Karen

DDoN IPC within ICB in the East of England. Views my own.

[Karen @kaegan69]

@valhumphreys51 @AnaesUnited All consults to start with “what matters to you”.
Get the sense of what’s important to the pt & let the conversation wrap around their expectations, needs & wants. Gives a great context for HCW to read the room/pt/family & respond in a way that makes the communication 2-way.

[Karen @kaegan69]

@Shr_Nottingham @doctor_oxford Great cannula by student PA, but I needed technical assurance from a medic, & holistic elements that come with years of specialist training/experience. I can’t condone duping patients, even if supervision in place.

[Karen @kaegan69]

@Shr_Nottingham @doctor_oxford Offered a “student PA anaesthetist” on Monday for assess prior to going to theatre. As I’m GA terrified it was a no thanks. Most pts would just hear anaesthetist at the end of that title. Cons anaesthetist did the GA etc but can’t see how this PA role differs from ODP at all.

[Karen @kaegan69]

@EvonneTCurran @BinitaKane @CM_7505 @covidinquiryuk @DRTomlinsonEP @MicroLabDoc @YouAreLobbyLud @doctorasadkhan @ZeroCovidScot @SalWitcher @LongCovidSOS @LCNMUK I’m embarrassed

[Karen @kaegan69]

@jonotter Could this be available as a podcast? Thanks

[Karen @kaegan69]

@bevreilly22 Well I would enjoy some indoors fun! 😜

[Karen @kaegan69]

@julesstorr @WeAreTandF @AnnetteJeanes Looks good! Ordered a copy 😀

[Karen @kaegan69]

@EmergMedDr Vaguely recall doing this 30+ years ago whilst pts ate breakfast (themselves). Bearing in mind the acuity was very different. What a romanticised/outdated perspective of nursing… mopping brows & knitting on a night shift. Isabel… take a trip with Dr Mike for a reality check.

[Karen @kaegan69]

@rosieICM But with shared commonalities and a body of experience from all eras hopefully (minus subservience, routine and passivity). Respect for Sue as she nursed exactly how nursing was. Respect for today’s nurses-they represent the present and the future of nursing.

[Karen @kaegan69]

@rosieICM Sue’s comments- clearly based on her “lived experience” of nursing. They are hers to make & rooted in that era. Watching my daughter train/practice I’m respectfully amazed. I absolutely couldn’t qualify & practice now, nursing has thankfully evolved as it should-

[Karen @kaegan69]

@DrLindaDykes Something here about not ‘reading the room’ in current climate. Also bottom up agency to me means solutions from those on the ground… listening & applying what THEY think will support/improve the system. Enablement, listening & responding.

[Karen @kaegan69]

@emrsa15 @claireekt @MartinShovel Only other offering is completeness. Commitment good though! Completeness a bit task derived. Commitment is more personal will and empowering in nature.

[Karen @kaegan69]

@emrsa15 @claireekt @MartinShovel Presume adherence has been ruled out…. Believe in, and follow the practices of HH

[Karen @kaegan69]

@microlabdoc Yep. Makes it hard to teach & empower good IPC with credible rationale. Hard enough with Covid dominating the scene, but add in Covid theatre and staff lose all respect and appreciation of how to apply IPC. We have regressed and a lot of work required!

[Karen @kaegan69]

@microlabdoc Oh dear. That’s really disappointing.

[Karen @kaegan69]

@microlabdoc National rec. 18 months ago to provide some kind of physical barrier between pts if you couldn’t manage 2m distance resulted in various curtain permutations. But wondering if you mean the Redirooms? (Gamma). A temp isolation pod with extract ventilation. A bit like Marmite

[Karen @kaegan69]

@OpinionCovid @BernieDogs4 @sh_abbers @DRTomlinsonEP Personal view is that IPC lost ability to maintain science when overtaken by corporate perspectives. Takes strong leadership and respect for IPC/micro to stick to evidence base and not buckle under national/local influences. Making IPC ‘everyone’s business’ needs caveats!

[Karen @kaegan69]

@DRTomlinsonEP To mask (or not) is largely a corporate (exec) decision with some devolved decision making to depts. for high risk. The national narrative (outside NHS) has been disempowering for many and Boards have a ‘comply with national guidance’ mantra that overrides clinical sensibility