#WeNurses Transcript

Healthcare social media transcript of the #WeNurses hashtag.
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fae footer @faebeth
[REDACTED USER] Hello #WeNurses
fae footer @faebeth
[REDACTED USER] We are supposed to check items because it is a patient safety procedure. Manily blood, IV's, CD's and all sorts of patient checks in theatre like consent forms and allergies. #WeNurses
fae footer @faebeth
[REDACTED USER] This is where sometimes you need to be firm and ask people not to distract you. #WeNurses
fae footer @faebeth
[REDACTED USER] I think that is the big question. It should be, and you would assume it would be safer.#WeNurses
fae footer @faebeth
@StudentNurseEms Yes, exactly #WeNurses
๐Ÿ’™ Lilian Wittman RN ๐Ÿ’™ @lilian_wittman
#WeNurses Hi everyone Lilian tweeting from the Isle of Wight
fae footer @faebeth
[REDACTED USER] Having a second person to check some thing should reduce the risk of mistakes. Also if you have to find a second person to check something you are more likely to do a proper check. It could be too easy for some people to be complacent by checking on their own #WeNurses
๐Ÿ’™ Lilian Wittman RN ๐Ÿ’™ @lilian_wittman
#WeNurses, I think that all CD's should be double checked and maybe injectable drugs.
fae footer @faebeth
[REDACTED USER] Then the procedure for checking should be examined. #WeNurses
fae footer @faebeth
[REDACTED USER] I think this is where the benefit of double checking needs to be balanced against the danger of patients waiting too long. It probably is different for each area. #WeNurses
๐Ÿ’™ Lilian Wittman RN ๐Ÿ’™ @lilian_wittman
#WeNurses maybe relying on the 2nd checker if calculation isn't your strong point ??
fae footer @faebeth
[REDACTED USER] Yes, I think we do. I think as a profession we have it drummed into us that double checking is better, so people assume it is. I do think double checking is good myself, but only as long as both people are paying attention. #WeNurses
@LeaBasra
[REDACTED USER] Finding someone free to do the double check. Some people dont fully check as they think the other person is checking. Where i work even if double check only one person signs chart so no proof you had it checked unless its a l cd. #wenurses
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fae footer @faebeth
[REDACTED USER] In some areas finding someone to do the double check. Need to ensure the double check is done properly, not one person half looking at the drug/blood #WeNurses
๐Ÿ’™ Lilian Wittman RN ๐Ÿ’™ @lilian_wittman
[REDACTED USER] [REDACTED USER] [REDACTED USER] #WeNurses it could also be an indication that more basic staff training is needed.
fae footer @faebeth
[REDACTED USER] When I am doing something that needs a double check I generally check the item twice or even three times myself before approaching someone else for the double check But as getting things right is important I wouldn't want to eliminate the second checker #WeNurses
@LeaBasra
[REDACTED USER] [REDACTED USER] Where i work they have trained hcas to be 2nd checkers of medications. This has helped woth patients wait time. But on occasion i have had โ€œlazyโ€ RGNs say get a haca checker when i haved for a 2nd check even though hcas all busy but said RGN not at the time #WeNurses
fae footer @faebeth
[REDACTED USER] Good question, there is a difference between 2 independent checks, and 1 check done by 2 people. It should be 2 independent checks I think #WeNurses
๐Ÿ’™ Lilian Wittman RN ๐Ÿ’™ @lilian_wittman
[REDACTED USER] @faebeth [REDACTED USER] #WeNurses I've been in both situations and with the person who only did a cursory glance, I refused to check with them again.
fae footer @faebeth
[REDACTED USER] [REDACTED USER] [REDACTED USER] I think it is the higher likelihood of quick adverse reactions with IV drugs that calls for the double checking. #WeNurses
๐Ÿ’™ Lilian Wittman RN ๐Ÿ’™ @lilian_wittman
#WeNurses, in the case of CD's it would mean that the checks are done at the bedside as they should be. In other cases we should remain vigilant and attentive to the process, no distractions.
fae footer @faebeth
[REDACTED USER] [REDACTED USER] I think it depends on what/who you are checking. We have 3 totally independent checks when we check a patient into theatre #WeNurses
@LeaBasra
[REDACTED USER] [REDACTED USER] [REDACTED USER] [REDACTED USER] [REDACTED USER] I found drugs that need double checking varies from place to place. Local hospital nurses can give pre filled clexane without it being checked but hospice in same county under same formulary and ccg has to have them checked but no evidence to why. #wenurses
Rebekah RNchild๐Ÿ’™ @reboverend_RNc
@maxwele2 [REDACTED USER] I think there is something to this...lot of stuff about the distractions/interruptions that contribute, which I agree with, but not the process of 2 RNs & the relational aspects of second checking. We โ€˜independent checkโ€™ all meds but donโ€™t know effect in reducing error #WeNurses
fae footer @faebeth
[REDACTED USER] [REDACTED USER] That can be an issue, sometimes vials can be very similar as well, particularly if the boxes change. #WeNurses
@LeaBasra
[REDACTED USER] Stay task focused and throughly check it like if you were the only one doing it. #WeNurses
fae footer @faebeth
@LeaBasra [REDACTED USER] Definitely, definitely, definitely. Always thoroughly check yourself, whether or not you have a second checker or not. #WeNurses
๐Ÿ’™ Lilian Wittman RN ๐Ÿ’™ @lilian_wittman
@Lillred [REDACTED USER] [REDACTED USER] #WeNurses I used to remove drugs from the machine and check them against the chart, check them again at the bedside and again with another person.
@LeaBasra
[REDACTED USER] The 2nd checker doesnt fully check often just glance. More distraction due to chit chat while doing the checks. #WeNurses
๐Ÿ’™ Lilian Wittman RN ๐Ÿ’™ @lilian_wittman
@Lillred [REDACTED USER] [REDACTED USER] #WeNurses wouldn't you automatically check them to make sure you have the correct strength ?
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