017 20:45
RT @AgencyNurse: Information on NEWS here > https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news #WeNurses #EBP https://t.co/cAs8YeF9s7
@FSHCNurses
20 July 2017 20:45
RT @mynameisAndyJ: #wenurses A4 ensure in the HCP also includes facilites teams ie caterer to cleaner they can spot and also valuable role…
@FSHCNurses
20 July 2017 20:45
RT @N_H_Associates: #wenurses great to see this conversation this evening
@WeNurses
20 July 2017 20:45
RT @Tigerlilyflower: #WeNurses work in partnership with the resident and where you can enable them to explain
@Derekw_Johnson
20 July 2017 20:45
RT @mynameisAndyJ: #wenurses A4 ensure in the HCP also includes facilites teams ie caterer to cleaner they can spot and also valuable role…
@FSHCNurses
20 July 2017 20:46
RT @WeNurses: #Wenurses https://twitter.com/DeeDee12040109/status/888122398582554629
@Derekw_Johnson
20 July 2017 20:46
RT @WeNurses: #Wenurses https://twitter.com/DeeDee12040109/status/888122398582554629
@GaryMitchellRN
20 July 2017 20:47
RT @WeNurses: #Wenurses https://twitter.com/DeeDee12040109/status/888122398582554629
@GaryMitchellRN
20 July 2017 20:47
RT @N_H_Associates: #wenurses great to see this conversation this evening
@WeNurses
20 July 2017 20:47
QUESTION 5 What about when deterioration becomes an emergency ? #WeNurses https://t.co/LXIDt6TO14
@GaryMitchellRN
20 July 2017 20:47
RT @mynameisAndyJ: #wenurses A4 ensure in the HCP also includes facilites teams ie caterer to cleaner they can spot and also valuable role…
@GaryMitchellRN
20 July 2017 20:47
RT @LynneBowers2: @WeNurses #wenurses And the roll out of NHSMail and the new Health and Social Care Network (replacing N3) ( see…
@Derekw_Johnson
20 July 2017 20:47
RT @Tigerlilyflower: #WeNurses work in partnership with the resident and where you can enable them to explain
@GaryMitchellRN
20 July 2017 20:47
RT @WeNurses: #WeNurses https://twitter.com/lew_helen/status/888122215052398592
@SueMarsden6
20 July 2017 20:47
@LynneBowers2 @WeNurses #WeNurses then use virtual MDT, email is very good way to draw people in easily to the conv… https://twitter.com/i/web/status/888123223182721026
@StrainJoanne
20 July 2017 20:47
RT @WeNurses: #Wenurses https://twitter.com/DeeDee12040109/status/888122398582554629
@GaryMitchellRN
20 July 2017 20:47
RT @Tigerlilyflower: #WeNurses work in partnership with the resident and where you can enable them to explain
@GaryMitchellRN
20 July 2017 20:47
RT @LynneBowers2: @WeNurses #wenurses key finding of Care Home Vanguards but MDT availability variable https://twitter.com/hutchison_88/status/888121906896949252
@GaryMitchellRN
20 July 2017 20:47
RT @cherith_rogers: #WeNurses being confident in what you are communicating but allowing other points of view to be heard
@GaryMitchellRN
20 July 2017 20:47
RT @AnyaTerry1: @AgencyNurse #wenurses SBAR communication tool
@GraceWall
20 July 2017 20:47
@WeNurses This is a shared responsibility if professionals need further information they should ask #wenurses
@GaryMitchellRN
20 July 2017 20:47
RT @AgencyNurse: Agree - great way to get your message across #WeNurses https://twitter.com/JonathanCliffe8/status/888121740718518272
@mandolin_8
20 July 2017 20:48
@cherith_rogers @SueMarsden6 @AgencyNurse Hence why I saidNEWS is a good start, it's not the be all and end all :-) #wenurses
@GaryMitchellRN
20 July 2017 20:48
RT @Hutchison_88: @WeNurses #WeNurses effective communication! MDT meetings, clear, accurate documentation, handovers, raising concerns wit…
@GaryMitchellRN
20 July 2017 20:48
RT @AgencyNurse: Also talk to your colleagues .... ask them "what do you think?" two heads are better than one #WeNurses
@GaryMitchellRN
20 July 2017 20:48
RT @SueMarsden6: @mynameisAndyJ #Wenurses @NHSWestKentCCG has CPMS shared careplans and access to records...not quite to care homes yet but…
@AgencyNurse
20 July 2017 20:48
How do we respond ? QUICKLY ! #WeNurses https://twitter.com/WeNurses/status/888123143000178688
@GaryMitchellRN
20 July 2017 20:48
RT @Derekw_Johnson: Again it's sharing information with all staff inc care staff and domestics plus catering staff too #wenurses https://t.…
@JillAnneWill
20 July 2017 20:48
@WeNurses #WeNurses as in any community scenario 999 & first aid
@GaryMitchellRN
20 July 2017 20:48
RT @JillAnneWill: @WeNurses #WeNurses advocacy role crucial, SBAR good tool, quality relationships, clearly communicating limitations of st…
@GaryMitchellRN
20 July 2017 20:48
RT @CraigPriestley5: @WeNurses #WeNurses the SBAR handover, Situation Background Assessment and Recomendation enables effective communicati…
@GaryMitchellRN
20 July 2017 20:48
RT @LynneBowers2: @WeNurses #wenurses Yes and it looks like in more than one place! https://twitter.com/cherylwilson2/status/888121237708259328
@GaryMitchellRN
20 July 2017 20:48
RT @RoofusSmith: @WeNurses Must use appropriate medical terminology to demonstrate your own competence and confidence. #wenurses
@GaryMitchellRN
20 July 2017 20:48
RT @Tigerlilyflower: #WeNurses Q4 - back to the relationship for me and knowing the person we are communicating with dictates how you prese…
@SueMarsden6
20 July 2017 20:48
@WeNurses #Wenurses back to those ACPs again... know your plan.. 999, 111, #hospitalathome #Hospice #EOLC
@GaryMitchellRN
20 July 2017 20:48
RT @AgencyNurse: though have got very assertive with many an out of hours GP in my career #WeNurses
@GaryMitchellRN
20 July 2017 20:48
RT @cherylwilson2: Onevunder development for community teams I'm sure @algorithmuk #wenurses ?? https://twitter.com/craigpriestley5/status/888119331015360514
@Tigerlilyflower
20 July 2017 20:49
RT @JillAnneWill: @WeNurses #WeNurses as in any community scenario 999 & first aid
@GaryMitchellRN
20 July 2017 20:49
RT @AgencyNurse: It helps if you develop relationships with other HCP's and build trust #WeNurses https://twitter.com/WeNurses/status/888120892483543045
@GaryMitchellRN
20 July 2017 20:49
RT @LynneBowers2: @WeNurses #wenurses Sounds great! Which Programme ? Where? https://twitter.com/looblackburn/status/888120810090577920
@GaryMitchellRN
20 July 2017 20:49
RT @cherith_rogers: @SueMarsden6 @mandolin_8 @AgencyNurse #wenurses but sometimes the NEWS is within normal ranges but you know the patient…
@GaryMitchellRN
20 July 2017 20:49
RT @LooBlackburn: @AgencyNurse @LynneBowers2 @WeNurses break down the barriers and enable integration! #wenurses
@AgencyNurse
20 July 2017 20:49
Agree 999 - first aid #WeNurses https://twitter.com/JillAnneWill/status/888123465013706752
@GaryMitchellRN
20 July 2017 20:49
RT @WeNurses: QUESTION 4 How do we get our concerns across to other HCPs ? #WeNurses https://t.co/RvH3UBrNwu
@GraceWall
20 July 2017 20:49
@WeNurses Their wishes #wenurses importance of advances care planning
@GaryMitchellRN
20 July 2017 20:49
RT @AgencyNurse: yes indeed - relationships with other HCPs are key in care homes. Nurses need to nurture and develop them #WeNurses https…
@LynneBowers2
20 July 2017 20:49
RT @SueMarsden6: @WeNurses #Wenurses back to those ACPs again... know your plan.. 999, 111, #hospitalathome #Hospice #EOLC
@GaryMitchellRN
20 July 2017 20:49
RT @Derekw_Johnson: But staff can pick up other changes which can be followed up clinically. #wenurses https://twitter.com/hutchison_88/status/888119515120140288
@GaryMitchellRN
20 July 2017 20:49
RT @Tigerlilyflower: @mynameisAndyJ #wenurses that is the integration dream but we are only at the start of the journey
@GaryMitchellRN
20 July 2017 20:49
RT @SueMarsden6: @LynneBowers2 @WeNurses #Wenurses yes absolutely. Blurred lines... what's a nursing task, and who makes the clinical judge…
@GaryMitchellRN
20 July 2017 20:49
RT @NRCUK: Don't under estimate what a fresh pair of eyes can offer! Even an eagle eyed @AgencyNurse ^Especially this one^ :) #wenurses
@CraigPriestley5
20 July 2017 20:49
RT @AgencyNurse: I agree - I have so often been alerted to deterioration by care staff .... ALWAYS go and check immediately #WeNurses https…
@GaryMitchellRN
20 July 2017 20:49
RT @mynameisAndyJ: #WeNurses A great observation they use in my nans care home in Canadais she watching her fav TV shows if not they invest…
@GaryMitchellRN
20 July 2017 20:49
RT @N_H_Associates: This is why food and fluid records are important #wenurses https://twitter.com/LooBlackburn/status/888119497541918720
@GaryMitchellRN
20 July 2017 20:49
RT @LynneBowers2: @WeNurses #wenurses Absolutely! https://twitter.com/agencynurse/status/888119748378017794
@GaryMitchellRN
20 July 2017 20:49
RT @Tigerlilyflower: @AgencyNurse @LynneBowers2 @WeNurses #wenurses very true having strong trusting relationships with local practice i…
@GaryMitchellRN
20 July 2017 20:49
RT @mynameisAndyJ: #WeNurses Dare I say this chat proves that we have to have more joined up process care and hospitals inc using IT more
@GaryMitchellRN
20 July 2017 20:49
RT @LynneBowers2: @WeNurses #wenurses And against context of increasing complexity in both/either setting https://twitter.com/suemarsden6/status/888119107152887810
@StrainJoanne
20 July 2017 20:50
RT @JillAnneWill: @WeNurses #WeNurses as in any community scenario 999 & first aid
@cherylwilson2
20 July 2017 20:50
@FSHCNurses @WeNurses @AneurinBevanUHB @StrainJoanne @CraigPriestley5 http://www.1000livesplus.wales.nhs.uk/rrails see link @1000LivesWales #NEWS #wenurses
@SueMarsden6
20 July 2017 20:50
@mandolin_8 @cherith_rogers @AgencyNurse #wenurses yes I agree. Better than nothing. I guess trust your instinct an… https://twitter.com/i/web/status/888123886897831937
@GaryMitchellRN
20 July 2017 20:50
RT @cherylwilson2: Better than that download the app All Wales NEWS @1000LivesWales #wenurses https://twitter.com/fshcnurses/status/888119426528067585
@sroo91
20 July 2017 20:50
Need to also consider is there an ACP, persons wishes does this person want to be transferred to an acute setting? #WeNurses
@GaryMitchellRN
20 July 2017 20:50
RT @StrainJoanne: @FSHCNurses @WeNurses #WeNurses Delirium- now there's a dilemma - confusion often seen as part of ageing process!
@LooBlackburn
20 July 2017 20:50
RT @GraceWall: @WeNurses Their wishes #wenurses importance of advances care planning
@GaryMitchellRN
20 July 2017 20:50
RT @Hutchison_88: @WeNurses #WeNurses clinical observations are crucial to pick up subtle changes, but can be hard to implement in ca…
@GaryMitchellRN
20 July 2017 20:50
RT @SueMarsden6: @mandolin_8 @AgencyNurse #WeNurses yes agree, but very clinical.... have to be careful on roles of care homes v nursing...
@AgencyNurse
20 July 2017 20:50
OK so what if the person has expressed a wish to not be sent into hospital ?? This often happens ... so what then ? #WeNurses
@SueMarsden6
20 July 2017 20:50
RT @GraceWall: @WeNurses Their wishes #wenurses importance of advances care planning
@GaryMitchellRN
20 July 2017 20:50
RT @AgencyNurse: yes to all of this #WeNurses Sometimes it's about enquiring and persisting until you come to a conclusion https://t.co/q…
@GaryMitchellRN
20 July 2017 20:50
RT @JillAnneWill: @StrainJoanne @SueMarsden6 #WeNurses yes subtle but some elements are measurable too, multi-factorial and requires…
@GaryMitchellRN
20 July 2017 20:50
RT @cherith_rogers: #WeNurses need to also consider pain assessment.
@karan_massey
20 July 2017 20:50
RT @LynneBowers2: @WeNurses #wenurses key finding of Care Home Vanguards but MDT availability variable https://twitter.com/hutchison_88/status/888121906896949252
@GaryMitchellRN
20 July 2017 20:50
RT @JillAnneWill: #WeNurses Q3- listen to residents too, they may even tell you that they feel unwell! ;-)
@cherylwilson2
20 July 2017 20:50
RT @WeNurses: QUESTION 5 What about when deterioration becomes an emergency ? #WeNurses https://t.co/LXIDt6TO14
@cherith_rogers
20 July 2017 20:50
@WeNurses #wenurses depends on ACP and if there is a AND in place. We respond calmly ??
@FSHCNurses
20 July 2017 20:50
RT @WeNurses: QUESTION 5 What about when deterioration becomes an emergency ? #WeNurses https://t.co/LXIDt6TO14
@FSHCNurses
20 July 2017 20:50
RT @SueMarsden6: @LynneBowers2 @WeNurses #WeNurses then use virtual MDT, email is very good way to draw people in easily to the conv…
@AgencyNurse
20 July 2017 20:50
RT @sroo91: Need to also consider is there an ACP, persons wishes does this person want to be transferred to an acute setting? #WeNurses
@WeNurses
20 July 2017 20:50
RT @sroo91: Need to also consider is there an ACP, persons wishes does this person want to be transferred to an acute setting? #WeNurses
@Sianwilsonncfe
20 July 2017 20:50
RT @AgencyNurse: I agree - I have so often been alerted to deterioration by care staff .... ALWAYS go and check immediately #WeNurses https…
@FSHCNurses
20 July 2017 20:50
RT @GraceWall: @WeNurses This is a shared responsibility if professionals need further information they should ask #wenurses
@StrainJoanne
20 July 2017 20:50
RT @JillAnneWill: @StrainJoanne @SueMarsden6 #WeNurses yes subtle but some elements are measurable too, multi-factorial and requires…
@FSHCNurses
20 July 2017 20:51
RT @AgencyNurse: How do we respond ? QUICKLY ! #WeNurses https://twitter.com/WeNurses/status/888123143000178688
@FSHCNurses
20 July 2017 20:51
RT @JillAnneWill: @WeNurses #WeNurses as in any community scenario 999 & first aid
@FSHCNurses
20 July 2017 20:51
RT @SueMarsden6: @WeNurses #Wenurses back to those ACPs again... know your plan.. 999, 111, #hospitalathome #Hospice #EOLC
@FSHCNurses
20 July 2017 20:51
RT @AgencyNurse: Agree 999 - first aid #WeNurses https://twitter.com/JillAnneWill/status/888123465013706752
@FSHCNurses
20 July 2017 20:51
RT @GraceWall: @WeNurses Their wishes #wenurses importance of advances care planning
@LooBlackburn
20 July 2017 20:51
@GraceWall @WeNurses agree - so EOL not necessarily an emergency#wenurses
@SueMarsden6
20 July 2017 20:51
RT @cherith_rogers: @WeNurses #wenurses depends on ACP and if there is a AND in place. We respond calmly ??
@GaryMitchellRN
20 July 2017 20:51
RT @AgencyNurse: I think this is an important point #WeNurses https://twitter.com/cherith_rogers/status/888119187335372802
@GaryMitchellRN
20 July 2017 20:51
RT @CraigPriestley5: @FSHCNurses @cherylwilson2 @WeNurses #Wenurses would be great to have a NEWS for care homes for used as an indicati…
@GaryMitchellRN
20 July 2017 20:51
RT @cherylwilson2: @FSHCNurses @WeNurses It's used in my carehome @AneurinBevanUHB we use #unified approach with LHB primary care #wenurses
@AgencyNurse
20 July 2017 20:51
@sroo91 agree sometimes its about helping to make that person as comfy as possible .. but we still act ! #WeNurses (and document!)
@GaryMitchellRN
20 July 2017 20:51
RT @WeNurses: #WeNurses https://twitter.com/AnyaTerry1/status/888118240148193281
@GaryMitchellRN
20 July 2017 20:51
RT @WeNurses: #wenurses https://twitter.com/lew_helen/status/888117897372901378
@GaryMitchellRN
20 July 2017 20:51
RT @SueMarsden6: @mlofthouse1888 @WeNurses Ah sorry talking at cross purposes... #Wenurses . #ACC good for working in CB, NEWS less…
@GaryMitchellRN
20 July 2017 20:51
RT @Tigerlilyflower: @mynameisAndyJ Love this true person centred thinking #wenurses
@GaryMitchellRN
20 July 2017 20:51
RT @LynneBowers2: @WeNurses #Wenurses Yes research showed minimal changes in gait strong predictor of fall https://twitter.com/ellzsummary/status/888118004201906176
@JillAnneWill
20 July 2017 20:51
@AgencyNurse #WeNurses advocacy role, care plan needs to be clear. Pressure to admit not always from other professi… https://twitter.com/i/web/status/888124342646620203
@GaryMitchellRN
20 July 2017 20:52
RT @sroo91: Also need to consider bowel habits, urinary output, blood glucose levels, wounds, infection, history of seizures? #WeNurses
@GaryMitchellRN
20 July 2017 20:52
RT @mandolin_8: @SueMarsden6 @AgencyNurse NEWS, neuro obs, MMSE, ECG, blood glucose are a good start #wenurses
@Tigerlilyflower
20 July 2017 20:52
Shows the importance of having these discussions asap and that family are aware & on board #wenurses https://twitter.com/sroo91/status/888123917419675651
@sabaribaba
20 July 2017 20:52
RT @LynneBowers2: @WeNurses #wenurses key finding of Care Home Vanguards but MDT availability variable https://twitter.com/hutchison_88/status/888121906896949252
@StrainJoanne
20 July 2017 20:52
@JillAnneWill @SueMarsden6 #WeNurses Communication and relationships are key!
@FSHCNurses
20 July 2017 20:52
RT @SueMarsden6: @mandolin_8 @cherith_rogers @AgencyNurse #wenurses yes I agree. Better than nothing. I guess trust your instinct an…
@sroo91
20 July 2017 20:52
RT @AgencyNurse: @sroo91 agree sometimes its about helping to make that person as comfy as possible .. but we still act ! #WeNurses (and…
@SueMarsden6
20 July 2017 20:52
@AgencyNurse #WeNurses good training and courage to support with what may well be #EOLC if change is that severe
@FSHCNurses
20 July 2017 20:52
RT @sroo91: Need to also consider is there an ACP, persons wishes does this person want to be transferred to an acute setting? #WeNurses
@AnyaTerry1
20 July 2017 20:52
@WeNurses #wenurses my trust are piloting rapid response supporting deterioration in care homes, it's working very well #NEWS & sepsis 6
@FSHCNurses
20 July 2017 20:52
RT @cherith_rogers: @WeNurses #wenurses depends on ACP and if there is a AND in place. We respond calmly ??
@FSHCNurses
20 July 2017 20:52
RT @JillAnneWill: @AgencyNurse #WeNurses advocacy role, care plan needs to be clear. Pressure to admit not always from other professi…
@FSHCNurses
20 July 2017 20:52
RT @SueMarsden6: @AgencyNurse #WeNurses good training and courage to support with what may well be #EOLC if change is that severe
@FSHCNurses
20 July 2017 20:52
RT @AgencyNurse: @sroo91 agree sometimes its about helping to make that person as comfy as possible .. but we still act ! #WeNurses (and…
@AgencyNurse
20 July 2017 20:53
yes have come across this too - can be hard to deal with but we must respect what that person wants #Wenurses https://twitter.com/JillAnneWill/status/888124342646620203
@cherylwilson2
20 July 2017 20:53
@WeNurses Know the resus status have your documentation and your ACP discussed and recorded soonest before a situation arises #wenurses
@StrainJoanne
20 July 2017 20:53
RT @GraceWall: @WeNurses Their wishes #wenurses importance of advances care planning
@FSHCNurses
20 July 2017 20:53
RT @AnyaTerry1: @WeNurses #wenurses my trust are piloting rapid response supporting deterioration in care homes, it's working very well #NE…
@CraigPriestley5
20 July 2017 20:53
@AgencyNurse @FSHCNurses #wenurses consider wishes and choices, do they want to go to hospital? Have they capacity,… https://twitter.com/i/web/status/888124654371586050
@FSHCNurses
20 July 2017 20:53
RT @StrainJoanne: @JillAnneWill @SueMarsden6 #WeNurses Communication and relationships are key!
@FSHCNurses
20 July 2017 20:53
RT @Tigerlilyflower: Shows the importance of having these discussions asap and that family are aware & on board #wenurses https://t.co/xuyH…
@JonathanCliffe8
20 July 2017 20:53
@WeNurses Also - ensure staff are up to date on emergency scenarios #WeNurses
@AgencyNurse
20 July 2017 20:53
Wow this sounds interesting ... how is it going ? #WeNurses https://twitter.com/AnyaTerry1/status/888124482740568066
@FSHCNurses
20 July 2017 20:53
RT @CraigPriestley5: @AgencyNurse @FSHCNurses #wenurses consider wishes and choices, do they want to go to hospital? Have they capacity,…
@SueMarsden6
20 July 2017 20:53
@mlofthouse1888 @AgencyNurse @WeNurses #wenurses yes that too... hopefully someone picked up that first request not… https://twitter.com/i/web/status/888124738337259521
@FSHCNurses
20 July 2017 20:53
RT @AgencyNurse: yes have come across this too - can be hard to deal with but we must respect what that person wants #Wenurses https://t.co…
@AgencyNurse
20 July 2017 20:53
Important point re capacity here #Wenurses https://twitter.com/CraigPriestley5/status/888124654371586050
@cherith_rogers
20 July 2017 20:53
Keep the resident and family informed. #wenurses
@WeDistrictNurse
20 July 2017 20:53
RT @AnyaTerry1: @WeNurses #wenurses my trust are piloting rapid response supporting deterioration in care homes, it's working very well #NE…
@WeNurses
20 July 2017 20:53
RT @AnyaTerry1: @WeNurses #wenurses my trust are piloting rapid response supporting deterioration in care homes, it's working very well #NE…
@FSHCNurses
20 July 2017 20:53
RT @JonathanCliffe8: @WeNurses Also - ensure staff are up to date on emergency scenarios #WeNurses
@FSHCNurses
20 July 2017 20:53
RT @AgencyNurse: Wow this sounds interesting ... how is it going ? #WeNurses https://twitter.com/AnyaTerry1/status/888124482740568066
@mandolin_8
20 July 2017 20:54
RT @AgencyNurse: @sroo91 agree sometimes its about helping to make that person as comfy as possible .. but we still act ! #WeNurses (and…
@StrainJoanne
20 July 2017 20:54
@cherylwilson2 @FSHCNurses @WeNurses @AneurinBevanUHB @CraigPriestley5 @1000LivesWales #WeNurses Thank you
@FSHCNurses
20 July 2017 20:54
RT @StrainJoanne: @cherylwilson2 @FSHCNurses @WeNurses @AneurinBevanUHB @CraigPriestley5 @1000LivesWales #WeNurses Thank you
@LooBlackburn
20 July 2017 20:54
@AgencyNurse often "safe option" if support of staff not in place to allow alternative? iepressure on to "do something" #wenurses
@LynneBowers2
20 July 2017 20:54
@WeNurses #wenurses sounds great Anya - Gloucester? Can you share ? https://twitter.com/anyaterry1/status/888124482740568066
@cherylwilson2
20 July 2017 20:54
@AgencyNurse Great tool the ACP #wenurses
@StrainJoanne
20 July 2017 20:54
RT @SueMarsden6: @mandolin_8 @cherith_rogers @AgencyNurse #wenurses yes I agree. Better than nothing. I guess trust your instinct an…
@WeNurses
20 July 2017 20:54
QUESTION 6 What about sepsis ? #WeNurses https://t.co/CxPfXQqnM5
@LooBlackburn
20 July 2017 20:54
RT @AnyaTerry1: @WeNurses #wenurses my trust are piloting rapid response supporting deterioration in care homes, it's working very well #NE…
@FSHCNurses
20 July 2017 20:54
RT @cherith_rogers: Keep the resident and family informed. #wenurses
@StrainJoanne
20 July 2017 20:54
RT @sroo91: Need to also consider is there an ACP, persons wishes does this person want to be transferred to an acute setting? #WeNurses
@FSHCNurses
20 July 2017 20:54
RT @AgencyNurse: Important point re capacity here #Wenurses https://twitter.com/CraigPriestley5/status/888124654371586050
@FSHCNurses
20 July 2017 20:54
RT @LynneBowers2: @WeNurses #wenurses sounds great Anya - Gloucester? Can you share ? https://twitter.com/anyaterry1/status/888124482740568066
@JillAnneWill
20 July 2017 20:54
@AgencyNurse #WeNurses absolutely managing expectations of all involved and advocating patients wishes is fine bala… https://twitter.com/i/web/status/888125098611269632
@FSHCNurses
20 July 2017 20:55
RT @cherylwilson2: @AgencyNurse Great tool the ACP #wenurses
@FSHCNurses
20 July 2017 20:55
RT @WeNurses: QUESTION 6 What about sepsis ? #WeNurses https://t.co/CxPfXQqnM5
@StrainJoanne
20 July 2017 20:55
RT @cherith_rogers: @WeNurses #wenurses depends on ACP and if there is a AND in place. We respond calmly ??
@FSHCNurses
20 July 2017 20:55
RT @SueMarsden6: @mlofthouse1888 @AgencyNurse @WeNurses #wenurses yes that too... hopefully someone picked up that first request not…
@PlazaHealth
20 July 2017 20:55
RT @WeNurses: #Wenurses https://twitter.com/DeeDee12040109/status/888122398582554629
@AgencyNurse
20 July 2017 20:55
Same as in any other setting .... but think training is key here #WeNurses https://twitter.com/WeNurses/status/888125016562257922
@cherylwilson2
20 July 2017 20:55
RT @WeNurses: QUESTION 6 What about sepsis ? #WeNurses https://t.co/CxPfXQqnM5
@FSHCNurses
20 July 2017 20:55
RT @JillAnneWill: @AgencyNurse #WeNurses absolutely managing expectations of all involved and advocating patients wishes is fine bala…
@StrainJoanne
20 July 2017 20:55
RT @AgencyNurse: @sroo91 agree sometimes its about helping to make that person as comfy as possible .. but we still act ! #WeNurses (and…
@mynameisAndyJ
20 July 2017 20:55
@Tigerlilyflower #WeNurses Liane superb so important #team
@mynameisAndyJ
20 July 2017 20:55
RT @Tigerlilyflower: @mynameisAndyJ #wenurses that is the integration dream but we are only at the start of the journey
@AgencyNurse
20 July 2017 20:55
RT @JillAnneWill: @AgencyNurse #WeNurses absolutely managing expectations of all involved and advocating patients wishes is fine bala…
@cherylwilson2
20 July 2017 20:55
RT @AgencyNurse: Same as in any other setting .... but think training is key here #WeNurses https://twitter.com/WeNurses/status/888125016562257922
@RiddellPhilip
20 July 2017 20:55
RT @NatHumanServ: #wenurses - What do you do outside of work? Share and celebrate what makes you human with #NationalHumanService!
@SueMarsden6
20 July 2017 20:56
@WeNurses #WeNurses #Acc has a section for this too https://t.co/Y6wq2QyQTA
@AgencyNurse
20 July 2017 20:56
@LooBlackburn yes i see your point .... but perhaps "safe option" isn't always best for that person #WeNurses
@Hutchison_88
20 July 2017 20:56
@AgencyNurse @WeNurses #WeNurses I would image there would be a best interests meeting, depending if the patient/re… https://twitter.com/i/web/status/888125456871956480
@FSHCNurses
20 July 2017 20:56
#Sepsis more common than you'd think in #Older #People - important to always be thinking about it! @WeNurses #wenurses
@FSHCNurses
20 July 2017 20:56
RT @AgencyNurse: Same as in any other setting .... but think training is key here #WeNurses https://twitter.com/WeNurses/status/888125016562257922
@GraceWall
20 July 2017 20:56
@JillAnneWill @AgencyNurse This demonstrates the complex care and assessments that take place in the community setting #wenurses
@LooBlackburn
20 July 2017 20:56
RT @AgencyNurse: Same as in any other setting .... but think training is key here #WeNurses https://twitter.com/WeNurses/status/888125016562257922
@sroo91
20 July 2017 20:56
RT @CraigPriestley5: @AgencyNurse @FSHCNurses #wenurses consider wishes and choices, do they want to go to hospital? Have they capacity,…
@FSHCNurses
20 July 2017 20:56
RT @SueMarsden6: @WeNurses #WeNurses #Acc has a section for this too https://t.co/Y6wq2QyQTA
@FSHCNurses
20 July 2017 20:56
RT @AgencyNurse: @LooBlackburn yes i see your point .... but perhaps "safe option" isn't always best for that person #WeNurses
@AgencyNurse
20 July 2017 20:57
is this easy to hold in an emergency situation ? #WeNurses https://twitter.com/Hutchison_88/status/888125456871956480
@FSHCNurses
20 July 2017 20:57
RT @Hutchison_88: @AgencyNurse @WeNurses #WeNurses I would image there would be a best interests meeting, depending if the patient/re…
@LynneBowers2
20 July 2017 20:57
RT @SueMarsden6: @WeNurses #WeNurses #Acc has a section for this too https://t.co/Y6wq2QyQTA
@sroo91
20 July 2017 20:57
RT @FSHCNurses: #Sepsis more common than you'd think in #Older #People - important to always be thinking about it! @WeNurses #wenurses
@AgencyNurse
20 July 2017 20:57
wow sounds fab #Wenurses https://twitter.com/DeeDee12040109/status/888125456041492480
@FSHCNurses
20 July 2017 20:57
RT @AgencyNurse: is this easy to hold in an emergency situation ? #WeNurses https://twitter.com/Hutchison_88/status/888125456871956480
@SueMarsden6
20 July 2017 20:57
@Hutchison_88 @AgencyNurse @WeNurses #WeNurses in an emergency?
@LooBlackburn
20 July 2017 20:57
@AgencyNurse agree- training KEY to all of this- but implementation even more important! #wenurses
@AgencyNurse
20 July 2017 20:57
good point well made #Wenurses https://twitter.com/mlofthouse1888/status/888125615072608256
@FSHCNurses
20 July 2017 20:57
RT @AgencyNurse: wow sounds fab #Wenurses https://twitter.com/DeeDee12040109/status/888125456041492480
@DiverseAlz
20 July 2017 20:57
RT @mynameisAndyJ: #wenurses A4 ensure in the HCP also includes facilites teams ie caterer to cleaner they can spot and also valuable role…
@WeDistrictNurse
20 July 2017 20:57
RT @WeNurses: QUESTION 6 What about sepsis ? #WeNurses https://t.co/CxPfXQqnM5
@WeDocs
20 July 2017 20:57
RT @WeNurses: QUESTION 6 What about sepsis ? #WeNurses https://t.co/CxPfXQqnM5
@WeParamedics
20 July 2017 20:57
RT @WeNurses: QUESTION 6 What about sepsis ? #WeNurses https://t.co/CxPfXQqnM5
@WeGPNs
20 July 2017 20:57
RT @WeNurses: QUESTION 6 What about sepsis ? #WeNurses https://t.co/CxPfXQqnM5
@StrainJoanne
20 July 2017 20:57
@AgencyNurse @sroo91 #Wenurses In collaboration with MDT/wishes of resident and with family. Documentation is key to process
@SueMarsden6
20 July 2017 20:57
RT @AgencyNurse: is this easy to hold in an emergency situation ? #WeNurses https://twitter.com/Hutchison_88/status/888125456871956480
@sminaev2015
20 July 2017 20:58
RT @WeNurses: QUESTION 6 What about sepsis ? #WeNurses https://t.co/CxPfXQqnM5
@FSHCNurses
20 July 2017 20:58
RT @AgencyNurse: good point well made #Wenurses https://twitter.com/mlofthouse1888/status/888125615072608256
@FSHCNurses
20 July 2017 20:58
RT @LooBlackburn: @AgencyNurse agree- training KEY to all of this- but implementation even more important! #wenurses
@LynneBowers2
20 July 2017 20:58
RT @AgencyNurse: wow sounds fab #Wenurses https://twitter.com/DeeDee12040109/status/888125456041492480
@StrainJoanne
20 July 2017 20:58
RT @JillAnneWill: @AgencyNurse #WeNurses advocacy role, care plan needs to be clear. Pressure to admit not always from other professi…
@FSHCNurses
20 July 2017 20:58
RT @StrainJoanne: @AgencyNurse @sroo91 #Wenurses In collaboration with MDT/wishes of resident and with family. Documentation is key to proc…
@JillAnneWill
20 July 2017 20:58
@GraceWall @AgencyNurse #WeNurses absolutely COE complexity underestimated
@SueMarsden6
20 July 2017 20:58
RT @StrainJoanne: @AgencyNurse @sroo91 #Wenurses In collaboration with MDT/wishes of resident and with family. Documentation is key to proc…
@WeNurses
20 July 2017 20:58
QUESTION 7 Any final points ? #WeNurses https://t.co/HIby11eyiv
@sroo91
20 July 2017 20:58
@AgencyNurse Highlights the importance of advanced care planning and decision making; in the event of emergency situations #wenurses
@merten_65
20 July 2017 20:58
RT @WeNurses: QUESTION 6 What about sepsis ? #WeNurses https://t.co/CxPfXQqnM5
@sroo91
20 July 2017 20:58
RT @StrainJoanne: @AgencyNurse @sroo91 #Wenurses In collaboration with MDT/wishes of resident and with family. Documentation is key to proc…
@CraigPriestley5
20 July 2017 20:58
@WeNurses #Wenurses do they have a infection and or a wound, urinary catheter?, a high or low temp! Consider sepsis… https://twitter.com/i/web/status/888126103646228483
@Hutchison_88
20 July 2017 20:58
@WeNurses #WeNurses In my area we have the RATS team, who come out and can set up IV in care homes without nurses,… https://twitter.com/i/web/status/888126109920804864
@GaryMitchellRN
20 July 2017 20:59
RT @StrainJoanne: @AgencyNurse @sroo91 #Wenurses In collaboration with MDT/wishes of resident and with family. Documentation is key to proc…
@GaryMitchellRN
20 July 2017 20:59
RT @LooBlackburn: @AgencyNurse agree- training KEY to all of this- but implementation even more important! #wenurses
@GaryMitchellRN
20 July 2017 20:59
RT @AgencyNurse: good point well made #Wenurses https://twitter.com/mlofthouse1888/status/888125615072608256
@GaryMitchellRN
20 July 2017 20:59
RT @AgencyNurse: wow sounds fab #Wenurses https://twitter.com/DeeDee12040109/status/888125456041492480
@GaryMitchellRN
20 July 2017 20:59
RT @AgencyNurse: is this easy to hold in an emergency situation ? #WeNurses https://twitter.com/Hutchison_88/status/888125456871956480
@GaryMitchellRN
20 July 2017 20:59
RT @Hutchison_88: @AgencyNurse @WeNurses #WeNurses I would image there would be a best interests meeting, depending if the patient/re…
@malestudntnurse
20 July 2017 20:59
@WeNurses Sepsis 6 with https://www.nice.org.uk/guidance/ng51 alongside this staff training for recognition of the signs for non hcp staff. #Wenurses
@GaryMitchellRN
20 July 2017 20:59
RT @AgencyNurse: @LooBlackburn yes i see your point .... but perhaps "safe option" isn't always best for that person #WeNurses
@GaryMitchellRN
20 July 2017 20:59
RT @AgencyNurse: Same as in any other setting .... but think training is key here #WeNurses https://twitter.com/WeNurses/status/888125016562257922
@GaryMitchellRN
20 July 2017 20:59
RT @FSHCNurses: #Sepsis more common than you'd think in #Older #People - important to always be thinking about it! @WeNurses #wenurses
@GaryMitchellRN
20 July 2017 20:59
RT @JillAnneWill: @AgencyNurse #WeNurses absolutely managing expectations of all involved and advocating patients wishes is fine bala…
@GaryMitchellRN
20 July 2017 20:59
RT @SueMarsden6: @mlofthouse1888 @AgencyNurse @WeNurses #wenurses yes that too... hopefully someone picked up that first request not…
@sroo91
20 July 2017 20:59
RT @CraigPriestley5: @WeNurses #Wenurses do they have a infection and or a wound, urinary catheter?, a high or low temp! Consider sepsis…
@StrainJoanne
20 July 2017 20:59
@JillAnneWill @AgencyNurse #wenurses That's why ACP should be clear from day one
@GaryMitchellRN
20 July 2017 20:59
RT @LynneBowers2: @WeNurses #wenurses sounds great Anya - Gloucester? Can you share ? https://twitter.com/anyaterry1/status/888124482740568066
@LynneBowers2
20 July 2017 20:59
@WeNurses #WeNurses And LD https://twitter.com/jillannewill/status/888125991289094144
@CraigPriestley5
20 July 2017 20:59
RT @AgencyNurse: good point well made #Wenurses https://twitter.com/mlofthouse1888/status/888125615072608256
@GaryMitchellRN
20 July 2017 20:59
RT @cherith_rogers: Keep the resident and family informed. #wenurses
@GaryMitchellRN
20 July 2017 20:59
RT @AgencyNurse: Wow this sounds interesting ... how is it going ? #WeNurses https://twitter.com/AnyaTerry1/status/888124482740568066
@GaryMitchellRN
20 July 2017 20:59
RT @JonathanCliffe8: @WeNurses Also - ensure staff are up to date on emergency scenarios #WeNurses
@StrainJoanne
20 July 2017 20:59
RT @Tigerlilyflower: Shows the importance of having these discussions asap and that family are aware & on board #wenurses https://t.co/xuyH…
@cherith_rogers
20 July 2017 20:59
Communicate with your team and draw of the expertise that each member brings #WeNurses
@LynneBowers2
20 July 2017 21:00
RT @Hutchison_88: @WeNurses #WeNurses In my area we have the RATS team, who come out and can set up IV in care homes without nurses,…
@GaryMitchellRN
20 July 2017 21:00
RT @AgencyNurse: yes have come across this too - can be hard to deal with but we must respect what that person wants #Wenurses https://t.co…
@GaryMitchellRN
20 July 2017 21:00
RT @CraigPriestley5: @AgencyNurse @FSHCNurses #wenurses consider wishes and choices, do they want to go to hospital? Have they capacity,…
@GaryMitchellRN
20 July 2017 21:00
RT @Tigerlilyflower: Shows the importance of having these discussions asap and that family are aware & on board #wenurses https://t.co/xuyH…
@GaryMitchellRN
20 July 2017 21:00
RT @StrainJoanne: @JillAnneWill @SueMarsden6 #WeNurses Communication and relationships are key!
@GaryMitchellRN
20 July 2017 21:00
RT @AnyaTerry1: @WeNurses #wenurses my trust are piloting rapid response supporting deterioration in care homes, it's working very well #NE…
@GaryMitchellRN
20 July 2017 21:00
RT @AgencyNurse: @sroo91 agree sometimes its about helping to make that person as comfy as possible .. but we still act ! #WeNurses (and…
@GaryMitchellRN
20 July 2017 21:00
RT @SueMarsden6: @AgencyNurse #WeNurses good training and courage to support with what may well be #EOLC if change is that severe
@LooBlackburn
20 July 2017 21:00
@AgencyNurse ABSOLUTELY agree - prob majority of cases not best option #wenurses, - how to support /empower staff ?
@GaryMitchellRN
20 July 2017 21:00
RT @JillAnneWill: @AgencyNurse #WeNurses advocacy role, care plan needs to be clear. Pressure to admit not always from other professi…
@SueMarsden6
20 July 2017 21:00
@WeNurses #WeNurses the critical importance of difficult conversations when someone is WELL! know your patient's wishes, get those ACPs in
@GaryMitchellRN
20 July 2017 21:00
RT @cherith_rogers: @WeNurses #wenurses depends on ACP and if there is a AND in place. We respond calmly ??
@GaryMitchellRN
20 July 2017 21:00
RT @sroo91: Need to also consider is there an ACP, persons wishes does this person want to be transferred to an acute setting? #WeNurses
@GaryMitchellRN
20 July 2017 21:00
RT @SueMarsden6: @mandolin_8 @cherith_rogers @AgencyNurse #wenurses yes I agree. Better than nothing. I guess trust your instinct an…
@GaryMitchellRN
20 July 2017 21:00
RT @GraceWall: @WeNurses Their wishes #wenurses importance of advances care planning
@GaryMitchellRN
20 July 2017 21:00
RT @JillAnneWill: @WeNurses #WeNurses as in any community scenario 999 & first aid
@GaryMitchellRN
20 July 2017 21:00
RT @SueMarsden6: @WeNurses #Wenurses back to those ACPs again... know your plan.. 999, 111, #hospitalathome #Hospice #EOLC
@Hutchison_88
20 July 2017 21:00
@WeNurses #WeNurses care,compassion,empathy, respecting their decisions, keeping calm, support for family during en… https://twitter.com/i/web/status/888126581293502464
@cherith_rogers
20 July 2017 21:00
Ensure that the person in charge of the building is aware that there is a patient that you have concerns about #WeNurses
@FSHCNurses
20 July 2017 21:01
RT @SueMarsden6: @WeNurses #WeNurses the critical importance of difficult conversations when someone is WELL! know your patient's wishes, g…
@FSHCNurses
20 July 2017 21:01
RT @LooBlackburn: @AgencyNurse ABSOLUTELY agree - prob majority of cases not best option #wenurses, - how to support /empower staff ?
@FSHCNurses
20 July 2017 21:01
RT @cherith_rogers: Communicate with your team and draw of the expertise that each member brings #WeNurses
@FSHCNurses
20 July 2017 21:01
RT @StrainJoanne: @JillAnneWill @AgencyNurse #wenurses That's why ACP should be clear from day one
@FSHCNurses
20 July 2017 21:01
RT @LynneBowers2: @WeNurses #WeNurses And LD https://twitter.com/jillannewill/status/888125991289094144
@SueMarsden6
20 July 2017 21:01
RT @StrainJoanne: @JillAnneWill @AgencyNurse #wenurses That's why ACP should be clear from day one
@FSHCNurses
20 July 2017 21:01