#WeNurses - Thursday 22nd September 2016 8pm (GMT Standard Time)
Reducing surgical site infections
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Reducing surgical site infections
Ahead of the Patient First Conference on 22 & 23 November we are taking time to explore one of the topics being presented; Judith Tanner (Professor in Adult Nursing at the University of Nottingham) will be presenting on “Surgical site infections: how are we going to reduce them?” and we will be exploring this topic during this #WeNurses discussion.
NICE (2013) state that “Surgical site infection accounts for about 16% of all healthcare-associated infections (HCAI’s) in England.” This comes below Respiratory Tract Infections (accounting for 23% of HCAI’s) and Urinary Tract Infections (accounting for 17%of HCAI’s.) Nearly 8% of patients undergoing a surgical procedure develop an infection (Health Protection Agency, 2012) The impact of these infections cost on cost to the NHS and cost to the people we care for can be significant, Archyangelio(2016) says Surgical site infections “have a negative impact on patient care, place a socio economic burden on all involved and are associated with:
· Significant clinical, social and financial cost;
· Lost bed days;
· Morbidity”
A study by Brown, Tanner and Padley (2014)entitled “This wound has spoilt everything’:emotional capital and the experience of surgical site infections” clearly outlines the human coatto surgical site infections, in one interview a study participant stated:
“The day before was the Thursday and we had gone to register the baby in town and I was sort of OK and had a gentle walk round. And then on the Friday morning I struggled to get up and it was uncomfortable, we went to Sainsbury's to do a bit of shopping and half way round I couldn't walk. I was shuffling and I was in such a lot of pain I said, ‘I don't know what's wrong,something is not right’. And it really frightened me. We came home and I was struggling to get up off the settee and I said, ‘Something isn't right, I don't know if it's an infection or what it is’. I went to bed that night and struggled to get out of bed in the night to get him up to feed him. My husband had to get up and get him out while I went back to how it was first was. I felt like I had stepped straight back to the day after I'd had my operation because I had to be careful how I got out the bed, the pain was really bad. By Saturday morning my husband said, ‘We need to ring the hospital’ because I was in so much pain, we didn't know what to be. Because it was a weekend you don't know who to ring, I had been discharged by the midwife, I didn't know what to do. So in the end we toughed it out over the weekend and I went to the doctors on the Monday and she had a look and she said she suspected I had got a womb infection from the surgery and the wound itself was infected”
With the impact of surgical site infections being so costly the question is how can we stop these infections from taking hold in the first place? One suggestion is the implementation of care bundles; a systematic review “Dosurgical care bundles reduce the risk of surgical site infectionsin patients undergoing colorectal surgery? A systematic review and cohort meta-analysis of 8,515 patients.” By Tanner et al (2015) found that the use of surgical care bundles in patients undergoing colorectal surgery significantly reduced the risk of surgical site infections.
This #WeNurses discussion is being held in collaboration with @Patient_First and will explore some of the following questions:
- What is a surgical site infection?
- What are the implications of a surgical site infection?
- What causes surgical site infections?
- Who is most at risk of surgical site infections?
- How do we reduce the incidence of surgical site infections?
- How can care bundles help?
Patient First is a conference and showcase for UK patient safety taking place on 22nd & 23rd November at London’s ExCeL. This two day event will provide strategic and practical education for doctors, nurses, pharmacists, the management community and other healthcare professionals in the NHS and the independent sector provider and commissioner communities. Education grants have been distributed, and @wenurses are delighted to have a limited allocation so please register for your place at www.patientfirstuk.com and use voucher code TW4 to waiver the £399 + VAT fee before they run out!
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Chat Summary
This discussion started by asking:
Participants provided the following answers:
The next question addressed the implications of surgical site infections:
The causes of surgical site infections were discussed:
Reducing the incidence of surgical site infections was touched upon:
This discussion was part of a lead up to Dr Judith Tanner speaking at the Patients First Conference:
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#WeNurses transcript
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@WeNurses
22 September 2016 20:00
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Good evening and welcome to tonights #WeNurses - please say hello if you are joining us in discussing Surgical Site Infections |
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@AgencyNurse
22 September 2016 20:00
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Hello Teresa here #WeNurses |
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@DrJudithTanner
22 September 2016 20:01
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#WeNurses @DrJudithTanner here and looking forward to discussion on SSI |
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@WeNurses
22 September 2016 20:02
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Tonights discussion is pre the #PtFirst16 conference - where @DrJudithTanner will be presenting re surgical site infections #WeNurses |
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@WeNurses
22 September 2016 20:02
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Hi Kay #WeNurses https://twitter.com/fussy1958/status/779032848867155968 |
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@WeNurses
22 September 2016 20:02
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Good idea - shall we agree that SSI = Surgical Site Infections #WeNurses https://twitter.com/DrJudithTanner/status/779033065305870336 |
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@carolgair
22 September 2016 20:03
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@WeNurses evening! Theatre nurse for 20yrs. Currently managing a dermatology surgical unit. And moonlighting for liver transplants #wenurses |
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@WeNurses
22 September 2016 20:03
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FIRST QUESTION What is a surgical site infection? #WeNurses https://t.co/H0VADUKMkK |
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@WeNurses
22 September 2016 20:04
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Wow fab to have you here Carol #Wenurses https://twitter.com/carolgair/status/779033341836271616 |
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@Patient_First
22 September 2016 20:04
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Get your questions ready for @DrJudithTanner #PtFirst16 #patientsafety #WeNurses https://twitter.com/DrJudithTanner/status/779032894287319040 |
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@WeNurses
22 September 2016 20:04
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#WeNurses > https://twitter.com/DrJudithTanner/status/779033387126456320 |
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@pennyllr62
22 September 2016 20:04
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#memphis #emergencyroom #WeNurses #ThankfulThursday #EverybodysGotSomething #enough #humpday #seetheworld… https://twitter.com/i/web/status/779033641867481088 |
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@WeNurses
22 September 2016 20:04
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Hello there #WeNurses https://twitter.com/lilian_chiwera/status/779033207694057472 |
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@WeNurses
22 September 2016 20:04
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WELCOME to #wenurses everyone! Do remember to add #wenurses to your tweets so people not following you (yet) don't… https://twitter.com/i/web/status/779033659768733698 |
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@AgencyNurse
22 September 2016 20:04
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RT @WeNurses: WELCOME to #wenurses everyone! Do remember to add #wenurses to your tweets so people not following you (yet) don't miss your… |
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@Patient_First
22 September 2016 20:05
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RT @WeNurses: WELCOME to #wenurses everyone! Do remember to add #wenurses to your tweets so people not following you (yet) don't miss your… |
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@FenoUnam
22 September 2016 20:05
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RT @WeNurses: Good idea - shall we agree that SSI = Surgical Site Infections #WeNurses https://twitter.com/DrJudithTanner/status/779033065305870336 |
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@munro_sara
22 September 2016 20:05
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RT @WeNurses: #WeNurses on Investigating Deaths - all summarised here > http://buff.ly/2dcLsx8 https://t.co/Jl3kVDxaxZ |
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@AgencyNurse
22 September 2016 20:05
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An infection in a surgical wound #WeNurses One would assume at any point ? Could be weeks later ? https://twitter.com/WeNurses/status/779033441300086788 |
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@Patient_First
22 September 2016 20:05
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RT @WeNurses: Wow fab to have you here Carol #Wenurses https://twitter.com/carolgair/status/779033341836271616 |
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@Patient_First
22 September 2016 20:05
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RT @WeNurses: FIRST QUESTION What is a surgical site infection? #WeNurses https://t.co/H0VADUKMkK |
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@mynameisAndyJ
22 September 2016 20:05
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RT @WeNurses: WELCOME to #wenurses everyone! Do remember to add #wenurses to your tweets so people not following you (yet) don't miss your… |
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@Patient_First
22 September 2016 20:05
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RT @WeNurses: Good idea - shall we agree that SSI = Surgical Site Infections #WeNurses https://twitter.com/DrJudithTanner/status/779033065305870336 |
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@carolgair
22 September 2016 20:06
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@WeNurses a risk of all surgery. And a significant complication and drain on healthcare resource. Best avoided #wenurses |
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@AgencyNurse
22 September 2016 20:06
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Ahh is it only during surgery ? #WeNurses > https://twitter.com/DrJudithTanner/status/779033641200517121 |
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@AgencyNurse
22 September 2016 20:06
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RT @carolgair: @WeNurses a risk of all surgery. And a significant complication and drain on healthcare resource. Best avoided #wenurses |
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@WeNurses
22 September 2016 20:06
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RT @carolgair: @WeNurses a risk of all surgery. And a significant complication and drain on healthcare resource. Best avoided #wenurses |
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@AgencyNurse
22 September 2016 20:07
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Interesting so monitoring and recording and learning key #WeNurses https://twitter.com/DrJudithTanner/status/779034006083997700 |
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@AgencyNurse
22 September 2016 20:08
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@carolgair @WeNurses and, of course, not forgetting the human cost to the patient #WeNurses |
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@lilian_chiwera
22 September 2016 20:08
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@DrJudithTanner hello look forward to the discussion #WeNurses #SSI |
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@DrJudithTanner
22 September 2016 20:08
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@WeNurses Good surveillance is a good place to start #WeNurses |
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@MarkPharmacist
22 September 2016 20:08
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An infection caused by a deliberate intervention that breaks the skin? #WeNurses |
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@WeNurses
22 September 2016 20:09
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NEXT QUESTION What are the implications of a surgical site infection? #WeNurses https://t.co/v2BQKyIi95 |
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@carolgair
22 September 2016 20:09
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@DrJudithTanner @WeNurses how is the data captured? Ours are all relatively low risk in Derm, national rate low. #wenurses |
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@AgencyNurse
22 September 2016 20:09
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Nice definition ! #Wenurses https://twitter.com/TheMMP1/status/779034753051787264 |
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@Patient_First
22 September 2016 20:09
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RT @carolgair: @WeNurses a risk of all surgery. And a significant complication and drain on healthcare resource. Best avoided #wenurses |
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@lilian_chiwera
22 September 2016 20:10
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?? @DrJudithTanner @WeNurses establishing a baseline always critical in #SSI prevention #WeNurses |
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@carolgair
22 September 2016 20:10
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@WeNurses longer stay, poor/delayed healing, increased mortality and morbidity. Increased scrutiny. Loss of reputation #wenurses |
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@DrJudithTanner
22 September 2016 20:11
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@carolgair @WeNurses Gold standard is contacting every patient 30 days after surgery #WeNurses |
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@BPinNursing
22 September 2016 20:11
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LIVE NOW: "How can we reduce surgical site infections?" Chat with #WeNurses & @Patient_First |
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@sheffnurse
22 September 2016 20:11
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@WeNurses increased cost to NHS, increased hospital stay and aftercare, increased suffering for patient, risk of sepsis #wenurses |
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@AgencyNurse
22 September 2016 20:11
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Re implications - this is interesting > This wound has spoilt everything http://onlinelibrary.wiley.com/doi/10.1111/1467-9566.12160/full Huge impact on pts #WeNurses |
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@MarkPharmacist
22 September 2016 20:11
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Infection can cause anything from redness, soreness to sepsis and death #WeNurses |
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@BPinNursing
22 September 2016 20:11
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RT @carolgair: @WeNurses a risk of all surgery. And a significant complication and drain on healthcare resource. Best avoided #wenurses |
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@WeNurses
22 September 2016 20:12
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Lots of implications ! #WeNurses https://twitter.com/sheffnurse/status/779035443891433472 |
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@AgencyNurse
22 September 2016 20:12
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RT @TheMMP1: Infection can cause anything from redness, soreness to sepsis and death #WeNurses |
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@WeNurses
22 September 2016 20:12
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RT @TheMMP1: Infection can cause anything from redness, soreness to sepsis and death #WeNurses |
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@BeingSaru
22 September 2016 20:12
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RT @TheMMP1: Infection can cause anything from redness, soreness to sepsis and death #WeNurses |
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@Patient_First
22 September 2016 20:12
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Got any questions on "How can we reduce surgical site infections?" @DrJudithTanner live on #WeNurses chat right now https://twitter.com/BPinNursing/status/779035420814368768 |
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@WeNurses
22 September 2016 20:12
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Does this happen everywhere ? #WeNurses https://twitter.com/DrJudithTanner/status/779035371413929984 |
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@sheffnurse
22 September 2016 20:12
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RT @TheMMP1: Infection can cause anything from redness, soreness to sepsis and death #WeNurses |
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@WeNurses
22 September 2016 20:12
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RT @lilian_chiwera: ?? @DrJudithTanner @WeNurses establishing a baseline always critical in #SSI prevention #WeNurses |
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@lilian_chiwera
22 September 2016 20:12
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@DrJudithTanner @WeNurses how do we manage that with current limited resources in the NHS #WeNurses #SSIS https://twitter.com/drjudithtanner/status/779035371413929984 |
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@Patient_First
22 September 2016 20:13
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RT @TheMMP1: Infection can cause anything from redness, soreness to sepsis and death #WeNurses |
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@Patient_First
22 September 2016 20:13
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RT @lilian_chiwera: ?? @DrJudithTanner @WeNurses establishing a baseline always critical in #SSI prevention #WeNurses |
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@Patient_First
22 September 2016 20:13
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RT @WeNurses: Does this happen everywhere ? #WeNurses https://twitter.com/DrJudithTanner/status/779035371413929984 |
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@DrJudithTanner
22 September 2016 20:14
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@lilian_chiwera @WeNurses #WeNurses text messaging patients is cheap |
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@AgencyNurse
22 September 2016 20:14
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We had a family member who had an SSI - huge amount of pain and distress and lots of DN input for a year after #WeNurses |
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@Patient_First
22 September 2016 20:14
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RT @WeNurses: NEXT QUESTION What are the implications of a surgical site infection? #WeNurses https://t.co/v2BQKyIi95 |
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@MarkPharmacist
22 September 2016 20:14
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RT @DrJudithTanner: @carolgair @WeNurses Gold standard is contacting every patient 30 days after surgery #WeNurses |
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@AgencyNurse
22 September 2016 20:14
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Needless to say the "cost" on all levels was huge ! #WeNurses https://twitter.com/AgencyNurse/status/779036076866433024 |
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@carolgair
22 September 2016 20:14
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@DrJudithTanner @WeNurses how as nurses do we or can we influence this or get involved? What is our role and responsibility? #wenurses |
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@WeNurses
22 September 2016 20:15
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How a simple text message can help #WeNurses https://twitter.com/DrJudithTanner/status/779036073842319360 |
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@DrJudithTanner
22 September 2016 20:15
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@WeNurses #WeNurses No, most hospitals do some follow up, but not enough |
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@MarkPharmacist
22 September 2016 20:15
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Many infections present late 7-10 days after procedure #WeNurses https://twitter.com/drjudithtanner/status/779035371413929984 |
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@WeNurses
22 September 2016 20:15
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A good question #Wenurses https://twitter.com/carolgair/status/779036230591868928 |
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@WeNurses
22 September 2016 20:15
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RT @DrJudithTanner: @WeNurses #WeNurses No, most hospitals do some follow up, but not enough |
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@lilian_chiwera
22 September 2016 20:15
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@DrJudithTanner @WeNurses that's a great idea. I suppose there is ways to automate this process #WeNurses #SSIS https://twitter.com/drjudithtanner/status/779036073842319360 |
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@AgencyNurse
22 September 2016 20:16
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wow thats very interesting #WeNurses https://twitter.com/TheMMP1/status/779036397164457984 |
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@DrJudithTanner
22 September 2016 20:16
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@carolgair @WeNurses #WeNurses do surveillance on a small number of patients and share the data |
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@lilian_chiwera
22 September 2016 20:16
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RT @WeNurses: A good question #Wenurses https://twitter.com/carolgair/status/779036230591868928 |
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@nyraksniktaw
22 September 2016 20:17
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RT @EmmaLDNurse: @WeNurses I think @UniSouthWales must be doing everything right as I feel totally supported #wenurses |
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@Patient_First
22 September 2016 20:17
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great question #wenurses https://twitter.com/WeNurses/status/779036437094293509 |
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@WeNurses
22 September 2016 20:17
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NEXT QUESTION What causes surgical site infections? #WeNurses https://t.co/xGQRw7aPC0 |
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@MarkPharmacist
22 September 2016 20:17
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RT @AgencyNurse: wow thats very interesting #WeNurses https://twitter.com/TheMMP1/status/779036397164457984 |
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@Patient_First
22 September 2016 20:17
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RT @DrJudithTanner: @WeNurses #WeNurses No, most hospitals do some follow up, but not enough |
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@Patient_First
22 September 2016 20:17
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RT @DrJudithTanner: @lilian_chiwera @WeNurses #WeNurses text messaging patients is cheap |
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@Patient_First
22 September 2016 20:17
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RT @lilian_chiwera: @DrJudithTanner @WeNurses how do we manage that with current limited resources in the NHS #WeNurses #SSIS https://t.co… |
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@DrJudithTanner
22 September 2016 20:17
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@WeNurses #WeNurses ask the patient to contact you if they've had problems with their wound |
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@AgencyNurse
22 September 2016 20:18
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wow - sorry to hear that - hope you are ok now ? #WeNurses https://twitter.com/TheGiantLady/status/779036825142820864 |
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@AgencyNurse
22 September 2016 20:18
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RT @DrJudithTanner: @WeNurses #WeNurses ask the patient to contact you if they've had problems with their wound |
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@WeNurses
22 September 2016 20:18
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RT @DrJudithTanner: @WeNurses #WeNurses ask the patient to contact you if they've had problems with their wound |
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@carolgair
22 September 2016 20:18
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@DrJudithTanner @lilian_chiwera @WeNurses a lot of Derm pt return for follow up. Not aware unit captures SSI rate in robust way #wenurses |
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@HealthUKTD
22 September 2016 20:18
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RT @TheMMP1: Infection can cause anything from redness, soreness to sepsis and death #WeNurses |
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@DrJudithTanner
22 September 2016 20:18
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@WeNurses #WeNurses bacteria from patients, staff, environment and instruments |
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@SP_Duckworth
22 September 2016 20:19
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Bugs. #WeNurses https://twitter.com/wenurses/status/779036888615313408 |
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@lilian_chiwera
22 September 2016 20:19
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#WeNurses play a big part in #SSIS & I'm talking from experience. Be part of an active #MDT that promote #SSIS https://twitter.com/carolgair/status/779036230591868928 |
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@BPinNursing
22 September 2016 20:19
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Great best practice ideas coming out of the #Wenurses chat live... https://twitter.com/DrJudithTanner/status/779036646113173504 |
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@DrJudithTanner
22 September 2016 20:19
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@carolgair @lilian_chiwera @WeNurses #WeNurses when do they come for follow up ? 2 weeks ? |
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@lilian_chiwera
22 September 2016 20:20
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RT @DrJudithTanner: @WeNurses #WeNurses bacteria from patients, staff, environment and instruments |
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@MarkPharmacist
22 September 2016 20:20
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Bacteria that are already on / in the skin are the main cause, but bacteria can be introduced #WeNurses |
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@carolgair
22 September 2016 20:20
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@DrJudithTanner @WeNurses our SSI rate doesn't create significant issues. Argument procedures not sterile. ?data collection valued #wenurses |
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@AgencyNurse
22 September 2016 20:20
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Cross infection, contamination, and sadly low standards #WeNurses https://twitter.com/WeNurses/status/779036888615313408 |
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@PSMJW
22 September 2016 20:20
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@WeNurses an infection in a recent (90 day) surgical wound... #WeNurses |
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@AgencyNurse
22 September 2016 20:21
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Thank you - that makes sense #WeNurses https://twitter.com/PSMJW/status/779037542356226048 |
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@WeNurses
22 September 2016 20:21
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RT @DrJudithTanner: @WeNurses #WeNurses bacteria from patients, staff, environment and instruments |
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@DrJudithTanner
22 September 2016 20:21
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@PSMJW @AgencyNurse @WeNurses #WeNurses national guidelines says 30 days & 1 year for implants but you'll find infections later than 30 days |
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@WeNurses
22 September 2016 20:21
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RT @PSMJW: @WeNurses an infection in a recent (90 day) surgical wound... #WeNurses |
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@lilian_chiwera
22 September 2016 20:21
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#WeNurses can make a very positive contribution to reducing #SSI risk linked to the below @WeNurses @DrJudithTanner https://twitter.com/drjudithtanner/status/779037280929538049 |
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@AgencyNurse
22 September 2016 20:21
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Thanks Judith #Wenurses https://twitter.com/DrJudithTanner/status/779037883680382977 |
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@lilian_chiwera
22 September 2016 20:21
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RT @DrJudithTanner: @WeNurses #WeNurses bacteria from patients, staff, environment and instruments |
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@WeNurses
22 September 2016 20:21
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RT @lilian_chiwera: #WeNurses play a big part in #SSIS & I'm talking from experience. Be part of an active #MDT that promote #SSIS https:/… |
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@carolgair
22 September 2016 20:22
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@DrJudithTanner @lilian_chiwera @WeNurses 1-2 wks usually. Small skin grafts or local flaps under LA. Or 2nd intention healing #wenurses |
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@DrJudithTanner
22 September 2016 20:22
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@carolgair @WeNurses #WeNurses patients are usually treated for SSI in primary care so hospitals often don't know about them |
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@AgencyNurse
22 September 2016 20:22
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@lilian_chiwera i think you are right - nurses do have a huge role to play both in reducing SSIs and spotting signs early on #WeNurses |
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@AgencyNurse
22 September 2016 20:22
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@FoxHedgehog nice :D #WeNurses |
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@WeNurses
22 September 2016 20:22
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#wenurses https://twitter.com/PSMJW/status/779038166623944708 |
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@lilian_chiwera
22 September 2016 20:23
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RT @DrJudithTanner: @WeNurses #WeNurses ask the patient to contact you if they've had problems with their wound |
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@Patient_First
22 September 2016 20:23
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#wenurses What causes surgical site infections? @DrJudithTanner #PtFirst16 https://twitter.com/PSMJW/status/779037745968742400 |
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@diddymcc
22 September 2016 20:23
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RT @DrJudithTanner: @WeNurses #WeNurses No, most hospitals do some follow up, but not enough |
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@DannGoodingRN
22 September 2016 20:23
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@WeNurses a bit late but I'll lurk #WeNurses |
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@DrJudithTanner
22 September 2016 20:23
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@carolgair @lilian_chiwera @WeNurses #WeNurses not much SSI data on dermatology but you might be surprised - laparascopic is high |
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@AgencyNurse
22 September 2016 20:23
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Are pts screened routinely pre op now for things like MRSA that may affect this? #WeNurses https://twitter.com/TheMMP1/status/779037618382266369 |
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@DannGoodingRN
22 September 2016 20:24
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RT @WeNurses: FIRST QUESTION What is a surgical site infection? #WeNurses https://t.co/H0VADUKMkK |
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@DannGoodingRN
22 September 2016 20:24
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RT @carolgair: @WeNurses a risk of all surgery. And a significant complication and drain on healthcare resource. Best avoided #wenurses |
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@DannGoodingRN
22 September 2016 20:24
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RT @AgencyNurse: @carolgair @WeNurses and, of course, not forgetting the human cost to the patient #WeNurses |
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@lilian_chiwera
22 September 2016 20:24
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RT @DrJudithTanner: @carolgair @WeNurses #WeNurses patients are usually treated for SSI in primary care so hospitals often don't know about… |
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@PSMJW
22 September 2016 20:24
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Forgetting the #WeNurses tag... been a long time since I caught the debate live! |
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@eczemasupport
22 September 2016 20:24
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RT @AgencyNurse: Are pts screened routinely pre op now for things like MRSA that may affect this? #WeNurses https://twitter.com/TheMMP1/status/779037618382266369 |
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@Patient_First
22 September 2016 20:24
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What causes surgical site infections? ask @DrJudithTanner now #WeNurses #PtFirst16 https://twitter.com/PSMJW/status/779037745968742400 |
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@Patient_First
22 September 2016 20:24
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RT @lilian_chiwera: #WeNurses play a big part in #SSIS & I'm talking from experience. Be part of an active #MDT that promote #SSIS https:/… |
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@DannGoodingRN
22 September 2016 20:24
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RT @WeNurses: NEXT QUESTION What are the implications of a surgical site infection? #WeNurses https://t.co/v2BQKyIi95 |
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@WeNurses
22 September 2016 20:24
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@DannGooding late lurkers welcome #WeNurses |
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@DannGoodingRN
22 September 2016 20:25
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@carolgair @WeNurses I think also a loss of trust from people who use the NHS... #WeNurses |
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@DannGoodingRN
22 September 2016 20:25
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RT @TheMMP1: Infection can cause anything from redness, soreness to sepsis and death #WeNurses |
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@carolgair
22 September 2016 20:26
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@DrJudithTanner @lilian_chiwera @WeNurses I have a great resource - a retired senior IPC nurse working part time! ?????? #wenurses |
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@AgencyNurse
22 September 2016 20:26
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@DannGooding @carolgair @WeNurses yes i think you are right - have seen this . Also increase in fear in subsequent procedures #WeNurses |
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@fussy1958
22 September 2016 20:26
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RT @lilian_chiwera: #WeNurses play a big part in #SSIS & I'm talking from experience. Be part of an active #MDT that promote #SSIS https:/… |
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@lilian_chiwera
22 September 2016 20:26
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Empowering pts pre adm & prior to discharge v. important for reducing #SSI risk @WeNurses @DrJudithTanner #WeNurses https://twitter.com/wenurses/status/779038281606500352 |
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@DrJudithTanner
22 September 2016 20:27
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@WeNurses #WeNurses Do you do pre-operative warming ? |
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@DannGoodingRN
22 September 2016 20:27
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@WeNurses @DrJudithTanner @carolgair I had 3 months on a surgical ward. I heard the 30 day rule applied to some not all patients. #WeNurses |
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@DannGoodingRN
22 September 2016 20:27
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RT @lilian_chiwera: ?? @DrJudithTanner @WeNurses establishing a baseline always critical in #SSI prevention #WeNurses |
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@DrJudithTanner
22 September 2016 20:27
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@carolgair @lilian_chiwera @WeNurses #WeNurses An HCA can collect SSI data and is cheaper |
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@DannGoodingRN
22 September 2016 20:28
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RT @WeNurses: How a simple text message can help #WeNurses https://twitter.com/DrJudithTanner/status/779036073842319360 |
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@lilian_chiwera
22 September 2016 20:28
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RT @WeNurses: #wenurses https://twitter.com/PSMJW/status/779038166623944708 |
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@WeNurses
22 September 2016 20:28
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NEXT QUESTION How do we reduce the incidence of surgical site infections? #WeNurses https://t.co/ZwAo8I6qeV |
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@DannGoodingRN
22 September 2016 20:28
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RT @WeNurses: A good question #Wenurses https://twitter.com/carolgair/status/779036230591868928 |
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@carolgair
22 September 2016 20:28
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@DrJudithTanner @WeNurses our trust introducing pre-op warming awareness for main theatre. Temp recordings. #wenurses |
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@DrJudithTanner
22 September 2016 20:28
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@carolgair @lilian_chiwera @WeNurses #WeNurses You're very lucky. do your surgeons engage ? |
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@WeNurses
22 September 2016 20:28
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Does anyone do this ? #WeNurses https://twitter.com/DrJudithTanner/status/779039331331743744 |
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@DannGoodingRN
22 September 2016 20:28
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@WeNurses @carolgair @DrJudithTanner Sounds like another job for another nurse - led project! #WeNurses |
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@CherylCassidy80
22 September 2016 20:28
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@DrJudithTanner @AgencyNurse @WeNurses when I'm giving wound care advice I always ask them to speak to PN or GP if any signs inf #WeNurses |
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@CherylCassidy80
22 September 2016 20:29
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RT @DrJudithTanner: @WeNurses #WeNurses ask the patient to contact you if they've had problems with their wound |
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@DannGoodingRN
22 September 2016 20:29
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RT @DrJudithTanner: @WeNurses #WeNurses bacteria from patients, staff, environment and instruments |
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@BPinNursing
22 September 2016 20:29
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RT @carolgair: @DrJudithTanner @WeNurses our trust introducing pre-op warming awareness for main theatre. Temp recordings. #wenurses |
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@DrJudithTanner
22 September 2016 20:29
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@carolgair @WeNurses #WeNurses Do all patients get it ? Did it make a difference ? |
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@MarkPharmacist
22 September 2016 20:29
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@AgencyNurse they should be #WeNurses |
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@carolgair
22 September 2016 20:29
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@WeNurses evidence chlorhexidine skin prep more effective than iodine. But guidance not robust to say alcohol based #wenurses |
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@PSMJW
22 September 2016 20:30
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@WeNurses I think a good surveillance programme and investigation of known cases to establish origins of inf #WeNurses |
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@DannGoodingRN
22 September 2016 20:30
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@DrJudithTanner @WeNurses As long as signs of problems with wounds are taught... #WeNurses |
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@DannGoodingRN
22 September 2016 20:30
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RT @PSMJW: @WeNurses an infection in a recent (90 day) surgical wound... #WeNurses |
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@WeNurses
22 September 2016 20:30
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RT @PSMJW: @WeNurses I think a good surveillance programme and investigation of known cases to establish origins of inf #WeNurses |
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@CherylCassidy80
22 September 2016 20:30
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RT @AgencyNurse: Interesting so monitoring and recording and learning key #WeNurses https://twitter.com/DrJudithTanner/status/779034006083997700 |
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@DannGoodingRN
22 September 2016 20:30
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RT @WeNurses: @DannGooding late lurkers welcome #WeNurses |
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@WeNurses
22 September 2016 20:30
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Thanks Carol #Wenurses https://twitter.com/carolgair/status/779040053964185600 |
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@Patient_First
22 September 2016 20:31
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NEXT QUESTION for @DrJudithTanner How do we reduce the incidence of surgical site infections? #wenurses #PtFirst16 https://twitter.com/WeNurses/status/779039658583977984 |
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@carolgair
22 September 2016 20:31
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@DrJudithTanner @lilian_chiwera @WeNurses it's new. Communication from Theatre Manager asking wards to cooperate. #wenurses |
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@DannGoodingRN
22 September 2016 20:31
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@WeNurses Don't have surgery... jokes. Policy's and frameworks are there for a reason. Follow them. #WeNurses |
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@lilian_chiwera
22 September 2016 20:32
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We are using very valued band 3 HCAs in our Trust and they do an amazing job #SSIS @WeNurses #WeNurses https://twitter.com/drjudithtanner/status/779039552157716480 |
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@CherylCassidy80
22 September 2016 20:32
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RT @TheMMP1: Infection can cause anything from redness, soreness to sepsis and death #WeNurses |
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@Patient_First
22 September 2016 20:32
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@DrJudithTanner will be speaking at PF on Tue 22 Nov at 11:20-11:55 on Surgical site infections: how are we going to reduce them? #WeNurses |
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@CherylCassidy80
22 September 2016 20:32
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RT @AgencyNurse: Needless to say the "cost" on all levels was huge ! #WeNurses https://twitter.com/AgencyNurse/status/779036076866433024 |
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@DrJudithTanner
22 September 2016 20:32
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@carolgair @WeNurses #WeNurses Definitely chlorhexidine and alcohol is best |
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@DannGoodingRN
22 September 2016 20:32
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@WeNurses @DrJudithTanner I'm intrigued, what is that? #WeNurses |
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@AgencyNurse
22 September 2016 20:32
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This seems sensible to me - GPN's a great source of help and support #WeNurses https://twitter.com/CherylCassidy80/status/779039812019949568 |
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@WeNurses
22 September 2016 20:32
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RT @DrJudithTanner: @carolgair @WeNurses #WeNurses Definitely chlorhexidine and alcohol is best |
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@carolgair
22 September 2016 20:33
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@DrJudithTanner @WeNurses think too early to say. Much more aware intra-op now tho. Transplant pt gets 2x Bair Huggers on #wenurses sweat |
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@CherylCassidy80
22 September 2016 20:33
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RT @AgencyNurse: We had a family member who had an SSI - huge amount of pain and distress and lots of DN input for a year after #WeNurses |
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@DannGoodingRN
22 September 2016 20:33
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RT @DrJudithTanner: @carolgair @WeNurses #WeNurses Definitely chlorhexidine and alcohol is best |
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@Patient_First
22 September 2016 20:33
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RT @carolgair: @WeNurses evidence chlorhexidine skin prep more effective than iodine. But guidance not robust to say alcohol based #wenurses |
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@DannGoodingRN
22 September 2016 20:33
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RT @WeNurses: Thanks Carol #Wenurses https://twitter.com/carolgair/status/779040053964185600 |
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@Patient_First
22 September 2016 20:33
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RT @DrJudithTanner: @carolgair @WeNurses #WeNurses Definitely chlorhexidine and alcohol is best |
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@Patient_First
22 September 2016 20:33
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RT @PSMJW: @WeNurses I think a good surveillance programme and investigation of known cases to establish origins of inf #WeNurses |
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@sheffnurse
22 September 2016 20:33
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@WeNurses be the patient's advocate #WeNurses |
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@AgencyNurse
22 September 2016 20:34
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Found this http://ebn.bmj.com/content/5/2/48.full may explain #WeNurses #EBP https://twitter.com/DannGooding/status/779040662863872000 |
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@Patient_First
22 September 2016 20:34
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RT @DrJudithTanner: @WeNurses #WeNurses Do you do pre-operative warming ? |
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@Patient_First
22 September 2016 20:34
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RT @carolgair: @DrJudithTanner @WeNurses our trust introducing pre-op warming awareness for main theatre. Temp recordings. #wenurses |
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@lilian_chiwera
22 September 2016 20:34
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#surgeons are people like us #WeNurses, we just have to find a way of engaging them they also want best care for pts https://twitter.com/drjudithtanner/status/779039741400473600 |
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@DrJudithTanner
22 September 2016 20:34
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@carolgair @lilian_chiwera @WeNurses #WeNurses pre-op warming can be done in theatres. Just 15 minutes makes a difference |
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@Patient_First
22 September 2016 20:34
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RT @DrJudithTanner: @carolgair @WeNurses #WeNurses Do all patients get it ? Did it make a difference ? |
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@lucywillbe
22 September 2016 20:34
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@DannGooding @WeNurses @DrJudithTanner http://www.isrctn.com/ISRCTN54949546 #wenurses i had it before an op |
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@WeNurses
22 September 2016 20:34
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#WeNurses - thanks Umesh https://twitter.com/DrUmeshPrabhu/status/779040821895192576 |
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@MarkPharmacist
22 September 2016 20:34
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Not really sure about your statement on alcohol? #WeNurses https://twitter.com/carolgair/status/779040053964185600 |
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@carolgair
22 September 2016 20:34
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@TheMMP1 @WeNurses but our Derm guys use iodine. Plastics - chlorhexidine. #wenurses - plugging away at change |
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@cherylwilson2
22 September 2016 20:34
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@WeDistrictNurse @LouiseMLidbury hello tweeting from Pontypool #cymruambyth ?? #WeNurses @WeNurses |
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@WeNurses
22 September 2016 20:34
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#WeNurses https://twitter.com/TheMMP1/status/779040834364772352 |
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@DrUmeshPrabhu
22 September 2016 20:34
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RT @WeNurses: #WeNurses - thanks Umesh https://twitter.com/DrUmeshPrabhu/status/779040821895192576 |
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@DiverseLearners
22 September 2016 20:34
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@AgencyNurse @TheMMP1 Having op in fortnight and been asked to go to drop in for a MRSA swab/screening. Live East Riding area #WeNurses |
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@WeNurses
22 September 2016 20:34
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Anyone know ? #WeNurses https://twitter.com/chewybacckebubi/status/779040903994417152 |
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@chewybacckebubi
22 September 2016 20:35
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RT @WeNurses: Anyone know ? #WeNurses https://twitter.com/chewybacckebubi/status/779040903994417152 |
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@carolgair
22 September 2016 20:35
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@TheMMP1 @WeNurses aqueous v alcohol based prep, sorry #wenurses |
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@AgencyNurse
22 September 2016 20:35
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@DiverseLearners @TheMMP1 thats good ! Had experience here of pt being asked, was positive but the operated anyway ?? #WeNurses |
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@lilian_chiwera
22 September 2016 20:35
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@DrJudithTanner @carolgair @WeNurses you need a resilient patient focused approach to engage #surgeons #SSI prevention #WeNurses |
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@DrJudithTanner
22 September 2016 20:36
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@carolgair @WeNurses #WeNurses Yes, most effective intra-op warming seems to be 1 underneath and 1 on top, if possible |
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@DannGoodingRN
22 September 2016 20:36
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RT @AgencyNurse: Found this http://ebn.bmj.com/content/5/2/48.full may explain #WeNurses #EBP https://twitter.com/DannGooding/status/779040662863872000 |
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@AgencyNurse
22 September 2016 20:36
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@DiverseLearners @TheMMP1 PS hope you are ok ?? xx #WeNurses |
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@DannGoodingRN
22 September 2016 20:36
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RT @lucywillbe: @DannGooding @WeNurses @DrJudithTanner http://www.isrctn.com/ISRCTN54949546 #wenurses i had it before an op |
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@lilian_chiwera
22 September 2016 20:36
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RT @DrJudithTanner: @carolgair @lilian_chiwera @WeNurses #WeNurses pre-op warming can be done in theatres. Just 15 minutes makes a differen… |
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@CherylCassidy80
22 September 2016 20:36
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@WeNurses providing good quality wound care and good quality wound care advice for pts #WeNurses |
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@Patient_First
22 September 2016 20:36
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Anyone know? #wenurses #PtFirst16 https://twitter.com/chewybacckebubi/status/779040903994417152 |
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@WeNurses
22 September 2016 20:36
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Absolutely - an important part #WeNurses https://twitter.com/sheffnurse/status/779041069988208640 |
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@AgencyNurse
22 September 2016 20:37
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@DannGooding @WeNurses @DrJudithTanner most welcome #WeNurses |
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@Patient_First
22 September 2016 20:37
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RT @DrJudithTanner: @carolgair @lilian_chiwera @WeNurses #WeNurses when do they come for follow up ? 2 weeks ? |
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@Patient_First
22 September 2016 20:37
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RT @DrJudithTanner: @carolgair @lilian_chiwera @WeNurses #WeNurses not much SSI data on dermatology but you might be surprised - laparascop… |
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@WeNurses
22 September 2016 20:37
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RT @DrJudithTanner: @carolgair @lilian_chiwera @WeNurses #WeNurses pre-op warming can be done in theatres. Just 15 minutes makes a differen… |
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@DrJudithTanner
22 September 2016 20:37
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@Vicky0Foster @WeNurses #WeNurses Better for patient to be treated in primary care, but helpful if hospital knows |
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@WeNurses
22 September 2016 20:37
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RT @carolgair: @TheMMP1 @WeNurses but our Derm guys use iodine. Plastics - chlorhexidine. #wenurses - plugging away at change |
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@DannGoodingRN
22 September 2016 20:37
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RT @DrJudithTanner: @carolgair @lilian_chiwera @WeNurses #WeNurses pre-op warming can be done in theatres. Just 15 minutes makes a differen… |
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@Vicky0Foster
22 September 2016 20:37
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#WeNurses sorry forgetting # https://twitter.com/vicky0foster/status/779041234329464832 |
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@DannGoodingRN
22 September 2016 20:37
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RT @WeNurses: #WeNurses - thanks Umesh https://twitter.com/DrUmeshPrabhu/status/779040821895192576 |
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@Patient_First
22 September 2016 20:37
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#WeNurses #infectionprevention #PtFirst16 https://twitter.com/DrUmeshPrabhu/status/779040821895192576 |
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@DannGoodingRN
22 September 2016 20:37
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|
RT @carolgair: @TheMMP1 @WeNurses but our Derm guys use iodine. Plastics - chlorhexidine. #wenurses - plugging away at change |
|
@DannGoodingRN
22 September 2016 20:37
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|
RT @cherylwilson2: @WeDistrictNurse @LouiseMLidbury hello tweeting from Pontypool #cymruambyth ?? #WeNurses @WeNurses |
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@DrUmeshPrabhu
22 September 2016 20:38
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RT @Patient_First: #WeNurses #infectionprevention #PtFirst16 https://twitter.com/DrUmeshPrabhu/status/779040821895192576 |
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@WeNurses
22 September 2016 20:38
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#WeNurses - handwashing still remains one of the best ways to prevent infection #WeNurses https://twitter.com/DrUmeshPrabhu/status/779041209197203456 |
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@lilian_chiwera
22 September 2016 20:38
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@DrJudithTanner @carolgair @WeNurses it's amazing what small changes can make to patient outcomes #SSIprevention #patientsafety #WeNurses |
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@DrUmeshPrabhu
22 September 2016 20:38
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RT @WeNurses: #WeNurses - handwashing still remains one of the best ways to prevent infection #WeNurses https://twitter.com/DrUmeshPrabhu/status/779041209197203456 |
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@DannGoodingRN
22 September 2016 20:38
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|
RT @AgencyNurse: Are pts screened routinely pre op now for things like MRSA that may affect this? #WeNurses https://twitter.com/TheMMP1/status/779037618382266369 |
|
@WeNurses
22 September 2016 20:38
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RT @CherylCassidy80: @WeNurses providing good quality wound care and good quality wound care advice for pts #WeNurses |
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@DrJudithTanner
22 September 2016 20:38
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|
@WeNurses #WeNurses There are some really good SSI patient stories that staff should see |
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@DannGoodingRN
22 September 2016 20:38
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RT @AgencyNurse: @DiverseLearners @TheMMP1 PS hope you are ok ?? xx #WeNurses |
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@CareBuz
22 September 2016 20:39
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RT @WeNurses: #WeNurses - thanks Umesh https://twitter.com/DrUmeshPrabhu/status/779040821895192576 |
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@PaedsNurseGem
22 September 2016 20:39
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I was swabbed (well, I did them myself!) at my recent pre-op appointment #WeNurses https://twitter.com/AgencyNurse/status/779038510187773953 |
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@DrJudithTanner
22 September 2016 20:40
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@carolgair @WeNurses @TheMMP1 #WeNurses It would be really interesting to know what their SSI rate is. Can you give out a questionnaire ? |
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@DannGoodingRN
22 September 2016 20:40
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@AgencyNurse @DiverseLearners @TheMMP1 don't they get put as last on the list? #WeNurses |
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@MarkPharmacist
22 September 2016 20:40
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@carolgair @WeNurses be careful about povidone iodine products - some don't have enough alcohol - so no better than aqueous #WeNurses |
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@Patient_First
22 September 2016 20:40
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@DrJudithTanner taking questions love now on #infectionprevention @WeNurses #WeNurses #PtFirst16 |
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@AgencyNurse
22 September 2016 20:40
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Reducing incidents of SSI's - what about teaching our pts about infection control from the word go #WeNurses |
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@DannGoodingRN
22 September 2016 20:40
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RT @CherylCassidy80: @WeNurses providing good quality wound care and good quality wound care advice for pts #WeNurses |
|
@Patient_First
22 September 2016 20:40
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@DrJudithTanner will be speaking at PF on Tue 22 Nov at 11:20-11:55 on Surgical site infections: how are we going to reduce them? #WeNurses |
|
@DannGoodingRN
22 September 2016 20:40
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RT @WeNurses: #WeNurses - handwashing still remains one of the best ways to prevent infection #WeNurses https://twitter.com/DrUmeshPrabhu/status/779041209197203456 |
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@carolgair
22 September 2016 20:40
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@WeNurses @DrUmeshPrabhu @PSMJW "Keep your head, heels and standards high - Coco Chanel" #wenurses |
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@MarkPharmacist
22 September 2016 20:40
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You are spot on! #WeNurses https://twitter.com/lilian_chiwera/status/779041511346429956 |
|
@GlynisBenett
22 September 2016 20:40
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RT @AgencyNurse: Reducing incidents of SSI's - what about teaching our pts about infection control from the word go #WeNurses |
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@AgencyNurse
22 September 2016 20:41
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RT @DrJudithTanner: @Vicky0Foster @WeNurses #WeNurses Better for patient to be treated in primary care, but helpful if hospital knows |
|
@lilian_chiwera
22 September 2016 20:41
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I like this?? that's why we're in this profession #WeNurses promoting patient safety through #SSIprevention @WeNurses https://twitter.com/wenurses/status/779041785347772416 |
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@DannGoodingRN
22 September 2016 20:41
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RT @sheffnurse: @WeNurses be the patient's advocate #WeNurses |
|
@WeNurses
22 September 2016 20:41
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RT @Vicky0Foster: #WeNurses sorry forgetting # https://twitter.com/vicky0foster/status/779041234329464832 |
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@DrJudithTanner
22 September 2016 20:41
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@DrUmeshPrabhu @PSMJW @WeNurses #WeNurses Yes the basics are important eg keeping theatre doors shut |
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@DannGoodingRN
22 September 2016 20:41
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RT @DrJudithTanner: @Vicky0Foster @WeNurses #WeNurses Better for patient to be treated in primary care, but helpful if hospital knows |
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@lilian_chiwera
22 September 2016 20:41
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RT @WeNurses: #WeNurses - handwashing still remains one of the best ways to prevent infection #WeNurses https://twitter.com/DrUmeshPrabhu/status/779041209197203456 |
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@Patient_First
22 September 2016 20:41
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@DrJudithTanner taking questions live now on #infectionprevention @WeNurses #WeNurses #PtFirst16 |
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@iahcp
22 September 2016 20:41
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RT @WeNurses: Absolutely - an important part #WeNurses https://twitter.com/sheffnurse/status/779041069988208640 |
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@BPinNursing
22 September 2016 20:41
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RT @carolgair: @WeNurses @DrUmeshPrabhu @PSMJW "Keep your head, heels and standards high - Coco Chanel" #wenurses |
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@carolgair
22 September 2016 20:41
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@TheMMP1 @WeNurses how do we convince medics tho? Need to value info.. #wenurses |
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@lilian_chiwera
22 September 2016 20:41
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RT @DrJudithTanner: @WeNurses #WeNurses There are some really good SSI patient stories that staff should see |
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@DannGoodingRN
22 September 2016 20:41
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RT @lilian_chiwera: I like this?? that's why we're in this profession #WeNurses promoting patient safety through #SSIprevention @WeNurses ht… |
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@cherylwilson2
22 September 2016 20:41
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RT @WeNurses: COMING UP Tues 27th 8pm Wound Care with @rdjfraser via #WeNurses > http://buff.ly/2d4x7CP https://t.co/Mv4ieT2a2r |
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@Patient_First
22 September 2016 20:42
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Hello #wenurses #PtFirst16 https://twitter.com/cherylwilson2/status/779041187269345281 |
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@CherylCassidy80
22 September 2016 20:42
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RT @AgencyNurse: Reducing incidents of SSI's - what about teaching our pts about infection control from the word go #WeNurses |
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@DannGoodingRN
22 September 2016 20:42
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RT @carolgair: @WeNurses @DrUmeshPrabhu @PSMJW "Keep your head, heels and standards high - Coco Chanel" #wenurses |
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@AgencyNurse
22 September 2016 20:42
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Yes agree - but important that they also wash hands etc #Wenurses https://twitter.com/fussy1958/status/779042969299120128 |
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@derekfisher2907
22 September 2016 20:42
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RT @DrJudithTanner: @Vicky0Foster @WeNurses #WeNurses Better for patient to be treated in primary care, but helpful if hospital knows |
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@AgencyNurse
22 September 2016 20:42
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#WeNurses important point https://twitter.com/JFr4ser/status/779043125100703744 |
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@carolgair
22 September 2016 20:42
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@DrJudithTanner @WeNurses @TheMMP1 might get opportunity around wider treatment room queries audit. So possibly #wenurses |
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@MarkPharmacist
22 September 2016 20:42
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Even SSIs admitted to hospital may not be referred to surgeon - #WeNurses https://twitter.com/vicky0foster/status/779041234329464832 |
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@lilian_chiwera
22 September 2016 20:43
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@DrJudithTanner @WeNurses these stories will surely make you think differently on how you view SSIs #WeNurses |
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@WeNurses
22 September 2016 20:43
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RT @DrJudithTanner: @DrUmeshPrabhu @PSMJW @WeNurses #WeNurses Yes the basics are important eg keeping theatre doors shut |
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@DannGoodingRN
22 September 2016 20:43
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To what degree does SSI contribute to the antibiotic crisis facing the world? #WeNurses |
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@DrJudithTanner
22 September 2016 20:43
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@WeNurses #WeNurses Heard a good idea. Take photo of wound at skin closure, put in notes, can compare later. surgeons love it |
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@Hearing4Kids
22 September 2016 20:43
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RT "RT WeNurses: #WeNurses - thanks Umesh https://twitter.com/DrUmeshPrabhu/status/779040821895192576" |
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@Hearing4Kids
22 September 2016 20:43
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RT "RT Patient_First: #WeNurses #infectionprevention #PtFirst16 https://twitter.com/DrUmeshPrabhu/status/779040821895192576" |
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@Hearing4Kids
22 September 2016 20:43
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RT "RT WeNurses: #WeNurses - handwashing still remains one of the best ways to prevent infection #WeNurses https://twitter.com/DrUmeshPrabhu/status/779041209197203456" |
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@WeNurses
22 September 2016 20:43
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RT @TheMMP1: Even SSIs admitted to hospital may not be referred to surgeon - #WeNurses https://twitter.com/vicky0foster/status/779041234329464832 |
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@DannGoodingRN
22 September 2016 20:43
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RT @AgencyNurse: Yes agree - but important that they also wash hands etc #Wenurses https://twitter.com/fussy1958/status/779042969299120128 |
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@PUNC14Julie
22 September 2016 20:43
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RT @WeNurses: WELCOME to #wenurses everyone! Do remember to add #wenurses to your tweets so people not following you (yet) don't miss your… |
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@PSMJW
22 September 2016 20:43
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@AgencyNurse education for patients to impact on their own recovery is needed in many areas, not just IPC #WeNurses |
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@CherylCassidy80
22 September 2016 20:43
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@JFr4ser @DrJudithTanner @AgencyNurse @WeNurses I think that's more appropriate than revisiting a&e unless wound dehisced. #WeNurses |
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@CherylCassidy80
22 September 2016 20:44
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RT @DrJudithTanner: @Vicky0Foster @WeNurses #WeNurses Better for patient to be treated in primary care, but helpful if hospital knows |
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@WeNurses
22 September 2016 20:44
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NEXT QUESTION Who is most at risk of surgical site infections ? #WeNurses https://t.co/IB7hQIk4QF |
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@lilian_chiwera
22 September 2016 20:44
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RT @DrJudithTanner: @DrUmeshPrabhu @PSMJW @WeNurses #WeNurses Yes the basics are important eg keeping theatre doors shut |
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@MarkPharmacist
22 September 2016 20:44
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@carolgair @WeNurses will be publishing AARs for pre-op antiseptics soon - assuming reviewers accept it #WeNurses |
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@Patient_First
22 September 2016 20:44
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#wenurses #PtFirst16 https://twitter.com/Vicky0Foster/status/779041234329464832 |
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@Patient_First
22 September 2016 20:44
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RT @DrJudithTanner: @Vicky0Foster @WeNurses #WeNurses Better for patient to be treated in primary care, but helpful if hospital knows |
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@lilian_chiwera
22 September 2016 20:44
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RT @DrJudithTanner: @WeNurses #WeNurses Heard a good idea. Take photo of wound at skin closure, put in notes, can compare later. surgeons l… |
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@Patient_First
22 September 2016 20:44
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#WeNurses https://twitter.com/Vicky0Foster/status/779043167773622272 |
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@AgencyNurse
22 September 2016 20:44
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I wasn't thinking of that - was thinking prevention ... but a really excellent point #WeNurses https://twitter.com/punc14Nathan/status/779043683643580416 |
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@nursemaiden
22 September 2016 20:44
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RT @WeNurses: If you missed any of tonights #WeNurses then the transcript is already up > http://www.wecommunities.org/tweet-chats/chat-details/2865 https://t.co/6uZiqrO3w7 |
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@derekfisher2907
22 September 2016 20:45
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RT @AgencyNurse: Reducing incidents of SSI's - what about teaching our pts about infection control from the word go #WeNurses |
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@AgencyNurse
22 September 2016 20:45
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Or watch a YouTube video :D #WeNurses https://twitter.com/derekfisher2907/status/779043844625207301 |
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@Patient_First
22 September 2016 20:45
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#wenurses #bpin @BPinNursing https://twitter.com/mattycaine87/status/779029354324123648 |
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@punc14Nathan
22 September 2016 20:45
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@AgencyNurse sorry forgot #wenurses |
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@AgencyNurse
22 September 2016 20:45
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RT @PSMJW: @AgencyNurse education for patients to impact on their own recovery is needed in many areas, not just IPC #WeNurses |
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@DannGoodingRN
22 September 2016 20:45
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@WeNurses anybody who has had surgery?:p Probably those with disorders that affect the body's healing ability #WeNurses |
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@AgencyNurse
22 September 2016 20:46
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@punc14Nathan no worries at all - it was still an excellent point #WeNurses |
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@carolgair
22 September 2016 20:46
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@DannGooding great question. Our low level get 5x day Fluclox. Too easy? #wenurses |
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@sheffnurse
22 September 2016 20:46
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@WeNurses it'd be easy to say only most vulnerable but anyone who has surgery is at risk #WeNurses |
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@Feefif
22 September 2016 20:46
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@AgencyNurse @TheMMP1 Not only pre-op, we swab every single patient (nose&throat) that gets admitted through our ED. #WeNurses |
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@DannGoodingRN
22 September 2016 20:46
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RT @DrJudithTanner: @WeNurses #WeNurses Heard a good idea. Take photo of wound at skin closure, put in notes, can compare later. surgeons l… |
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@DannGoodingRN
22 September 2016 20:46
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RT @Hearing4Kids: RT "RT WeNurses: #WeNurses - thanks Umesh https://twitter.com/DrUmeshPrabhu/status/779040821895192576" |
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@punc14Nathan
22 September 2016 20:46
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@AgencyNurse thank you #wenurses |
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@WeNurses
22 September 2016 20:46
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RT @DannGooding: @WeNurses anybody who has had surgery?:p Probably those with disorders that affect the body's healing ability #WeNurses |
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@DannGoodingRN
22 September 2016 20:46
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RT @PSMJW: @AgencyNurse education for patients to impact on their own recovery is needed in many areas, not just IPC #WeNurses |
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@carolgair
22 September 2016 20:46
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@TheMMP1 @WeNurses where will I find it? #wenurses |
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@nursemaiden
22 September 2016 20:46
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RT @HazelWatsonNHSE: #wenurses. Deaths that warrant investigation not 'incidents'. Should uncouple from SUI policy. Catastrophic impact can… |
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@DrJudithTanner
22 September 2016 20:47
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@Vicky0Foster @WeNurses #wenurses GPs/DNs can do complex dressings and antibiotics. |
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@DannGoodingRN
22 September 2016 20:47
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RT @AgencyNurse: I wasn't thinking of that - was thinking prevention ... but a really excellent point #WeNurses https://twitter.com/punc14Nathan/status/779043683643580416 |
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@MarkPharmacist
22 September 2016 20:47
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@DannGooding a lot more than you think. Many older products not fit for purpose #WeNurses |
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@DannGoodingRN
22 September 2016 20:47
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RT @AgencyNurse: Or watch a YouTube video :D #WeNurses https://twitter.com/derekfisher2907/status/779043844625207301 |
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@AgencyNurse
22 September 2016 20:47
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@DannGooding @WeNurses i have to say i am not sure of the answer here ..perhaps those who are frail, reduced immunity, underweight #WeNurses |
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@punc14Nathan
22 September 2016 20:47
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RT @TheMMP1: Infection can cause anything from redness, soreness to sepsis and death #WeNurses |
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@DannGoodingRN
22 September 2016 20:47
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RT @Patient_First: #wenurses #bpin @BPinNursing https://twitter.com/mattycaine87/status/779029354324123648 |
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@chewybacckebubi
22 September 2016 20:47
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RT @TheMMP1: Many infections present late 7-10 days after procedure #WeNurses https://twitter.com/drjudithtanner/status/779035371413929984 |
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@lilian_chiwera
22 September 2016 20:47
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I think everyone is at risk if we don't adhere to best practice & infection control basics #SSI #WeNurses @WeNurses https://twitter.com/wenurses/status/779043671043874816 |
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@AgencyNurse
22 September 2016 20:48
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@DannGooding @WeNurses .. however not sure of actual evidence #WeNurses |
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@DrJudithTanner
22 September 2016 20:48
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@WeNurses #WeNurses lots of risk factors inc. patients who are cold |
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@DannGoodingRN
22 September 2016 20:48
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RT @Feefif: @AgencyNurse @TheMMP1 Not only pre-op, we swab every single patient (nose&throat) that gets admitted through our ED. #WeNurses |
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@WeNurses
22 September 2016 20:48
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RT @carolgair: @DannGooding great question. Our low level get 5x day Fluclox. Too easy? #wenurses |
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@AgencyNurse
22 September 2016 20:48
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RT @sheffnurse: @WeNurses it'd be easy to say only most vulnerable but anyone who has surgery is at risk #WeNurses |
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@WeNurses
22 September 2016 20:48
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RT @sheffnurse: @WeNurses it'd be easy to say only most vulnerable but anyone who has surgery is at risk #WeNurses |
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@lilian_chiwera
22 September 2016 20:48
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RT @DannGooding: @WeNurses anybody who has had surgery?:p Probably those with disorders that affect the body's healing ability #WeNurses |
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@AgencyNurse
22 September 2016 20:48
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RT @Feefif: @AgencyNurse @TheMMP1 Not only pre-op, we swab every single patient (nose&throat) that gets admitted through our ED. #WeNurses |
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@AgencyNurse
22 September 2016 20:48
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RT @lilian_chiwera: I think everyone is at risk if we don't adhere to best practice & infection control basics #SSI #WeNurses @WeNurses ht… |
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@DannGoodingRN
22 September 2016 20:48
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@TheMMP1 Okay, then why aren't we stamping the bad practice out? #WeNurses |
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@nursemaiden
22 September 2016 20:49
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RT @4AdsthePoet: #WeNurses most important thing in investigations following a death in hospital is don't attack or blame the patient or his… |
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@carolgair
22 September 2016 20:49
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Can I throw open a question.. How effective are dressings? NICE guidance not clear #WeNurses |
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@DannGoodingRN
22 September 2016 20:49
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RT @carolgair: @DannGooding great question. Our low level get 5x day Fluclox. Too easy? #wenurses |
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@lilian_chiwera
22 September 2016 20:49
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RT @DrJudithTanner: @WeNurses #WeNurses lots of risk factors inc. patients who are cold |
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@WeNurses
22 September 2016 20:49
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Thanks Judith - #Wenurses https://twitter.com/DrJudithTanner/status/779044627135496194 |
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@NRCUK
22 September 2016 20:49
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SoMe = innovative ways to keep messages fresh @AgencyNurse @derekfisher2907 handwashing #wenurses via @nghnhstrust https://www.youtube.com/watch?v=TGddyTW5eMc |
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@SteveJFord
22 September 2016 20:50
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RT @AgencyNurse: Reducing incidents of SSI's - what about teaching our pts about infection control from the word go #WeNurses |
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@WeNurses
22 September 2016 20:50
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What are peoples thoughts ? Is there any evidence ? Maybe @CochraneUK has some ? #Wenurses https://twitter.com/carolgair/status/779044924981407744 |
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@DannGoodingRN
22 September 2016 20:50
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RT @carolgair: Can I throw open a question.. How effective are dressings? NICE guidance not clear #WeNurses |
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@DannGoodingRN
22 September 2016 20:50
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@carolgair depends on the dressing I guess... #WeNurses |
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@WeNurses
22 September 2016 20:50
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#wenurses https://twitter.com/GlynisBenett/status/779045119672606720 |
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@griffinjd
22 September 2016 20:51
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RT @keeling_michael: #Stroke is a medical emergency.First signs of stroke call 999 #StrokeAwareness #whywedoresearch #wenurses #patients ht… |
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@lilian_chiwera
22 September 2016 20:51
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@DrJudithTanner @WeNurses does it mean then if we identify risks early we can do something about it in #SSI prevention #Wenurses |
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@AgencyNurse
22 September 2016 20:51
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@DannGooding @carolgair and perhaps length of time dressing insitu #WeNurses |
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@MarkPharmacist
22 September 2016 20:51
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Of course they are - even putting in a peripheral line breaks the skin #WeNurses https://twitter.com/lilian_chiwera/status/779044563050717185 |
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@CherylCassidy80
22 September 2016 20:51
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@JFr4ser @DrJudithTanner @AgencyNurse @WeNurses in my experience they're happy enough and refer on if need be #wenurses |
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@punc14Nathan
22 September 2016 20:51
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And see how many trusts took up the challenge and did their own videos #wenurses https://twitter.com/NRCUK/status/779045048260423680 |
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@AgencyNurse
22 September 2016 20:51
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RT @TheMMP1: Of course they are - even putting in a peripheral line breaks the skin #WeNurses https://twitter.com/lilian_chiwera/status/779044563050717185 |
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@DannGoodingRN
22 September 2016 20:52
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@GlynisBenett @AgencyNurse seems a tad wrexkless to risk assessments. Just screen everyone. #WeNurses |
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@The_Pars
22 September 2016 20:52
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So risk assessment is in effect a pre screening process for #frailty screening? #WeNurses https://twitter.com/wenurses/status/779045322295222272 |
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@PUNC14Julie
22 September 2016 20:52
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@AgencyNurse @TheMMP1 in the hospital where I have placement every admission is screened for MRSA #WeNurses |
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@DrJudithTanner
22 September 2016 20:52
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@WeNurses @CochraneUK #WeNurses Team @ Bristol doing some great research on dressings . should be published next year |
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@MarkPharmacist
22 September 2016 20:52
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@DannGooding sometimes poor practice is cheap - hospitals may 'accept' the risks #WeNurses |
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@WeNurses
22 September 2016 20:52
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NEXT QUESTION What about care bundles? can they help to reduce SSI's? #WeNurses https://t.co/hVOmXXgfcR |
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@AgencyNurse
22 September 2016 20:53
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Thanks Julie #WeNurses https://twitter.com/PUNC14Julie/status/779045716811452416 |
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@AgencyNurse
22 September 2016 20:53
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#WeNurses > https://twitter.com/GlynisBenett/status/779045722406682625 |
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@carolgair
22 September 2016 20:53
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@DannGooding @GlynisBenett @AgencyNurse none of our pts are screened now - unless clear risk. Outpatient setting. #wenurses |
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@AgencyNurse
22 September 2016 20:53
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Fab #WeNurses https://twitter.com/PSMJW/status/779045980595490816 |
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@punc14Nathan
22 September 2016 20:53
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@DannGooding @GlynisBenett @AgencyNurse agree screen everyone #wenurses |
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@MarkPharmacist
22 September 2016 20:54
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@carolgair bugs usually grow very well under them #WeNurses |
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@WeNurses
22 September 2016 20:54
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Well done on adding #wenurses , most of us :) , this eve :) Here's your "great #WeNurses'ing " reward! https://t.co/lPUgt3PXYQ |
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@lilian_chiwera
22 September 2016 20:54
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#WeNurses @WeNurses https://twitter.com/lilian_chiwera/status/779046049369522177 |
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@AgencyNurse
22 September 2016 20:54
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|
Oooh interesting - whats the rationale for this approach ? #WeNurses https://twitter.com/carolgair/status/779046027156422656 |
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@DannGoodingRN
22 September 2016 20:54
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RT @WeNurses: NEXT QUESTION What about care bundles? can they help to reduce SSI's? #WeNurses https://t.co/hVOmXXgfcR |
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@DrJudithTanner
22 September 2016 20:54
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@lilian_chiwera @WeNurses #wenurses Yes, we can implement more expensive interventions for high risk cases, like vacuum dressings |
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@AgencyNurse
22 September 2016 20:54
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#WeNurses https://twitter.com/GlynisBenett/status/779046115173957632 |
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@WeNurses
22 September 2016 20:54
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RT @DrJudithTanner: @lilian_chiwera @WeNurses #wenurses Yes, we can implement more expensive interventions for high risk cases, like vacuum… |
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@lilian_chiwera
22 September 2016 20:55
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RT @DrJudithTanner: @lilian_chiwera @WeNurses #wenurses Yes, we can implement more expensive interventions for high risk cases, like vacuum… |
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@WeNurses
22 September 2016 20:55
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#Wenurses https://twitter.com/sheffnurse/status/779046349945901057 |
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@carolgair
22 September 2016 20:55
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@TheMMP1 especially if they are outdated (gauze) ? #wenurses |
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@WeNurses
22 September 2016 20:55
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#WeNurses >> https://twitter.com/lilian_chiwera/status/779046049369522177 |
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@DrJudithTanner
22 September 2016 20:56
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@WeNurses #WeNurses Yes, evidence shows care bundles are effective, but also shows compliance with total bundle is generally poor |
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@lilian_chiwera
22 September 2016 20:56
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RT @WeNurses: Well done on adding #wenurses , most of us :) , this eve :) Here's your "great #WeNurses'ing " reward! https://t.co/lPUgt3PX… |
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@WeNurses
22 September 2016 20:56
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We will all keep our eyes peeled then #WeNurses https://twitter.com/DrJudithTanner/status/779045741117440000 |
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@sheffnurse
22 September 2016 20:56
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@WeNurses thank you #WeNurses nearly perfect record ?? |
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@sarahkatenorman
22 September 2016 20:56
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RT @WeNurses: #WeNurses >> https://twitter.com/lilian_chiwera/status/779046049369522177 |
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@AgencyNurse
22 September 2016 20:56
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|
oooh interesting - i wonder why compliance is poor ? #WeNurses https://twitter.com/DrJudithTanner/status/779046621313105921 |
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@DannGoodingRN
22 September 2016 20:57
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RT @WeNurses: #WeNurses >> https://twitter.com/lilian_chiwera/status/779046049369522177 |
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@WeNurses
22 September 2016 20:57
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|
@sheffnurse thats what we are here for :D (and we forget sometimes too !) #Wenurses |
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@punc14Nathan
22 September 2016 20:57
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@GlynisBenett @DannGooding @AgencyNurse but if you don't swab isn't that being careless/risky? #wenurses |
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@Patient_First
22 September 2016 20:57
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RT @WeNurses: We will all keep our eyes peeled then #WeNurses https://twitter.com/DrJudithTanner/status/779045741117440000 |
|
@Patient_First
22 September 2016 20:57
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RT @WeNurses: #WeNurses >> https://twitter.com/lilian_chiwera/status/779046049369522177 |
|
@Patient_First
22 September 2016 20:57
|
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RT @DrJudithTanner: @lilian_chiwera @WeNurses #wenurses Yes, we can implement more expensive interventions for high risk cases, like vacuum… |
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@DannGoodingRN
22 September 2016 20:57
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RT @AgencyNurse: oooh interesting - i wonder why compliance is poor ? #WeNurses https://twitter.com/DrJudithTanner/status/779046621313105921 |
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@sheffnurse
22 September 2016 20:57
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@AgencyNurse @DrJudithTanner @WeNurses poor change management? #WeNurses |
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@Patient_First
22 September 2016 20:57
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RT @WeNurses: Well done on adding #wenurses , most of us :) , this eve :) Here's your "great #WeNurses'ing " reward! https://t.co/lPUgt3PX… |
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@carolgair
22 September 2016 20:58
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@AgencyNurse @DannGooding @GlynisBenett logistics? Part of Derm OPD unit. Too many to screen. trust Outstanding CQC #wenurses |
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@lilian_chiwera
22 September 2016 20:58
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@WeNurses @sheffnurse care bundles for #SSI equally as important #WeNurses |
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@AgencyNurse
22 September 2016 20:58
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To swab pre-op or not to swab that is the question .... again maybe @CochraneUK have some evidence ? #WeNurses https://twitter.com/punc14Nathan/status/779046973009723394 |
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@DrJudithTanner
22 September 2016 20:59
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@AgencyNurse #WeNurses @WeNurses Very complicated. Lots of professions & depts involved. Not high on everyone's agenda |
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@AgencyNurse
22 September 2016 20:59
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@sheffnurse @DrJudithTanner @WeNurses yes perhaps, also seeing it as important i guess #WeNurses |
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@lilian_chiwera
22 September 2016 20:59
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@DrJudithTanner you're so right. Compliance is usually an issue in #SSI prevention @WeNurses #Wenurses https://twitter.com/drjudithtanner/status/779046621313105921 |
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@lilian_chiwera
22 September 2016 20:59
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RT @DrJudithTanner: @WeNurses #WeNurses Yes, evidence shows care bundles are effective, but also shows compliance with total bundle is gen… |
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@AgencyNurse
22 September 2016 20:59
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RT @DrJudithTanner: @AgencyNurse #WeNurses @WeNurses Very complicated. Lots of professions & depts involved. Not high on everyone's agenda |
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@DannGoodingRN
22 September 2016 20:59
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@carolgair @AgencyNurse @GlynisBenett I still feel there are better places to save money & build labs instead For better care #WeNurses |
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@Feefif
22 September 2016 21:00
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@punc14Nathan @GlynisBenett @DannGooding @AgencyNurse No MRSA infections for 5yrs, everyone screened. It works #WeNurses |
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@DannGoodingRN
22 September 2016 21:00
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RT @lilian_chiwera: @DrJudithTanner you're so right. Compliance is usually an issue in #SSI prevention @WeNurses #Wenurses https://t.co/cc… |
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@carolgair
22 September 2016 21:00
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@TheMMP1 I'm a big fan of no dressings #wenurses |
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@WeNurses
22 September 2016 21:00
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Thats all for tonight folks #WeNurses |
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@DannGoodingRN
22 September 2016 21:00
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RT @Feefif: @punc14Nathan @GlynisBenett @DannGooding @AgencyNurse No MRSA infections for 5yrs, everyone screened. It works #WeNurses |
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@DannGoodingRN
22 September 2016 21:01
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RT @WeNurses: Thats all for tonight folks #WeNurses |
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@CherylCassidy80
22 September 2016 21:01
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@JFr4ser @DrJudithTanner @AgencyNurse @WeNurses the surgical team, either through a&e or direct GP ref to our admissions unit #WeNurses |
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@carolgair
22 September 2016 21:01
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@DannGooding @AgencyNurse @GlynisBenett screening for other pt groups. And great surgical pre-assessment. Not Derm OPD is all #wenurses |
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@punc14Nathan
22 September 2016 21:02
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Sounds like some answers needed in an important matter #researchneeded #WeNurses https://twitter.com/AgencyNurse/status/779047301134385152 |
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@WeNurses
22 September 2016 21:02
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Huge applause to the wonderful @DrJudithTanner & @PtSafety1st #Wenurses https://t.co/Z2VIS31bvW |
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@DannGoodingRN
22 September 2016 21:02
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RT @AgencyNurse: @DannGooding @carolgair and perhaps length of time dressing insitu #WeNurses |
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@DrJudithTanner
22 September 2016 21:02
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@WeNurses #WeNurses Thank you everyone and good night |
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@GlynisBenett
22 September 2016 21:03
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@DannGooding @carolgair @AgencyNurse agree for inpatients #patientsaftey can decolonise before procedure. #wenurses |
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@carolgair
22 September 2016 21:03
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@GlynisBenett @AgencyNurse @DannGooding invasive but not routinely screened in Derm. History, care home or inpatient screened #wenurses |
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@DannGoodingRN
22 September 2016 21:03
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@carolgair @AgencyNurse @GlynisBenett I wonder if there are other tests that can be done from the same swab etc... #WeNurses |
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@WeNurses
22 September 2016 21:03
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To find out more about #PtFirst16 Conference & @DrJudithTanner presentation have a look here > http://www.patientfirstuk.com/ #WeNurses |
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@CherylCassidy80
22 September 2016 21:04
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@PSMJW @AgencyNurse @TheMMP1 I don't know about electives but inter-hosp transfers, prev inf & anybody with wound/Med device #Wenurses |
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@AgencyNurse
22 September 2016 21:04
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@DrJudithTanner you were AMAZING :D #WeNurses https://twitter.com/WeNurses/status/779048174149402624 |
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@AgencyNurse
22 September 2016 21:04
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RT @punc14Nathan: Sounds like some answers needed in an important matter #researchneeded #WeNurses https://twitter.com/AgencyNurse/status/779047301134385152 |
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@carolgair
22 September 2016 21:05
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@AgencyNurse @DrJudithTanner @WeNurses @PtSafety1st over so soon!!! #wenurses |
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@GlynisBenett
22 September 2016 21:05
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@DannGooding @carolgair @AgencyNurse depends on screening method. We use broth for #mrsa. If good ipc practice is there a need? #wenurses |
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@AgencyNurse
22 September 2016 21:06
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@carolgair @DrJudithTanner @WeNurses @PtSafety1st sorry !! I do like a good clinically focussed #WeNurses (even if this isnt my speciality!) |
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@DrCDBailey
22 September 2016 21:06
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RT @WeNurses: Huge applause to the wonderful @DrJudithTanner & @PtSafety1st #Wenurses https://t.co/Z2VIS31bvW |
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@fussy1958
22 September 2016 21:06
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Yes of course agree @AgencyNurse #WeNurses https://twitter.com/agencynurse/status/779043168134238210 |
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@Bartontd
22 September 2016 21:06
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RT @AgencyNurse: @DrJudithTanner you were AMAZING :D #WeNurses https://twitter.com/WeNurses/status/779048174149402624 |
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@carolgair
22 September 2016 21:07
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@AgencyNurse @DrJudithTanner @WeNurses @PtSafety1st that was brilliant! Off to reflect now #wenurses |
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@WeNurses
22 September 2016 21:08
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If you want to reflect on tonights #WeNurses for your CPD then MyWe can help > http://buff.ly/2dd6zem https://t.co/hc9dpaCqQf |
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@lucywillbe
22 September 2016 21:08
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RT @carolgair: @AgencyNurse @DrJudithTanner @WeNurses @PtSafety1st that was brilliant! Off to reflect now #wenurses |
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@WeNurses
22 September 2016 21:08
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Another clinically focussed #WeNurses on Tues 8pm Wound Care with @rdjfraser via #WeNurses >… https://twitter.com/i/web/status/779049872901091328 |
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@AgencyNurse
22 September 2016 21:10
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RT @WeNurses: If you want to reflect on tonights #WeNurses for your CPD then MyWe can help > http://buff.ly/2dd6zem https://t.co/hc9dpaCqQf |
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@chewybacckebubi
22 September 2016 21:11
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RT @WeNurses: Another clinically focussed #WeNurses on Tues 8pm Wound Care with @rdjfraser via #WeNurses > http://buff.ly/2cP5NZA https:… |
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@punc14Nathan
22 September 2016 21:11
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RT @Feefif: @punc14Nathan @GlynisBenett @DannGooding @AgencyNurse No MRSA infections for 5yrs, everyone screened. It works #WeNurses |
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@punc14Nathan
22 September 2016 21:13
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RT @WeNurses: Another clinically focussed #WeNurses on Tues 8pm Wound Care with @rdjfraser via #WeNurses > http://buff.ly/2cP5NZA https:… |
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@fussy1958
22 September 2016 21:13
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Another great #wenurses discussion tonight @WeNurses @AgencyNurse thanks and night all |
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@WeNurses
22 September 2016 21:13
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Thank you @Patient_First and @DrJudithTanner for being our experts in the room tonight #WeNurses |
Stats
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Total tweets:
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