#WeLDNs - Tuesday 8th May 2018 8:30pm (GMT Standard Time) Sepsis & people with learning disabilities

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Hosted by WeLDnurses using #WeLDNs

This chat is guest hosted by @SepsisSrLister

Sepsis is a common condition that occurs when the body’s response to infection damages its own organs and tissues (Singer, Deutschman et al. 2016). Sepsis always starts with an infection, most commonly a bacterial infection (Shankar-Hari, Harrison et al. 2016), but the signs and symptoms of infection are not always obvious when sepsis develops. Sepsis is a clinical diagnosis – there is no single test that can confirm its presence or absence. In the early stages, it can look like self-limiting conditions, such as flu and diarrhoea, but if left untreated sepsis can lead to shock, multiple organ failure and death.

Sepsis claims the lives of an estimated 6 million people a year, worldwide (Fleischmann,Scherag et al. 2016). The UK Sepsis Trust, estimate that at least 44,000 deaths a year in the UK are attributable to sepsis, withat least one third being preventable (Daniels et al, 2018). Three quarters of the deaths from sepsis in the UK occur in patients aged over 75 (Shankar-Hari M 2016), but people with learning disabilities are more likely to die prematurely than people without learning disabilities: women 20 years younger and men 13 years younger. Concern is growing in the Learning Disabilities Mortality Review programme that sepsis is emerging as a leading cause of death in people with learning disabilities of all ages.

Worldwide, lower respiratory tract infection is the communicable disease with highest mortality – 3.2 million deaths a year in 2015, and it is the third biggest cause of death overall (WHO, 2017). In the UK, respiratory tract infection is the most common trigger for sepsis (NCEPOD, 2015). People with Learning disabilities are five times more likely to be admitted to hospital with a lower respiratory tract infection than someone of the same age & sex without learning disabilities (Hosking, Carey et al. 2017). Respiratory disease, usually pneumonia, was the immediate cause of death in one third of the deaths examined by the CIPOLD inquiry (Heslop, Blair et al, 2013) suggesting people with learning disabilities are at high risk of developing sepsis. While infection can exist without sepsis (Tidswell and Singer 2018), sepsis is the final common pathway to death from infection. However, the cause of death may be coded as the underlying infection rather than sepsis (Reinhart,Daniels et al. 2017). In the UK, a review of the care patients with sepsis received, found there was no mention of sepsis in 40% ofcases, where documented clinical signs of sepsis were evident to a panel of experts (NCEPOD, 2015).

In summary, sepsis is a worldwide phenomenon and a leading cause of preventable death. It is the final common pathway to death from infection. Understanding of the epidemiology of sepsis is growing at the same time as concern about the mortality from sepsis amongst people with learning disabilities. People with learning disabilities are at high risk of developing sepsis especially from respiratory infection. Deaths from sepsis may be prevented with early recognition and treatment.

Are we doing enough to raise awareness of sepsis amongst people with learning disabilities?

What reasonable adjustments can we make to recognise sepsis in people with learning disabilities more quickly?

How do we ensure healthcare providers are responsive to the subtle signs of sepsis in people with learning disabilities?

For more information about sepsis visit www.sepsistrust.org The UK Sepsis Trust have produced a comprehensive, accessible sepsis manual which can be downloaded for free or purchased via their online shop.

Thanks to The Sepsis Trust for letting us use their material, to Anne Hunt for the above topic.

Daniel Marsden @dmarsden49

References 

NCEPOD 2015 JustSaySepsis_FullReport.pdf

DANIELS, R. (ed.) 2018. TheSepsis Manual: UK Sepsis Trust.

FLEISCHMANN, C., SCHERAG, A., ADHIKARI, N. K. J., HARTOG, C. S.,TSAGANOS, T., SCHLATTMANN, P., ANGUS, D. C. & REINHART, K. 2016. Assessmentof Global Incidence and Mortality of Hospital-treated Sepsis. Current Estimates and Limitations. American Journal of Respiratory and Critical Care Medicine, 193, 259-272.

HESLOP, P., BLAIR, P. S., FLEMING, P., HOGHTON, M., MARRIOTT, A.& RUSS, L. 2014. The Confidential Inquiry into premature deaths of people with intellectual disabilities in the UK: a population-based study. The Lancet, 383, 889-895.

HOSKING, F. J., CAREY, I. M., DEWILDE, S., HARRIS, T., BEIGHTON, C.& COOK, D. G. 2017. Preventable Emergency Hospital Admissions Among Adults With Intellectual Disability in England. Annals of Family Medicine, 15, 462-470.

NCEPOD 2015. Just Say Sepsis! A review of the process of care received by patients with sepsis.

REINHART, K., DANIELS, R., KISSOON, N., MACHADO, F. R., SCHACHTER,R. D. & FINFER, S. 2017. Recognizing Sepsis as a Global Health Priority — AWHO Resolution. New England Journal of Medicine, 377, 414-417.

SHANKAR-HARI, M., HARRISON, D. A. & ROWAN, K. M. 2016.Differences in Impact of Definitional Elements on Mortality Precludes International Comparisons of Sepsis Epidemiology—A Cohort Study Illustrating the Need for Standardized Reporting*. Critical Care Medicine, 44, 2223-2230.

SINGER, M., DEUTSCHMAN, C. S., SEYMOUR, C. & ET AL. 2016. The third international consensus definitions for sepsis and septic shock(sepsis-3). JAMA, 315, 801-810.

TIDSWELL, R. & SINGER, M. 2018. Sepsis - thoughtful manage mentfor the non-expert. Clinical Medicine(London, England), 18, 62-68.

WHO, W. H. O. 2017. The top 10 causes of death Available: http://www.who.int/mediacentre/factsheets/fs310/en/.







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 Chat Summary

 

Sepsis and Peoplewith Learning Disabilities

The publication of the learning disabilities mortality review (LeDeR) annual report just before this tweetchat, (both delayed due to the local elections) identified sepsis and pneumonia as leading causes of death in people with learning disabilities, giving heightened motivation for the need to find pragmatic ways to promptly identify sepsis, ensure swift treatment and prevent every avoidable death in this vulnerable population. We have the NICEguidelines and quality standard and the CQUIN targets to tell us what should happen; this chat was about engagement between sepsis and LD specialists to find tangible advice to guide those responsible for assessing and treating people for sepsis. The themes from the chat will be discussed at the NHS England Sepsis and Learning Disabilities workshop in July to inform their response to the LeDeR report recommendations.

Participants in the chat were mostly from clinical and academic LD backgrounds with sepsis specialists Dr Matt Inada-Kim and UK Sepsis Trust nurses Larry & Oliver joining in, sharing evidence-based resources and their wealth of expertise – thank you guys.

Most participants knew sepsis is the body’s over reaction to infection rather than ‘blood poisoning’ or severe infection; the fact that it is a potential killer weighs heavily on those responsible for people with LD.There was strong feeling from participants that educating people about sepsis empowers them and may save lives; that it would be unethical not to. Identifying sepsis remains a tricky business, the early signs being equivocal with people who cannot describe their symptoms most at risk of diagnostic and treatment delays. Establishing a baseline for each individual with a learning disability is key to identifying deterioration and then considering sepsis.

If this information cannot be learned from the patient themselves, it may be conveyed by a carer or relative who knows them well and /or a health passport. Health passports have long been seen as a solution but the content and format varies and receiving staff may not read it. Having an accessible summary in the same place in all health passports nationally, could help to guide emergency care I fit included the key information people with learning disabilities and their carers need to convey about the essential differences of a person’s baseline andthe information health care professionals need to know to make their initial assessment. The information participants felt would be useful includes:

  • Previous history of severeinfection, pneumonia or aspiration

  • Any previous resistant bacteraemias

  • Allergies, including severity of allergic reaction if allergic to penicillin

  • Vaccination record

  • Recent medical history such as trauma, retention of urine

  • Recent medical treatment such as catheterisation or surgery

  • Recent immunosuppression or conditions which weaken the immune system

  • Baseline vital signs

  • Medical history including an outline of the implications of any rare conditions

In the digital age, there is potential for health passports tobe a contemporary electronic record including physiological information from annual health checks, baseline vital signs and summaries of contact with health services and lifelong conditions along with subjective information about baseline functional ability. There is potential for this to be in photographic or video format, maybe using Photo voice, to enable a ‘joined up’ approach to assessing the whole person and combating ill-informed assumptions and prejudice. A lot of information can be communicated quickly in a short film, introducing a person in their usual environment: how they communicate, how they sit / position, how they eat/drink/swallow – a film would convey this faster than reading a detailed document & capture the ‘baseline’ joie d’vivre of someone living life to the full despite their LD rather than someone anonymised by a hospital gown on a hospital trolley, unwell and unable to communicate in a clinical environment. As one participant put it, how do you know what sepsis looks like when you don’t know what well looks like?

The people that do know what well looks like, the relatives and carers who try to convey their concerns about deterioration, often report being ignored. There was agreement amongst participants that the role of carers is a vital one and they should be listened to; the challenge is making this happen every time. Suggestions from participants were to include more emphasison the importance of listening in medical and nursing education, involving patients and families in recruitment, as well as acknowledging their concerns on the assessment tools. We also need to challenge our peers to make this happen and move to a position where all health professionals and carers participate in knowledge exchange, which Unicef define as asystematic approach to the sharing of tacit knowledge; being open about what is known and what is uncertain and valuing each other’s contribution. Carers want to know health professionals care about their loved one and are taking their knowledge and concerns into consideration; they also need confidence that health professionals will be alert to signs of sepsis and will respond to them.

The changes from baseline typical of deteriorating health in  people with learning disabilities, shared by participants included:

  • Change in function

  • Change in behaviour or mood

  • Change in appetite

  • Increased sleep or lethargy

  • Worry from carer that something is wrong

    • gut feeling, intuition

  • Changes in conscious level or new confusion

    • may be muddled compared to normal

  • Understanding what people with learning disabilities ‘say’ when they are ill

    • ‘sick day’ communication

  • High or low temperature, chills and shivering

  • Reduced urine output

  • Discoloured skin

  • Flu like symptoms

  • Changes in breathing

The theme running through was that these symptoms can be easily mistaken for other complaints or ignored as insignificant and here in lies a difficulty in assessing people for sepsis. These signs and symptoms won’t always herald an infection or sepsis but should always prompt the suspicion of pneumonia or sepsis, given that these are the leading causes of death in people with learning disabilities. They should lead to increased vigilance, increased monitoring and proactive investigation such as having chest listened to by a doctor, maybe a chest x-ray, checking urine, skin, tracheostomies and PEG’s for infection & checking for pain. Dr Matt Inada-Kim shared his Timeline of Actionable Acute Deterioration (see below) which articulates the various stages of deterioration. The early signs – soft signs – where simple interventions to return the body to homeostasis such as hydration, nutrition and prompting bowel movements may prevent deterioration. Prevent an infection and you will prevent sepsis, which is why good hygiene is essential. A safety netting plan for deterioration such astraining carers to use clinical screening tools from UK Sepsis Trust may help them to know what to watch for, when to seek medical attention and help articulate their concerns to receiving health professionals so medical intervention can be prompt to prevent or treat sepsis.

 

Dr Matt Inada-Kim@mattinadakim

 

We only touched on investigations and treatment but there is plenty to discuss about sepsis another time: balancing the benefits and distress of investigations in patients who won’t understand their need; making adjuncts available to all – a reasonable adjustment to improve first time intravenous cannulation & venepuncture success; antimicrobial stewardship to prevent resistance; post sepsis syndrome – is it considered in people with learning disabilities or are they suffering in silence? I hope this thought-provoking tweet chat prompts main stream and LD health professionals to think – could it be sepsis whenever a person with learning disabilities becomes unwell and informs the action to combat avoidable deaths.

@sepsissrlister

Thanks to @sepsissrlister for hosting this chat. Sepsis has been an interest of mine for several years, when in a previous role it became clear that people with learning disabilities featured in disproportionate numbers in the figures of deaths of young adults from sepsis, which prompted a case notes audit reported on here. Hearing about @sepsissrlister PhD subject - sepsis and people with learning disabilities prompted several long conversations relating to practice, research, methodology, LeDeR and social policy. @sepsissrlister is passionate, curious, driven and utterly courageous, someone who inspires me in my work, who requires some acknowledgment on this #ind2018.

Both @WeLDNurses and @sepsissrlister were surprised to hear about the planned publication of the LeDeR report just five days before the chat, knowing that Sepsis would be a significant feature. We worked collaboratively up until chat time to ensure that the chat remained as clinically focussed as possible, although acknowledging that there were significant touch points like diagnostic overshadowing and reasonable adjustments that could widen the scope, we especially wanted to acknowledge all those that attended that remained within the usual ground rules for chats such as this.

As the LeDeR work develops along with developments in the field of sepsis and people with learning disabilities, we hope and expect that further chats will occur, and is you have any thoughts or ideas, please let us know.

@dmarsden49


Post script

@SepsissrLister has kindly shared the recently published Hertfordshire easy read leaflet on Sepsis with WeLDNurses.








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 #WeLDNs transcript

 
@WeLDnurses
08 May 2018 20:30
Evening all and welcome to this much anticipated #weldns chat on #sepsis hosted by @SepsisSrLister Please take this… https://twitter.com/i/web/status/993936070931877889
@salsa442
08 May 2018 20:30
RT @RTunmore: @WeLDnurses @SepsisSrLister So here’s the link to the @leder_team #LearningDisabilityMortalityReview #weldns #sepsisinpwld h…
@SepsisSrLister
08 May 2018 20:30
#WeLDNs ?? hello really looking forward to talking #sepsis with you this evening
@salsa442
08 May 2018 20:30
RT @WeLDnurses: Evening all and welcome to this much anticipated #weldns chat on #sepsis hosted by @SepsisSrLister Please take this opportu…
@ross_6479_RNLD
08 May 2018 20:30
RT @WeLDnurses: Evening all and welcome to this much anticipated #weldns chat on #sepsis hosted by @SepsisSrLister Please take this opportu…
@salsa442
08 May 2018 20:30
Hi everyone, Sal here waving from sunny Leicester #WeLDNs
@ross_6479_RNLD
08 May 2018 20:31
@WeLDnurses @SepsisSrLister Hi, Ross here #waves from up north! #WeLDNs
@BeccaHammondENU
08 May 2018 20:31
@WeLDnurses @SepsisSrLister Hi everyone ! Becca here. I'm a second year LD student nurse from edinburgh #weldns
@WeLDnurses
08 May 2018 20:32
Hashtags are key to these chats, please use #weldns throughout, so we can capture your comments. If you have some e… https://twitter.com/i/web/status/993936574256574464
@samabdulla
08 May 2018 20:32
@WeLDnurses @SepsisSrLister Hello all! #weldns
@IechydDaBangor
08 May 2018 20:32
RT @RTunmore: @WeLDnurses @SepsisSrLister So here’s the link to the @leder_team #LearningDisabilityMortalityReview #weldns #sepsisinpwld h…
@ross_6479_RNLD
08 May 2018 20:32
RT @WeLDnurses: Hashtags are key to these chats, please use #weldns throughout, so we can capture your comments. If you have some evidence…
@salsa442
08 May 2018 20:32
RT @WeLDnurses: Hashtags are key to these chats, please use #weldns throughout, so we can capture your comments. If you have some evidence…
@SepsisSrLister
08 May 2018 20:32
RT @WeLDnurses: Hashtags are key to these chats, please use #weldns throughout, so we can capture your comments. If you have some evidence…
@GwenMoulster
08 May 2018 20:32
RT @WeLDnurses: Hashtags are key to these chats, please use #weldns throughout, so we can capture your comments. If you have some evidence…
@paularich1977
08 May 2018 20:32
@WeLDnurses @SepsisSrLister Evening all #weldns
@florenceella
08 May 2018 20:32
RT @WeLDnurses: Hashtags are key to these chats, please use #weldns throughout, so we can capture your comments. If you have some evidence…
@WeLDnurses
08 May 2018 20:33
We are interested in understanding who is represented on this #weldns chat. Can you tell us about your background? Are you...
@BeccaHammondENU
08 May 2018 20:33
RT @WeLDnurses: Hashtags are key to these chats, please use #weldns throughout, so we can capture your comments. If you have some evidence…
@IechydDaBangor
08 May 2018 20:33
@WeLDnurses @SepsisSrLister Hello all #weldns
@dmarsden49
08 May 2018 20:33
@WeLDnurses @SepsisSrLister Hi all, sorry I'm late! #weldns
@alimully
08 May 2018 20:33
@WeLDnurses @SepsisSrLister Looking forward to chatting #WeLDNs
@salsa442
08 May 2018 20:33
@WeLDnurses I'm a Registered Nurse for Learning Disability #proudRLND #WeLDNs
@emma_c20
08 May 2018 20:33
@WeLDnurses @SepsisSrLister Hi ??? #WeLDNs
@DidierPittet
08 May 2018 20:33
RT @WeLDnurses: With just an hour left, join us for a *significant* #weldns chat tonight on #sepsisinpwld http://wecommunities.org/tweet-chats/chat-details/4167
@ross_6479_RNLD
08 May 2018 20:33
RT @WeLDnurses: We are interested in understanding who is represented on this #weldns chat. Can you tell us about your background? Are you.…
@dmarsden49
08 May 2018 20:34
RT @WeLDnurses: We are interested in understanding who is represented on this #weldns chat. Can you tell us about your background? Are you.…
@samabdulla
08 May 2018 20:34
RT @WeLDnurses: We are interested in understanding who is represented on this #weldns chat. Can you tell us about your background? Are you.…
@samabdulla
08 May 2018 20:34
@WeLDnurses nurse in learning disabilities and nurse lecturer #weldns
@WeLDnurses
08 May 2018 20:34
@dmarsden49 @SepsisSrLister Some might say just in time! #weldns
@IechydDaBangor
08 May 2018 20:34
RT @WeLDnurses: We are interested in understanding who is represented on this #weldns chat. Can you tell us about your background? Are you.…
@WeLDnurses
08 May 2018 20:35
#weldns Question 1 What is #sepsis?
@NursesSikh
08 May 2018 20:35
@WeLDnurses #weldns Volunteer organisation
@ross_6479_RNLD
08 May 2018 20:35
RT @WeLDnurses: @dmarsden49 @SepsisSrLister Some might say just in time! #weldns
@ross_6479_RNLD
08 May 2018 20:35
RT @WeLDnurses: #weldns Question 1 What is #sepsis?
@WeLDnurses
08 May 2018 20:35
@paularich1977 @SepsisSrLister Welcome Paula! #weldns
@emma_c20
08 May 2018 20:35
@WeLDnurses 2nd year student nurse from Edinburgh Napier #weLDNs
@chrishattoncedr
08 May 2018 20:35
RT @RTunmore: @WeLDnurses @SepsisSrLister So here’s the link to the @leder_team #LearningDisabilityMortalityReview #weldns #sepsisinpwld h…
@samabdulla
08 May 2018 20:36
@emma_c20 @WeLDnurses *cough* whoop *cough* #weldns
@samabdulla
08 May 2018 20:36
RT @WeLDnurses: #weldns Question 1 What is #sepsis?
@GwenMoulster
08 May 2018 20:37
RT @WeLDnurses: #weldns Question 1 What is #sepsis?
@emma_c20
08 May 2018 20:37
@samabdulla @WeLDnurses Here of my own accord and not because anyone plugged it in uni today haha #weLDNs
@samabdulla
08 May 2018 20:37
An infection, often confused with septicaemia but sepsis can affect a number of organs #weldns https://twitter.com/WeLDnurses/status/993937328950329345
@salsa442
08 May 2018 20:37
RT @samabdulla: An infection, often confused with septicaemia but sepsis can affect a number of organs #weldns https://twitter.com/WeLDnurses/status/993937328950329345
@samabdulla
08 May 2018 20:37
RT @emma_c20: @samabdulla @WeLDnurses Here of my own accord and not because anyone plugged it in uni today haha #weLDNs
@ross_6479_RNLD
08 May 2018 20:38
RT @samabdulla: An infection, often confused with septicaemia but sepsis can affect a number of organs #weldns https://twitter.com/WeLDnurses/status/993937328950329345
@samabdulla
08 May 2018 20:38
listening is important top marks. #weldns https://twitter.com/emma_c20/status/993937973422034945
@IechydDaBangor
08 May 2018 20:38
RT @samabdulla: An infection, often confused with septicaemia but sepsis can affect a number of organs #weldns https://twitter.com/WeLDnurses/status/993937328950329345
@WeLDnurses
08 May 2018 20:38
#ebp Thanks Sal #weldns https://twitter.com/salsa442/status/993937721000329216
@RTunmore
08 May 2018 20:39
#weldns #sepsisinpwld https://www.hqip.org.uk/resource/the-learning-disabilities-mortality-review-annual-report-2017/#.WvH5vIoo-hC Ok so - those are the key points identified in the #LeDeR annual rev… https://twitter.com/i/web/status/993938364880637953
@samabdulla
08 May 2018 20:39
RT @RTunmore: #weldns #sepsisinpwld https://www.hqip.org.uk/resource/the-learning-disabilities-mortality-review-annual-report-2017/#.WvH5vIoo-hC Ok so - those are the key points identified in the #LeDeR annual review. Gr8 t…
@larrymatthews55
08 May 2018 20:39
RT @RTunmore: #weldns #sepsisinpwld https://www.hqip.org.uk/resource/the-learning-disabilities-mortality-review-annual-report-2017/#.WvH5vIoo-hC Ok so - those are the key points identified in the #LeDeR annual review. Gr8 t…
@WeLDnurses
08 May 2018 20:40
#weldns Question 2 What are the signs and symptoms of #sepsis?
@WeLDnurses
08 May 2018 20:40
@sharonWill50 @SepsisSrLister Hey Sharon, welcome to the chat, don't forget the #weldns hashtag when contributing!
@PaulaHopes1
08 May 2018 20:40
RT @WeLDnurses: #ebp Thanks Sal #weldns https://twitter.com/salsa442/status/993937721000329216
@ross_6479_RNLD
08 May 2018 20:40
RT @WeLDnurses: #weldns Question 2 What are the signs and symptoms of #sepsis?
@IechydDaBangor
08 May 2018 20:40
RT @WeLDnurses: #weldns Question 2 What are the signs and symptoms of #sepsis?
@GwenMoulster
08 May 2018 20:40
#WeLDNs Nice quality standard- interactive flowchart- Sepsis (2017) https://www.nice.org.uk/guidance/qs161
@SepsisSrLister
08 May 2018 20:41
#WeLDNs #ebp https://eur01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fsepsistrust.org%2Fwhat-is-sepsis%2F&data=02%7C01%7C%7Cf7e73497d63c414d980808d5b516c115%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C636614031682016882&sdata=fIfsFpOsGSvTtrGSCziwP%2FYCRn22%2BABCWksUlvauKB4%3D&reserved=0
@SepsisSrLister
08 May 2018 20:41
RT @GwenMoulster: #WeLDNs Nice quality standard- interactive flowchart- Sepsis (2017) https://www.nice.org.uk/guidance/qs161
@GwenMoulster
08 May 2018 20:41
RT @WeLDnurses: #ebp Thanks Sal #weldns https://twitter.com/salsa442/status/993937721000329216
@IechydDaBangor
08 May 2018 20:41
RT @RTunmore: #weldns #sepsisinpwld https://www.hqip.org.uk/resource/the-learning-disabilities-mortality-review-annual-report-2017/#.WvH5vIoo-hC Ok so - those are the key points identified in the #LeDeR annual review. Gr8 t…
@samabdulla
08 May 2018 20:41
some lovely #ebp from Gwen! #weldns https://twitter.com/GwenMoulster/status/993938809166467072
@GwenMoulster
08 May 2018 20:41
RT @WeLDnurses: #weldns Question 2 What are the signs and symptoms of #sepsis?
@salsa442
08 May 2018 20:41
Fever, change in consciousness, low urine output, rigors, fast heartbeat https://www.nhs.uk/conditions/sepsis/#sepsis-symptoms-in-older-children-and-adults #WeLDNs #sepsis https://twitter.com/weldnurses/status/993938587312832512
@IechydDaBangor
08 May 2018 20:41
RT @SepsisSrLister: #WeLDNs #ebp https://eur01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fsepsistrust.org%2Fwhat-is-sepsis%2F&data=02%7C01%7C%7Cf7e73497d63c414d980808d5b516c115%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C636614031682016882&sdata=fIfsFpOsGSvTtrGSCziwP%2FYCRn22%2BABCWksUlvauKB4%3D&reserved=0
@salsa442
08 May 2018 20:42
RT @samabdulla: some lovely #ebp from Gwen! #weldns https://twitter.com/GwenMoulster/status/993938809166467072
@IechydDaBangor
08 May 2018 20:42
RT @GwenMoulster: #WeLDNs Nice quality standard- interactive flowchart- Sepsis (2017) https://www.nice.org.uk/guidance/qs161
@NHS
08 May 2018 20:42
@BeccaHammondENU @WeLDnurses infection with badness #weldns
@GwenMoulster
08 May 2018 20:42
RT @larrymatthews55: Sepsis & people with learning disabilities with @SepsisSrLister via #WeLDNs 08/05/2018 http://wecommunities.org/tweet-chats/chat-details/4167 via @We…
@salsa442
08 May 2018 20:42
RT @SepsisSrLister: #WeLDNs #ebp https://eur01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fsepsistrust.org%2Fwhat-is-sepsis%2F&data=02%7C01%7C%7Cf7e73497d63c414d980808d5b516c115%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C636614031682016882&sdata=fIfsFpOsGSvTtrGSCziwP%2FYCRn22%2BABCWksUlvauKB4%3D&reserved=0
@WeLDnurses
08 May 2018 20:42
Thanks for the #weldns #ebp contributions. Much appreciated. https://twitter.com/RTunmore/status/993938364880637953
@ross_6479_RNLD
08 May 2018 20:42
RT @SepsisSrLister: #WeLDNs #ebp https://eur01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fsepsistrust.org%2Fwhat-is-sepsis%2F&data=02%7C01%7C%7Cf7e73497d63c414d980808d5b516c115%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C636614031682016882&sdata=fIfsFpOsGSvTtrGSCziwP%2FYCRn22%2BABCWksUlvauKB4%3D&reserved=0
@Smileguardians
08 May 2018 20:42
@WeLDnurses #weldns #sepsis is the body overwhelming response and sometimes deadly response to infection . A tooth… https://twitter.com/i/web/status/993939226696802306
@salsa442
08 May 2018 20:42
RT @WeLDnurses: Thanks for the #weldns #ebp contributions. Much appreciated. https://twitter.com/RTunmore/status/993938364880637953
@ross_6479_RNLD
08 May 2018 20:42
RT @salsa442: Fever, change in consciousness, low urine output, rigors, fast heartbeat https://www.nhs.uk/conditions/sepsis/#sepsis-symptoms-in-older-children-and-adults #WeLDNs #sepsis https://t.c…
@ross_6479_RNLD
08 May 2018 20:42
RT @samabdulla: some lovely #ebp from Gwen! #weldns https://twitter.com/GwenMoulster/status/993938809166467072
@ross_6479_RNLD
08 May 2018 20:43
RT @WeLDnurses: Thanks for the #weldns #ebp contributions. Much appreciated. https://twitter.com/RTunmore/status/993938364880637953
@GwenMoulster
08 May 2018 20:43
RT @WeLDnurses: Thanks for the #weldns #ebp contributions. Much appreciated. https://twitter.com/RTunmore/status/993938364880637953
@GwenMoulster
08 May 2018 20:43
RT @samabdulla: some lovely #ebp from Gwen! #weldns https://twitter.com/GwenMoulster/status/993938809166467072
@SepsisSrLister
08 May 2018 20:43
@salsa442 Fever is a sign of infection but also remember a sudden drop in temperature is a very bad sign with #sepsis #weldns
@WeLDnurses
08 May 2018 20:43
Thanks for this crucial #weldns #ebp - Lot's going on tonight! https://twitter.com/GwenMoulster/status/993938809166467072
@BeccaHammondENU
08 May 2018 20:44
@WeLDnurses shivering, muscle pain, not passing urine, fatigue, slurred speech, confusion. #weldns #sepsis
@SepsisSrLister
08 May 2018 20:44
RT @NHS: @BeccaHammondENU @WeLDnurses infection with badness #weldns
@ross_6479_RNLD
08 May 2018 20:44
RT @WeLDnurses: Thanks for this crucial #weldns #ebp - Lot's going on tonight! https://twitter.com/GwenMoulster/status/993938809166467072
@WeLDnurses
08 May 2018 20:44
RT @SepsisSrLister: #WeLDNs #ebp https://eur01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fsepsistrust.org%2Fwhat-is-sepsis%2F&data=02%7C01%7C%7Cf7e73497d63c414d980808d5b516c115%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C636614031682016882&sdata=fIfsFpOsGSvTtrGSCziwP%2FYCRn22%2BABCWksUlvauKB4%3D&reserved=0
@emma_c20
08 May 2018 20:44
@WeLDnurses The response to an infection triggered by any part of the body which can quickly become life threatening #sepsis #weLDNs
@BeccaHammondENU
08 May 2018 20:44
RT @WeLDnurses: Thanks for this crucial #weldns #ebp - Lot's going on tonight! https://twitter.com/GwenMoulster/status/993938809166467072
@SepsisSrLister
08 May 2018 20:44
RT @BeccaHammondENU: @WeLDnurses shivering, muscle pain, not passing urine, fatigue, slurred speech, confusion. #weldns #sepsis
@GwenMoulster
08 May 2018 20:45
#WeLDNs evidence search from NICE https://www.evidence.nhs.uk/Search?q=sepsis+AND+guidelines #ebp
@salsa442
08 May 2018 20:45
RT @GwenMoulster: #WeLDNs evidence search from NICE https://www.evidence.nhs.uk/Search?q=sepsis+AND+guidelines #ebp
@IechydDaBangor
08 May 2018 20:45
RT @GwenMoulster: #WeLDNs evidence search from NICE https://www.evidence.nhs.uk/Search?q=sepsis+AND+guidelines #ebp
@WeLDnurses
08 May 2018 20:45
RT @Smileguardians: @WeLDnurses #weldns #sepsis is the body overwhelming response and sometimes deadly response to infection . A tooth infe…
@ross_6479_RNLD
08 May 2018 20:46
RT @GwenMoulster: #WeLDNs evidence search from NICE https://www.evidence.nhs.uk/Search?q=sepsis+AND+guidelines #ebp
@WeLDnurses
08 May 2018 20:46
RT @BeccaHammondENU: @WeLDnurses shivering, muscle pain, not passing urine, fatigue, slurred speech, confusion. #weldns #sepsis
@RebeccaCrossle2
08 May 2018 20:46
#weldns argghhhhh but trying to catch up ????????
@GwenMoulster
08 May 2018 20:46
RT @salsa442: Fever, change in consciousness, low urine output, rigors, fast heartbeat https://www.nhs.uk/conditions/sepsis/#sepsis-symptoms-in-older-children-and-adults #WeLDNs #sepsis https://t.c…
@RTunmore
08 May 2018 20:46
#weldns #sepsisinpwld https://twitter.com/rtunmore/status/993939881809403905
@WeLDnurses
08 May 2018 20:47
#weldns Question 3 Are there particular challenges/barriers in identifying symptoms in #pwld?
@RebeccaCrossle2
08 May 2018 20:47
RT @BeccaHammondENU: @WeLDnurses shivering, muscle pain, not passing urine, fatigue, slurred speech, confusion. #weldns #sepsis
@GwenMoulster
08 May 2018 20:47
RT @Smileguardians: @WeLDnurses #weldns #sepsis is the body overwhelming response and sometimes deadly response to infection . A tooth infe…
@WeLDnurses
08 May 2018 20:47
Trawling the #weldns #ebp for us Gwen, thank you! #weldns https://twitter.com/GwenMoulster/status/993939897865121792
@RebeccaCrossle2
08 May 2018 20:47
RT @WeLDnurses: Thanks for this crucial #weldns #ebp - Lot's going on tonight! https://twitter.com/GwenMoulster/status/993938809166467072
@samabdulla
08 May 2018 20:47
RT @RTunmore: #weldns #sepsisinpwld https://twitter.com/rtunmore/status/993939881809403905
@NHS
08 May 2018 20:47
@WeLDnurses In LD a change in function, behaviour or worry from a carer might be all we see #weldns
@GwenMoulster
08 May 2018 20:47
RT @BeccaHammondENU: @WeLDnurses shivering, muscle pain, not passing urine, fatigue, slurred speech, confusion. #weldns #sepsis
@IechydDaBangor
08 May 2018 20:47
RT @WeLDnurses: #weldns Question 3 Are there particular challenges/barriers in identifying symptoms in #pwld?
@samabdulla
08 May 2018 20:47
RT @WeLDnurses: #weldns Question 3 Are there particular challenges/barriers in identifying symptoms in #pwld?
@WeLDnurses
08 May 2018 20:47
@RebeccaCrossle2 Welcome Rebecca! #weldns
@paularich1977
08 May 2018 20:47
@WeLDnurses Diagnostic overshadowing #weldns
@RebeccaCrossle2
08 May 2018 20:47
RT @WeLDnurses: Trawling the #weldns #ebp for us Gwen, thank you! #weldns https://twitter.com/GwenMoulster/status/993939897865121792
@ross_6479_RNLD
08 May 2018 20:47
RT @WeLDnurses: #weldns Question 3 Are there particular challenges/barriers in identifying symptoms in #pwld?
@ross_6479_RNLD
08 May 2018 20:47
RT @WeLDnurses: Trawling the #weldns #ebp for us Gwen, thank you! #weldns https://twitter.com/GwenMoulster/status/993939897865121792
@samabdulla
08 May 2018 20:47
@NHS @WeLDnurses and also might be easily missed or ignored #weldns
@GwenMoulster
08 May 2018 20:48
RT @SepsisSrLister: #WeLDNs #ebp https://eur01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fsepsistrust.org%2Fwhat-is-sepsis%2F&data=02%7C01%7C%7Cf7e73497d63c414d980808d5b516c115%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C636614031682016882&sdata=fIfsFpOsGSvTtrGSCziwP%2FYCRn22%2BABCWksUlvauKB4%3D&reserved=0
@SepsisSrLister
08 May 2018 20:48
RT @RTunmore: #weldns #sepsisinpwld https://twitter.com/rtunmore/status/993939881809403905
@GwenMoulster
08 May 2018 20:48
RT @SepsisSrLister: #LeDeR report short film @UKsepsisnurses please watch & join in #WeLDNS #Sepsis tweet chat Tuesday 8th May 8.30pm https…
@WeLDnurses
08 May 2018 20:48
RT @NHS: @WeLDnurses In LD a change in function, behaviour or worry from a carer might be all we see #weldns
@AnnaMaslin
08 May 2018 20:48
RT @RTunmore: #weldns #sepsisinpwld https://www.hqip.org.uk/resource/the-learning-disabilities-mortality-review-annual-report-2017/#.WvH5vIoo-hC Ok so - those are the key points identified in the #LeDeR annual review. Gr8 t…
@paularich1977
08 May 2018 20:49
@WeLDnurses Not being able to communicate the severity of symptoms #weldns
@florenceella
08 May 2018 20:49
@WeLDnurses Lack of reasonable adjustments, so signs and symptoms are missed or unheard #weldns
@SepsisSrLister
08 May 2018 20:49
#weldns https://twitter.com/sepsissrlister/status/993940881291010049
@salsa442
08 May 2018 20:49
RT @florenceella: @WeLDnurses Lack of reasonable adjustments, so signs and symptoms are missed or unheard #weldns
@SepsisSrLister
08 May 2018 20:50
RT @WeLDnurses: #weldns Question 3 Are there particular challenges/barriers in identifying symptoms in #pwld?
@RTunmore
08 May 2018 20:51
#weldns #sepsisinpwld the #wessex Steering Group are looking at ensuring local campaigns on #sepsis include A focus… https://twitter.com/i/web/status/993941356736339968
@SepsisSrLister
08 May 2018 20:51
This is why it is vitally important to involve the #pwld nearest & dearest #weldns https://twitter.com/nhs/status/993940409444454400
@GwenMoulster
08 May 2018 20:51
#weldns https://rcni.com/nursing-standard/features/sepsis-resource-collection-60416 Sepsis resource collection (March 2018) #ebp
@WeLDnurses
08 May 2018 20:51
@paularich1977 Care to say anymore about this Paula? #weldns
@SepsisSrLister
08 May 2018 20:51
RT @paularich1977: @WeLDnurses Not being able to communicate the severity of symptoms #weldns
@ross_6479_RNLD
08 May 2018 20:51
RT @GwenMoulster: #weldns https://rcni.com/nursing-standard/features/sepsis-resource-collection-60416 Sepsis resource collection (March 2018) #ebp
@WeLDnurses
08 May 2018 20:51
@samabdulla @NHS Can you elaborate Sam? #weldns
@salsa442
08 May 2018 20:51
RT @RTunmore: #weldns #sepsisinpwld the #wessex Steering Group are looking at ensuring local campaigns on #sepsis include A focus on care o…
@salsa442
08 May 2018 20:51
RT @SepsisSrLister: This is why it is vitally important to involve the #pwld nearest & dearest #weldns https://twitter.com/nhs/status/993940409444454400
@salsa442
08 May 2018 20:52
RT @GwenMoulster: #weldns https://rcni.com/nursing-standard/features/sepsis-resource-collection-60416 Sepsis resource collection (March 2018) #ebp
@SepsisSrLister
08 May 2018 20:52
So important #Weldns https://twitter.com/4adsthepoet/status/993940942842449921
@salsa442
08 May 2018 20:52
RT @SepsisSrLister: So important #Weldns https://twitter.com/4adsthepoet/status/993940942842449921
@IechydDaBangor
08 May 2018 20:52
@WeLDnurses #WeLDNs #Sepsis getting to know the patient is important, but some staff may think they haven't got 'ti… https://t.co/DOQC76FpP5
@emma_c20
08 May 2018 20:53
@WeLDnurses Communication barriers, diagnostic overshadowing, signs/symptoms being missed/unnoticed #sepsis #pwld #WeLDNs
@IechydDaBangor
08 May 2018 20:53
RT @RTunmore: #weldns #sepsisinpwld the #wessex Steering Group are looking at ensuring local campaigns on #sepsis include A focus on care o…
@SepsisSrLister
08 May 2018 20:53
Flo please expand for the non- LD people involved- what reasonable adjustments are you thinking of here... #WeLDNs https://twitter.com/florenceella/status/993940951080095744
@GwenMoulster
08 May 2018 20:54
RT @samabdulla: An infection, often confused with septicaemia but sepsis can affect a number of organs #weldns https://t.co/0AkPQXQ38C
@samabdulla
08 May 2018 20:54
@ross_6479_RNLD @salsa442 @WeLDnurses id argue not enough inside health either... #weldns
@4AdsthePoet
08 May 2018 20:54
RT @SepsisSrLister: So important #Weldns https://twitter.com/4adsthepoet/status/993940942842449921
@RTunmore
08 May 2018 20:54
@UKSepsisTrust @SepsisUK #weldns #sepsisinpwld follow this #welcome https://twitter.com/rtunmore/status/993941356736339968
@salsa442
08 May 2018 20:54
RT @4AdsthePoet: Diagnostic overshadowing, eg assuming symptoms due to patient’s disability, rather than due to infection/sepsis #weldns #s…
@GwenMoulster
08 May 2018 20:54
RT @NHS: @WeLDnurses In LD a change in function, behaviour or worry from a carer might be all we see #weldns
@NorthwayRuth
08 May 2018 20:54
RT @SepsisSrLister: So important #Weldns https://twitter.com/4adsthepoet/status/993940942842449921
@MargaretHazeldi
08 May 2018 20:55
RT @4AdsthePoet: Diagnostic overshadowing, eg assuming symptoms due to patient’s disability, rather than due to infection/sepsis #weldns #s…
@WeLDnurses
08 May 2018 20:55
RT @GwenMoulster: #weldns https://rcni.com/nursing-standard/features/sepsis-resource-collection-60416 Sepsis resource collection (March 2018) #ebp
@NorthwayRuth
08 May 2018 20:55
RT @IechydDaBangor: @WeLDnurses #WeLDNs #Sepsis getting to know the patient is important, but some staff may think they haven't got 'time',…
@GwenMoulster
08 May 2018 20:55
RT @paularich1977: @WeLDnurses Diagnostic overshadowing #weldns
@WeLDnurses
08 May 2018 20:56
#weldns Question 4 What key information would assist in initial assessment of #pwld?
@NHS
08 May 2018 20:56
@WeLDnurses #weldns I also sometimes struggle to know how far to test someone for fear of upsetting them e.g. sedat… https://twitter.com/i/web/status/993942627178426368
@GwenMoulster
08 May 2018 20:56
RT @RTunmore: #weldns #sepsisinpwld the #wessex Steering Group are looking at ensuring local campaigns on #sepsis include A focus on care o…
@RTunmore
08 May 2018 20:56
RT @4AdsthePoet: Diagnostic overshadowing, eg assuming symptoms due to patient’s disability, rather than due to infection/sepsis #weldns #s…
@ross_6479_RNLD
08 May 2018 20:56
@samabdulla @salsa442 @WeLDnurses True, continuing development and training needed in this area #WeLDNs
@IechydDaBangor
08 May 2018 20:56
RT @WeLDnurses: #weldns Question 4 What key information would assist in initial assessment of #pwld?
@SepsisSrLister
08 May 2018 20:56
How do we change that? #weldns https://twitter.com/beccahammondenu/status/993941438982483968
@GwenMoulster
08 May 2018 20:56
RT @IechydDaBangor: @WeLDnurses #WeLDNs #Sepsis getting to know the patient is important, but some staff may think they haven't got 'time',…
@RTunmore
08 May 2018 20:56
This is so common. #weldns #sepsisinpwld https://twitter.com/samabdulla/status/993941814825668608
@samabdulla
08 May 2018 20:56
Baselines, we need baselines, how can you identify as unwell when you don't know what well looks like #weldns https://twitter.com/WeLDnurses/status/993942613660061696
@GwenMoulster
08 May 2018 20:57
RT @4AdsthePoet: Diagnostic overshadowing, eg assuming symptoms due to patient’s disability, rather than due to infection/sepsis #weldns #s…
@ross_6479_RNLD
08 May 2018 20:57
RT @WeLDnurses: #weldns Question 4 What key information would assist in initial assessment of #pwld?
@salsa442
08 May 2018 20:57
RT @samabdulla: Baselines, we need baselines, how can you identify as unwell when you don't know what well looks like #weldns https://t.co/…
@GwenMoulster
08 May 2018 20:57
RT @florenceella: @WeLDnurses Lack of reasonable adjustments, so signs and symptoms are missed or unheard #weldns
@GwenMoulster
08 May 2018 20:58
RT @samabdulla: @ross_6479_RNLD @salsa442 @WeLDnurses id argue not enough inside health either... #weldns
@PhyllisStein2
08 May 2018 20:58
RT @4AdsthePoet: Diagnostic overshadowing, eg assuming symptoms due to patient’s disability, rather than due to infection/sepsis #weldns #s…
@SepsisSrLister
08 May 2018 20:58
We need to clone you Matt ?? #weldns https://twitter.com/nhs/status/993941766096158721
@NorthwayRuth
08 May 2018 20:59
RT @samabdulla: Baselines, we need baselines, how can you identify as unwell when you don't know what well looks like #weldns https://t.co/…
@salsa442
08 May 2018 20:59
@NorthwayRuth @SepsisSrLister If only they were all digital and could be accessed via the Nhs spine... #oneday #WeLDNs
@WeLDnurses
08 May 2018 20:59
RT @NHS: @WeLDnurses #weldns I also sometimes struggle to know how far to test someone for fear of upsetting them e.g. sedation in order to…
@NHS
08 May 2018 20:59
@samabdulla @WeLDnurses #weldns #softsignsofdeterioration need to be part of every HCP's training. we need to under… https://twitter.com/i/web/status/993943558116773889
@SepsisSrLister
08 May 2018 20:59
Have you seen the sepsis screening proformas available from @UKSepsisTrust #weldns https://twitter.com/samabdulla/status/993941814825668608
@NorthwayRuth
08 May 2018 21:00
@samabdulla Yes and it is important to recognise that ‘well’ will look different in different people #WeLDNS
@samabdulla
08 May 2018 21:00
RT @NHS: @samabdulla @WeLDnurses #weldns #softsignsofdeterioration need to be part of every HCP's training. we need to understand what real…
@PhyllisStein2
08 May 2018 21:00
RT @SepsisSrLister: So important #Weldns https://twitter.com/4adsthepoet/status/993940942842449921
@ross_6479_RNLD
08 May 2018 21:00
RT @NHS: @samabdulla @WeLDnurses #weldns #softsignsofdeterioration need to be part of every HCP's training. we need to understand what real…
@SepsisSrLister
08 May 2018 21:00
RT @NHS: @samabdulla @WeLDnurses #weldns #softsignsofdeterioration need to be part of every HCP's training. we need to understand what real…
@samabdulla
08 May 2018 21:00
@SepsisSrLister @UKSepsisTrust can you share? #weldns
@IechydDaBangor
08 May 2018 21:00
RT @SepsisSrLister: Have you seen the sepsis screening proformas available from @UKSepsisTrust #weldns https://twitter.com/samabdulla/status/993941814825668608
@ihal_talk
08 May 2018 21:00
RT @samabdulla: Baselines, we need baselines, how can you identify as unwell when you don't know what well looks like #weldns https://t.co/…
@emma_c20
08 May 2018 21:00
RT @samabdulla: Baselines, we need baselines, how can you identify as unwell when you don't know what well looks like #weldns https://t.co/…
@salsa442
08 May 2018 21:00
RT @NHS: @samabdulla @WeLDnurses #weldns #softsignsofdeterioration need to be part of every HCP's training. we need to understand what real…
@IechydDaBangor
08 May 2018 21:00
RT @NHS: @samabdulla @WeLDnurses #weldns #softsignsofdeterioration need to be part of every HCP's training. we need to understand what real…
@SepsisSrLister
08 May 2018 21:00
https://t.co/GoJk75GNDW #weldns https://t.co/sU5Cz0OcZP
@NorthwayRuth
08 May 2018 21:01
@salsa442 @SepsisSrLister Hopefully.... #WeLDNS
@WeLDnurses
08 May 2018 21:01
RT @SepsisSrLister: How do we change that? #weldns https://t.co/GE3uV212Sv
@salsa442
08 May 2018 21:01
@NHS @samabdulla @WeLDnurses Love this - every ED should have one #WeLDNs
@IechydDaBangor
08 May 2018 21:01
RT @SepsisSrLister: https://eur01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fsepsistrust.org%2Fwp-content%2Fuploads%2F2017%2F08%2FCommunity-carers-NICE-Final-2.pdf&data=02%7C01%7C%7Cf7e73497d63c414d980808d5b516c115%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C636614031682173140&sdata=mYNHfIXp9yDGxaXLZJc2Oy4pND4FnZxstNHcy32inww%3D&reserved=0 #weldns https://twitter.com/samabdulla/status/993941814825668608
@ross_6479_RNLD
08 May 2018 21:01
RT @SepsisSrLister: https://eur01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fsepsistrust.org%2Fwp-content%2Fuploads%2F2017%2F08%2FCommunity-carers-NICE-Final-2.pdf&data=02%7C01%7C%7Cf7e73497d63c414d980808d5b516c115%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C636614031682173140&sdata=mYNHfIXp9yDGxaXLZJc2Oy4pND4FnZxstNHcy32inww%3D&reserved=0 #weldns https://twitter.com/samabdulla/status/993941814825668608
@samabdulla
08 May 2018 21:01
#weldns #ebp https://twitter.com/SepsisSrLister/status/993943862438694912
@salsa442
08 May 2018 21:01
RT @samabdulla: #weldns #ebp https://twitter.com/SepsisSrLister/status/993943862438694912
@NHS
08 May 2018 21:02
@salsa442 @samabdulla @WeLDnurses #weldns completely agree with this. understanding baseline in more than just obs is key
@ross_6479_RNLD
08 May 2018 21:02
RT @samabdulla: #weldns #ebp https://twitter.com/SepsisSrLister/status/993943862438694912
@WeLDnurses
08 May 2018 21:02
This poll will remain open through this #weldns chat - keep clicking! https://twitter.com/WeLDnurses/status/993936844441169920
@samabdulla
08 May 2018 21:02
RT @WeLDnurses: This poll will remain open through this #weldns chat - keep clicking! https://twitter.com/WeLDnurses/status/993936844441169920
@salsa442
08 May 2018 21:03
RT @WeLDnurses: This poll will remain open through this #weldns chat - keep clicking! https://twitter.com/WeLDnurses/status/993936844441169920
@WeLDnurses
08 May 2018 21:03
RT @salsa442: @NorthwayRuth @SepsisSrLister If only they were all digital and could be accessed via the Nhs spine... #oneday #WeLDNs
@S411Y100
08 May 2018 21:03
RT @NorthwayRuth: @samabdulla Yes and it is important to recognise that ‘well’ will look different in different people #WeLDNS
@S411Y100
08 May 2018 21:03
RT @samabdulla: Baselines, we need baselines, how can you identify as unwell when you don't know what well looks like #weldns https://t.co/…
@NHS
08 May 2018 21:03
RT @IechydDaBangor: @WeLDnurses #WeLDNs #Sepsis getting to know the patient is important, but some staff may think they haven't got 'time',…
@ross_6479_RNLD
08 May 2018 21:03
RT @WeLDnurses: This poll will remain open through this #weldns chat - keep clicking! https://t.co/0OuOrThJKS
@GwenMoulster
08 May 2018 21:03
#WeLDNs Pain pictures use base line to identify how someone is when they are well and how they are when they are no… https://t.co/VFHsQiMdyo
@WeLDnurses
08 May 2018 21:03
#weldns #ebp https://t.co/OOZpHaMvb1
@SepsisSrLister
08 May 2018 21:04
RT @RTunmore: @UKSepsisTrust @SepsisUK #weldns #sepsisinpwld follow this #welcome https://t.co/Tz9eTvV5s9
@samabdulla
08 May 2018 21:04
RT @GwenMoulster: #WeLDNs Pain pictures use base line to identify how someone is when they are well and how they are when they are not well…
@WeLDnurses
08 May 2018 21:04
RT @SepsisSrLister: Have you seen the sepsis screening proformas available from @UKSepsisTrust #weldns https://twitter.com/samabdulla/status/993941814825668608
@ross_6479_RNLD
08 May 2018 21:04
RT @GwenMoulster: #WeLDNs Pain pictures use base line to identify how someone is when they are well and how they are when they are not well…
@JANESAJ1
08 May 2018 21:04
RT @samabdulla: Baselines, we need baselines, how can you identify as unwell when you don't know what well looks like #weldns https://t.co/…
@florenceella
08 May 2018 21:05
@NHS @samabdulla @WeLDnurses Education is key! #WeLDNS
@florenceella
08 May 2018 21:05
RT @NHS: @samabdulla @WeLDnurses #weldns #softsignsofdeterioration need to be part of every HCP's training. we need to understand what real…
@JANESAJ1
08 May 2018 21:05
RT @SepsisSrLister: Have you seen the sepsis screening proformas available from @UKSepsisTrust #weldns https://twitter.com/samabdulla/status/993941814825668608
@GwenMoulster
08 May 2018 21:05
RT @emma_c20: @WeLDnurses Communication barriers, diagnostic overshadowing, signs/symptoms being missed/unnoticed #sepsis #pwld #WeLDNs
@NorthwayRuth
08 May 2018 21:05
@BeccaHammondENU @SepsisSrLister Knowledge exchange is important - we can all learn from each other and through this improve care #WeLDNS
@SepsisSrLister
08 May 2018 21:05
RT @NorthwayRuth: @samabdulla Yes and it is important to recognise that ‘well’ will look different in different people #WeLDNS
@alimully
08 May 2018 21:05
@SepsisSrLister Is the feedback from relatives, patients or health care professionals? #weldns
@WeLDnurses
08 May 2018 21:06
#weldns Question 5 How could this information be best stored and shared with the assessing professional?
@GwenMoulster
08 May 2018 21:06
RT @NHS: @samabdulla @WeLDnurses #weldns #softsignsofdeterioration need to be part of every HCP's training. we need to understand what real…
@IechydDaBangor
08 May 2018 21:06
@SepsisSrLister Not teaching about the signs & symptoms of #sepsis - that would be even 'more scary'! #WeLDNs #sepsisinpwld
@ross_6479_RNLD
08 May 2018 21:06
RT @WeLDnurses: #weldns Question 5 How could this information be best stored and shared with the assessing professional?
@salsa442
08 May 2018 21:06
RT @IechydDaBangor: @SepsisSrLister Not teaching about the signs & symptoms of #sepsis - that would be even 'more scary'! #WeLDNs #sepsisin…
@samabdulla
08 May 2018 21:06
RT @WeLDnurses: #weldns Question 5 How could this information be best stored and shared with the assessing professional?
@NorthwayRuth
08 May 2018 21:06
RT @WeLDnurses: #weldns #ebp https://twitter.com/NHS/status/993943558116773889
@GwenMoulster
08 May 2018 21:06
RT @SepsisSrLister: How do we change that? #weldns https://twitter.com/beccahammondenu/status/993941438982483968
@salsa442
08 May 2018 21:07
@IechydDaBangor @SepsisSrLister I agree #WeLDNs
@BeccaHammondENU
08 May 2018 21:07
@NorthwayRuth @SepsisSrLister For sure! Working collaboratively is key. #sepsis #weldns
@paularich1977
08 May 2018 21:07
RT @IechydDaBangor: @SepsisSrLister Not teaching about the signs & symptoms of #sepsis - that would be even 'more scary'! #WeLDNs #sepsisin…
@IechydDaBangor
08 May 2018 21:07
RT @WeLDnurses: #weldns Question 5 How could this information be best stored and shared with the assessing professional?
@mandywaites
08 May 2018 21:07
RT @IechydDaBangor: @WeLDnurses #WeLDNs #Sepsis getting to know the patient is important, but some staff may think they haven't got 'time',…
@WeLDnurses
08 May 2018 21:07
RT @GwenMoulster: #WeLDNs Pain pictures use base line to identify how someone is when they are well and how they are when they are not well…
@GwenMoulster
08 May 2018 21:08
RT @SepsisSrLister: Have you seen the sepsis screening proformas available from @UKSepsisTrust #weldns https://twitter.com/samabdulla/status/993941814825668608
@NorthwayRuth
08 May 2018 21:08
RT @BeccaHammondENU: @NorthwayRuth @SepsisSrLister For sure! Working collaboratively is key. #sepsis #weldns
@NorthwayRuth
08 May 2018 21:08
RT @IechydDaBangor: @SepsisSrLister Not teaching about the signs & symptoms of #sepsis - that would be even 'more scary'! #WeLDNs #sepsisin…
@samabdulla
08 May 2018 21:08
#weldns https://twitter.com/S411Y100/status/993945483935666177
@WeLDnurses
08 May 2018 21:09
@1985Deanne @NHS Thanks for the contribution Deanne, if you want to join the conversation use #weldns in your tweets!
@WeLDnurses
08 May 2018 21:09
Larry, thanks for the contribution, if you'd like to join the conversation put #weldns in your tweets. https://twitter.com/larrymatthews55/status/993942974521401344
@GwenMoulster
08 May 2018 21:09
RT @IechydDaBangor: @SepsisSrLister Not teaching about the signs & symptoms of #sepsis - that would be even 'more scary'! #WeLDNs #sepsisin…
@4AdsthePoet
08 May 2018 21:09
#weldns #sepsis https://twitter.com/gourmetpenguin/status/993945661161857024
@NickyHay4Blog
08 May 2018 21:10
RT @SepsisSrLister: How do we change that? #weldns https://twitter.com/beccahammondenu/status/993941438982483968
@ross_6479_RNLD
08 May 2018 21:10
RT @WeLDnurses: @1985Deanne @NHS Thanks for the contribution Deanne, if you want to join the conversation use #weldns in your tweets!
@ross_6479_RNLD
08 May 2018 21:10
RT @WeLDnurses: Larry, thanks for the contribution, if you'd like to join the conversation put #weldns in your tweets. https://t.co/djt4xYD…
@WeLDnurses
08 May 2018 21:10
#weldns https://twitter.com/larrymatthews55/status/993944415478657025
@NorthwayRuth
08 May 2018 21:10
RT @4AdsthePoet: #weldns #sepsis https://twitter.com/gourmetpenguin/status/993945661161857024
@NickyHay4Blog
08 May 2018 21:10
RT @SepsisSrLister: So important #Weldns https://twitter.com/4adsthepoet/status/993940942842449921
@IechydDaBangor
08 May 2018 21:11
RT @4AdsthePoet: #weldns #sepsis https://twitter.com/gourmetpenguin/status/993945661161857024
@NorthwayRuth
08 May 2018 21:11
RT @WeLDnurses: #weldns https://twitter.com/larrymatthews55/status/993944415478657025
@Hippiepig
08 May 2018 21:11
RT @SepsisSrLister: So important #Weldns https://twitter.com/4adsthepoet/status/993940942842449921
@NHS
08 May 2018 21:11
@WeLDnurses #weldns Could be adapted with appropriate soft signs and held with the client? Interserve are doing som… https://twitter.com/i/web/status/993946603315781634
@huntanne
08 May 2018 21:11
RT @4AdsthePoet: #weldns #sepsis https://twitter.com/gourmetpenguin/status/993945661161857024
@samabdulla
08 May 2018 21:11
#weldns https://twitter.com/oliverbj81/status/993946513222103040
@WeLDnurses
08 May 2018 21:11
RT @alimully: @SepsisSrLister Is the feedback from relatives, patients or health care professionals? #weldns
@ross_6479_RNLD
08 May 2018 21:12
RT @WeLDnurses: #weldns https://twitter.com/larrymatthews55/status/993944415478657025
@SepsisSrLister
08 May 2018 21:12
RT @WeLDnurses: #weldns #ebp https://twitter.com/NHS/status/993943558116773889
@RTunmore
08 May 2018 21:12
RT @NHS: @samabdulla @WeLDnurses #weldns #softsignsofdeterioration need to be part of every HCP's training. we need to understand what real…
@samabdulla
08 May 2018 21:12
@oliverbj81 @SepsisSrLister Similar to the stroke campaign? #weldns
@salsa442
08 May 2018 21:12
RT @NHS: @WeLDnurses #weldns Could be adapted with appropriate soft signs and held with the client? Interserve are doing some work in this…
@Emz07
08 May 2018 21:12
RT @GwenMoulster: #weldns https://rcni.com/nursing-standard/features/sepsis-resource-collection-60416 Sepsis resource collection (March 2018) #ebp
@larrymatthews55
08 May 2018 21:12
@SepsisSrLister @WeLDnurses @UKSepsisTrust Screening toolkits #weldns https://sepsistrust.org/education/clinical-tools/
@florenceella
08 May 2018 21:12
@WeLDnurses Is signs of deterioration/ typical baselines for that individual be included in the hospital passport? #WeLDNS
@salsa442
08 May 2018 21:12
RT @larrymatthews55: @SepsisSrLister @WeLDnurses @UKSepsisTrust Screening toolkits #weldns https://sepsistrust.org/education/clinical-tools/
@IechydDaBangor
08 May 2018 21:12
RT @larrymatthews55: @SepsisSrLister @WeLDnurses @UKSepsisTrust Screening toolkits #weldns https://sepsistrust.org/education/clinical-tools/
@paularich1977
08 May 2018 21:13
@larrymatthews55 @WeLDnurses Baseline measurements, Pain scale showing how the person would normally indicate they are in pain #weldns
@ross_6479_RNLD
08 May 2018 21:13
RT @larrymatthews55: @SepsisSrLister @WeLDnurses @UKSepsisTrust Screening toolkits #weldns https://sepsistrust.org/education/clinical-tools/
@WeLDnurses
08 May 2018 21:13
RT @4AdsthePoet: #weldns #sepsis https://twitter.com/gourmetpenguin/status/993945661161857024
@SepsisSrLister
08 May 2018 21:13
RT @IechydDaBangor: @SepsisSrLister Not teaching about the signs & symptoms of #sepsis - that would be even 'more scary'! #WeLDNs #sepsisin…
@samabdulla
08 May 2018 21:13
RT @florenceella: @WeLDnurses Is signs of deterioration/ typical baselines for that individual be included in the hospital passport? #WeLDNS
@RTunmore
08 May 2018 21:13
Involving family is core to #LeDeR reviews #weldns #sepsisinpwld https://twitter.com/paularich1977/status/993942391588622336
@NorthwayRuth
08 May 2018 21:13
RT @NHS: @WeLDnurses #weldns Could be adapted with appropriate soft signs and held with the client? Interserve are doing some work in this…
@salsa442
08 May 2018 21:14
Hospital passports or a patient held record - needs to be easily available and updated regularly #WeLDNs https://twitter.com/weldnurses/status/993945131039543296
@IechydDaBangor
08 May 2018 21:14
RT @RTunmore: Involving family is core to #LeDeR reviews #weldns #sepsisinpwld https://twitter.com/paularich1977/status/993942391588622336
@NorthwayRuth
08 May 2018 21:14
RT @larrymatthews55: @SepsisSrLister @WeLDnurses @UKSepsisTrust Screening toolkits #weldns https://sepsistrust.org/education/clinical-tools/
@WeLDnurses
08 May 2018 21:14
Thanks for the contribution Katy, if you'd like to join the conversation, use #weldns in your tweets! https://twitter.com/kwelsh1/status/993945879261347840
@NorthwayRuth
08 May 2018 21:14
RT @RTunmore: Involving family is core to #LeDeR reviews #weldns #sepsisinpwld https://twitter.com/paularich1977/status/993942391588622336
@ross_6479_RNLD
08 May 2018 21:14
RT @salsa442: Hospital passports or a patient held record - needs to be easily available and updated regularly #WeLDNs https://t.co/NQu6kve…
@samabdulla
08 May 2018 21:14
@salsa442 Yes be that E or paper! its only as good as its last update #weldns
@WeLDnurses
08 May 2018 21:14
@zoewoodX Lovely to be able to r/t you now! #weldns
@WeLDnurses
08 May 2018 21:15
#weldns Question 6 Are there key indicators that an individual is more at risk of getting #Sepsis ?
@florenceella
08 May 2018 21:15
@salsa442 How regularly should passports be updated? #WeLDNS
@SepsisSrLister
08 May 2018 21:15
Agree wholeheartedly - and my argument to them- it is far more scary to miss the signs #weLDNs https://twitter.com/paularich1977/status/993945398954913792
@kwelsh1
08 May 2018 21:15
@WeLDnurses Oops!! Always forget ????#Weldns
@salsa442
08 May 2018 21:15
@samabdulla I'd love to see them all electronic and accessed centrally. Regular updates crucial, and who is responsible for this? #WeLDNs
@samabdulla
08 May 2018 21:15
@salsa442 Do we teach other fields about passports? We teach the learning disability cohort but is that backwards? #weldns
@IechydDaBangor
08 May 2018 21:15
RT @WeLDnurses: #weldns Question 6 Are there key indicators that an individual is more at risk of getting #Sepsis ?
@samabdulla
08 May 2018 21:16
@salsa442 It comes down to empowerment, do them with people not for them and they will feel more ownership #weldns
@MulveyKerri
08 May 2018 21:16
@WeLDnurses 2nd year student also at Edinburgh Napier #weldns
@ross_6479_RNLD
08 May 2018 21:16
RT @WeLDnurses: #weldns Question 6 Are there key indicators that an individual is more at risk of getting #Sepsis ?
@WeLDnurses
08 May 2018 21:16
Sounds like an important piece of work #weldns https://twitter.com/NHS/status/993946603315781634
@SepsisSrLister
08 May 2018 21:16
@4AdsthePoet You are so right; many of those bereaved by #sepsis are haunted by not knowing the signs #WeLDNs
@salsa442
08 May 2018 21:16
@NorthwayRuth Absolutely - a national passport would make things significantly easier for acute staff #WeLDNs
@WeLDnurses
08 May 2018 21:17
RT @larrymatthews55: @SepsisSrLister @WeLDnurses @UKSepsisTrust Screening toolkits #weldns https://sepsistrust.org/education/clinical-tools/
@SepsisSrLister
08 May 2018 21:17
RT @NHS: @WeLDnurses #weldns Could be adapted with appropriate soft signs and held with the client? Interserve are doing some work in this…
@samabdulla
08 May 2018 21:18
@salsa442 A more wide reaching approach, you can only do so much alone! #weldns
@WeLDnurses
08 May 2018 21:18
RT @RTunmore: Involving family is core to #LeDeR reviews #weldns #sepsisinpwld https://twitter.com/paularich1977/status/993942391588622336
@SepsisSrLister
08 May 2018 21:19
Agree wholeheartedly #WeLDNs https://twitter.com/oliverbj81/status/993946513222103040
@ross_6479_RNLD
08 May 2018 21:19
RT @WeLDnurses: Sounds like an important piece of work #weldns https://twitter.com/NHS/status/993946603315781634
@SepsisSrLister
08 May 2018 21:19
RT @larrymatthews55: @SepsisSrLister @WeLDnurses @UKSepsisTrust Screening toolkits #weldns https://sepsistrust.org/education/clinical-tools/
@4AdsthePoet
08 May 2018 21:19
RT @SepsisSrLister: @4AdsthePoet You are so right; many of those bereaved by #sepsis are haunted by not knowing the signs #WeLDNs
@WeLDnurses
08 May 2018 21:19
RT @florenceella: @salsa442 How regularly should passports be updated? #WeLDNS
@RTunmore
08 May 2018 21:19
RT @IechydDaBangor: @SepsisSrLister Not teaching about the signs & symptoms of #sepsis - that would be even 'more scary'! #WeLDNs #sepsisin…
@WeLDnurses
08 May 2018 21:20
#weldns Question 7 How might #pwld, families and carers seek to prevent #Sepsis
@salsa442
08 May 2018 21:20
Love this #WeLDNs https://twitter.com/MargaretHazeldi/status/993948555550347264
@kwelsh1
08 May 2018 21:20
RT @4AdsthePoet: Diagnostic overshadowing, eg assuming symptoms due to patient’s disability, rather than due to infection/sepsis #weldns #s…
@BeccaHammondENU
08 May 2018 21:20
RT @WeLDnurses: Sounds like an important piece of work #weldns https://twitter.com/NHS/status/993946603315781634
@1985Deanne
08 May 2018 21:20
RT @WeLDnurses: #weldns Question 7 How might #pwld, families and carers seek to prevent #Sepsis
@salsa442
08 May 2018 21:20
RT @samabdulla: @salsa442 It comes down to empowerment, do them with people not for them and they will feel more ownership #weldns
@ross_6479_RNLD
08 May 2018 21:20
RT @WeLDnurses: #weldns Question 7 How might #pwld, families and carers seek to prevent #Sepsis
@IechydDaBangor
08 May 2018 21:20
RT @WeLDnurses: #weldns Question 7 How might #pwld, families and carers seek to prevent #Sepsis
@samabdulla
08 May 2018 21:20
RT @WeLDnurses: #weldns Question 7 How might #pwld, families and carers seek to prevent #Sepsis
@1985Deanne
08 May 2018 21:20
@WeLDnurses It's a good question #weldns where can carers get support, advise information?
@samabdulla
08 May 2018 21:21
RT @1985Deanne: @WeLDnurses It's a good question #weldns where can carers get support, advise information?
@samabdulla
08 May 2018 21:21
RT @salsa442: Love this #WeLDNs https://twitter.com/MargaretHazeldi/status/993948555550347264
@florenceella
08 May 2018 21:21
RT @SepsisSrLister: Agree wholeheartedly #WeLDNs https://twitter.com/oliverbj81/status/993946513222103040
@kwelsh1
08 May 2018 21:21
@WeLDnurses #Weldns Summary Care Record should hold key information about persons needs. Hospital passports are gre… https://twitter.com/i/web/status/993948980164874240
@paularich1977
08 May 2018 21:21
@salsa442 The very old and very young are particularly at risk too #weldns
@larrymatthews55
08 May 2018 21:21
RT @RTunmore: Involving family is core to #LeDeR reviews #weldns #sepsisinpwld https://twitter.com/paularich1977/status/993942391588622336
@samabdulla
08 May 2018 21:22
@paularich1977 @salsa442 @NorthwayRuth we have to start looking nationally, the information has to be able to travel #weldns
@samabdulla
08 May 2018 21:22
#weldns https://twitter.com/oliverbj81/status/993949198163816450
@SepsisSrLister
08 May 2018 21:22
#weLDNs all health passports differ in their content but having baseline vital signs (BP, temp etc) from annual hea… https://twitter.com/i/web/status/993949296507736064
@RTunmore
08 May 2018 21:22
RT @samabdulla: Baselines, we need baselines, how can you identify as unwell when you don't know what well looks like #weldns https://t.co/…
@Mandy_Mac
08 May 2018 21:22
RT @GwenMoulster: #WeLDNs Nice quality standard- interactive flowchart- Sepsis (2017) https://www.nice.org.uk/guidance/qs161
@paularich1977
08 May 2018 21:23
@samabdulla @salsa442 @NorthwayRuth Definitely needs to be nationwide so can be accessed anywhere! #weldns
@IechydDaBangor
08 May 2018 21:23
RT @SepsisSrLister: #weLDNs all health passports differ in their content but having baseline vital signs (BP, temp etc) from annual health…
@salsa442
08 May 2018 21:23
@paularich1977 My list was far from exhaustive - I ran out of characters!! #WeLDNs
@GwenMoulster
08 May 2018 21:23
RT @NHS: @WeLDnurses #weldns Could be adapted with appropriate soft signs and held with the client? Interserve are doing some work in this…
@NHS
08 May 2018 21:23
@WeLDnurses #weldns If a prev. history of severe infection, knowledge of prev. resistant bacteraemias & in other re… https://twitter.com/i/web/status/993949651165433856
@WeLDnurses
08 May 2018 21:24
@1985Deanne @NHS Agreed. #weldns
@RTunmore
08 May 2018 21:24
RT @RTunmore: Involving family is core to #LeDeR reviews #weldns #sepsisinpwld https://twitter.com/paularich1977/status/993942391588622336
@salsa442
08 May 2018 21:24
RT @SepsisSrLister: #weLDNs all health passports differ in their content but having baseline vital signs (BP, temp etc) from annual health…
@WeLDnurses
08 May 2018 21:25
#weldns Question 8 How will we adapt our practice to respond to #sepsis in #pwld?
@samabdulla
08 May 2018 21:25
RT @WeLDnurses: #weldns Question 8 How will we adapt our practice to respond to #sepsis in #pwld?
@SepsisSrLister
08 May 2018 21:25
What is the best way to make them listen #WeLDNS https://twitter.com/1985deanne/status/993948359223398401
@WeLDnurses
08 May 2018 21:25
RT @NHS: @WeLDnurses #weldns If a prev. history of severe infection, knowledge of prev. resistant bacteraemias & in other residents, clarit…
@RTunmore
08 May 2018 21:25
RT @larrymatthews55: @SepsisSrLister @WeLDnurses @UKSepsisTrust Screening toolkits #weldns https://sepsistrust.org/education/clinical-tools/
@ross_6479_RNLD
08 May 2018 21:26
@samabdulla I agree, it needs to be something that can be used across all enviro’s, would be great to have it on some tech #weldns
@GwenMoulster
08 May 2018 21:26
RT @SepsisSrLister: Agree wholeheartedly #WeLDNs https://twitter.com/oliverbj81/status/993946513222103040
@ross_6479_RNLD
08 May 2018 21:26
RT @WeLDnurses: #weldns Question 8 How will we adapt our practice to respond to #sepsis in #pwld?
@jimgblair
08 May 2018 21:26
RT @SepsisSrLister: #weLDNs all health passports differ in their content but having baseline vital signs (BP, temp etc) from annual health…
@NorthwayRuth
08 May 2018 21:26
@salsa442 At present there is a lot of variation in both content and format of hospital passports #WeLDNs https://www.ncbi.nlm.nih.gov/pubmed/28881074
@jimgblair
08 May 2018 21:26
RT @NHS: @WeLDnurses #weldns If a prev. history of severe infection, knowledge of prev. resistant bacteraemias & in other residents, clarit…
@samabdulla
08 May 2018 21:26
RT @NorthwayRuth: @salsa442 At present there is a lot of variation in both content and format of hospital passports #WeLDNs https://t.co/us…
@SepsisSrLister
08 May 2018 21:26
RT @samabdulla: #weldns https://twitter.com/oliverbj81/status/993949198163816450
@RTunmore
08 May 2018 21:26
#weldns #sepsisinpwld https://twitter.com/oliverbj81/status/993945194847461376
@salsa442
08 May 2018 21:26
RT @NorthwayRuth: @salsa442 At present there is a lot of variation in both content and format of hospital passports #WeLDNs https://t.co/us…
@ross_6479_RNLD
08 May 2018 21:27
RT @NorthwayRuth: @salsa442 At present there is a lot of variation in both content and format of hospital passports #WeLDNs https://t.co/us…
@GwenMoulster
08 May 2018 21:27
RT @SepsisSrLister: @4AdsthePoet You are so right; many of those bereaved by #sepsis are haunted by not knowing the signs #WeLDNs
@GwenMoulster
08 May 2018 21:27
RT @WeLDnurses: Sounds like an important piece of work #weldns https://twitter.com/NHS/status/993946603315781634
@RTunmore
08 May 2018 21:27
#weldns #sepsisinpwld https://twitter.com/cathy_55555/status/993946015915966464
@WeLDnurses
08 May 2018 21:27
RT @SepsisSrLister: What is the best way to make them listen #WeLDNS https://twitter.com/1985deanne/status/993948359223398401
@IechydDaBangor
08 May 2018 21:28
RT @WeLDnurses: #weldns Question 8 How will we adapt our practice to respond to #sepsis in #pwld?
@NorthwayRuth
08 May 2018 21:28
@SepsisSrLister Currently not all have such information #WeLDNs https://www.ncbi.nlm.nih.gov/pubmed/28881074
@SepsisSrLister
08 May 2018 21:28
Hand hygiene & hydration simple but so effective #WeLDNS https://twitter.com/weldnurses/status/993948653503954945
@WeLDnurses
08 May 2018 21:28
Thanks for this Ruth #ebp #weldns https://twitter.com/NorthwayRuth/status/993950262523060229
@NorthwayRuth
08 May 2018 21:28
RT @samabdulla: @paularich1977 @salsa442 @NorthwayRuth we have to start looking nationally, the information has to be able to travel #weldns
@NorthwayRuth
08 May 2018 21:28
RT @kwelsh1: @WeLDnurses #Weldns Summary Care Record should hold key information about persons needs. Hospital passports are great if infor…
@ross_6479_RNLD
08 May 2018 21:28
RT @NorthwayRuth: @SepsisSrLister Currently not all have such information #WeLDNs https://www.ncbi.nlm.nih.gov/pubmed/28881074
@NorthwayRuth
08 May 2018 21:28
RT @salsa442: Love this #WeLDNs https://twitter.com/MargaretHazeldi/status/993948555550347264
@WeLDnurses
08 May 2018 21:29
Thank to @SepsisSrLister for providing her clinical academic knowledge and skills to an emerging hot topic. #weldns
@WeLDnurses
08 May 2018 21:29
Thanks for joining us for tonight's vital #weldns chat. We all have a role in #sepsis prevention in #pwld and furth… https://twitter.com/i/web/status/993950918520455168
@RTunmore
08 May 2018 21:29
#weldns #sepsisinpwld https://twitter.com/paularich1977/status/993947320814329856
@salsa442
08 May 2018 21:29
RT @WeLDnurses: Thanks for joining us for tonight's vital #weldns chat. We all have a role in #sepsis prevention in #pwld and further work…
@SepsisSrLister
08 May 2018 21:29
RT @NHS: @WeLDnurses #weldns If a prev. history of severe infection, knowledge of prev. resistant bacteraemias & in other residents, clarit…
@ross_6479_RNLD
08 May 2018 21:29
RT @WeLDnurses: Thank to @SepsisSrLister for providing her clinical academic knowledge and skills to an emerging hot topic. #weldns
@NHS
08 May 2018 21:29
@dmarsden49 @BeccaHammondENU @WeLDnurses #weldns in my humble opinion, there is huge room for improvement.the buyin… https://twitter.com/i/web/status/993951029468319744
@ross_6479_RNLD
08 May 2018 21:29
RT @WeLDnurses: Thanks for joining us for tonight's vital #weldns chat. We all have a role in #sepsis prevention in #pwld and further work…
@salsa442
08 May 2018 21:29
RT @NHS: @dmarsden49 @BeccaHammondENU @WeLDnurses #weldns in my humble opinion, there is huge room for improvement.the buying power of the…
@IechydDaBangor
08 May 2018 21:29
RT @WeLDnurses: Thanks for joining us for tonight's vital #weldns chat. We all have a role in #sepsis prevention in #pwld and further work…
@WeLDnurses
08 May 2018 21:30
The #weldns transcript, wordclouds and engagement wheel will appear http://wecommunities.org/tweet-chats/chat-details/4167 in a matter of moments courtesy of @WeGizmos




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