Charlie

Student 🚑🏥

[Charlie @Charlie_A_A]

@jasonkillens It’s nice to see that the NQP employment crisis is being addressed. What is being done to solve this though?

[Charlie @Charlie_A_A]

@DrOKaneAgain Hi Dr Okane, what are your views on the fact that before being seen by an ambulance crew a doctor was involved in this patients care and also did not suggest hospital?

[Charlie @Charlie_A_A]

@LDNairamb @JoeChappell2608

[Charlie @Charlie_A_A]

@PaulRad29 @RadMasterclass Please could you explain? I’m still learning but was taught you can’t assess this on AP as it will magnify the heart and create a false size.

[Charlie @Charlie_A_A]

@PaulRad29 @RadMasterclass Can you assess the heart shadow with it being an AP film?

[Charlie @Charlie_A_A]

@NatashaMDay https://t.co/ygnlBOKcgd

https://t.co/97F3yp6CvZ

[Charlie @Charlie_A_A]

@NatashaMDay It depends on the antithrombin therapy the patient is on. Research would suggest that aspirin/clopi monotherapy and DOACs e.g. apixaban DO NOT need scan. Meanwhile dual therapy aspirin + clopi or warfarin or heparin DO require scan. Happy to share the evidence :)

[Charlie @Charlie_A_A]

@maluki_f @emmajayaddie Very exciting to see Nurse Paramedics in the vision!

[Charlie @Charlie_A_A]

@simontutt88 @NurseStandard Can you justify paying one nurse more just because their patients are more unwell? Acuity is often proportional to quantity.

[Charlie @Charlie_A_A]

@simontutt88 @NurseStandard However, even though an ITU nurse may have to make these complex decisions, they have less patients and are heavily supported. Nurses in other areas make numerous decisions for numerous patients. Outpatient nursing for example you often find a staff nurse leading a whole unit…

[Charlie @Charlie_A_A]

@ParaAndy90 HOTT principles and withhold CPR.
Leaving in and CPR would mean potentially causing further injury.
Removing and CPR would exacerbate hypvolaemic cause.

[Charlie @Charlie_A_A]

@CarolineJAbbott @fino_emily Well done guys!

[Charlie @Charlie_A_A]

@DrNeenaJha When did Nurse Associates begin to exam and diagnose complex conditions, and prescribe!? Pretty sure this isn’t an RN skill Nevermind RNA

[Charlie @Charlie_A_A]

@AriErcole @andymoz78 Is this for NRM though as opposed to water circuits?

[Charlie @Charlie_A_A]

@andymoz78 Thanks

[Charlie @Charlie_A_A]

@MedRegoncall1 @nmcnews The long term plan is to have B4 RNAs complete the current B5 RN duties. And each ward will have 1x RN who will be responsible for care planning and escalation so I’ve heard. Currently the only difference between RNA and RN in SoP is care planning.

[Charlie @Charlie_A_A]

@MichaelGagaHale Is that salary reflective of such a highly skilled professional?

[Charlie @Charlie_A_A]

@chriscraigCCC My ED has a GP room (not UTC) and they will see patients who they deem appropriate 😊 it’s pretty effective

[Charlie @Charlie_A_A]

@DRIISYD @FrankCoffey26 I see your point but lots of AHP manage undifferentiated patients as part of their practice. I think most AHPs all have a fairly unique role to play, and I can understand that when moving outside of that area it can become questionable with regards to undifferentiated pts.