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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. MadPowerMadPride‏ @MadeInBedlam Jan 3
      Replying to @mancunianmedic @ann_poppy and

      As clinician, you don’t need to prove the factuality of a statement about me before you enter it. It will be then treated as fact - even if it’s subjective or tentative (or even not true). As Pt I have to fight for years to remove untruths. Because they’re you’re records

      2 replies 4 retweets 6 likes
    2. david oliver‏ @mancunianmedic Jan 3
      Replying to @MadeInBedlam @ann_poppy and

      I don't want to talk about your specific case but I agree that if for instance we record a conversation/explanation in notes with a person or their family there is no reason why they shouldn't have a chance to verify it or have a section of notes for own entries

      4 replies 3 retweets 6 likes
    3. Justice4Elsie‏ @ann_poppy Jan 3
      Replying to @mancunianmedic @MadeInBedlam and

      Brilliant.. I love that idea.. I think all statements conversations should be verified. It becomes a shock when you read things that never happened and why would they write such untruths and they are.. they are not their interpretations either...

      2 replies 3 retweets 4 likes
    4. MadPowerMadPride‏ @MadeInBedlam Jan 3
      Replying to @ann_poppy @mancunianmedic and

      It happens all the time though. ‘Your notes’ are a one-sided account of your condition/your interaction with staff. They are written with the aim of defending staff against future complaint, and as such often are pejorative about patients so as to justify staff.

      2 replies 9 retweets 10 likes
    5. John Clarke‏ @C7RKY Jan 3
      Replying to @MadeInBedlam @ann_poppy and

      John Clarke Retweeted John Clarke

      https://twitter.com/c7rky/status/946346073915822080 …

      John Clarke added,

      John Clarke @C7RKY
      Replying to @sarasiobhan @NHSwhistleblowr and 10 others
      I advise anyone who'll listen to record every medical consultation now. Helps to revisit oft difficult to remember conversations, it's our legal right & also the only way to ensure accurate notes are recorded... as it turns out. https://twitter.com/c7rky/status/683662528224845825 …
      4 replies 3 retweets 5 likes
    6. david oliver‏ @mancunianmedic Jan 3
      Replying to @C7RKY @MadeInBedlam and

      also been shown that even with clinical practitioners using all the approved good communication techniques, unrushed (with third party observation of consultation) patients (especially at stressful/bad news consultations) don't recall half of it so why not have a recording?

      3 replies 2 retweets 5 likes
    7. John Clarke‏ @C7RKY Jan 3
      Replying to @mancunianmedic @MadeInBedlam and

      Aaah... great minds & all that. See my last tweet.

      1 reply 0 retweets 4 likes
    8. david oliver‏ @mancunianmedic Jan 3
      Replying to @C7RKY @MadeInBedlam and

      same with body cams for police - it protects BOTH parties. I have investigated or responded to complaints where people said no-one had spoken to them/or had told them things they never did say and being able to point to 3 hours of recorded conversation would help put them to bed

      3 replies 4 retweets 5 likes
    9. david oliver‏ @mancunianmedic Jan 3
      Replying to @mancunianmedic @C7RKY and

      easier in outpatient setting or in consent for a procedure or a formal family meeting off the ward. I see 28 patients every ward round& 30-40 every time I am on take & with completely open visiting speak to dozens of family members in real time often by bedside,Logistics tricky

      1 reply 0 retweets 1 like
    10. david oliver‏ @mancunianmedic Jan 3
      Replying to @mancunianmedic @C7RKY and

      but certainly if an explanation/update given or questions answered or plans discussed and recorded in notes, allowing family (with patients consent) or patient (if they want this - it shouldn't be forced on them) to read and co-sign what was explained - why not? Time = constraint

      2 replies 0 retweets 2 likes
      John Clarke‏ @C7RKY Jan 3
      Replying to @mancunianmedic @MadeInBedlam and

      Time is always the issue, I appreciate. #safestaffing is a constant theme and an unresolved argument for which we're now starting to see the price. Audio recording doesn't seem a step too far though. Maybe when the crisis dies down...

      5:03 AM - 3 Jan 2018
      • 3 Retweets
      • 2 Likes
      • Infamous Ellie #HUMAN drjonesaa Justice4Elsie
      2 replies 3 retweets 2 likes
        1. New conversation
        2. david oliver‏ @mancunianmedic Jan 3
          Replying to @C7RKY @MadeInBedlam and

          It would as I say protect staff from complaints that 1 nobody ever spoke to us 2 that dr/nurse AHP never told me that/never explained/warned or... 3 Did tell me/promise that or 4 didn't listen and respond to my concerns/was rude or dismissive when we spoke So win/win

          4 replies 2 retweets 1 like
        3. ★ Ms Potting Shed  🦊‏ @MsPottingShed Jan 3
          Replying to @mancunianmedic @C7RKY and

          ...and knowing that a conversation was being recorded, it might put me off, as a patient, asking what I'd fear might be construed as "daft questions". Not saying it would put me off, but it might.

          1 reply 0 retweets 3 likes
        4. david oliver‏ @mancunianmedic Jan 3
          Replying to @MsPottingShed @C7RKY and

          recording should never be forced on patients or families, nor should having their own records, nor own health budgets nor having to access care digitally,. It should be a choice not an imposition. However, the quid pro quo is that the clinical notes ARE the record

          2 replies 0 retweets 3 likes
        5. MadPowerMadPride‏ @MadeInBedlam Jan 3
          Replying to @mancunianmedic @MsPottingShed and

          ‘Either we make an audio recording of your sensitive consultation, or we write a partisan, defensive account of the interaction’. Neither addresses the epistemic/power imbalance that affect care records

          2 replies 1 retweet 3 likes
        6. ★ Ms Potting Shed  🦊‏ @MsPottingShed Jan 3
          Replying to @MadeInBedlam @mancunianmedic and

          Well, to be fair, that works both ways. What's to stop me, as a patient, making up stuff about what went on in a consultation, and telling it to an "ambulance chasing" lawyer? I wouldn't, of course, but some might.

          2 replies 0 retweets 0 likes
        7. MadPowerMadPride‏ @MadeInBedlam Jan 3
          Replying to @MsPottingShed @mancunianmedic and

          Nothing (well apart from being labelled as a malicious complainant etc in your notes). And as observed above, untrue allegations by patients at treated as allegations, and staff are presumed innocent. Untrue allegations by staff are presumed fact. Hence the power imbalance

          2 replies 2 retweets 4 likes
        8. ★ Ms Potting Shed  🦊‏ @MsPottingShed Jan 3
          Replying to @MadeInBedlam @mancunianmedic and

          Then I guess the suggestion of audio recording (with consent of both parties) of consultations probably makes sense.

          2 replies 0 retweets 1 like
        9. John Clarke‏ @C7RKY Jan 3
          Replying to @MsPottingShed @MadeInBedlam and

          Consent of both parties is ideal and imho, preferred. But only the patient's consent is strictly necessary.

          3 replies 0 retweets 2 likes
        10. 7 more replies
        1. david oliver‏ @mancunianmedic Jan 3
          Replying to @C7RKY @MadeInBedlam and

          Safe staffing and clinicIan responsibility to give time and attention to ALL service users/families and all who might need services and to prioritise based on need and urgency

          0 replies 0 retweets 1 like
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