#WeNurses - Thursday 21st June 2018 8pm (GMT Standard Time)
Catheter care
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fHosted by WeNurses using #WeNurses
This chat is guest hosted by @HINSouthLondon
The 18th June marks the start of #CatheterCare Awareness Week – a week that aiming to raise awareness of the risks of CAUTI (catheter-associated UTIs), reduce harm, fight stigma and improve general catheter care. As part of the week #WeNurses in collaboration with the Health Innovation Network (@HINsouthlondon) will be hosting a tweetchat. The tweetchat will be based around the care of Betty and Harold – the video below gives some background information:
The first 30 minutes of the tweetchat will be about Betty:
Betty has recently been discharged from hospital and is being cared for by a district nurse at home. Betty has been sent home with a urethral catheter but she is unsure when it should be removed. Betty starts to feel unwell and sore but puts it down to the side effects of the operation, she has also noticed her urine is dark and smelly, but Betty does not want to make a fuss. Betty then started to feel very unwell and became pyrexial and she then decided to call an ambulance. In the emergency department Betty is diagnosed with a catheter associated urinary tract infection and Betty is given some antibiotics and an appointment to have her catheter removed.
The following questions will be asked:
- How could Betty’s hospital admission have been avoided?
- When should Betty’s catheter have been removed?
- What advice should we giveto patients who need to be discharged home with a catheter?
The second 30 minutes of the tweetchat will focus on Harold’s care:
Harold lives in a care home, he has dementia and sometimes is incontinent. Recently Harold was unable to pass urine so he was given a short term urethral catheter. Harold’s catheter was the left in as it made his incontinence much easier to deal with but Harold has recently become unwell and is aggressive, confused and refusing to drink water. Harold is taken to the emergency department and diagnosed with delirium, a catheter associated urinary tract infection and dehydration. Harold is then given another short-term catheter which is removed after a few days after a successful trial without catheter.
The following questions will be asked:
- How could Harold’s hospital admission have been avoided?
- How long should a short term urethral catheter be in place for?
- How can we reduce the riskof catheter associated urinary tract infections?
For further information on #CatheterCare Awareness Week and all of the events taking place please visit the Health Innovation Networks website HERE
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Chat Summary
This tweetchat was split into two halves, the first half concentrated on Betty's care and the second on Harold's care:
TWOC at earliest opportunity, education on catheter care 2 prevent infection good fluid intake. Proper ref to DNs with plan & cath passport
— Shirley Clements RN (@shizc1) June 21, 2018
betty should have had it removed in hospital and monitored her urine output #WeNurses #cathetercare
— gillian mcleman (@gillsmac1) June 21, 2018
Does all hospital have TWOC pathway and nurse-led TWOC #WeNurses #HIN#catheter
— Lina Rehan (@lina_rehan) June 21, 2018
Question 2 explored when Betty's catheter should have been removed:
QUESTION 2 - when should have Betty's catheter been removed?#WeNurses pic.twitter.com/DYypsezsFB
— WeNurses (@WeNurses) June 21, 2018
@WeNurses at the earliest opportunity which was in hospital
— Shirley Clements RN (@shizc1) June 21, 2018
As soon as it’s not clinically needed #WeNurses #HINsouthlondon
— Lina Rehan (@lina_rehan) June 21, 2018
should have been removed as soon as possible and might not have been needed on discharge home #WeNurses
— gillian mcleman (@gillsmac1) June 21, 2018
The discussion then moved on to Question 3:
QUESTION 3 (and our final question re Betty's care) What advice should be given on discharge re catheter care? #WeNurses pic.twitter.com/7t0DhWxMuf
— WeNurses (@WeNurses) June 21, 2018
#WeNurses Access to a direct 24hour telephone helpline = able to in a timely manner get help.
— Dee Davies RN/RM (@DeeDavies12) June 21, 2018
should be given advice on symptoms to look out for such as discharge, high temp feeling shivery and confusion #WeNurses
— gillian mcleman (@gillsmac1) June 21, 2018
#WeNurses fluid intake, monitor signs of infection, urinary symptoms, who to contact if there’s a problem, plan for TWOC
— Lina Rehan (@lina_rehan) June 21, 2018
Question 4 then moved onto Harold's care:
So lets move on to Harold:
— WeNurses (@WeNurses) June 21, 2018
QUESTION 4 - how could Harold's hospital admission have been avoided?#WeNurses pic.twitter.com/P5oBhxOzcB
Staff educated re. Managing continence issues, risks associated with CAUTI may have prevented Harold’s hospital admission #wenurses
— Shauna Rooney (@sroo91) June 21, 2018
Look at other methods such as pads etc fluid balance monitroing
— Mark Randell (@sparky_UK) June 21, 2018
Using non touch technique for insertion, maintaining the clenlinesz of the port before opening it, and removal of the catheter after 24 hours. Encouragement of plenty of oral fluids, look out for symptoms relating to any deterioration of his dementia
— Clare (@Clare51900667) June 22, 2018
Question 5 discussed short term catheters:
QUESTION 5 - how long should a short term catheter be in place for?#WeNurses pic.twitter.com/GQoOeieK9O
— WeNurses (@WeNurses) June 21, 2018
Short term catheters are 4 weeks if no probs. @WeNurses
— Shirley Clements RN (@shizc1) June 21, 2018
depends on each patients circumstances but as soon as mobile should be removed to prevent infections and complications #WeNurses #cathetercare
— gillian mcleman (@gillsmac1) June 21, 2018
Found out what caused Harold’s urinary retention, treat the cause, then remove catheter #WeNurses #HINsouthlondon
— Lina Rehan (@lina_rehan) June 21, 2018
Question 6 - the final question - asked about catheter associated urinary tract infections:
QUESTION 6 - How do we reduce the risk of catheter associated urinary tract infections like Harolds? #WeNurses pic.twitter.com/UaUI35MoeG
— WeNurses (@WeNurses) June 21, 2018
Change of culture, advocating twoc's at earliest opportunity not putting catheters in unless absolutely necessary in all settings @wenurses
— Shirley Clements RN (@shizc1) June 21, 2018
Clear instructions of catheter care , close monitoring and support for management. Contact numbers for any issues for early intervention
— Stellbell (@StellaWelsh) June 21, 2018
Long term catheter care for District Nurses can be very difficult to manage and even more distressing for the patient. In a home where personal hygiene is not good catheters are blocked and replaced sometimes nightly. Alternative?
— marg brandreth-jones (@takername) June 21, 2018
Thank you to everyone who took part in the twitter discussion and shared their knowledge and ideas.
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#WeNurses transcript
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@WeNurses
21 June 2018 20:00
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Hello and welcome to tonights #WeNurses Tweetchat Please say hello if you are joining us for the next our https://t.co/pVjvp2fseb |
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@AgencyNurse
21 June 2018 20:00
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Hello - Teresa here .. looking forward to discussing all things catheter related for the next hour #WeNurses |
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@klgrew
21 June 2018 20:01
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@WeNurses Hello :) #WeNurses #cathetercare |
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@schoolnurse17
21 June 2018 20:01
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Hello #WeNurses |
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@lina_rehan
21 June 2018 20:01
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@WeNurses hello #wenurses |
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@WeNurses
21 June 2018 20:01
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@kittygrew Hi Kitty - welcome #WeNurses |
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@HINSouthLondon
21 June 2018 20:01
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Hello all! #WeNurses https://twitter.com/wenurses/status/1009873838891397120 |
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@WeNurses
21 June 2018 20:01
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@lina_rehan Hi Lina - great to have you here #WeNurses |
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@WeNurses
21 June 2018 20:02
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For the first 1/2 of #WeNurses we will explore Bettys care #CatheterCare QUESTION 1 - How could Bettys admissio… https://twitter.com/i/web/status/1009874090423771137 |
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@WeNurses
21 June 2018 20:02
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Hello Kwame #WeNurses https://twitter.com/kwameAdams6/status/1009873964389330944 |
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@WeNurses
21 June 2018 20:02
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@HINSouthLondon Hello and welcome #WeNurses |
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@WeNurses
21 June 2018 20:02
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Hello and welcome #WeNurses https://twitter.com/CoghlanVictoria/status/1009874077039751168 |
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@DaniG4_
21 June 2018 20:03
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RT @WeNurses: For the first 1/2 of #WeNurses we will explore Bettys care #CatheterCare QUESTION 1 - How could Bettys admission have bee… |
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@AgencyNurse
21 June 2018 20:03
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The simple answer is that perhaps she could have had the catheter removed before she left hospital #WeNurses https://twitter.com/WeNurses/status/1009874090423771137 |
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@catdawo
21 June 2018 20:03
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RT @lina_rehan: Watched Betty and Harold story, ready for #WeNurses #catheterawarenessweek @kittygrew @TizianaAnsell @IKarrouze @cathetersc… |
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@WeNurses
21 June 2018 20:03
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Hello and great to have you join us #WeNurses https://twitter.com/shizc1/status/1009874168727392257 |
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@WeNurses
21 June 2018 20:04
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RT @AgencyNurse: The simple answer is that perhaps she could have had the catheter removed before she left hospital #WeNurses https://t.co/… |
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@lina_rehan
21 June 2018 20:04
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@WeNurses @HINSouthLondon Let’s hope we will have a great conversation about catheters and #catheterawarenessweek #wenurses |
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@catdawo
21 June 2018 20:04
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RT @WeNurses: Starting in 1 hour: this evenings #WeNurses tweetchat with @HINSouthLondon Have a watch of this video beforehand which gi… |
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@AgencyNurse
21 June 2018 20:05
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also if she did need to have the catheter on discharge then perhaps she should have been sent home with some clear advice #WeNurses |
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@catdawo
21 June 2018 20:05
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RT @WeNurses: TONIGHT at 8pm we will be discussing Betty and Harolds care: #WeNurses on Catheter care with @HINSouthLondon > https://t.c… |
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@maxwele2
21 June 2018 20:05
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@AgencyNurse Has Betty had a Comprehensive Geriatric Assessment ? #wenurses |
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@WeNurses
21 June 2018 20:05
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Here's a reminder of QUESTION 1 #WeNurses https://twitter.com/WeNurses/status/1009874090423771137 |
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@catdawo
21 June 2018 20:05
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RT @AgencyNurse: The simple answer is that perhaps she could have had the catheter removed before she left hospital #WeNurses https://t.co/… |
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@gillsmac1
21 June 2018 20:06
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@WeNurses betty should have had it removed in hospital and monitored her urine output #WeNurses #cathetercare |
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@AgencyNurse
21 June 2018 20:06
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@maxwele2 it doesn't sound like it to me #WeNurses |
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@WeNurses
21 June 2018 20:06
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RT @gillsmac1: @WeNurses betty should have had it removed in hospital and monitored her urine output #WeNurses #cathetercare |
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@AgencyNurse
21 June 2018 20:07
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Some NICE guidance here on infection prevention and catheters > https://www.nice.org.uk/guidance/qs61/chapter/quality-statement-4-urinary-catheters #WeNurses #EBP |
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@lina_rehan
21 June 2018 20:08
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Forgot #WeNurses #HIN https://twitter.com/lina_rehan/status/1009875408442089473 |
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@AgencyNurse
21 June 2018 20:09
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And some info here on comprehensive geriatric assessments > https://www.uptodate.com/contents/comprehensive-geriatric-assessment #EBP #WeNurses |
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@AgencyNurse
21 June 2018 20:09
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Yep .... but what if, for some reason this wasn't possible ? #Wenurses https://twitter.com/gillsmac1/status/1009875610209046528 |
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@HINSouthLondon
21 June 2018 20:09
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RT @AgencyNurse: And some info here on comprehensive geriatric assessments > https://www.uptodate.com/contents/comprehensive-geriatric-assessment #EBP #WeNurses |
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@catdawo
21 June 2018 20:10
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RT @lina_rehan: @WeNurses @HINSouthLondon Let’s hope we will have a great conversation about catheters and #catheterawarenessweek #wenurses |
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@catdawo
21 June 2018 20:10
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@AgencyNurse Yes, including what sort of problems or danger signs to look out for #wenurses |
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@AgencyNurse
21 June 2018 20:10
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Thanks Elaine - great link #WeNurses #EBP https://twitter.com/maxwele2/status/1009875830435205120 |
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@WeNurses
21 June 2018 20:10
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Fab link - thanks Elaine #WeNurses https://twitter.com/maxwele2/status/1009875830435205120 |
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@klgrew
21 June 2018 20:10
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Has anyone experienced a case like Betty's before? #wenurses |
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@klgrew
21 June 2018 20:10
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RT @catdawo: @AgencyNurse Yes, including what sort of problems or danger signs to look out for #wenurses |
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@AgencyNurse
21 June 2018 20:11
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Yes indeed ..... what sort of advice should she have been given ?? #WeNurses https://twitter.com/DeeDavies12/status/1009876132139847681 |
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@AgencyNurse
21 June 2018 20:11
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Absolutely #WeNurses https://twitter.com/catdawo/status/1009876142562693120 |
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@WeNurses
21 June 2018 20:11
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An excellent question #WeNurses https://twitter.com/kittygrew/status/1009876230697639936 |
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@DeeDavies12
21 June 2018 20:11
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RT @AgencyNurse: Yes indeed ..... what sort of advice should she have been given ?? #WeNurses https://twitter.com/DeeDavies12/status/1009876132139847681 |
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@WeNurses
21 June 2018 20:11
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RT @lina_rehan: Forgot #WeNurses #HIN https://twitter.com/lina_rehan/status/1009875408442089473 |
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@WeNurses
21 June 2018 20:12
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QUESTION 2 - when should have Betty's catheter been removed? #WeNurses https://t.co/DYypsezsFB |
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@lina_rehan
21 June 2018 20:12
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@WeNurses Does all hospital have TWOC pathway and nurse-led TWOC #WeNurses #HIN#catheter |
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@WeNurses
21 June 2018 20:12
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RT @AgencyNurse: Some NICE guidance here on infection prevention and catheters > https://www.nice.org.uk/guidance/qs61/chapter/quality-statement-4-urinary-catheters #WeNurses #EBP |
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@WeNurses
21 June 2018 20:12
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RT @lina_rehan: @WeNurses Does all hospital have TWOC pathway and nurse-led TWOC #WeNurses #HIN#catheter |
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@AgencyNurse
21 June 2018 20:12
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Again there is a quick answer here .... as soon as possible ! #WeNurses https://twitter.com/WeNurses/status/1009876609384550400 |
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@catdawo
21 June 2018 20:13
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RT @AgencyNurse: Some NICE guidance here on infection prevention and catheters > https://www.nice.org.uk/guidance/qs61/chapter/quality-statement-4-urinary-catheters #WeNurses #EBP |
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@catdawo
21 June 2018 20:13
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RT @AgencyNurse: And some info here on comprehensive geriatric assessments > https://www.uptodate.com/contents/comprehensive-geriatric-assessment #EBP #WeNurses |
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@klgrew
21 June 2018 20:13
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@lina_rehan @WeNurses I'd be very interested to hear different experiences of this! #WeNurses |
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@HINSouthLondon
21 June 2018 20:14
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RT @lina_rehan: @WeNurses Does all hospital have TWOC pathway and nurse-led TWOC #WeNurses #HIN#catheter |
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@catdawo
21 June 2018 20:14
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RT @AgencyNurse: Again there is a quick answer here .... as soon as possible ! #WeNurses https://twitter.com/WeNurses/status/1009876609384550400 |
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@WeNurses
21 June 2018 20:14
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Hi Becky #WeNurses https://twitter.com/BeckyN_HIN/status/1009877265327558656 |
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@catdawo
21 June 2018 20:15
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RT @kittygrew: Has anyone experienced a case like Betty's before? #wenurses |
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@WeGPNs
21 June 2018 20:15
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Thoughts ? #WeNurses https://twitter.com/WeNurses/status/1009876609384550400 |
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@lina_rehan
21 June 2018 20:15
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@WeNurses As soon as it’s not clinically needed #WeNurses #HINsouthlondon |
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@TrishPrady
21 June 2018 20:15
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RT @WeNurses: QUESTION 2 - when should have Betty's catheter been removed? #WeNurses https://t.co/DYypsezsFB |
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@catdawo
21 June 2018 20:15
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RT @kittygrew: @lina_rehan @WeNurses I'd be very interested to hear different experiences of this! #WeNurses |
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@klgrew
21 June 2018 20:15
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@AgencyNurse If in doubt, take it out! #WeNurses |
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@WeNurses
21 June 2018 20:15
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RT @lina_rehan: @WeNurses As soon as it’s not clinically needed #WeNurses #HINsouthlondon |
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@klgrew
21 June 2018 20:16
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RT @lina_rehan: @WeNurses As soon as it’s not clinically needed #WeNurses #HINsouthlondon |
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@AgencyNurse
21 June 2018 20:16
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Yes indeed #WeNurses https://twitter.com/kittygrew/status/1009877570417037312 |
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@TrishPrady
21 June 2018 20:16
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RT @lina_rehan: @WeNurses Does all hospital have TWOC pathway and nurse-led TWOC #WeNurses #HIN#catheter |
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@catdawo
21 June 2018 20:16
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RT @lina_rehan: @WeNurses As soon as it’s not clinically needed #WeNurses #HINsouthlondon |
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@catdawo
21 June 2018 20:16
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RT @kittygrew: @AgencyNurse If in doubt, take it out! #WeNurses |
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@AgencyNurse
21 June 2018 20:17
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And perhaps good communication between DN team and hospital team on discharge #WeNurses https://twitter.com/StellaWelsh/status/1009877723039305731 |
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@WeNurses
21 June 2018 20:17
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Has anyone come across this ? #Wenurses https://twitter.com/StellaWelsh/status/1009877723039305731 |
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@lilian_wittman
21 June 2018 20:18
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#WeNurses as soon as it was decided that Betty could manage without it - when she was mobile enough to get to the toilet. |
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@WeNurses
21 June 2018 20:18
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A good person centred approach here #Wenurses https://twitter.com/lilian_wittman/status/1009878118654504960 |
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@WeNurses
21 June 2018 20:18
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This sounds good #WeNurses https://twitter.com/lina_rehan/status/1009878205296250882 |
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@catdawo
21 June 2018 20:18
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RT @AgencyNurse: And perhaps good communication between DN team and hospital team on discharge #WeNurses https://twitter.com/StellaWelsh/status/1009877723039305731 |
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@gillsmac1
21 June 2018 20:18
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@WeNurses should have been removed as soon as possible and might not have been needed on discharge home #WeNurses |
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@loveebhc
21 June 2018 20:19
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Yesterday #wenurses https://twitter.com/wenurses/status/1009876609384550400 |
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@WeNurses
21 June 2018 20:19
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RT @gillsmac1: @WeNurses should have been removed as soon as possible and might not have been needed on discharge home #WeNurses |
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@HINSouthLondon
21 June 2018 20:19
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RT @kittygrew: @AgencyNurse If in doubt, take it out! #WeNurses |
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@schoolnurse17
21 June 2018 20:19
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Love this answer #WeNurses https://twitter.com/loveebhc/status/1009878428089311232 |
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@HINSouthLondon
21 June 2018 20:19
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RT @lilian_wittman: #WeNurses as soon as it was decided that Betty could manage without it - when she was mobile enough to get to the toile… |
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@sunnylambe
21 June 2018 20:19
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RT @AgencyNurse: And perhaps good communication between DN team and hospital team on discharge #WeNurses https://twitter.com/StellaWelsh/status/1009877723039305731 |
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@klgrew
21 June 2018 20:19
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RT @gillsmac1: @WeNurses should have been removed as soon as possible and might not have been needed on discharge home #WeNurses |
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@klgrew
21 June 2018 20:20
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RT @loveebhc: Yesterday #wenurses https://twitter.com/wenurses/status/1009876609384550400 |
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@lina_rehan
21 June 2018 20:23
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@WeNurses #WeNurses fluid intake, monitor signs of infection, urinary symptoms, who to contact if there’s a problem, plan for TWOC |
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@lilian_wittman
21 June 2018 20:23
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#WeNurses if Betty needed it on discharge she should have been given instructions on how to care for it. Also some… https://twitter.com/i/web/status/1009879430410522626 |
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@WeNurses
21 June 2018 20:23
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A good point ... and who should that be ?? #WeNurses https://twitter.com/kittygrew/status/1009879260482408449 |
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@JanAtki96962387
21 June 2018 20:23
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RT @SAPHNAsharonOBE: No arguments here! @WeSchoolNurses #weNurses https://twitter.com/agencynurse/status/1009135306312908802 |
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@adhorstrebor
21 June 2018 20:23
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#wenurses https://twitter.com/adhorstrebor/status/1009879074746109952 |
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@WeNurses
21 June 2018 20:24
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Fab list here #WeNurses https://twitter.com/lina_rehan/status/1009879423062106113 |
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@WeNurses
21 June 2018 20:24
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What do people think .... anyone do this already ? #WeNurses https://twitter.com/BeckyN_HIN/status/1009879595204726786 |
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@DeeDavies12
21 June 2018 20:25
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@WeNurses #WeNurses Access to a direct 24hour telephone helpline = able to in a timely manner get help. |
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@AgencyNurse
21 June 2018 20:26
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@DeeDavies12 @WeNurses does this exist in all areas ?? sounds like an amazing idea #WeNurses |
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@WeNurses
21 June 2018 20:26
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#WeNurses https://twitter.com/Lara_davies76/status/1009880177113993216 |
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@lilian_wittman
21 June 2018 20:26
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#WeNurses contact numbers for both D/N responsible for the follow up and maybe a number for the practice nurse at her surgery. |
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@WeNurses
21 June 2018 20:26
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RT @lilian_wittman: #WeNurses contact numbers for both D/N responsible for the follow up and maybe a number for the practice nurse at her s… |
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@gillsmac1
21 June 2018 20:27
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@WeNurses should be given advice on symptoms to look out for such as discharge, high temp feeling shivery and confusion #WeNurses |
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@AgencyNurse
21 June 2018 20:28
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This looks interesting - will take a proper look after the tweetchat Thank you #WeNurses #EBP https://twitter.com/Mimsiebel/status/1009880420002009090 |
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@catdawo
21 June 2018 20:28
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RT @lilian_wittman: #WeNurses if Betty needed it on discharge she should have been given instructions on how to care for it. Also some pati… |
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@AgencyNurse
21 June 2018 20:28
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Fab thank you #WeNurses #EBP https://twitter.com/catdawo/status/1009880434749136897 |
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@lina_rehan
21 June 2018 20:28
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@AgencyNurse @PaulaOtter1 Team work+communication =effectiveness #WeNurses |
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@WeNurses
21 June 2018 20:29
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Interesting question - anyone have any thoughts #WeNurses https://twitter.com/sparky_UK/status/1009880729227005954 |
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@catdawo
21 June 2018 20:29
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RT @WeNurses: What do people think .... anyone do this already ? #WeNurses https://twitter.com/BeckyN_HIN/status/1009879595204726786 |
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@WeNurses
21 June 2018 20:29
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#WeNurses https://twitter.com/lina_rehan/status/1009880482803273735 |
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@WeNurses
21 June 2018 20:30
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So lets move on to Harold: QUESTION 4 - how could Harold's hospital admission have been avoided? #WeNurses https://t.co/P5oBhxOzcB |
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@catdawo
21 June 2018 20:30
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RT @DeeDavies12: @WeNurses #WeNurses Access to a direct 24hour telephone helpline = able to in a timely manner get help. |
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@lilian_wittman
21 June 2018 20:30
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#WeNurses @PaulaOtter1 I agree but I was thinking more about the mobility aspect - if she couldn't make it = incont… https://twitter.com/i/web/status/1009881230635094017 |
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@HINSouthLondon
21 June 2018 20:30
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You can find an example of a catheter care passport here https://bit.ly/2tf6jFy #WeNurses |
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@catdawo
21 June 2018 20:30
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RT @WeNurses: #WeNurses https://twitter.com/Lara_davies76/status/1009880177113993216 |
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@klgrew
21 June 2018 20:30
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RT @lina_rehan: @AgencyNurse @PaulaOtter1 Team work+communication =effectiveness #WeNurses |
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@lina_rehan
21 June 2018 20:30
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@WeNurses I will remember the # by the end of the show #WeNurses |
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@catdawo
21 June 2018 20:30
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RT @lilian_wittman: #WeNurses contact numbers for both D/N responsible for the follow up and maybe a number for the practice nurse at her s… |
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@klgrew
21 June 2018 20:31
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RT @HINSouthLondon: You can find an example of a catheter care passport here https://bit.ly/2tf6jFy #WeNurses |
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@TEDxTruro
21 June 2018 20:31
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RT @sallyephillips: @WeNurses #wenurses #downsyndrome @MhairiMcLellan just wanted to point you fabulous bunch on the direction of this grea… |
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@catdawo
21 June 2018 20:31
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RT @AgencyNurse: This looks interesting - will take a proper look after the tweetchat Thank you #WeNurses #EBP https://twitter.com/Mimsiebel/status/1009880420002009090 |
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@WeNurses
21 June 2018 20:32
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Brilliant - thank you a really useful link #WeNurses #EBP https://twitter.com/HINSouthLondon/status/1009881286423523328 |
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@AgencyNurse
21 June 2018 20:33
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In our area we have a 24 hour anxiety helpline .... so why not for things like catheters too #Wenurses https://twitter.com/DeeDavies12/status/1009881694365716480 |
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@lilian_wittman
21 June 2018 20:33
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#WeNurses @sparky_UK we have used them in ICU and found them useful for bladder training after being catheterised for a long period of time. |
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@AgencyNurse
21 June 2018 20:33
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@lina_rehan @WeNurses you are doing brilliantly :D #WeNurses |
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@WeNurses
21 June 2018 20:33
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RT @lilian_wittman: #WeNurses @sparky_UK we have used them in ICU and found them useful for bladder training after being catheterised for a… |
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@catdawo
21 June 2018 20:33
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RT @HINSouthLondon: You can find an example of a catheter care passport here https://bit.ly/2tf6jFy #WeNurses |
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@lina_rehan
21 June 2018 20:33
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@WeNurses Patient/carer education, catheter might be a quick fix for incontinence, but the risk is over weighing the benefit #WeNurses |
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@WeNurses
21 June 2018 20:34
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Wise words indeed #WeNurses https://twitter.com/lina_rehan/status/1009882081831374848 |
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@Smith7Pauline
21 June 2018 20:34
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RT @HINSouthLondon: You can find an example of a catheter care passport here https://bit.ly/2tf6jFy #WeNurses |
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@sparky_UK
21 June 2018 20:34
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RT @lilian_wittman: #WeNurses @sparky_UK we have used them in ICU and found them useful for bladder training after being catheterised for a… |
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@dean_anonym
21 June 2018 20:34
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RT @adhorstrebor: #wenurses https://t.co/FiP6nLzD8Y |
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@klgrew
21 June 2018 20:35
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@WeNurses I think worth considering who it was 'easier' for #WeNurses |
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@lilian_wittman
21 June 2018 20:35
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#WeNurses encourage Harold to drink what he likes, not necessarily just water. |
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@HINSouthLondon
21 June 2018 20:35
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RT @WeNurses: Wise words indeed #WeNurses https://t.co/KGuByt2QQ4 |
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@BeckyN_HIN
21 June 2018 20:36
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@WeNurses Carers to be aware of how to spot the signs #wenurses |
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@klgrew
21 June 2018 20:36
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@lilian_wittman Great point - plenty more hydrating options! #WeNurses |
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@sarah13_smith
21 June 2018 20:37
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RT @LptLukes: Sharing tonight's tweet chat #wenurses with the MDT ?@LptLukes? ?@LPTnhs? - catheter care. Great forum for learning - 'CPD fr… |
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@AgencyNurse
21 June 2018 20:37
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RT @BeckyN_HIN: @WeNurses Carers to be aware of how to spot the signs #wenurses |
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@belinda_caslake
21 June 2018 20:37
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RT @HINSouthLondon: You can find an example of a catheter care passport here https://t.co/QPdgfUfLBF #WeNurses |
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@catdawo
21 June 2018 20:38
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RT @lilian_wittman: #WeNurses encourage Harold to drink what he likes, not necessarily just water. |
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@catdawo
21 June 2018 20:38
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RT @kittygrew: @WeNurses I think worth considering who it was 'easier' for #WeNurses |
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@catdawo
21 June 2018 20:38
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RT @BeckyN_HIN: @WeNurses Carers to be aware of how to spot the signs #wenurses |
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@AgencyNurse
21 June 2018 20:39
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Yep THIS #WeNurses https://twitter.com/kittygrew/status/1009882486497832960 |
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@WeNurses
21 June 2018 20:40
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QUESTION 5 - how long should a short term catheter be in place for? #WeNurses https://t.co/GQoOeieK9O |
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@BeckyN_HIN
21 June 2018 20:40
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RT @AgencyNurse: Fab thank you #WeNurses #EBP https://twitter.com/catdawo/status/1009880434749136897 |
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@WeNurses
21 June 2018 20:40
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This sounds very interesting indeed #WeNurses https://twitter.com/Lara_davies76/status/1009882979450138624 |
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@WeNurses
21 June 2018 20:40
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#WeNurses https://twitter.com/StellaWelsh/status/1009882911271804936 |
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@DeeDavies12
21 June 2018 20:40
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RT @AgencyNurse: In our area we have a 24 hour anxiety helpline .... so why not for things like catheters too #Wenurses https://t.co/E7YdIW… |
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@lina_rehan
21 June 2018 20:42
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@WeNurses As soon as it is not clinically indicated #WeNurses |
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@catdawo
21 June 2018 20:42
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RT @WeNurses: This sounds very interesting indeed #WeNurses https://twitter.com/Lara_davies76/status/1009882979450138624 |
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@AgencyNurse
21 June 2018 20:42
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Exactly #WeNurses https://twitter.com/lilian_wittman/status/1009883937261400065 |
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@DrCarolPercy
21 June 2018 20:42
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RT @WeNurses: Brilliant - thank you a really useful link #WeNurses #EBP https://twitter.com/HINSouthLondon/status/1009881286423523328 |
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@100anne
21 June 2018 20:43
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RT @AgencyNurse: Some NICE guidance here on infection prevention and catheters > https://www.nice.org.uk/guidance/qs61/chapter/quality-statement-4-urinary-catheters #WeNurses #EBP |
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@lina_rehan
21 June 2018 20:43
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@WeNurses Found out what caused Harold’s urinary retention, treat the cause, then remove catheter #WeNurses #HINsouthlondon |
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@laineydoc777
21 June 2018 20:44
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#WeNurses https://twitter.com/laineydoc777/status/1009884496169140225 |
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@AgencyNurse
21 June 2018 20:44
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Only as long as it's clinically needed #WeNurses In care homes, as well as other areas we need to think of cathet… https://twitter.com/i/web/status/1009884694236758016 |
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@WeNurses
21 June 2018 20:44
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RT @lina_rehan: @WeNurses Found out what caused Harold’s urinary retention, treat the cause, then remove catheter #WeNurses #HINsouthlondon |
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@WeNurses
21 June 2018 20:44
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Good points #WeNurses https://twitter.com/laineydoc777/status/1009884496169140225 |
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@catdawo
21 June 2018 20:44
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RT @AgencyNurse: Exactly #WeNurses https://twitter.com/lilian_wittman/status/1009883937261400065 |
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@WeNurses
21 June 2018 20:45
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#WeNurses https://twitter.com/Lara_davies76/status/1009884800596021248 |
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@lilian_wittman
21 June 2018 20:45
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#WeNurses I would suggest no longer than 14 days. |
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@JennytheM
21 June 2018 20:46
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RT @AgencyNurse: Only as long as it's clinically needed #WeNurses In care homes, as well as other areas we need to think of catheters in… |
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@hvermeulen67
21 June 2018 20:46
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RT @WeNurses: Brilliant - thank you a really useful link #WeNurses #EBP https://twitter.com/HINSouthLondon/status/1009881286423523328 |
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@HINSouthLondon
21 June 2018 20:46
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You can see the GSTT #TWOC guidance here: https://bit.ly/2K78cxt #WeNurses |
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@AgencyNurse
21 June 2018 20:47
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@shizc1 @WeNurses I read 4 weeks too .... think it's in one of the NICE guidelines i shared earlier #WeNurses |
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@pelvicroar
21 June 2018 20:47
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RT @AgencyNurse: Only as long as it's clinically needed #WeNurses In care homes, as well as other areas we need to think of catheters in… |
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@klgrew
21 June 2018 20:47
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RT @HINSouthLondon: You can see the GSTT #TWOC guidance here: https://bit.ly/2K78cxt #WeNurses |
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@WeNurses
21 June 2018 20:47
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Another fab link - thank you #WeNurses #EBP https://twitter.com/HINSouthLondon/status/1009885390273212425 |
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@lilian_wittman
21 June 2018 20:47
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#WeNurses it would also depend on what caused the retention in the first place as more interventions may be needed. |
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@lina_rehan
21 June 2018 20:47
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RT @HINSouthLondon: You can see the GSTT #TWOC guidance here: https://bit.ly/2K78cxt #WeNurses |
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@WeNurses
21 June 2018 20:50
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QUESTION 6 - How do we reduce the risk of catheter associated urinary tract infections like Harolds? #WeNurses https://t.co/UaUI35MoeG |
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@AgencyNurse
21 June 2018 20:50
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Firstly don't use catheters unless the are absolutely needed #WeNurses https://twitter.com/WeNurses/status/1009886170640248833 |
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@loveebhc
21 June 2018 20:50
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Here is the current epic3 guidelines for prevention of infection includes UCs https://improvement.nhs.uk/resources/epic3-guidelines-preventing-healthcare-associated-infections/ #wenurses https://twitter.com/agencynurse/status/1009879346872573952 |
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@IdilOsman7
21 June 2018 20:51
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RT @HINSouthLondon: You can see the GSTT #TWOC guidance here: https://bit.ly/2K78cxt #WeNurses |
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@lina_rehan
21 June 2018 20:51
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@WeNurses Early removal when the his problem is treated #WeNurses |
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@AgencyNurse
21 June 2018 20:51
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RT @loveebhc: Here is the current epic3 guidelines for prevention of infection includes UCs https://improvement.nhs.uk/resources/epic3-guidelines-preventing-healthcare-associated-infections/ #wenurses https://t.co/… |
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@AgencyNurse
21 June 2018 20:52
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@loveebhc Thanks Heather will take a look #WeNurses |
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@WeNurses
21 June 2018 20:52
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#WeNurses #EBP https://twitter.com/loveebhc/status/1009886362428944390 |
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@HINSouthLondon
21 June 2018 20:52
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Here are some of the documents we use for out of hospital management: https://bit.ly/2K0Nkch #WeNurses |
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@lilian_wittman
21 June 2018 20:52
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#WeNurses monitor the amount of urine being passed and look at the colour and consistency of it ie. are there depos… https://twitter.com/i/web/status/1009886828701323264 |
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@klgrew
21 June 2018 20:53
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RT @HINSouthLondon: Here are some of the documents we use for out of hospital management: https://bit.ly/2K0Nkch #WeNurses |
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@WeNurses
21 June 2018 20:53
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RT @lilian_wittman: #WeNurses monitor the amount of urine being passed and look at the colour and consistency of it ie. are there deposits… |
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@WeNurses
21 June 2018 20:54
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Thanks - so many great links shared this evening ... we will collate them all in the post chat summary #WeNurses… https://twitter.com/i/web/status/1009887261075365888 |
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@IdilOsman7
21 June 2018 20:54
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RT @loveebhc: Here is the current epic3 guidelines for prevention of infection includes UCs https://improvement.nhs.uk/resources/epic3-guidelines-preventing-healthcare-associated-infections/ #wenurses https://t.co/… |
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@gillsmac1
21 June 2018 20:54
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@WeNurses communication and good documentation #WeNurses |
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@WeNurses
21 June 2018 20:55
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RT @gillsmac1: @WeNurses communication and good documentation #WeNurses |
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@WeNurses
21 June 2018 20:56
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#WeNurses Good communication seems to be a recurring theme this evening https://twitter.com/kittygrew/status/1009887562436096002 |
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@loveebhc
21 June 2018 20:56
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No longer than clinically indicated #wenurses use stop orders, nurse initiated removal, ask #WTF (why the foley!) https://twitter.com/wenurses/status/1009883654758297600 |
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@WeNurses
21 June 2018 20:57
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#WeNurses - all great points https://twitter.com/Lara_davies76/status/1009887806834053120 |
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@KezHolden
21 June 2018 20:57
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RT @AgencyNurse: Some NICE guidance here on infection prevention and catheters > https://www.nice.org.uk/guidance/qs61/chapter/quality-statement-4-urinary-catheters #WeNurses #EBP |
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@WeNurses
21 June 2018 20:57
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RT @loveebhc: No longer than clinically indicated #wenurses use stop orders, nurse initiated removal, ask #WTF (why the foley!) https://t.… |
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@WeNurses
21 June 2018 20:57
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|
3 minutes left to tonights #WeNurses Any final catheter care points ?? |
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@klgrew
21 June 2018 20:58
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RT @loveebhc: No longer than clinically indicated #wenurses use stop orders, nurse initiated removal, ask #WTF (why the foley!) https://t.… |
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@WeNurses
21 June 2018 20:58
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#WeNurses https://twitter.com/Roaaary/status/1009887991681208320 |
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@shizc1
21 June 2018 20:58
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RT @loveebhc: No longer than clinically indicated #wenurses use stop orders, nurse initiated removal, ask #WTF (why the foley!) https://t.… |
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@HINSouthLondon
21 June 2018 20:58
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RT @WeNurses: 3 minutes left to tonights #WeNurses Any final catheter care points ?? |
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@WeNurses
21 June 2018 20:58
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#Wenurses https://twitter.com/kittygrew/status/1009888275866234882 |
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@WeNurses
21 June 2018 20:58
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#WeNurses https://twitter.com/StellaWelsh/status/1009888265506381827 |
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@evelyn_prodger
21 June 2018 20:59
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RT @loveebhc: No longer than clinically indicated #wenurses use stop orders, nurse initiated removal, ask #WTF (why the foley!) https://t.… |
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@WeNurses
21 June 2018 21:00
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Thank you all for your tweets this evening - and HUGE thanks to @HINSouthLondon for joining us #WeNurses https://t.co/ErhLrqxG03 |
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@lina_rehan
21 June 2018 21:00
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@WeNurses Education, communication, patient centred care #WeNurses |
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@WeNurses
21 June 2018 21:00
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#WeNurses https://twitter.com/sparky_UK/status/1009888691299463168 |
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@WeNurses
21 June 2018 21:00
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RT @lina_rehan: @WeNurses Education, communication, patient centred care #WeNurses |
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@AgencyNurse
21 June 2018 21:01
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Thanks everyone - I awlays enjoy a good clinical discussion ... some fab links and reading shared #WeNurses |
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@klgrew
21 June 2018 21:01
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RT @lina_rehan: @WeNurses Education, communication, patient centred care #WeNurses |
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@lilian_wittman
21 June 2018 21:01
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#WeNurses advising the patient what to look for, what's normal and abnormal but remembering what is normal output f… https://twitter.com/i/web/status/1009889002898509826 |
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@Roaaary
21 June 2018 21:01
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See #WeNurses for a great discussion about catheter care and effective infection control. #studentnurse #nursing… https://twitter.com/i/web/status/1009889020569059331 |
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@StellaWelsh
21 June 2018 21:02
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@WeNurses Thank you for very informative chat #wenurses |
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@klgrew
21 June 2018 21:02
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RT @Roaaary: See #WeNurses for a great discussion about catheter care and effective infection control. #studentnurse #nursing #lovenursing… |
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@Alfaenshe
21 June 2018 21:02
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RT @WeNurses: #WeNurses https://twitter.com/StellaWelsh/status/1009888265506381827 |
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@klgrew
21 June 2018 21:02
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RT @AgencyNurse: Thanks everyone - I awlays enjoy a good clinical discussion ... some fab links and reading shared #WeNurses |
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@WeNurses
21 June 2018 21:02
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If you want to reflect on tonights #WeNurses as part of your CPD then our free MyWe tool can help >… https://t.co/tTOo8U2Q2k |
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@catdawo
21 June 2018 21:02
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RT @Roaaary: See #WeNurses for a great discussion about catheter care and effective infection control. #studentnurse #nursing #lovenursing… |
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@klgrew
21 June 2018 21:02
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RT @StellaWelsh: @WeNurses Thank you for very informative chat #wenurses |
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@WeNurses
21 June 2018 21:03
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RT @lilian_wittman: #WeNurses advising the patient what to look for, what's normal and abnormal but remembering what is normal output for T… |
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@HINSouthLondon
21 June 2018 21:03
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RT @WeNurses: Thank you all for your tweets this evening - and HUGE thanks to @HINSouthLondon for joining us #WeNurses https://t.co/ErhLr… |
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@HINSouthLondon
21 June 2018 21:03
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RT @WeNurses: If you want to reflect on tonights #WeNurses as part of your CPD then our free MyWe tool can help > http://www.wecommunities.org/blogs/2177 h… |
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@klgrew
21 June 2018 21:03
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RT @WeNurses: If you want to reflect on tonights #WeNurses as part of your CPD then our free MyWe tool can help > http://www.wecommunities.org/blogs/2177 h… |
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@WeNurses
21 June 2018 21:03
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#WeNurses https://twitter.com/Lara_davies76/status/1009889512691027973 |
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@JennytheM
21 June 2018 21:03
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RT @AgencyNurse: Thanks everyone - I awlays enjoy a good clinical discussion ... some fab links and reading shared #WeNurses |
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@rocking2stomas
21 June 2018 21:03
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RT @WeNurses: #WeNurses - all great points https://twitter.com/Lara_davies76/status/1009887806834053120 |
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@kimcd5
21 June 2018 21:06
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RT @loveebhc: No longer than clinically indicated #wenurses use stop orders, nurse initiated removal, ask #WTF (why the foley!) https://t.… |
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@lina_rehan
21 June 2018 21:06
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@PaulaOtter1 @WeNurses You know catheter better than many of our nurses ?? #WeNurses |
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@kimcd5
21 June 2018 21:06
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RT @loveebhc: Here is the current epic3 guidelines for prevention of infection includes UCs https://improvement.nhs.uk/resources/epic3-guidelines-preventing-healthcare-associated-infections/ #wenurses https://t.co/… |
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@CavalryCare
21 June 2018 21:08
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See #WeNurses for a great discussion on catheter care and infection control. TWOCing - fun to say, good to do. ?? |
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@Roaaary
21 June 2018 21:08
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RT @CavalryCare: See #WeNurses for a great discussion on catheter care and infection control. TWOCing - fun to say, good to do. ?? |
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@Lyse_e
21 June 2018 21:08
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RT @WeNurses: 25 mins until #WeNurses tweetchat Tonight's discussion is all about Betty and Harold and catheter care Have a watch of th… |
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@Lyse_e
21 June 2018 21:10
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RT @WeNurses: Thanks - so many great links shared this evening ... we will collate them all in the post chat summary #WeNurses #EBP https… |
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@cherylwilson2
21 June 2018 21:11
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RT @WeNurses: If you want to reflect on tonights #WeNurses as part of your CPD then our free MyWe tool can help > http://www.wecommunities.org/blogs/2177 h… |
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@PaulaOtter1
21 June 2018 21:12
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@lynniewal @WeNurses Such an important point - the tap is often so much easier for people to manage on their own #wenurses |
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@msmidz
21 June 2018 21:15
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RT @loveebhc: Here is the current epic3 guidelines for prevention of infection includes UCs https://improvement.nhs.uk/resources/epic3-guidelines-preventing-healthcare-associated-infections/ #wenurses https://t.co/… |
|
@sroo91
21 June 2018 21:17
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RT @loveebhc: No longer than clinically indicated #wenurses use stop orders, nurse initiated removal, ask #WTF (why the foley!) https://t.… |
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@tara_donnelly1
21 June 2018 21:29
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RT @HINSouthLondon: You can see the GSTT #TWOC guidance here: https://bit.ly/2K78cxt #WeNurses |
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@tara_donnelly1
21 June 2018 21:29
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RT @BeckyN_HIN: @WeNurses Carers to be aware of how to spot the signs #wenurses |
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@tara_donnelly1
21 June 2018 21:29
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RT @WeNurses: If you want to reflect on tonights #WeNurses as part of your CPD then our free MyWe tool can help > http://www.wecommunities.org/blogs/2177 h… |
Stats
Total contributers:
47
Total tweets:
227
Total reach:
7,811,588
