Discover and read the best of Twitter Threads about #NurseTwitter

Most recents (22)

1/ THREAD: Becoming a Published Author in a Pandemic
I published my first academic paper in the American Chemical Society Chemical Neuroscience (what?!) called “Heralding Healthcare Professionals: Recognition of Neurological Deficits in COVID-19” with the incredible @AMannanBaig!
2/ The full text will be available as open access in a few days, but here's the link to the ACS abstract: pubs.acs.org/doi/full/10.10…

#covid19 #SARSCoV2 #coronavirus #neuroinvasive #brain #neurotropic #pandemic #virus #medtwitter #nursetwitter

🧠🤯✍️🥼👩‍⚕️😷🦠
3/ I always imagined that my first publication would be in maternal or women's health as they are my main clinical passions. My new position @MountAuburnHosp was supposed to start in March but then the #pandemic happened and everything changed @plrosen
#mamasmatter #gynfluencer
Read 27 tweets
Alright #MedTwitter you asked, therefore you shall receive. Find below the results of me sifting through all of the replies and quoted retweets to the HP House poll that were visible to me.

Total N=1282!
First, we'll do each HP Houses.

Note: If a House had no self proclaimed members of a specific specialty, that specialty was not included in its graph.
GRYFFINDOR
Read 50 tweets
Thread for #NurseTwitter - At this point in the year, I am normally attending pinning ceremonies and welcoming new #nurses into the profession. I am often giving speeches and fighting back tears of joy as I look at the graduates on the stage. 1/4
I choke up as tears roll down my face because I know the barriers these new nurses overcame to be here at this moment. Some of them have pushed past incredible challenges. I understand that they are entering the workforce with a heart for nursing and a desire to serve others. 2/4
I will miss pinning graduates this weekend., but I do not have to miss welcoming them to the nursing profession. #NurseTwitter will you please help me congratulate our new colleagues an add some words of love, advice, and encouragement? 3/4
Read 4 tweets
If you’re not making as much effort as @uaccn & @nahnnursing with their HRSA Grant to increase access to nursing education to URM & disenfranchised then I don’t want to hear anything from you about making making BSN the sole entry point for the profession now. #NurseTwitter
And because folks must love hearing me say it, ill say it again. I AM NOT ANTI-BSN (I have one and benefit from it) but I am wholeheartedly against plowing forward and leaving tons of my fellow minorities and disenfranchised folk behind for the sake of progress! #NurseTwitter
@uaccn and the @nahnnursing secured a HRSA Grant to not only provide Latina(o) ADN nurses with access to RN to BSN education, but provide ongoing mentorship,support them attending conferences, & more! Many schools don’t have access to such grants... but we can learn from this.
Read 7 tweets
1/ I don’t know if many Americans have actually seen the numbers.
As of today, we have 74,810 #American deaths.
Total Global deaths are 265,885*
worldometers.info/coronavirus/

The #USA makes up 28.1% of ALL global deaths from #COVID19

*Without true transparency from #China

But WHY?
2/ #SARSCoV2 does not have a particular affinity for #Americans.

No.

Even Northern #Italy, who was overrun, has fought it back.
New York is almost like a separate country.
Excluding #NewYork from our data, cases in ALL other states are increasing.

nytimes.com/interactive/20…
3/ #NewYork and other countries have proven that fighting the virus is possible.
#HongKong, #NewZealand, #Korea, #Germany, #Greece, even the #CzechRepublic have stopped the spread, and all with different strategies.
Read 20 tweets
1/ Big thanks all of you on @Twitter for the interest in my thread regarding current literature on #microthrombi and #COVID19!

It’s late, so of course, more thinking and more questions about #SARSCoV2

THREAD

@ASH_hematology @EricTopol @tmprowell @kari_jerge #medtwitter
2/ Conclusion 1: I am convinced the primary driver of #SARSCOV2 infection is in asymptomatic individuals #medtwitter #nursetwitter #epitwitter

SARS-CoV-2 titers in wastewater are higher than expected from clinically confirmed cases
medrxiv.org/content/10.110…
3/ Conclusion 2: #SARSCOV2 does not discriminate. It literally infects EVERYONE.

Newborns, kids, young adults, elderly you name it…it’s infected it. Everyone has #Ace2 receptors.

Children ARE getting it (see #China data and reports of acro-ischemia and
petechiae)
Read 20 tweets
1/ #Frontline clinicians across the world are observing a #hypercoagulable state in patients with #COVID19. Could the severe and varied effects of the disease on multiple organ systems possibly be due to thrombus/micro-thrombus and associated sequela? @ASH_hematology @EricTopol
2/ Could a mechanism of #microvascular injury during the infection be through inappropriate effects of excess free angiotensin-II protein floating around because the ACE-2 that would normally be soaking it up is occupied by #SARSCOV2 particles? @EricTopol @ASH_hematology
3/ We know that ACE2 activation promotes antithrombotic activity and ACE2 deactivation would promote thrombus. #medtwitter #NurseTwitter #COVIDー19

ncbi.nlm.nih.gov/pmc/articles/P…
Read 24 tweets
So reviewing all of the chronic conditions that puts someone at risk for complications & mortality w/ COVID-19 a little overwhelming this a.m. Trying to provide pop health data to support RN Care Managers provide virtual support to keep our patients healthy & strong #NurseTwitter
1st order of business identifying all those w/existing pulmonary disease, neb med refills within last 90 days & potential for MDI in near future. Concerned about albuterol shortage given hospital 8-10 puff treatment in lieu of nebulizer given risk of transmission. #NurseTwitter
2nd order of business reaching out to pulmonary patients to provide edu abt COVID-19 prevention, proper use MDI & tracking doses, & nebulizer safety if they must do TX in home. Educate about preventing condition exacerbation to reduce need for ER or in-patient care. #NurseTwitter
Read 9 tweets
Hard agree. @RCNStudents led by the incredible @JessLSainsbury have been amazing through all of this.

We give you our promise that nurse academics are doing EVERYTHING right now to support you and to advocate for you.
Social media are mobilising to support a society becoming crippled by isolation and anxiety.

This is a second epidemic we need to manage.

If you are a student who is not in a placement right now then can you help?

@WeStudentNurse @StNurseProject
Student nurses are facing an uncertain and frightening future and need to maximise peer support. If you haven't already then follow amazing networks such as @WeStudentNurse or @StNurseProject

Follow your amazing #150Leaders

Follow your academics: We will support you too
Read 11 tweets
The beauty of nursing is the ability to switch specialties at any time & find opportunities to combine previous experience in everyday practice. Yesterday for me was no exception, I spent the day developing preparedness plan for departmental staff. #NurseTwitter
Currently my practice is #nursingleadership in #managedcare, however I had to draw on my previous #informaticsnurse specialty certification to plan in the event we had to shift workforce to work from home scenarios. This required balance between patient support & staff needs.
Part of the plan was creating tools to quickly identify patients impacted by the shift & their needs that may not be accommodated by #VirtualNurse support. The biggest issue are interventions ranging from med admin, DOT to wearable device support. #PopulationHealth
Read 20 tweets
(2) First, some #coronavirus tips for the general public:
(3) To find information on #coronavirus if you are a member of the public, check out this #COVID19 page from @CDCgov: cdc.gov/coronavirus/20…
Read 22 tweets
#NurseTwitter #Pflegewissenschaft #Tweetorial #InsulinTherapie
Ich beschränke mich auf Insulintherapie bei Diabetes Mellitus ausgenommen Gestationsdiabetes.
Wir wiederholen zuerst die Klassifikation:
1. Typ 1- autoimmunbedinger/idiopatischer Verlust der Betazellen.(+LADA)
2. Typ 2 - Insulinresistenz und damit verbundener relativer Insulinmangel ( Vorsicht: Am Anfang der Erkrankung besteht Hyperinsulinämie )

3. Typ 3 - umfasst alle anderen Typen, etwa medikamenteninduziert, panrkeopriv, MODY....)

4. Gestationsdiabetes.
Read 28 tweets
THREAD

I dove into the FEC data, and it's pretty clear:

Grassroots health professional donors far prefer Sanders and Warren to Biden and Buttigieg. 1/
For doctors, donations went mostly to Warren and Sanders, with Sanders slightly receiving more.

Buttigieg received a substantial portion.

Biden received very little.

#MedTwitter #MedStudentTwitter
@darakass @DrDooleyMD @AbdulElSayed @DrSriram @DoctorsforPete @Docs_4_Bernie To me this corroborates the polls which show that while medical trade groups/guilds/professional societies might not support policies like #MedicareForAll, grassroots doctors feel differently. 3/
Read 11 tweets
"What is the best Venous Access Device for my patient?"

An #InterventionalRadiology (#Irad) #Tweetorial to address a frequent clinical dilemmas for #Medtwitter and #NurseTwitter

#FOAMed
1a/

Type of VAD:

PIV: 3-6 cm, enter and terminate in peripheral veins.

US-PIV: US to reach deep veins when superficial veins difficult to palpate, ≥8 cm

Midline catheter: 7.5-25 cm, inserted basilic/cephalic vein), terminating short of subclavian. 🚫 vesicant infusions
1b/

CVC: duration 7-14 d, direct puncture of internal jugular, subclavian, or femoral veins.

TC : diff from CVC, seperate insertion site in upper chest and venipunture in neck
⬇️ risk of infection due to cuff
👍 location for catheter care
Read 15 tweets
What you need to know about medical marijuana presented by @drosielle #CAPCSeminar19
This is our space: Consider who is giving our patients advice about cannabis if not us. While you don’t have to prescribe you can provide education and safety information #CAPCSeminar19
CBD is not benign it can cause sedation. Contrary to popular belief CBD will probably not cure the world of its ails. CBD has not received a lot of research attention and we are early in the process. #CAPCSeminar19
Read 28 tweets
#medtwitter

I love to provide structure for my learners. A couple years ago I adopted a set of rules for rounds and ward teams. These continue to evolve.

I share them on day 1, and refer back to them frequently while on service.
👇

#TeamRules #MedEd
What are your #teamrules?
Rule 1: We treat patients, not diseases or numbers.

Always always put the disease and number into context for that specific patient. And get to know the patient.

It’s good medicine, and makes the job so much more interesting.

#SDOH #IllnessInContext #EBM
Rule 2: Rounds are done by noon.

Come prepared and we will get the work done together

Stick with the 4 Ds - decompensated, discharges, diagnostic dilemmas, the C Diff patients last. Stop wherever we are at 11:30 and finish running the list.

HT @thecurbsiders ep157

#efficient
Read 7 tweets
Physical signs of chronic stress /burnout that Howard hears from his patients.

Pulmonologist in the room immediately adds breathlessness!

#ERSCongress #ERS2019
And now emotional signs - important to recognize in yourself but also in colleagues who may react differently than you do. #ERSCongress #ERS2019
Behavioral signs of burnout:
Howard re clinicians who treat substance abuse (as we all do) - "it won't ever happen to me" - - but it does. Awareness is, again, critical.
Recs @jratey book Spark about relationship between exercise and mental health. #ERSCongress #ERS2019
Read 10 tweets
🚨PSA: #iPhone users! Please set up #MedicalID on your phone-we can see your medical info even with your screen locked. This is SO HELPFUL when you come in and are unable to communicate with us after a terrible accident. 🚑😵 It can help save your life! (1/7)
You can put allergies on Medical ID, emergency contacts, medical conditions, medications you take, blood type, any random medical notes, even organ donation status (and if you aren’t registered, you can register super easily through the app! 🙌🏼) (2/7)
I look for it every time we get an unresponsive patient with an iPhone! Most people haven’t filled it out 😢💔 which is sad. Help us take the best care of you! Otherwise, we’re flying blind for quite a while when you first come in. (3/7)
Read 9 tweets
#Tweetorial vs. #UnsolicitedAdviceThread
🤔"What I wish I knew"🤔
#tipsfornewdocs #2wk

I was asked to do a wonderful Q&A during @umnmedresidency's first intern academic 1/2 day

Complied all tips👇

(💪work @Kay_L_Ingraham, @VigneshWP, @PendlKM) with co-panel (@jenwong101)
Before we begin.

Aside from trying to coax you to try twitter for #FOAMed #MedEd ...

Please know👉🏽not every tip will work for every person. Find what works for you!

Don't be overwhelmed
👉 Focus on something new each week or month!
** Audience ?s **

🗝️ Step 3 😱?👉focus on patient care unless you are taking w/in 3 months, just get signed up (it'll be OK)

🗝️ Research?👉focus on patient care and being a wonderful doctor (till spring @ earliest)

🗝️ Reading?👉read to care for your patient's illness

#theme?
Read 18 tweets
#Tramadont”, a #tweetorial

In response to the last #pharmacyeducationboard about tramadol- some are still doubting whether it has earned the moniker “Tramadont”. Points have been made that as tramadol is metabolized by CYP2D6 in the liver, so are other drugs. Should we (1/11)
just not prescribe anyone anything metabolized in the liver? Touché. The problem with CYP2D6 specifically is that it happens to have the most polymorphisms of all the CYPs enzymes. What does this mean? It means it has the greatest potential variability in activity (2/11)
from one person to another. Not only this, but unlike the other CYPs, it’s expression can vary from being absolutely nonfunctional to being an ultrarapid metabolizer because of the very unique ability of it to be duplicated! No other CYP enzyme does this!! (3/11)
Read 11 tweets
I stayed for hours after my shift yesterday to be with a little girl whose daddy was dying. We coloured and sang and wandered the secret passageways of the hospital. She confided in me that she is in fact Hermione Granger, a good wizard. I made her a special wand...
She said she only uses her magic for good. She cast spells that all the sick people would get better. She cast a best friend spell on us. She stole my heart & everyone who met her.

I have never met such a special little girl & I started to believe she did hold magical powers
The whole purpose in spending that time with her was to shield her, even if only for those moments, the grief of watching daddy pass away, and allow mommy private time to be with him.
But also to keep her close by for the frequent hugs Mom would come and collect...
Read 7 tweets
I want to put a 🙌 out to #MedTwitter

I may not tweet a lot but I do follow and gain quite a bit so I want to share how it has changed the way I carry myself and provide care.

It’s a thread.
2/
Patient asks the case manager when the doctor is going to see him

I spent 30 minutes updating him earlier that day 🤔

Pre-twitter: ok
Post-twitter: Sir, I’m in charge of your care, tell me a bit more about why you didn’t think I was your doctor.
#WomenInMedicine @AMarshallMD
3/
Overhear the nurses talking about a patient who made a veiled but serious threat to them during the course of care.

Pre-twitter: I’m sorry.
Post-twitter: 😠 that’s not OK. How can I support you?

#MedTwitter #NurseTwitter
@BrowofJustice
Read 11 tweets

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