Rory O'Connor
@OcoRory
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都知事選
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My own unsolicited opinion
If you're not a doctor and use the word 'consultant' in your job title in a hospital setting then your title should also have your professional background in it
For eg Consultant Nurse Consultant Paramedic, Consultant Physio etc etc
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Can't be understated the moral injury being suffered by paramedics and all HCPs in amb services and wider NHS at the moment
Going to work in a broken system knowing that you'll be frustrated due to workload and not able to provide the care you want is horrendous
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NHS ambulance services tweeting new born baby pictures.
In my opinion it's just not right. It's a lovely moment and one as a clinician to celebrate.
But I dont think it should be put out on social media
Maybe I'm in the minority though
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Anyone else working in GP just dealing with an absolute avalanche of feverish kids with coughs etc
I work across a few surgeries and the last week there has been an influx of these pts.
Just wondering if my experience is replicated anywhere else
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I genuinely believe that there is a lack of understanding by a significant amount of hospital based clinicians of the level of risk held out of hospital by GPs, community teams, Paramedics and ambulance services amongst others.
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I offer my absolute stone cold solidarity to any healthcare worker who withdraws their labour in search of better terms, conditions and pay
I know that no HCP takes these decisions lightly, and solidarity to the doctors on strike over the next few days
Junior doctors
@_VivekTrivedi
explaining why junior doctors are on strike today. Solidarity
#JuniorDoctorsStrike
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Why
@Southern_NHSFT
is a job with Director of Allied Health Professionals in the title not allowed to be an actual Allied Health Professional?
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So I found this out today & I'm going to be shameless and put it in twitter because it was a crap year to do Independent Prescribing and I've managed to pass 🙌
Just waiting on my registration being amended and some (hopefully soon) local legislation changes and I'm good to go
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An indication of the discrimination and challenges potentially neuro divergent individuals face
I don't think I've ever seen as many bad takes squeezed into 2 tweets about anything
So much to unpack here
Thread
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@heidistephens
Dear lord the pure absolute energyof people looking down their nose in this thread is immense
If people want to go on a cruise let them go and enjoy it
The rush for people to criticize and give off is wild
Same people would probably crack up if they were criticised
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A personal thread on imminent strike action by ambulance staff and paramedics 🧵:
My absolute and total personal and professional solidarity with all those who have taken the enormously difficult decision to strike.
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I realise as a paramedic who no longer works frontline in an ambulance I'm probably not the best person to talk about this, but I really think our profession needs a reckoning with making frontline ambulance work more appealing for the longer term, as it's clearly not at present
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I purposefully avoid PA discourse,But.....
An unregulated unregistered individual with a 2 year MSc ≠ a highly trained, qualified, regulated HCP who likely has independent prescribing rights and has significant post graduate experience along with appropriate MSc qualification
It seems that physicians associates (2 years "trained in the medical model") are seen as equal to advanced nurse and clinicial practitioners (i.e heavily trained specialists) and GPs (actual consultant doctors with 5 years medical school + 5 years minimum training.)
Its a joke.
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Paramedics are highly skilled and highly regulated autonomous healthcare professionals.
Our profession is an independent one that exists across the health system
Any paramedic who progresses in any role does do after significant post graduate experience and further education
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Ive been trying to avoid wading into stuff but I couldnt ignore this
God give me the confidence of someone who says in public that a 3rd year medical student is practicing at the same level of a trainee ACP
The astounding ignorance some have of other HCPs never ceases to amaze
I noticed on another ward they have a trainee ACP, and when the cons isn’t there 3x a week, the trainee ACP sees half of the consultants patients for a WR (JD sees the other half).
We would not let a third year med student do this, so why a trainee ACP? Peculiar.
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The College of Paramedics is thrilled to announce the launch of a three-day immersive ‘paramedic’ experience summer school for young people aged 16 to 25 from minoritised ethnic groups.
‘ParaMEdic?'
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A thread 1/n
In terms of delays for ambulances, think it's clear now Amb Services and their staff across UK are now absorbing the pressure and risk due to hospitals not coping with demand.
I feel risk is now increasing exponentially.
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This will be controversial to some but not all
Due to the fact that ambulance services in terms of regulated HCPs are overwhelmingly staffed by paramedics, the clinical leadership at director level in these services should be Paramedics
Ok, what’s your unpopular opinion in medicine that will get you in this position?
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@drcmday
I have unending solidarity with your history. But poor poor take
Anything that helps us put patients at the centre of healthcare and help amplify the voices of those marginalised is ok for me
Of the the washy director jobs you see, this imo is a good one
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@HelenRSalisbury
Dr Salisbury we can't underestimate both the unseen harm in the community through lack of ambulances due to this and the significant l moral injury for paramedics who can't provide level of care they want to and are left idle for hrs on end knowing there are pts waiting elsewhere
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Bringing my 8 y/o son to his 1st Armagh match this wkend. He's autistic and I see
@CrokePark
have advertised a 'Welfare Room' in the Cusack. We've bought family tickets for the Cusack.
Anyone been to this room or know what it's like or of bringing an autistic child to Croke Park
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Paramedics are highly skilled autonomous professionals who are free to, and do, work in many settings.
If Amb services across the UK do not offer these highly skilled professionals adequate advancement, or treat them like valued members of staff, then of course they will leave
Concern among amb trusts that paramedics may "defect" to primary care - not sure the impact of this scheme has been fully thought through
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Why is there an obsession with what other professions do?
And I'll guess it's without an understanding of the depth and scope of some pharmacists.
And as long as they're appropriately trained with good governance and working within scope, then genuinely what's the issue?
Pharmacists to offer advice and treatment for earache, impetigo, infected insect bites, sinusitis, shingles, sore throat and uncomplicated UTI.
Okay but how are they diagnosing these? Ruling out differentials? Deciding what is causing the earache?
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The impact scenes like these have on ambulance crews cannot be understated
The helplessness, frustration, anger of staff who just want to provide care is being felt everywhere
Karen, St Columb Road, sent photos of the shelter they built when her 87 year dad fell on Monday. He waited 15 hours for an ambulance with 7 broken ribs, 2 fractures to his pelvis and an arm wound
@SteveBarclay
@swasFT
@RCHTWeCare
@stevedouble
@ciosicb
@CornwallCouncil
500
3K
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➡️ Outlook deleted from my phone
➡️ Wine poured
➡️ Home for the next 2 weeks
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It's my last day as Chair of Council for
@ParamedicsUK
Its been amazing the past 6 years, first as NI Rep then as Chair of Council, being able to contribute and help lead our profession and professional body
I'm biased but I think paramedics are amazing
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@SJAMcBride
I do genuinely believe we've approached failed state territory
Failed governance
Failed politics
Failed health service
Failed infrastructure
Failed water
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3 long years part time study and I graduated today with an MSc in Advancing Healthcare Practice from
@OpenUniversity
#OU_Ceremonies
#Paramedics
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Ulster University are appointing their first lecturer in Paramedic Science. One of the most important developments for our profession in NI.
An amazing opportunity
Please if you're interested get in touch and apply!
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"functioning adult"
Omg the bad takes keep rolling
How much effort have they expended to 'function'? Did you enquire? Do they spend every second masking?
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"harangued into ADHD referral"
Maybe they have been traumatized by previous healthcare experiences and struggle to self advocate
Maybe they have a different way of communicating
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It is very clear that a significant proportion of Drs do not understand what an Allied Health Professional is in the UK
We are a series of highly regulated HCPs who work and practice autonomously
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In the same way I argue ANP/ACP ≠ GP as no1 can be equal of a GP without being a Dr and going through medical school.
Equivalences are awful when trying to benchmark practice
But, without a doubt in my own mind, PAs are not the equivalent of ANP/ACP practice
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What an awful piece of comms
I despair when I see this
The onus is on services to appropriately triage
This type of quasi patient blaming is awful and will, IMO, have no impact whatsoever on call volume.
All it does is put off people who probably should call
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I could share these guidelines daily, but today seems a reasonable time to share the
@ParamedicsUK
Social Media Guidance
It's very detailed and helps protect both patients and registrants
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"sift wheat from chaff"
I assume OP feels that potentially life altering adult MD diagnosed.are chaff? What a horribly ableist and blinkered pov. So casually cruel and dismissive
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Yes not every referral/conveyance is perfect
But the sheer level of risk taken on and the amount of work diverted away from EDs is significant
For every "poor" referral/conveyance there are stacks of patients being dealt with and treated appropriately in the community
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Personal post
Any parent of a neurodivergent child will know that normal life events and milestones are never as simple or straightforward as they are for neurotypical kids. Everything needs planned precisely
But this boy aced it today. Absolutely amazing for his 1st communion
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Lots of talk about
#AutismAwarenessWeek
I hope rather than raise awareness, we should raise
#AutismAcceptance
This wee man, my son, should be accepted for who he is. We should all be ready & willing to see the benefits neurodiversity brings
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Thankfully I have no idea what's happening on Reddit
But this picture explains my thoughts better than I probably could
I’m just going to leave this here for the UK Medical Twitter crowd.
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So this account doesn't like it when you highlight something they said
Do those that enable this account think it's reasonable to outsource your advocacy to an anonymous pizza with views like this?
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Oversharing warning.
At the moment I'm in the midst of what everyone who works in the NHS, clinician, non-clinician, paramedic, AHP, nurse, doctor, admin and anyone else can probably relate to
Absolute and total burnout
Completely wiped out
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One of the most inspiring talks I've ever heard by
@nazirafzal
at
#paracon24
Listen
Act
Be the change
Never underestimate that one person can have an enormous impact
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Happy
#InternationalParamedicsDay
to everyone today
At a time when it is extremely challenging to be a paramedic no matter what clinical setting you work in its amazing to see the positivity and pride everyone has in this amazing profession
#IPD2022
@ParamedicsUK
@ParamedicsDay
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Paramedics deserve opportunities to safely and appropriately learn and adopt new roles and responsibilities within their capabilities as do any health professionals in the NHS
Facetious posts about our profession only denigrate those that do that and their cause.
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It is not the job nor responsibility of any other health profession or other health professional body to tell us where we can work and what grades we can work and what jobs we can get
There are issues across every health profession with retention and recruitment.
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My thanks to the paramedics who have shared their horrific experiences
Light is the best disinfectant and we as a College are determined to continue to work on addressing this issue with all our partners
I gave my brief take to Sky News this morning too 👇🏻
“I have scars - mentally and physically. I had the career I loved stolen from me.”
In interviews with Sky News, former and current paramedics paint a picture of widespread sexual harassment and a toxic culture of misogyny within the service
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@DrLKVaughan
@RoshanaMN
@Dr_Done_
I'm not defending this as Im not a pharmacist and I know nothing about that profession or the skills or scope of a pharmacy technician
But let's be honest, using PGDs ≠ prescribing medicines independently and any attempt to call it such is inherently incorrect
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The people I work with just know what will cheer me up on a Monday afternoon birthday
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@BeattieDoug
I genuinely don't understand the rush to defend the rights of a man who likely perjured himself at the Savile enquiry, and on the balance of probabilities killed 4 innocent people
I think the defence of soldier f and his actions does more damage to relations than anything else
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Hands up if you're ringing in the new year listening to the queen (Taylor Swift) and singing karaoke to her
🙋🏻♂️🙋🏻♂️🙋🏻♂️🙋🏻♂️🙋🏻♂️🙋🏻♂️🙋🏻♂️🙋🏻♂️🙋🏻♂️
Happy new year to everyone on this hellish app 👌🏻
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Child spiked temperature yesterday afternoon
Covid swab at 7pm last night
-ve result at 7am this morning
👏👏👏 To all those working overnight and behind the scenes to process all the swabs in our labs.
Literally unsung heroes of the pandemic
@healthdpt
@jennykeaneCAHPO
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What an amazing and innovative development.
We're so proud to have made paramedic Mark Coultate a Partner. He'll be one of the first Advanced Practitioners to become a Partner at a GP Practice.
He'll primarily work in Scarborough & be responsible for developing the various non-doctor clinical roles across our 13 sites.
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@ClipboardUK
Once had an ED doctor berate me for bringing in a ? fractured ankle that wasn't fractured. But this was after the XR 🤦♂️🤦♂️
And the ridiculousness of this was completely over their head
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To be honest this devalues both nurses and AHPs
Chief nurse just seen as easy way to oversee AHPs thus diluting nursing leadership
AHPs left without access to the role which is their most senior leader in the trust
Lose lose imo
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@drlindalouise
Omg
'trusitng misdiagnosed labels'
Absolutely horrendous inference
Again that fact you're in a senior teaching position with these beliefs and values genuinely make some shudder for the SEN students under your care
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Really important study led by
@ParamedicsUK
which will inform how long aerosols such as COVID remain in ambulance.
Excited to see the results soon
One of the amazing things we can do and commission to further our profession and represent our members
#BADGERS
Bio Aerosol Degradation & Generation in Emergency Response Settings
A joint
@ParamedicsUK
&
@UHertsResearch
study which is measuring the time it takes to fill up an
#Ambulance
with aerosol & how long it stays around after removing the patient. Results soon!
#FreshAirNHS
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Quick video thread (twitter only allows 2 min videos and they kept me talking a while!)
Was good to be able to go on BBC Breakfast this morning to discuss the challenges faced by paramedics and ambulances services at the moment and the impact it has on staff and patients
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This announcement makes me reflect
- the amazing work that happens behind the scenes
@ParamedicsUK
and the tireless work that happens on our behalf
- those that have came before us (too many to mention) and helped build our professional body so it can thrive now
We’re incredibly excited to announce that we, the College of Paramedics have been awarded the Charter of Incorporation by His Majesty King Charles III 👑
Read more here 👉
#CollegeOfParamedics
#RoyalCharter
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Good time to reshare our joint
@ParamedicsUK
and
@RCollEM
statement and options appraisal on ambulance handover delays
I'd urge all decision makers to have a look at these options and their relative risks put forward by the professions at the frontline
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What it looked like on
@5_News
versus what it actually looked like in my house!
Thanks for having me on to discuss the impact of
#stormeunice
on paramedics
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This whilst we have paramedic students receive £0 of a bursary in NI
Our paramedic students need support more than ever
Will be urgently contacting the Minister and Department regarding our students in light of this deserved uplift for other Healthcare students
Robin Swann confirms bursary support payments for nursing and midwifery students to be increased
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Ready for a great day at the
@ParamedicsUK
Primary Care and Prescribing Conference
So many amazing Paramedics in the room
Excited for it
#PCPC23
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There definitely is this belief that other independently regulated HCPs only practice due to the kind grace doctors give us to do so
Not that we are, you know, independently regulated HCPs with robust regulatory oversight and independent career pathways and professional identity
@Jamesbr42538384
@LeanneHPatrick
@ShaunLintern
I mean I don't really understand why working safely as an ACP shouldn't be under the strict guise of doctors...thar seems totally reasonable!
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Genuine and total admiration for anyone wearing a green uniform with PPE piled on top of it in that heat
Absolutely wild.
Hopefully everyone stays safe and can cool down regularly
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"Executive Director of Nursing, Midwifery and AHP services"
But only nurses and midwives need apply
So excluding a specific set of professionals from this role despite being the executive lead for them
@ahpfni
@healthdpt
We’re seeking to appoint an Executive Director of Nursing, Midwifery and AHP Services who combines expert and proven nursing leadership skills, with a passion to deliver high quality Health and Social Care across our services
Apply online:
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Just getting on a plane with 5 steps into it on my way to lovely Leeds for the
@ParamedicsUK
Primary Care and Prescribing conference
Can't wait to meet everyone there tomorrow
@CoP_PrimUrgCare
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@ollieburtonmed
@timricketts_
@ExplosiveEnema
Ah ok so number of specialty training posts is set centrally? So they've basically ratcheted up the competition for those posts artificially?
These may all seem like very simple questions, but I really don't think this is well understood outside medicine.
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Absolutely amazing investment in paramedic clinical leadership 👏👏
Excited to announce the next part of our clinical leadership expansion with 2x Consultant
#Paramedic
posts - 1 in
#CriticalCare
and 1 in
#UrgentCare
to work alongside our Consultant Paramedic Emergency Care. Apply here: or
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I think it's possible to agree that MAPs need regulated and scope needs addressed
And also think this dragging of individual clinical errors through media and anonymous pile ons of individual people is just really really bad
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After almost 9 years with NIAS I'm making a move into primary care next week.
Worked with the best people and have amazing friends. Friendships made doing our work are unique and very strong!
Some class gifts last, amongst them this classic by
@JohnCorso82
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37 year old man going to see the
@ArcticMonkeys
tonight in Belfast
Omeprazole ✅
Gaviscon ✅
Ibuprofen ✅
Berroca ✅
Rock and roll
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"low priority/unnecessary"
Yes as clearly being ND is something people should get on with and isn't a priority for some healthcare profs
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A trainee ACP will be a regulated individual and have significant post grad experience (usually a minimum of 5 but very unusual to get a post 5 years post grad)
If you think a 3rd year medical student is equal to a trainee ACP then I really don't know what to say 🫠🫠
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Absolutely amazing career pathways and opportunities to stay in clinical care
Could only wish that I would have similar opportunities and wish that every staff member would have the same opportunities to advance clinically and stay within the amb service
Truly exciting times at
@EastEnglandAmb
as we develop a fantastic clinical career roadmap for staff to follow. Also building a fit-for-future model of Advanced Practice, working with the system to improve patient experience and outcomes!
@MelissaD_85
@iampaulgates
@antkitchener
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This paramedic has used the 'Dr' title in a document which, checks notes, promotes his career as a paramedic. He even says what he studied in his doctorate. Zero evidence if using it in a PT facing setting
Outrageous whipping up by an Otherwise sensible account
Paramedic boasts that they have done more training than most GPs in Dermatology.
Anons find that he appears to be representing himself as a Doctor.
Oh dear. Oh dear oh dear.
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A really good eg f the positive impact Advanced Paramedic Practitioners can have on the wider health system
▶️ Whole system benefits with treatment in appropriate location
▶️ Staff benefits through career progression
▶️ Patient benefit by avoiding admission
No brainer really
Our Advanced Paramedic Practitioners are helping to ease the pressure on hospitals by treating more people at home.
In last night's episode of
@SharpEndITV
,
#TeamWAST
's own
@KerryRobertshaw
explains how.
Full episode:
#HelpUsHelpYou
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Great to see yet more services offer senior paramedic leadership positions
👏🏻👏🏻👏🏻
@NEAmbulance
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Going to regret this immediately
But if this tweet gets a paltry 30 likes I'll attach a video of me singing some Taylor for my wonderful followers
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@deirdreheenan
Was a pleasure to contribute from a paramedics perspective to it and emphasize the challenges hard working staff face everyday
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Very important advice to all
@ParamedicsUK
members
NEVER EVER EVER self refer before speaking to us, no matter who has told you to self refer
Going through a HCPC investigation? We understand how worrying a time it can be. Full members of the College can access a 24-hour helpline to discuss all matters relating to an investigation, with a Solicitor, who specialises in fitness to practise cases👉
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@DrLindaDykes
Not sure if you've saw this document that
@ParamedicsUK
&
@RCollEM
produced few months ago. But this outlines all the options and risks. If the political will is there the obvious solutions are laid bare here
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I am so delighted for
@tracyniks
being awarded an OBE for services to the paramedic profession.
She is one of the kindest, most compassionate, intelligent and inspirational people I know and I count myself very lucky to work with her professionally and to know her personally
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My small contribution on
@Channel4News
tonight about PPE for paramedics. Staff want to know firstly that there is adequate PPE in the system, and also that the correct PPE is available for level of exposure they may have.
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Busy shift done
Even though covid and the pressures from it are there in abundance, still so many non-covid pts needing our help too.
Crews working so hard all day every day.
#StayHomeSaveLives
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This is one of the most harrowing things I've ever read. Really hit home for me as I'm sure it did for anyone who'd worked in an amb reading it
Absolutely devastating for everyone
How do we care for colleagues that experience the stuff we do and ensure everyone is safe?
This is awful for all concerned. Ambulance crew who had just 10hrs off after an infant cardiac arrest, crashed into a vintage car just before end of their next 12-hr night shift whilst driving through the same village as the call to the deceased baby.
#HumanFactors
#ThoseWeCarry
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Looks like a great poster and piece of work
An ambulance service absorbing its own risk with appropriate internal advice and pathways is 👏🏻👏🏻👏🏻
Great to see our
@EMASNHSTrust
“Why am I contacting a GP?” poster finally out. Appreciate may still need tweaks as we get feedback but step in the direction of improving this vital interface
Thanks to
@Subcut
,
@NottmCityPBP
& Greg Cox for being the catalysts for this work
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Key point made here of which I think there is a fundamental misunderstanding in some medical circles
Roles like physios, nurses, paramedics are wholly responsible for the care they provide and are held to account by their respective regulators
@TheDA_UK
@georgebellstarr
@georgette_eaton
@OcoRory
2/2
nurse and paramedic independent prescribers (NMPs), often with 10+ years experience, following an initial 3 years BSc, who additionally have an MSc in advanced practice
And are working collaboratively with a senior physician, but whom are wholly responsible for care provided
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Imagine I told another profession where they should work?
As doctors rightly say they operate in a competitive international job market where their skills are highly sought after
Paramedic skills are sought after in the UK. They will work where their skills are sought
@wesstreeting
@Ldn_Ambulance
Can
@wesstreeting
Explain Why
One Third 999
#Ambulance
Calls
Have No
#Paramedic
But Paramedics in
#GeneralPractice
&
#ARRS
Penalises Hiring of
#GPs
?
@LabourHealth
@rcgp
@TheBMA
@TheBHF
@ShaunLintern
@pulsetoday
@LBCNews
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@ExplosiveEnema
I'll only comment about myself
I've 10 yrs frontline amb experience. 4 1/2 yrs in GP after MSc. I'm a prescriber
I see 20 pts per day in 20 min appts. There are a good few things I can't see as don't have the training/skills. I won't work without senior GP from practice there
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Thanks to
@5_News
for inviting us on for us highlight the reality for frontline ambulance services and the many challenges we face as a profession and a health service
NHS emergency services in England are under pressure - with records broken for hospital waiting lists, A&E attendances and ambulance callouts.
@RCollEM
's Dr Ian Higginson and
@ParamedicsUK
's Rory O'Connor tell
@mrdanwalker
how this is affecting those working on the frontline.
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