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Els Freshwater Profile
Els Freshwater

@blacksladder

5,842
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5,718
Following
546
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14,792
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Paramedic and lover of the hills

Forres, Scotland
Joined September 2009
Don't wanna be here? Send us removal request.
@blacksladder
Els Freshwater
2 years
Thanks to everyone for your good wishes. So pleased to say I passed my viva today. Thank you so much to the fabulous examiners and my supervisors who have put up with me for all that time! Enjoying a glass of bubbles in the sun ☀️ 🥂
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@blacksladder
Els Freshwater
2 years
Well, that’s it. Thesis all written up and ready to submit this week 😳
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@blacksladder
Els Freshwater
2 years
It is a myth that Band 8 is just senior managers. I would suggest most qualified ACPs are 8a and so 2022 pay rise will be 2.6% and nowhere near the headline figure (or inflation). Also no increment for 5yrs despite the development that takes place during this time.
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@blacksladder
Els Freshwater
1 year
After some of the recent disappointing imaging of ambulance services and PHEM recently, perhaps we could use #IWD2023 to show that it's not just for men! #EDI Please add your photos:
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@blacksladder
Els Freshwater
2 years
My dad just posted this photo on FB of him carving the turkey in the Gilbert Bain Hospital on Christmas Day. Early 1980s when all the local doctors used to pop in with their families 😂🎄
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@blacksladder
Els Freshwater
2 years
Paramedics, ACPs and anybody interested in major trauma. Join me for an informal evening session about my professional doctoral journey and the research I did on identifying patients with major trauma. Great CPD for the research pillar! @paramedicsuk
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@blacksladder
Els Freshwater
2 years
Last night I left the ED after my final clinical shift before I go on secondment. It was busy. I hope things improve across the whole system soon. I’m really going to miss the team though.
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@blacksladder
Els Freshwater
2 years
Today is my 20-year NHS anniversary. Lots of changes in the organisation (sadly not all for the better).I’ve been an ambulance technician, ambulance paramedic, operational supervisor, ECP, HEMS, ACP and consultant paramedic. Not sure I can do another 20 to retirement age though!
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@blacksladder
Els Freshwater
2 years
Beautiful morning here @HSciences on graduation day 👩🏻‍🎓 @UoSCommsAllison @unisouthampton
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@blacksladder
Els Freshwater
1 year
A week off work and walking the West Highland Way 🥾
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@blacksladder
Els Freshwater
1 year
All done! West Highland Way ☑️ 🥾 🏴󠁧󠁢󠁳󠁣󠁴󠁿🍻 what a fabulous holiday 😀
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@blacksladder
Els Freshwater
5 years
That’s it. Independent prescribing portfolio handed in. I often thought this wouldn’t happen but thanks to the work of @ParamedicsUK this is now a possibility for Advanced Paramedics.
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@blacksladder
Els Freshwater
3 years
@hughlaurie Not just nurses but paramedics, therapists, porters, healthcare support workers, scientists and many, many more who risked their own health and made personal sacrifices to deal with Covid and continue to provide high quality care to all patients.
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@blacksladder
Els Freshwater
9 months
Well, that's a wrap! Last day in the @NHSEngland Centre for AHP Education and Transformation. What an amazing team, it has been a joy to work with you all. So excited for the next adventure, moving back to Scotland and taking up a role with the @RobertGordonUni paramedic team😊
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@blacksladder
Els Freshwater
2 years
We are recruiting for trainee adult ACPs in ED. Open to suitably qualified and experienced paramedics, nurses, physios and pharmacists. 1 day per week for education. Supervision from Consultants and credentialed ACPs as part of an established ACP team
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@blacksladder
Els Freshwater
8 months
Pretty nice day 😎🏔️ 🥾 Lunch outside 🥪
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@blacksladder
Els Freshwater
2 years
Been up to see Lou who is a Major Trauma ACP. She looks after patients from their arrival in ED until discharge, sometimes weeks or even months later. She’s just qualified as a Paramedic Prescriber. Happy #InternationalParamedicsDay Lou! #ProudToBeAParamedic #IPD2022
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Els Freshwater
2 years
So excited about my new role, starting late November #paramedic #AHP #AHPsDeliver
@PaulChapman09
Paul_Chapman MCSP DSA(csp)
2 years
Welcome & congratulation @AnitaWPhysio @blacksladder @rkforton @JulietSturgess @TanyaRumney @ODPLowes @radi0girll @CraigmuzzCraig Alison Barrington Sarah Hickey @donnapodwelch Razvana Shah our new @NHS_HealthEdEng Centre for AHP Education & Transformation team @BeverleyHarden
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@blacksladder
Els Freshwater
1 year
The NHS needs to do more of this and less “you’ll be up for a disciplinary unless your socks are black”! #inclusivity
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@blacksladder
Els Freshwater
2 years
We've had our garage broken in to and all the bikes stolen. Many of them are not worth much but are our means of getting to work at the hospital or are sentimental (I built my old race bike so it's unique but old fashioned). Please share to make them too hot to handle. Thanks
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@blacksladder
Els Freshwater
3 years
Gorgeous, funny, lovely, brave boy. We are so lucky to have had him in our lives, even for just a short time.
@TeamKipUK
TeamKip #SmellyPantsWee
3 years
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@blacksladder
Els Freshwater
11 months
I saw some patronising messages on here yesterday about how paramedics can't prescribe CDs as they are too dangerous for us. All paramedics from registration can administer morphine under exemption and paramedics can use CDs such as ketamine and midazolam on PGD without being 1/2
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@blacksladder
Els Freshwater
3 years
Perso hood provided, plenty of appropriate PPE, vaccinated, CPD funding, new team members recruited and then this lands on the doorstep with an extra day’s leave and a free coffee ☕️ Thanks! So happy I work at @UHSFT @charity_shc
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@blacksladder
Els Freshwater
1 year
This is absolutely how I remember it. I won’t ever get over bellowing down a hands free phone whilst in level 3 PPE telling someone their husband was going to die but sorry they couldn’t come to ED to see them. I would have loved to have had a drink with colleagues but couldn’t.
@Poppyjuice
Poppyjuice
2 years
It was what we were asked to do. It was fucking horrible. But we did it. In the knowledge we were all in it together. No cake. No parties. No mutual soothing. No party hats and quizzes and cheese and wine. Just head down, keep moving, for the greater good.
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Els Freshwater
2 years
It’s the first #InternationalParamedicsDay Today I’m going to catch up with some of the Advanced Paramedic Practitioners at @UHSFT I’ve got goodies from @ParamedicsUK for them 😀 #NotAllParamedicsWearGreen #ProudToBeAParamedic #AHP @UHS_Jobs
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@blacksladder
Els Freshwater
5 years
30th March 2009 was my first HEMS shift at Benson with @TVAA . Things have changed a bit in the last 10 years! Now Paramedic Clinical Lead at @HIOWAA @UHSFT and proud to be involved in developing a great Critical Care Team alongside exceptional colleagues.
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@blacksladder
Els Freshwater
1 year
18 years ago today was the final day of my IHCD paramedic course. Now I’m writing a report on all things paramedic education for @NHSE_WTE working closely with @ParamedicsUK colleagues Couldn’t have believed the potential for our profession back then #WhatParamedicsDo
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@blacksladder
Els Freshwater
2 years
In extreme study procrastination, I’m preparing for my viva by running a trail marathon! Hope I can manage to walk in to the exam on Tuesday 😬
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@blacksladder
Els Freshwater
2 years
If you're a paramedic who is thinking about taking on a role in a hospital environment, or an employer considering adding paramedics to your workforce, you might be interested in my talk on this subject. Now available on the @ParamedicsUK CPD Hub
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Els Freshwater
2 years
First on my tour of @UHSFT Adavnced Paramedics is Gil. She works in ED with me and has recently credentialed with the @RCollEM as an Emergency Care ACP. Happy #InternationalParamedicsDay Gil! #ProudToBeAParamedic #NotAllParamedicsWearGreen
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@blacksladder
Els Freshwater
2 years
@campbellclaret ‘Ambulance drivers’ is seen as a derogatory term. Please avoid its use. Paramedics are degree-educated healthcare providers with a wide scope of practice and clinical expertise.
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@blacksladder
Els Freshwater
8 years
Very proud to be part of first cohort of @RCollEM credentialed Advanced Clinical Practitioners #ACP
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@blacksladder
Els Freshwater
2 years
What a fantastic team!The @UHSFT Emergency Dept ACPs. 8 @RCollEM credentialed and everyone else progressing through the @NHS_HealthEdEng @NHSHEE_SEast programme.3 abstracts accepted to @RCEMevents Scientific Conference and loads of great QI projects plus education & leadership 👏🏻
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@blacksladder
Els Freshwater
2 years
Just been down to give out some @ParamedicsUK goodies to great @scas999 and @enhanced_c_s colleagues outside the ED (no patients waiting to offload!) at @UHSFT Happy #InternationalParamedicsDay #IPD2022 #ProudToBeAParamedic
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@blacksladder
Els Freshwater
1 year
Can’t believe it’s nearly finished 🏴󠁧󠁢󠁳󠁣󠁴󠁿🥾 #whw
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Els Freshwater
2 years
Happy #AdvancingPractice2022 Week, especially to these legends - the @UHSFT Emergency Department ACPs From small beginnings, the team has grown to be an integral and highly respected part of the ED team. 👏🏻
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@blacksladder
Els Freshwater
3 months
Work less, get out in the hills more! ⛰️🥾😎🏴󠁧󠁢󠁳󠁣󠁴󠁿👌🏽
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@blacksladder
Els Freshwater
1 year
Important report out on paramedic leadership. Recommends rotational placements and experience in other settings outside of the ambulance service to develop as leaders. Also reinforces the need for paramedics to have access to clinical supervision.
@AACE_org
Association of Ambulance Chief Executives
1 year
New @NHSEngland report out: “ #Paramedic leadership in #ambulance trusts in England: Understanding the synergies & differences with other allied health professions’ leadership & leadership development” Read it at #AHPs @ParamedicsUK @WeAHPs #AHPsDeliver
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@blacksladder
Els Freshwater
4 months
Having to call an ambulance is stressful enough. This is why I don't agree with the 'fly on the wall' ambulance programmes. It puts people in distressing situations in a place where they then have to decide whether to consent to their situation being broadcast for entetainment.
@RebeccaCNReid
Rebecca Reid
4 months
Got blue lit to hospital with toddler overnight, paramedics arrive with a producer from the bbc, she asks if she can film, I said no, then inexplicably thought she would get my refusal more if I claimed to be a producer, so I then pretended for 35 minutes that I work for Sky News
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@blacksladder
Els Freshwater
1 year
Amazing. Just having a clear out and found my old paramedic manual. As the 6th edition of the @ParamedicsUK curriculum is being written, it’s incredible to compare it with what we covered in 2005.
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Els Freshwater
2 years
View from tonight’s campsite 🚐 🏴󠁧󠁢󠁳󠁣󠁴󠁿
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@blacksladder
Els Freshwater
2 years
Job vacancy: Major Trauma Advanced Clinical Practitioner, University Hospital Southampton NHS Foundation Trust, Southampton | #ACP #majortrauma
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@blacksladder
Els Freshwater
3 years
Are you a Paeds or dual-credentialed ACP? We’re looking for an experienced ACP to join our team in the Emergency Dept. You will be the first ACP in the Children’s ED with an opportunity to develop the practitioner service in paediatrics across all pillars.
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@blacksladder
Els Freshwater
2 years
We have an advert out to recruit 4 trainee ACPs in our Emergency Department (Major Trauma Centre). 20% non-clinical time to support education as part of the HEE Wessex EC-ACP programme. Please note, there is an error on the email. Should end @uhs .nhs.uk
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@blacksladder
Els Freshwater
2 years
Radio and TV presenters, how hard would it be to use inclusive language like ‘healthcare professionals’ instead of ‘doctors and nurses’ when you refer to the NHS workforce? @BBCRadio4 #todayprogramme
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@blacksladder
Els Freshwater
2 years
It’s not just doctors and nurses who are needed. Lots of AHPs (radiographers, paramedics, OTs, physio for example) pharmacists,support staff and admin all contribute to emergency care. @RCollEM ACPs come from a variety of professional backgrounds
@RCollEM
Royal College of Emergency Medicine
2 years
We need to act now to protect the most vulnerable, and precious part of the healthcare system, the Emergency Medical System. It’s time for change and to reset emergency care. #NoMoreLivesLostWaiting #ResetEmergencyCare
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@blacksladder
Els Freshwater
3 years
Credentialing panel tomorrow for @RCollEM ACPs. 😬 Good luck everyone. You’ve worked so hard to get to this point.
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@blacksladder
Els Freshwater
5 years
@ParamedicsUK Why should paramedics be shackled to ambulance services? No other healthcare professionals are expected to work for one organisation for their whole career. Paramedics have more to offer as they develop.
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@blacksladder
Els Freshwater
2 years
My hard bound thesis just fell off a shelf and landed on me. I can’t believe the blasted thing is still causing me headaches 🤕 😂
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@blacksladder
Els Freshwater
6 months
Teaching clinical examination today and get to have my lunch by the river 😎 Pretty nice here. @RGUParamedics @RobertGordonUni @RGUNMandP
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@blacksladder
Els Freshwater
2 months
Advanced practitioners don't have to be nurses. AHPs have a lot to offer in this space and are often forgotten. How do we improve visibility and understanding of what we bring to the roles?
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@blacksladder
Els Freshwater
2 years
Super first day as Training Programme Lead for Urgent and Emergency care @NHS_HealthEdEng SE Advancing Practice Faculty. Thank you @Nisbet5050 and @ThePointyStick for your time today.
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@blacksladder
Els Freshwater
2 years
30 years after I started my undergraduate degree, here I am again at university for another exam!
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@blacksladder
Els Freshwater
1 year
@KateBurkeNHS Exactly. So often it is a lack of basic, simple things that gnaw away at job satisfaction. It shouldn’t be too much to ask to have a safe and secure way to travel to work, somewhere to keep your things, a clean place to get changed and to be paid correctly and on time.
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@blacksladder
Els Freshwater
3 years
The thesis avoidance has been strong the weekend 😂🏴󠁧󠁢󠁷󠁬󠁳󠁿🥾⛰🍺🐾
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@blacksladder
Els Freshwater
2 years
Arterial lines, CVP and CAP35 ventilators support all covered for final year trainee ACPs as they prepare for @RCollEM credentialing. Massive thanks to @skexis for running these excellent sessions @NHS_HealthEdEng @AdvCare_goodS @RCEMACPChair
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@blacksladder
Els Freshwater
3 years
Huge congratulations to all the #ACPs who have successfully credentialed with @RCollEM It’s a huge achievement - well done! 👏🏻 @RCEMACPChair @RCEMACPForum
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@blacksladder
Els Freshwater
9 months
New house day 🏡 😊. Sadly it’s nearly 600 miles away so can’t get to see it yet 🏴󠁧󠁢󠁳󠁣󠁴󠁿
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@blacksladder
Els Freshwater
3 years
Interested in why NHS Scotland has lots of ‘Advanced Nurse Practitioner’ roles advertised but I didn’t see a single ‘Advanced Clinical Practitioner’ job. Is this an over sight or have they just not realised the benefit of AHPs in advanced practice? @NHSScotland @Kmacjohnstone79
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@blacksladder
Els Freshwater
3 years
The best races are the ones that give you beer at the end! 🍺 🏃🏻‍♀️ @Hantshoppit
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@blacksladder
Els Freshwater
2 years
In-hospital paramedics. What do you know now that you wish you’d known when you first came to work indoors?
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@blacksladder
Els Freshwater
2 years
Went to Same Day Emergency Care @UHSFT to see Jayne who is an Advanced Paramedic working in the Medicine for Older People team across SDEC and ED. Happy #InternationalParamedicsDay Jayne! #ProudToBeAParamedic #IPD2022
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@blacksladder
Els Freshwater
4 years
So thankful to the unknown donor who is doing this in the middle of a pandemic. Thank you whoever you are and also to anyone who has donated or is on the register. PS (those are not Kip’s giant glasses, they’re my brothers he’s playing with!!)
@TeamKipUK
TeamKip #SmellyPantsWee
4 years
We don't know who you are, but somewhere in Germany a wonderful young man is donating some of his bone marrow today that, after a spell in a freezer, is going to give this beautiful boy a whole new immune system. We can never thank you enough. #TeamKip #SmellyPantsWee
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@blacksladder
Els Freshwater
1 year
Presenting the Wessex Emergency Medicine ACP programme, supported by SE Advancing Practice Faculty, at @RCEMevents conference in Cardiff 🏴󠁧󠁢󠁷󠁬󠁳󠁿 @MelindaDollyMcp @Nisbet5050 @ThePointyStick @AdvCare_goodS #ACP
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@blacksladder
Els Freshwater
1 year
This is what I'm talking about ♥️👏
@dsairambulance
Dorset and Somerset Air Ambulance (DSAA)
1 year
This International Women's Day, we want to take the opportunity to say how incredibly proud we are of all our female crew members and thank them all for the hard work that they do 💚🚁 #IWD2023 #InternationalWomensDay2023 #Helimed10 #TeamDSAA #FEMinPHEM
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@blacksladder
Els Freshwater
5 years
Welcoming the newest cohort of trainees to the @HEE_Wessex Advanced Clinical Practitioner Emergency Care Programme. Day one of a 3 year journey towards @RCollEM credentialing #ACP
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@blacksladder
Els Freshwater
2 years
I’m presenting some of the findings from my doctoral study today at #RCEMasc If you want to read more, it’s available here: An evaluation of a trauma unit bypass tool in predicting major trauma - ePrints Soton
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@blacksladder
Els Freshwater
6 years
HEMS paramedic roles now advertised (also available to nurses with pre-hospital experience). Come and join us on an exciting career path with ⁦ @HIOWAA ⁩ and ⁦ @UHS_Jobs
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@blacksladder
Els Freshwater
3 years
Getting there. Over 30k words written #paramedicphd #dissertation
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@blacksladder
Els Freshwater
2 years
Caught up with @OliverSaddler for coffee ☕️ this morning. Oli is on an education day as he’s finishing off his @FICMNews Advanced Critical Care Practitioner portfolio. He works as a tACCP on Neuro ICU at @UHSFT @CentreWessex @UHS_CritCare Happy #InternationalParamedicsDay Oli!
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@blacksladder
Els Freshwater
1 year
My NHS family - Dad (GP home visit by boat), Mam (middle, getting nursing badge), brother @edfreshwater (RMN in community), SIL @SarahFresh2o (specialty Dr palliative care) #NHS75 1/2
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@blacksladder
Els Freshwater
4 years
How it started. How it’s going.
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@blacksladder
Els Freshwater
1 year
Facebook tells me it’s 10 years since I did a short fellowship at Baltimore Shock Trauma as part of my trainee consultant practitioner programme. What an incredible opportunity and so generous of @shocktrauma and @AACoFD
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@blacksladder
Els Freshwater
2 years
With the correct link this time! For paramedics interested in hospital roles, here's my talk from the @ParamedicsUK conference exploring some of the challenges and my experience of moving indoors.
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@blacksladder
Els Freshwater
6 years
It’s not just a clinical role. #Paramedics are trained as Technical Crewmembers for HEMS operations. Here we are doing the morning ground run and engine wash for @HIOWAA #AHPsDay
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@blacksladder
Els Freshwater
2 years
Do you want to join this amazing team of ACPs? Trainee roles available leading to credentialing with @RCollEM and an MSc
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@blacksladder
Els Freshwater
1 year
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@blacksladder
Els Freshwater
2 years
Well, I wasn’t expecting my parents to book on and then ask a question 🤦🏻‍♀️ I bet nobody expected to hear about trauma nursing in the 1960s 😂
@blacksladder
Els Freshwater
2 years
Come and join the @paramedicsuk Research Centre this evening for an informal webinar talking about major trauma and my research journey @DrJuliaWilliams
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@blacksladder
Els Freshwater
2 years
This is great at @PHU_NHS and I know lots of other hospitals have similar. I’d love to see affordable fruit and veg available for @UHSFT staff and patients (the plant based restaurant options are also much better at Portsmouth) @JoeTeape
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@blacksladder
Els Freshwater
3 years
I’m wearing FFP3 for all patient contact in ED at the moment and this is supported by my trust. I can’t believe ambulance staff aren’t being offered the same protection when they are working in much more confined spaces.
@CathNoakes
Prof Cath Noakes #Ventilate 😷 💙
3 years
We modelled use of masks in ambulances. Cloth masks make a difference but N95 is much better.
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@blacksladder
Els Freshwater
2 years
Happy International Nurses Day, especially to the exceptional nurses in the @UHSFT ED ACP team @AENurseUK @kjsharpe03 @Maisiemack #InternationalNursesDay #IND2022
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@blacksladder
Els Freshwater
7 years
Early Christmas present - HRA approval for my doctoral study. Only taken all year! #phdchat
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@blacksladder
Els Freshwater
6 years
Consultant Paramedic - Critical Care & Resuscitation with @SECAmbulance Band 8c. Looks like a fantastic opportunity
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@blacksladder
Els Freshwater
2 years
Stayed on in Belfast after #RCEMasc and went for a walk with @MelindaDollyMcp
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@blacksladder
Els Freshwater
5 years
Off for a drive with Marvin the manikin!
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@blacksladder
Els Freshwater
2 years
@DHSCgovuk Why have paramedics, working as Advanced Clinical Practitioners in Urgent, Emergency and Primary Care been excluded? We undertake the same role, with the same training, as our nursing colleagues.
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@blacksladder
Els Freshwater
1 year
Partner Lou and me (paramedics) #NHS75 2/2
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@blacksladder
Els Freshwater
2 years
@cynicalsurgeon @doc_bipolar Absolutely! And finishing late shifts then doing a Teams meeting over breakfast because it’s possible.
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@blacksladder
Els Freshwater
2 years
Bit of a detour to Swindon on the way home. @bertsbooks was everything I had hoped it would be. Lovely and knowledgeable booksellers. Also lucky enough to get the advent gift today! Do pop in if you can and support an independent bookshop.
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@blacksladder
Els Freshwater
4 years
It’s Module 1 of the ⁦ @HIOWAA ⁩ ⁦ @UHSFT ⁩ Hems Crew Course. Welcome to all the paramedics and doctors taking part ⁦ @wessexPHEM ⁩ ⁦ @skexis ⁩ ⁦ @h3msdoc
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@blacksladder
Els Freshwater
2 years
If you’re a paramedic and interested in working in a job in-hospital, I’ll be offering some tips and insights this afternoon at #ParaCon22
@ParamedicsUK
College of Paramedics
2 years
Don’t miss @blacksladder close #ParaCon22 on Thursday with this inspirational #NotAllParamedicsWearGreen talk about the role of paramedics in the hospital setting. Last chance to get your tickets here #ParaCPD
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@blacksladder
Els Freshwater
2 months
I may have moved to the other end of the UK, but I still get to work with great AHP colleagues 🤩
@RGUHealthSci
RGU Health Sciences
2 months
Major incident simulation today @RobertGordonUni , bringing together student nurses, paramedics, radiographers, physios, OTs, and dietetic student. brilliant interprofessional learning experience. thank you to all the behind the scene staff who made this happen.
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Els Freshwater
2 years
Amazing day out in the hills. Legs are feeling it today though!
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Els Freshwater
11 months
prescribers. Who do you think delivers most opiate analgesia in the pre-hospital environment? Also, we can prescribe e.g. muscle relaxants, propofol and plenty of other dangerous medicines within scope of practice so it's not a safety or competence issue - it's about the law.
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Els Freshwater
2 years
Not at work. Hanging out in the van 🏴󠁧󠁢󠁳󠁣󠁴󠁿
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Els Freshwater
3 years
ACPs - fancy a change of scenery? We have vacancies to join an established team of ACPs in ED. We’re a major trauma centre. Lots of educational opportunities and a friendly rota (1 in 4 weekends and 20 nights per year) ⁦ @UHS_Jobs #ACP #ECACP
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Els Freshwater
1 year
Developing the Royal College of Emergency Medicine's advanced clinical practitioners in the Wessex region: design, implementation and review of a regional training programme | International Journal for Advancing Practice @MelindaDollyMcp
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Els Freshwater
7 years
New scrubs. Might need to change the hashtag as I seem to be back in green! #notallparamedicsweargreen #acp
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