Excited to be invited back for a panel at the annual Deakin MD Student Conference this week! Discussing early career research with two very accomplished and awesome colleagues from med school @millamacc@miekefoster@DeakinMdsc
Michelle's an ICU nurse unit manager at @TheRMH
Every day she treats Victorians facing life and death because of coronavirus - some in their 20s and 30s.
She sees what it does, she helps them breathe, and she holds their hands.
And she has one thing to tell us:
How do we help HCW make decisions (including deciding to not do anything!) within a constantly changing evidence base and clinical context? 🤷
Death by PowerPoint doesn’t really work ❌
How about a nudge? 👉
What about a unit that helps design, test and implement nudges?🧐
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Major GI bleed
Massive PE
Cardiac tamponade
..all referred to ICU with ‘septic shock’ by normally reasonable ED docs thanks to this EMR alert
... a negative consequence of well-meaning systems design. Nudging clinicians towards a diagnosis of sepsis creates false positives
Tricky decision making in a neonate with head injury today...if only I’d read the PREDICT guidance for mild to moderate head injuries first! Happily there’s a great summary from our friends @DFTBubbles@danihalltweets@miekefoster
https://t.co/xcuZ5Iwgi8
The pandemic has posed new challenges for deaf staff. Inability to lip read through masks, noisy environment, masks muffling sounds all pose new barriers. In our departments, it’s our job to provide support for trainees/staff. A thread - thanks entirely to @DocFizzabella
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