#WeNurses - Tuesday 19th December 2017 8pm (GMT Standard Time) Opportunities for simulation - HEE TEL

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This chat is guest hosted by @HEE_TEL

With simulation-based education in healthcare growing in both popularity and usage, particularly in relation to patient-safety, Health Education England (HEE) has recognised the need for a consistent approach that will enable equity of access, provide value for money and ensure delivery of best practice. A national strategy is therefore being developed that will be locally led and delivered.  The drivers for the strategy are based on the Department of Health TEL wheel (see graphic below):



In this #WeNurses chat, we will explore with you the opportunities for simulation in nursing and midwifery, its implications for ever-increasingly inter-disciplinary, multi-professional teams, and what impact you feel this will have on your training moving forward. 

As part of our ongoing work, we want to learn about your experiences within simulation, particularly relating to ease of access, in order to ensure that everyone has a share of voice in the development of the strategy.   

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  • Give your views on what needs to be included within the HEE strategic approach
  • Share your experiences of simulation training





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 Chat Summary

 

Question 1 focussed on how simulation is currently and potentially being used:






Question 2 asked about time:





Question 3 asked who is responsible for simulation based education:







Question 4 explored outcomes:





Question 5 was all about feedback:







Question 6 explored interprofessional learning:








Question 7 was all about change of practice




Question 8 asked for some final points:











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 #WeNurses transcript

 
@WeNurses
19 December 2017 20:00
Hello and welcome to tonights #WeNurses Wrap up the wrapping for an hour and join us and @HEE_TEL to talk about Simulation Please tweet us a "hello" if you are out there :) https://t.co/E4lykC2XsV
@AgencyNurse
19 December 2017 20:00
Hello Teresa here #WeNurses
@AgencyNurse
19 December 2017 20:01
RT @WeNurses: Hello and welcome to tonights #WeNurses Wrap up the wrapping for an hour and join us and @HEE_TEL to talk about Simulation…
@RichardPriceUK
19 December 2017 20:01
@WeNurses @HEE_TEL Hi #wenurses! ???? Richard here from the @HEE_TEL team, joining you to talk about simulation. I'm at home with a glass of Glühwein and a box of matchmakers ?????? #FeelingFestive
@schoolnurse17
19 December 2017 20:01
Hello - listening in #WeNurses
@dellapowell1
19 December 2017 20:01
@WeNurses @HEE_TEL Hi ???? everyone. Della here from Brecon...looking forward to this!! #WeNurses
@WeNurses
19 December 2017 20:01
Hi and welcome #WeNurses https://twitter.com/RichardPriceUK/status/943209664413622278
@dellapowell1
19 December 2017 20:01
RT @WeNurses: Hello and welcome to tonights #WeNurses Wrap up the wrapping for an hour and join us and @HEE_TEL to talk about Simulation…
@HEE_TEL
19 December 2017 20:02
Hi The @NHS_HealthEdEng TEL team here. Looking forward to an interesting chat #wenurses
@dellapowell1
19 December 2017 20:02
RT @HEE_TEL: Hi The @NHS_HealthEdEng TEL team here. Looking forward to an interesting chat #wenurses
@WeNurses
19 December 2017 20:02
Lets get started with QUESTION 1 #WeNurses https://t.co/iQFvXMnnmb
@AgencyNurse
19 December 2017 20:03
RT @WeNurses: Lets get started with QUESTION 1 #WeNurses https://t.co/iQFvXMnnmb
@dellapowell1
19 December 2017 20:04
RT @WeNurses: Lets get started with QUESTION 1 #WeNurses https://t.co/iQFvXMnnmb
@eleni_keogh
19 December 2017 20:04
@WeNurses @HEE_TEL Hello Everyone- Eleni here from the @HEE_TEL programme. Ready for tonight's final chat of 2017. #wenurses
@eleni_keogh
19 December 2017 20:06
Final TEL Twitter chat of 2017 has started! #WeNurses https://twitter.com/WeNurses/status/943210010846334978
@AgencyNurse
19 December 2017 20:06
Working in a care home we don't often get the chance for any education via simulation ... but recently attended a very good fire evacuation practice where we evacuated eachother .... very low tech but very worthwhile #WeNurses
@dellapowell1
19 December 2017 20:07
@WeNurses Ive no experience of using SBE.I work in community.Have seen the wonderful @USW_ClinSimCent @USWnurs_mid &ive heard great things???? #WeNurses
@WeNurses
19 December 2017 20:07
Oh yes ?? what were your key points ? #WeNurses https://twitter.com/NUHSurgery/status/943211012920086528
@HEE_TEL
19 December 2017 20:07
What experience do you have of simulation in your workplace? #wenurses https://twitter.com/WeNurses/status/943210010846334978
@AgencyNurse
19 December 2017 20:07
RT @HEE_TEL: What experience do you have of simulation in your workplace? #wenurses https://twitter.com/WeNurses/status/943210010846334978
@WeNurses
19 December 2017 20:07
RT @HEE_TEL: What experience do you have of simulation in your workplace? #wenurses https://twitter.com/WeNurses/status/943210010846334978
@RichardPriceUK
19 December 2017 20:08
@WeNurses At the ambulance service, Resusci Annie is well used, at @HEE_TEL we've got some pretty exciting kit planned to help with simulated education #WeNurses. I think the future will see less physical kit and more AR/VR simulation.
@real_sukie
19 December 2017 20:08
#WeNurses. Very interested to hear what nurses have to say about SBE as this will help shape the strategy
@HEE_TEL
19 December 2017 20:08
@AgencyNurse I think that's a really good point to make that simulation doesn't have to be high tech to be worthwhile. #WeNurses
@AgencyNurse
19 December 2017 20:09
Though found this article very interesting on how simulation is a technique not a technology #WeNurses https://www.ncbi.nlm.nih.gov/pubmed/15465951
@dellapowell1
19 December 2017 20:09
@AgencyNurse That reminds me...we used SBE in aeromedical training when I was in RAF. That really was invaluable #WeNurses
@HEE_TEL
19 December 2017 20:09
@dellapowell1 @WeNurses @USW_ClinSimCent @USWnurs_mid Is that because you don't have the opportunity to use SBE due to your setting? #WeNurses
@AgencyNurse
19 December 2017 20:10
Yes indeed ... i think if people join in and take part the tech (or lack of) is irrelevant .. its about the learning experience #WeNurses https://twitter.com/HEE_TEL/status/943211461953884161
@AgencyNurse
19 December 2017 20:10
Wow that sounds very exciting .. what did it involve ? #WeNurses https://twitter.com/dellapowell1/status/943211622423781376
@dellapowell1
19 December 2017 20:10
@RichardPriceUK @WeNurses @HEE_TEL How exciting!! That really will be great ???? #WeNurses
@HEE_TEL
19 December 2017 20:11
@dellapowell1 @AgencyNurse Sounds interesting. How did that work? And what did you get out of it? #WeNurses
@jo_swidenbank
19 December 2017 20:11
@WeNurses We have excellent simulation arms/torsos for practicing venepuncture, cannulation and accessing central venous ports. I’m not sure about areas outside of haematology though. #WeNurses
@WeNurses
19 December 2017 20:11
QUESTION 2 .. is all about time #WeNurses https://t.co/6QZDlXdsbd
@dellapowell1
19 December 2017 20:11
@HEE_TEL @WeNurses @USW_ClinSimCent @USWnurs_mid Yes... I work in #palliativecare #WeNurses
@WeNurses
19 December 2017 20:12
Interesting ... is simulation always high cost ? #WeNurses https://twitter.com/takername/status/943212059231227905
@HEE_TEL
19 December 2017 20:12
@jo_swidenbank @WeNurses How often to do you have access to these techniques? #WeNurses
@WeNurses
19 December 2017 20:12
Wow that sounds pretty amazing #WeNurses https://twitter.com/jo_swidenbank/status/943212161479925762
@AgencyNurse
19 December 2017 20:13
@CalvinMoorley @WeNurses nope .... it's on Thursday at 8pm :D (Simulation tonight over on #WeNurses)
@RichardPriceUK
19 December 2017 20:13
@HEE_TEL @AgencyNurse Yes, definitely low-tech sim is important. Do nurses still practice injections on oranges? Or, sutures on bananas? #WeNurses????
@WeDistrictNurse
19 December 2017 20:13
An interesting question ... what do people think ? #WeNurses https://twitter.com/real_sukie/status/943212400936972288
@WeNurses
19 December 2017 20:14
RT @HEE_TEL: @jo_swidenbank @WeNurses How often to do you have access to these techniques? #WeNurses
@eleni_keogh
19 December 2017 20:14
@HEE_TEL In a trust I have only ever seen Annie dolls, fake arms and a mock up of a ward as part of resus training. From a non-clinical background it all looks very real. #wenurses
@dellapowell1
19 December 2017 20:14
@HEE_TEL @AgencyNurse Mock up of Hercules aircraft.Did everything in it during ground training phase-emergency evacuation,securing stretchers,cramped Tx!#WeNurses
@AgencyNurse
19 December 2017 20:14
Errrm i don't think so but perhaps @ProfJuneG @maxwele2 @wlasinclair could correct me if i am wrong ? #WeNurses https://twitter.com/RichardPriceUK/status/943212679371599878
@AgencyNurse
19 December 2017 20:15
woweee !! #WeNurses https://twitter.com/dellapowell1/status/943213054988255233
@jo_swidenbank
19 December 2017 20:15
@WeNurses It’s really great to be able to practice these skills before moving on to a patient - especially as port access can be very nerve-wracking the first time you do it! We teach parents to access their children’s ports with them too. #WeNurses
@dellapowell1
19 December 2017 20:15
@real_sukie @WeNurses @USW_ClinSimCent @USWnurs_mid Totally.it would be invaluable.Totally different environment and SBE wld prep students imo #wenurses
@RichardPriceUK
19 December 2017 20:16
@dellapowell1 @HEE_TEL @AgencyNurse Exciting! A lot of sim has come out of the aviation industry/RAF. I came across this Sim kit from the RAF recently with @real_sukie https://www.inzpire.com/2017/04/introducing-ghost/ #WeNurses
@AgencyNurse
19 December 2017 20:16
I think this can be challenging in the working day ... need time set aside #WeNurses https://twitter.com/WeNurses/status/943212238642601985
@RunnerNursePhil
19 December 2017 20:16
@WeNurses That is my biggest challenge with Nurses as a facilitator #wenurses
@jo_swidenbank
19 December 2017 20:16
@HEE_TEL @WeNurses Our LED nurse practitioner has the arms, so we would need to book time in with him. Usually you would just see them on study days. The torso is ours though, and it stays in our haemophilia centre. #WeNurses
@WeNurses
19 December 2017 20:17
Oh why is that ?? #WeNurses Any ideas?? https://twitter.com/RunnerNursePhil/status/943213103621267456
@HEE_TEL
19 December 2017 20:17
@jo_swidenbank @WeNurses So using simulation to educate parents as well? That's amazing. #WeNurses
@WeNurses
19 December 2017 20:17
Yes indeed #WeNurses https://twitter.com/takername/status/943212940412547073
@dellapowell1
19 December 2017 20:17
RT @AgencyNurse: Though found this article very interesting on how simulation is a technique not a technology #WeNurses https://t.co/iPUJ…
@WeNurses
19 December 2017 20:17
RT @RunnerNursePhil: @WeNurses That is my biggest challenge with Nurses as a facilitator #wenurses
@mikedavis8702
19 December 2017 20:17
What is most important? Physical, sociological or psychological reality? #wenurses
@RunnerNursePhil
19 December 2017 20:17
@WeNurses There is pressure 365 days a year but managers will always pull Nurses and other staff back to wards. Miss that #patientsafety is compromised by lack of knowledge as well as staffing #wenurses
@HEE_TEL
19 December 2017 20:18
@dellapowell1 @real_sukie @WeNurses @USW_ClinSimCent @USWnurs_mid Is the reason it's not happening because "it never has" or are there other reasons? #WeNurses
@real_sukie
19 December 2017 20:18
@jo_swidenbank @WeNurses Great idea @jo_swidenbank. Is this in situ simulation? #WeNurses
@SP_Duckworth
19 December 2017 20:18
Have protected learning time for the hour after protected meal times. #wenurses https://twitter.com/AgencyNurse/status/943213393485467649
@WeNurses
19 December 2017 20:18
QUESTION 3 ... who is responsible for simulation in your organisation ? #WeNurses https://t.co/zWYDSqQJnx
@dellapowell1
19 December 2017 20:18
RT @WeDistrictNurse: An interesting question ... what do people think ? #WeNurses https://twitter.com/real_sukie/status/943212400936972288
@jo_swidenbank
19 December 2017 20:19
@HEE_TEL @WeNurses Yep! Port access using aseptic technique seems really daunting at first, but using the simulation allows them to practice in a safe and supported way. #WeNurses
@AgencyNurse
19 December 2017 20:19
@SP_Duckworth (back in the day) this used to happen ... i have a feeling the reality these days is that staffing is too tight to let this happen #WeNurses
@eleni_keogh
19 December 2017 20:20
@RichardPriceUK @dellapowell1 @HEE_TEL @AgencyNurse @real_sukie I wonder why that is? Aviation/RAF SIM in some respects is very advanced. Is it down to investment? perhaps more buy-in? #wenurses
@jo_swidenbank
19 December 2017 20:21
@real_sukie @WeNurses The torso lives in our haemophilia centre, so we always offer it to parents when their child has a port put in for treatment. Not all take up the offer, but it’s always there :) #WeNurses
@RunnerNursePhil
19 December 2017 20:21
@WeNurses I am???? #wenurses
@WeNurses
19 December 2017 20:21
is there an age thing at play here ? #WeNurses https://twitter.com/RunnerNursePhil/status/943214461791428609
@eleni_keogh
19 December 2017 20:21
RT @WeNurses: QUESTION 2 .. is all about time #WeNurses https://t.co/6QZDlXdsbd
@PaulRJebaraj
19 December 2017 20:21
RT @AgencyNurse: Though found this article very interesting on how simulation is a technique not a technology #WeNurses https://t.co/iPUJ…
@AgencyNurse
19 December 2017 20:21
@SP_Duckworth sigh ... yes i agree ! #WeNurses
@jo_swidenbank
19 December 2017 20:22
@WeNurses I think it would be our LED (learning, education and development) team, although I’m not 100% sure. #WeNurses
@WeNurses
19 December 2017 20:22
#WeNurses > https://twitter.com/takername/status/943214834077880320
@HEE_TEL
19 December 2017 20:23
@RunnerNursePhil @WeNurses What is your role within your Trust? #WeNurses
@AgencyNurse
19 December 2017 20:23
Perhaps it's because the military have historically used role play to train ? #WeNurses https://twitter.com/eleni_keogh/status/943214366840803328
@dellapowell1
19 December 2017 20:23
@eleni_keogh @RichardPriceUK @HEE_TEL @AgencyNurse @real_sukie think its a case of having to pass SBE 2B deemed‘safe’before doing real thing. Should this happen in clinical situations too?#WeNurses
@DeeDavies12
19 December 2017 20:23
@WeDistrictNurse #wenurses Yes we use SBE for our community midwives - home birth scenarios #postivefeedback
@eleni_keogh
19 December 2017 20:23
@WeNurses Does this fall under the education/learning and development department of a trust? #wenurses
@AgencyNurse
19 December 2017 20:24
Thanks Wendy ... chicken legs ... now thats progress ;D #betterthananorange #wenurses https://twitter.com/wlasinclair/status/943215161493639168
@real_sukie
19 December 2017 20:24
@RunnerNursePhil @WeNurses That's a very interesting comment to hear and one we can feed back for the strategy. It clearly needs picking up. #WeNurses
@wlasinclair
19 December 2017 20:24
@AgencyNurse @ProfJuneG @maxwele2 #wenurses sorry forgot the hashtag!
@RunnerNursePhil
19 December 2017 20:24
@WeNurses Also need to educate academia on the role of sim. Too many students I speak to describe an OSCE as their sim experience #wenurses
@jo_swidenbank
19 December 2017 20:25
@takername @WeNurses They really are! Especially when they are in a small person (which is why I’m always in awe of our wonderful paediatric nurse specialists!) #WeNurses
@eleni_keogh
19 December 2017 20:25
@AgencyNurse Nothing like experiencing the real thing by simulating it in a near identical setting/situation. Like they say practice makes perfect. #wenurses
@WeNurses
19 December 2017 20:25
QUESTION 4 - how do you measure outcomes ? #WeNurses https://t.co/3FfNzD8DCl
@wlasinclair
19 December 2017 20:25
@AgencyNurse @ProfJuneG @maxwele2 Low tech is brilliant. Helps you to focus on the skill in hand without getting bogged down with tech #wenurses
@AgencyNurse
19 December 2017 20:25
Ace #WeNurses https://twitter.com/wlasinclair/status/943215493376303105
@RichardPriceUK
19 December 2017 20:25
@dellapowell1 @eleni_keogh @HEE_TEL @AgencyNurse @real_sukie It would be good if sim could play a role in ensuring an individual is deemed 'safe' to practice. Maybe a little like the driving test? Or in the case of the RAF, the instructor signing-off the pilot in the simulator first? #WeNurses
@RunnerNursePhil
19 December 2017 20:26
@HEE_TEL @WeNurses I am the HF and Sim training officer. My role is predominantly around med ed but I am passionate about multi disciplinary sim and pt safety #wenurses
@wlasinclair
19 December 2017 20:26
@AgencyNurse I'll wager some places still use oranges :-) #wenurses
@AgencyNurse
19 December 2017 20:26
Yes that makes sense #WeNurses https://twitter.com/wlasinclair/status/943215766459035649
@dellapowell1
19 December 2017 20:26
RT @WeNurses: QUESTION 4 - how do you measure outcomes ? #WeNurses https://t.co/3FfNzD8DCl
@WeHealthVisitor
19 December 2017 20:26
#WeNurses > https://twitter.com/janeycjones/status/943214958086623232
@WeNurses
19 December 2017 20:26
RT @jo_swidenbank: @WeNurses I think it would be our LED (learning, education and development) team, although I’m not 100% sure. #WeNurses
@real_sukie
19 December 2017 20:26
@takername @jo_swidenbank @WeNurses I'm not sure an ex husband counts as simulation! :) #WeNurses
@HEE_TEL
19 December 2017 20:27
@RunnerNursePhil @WeNurses OK - that makes sense that sim is your responsbility then! #WeNurses
@sarah_janemad
19 December 2017 20:27
RT @WeNurses: Lets get started with QUESTION 1 #WeNurses https://t.co/iQFvXMnnmb
@AgencyNurse
19 December 2017 20:28
@wlasinclair mmm they weren't really very realistic when we did it ... real people don't roll off the table or smell citrussy ;D #WeNurses
@RunnerNursePhil
19 December 2017 20:28
@WeNurses Yes to a certain extent but probably more an ignorance of the role of sim and a dislike of the ‘role play’ image that sim has. I ask all my participants to play their role, not anything else #wenurses
@wlasinclair
19 December 2017 20:28
@AgencyNurse Just popped on to twitter and it looks like an interesting chat going on...I'll just catch up! #wenurses
@RichardPriceUK
19 December 2017 20:28
@wlasinclair @AgencyNurse @ProfJuneG @maxwele2 Wow, that 'skin' looks amazing! Is it as good as the real thing? How does a chicken leg compare? #WeNurses I'm happy to donate my Christmas leftovers to science and healthcare education??:-)
@dellapowell1
19 December 2017 20:28
@RichardPriceUK @eleni_keogh @HEE_TEL @AgencyNurse @real_sukie Maybe something to aim for?? SBE-Preparation or prerequisite for the real thing? #WeNurses
@AgencyNurse
19 December 2017 20:29
LOL !! Your could start a "thing" there ! #WeNurses https://twitter.com/RichardPriceUK/status/943216569437622272
@sarah_janemad
19 December 2017 20:29
@wlasinclair @AgencyNurse @ProfJuneG @maxwele2 Just because you can do all the fancy high tech stuff does not mean you should - always taught question ‘Does it all to the learning outcome?’ #WeNurses
@wlasinclair
19 December 2017 20:29
@AgencyNurse hahaha this is true! #wenurses
@AgencyNurse
19 December 2017 20:29
A good question to ask #WeNurses https://twitter.com/sarah_janemad/status/943216734454145024
@RunnerNursePhil
19 December 2017 20:29
@HEE_TEL @WeNurses #nurseatheart #wenurses
@RichardPriceUK
19 December 2017 20:30
@wlasinclair @AgencyNurse I shared a house when I was a a student (15+ years ago) with two student nurses and they use a variety of fruit as practice :-) #WeNurses
@AgencyNurse
19 December 2017 20:30
Well my guess it would be the same as with any other learning ... was something learnt ? #WeNurses https://twitter.com/WeNurses/status/943215764542316544
@real_sukie
19 December 2017 20:31
@RunnerNursePhil @WeNurses It sounds as though there needs to be more information about SBE and the role it has to play #WeNurses
@AgencyNurse
19 December 2017 20:31
Thank goodness #WeNurses https://twitter.com/maxwele2/status/943217055846879234
@janeycjones
19 December 2017 20:31
@AgencyNurse @ProfJuneG @maxwele2 @wlasinclair We have knitted boobs for teaching hand milk expression- low tech #WeNurses
@wlasinclair
19 December 2017 20:31
@RichardPriceUK @AgencyNurse @ProfJuneG @maxwele2 Its a close second! A chicken leg is ok, it allows you to feel when you enter the bone and the change in pressure #wenurses
@sarah_janemad
19 December 2017 20:31
@RichardPriceUK @dellapowell1 @eleni_keogh @HEE_TEL @AgencyNurse @real_sukie Our Sim Lead would argue that true #simulation is an opportunity to learn not an #assessmentstrategy #WeNurses
@eleni_keogh
19 December 2017 20:31
@dellapowell1 @RichardPriceUK @HEE_TEL @AgencyNurse @real_sukie And to finish the learning cycle some sort of evaluation too- what are the lessons learned, where did it go right/wrong #wenurses
@wlasinclair
19 December 2017 20:31
@sarah_janemad @AgencyNurse @ProfJuneG @maxwele2 yes just because you can, doesn't mean you should #wenurses
@AgencyNurse
19 December 2017 20:32
Wow have heard much about knitted boobs as prosthetics as comfy and some prefer ... but not as a simulations . But makes sense that if works for one may work for the other #WeNurses https://twitter.com/janeycjones/status/943217181407490049
@dellapowell1
19 December 2017 20:32
@eleni_keogh @RichardPriceUK @HEE_TEL @AgencyNurse @real_sukie Totally necessary...#WeNurses
@RichardPriceUK
19 December 2017 20:32
@sarah_janemad @dellapowell1 @eleni_keogh @HEE_TEL @AgencyNurse @real_sukie I would definitely agree with your sim lead. Sim is for life, not just for an OSCE. #WeNurses
@sarah_janemad
19 December 2017 20:33
@RunnerNursePhil @WeNurses Oh yeah - that said OSCE is and assessment process really, true Simulation & Debrief as a learning tool #WeNurses
@WeNurses
19 December 2017 20:33
Is this with staff or with the women you care for ? #WeNurses https://twitter.com/janeycjones/status/943217181407490049
@WeNurses
19 December 2017 20:33
#Wenurses https://twitter.com/jo_swidenbank/status/943217609394225152
@RichardPriceUK
19 December 2017 20:33
@eleni_keogh @wlasinclair @AgencyNurse No way! They were injecting saline solution so would have tasted grose! #WeNurses
@sarah_janemad
19 December 2017 20:34
@WeNurses We do too, there’s added value in inter professional sim - we don’t work in silos - why are we learning in them ? #WeNurses
@WeNurses
19 December 2017 20:34
QUESTION 5 - what about feedback ? #WeNurses https://t.co/4btn6JErno
@CalvinMoorley
19 December 2017 20:35
Sim is great and has a real contribution to Nurse education but it has to be balanced with real life. @LSBU_HSC we use actors to help with simulated learning bringing real world experiences, which our students review very positively #WeNurses
@dellapowell1
19 December 2017 20:35
@sarah_janemad @RichardPriceUK @eleni_keogh @HEE_TEL @AgencyNurse @real_sukie Absolutely.I feel it has role in building confidence4new students though.Wld have relished this before being ‘thrown in deep end’#Wenurses
@WeNurses
19 December 2017 20:35
wow fab Calvin ..... does this help to make the experience more realistic ? #WeNurses https://twitter.com/CalvinMoorley/status/943218171594596352
@WeNurses
19 December 2017 20:36
#WeNurses https://twitter.com/RunnerNursePhil/status/943218331896696832
@janeycjones
19 December 2017 20:36
@WeNurses Both, we learn expression techniques on our knitted boobs then take them out on antenatal contacts and new birth visits #WeNurses
@AgencyNurse
19 December 2017 20:36
Love this #WeNurses https://twitter.com/janeycjones/status/943218412641189889
@HEE_TEL
19 December 2017 20:36
@sarah_janemad @WeNurses How do we go about changing this learning practice of silo learning? #WeNurses
@dellapowell1
19 December 2017 20:36
@RichardPriceUK @sarah_janemad @eleni_keogh @HEE_TEL @AgencyNurse @real_sukie Completely. The opportunities are endless and the students and patients are safe. #wenurses
@WeHealthVisitor
19 December 2017 20:36
What a great idea ... does anyone else do this ? #WeNurses https://twitter.com/janeycjones/status/943218412641189889
@CalvinMoorley
19 December 2017 20:37
@WeNurses Yes it does, some of the actors are early onset dementia and really brings perspective to the simulated learning #WeNurses
@AgencyNurse
19 December 2017 20:37
@CalvinMoorley @WeNurses I'm going to ask a silly question ... does it not come across as cheesy or forced ? #WeNurses
@RichardPriceUK
19 December 2017 20:37
@CalvinMoorley @LSBU_HSC Interesting. The conversation so far has been primarily about clinical simulation training (using manikins). Human factors training is a whole different type of sim! #WeNurses
@CoProNorfolk
19 December 2017 20:38
RT @WeNurses: QUESTION 5 - what about feedback ? #WeNurses https://t.co/4btn6JErno
@real_sukie
19 December 2017 20:38
@janeycjones @AgencyNurse @ProfJuneG @maxwele2 @wlasinclair What a great idea! Who knits them? #WeNurses
@RunnerNursePhil
19 December 2017 20:38
@WeNurses What do you mean by feedback? Each sim we do has a debrief following recognised models #wenurses
@dellapowell1
19 December 2017 20:38
RT @WeNurses: wow fab Calvin ..... does this help to make the experience more realistic ? #WeNurses https://twitter.com/CalvinMoorley/status/943218171594596352
@CalvinMoorley
19 December 2017 20:39
At @LSBU_HSC We are also using Schwartz Rounds for inter professional sim learning #WeNurses
@HEE_TEL
19 December 2017 20:39
@CalvinMoorley @WeNurses Wow! This sounds like an increduble experience for the learners. Not a challenge, but curious - how early do you seek consent from the actors? #WeNurses
@dellapowell1
19 December 2017 20:39
@CalvinMoorley @LSBU_HSC Perfect ???? #wenurses
@WeNurses
19 December 2017 20:39
@HEE_TEL ... important differentiation ... do we mean feedback or debrief here ? Are they the same or different ? #WeNurses https://twitter.com/RunnerNursePhil/status/943218959557496833
@AgencyNurse
19 December 2017 20:40
Great question - i wish i had asked that !!! ;D #WeNurses https://twitter.com/real_sukie/status/943218948761444352
@RunnerNursePhil
19 December 2017 20:40
RT @janeycjones: @AgencyNurse @ProfJuneG @maxwele2 @wlasinclair We have knitted boobs for teaching hand milk expression- low tech #WeNurses
@ShuAdultNursing
19 December 2017 20:40
RT @CalvinMoorley: At @LSBU_HSC We are also using Schwartz Rounds for inter professional sim learning #WeNurses
@WeNurses
19 December 2017 20:40
RT @CalvinMoorley: At @LSBU_HSC We are also using Schwartz Rounds for inter professional sim learning #WeNurses
@sarah_janemad
19 December 2017 20:40
@HEE_TEL @WeNurses Interprofessional sim - map the foundation progs against Precep / NAs / Care certificate progs for study time release. create scenarios, rolling sim dates, not too many staff out at one time clinically & multidiscip faculty #WeNurses
@HEE_TEL
19 December 2017 20:40
@CalvinMoorley @LSBU_HSC I've heard fantastic things about Schwartz Rounds. Be great if they were used even more widely. #WeNurses
@WeNurses
19 December 2017 20:41
Thats brilliant - how does it fit in with day to day work ? #WeNurses https://twitter.com/viclivedream/status/943219328538857479
@CoProNorfolk
19 December 2017 20:41
RT @WeNurses: #Wenurses https://twitter.com/jo_swidenbank/status/943217609394225152
@janeycjones
19 December 2017 20:41
@WeNurses #WeNurses https://t.co/bfTKZ4rZnt
@WeNurses
19 December 2017 20:41
#WeNurses > https://twitter.com/jo_swidenbank/status/943219668218793984
@CalvinMoorley
19 December 2017 20:41
@RichardPriceUK @LSBU_HSC @LSBU_HSC We are taking a view to entrepreneurial learning, using art to deliver Nurse education and this is a form of simulated learning #Wenurses
@WeNurses
19 December 2017 20:41
RT @janeycjones: @WeNurses #WeNurses https://t.co/bfTKZ4rZnt
@nicklin_jane
19 December 2017 20:42
A good #debrief can take up to 6 times as long as the #simulation took #WeNurses @ASPiHUK
@HEE_TEL
19 December 2017 20:42
@WeNurses We mean debrief and then feedback on the simulation experience. #WeNurses
@Carla7888
19 December 2017 20:42
RT @janeycjones: @WeNurses #WeNurses https://t.co/bfTKZ4rZnt
@RichardPriceUK
19 December 2017 20:43
@CalvinMoorley @LSBU_HSC Ooh, I'm curious now! How do you use art in simulation? #WeNurses
@WeNurses
19 December 2017 20:43
QUESTION 6 - is the simulation in your organisation inter-professional ? #WeNurses https://t.co/kv9WNoyYk0
@sarah_janemad
19 December 2017 20:43
@HEE_TEL @WeNurses Also think room for adhoc short sim inter profess sessions for key themes within trusts - once a month, or safety theme - eg det Pt, nutrition, Sepsis, AKI etc. Invite round learning lunchtime - run sim & live feed & debrief to Lect Theatre audience ? #WeNurses
@WeNurses
19 December 2017 20:43
RT @HEE_TEL: @WeNurses We mean debrief and then feedback on the simulation experience. #WeNurses
@RunnerNursePhil
19 December 2017 20:43
@eleni_keogh @WeNurses Our current set up has debrief with observers in separate room from the Sim. It’s verbal and nonjudgmental. We do things for a reason and skilled debriefers will work to elicit that reason. We don’t record at moment but are looking to, more to debrief debriefers #wenurses
@dellapowell1
19 December 2017 20:43
RT @nicklin_jane: A good #debrief can take up to 6 times as long as the #simulation took #WeNurses @ASPiHUK
@HEE_TEL
19 December 2017 20:43
@nicklin_jane @ASPiHUK Do you think that can sometimes be a barrier? #WeNurses
@dellapowell1
19 December 2017 20:44
@CalvinMoorley @RichardPriceUK @LSBU_HSC I need to know more about this ???? #WeNurses
@dellapowell1
19 December 2017 20:44
RT @RichardPriceUK: @CalvinMoorley @LSBU_HSC Ooh, I'm curious now! How do you use art in simulation? #WeNurses
@real_sukie
19 December 2017 20:44
@viclivedream @WeNurses That sounds very positive. It needs to become part of the culture of learning to be really effective. #WeNurses
@HEE_TEL
19 December 2017 20:44
@sarah_janemad @WeNurses Sounds like a great idea. Is it feasible though? #WeNurses
@AgencyNurse
19 December 2017 20:45
It seems to make sense to me that some simulation should be interprofessional ... but i guess its hard to coordinate #WeNurses https://twitter.com/WeNurses/status/943220220231118848
@wlasinclair
19 December 2017 20:46
This was me in the sim lab for #bedpansandbandages While the students were expected demonstrate clinical skills, as much of this was about communication #wenurses https://t.co/zALgCagf34
@sarah_janemad
19 December 2017 20:46
@CalvinMoorley @LSBU_HSC Agree we use actors I.e. Standardised Patients for eg. Challenging behaviour scenarios, SimMan can’t be that combative or agressive however live actor ???? #WeNurses
@AgencyNurse
19 December 2017 20:46
hehehe loved this #star #WeNurses https://twitter.com/wlasinclair/status/943220964300607493
@RunnerNursePhil
19 December 2017 20:46
@WeNurses We have gone from silo to some interprofessional. We have had no problems from the medical side and it has been welcomed but we can do better #wenurses
@real_sukie
19 December 2017 20:47
@RunnerNursePhil @eleni_keogh @WeNurses How do learners respond? Has this format been well received? #WeNurses
@RichardPriceUK
19 December 2017 20:47
@wlasinclair Fantastic. Love the hashtag too! #WeNurses
@WeNurses
19 December 2017 20:47
Sounds like you have made some good inroads #WeNurses https://twitter.com/RunnerNursePhil/status/943221097645989888
@WeNurses
19 December 2017 20:47
#WeNurses > https://twitter.com/tessaljones/status/943221160489218048
@dellapowell1
19 December 2017 20:47
It must include inter professional SBE to be realistic.Some modules are multi professional so SBE could be factored in as adjunct #wenurses https://twitter.com/agencynurse/status/943220684397989888
@wlasinclair
19 December 2017 20:47
@AgencyNurse hehe I'm still waiting for Hollywood to call #wenurses #VeryPoorActress
@CalvinMoorley
19 December 2017 20:47
@AgencyNurse @WeNurses No not in our experience, the actors are all experienced and the students learn how to actually respond to human emotions #WeNurses
@AgencyNurse
19 December 2017 20:48
@wlasinclair have you checked your spam folder ;D #WeNurses
@RunnerNursePhil
19 December 2017 20:48
@HEE_TEL @nicklin_jane @ASPiHUK If people are prepared properly prior to the Sim then no. #wenurses
@wlasinclair
19 December 2017 20:48
@RichardPriceUK I played the part of a distressed mother - but sadly not oscar nominations #wenurses
@dellapowell1
19 December 2017 20:48
RT @WeNurses: Sounds like you have made some good inroads #WeNurses https://twitter.com/RunnerNursePhil/status/943221097645989888
@sarah_janemad
19 December 2017 20:48
@HEE_TEL @WeNurses I think so;Foundation have learning lunchtimes , we also do learning lunchtimes for clinical staff. if well planned & managers aware need to cover to release staff could work -like most things needs good prep & planning & experienced faculty #WeNurses
@AgencyNurse
19 December 2017 20:49
@CalvinMoorley @WeNurses so do you have real "actors" or is it other passing faculty and students ? #WeNurses
@wlasinclair
19 December 2017 20:49
@AgencyNurse ooh good idea ?????? #wenurses
@dellapowell1
19 December 2017 20:49
@wlasinclair @RichardPriceUK ???? love it. I’m sure you were fabulous darling #Wenurses
@WeNurses
19 December 2017 20:50
QUESTION 7 - does practice change as a result of simulation? #WeNurses https://t.co/PY3L2bc2mS
@CoProNorfolk
19 December 2017 20:50
RT @WeNurses: QUESTION 4 - how do you measure outcomes ? #WeNurses https://t.co/3FfNzD8DCl
@AgencyNurse
19 December 2017 20:50
Wow that sounds pretty amazing !! #WeNurses https://twitter.com/BCUNursingteam/status/943221819892486147
@real_sukie
19 December 2017 20:50
@RunnerNursePhil @WeNurses We would be very interested to hear about this goes @RunnerNursePhil #WeNurses
@dellapowell1
19 December 2017 20:50
RT @WeNurses: QUESTION 7 - does practice change as a result of simulation? #WeNurses https://t.co/PY3L2bc2mS
@WeNurses
19 December 2017 20:51
RT @AgencyNurse: Wow that sounds pretty amazing !! #WeNurses https://twitter.com/BCUNursingteam/status/943221819892486147
@sarah_janemad
19 December 2017 20:51
@wlasinclair @RichardPriceUK one of our awesome PDs is an amazing actress ! @Walsh6Walsh - preceptees don’t know who she is - last feedback was it was so real they forgot it was Sim #Simgoal #WeNurses
@RunnerNursePhil
19 December 2017 20:51
@WeNurses What has helped is that my sim tech is an ODP, we have changed from a Med ed dept to a clinical ed dept and have the starts of a fledgling multi professional faculty #littlesteps #wenurses
@malestudntnurse
19 December 2017 20:51
@AgencyNurse @CalvinMoorley @WeNurses Our trust @RBNHSFT uses nurses in the dementia training in sim as do university @UWL_CNMH . It’s as close to real life as you can get, great learning experience. #patientfeedback #wenurses #studentnurse
@AgencyNurse
19 December 2017 20:52
@malestudntnurse @CalvinMoorley @WeNurses @RBNHSFT @UWL_CNMH gosh really ... so definitely a valuable exercise #WeNurses
@sarah_janemad
19 December 2017 20:52
@RunnerNursePhil @HEE_TEL @nicklin_jane @ASPiHUK I would argue majority of learning occurs in the Debrief #Safespace #reflection #DebriefTool #SHARP #DiamondDebrief ???? #WeNurses
@CoProNorfolk
19 December 2017 20:53
RT @WeNurses: #WeNurses > https://twitter.com/takername/status/943214834077880320
@WeNurses
19 December 2017 20:53
With just 8 mins left here is the FINAL QUESTION #WeNurses https://t.co/MQEUOLPgid
@real_sukie
19 December 2017 20:53
@sarah_janemad @wlasinclair @RichardPriceUK @Walsh6Walsh That sounds wonderful. A truly immersive experience! #WeNurses
@RunnerNursePhil
19 December 2017 20:53
@real_sukie @eleni_keogh @WeNurses Really positively overall. The realisation from junior nurses that junior docs are feeling the same way that they do at the beginnings of their careers and realisation that they too need support from each other has been a really humbling experience #wenurses
@AgencyNurse
19 December 2017 20:54
@BCUNursingteam @mel_humphreysBC Yes i can imagine it does ... some talented people must have some ace directing and production skills #WeNurses
@sarah_janemad
19 December 2017 20:54
RT @WeNurses: With just 8 mins left here is the FINAL QUESTION #WeNurses https://t.co/MQEUOLPgid
@WeNurses
19 December 2017 20:54
#WeNurses https://twitter.com/jo_swidenbank/status/943222907341295616
@malestudntnurse
19 December 2017 20:54
@AgencyNurse @CalvinMoorley @WeNurses @RBNHSFT @UWL_CNMH Especially when they start throwing things or hitting the bed with a walking stick. The best thing is they give you first hand feedback as if they were the patient. #WeNurses
@MrsEmmaJK
19 December 2017 20:54
RT @WeNurses: With just 8 mins left here is the FINAL QUESTION #WeNurses https://t.co/MQEUOLPgid
@sarah_janemad
19 December 2017 20:54
@WeNurses IPL Sim is the way forward - we don’t work in silos we need to train together #WeNurses
@AgencyNurse
19 December 2017 20:55
@malestudntnurse @CalvinMoorley @WeNurses @RBNHSFT @UWL_CNMH wow yes i can see how that would be very valuable indeed #WeNurses
@CalvinMoorley
19 December 2017 20:55
@HEE_TEL @WeNurses Our drama group is in residence and contracted by the University and all such areas are covered in contract #WeNurses
@WeNurses
19 December 2017 20:55
RT @sarah_janemad: @WeNurses IPL Sim is the way forward - we don’t work in silos we need to train together #WeNurses
@FortYorkToronto
19 December 2017 20:55
RT @WeNurses: wow fab Calvin ..... does this help to make the experience more realistic ? #WeNurses https://twitter.com/CalvinMoorley/status/943218171594596352
@dellapowell1
19 December 2017 20:55
RT @sarah_janemad: @WeNurses IPL Sim is the way forward - we don’t work in silos we need to train together #WeNurses
@RichardPriceUK
19 December 2017 20:55
@WeNurses I'd love to see how we could make more use of Augmented Reality/Virtual Reality to deliver simulation. #WeNurses Headsets are relatively cheap now, so cost shouldn't be an entry-level barrier. Has anyone got any experience of using this?
@WeNurses
19 December 2017 20:55
#WeNurses ... anyone ?? https://twitter.com/RichardPriceUK/status/943223306823569410
@HEE_TEL
19 December 2017 20:56
@RunnerNursePhil @real_sukie @eleni_keogh @WeNurses This is really useful feedback on the "power" of simulation across the professions. Thanks for sharing. #WeNurses
@dellapowell1
19 December 2017 20:56
@CalvinMoorley @HEE_TEL @WeNurses Brilliant. That’s a win win situation/mutual benefits #Wenurses
@CoProNorfolk
19 December 2017 20:56
RT @WeNurses: QUESTION 3 ... who is responsible for simulation in your organisation ? #WeNurses https://t.co/zWYDSqQJnx
@eleni_keogh
19 December 2017 20:56
@RunnerNursePhil @real_sukie @WeNurses That sounds great- its always important to share learning across the various professions and support each other when needed. #wenurses
@AgencyNurse
19 December 2017 20:56
Oh my goodness thats some talented knitters #WeNurses https://twitter.com/sarah_janemad/status/943223455075524609
@wlasinclair
19 December 2017 20:56
@CYPNurseNic aw and look at you now! #wenurses
@HEE_TEL
19 December 2017 20:57
@CalvinMoorley @WeNurses What a great idea and so progressive in its thinking. #WeNurses
@real_sukie
19 December 2017 20:57
@RunnerNursePhil @eleni_keogh @WeNurses That's a great quote @RunnerNursePhil. #WeNurses
@AgencyNurse
19 December 2017 20:58
@sarah_janemad lol you can never find the right pic when you need it ! #WeNurses
@CalvinMoorley
19 December 2017 20:58
@RichardPriceUK @LSBU_HSC Our students simulated getting a dementia diagnosis through writing poetry on the topic and then received coaching from our actors to present act out #WeNurses
@CoProNorfolk
19 December 2017 20:58
RT @WeNurses: Yes indeed #WeNurses https://twitter.com/takername/status/943212940412547073
@CalvinMoorley
19 December 2017 20:59
@dellapowell1 @RichardPriceUK @LSBU_HSC Happy to chat offline #WeNurses
@CoProNorfolk
19 December 2017 20:59
RT @WeNurses: Oh why is that ?? #WeNurses Any ideas?? https://twitter.com/RunnerNursePhil/status/943213103621267456
@lliheus
19 December 2017 20:59
@CalvinMoorley @LSBU_HSC Simulation works best if the actors have real life experience of being a patient in that field, they can explain how it makes them feel #WeNurses
@HEE_TEL
19 December 2017 21:00
@AgencyNurse @sarah_janemad We'd love to see some photos. Our minds are boggling! #knitteduterus #WeNurses
@WeNurses
19 December 2017 21:00
Thats all for tonight folks ... a big thank you to the @HEE_TEL team for tonights topic ... and thank you to everyone who shared their experiences #WeNurses
@RichardPriceUK
19 December 2017 21:00
@CalvinMoorley @LSBU_HSC Fantastic. Thanks for sharing. @AdaPeck and I have run storytelling workshops before to teach resilience and support healthcare students. Powerful stuff! And, not immediately recognisable as sim. #WeNurses
@RunnerNursePhil
19 December 2017 21:00
@WeNurses Invest in the use of actors to improve the fidelity of sim. It’s not just about the tech and a ‘live’ actor has a really powerful effect on participants #wenurses
@HEE_TEL
19 December 2017 21:01
Thank you for a fascinating chat on #simulation. Please follow us @HEE_TEL for more information on our simulation strategy work, or if you’d like to be more involved please email tel@hee.nhs.uk #wenurses
@dellapowell1
19 December 2017 21:01
@lliheus @CalvinMoorley @LSBU_HSC Great point. #Wenurses
@real_sukie
19 December 2017 21:01
@WeNurses @HEE_TEL Thanks to all. Very useful indeed! #WeNurses
@sarah_janemad
19 December 2017 21:01
@AgencyNurse They look like these ! #WeNurses https://t.co/U2egvDVwc9
@eleni_keogh
19 December 2017 21:01
@WeNurses @HEE_TEL Thanks to everyone who participated tonight. The time has just flown by! Good night and see you all in 2018. #wenurses
@WeNurses
19 December 2017 21:02
Although this was our last chat of the year ... the students are taking over tomorrow for a discussion on "the third year" > http://www.wecommunities.org/tweet-chats/chat-details/4124 #WeStudents #WeNurses https://t.co/bcCd57PRBv
@RichardPriceUK
19 December 2017 21:02
@BCUNursingteam @AgencyNurse @WeNurses @Nigel_Wynne Would love to learn more about your work! Maybe @real_sukie, @HEE_TEL and I could come for a visit some time? #WeNurses
@CalvinMoorley
19 December 2017 21:03
@AgencyNurse @WeNurses With support of our dean @LSBUWarrenT we have a drama group called Encore in residence who are a professional group #WeNurses
@dellapowell1
19 December 2017 21:03
@WeNurses @HEE_TEL Thank so much. That has really got me thinking ?? ??. Take care all. Pleasure to chat #WeNurses
@AmyReidSTMW
19 December 2017 21:03
@WeHealthVisitor We also do this as student midwives, use knitted Boobs in uni and have them on the ward to teach women #wenurses #wemidwives
@RichardPriceUK
19 December 2017 21:04
@sarah_janemad @HEE_TEL @AgencyNurse Wow! That is incredible! Thanks for sharing photos #WeNurses
@dellapowell1
19 December 2017 21:04
@CalvinMoorley @RichardPriceUK @LSBU_HSC Thank you ?? #WeNurses
@CYPNurseNic
19 December 2017 21:04
@WeNurses On my course I loved simulation where we peer-reviewed each other either during simulation or by having been recorded & watching it back... I think that experience could be enhanced as MDT w other students e.g midwifery, med students, physio students etc #WeNurses
@WeNurses
19 December 2017 21:04
Fantastic - proof that simulation doesnt have to be high tech or expensive #WeNurses https://twitter.com/sarah_janemad/status/943224722258526211
@AgencyNurse
19 December 2017 21:05
These are brilliant :D #WeNurses https://twitter.com/sarah_janemad/status/943224722258526211
@sarah_janemad
19 December 2017 21:05
RT @WeNurses: Fantastic - proof that simulation doesnt have to be high tech or expensive #WeNurses https://twitter.com/sarah_janemad/status/943224722258526211
@RichardPriceUK
19 December 2017 21:05
Thanks for having me tonight #wenurses! Great chat about simulation and have learned a lot from the amazing nursing community as always. Happy Christmas to all you fantastic NHS nurses working over the festive period!
@AgencyNurse
19 December 2017 21:06
I am sooooo looking forward to this .... it invariably ends with me loosing track and missing questions :D #WeNurses #WeXMAS https://twitter.com/WeNurses/status/943225358672977921
@WeNurses
19 December 2017 21:06
Thank you for joining us and a Merry Christmas to you :D #WeNurses https://twitter.com/RichardPriceUK/status/943225815180959746
@CalvinMoorley
19 December 2017 21:07
@RichardPriceUK @LSBU_HSC @AdaPeck @SallyHardys has an artist in residence who does the shields of caring as well as the care dance #WeNurses
@AgencyNurse
19 December 2017 21:07
#WeNurses https://twitter.com/WeNurses/status/943225358672977921
@WeNurses
19 December 2017 21:07
#WeNurses https://twitter.com/WeNurses/status/943225358672977921
@buddhawoman
19 December 2017 21:07
RT @WeNurses: Thank you for joining us and a Merry Christmas to you :D #WeNurses https://twitter.com/RichardPriceUK/status/943225815180959746
@AgencyNurse
19 December 2017 21:09
@janeycjones apparently so > http://www.cleapss.org.uk/attachments/article/0/Uterus%20and%20Baby%202015.pdf?Conferences/Conferences%202015/ #WeNurses
@CalvinMoorley
19 December 2017 21:11
RT @WeNurses: #WeNurses https://twitter.com/WeNurses/status/943225358672977921
@sarah_janemad
19 December 2017 21:11
@RichardPriceUK Thanks #WeNurses too and you Richard - great chat to top it off this my favourite photo of preceptess after sim & they asked for them #simgoals #loveabitofmoulagetoo https://t.co/YkFVUetMza
@CalvinMoorley
19 December 2017 21:12
Thanks for a great chat #WeNurses
@WeNurses
19 December 2017 21:13
RT @sarah_janemad: @RichardPriceUK Thanks #WeNurses too and you Richard - great chat to top it off this my favourite photo of preceptess af…
@sarah_janemad
19 December 2017 21:15
RT @AgencyNurse: #WeNurses https://twitter.com/WeNurses/status/943225358672977921
@sarah_janemad
19 December 2017 21:21
RT @WeNurses: #WeNurses ... anyone ?? https://twitter.com/RichardPriceUK/status/943223306823569410




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