Adam Rochester

Your finish line is waiting for you. 🏅

Ditto the below to anyone doing the @Marathon_Mcr , another great marathon! Curious to see how the new course goes and hopefully the northern weather is a little kinder to you all. Go and enjoy yourselves!

Good luck to everyone running the @LondonMarathon. You’ve done the hardest bit, the many hours of training and getting to the start line. Enjoy the victory lap, beware the first 5k, keep YOUR pace, monitor hydration and lap up the noise. You deserve every shout and cheer! 🏃‍♂️ 🥇

Well done Adam, our NIV Practitioner, and his team whose QI project on Hospital Acquired Pressure Ulcers has been published in the @BMJOpenQuality! The project aims to prevent nasal bridge pressure ulcers in patients having non-invasive ventilation (NIV) therapy.

Thrilled to see this published! Thanks to everyone involved—especially the ARCU team—for their dedication to delivering harm-free care. #PatientSafety #Teamwork #NIV bmjopenquality.bmj.com/content/14/2/e… @SurajKu70713680 @WestHertsNHS @WestHertsHFC @AngelaWhite206 @kellyMcgovern21

Another busy @ALERT_Course at @WestHertsNHS. Almost ready for the best bit of the day, interactive group scenarios. Now our candidates get to practise their A-E assessment with escalation, planning & decision making skills learned through the course. @lucyhalpin1 @kellyMcgovern21

When the morning run has a different routine and these gorgeous views. Not a fan of treadmill running, but this view and beginnings of sunrise put a smile on my face for the easy run! 🏃‍♂️ 😊 💪

🗣️New Job for the New Year?? Do you have Critical, Emergency or Acute care experience at band 6 or above level? Come and join our new Acute Care Response Team Service here @WestHertsNHS @kellyMcgovern21 @Mel_Chambers76 @clairecuttingOT @WestHertsICU westhertshospitals.nhs.uk/join-us/apply-…

Big thanks and congratulations to Team ARCU for your hard work and dedication in preventing NIV/CPAP-related HAPUs using QI methodology. Your commitment to improving patient care is truly inspiring! 🎉 @WestHertsNHS @kellyMcgovern21 @Mel_Chambers76 @guccichelle @MichelleBoot6

@KathEvans2 Firstly, using the QI methodology. Secondly, moving to an under-the-nose interface, not exclusively but as our primary interface. Thirdly, massive buy-in from the team, educating and being proactive on every setup and receiving of patient. Hope that helps.

This is fantastic to see @walkwalkrun 💫 any tips to share on how you’ve achieved this?

Celebrating 2 years without a grade 2 nasal bridge pressure ulcer from NIV or CPAP therapy on our ARCU. Continuing the QI journey. Well done team 👏 💪 ! @harmfreecareuk @kellyMcgovern21 @AngelaWhite206 @SurajKu70713680 @WestHertsNHS #QI #respisbest #NIV #harmfreecare

🚨Incredibly proud of our multi-specialty surgical teams @WestHertsNHS for surpassing 400 robotic surgeries using @CMRSurgical Versius. 🎂🎉 We have performed over 50 robotic colorectal resections using @IntuitiveSurg Da Vinci Xi, only four months after taking delivery. 🦾🦾. The specialist trainees are thrilled to have multi-platform training as console surgeons. ❤️ Our first cases are underway using our newly recruited robots @PROCEPTRobotics Aquabeam and @SmithandNephew CORI, offering more patients the benefits of robotic assisted surgery. The dedication, skill, and teamwork of our clinical and non-clinical teams continue to push the boundaries of what's possible in the #NHS. Here's to many more milestones together! #Surgery #RoboticSurgery #Teamwork #HealthcareInnovation @RCSnews @RCSradar @ASiTofficial @ACPGBI @ACPGBI_EduTrain @NHSEngland @DaulatzaiNajib @AnnaRamRad @MMSAlani @CMRlaurenwilkes @YangMike_

Time for the so called ‘victory lap’ - @cphmarathon incoming tomorrow. #pbchasing

Looks like the perfect day for @LondonMarathon . Be it your 1st, 10th or 25th there is something about #London that makes it so very special. Enjoy the energy, excitement and remember - you've done the hardest work getting to the start line. Enjoy your victory lap!

If you're feeling nervous, it's normal. If you have doubts, it's normal. If your legs are aching, it's normal. You have worked so hard, you have already achieved so much and Sunday is just the last bit of that journey. You can do this. You will do this. ♥️

Good luck to everyone running the @Marathon_Mcr ! Done the last 2 & it’s a great race. Weather hopefully holding for perfect conditions? Enjoy your run, hope you get a PB and revel in that post race buzz! 🤞 Last long, long run today for me - 3/52 til @cphmarathon 🏃‍♂️ 🇩🇰

Mucus clears from the trachea in a helix: a new twist to understanding airway diseases thorax.bmj.com/content/early/…

A very special couple of days. What a privilege to be in a room with this wonderful group #Optiflow @fphcare @lung_live4eva @Crimillina @msovani @Drbenmesser @JacquiPolington @NiamhOMalley @liam_campbell85 @walkwalkrun @DanLasserson @MatthewJQuint @PaulTwose @NickHartGSTT et al..

…..and now it’s time to catch up on the MSc work.

Thank you to all the speakers, lots of papers to find and read, and the best quote has to be provided by @NiamhOMalley from W Edwards Deming: “Without data, you’re just another person with an opinion”

A big thank you to @fphcare for their session over the past 2 days on domiciliary nasal high flow. Great forum, great discussions. Thoughts? 1. Back to the physiology 2. Humidification component under appreciated (maybe not by the physios out there!)