Discover and read the best of Twitter Threads about #nursetwitter

Most recents (9)

"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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