The pandemic has posed new challenges for deaf staff. Inability to lip read through masks, noisy environment, masks muffling sounds all pose new barriers. In our departments, it’s our job to provide support for trainees/staff. A thread - thanks entirely to @DocFizzabella

1/11
Embarrassingly this isn’t something I’ve had to think about before. Thanks to @DocFizzabella (who is joining us @RLHPED later this year) my awareness is higher. She has provided me with this wonderful framework for support. It's things we can all implement in our department

2/11
The trainee can apply for Access to Work, a gov funding programme of up to £60k per year per person to pay for all necessary equipment such as radio microphones, transcription service, upgraded hearing aids if required plus many other things that may meet their needs.

3/11
The person can join the UK Deaf Healthcare Professionals facebook group. A group of many Deaf HCPs - all sharing experiences, advice and support: facebook.com/groups/2838619…

4/11
The department should get clear face masks. There are a number of options available. Make sure the masks have a window that shows the lips + face (to see facial expressions) and not just the lips.

5/11
Get deaf awareness training for the team. The person is fully capable but may have difficulty getting the info they need without lipreading. We need patience + understanding of how to communicate clearly without taking the 'easy route' of directing questions to someone else

6/11
Run regular sims for them to discuss what does/doesn't work to enable clear safe communication. This might involve white boards, hand signals, laminated drugs cards for team to point to, eBoard with algorithms + a scribe that sticks with them to relay anything they miss.

7/11
Ask the trainee what has helped them so far but understand that ED is a new ever-changing environment so will most likely be a brand new steep learning curve trying to communicate with masks for them as well.

8/11
Encourage the team to take time to connect + chat with them 1:1 somewhere quiet + keep the social side up. In quiet days when everyone naturally banters, the trainee may struggle to follow any conversations enough to get involved so ends up quite isolated + missing out.

9/11
@DocFizzabella noticed that one of the hardest aspects as a deaf trainee in the world of face masks is missing out on the unannounced learning that naturally happens around us when you hear someone talk about an interesting XR + you would naturally join + get involved.

10/11
Missing these bits + others can lead to gaps in their learning. Help them fill that gaps. Above all regularly remind them that we + the team are there to support them + not to be afraid to raise their voice early if they feel that they are struggling or missing out.

11/11

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More from @TessaRDavis

10 Feb
Virtual conferences/presentations to larger audiences are a challenge. There are pros and cons of pre-recording sessions.

It’s not a case of:

Pre-record = bad
Live = good

There is nuance.

A thread...

1/12
Make the decision that serves the core groups' interests best (in order of priority):

1. The audience - must learn + feel connected
2. The speaker - must feel supported, empowered, + valued
3. The organiser - must be able to practically deliver

2/12
As speakers we prefer a F2F audience. We like to hear them laugh at our great jokes, gasp at the cliffhangers, + know when their eyes drift so we can pull them back.

We can’t do this in a virtual presentation. We must accept this and adapt what we do.

3/12
Read 12 tweets
9 Feb
Minor burns are a common Paeds ED presentation.

Do you know how to assess them and treat them?
Do you deroof your blisters?
Do you know how to calculate the total body surface area of the burn?

See DFTBSkinDeep.com for more burns pictures

A thread

1/12 Image
Get a clear history. Pulling a cup of tea off the counter is a common causes of burns in young children.

How long ago had the tea been made?
Was there milk in it?
What was the child wearing?

Get all the details including who was there at the time.

2/12 Image
Has simple first aid been completed? Run the burn under cool water (15-18°C for 20 mins) within 3 hours.

Toothpaste/jam/honey don’t work.

The zone of stasis has potentially reversible damage. Don’t let the patient burn more. Cool the burn.

dontforgetthebubbles.com/cool-runnings/

3/12 Image
Read 12 tweets
28 Jan
Tech things to consider when delivering online teaching:

1. Can your audience access it?

Is there a simple link to access and does everyone have it?

What will you do about last minute registrations?

Does the software you use have a max audience number and is that ok?

1/10
2. Do you know how to show what you need?

Can you share your slides and screen without having to say 'can you see my screen now'? Are you using polls and do they work?

Practice. Practice. Practice.

The tech should be smooth to allow the focus to be on your content.

2/10
3. Do your guests know what they are doing?

Run a tech check with them beforehand but make sure it's on THE SAME device and internet connection that they will use on the day.

Make sure they wear clothes that don't strobe on camera. Make sure you can hear & see them well.

3/10
Read 10 tweets
26 Jan
Level up your online teaching sound quality. Allow the audience to concentrate on you and not your crackling audio. Online teaching isn't going away - embrace it.

Think about:

Choosing a mic + positioning it
Optimising your room size/echo
Reducing background noise

1/5
Don't use your comp mic. Two broad mic types to consider:

-A dynamic mic - good if you can be close to the mic & need to filter out background noise.

-A condenser mic - captures more delicate sounds, good if you want the mic to be out of shot

Range of prices for each

2/5
Room size/echo. Can you reduce the echo in the room?

This can be done just by putting a rug on your floor (if you don't have carpet) or a screen up. Foam sound panels are cheap + can go on the wall near you

Small changes but can make a big difference to sound quality

3/5
Read 5 tweets
31 Dec 20
2020 is ending and it's time for me to reflect on the year for
@DFTBubbles

This is a team I truly love being part of - friendship, community, connection, learning, along with breaking new ground every week in a way that always surprises me.

A thread: 1/9
This year our website views have continued to increase, surpassing 1.5 million. This has been a labour of love over 7 years and it due to building a system where we can produce regular, quality content. Thanks to all who have contributed.

2/9
We got referenced in two WHO documents on return to school during COVID, something that I think we would have laughed at the thought of happening when we started in 2013.

This is thanks to @apsmunro leading the COVID data analysis team in what has been a spectacular effort

3/9
Read 10 tweets
11 Nov 20
A thread on leadership, making mistakes + saying thank you (inspired by @andrewjtagg)

I've made many mistakes during my years in medicine, but I made a big one right at the beginning

It was 2003, I was in my house officer year in my first job. I was scared + inexperienced

1/10
Things were different then. There wasn't support from trainees or nursing staff. You got left to get on with it. We weren't taught or trained like we are now.

I misinterpreted a patient's blood gas. Honestly, I didn't understand what I was looking at.

2/10
I thought the gas was ok; it clearly wasn't.

The mistake was discovered the next day on our ward round.

The patient was unwell + the consultant spotted it immediately. "Who saw this blood gas last night?"

"It was me" I mumbled.

The large ward team turned + stared at me.

3/10
Read 10 tweets

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