@jamieswa2820
Yes! I love this. Thank you. Let people die with dignity and be able to enjoy the things they like as theyโre at the end of their life. Want to see their dog? Letโs make it happen. Want a scotch on the rocks? Coming right up. Letโs stop medicalising death. โฅ๏ธ
Today during a virtual meeting, the trainer asked for all cameras to be on. However, it was my lunch time so i was eating and drinking. i refused to put on my camera, as i didn't know who was participating in Ramadan, and i wanted to support my colleagues who were fasting. ๐งต
@DrEilidhMaria
Nurse here ๐๐ผโโ๏ธ
Doctors, midwives, nurses and AHPs are not comparable. Although similar skill sets, they provide a unique perspective on the same ailment which is why MDT is so valuable
No one should be on the Drโs rota except a Dr, just like a Dr wouldnโt cover a RN shift
that nursing associates and physician associates were a quick and cheaper fix to plug staffing gaps, without considering the long-term plan of the workforce or addressing why there are staffing gaps to begin with
this is going to sound made up but i swear it isnโt.. i had an urgent telephone appointment with a GP PA during a MH crisis as my MH nurse hadnโt rang me back yet.. this PAโs treatment, i ๐ฉ you not, was โhave you tried having main character energy?โ
WHAT DOES THAT EVEN MEAN
Patients have been facing challenges with how the NHS is working with PAs for some time.
Individuals are talking about this on forums and this is just the tip of the iceberg. A little thread ๐งต of just some of these
Here a cancer missed. The GP also at fault
iโve found another one
falsely impersonating a doctor as said has been to โmedical schoolโ, has the white coat and everything
@gmcuk
please investigate
PAs describing themselves as having undergone "medical school training", "holding registration ... from the Royal College of Physicians", selling their services online / on Facebook; we're OK with this?
Can't wait for "GMC-registered" to be added to the list.
@NorthumbriaNHS
This photo is being shared around and claiming to be during this visit. Will you be providing a statement as to why PM was allowed to discontinue wearing a mask during anytime through the visit and why this wasnโt challenged?
@jaydbint
When I worked on the wards a consultant came on & shouted at a junior doctor. I sent the consultant off the ward. He wasnโt happy about that at all. But thatโs not how we speak to staff and if you canโt speak nicely you canโt come on here ๐คฃ then I got the jr doc tea & biscuits
@Dr_Done_
Iโm a pain lead, i have 12 years of experience, i have BSc (Hons), PGDip, MSc and NMP. I have great knowledge of anaesthesia and pain. But if tomorrow they extended my scope to include blocks i would absolutely refuse. Without medical anaesthetic training it is too unsafe
Think about your colleagues this Ramadan, wish them a happy
#Ramadan
Mubarak! & Ask questions, if appropriate, to learn more about their religion and needs so you can support your Muslim colleagues. Try not to eat and drink in front of them, they likely wouldn't ask this of you,
@adamfare1996
The worst argument is โdonโt call me a cis woman, it offends me. I am just a WOMANโ. Yeah, ok, well letโs not call that other woman a trans woman then, because sheโs just a WOMAN too. Iโm cis, but donโt see my womanhood as any different to those that are trans.
#TheSisterhood
@sainsburys
itโs really disrespectful and disappointing that no one is taking these tweets seriously and responding / actioning accordingly, youโre just tweeting as normal.
Hey
@sainsburys
- one of your store managers is revelling in publicly taunting the grieving mother of murdered trans-teenager Brianna Ghey. Such is the state of the UK, bullies now feel empowered do this. Please, this is totally unacceptable. Can you do something? Ty ๐ณ๏ธโ๐๐ณ๏ธโโง๏ธโค๏ธ
@Dr_Done_
i just donโt get whatโs wrong with saying โthis is out of my depthโ
was i taught how to interpret x-rays? yes. but do i do it? no. i prefer to get someone who reviews them all day every day and utilise their expertise
iโm worried about this PA lead care weโre going down
@drraja_
i donโt knowโฆ iโve know 60 year olds still having โperiodsโ when asked, and then theyโve been referred to gynae and had a medical issue causing the bleeding
i feel like these check listy questions stop people falling through gaps ๐คทโโ๏ฟฝ๏ฟฝ๏ฟฝ
@sainsburys
youโve not responded to
@IndiaWilloughby
tweets about one of your store managers who is transphobic and antisemitic, whoโs tormenting a bereaved mother. how can you ignore this?
@denaa_med
Donโt feel bad. Iโm SO glad you did this for yourself, BUT moreso that youโve highlighted his potential risk to certain patient populations & I hope your Uni takes swift action. If heโs not entirely kicked off his med degree Iโd be disappointed. No room for racism in medicine
@DrEilidhMaria
โDoctors are overworked and exhausted, so our solution is to give you this whole new workforce that you have to supervise and be accountable for their decisions because weโre not actually going to regulate them for a few years.
Best wishes,
UK Governmentโ
@DrEilidhMaria
Iโm an experienced and advanced nurse, i request tests and can prescribe. When iโve been asked to hold the doctorโs bleep, ive said no
but it's a nice gesture of goodwill and friendship. I spent the weekend speaking with my
#Muslim
friends about Ramadan, and attended a Ramadan educational event. As a
#Buddhist
, we're encouraged to think about other people's beliefs and support them as long as their beliefs and
The world hears your cries, and we pray for a permanent
#ceasefire
soon. And however much you can participate in Ramadan this year, may
#Allah
bless you with happiness and grace your home with warmth and peace this year and next.
Barakallahu Feekum ๐
-E
@iDrSunny
Yes, when PAs go back to Assistants and aid the administrative and non-urgent clinical duties of FY1/2โs. They report to the FYs which gives FY managerial experience, help with workload and frees up their time for training and experience priorities
@Jo_Frost
I think itโs really funny you think we have limited beliefs, but donโt believe your own out-of-date opinions of autism are limited. Interesting
@energizerapid
this is my argument! either you can study medicine in 2y and be advanced in medicine in which case reduce med school to 2y, or you canโt and we need med school so cancel PAs doing medicine/surgery. you canโt have it both ways
@DrEilidhMaria
Exactly, itโs not elitism or saying doctors are better than โthe restโ, by saying they should have their own rota and professional scope. Itโs simply acknowledging their worth within the MDT. If we need to cover Drโs rota gaps, we need to invest in training and retaining doctors
@TakFujiBeats
@conservmillen
@elonmusk
Except using the R word at all is a derogatory term with historically negative connotations used to describe disabled people. You wouldnโt use the N word in this scenario and think itโs ok.
Just something to think about
encourage them to have regular breaks, and just be an understanding person. I'm also thinking of all the people in
#Gaza
this Ramandan, who are facing forced starvation and may not be able to participate in all aspects of Ramadan this year, that they usually would do.
@KatPaton13
Can we stop lumping all nurses and all doctors in the same space. Maybe that nurse was out of touch, but why bring in a whole profession? Asking for help when short staffed is a valid reason for RNs or FYโs to ask another HCP for help with patient care
@theRCN
By publicly asking us to accept this below inflation rate pay cut, youโve said to the public that when we vote reject (which we are doing) weโre just selfish and greedy people who are asking for too much, and not just asking for fair pay and safe staffing
#VoteReject
@RyanMarino
@stephenHRNRP
Ryan, as a Pain Specialist I can confirm that there is a magical new strain of fentanyl that you can overdose from by just seeing a picture of the powder on Google. Itโs a real life problem. I stand with Bannick โ๐ฝ
@Dr_Done_
It actually drives me a bit crazy, and i feel bad for the PA/AAs bcos itโs not their fault. If you had such little healthcare training/experience, & your Trust says โoh hey you can do this nowโ, why would you ever question it? Whereas experienced HCPs absolutely would refuse
@DrEilidhMaria
Not just doctors - iโm a nurse and iโm not happy that unregulated people are earning more than experienced Drs & RNs, with no clear scope, purporting to be medics and escalating deaths/harm due to misdiagnosis
actions aren't causing harm. As someone who fasts for my own religion, i know how demanding it can be. So also remember your Muslim colleagues and employees may be working a bit slower right now, offer to take things off their hands, allow later starts and later working hours,
@Dr_Done_
I just think that thereโs sometimes good reason to increase scope (like nurses being able to prescribe within their specialty) and thereโs dangerous scope thatโs petitioned for just based on professional ego
Leave anaesthesia to anaesthetists for crying out loud ๐ญ
a man died bcos a PA misdiagnosed his abdo pain for IBS when it was cancer
a young woman died bcos her pulmonary embolism was misdiagnosed as anxiety by a PA
an older man died bcos a PA misdiagnosed his pain as headaches when it was a subdural haematoma
#SeeADoctor
@EM_Dr_Jacklin
This has happened to me, I kept declining the call thinking I was pressing snooze ๐ also told a consultant I hardly knew โok, bye, love youโ when I was sleepy during a midnight call ๐
@DrTweXet
@iDrSunny
iโve been very vocal about the expansion and scope of PAs and impact on trainees and patients, but iโve seen RNs who โsupportโ the PA movement yet they are firmly against the RNA expansionโฆ
@RyanMarino
@stephenHRNRP
No but seriously, I just watched the video and Iโm trying to be empathetic. But I donโt see how touching fentanyl with gloves on can do that to the girl? My bet is she took some drugs before her shift, they then hit her on duty, and now sheโs trying to cover it up ๐
If professionals canโt use their PhD โDrโ prefix in clinical settings, should we also be stopping professionals using their medical degree โDrโ prefix in academic settings? ๐ญ
@theRCN
you recommended we take an abysmal pay offer and when we rejected it, the government used it against us saying we โwere greedy and see even the RCN agreesโ
so no point complaining now when you gave us no chance at a decent offer
Forget about the consent argument for a minute. Even IF
@DrJessTaylor
had the โconsentโ she needed. The MINUTE the patient wants to withdraw that consent, or not be included, that should be respected. Disgusting behaviour. Profiting off of a pts struggles ๐คข
#IStandWithSallyAnn
So, it seems โpsychologistโ do NOT need consent to publish trauma experiences in books.
This is a warning to anyone who shared their experiences to anyone, they CAN print it and do not need consent
So this is now an ethical conversation- Jessica Taylor does not give a shit
So sad that patients are having to look to โstreet drugsโ for any form of relief, because they donโt have access to pain assessment or treatment. Access to pain medication when appropriate should be a human right
@iDrSunny
@DrPastry
can somebody explain to me if youโve been trained to the level of a doctor why you need supervision by doctors? because the maths ainโt mathsing
@ronansetron
Iโve seen nurses bully doctors
iโve also seen doctors bully nurses
iโve also seen doctors and nurses bully โtheir ownโ
bullying is not exclusive to role or gender.
but you canโt deny that patriarchy has always been a huge part of medicine and society
@AfricanArchives
canโt even imagine the amount of physical and emotional strength it would take to swim for that long, in those conditions. what a man, iโm glad that today i learnt his name
@DrEilidhMaria
The consultant disagreed? ๐ฎ
Iโve only watched this clip so idk all the facts, but idk why a suspected DVT with SOB and tachycardia isnโt considered PE until ruled out? And why if his CXR is congested and suspected worsening of heart failure why IV fluids were given? Anyone?
@DrEilidhMaria
@AngharadJ5
hi, nurse here, patient too. i only found out that a psychologist wasnโt a doctor like 4 years into nursing. the roles arenโt made clear to patients or even professionals that donโt work with them
And confidence in new councillors in the Wirral was right.
They're coming in fast!
Huge congratulations to
@GreenWirral
on both holding seats and the brand new Green gains! ๐๐
@blikethecheese
@jessiphillipsmd
This is so true about gender perceptions. As a Nurse Iโve never been mistaken for a doctor when in scrubs, but my male counterparts always get mistaken for the Doctor (even when they introduce themselves as a Nurse).
the way people in pain are treated is disgusting. yes we have to be cautious about addiction, but when your patient is struggling in pain it is unethical, immoral and goes against human rights to leave them suffering in pain. cancer pain + no pain meds just doesnโt make any sense
@AnneBra82183958
@jamieswa2820
100% and the only way to know what they want, is to ask them whatโs important to them. What are your goals for end of life care? If you lose capacity, is there anything you want us to continue? (i.e. paint nails, braid hair, etc.). Letโs have open convos about priorities
@adamfare1996
Iโm
#Green
I believe in minimising food waste and food packaging
But Iโm also
#disabled
& sometimes have to use items against the โgreen ethosโ bcos I canโt use the alternatives
@DrEilidhMaria
personally, i donโt think the word โphysicianโ should be in their title at all. it causes unnecessary confusion. Whatโs wrong with โMedical Care Assistantโ, that equally translates to the Health Care Assistant role that complements nursing practice?
For those asking - this was in 2022, my partner put in a complaint (i wasnโt well enough at the time). the practice couldnโt do anything bcos she was locum and unregulated, but they said they wouldnโt be having her back (and they havenโt to my knowledge) (1/2)
@LukeAmos__
I would 100% rather a safe and cautious practitioner who discusses my case with a senior before confirming a diagnosis / management plan. Than an overconfident junior giving me misinformation that is later changed or cancelled - this breeds mistrust in doctors. Keep doing you!
@drmattuk
Since i started following
@Dr_Done_
i see it everywhere
linked in - โPA - studied medicine at Xโ
twitter - โDr X - PAโ - with a USA โdoctorateโ
gp practices - โgeneral practitioner PAโ
NHS Trusts - โcondensed medical schoolโ
it is EVERYWHERE and i canโt unsee any of it
@Dr_Done_
idk about pharmacology in medical school, but i did masters level NMP V300 qualification and our questions were not like this at all!
Ours were much much harder and we had to answer them about all specialities even though weโd only be pxโing in our specialty
@brainsnstyle
1. Jealous at either how you look or the confidence you exhume, 2. Never, weโre women, and some women love to hate on other women ๐ 3. Appropriately dressed and looking wonderful!
๐๐
@DrTweXet
@iDrSunny
Yeah it really isnโt fair to support PA expansion and then condemn RNAs. This is a bigger issue surrounding the NHSs contempt for paying professionals their worth and subsidising it with people with less training to plug gaps and causing safety issues
@Dr_Done_
so the answer to doctors โcan make mistakes tooโโฆ is to use an unregulated PA with less training, less education and less experience?
MAKE. IT. MAKE. SENSE.
@adamfare1996
not the worst ableism, but the worse judgement iโve ever had is from other disabled people.. either iโm not disabled enough compared to them, or im too disabled so i must be faking it as im worse than them
most people donโt comment
Idk if there was an investigation (i donโt think there was as i heard nothing) so i think the PA must have admitted what she said or documented it idk? (2/2)
No, BMA doesnโt represent PAs. But, doctors are the supervisors of this dependent profession and should therefore have a say in scope since itโs their career and registration on the line.
NHS Employers acknowledges that todayโs BMA guidance on scope for another professional group was developed without input from FPA or MAPs. MAPs are not BMA members. Employers responds to BMA guidance on the role of MAPs | NHS Employers
Yayyyyyy! I got the job as a
#HE
Personal
#Tutor
on the
#Pain
Management Postgraduate Diploma (
#PGDip
) and Masters (
#MSc
)! ๐
A couple months of training & shadowing, and Iโll get my own cohort in September ๐คฉ
@ChrisWoodPhysio
i donโt think she should be attacked - but iโm a nurse (NOT an ED nurse) and even i got distressed watching the blatant mismanagement here. So if i have that very basic knowledge thatโs outside of my field, then shouldnโt we expect an ED practitioner to as an absolute minimum?
does anyone know why NAs were introduced instead of funding more RNs?
What do NAs do to contribute to the MDT that RNs and HCAs canโt do together, that makes them an independent profession in their own right with presumably their own skill set?
Genuine question ๐ญ
@JnrDocJ
what i find super weird is that women are so sexualised even by HCPs, especially when theyโre literally giving birth to tiny humans. Like a man canโt do O&G but women can do urology (and deal with penile concerns)
MAKE IT MAKE SENSE
@minoritisedNHS
@wendyjoyr
and how many pain specialists.. this is still pseudoscience and comparable to placebo. Would love to see the double blind randomised control trial that decided this
@NorthumbriaNHS
@LissaKEvans
It doesnโt matter if itโs a clinical area, the โruleโ is no mask - no entry (unless exempt). Why was he allowed to take his off? And if itโs ok that he took it off - why are the rest of the staff still wearing theirs in the same areas he is? I think this is a poor explanation ๐๐ฝ
stop thinking of the medical, nursing, healthcare, etc. professions as a calling
yes, we do it because we care. but weโre highly skilled practitioners, who take years and years to hone our craft and provide a service that keeps people alive & safe
just pay us what weโre worth??
Would you say this to a businessman? No
Would you say this to a lawyer? No
Would you say this to a dentist? No
Stop acting like doctors are working for a charity. They are skilled professionals who should work wherever attracts them the most.
I guess the cats out of the bag that Iโm a
@NursingTimes
Awards Finalist for 2 categories:
โญ๏ธNurse Leader of The Year
โญ๏ธNurse of The Year
As my
#ActuallyAutistic
friends know, we donโt always do well under pressure in new situations. But the judges were great and put me (1/2)
@JGrapsa
@simranchhugani
Yes! My favourite ward I ever worked on was the busiest ward in the hospital, very dependent patients (clinically and mobility), but the team was amazing and we got through each day together. Whereas Iโve worked on โquiet wardsโ with less demand and hated it because of some staff
Iโm just a pain nurse
Stood before my colleagues
Asking them to ask what the reaction is to opioids when patients disclose theyโre โallergicโ
(E.g. โallergyโ ends up being mild itching that can be โnormalโ and treated with antihistamines)
@Roddy_Neilson
a male manager who leads a team efficiently and calls out inadequacies to strive for excellence = good boss
a female manager who does the same = bully & aggressive
if anything is clear, itโs that we need more ESEA representation in senior manager roles and for employers to reflect on their own bias as to why they are preventing natural progression for these well deserving, dedicated and talented RNs & MWs (6/6)
#CelebrateESEAHeritage
๐
thank you
@FNightingaleF
for hosting the webinar today: breaking through the bamboo ceiling, to celebrate ESEA RNs & MWs. As a white ally, itโs crucial to listen to the feedback of minorities & on twitter there were calls to stop this โproblematicโ and/or โracistโ (1/6)
@DrAsifQasim
thanks, when i fast for my religion, itโs only for a few days and itโs so tough, but so rewarding. i canโt imagine how difficult it is to do it for a whole month, but i know the blessings that my friends and colleagues will get from it and so i want to help them ๐ฉถ
@EdanStarforth
How strange! I thought the terms would have been: neurological physiotherapist, neurotherapist or neurology AP.
Never heard of a non-medic describing themselves as a neurologist. Not sure of legality, but may go against HCPCโs code of transparency & maintaining public trust
@Meghpai
@DrEilidhMaria
I expect I will be. I just donโt think non-nurses should have a say on how nursing hierarchy or training is implemented, so I would be a hypocrite to say that non-doctors should have any say in how doctors work and practice
Iโm not one for taking away peopleโs shine. But seeing the UK doctors versions of this tweet are killing me
Check out the QTโs, you wonโt be disappointed. I just woke up a grumpy B from his nap from laughing so hard
Had an incredible in flight emergency experience on
@AmericanAir
Yesterday. Patient w LOC & about 30-40 min until landing. Team rapidly assembled (Akeila - an ER Nurse from
@BayhealthDE
, Eddie a cardiologist from
@MaineMed
, and Anna the flight attendant) to care for the pt
1/7
So exciting seeing peopleโs confirmation that theyโll be part of the student leadership programme
#150Leaders
for 2023 ๐ค
I hope Iโm lucky enough to be matched with one of you this year!
#Coaching
#Nursing
#Connecting
@adamfare1996
The author is also pro-ABA
Says it all. Jo Frost has just cancelled herself as a credible โexpertโ. & the fact sheโs ignoring or gaslighting autistic adults in the comments for questioning her is so bad
@PhD_Genie
Them: Whatโs your PhD field?
Me: Opioid analgesic pharmacoepidemiology for cognitive events
T: *what?*
M: using electronic health data to look at causation between pain medicine and cognition like brain fog
T: *blank stare*
M: science
T: oh cool!
We had a good giggle together
@adamfare1996
tbh, as faulty as scottish power are, they ring me every 4-6 months as one of their vulnerable customers to see if iโm coping with bills or have any problems with heating
deffo would suggest people look into SP as theyโve been good to me but are ยฃยฃยฃ
@MasseyMinerd
Iโm so deeply sorry that itโs come to this. & sad that this is likely going to become the norm for many chronic pain patients in the future due to neglected and untreated pain. Thinking of you ๐
@CNOEngland
@HarrietSergeant
I donโt know any NHS or private nurses/doctors who were furloughed ๐ฏ How can you trust this โjournalistโsโ writing, if she canโt even give an unbiased statement thatโs based on facts?
@DrEilidhMaria
@TomStocks1982
I think it should be โmedical assistantโ
like healthcare assistant
clear theyโre part of the medical team, but clear theyโre an assistant to doctors
@SwearySister
I personally disagree with this. Iโm all for career progression, but I believe if youโre doing a skilled task that comes with potential adverse events you should be paid accordingly. If youโre not making them a band 5 pay offer, then donโt give them extra responsibility