RNchat Transcript March 16, 2010
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The document captures a live Twitter chat (#rnchat) among nursing professionals discussing various topics related to healthcare, including caregiver policies, the culture of bullying in nursing, the importance of prevention in healthcare, and end-of-life care practices. Participants shared their experiences, insights, and perspectives on how the healthcare system impacts patient care and the role of nurses. The chat also featured discussions on the evolving nature of nursing practice and the significance of collaboration within the healthcare team.
RNchat Transcript March 16, 2010
- 1. tully3000: RT @consultdoc: Hospitals beginning to add policies to "care for caregivers" who are involved in medical errors http://bit.ly/bePgqW #rnchat 3/16/2010 09:28 StressedFran: RT @PSeditor: RT @RNchat: RT @kevinmd Nursing Needs to Confront a Culture of Bullying - http://bit.ly/dme9yM #RNchat < Totally! 3/16/2010 10:04 philbaumann: I'm moderating today's #RNchat at12pm EST. Join in or stalk. Tell your friends. 3/16/2010 10:58 EllenRichter: Raising the bar! ~Nursing practice is more difficult today than in 2007~ Difficulty of NCLEX to be Increased http://i.cx/1h7 #RNchat #nurses 3/16/2010 11:29 rnchat: Welcome to #RNchat! Thank you for participating. Let's get started with introductions: tell us who you are, what you do & what you love. 3/16/2010 12:01 andyatFAD: Andy McPhee, Senior Acquisitions Editor for FA Davis. Former RN still in healthcare, sort of. #RNChat 3/16/2010 12:02 grimalkinrn: I am JoAnne. Med Surg RN, Skin & Wound Resource, Preceptor in Denver, Colorado! #rnchat 3/16/2010 12:02 AshleighPugh_RN: @ONSmark @rnchat thanks excited to be here! #RNchat 3/16/2010 12:03 grimalkinrn: @andyatFAD Love the new user pic! #rnchat 3/16/2010 12:03 AshleighPugh_RN: I am Ashleigh, an Oncology Educator/Technology Coordinator in Toronto #RNchat 3/16/2010 12:04 andyatFAD: @grimalkinrn Thanks! Kinda goofy, I know. #RNChat 3/16/2010 12:04 onlinenursing: #RNChat - Terri Schmitt - RN, FNP, PhD Candidate - educator and rural FNP - looking for my informatics students. Happy Tuesday! 3/16/2010 12:04 lorryschoenly: Lorry here - correctional nurse writer and educator. Glad for a writing break to chat with you folks #rnchat 3/16/2010 12:04 NursingCenter: Hi everyone! I'm Lisa, clinical editor for LWW and NursingCenter.com. Love chatting with all you nurses! #rnchat 3/16/2010 12:04 EllenRichter: Hi folks! Critical care RN & legal nurse consultant happy to be working from home so I can join #RNchat today! :) 3/16/2010 12:04 mkopp1: #rnchat I'm Marie ER RN in MN. Been a while since I have been available to participate! Waiting to pick kids up from preschool so not long
- 2. 3/16/2010 12:05 rnchat: We'll get started with our first topic in a minute. Please prepend your tweets with the topic, eg T1, T2, etc. #RNchat 3/16/2010 12:05 nursechenene: #RNchat I'm an operating room nurse and first assistant at a Level I trauma and burn center in SW Misssouri. 3/16/2010 12:05 nursekama: Kama, Clinical Nurse Specialist, Psych/Mental Health, London and St. Thomas. So excited to join today's chat! #RNChat #RNChat 3/16/2010 12:05 acmessner17: I am Angie, ICU RN in Springfield, MO & in school to get my BSN, which is how I got introduced to twitter! Hey Terri! #RNChat 3/16/2010 12:05 rnchat: I'm @PhilBaumann - started this funness. Trying to help nursing come to the 21st Century. Among other things. #RNchat 3/16/2010 12:05 rnchat: T1 The Question Nursing Answers: "What is the effect of the entire h/c process on the human being, from Wellness to Death?" Discuss. #RNchat 3/16/2010 12:06 ocdgirl2000: #rnchat Lynne from Montgomery County Gov, just got bad news,our Nurse manager is leaving..awww..behavioral health,crisis services,addictions 3/16/2010 12:06 EllenRichter: Standing room only! :) Hi friends!! (too many to tweet--TMTT) #RNchat 3/16/2010 12:07 grimalkinrn: t1 When the process works, the HC process extends quality of life, but can hinder death, cause denial, and prolonged suffering. #rnchat 3/16/2010 12:07 HauteSingleMama: I'm a student, still doing prerequisites :) I'm applying for the nursing program this fall! #rnchat 3/16/2010 12:08 EllenRichter: T1 I think we USED to see the h/c process as happening ONCE someone got ill--now prevention is number 1 goal in h/c #RNchat 3/16/2010 12:08 onlinenursing: @rnchat T1 - H/c should be natural and promote natural processes. Sometimes I worry that the emph in h/c is medications and cutting. #RNChat 3/16/2010 12:08 onlinenursing: @grimalkinrn Excellent point! Agree #RNChat. 3/16/2010 12:09 ocdgirl2000: #rnchat T1 ok just copy /pasted the fast way.. 3/16/2010 12:09 acmessner17: #RNChat: I sometimes feel that the h/c process intervenes too much in people's health, and prolongs things that are inevitable (Agree!) 3/16/2010 12:09
- 3. rnchat: @acmessner17 Welcome! #RNchat 3/16/2010 12:10 OncologyNursing: Hi everyone! Carrie from ONS here. #RNchat 3/16/2010 12:10 NUR3563: RT @EllenRichter T1 I think we USED to see the h/c process as happening ONCE someone got ill;now prevention is number 1 goal in h/c #RNchat 3/16/2010 12:10 EllenRichter: T1 Even at the point of death, we want to prevent pain & suffering ... isn't that preventive medicine too? :) #RNchat 3/16/2010 12:10 lorryschoenly: In corrections we are moving from an episodic model to chronic care model. I don't like the term but applaud the idea of a continuum #rnchat 3/16/2010 12:10 AshleighPugh_RN: T1 I would agree @EllenRichter #RNchat 3/16/2010 12:11 nursechenene: #RNchat I think emphasis should be on pt's wishes rather than what the h/c team wants ie end of life decisions. 3/16/2010 12:12 nursekama: RT @AshleighPugh_RN: T1 I would agree @EllenRichter #RNChat 3/16/2010 12:12 acmessner17: @rnchat I also think that prevention is the biggest goal in h/c today, which is a great focus I feel #RNchat 3/16/2010 12:12 nursekama: Can you expand on that at all? RT @ocdgirl2000: #rnchat T1 depends on the economy & politics #RNChat 3/16/2010 12:13 grimalkinrn: T1 The idea of prevention and healthy lifestyle is vital to control DM, HTN, CAD, etc. HC needs to focus on prevention. #rnchat 3/16/2010 12:14 EllenRichter: @grimalkinrn Yes, we really need to approach death with a more ethically acceptable process in health care #RNchat 3/16/2010 12:14 NursingCenter: @EllenRichter T1 Absolutely~ In ICU, some of the best days are when ur pt has a "good" death. #rnchat 3/16/2010 12:14 StephenNP: #RNchat T1 a great piece written by a colleague http://bit.ly/aKU8ss 3/16/2010 12:14 andyatFAD: Prevention may be the biggest goal but our entire hc system is set up for illness/acc. How to adapt? #RNChat 3/16/2010 12:14 onlinenursing: @grimalkinrn Agree again & if peep R ready to die we label them 'passively suicidal'
- 4. (P.S.looking 4ward 2 death-will be less busy:) #RNChat 3/16/2010 12:15 ocdgirl2000: #rnchat T1 Hate to be so pragmatic, but it's the reality.We need to be able to deal with it, and get out of our little "pretend" bubbles. 3/16/2010 12:15 NUR3563: RT @andyatFAD: Prevention may be the biggest goal but our entire hc system is set up for illness/acc. How to adapt? #RNChat 3/16/2010 12:15 EllenRichter: Happy to RT this one! >> @NursingCenter: T1 Absolutely~ In ICU, some of the best days are when ur pt has a "good" death. #rnchat 3/16/2010 12:15 NursingCenter: @onlinenursing LOL! Very true...Someone once said to me "I'll sleep when I'm dead" - love that line! #rnchat 3/16/2010 12:16 EllenRichter: @StephenNP Thanks! Going to read it right after the chat! :) #RNchat 3/16/2010 12:16 mkopp1: #rnchat T1: prevention is key. And more focus to this area is still needed. 3/16/2010 12:16 andyatFAD: RT @StephenNP: #RNchat T1 a great piece written by a colleague http://bit.ly/aKU8ss #RNChat 3/16/2010 12:16 rnchat: RT @NursingCenter: @EllenRichter T1 Absolutely~ In ICU, some of the best days are when ur pt has a "good" death. #rnchat 3/16/2010 12:16 grimalkinrn: @onlinenursing t1 I think labeling anyone w/the word "suicidal" will have drastically neg effects. "Comfort Care" more acceptable. #RNChat 3/16/2010 12:16 NursingCenter: @StephenNP Thanks for the link...will read after RNchat! #rnchat 3/16/2010 12:16 lorryschoenly: Prevention is part of correctional chronic care model-yes.Death-no. Nobody dies in corrections-we send them to @ellenrichter etal:o) #rnchat 3/16/2010 12:17 ocdgirl2000: #rnchat T1 Have you read the health care bill that is presently waiting for votes?fully? raise your hands/ 3/16/2010 12:17 ONSmark: Me too, plus the NEJM article it cites: RT @EllenRichter: @StephenNP Thanks! Going to read it right after the chat! :) #rnchat 3/16/2010 12:18 nursekama: Agree on prevention. In mental health, we focus on the experience of recovery vs. illness or problem-based models. #RNChat #RNChat 3/16/2010 12:18 philbaumann: T1 We have a culture with an unhealthy view of death. We prolong suffering and curtail
- 5. the experience of living fully. #RNchat 3/16/2010 12:18 nursechenene: #RNchat health in the csection increase in USA is in the news again. The number of inductions and sections is higher than any other country 3/16/2010 12:18 CIHC_ca: RT @nursekama: Agree on prevention. In mental health, we focus on the experience of recovery vs. illness or problem-based models. #RNChat 3/16/2010 12:19 EllenRichter: T1 Yes, prevention (& education & transparency) R magic buzzwords in h/c & our only hope to battle or biggest chronic conditions #RNchat 3/16/2010 12:19 EllenRichter: @lorryschoenly LOL, I think we all forget the T's from time to time! ;) #RNchat 3/16/2010 12:20 grimalkinrn: @lorryschoenly We all do it. #rnchat 3/16/2010 12:20 onlinenursing: @grimalkinrn Agree- label 'passively suicidal'. I have seen this diag, w/those who R not terminal. like, even elderly pts #RNChat 3/16/2010 12:20 onlinenursing: @lorryschoenly You are so good to try and at least remember T1! #RNChat 3/16/2010 12:21 grimalkinrn: @onlinenursing T1 Some ppl do not want to fight their chronic health condition any longer. That needs to be more acceptable. #RNChat 3/16/2010 12:22 nursechenene: #RNchat I feel death is my enemy during traumas not when it is part of natures course. 3/16/2010 12:22 onlinenursing: @nursechenene excellent point about surg intervention throughout the lifespan. T1- part 1 #RNChat 3/16/2010 12:22 acmessner17: #RNChat I think that the patients wishes needs to be something that is focused on more in h/c and seen as acceptable 3/16/2010 12:23 onlinenursing: @nursechenene T1 -part 2 - another example, orthorscopic knee surg to fix knee pain instead of wt. loss, PT -#1 proc. in us #RNChat 3/16/2010 12:23 grimalkinrn: Exactly!! RT @nursechenene: #RNchat I feel death is my enemy during traumas not when it is part of natures course. #rnchat 3/16/2010 12:23 andyatFAD: T1 @philbaumann That decision is so difficult to make, even for us, I think. Too many "what ifs" #RNChat 3/16/2010 12:24 philbaumann: @EllenRichter I know. It's a very difficult time. Tons of emotions involved. No "right" or "wrong" answer either. #RNchat 3/16/2010 12:24
- 6. EllenRichter: @acmessner17 T1 Sadly there is no recourse for a family member who decides NOT to follow an unresponsive pt's wishes #RNchat 3/16/2010 12:24 rnchat: Next topic coming up in two minutes. #RNchat 3/16/2010 12:25 nursechenene: @onlinenursing #RNchat Yes and with the same conclusion-get moving 3/16/2010 12:26 rnchat: T2 RN-LPN Relations: How healthy, overall, is the relationship between RNs & LPNs? With other disciplines? #RNchat 3/16/2010 12:27 NursingCenter: T1 Many think of end-of-life care as "pulling the plug". Not the case - it's a process, nurses r integral to helping pts/fam learn #rnchat 3/16/2010 12:27 EllenRichter: @rnchat I think nurses could discuss the frustrations in dealing with health care aspects of death & dying for hours #RNchat 3/16/2010 12:27 ocdgirl2000: #rnchat T1 politics: gov run healthcare is quite different! inefficiency & incompetency runs rampant..can't fire bad management 3/16/2010 12:27 EllenRichter: Great point! RT @NursingCenter: T1 Many think of end-of-life care as "pulling the plug". Not the case - it's a process #RNchat 3/16/2010 12:28 Favored1Aqua: RT @OncologyNursing: RT @EllenRichter: 2 all the Nurses on twttr 2day RT @rnchat nxt #RNchat - Tuesday 3/16 12p EST! - http://bit.ly/d9841Y 3/16/2010 12:28 nursechenene: #RNchat I can't weigh in on this one. We don't have LPN's in my area. 3/16/2010 12:28 davedawes: #RNchat What's an LPN? 3/16/2010 12:28 nursekama: @rnchat T2 Great question. I think we're struggling a bit in Ontario with our RN-RPN role blurring. We're all under one college... #RNChat 3/16/2010 12:29 grimalkinrn: @davedawes Licensed Practical Nurse #rnchat 3/16/2010 12:29 EllenRichter: T2 I have not worked with an LPN since 1985!! I have worked in "all RN" facilities---so I cant even comment! :( #RNchat 3/16/2010 12:29 grimalkinrn: T2 I love working as a team with LPNs, and with CNAs as well. LPNs can be a vital resource when correctly trained, partnered. #rnchat 3/16/2010 12:30 NursingCenter: T2 - Never worked with LPNs. Worked closely with nursing assistants who were
- 7. awesome! #rnchat 3/16/2010 12:30 davedawes: Thanks @grimalkinrn but what is the difference between an LPN and an RN? @davedawes Licensed Practical Nurse #rnchat 3/16/2010 12:30 nursekama: T2 Licensed Practical Nurse, LPN = Registered Practical Nurse, RPN (in Ontario, Canada) #RNChat 3/16/2010 12:30 onlinenursing: @davedawes Good question. In the US. it is a liscenced practical nurse - 9-12 month degree - basic nursing foundation #RNchat 3/16/2010 12:30 nursechenene: @NursingCenter Yes Many cultures honor the passing of life into death. Our culture fights the inevitable rather that embrace it #RNchat 3/16/2010 12:30 andyatFAD: T2 Taught LPNs backintheday; RNs loved them but they've moved into mostly chronic care now #RNChat 3/16/2010 12:31 EllenRichter: T2 I only remember, when I used to work with LPNs, they were delegated many RN tasks to free RNs up 4 education & other vital roles #RNchat 3/16/2010 12:31 acmessner17: #RNChat T2 Me personally I have never witnessed any bad relationships btwn RN's & LPN's, I feel that we are all in this field together 3/16/2010 12:31 MeredithGould: @RNchat I "lurk" on #RNchat b/c I <3 & respect nurses for contributing to hc...also I read the entire Cherry Ames series!!! 3/16/2010 12:31 onlinenursing: @davedawes #RNChat - level of education, more technical. 3/16/2010 12:31 ocdgirl2000: #rnchat T2 LPN's can't live without 'em! they run our inpatient clinics!take care of our patients 3/16/2010 12:32 EllenRichter: @MeredithGould LMAO @ Cherry Ames....that blasted open a dustball in my brain! ;) #RNchat 3/16/2010 12:32 andyatFAD: T2 @acmessner I'm glad that's still the case. #RNChat 3/16/2010 12:32 ONSmark: T2 Article "RNs & LPNs: A Powerful Team" at http://bit.ly/ddf4f3 #rnchat 3/16/2010 12:32 onlinenursing: #RNchat - T2 - I thought we were discussing relationships with nurses (both LPN and RN) with other disciplines? I am easily conf. 3/16/2010 12:33 nursekama: T2 At times there are issues between RN-RPN B/C they may be doing what they
- 8. consider as the "same job" & get paid differently too #RNChat 3/16/2010 12:33 ONSmark: From 2003, though! RT @ONSmark: T2 Article "RNs & LPNs: A Powerful Team" at http://bit.ly/ddf4f3 #rnchat 3/16/2010 12:33 EllenRichter: @ocdgirl2000 T2 Glad to see they are an important part of your team...I really loved working with LPNs #RNchat 3/16/2010 12:33 grimalkinrn: @EllenRichter I collect Cherry Ames books. When I was a little girl, going through burn therapies, I wanted to BE CHERRY AMES, RN #RNchat 3/16/2010 12:33 nursekama: T2 There are differences in the education and therefore, critical thinking and it needs to be acknowledged. Its not about tasks... #RNChat 3/16/2010 12:34 davedawes: #rnchat T2 we have care assistants in the UK who are delegated nursing tasks from RNs. They don't have degrees or diplomas though. 3/16/2010 12:34 ocdgirl2000: #rnchat T2 Contract agency won't pay 4 RN's 2 take care of inpatients in County facility who can't afford 2 pay them!addictions,no insurance 3/16/2010 12:34 EllenRichter: @nursekama T2 If RNs & LPNs are doing same job for diff pay, someone needs to re- look @ those job descriptions! :( #RNchat 3/16/2010 12:34 nursechenene: @acmessner17 #RNchat I agree. I have seen rivalry. Usually a power thing by the one in charge. Like others to know they are the boss 3/16/2010 12:35 nursekama: T2 My fear is we replace nurses (whether RN or RPN) w/ Personal Support Workers (who do not provide the same level of care) b/c of $ #RNChat 3/16/2010 12:35 Nerdnurse: #RNchat T2 We have an entry into practice problem in the US that we desperately need to resolve. Place for all, but should have diff license 3/16/2010 12:36 lorryschoenly: T2 - many LPNs in corrections. Relationship in any place governed by mutual respect,understanding of licensure,delegation,job desc #rnchat 3/16/2010 12:36 acmessner17: RT @ONSmark: From 2003, though! RT @ONSmark: T2 Article "RNs & LPNs: A Powerful Team" at http://bit.ly/ddf4f3 #rnchat 3/16/2010 12:36 andyatFAD: T2 @nursekama Is that the new name for nurse aides/assistants? #RNChat 3/16/2010 12:36 nursekama: @EllenRichter T2 Agreed! #RNChat 3/16/2010 12:36
- 9. onlinenursing: T2 - #RNChat - love my LPN in the office,couldn't see patients w/o her.My LPN bridge students R also cery clinically competent in RN program 3/16/2010 12:36 grimalkinrn: @acmessner17 Thanks for the link, will check it out after the chat! #rnchat 3/16/2010 12:36 andyatFAD: @Nerdnurse T2 Oh, I so agree. We've had the problem for decades. Why can't we solve it? #RNChat 3/16/2010 12:37 Nerdnurse: #RNchat T2 @nursekama Yes! And all research shows increased mortality and morbidity when we don't have RNs at bedside. BSN best, in fact. 3/16/2010 12:37 nursekama: @andyatFAD T2 Yes, its a term we use in Ontario at least! Here's example education in our Province: http://tinyurl.com/yjpaku2 #RNChat 3/16/2010 12:38 nursekama: RT @Nerdnurse: #RNchat T2 @nursekama Yes! And all research shows increased mortality and morbidity when we dont have RNs at bedside #RNChat 3/16/2010 12:38 acmessner17: @grimalkinrn Thank @ONSmark for the link for the article, I'm just retweeting it to everyone : ) #rnchat 3/16/2010 12:39 nursechenene: @acmessner17 #RNchat Thanks! I'll check it out. 3/16/2010 12:39 grimalkinrn: @andyatFAD @nerdnurse T2 If RNs want to be treated as part of the team by docs, etc, we need to treat CNAs, LPNs as teammates. #rnchat 3/16/2010 12:39 EllenRichter: @ONSmark T2 Thanks for the article link! :) #RNchat 3/16/2010 12:39 Nerdnurse: @andyatFAD #RNchat T2 We are our own worst enemies with entry into practice discussion. Research should guide the decision, not emotion. 3/16/2010 12:39 rnchat: Our final topic today is batting up in a moment. #RNchat 3/16/2010 12:40 grimalkinrn: T2 I also want to say that LPNs are great as teammates, but it's not fun to be taken away from the bedside for more paperwork. #rnchat 3/16/2010 12:40 davedawes: @nursekama T2 that happens inUK where care assistants are often employed instead of RNs because of £ (like $ but with Queen on them) #RNChat 3/16/2010 12:40 andyatFAD: @nursekama T2 Thanks for the link! We sometimes call them here personal care assistants. #RNChat 3/16/2010 12:40 RNMark: @Nerdnurse RN has more critical thinking skill due to nature of education and deeper
- 10. science backgrounds. Makes sense. #RNChat 3/16/2010 12:41 andyatFAD: @Nerdnurse T2 Agree completely. #RNChat 3/16/2010 12:41 ONSmark: @EllenRichter Sure. & 4 yer ? about earnings, BLS has RN info @ www.bls.gov/oco/ocos083.htm & LPN info @ www.bls.gov/oco/ocos102.htm #rnchat 3/16/2010 12:41 acmessner17: @RNMark I agree with that #RNchat T2 3/16/2010 12:42 rnchat: T3 Nursing Startups: What businesses do you think nurses should build that could change the world? #RNchat 3/16/2010 12:42 EllenRichter: @davedawes LOLLLL....love the definition! >> £ (like $ but with Queen on them) #RNchat 3/16/2010 12:42 nursekama: @grimalkinrn T2 Agree re: teamwork in practice, so where is that in the curriculum or post-licensure education? #interprofessional #RNChat 3/16/2010 12:42 ocdgirl2000: #rnchat T2 we deliver our pre-poured doses of methadone to the facility,inpatient, the LPN just monitors pt taking it,signs it off,locks up! 3/16/2010 12:43 davedawes: #rnchat There are a few nurse-led social enterprises in the UK that are trying to change the world (like ours :)) T3 3/16/2010 12:44 Trybarefoot: Just signed on - catching up on the conversation... #RNChat 3/16/2010 12:44 nursekama: T3 Consultation Businesses! Check this out on Wound Care: http://kohrconsulting.ca/index.htm #RNChat 3/16/2010 12:45 rnchat: @Trybarefoot Welcome! #RNchat 3/16/2010 12:45 RoRod101: Hello fellow nurses! Looks like I missed another great chat. T3 As nurses we are involved in changing the world on a daily basis #RNchat 3/16/2010 12:45 nursekama: Glad you could join us! RT @rnchat: @Trybarefoot Welcome! #RNChat 3/16/2010 12:46 nursekama: Couldn't have said it better myself! RT @RoRod101: T3 As nurses we are involved in changing the world on a daily basis #RNChat 3/16/2010 12:47 NursingCenter: RT @RoRod101 As nurses we are involved in changing the world on a daily basis #rnchat 3/16/2010 12:47
- 11. acmessner17: @grimalkinrn I like your ideas, especially about improving and advancing RN education #RNchat T3 3/16/2010 12:48 ocdgirl2000: #rnchat T3 Employment Law Human resources consultants. assisting RN's with with CLAIMS against employers,onsite trainingcourses on BULLYING 3/16/2010 12:48 lorryschoenly: T3 - Nurses have, are, and will change the world! But there is always more to do with the new avenues before us... #rnchat 3/16/2010 12:48 davedawes: #rnchat T3 I think the interesting thing about world-changing businesses is the sustainability of the business models #socents 3/16/2010 12:48 EllenRichter: Had to take a call! LOL Now I cant find T3!!! #RNchat 3/16/2010 12:48 grimalkinrn: @acmessner17 Thanks! I need to put it more into my own practice and go for my BSN. Just don't want more college. #RNchat 3/16/2010 12:49 grimalkinrn: @INQRIProgram Thanks! #rnchat 3/16/2010 12:49 rnchat: @EllenRichter http://twitter.com/RNchat/status/10577543527 #RNchat 3/16/2010 12:49 EllenRichter: @rnchat Thanks! #RNchat 3/16/2010 12:50 andyatFAD: T3 Uh, an RN for President? (Or PM, for those in the UK and Canada.) #RNChat 3/16/2010 12:50 EllenRichter: 3 I think anything related to home care is a good business endeavor. Anything to lower inpatient costs could be profitable to RNs #RNchat 3/16/2010 12:50 davedawes: @RoRod101 #rnchat I like sentiment but i feel there must be a difference between providing care for someone & "changing the world" 3/16/2010 12:50 acmessner17: @grimalkinrn I'm in school for my BSN right now, will graduate in December, really feel it has advanced myself as an RN tremendously #RNchat 3/16/2010 12:50 Trybarefoot: T3 Love working w/ RNs - great perspective that I don't have! RT @RoRod101 ..we are involved in changing the world on a daily basis #rnchat 3/16/2010 12:51 grimalkinrn: @acmessner17 I am afraid of Stats. #RNchat 3/16/2010 12:51 acmessner17: @grimalkinrn You should go for it, pursue your BSN, you can do it!!! : ) #RNchat 3/16/2010 12:52
- 12. grimalkinrn: @EllenRichter T3 I agree. Homecare agencies should be run by more nurses, not executives. #RNchat 3/16/2010 12:52 ONSmark: There was an RN Surgeon General (Richard Carmona) RT @andyatFAD: T3 Uh, an RN for President? (Or PM, for those in the UK and Canada) #rnchat 3/16/2010 12:52 RoRod101: @davedawes Nurses are not only care for patients but are researchers, consultants, business owners, change agents, and much more #RNchat 3/16/2010 12:52 Trybarefoot: T3 I like to think that 'changing the world' is a great opportunity to work #interprofessionally! No one profession can that on! #RNChat 3/16/2010 12:53 grimalkinrn: @acmessner17 I know. I need to call metro. #RNchat 3/16/2010 12:53 mkopp1: Ok I'm back. Had to get the kiddos. T3 defin. Homecare/hospice. #rnchat 3/16/2010 12:53 lorryschoenly: T3 - LOL Corrections is sorta home care behind bars... #rnchat 3/16/2010 12:53 RNMark: @grimalkinrn stats are easy.. 2+2 =4 68% of the time. :) #RNChat 3/16/2010 12:53 Carolde: RT @Nerdnurse: #RNchat T2 @nursekama Yes! And all research shows increased mortality and morbidity when we don't have RNs at bedside. BSN best, in fact. 3/16/2010 12:54 andyatFAD: @ONSmark T3 True enough and rather invisible, don't you think? #RNChat 3/16/2010 12:54 ONSmark: Go for it! RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadian politics...maybe Ill be Canadian PM one day ;) #rnchat 3/16/2010 12:54 andyatFAD: RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadian politics...maybe Ill be Canadian PM one day ;) Go for it! #RNChat 3/16/2010 12:54 grimalkinrn: @RNMark Oh, that was kinda mean. #statsfear ADNS AREAWESOME. #RNChat 3/16/2010 12:55 EllenRichter: Great perspective! RT @lorryschoenly: T3 - LOL Corrections is sorta home care behind bars... #rnchat 3/16/2010 12:55 Trybarefoot: Why NOT! :) RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadian politics...maybe I'll be Canadian PM one day ;) #RNchat 3/16/2010 12:55 ONSmark: Good point. I even had to look up his name :) RT @andyatFAD: @ONSmark T3 True enough and rather invisible, dont you think? #rnchat 3/16/2010 12:55
- 13. RoRod101: There was an RN Surgeon General (Richard Carmona) T3 An RN for President? (Or PM, for those in UK & Canada) #rnchat via @ONSmark @andyatFAD 3/16/2010 12:56 andyatFAD: RT @ONSmark: Good point. I even had to look up his name :) RT @andyatFAD: @ONSmark T3 And he was mostly a physician, I think, right? #RNChat 3/16/2010 12:56 INQRIProgram: T3 Collaborationw/other disciplines.Ex: @EllenRichter mentioned homecare. We have a nurse-pharma team preventing homecare med errors #rnchat 3/16/2010 12:56 grimalkinrn: Okay. I'm totally going to reapply to Metro after #rnchat, give Julie a call, get into prereqs for the Summer. Really. Going to do it. #fear 3/16/2010 12:56 EllenRichter: T3 I also think with the right avenue of marketing RNs can help produce electronic healthcare programs that actually meet our needs! #RNchat 3/16/2010 12:57 CIHC_ca: RT @Trybarefoot: T3 I like to think that 'changing the world' is a great opportunity to work #interprofessionally! #RNChat 3/16/2010 12:57 davedawes: @RoRod101 I agree about all the diff roles but how is the world genuinely being changed by every single one of these individuals? #RNchat 3/16/2010 12:57 rnchat: Our hour is coming up. We'll have a couple announcements, but first hit us with some parting wisdom! #RNchat 3/16/2010 12:58 acmessner17: @grimalkinrn That's great, you can do whatever you put your mind to!!!! Good luck! #RNchat 3/16/2010 12:58 davedawes: #rnchat Hospices are a great example of nurse entrepreneurship :) 3/16/2010 12:58 andyatFAD: Gotta run. Ciao, everyone, and thank you RNChat for a great session! #RNChat 3/16/2010 12:59 ONSmark: @andyatFAD Right, he "began as RN" then "built on that experience and pursued a medical degree" per article @ http://bit.ly/dshmJE #rnchat 3/16/2010 12:59 grimalkinrn: Take time to pee! Your bladder will thank you when you're older!! #RNchat 3/16/2010 12:59 AshleighPugh_RN: @rnchat nurses have the power to positively impact the world....getting started we need a stronger & more unified voice #RNchat 3/16/2010 12:59 Trybarefoot: T3 I've an RN colleague who has her own consulting business supporting/educating family caregivers (meet @CareStrategies) #RNchat 3/16/2010 12:59
- 14. NursingCenter: @andyatFAD Bye Andy! Nice "seeing" you! #rnchat 3/16/2010 13:00 EllenRichter: @grimalkinrn LMAO! #RNchat 3/16/2010 13:00 NursingCenter: RT @INQRIProgram: "parting wisdom" - nurses need and deserve a voice at the table when discussing quality in healthcare #rnchat 3/16/2010 13:00 NursingCenter: RT @AshleighPugh_RN nurses have the power to positively impact the world....getting started we need a stronger & more unified voice #rnchat 3/16/2010 13:00 rnchat: Did you know we're starting to rollout #RNchat on Facebook http://bit.ly/9LDwwP & LinkedIn http://bit.ly/9PYs2K ? Fan and connect. 3/16/2010 13:01 acmessner17: Going to head out, thanks #RNchat for a great chat session! Keep up the great work everyone!! : ) 3/16/2010 13:01 EllenRichter: @Trybarefoot T3 Yes, there are also nurse entrepreneur companies that oversee groups of independent elderly #RNchat 3/16/2010 13:01 nursekama: RT @EllenRichter: T3 I think w/ right avenue of marketing RNs can help produce e- healthcare programs that actually meet our needs #RNChat 3/16/2010 13:01 rnchat: THANK YOU everybody for coming to #RNchat. Let's do remarkable things for the profession. It MUST advance. The world depends on it. :) 3/16/2010 13:01 RoRod101: Nurses have the power to positively impact the world...we need a stronger & more unified voice #RNchat via @AshleighPugh_RN 3/16/2010 13:02 Trybarefoot: Parting wisdom -> oh how I've learned so much by being in the great company of RNs for 20 years! A privilege... #RNChat 3/16/2010 13:02 grimalkinrn: @EllenRichter I see everyone else's "parting wisdom" is more thoughtful, practical wisdom is also useful. #RNchat 3/16/2010 13:02 rnchat: Our next #RNchat will be Friday 3/19 8:30pm EST! Mark your calenders and invite your IRL co-workers. (We should make flyers!) 3/16/2010 13:03 NursingCenter: Great chatting with you all! Thank you @rnchat @philbaumann! #rnchat 3/16/2010 13:03 EllenRichter: @grimalkinrn I think yours was the best! ;) #RNchat 3/16/2010 13:03 mkopp1: Take care everyone! #rnchat 3/16/2010 13:03
- 15. ONSmark: Ditto! RT @NursingCenter: Great chatting with you all! Thank you @rnchat @philbaumann! #rnchat 3/16/2010 13:04 grimalkinrn: @rnchat Will do my best and try to get off work at 7 23 MST! #RNchat 3/16/2010 13:04 philbaumann: @NursingCenter So glad you could make it! #RNchat 3/16/2010 13:04 AshleighPugh_RN: thanks everyone...it was a great 1st #RNchat 3/16/2010 13:04 RoRod101: Good to converse with fellow nurses & share thoughts for the betterment of nursing..Gotta run, enjoy our brief but substantial talk #RNchat 3/16/2010 13:04 EllenRichter: @RNchat @philbaumann Great chat! Wonderful topics! They sent us tweeting our hearts out! I may not be @ Fridays chat :( #RNchat 3/16/2010 13:04 EllenRichter: @AshleighPugh_RN Do come back!! :) #RNchat 3/16/2010 13:05 rnchat: Transcript of today's #RNchat will be up in a bit! 3/16/2010 13:05 StephenNP: @EllenRichter I agree! Nurses need to be at the table when we are discussing Health IT issues (currently we are way underrepresented)#RNchat 3/16/2010 13:05 davedawes: #rnchat Lovely chatting with everyone and look forward to catching the next one that is before midnight UK time :) 3/16/2010 13:05 AshleighPugh_RN: @EllenRichter will do for sure :) #RNchat 3/16/2010 13:05 rnchat: So many of you to thank! Wonderful #RNchat today. You're all so totally cool and awesome it's painful! :) 3/16/2010 13:06 StephenNP: #RNchat Have a great day everyone - wonderful chat! 3/16/2010 13:06 EllenRichter: @StephenNP ~WAY underrepresented!! Possibly non-existent @ some companies! #RNchat 3/16/2010 13:06 nursekama: @rnchat Thanks for having us! :) Take care all! #RNChat 3/16/2010 13:07 ocdgirl2000: #rnchat T3 Never forget! Nurses are also Employees!You too,will one day get old, want to retire!Will your employer value you "THAT" much?? 3/16/2010 13:09
- 16. nursechenene: #RNchat I'll do my best to join you Friday. 3/16/2010 13:09 rnchat: @EllenRichter lol - we'll still have it - there's so much to talk about. Endless really. #RNchat 3/16/2010 13:10 rnchat: @MeredithGould Thank you! #RNchat 3/16/2010 13:10 Hospicecny: Do you have a #rnchat every day? week? I would like to tell out staff about it. 3/16/2010 13:11 rnchat: Next #RNchat will be Friday 3/19 8:30p EST! We'll do our best to serve different times, etc. 3/16/2010 13:12 ocdgirl2000: RT @rnchat: Next #RNchat will be Friday 3/19 8:30p EST! We'll do our best to serve different times, etc. 3/16/2010 13:13 rnchat: @ONSmark Thank you! #RNchat 3/16/2010 13:13 NytnGayle: RT @lorryschoenly: T3 - LOL Corrections is sorta home care behind bars... #rnchat 3/16/2010 13:13