Nick (@nickopotamus@critcare.social)(@nickopotamus) 's Twitter Profile Photo

Feels quite a leap to claim these results based on an unpublished QIP (primary reference is ucc-today.com/journals/issue…)

Feels quite a leap to claim these results based on an unpublished QIP (primary reference is ucc-today.com/journals/issue…)
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Nick (@nickopotamus@critcare.social)(@nickopotamus) 's Twitter Profile Photo

This results table from the (unblinded, unrandomised, unpublished) “study” says it all 🤦🏻‍♂️ x.com/karenphysiocou…

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Nick (@nickopotamus@critcare.social)(@nickopotamus) 's Twitter Profile Photo

Neely Mozawala Thomas Jacques Tim Barker Basically yes. You need a “pension pot” for tax purposes, but it bears no resemblance to what you will take home from your pension in retirement

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Lara Capybara RN 🌈(@Laracapybara) 's Twitter Profile Photo

Nick (@[email protected]) This is actually horrible. Mobilising is good for people, they will still need the loo, their joys are being curtailed... and it's not evidence-based?!

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Nick (@nickopotamus@critcare.social)(@nickopotamus) 's Twitter Profile Photo

Lara Capybara RN 🌈 DrawMyCare Reductio ad absurdum, but anuria would reduce falls due to need to urinate to zero. Not good for you though. Additionally overall falls appears unchanged, so no evidence of harm reduction - and as others have said risk of inducing postural hypotension

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Nick (@nickopotamus@critcare.social)(@nickopotamus) 's Twitter Profile Photo

DrawMyCare Lara Capybara RN 🌈 No evidence it reduces falls at all though - entirely “I reckon” and a charitable interpretation of a run chart (makes no sense) showing proportion of falls due to “toileting” might be reduced (but not overall falls)

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DrawMyCare(@MaryOToole10) 's Twitter Profile Photo

Lara Capybara RN 🌈 Nick (@[email protected]) Well all I can say is I'm interested as it could be groundbreaking ( no pun intended) so needs follow up study( with control group given decaf but told its caff ( not sure ethical panel wd agree) anything to reduce falls in at risk ppl is gd given the traumas falls cause literal

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Nick (@nickopotamus@critcare.social)(@nickopotamus) 's Twitter Profile Photo

Victoria James Murdoch Have to confess I’m looking at it from POV where I have responsibility only for critical care, so I’m (hopefully) aware of bed moves - but for “mission critical” communication lack of ambiguity is more helpful than niceties. Bed X ward Y can be just as unhelpful as a name.

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Nick (@nickopotamus@critcare.social)(@nickopotamus) 's Twitter Profile Photo

James Murdoch Victoria I’m conflicted. I get the point of humanising the person in the bed, but eg on nights when I haven’t committed 49 new names in to my head it’s easier and safer just to give me a bed number if you need an answer/plan

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Lara Capybara RN 🌈(@Laracapybara) 's Twitter Profile Photo

DrawMyCare Nick (@[email protected]) 'Anything to reduce falls in people is good'. Not anything, no. Safe staffing and safe mobilisation will keep falls at zero to near-zero.

Otherwise you are introducing the risks of other harms eg those caused by not moving frequently enough.

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Nick (@nickopotamus@critcare.social)(@nickopotamus) 's Twitter Profile Photo

Dr Natalie🧣 Qualification check at one of the grad medicine interviews was interesting. “Why does it say MA when it was science?” “It just does” “Why isn’t there a grade?” “Because it’s separate grades for each part” (repeat above for ~10mins) 🤯

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