RNchat Transcript July 15, 2010
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The document details a Twitter chat event, #rnchat, focused on discussions surrounding nursing topics, particularly lateral violence among nurses and its effects on patient care. Participants shared insights on improving communication and education for new nurses, highlighting the importance of support and management in reducing negative behaviors. The chat emphasized the need for continuous learning and practice in communication skills to enhance professional interactions in nursing.
RNchat Transcript July 15, 2010
- 1. rnchat: Don't know what #RNChat is? Find out here http://www.rnchat.org/about/ & joint us at 9pm EST. 7/15/2010 20:30 nursingpins: RT @rnchat: So far there are 50 trancripts of #RNchat - http://bit.ly/by9l1E - #hcsm 7/15/2010 20:41 rnchat: #RNChat in 15 minutes!!!!! Get yourself something cool to drink, put your feet up, and come join nurses from everywhere! 7/15/2010 20:45 onlinenursing: @rdjfraser Woah - check you out Rob ... the tech savy "new nurse" - it is what we should all aspire to be - http://bit.ly/chyFw4 #RNChat 7/15/2010 20:47 rnchat: Get ready for #RNChat in 5 minutes, hosted by @onlinenursing tonight. 7/15/2010 20:55 Vaticuss: Clinical instructor for ASN students. #rnchat 7/15/2010 21:01 rnchat: Reminder: Put question at beginning (i.e. - T1) & put your hashtag #RNChat in each reply. 7/15/2010 21:02 onlinenursing: Terri Nurse 15 short years-became a nurse after I shadowed an MD in high school honors class & found nurses job 2B much more fun! #RNChat 7/15/2010 21:02 rnchat: T1- How does lateral violence among RNs affect pt care? & how can we better prepare nurses & students to deal with lateral violence? #RNChat 7/15/2010 21:04 nursingpins: Hi all, Vernon in New Orleans -critical care. Thanks for hosting Terri. #RNchat 7/15/2010 21:04 philbaumann: Phil here: in & out tonight. Happy to see @onlinenursing lead tonight's chat! Good luck everybody!! #RNchat 7/15/2010 21:04 rnchat: If your wondering what lateral/horizontal violence in Nursing is - nice editorial from @NursingCenter - http://alturl.com/f3yhj #RNChat 7/15/2010 21:05 ali_rn: i have to say i have worked in one place for my career, and lateral violence is not an everyday occurance #RNchat 7/15/2010 21:05 onlinenursing: Funny you are wishing them luck Phil! :) - Hey Vernon glad to see you #RNChat... Yes, my first chat... we will see if I am smart enough. 7/15/2010 21:06 nursingpins: T1 LV is a big factor in nursing but pales in the passive aggressive behavior of many hc professionals (both are problems #RNchat 7/15/2010 21:06 ali_rn: t1-actually struggling to come with an example i have witnessed. #rnchat
- 2. 7/15/2010 21:07 doctoranonymous: Hey #RNChat - Just lurking and watching the chat. Looking forward to the discussion! 7/15/2010 21:07 onlinenursing: @nursingpins T1- I thought passive aggressive qualified as Lat. violence #RNChat 7/15/2010 21:08 nursingpins: T1 Lateral hostility my be a better term (but on the continuum #RNchat 7/15/2010 21:08 Vaticuss: T1. Professional socialization is one approach. How it affects pt care? Not sure... #rnchat 7/15/2010 21:08 rnchat: @doctoranonymous Welcome. Lurk all you want. We love lurkers. Jump in if you have words of wisdom (or whatever) #RNChat 7/15/2010 21:09 nursingpins: T1 right Terri it does qualify as LV #RNchat 7/15/2010 21:09 NUR3563: RT @Vaticuss: T1. Change the hazing, initiation culture; nursing "eating their young" is repugnant and detrimental. #rnchat 7/15/2010 21:09 rnchat: So, what specifically do we do in formal nursing education, to prevent lat. violence? Do we role play? Do scripted practice? Mentor? #RNChat 7/15/2010 21:12 nursingpins: T1 as you say Terri - I think it has been a part of the medical cultural since early days - #RNchat 7/15/2010 21:12 ali_rn: t1, is there anything you can do, beyond teach what it is and why it happens? the more you know....#rnchat 7/15/2010 21:14 onlinenursing: When I was a new nurse I had another ICU nurse dress me down in front of entire night shift over question I asked-felt so small #RNChat 7/15/2010 21:14 nursingpins: T1 Would help if we had more integration of the student orgs. with the established prepositional ones- ( #RNchat 7/15/2010 21:16 yvette2012: T1 I have to wonder how much stress in the workplace plays into it. #RNchat 7/15/2010 21:16 ali_rn: @yvette2012 i think that IS the reason it happens #RNchat 7/15/2010 21:18 ali_rn: RT @yvette2012: T1 I have to wonder how much stress in the workplace plays into it. #RNchat 7/15/2010 21:18 nursingpins: T1 has to do a lot with the pecking order in medicine - the most experienced/knowledgeable find easy targets in the novice #RNchat 7/15/2010 21:18
- 3. rnchat: @NurseSallie you might try TweetChat on the net http://tweetchat.com and type in #RNChat -then you can follow and type in on your own accnt 7/15/2010 21:18 nurseeducator: T1 Hi all! 1st witnessed HV as a young RN. My co-worker was so upset by the offenders that she was highly distracted #RNchat #rnchat 7/15/2010 21:19 nursingpins: T1 The change must start at with the professional organisations - #RNchat 7/15/2010 21:19 rnchat: T2 coming up in 5 minutes - #RNChat (will be 2 part question) 7/15/2010 21:20 philbaumann: @jtknowles007 Join in! Just add #RNchat to your tweets - Try using TweetChat.com - Good luck! I was second-career as well. #rnchat 7/15/2010 21:20 nurseeducator: RT @onlinenursing @Vaticuss: T1. Change the hazing, initiation culture; nursing "eating their young" is repugnant and detrimental. #rnchat 7/15/2010 21:21 onlinenursing: RT @yvette2012: T1 I have to wonder how much stress in the workplace plays into it. #RNchat ( RE: Lateral violence among nurses) 7/15/2010 21:21 onlinenursing: @KD0IMH Baw ha ha... is that how the public gets their image of nurses. Lord help us all! #RNChat (never seen it on ER - Lat. Violence) 7/15/2010 21:22 jtknowles007: T1 Hi all, John K here. Starting RN program this fall. How does gender play a role in in lateral violence? #RNchat !fb #RNchat 7/15/2010 21:23 nurseeducator: T1 How about expressive condescension by those in leadership? #rnchat #rnchat 7/15/2010 21:24 rnchat: T2- Pharm:vast/quick changing/& can hurt pts.What areas do U need more pharm ed in & what should we teach nursing students? #RNChat 7/15/2010 21:25 nurseeducator: @onlinenursing Hey Terri...I think stress does but also competition #RNchat #rnchat 7/15/2010 21:25 rnchat: Welcome @jtknowles007 ! So glad to have students here. GO NURSING! #RNChat 7/15/2010 21:26 jtknowles007: T2 - sorry to ask instead of answer - what role will handheld technology (iphone,ect) play in pharm ed, and practice? #RNchat 7/15/2010 21:28 onlinenursing: @nurseeducator agree-Good list-Stress,powerlessness,gender, competition-it does distract & thus increases risk for error & burnout #RNChat 7/15/2010 21:28 nurseeducator: T2 @jtknowles007 Apps are very useful in the clinical setting. We allow use and will prob
- 4. participate with Hospital U #rnchat 7/15/2010 21:31 onlinenursing: T2 - hate it that I may prescribe something that is taken off market in 2 months. Now leery new meds.Stick to old tried & true #RNChat 7/15/2010 21:34 nursingpins: T2 would be nice if there was a site that explained ACLS drugs and dsg in detail for quick reference - many codes ran only by ACLS #RNchat 7/15/2010 21:35 philbaumann: @onlinenursing That's why I think technologies like Microsoft Tag Reader could be key: could scan Rx & devices b4 use. #rnchat 7/15/2010 21:36 nursingpins: T2 with limited knowledge - the code will be ran (smaller hosps) mainly by ACLS - should understand and have quick access. #RNchat 7/15/2010 21:37 nurseeducator: T2 Could always use review with food and drug interactions must check if there's an app 4 that! #rnchat 7/15/2010 21:37 rnchat: We actually have a T3 tonight. Coming up in 2 minutes. #RNChat 7/15/2010 21:38 nursingpins: T2 quick - easy to read ACLS protocols should be on a screen at codes-would help the less knowledgeable who often have to run them #RNchat 7/15/2010 21:39 onlinenursing: @nurseeducator T2- Good idea! I also need tons of info on homeopathic and alternative/natural meds 4 drug interactions #RNChat 7/15/2010 21:39 rnchat: T3 - Teaching better communication? how should we teach it & should scripting be used in Nursing? http://ht.ly/2c3IR #RNChat 7/15/2010 21:40 joniwatson: Catching last part of #RNChat. Looks good!! 7/15/2010 21:41 rnchat: T3 - from Q-from @coniferhealth they were interested in nurse communication. Might lean back into T1 on lat violoence. #RNChat 7/15/2010 21:41 NursingCenter: Hello nurse friends! Sorry I'm so late! I'll try to catch up and join in! #rnchat 7/15/2010 21:41 nurseeducator: @onlinenursing T2 Patients are using so many different types of OTC supplements that a thorough assessment is necessary #rnchat 7/15/2010 21:42 nurseeducator: @NursingCenter Hi there...so long since my last RNchat! Nice to chat with you 2nite #rnchat 7/15/2010 21:43 onlinenursing: @NursingCenter @joniwatson Hey Ladies! Good to see you #RNChat 7/15/2010 21:43
- 5. jtknowles007: T3 -student's point of view - scripting could provide a foundation that the student could build upon during his/her career. !fb #RNchat 7/15/2010 21:43 joniwatson: T3: Teaching communication is an ongoing process. Never ending. #RNChat 7/15/2010 21:43 nurseeducator: Agree! RT @joniwatson: T3: Teaching communication is an ongoing process. Never ending. #rnchat 7/15/2010 21:44 jtknowles007: T3 - my first career - photography, had to learn the "script" - basic posing, before I could build on that to do my own thing !fb #RNchat 7/15/2010 21:44 NUR3563: @jtknowles007 T3-Good point-We teach skills & repeat/practice them over&over (IVs, Caths),but don't do the same with communication. #RNChat 7/15/2010 21:46 NursingCenter: It often goes back to those communication techniques we learned the first year in nursing school - even in the nonclinical setting #rnchat 7/15/2010 21:47 onlinenursing: T3 - #RNChat - what do they do for Doc's in teaching communication? Do they practice (same as spinal taps/colonoscopies) :) Wondering? 7/15/2010 21:50 jtknowles007: @NursingCenter restating, reflecting - yes! Unless we do those things, we may be missing what the patient is really saying !fb #RNchat 7/15/2010 21:51 nurseeducator: T3 Teaching communication through a variety of methods including Teamstepps which is multidisciplinary. #rnchat 7/15/2010 21:51 joniwatson: RT @NursingCenter: ...and practice is a must! Not easy to use silence, restating, reflecting ...but I find they're some of the best techniques #rnchat 7/15/2010 21:51 NUR3563: @nurseeducator T3 - What is teamstepps? #RNChat 7/15/2010 21:52 nurseeducator: @NursingCenter T3 Agree...practice, practice, practice! #rnchat 7/15/2010 21:52 nurseeducator: @NUR3563 T3 Teamstepps is a method for promoting teamwork and communication. all are equal stakeholders http://bit.ly/aav08R #rnchat 7/15/2010 21:54 rnchat: We are coming up on the end of the hour. Any final parting thoughts or words of wisdom for student nurses? #RNChat 7/15/2010 21:55 nursingpins: T3 - things are too complex for comm. to rely on word of mouth - must be accessible with stored location. #RNchat 7/15/2010 21:57
- 6. onlinenursing: @nursingpins T3 Love electronic #RNChat & yet sometimes I read EMR & have no real picture of my pt. their personality,spiritual needs, etc. 7/15/2010 21:57 NursingCenter: Parting thought for nursing students: Keep working hard...it will be worth it - you will make a difference! #rnchat 7/15/2010 21:58 onlinenursing: RT @NursingCenter: Parting thought for nursing students: Keep working hard...it will be worth it - you will make a difference! #rnchat AMEN 7/15/2010 22:00 NUR3563: RT @NursingCenter: Parting thought for nursing students: Keep working hard...it will be worth it - you will make a difference! #rnchat AMEN 7/15/2010 22:00 NursingCenter: @nursingpins Yes - the human factor is essential...can't replace actual conversation...so much info is conveyed nonverbally as well. #rnchat 7/15/2010 22:00 joniwatson: T3: Learned "therapeutic communication" as undergrad; it certainly didn't prep me for talking w/ nurse colleagues, physicians, etc. #RNChat 7/15/2010 22:00 rnchat: Our hour is up! Thanks guys for coming! #RNChat - Quick shout out to @rdjfraser and article on him - http://alturl.com/gohim 7/15/2010 22:01 jtknowles007: Parting thoughts - as a student, I appreciate all of your insights and opinions. Thanks for letting me participate. !fb #RNchat 7/15/2010 22:01 nurseeducator: Parting thoughts: You are the future of nursing. You will laugh, cry, and see life differently as a RN... This is a noble profession #rnchat 7/15/2010 22:01 joniwatson: @onlinenursing kudos on a great #RNChat! 7/15/2010 22:07 onlinenursing: RT @nursingpins: parting thought - as always remember to re clamp the foleys when you empty them :) #RNchat -BAW Ha ha ha -(GO NURSING!) 7/15/2010 22:07 NUR3563: RT @nursingpins: parting thought - as always remember to re clamp the foleys when you empty them :) #RNchat -BAW Ha ha ha -(GO NURSING!) 7/15/2010 22:07 NursingCenter: RT @joniwatson Parting thought: Nursing is always and adventure, full of continuous learning. Keep at it! #RNChat 7/15/2010 22:08 nurseeducator: RT @onlinenursing: RT @nursingpins: parting thought - as always remember to re clamp the foleys when you empty them :) #RNchat -BAW Ha ha ha -(GO NURSING!) 7/15/2010 22:08 jtknowles007: @NursingCenter Thanks so much #RNchat 7/15/2010 22:08
- 7. coniferhealth: Great to hear nurses' thoughts during #RNchat on recent @healthleaders article about scripting. Communication is so vital in #healthcare 7/15/2010 22:41 ladykimbsn: RT @NursingCenter: RT @nurseeducator U R the future of nsg. U will laugh, cry, & C life differently as RN. ths is a noble profession #rnchat 7/15/2010 23:25 CTStudentNurse: RT @ladykimbsn: RT @NursingCenter: RT @nurseeducator U R the future of nsg. U will laugh, cry, & C life differently as RN. ths is a noble profession #rnchat 7/15/2010 23:27 dorameulman: RT @tlomauro: RT @TelegraphNews Nurses spend more time doing paperwork than looking after patients - Telegraph http://bit.ly/b9h62i #RNChat 7/15/2010 23:43