RNchat Transcript March 23, 2010
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The document is a transcript of a Twitter chat (#rnchat) focused on healthcare reform discussions among nurses and healthcare professionals. Participants introduced themselves and shared opinions on the impact of recent healthcare legislation, expressing concerns and hopes for changes in access to care and insurance coverage. The chat included various topics, such as the implications for nursing jobs, preventive care, and the challenges of implementing reform.
RNchat Transcript March 23, 2010
- 1. rnchat: One hour until #RNchat! Consider using http://TweetChat.com. Come join us! 3/23/2010 11:01 rnchat: Welcome to today's #RNchat! Our chat will begin in a moment, but first introduce yourselves! 3/23/2010 12:01 ali_rn: worked a double and then slept 4 hrs, not sure i'm awake but ready for #rnchat 3/23/2010 12:02 EllenRichter: Anyone having trouble participating in a Twitter chat? I like to use http://tweetgrid.com ~I make a column for #RNchat 3/23/2010 12:02 ali_rn: RT @ali_rn: ali-medical nurse for 6 yrs #rnchat 3/23/2010 12:03 EllenRichter: @ali_rn Oooo....those doubles are killers! #RNchat 3/23/2010 12:03 grimalkinrn: Med Surg RN, Denver Colorado. Also Skin & Wound resource RN, preceptor. JUST GOT MY ACCEPTANCE LETTER FOR BSN PROGRAM. #rnchat 3/23/2010 12:03 rnchat: OK, first topic coming up in one minute. Please prepend your answers to topics with T1, T2, etc. #RNchat 3/23/2010 12:04 oncnurse66: BSN student, RN in Oncology from SW Missouri #RNchat 3/23/2010 12:04 ali_rn: @grimalkinrn whoo-hoo, have not made that leap yet #rnchat 3/23/2010 12:04 philbaumann: I'm moderating #RNchat right now. Jump in or spy. We'll talk a bit about #hcr too 3/23/2010 12:05 rnchat: T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place? #RNchat 3/23/2010 12:05 EllenRichter: Hi Twitter mates! I'm a critical care RN (off today....yay) & I work w/ attys to help them understand the intricacies of health care #RNchat 3/23/2010 12:05 ali_rn: @EllenRichter the kids who get up at 5am are worse! #RNchat 3/23/2010 12:05 bthenextstep: well hello everyone! I had time this afternoon to pop in! I'm a critical care RN of 5 yrs. bsn student currently in the ICU #rnchat 3/23/2010 12:05 Lifes_Dash: RT @PhilBaumann: I'm moderating #RNchat right now. Jump in or spy. We'll talk a bit about #hcr too 3/23/2010 12:06 onlinenursing: Hey #RNChat friends! Terri - Missouri - NP, Educator, maybe someday finish dissertation
- 2. for PhD :) 3/23/2010 12:06 tersenurse: Logan here, RN BSN 1 yr med surg exp new burn ICU nurse #RNchat 3/23/2010 12:07 EllenRichter: @grimalkinrn Congrats on getting accepted to a BSN program! :) #RNchat 3/23/2010 12:07 oncnurse66: T1 I am not sure what changes will occur I tried to read the actual bill and it was in greek #RNchat 3/23/2010 12:08 nursekama: Hi Everyone! Psych/mental health nurse from Ontario. Looking forward to today's discussions. #rnchat 3/23/2010 12:08 JoeCascio: I'm Joe Cascio, technologist, former CTO of a cardiology imaging co. Watching the POTUS press the flesh after signing #HCR into law. #RNchat 3/23/2010 12:09 EllenRichter: T1 It will be nice to see more patients given health care options they never had because they will now have some kind of insurance #RNchat 3/23/2010 12:09 bthenextstep: @onlinenursing and a hi/hello back at ya! #rnchat 3/23/2010 12:09 bthenextstep: tweetchat seems to be wonky today... #rnchat 3/23/2010 12:09 tersenurse: t1 I agree with Ellen, also I look forward to staff being more aware of what things cost. #rnchat 3/23/2010 12:09 onlinenursing: T1 thing I would like -access 2 preventative ed 4 everyone who needs it w/RN w/o insurance ref ex-DM, HTN, asthma ed, obesity, nutr #RNChat 3/23/2010 12:10 bthenextstep: @oncnurse66 I know the feeling.. on trying to read the new hc reform bill! #rnchat 3/23/2010 12:10 grimalkinrn: t1 #RNCHAT I am hoping to see fewer of my patients bankrupted by their illnesses. I hope to see more people with access to health care. 3/23/2010 12:10 cyclingwidow: Hi all, spending part of my lunch with you. Kim, background in surgical, cardiac, infection control an currently IT! #rnchat 3/23/2010 12:10 oncnurse66: T1 very worried about what will happen to my Oncology pts who have only Medicare coverage #RNchat 3/23/2010 12:10 EllenRichter: T1 It will be interesting to see how small businesses get around the 50 employee rule too #RNchat 3/23/2010 12:10
- 3. bthenextstep: t1 can someone shed some light on the 'highlights' of this hc reform bill's impact on rn's?? #rnchat 3/23/2010 12:11 tersenurse: t1: i'm hoping that the majority of america will c the changes in action & will understand that this really is aimed at helping them #rnchat 3/23/2010 12:11 EllenRichter: T1 I hear that the fines imposed on small businesses to NOT cover their employees will cost less than covering them! Hmmm... #RNchat 3/23/2010 12:11 ocdgirl2000: #rnchat ?now? 3/23/2010 12:11 tersenurse: RT @grimalkinrn: t1 #RNCHAT I am hoping to see fewer of my patients bankrupted by their illnesses. I hope to see more people with access to health care. 3/23/2010 12:12 nursekama: T1 Equal access to health care! #rnchat 3/23/2010 12:12 bthenextstep: t1 I'm aware of the other 'impacts'.. but not sure how to answer t1 question? #rnchat 3/23/2010 12:12 onlinenursing: @EllenRichter T1 looking forward 2 hving pts w/health insurance/30-40% of my rural health pts hv no insurance(cost/preexisting) #RNChat 3/23/2010 12:12 BenefitStudioTO: RT @EllenRichter: It will be nice to see more patients given healthcare opt. they never had b/c they will now have some kind of ins. #RNchat 3/23/2010 12:13 bthenextstep: t1 will this equal access cause a 'surge' of admissions? #rnchat 3/23/2010 12:13 tersenurse: @onlinenursing @EllenRichter @grimalkinrn couldn't agree with you all more about T1 #rnchat 3/23/2010 12:13 cyclingwidow: T1 it is a start but I am very concerned. They can't manage SS, Medicare/caid, the postal service.....but it is a start #rnchat 3/23/2010 12:13 bthenextstep: t1 do you think this hc reform bill will 'affect' our bottom dollar - as in our salaries? #rnchat 3/23/2010 12:14 EllenRichter: T1 Yes our current health care system is in such need for change that anything we do seems inadequate compared to the big problem #RNchat 3/23/2010 12:14 cyclingwidow: @bthenextstep hopefully we will see fewer admissions due to better access to primary care #rnchat 3/23/2010 12:14 oncnurse66: @cyclingwidow t1 I couldn't agree more. It seems that every government managed endeavor is a mess #RNchat
- 4. 3/23/2010 12:15 onlinenursing: @bthenextstep Good point T1- surge (but maybe less in the ER? or more prventative care) also just in time for mass of baby boomers #RNChat 3/23/2010 12:15 EllenRichter: @bthenextstep I believe that health care reform will B a good thing for RN profession in the long run. It will guarantee us jobs. #RNchat 3/23/2010 12:15 onlinenursing: @cyclingwidow agree with pt to access to primary care :). #RNChat 3/23/2010 12:16 bthenextstep: @cyclingwidow never thought of it that way. good point. #rnchat 3/23/2010 12:16 JoeCascio: @EllenRichter Can you expand a bit on the 50 employee rule you mentioned? #RNchat 3/23/2010 12:16 InfusionNurse: Just saying hi to all..can't join chat today...have fun! #rnchat 3/23/2010 12:16 EllenRichter: T1 As nurses, we all know that anything to do with health care will require nursing intervention. We are the backbone of the system #RNchat 3/23/2010 12:16 bthenextstep: t1 don't get me wrong - I'm all for providing proper health care coverage for all. Just seems this bill is a lot of swiss cheese. #rnchat 3/23/2010 12:17 onlinenursing: RT @oncnurse66: @cyclingwidow t1 I couldn't agree more. It seems that every government managed endeavor is a mess #RNchat (tee hee. true) 3/23/2010 12:17 bthenextstep: @EllenRichter good point... #RNchat 3/23/2010 12:17 EllenRichter: @JoeCascio I wish I could look for a link for you but I dont want to miss the chat. I will send later. #RNchat 3/23/2010 12:17 EllenRichter: @JoeCascio Under 50 employees, health care coverage not required by owner...over 50 if U dont cover employees you pay fine instead #RNchat 3/23/2010 12:18 onlinenursing: @bthenextstep tee hee swiss chees and back room deals-That is what made it so unpalatable. We need h/c reform bad #RNChat 3/23/2010 12:18 ocdgirl2000: #rnchat T1 oh my! missing this! Lynne Siegel. better late than never! I'm a gov worker, we just experienced massive cutbacks to FY '11 3/23/2010 12:19 EllenRichter: @bthenextstep LOL, if you think the bill is swiss cheese, what would you call our current health care system?? Black hole? :) #RNchat 3/23/2010 12:20
- 5. bthenextstep: t1 I guess i'm just very leary about this who reform package.. hopefully more good than bad. #rnchat 3/23/2010 12:20 oncnurse66: @online nursing T1 We need health care reform and government reform. : ) #RNchat 3/23/2010 12:20 EllenRichter: @RNchat What a great turnout today!! Hello to everyone at the chat! Too many to Tweet names but your tweets are great! #RNchat 3/23/2010 12:20 onlinenursing: T1 #RNChat - NY times article on passage was pretty good - http://nyti.ms/cgePyj might be in there @JoeCascio @EllenRichter 3/23/2010 12:20 cyclingwidow: @onlinenursing we need healthcare COVERAGE reform. :) #rnchat 3/23/2010 12:21 bthenextstep: @EllenRichter ouch. touche'. well said - blackhole. LOL #RNchat 3/23/2010 12:21 EllenRichter: @onlinenursing Ohh...great link! :) #RNchat 3/23/2010 12:22 onlinenursing: RT @cyclingwidow: @onlinenursing we need healthcare COVERAGE reform. :) #rnchat (ahhh yes... even better. Coverage reform - part 1) 3/23/2010 12:22 ocdgirl2000: #rnchat T1 it IS swiss cheese. You have to work in Gov to KNOW gov! they are mostly incompetent eople who couldn't make it in private sector 3/23/2010 12:22 nursekama: @onlinenursing T1 Agree. Hopefully a greater focus on public health and community nursing. Address social determinants of health. #rnchat 3/23/2010 12:23 NursingCenter: T1 sounds good for nsg & access for ins. coverage, concerned about cuts to outpt programs- already seeing this here w/ pulm rehab #rnchat 3/23/2010 12:23 bthenextstep: t1 I guess I'm still on the fence over this whole debacle. I understand there will be sacrifices made. Just taking it all in still #rnchat 3/23/2010 12:24 EllenRichter: @ocdgirl2000 You are our constant reminder of government #fail in their portion of the health care industry. What a shame, right? #RNchat 3/23/2010 12:24 oncnurse66: would love to see greater access to preventative care for people. #RNchat 3/23/2010 12:24 onlinenursing: @cyclingwidow we do h/c bkwrds: ie-knw pt.obese/HTN/DM will have MI,but wont cover prsnl trainer,nutritn ed 2 fix-just surgry & meds #RNChat 3/23/2010 12:25 grimalkinrn: RT @oncnurse66: would love to see greater access to preventative care for people. #RNchat T1 3/23/2010 12:25
- 6. EllenRichter: T1 I guess nurses wont be paying into the higher taxes toward health care at salaries over $250K! #RNchat 3/23/2010 12:25 FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat 3/23/2010 12:26 onlinenursing: @ocdgirl2000 You hve good background for this topic- suggestions for improving govt. h/c programs (if you had like a top 5 list?) #RNChat 3/23/2010 12:26 EllenRichter: Hopefully you will >> RT @oncnurse66: would love to see greater access to preventative care for people #RNchat 3/23/2010 12:26 cyclingwidow: T1 how much of a burden will it put on employers to carry employee's children now to TWENTY-SIX years of age? #rnchat 3/23/2010 12:26 tersenurse: @oncnurse66 #hcr should increase preventive medecine and make it available to everyone #rnchat we'll keep our figners crossed 3/23/2010 12:26 onlinenursing: @grimalkinrn Where did you go to - looking 4 ur great insight today? Congrats on BSN program! WOO HOO! #RNChat 3/23/2010 12:27 EllenRichter: T1 I think we are all on the same page as far as identifying all the health care changes needed. Implementation is the tough part! #RNchat 3/23/2010 12:28 grimalkinrn: @onlinenursing Metro State in Denver. #RNChat 3/23/2010 12:28 ocdgirl2000: #rnchat T1 they are cutting hours on health room techs that work under school health RNS! the ridiculous incompetent nurse managers STAY!OK? 3/23/2010 12:28 nursekama: @oncnurse66 Don't forget health promotion! #rnchat 3/23/2010 12:28 bthenextstep: RT @EllenRichter: T1 we are all on the same page as the health care changes needed. Implementation is the tough part! well said #rnchat 3/23/2010 12:29 EllenRichter: @cyclingwidow Is that the new cutoff for children to be covered? Age 26? I hadnt seen that yet! #RNchat 3/23/2010 12:29 NUR3563: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat (Great article!) 3/23/2010 12:30 onlinenursing: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat (Great article!) 3/23/2010 12:30
- 7. EllenRichter: T1 LOL @philbaumann if you didnt have #hcr as a topic today I'd be shocked! ;) #RNchat 3/23/2010 12:30 bthenextstep: @onlinenursing GREAT point about backwards healthcare. We know the solutions to the problems.. but aren't willing to pay for them #rnchat 3/23/2010 12:31 swat_pellegrino: Any advice/tips for students just starting school? #rnchat 3/23/2010 12:31 bthenextstep: T1 we preach about being a proactive practice - yet we function in such a reactive environment. *sigh* #rnchat 3/23/2010 12:31 philbaumann: @EllenRichter I actually only have 2 topics set because #hcr is huge. #RNchat 3/23/2010 12:31 2healthguru: say what? #RNchat on #healthreform; ok u got my attention.... 3/23/2010 12:31 bthenextstep: @swat_pellegrino best advice - Never. Give. Up. #rnchat 3/23/2010 12:32 lyall: Word up #RNchat Aussie RN in WA & I've ivented a new specialty yo: #gangstanurse #humour 3/23/2010 12:33 wantnews: @FutureofNursing #hcr access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat (Great article!) Few States trying to take it away. 3/23/2010 12:33 rnchat: ATTENTION: I initially had on 2 topics today. Would you like to just continue #hcr since it's so big? Let me know in 2 minutes!!! #RNchat 3/23/2010 12:33 cyclingwidow: @EllenRichter I've read 26 in several articles. #rnchat 3/23/2010 12:33 swat_pellegrino: Do male RNs get the same respect female RNs get? #rnchat 3/23/2010 12:34 2healthguru: #RNchat: will nurses step up into leadership? Context article here 4physician leadership challenge; nursing equivalent? http://bit.ly/a0IGju 3/23/2010 12:34 EllenRichter: @bthenextstep Actually I think nursing are VERY proactive! In hospitals we have fall, DVT, decubitus prevention just to name 3 #RNchat 3/23/2010 12:34 rnchat: @2healthguru :) #RNchat #healthreform 3/23/2010 12:34 EllenRichter: LOL my spelling and grammar suck today! :) #RNchat 3/23/2010 12:34 wantnews: RT @oncnurse66: would love to see greater access to preventative care for people.
- 8. #RNchat 3/23/2010 12:35 bthenextstep: @EllenRichter msunderstood me. WE are proactive - our hc system is reactive. a very tough arrangement. #rnchat 3/23/2010 12:35 bthenextstep: @swat_pellegrino respect is always earned - regardless of your gender. #rnchat 3/23/2010 12:35 ocdgirl2000: #rnchat T1 since when does it make more sense 2 salvage Management jobs?pass around RN's that cause hostile work environment,then cut techs? 3/23/2010 12:36 NursingCenter: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat #rnchat 3/23/2010 12:36 onlinenursing: @2healthguru Good point #RNChat unfortunately RNs R very often not invited 2 table.Hearings h/c reform were 1st N lng tm ANA asked 2 tstify 3/23/2010 12:36 EllenRichter: @2healthguru Good question! Will nurses be ALLOWED to sit in leadership positions? We are a force that is held back alot. :( #RNchat 3/23/2010 12:36 bthenextstep: @ocdgirl2000 T1 I guess it's called 'trimming' instead of cutting huh? LOL #rnchat 3/23/2010 12:37 EllenRichter: @bthenextstep Ahhh....sorry there! I definitely misunderstood u! ;) #RNchat 3/23/2010 12:37 deladie: RT @2healthguru: #RNchat: will nurses step up into leadership? Context article here 4physician leadership challenge; nursing equivalent? http://bit.ly/a0IGju 3/23/2010 12:37 rnchat: Let's just continue the rest of #RNchat with T1. Let it fly!!!! 3/23/2010 12:37 EllenRichter: T1 I always found that when nurses were given leadership positions in health care, those were the institutions that moved forward #RNchat 3/23/2010 12:38 2healthguru: @EllenRichter @onlinenursing any culture that fails to value RN as central to patient care team is flawed & toxic #RNChat 3/23/2010 12:38 bthenextstep: T1 are nurses not given the ldrshp positions in HC because we are the squeaky wheel? we say what others wont? #rnchat 3/23/2010 12:39 2healthguru: #RNchat the business model where RNs are order takers is history 3/23/2010 12:39 EllenRichter: @2healthguru OOOooo....great adjectives! Flawed and toxic. I kinda agree 100% :) #RNchat 3/23/2010 12:40
- 9. nursekama: T1 @deladie What role and position is your professional nursing association taking on? #rnchat 3/23/2010 12:40 cyclingwidow: @EllenRichter my organization is very unique in that. CEO is also CNO, IT director is RN, Quality-RN, Compliance/Regulatory-RN. :) #rnchat 3/23/2010 12:40 oncnurse66: RT @bthenextstep: T1 are nurses not given the ldrshp positions in HC because we are the squeaky wheel? we say what others wont? #RNchat 3/23/2010 12:41 EllenRichter: @2healthguru GREAT POINT! The stigma of being the "order taker" is just horrid! Even though we DO take orders, we do SO much more! #RNchat 3/23/2010 12:41 lyall: RT @2healthguru: @EllenRichter @onlinenursing any culture that fails to value RN as central to patient care team is flawed & toxic #RNChat 3/23/2010 12:41 bthenextstep: @cyclingwidow OO. where do you work! can i get a job there! all RN ldrshp roles! #rnchat 3/23/2010 12:42 EllenRichter: @cyclingwidow You are very lucky to be working in the environment you are in. Enjoy every second of it. Where is this? :) #RNchat 3/23/2010 12:42 NUR3563: RT @2healthguru: #RNchat the business model where RNs are order takers is history (love it) 3/23/2010 12:42 onlinenursing: RT @2healthguru: #RNchat the business model where RNs are order takers is history (love it) 3/23/2010 12:42 NursingCenters: Nurse leaders are part of #healthreform -- nurse-managed health centers are now recognized for the first time in federal law. #RNchat 3/23/2010 12:42 bthenextstep: RT @onlinenursing: RT @2healthguru: #RNchat the business model where RNs are order takers is history (love it) #rnchat 3/23/2010 12:43 EllenRichter: RT @NursingCenters RN leaders are part of #healthreform--RN-managed health centers are now recognized for 1st time in federal law. #RNchat 3/23/2010 12:44 cyclingwidow: @bthenextstep @ellenrichter The Women's Hospital. Our parent organization also now has an RN as the System CEO! #rnchat 3/23/2010 12:44 onlinenursing: @mike_hensgen Good point. Why don't you join us for discussion at #RNchat 3/23/2010 12:44 2healthguru: @EllenRichter how about being the eyes and ears of frontline risk management? what about the impaired doc? #RNchat 3/23/2010 12:44
- 10. oncnurse66: t1 glad that I can add my 21 y/o son back ins sad that I know my employer will just pass the cost on to me #RNchat 3/23/2010 12:44 Justamom3: RT @EllenRichter: RT @NursingCenters RN leaders are part of #healthreform--RN- managed health centers are now recognized for 1st time in federal law. #RNchat 3/23/2010 12:45 RNconsult: Quality Health Care Begins Outside The ER...Door's with Patient Teaching and Advocacy. Health Professionals must Lead !!!#RNchat #RNchat 3/23/2010 12:45 lyall: @2healthguru I'm not going to wait until I'm invited to provide nursing input #RNchat *beingseriousnow* 3/23/2010 12:45 2healthguru: Amy best in class model of health care transformation will put the RN on that team and not solely as an order taker #RNchat 3/23/2010 12:46 ocdgirl2000: #rnchat I think there will be tons of jobs for us out there,but no money to pay us with.gross depression in finances 4 the country re taxes 3/23/2010 12:46 JoeCascio: Does anyone see any changes in the long term for co-ops or non-fee-for-service models of delivery? #rnchat 3/23/2010 12:46 onlinenursing: #RNChat - good point @2healthguru @EllenRichter - what about not enough health care providers? Who says RNs cant B 1st line 2 help w/that. 3/23/2010 12:46 EllenRichter: @2healthguru Oh, I think that we are still reeling from the past year's events related to whistle-blowing endeavors! #RNchat 3/23/2010 12:46 nursekama: @lyall Good for you! Start advocating now! #rnchat 3/23/2010 12:47 bthenextstep: @2healthguru we know that - unfortunately those that need to know still are uninformed or unaware. #rnchat 3/23/2010 12:47 onlinenursing: @lyall Your input is good. Please jump in... #RNChat is meeting of the minds, trying to openly discuss real issues in real time. 3/23/2010 12:47 bthenextstep: @cyclingwidow that's awesome. congrats on a great place to work. #rnchat 3/23/2010 12:49 seejanenurse: @RNchat I am totally missing out! #RNchat. :( 3/23/2010 12:49 cyclingwidow: Nurses do SO much more that "provide care". Tired of the "just a nurse" mentality that some have. Our input will be critical #rnchat 3/23/2010 12:49
- 11. bthenextstep: @onlinenursing absolutely! the problem is the immediacy of results would not be there to justify the cost/benefit analyses. #rnchat 3/23/2010 12:50 EllenRichter: T1 If RNs R going to take role of front line health care managers we must raise the bar to at least BSN, if not more, for those RNs #RNchat 3/23/2010 12:50 onlinenursing: @JoeCascio Good point.Many of my pts B4 were cashpay (no health insurance).Clinic faird better w/this & it cost these pts less 4 h/c #RNChat 3/23/2010 12:50 EllenRichter: Isnt it great? >> RT @onlinenursing: #RNChat is meeting of the minds, trying to openly discuss real issues in real time. #RNchat 3/23/2010 12:51 ocdgirl2000: #rnchat T1 but the money that was going to be used for school loans will now be used for health care.right? 3/23/2010 12:51 tersenurse: @EllenRichter I agree 2 some extent but i'm concerned that there aren't enough rns to take on the influx of pts we are about to get #rnchat 3/23/2010 12:51 maryannagordon: @EllenRichter T1 completely agree. We have to elevate our entry level of education commensurate to the level of expertise required #Rnchat 3/23/2010 12:52 RNconsult: Hey this Doctor has a Point....Check this out !!! http://hbr.org/2010/04/turning-doctors-into- leaders/ar/pr #RNchat 3/23/2010 12:52 onlinenursing: @bthenextstep neither is a lifetime of HTN/DM meds (not a quick fix either) #RNChat 3/23/2010 12:52 cyclingwidow: T1 be interested to see how this all ties in with ARRA/HITECH also #rnchat 3/23/2010 12:52 ocdgirl2000: #rnchat T1 what was it, in the healthcare bill tied to educational money, regarding the cost of healthcare? 3/23/2010 12:53 onlinenursing: @tersenurse Hopefully the influx will be in primary care and out of the ER's and hospitals where the uninsured have been coming #RNChat 3/23/2010 12:53 bthenextstep: @onlinenursing preaching to the choir on that one. I'm with ya. just a matter of getting other on the same page. #RNChat 3/23/2010 12:54 bthenextstep: @maryannagordon @EllenRichter I would agree. higher education for all nurses is a key ingredient. #Rnchat 3/23/2010 12:54 onlinenursing: @EllenRichter Yep #RNChat is totally great. 3/23/2010 12:55
- 12. tersenurse: @onlinenursing you don't think that with the influx to primary care we will catch more illnesses that need hospitalization too? #rnchat 3/23/2010 12:55 nursekama: It will. RT @cyclingwidow: T1 Improved access to primary care should drive up demand for Advanced Practice Nurses (APNs) as well #rnchat 3/23/2010 12:55 EllenRichter: @onlinenursing LOL I feel like a broken record. But I believe educational rise is paramount in dissolving our current RN stigma #RNchat 3/23/2010 12:56 oncnurse66: RT @bthenextstep: I would agree. higher education for all nurses is a key ingredient.Yes but with pay to match #RNchat 3/23/2010 12:56 Nerdnurse: RT @EllenRichter: @onlinenursing LOL I feel like a broken record. But I believe educational rise is paramount in dissolving our current RN stigma #RNchat 3/23/2010 12:56 rnchat: @seejanenurse It's ok. I'll throw a transcript up soon. #RNchat 3/23/2010 12:56 rnchat: Wow! We're coming up on the hour. #RNchat 3/23/2010 12:57 maryannagordon: @RNconsult He's saying what many of us have been saying for years - the present hierarchical culture cannot continue #rnchat 3/23/2010 12:57 bthenextstep: @oncnurse66 absolutely. higher education should = higher pay. #rnchat 3/23/2010 12:57 EllenRichter: @ocdgirl2000 I think doctors will be successful in the US if more of them approach their practice like a business & pts like clients #RNchat 3/23/2010 12:57 tersenurse: @oncnurse66 my hospital gives differential for each educational stepping stone #rnchat 3/23/2010 12:58 ocdgirl2000: #rnchat T1 it's simply looking at other societies to see how they fared..ask the Nurses in England,Australia,Russia? 3/23/2010 12:58 onlinenursing: @tersenurse hope those who R ill enough 2 need hospital go there anywy.We R going 2B short staffed frm aging pop more thanh/c reform #RNChat 3/23/2010 12:58 rnchat: Any tweets of wisdom about healthcare reform or anything for that matter? #RNchat 3/23/2010 12:59 NursingCenter: @rnchat great - I've missed so much too! Will definitely read this...great discussion happening! #rnchat 3/23/2010 12:59 oncnurse66: @tersenurse mine does too but it is insignifigant compared to the cost of my BSN #RNchat 3/23/2010 12:59
- 13. tersenurse: @onlinenursing good point #rnchat 3/23/2010 12:59 onlinenursing: @bthenextstep No money in researching anything but drugs and surgery. Interesting that it all comes back 2 that. #RNChat 3/23/2010 12:59 EllenRichter: Good link! >> RT @RNconsult: Hey this Doctor has a Point~Check this out! http://hbr.org/2010/04/turning-doctors-into-leaders/ar/pr #RNchat 3/23/2010 13:00 onlinenursing: RT @bthenextstep @oncnurse66 absolutely-higher ed should = higher pay #rnchat Baw ha ha - each degree=less money 4 me :)Just love nursing! 3/23/2010 13:00 bthenextstep: @onlinenursing it has to. always about money. in the end we as RN's still have to prove our worth on the cost/benefit curve. #rnchat 3/23/2010 13:00 EllenRichter: RT @onlinenursing:Hopefully the influx will be in primary care & out of the ER's & hospitals where the uninsured have been coming #RNchat 3/23/2010 13:01 oncnurse66: @onlinenursing the pride of accomplishment is worth more than $$....Ha Ha #RNchat 3/23/2010 13:01 onlinenursing: #RNChat wisdom - GO NURSING! WE can do it. We can be the change health care needs. 3/23/2010 13:02 cyclingwidow: Now how to staff the influx to primary care? I know I can't afford the pay cut to work in primary care #rnchat 3/23/2010 13:02 lyall: Universal healthcare hasn't diminished my freedom in Australia. #RNChat 3/23/2010 13:02 ocdgirl2000: @onlinenursing EXACTLY! there will be no money for education,unless you R child of Pharma CEO! #rnchat 3/23/2010 13:02 rnchat: Thank you all for coming! The transcript of this chat will be up in a bit. The next #RNchat will be announced soon as well. Enjoy your day!! 3/23/2010 13:03 bthenextstep: @rnchat awesome chat as always Phil. Always. I missed this stuff! #rnchat 3/23/2010 13:04 EllenRichter: Yes our poor abused ERs...hopefully #hcr will reduce the ridiculous cycles of inappropriate ER visits! No insurance will pay for BS #RNchat 3/23/2010 13:04 bthenextstep: thanks for the chatting fellow tweets! have a great day. #rnchat 3/23/2010 13:05 RNconsult: Assessment and analysis....Gone.... Too many check boxes . Not enough time at the
- 14. bedside : ( #RNchat 3/23/2010 13:05 EllenRichter: Geez, is it an hour already? Thanks so much for the delightful & stimulating break in our Tuesday @philbaumann ~Great #RNchat today! 3/23/2010 13:06 rnchat: Great work everyone! Wow, that was amazing! #RNchat 3/23/2010 13:07 EllenRichter: @RNchat If you need help to moderate a 2nd chat later this week you are welcome to holler! :) #RNchat 3/23/2010 13:07 JoeCascio: @cyclingwidow Hi, saw you on #rnchat. Your bio says RN wrkng in IT. Are you involved in EMRs at all? 3/23/2010 13:07 EllenRichter: @RNconsult Gee I think the check boxes has streamlined documentation & allows us MORE time at the bedside! No? :( #RNchat 3/23/2010 13:08 ocdgirl2000: @RNCHAT Thank you Phil,as always,EXCELLENT,busy tweeting,my twitter page bottlenecking!LOL! great group! #rnchat c-yas next time! 3/23/2010 13:08 JoeCascio: Interesting and thought-provoking #rnchat again today. 3/23/2010 13:09 mkopp1: Hope so! RT @EllenRichter Yes our poor abused ERs...hopefully #hcr will reduce the inapprop ER visits! No insurance will pay for BS #RNchat 3/23/2010 13:11 seejanenurse: RT @lyall: Universal healthcare hasn't diminished my freedom in Australia. #RNChat 3/23/2010 13:11 MatthewBrowning: Darn! missed another #RNChat I'll watch for the transcript ;-) 3/23/2010 13:12 nurseantonio: RT @onlinenursing: #RNChat wisdom - GO NURSING! WE can do it. We can be the change health care needs. 3/23/2010 13:12 adamcoyne: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat #hcr 3/23/2010 13:16