#OTalk Transcript

Healthcare social media transcript of the #OTalk hashtag.
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RCOT Neuro Practice @RCOT_NP
Welcome everyone and thanks for joining us. It's @louiseclark15 tweeting and joined by the rest of the stroke forum @JenniferNCrow @NicoleCWalmsley and @chungsongyau. Remember to follow #OTalk and add to all your tweets to follow the thread. Here we go...
Charlie Chung @chungsongyau
RT @RCOT_NP: Welcome everyone and thanks for joining us. It's @louiseclark15 tweeting and joined by the rest of the stroke forum @Jennifer
Jennifer Crow @JenniferNCrow
RT @RCOT_NP: Welcome everyone and thanks for joining us. It's @louiseclark15 tweeting and joined by the rest of the stroke forum @Jennifer
#OTalk @OTalk_
Welcome to tonight’s #OTalk tonight hosted by @RCOT_NP say hello if your joining tonight, even if your just planning on lurking. @OT_rach here for support tonight https://t.co/kByTPktNU5
Kerri Schubert @kerri_schOT
Here for #otalk tonight! Haven’t tweeted in a looooooooong while 👍🏼
Bill Wong, OTD, OTR/L @BillWongOT
Hello peeps! Back to home sweet home in Los Angeles. 😁 #OTalk
RCOT Neuro Practice @RCOT_NP
Let's get started with question 1. What do you think are the positives of the Sentinel Stroke National Audit Programme? #OTalk
RCOT Neuro Practice @RCOT_NP
Unfortunately @SSNAPaudit aren't able to join us this evening, but we'll pass on any queries we can't answer. We have links to lots of resources that'll help too #OTalk
RCOT Neuro Practice @RCOT_NP
Hi everyone!!! Hi @OT_rach and thanks for having us back! #OTalk
#OTalk @OTalk_
Just a few house rules before we get started #OTalk https://t.co/X7q7BhMHOU
#OTalk @OTalk_
#OTalk 👇🏽 https://t.co/Cej8gasQLD
latísh @tis7ha
@JadeCodesido @OTJenniy @emmaneuroOT @mclellan_nicola @kathfoster_ @AnyaPhysio1417 👀⏰
RCOT Neuro Practice @RCOT_NP
Great, Let's get started with question 1. What do you think are the positives of the Sentinel Stroke National Audit Programme? #OTalk
#OTalk @OTalk_
Please remember the #OTalk so we can capture the full discussion; remember code of conduct; have fun (if you forget the hashtagit will not be in the transcript) https://t.co/dljkHIycTj
#OTalk @OTalk_
@AideenKa @RCOT_NP @OT_rach @otalk Use the # not the @ #OTalk
RCOT Neuro Practice @RCOT_NP
Unfortunately @SSNAPaudit aren't able to join us this evening, but we'll pass on any queries we can't answer. We have links to lots of resources that'll help too #OTalk
#OTalk @OTalk_
Quick off the mark here is Question 1
Rowena Padamsey @RPadamsey
@OTalk_ @RCOT_NP @OT_rach Hi all, I’m lurking! 👋🏼 #OTalk
#OTalk @OTalk_
Welcome #OTalk
Annika Niebuhr @AnninieOT
@OTalk_ @RCOT_NP @OT_rach Hi. I’m new to twitter and #Otalk. Therefore just lurking and learning.
Bill Wong, OTD, OTR/L @BillWongOT
@RCOT_NP @SSNAPaudit That will help because obviously I am from the USA and not familiar with many of the things that are being discussed this evening. #otalk
#OTalk @OTalk_
Everyone is more than welcome don’t feel free to join in if you have any questions or comments. #OTalk
Jennifer Crow @JenniferNCrow
One of the positives is that SSNAP results are noted at a trust management level and this helps to ensure staffing levels stay as they should in order to achieve the therapy intensity SSNAP standard #OTalk
Jenny OT @OTJenniy
@OTalk_ @RCOT_NP @OT_rach Hey @OTalk_ @tis7ha @emmaneuroOT @mclellan_nicola @kathfoster_ @JadeCodesido Love a lurk 👀 #OTalk
Kerri Schubert @kerri_schOT
@RCOT_NP it helps to measure the quality of stroke care #otalk
#OTalk @OTalk_
You need to use the # not the @ for people to see you engaging in this conversation #OTalk https://t.co/ZKYNIuC0t3
#OTalk @OTalk_
Remember remember remember remember, # # # in every tweet in every tweet. #otalk
#OTalk @OTalk_
@OTJenniy @RCOT_NP @OT_rach @tis7ha @emmaneuroOT @mclellan_nicola @kathfoster_ @JadeCodesido That’s better 😝 #OTalk
Louise @Louisepenny87
@RCOT_NP Helps give a target for time of rehab per day and time frames for disciplines to see a patient by. Early intervention by MDT supports stroke care and rehab #otalk
RCOT Neuro Practice @RCOT_NP
@kerri_schOT Absolutely. A bit of healthy competition between trusts and teams can help learn from each other and improve care #OTalk
Rowena Padamsey @RPadamsey
@OTalk_ It gives services an opportunity to benchmark against other services, measure the performance of a service against ‘quality’ indicators and provides transparency for patients and service users #OTalk
#OTalk @OTalk_
RT @kerri_schOT: @RCOT_NP it helps to measure the quality of stroke care #otalk
Jennifer Crow @JenniferNCrow
RT @RPadamsey: @OTalk_ It gives services an opportunity to benchmark against other services, measure the performance of a service against ‘…
Bill Wong, OTD, OTR/L @BillWongOT
RT @RPadamsey: @OTalk_ It gives services an opportunity to benchmark against other services, measure the performance of a service against ‘…
Jennifer Crow @JenniferNCrow
RT @Louisepenny87: @RCOT_NP Helps give a target for time of rehab per day and time frames for disciplines to see a patient by. Early interv…
#OTalk @OTalk_
Welcome and I hope you enjoy yourself top tip just go with the flow #otalk
Kerri Schubert @kerri_schOT
RT @RCOT_NP: @kerri_schOT Absolutely. A bit of healthy competition between trusts and teams can help learn from each other and improve car…
Kerri Schubert @kerri_schOT
RT @OTalk_: Remember remember remember remember, # # # in every tweet in every tweet. #otalk
Kerri Schubert @kerri_schOT
RT @RPadamsey: @OTalk_ It gives services an opportunity to benchmark against other services, measure the performance of a service against ‘…
latísh @tis7ha
RT @JenniferNCrow: One of the positives is that SSNAP results are noted at a trust management level and this helps to ensure staffing leve…
Bill Wong, OTD, OTR/L @BillWongOT
@RPadamsey @OTalk_ So it sounds like a Yelp between such units- so that service users can get some info on what they maybe in for. #otalk
RCOT Neuro Practice @RCOT_NP
Absolutely. Senior management do seem to really engage with the data and seems to give therapy an importance alongside some of the process measures #OTalk
#OTalk @OTalk_
Here is question one in case you missed it! #OTalk
Jennifer Crow @JenniferNCrow
RT @RCOT_NP: Great, Let's get started with question 1. What do you think are the positives of the Sentinel Stroke National Audit Programme…
Bill Wong, OTD, OTR/L @BillWongOT
@RPadamsey @OTalk_ If I were a patient or caregiver, I am for this because I want to know what kind of care me or my loved ones will receive. #otalk
Louise @Louisepenny87
RT @JenniferNCrow: One of the positives is that SSNAP results are noted at a trust management level and this helps to ensure staffing leve…
#OTalk @OTalk_
@AvrilDrummond1 Hi there you need to use the hashtag in every tweet the @ Will not work #OTalk
RCOT Neuro Practice @RCOT_NP
@Louisepenny87 Absolutely, really important!! I'm sure you'll have lots to add for the next couple of questions #OTalk
Charlie Chung @chungsongyau
RT @RPadamsey: @OTalk_ It gives services an opportunity to benchmark against other services, measure the performance of a service against ‘…
Ismalia De Sousa MSc RN @Ismalia_S
@JenniferNCrow Or that they need to increase #otalk
Jennifer Crow @JenniferNCrow
A number of the standards require collaborative MDT working to ensure Standards by discharge for example - it is not about each discipline for themselves - we need to work together #OTalk
Charlie Chung @chungsongyau
RT @RCOT_NP: @kerri_schOT Absolutely. A bit of healthy competition between trusts and teams can help learn from each other and improve car…
RCOT Neuro Practice @RCOT_NP
@RPadamsey @OTalk_ Yes, the results are publicly available so patients can look at how their local units are performing and exercise choice or lobby for improvement #OTalk
Louise @Louisepenny87
@RCOT_NP Also helps in the justification of service provision. Having left the London bubble recently, I’m shocked by the variability of service provision elsewhere #OTalk
Alex Smith @YmchwilStroc
@RCOT_NP Much potential to answer many novel questions from such widespread population level data 📈📉📈 #OTalk
Jennifer Crow @JenniferNCrow
The patients voice carries weight and transparency is good #OTalk
Nicole Claire Walmsley @NicoleCWalmsley
Prompts therapists to consider how they can improve intensity. Its not always about increasing staffing, its efficiency also #OTalk
RCOT Neuro Practice @RCOT_NP
@JenniferNCrow So it promotes joined up discussions and action planning to improve care? #OTalk
Kerri Schubert @kerri_schOT
RT @JenniferNCrow: One of the positives is that SSNAP results are noted at a trust management level and this helps to ensure staffing leve…
Kerri Schubert @kerri_schOT
RT @Ismalia_S: @JenniferNCrow Or that they need to increase #otalk
Jennifer Crow @JenniferNCrow
We miss @Louisepenny87 in our London bubble @OTalk
Rowena Padamsey @RPadamsey
@RCOT_NP They do....but at the risk of trusts feeling that once an ‘A’ has been achieved, no more needs to be done/invested to push forwards service improvement #OTalk
RCOT Neuro Practice @RCOT_NP
Moving onto question 2: How do you use the data day to day to plan or improve patient care? #OTalk #stroke
Avril Drummond @AvrilDrummond1
RT @OTalk_: @AvrilDrummond1 Hi there you need to use the hashtag in every tweet the @ Will not work #OTalk
Jennifer Crow @JenniferNCrow
Yes until the A becomes a C and then they sit up take notice and listen again #OTalk
RCOT Neuro Practice @RCOT_NP
@YmchwilStroc I love this answer! The power in that data!!!!! Swooooooooon!!!! A huge population, measuring change over time, impact of different elements of the system and different service models #OTalk
Kerri Schubert @kerri_schOT
@Ismalia_S @JenniferNCrow yes! makes sure there are enough staff to ensure patients have a high level of frequent therapy #otalk
Charlie Chung @chungsongyau
RT @JenniferNCrow: One of the positives is that SSNAP results are noted at a trust management level and this helps to ensure staffing leve…
Jennifer Crow @JenniferNCrow
RT @kerri_schOT: @Ismalia_S @JenniferNCrow yes! makes sure there are enough staff to ensure patients have a high level of frequent therapy…
Bill Wong, OTD, OTR/L @BillWongOT
@RPadamsey @RCOT_NP Since I am not familiar with the system... how often these grades are updated? #otalk
RCOT Neuro Practice @RCOT_NP
@RPadamsey And the same the other way, when trusts are struggling to achieve A+B's and it's used as a stick to hit with, rather than a carrot to promote positive change #OTalk
#OTalk @OTalk_
Question 2 #OTalk
Jennifer Crow @JenniferNCrow
Are there any community therapists out there tonight? I think the community experience is quite different to the acute would love to hear some community voices #OTalk
#OTalk @OTalk_
@AideenKa @RCOT_NP @OT_rach @otalk It’s okay it’s an easy mistake to make and that’s what I’m here for to keep you on track! #otalk
OTMargaret @margaret_ot
#OTalk - 25th June 2019 - The Sentinel Stroke National Audit Programme (SSNAP) https://t.co/qdGbpoGhxx via @OTalk_
Charlie Chung @chungsongyau
@JenniferNCrow #OTalk That’s such an important point. In Scotland, we don’t have the time targets yet and it makes it more challenging to justify staffing levels.
Rowena Padamsey @RPadamsey
@RCOT_NP We use the 72hr guidance to ensure the hyper acute service is front loaded (when needed), making sure people are seen ASAP from admission #OTalk
Ismalia De Sousa MSc RN @Ismalia_S
RT @JenniferNCrow: Yes until the A becomes a C and then they sit up take notice and listen again #OTalk https://t.co/uUGPw6GSi8
RCOT Neuro Practice @RCOT_NP
@kerri_schOT @Ismalia_S @JenniferNCrow We visit a lot of areas where staffing levels are still very low. It would be good to share how people have used the data successfully in business cases #OTalk
Emma Burgess @emmaneuroOT
@RCOT_NP It helps with prioritising our daily caseloads to ensure all patients receive the recommended time #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@kerri_schOT @Ismalia_S @JenniferNCrow And also consistent staff too! Rapport with patients is paramount. Inconsistent staff can make quality care difficult. #otalk
Rowena Padamsey @RPadamsey
@RCOT_NP It presses us to consider staffing levels on the rehab wards to ensure equity of service in rehab provision #OTalk
Kerri Schubert @kerri_schOT
RT @BillWongOT: @kerri_schOT @Ismalia_S @JenniferNCrow And also consistent staff too! Rapport with patients is paramount. Inconsistent staf…
Elizabeth Taylor @ElizaTay1
@RCOT_NP @RPadamsey @OTalk_ I wonder how common it is for patients to use the results to exercise choice #OTalk Has anyone seen this in action?
RCOT Neuro Practice @RCOT_NP
@BillWongOT @RPadamsey We have a quarterly report, which reports on every stroke unit in England and those participating in Wales and Northern Ireland #OTalk
Jennifer Crow @JenniferNCrow
The 24 hour and 72 hour target is what led to the implementation of our 7 day OT/PT service. Maybe not loved by all but certainly better for the pt #OTalk
RCOT Neuro Practice @RCOT_NP
@OTalk_ @AideenKa @OT_rach @otalk Thank goodness you're here! #OTalk
Rowena Padamsey @RPadamsey
@RCOT_NP However, often trust flow issues can override these recommendations and caseloads need to be re-prioritised accordingly #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @RCOT_NP: @BillWongOT @RPadamsey We have a quarterly report, which reports on every stroke unit in England and those participating in Wa…
Jennifer Crow @JenniferNCrow
It is a powerful and visual statement of how your service compares with others #OTalk
RCOT Neuro Practice @RCOT_NP
Did you know that you can use real time indicators, where the system tells you which domains are not yet achieved? (only if you upload in real time) https://t.co/2ldoMsR82a #OTalk
RCOT Neuro Practice @RCOT_NP
@RPadamsey Can you tell us more about this? Do you operate an outreach service where therapists attend a stroke call in ED or immediate assessment on the HASU? #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @RCOT_NP: Did you know that you can use real time indicators, where the system tells you which domains are not yet achieved? (only if yo…
Charlie Chung @chungsongyau
#OTalk when it’s not possible to achieve the recommended time for all patients, how do you approach workload management?
Jenny OT @OTJenniy
@emmaneuroOT @RCOT_NP We keep a running total of each professions time, with each patient. It helps us to see who may benefit from more input #OTalk
Charlie Chung @chungsongyau
RT @RPadamsey: @RCOT_NP We use the 72hr guidance to ensure the hyper acute service is front loaded (when needed), making sure people are se…
RCOT Neuro Practice @RCOT_NP
@emmaneuroOT Great. How do you do this? Do you use the data on the system in real time? Or do you have it in mind for timetabling based on what else has happened that week for the patient? #OTalk
Nicole Claire Walmsley @NicoleCWalmsley
@RCOT_NP Is this just for the first 72 hours data at present? #OTalk
Louise @Louisepenny87
@RCOT_NP I don’t work in a service that reports to SSNAP anymore, but it’s still ingrained to think about therapy input per day, time to input of a discipline and MDT working #OTalk
Rowena Padamsey @RPadamsey
@RCOT_NP We have planned cover on the HASU (direct admissions) and can flex up/down as needed #OTalk
Jennifer Crow @JenniferNCrow
We are now capturing our data live which means that it can serve as a prompt when cog screens or other targets such as goal setting are missed #OTalk
Jennifer Crow @JenniferNCrow
RT @Louisepenny87: @RCOT_NP I don’t work in a service that reports to SSNAP anymore, but it’s still ingrained to think about therapy input…
Charlie Chung @chungsongyau
RT @JenniferNCrow: We are now capturing our data live which means that it can serve as a prompt when cog screens or other targets such as g…
Charlie Chung @chungsongyau
RT @RPadamsey: @RCOT_NP We have planned cover on the HASU (direct admissions) and can flex up/down as needed #OTalk
Ismalia De Sousa MSc RN @Ismalia_S
@RCOT_NP @kerri_schOT @JenniferNCrow I think it's multifactorial. You need the data, to compare it with others, have at least 1 person of each profession amongst the MDT that is a "doer" or a driving force for change. Then you need the right people at the table #otalk
Charlie Chung @chungsongyau
RT @Louisepenny87: @RCOT_NP I don’t work in a service that reports to SSNAP anymore, but it’s still ingrained to think about therapy input…
Jennifer Crow @JenniferNCrow
RT @Ismalia_S: @RCOT_NP @kerri_schOT @JenniferNCrow I think it's multifactorial. You need the data, to compare it with others, have at leas…
Bill Wong, OTD, OTR/L @BillWongOT
RT @Ismalia_S: @RCOT_NP @kerri_schOT @JenniferNCrow I think it's multifactorial. You need the data, to compare it with others, have at leas…
Kerri Schubert @kerri_schOT
RT @NicoleCWalmsley: Prompts therapists to consider how they can improve intensity. Its not always about increasing staffing, its efficienc…
RCOT Neuro Practice @RCOT_NP
@JenniferNCrow Would be great for you to try the real time indicators. There's also a therapy calculator which you can use to tot up as you go which can then be uploaded to SSNAP #OTalk
Kerri Schubert @kerri_schOT
RT @RPadamsey: @RCOT_NP We use the 72hr guidance to ensure the hyper acute service is front loaded (when needed), making sure people are se…
RCOT Neuro Practice @RCOT_NP
Here’s the link for the therapy pages. Lots of interesting information and guidance. https://t.co/dibrD5f75C. Including FAQ’s, reports, how to guides, links to research, how to interpret the results and vignettes re what does and doesn’t count #OTalk
Avril Drummond @AvrilDrummond1
#otalk Easier said that done. But giving everyone something is better than leaving some patients completely. https://t.co/9kA0fVr6TV
Avril Drummond @AvrilDrummond1
RT @RCOT_NP: Here’s the link for the therapy pages. Lots of interesting information and guidance. https://t.co/dibrD5f75C. Including FAQ’s…
Aideen Carroll @AideenKa
@RCOT_NP @RPadamsey Is HASU Hyper acute stroke unit? I'm on placement on a stroke ward and am getting used to the terminology #OTalk.
RCOT Neuro Practice @RCOT_NP
@Ismalia_S @kerri_schOT @JenniferNCrow Completely agree. It gives you useful information to start and frame a conversation. Change happens because of people getting together with a common aim after all #OTalk
Charlie Chung @chungsongyau
@Louisepenny87 @RCOT_NP #OTalk that’s interesting that it becomes embedded. Do you ever find that other non-patient tasks are neglected due them becoming lower priority?
Jenny OT @OTJenniy
@RachelTeasy @RCOT_NP We’ve incorporated the SSNAP data that needs to be collected on the front page of our initial neuro assessment; this helps to prompt us to ensure we complete the data collection. We also now update the mood screen each week in MDT meetings for each patient. #OTalk @emmaneuroOT
RCOT Neuro Practice @RCOT_NP
Has anyone used the ‘custom export’ function to pull the data off they need to support business cases or service improvement projects? It’s easy when you know how…https://t.co/ERTaFisP0e #OTalk
#OTalk @OTalk_
#otalk hi Emma you need to ensure that you include the hashtag otherwise people won’t say what you said
#OTalk @OTalk_
@emmaneuroOT @RCOT_NP Don’t forget the hashtag in all your tweets #OTalk
Rowena Padamsey @RPadamsey
@chungsongyau We have to look at when people were last seen, have they accessed groups etc, are we dch planning with them #OTalk
Jennifer Crow @JenniferNCrow
We do find that supervision sessions as an example may need to be rescheduled when staffing is low #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @RCOT_NP: Here’s the link for the therapy pages. Lots of interesting information and guidance. https://t.co/dibrD5f75C. Including FAQ’s…
RCOT Neuro Practice @RCOT_NP
We’ve (@louiseclark15) used the custom export to analyse length of stay per MRS group on discharge. Enabled us to look in more detail at the subgroups of patients, what was holding them up, design the right pathways for them and will let us monitor impact on LOS #OTalk
Avril Drummond @AvrilDrummond1
RT @RCOT_NP: Has anyone used the ‘custom export’ function to pull the data off they need to support business cases or service improvement p…
Emma Burgess @emmaneuroOT
@OTalk_ Oooooppss sorry 🙈#OTalk
Charlie Chung @chungsongyau
#OTalk So for occupational therapy, where many direct patient contacts are not necessarily practice sessions, but education or reflection, a higher proportion of patients may be seen productively compared to when there are no targets? https://t.co/IqX4vg9kZa
Louise @Louisepenny87
@chungsongyau When we knew we would struggle to meet the 45min target we would consider group or paired sessions to increase time seen #OTalk
Avril Drummond @AvrilDrummond1
RT @chungsongyau: #OTalk So for occupational therapy, where many direct patient contacts are not necessarily practice sessions, but educati…
Jennifer Crow @JenniferNCrow
Ah yes the use of groups is a great idea to increase therapy intensity and at the same time addressing isolation, low mood and other social interaction and communication goals #OTalk
RCOT Neuro Practice @RCOT_NP
@chungsongyau @Louisepenny87 I think it helps you question your priorities and keep tabs on how much other "stuff" we're doing. When we look at the evidence (REACT study) a lot of the time we're tied up in other things. Even in treatment sessions we're losing a lot of time not actively treating #OTalk
Emma Burgess @emmaneuroOT
@RCOT_NP We have a large board in our office that we put times down for OT,SLT,physio for each patient. This visual display makes it easier for our team to tally up over the week. At the weekend we can also see who needs ‘topping up’ to make sure they have had enough time #OTalk
Louise @Louisepenny87
@RPadamsey @chungsongyau It’s a shame that the discharge planning process gets in the way of direct face to face input, as this must be the start of the ‘falling of a cliff edge’ reported by people with stroke discharged from services #OTalk
Avril Drummond @AvrilDrummond1
RT @RCOT_NP: @chungsongyau @Louisepenny87 I think it helps you question your priorities and keep tabs on how much other "stuff" we're doing…
@NickyRyderOT @NicholaRyder
@hspenceruk that is amazing, such a great idea! How did you find all the makaton type symbols? Was thinking of trying something akin to this to overcome verbal barriers in later stage dementia. #communication #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @JenniferNCrow: Ah yes the use of groups is a great idea to increase therapy intensity and at the same time addressing isolation, low mo…
Jennifer Crow @JenniferNCrow
You see this is why we miss you, thinking outside the box ... paired sessions are a great way to increase intensity and enable informal peer support at an early stage #OTalk
RCOT Neuro Practice @RCOT_NP
People have mixed feelings re the 45 min therapy target. Why is it important for patients and for services? #OTalk #stroke
#OTalk @OTalk_
@emmaneuroOT That’s okay that’s what I’m here for to catch you out! 😋 I mean help! 🤓🤣 #OTalk
OTMargaret @margaret_ot
@OTalk_ @RCOT_NP #OTalk I am new to twitter after being helped to sign up last week at the Occupational Therapy conference in Birmingham which was brilliant. I am interested in stroke management in children so will be lurking and listening in.
RCOT Neuro Practice @RCOT_NP
@emmaneuroOT I like the use of the totting up in order to highlight who needs a top up! Sure many of us could easily adopt that #OTalk
RCOT Neuro Practice @RCOT_NP
Have you read the REACT study? This gives some pointers about things we’re getting tied up in, which reduce our ability to provide face to face therapy. Link on the SSNAP therapy page. Also, keep an eye out for SSNAPIEST from manchester, using SSNAP therapy data #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@JenniferNCrow Camaraderie between patients is often overlooked in therapy related outcomes. #otalk
Emma Burgess @emmaneuroOT
@RCOT_NP We have found that it has really helped. #OTalk
Louise @Louisepenny87
@chungsongyau @RCOT_NP Yes, definitely @chungsongyau, but sooner or later the non patient contact ends up higher on your priority list so it gets done! It’s certainly a juggling act #OTalk
#OTalk @OTalk_
@margaret_ot @RCOT_NP That’s great to hear Margaret, just keep on clicking on the blue #otalk - and your app will keep on refreshing with the conversation. Remember to put the hashtag in any of your tweets so that people can see them and follow the conversation.
Charlie Chung @chungsongyau
#OTalk Great point. I think that’s really important as we could argue that doing something well for a shorter time is more effective that doing something for the sake of doing it for longer. May depend on the activity - movement practice intensity still needs a greater dosage?
Jenny OT @OTJenniy
@RCOT_NP It’s evidenced based. 45 minutes provides better outcomes for our patients #OTalk @emmaneuroOT @mclellan_nicola @tis7ha @kathfoster_
Avril Drummond @AvrilDrummond1
#OTalk #stroke. Easy to forget that it was not that long ago that many patients literally received no therapy for days on end. Setting the target and implementing it was the start of tackling this unfair system.
Alex Smith @YmchwilStroc
@RCOT_NP @louiseclark15 Nice idea, would love a bit more granularity in the data for many analyses. It would be good to have some other measure routinely collected and recorded in @SSNAPaudit #OTalk
Charlie Chung @chungsongyau
RT @Louisepenny87: @chungsongyau @RCOT_NP Yes, definitely @chungsongyau, but sooner or later the non patient contact ends up higher on your…
Louise @Louisepenny87
Step 1: see a patient for 45 minutes. Step 2: work damn hard during all of those 45 minutes! #OTalk
Avril Drummond @AvrilDrummond1
RT @chungsongyau: #OTalk Great point. I think that’s really important as we could argue that doing something well for a shorter time is mor…
Jennifer Crow @JenniferNCrow
We spend too much time in information exchange according to the REACT study and I can see this happening on the ward - lots of talking about patients at times which is good but time needs to be balanced with doing #OTalk
Charlie Chung @chungsongyau
RT @RCOT_NP: @chungsongyau @Louisepenny87 I think it helps you question your priorities and keep tabs on how much other "stuff" we're doing…
Bill Wong, OTD, OTR/L @BillWongOT
RT @YmchwilStroc: @RCOT_NP @louiseclark15 Nice idea, would love a bit more granularity in the data for many analyses. It would be good to h…
Jenny OT @OTJenniy
@RachelTeasy @RCOT_NP As do I 🤭 #OTalk
RCOT Neuro Practice @RCOT_NP
@BillWongOT @JenniferNCrow I think we've got lots to explore from the group therapy and gym set ups we see in Australia for example, where they're striving for closer to 3 hours of therapy and maximum practice, semi supervised practice etc #OTalk
Charlie Chung @chungsongyau
RT @Louisepenny87: @RPadamsey @chungsongyau It’s a shame that the discharge planning process gets in the way of direct face to face input,…
#OTalk @OTalk_
We are halfway through the hour already #OTalk https://t.co/YfYnpffg1j
Emma Burgess @emmaneuroOT
@OTJenniy @RCOT_NP @mclellan_nicola @tis7ha @kathfoster_ We have daily groups 1:1 qualified and assistant sessions to help us achieve this daily on our wards. #OTalk @OTJenniy
Bill Wong, OTD, OTR/L @BillWongOT
@RCOT_NP @JenniferNCrow I will sure want to find out more if I can- since I am going to their conference in 2.5 weeks’ time. #otalk
Rowena Padamsey @RPadamsey
@RCOT_NP @BillWongOT @JenniferNCrow How do they balance this with the discharge planning aspect of things? #OTalk
Charlie Chung @chungsongyau
#OTalk Sounds good - bring more creative with the use of time and also providing the added benefits of group work such as mutual encouragement and peer support?
Charlie Chung @chungsongyau
RT @JenniferNCrow: We do find that supervision sessions as an example may need to be rescheduled when staffing is low #OTalk https://t.co/g…
Louise @Louisepenny87
@BillWongOT @JenniferNCrow Everyone loves a bit of healthy competition #OTalk
Charlie Chung @chungsongyau
RT @RPadamsey: @chungsongyau We have to look at when people were last seen, have they accessed groups etc, are we dch planning with them #O
Nicole Claire Walmsley @NicoleCWalmsley
@JenniferNCrow Agreed. Aren’t all SU therapist offices full of chat?! which is good… but do we do too much? ….. #OTalk
Louise @Louisepenny87
RT @RCOT_NP: @BillWongOT @JenniferNCrow I think we've got lots to explore from the group therapy and gym set ups we see in Australia for ex…
RCOT Neuro Practice @RCOT_NP
@JenniferNCrow Definitely. We (@louiseclark15) were sure we needed more staff and were preparing a business case. Before we submitted it we evaluated how much time the team were spending timetabling. By reviewing this, we released the equivalent of 1.0 WTE band 6 #OTalk
Jennifer Crow @JenniferNCrow
Was in a meeting today with HASU's and ASU's - HASU's had data entry staff but ASU's do not. Discussion was that it is hard to justify a post when pt numbers are low. Are there ASU's out there with specific non clinical data entry staff #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@Louisepenny87 @JenniferNCrow And everyone can also use friendly support... especially for those who have not as many friends or as strong in support systems goes. #otalk
Charlie Chung @chungsongyau
#OTalk that’s a great idea to have something visual to inform continuous workload planning.
Elizabeth Taylor @ElizaTay1
@YmchwilStroc @RCOT_NP @louiseclark15 @SSNAPaudit Which additional measures would you like to see included? #OTalk
Jennifer Crow @JenniferNCrow
In my view ..... yes #OTalk
Avril Drummond @AvrilDrummond1
RT @chungsongyau: #OTalk that’s a great idea to have something visual to inform continuous workload planning. https://t.co/5ynApKJACa
RCOT Neuro Practice @RCOT_NP
@NicoleCWalmsley @JenniferNCrow Are some of the things we do are more for us, than for the benefit of the patients?? Sometimes we accidentally fall into this #OTalk
Rowena Padamsey @RPadamsey
@JenniferNCrow Our band 3 therapy support workers input the data daily...taking up at least one pt session a day - doesn’t feel like we have the balance right #OTalk
Louise @Louisepenny87
@NicoleCWalmsley @JenniferNCrow That’s part of the challenge of having such a broad MDT. I had 3 conversations today about a patient who has a whole meeting dedicated to them tomorrow! Comms are important but can get out of hand #OTalk
Ciaran O'Hagan @OT_Ciaran
I'm new to stroke and I find the 45-min daily therapy guideline difficult to adhere to. Some patient sessions take longer therefore cutting into time needed for another patient. Group work is going to be a key ally in helping me ensure all patients get enough therapy time. #OTalk
OTMargaret @margaret_ot
@OTalk_ @RCOT_NP #OTalk thank you that's helped me understand what to do.
RCOT Neuro Practice @RCOT_NP
@ElizaTay1 @YmchwilStroc @louiseclark15 @SSNAPaudit We've had some discussions at ICSWP recently about making some additions, but it's not possible for lots of new questions at present. We do have a list of ideas though #OTalk
#OTalk @OTalk_
Question 3 #OTalk
Avril Drummond @AvrilDrummond1
RT @OTJenniy: @emmaneuroOT @RCOT_NP We keep a running total of each professions time, with each patient. It helps us to see who may benefit…
RCOT Neuro Practice @RCOT_NP
You can also add an extra domain to SSNAP to collect additional data that your service or region feel they need. Services in Wessex have done this @PhysioLouiseJ might be able to tell you more. Here’s how…https://t.co/qOh6ZkNAbg #OTalk
Charlie Chung @chungsongyau
#OTalk that’s the thing about OT isn’t it, the tasks we undertake are so diverse and not all are relatable to time targets. However, I’m getting the point that time targets may stil have the influence on pushing to ensure we work with people as frequently and as long as possible
Louise @Louisepenny87
@chungsongyau Yes. I love using paired sessions if I’m giving similar information, or doing a similar type of rehab #OTalk
Charlie Chung @chungsongyau
RT @Louisepenny87: @chungsongyau Yes. I love using paired sessions if I’m giving similar information, or doing a similar type of rehab #OTa
Jennifer Crow @JenniferNCrow
Yes I have never really considered how scrutinised a new member of the team might feel as regards their ability to deliver the 45 min target, thanks for raising #OTalk
Nicole Claire Walmsley @NicoleCWalmsley
@JenniferNCrow our ASU has no data entry support which I imagine would be the same for most community services? All our data is inputted by senior therapists. Which is a pain… but helps senior therapist keep tabs on quality of data inputted and monitor issues… #OTalk
#OTalk @OTalk_
@margaret_ot @RCOT_NP That’s what I’m here for. Other advice is just go with the flow you’re bound to miss things but that’s okay. I’ll create a transcript of the conversation and put it on the blog in a few days so you can read over that and see anything that you’ve missed. #otalk
Rowena Padamsey @RPadamsey
@OTalk_ As previously mentioned- before this there wasn’t anything to inform how long patients should receive for therapy/day #OTalk
RCOT Neuro Practice @RCOT_NP
One of the areas the forum has asked to be considered for inclusion on SSNAP is home visits. This uses a lot of resource, but patients really value it. They are also something that is often rationalised when under pressure #OTalk
#OTalk @OTalk_
RT @RCOT_NP: You can also add an extra domain to SSNAP to collect additional data that your service or region feel they need. Services in…
Alex Smith @YmchwilStroc
@ElizaTay1 @RCOT_NP @louiseclark15 @SSNAPaudit Good question! I think a good place to start would be the cognitive screen scores and mood screen scores, which are currently just tick boxes of administered/ not administered #OTalk
RCOT Neuro Practice @RCOT_NP
@chungsongyau We hear often the burden clinicians feel to “feed the beast”, that is SSNAP and that it’s all about targets. We can’t argue the fact that more is better, we’re often not meeting 45 mins & we know that 45 minutes is nowhere near enough either #OTalk
RCOT Neuro Practice @RCOT_NP
@chungsongyau It helps to remember the intention behind all the targets is to encourage us to give the patients more of what they need to improve and to drive improvement in services #OTalk
Charlie Chung @chungsongyau
RT @RCOT_NP: @chungsongyau We hear often the burden clinicians feel to “feed the beast”, that is SSNAP and that it’s all about targets. We…
OTMargaret @margaret_ot
@RCOT_NP #OTalk this was a really useful article.
Charlie Chung @chungsongyau
RT @RCOT_NP: @chungsongyau It helps to remember the intention behind all the targets is to encourage us to give the patients more of what t…
Jennifer Crow @JenniferNCrow
RT @RCOT_NP: @chungsongyau We hear often the burden clinicians feel to “feed the beast”, that is SSNAP and that it’s all about targets. We…
Avril Drummond @AvrilDrummond1
#OTalk How long have you got? I could write a short essay on this one issue :)
Louise @Louisepenny87
@RCOT_NP It’s a fair (and generally pragmatic) target. I guess some places might see it as a maximum rather than a minimum number. I would love therapist to be more aware of what each 45 minute chunk consists of #OTalk
Charlie Chung @chungsongyau
RT @RCOT_NP: @YmchwilStroc I love this answer! The power in that data!!!!! Swooooooooon!!!! A huge population, measuring change over time,…
RCOT Neuro Practice @RCOT_NP
@RPadamsey @JenniferNCrow Having a data administrator for your stroke service is a model a lot of areas have adopted. In our service we are trying to get our therapy stats on an electronic system to export into a SSNAP format for easy upload. #OTalk
Alex Smith @YmchwilStroc
@RCOT_NP @ElizaTay1 @louiseclark15 @SSNAPaudit True, it would require @SSNAPaudit requiring certain assessments or measures #OTalk
Charlie Chung @chungsongyau
RT @JenniferNCrow: Are there any community therapists out there tonight? I think the community experience is quite different to the acute w…
RCOT Neuro Practice @RCOT_NP
@RPadamsey @JenniferNCrow There's also a therapy calculator tool on the links we've shared which you can fill in as you go and then uploads #OTalk
Charlie Chung @chungsongyau
RT @RCOT_NP: @BillWongOT @RPadamsey We have a quarterly report, which reports on every stroke unit in England and those participating in Wa…
Charlie Chung @chungsongyau
RT @JenniferNCrow: The 24 hour and 72 hour target is what led to the implementation of our 7 day OT/PT service. Maybe not loved by all but…
RCOT Neuro Practice @RCOT_NP
@NicoleCWalmsley @JenniferNCrow Do you have a tally of how many 'therapy minutes' that equates too? #OTalk
Charlie Chung @chungsongyau
RT @NicoleCWalmsley: @RCOT_NP Is this just for the first 72 hours data at present? #OTalk
Beth Clark @BethClark_OT
@RCOT_NP Evidence for a minimum beneficial amount of daily therapy is currently unavailable - BUT important to have this guidance as it may reduce variability between services, keeps rehabilitation therapy on the agenda, gives services a standard to measure themselves against...#OTalk
Rowena Padamsey @RPadamsey
@RCOT_NP @JenniferNCrow We currently upload data onto an electronic system but are looking at alternatives- if data admin did this we could free up approx 3hrs/day therapy time #OTalk
Charlie Chung @chungsongyau
RT @OTJenniy: @RachelTeasy @RCOT_NP We’ve incorporated the SSNAP data that needs to be collected on the front page of our initial neuro ass…
Kerri Schubert @kerri_schOT
RT @RCOT_NP: @Ismalia_S @kerri_schOT @JenniferNCrow Completely agree. It gives you useful information to start and frame a conversation.…
Kerri Schubert @kerri_schOT
RT @Ismalia_S: @RCOT_NP @kerri_schOT @JenniferNCrow I think it's multifactorial. You need the data, to compare it with others, have at leas…
Beth Clark @BethClark_OT
@cawstroke @RCOT_NP YES! #OTalk
Kerri Schubert @kerri_schOT
RT @RCOT_NP: One of the areas the forum has asked to be considered for inclusion on SSNAP is home visits. This uses a lot of resource, but…
Charlie Chung @chungsongyau
RT @RCOT_NP: Here’s the link for the therapy pages. Lots of interesting information and guidance. https://t.co/dibrD5f75C. Including FAQ’s…
Kerri Schubert @kerri_schOT
RT @RCOT_NP: You can also add an extra domain to SSNAP to collect additional data that your service or region feel they need. Services in…
RCOT Neuro Practice @RCOT_NP
Last question for tonight's #OTalk. What can you do to improve your 45 min performance? #stroke
Charlie Chung @chungsongyau
RT @RCOT_NP: @Ismalia_S @kerri_schOT @JenniferNCrow Completely agree. It gives you useful information to start and frame a conversation.…
Jennifer Crow @JenniferNCrow
That would be interesting to calculate the cost of senior therapists time inputting data that may be able to done by an administrator #OTalk
RCOT Neuro Practice @RCOT_NP
@YmchwilStroc @ElizaTay1 @louiseclark15 @SSNAPaudit The only thing to remember is that it's an audit of process predominantly. You could add an additional domain though to collect these. See the link in the support section on SSNAP to add this #OTalk
Nicole Claire Walmsley @NicoleCWalmsley
I think SNNAP therapy targets is the biggest challenge for OT compared to other therapies where so much of our role is not counted towards therapy minutes….have we got recomended staffing levels right? I think not #OTalk
Louise @Louisepenny87
@RCOT_NP I must admit though, for a profession as broad as OT, some aspects of our work can get missed. 45 functional task practice can mean that intensive UL, cog or other aspects of rehab are omitted #OTalk
alice newbury @newbury_alice
@RCOT_NP Home visits are so important, I used to complete them for most pt’s when I worked in an inpatient setting, now working in the community you can tell the difference between the pt’s who have had home visits vs those that haven’t #OTalk
#OTalk @OTalk_
Everyone is doing really well in remembering the #OTalk this pleases me greatly! https://t.co/IZ2g4maX2W
RCOT Neuro Practice @RCOT_NP
@AvrilDrummond1 I thought that might spark a fire Avril! ;-p #OTalk
Emma Burgess @emmaneuroOT
@RCOT_NP There are multiple pieces of research to suggest that increased intensity produces the best results.This is transferable across all areas of stroke rehabilitation.Obviously there are restrictions (medical,fatigue etc) however this is something we should all strive towards. #OTalk
#OTalk @OTalk_
Question 4 #OTALK
Charlie Chung @chungsongyau
RT @JenniferNCrow: A number of the standards require collaborative MDT working to ensure Standards by discharge for example - it is not abo…
Charlie Chung @chungsongyau
RT @NicoleCWalmsley: Prompts therapists to consider how they can improve intensity. Its not always about increasing staffing, its efficienc…
Avril Drummond @AvrilDrummond1
Radically look at reducing our paperwork.....! #otalk #stroke
carol Williams @cawstroke
@BethClark_OT @RCOT_NP Absolutely agree #OTalk
Charlie Chung @chungsongyau
RT @RCOT_NP: Have you read the REACT study? This gives some pointers about things we’re getting tied up in, which reduce our ability to pr…
Charlie Chung @chungsongyau
RT @AvrilDrummond1: #OTalk #stroke. Easy to forget that it was not that long ago that many patients literally received no therapy for days…
Avril Drummond @AvrilDrummond1
RT @RCOT_NP: @AvrilDrummond1 I thought that might spark a fire Avril! ;-p #OTalk
Jennifer Crow @JenniferNCrow
The demise of home visits is not a stroke only problem but I can imagine the difference you might see between a pt who has and hasn't had a home visit #OTalk
RCOT Neuro Practice @RCOT_NP
@NicoleCWalmsley You're right, our recommended staffing level is lower than physio in the 2016 guideline, however there is something to be said for not all discharge planning needs to involve an OT! We need to share the love #OTalk
Beth Clark @BethClark_OT
@RCOT_NP ...challenges individual therapists and services to review their practice, can be used as an argument for resources (gaining or maintaining). #OTalk
Charlie Chung @chungsongyau
RT @RCOT_NP: We’ve (@louiseclark15) used the custom export to analyse length of stay per MRS group on discharge. Enabled us to look in mor…
Louise @Louisepenny87
@RCOT_NP And closer relationships between acute and community would also up the value of home visits. I’m sure integrated inpatient / ESD services really benefit during the transition home #otalk
Jennifer Crow @JenniferNCrow
Yes, yes, yes #OTalk
Rowena Padamsey @RPadamsey
@AvrilDrummond1 Yes! The majority of our paperwork is process driven and doesn’t add any value to the patients experience #OTalk
Alex Smith @YmchwilStroc
@RCOT_NP @ElizaTay1 @louiseclark15 @SSNAPaudit True, but it seems such a shame not systematically record such important data #OTalk
RCOT Neuro Practice @RCOT_NP
Loving the discussions. We hear often the burden clinicians feel to “feed the beast”, that is SSNAP and that it’s all about targets. We can’t argue the fact that more is better, we’re often not meeting 45 mins & we know that 45 minutes is nowhere near enough either #OTalk
Nicole Claire Walmsley @NicoleCWalmsley
@RCOT_NP Be creative, prioritise patients across teams not indiviual staff members caseloads, make confident decisions about rehab need and when to stop, timetable, groups….#OTalk we should see a challenges as an opportunities!
Jennifer Crow @JenniferNCrow
Our physios are very good at supporting with discharge planning #OTalk
Louise @Louisepenny87
@RCOT_NP @NicoleCWalmsley Keyworker roles help us divvy out some discharge planning tasks to allow more direct OT face to face contact #otalk
Charlie Chung @chungsongyau
RT @JenniferNCrow: Ah yes the use of groups is a great idea to increase therapy intensity and at the same time addressing isolation, low mo…
Avril Drummond @AvrilDrummond1
#otalk We probably need something- but pages of blurb are in no one's interests (except the legal team!).
Jennifer Crow @JenniferNCrow
RT @AvrilDrummond1: #otalk We probably need something- but pages of blurb are in no one's interests (except the legal team!). https://t.co/…
Louise @Louisepenny87
@YmchwilStroc @RCOT_NP @ElizaTay1 @louiseclark15 @SSNAPaudit The cognitive screens completed vary hugely, so would be hard to record, unless a specific screen was mandated #OTalk
Charlie Chung @chungsongyau
RT @AvrilDrummond1: #otalk We probably need something- but pages of blurb are in no one's interests (except the legal team!). https://t.co/…
Beth Clark @BethClark_OT
@Louisepenny87 @RCOT_NP Agree - one of the problems is that it is seen as a target & therapy can be stopped once it is achieved, when actually it's a minimum recommendation #OTalk
RCOT Neuro Practice @RCOT_NP
@AvrilDrummond1 We'd happily share any tried and tested examples of this. A major finding from the REACT study. We've heard from international colleagues that they only note exceptions and then do a weekly full report in the notes. Not convinced our notes are all read anyway!! #OTalk
Charlie Chung @chungsongyau
RT @Louisepenny87: @RCOT_NP @NicoleCWalmsley Keyworker roles help us divvy out some discharge planning tasks to allow more direct OT face t…
Charlie Chung @chungsongyau
RT @JenniferNCrow: Our physios are very good at supporting with discharge planning #OTalk https://t.co/MROOoMB0VR
alice newbury @newbury_alice
@JenniferNCrow Absolutely, a lot of the time I am needing to change equipment as what has been put in place is not suitable because the home wasn’t assessed before hand. #OTalk
Jenny OT @OTJenniy
@RCOT_NP We occasionally do discharge home visits with patients and meet our ESD colleagues at their homes. We have a great relationship with them, I also feel they are part of our team. #OTalk
Charlie Chung @chungsongyau
RT @NicoleCWalmsley: @RCOT_NP Be creative, prioritise patients across teams not indiviual staff members caseloads, make confident decisions…
Avril Drummond @AvrilDrummond1
#otalk Absolutely. You'd be amazed how few times this really happens around the country.
Jennifer Crow @JenniferNCrow
RT @RCOT_NP: @AvrilDrummond1 We'd happily share any tried and tested examples of this. A major finding from the REACT study. We've heard…
Avril Drummond @AvrilDrummond1
RT @JenniferNCrow: Our physios are very good at supporting with discharge planning #OTalk https://t.co/MROOoMB0VR
Jennifer Crow @JenniferNCrow
RT @AvrilDrummond1: #otalk Absolutely. You'd be amazed how few times this really happens around the country. https://t.co/NTxrYFa1bd
Avril Drummond @AvrilDrummond1
RT @RCOT_NP: @AvrilDrummond1 We'd happily share any tried and tested examples of this. A major finding from the REACT study. We've heard…
RCOT Neuro Practice @RCOT_NP
ABSOLUTELY THIS!!! This needs to be the question we ask ourselves always... how is this adding value for the patient and if it isn't we need to ask if we should be doing it!! #OTalk
Charlie Chung @chungsongyau
RT @AvrilDrummond1: Radically look at reducing our paperwork.....! #otalk #stroke https://t.co/eGgqA7XShj
Alex Smith @YmchwilStroc
@AideenKa @RCOT_NP Such a simple idea but often forgotten as it requires adaptability and flexibility #OTalk
Charlie Chung @chungsongyau
RT @OTalk_: Everyone is doing really well in remembering the #OTalk this pleases me greatly! https://t.co/IZ2g4maX2W
Avril Drummond @AvrilDrummond1
RT @RCOT_NP: ABSOLUTELY THIS!!! This needs to be the question we ask ourselves always... how is this adding value for the patient and if it…
carol Williams @cawstroke
@RCOT_NP Is more better? and given fatigue and other factors should one 45 min session of therapy be the goal or should this be investigated further? #OTalk
Louise @Louisepenny87
@RCOT_NP I must admit, having worked in a unit reporting to TARN for trauma, SSNAP was a breeze! #OTalk
Heather Sheldon @HeatherSheldo17
@RCOT_NP #OTalk 45 mins a day in the community is even more challenging and our patients expect it.
Charlie Chung @chungsongyau
#OTalk that would be an interesting study!
Charlie Chung @chungsongyau
RT @Louisepenny87: @RCOT_NP I must admit though, for a profession as broad as OT, some aspects of our work can get missed. 45 functional ta…
Alex Smith @YmchwilStroc
@Louisepenny87 @RCOT_NP @ElizaTay1 @louiseclark15 @SSNAPaudit Definitely opens to a wider discussion, but might be one worth having #OTalk
Charlie Chung @chungsongyau
RT @NicoleCWalmsley: I think SNNAP therapy targets is the biggest challenge for OT compared to other therapies where so much of our role is…
RCOT Neuro Practice @RCOT_NP
@BethClark_OT @Louisepenny87 The Australian's are now working towards 3 hours of active therapy a day!!! This would be amazing!!! Feels inconceivable at present but something to work towards. The intensity data is there and shouldn't be ignored!! #OTalk
Avril Drummond @AvrilDrummond1
@RCOT_NP #otalk. we need investment across the NHS into how to solve this- issue bigger than #stroke or #AHPs
Jennifer Crow @JenniferNCrow
More is better but we need to be flexible about how it is delivered. We know from the AVERT trial that long sessions in the first 24 - 48 hrs do not lead to better outcomes. Seeing a pt for 3 x 15 min sessions per day may be what is needed #OTalk
Charlie Chung @chungsongyau
RT @RCOT_NP: @NicoleCWalmsley You're right, our recommended staffing level is lower than physio in the 2016 guideline, however there is som…
Emma Burgess @emmaneuroOT
@RCOT_NP A variety of 1:1 qualified and assistant sessions as well as daily groups. 45 minutes doesn’t have to be given in one session, it could be graded throughout the day particularly for patients that may not tolerate a solid 45 mins session #OTalk @OTJenniy
Avril Drummond @AvrilDrummond1
#otalk Great study of OT home visits currenly being led in Australia by @NatashaLannin
#OTalk @OTalk_
RT @RCOT_NP: @BethClark_OT @Louisepenny87 The Australian's are now working towards 3 hours of active therapy a day!!! This would be amazin…
Ciaran O'Hagan @OT_Ciaran
@RCOT_NP No way. 45 mins feels like the blink of an eye. I could easily spend much more time with each patient. Actually, maybe it was a patient that came up with the 45 min target? They cant handle all that enthusiasm for any longer! 😂 #OTalk #OTgeek
#OTalk @OTalk_
Only 5 minutes left. #OTalk https://t.co/WyJHoXiVsb
Avril Drummond @AvrilDrummond1
RT @RCOT_NP: @BethClark_OT @Louisepenny87 The Australian's are now working towards 3 hours of active therapy a day!!! This would be amazin…
RCOT Neuro Practice @RCOT_NP
@AvrilDrummond1 This is a really important point. We can be so busy with our 45 minute patients that those who aren't able to tolerate often get deprioritised. Little and often should be a possibility too #OTalk
Charlie Chung @chungsongyau
#OTalk Thanks - great to know. Is there an estimated completion date @AvrilDrummond1 ?
Louise @Louisepenny87
@RCOT_NP Group work, paired sessions, squeezing in the odd ten minute session here and there (love a bit of teeth brushing before board round!) #OTalk
Charlie Chung @chungsongyau
RT @BethClark_OT: @RCOT_NP ...challenges individual therapists and services to review their practice, can be used as an argument for resour…
Charlie Chung @chungsongyau
RT @Louisepenny87: @RCOT_NP And closer relationships between acute and community would also up the value of home visits. I’m sure integrate…
RCOT Neuro Practice @RCOT_NP
@cawstroke More is better, how we deliver it should be tailored per patient though taking into account fatigue, cognition, language etc in task selection #OTalk
Rowena Padamsey @RPadamsey
@emmaneuroOT @RCOT_NP @OTJenniy I find that often we are spending longer sessions e.g 90mins 3 x week rather than 45mins/ day - based on pt need and tolerance (plus groups) #OTalk
Louise @Louisepenny87
@RCOT_NP And don’t stop after 45 minutes! #OTalk
Jennifer Crow @JenniferNCrow
SSNAP has been great for improving stroke services in the acute settings, more focus on what is being measured in the community would be good and recording 6 month reviews is SOOOO important #OTalk
Avril Drummond @AvrilDrummond1
#otalk Especially when we know that it is often the most severe patients who get less therapy. This would be an ideal way to maximise their input.
Jennifer Crow @JenniferNCrow
RT @Louisepenny87: @RCOT_NP And don’t stop after 45 minutes! #OTalk
Rachel Lucidarme @rachlucidarme
@RCOT_NP Completely agree, we used data to demonstrate gaps in resources, SSNAP data is really powerful for that purpose #OTalk
Elizabeth Taylor @ElizaTay1
@RCOT_NP Remember the intention behind it, and that lots of things that matter aren’t measured. #OTalk
Alex Smith @YmchwilStroc
@JenniferNCrow Also need to remember there is potential for therapy outside of the 7.5 hour working day #OTalk
RCOT Neuro Practice @RCOT_NP
@HeatherSheldo17 Yes, we've focussed a lot on acute SSNAP here, but achieving that in the community is really challenging as are often less well staffed. There will be developments to SSNAP for rehabilitation following the Long term plan. Watch this space...#OTalk
Charlie Chung @chungsongyau
RT @RCOT_NP: @BethClark_OT @Louisepenny87 The Australian's are now working towards 3 hours of active therapy a day!!! This would be amazin…
Charlie Chung @chungsongyau
RT @AvrilDrummond1: @RCOT_NP #otalk. we need investment across the NHS into how to solve this- issue bigger than #stroke or #AHPs
Louise @Louisepenny87
@newbury_alice @JenniferNCrow This is interesting. I wonder how active they are being on the days they aren’t getting therapy input? #OTalk
RCOT Neuro Practice @RCOT_NP
Thank you so much for joining us tonight for #OTalk. The stroke forum will cont to answer outstanding tweets & queries. Watch out for evaluation q's in the next few days. 1)What were your top take away messages 2)Will anything change in your practice? 3) Any other feedback?
Beth Clark @BethClark_OT
@RCOT_NP @Louisepenny87 We certainly cannot ignore that intensity of therapy is important - but it also concerns me that measuring the amount of time spent in therapy may not be the best way to measure therapy intensity #OTalk
Jenny OT @OTJenniy
@cawstroke @RCOT_NP When fatigue is a factor, we often do mini sessions throughout the day...could be a technician sees for a session, then another professional, maybe 2 professions at one time, if goals are similar. #Otalk I agree, some people at stages in their recovery can not tolerate 45 minutes
Jennifer Crow @JenniferNCrow
Very good point - Use of family members and encouraging and enabling self management @OTalk
#OTalk @OTalk_
So that’s 9 o’clock! And the chat is over. #OTalk
Emma Burgess @emmaneuroOT
@cawstroke @RCOT_NP Absolutely!! this years UKSF was all about increasing the intensity of what we are doing to improve outcomes! The session doesn’t have to be delivered in one go, by being client centred and thinking of innovative ways this is easily achievable #OTalk @OTJenniy
RCOT Neuro Practice @RCOT_NP
@OT_Ciaran But sadly a recent study showed that even in a 45 minute OT session, the patient was only actively doing something for 23 minutes of it! #OTalk
#OTalk @OTalk_
Just before you all disappear remember to record your reflections from tonight’s discussion for your CPD. Transcript will be available later in the week. #otalk https://t.co/Dnl21vqZqu
#OTalk @OTalk_
Hope you enjoyed tonight’s chat @RCOT_NP have 3 Future chats plan; 24th September 2019 – Neglect (with Dr Ailie Turton) 26th November 2019 – Driving (with Paul Graham) 25th February 2020 – Vision (with the British and Irish Orthoptic Society- BIOS Pop them in your diary #OTalk
#OTalk @OTalk_
I (@OT_rach) plan to create the transcript of tonight’s chat tomorrow and put it on the blog as I’m going on holiday on Thursday morning. There will be three follow-up questions with the transcript so look out for the tweets. #OTalk
RCOT Neuro Practice @RCOT_NP
@OTalk_ My thought is that an hour goes too fast!!! (but love island does start soon!) #OTalk
alice newbury @newbury_alice
@AvrilDrummond1 @NatashaLannin Would be interested in knowing more about this. #OTalk
#OTalk @OTalk_
#OTalk (Research), 2nd July 2019 Testing out the new draft RCOT Research and Development Strategy https://t.co/wI7iL6c36V
Jennifer Crow @JenniferNCrow
@EmPlayfair dates for the diary, where were you tonight?
RCOT Neuro Practice @RCOT_NP
RT @OTalk_: Just before you all disappear remember to record your reflections from tonight’s discussion for your CPD. Transcript will be a…
#OTalk @OTalk_
Lol - priorities #otalk
#OTalk @OTalk_
Can we please thank @RCOT_NP ( @louiseclark15 - on the account tonight). For hosting what I’m sure you will all agree is a great chat. This is @OT_rach on the #otalk signing off. Night all!
Charlie Chung @chungsongyau
RT @RCOT_NP: @AvrilDrummond1 This is a really important point. We can be so busy with our 45 minute patients that those who aren't able to…
Jennifer Crow @JenniferNCrow
Thank you @louiseclark15 for doing a great job as always #OTalk
Charlie Chung @chungsongyau
RT @Louisepenny87: @RCOT_NP Group work, paired sessions, squeezing in the odd ten minute session here and there (love a bit of teeth brushi…
Louise @Louisepenny87
@OTJenniy @cawstroke @RCOT_NP And fatigue management and education is such an important rehab intervention in itself #OTalk
#OTalk @OTalk_
RT @JenniferNCrow: Thank you @louiseclark15 for doing a great job as always #OTalk https://t.co/uYnQfCEQHu
Charlie Chung @chungsongyau
RT @RCOT_NP: @cawstroke More is better, how we deliver it should be tailored per patient though taking into account fatigue, cognition, lan…
RCOT Neuro Practice @RCOT_NP
Thank you everyone. We'll go through and make sure we've answered all points raised. Please use the links we've shared tonight as you can really use SSNAP to your advantage if you know what it can do #OTalk
Aideen Carroll @AideenKa
@RCOT_NP Thank you #OTalk I learnt loads.
Avril Drummond @AvrilDrummond1
#otalk Thanks all! very interesting!
Charlie Chung @chungsongyau
#OTalk certainly in our rehab units, considerable time is required when people need a lot of postural management and hoisting for joint sessions that can include two or three professions.
Elizabeth Taylor @ElizaTay1
@RCOT_NP @AvrilDrummond1 And THIS is a really important point! Shame we didn’t get to talk about how different services are deciding who to include in the audit for intensity and what happens to those not included. There’s so much variation in this. #OTalk
NSNF @ukstrokenursing
RT @RCOT_NP: You can also add an extra domain to SSNAP to collect additional data that your service or region feel they need. Services in…
Avril Drummond @AvrilDrummond1
RT @RCOT_NP: Thank you everyone. We'll go through and make sure we've answered all points raised. Please use the links we've shared tonig…
Charlie Chung @chungsongyau
RT @RCOT_NP: Thank you so much for joining us tonight for #OTalk. The stroke forum will cont to answer outstanding tweets & queries. Watch…
Charlie Chung @chungsongyau
RT @BethClark_OT: @RCOT_NP @Louisepenny87 We certainly cannot ignore that intensity of therapy is important - but it also concerns me that…
Charlie Chung @chungsongyau
RT @OTJenniy: @cawstroke @RCOT_NP When fatigue is a factor, we often do mini sessions throughout the day...could be a technician sees for a…
Charlie Chung @chungsongyau
RT @emmaneuroOT: @cawstroke @RCOT_NP Absolutely!! this years UKSF was all about increasing the intensity of what we are doing to improve ou…
Avril Drummond @AvrilDrummond1
#OTalk We can always have a sequel...…!
Charlie Chung @chungsongyau
RT @RCOT_NP: @OT_Ciaran But sadly a recent study showed that even in a 45 minute OT session, the patient was only actively doing something…
Charlie Chung @chungsongyau
RT @OTalk_: Just before you all disappear remember to record your reflections from tonight’s discussion for your CPD. Transcript will be a…
#OTalk @OTalk_
@margaret_ot well done I hope you manage to follow the conversation. #otalk
Charlie Chung @chungsongyau
RT @OTalk_: Hope you enjoyed tonight’s chat @RCOT_NP have 3 Future chats plan; 24th September 2019 – Neglect (with Dr Ailie Turton) 26th N…
Katherine Foster @kathfoster_
RT @emmaneuroOT: @RCOT_NP We have a large board in our office that we put times down for OT,SLT,physio for each patient. This visual displa…
Rachel Booth 💚 @OT_rach
It was a great chat tonight! #otalk
Rachel Booth 💚 @OT_rach
Don’t forget about next week’s Twitter chat. First Tuesday of the month is always a research based chat. #OTalk
Charlie Chung @chungsongyau
RT @RCOT_NP: Thank you everyone. We'll go through and make sure we've answered all points raised. Please use the links we've shared tonig…
Alex Smith @YmchwilStroc
@BethClark_OT @chungsongyau @RCOT_NP @Louisepenny87 Or dare I say it ... ‘quality’ ... #OTalk
RCOT Neuro Practice @RCOT_NP
@AvrilDrummond1 And some more challenge and exploration about 'unable to tolerate' #OTalk
alice newbury @newbury_alice
These all sound really interesting #OTalk
Emma Burgess @emmaneuroOT
@RCOT_NP Absolutely!! this years UKSF was all about increasing the intensity of what we are doing to improve outcomes! The session doesn’t have to be delivered in one go, by being client centred and thinking of innovative ways this is easily achievable #OTalk @OTJenniy
Charlie Chung @chungsongyau
RT @OT_rach: Don’t forget about next week’s Twitter chat. First Tuesday of the month is always a research based chat. #OTalk https://t.co/…
Elizabeth Taylor @ElizaTay1
@OTalk_ @RCOT_NP @louiseclark15 @OT_rach Thanks @RCOT_NP @louiseclark15 #OTalk, and here’s a quick plug for a paper I wrote on the topic for anyone interested... https://t.co/AQjQRThe7Y
RCOT Neuro Practice @RCOT_NP
@YmchwilStroc @Louisepenny87 @ElizaTay1 @louiseclark15 @SSNAPaudit We did talk this through at the last ICSWP and felt that it opened a never ending list of measures for lots of things, which might not be routinely carried out everywhere and might change over time. Def could add to the extra domain though- regionally or as an STP #OTalk
Katherine Foster @kathfoster_
RT @RCOT_NP: @BillWongOT @JenniferNCrow I think we've got lots to explore from the group therapy and gym set ups we see in Australia for ex…
Steve Williams @srowilliams
RT @RCOT_NP: Did you know that you can use real time indicators, where the system tells you which domains are not yet achieved? (only if yo…
RCOT Neuro Practice @RCOT_NP
@JenniferNCrow I wonder if people are put off as these are often the more dependent patients and so the manual handling and set up can take a while? Having easy set up stations could help this #OTalk
RCOT Neuro Practice @RCOT_NP
RT @AvrilDrummond1: #otalk Great study of OT home visits currenly being led in Australia by @NatashaLannin https://t.co/AHDlWQu2Zd
Sheena Wight @sheena_OT
RT @OTalk_: Hope you enjoyed tonight’s chat @RCOT_NP have 3 Future chats plan; 24th September 2019 – Neglect (with Dr Ailie Turton) 26th N…
RCOT Neuro Practice @RCOT_NP
@Louisepenny87 I expect the patients do too! Well done. Sounds like you're doing really well with it. Keep sharing your ideas and successes #OTalk
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