#WeNurses - Tuesday 13th June 2017 8pm (GMT Standard Time) Catheters - the evidence!

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This chat is guest hosted by @CochraneUK @SarahChapman30

On Thursday the 13th June we will be discussing "Catheter Care" - what good catheter care looks like and how we can achieve it ... however there is much more to catheters than the care of them so we have teamed up with the fabulous Sarah Chapman at the Cochrane UK to explore catheters a little bit more.  

This discussion aims to address the evidence behind catheters and what this all means for practice. A brilliant blog post on Evidently Cochrane by Helen Cowan (@HelenCCowan) "Urinary catheter care: what does the evidence say? explains much of the evidence available on long-term indwelling catheters and is well worth a read prior to this discussion. Look out for blogs on the evidence for managing short-term indwelling catheters and intermittent catheterisation, to be published ahead of our tweetchat, too.

    



(This is part of the Evidence for Everyday Nursing series of blogs on Evidently Cochrane - search #EENursing on Twitter for lots more great info)

In this blogs Helen addresses the confusion around catheters and identifies key questions:


    • Do specially designed urinary catheters reduce risk of CAUTI?
    • Are unrinary catheter washouts effective?
    • How frequently should a urinary catheter be changed?
    • Are there any advantages to antibiotics?
    • What is the optimum setting for catheter care? 
    • Is catheter replacement a clean or an aseptic technique? 
    • Is chlorhexidine superior to saline for periurethral cleansing? 
    • Which lubricants should be used? 
    • Are better outcomes achieved when patients or healthcare professionals manage their catheter care?


Some of the questions are answered with evidence in the blogs and some are not ... this Twitter Discussion aims to look at the evidence and how we can apply it to our everyday nursing by asking:


  • What is the evidence around catheters?
  • How do we translate this into practice?
  • What evidence gaps are there re catheters?
  • What do we do where evidence gaps exist?


We hope that you will join us for a week of catheter related tweets !


Further reading 

Evidently Cochrane - Intermittent catheterisation: informed choices? 

Evidently Cochrane - Short-term catheterisation: considerations for best practice







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 Chat Summary

 

To read Sarah Chapmans excellent Evidently Cochrane blog on this discussion CLICK HERE




This discussion started by addressing the evidence around catheters and what it says:










It very quickly became apparent that there is a huge lack of evidence in this area of nursing, so what does this mean for our practice?
















There was then some discussion around best practice:

















Some final points were shared towards the end:














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 #WeNurses transcript

 
@WeNurses
13 June 2017 20:00
Hello and welcome to the first of this weeks #WeNurses on Catheters - tonight we are concentrating on the evidence https://t.co/asY9UjtikO
@WeNurses
13 June 2017 20:01
Please do tweet us an "hello" if you are joining us #wenurses https://t.co/H3GDFQ17n0
@SarahChapman30
13 June 2017 20:01
RT @WeNurses: Please do tweet us an "hello" if you are joining us #wenurses https://t.co/H3GDFQ17n0
@NurseDeJaeger
13 June 2017 20:01
RT @WeNurses: A great recap on Catheterisation of female patient from University of Glasgow #WeNurses https://t.co/AfEzsG0NKY
@SarahChapman30
13 June 2017 20:04
@cherylwilson2 @SarahChapman30 @CochraneUK Hi Cheryl, good to see you #wenurses
@SarahChapman30
13 June 2017 20:04
RT @WeNurses: FIRST QUESTION What is the evidence base for practice around urinary catheter use? #WeNurses https://t.co/fh8iIqfqHM
@ScienceofCookie
13 June 2017 20:04
Hello there ! Curiosity coming from Switzerland #wenurses
@cherylwilson2
13 June 2017 20:04
RT @WeNurses: FIRST QUESTION What is the evidence base for practice around urinary catheter use? #WeNurses https://t.co/fh8iIqfqHM
@IBDAZDelta
13 June 2017 20:04
@Ismalia_S @IlseVanWesemael @WeNurses First let's sing our songs ??#wenurses
@WeNurses
13 June 2017 20:04
Wow a truly multinational #WeNurses this evening, England, Scotland, Wales, Belgium ! #WeNurses
@WeNurses
13 June 2017 20:05
And Switzerland !! Welcome ! #WeNurses https://t.co/jxTlUwf081
@SarahChapman30
13 June 2017 20:05
A1 For those who haven't yet read our 3 recent Evidently Cochrane blogs on aspects of catheter practice - so many evidence gaps #wenurses
@Ismalia_S
13 June 2017 20:05
@WeNurses Acute urinary retention and strict fluid balance #WeNurses
@cherylwilson2
13 June 2017 20:05
@IBDAZDelta @Ismalia_S @IlseVanWesemael @WeNurses Can sing a Welsh one #WeNurses
@SarahChapman30
13 June 2017 20:05
Fabulous geographical reach - the joy of Twitter! Welcome all #wenurses
@HelenCCowan
13 June 2017 20:05
@WeNurses Confusion surrounds catheter care: how often to change? do bladder washouts work? how to reduce UTI? types of catheters? #wenurses
@AgencyNurse
13 June 2017 20:06
Have loved the Evidently Cochrane blogs on this recently ... #WeNurses https://t.co/gE7koStegs
@Meht_Urology
13 June 2017 20:06
RT @WeNurses: FIRST QUESTION What is the evidence base for practice around urinary catheter use? #WeNurses https://t.co/fh8iIqfqHM
@Ismalia_S
13 June 2017 20:06
@IBDAZDelta @IlseVanWesemael @WeNurses Ok... I need to make my country (Portugal) proud then :) #WeNurses
@SarahChapman30
13 June 2017 20:06
@AgencyNurse it is so great to be able to invite nurses to bring their expertise alongside the evidence in blogs #wenurses
@AgencyNurse
13 June 2017 20:07
Not a lot of evidence #WeNurses https://t.co/F8sMpBGf87
@PUNC14Julie
13 June 2017 20:07
RT @DerrifordNurses: Only 1 week left to apply for this nurse role in @PHNT_NHS ED dept! Find out more #nhsjobs #wenurses #phntnurses https…
@cherylwilson2
13 June 2017 20:07
I got better at this when I worked as a community ##nurse also SP catheters #WeNurses part of role v much https://t.co/Bzk0ep4nd4
@SarahChapman30
13 June 2017 20:07
@HelenCCowan took on the challenge of looking at the evidence for long term indwelling catheterisation https://t.co/0c6p3DxnQt #wenurses
@WeNurses
13 June 2017 20:07
We do love Twitter ... the world in the palm of our hands #WeNurses https://t.co/Sf6d7RAiib
@NurseDeJaeger
13 June 2017 20:07
Hello from Bath #wenurses for this evenings group chat
@MsMonsanto
13 June 2017 20:08
RT @WeNurses: Hello and welcome to the first of this weeks #WeNurses on Catheters - tonight we are concentrating on the evidence https://t…
@SarahChapman30
13 June 2017 20:08
Cochrane review on types of indwelling catheter for long-term use finds a lack of reliable evidence https://t.co/9zWWK6jOpd #wenurses
@SarahChapman30
13 June 2017 20:08
RT @WeNurses: Hello and welcome to the first of this weeks #WeNurses on Catheters - tonight we are concentrating on the evidence https://t…
@IlseVanWesemael
13 June 2017 20:08
@HelenCCowan @WeNurses I am thinking about the same things! #wenurses
@AshepherdQi
13 June 2017 20:08
@SarahChapman30 @WeNurses #WeNurses Perhaps it would be interesting to know why these gaps exisit? Why so little research in this area?
@Ismalia_S
13 June 2017 20:08
@HelenCCowan @WeNurses Bladder washouts is a question I actually had recently #WeNurses
@SarahChapman30
13 June 2017 20:09
RT @AshepherdQi: @SarahChapman30 @WeNurses #WeNurses Perhaps it would be interesting to know why these gaps exisit? Why so little research…
@SarahChapman30
13 June 2017 20:09
@AshepherdQi @SarahChapman30 @WeNurses you're a good person to ask this Ashley, as a Cochrane author. Views? #wenurses
@Ismalia_S
13 June 2017 20:09
@AgencyNurse Me too! It was my tube reading this morning to work #WeNurses
@AgencyNurse
13 June 2017 20:10
@Ismalia_S hehe fab ! #WeNurses
@WeMidwives
13 June 2017 20:10
Incase you missed this fab blog #WeNurses https://t.co/sfcq8aYlbm
@shiv_smith
13 June 2017 20:10
RT @WeNurses: FIRST QUESTION What is the evidence base for practice around urinary catheter use? #WeNurses https://t.co/fh8iIqfqHM
@shiv_smith
13 June 2017 20:10
RT @Ismalia_S: @WeNurses Acute urinary retention and strict fluid balance #WeNurses
@SarahChapman30
13 June 2017 20:10
@Ismalia_S mentioned washouts https://t.co/8JrP65etTP #wenurses https://t.co/mljHt7WHGH
@cherylwilson2
13 June 2017 20:11
Which one there's a range do we use a G or R etc I prefer the term maintenance solution #wenurses https://t.co/4ysWkchjeI
@IlseVanWesemael
13 June 2017 20:11
@AshepherdQi @SarahChapman30 @WeNurses This in an interesting question! #WeNurses
@WeNurses
13 June 2017 20:11
Catheters for long term use - the evidence #WeNurses https://t.co/SxtRJdOqFd
@SarahChapman30
13 June 2017 20:11
@AgencyNurse We have washout author (sounds wrong!) @AShepherdQi with us tonight #wenurses
@Dawnclarke318
13 June 2017 20:11
Hello! #WeNurses https://t.co/TVTDSVZIpv
@SarahChapman30
13 June 2017 20:12
RT @WeMidwives: Incase you missed this fab blog #WeNurses https://t.co/sfcq8aYlbm
@AgencyNurse
13 June 2017 20:12
RT @SarahChapman30: @Ismalia_S mentioned washouts https://t.co/8JrP65etTP #wenurses https://t.co/mljHt7WHGH
@WeNurses
13 June 2017 20:12
RT @SarahChapman30: @Ismalia_S mentioned washouts https://t.co/8JrP65etTP #wenurses https://t.co/mljHt7WHGH
@cherylwilson2
13 June 2017 20:12
RT @SarahChapman30: @Ismalia_S mentioned washouts https://t.co/8JrP65etTP #wenurses https://t.co/mljHt7WHGH
@AshepherdQi
13 June 2017 20:12
@SarahChapman30 @WeNurses #WeNurses Difficult population to recruit, older, multiple morbidities, issues with tryin… https://t.co/dsTIKLr4Ii
@rbate1
13 June 2017 20:12
RT @WeNurses: FIRST QUESTION What is the evidence base for practice around urinary catheter use? #WeNurses https://t.co/fh8iIqfqHM
@AgencyNurse
13 June 2017 20:12
Fab and hello ... what a claim to fame ;D #WeNurses https://t.co/dSEzzCNQq3
@SarahChapman30
13 June 2017 20:12
I bet I'm not the only one struggling to keep up but I'll be blogging a summary of the chat, with the help of @WeNurses tech #wenurses
@SarahChapman30
13 June 2017 20:12
RT @AshepherdQi: @SarahChapman30 @WeNurses #WeNurses Difficult population to recruit, older, multiple morbidities, issues with trying to ru…
@SarahChapman30
13 June 2017 20:13
@Dawnclarke318 Hi & welcome! #wenurses
@IBDAZDelta
13 June 2017 20:13
@AshepherdQi @SarahChapman30 @WeNurses And a lot of influencing factors. #wenurses
@SarahChapman30
13 June 2017 20:13
@AshepherdQi @SarahChapman30 @WeNurses did the primary research consider outcomes that are important to patients Ashley? #wenurses
@DN_Kate
13 June 2017 20:14
RT @WeNurses: And Switzerland !! Welcome ! #WeNurses https://t.co/jxTlUwf081
@AgencyNurse
13 June 2017 20:14
@SarahChapman30 @AshepherdQi not sure of evidence for either ... we don't seem to use either in practice now #WeNurses
@NurseDeJaeger
13 June 2017 20:14
#wenurses In the UK, around 450,000 people use long-term urinary catheters (Prinjha & Chapple, 2013).
@Ismalia_S
13 June 2017 20:14
@SarahChapman30 Will add this to my "to read list". Do you think this would depend on each nurse also? #WeNurses
@IBDAZDelta
13 June 2017 20:14
@Ismalia_S @SarahChapman30 @AshepherdQi @WeNurses But also different indications. Difficult to compare #wenurses
@AgencyNurse
13 June 2017 20:14
Perhaps thats due to lack of evidence ? #WeNurses https://t.co/9TZYgWxNCd
@SarahChapman30
13 June 2017 20:14
Here’s the blog on short-term catheterisation https://t.co/aYKossq3xc #wenurses
@Ismalia_S
13 June 2017 20:15
RT @SarahChapman30: @Ismalia_S mentioned washouts https://t.co/8JrP65etTP #wenurses https://t.co/mljHt7WHGH
@faatnurse
13 June 2017 20:15
@WeNurses Holland also following ??#WeNurses
@WeNurses
13 June 2017 20:15
QUESTION 2 What does this evidence - or lack of - mean for our practice ? #WeNurses https://t.co/Pwi1hUyfv2
@cherylwilson2
13 June 2017 20:16
RT @SarahChapman30: Here’s the blog on short-term catheterisation https://t.co/aYKossq3xc #wenurses
@Ismalia_S
13 June 2017 20:16
@cherylwilson2 So are these allowed? Which maintenance solutions do you use? #WeNurses
@AshepherdQi
13 June 2017 20:16
#WeNurses From own research, nurses want more evidence in this area but not always keen to participate or change practice if in trial - why?
@IlseVanWesemael
13 June 2017 20:16
Evidence for Everyday Nursing: long term indwelling catheterization #EBN #wenurses #benurse https://t.co/HdSccB5GEk
@HelenCCowan
13 June 2017 20:16
@rbate1 @Ismalia_S @WeNurses "Catheter user" does his washout once a week, works well, catheter generally ok for 2 months. #wenurses
@AgencyNurse
13 June 2017 20:17
@SarahChapman30 @AshepherdQi bear in mind i had a change of role from urology to community ... but yes wonder why it changed ? #WeNurses
@shiv_smith
13 June 2017 20:17
RT @WeNurses: Wow a truly multinational #WeNurses this evening, England, Scotland, Wales, Belgium ! #WeNurses
@SarahChapman30
13 June 2017 20:18
Routes for short-term catheterisation EVIDENCE GAP https://t.co/Dd82CV4uMP #wenurses https://t.co/iG57o3lRFV
@WeNurses
13 June 2017 20:18
An interesting question #WeNurses https://t.co/RQBFsbKElJ
@IBDAZDelta
13 June 2017 20:18
Every single nurse thinks he knows best. Not clear to patients #wenurses https://t.co/11GhQ3zu9S
@SarahChapman30
13 June 2017 20:19
@AshepherdQi @AgencyNurse This seems to be the case for almost everything I looked at re catheter evidence - oh dear! #wenurses
@cherylwilson2
13 June 2017 20:19
RT @IBDAZDelta: Every single nurse thinks he knows best. Not clear to patients #wenurses https://t.co/11GhQ3zu9S
@AgencyNurse
13 June 2017 20:19
always good advice #wenurses - work within own competency https://t.co/TjtOvHRpGE
@AgencyNurse
13 June 2017 20:20
interesting #WeNurses https://t.co/1l2Tj5LE1r
@SarahChapman30
13 June 2017 20:20
Cochrane reviews highlight the lack of reliable evidence on short-term, intermittent & long-term catheterisation #wenurses
@Ismalia_S
13 June 2017 20:20
@AgencyNurse Spot on! Which then left me still a bit confused #WeNurses
@AgencyNurse
13 June 2017 20:20
From what i can see there is no evidence either way ? #WeNurses So what does this mean for practice ? https://t.co/BpTOmE4HLY
@Ismalia_S
13 June 2017 20:21
RT @SarahChapman30: Here’s the blog on short-term catheterisation https://t.co/aYKossq3xc #wenurses
@shiv_smith
13 June 2017 20:21
@rbate1 @WeNurses EAUN or @BAUNnurses guidelines NICE & Trust SOPs ?? #WeNurses
@shingler_jo
13 June 2017 20:21
Hi Jo here, Sorry for arriving late #WeNurses
@SarahChapman30
13 June 2017 20:21
@josephinebolt Harms must be considered, mustn't they, in practice & evidence? Not great to just hope for the best #wenurses
@NurseDeJaeger
13 June 2017 20:21
@SarahChapman30 @WeNurses @Ismalia_S Thanks #wenurses Its really useful to know the evidence for washouts as we are… https://t.co/IAMnOcLvMj
@SarahChapman30
13 June 2017 20:22
Absolutely. Patients know stuff HCPs & researchers don't, quite apart from anything else #wenurses https://t.co/FotMQTXWqI
@shizc1
13 June 2017 20:23
@WeNurses #wenurses good place to start for evidence is Trust policy as they have researched the available evidence… https://t.co/bvaKaocZpk
@AgencyNurse
13 June 2017 20:23
@Ismalia_S NMC says we should use "best evidence available" .. so if no good evidence .. what then ? #Wenurses
@AgencyNurse
13 June 2017 20:23
RT @shizc1: @WeNurses #wenurses good place to start for evidence is Trust policy as they have researched the available evidence. NICE, RCN…
@HelenCCowan
13 June 2017 20:23
@josephinebolt @SarahChapman30 "Catheter user" does his own at home - remember patients can be trained too #wenurses
@AgencyNurse
13 June 2017 20:23
#WeNurses https://t.co/adW00MDusk
@SarahChapman30
13 June 2017 20:23
#wenurses https://t.co/hiySxx23PN
@SarahChapman30
13 June 2017 20:23
RT @HelenCCowan: @josephinebolt @SarahChapman30 "Catheter user" does his own at home - remember patients can be trained too #wenurses
@Meht_Urology
13 June 2017 20:24
RT @shingler_jo: Hi Jo here, Sorry for arriving late #WeNurses
@Meht_Urology
13 June 2017 20:24
RT @Ismalia_S: @WeNurses Acute urinary retention and strict fluid balance #WeNurses
@NurseDeJaeger
13 June 2017 20:24
@WeNurses We encourage patients to drink a lemon drink to avoid encrustation and seems to work well & avoid wash outs #wenurses
@IBDAZDelta
13 June 2017 20:24
@Ismalia_S @AshepherdQi But evidence can easily be translated in practical to use guidelines. #wenurses
@Ismalia_S
13 June 2017 20:24
@AgencyNurse Best practice? But is there best practice if it changes where you work? #WeNurses
@Meht_Urology
13 June 2017 20:24
RT @WeNurses: Wow a truly multinational #WeNurses this evening, England, Scotland, Wales, Belgium ! #WeNurses
@AgencyNurse
13 June 2017 20:25
@HelenCCowan perhaps we are then working on the evidence of what the service user says works for them ? #WeNurses
@Meht_Urology
13 June 2017 20:25
RT @WeNurses: QUESTION 2 What does this evidence - or lack of - mean for our practice ? #WeNurses https://t.co/Pwi1hUyfv2
@shizc1
13 June 2017 20:25
@HelenCCowan @WeNurses #wenurses def confusion between nurses, my trust has just roled out 3 yrly catheter update t… https://t.co/4hTdxk7wvl
@WeNurses
13 June 2017 20:25
An important link #WeNurses https://t.co/GdtE0o5OCR
@IBDAZDelta
13 June 2017 20:26
@NurseDeJaeger @WeNurses Is there some evidence for? #lemondrinks #incrustination? #WeNurses
@WeNurses
13 June 2017 20:26
anyone know ? #wenurses https://t.co/AAZW58DPJU
@SarahChapman30
13 June 2017 20:26
@AgencyNurse @HelenCCowan Yes, patient preference is a vital part of healthcare decisions isn't it? #wenurses
@AgencyNurse
13 June 2017 20:26
@Ismalia_S shouldnt best practice be based on evidence ? #WeNurses
@shingler_jo
13 June 2017 20:26
Definately and carers can too #WeNurses https://t.co/JsWbsO8GX8
@AgencyNurse
13 June 2017 20:26
RT @SarahChapman30: @AgencyNurse @HelenCCowan Yes, patient preference is a vital part of healthcare decisions isn't it? #wenurses
@WeNurses
13 June 2017 20:26
RT @SarahChapman30: @AgencyNurse @HelenCCowan Yes, patient preference is a vital part of healthcare decisions isn't it? #wenurses
@SarahChapman30
13 June 2017 20:27
@IBDAZDelta @NurseDeJaeger @WeNurses Gosh no, I don't know! @AshepherdQi any idea? Your next Cochrane review?! #wenurses
@SarahChapman30
13 June 2017 20:27
RT @WeNurses: QUESTION 2 What does this evidence - or lack of - mean for our practice ? #WeNurses https://t.co/Pwi1hUyfv2
@Dawnclarke318
13 June 2017 20:27
#WeNurses How can we encourage research and practice change in this important area? @OfficialNIHR https://t.co/48HtVrN1XA
@HelenCCowan
13 June 2017 20:27
@AgencyNurse Yes feedback from users is essential. "Catheter user" has learned what works and what doesn't. Patient as expert #wenurses
@NurseDeJaeger
13 June 2017 20:27
@IBDAZDelta @WeNurses yes #wenurses there is evidence for this. I'm happy to look it out for Thursdays chat
@shizc1
13 June 2017 20:28
@WeNurses #wenurses this is why leadership and experience essential teams need to have members who have undertaken… https://t.co/7RoZp7Wff3
@Ismalia_S
13 June 2017 20:28
@AgencyNurse True... so does this mean we are back to zero or we tend to go with trust policy? #WeNurses
@SarahChapman30
13 June 2017 20:28
RT @Dawnclarke318: #WeNurses How can we encourage research and practice change in this important area? @OfficialNIHR https://t.co/48HtVrN…
@SarahChapman30
13 June 2017 20:28
@Dawnclarke318 @OfficialNIHR This is a crucial question. #wenurses
@WeNurses
13 June 2017 20:28
QUESTION 3 How can we strive for best practice re catheters if there is uncertainty in the evidence ? #WeNurses https://t.co/CgpUQayGPD
@SarahChapman30
13 June 2017 20:29
RT @WeNurses: QUESTION 3 How can we strive for best practice re catheters if there is uncertainty in the evidence ? #WeNurses https://t.…
@SarahChapman30
13 June 2017 20:29
@WeNurses To what extent do you think nurses are aware of the evidence gaps in most areas of catheter practice? #wenurses
@rbate1
13 June 2017 20:29
RT @WeNurses: anyone know ? #wenurses https://t.co/AAZW58DPJU
@AgencyNurse
13 June 2017 20:30
@Ismalia_S I guess it means we go with policy but are flexible and listen to what works for the people we care for .... #Wenurses
@AgencyNurse
13 June 2017 20:30
@Ismalia_S it also means that maybe we should be more proactive about evidence gaps like this #WeNurses
@SarahChapman30
13 June 2017 20:30
@AgencyNurse @Ismalia_S Best evidence is an important element of best practice & if it's lacking then knowing that is key #wenurses
@IBDAZDelta
13 June 2017 20:31
@AgencyNurse @Ismalia_S On evidence, own experiences as nurse and what the patients wants. #EBN #WeNurses
@Ismalia_S
13 June 2017 20:31
@WeNurses I guess we would have to also use local policies #WeNurses
@AgencyNurse
13 June 2017 20:31
Document, discuss, record, ... use clinical judgement and document again #WeNurses https://t.co/CQIsROhL2q
@IBDAZDelta
13 June 2017 20:31
@SarahChapman30 @AgencyNurse @HelenCCowan I agree! #WeNurses
@AgencyNurse
13 June 2017 20:31
RT @IBDAZDelta: @AgencyNurse @Ismalia_S On evidence, own experiences as nurse and what the patients wants. #EBN #WeNurses
@WeNurses
13 June 2017 20:31
RT @IBDAZDelta: @AgencyNurse @Ismalia_S On evidence, own experiences as nurse and what the patients wants. #EBN #WeNurses
@WeNurses
13 June 2017 20:32
What do people think ? #WeNurses https://t.co/htmgkrU1Tn
@WeNurses
13 June 2017 20:32
All good points #WeNurses https://t.co/gzqmyaV0gD
@SarahChapman30
13 June 2017 20:32
RT @IBDAZDelta: @AgencyNurse @Ismalia_S On evidence, own experiences as nurse and what the patients wants. #EBN #WeNurses
@Ismalia_S
13 June 2017 20:32
@shizc1 @WeNurses Like continence champions #WeNurses
@shiv_smith
13 June 2017 20:32
RT @NurseDeJaeger: @IBDAZDelta @WeNurses yes #wenurses there is evidence for this. I'm happy to look it out for Thursdays chat
@WeNurses
13 June 2017 20:32
oooh good question .... thoughts ? #Wenurses https://t.co/JuHwnN12Nx
@shingler_jo
13 June 2017 20:32
Full assessment of pts needs. Pt choice not what nurse prefers #weNurses https://t.co/3Pb8ZMafp3
@shiv_smith
13 June 2017 20:33
RT @NurseDeJaeger: #wenurses In the UK, around 450,000 people use long-term urinary catheters (Prinjha & Chapple, 2013).
@TildaMc
13 June 2017 20:33
RT @shingler_jo: Full assessment of pts needs. Pt choice not what nurse prefers #weNurses https://t.co/3Pb8ZMafp3
@ScienceofCookie
13 June 2017 20:33
@SarahChapman30 @AshepherdQi @IBDAZDelta @NurseDeJaeger @WeNurses Thoughts about a #rapidreview in the meantime? #wenurses
@AgencyNurse
13 June 2017 20:33
Catheters seem so commonplace to nurses ... do we stop enough to consider the evidence ? #WeNurses https://t.co/A0B5cwo8te
@SarahChapman30
13 June 2017 20:33
We're being reminded about the 3 elements of evidence-based practice #wenurses https://t.co/NtY7ONK2fM
@AgencyNurse
13 June 2017 20:34
RT @shingler_jo: Full assessment of pts needs. Pt choice not what nurse prefers #weNurses https://t.co/3Pb8ZMafp3
@WeNurses
13 June 2017 20:34
RT @shingler_jo: Full assessment of pts needs. Pt choice not what nurse prefers #weNurses https://t.co/3Pb8ZMafp3
@AgencyNurse
13 June 2017 20:34
Love this #WeNurses https://t.co/ficCiXipB1
@WeNurses
13 June 2017 20:34
Great picture #WeNurses https://t.co/OdDdGkaLxL
@shingler_jo
13 June 2017 20:34
Believe many nurses are not aware of evidence; rely on urology nurses for expertise #WeNurses https://t.co/JT8dMb7ihE
@shiv_smith
13 June 2017 20:35
RT @SarahChapman30: We're being reminded about the 3 elements of evidence-based practice #wenurses https://t.co/NtY7ONK2fM
@shiv_smith
13 June 2017 20:35
RT @shingler_jo: Full assessment of pts needs. Pt choice not what nurse prefers #weNurses https://twitter.com/agencynurse/status/874709219408322561
@ScienceofCookie
13 June 2017 20:35
@SarahChapman30 @WeNurses For many, easier to think they do the best than to question their practice #wenurses
@shiv_smith
13 June 2017 20:36
RT @shingler_jo: Believe many nurses are not aware of evidence; rely on urology nurses for expertise #WeNurses https://t.co/JT8dMb7ihE
@AgencyNurse
13 June 2017 20:36
@SarahChapman30 yes perhaps ..... nurse led research for some of these key aspects of nursing is much needed #WeNurses
@HelenCCowan
13 June 2017 20:36
RT @WeNurses: Great picture #WeNurses https://t.co/OdDdGkaLxL
@JillPage51
13 June 2017 20:36
RT @WeNurses: A great recap on Catheterisation of female patient from University of Glasgow #WeNurses https://t.co/AfEzsG0NKY
@CollieEileen
13 June 2017 20:36
@shingler_jo I agree Jo certainly know that more and more nurses busy on the wards rely on specialist nurses #wenurses
@WeNurses
13 June 2017 20:36
What do we think ... do we accept practice when it comes to catheters ? #WeNurses https://twitter.com/SarahChapman30/status/874711685562552321
@SarahChapman30
13 June 2017 20:37
Gratuitous blogshot of more catheter evidence gaps https://t.co/lBzrGyJAzs #wenurses https://t.co/k8tz544Qyt
@shiv_smith
13 June 2017 20:37
RT @Ismalia_S: @shizc1 @WeNurses Like continence champions #WeNurses
@IBDAZDelta
13 June 2017 20:37
@shingler_jo Unfortunately you're right ??#WeNurses
@shiv_smith
13 June 2017 20:37
RT @AgencyNurse: Document, discuss, record, ... use clinical judgement and document again #WeNurses https://t.co/CQIsROhL2q
@WeNurses
13 June 2017 20:37
Another interesting evidence gap #WeNurses https://t.co/zMSsowD7Kw
@WeNurses
13 June 2017 20:38
#WeNurses https://t.co/sENJfbpIwv
@shingler_jo
13 June 2017 20:38
CISC if recommended by NICE over IDC. Nurses should encourage this discussion with pts #WeNurses https://t.co/Swn3hKFA9x
@SarahChapman30
13 June 2017 20:38
Remember #wenurses please @AshepherdQi so we can all see what you have to say https://t.co/gwsYrx15eJ
@SarahChapman30
13 June 2017 20:38
RT @WeNurses: What do we think ... do we accept practice when it comes to catheters ? #WeNurses https://t.co/Zmumv76VIh
@IBDAZDelta
13 June 2017 20:38
@shingler_jo Not about what nurses prefers but about what nurses know #wenurses
@Ismalia_S
13 June 2017 20:39
RT @SarahChapman30: We're being reminded about the 3 elements of evidence-based practice #wenurses https://t.co/NtY7ONK2fM
@shingler_jo
13 June 2017 20:39
HOUDINI checklist #WeNurses if in doubt take it out https://t.co/xoScoGQ13g
@shingler_jo
13 June 2017 20:39
RT @AgencyNurse: Catheters seem so commonplace to nurses ... do we stop enough to consider the evidence ? #WeNurses https://t.co/A0B5cwo8te
@SlimHabit
13 June 2017 20:39
RT @WeNurses: Great picture #WeNurses https://t.co/OdDdGkaLxL
@matthevv
13 June 2017 20:39
RT @WeNurses: What do we think ... do we accept practice when it comes to catheters ? #WeNurses https://t.co/Zmumv76VIh
@SarahChapman30
13 June 2017 20:39
@AgencyNurse @SarahChapman30 Nurses and patients together would be great. #wenurses
@Meht_Urology
13 June 2017 20:39
RT @shingler_jo: Full assessment of pts needs. Pt choice not what nurse prefers #weNurses https://t.co/3Pb8ZMafp3
@Meht_Urology
13 June 2017 20:39
RT @shingler_jo: Believe many nurses are not aware of evidence; rely on urology nurses for expertise #WeNurses https://t.co/JT8dMb7ihE
@CollieEileen
13 June 2017 20:39
@WeNurses Often catheters are part of routine care and nurses don't always challenge routine and it does reduce work load! #wenurses
@TildaMc
13 June 2017 20:39
Think the problem is Research nurses are often supporting medical research rather than nursing research #wenurses
@SarahChapman30
13 June 2017 20:40
How can producers of evidence, like Cochrane, help you when there are no clear 'answers'. Because you have to make decisions #wenurses
@Meht_Urology
13 June 2017 20:40
RT @CollieEileen: @shingler_jo I agree Jo certainly know that more and more nurses busy on the wards rely on specialist nurses #wenurses
@Meht_Urology
13 June 2017 20:40
RT @SarahChapman30: We're being reminded about the 3 elements of evidence-based practice #wenurses https://t.co/NtY7ONK2fM
@shingler_jo
13 June 2017 20:40
Sometimes #WeNurses I have known nurses to have their preference and that's all that pts are offered https://t.co/b3bRouhKLz
@Ismalia_S
13 June 2017 20:40
@shingler_jo What is the HOUDINI checklist Jo? #WeNurses
@AgencyNurse
13 June 2017 20:40
RT @shingler_jo: HOUDINI checklist #WeNurses if in doubt take it out https://t.co/xoScoGQ13g
@WeNurses
13 June 2017 20:40
RT @shingler_jo: HOUDINI checklist #WeNurses if in doubt take it out https://t.co/xoScoGQ13g
@IBDAZDelta
13 June 2017 20:40
@AgencyNurse @SarahChapman30 Will we organize some multinational research. First research based on twitter relations ??#wenurses
@WeNurses
13 June 2017 20:41
Interesting ! #Wenurses https://t.co/28KlNjTEzX
@ScienceofCookie
13 June 2017 20:41
@TildaMc What explains this? Not allowed to do their own? #wenurses
@SarahChapman30
13 June 2017 20:41
#wenurses https://t.co/868aIrLPMG
@TildaMc
13 June 2017 20:41
CAUTI Bundles should in theory at least provide a pause to consider use of catheter #wenurses
@Ismalia_S
13 June 2017 20:41
RT @shingler_jo: CISC if recommended by NICE over IDC. Nurses should encourage this discussion with pts #WeNurses https://t.co/Swn3hKFA9x
@Meht_Urology
13 June 2017 20:41
@CollieEileen @WeNurses Back to ISC (gold standard) if in doubt get it out #WeNurses #CAUTI
@Meht_Urology
13 June 2017 20:41
RT @shingler_jo: HOUDINI checklist #WeNurses if in doubt take it out https://t.co/xoScoGQ13g
@eneo_unam
13 June 2017 20:41
RT @WeNurses: What do we think ... do we accept practice when it comes to catheters ? #WeNurses https://t.co/Zmumv76VIh
@AgencyNurse
13 June 2017 20:41
Interesting ..... #WeNurses https://t.co/fcNJ1f9LIO
@Meht_Urology
13 June 2017 20:41
RT @shingler_jo: CISC if recommended by NICE over IDC. Nurses should encourage this discussion with pts #WeNurses https://t.co/Swn3hKFA9x
@eneo_unam
13 June 2017 20:42
RT @WeNurses: Another interesting evidence gap #WeNurses https://t.co/zMSsowD7Kw
@ScienceofCookie
13 June 2017 20:42
@IBDAZDelta @AgencyNurse @SarahChapman30 Future : Twitter-led care? :P #wenurses
@AgencyNurse
13 June 2017 20:42
I hope so ... but am now wondering on the evidence behind CAUTI's ... @SarahChapman30 ??? #WeNurses https://t.co/tQhb5StKha
@Ismalia_S
13 June 2017 20:42
RT @SarahChapman30: Gratuitous blogshot of more catheter evidence gaps https://t.co/lBzrGyJAzs #wenurses https://t.co/k8tz544Qyt
@SarahChapman30
13 June 2017 20:42
RT @shingler_jo: Sometimes #WeNurses I have known nurses to have their preference and that's all that pts are offered https://t.co/b3bRouhK…
@IBDAZDelta
13 June 2017 20:42
RT @ScienceofCookie: @IBDAZDelta @AgencyNurse @SarahChapman30 Future : Twitter-led care? :P #wenurses
@IBDAZDelta
13 June 2017 20:44
@SarahChapman30 @shingler_jo Still a lot of work to do. #wenurses
@SarahChapman30
13 June 2017 20:44
Oh yes please! A tweetchat on this would be great! #wenurses https://t.co/bVc5FGanqN
@shiv_smith
13 June 2017 20:44
RT @shizc1: @WeNurses #wenurses audits easier/quicker than full research and when done locally can have impact on team practice when result…
@AgencyNurse
13 June 2017 20:45
Are we settling for second best here in exchange for speed ? #WeNurses https://t.co/EpITSVqilL
@TildaMc
13 June 2017 20:45
@SarahChapman30 https://t.co/RM4ovH5VcR Basically check list to try to ensure daily review #WeNurses
@AgencyNurse
13 June 2017 20:45
@shizc1 @WeNurses also my next question is could we not collate local audits to coordinate larger research ? #WeNurses
@SarahChapman30
13 June 2017 20:46
@AgencyNurse audit won't give you the same thing as a randomised trial or a systematic review, as you'll know. Need both #wenurses
@rhiannon134
13 June 2017 20:46
@WeNurses enjoying the catheter chat this evening (after 9 hours in clinics today) #studentnurse #wenurses
@ScienceofCookie
13 June 2017 20:46
@shizc1 @WeNurses Sustainable results? Too often seen audits change and then back to normal #WeNurses
@SarahChapman30
13 June 2017 20:46
RT @AgencyNurse: Going on tonights #WeNurses ... badder washouts and long term catheter frequency of change high on my agenda #WeNurses htt…
@TildaMc
13 June 2017 20:46
RT @AgencyNurse: @shizc1 @WeNurses also my next question is could we not collate local audits to coordinate larger research ? #WeNurses
@CherylCassidy80
13 June 2017 20:46
RT @WeNurses: Great picture #WeNurses https://t.co/OdDdGkaLxL
@AgencyNurse
13 June 2017 20:46
@SarahChapman30 so low quality evidence ... higher quality needed #WeNurses
@shiv_smith
13 June 2017 20:47
RT @shingler_jo: And catheter passports allow patients to carry details of their type of catheter, date of change, recent UTI #WeNurses htt…
@Ismalia_S
13 June 2017 20:47
@WeNurses Washouts clearly for me #WeNurses
@SarahChapman30
13 June 2017 20:47
@rhiannon134 @WeNurses see - nurses love catheters! Dedication though - fab. #wenurses
@ScienceofCookie
13 June 2017 20:47
@shingler_jo Didn't even know this was a thing ! :o #WeNurses
@WeNurses
13 June 2017 20:47
RT @Ismalia_S: @WeNurses Washouts clearly for me #WeNurses
@CollieEileen
13 June 2017 20:47
RT @AgencyNurse: @SarahChapman30 so low quality evidence ... higher quality needed #WeNurses
@TildaMc
13 June 2017 20:47
RT @AgencyNurse: @SarahChapman30 so low quality evidence ... higher quality needed #WeNurses
@AgencyNurse
13 June 2017 20:47
That makes two of us .... anyone fancy some washout research ? #WeNurses https://t.co/wTvXX95dEE
@SarahChapman30
13 June 2017 20:47
@AgencyNurse @SarahChapman30 yes, if we're trying to establish benefits/harms of interventions, audits won't do #wenurses
@alitwy
13 June 2017 20:47
RT @SarahChapman30: Oh yes please! A tweetchat on this would be great! #wenurses https://twitter.com/AshepherdQi/status/874713978685075457
@shizc1
13 June 2017 20:48
@WeNurses #wenurses could do with more evidence around the use of antibiotics for suspected cauti as this is confusing
@rhiannon134
13 June 2017 20:48
@wenurses #wenurses I've seen so many UTIs in patients with catheters, but patients seem to prefer them to pads, despite the risks.
@TildaMc
13 June 2017 20:48
RT @etirose: Our relationship with patients are a “consumerist model” with “shared decision making. We eill have to adjust #WeNurses @Har…
@NurseDeJaeger
13 June 2017 20:48
RT @AgencyNurse: Love this #WeNurses https://t.co/ficCiXipB1
@WeNurses
13 June 2017 20:48
Does anyone else find this? #WeNurses https://t.co/Y43Apt2G7C
@Helen_Clarke_
13 June 2017 20:49
RT @shingler_jo: And catheter passports allow patients to carry details of their type of catheter, date of change, recent UTI #WeNurses htt…
@shingler_jo
13 June 2017 20:49
Causes of blockages 40% of catheters bypass for many reasons, some may need washout #WeNurses https://t.co/IkrrTVrg4l
@rhiannon134
13 June 2017 20:49
RT @SarahChapman30: We're being reminded about the 3 elements of evidence-based practice #wenurses https://t.co/NtY7ONK2fM
@IBDAZDelta
13 June 2017 20:50
@rhiannon134 @WeNurses And these patients are well informed? #wenurses
@CollieEileen
13 June 2017 20:50
RT @Meht_Urology: @CollieEileen @WeNurses Back to ISC (gold standard) if in doubt get it out #WeNurses #CAUTI
@TildaMc
13 June 2017 20:50
@rhiannon134 @WeNurses I often see treatment for positive CSU but no clinical presentation of infection #WeNurses
@shizc1
13 June 2017 20:50
@HelenCCowan @WeNurses #wenurses depends why the washouts are being done, subi g for blocking of toothpast e consis… https://t.co/6gE9Ginn5S
@SarahChapman30
13 June 2017 20:50
@WeNurses Priority setting in research is so important - and should involve the patients of course! #wenurses @LindAlliance
@SarahChapman30
13 June 2017 20:50
@WeNurses Think work from NIHR on incontinence priorities is coming soon #wenurses
@hghani86
13 June 2017 20:51
RT @SarahChapman30: We're being reminded about the 3 elements of evidence-based practice #wenurses https://t.co/NtY7ONK2fM
@WeNurses
13 June 2017 20:51
This is good to hear #Wenurses https://t.co/3zSCoWHOjS
@shingler_jo
13 June 2017 20:51
Should question a true UTI. Are samples taken correctly? Have been known to take sample from catheter bag #WeNurses https://t.co/p5Z6Mz6TYi
@WeNurses
13 June 2017 20:51
RT @shingler_jo: Should question a true UTI. Are samples taken correctly? Have been known to take sample from catheter bag #WeNurses https:…
@AgencyNurse
13 June 2017 20:51
RT @SarahChapman30: @WeNurses Priority setting in research is so important - and should involve the patients of course! #wenurses @LindAlli…
@WeNurses
13 June 2017 20:51
RT @SarahChapman30: @WeNurses Priority setting in research is so important - and should involve the patients of course! #wenurses @LindAlli…
@IBDAZDelta
13 June 2017 20:51
@WeNurses I think it's all about informed patients. Not? #WeNurses
@SarahChapman30
13 June 2017 20:51
@WeNurses Hoping to have a blog on this on https://t.co/eg1kyWFSF3 #wenurses
@WeNurses
13 June 2017 20:51
RT @IBDAZDelta: @WeNurses I think it's all about informed patients. Not? #WeNurses
@SarahChapman30
13 June 2017 20:52
@shingler_jo Oh yes - I remember that happening #wenurses
@shizc1
13 June 2017 20:52
@HelenCCowan @WeNurses #wenurses depends if they are at risk of autonomic dysrefelxia
@shiv_smith
13 June 2017 20:52
@WeNurses The risk is there as a foreign body thus the reason to use ISC reduced risk of sepsis #CAUTI #WeNurses
@Ismalia_S
13 June 2017 20:52
@TildaMc @rhiannon134 @WeNurses Wouls you start antibiotics in that case if the patient is well? #WeNurses
@SarahChapman30
13 June 2017 20:52
RT @TildaMc: @rhiannon134 @WeNurses I often see treatment for positive CSU but no clinical presentation of infection #WeNurses
@shiv_smith
13 June 2017 20:52
RT @shingler_jo: Should question a true UTI. Are samples taken correctly? Have been known to take sample from catheter bag #WeNurses https:…
@WeNurses
13 June 2017 20:53
8 mins left ! What are you final points re the evidence - or lack of - around urinary catheters ? #WeNurses https://t.co/trbn2f6chE
@AgencyNurse
13 June 2017 20:53
RT @WeNurses: 8 mins left ! What are you final points re the evidence - or lack of - around urinary catheters ? #WeNurses https://t.co/tr…
@CollieEileen
13 June 2017 20:53
@WeNurses Very detrimental to our elderly patients #wenurses
@Ismalia_S
13 June 2017 20:53
@shingler_jo What could be the causes of blockages Jo? #WeNurses
@Meht_Urology
13 June 2017 20:53
RT @WeNurses: 8 mins left ! What are you final points re the evidence - or lack of - around urinary catheters ? #WeNurses https://t.co/tr…
@HelenCCowan
13 June 2017 20:53
@shizc1 @WeNurses "Catheter user" is at risk of dysreflexia but tolerates washout - research needed #wenurses
@Meht_Urology
13 June 2017 20:53
RT @shiv_smith: @WeNurses The risk is there as a foreign body thus the reason to use ISC reduced risk of sepsis #CAUTI #WeNurses
@Meht_Urology
13 June 2017 20:54
RT @shingler_jo: Should question a true UTI. Are samples taken correctly? Have been known to take sample from catheter bag #WeNurses https:…
@WeNurses
13 June 2017 20:54
A good question ... and perhaps another research question? #WeNurses https://t.co/CS4nP0cEqQ
@SarahChapman30
13 June 2017 20:54
My co-blogger Jacqui notes catheters used more than necessary in hospitalised adults. What are your thoughts on why? #wenurses
@Meht_Urology
13 June 2017 20:54
RT @shingler_jo: Causes of blockages 40% of catheters bypass for many reasons, some may need washout #WeNurses https://t.co/IkrrTVrg4l
@rhiannon134
13 June 2017 20:54
@wenurses #wenurses Has anyone used that antimicrobial solution for filling catheter balloon and found it helpful for infection prevention?
@Meht_Urology
13 June 2017 20:54
RT @shingler_jo: And catheter passports allow patients to carry details of their type of catheter, date of change, recent UTI #WeNurses htt…
@AgencyNurse
13 June 2017 20:54
I think perhaps they are used more than necessary everywhere ! #WeNurses https://twitter.com/SarahChapman30/status/874716609876721665
@Meht_Urology
13 June 2017 20:55
RT @Ismalia_S: Love this!! #WeNurses https://t.co/06Cg8jNDli
@SarahChapman30
13 June 2017 20:55
RT @AgencyNurse: I think perhaps they are used more than necessary everywhere ! #WeNurses https://t.co/Faup0CJY7J
@AgencyNurse
13 June 2017 20:55
Not heard of this ? #WeNurses https://t.co/qrxeZtIM8g
@IBDAZDelta
13 June 2017 20:55
@WeNurses Know the existing evidence, talk to your patients and colleagues #wenurses
@WeNurses
13 June 2017 20:55
Anyone ? #WeNurses https://t.co/nXdnbLNAZv
@WeNurses
13 June 2017 20:55
RT @IBDAZDelta: @WeNurses Know the existing evidence, talk to your patients and colleagues #wenurses
@shingler_jo
13 June 2017 20:55
Proteus and ecoli infections, biofilms stone formations #WeNurses https://t.co/s1v9Tu2qRi
@SarahChapman30
13 June 2017 20:55
@AgencyNurse Jacqui argues short-term catheterisation should be a last resort https://t.co/aYKossq3xc #wenurses
@AgencyNurse
13 June 2017 20:55
RT @shingler_jo: Proteus and ecoli infections, biofilms stone formations #WeNurses https://t.co/s1v9Tu2qRi
@WeNurses
13 June 2017 20:55
RT @shingler_jo: Proteus and ecoli infections, biofilms stone formations #WeNurses https://t.co/s1v9Tu2qRi
@TildaMc
13 June 2017 20:56
RT @AgencyNurse: I think perhaps they are used more than necessary everywhere ! #WeNurses https://t.co/Faup0CJY7J
@SarahChapman30
13 June 2017 20:56
RT @IBDAZDelta: @WeNurses Know the existing evidence, talk to your patients and colleagues #wenurses
@MikeHunt082
13 June 2017 20:56
RT @IBDAZDelta: @WeNurses Know the existing evidence, talk to your patients and colleagues #wenurses
@shiv_smith
13 June 2017 20:56
RT @shingler_jo: Proteus and ecoli infections, biofilms stone formations #WeNurses https://t.co/s1v9Tu2qRi
@shiv_smith
13 June 2017 20:56
RT @WeNurses: 8 mins left ! What are you final points re the evidence - or lack of - around urinary catheters ? #WeNurses https://t.co/tr…
@shizc1
13 June 2017 20:56
@shingler_jo @WeNurses #wenurses dipsticking urine to diagnose cauti find this practice so infuriating often leads… https://t.co/Gmblhr7jtX
@AgencyNurse
13 June 2017 20:56
This is what i have always been led to believe ... and if a catheter is needed think in hours not days #WeNurses https://t.co/ydARvOXnXt
@SarahChapman30
13 June 2017 20:56
RT @shizc1: @shingler_jo @WeNurses #wenurses dipsticking urine to diagnose cauti find this practice so infuriating often leads to pt being…
@TildaMc
13 June 2017 20:56
@AgencyNurse I would agree. Often used for accurate fluid balance in mobile continent patients who could follow instruction #WeNurses
@Ismalia_S
13 June 2017 20:57
@SarahChapman30 Also once inserted we might not challenge why they are still there #WeNurses
@SarahChapman30
13 June 2017 20:57
RT @AgencyNurse: This is what i have always been led to believe ... and if a catheter is needed think in hours not days #WeNurses https://t…
@AshepherdQi
13 June 2017 20:57
@shiv_smith @HelenCCowan @WeNurses #WeNurses But would you try washout before changing catheter or just change?
@SarahChapman30
13 June 2017 20:57
RT @Ismalia_S: @SarahChapman30 Also once inserted we might not challenge why they are still there #WeNurses
@AgencyNurse
13 June 2017 20:57
Local policy in here now - GPs wont prescribe on a dip of urine as evidence states inaccurate #WeNurses https://t.co/cdArfMuj0r
@TildaMc
13 June 2017 20:57
Often used for "poor mobility" but assisting to toilet would help rehabilitation and improve mobility #wenurses
@SarahChapman30
13 June 2017 20:58
RT @AgencyNurse: Local policy in here now - GPs wont prescribe on a dip of urine as evidence states inaccurate #WeNurses https://t.co/cdArf…
@eneo_unam
13 June 2017 20:58
RT @WeNurses: 8 mins left ! What are you final points re the evidence - or lack of - around urinary catheters ? #WeNurses https://t.co/tr…
@TildaMc
13 June 2017 20:58
RT @Ismalia_S: @SarahChapman30 Also once inserted we might not challenge why they are still there #WeNurses
@Ismalia_S
13 June 2017 20:58
#WeNurses another question: open cathether or close with valve to train the bladder muscle?
@shiv_smith
13 June 2017 20:58
@CollieEileen @Ismalia_S @shingler_jo Completely agree! Fluid balance sometimes slips #WeNurses
@SarahChapman30
13 June 2017 20:58
@TildaMc Yes I've seen this very recently post-stroke... #wenurses
@CollieEileen
13 June 2017 20:58
@shizc1 @shingler_jo @WeNurses Always challenge is patient well ? What are blood results infection markers ?? #wenurses
@NurseDeJaeger
13 June 2017 20:58
RT @Meht_Urology: @CollieEileen @WeNurses Back to ISC (gold standard) if in doubt get it out #WeNurses #CAUTI
@SarahChapman30
13 June 2017 20:58
Brilliant chat - 2 minutes left. Gone too fast! #wenurses
@AgencyNurse
13 June 2017 20:58
@rhiannon134 not sure how a solution inside the balloon could help ? #WeNurses
@TildaMc
13 June 2017 20:58
@AshepherdQi @shiv_smith @HelenCCowan @WeNurses Probably try washout first #WeNurses
@AgencyNurse
13 June 2017 20:59
RT @SarahChapman30: Brilliant chat - 2 minutes left. Gone too fast! #wenurses
@WeNurses
13 June 2017 20:59
RT @SarahChapman30: Brilliant chat - 2 minutes left. Gone too fast! #wenurses
@SarahChapman30
13 June 2017 20:59
@AgencyNurse @rhiannon134 No that doesn't seem to make sense does it? #wenurses
@AgencyNurse
13 June 2017 20:59
RT @Ismalia_S: #WeNurses another question: open cathether or close with valve to train the bladder muscle?
@WeNurses
13 June 2017 20:59
RT @Ismalia_S: #WeNurses another question: open cathether or close with valve to train the bladder muscle?
@shingler_jo
13 June 2017 20:59
#WeNurses https://t.co/P7jOBmzcMD
@TildaMc
13 June 2017 20:59
RT @CollieEileen: @shizc1 @shingler_jo @WeNurses Always challenge is patient well ? What are blood results infection markers ?? #wenurses
@shiv_smith
13 June 2017 20:59
RT @Ismalia_S: @SarahChapman30 Also once inserted we might not challenge why they are still there #WeNurses
@CollieEileen
13 June 2017 20:59
@Ismalia_S Haven't seen that in practise in recent years Jo ?? #wenurses
@TildaMc
13 June 2017 21:00
@Ismalia_S @rhiannon134 @WeNurses Would challenge prescriber and document #WeNurses
@AgencyNurse
13 June 2017 21:00
@rhiannon134 @SarahChapman30 a CSU / MSU rather than just a dip #WeNurses
@joannemangnall2
13 June 2017 21:00
RT @WeNurses: 8 mins left ! What are you final points re the evidence - or lack of - around urinary catheters ? #WeNurses https://t.co/tr…
@HelenCCowan
13 June 2017 21:00
@WeNurses Sir William Osler said "Listen to the patient, he's telling you the diagnosis" #wenurses
@SarahChapman30
13 June 2017 21:00
Shame my colleague at @C_Incontinence is away, but I’ll be blogging about the chat so there’s a chance to catch up later #wenurses
@shiv_smith
13 June 2017 21:00
RT @Ismalia_S: #WeNurses another question: open cathether or close with valve to train the bladder muscle?
@SarahChapman30
13 June 2017 21:00
RT @HelenCCowan: @WeNurses Sir William Osler said "Listen to the patient, he's telling you the diagnosis" #wenurses
@shingler_jo
13 June 2017 21:00
Not heard of this. The balloon is a sealed unit. Would not help #WeNurses https://t.co/ruP3CyKRiQ
@shiv_smith
13 June 2017 21:00
RT @CollieEileen: @shizc1 @shingler_jo @WeNurses Always challenge is patient well ? What are blood results infection markers ?? #wenurses
@shingler_jo
13 June 2017 21:00
RT @AgencyNurse: Not heard of this ? #WeNurses https://t.co/qrxeZtIM8g
@shingler_jo
13 June 2017 21:00
RT @SarahChapman30: @AgencyNurse @rhiannon134 No that doesn't seem to make sense does it? #wenurses
@NurseDeJaeger
13 June 2017 21:01
@WeNurses #WeNurses there are fantastic organisations that can come & support novice nurse researchers in practice… https://t.co/neDNNbcVeM
@shiv_smith
13 June 2017 21:01
RT @shingler_jo: #WeNurses https://t.co/P7jOBmzcMD
@SarahChapman30
13 June 2017 21:01
@shingler_jo Exactly my thought! #wenurses
@AgencyNurse
13 June 2017 21:01
Here is some info re not dipping urine > https://t.co/noqTsfdQ6X #Wenurses
@shingler_jo
13 June 2017 21:01
RT @SarahChapman30: @shingler_jo Exactly my thought! #wenurses
@SarahChapman30
13 June 2017 21:01
RT @AgencyNurse: Here is some info re not dipping urine > https://t.co/noqTsfdQ6X #Wenurses
@SarahChapman30
13 June 2017 21:02
@AgencyNurse Thank heavens the days of tasting it are past too ;) #wenurses
@shingler_jo
13 June 2017 21:02
Should consider traumatic insertions, increased risk of infection #WeNurses https://t.co/ruP3CyKRiQ
@WeNurses
13 June 2017 21:02
That's all for tonight folks ! Huge thanks to @SarahChapman30 ... brilliant discussion #wenurses https://t.co/tZ7xWxmVeg
@shingler_jo
13 June 2017 21:03
RT @WeNurses: That's all for tonight folks ! Huge thanks to @SarahChapman30 ... brilliant discussion #wenurses https://t.co/tZ7xWxmVeg
@TildaMc
13 June 2017 21:03
Funny aside. I think latex catheters smell like lilies when needing changed ps I don't like the smell of lilies :) #wenurses
@shiv_smith
13 June 2017 21:03
RT @NurseDeJaeger: @WeNurses #WeNurses there are fantastic organisations that can come & support novice nurse researchers in practice @FoNS…
@NurseDeJaeger
13 June 2017 21:03
@Ismalia_S @AgencyNurse #wenurses I like a closed one with valve to maintain bladder tone but this can be contraind… https://t.co/V25rWjaYtF
@Ismalia_S
13 June 2017 21:03
RT @AgencyNurse: Here is some info re not dipping urine > https://t.co/noqTsfdQ6X #Wenurses
@shingler_jo
13 June 2017 21:03
RT @SarahChapman30: @AgencyNurse Thank heavens the days of tasting it are past too ;) #wenurses
@ScienceofCookie
13 June 2017 21:03
@SarahChapman30 @AgencyNurse Eww, reminds me of an episode of The Knick ! #WeNurses
@shiv_smith
13 June 2017 21:03
RT @NurseDeJaeger: @Ismalia_S @AgencyNurse #wenurses I like a closed one with valve to maintain bladder tone but this can be contraindicate…
@SarahChapman30
13 June 2017 21:04
@WeNurses Thanks SOOO much for a wonderful chat. Look out for the summary blog. Thank you wonderful @WeNurses & all of you #wenurses
@janewilkinson9
13 June 2017 21:04
@NHSMillion @alitwy @Independent People not statistics! #wenurses
@shiv_smith
13 June 2017 21:04
RT @WeNurses: DONT MISS What are the challenges to good Catheter Care? with @HINSouthLondon > https://t.co/BGuo6lhSAt #WeNurses on Thurs…
@NurseDeJaeger
13 June 2017 21:04
@SarahChapman30 @AgencyNurse thank you all #wenurses ??
@MikeFealey
13 June 2017 21:04
RT @AgencyNurse: Here is some info re not dipping urine > https://t.co/noqTsfdQ6X #Wenurses
@Meht_Urology
13 June 2017 21:05
RT @shingler_jo: Should consider traumatic insertions, increased risk of infection #WeNurses https://t.co/ruP3CyKRiQ
@AgencyNurse
13 June 2017 21:05
@SarahChapman30 ewwwwwww ! I was going to have a post chat cup of tea !!! #putmerightoff ! ;D #Wenurses
@shingler_jo
13 June 2017 21:05
RT @WeNurses: Some catheter reading Intermittent catheterisation: informed choices? > https://t.co/BarMKpAref via @CochraneUK #WeNurses…
@Meht_Urology
13 June 2017 21:05
RT @WeNurses: DONT MISS What are the challenges to good Catheter Care? with @HINSouthLondon > https://t.co/BGuo6lhSAt #WeNurses on Thurs…
@AgencyNurse
13 June 2017 21:06
Interesting !! Wonder if it is evidence based ? #WeNurses https://t.co/clfQQLX12r
@Meht_Urology
13 June 2017 21:06
RT @NurseDeJaeger: @Ismalia_S @AgencyNurse #wenurses I like a closed one with valve to maintain bladder tone but this can be contraindicate…
@Ismalia_S
13 June 2017 21:06
#WeNurses great chat!!! Roll on Thursday!
@Meht_Urology
13 June 2017 21:06
RT @NurseDeJaeger: @WeNurses #WeNurses there are fantastic organisations that can come & support novice nurse researchers in practice @FoNS…
@Meht_Urology
13 June 2017 21:06
RT @AgencyNurse: @rhiannon134 @SarahChapman30 a CSU / MSU rather than just a dip #WeNurses
@Meht_Urology
13 June 2017 21:06
RT @CollieEileen: @shizc1 @shingler_jo @WeNurses Always challenge is patient well ? What are blood results infection markers ?? #wenurses
@AgencyNurse
13 June 2017 21:06
@Ismalia_S looking forward to it too :D #Wenurses
@Meht_Urology
13 June 2017 21:06
RT @shiv_smith: @CollieEileen @Ismalia_S @shingler_jo Completely agree! Fluid balance sometimes slips #WeNurses
@Meht_Urology
13 June 2017 21:06
RT @Ismalia_S: #WeNurses another question: open cathether or close with valve to train the bladder muscle?
@sally_lawton
13 June 2017 21:06
RT @NurseDeJaeger: #wenurses In the UK, around 450,000 people use long-term urinary catheters (Prinjha & Chapple, 2013).
@Ismalia_S
13 June 2017 21:07
Any other contraindications? #wenurses
@Meht_Urology
13 June 2017 21:07
RT @shingler_jo: Proteus and ecoli infections, biofilms stone formations #WeNurses https://t.co/s1v9Tu2qRi
@JemimaNHeard
13 June 2017 21:08
RT @NurseDeJaeger: #wenurses In the UK, around 450,000 people use long-term urinary catheters (Prinjha & Chapple, 2013).
@shiv_smith
13 June 2017 21:09
RT @Meht_Urology: @CollieEileen @WeNurses Back to ISC (gold standard) if in doubt get it out #WeNurses #CAUTI
@WeNurses
13 June 2017 21:10
Tonights #WeNurses is a good one to reflect on for CPD ... MyWe is free and can help > https://t.co/vpN75bG8H0 https://t.co/mtgXCRokmw
@Ismalia_S
13 June 2017 21:11
RT @shingler_jo: Proteus and ecoli infections, biofilms stone formations #WeNurses https://t.co/s1v9Tu2qRi
@FSHCNurses
13 June 2017 21:12
RT @WeNurses: Some catheter reading Intermittent catheterisation: informed choices? > https://t.co/BarMKpAref via @CochraneUK #WeNurses…
@mberest1982
13 June 2017 21:13
RT @Ismalia_S: #WeNurses another question: open cathether or close with valve to train the bladder muscle?
@NurseDeJaeger
13 June 2017 21:14
RT @WeNurses: Some catheter reading Intermittent catheterisation: informed choices? > https://t.co/BarMKpAref via @CochraneUK #WeNurses…
@AgencyNurse
13 June 2017 21:15
A bit late - but here is the pic i was looking for re dipping urine #WeNurses https://t.co/FUCEvBUnrM
@WeNurses
13 June 2017 21:16
RT @AgencyNurse: A bit late - but here is the pic i was looking for re dipping urine #WeNurses https://t.co/FUCEvBUnrM
@cherylwilson2
13 June 2017 21:19
RT @WeNurses: DONT MISS What are the challenges to good Catheter Care? with @HINSouthLondon > https://t.co/BGuo6lhSAt #WeNurses on Thurs…
@Ismalia_S
13 June 2017 21:21
RT @AgencyNurse: A bit late - but here is the pic i was looking for re dipping urine #WeNurses https://t.co/FUCEvBUnrM
@FoNScharity
13 June 2017 21:21
RT @NurseDeJaeger: @WeNurses #WeNurses there are fantastic organisations that can come & support novice nurse researchers in practice @FoNS…
@nursingpins
13 June 2017 21:23
The latest Nursing Students Daily! https://t.co/3mROKAeeO1 Thanks to @nursingSUni @KMariRojas @babymonkeyshow #wenurses #ecommerce
@Mimsiebel
13 June 2017 21:26
RT @AgencyNurse: A bit late - but here is the pic i was looking for re dipping urine #WeNurses https://t.co/FUCEvBUnrM
@fi_strachan
13 June 2017 21:28
RT @AshepherdQi: @NurseDeJaeger @ScienceofCookie @SarahChapman30 @IBDAZDelta @WeNurses #WeNurses I think that raises another impt question…




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