Registered Nurse | Nurse Teacher | Independent Prescriber (V300) | Queens Nurse | Healthcare Leader | Army Veteran

Joined February 2013
404 Photos and videos
Pinned Tweet
6 Apr 2024
Really pleased to see this going to press. Available very soon at a bookshop near you 😊 #nursing #criticalcare @IanPeate @ElsevierConnect
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Jun 12
One of the less edifying aspects of the current campaign against non-doctor healthcare professionals has been observing just how quickly some colleagues dispense with the principles of professionalism and collegiality.
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Jun 12
Oddly, these views are rarely articulated with the same confidence in person. The distance between keyboard and conversation appears, for some, to be remarkably transformative.
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Jun 11
Advanced Practitioners are rapidly becoming healthcare’s version of Godwin’s Law. No matter the topic, discussion, specialty, workforce challenge, service redesign, or clinical incident, it seems only a matter of time before someone blames, defends, attacks, or invokes AP. P→1
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May 28
Ok, time to make Twitter (X) great again. Can we go back to the good old days of #MedTwitter and #NurseTwitter when it was about sharing real learning, honest stories, clinical pearls, and a bit of humour from the chaos of practice, not ego, noise, or performative outrage.
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May 28
Responded to my first @GoodSamApp call the other day for @SCAS999 - it wasn’t an arrest and patient was ok, but made me reflect on how amazing this App is. If you can join up, you really should.
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Dean retweeted
From the paper: "Several high-quality trials have shown that universal mental health interventions based on mindfulness, cognitive behavioural therapy, dialectical behavioural therapy and general mental health awareness can all have negative outcomes, including an increase in internalizing symptoms." As critics have been arguing all along, individualised, medicalised and decontextualised models & narratives are not only net ineffective, but even contribute to and exacerbate social & psychological issues and distress. We dont face a crisis of 'mental disorders' in need of medical or cognitive treatment, we face a socio-psychological crisis and a crisis of medicalisation in need of a societal rethink.
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Apr 27

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Apr 24
Biological Quality Control (Bio-QC) is a key component of spirometry quality assurance, supplementing mechanical calibration with a physiological performance check. @vitalograph #PFT
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Apr 24
Limitations: • Dependent on subject consistency • Requires strict standardisation • Not a replacement for calibration—a complementary safeguard
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Apr 24
Bio-QC operationalises quality assurance in spirometry—bridging the gap between technical calibration and clinical reliability.
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Apr 22
Pulmonary Function Tests (PFTs) are key tools for understanding how well the lungs are working. 🫁 They give objective data, not just symptom-based assessment. @vitalograph #PFT
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Apr 22
Lung mechanics can be explored using: • Oscillometry • Resistance measurements (RMS) Helpful when spirometry is difficult (e.g. in children or frail patients).
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Apr 22
The takeaway: PFTs provide a multi-dimensional view of lung function—far beyond symptoms alone. Understanding which test measures what is key to interpreting results and improving patient care.
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