RNchat Transcript July 23, 2010
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The document is a transcript of a live Twitter chat (#rnchat) focused on topics related to healthcare, particularly handwashing practices and telehealth nursing. Participants introduce themselves, discuss handwashing compliance, its importance in infection prevention, and explore the potential of telehealth nursing in enhancing patient care. The conversation highlights the need for effective communication and collaboration among healthcare providers and the role of technology in overcoming these challenges.
RNchat Transcript July 23, 2010
- 1. rnchat: Welcome to Friday Night Live on #RNchat! We'll get zipping in a moment, but foist tell us about yourself!! Welcome first-timers! :) 7/23/2010 21:00 onlinenursing: Hola mi #RNChat amigos. Yo soy Terri, soy enfermera practica y professor de enfermeras. (practicing my espanol :). Terri from MO here. 7/23/2010 21:02 holisticnurses: Hi! Amy in NYC (It's stormy all right!) Telehealth & Holistic RN...will be popping in & out. Hey to all! #Rnchat 7/23/2010 21:03 rnchat: OK, our first topic will be up in a minute. When replying please add T1, T2 etc to your response. #RNchat 7/23/2010 21:04 onlinenursing: @onlinenursing Hey Amy - great to see you here. nice new pic! #RNChat. 7/23/2010 21:04 nlw0507: Hi! I'm Nikki and I'm a new grad nurse from Madison, WI #RnChat #rnchat 7/23/2010 21:04 InfusionNurse: Howdy all!! It's Cora - infusionnurse...from Indianapolis... #RNCHAT 7/23/2010 21:04 rnchat: T1 Handwashing: What advances have you seen? How does Design affect compliance? What drives ya nuts when you see it? #RNchat 7/23/2010 21:05 holisticnurses: @onlinenursing Thanks Terri! Congrats on learning Spanish. #Rnchat 7/23/2010 21:05 Trybarefoot: Evening! Gerard via Nova Scotia. Health educator/consultant/facilitator w/ large emphasis on team dev in healthcare! #RNchat 7/23/2010 21:06 onlinenursing: @InfusionNurse Hey Cora @InfusionNurse! Glad to see you on #RNChat. Hi Nikki @nlw0507 7/23/2010 21:06 InfusionNurse: @holisticnurses @onlinenursing...hola amigas!! #RNCHAT 7/23/2010 21:07 onlinenursing: T1 - #RNChat - while I love the new alcohol scrub (makes things handy in the hall). I think it decreases use of soap & H20... (part 1) 7/23/2010 21:08 Trybarefoot: Now happening! RT @rnchat: Welcome to Friday Night Live on #RNchat! 7/23/2010 21:08 nursingpins: Hey all - running late -Vernon in New Orleans #RNchat 7/23/2010 21:08 InfusionNurse: @Trybarefoot @nlw0507...howdy!! #RNCHAT 7/23/2010 21:08 onlinenursing: T1 - #RNChat - part 2 - & I know from medical mission work with no H20 that nothing
- 2. cleans hands like good old soap and water 7/23/2010 21:08 holisticnurses: T1 I'd love to hear about natural products for handwashing in hospitals. #Rnchat 7/23/2010 21:09 InfusionNurse: T1 - handwashing compliance still poor accdg to APIC...still an issue w/ preventing infections...need reinforce/reeducate #RNCHAT 7/23/2010 21:09 holisticnurses: @InfusionNurse Hi Cora! #Rnchat 7/23/2010 21:09 CaliPNP: Hey from LA...I'm Sue a pediatric NP working for anesthesia / radiology services #RNchat 7/23/2010 21:10 holisticnurses: @Trybarefoot Hi there! Thanks for your RT earlier. Welcome. #Rnchat 7/23/2010 21:10 onlinenursing: @Trybarefoot & @Nursingpins - Hey guys! Great to see so many wonderful RNs in #RNChat. 7/23/2010 21:10 onlinenursing: RT @InfusionNurse handwashing compliance still poor accdg to APIC -still an issue w/ preventing infections-need reinforce/reeducate #RNCHAT 7/23/2010 21:11 NUR3563: RT @InfusionNurse handwashing compliance still poor accdg to APIC -still an issue w/ preventing infections-need reinforce/reeducate #RNCHAT 7/23/2010 21:11 InfusionNurse: Hi Vernon...RT @nursingpins: Hey all - running late -Vernon in New Orleans #RNCHAT 7/23/2010 21:12 onlinenursing: T1 -sort of off subject,but has to do with handwashing- did anyone see article this week abt how sepsis more common postop than DVT? #RNChat 7/23/2010 21:12 Trybarefoot: @onlinenursing Thx - tho I'm more of a 'friend' of RNs - work w/ nurses all the time - privileged to be able to participate #RNchat 7/23/2010 21:12 holisticnurses: T1 Amazing how important handwashing is in homecare when educating pts re: woundcare. Still love soap & H2O too! #Rnchat 7/23/2010 21:13 nursingpins: noticed that most nurses use the foam in-room disp. - hand washing still a noticeable problem - must keep reinforcing everywhere. #RNchat 7/23/2010 21:13 InfusionNurse: what would u recommend? RT @holisticnurses: T1 Id love to hear about natural products for handwashing in hospitals. #RNCHAT 7/23/2010 21:14 Trybarefoot: T1 agree that education/updates are important...within hospital settings AND with general public! #RNchat 7/23/2010 21:14
- 3. InfusionNurse: Hi Sue! RT @CaliPNP: Hey from LA...Im Sue a pediatric NP working for anesthesia / radiology services #RNCHAT 7/23/2010 21:15 onlinenursing: T1 - #RNChat most of cellulitis I see in clinic (lots in summer with bug bites/ poison Ivy) is MRSA - handwashing at home essential! 7/23/2010 21:16 InfusionNurse: I agree RT @nursingpins: most nurses use foam in-room disp. - hand washing a noticeable problem - must keep reinforcing everywhere. #RNCHAT 7/23/2010 21:18 nursingpins: most nurses don't touch patients anymore without gloves - at least that is a help #RNchat 7/23/2010 21:18 CaliPNP: @InfusionNurse Hi Terri! I've been off line this week but it's nice to be back #RNchat 7/23/2010 21:18 onlinenursing: @InfusionNurse T1 - #RNCHat mostly I work in rural prctc. lots of farm work, outside work. Also-kids with dirty hands scratch everything. 7/23/2010 21:18 onlinenursing: @nursingpins #RNChat - only if they don't use their gloves to touch lots of other things 1st or stick dirty hands into the glove box :) 7/23/2010 21:20 InfusionNurse: ? is they wash hands after/between pts? RT @nursingpins: most nurses dont touch patients anymore w/o gloves - at least that help #RNCHAT 7/23/2010 21:20 Trybarefoot: T1 An imp public health issue - my exp is soap/water is part of the key msg - tho is it more risky in an acute or home care setting? #RNchat 7/23/2010 21:20 nursingpins: @onlinenursing you are right - goes hand and glove :) could not resist. #RNchat 7/23/2010 21:21 CaliPNP: oops...I didn't #RNchat that last one... 7/23/2010 21:21 rnchat: T1 Follow-up: Are messages about what kinds of washing (eg soap & friction for c diff & other spores instead of alcohol) effective? #rnchat 7/23/2010 21:22 CaliPNP: APN Phys Exam course won't let U glove up...sets U up as vector w/o good handwashing #RNchat 7/23/2010 21:23 nursingpins: peer pressure is strongest enforcer - will have to starting checking each other - #RNchat 7/23/2010 21:23 CaliPNP: However, RNs are by nature ALWAYS good handwashers...can't say same for other disciplines #RNchat 7/23/2010 21:24 rnchat: Our next topic is coming up in a moment! #RNchat 7/23/2010 21:26
- 4. rnchat: T2 Telehealth: How can telehealth nursing expand with role of the Web (Social Media, digital media, etc.)? #RNchat 7/23/2010 21:27 holisticnurses: T1 Remember bag technique being just as important as handwashing in home care. #Rnchat 7/23/2010 21:27 Trybarefoot: OUCH! ;) RT @CaliPNP: However, RNs are by nature ALWAYS good handwashers...can't say same for other disciplines #RNchat 7/23/2010 21:27 rnchat: @CaliPNP That's a good point, which may be an upcoming topic: how can nurses effectively get others do, er, clean up their act. #rnchat 7/23/2010 21:29 onlinenursing: #rnchat It can help w/nurse education of rural patients, working pts, triage, ed of new parents, & all sorts of psychosocial screenings. 7/23/2010 21:30 nursingpins: T2 There is so much potential with t.h. (most important with seeing patients with cams- can read expressions and gestures which helps #RNchat 7/23/2010 21:30 podmedic: #rnchat I see telehealth nursing evolution into live online nurse chat support similar to website tech support. 7/23/2010 21:31 CaliPNP: @Trybarefoot I'll back that one up w/ some good ole' research, K? #RNchat http://www.ncbi.nlm.nih.gov/pubmed/12593714 7/23/2010 21:31 holisticnurses: T2 Sense of sound, clinical knowledge/experience and intuition is what I have to work w/ in telehealth...video chat can enhance #Rnchat 7/23/2010 21:31 onlinenursing: @nursingpins agree. - T2 #RNChat 7/23/2010 21:32 Trybarefoot: T2 can really help RNs connect and collaborate w/ other providers as well! #RNchat 7/23/2010 21:32 podmedic: hi-def webcams offer opportunities for remote monitoring and assessment. #rnchat 7/23/2010 21:33 CaliPNP: @Trybarefoot That study also says RNs have a huge area for improvement...to be fair T1 #RNchat 7/23/2010 21:33 InfusionNurse: agree RT @podmedic: #rnchat I see telehealth nursing evolution into live online nurse chat support similar to website tech support. #RNCHAT 7/23/2010 21:34 rnchat: RT @podmedic: hi-def webcams offer opportunities for remote monitoring and assessment. #rnchat 7/23/2010 21:34
- 5. InfusionNurse: good pt RT @holisticnurses: T2 Of course not many elderly home care pts have computers...would supplying certain pts with a device #RNCHAT 7/23/2010 21:34 Trybarefoot: @CaliPNP T1 Awesome - luv the evidence! Helps to solidify the facts - and move us from generalizations, stereotypes etc - thx! #RNchat 7/23/2010 21:35 holisticnurses: T2 Also brings up the point of state bs national licensure. We can educate from anywhere online & via phone. #Rnchat 7/23/2010 21:36 Trybarefoot: Hats off to you! RT @CaliPNP: @Trybarefoot That study also says RNs have a huge area for improvement...to be fair T1 #RNchat 7/23/2010 21:36 InfusionNurse: Hi Jamie..I agree if provided 4 pts...RT @podmedic: hi-def webcams offer opportunities for remote monitoring and assessment. #RNCHAT 7/23/2010 21:36 nursingpins: computers will become a "medical device" as important as o2 machines. event will be covered as needed equipment #RNchat 7/23/2010 21:37 holisticnurses: T2 That was state bs national licensure. Chatting via iPhone is tres difficult! #Rnchat 7/23/2010 21:38 onlinenursing: RT @InfusionNurse @podmedic: #rnchat I see telehealth nsing evolution N2 live online nurse chat support similar 2 website tech support. 7/23/2010 21:39 Trybarefoot: Handwashing compliance depends on professional status (via @CaliPNP) -> http://bit.ly/979ESd #RNchat 7/23/2010 21:39 holisticnurses: T2 Will always need to distinguish ourselves from computer only generated info. Computers can't empathize...yet! #Rnchat 7/23/2010 21:40 CaliPNP: Facetime on the iPhone 4 has some immediate gratification potential for wound care...problem is both sides have to have it :( T2 #RNchat 7/23/2010 21:40 holisticnurses: Darn you, auto-correct! :) #Rnchat 7/23/2010 21:41 Trybarefoot: Nice point. RT @holisticnurses: T2 need to distinguish ourselves from computer only generated info. Computers can't empathize...yet! #Rnchat 7/23/2010 21:41 holisticnurses: RT @CaliPNP: Facetime on iPhone 4 has some imm. gratification potential 4 wound care...problem is both sides have to have it :( T2 #Rnchat 7/23/2010 21:43 onlinenursing: T2 - potential for telehealth - online chat rooms/therapy/connection of adolescents w/chronic dz (like Type1DM, CF, Sickle Cell) - #RNChat 7/23/2010 21:43
- 6. NUR3563: T2 - potential for telehealth - online chat rooms/therapy/connection of adolescents w/chronic dz (like Type1DM, CF, Sickle Cell) - #RNChat 7/23/2010 21:43 holisticnurses: RT @nursingpins: computers will become a "medical device" as important as o2 machines. event will be covered as needed equipment #Rnchat 7/23/2010 21:43 rnchat: RT @nursingpins: computers will become a "medical device" as important as o2 machines. event will be covered as needed equipment #rnchat 7/23/2010 21:44 onlinenursing: #RNChat - sorry -using tweetdeck and that went out w/both accounts. My bad. 7/23/2010 21:45 holisticnurses: T2 Also caregiver support via video chat and, yes, RN lead education/support groups. #Rnchat 7/23/2010 21:45 rnchat: Our final topic is coming up! #RNchat 7/23/2010 21:46 Trybarefoot: Absolutely! RT @holisticnurses: T2 Also caregiver support via video chat and, yes, RN lead education/support groups. #Rnchat 7/23/2010 21:46 holisticnurses: RT @Trybarefoot: T2 can really help RNs connect and collaborate w/ other providers as well! #Rnchat 7/23/2010 21:46 rnchat: T3 Enhancing Collaboration: What are biggest challenges in provider collaboration? What solutions (technical or other) work best? #RNchat 7/23/2010 21:47 nursingpins: T2 t.h will be important for heart patients - already programs that allow remote view and diagnosis #RNchat 7/23/2010 21:47 holisticnurses: T2 Medication compliance and education too! I can see the pills someone is asking me about. #Rnchat 7/23/2010 21:48 Trybarefoot: RT @rnchat: T3 Collaboration: What are biggest challenges in collaboration? What solutions work best? #RNchat #interprofessional 7/23/2010 21:49 holisticnurses: T3 EMR...sometimes we're not all seeing the same info. #Rnchat 7/23/2010 21:51 onlinenursing: T3 many prblms as rural hlth NP N NP only clinic trying2 send pts2 spclists who dislike NPs-often they berate pts 4 hvng NP provider #RNChat 7/23/2010 21:52 onlinenursing: RT @holisticnurses: T3 EMR...sometimes we're not all seeing the same info. #Rnchat (Re: Collaboration issues in h/c) 7/23/2010 21:53
- 7. InfusionNurse: T3 - Ego - leave it at home and think about the patient... #RNCHAT 7/23/2010 21:53 CaliPNP: RT @onlinenursing: T3 many prblms as rural hlth NP N NP only clinic trying2 send pts2 spclists who dislike NPs-often they berate pts 4 hvng NP provider #RNChat 7/23/2010 21:53 onlinenursing: RT @InfusionNurse: T3 - Ego - leave it at home and think about the patient... #RNCHAT (LOVE IT!) 7/23/2010 21:54 Trybarefoot: @onlinenursing T3 As a Manager in primary health care the rural NPs on my team had the EXACT exp #RNchat 7/23/2010 21:54 CaliPNP: @onlinenursing T3 Same in tertiary care ctrs. Prvt MDs don't want to hear how it's going to go from an NP. Want to hear from an MD #RNchat 7/23/2010 21:55 Trybarefoot: T3 Ego - yes! And a real lack of understanding of the scope/roles/responsibilities of NPs (key for collaboration!) #RNchat 7/23/2010 21:55 holisticnurses: RT @onlinenursing: RT @InfusionNurse: T3 - Ego - leave it at home and think about the patient... #RNCHAT (LOVE IT!) #Rnchat 7/23/2010 21:55 onlinenursing: T3 @CaliPNP @Trybarefoot looks like a common problem-sigh!I like @infusionNurse solution-all on same team-not enough of us 2 go arnd #RNChat 7/23/2010 21:57 rnchat: Yowza! Our hour together is coming up! :( We'll wrap up in a couple minutes. #RNchat 7/23/2010 21:58 DebErupts: For real collaboration everyone needs to be involved in decision making. #RNChat 7/23/2010 21:58 holisticnurses: RT @DebErupts: For real collaboration everyone needs to be involved in decision making. #Rnchat 7/23/2010 21:58 MeredithGould: @RNchat You were well represented by @PhilBaumann at last nights #health2meet #RNchat 7/23/2010 21:59 nurseeducator: T3 The heart of collabis having a common goal, defined expectations, meas. outcomes and people who are willing to get the job done! #RNChat 7/23/2010 22:00 onlinenursing: RT @DebErupts: For real collaboration everyone needs to be involved in decision making. #RNChat (AMEN, all professionals at the table) 7/23/2010 22:00 Trybarefoot: T3 Collaboration requires CLARITY - re: roles, leadership, decision making, communication, purpose! #RNchat 7/23/2010 22:00
- 8. rnchat: OK, before we close up give us your parting thoughts, pearls of wisdom. #RNchat 7/23/2010 22:00 onlinenursing: @MeredithGould Heard it was good #health2meet - wish we could have been there. SO PROUD OF PHIL! #RNChat 7/23/2010 22:01 holisticnurses: Not too late for your words of wisdom. ;) RT @NurseSallie: Im late! #Rnchat 7/23/2010 22:01 onlinenursing: @NurseSallie Hey Sallie - better late than never #RNChat. Hope you are well! 7/23/2010 22:01 nursingpins: T3 hopfully the EMR will trigger services and help organize provider collaboration by inclusion #RNchat 7/23/2010 22:01 NurseSallie: I spent day with 22 DNP students and ethicists ... got to say nurses are awesome. #rnchat 7/23/2010 22:02 onlinenursing: #RNChat - parting thought: GO NURSING! Or as my friend phil would say - may the force be with you young Jedi Knights! Thx 4 grt chat all. 7/23/2010 22:02 Trybarefoot: Pearl -> Take the time. Give the time. Plan the time. Celebrate the time. Collaborate! #RNchat 7/23/2010 22:02 rnchat: THANK YOU Everybody for another excellent #RNchat!! Transcript will be up soon. Remember: Nurses are the last Jedi Nights of the Republic! 7/23/2010 22:03 DebErupts: Collaboration requires trust and respect, which is lacking many times among health care members. #RNChat 7/23/2010 22:03 nurseeducator: Sorry so late...on the road all day! Not even using my own computer or tweetdeck! #RNChat 7/23/2010 22:03 nursingpins: RT @onlinenursing GO NURSING! goodnight. #RNchat 7/23/2010 22:04 InfusionNurse: Great to chat u all again..good night to all...have a great weekend... #RNCHAT 7/23/2010 22:04 Trybarefoot: Pearl #2 (sorry!) -> I always learn from my RN colleagues - thank you for that! #RNchat 7/23/2010 22:04 rnchat: @holisticnurses My pleasure!! Thanks for being here! :) #rnchat 7/23/2010 22:07 Trybarefoot: Thx Phil - enjoy the weekend all! #RNchat 7/23/2010 22:07 rnchat: RT @onlinenursing: #RNChat - parting thought: GO NURSING! Or as my friend phil
- 9. would say - may the force be with you young Jedi Knights! Thx 4 grt chat all. 7/23/2010 22:07 Trybarefoot: RT @DebErupts: Collaboration requires trust and respect, which is lacking many times among health care members. #RNChat #interprofessional 7/23/2010 22:09 InfusionNurse: great job Phil - u make us proud!! RT @philbaumann: Why thank you! Nurses are an easy group to be proud of! :) #RNCHAT 7/23/2010 22:10 ArtxImagination: AWESOME!! RT @RNchat: RT @NurseSallie: I spent day with 22 DNP students and ethicists ... got to say nurses are awesome. #rnchat 7/23/2010 22:14 rnchat: @InfusionNurse :-) #rnchat 7/23/2010 22:14 holisticnurses: RT @Trybarefoot: RT @DebErupts: Collaboration requires trust and respect, which is lacking many times among health care members. #RNChat #interprofessional 7/23/2010 22:15 dlwdillon: RT @nursingpins: most nurses don't touch patients anymore without gloves - at least that is a help #RNchat 7/23/2010 22:48 dlwdillon: RT @nursingpins: computers will become a "medical device" as important as o2 machines. event will be covered as needed equipment #RNchat 7/23/2010 22:52