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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. Mike Stone‏ @MikeStone2_EoL Sep 10
      Replying to @drkathrynmannix @Jennife10651535 and

      Kathryn, we are not discussing anything that requires 'training' here: the patient says to the nurse 'I'm forbidding CPR from now on', the nurse can check 'you mean under all circumstances?' but because of 'paperwork/NMC/etc' many nurses would still attempt CPR.pic.twitter.com/Skgc57zmWk

      1 reply 0 retweets 0 likes
    2. Kathryn Mannix‏ @drkathrynmannix Sep 10
      Replying to @MikeStone2_EoL @Jennife10651535 and

      Yes, I agree. The 'training' involved is just organisational awareness that CPR may be withheld, and that nurses have authority to decide. But in the real world of Governance, organisations will have to formulate policies to enable this.

      3 replies 1 retweet 2 likes
    3. Dr Gordon Caldwell‏ @doctorcaldwell Sep 10
      Replying to @drkathrynmannix @MikeStone2_EoL and

      One @ResusCouncilUK Document states ‘some people may find it hard to understand that cardiac arrest is part of the final stages of Dying’ Well then I am ‘some people’ Cardiac arrest is sudden, instantaneous but the final Stages of Dying are gradual

      3 replies 3 retweets 2 likes
    4. Kathryn Mannix‏ @drkathrynmannix Sep 10
      Replying to @doctorcaldwell @MikeStone2_EoL and

      A distinction needs to be drawn by @ResusCouncilUK Heart stops first =cardiac arrest. Heart stops last = normal death. Similar electro-physiology; utterly different clinical scenarios. 'Allow Natural Dying' may be a better policy and title.

      3 replies 2 retweets 6 likes
    5. Celia Kitzinger‏ @KitzingerCelia Sep 10
      Replying to @drkathrynmannix @doctorcaldwell and

      Some ppl with dementia diagnoses I've supported through writing Advance Decisions recently (+some with MND+COPD) really hope to have a cardiac arrest so that they don't have to go through the later stages of "natural dying" of their illness.Need to be alert to this choice too.

      3 replies 0 retweets 4 likes
    6. Dr Gordon Caldwell‏ @doctorcaldwell Sep 10
      Replying to @KitzingerCelia @drkathrynmannix and

      People who want to die in their sleep are actually hoping for a cardiac arrest in their sleep ... heart stops abruptly, no time to wake to feel faint, and gone .. so long as #CPR not done to desecrate the scene - true story https://www.dropbox.com/s/rfwexskg173vsgv/Full%20Cardiopulmonary%20Resuscitation%20after%20Peaceful%20Dying.docx?dl=0 … @loisrogersnews

      3 replies 2 retweets 2 likes
    7. Liam Shields‏ @LiamS27 Sep 10
      Replying to @doctorcaldwell @Trisha_the_doc and

      Heart wrenching story, hopefully something that @Ldn_Ambulance can reflect on. Crew should have felt empowered to not start had they been provided with that lady’s background. Highlights importance of communicating forwards any DNACPR discussions and decisions on discharge

      1 reply 0 retweets 3 likes
    8. Mike Stone‏ @MikeStone2_EoL Sep 10
      Replying to @LiamS27 @doctorcaldwell and

      I've had that 'you must attempt CPR' conversation with a 999 operator - well, in fact I said 'stop talking' at the 'look down the throat' instruction, when I had found my cousin dead in his home. So I didn't get as far as arguing over CPR.

      1 reply 0 retweets 1 like
    9. Liam Shields‏ @LiamS27 Sep 10
      Replying to @MikeStone2_EoL @doctorcaldwell and

      Sorry to hear that. Not an easy situation, which other callers may handle differently. Important to remember that call takers are just that, generally non-clinicians and are protocol driven with good reason. Unfortunately the protocols are difficult to break out of

      1 reply 0 retweets 1 like
    10. Mike Stone‏ @MikeStone2_EoL Sep 11
      Replying to @LiamS27 @doctorcaldwell and

      I would really like some 999 Ambulance Service Call Handlers to tweet their answers to 'what would they say next' in this situation: not 'our guidance is at wherever' - but 'if I followed my guidance, then I would say ...'.pic.twitter.com/72neqjiEZh

      4 replies 1 retweet 2 likes
      John Clarke‏ @C7RKY Sep 15
      Replying to @MikeStone2_EoL @LiamS27 and

      I don't see why you couldn't copy that exact text onto a FOI request & ask that you be provided with all guidelines/training materials that are pertinent to the preparation of call handlers to answering that question. You might also ask for an indication of the model response too

      10:27 PM - 15 Sep 2018
      • 1 Like
      • Celia Kitzinger
      1 reply 0 retweets 1 like
        1. New conversation
        2. Mike Stone‏ @MikeStone2_EoL Sep 17
          Replying to @C7RKY @LiamS27 and

          Ah - I could ask for the written guidance. But I want to get actual call handlers, who have read their own guidance and who have been trained, to tell us what they would actually say next - I'm pretty sure I can't technically ask for that, using an FOI.

          2 replies 0 retweets 1 like
        3. John Clarke‏ @C7RKY Sep 17
          Replying to @MikeStone2_EoL @LiamS27 and

          Probably not, but if you obtain the training material and guidelines, (and maybe even a model answer), you'll at least get a feel for what they're *supposed* to say. It's a good start point to then test how it compares to reality. Still of value, I'd say.

          1 reply 0 retweets 0 likes
        4. Mike Stone‏ @MikeStone2_EoL Sep 17
          Replying to @C7RKY @LiamS27 and

          It isn't certain, that I would get the guidance - and even if I did, 'to then test how it compares to reality' involves issues of 'interpretation'. I'd prefer to jump directly to 'what the call handlers would actually say next in my scenario' and analyse from that information.

          1 reply 0 retweets 1 like
        5. John Clarke‏ @C7RKY Sep 17
          Replying to @MikeStone2_EoL @LiamS27 and

          Fair enough. Though I suspect you're going to end up wanting that material at some point along this journey, even if not now. If only to explain why some are/are not saying what you would like.

          0 replies 0 retweets 1 like
        6. End of conversation

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