#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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physiotalk @physiotalk
Good evening and welcome to tonights #physiotalk guest hosted by @IanTyrrell5 Its been a busy #AHPsDay but now full focus on tonights tweetchat!
physiotalk @physiotalk
So - before we start can you all say hello! Let us know who you are and where you are tweeting from #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk Evening everyone looking forward to the chat! And don't forget the hashtag #physiotalk on all tweets (get that in there early)
physiotalk @physiotalk
@IanTyrrell5 Anyone would think you had done a tweetchat before! #physiotalk
Lewis Lovegrove @_lewadam
@IanTyrrell5 @physiotalk I'll make sure you don't forget Ian! #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk Ian from stoke! #physiotalk
physiotalk @physiotalk
Anyone else out there?! #physiotalk
Ian Tyrrell @IanTyrrell5
@_lewadam @physiotalk kind of made a rod for my own back! #physiotalk
physiotalk @physiotalk
Or shall I just get on with the first question to get the ball rolling! #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk well this is going well! #physiotalk #awkward
Deirdre Roddy @donegaldeirdre1
@physiotalk Deirdre - Kildare / Ireland #physiotalk
physiotalk @physiotalk
Q What are the medical devices you use on a daily basis? #physiotalk
Romain Lefebvre @MajorHeroes
@physiotalk Romain from Birmingham #physiotalk
Caroline Abbott @carolinewrighty
RT @physiotalk: Tomorrow - Two things to tweet about! Its both #AHPsDay AND #physiotalk But make sure you join us at 8.30pm BST to chat…
physiotalk @physiotalk
@donegaldeirdre1 Good evening and welcome #physiotalk
physiotalk @physiotalk
@MajorHeroes Welcome! #physiotalk
Scott Buxton @ScottBuxton_1
@physiotalk Scott from Bath. Too many tweetchats happening at the same time!#physiotalk
SarahGPhysio @SarahGPhysio1
@physiotalk Sarah, Liverpool (very new to tweet chat) #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk I think it depends on what you class a medical device. I know some trusts class walking aids as a medical device. Personally i tend to use more respiratory devices such as IPPB, various MIE devices, LVR etc #physiotalk
ReadingHip&KneeUnit @readinghipnknee
@physiotalk Hello. We're not physiotherapists, but interested in the chat. #physiotalk
Janet Thomas @JanetThomas47
@physiotalk For once this is a chat I cant really contribute to. I'm not sure of the last time I used anything that could be called a medical device - but I'll wait to be corrected if people start a list! #physiotalk
physiotalk @physiotalk
@readinghipnknee All welcome! #physiotalk
physiotalk @physiotalk
@SarahGPhysio1 You'll enjoy it I'm sure :) #physiotalk
Janet Thomas @JanetThomas47
@IanTyrrell5 @physiotalk See - I knew I might use a medical device.... Who knew a walking aid might be classed that way... #physiotalk
Cath Edwards @cathedwards_1
@physiotalk Mostly MI:E and IPPB for me #physiotalk
physiotalk @physiotalk
@IanTyrrell5 For the uninitiated… MIE LVR ??? #physiotalk
ema swingwood @emaroids1
@IanTyrrell5 @physiotalk Oh yes darn it- sorry! #physiotalk
Jane Beecher @janebeecher2
@physiotalk IPPB (Bird), Cough assist, Pulse oximeter, Blood pressure cuff to name a few #physiotalk
Ian Tyrrell @IanTyrrell5
@JanetThomas47 @physiotalk yup and any form of exercise equipment you may use, bikes, bars theraband #physiotalk
Janet Thomas @JanetThomas47
@IanTyrrell5 @physiotalk OK OK I use loads then.... Even the odd BP machine etc. #physiotalk
Ian Tyrrell @IanTyrrell5
@cathedwards_1 @physiotalk Do you use different MI:E devices @cathedwards_1 or just the same device? #physiotalk
Cath Edwards @cathedwards_1
@physiotalk Also we have the Metaneb actually! 😳 #physiotalk
Sally Kennedy @Sallylk
@IanTyrrell5 @physiotalk Not sure I'd class a walking aid as a medical device, but I can see why some Trusts might want to.. mostly I guess were talking aout respiratory equipment?? #physiotalk
Mari @mariand84
@physiotalk Mari from Sweden #physiotalk
physiotalk @physiotalk
@mariand84 Welcome #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk Sorry mechanical insufflation/exsufflation (cough assist) and lung volume recruitment #physiotalk
Cath Edwards @cathedwards_1
@IanTyrrell5 @physiotalk E70 & NIPPY clearway #physiotalk Also have the old respironics cough assist tucked away! 📺
Ian Tyrrell @IanTyrrell5
@JanetThomas47 @physiotalk Bp machine is certainly one! #physiotalk
physiotalk @physiotalk
@IanTyrrell5 I'll just accept that I don't know any abbreviations now I think.... #physiotalk
physiotalk @physiotalk
So - We've established what they are … Now onto the next question #physiotalk
Mari @mariand84
@physiotalk None on a daily basis #physiotalk
Lewis Lovegrove @_lewadam
@physiotalk @IanTyrrell5 #physiotalk
physiotalk @physiotalk
Q Did you have any exposure to medical devices as an undergraduate? Either at university or on clinical placement. #physiotalk
Ian Tyrrell @IanTyrrell5
@Sallylk @physiotalk CPM machines (if there still used) any electrotheapy equipment (again if still used). Certainly most common would be respiratory. Its worth reading your trusts medical devices competency to see what they class as a medical device #physiotalk
Cath Edwards @cathedwards_1
@IanTyrrell5 @JanetThomas47 @physiotalk Been discussing this last week with our therapy MDLO rep & debating if a stethoscope is a medical device 🤔 #physiotalk
shelly mooney @mshellmoo
@physiotalk Hi, just joining Hope i'm not too late #physiotalk
physiotalk @physiotalk
@IanTyrrell5 @Sallylk I think we will all be going back to work tomorrow to have a look.... #physiotalk
physiotalk @physiotalk
@mshellmoo Not at all! Welcome #physiotalk
Mari @mariand84
@physiotalk Ultrasound for exemple #physiotalk
Ian Tyrrell @IanTyrrell5
@tomj1001 @physiotalk all medical devices! Will depend on who owns the device to who should provide training. But if you use it, you should be competent to do so! #physiotalk
Cath Edwards @cathedwards_1
@physiotalk Yep mostly MSK including Faradism!!!!!!! 😵 #physiotalk
Ian Tyrrell @IanTyrrell5
@cathedwards_1 @JanetThomas47 @physiotalk potentially! You can have it round your neck but are you competent to use it? #physiotalk
ema swingwood @emaroids1
@physiotalk Learnt the theory of most- NIV, IPPB etc but got hand on experience on placement. Didn’t see MI-E, USNeb or LVR until I’d qualified #physiotalk would like to see more exposure in Uni
Janet Thomas @JanetThomas47
@cathedwards_1 @physiotalk I'm not joining in any conversations about what I might have learnt as a student... Probably all now condemned! #physiotalk
Janet Thomas @JanetThomas47
@emaroids1 @physiotalk To theories or practical? In Uni or on placement? Difficult for most HEI's to have the most up to date equipment I would have thought #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk Very little from what I can remember. But i was an MSK physio back then! Did not have a respiratory placement but suctioned on a neuro placement so that was enough. How do we feel about students using medical devices? #Physiotalk
Lewis Lovegrove @_lewadam
@emaroids1 @physiotalk 100% agree! Where are tuition fee's going haha? Maybe another debate #physiotalk
Ian Tyrrell @IanTyrrell5
@tomj1001 @physiotalk all medical devices!! #physiotalk
physiotalk @physiotalk
#physiotalk
physiotalk @physiotalk
#physiotalk
Jane Beecher @janebeecher2
@physiotalk No, I remember no exposure to these devices as an undergraduate. Certainly not at university or clinical placement. Only when I gained my post as a rotational physiotherapy and preparing to go on-call did I receive an induction to IPPB/ CA #physiotalk
Ian Tyrrell @IanTyrrell5
@JanetThomas47 @emaroids1 @physiotalk Sorry i meant on placement! #physiotalk
ema swingwood @emaroids1
@JanetThomas47 @physiotalk Exposure to kit for HEI’s is certainly a challenge- equipment is expensive!! But linking with local Trusts essential as clinicians can bring kit in. #physiotalk
Francesca Rawlings @physiofrancesca
@physiotalk I defiantly knew what the respiratory devices were by the time I got my first job. I can’t pinpoint a time I used them on placement. We wrote an essay that I looked at the evidence on IPPB/Cough assist for. #physiotalk
physiotalk @physiotalk
Any students like to comment around how much exposure they got to the use of medical devices in Uni or placement? #physiotalk
Ian Tyrrell @IanTyrrell5
@janebeecher2 @physiotalk Did you feel prepared to use them or not? #physiotalk
physiotalk @physiotalk
A reminder to you all to use the hashtag in all your tweets in the chat #physiotalk #physiotalk #physiotalk
Liz Cowan @liziophysio1
Anyone wanting to join a tweet chat as practice for PT OT Journal club, @physiotalk is on now. Follow @physiotalk and add #physiotalk to join the chat. #PTOTJourno
Martin Docherty @MartinDocherty2
@IanTyrrell5 @Sallylk @physiotalk MHRA are UK device regulator - useful guidance here on legal definition which Trusts & manufacturers will work to https://t.co/lai7XTNTEp #physiotalk
physiotalk @physiotalk
RT @MartinDocherty2: @IanTyrrell5 @Sallylk @physiotalk MHRA are UK device regulator - useful guidance here on legal definition which Trusts…
Ian Tyrrell @IanTyrrell5
@physiofrancesca @physiotalk did you feel looking at the evidence made you understand the device before putting it into practice? #physiotalk
Ian Tyrrell @IanTyrrell5
RT @MartinDocherty2: @IanTyrrell5 @Sallylk @physiotalk MHRA are UK device regulator - useful guidance here on legal definition which Trusts…
Liz Cowan @liziophysio1
@physiotalk of course, that is not the only reason you would want to join the #physiotalk :)
Cath Edwards @cathedwards_1
@IanTyrrell5 @Sallylk @physiotalk Think this is still massively variable in what is interpreted as a medical device! I know I keep getting confused, frustrated & overwhelmed with the amount of work it generates! 🤪 #physiotalk
Anna Spiteri @spiteri_anna
@physiotalk Yes indeed #physiotalk #physiotalk #physiotalk
physiotalk @physiotalk
Nearly half an hour gone in tonight chat - so next question coming up #physiotalk
Ian Tyrrell @IanTyrrell5
@cathedwards_1 @Sallylk @physiotalk Yes i agree! Hence why trying to draw attention to it! having worked at a number or trusts i know it varies! #physiotalk
Liz Cowan @liziophysio1
@physiotalk Standing frames, Innowalk, starting to have more enquiries for Mollii Suits. #physiotalk
Jane Beecher @janebeecher2
@IanTyrrell5 @physiotalk After a very basic induction of the equipment in a simulation suite, I remember feeling still quite unconfident. Its only now after 8 months rotating in a Neuro ITU that I can admit to feeling completely confident using IPPB/CA. #physiotalk
physiotalk @physiotalk
Q Why is it important to have training on medical devices? #physiotalk
Anna Spiteri @spiteri_anna
RT @MartinDocherty2: @IanTyrrell5 @Sallylk @physiotalk MHRA are UK device regulator - useful guidance here on legal definition which Trusts…
Juliet Harvey @DrJulietHarvey
RT @physiotalk: Q Why is it important to have training on medical devices? #physiotalk
Ian Tyrrell @IanTyrrell5
@janebeecher2 @physiotalk I think we sometimes forget with new band 5s that this may the first time they have seen or touched a device! #physiotalk
Simon Everett @sdephysio
@physiotalk Does a tendon hammer count? 🤷‍♂️ #physiotalk
Lewis Lovegrove @_lewadam
@physiotalk Litigation? #physiotalk
ReadingHip&KneeUnit @readinghipnknee
@spiteri_anna @physiotalk Very interesting chat. If we do say anything, we'll remember the #physiotalk
physiotalk @physiotalk
#physiotalk
Natalie Patterson @PhysioNatalie
@physiotalk Confidence and competence #physiotalk
Liz Cowan @liziophysio1
@physiotalk #physiotalk your pt/client needs to know you know what you are doing. U need to be confident in your clinical reasoning.If something goes wrong you are going to have to justify what and why you did what you did
physiotalk @physiotalk
#physiotalk
𝒟𝒾𝒶𝓃𝒶 𝐻𝓊𝑔𝒽𝑒𝓈🦋 @Hughseyd1987
RT @physiotalk: Q Why is it important to have training on medical devices? #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk @DrJulietHarvey I think its important that we are sure we are meeting trust and national standards for the devices that we use. Think its also important to ensure people are confident with pieces of kit they don't use every day. #Physiotalk
Lewis Lovegrove @_lewadam
@physiofrancesca @physiotalk Writing an essay on TENS and US definitely helped me understand the massive uncertainty surrounding their use #physiotalk
ema swingwood @emaroids1
@physiotalk Patient safety! #physiotalk
SarahGPhysio @SarahGPhysio1
@physiotalk Well apart from obvious patient safety..need to be accurate, reliable, reproducible and effective in order to use for assessment and/or treatment #physiotalk
Janet Thomas @JanetThomas47
@IanTyrrell5 @physiotalk @DrJulietHarvey Is it just as important to have he confidence to say that you DON'T know how to use the device? #physiotalk
Ian Tyrrell @IanTyrrell5
@_lewadam @physiotalk Hopefully a never event but yes could potentially go that route #physiotalk
Jane Beecher @janebeecher2
@IanTyrrell5 @physiotalk Absolutely! There is enough to take in as a new band 5 minus feeling confident and competent with a new piece of equipment. #physiotalk
Pam Watkins @PWtherapist
@physiotalk #physiotalk professional responsibility and safety for staff as well as patients .
Anna Spiteri @spiteri_anna
@physiotalk #physiotalk Yes indeed true @physiofrancesca. First time using a suction machine as a junior PT on a patient will stay in my memory forever
Ian Tyrrell @IanTyrrell5
@JanetThomas47 @physiotalk @DrJulietHarvey yes @JanetThomas47 but who's responsibility is it if you have been deemed competent to use a device but then state you're not confident to use it! #physiotalk
Ian Tyrrell @IanTyrrell5
@sdephysio @physiotalk potentially! check your local policy! #physiotalk
Ian Tyrrell @IanTyrrell5
@Sallylk @physiotalk so what happens if you deem yourself not competent? #physiotalk
Janet Thomas @JanetThomas47
@IanTyrrell5 @physiotalk @DrJulietHarvey Good question! I was thinking of a scenario when you had been trained but then not needed to use the device. How to maintain competency? Better to say that you don't feel competent than try and be unsafe?#physiotalk
Liz Cowan @liziophysio1
@IanTyrrell5 @JanetThomas47 @physiotalk @DrJulietHarvey #physiotalk you need to speak up and get more training/practice. But sometimes that takes confidence that as a new starter you may not have. A good teacher/mentor would pick that up?
Mari @mariand84
@SarahGPhysio1 @physiotalk Agree with this one #physiotalk
physiotalk @physiotalk
Moving on to next question as we are already starting to discuss it! #physiotalk
physiotalk @physiotalk
Q How can we ensure competency in the use of medical devices? #physiotalk
Jane Beecher @janebeecher2
@physiotalk In keeping with HCPC standards to ensure and improve patient safety through rigorous and thorough clinical training and education #physiotalk
Cath Edwards @cathedwards_1
@liziophysio1 @IanTyrrell5 @JanetThomas47 @physiotalk @DrJulietHarvey Think there is a difference between competence & confidence which sometimes means more exposure needed #physiotalk
Lewis Lovegrove @_lewadam
@JanetThomas47 @IanTyrrell5 @physiotalk @DrJulietHarvey This could easily be applied to students, briefly covering the use of a device then actually not using it maybe until 2 or 3 placements into the degree? #physiotalk
Ian Tyrrell @IanTyrrell5
@liziophysio1 @JanetThomas47 @physiotalk @DrJulietHarvey Or we could offer regular refresher sessions. Knowing how to use a device is one thing, but understanding the clinical reasoning and application is often lacking #physiotalk
physiotalk @physiotalk
RT @cathedwards_1: @liziophysio1 @IanTyrrell5 @JanetThomas47 @physiotalk @DrJulietHarvey Think there is a difference between competence & c…
Sally Kennedy @Sallylk
@JanetThomas47 @IanTyrrell5 @physiotalk @DrJulietHarvey I agree. Therapists, support staff and others have a responsibility to maitain their own training but ultimately, doesn't accountability lie with the employer? #physiotalk
Janet Thomas @JanetThomas47
@IanTyrrell5 @liziophysio1 @physiotalk @DrJulietHarvey A difference between technical competence and clinical competence #physiotalk
ema swingwood @emaroids1
@physiotalk Teaching, supervisions, rv of caseloads, pt debrief.....but most importantly ASK QUESTIONS!!!!! #physiotalk #noquestionisstupid
Liz Cowan @liziophysio1
@_lewadam @JanetThomas47 @IanTyrrell5 @physiotalk @DrJulietHarvey #physiotalk but once "in the field" you would surely need to show competence to your clinical supervisor, their responsibility to ensure you are using things safely.
Ian Tyrrell @IanTyrrell5
@Sallylk @JanetThomas47 @physiotalk @DrJulietHarvey I suppose that's why management need to ensure they are offering the regular opportunities to have updates. #physiotalk
Francesca Rawlings @physiofrancesca
@IanTyrrell5 @Sallylk @physiotalk It’s your responsibility to find a way of improving your skills again...sometimes this may be as simple as requesting a joint session with someone who is confident/competent. #physiotalk
Liz Cowan @liziophysio1
@_lewadam @JanetThomas47 @IanTyrrell5 @physiotalk @DrJulietHarvey #physiotalk I am referring to students here.
Jane Beecher @janebeecher2
@physiotalk Work place assessment using the hierarchy structure of Millers pyramid: Knows, knows how, shows how, does #physiotalk
Francesca Rawlings @physiofrancesca
@physiotalk Regular exposure to the device?Repetition of teaching? #physiotalk
Cath Edwards @cathedwards_1
RT @MartinDocherty2: @IanTyrrell5 @Sallylk @physiotalk MHRA are UK device regulator - useful guidance here on legal definition which Trusts…
Lewis Lovegrove @_lewadam
@liziophysio1 @JanetThomas47 @IanTyrrell5 @physiotalk @DrJulietHarvey #physiotalk
physiotalk @physiotalk
#physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk I think its really hard, but application of clinical reasoning, scenarios, discussion. Often i find people choose the device they know how to use rather than the best device, Cant beat the #ClinicalReasoning drum enough #physiotalk
physiotalk @physiotalk
RT @IanTyrrell5: @physiotalk I think its really hard, but application of clinical reasoning, scenarios, discussion. Often i find people cho…
physiotalk @physiotalk
@IanTyrrell5 Such an important point! #physiotalk
physiotalk @physiotalk
Onto the next linked question... #physiotalk
physiotalk @physiotalk
Q How can we ensure people remain competent in the use of devices? #physiotalk
Ian Tyrrell @IanTyrrell5
@tomj1001 @physiotalk have you experienced that environment? i really hoped we'd have moved beyond that by now. Id rather you told me you dont know than try and blag #CantBlagaBlagger but if i dont know you dont know then i cant teach you #simple #physiotalk
shelly mooney @mshellmoo
@liziophysio1 @_lewadam @JanetThomas47 @IanTyrrell5 @physiotalk @DrJulietHarvey I agree. Competence can't only be self assessment. That has to be some practical demonstration & assessment #physiotalk
Francesca Rawlings @physiofrancesca
https://t.co/VwRUcOcXDO… I have found this resource really helpful #physiotalk
ema swingwood @emaroids1
@physiotalk Same answer as before- you can never get enough hands on experience, and you can always read more! #physiotalk
Pam Watkins @PWtherapist
@physiotalk #physiotalk So difficult to do at times . Time is a factor and confidence and competence are two very different things . Also ,back to first question , what is a medical device ?
physiotalk @physiotalk
@physiofrancesca Link not working - or is it for members only? #physiotalk
Liz Cowan @liziophysio1
@physiotalk #physiotalk I work mainly independently, but have links with other physios so that I can call on them when needed. Also get the reps to review a client with me if I haven't used the equipment for a while.
physiotalk @physiotalk
@liziophysio1 Do we call on the reps often enough? #physiotalk
Francesca Rawlings @physiofrancesca
https://t.co/7qprDVfXgf #physiotalk
physiotalk @physiotalk
@PWtherapist Is there a danger of being confident but not actually competent? #physiotalk
Liz Cowan @liziophysio1
@physiotalk #physiotalk sometimes that can depend on what the post purchase service agreement is like,e.g. do they charge you to come out?
Ian Tyrrell @IanTyrrell5
@physiotalk i think this is by giving people the chance to use the equipment in a non-judgemental non clinical setting, exploring case studies and clinical reasoning. Not just repeating what the person has done before them. #physiotalk
Francesca Rawlings @physiofrancesca
Hopefully this works https://t.co/7qprDUYlRF #physiotalk
physiotalk @physiotalk
@physiofrancesca Yes! Thank you #physiotalk
Sally Kennedy @Sallylk
@physiotalk Again responsibility lies with the individual using the equipment, but we all need supervision, monitoring and hands-on experience whenever possible #physiotalk
physiotalk @physiotalk
RT @physiofrancesca: Hopefully this works https://t.co/7qprDUYlRF #physiotalk https://t.co/WDT4RqnMhO
Pam Watkins @PWtherapist
@physiotalk #physiotalk definitely . I have seen this with some staff in the past . Overly confident is / can be a dangerous thing .
Liz Cowan @liziophysio1
@physiotalk @PWtherapist #physiotalk I think so. In new starters then the role of the mentor is to pick that up. But there is also an expectation on more experienced clinicians so that can bring a pressure to look confident, need to ensure it is backed up with know how
MollyHashmiGreenwood @MollyHGPhysio
RT @MartinDocherty2: @IanTyrrell5 @Sallylk @physiotalk MHRA are UK device regulator - useful guidance here on legal definition which Trusts…
Ian Tyrrell @IanTyrrell5
@physiotalk @PWtherapist Unfortunately i do think so! often i seen equipment and devices being used when actually we havent tried the unfashionable stuff first. all consumables cost but hands on therapy costs nothing but sweat #physiotalk
MollyHashmiGreenwood @MollyHGPhysio
RT @cathedwards_1: @liziophysio1 @IanTyrrell5 @JanetThomas47 @physiotalk @DrJulietHarvey Think there is a difference between competence & c…
physiotalk @physiotalk
OK - do for our final 10 minutes onto the specifics of training #physiotalk
MollyHashmiGreenwood @MollyHGPhysio
RT @IanTyrrell5: @physiotalk I think its really hard, but application of clinical reasoning, scenarios, discussion. Often i find people cho…
physiotalk @physiotalk
Q Do you currently offer any medical devices training? If so in what format? How regularly #physiotalk
physiotalk @physiotalk
#physiotalk
physiotalk @physiotalk
Wondering what there is available out there in eLearning? Anyone share anything? #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk So at UHNM we offer respiratory medical device training for all on-call and staff who treat respiratory patients. We do it yearly around 4-5 sessions. We do rotating sessions on all the devices we use, mixing application of the devices and clinical reasoning #physiotalk
Francesca Rawlings @physiofrancesca
I have worked in a couple of trusts who offer SIM resp training sessions for on-call physio’s. I found them very helpful. #physiotalk
ema swingwood @emaroids1
@physiotalk IST sessions for theory, journal clubs, supervision, oncall updates, dissemination of studies. Need to adapt teaching method to suit clinician to optimise learning gained #physiotalk
ema swingwood @emaroids1
@physiotalk There are a couple of HEI’s who are using online platforms but transferring across to NHS platforms isn’t easy!!! (Firewalls and cost). @ThackrayD #physiotalk
Jane Beecher @janebeecher2
@physiotalk I think that the individual is responsible for there own competency of these devices, however they must be given the platform and opportunities to approach senior staff for clinical supervision and feedback #physiotalk
Ian Tyrrell @IanTyrrell5
@Sallylk @physiotalk 100% agree! See it quite often and always frustrates me. #physiotalk
physiotalk @physiotalk
@emaroids1 @ThackrayD Why is this always the case? Do and share would always be better? #physiotalk
CaroLuxurians @CaroLux4
@physiotalk For me it isn't important ;) #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk Not that im aware of! We did consider recording ISTs but we never got round to putting it into practice! #physiotalk
MollyHashmiGreenwood @MollyHGPhysio
@Sallylk @IanTyrrell5 @physiotalk 1st time so here goes..... we include in our curriculum NIV, IV , MI:E, IPPB students learn theory and use simulation, case studies, discussion, clinical reasoning and debrief to prepare for clinical practice with some success though competence and confidence differ #physiotalk
physiotalk @physiotalk
@IanTyrrell5 An opening for you :) Do the manufacturers offer any online training in the theory of their devices? #physiotalk
ema swingwood @emaroids1
@physiotalk @ThackrayD Absolutely- they aren’t reluctant to share at all but NHS firewalls and ongoing costs are a barrier. Do we know that the costs will equate to improved pt care?? #physiotalk
Anna Spiteri @spiteri_anna
RT @physiotalk: @IanTyrrell5 An opening for you :) Do the manufacturers offer any online training in the theory of their devices? #physio
Ian Tyrrell @IanTyrrell5
RT @MollyHGPhysio: @Sallylk @IanTyrrell5 @physiotalk 1st time so here goes..... we include in our curriculum NIV, IV , MI:E, IPPB students…
Robyn Stiger @RobynStiger
@_lewadam @JanetThomas47 @IanTyrrell5 @physiotalk @DrJulietHarvey #physiotalk
physiotalk @physiotalk
#physiotalk
Pam Watkins @PWtherapist
@physiotalk #physiotalk clinical reasoning is so important as to evaluate the requirement for any medical device . Following other staff or "copying " others can be unsafe . Recently identified this issue with new junior, "following " a colleague use of a device .
Ian Tyrrell @IanTyrrell5
@RobynStiger @_lewadam @JanetThomas47 @physiotalk @DrJulietHarvey What devices @RobynStiger #physiotalk sounds like they get a good opportunity to use the devices though which is more than most.
physiotalk @physiotalk
With less than 5 mins to go What is your learning point or action point from tonights #physiotalk
Anna Spiteri @spiteri_anna
RT @physiotalk: With less than 5 mins to go What is your learning point or action point from tonights #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk you can often get the online manuals but again often not as good as being able to tweak settings and looking at your patient back to operational competence vs functional competence #physiotalk
MollyHashmiGreenwood @MollyHGPhysio
@JanetThomas47 @IanTyrrell5 @physiotalk @DrJulietHarvey Definitely I would say people have to be open about their own competence - it is impossible for someone else to say you remain competent where there has been a delay between being signed off and using a device clinically #physiotalk
Janet Thomas @JanetThomas47
@physiotalk I've just had a look and a quick search of TURAS came up with a blank #physiotalk
Liz Cowan @liziophysio1
@physiotalk #physiotalk make a list of which devices I am using, ensure I am confident in my knowledge and competency. Though recently Quest changed their weight allowance on their benches, changes to equipment is not always well publicised.
physiotalk @physiotalk
That's the hour up! #physiotalk
Robyn Stiger @RobynStiger
@IanTyrrell5 @_lewadam @JanetThomas47 @physiotalk @DrJulietHarvey IPPB (for now), MI/E, suction, bagging, looking at using the Clearway, some NIV and CPAP systems, IMT, trying to stay current with the help of our clinical partners. The students love it and it helps on placement. #physiotalk
Robyn Stiger @RobynStiger
@IanTyrrell5 @_lewadam @JanetThomas47 @physiotalk @DrJulietHarvey Are there any others that you feel we should be using @IanTyrrell5? #physiotalk
Ian Tyrrell @IanTyrrell5
@RobynStiger @_lewadam @JanetThomas47 @physiotalk @DrJulietHarvey Sounds really good! And would make them so much better prepared coming out onto placement. In what year do they do it? #Physiotalk
physiotalk @physiotalk
Thanks to @IanTyrrell5 for guest hosting Keep chatting and we'll collect the transcript in 15 mins or so #physiotalk
physiotalk @physiotalk
I hope we all feel we've learnt something around medical devices - I certainly feel I have! #physiotalk
physiotalk @physiotalk
Our next chat will be in 2 weeks - watch out for the topic coming soon! #physiotalk
Jane Beecher @janebeecher2
@physiotalk To be mindful of my fellow physiotherapy peers or nursing colleagues who are less confident in using devices such as IPPB/CA and the opportunity to be supported using them in a clinical environment #physiotalk
Ian Tyrrell @IanTyrrell5
@RobynStiger @_lewadam @JanetThomas47 @physiotalk @DrJulietHarvey LVR is the i can really think of that is used in terms of bigger devices. Some knowledge of devices used in chronic conditions like acapella etc may be good, but sounds like youve got it covered. #physiotalk
Pam Watkins @PWtherapist
@IanTyrrell5 @Sallylk @physiotalk #physiotalk one of the problems for rotational staff is that the equipment they become confident and competent in one clinical area they not not have to use at all in another clinical area . So lose their competence and /or confidence .
MollyHashmiGreenwood @MollyHGPhysio
@physiotalk Going to review our case studies and the way we facilitate our students’ learning. Good to get more feedback once students have done the class stuff and seen application in real clinical practice so we can keep things fresh - still working clinically already helps #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk Thanks for giving me the opportunity! really enjoyed it but certainly a struggle to keep up with everyone! #physiotalk
Robyn Stiger @RobynStiger
@IanTyrrell5 @_lewadam @JanetThomas47 @physiotalk @DrJulietHarvey Our curriculum is front loaded so we do quite a bit of theory including many of these devices in year 1. We offer advanced final year options, including respiratory & they all do on-call simulation training before graduation including discussions on staying competent. #physiotalk
Francesca Rawlings @physiofrancesca
RT @physiotalk: Our next chat will be in 2 weeks - watch out for the topic coming soon! #physiotalk
physiotalk @physiotalk
@IanTyrrell5 Great that you enjoyed it! Its certainly different hosting compared to taking part - you need to be keeping an eye on everything?! #physiotalk
Robyn Stiger @RobynStiger
@IanTyrrell5 @_lewadam @JanetThomas47 @physiotalk @DrJulietHarvey We have used the LVR bag but not since it was banned as I don’t have the newer device. We also use all the pep devices too with our CF and PCD teaching. #physiotalk
Ian Tyrrell @IanTyrrell5
@PWtherapist @Sallylk @physiotalk Completely agree, also for senior staff in non respiratory areas! Just because you're an orthopaedic band 7 it doesnt mean you shouldnt know how to treat your spinal cord injuries chest! #TinHatOn #physiotalk
Liz Cowan @liziophysio1
@physiotalk @IanTyrrell5 and master speed typing. Did you have any help with you? Or anyone topping up your cuppa? #physiotalk
Pam Watkins @PWtherapist
@physiotalk #physiotalk each rotation staff have to have competencies for respiratory on call completed . This may or may not include devices depending on patients in hospital at the time . Regular on call sessions held , peer reviews Learning from reflective practice.
Ian Tyrrell @IanTyrrell5
@liziophysio1 @physiotalk No help! Just tried a systematic approach! No brew either! will need a lie down with a cold compress in a dark room! #physiotalk
Anna Spiteri @spiteri_anna
@physiotalk #physiotalk I will look up some of the useful links provided by the tweeters
physiotalk @physiotalk
@IanTyrrell5 @liziophysio1 No brew* A schoolboy error! Theres a reason why I always tweet a kettles on reminder with 15 mins to go you know... #physiotalk *other liquids are available
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