Almost 15 years to the day since I started here as a registered nurse in
#cardiology
CCU I’m back as a third year
#MedStudent
as part of my cardiology block
Lovely to be back & see colleagues who taught me so much & have had a huge impact on my career
It’s official! 🥳
From September 2021 I’ll be part time
#ACHD
nurse specialist & part time
#MedStudent
@EdinUniMedicine
Excited to pursue a career in
#medicine
while being able to continue in my current nursing role a wee bit longer
#HCPMed
@Dr_Done_
@Xeon4f145d96s1
@UHLRRCV
I’m a huge advocate for adv practice in nursing & allied professions but we need to recognise where the limit is & imo this is way past it. It undermines the training, time, money medics put in to acquire skills required for these roles as well as ability to manage complications
1/I can't believe in 2021 there is still a need to regularly defend roles of specialist/AP nurses,AHP & healthcare scientists
We aren't substitutes for other members of the
#NHS
workforce or a plaster covering medical workforce crisis, we bring our own value to patients &services
After🔟yr
@JubileeHospital
8⃣as
#ACHD
nurse it's sadly time to move on
🙏🏾to colleagues esp Niki Walker
@amandahunter83
&
@swan_lorna
for their support to develop role of ACHDnurse specialist & opportunities to learn
I♥️this job &will miss the challenges & rewards of the specialty
Yesterday we said farewell and good luck to SACCS Nurse Specialist, Maggie Simpson💙
Maggie continues her studies at the University of Edinburgh Medical School & we hope to see her back in the Hospital soon!
We will miss you Maggie, best of luck in your new adventure
#TeamJubilee
@NHSHighland
@quackophage
Please just be honest, the wording & the organisational structure are not errors. Job descriptions go through several people before they are published. I’m also sure ward nurses have their own clinical structure
@bmj_latest
Stop cutting corners & using widening participation as a reason to do it. If NHS England cares about WP then make studying medicine finically viable, don’t compromise structure & content
A few days off after several f2f conferences almost back to back
Lots of driving & walking but no talks & great weather☀️ 😄
#Geneva
#Annecy
#Lausanne
🇨🇭 🇫🇷
Delighted to be elected to the
#ACNAP
Board 2024-26 as liaison officer
I’m looking forward to working with the Board,committees, associations & industry to promote awareness of ACNAP, initiatives & collaboration
Congratulations to the Board & committee chairs
From Monday I'll be working as an IP
#heartfailure
ANP
@NHSGGC
with a great multi-disciplinary team to develop improved pathways of care & access to
#heartfailure
specialists with aim of⬇️hospitalisation, length of stay &⬆️QoL for people with HF
Congratulations
@MoonsPhilip
on being awarded the
#ESC
#FlorenceNightingale
award for advancing research in
#ACHD
& your wider contribution to nursing research
Great lecture highlighting the journey of research in
#ACHD
from wasteland to wonderland
🥳🥳🥳
After a successful pilot we can now spread the word about the
#heartfailure
inreach & early supported discharge service available in one of 🇬🇧 largest hospitals
Impressed with the development of this service in a short space of time thanks to a fab HF MDT
It has been a pleasure to contribute to
@BSHeartFailure
Board for4yrs
🙏🏻Prof Gardner for ur leadership guiding BSH to meet its charitable aims & creating fellowship & training opportunities for nurses AP HCS &trainees
Lk fwd to seeing
#25in25
thrive through hard work of Exec team
@ExplosiveEnema2
@drcolinm
@gmcuk
There is a no reason a PA or AA should have a shorter route to medicine than any other HCP. GEM exists & seeking to shorten it further completely undermines medicine
Happy
#NationalDoctorsDay
to my medical colleagues
Thank you for your expertise, dedication, leadership & advocacy
A personal thank you to those I have worked with who have given time to support my professional development as a nurse & now as I navigate the transition to
@TVRJDC
@BucksHealthcare
@Xeon4f145d96s1
@NMacdonaldBHT
@AndrewMcLBHT
As an ANP that is ridiculous. No issue with the ANP rate but it should not be more than others on that list.
As a med student I can’t wait to do 5 yrs at med school & 5yrs++ on the job + exams, more responsibility etc to earn the same money I’d make now 😂
It’s thank you time!
Huge thanks to
@elenikle
& Congress programme committee for a great programme & the massive time commitment
@lisneubeck
for a huge amount of work on delivering a great
#Edinburgh
experience, not many congresses have a castle reception
&
#TeamACNAP
#ACNAP2023
@escardio
quality indicators update for the care & outcomes of adults with
#heartfailure
#HFA_ESC
An update of the previously published ESC QIs for HF in line with contemporary evidence to quantify adherence to guideline recommendations in clinical practice to improve the care &
Thanks to
@BJCardNursing
for the opportunity to highlight the role of nurses in the early recognition of
#cardiacamyloidosis
Amplifying awareness of cardiac amyloidosis & the need for early recognition
@DrAseemMalhotra
How dare you further your own agenda by taking advantage of someone’s death & the hurt their friends & family feel . It’s a disgrace that you refer to yourself as a ‘leading cardiologist’ when you have no credibility
@trentconsultant
Cons nurse/AHP/pharmacist/HCS are skilled practitioners/leaders in their area of expertise & valued members of the MDT
However, this ‘equivalence with a medical consultant’ has to stop, it’s just not true & I can’t believe it’s now deemed acceptable to write on the front of a JD
@14ozhc
@DrRaviJ
It doesn’t matter how far out of training,it’s still not appropriate if they are not a doctor at the appropriate level of training
I’ve been a🫀nurse for 15 years,9 of those as a CNS/ANP,I’m still not the right professional to cover a gap on a reg rota because I’m not a registrar
I might be a wee bit biased...
but I think this will be a great resource for women with♥️disease who currently struggle to find info about heart disease in 🤰 & why pre-conception advice is important
And for HCP who aren’t sure what advice to provide
#CardioObstetrics
❣️new patient information❣️
Our 'pre-conception counselling' and 'lived experience' subgroups have developed this leaflet to support women in understanding the importance of PCC for women with heart disease
#CardioObstetrics
#womenshearthealth
#HeartFailure2024
call for science
Showcase your work in Lisbon & online 11-14 May 2024
- Abstracts
- Clinical cases
- Late-breaking science
@HFA_President
‘When we permit rudeness patients die unnecessarily’
Strong statement highlighting the need for civility in the workplace
We focus so much on the values we show to patients, how we treat each other is just as important across NHS roles
Civility Saves Lives
@JubileeHospital
CME
Our next
#BHTboard
meeting will be held on Wednesday 20 December 2023 at 9.30am. Open to the public. Check out our website for information on how to join, board papers and how to ask questions in advance:
During
#heartfailureawarenessdays
it’s vital to consider groups of ppl under represented in research & guidelines including women of reproductive age with
#heartfailure
HF is a leading cause of maternal morbidity & mortality
⬇️can you contribute to
@NPEU_UKOSS
study?
#HFAW2023
@NPEU_UKOSS
Pregnancy in women with known cardiomyopathy study to describe:
-incidence
-risk factors
-current management
-outcomes of🤰🏾in women with known previous cardiomyopathy
Submit your cases
Surveillance period 1 June 21–>31 May 24
#CardioObstetrics
Timing of HFrEF therapies in newly diagnosed
#heartfailure
@JavedButler1
discusses ARNI & SGLT2i
-high level overview of trials
-changes in our approach to GDMT sequence, titration & speed
= ⬇️adverse outcomes
Aim for initiation of 4drugsin4wks & uptitrate from there
#ESCCongress
#EuroHeartCare
#ACNAP
@escardio
Care for the patient with adult congenital heart disease in the non-specialist setting
Why do we need to know about this?
Repair of congenital heart disease does not mean cure
#ACHD
Dapagliflozin⬇️ the combined risk of worsening
#heartfailure
or
#cardiovascular
death among patients with heart failure and a mildly reduced or preserved ejection fraction
#ESCCongress
Kicking off
#congenitalheartdisease
awareness week highlighting⬆️no of
#SACCS
consultants
Fortunate to work with🌟clinicians & the
#ACHDMDT
in🏴who work hard to provide patient-centred care
As no of adults with
#CHD
⬆️so does need to continually develop the
#MDT
who care for them
At the start of
#CongenitalHeartDefect
awareness week the Scottish Adult Congenital Cardiac Service (SACCS)has increased its number of consultants to continue providing world class life-saving care for patients of Scotland.
#TeamJubilee
#ServingScotland
Fab talk
@cathy_donegal
highlighting role of ANP in
#heartfailure
early diagnostic pathways working with the MDT➡️primary & secondary care to improve
-early recognition of HF signs & symptoms
-timely access to cardiologist
-access to treatments
-⬇️HF hospitalisation
#ACNAP2023
🏴Obstetric Cardiology Network website
Info available on
contraception
🤰🏾planning & preconception counselling
info leaflets for patients
key publications in management of women with
#CVD
in🤰🏾
More leaflets & guidance coming early 2023
🔗
#CardioObstetrics
“It’s not defeat it’s helping me prepare for the future” the words of a patient with advanced
#heartfailure
&
#congenitalheartdisease
on importance of advanced care planning
🙏🏻
#EuroHeartCare
for including voice of lived experience & to our patient for sharing their experience
@gruntdoc
@Thunderball155
All HCP: don’t withhold treatments from pregnant women or women who are breastfeeding just because you don’t know what options exist. Look online or phone a colleague who can help. The OP may be about unnecessary pain but for some under treatment results in morbidity or mortality
Why do we need dedicated
#heartdisease
information for women?
♥️disease is a major cause of ill health & death for women in🏴
We need to⬆️awareness for the public,healthcare professionals,3⃣sector & policy makers to⬇️inequalities in♥️health outcomes for women
#womenshearthealth
Sadly it’s the last day of what has been a fabulous holiday
#RiodeJaneiro
you have been awesome 🇧🇷
Not ready to go from 30☀️ to the pishin 🌧️ 💨 🥶 in 🏴
Why are we talking about♥️disease in 🤰🏾?
-leading cause of maternal death in UK
@mbrrace
-most women didn't have a known♥️diagnosis
-maternal mortality is the tip of the iceberg, we also need to be aware of morbidity associated with♥️disease in🤰🏾
#CardioOB
@CardioWebinar
@bjca
@iDrSunny
@rcgp
should be all over this misrepresentation of what a generalist practitioner is. It completely undermines GPs & their expertise & falsely implies a level of knowledge that other HCP don’t have
A reminder that the
#ACNAP
Core Curriculum for Cardiovascular Nurses & Allied Professionals is free to access. Have you read it yet?
Coming soon: more information on
#ACNAP
certification & tools to support us in
#cardiovascular
knowledge & skills
Delighted to have been selected to participate in the
@JCardFail
Peer Reviewer Mentorship Program
Looking forward to working with fellow mentees, mentors &
#JCF
leadership
@robmentz
@dranulala
Applications are open for
#JCF
's 2024 Reviewer Mentorship Program! 🎉
If you have a passion for HF academia and want to delve into the world of peer review publishing, this program is made for you.
🔗 Apply and learn more:
‼️Non-medical
#CVD
HCP in🏴‼️
We need your feedback on the proposed development of a professional network for🫀🏴nurses & allied professionals to promote & support
- CVD knowledge
-research & application in practice
-advanced practice
Survey takes 1 min:🔗
Have you seen
@GlobalHeartHub
patient friendly
#heartfailure
guide & short summary sheets on:
- What is HF
- Diagnosis
- Treatments
- Devices
- Hospital treatment
-
#CardiacRehab
& ACP
- Living with HF
- Key questions to ask your HCP
Find them at
@BigBaldDr
@Anniedroid_
@TrishikaSuji
It’s not just this post I’m referring to it’s the constant stream of tweets like
why can’t I be a PA?they make more money than me & they don’t do..
why can’t I do band 7 nurse job,I’ve got more debt than them
Fight for better💰for Drs,don’t do it by bringing down other HCP roles
@AmandaPritchard
Usual wanky buzzwords & statements with no substance or £ to support
There won’t be an NHS workforce, or a private workforce if that is your aim,if you fail to actively see the reality of study & working in healthcare & what is really needed to make improvement
Put some effort in
@Pauline05835184
@LancsHospCITeam
Discharge lounges-fine they have a role but 7am?! Why do we undermine the importance of sleep in hospital environments? This is not how I would want one of my relatives treated never mind the impracticality of this being undertaken at a time when there are less people on shift
🌟
@theRCN
Patient Choice Award🌟
Please vote for my friend & colleague Yvonne Millerick, recognised by patients & relatives for consistently high levels of holistic care, professionalism, commitment & compassion in
#heartfailure
palliative care
Vote
Journal of
#GPN
highlight how
@BSHNurseForum
#HeartFailure
competency framework can support
#GP
nurses recognise HF, support patients living with HF & identify patients who need referral to HF specialists
Building resilience in the HF pathway
#knowyourMDT
Delighted to see some of great work of
@NHSGGC
south
#heartfailure
team on display at
@BSHeartFailure
conference
A great team working to optimise the HF pathway for better patient outcomes
@mmamas1973
I am in complete agreement that the role needs tighter scope & regulation & that PA shouldn’t be seeing undifferentiated patients
However I don’t agree with singling out PA as if they are the only group of HCP who make mistakes leading to morbidity/mortality
📢We need your feedback
Over the next few months the🏴Scottish Obstetric Cardiology Network will release documents for healthcare professional consultation
The first batch focus on acute cardiovascular presentations in🤰🏾/post-partum:
🔗
#CardioObstetrics
@alisonleary1
@LeanneHPatrick
Completely inappropriate of you to suggest someone is not fit to be a CNS just because they hold a different view from you
She at least has demonstrated awareness of scope of practice as well as the importance of her role, that should be commended, not belittled
Fab day at the 🔟 anniversary of
#HeartFailure
Hub🏴
Great programme & faculty
Catching up with friends & colleagues
Engaging with sponsors & third sector organisations
Celebrating the success of the Hub & next steps
Thanks to
@Leeannemacklin
@clarelmurphy
Alan Japp,
#EuroHeartCare
@foziaahmedMD
highlights reactive management of
#HeartFailure
at time of hospitalisation with decompensated HF
What role can remote monitoring of devices play in proactive management: early recognition of⬇️HF & prevention of hospitalisation?
@KateBurkeNHS
We don’t have children through choice & I am more than happy to contribute to supporting children & anyone else financially less fortunate than us. I say that as someone who at times was eligible for free school meals as a child & glad to be in a position where I can contribute
Advanced nurse roles in cardiovascular care
-challenges & opportunities
-examples of advanced nursing practice in hypertension &
#ACHD
transition
-what does the future look like?
Join us at
#ESCCongress
on Saturday for further discussion
#ACNAP
@MoonsPhilip
@EkateriniL
@VOriolo
Final meeting of the 2020-22
@escardio
#ACNAP
education committee
Thanks
@cvnurselin
for being a fabulous chair & mentor & to the committee for their contribution to ongoing education of
#CVD
#nurses
#AHP
Lots of exciting work to do in 2022-24, see you all after the summer 🌞😎
@ollieburtonmed
@IsMiseStiofan
Because the reality is this role is no where near equivalent to ST3 or above. It’s nonsense and sets unrealistic expectations. This training opportunity supports a competent individual to learn & work within a defined scope of practice complimenting the MDT
Delighted to see the launch of
@online_his
🏴local & regional standards for
#congenitalheartdisease
A lot of work from the🏴
#CHD
community has gone in to this & a big 🙏🏾 to Drs Patrick Gibson & Patric Noonan for chairing this group & the HIS team
#ACHD
@dr_benoy_n_shah
@RCPhysicians
All Royal Colleges & regularity bodies (medical & non-medical)need to grow a pair, work together & be very clear that this is not ok
All HCP have an important role & there’s plenty work for all but Drs have their training pathway for a reason & patients deserve appropriate access
❣️ADULT CONGENITAL HEART DISEASE CLINICAL NURSE SPECIALIST VACANCY❣️
Scottish Adult Congenital Cardiac Service
@JubileeHospital
If you like
#cardiology
,
#ACHD
nursing has so much to offer
If interested/want to know more get in touch
🔗
🙏🏻to Richard Mindham for taking time out at
#ESCCongress
to record a new video for
-strategies to manage HF
-involvement in policy & guideline development
-perspectives quality of life v quantity
Look out for this & our ask the expert series coming soon