Vicky Bower

Anaesthetic and Pain Medicine Consultant; interested in Well-being; and Mentoring and Coaching in Medical training; All views expressed my own.

[Vicky Bower @bower_vicky]

@ukmat82 @Gasman_J I managed to use some today…for cannulation purposes. I was of course a good girl and used the cool stick for my block check!

[Vicky Bower @bower_vicky]

@WhistlingDixie4 Is the answer not…certainly I’ll explain it to you. “Its my free time and I can decide how much it’s worth to me”…and I’ve saved you the trouble of raising it with my TPD as I’ve copied them in on the email already.

[Vicky Bower @bower_vicky]

@OBsleepmerchant @AnaestheticsApp @bobfunn @VirtueOfNothing @GasWasserDiso @antonchau1 I believe it’s to put another barrier in to stop the cut before anaesthesia issue. I’m told the additional time it takes doesn’t actually affect neonate - but paediatric colleagues may disagree. Putting drapes up means you can’t see eachother.

[Vicky Bower @bower_vicky]

@MunchkinDr I found this hard too. As a senior Reg now, I get the trust associated with my grade. Respect you earn. It’s actually quite difficult to do from the other side and something that I aspire to - give appropriate trust to support the colleague whilst also ensuring patient safety!

[Vicky Bower @bower_vicky]

@rigbycf @noodles_nood @jabberwock951 Although, just read the thread above. We had to justify to a Radiology Consultant - some of whom were fierce. Most of them are actually very nice - but it does make the conversation easier to have your consultant’s clinical question!

[Vicky Bower @bower_vicky]

@rigbycf @noodles_nood @jabberwock951 At the time your consultant asks you to organise a CT/MRI/scan, ask them what the clinical question is. Start doing this early on. If they can’t give you a straightforward answer, it’s not any fault of yours. Trust me, this does not make you look stupid!

[Vicky Bower @bower_vicky]

@WhistlingDixie4 Pretty sure the number came from a shoe manufacturer. I wear the inner heel of mine out before that so it’s never been an issue for me!

[Vicky Bower @bower_vicky]

@ukmat82 I think I’ve been taught something by every job description in the hospital at some point along the way. I don’t expect that to stop ever!!

[Vicky Bower @bower_vicky]

@doc_matt_jacko @ubergasmonkey I don’t believe that a VL is a great way of teaching DL. The “view” you get from a CMAC video screen is not the same as the view you get from DL. Teach DL with the correct equipment. Teach VL with the correct equipment.

[Vicky Bower @bower_vicky]

@doc_matt_jacko @ubergasmonkey As a trainee (now peri CCT)…I find this technique frustrating. We used to be made to do it in A&E with the whole team watching. From my point of view you’re taking a superior piece of equipment and making it inferior by preventing the trainee from looking at the screen.

[Vicky Bower @bower_vicky]

@DrMcWeb @iamlivyrose Always make sure you cross out a few days so it’s not mysteriously full again and requiring rewriting on the weekend in a fortnight.

[Vicky Bower @bower_vicky]

@gaswomancometh Practice - a lot. Learn an opening sentence or definition for physiology, physics common topics etc. so you can spew it out and sound like you know what you’re talking about while your brain tries to catch up.

[Vicky Bower @bower_vicky]

@WhistlingDixie4 Also…your handwriting has come a long was since 15!!

[Vicky Bower @bower_vicky]

@WhistlingDixie4 Definitely no “fone” for me - but actually Mum was usually complicit in the lies we told my friends mum! And I had to be home by 11.30 because that was the last bus and there was no way anyone was coming to pick me up if I missed it!!

[Vicky Bower @bower_vicky]

@zackferguson @lungsatwork Think it’s great. Only comment would be…rota out on time “if possible” gives a get out of jail free card! Obviously there are great reasons for a late change in rota or a difficulty getting it out - but the aim should still be - just get it out on time!

[Annie H @AnnieHunn]

The first national virtual Return to work course. Well-being of RTW in the morning and Clinical in the afternoon. Confidence building and shared experience #RTWanaesthesia @RCoANews @Assoc_Anaes

[Vicky Bower @bower_vicky]

@seanmunn @aroradrn @HEFTICM @DentonGavin We’ve had issues with this too...especially when people forget and put them on a wet circuit as well!!

[Vicky Bower @bower_vicky]

@doctorrah @SisterShawnRM @Shelly_RM Must be tricky these days not to be clinical...must wear scrubs, surgical mask, goggles, plastic pinny! I’d have thought something with a name on it almost makes you more human though!!