RNchat Transcript October 24, 2010
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The document is a transcript from a nursing chat on Twitter held on October 24, 2010. Participants introduced themselves and discussed various topics, including the current job market for nurses, challenges facing new graduates, and the impact of healthcare reform on hiring practices. The chat highlighted concerns about staffing shortages and the need for ongoing education and flexibility in nursing careers.
![brittanie
@onlinenursing I'm currently a student, first semester :) I really feel drawn
to NICU. I want to do mission Nursing too. #RNchat
TheToddRN
Holistic seems to have become at the hands of each individ. RN. As an entity,
the system doesn't seem to support it. #rnchat
Geek2Nurse
@pamsvulcan Oh, goodness, I don't go waking them up for therapeutic
interaction. ;) But the ones who are up & need it get quality!
#rnchat
EllenRichter
@Geek2Nurse T2 Yes, its so important for nurses to get feedback on the
positive experiences patients had too! #RNchat
pamsvulcan
T2 if I am scolding it's because somebody is trying to do something foolish -
like site on a commode for an hour straight... #RNCHAT
LuvenRN Hi there @nurseeducator. Likewise! #RNChat
onlinenursing
@EllenRichter True - good nursing story - GM just in hospital for heart
surgery - nurse is one to catch her UTI - GO NURSING! #RNChat
FreshRN
@rnchat Reading the article you tweeted [http://bit.ly/b5fEj2] about &
quot;Missed Nursing Care: View from the hospital bed"--horrific!
#RNChat
brittanie
@Geek2Nurse I think that's an incredible area! One of my favorite
instructors is big on psych. I love hearing about it #RNchat
LuvenRN
T2: Anyone working in service occupations needs ongoing customer service
coaching. Once is not enough. #RNChat
jtknowles007
@brittanie I always talk with my friend from Columbia about doing mission
nursing too! I would love that opportunity. #RNchat
Geek2Nurse
T2: incidentally, when I'm queen of the hospitals, I'm going to OUTLAW
noisy doors. You'd think they could make them not slam! #rnchat
TorontoEmerg
@TheToddRN Agree: we push nurses to be task oriented, doing rather than
thinking #rnchat
InfusionNurse
RT @Wanderer_RN: t2, we're perceived sometimes as scolding/non-
listening because they don't want to hear what we're saying! #RNchat
ocdgirl2000
@InfusionNurse #rnchat T2 she was digging away at the BEST hand veins U
ever saw!I swear! I could do better on my "oldies" in
Leisure World!](https://image.slidesharecdn.com/rnchattranscriptoctober242010-101024214035-phpapp02/85/RNchat-Transcript-October-24-2010-12-320.jpg)
RNchat Transcript October 24, 2010
- 1. RNchat Transcript for Sunday, October 24, 2010 Follow @RNchat for Regular Updates Twitter.com/RNchat RNchat.org rnchat O.K. let's get started with #RNChat - @onlinenursing here moderating - I want to begin by thanking @PhilBaumann for allowing me 2 B here! rnchat I want 2 begin by saying that for the next hour this account will be tweeting alot! My apologies if it busies your twitter stream #RNChat TheToddRN Really excited to be in my first real chat! #RNChat philbaumann Good luck everyone! And thank you @onlinenursing for hosting #RNchat! Cheers! EllenRichter @RNchat Yes!! That article sure was good turf for a #RNchat topic! Missed nursing care: View from the hospital bed http://bit.ly/b5fEj2 rnchat Why don't you all start with introductions and I will follow with tips for #RNChat in a minute :) GO NURSING! Julia1219 #RNChat Julia Cruzan Student Nurse in NUR 3563 pamsvulcan Hi Pam from NY here - med/surg RN #RNCHAT onlinenursing Terri here - RN, NP, Nurse educator, student myself - Lover of #RNChat ! Geek2Nurse Yay! An #RNChat when I'm not sleeping/working/in class. :) I'm Ruth, a psych RN in Oregon/Washington, working on my MSN to be a psych NP. EllenRichter @onlinenursing Welcome & thanks for moderating tonight's #RNchat hour!! Great to have made it here!! :) BraivHC Hi, Jennifer from Braiv Healthcare - healthcare job board, career resource and resume writing service. #RNChat onlinenursing @TheToddRN @EllenRichter @Julia1219 - Hi guys! #RNChat Srini2000 srini, medical equipment manufacturer - hello everyone! #rnchat TheToddRN Todd - CCU RN, BSN student - nervous about twitter. #RNChat dorameulman #RNchat Dora Meulman Critical Care RN I'm glad to be here this evening :) rnchat @Geek2Nurse glad to have you with us! (you too @BraivHC @TheTOddRN #RNChat TheToddRN Hi Terri! #RNChat
- 2. Geek2Nurse @TheToddRN Twitter's not to be nervous about. Twitter is just hanging out with friends. ;) #RNChat EllenRichter @TheToddRN Nothing to be scared about! We'll save you! :) #RNchat moonischasingmeNicole, ICU nurse blog @ www.raspberrystethoscope.com #rnchat ctsinclair It will be interesting to see how much/little the #RNchat and #HCSM crowds overlap tonight. #RNchat rnchat O.K. - to follow the chat - follow hashtag #RNChat - be sure to put it in all of your replies. Also, note replies with topic - i.e. T1, T2 BraivHC @TheToddRN Nothing to be nervous about. Just jump in when you can or lurk and learn. No pressure! #RNChat CKRN Courtney from Kansas City, Med-Surg & Home Health RN, Nursing Faculty, hoping to be a DNP student this time next year. #rnchat EllenRichter @ctsinclair Oh yes thats right!! We have #hcsm chat at 9 pm too! Yikes, again we overlapped someone's chat! #RNchat moonischasingmeGo to http://tweetchat.com/room/rnchat to follow it easier. #rnchat TheToddRN Sounds great! Thanks for your hospitality everyone. #RNChat Geek2Nurse @moonischasingme Thanks, I can never remember where that is. ;) #RNChat rnchat T1 - purely for my personal interest - Up in a couple of minutes. #RNChat BraivHC Definately easier-Automatically adds #RNChat to posts RT @moonischasingme Go to http://tweetchat.com/room/rnchat to follow it easier #RNChat jtknowles007 John K. Nursing student from Indiana. !fb #RNchat EllenRichter @moonischasingme Thanks for sharing that link to tweetchat! Good idea! #RNchat moonischasingme@EllenRichter No problem!:) #rnchat Geek2Nurse Hey, let's see if I can multitask and do two chats at once... :) #RNChat #hcsm EllenRichter I also like tweetgrid.com for the Twitter chats because I can also watch other hashtags or keywords as well as #RNchat ShebaMuturi Indeed RT @ctsinclair: It will be interesting to see how much/little the #RNchat and #HCSM crowds overlap tonight. #RNchat rnchat T1 - How are nurse - hospital relations where you are & have the hospitals slowed down hiring? If so, is it affecting staffing? #RNChat
- 3. BraivHC @Geek2Nurse That's what I'm doing, tweet chat open in 2 windows side by side. Works pretty well. #RNChat EllenRichter @crgonzalez I so rarely get home early enough for any chats on Sunday nights! Now there are 2! #RNchat CKRN seems that hiring for our new grads this year was slower, jobs requiring experience seem just as prevalent as always. #rnchat onlinenursing @EllenRichter So glad you are here at #RNChat - how was the coffee. (I use tweetdeck guys and it works like twitgrid) EllenRichter T1 I think most every hospital is experiencing financial dismay & it absolutely affects staffing decisions which can be dismal #RNchat redheadedchick2 #rnchat My hospital has slowed down hiring. And I have a friend 6 months out of school still without a job. Geek2Nurse T1 our hospital system has radically slowed hiring. Staffing is tough for us in psych because we don't use float pool RNs. #rnchat BraivHC Hiring for new grads has slowed but hiring for experienced RN's is up- Hearing from employers it is the hardest position to fill #RNChat nurseeducator T1 Less orientees but poeple not leaving jobs either. #RNChat ctsinclair Hey great to see you here @CKRN. If anyone here is looking at social media in nursing education talk to @CKRN #rnchat Julia1219 slower for new grads i believe #rnchat TheToddRN T1 Very few RN positions available in MO. With 5 nursing schools here in the city many grads will be hard pressed for jobs. #rnchat dorameulman #RNchat T1 Nurse Hosp Relations are good at CMC Charlotte NC. We are hiring like crazy. Come join us :)) redheadedchick2#rnchat They force our productivity to be over 100%. ctsinclair T1 - seeing a lot more locum nurses at my hospital. Hard to keep up trust between palliative care team and nursing staff at times. #rnchat EllenRichter T1 I have not worked side by side with a new grad in years, and I work at the bedside #RNchat nurseeducator T1 most of our new hires lately are new grads but in smaller groups. #RNChat pamsvulcan RT @rnchat: T1 - We have been hiring - to replace RNs who have transferred out to other units. #RNCHAT
- 4. jtknowles007 T1 hmmm.... very discouraging for the student nurse. This is exactly what I ran into with 1st career. !fb #RNchat TheToddRN T1 With economy so bad, fewer retirement age RNs leaving. #RNChat #rnchat Geek2Nurse T1 I live next to an adult foster care. They just hired 3 new grad RNs who couldn't find jobs. One is driving >60 miles for the job. #rnchat onlinenursing Any of you working in an area where they decided not to fill a job due to fright of h/c reform? #RNChat Geek2Nurse T1: Our hospital system has implemented a nurse internship program for new grads. Had 500 applicants this year, selected 50. #rnchat nurseeducator T1 Nurses near retirement are watching the pension age and pay out. Fears of raising the retirement age #RNChat TheToddRN Not that I'm aware of Terri #rnchat pamsvulcan T1 all of our new hires are new grads - our hospital uses an RN residency model with preceptors/mentors to try to help them #RNCHAT EllenRichter WOW interesting question! RT @onlinenursing: Any of U work in areas where they decided not to fill jobs due to fright of h/c reform? #RNchat rnchat #RNChat - T1 - Interesting! All of this will lead to our T2 topic - which stems from this STTI article - http://bit.ly/b5fEj2 EllenRichter T1 Many of the nurses I work with are in their 50s or 60s with no retirement thoughts in sight (including me) #RNchat rnchat RT @nurseeducator: T1 Nurses near retirement are watching the pension age and pay out. Fears of raising the retirement age #RNChat Julia1219 T1 so what do you suggest for a new grad nurse??! #rnchat cluckyRN Sorry Im late, my first time here, be gentle. Occ Health Rn x 6 yrs, RN x 15 yrs in Mississippi. #rnchat InfusionNurse RT @EllenRichter: T1 Many of the nurses I work with are in their 50s or 60s with no retirement thoughts in sight (including me) #RNchat EllenRichter @onlinenursing By the way, the coffee is delicious, thanks! ;) #RNchat nursebabs65 T1 my hospital uses up nurses and discards them when they get burned out #rnchat rnchat @cluckyRN Glad to have you and so many first time #RNChat tweeps with us tonight. Don't worry - it doesn't hurt a bit.
- 5. jtknowles007 T1 some of us are nursing students in our forties with hopes of working for 20+ years. Any room for us? !fb #RNchat EllenRichter @cluckyRN Welcome! We are happy to have you join in! #RNchat nurseeducator @EllenRichter Nurses near 60 are def thinking abt retirement and worrying about the pending age increase. Retire at 60 with 20 yrs. #RNChat dorameulman “@pamsvulcan: T1 Our hospital uses an RN residency model with preceptors/mentors to try to help them #RNCHAT We have this also for new grads EllenRichter @nursebabs65 T1 I think your hospital is like most, unfortunately! #RNchat pamsvulcan @jtknowles007 there's always room for more RNs #RNCHAT BraivHC @jtknowles007 There is always room for skilled, professional, caring nurses. #RNChat TheToddRN T1 there might be a bottleneck soon. When those in their 60's retire with those now in their 50s. Mass exodus of nurses then? #rnchat ocdgirl2000 #RNchat T1 ahhh! I can't wait to retire. date set at 4/2015! onlinenursing @Julia1219 T1 - Tips for nursing students - continue your education, be flexible, be open, and think outside the box/or the bedside #RNChat nurseeducator @pamsvulcan @jtknowles007 agree always room but be willing to be flexible #RNChat pamsvulcan @dorameulman T1 My manager also had me go to nights for part of the summer to help the newer RNs with some tips, & education #RNCHAT BraivHC @Julia1219 As a new grad keep your eyes/ears open, volunteer, be flexible, utilize your network. #RNChat onlinenursing Sorry - had to share - cracking up! My 2 youngest kids, who are supposed 2B preparing 4 bed, just came in wearing my high heels! #RNChat Geek2Nurse T1: my preceptor pointed out that jobs get scarce for new grads in bad economy because semi-retired RNs go back to work. #rnchat Julia1219 @Braivhc @onlinenursing thanks for the tips :) #rnchat onlinenursing @ocdgirl2000 What will nursing do without you? You can't retire - you have to die at the bedside like the rest of us #RNChat TheToddRN @onlinenursing agree with continuing education. Make your own job security with more education. Never a bad idea. #rnchat
- 6. nurseeducator @onlinenursing smiles! enjoy them! #RNChat InfusionNurse Oh no...RT @nursebabs65: T1 my hospital uses up nurses and discards them when they get burned out #rnchat jtknowles007 @BraivHC Utilize your network. Amen! !fb #RNchat rnchat T2 up in 3 minutes - you can read the article if you would like - http://bit. ly/b5fEj2 Via @NurseEducator #RNChat EllenRichter T1 To students & new grads, remember there is health IT, community health, a big surge in interventional radiology, & case mgmt #RNchat ocdgirl2000 #rnchat T1 local gov jobs are at a premium now,for RN's since many R "older RNs" who can't tolerate the physical demands of Hospital Nursing TheToddRN @onlinenursing funny, I'm wearing high heels too! JK #rnchat shannynlee RT @InfusionNurse: Oh no...RT @nursebabs65: T1 my hospital uses up nurses and discards them when they get burned out #rnchat NUR3563 RT @Geek2Nurse my preceptor pointed out that jobs get scarce for new grads in bad economy because semi-retired RNs go back to work. #rnchat EllenRichter @onlinenursing LMAO! Kids are the best, even when you're trying to moderate a chat online their interruptions are OK! :) #RNchat EllenRichter @TheToddRN haha~! #RNchat jtknowles007 T1 - be flexible. Amazed how many of my peers have decided what they want to specialize in without knowing the job market. !fb #RNchat onlinenursing @TheToddRN Stop making me laugh! ROFL - when I have to get up to type in the computer, after laughing, it makes it hard to chat #RNChat ocdgirl2000 @onlinenursing #rnchat T1 hate to say it....but it looks like I might just be doing just that! FreshRN RT @EllenRichter: To students & new grads, remember there is health IT, comm health, a surge @ interventional radiology, & case mgmt #RNChat nurseeducator @ocdgirl2000 Nice! 2016 for me but I fear the age will be raised and that would make it 2018! #RNChat TheToddRN @onlinenursing sorry about that. I'll work on being more professional (always been an issue for me). :) #rnchat
- 7. BraivHC RT @jtknowles007: T1 - be flexible-Amazed how many of peers have decided what they want 2 specialize in w/o knowing the job market #RNChat cluckyRN I never knew Occ Health existed until I went to it after burnout set it. Now may transfer to Case mgmt. #rnchat EllenRichter @onlinenursing Youre doing a fine job, laughter and all! :) #RNchat nurseeducator @jtknowles007 do you have a preference? #RNChat BraivHC @TheToddRN Don't ever change it! The great personality is part of your brand and you should be proud of it. #RNChat ocdgirl2000 @NurseEducator #rnchat T1 no age raising when there is a " union contract agreement already in place" TheToddRN @EllenRichter: good point. as you can see, the CIS and EHR is becoming a huge focal point in healthcare. RNs are needed there 4 sure #rnchat jtknowles007 @nurseeducator I don't. At least not yet. Want to experience a few different areas before even considering a specialty. !fb #RNchat rnchat T2-Why R important nursing care areas missed (R we still 'holistic') & amp; do patients perceive us as scolding, non- listeners? #RNChat cluckyRN No nx unions in MS. Will work til I die. #rnchat brittanie Still don't feel I have anything to contribute, but I always enjoy watching #RNChat nurseeducator @ocdgirl2000 Our union retirement fund is in the red zone! We've already been given a warning by the union abt the possible increase #RNChat InfusionNurse Hiring new grads? RT @EllenRichter: T1 remember health IT, community health, interventional radiology, & case mgmt #RNchat TheToddRN @BraivHC: I never thought of my personality as my brand, but I sure do like the concept. #rnchat Geek2Nurse @brittanie I often feel that way too, since psych is kind of an outlier, & amp; topics don't always really apply. ;) #rnchat onlinenursing @brittanie You can lurk all you want, but where do you work or where do you want to work in nursing? #RNChat TheToddRN Union? We even say that word - fired! At very least, reprimanded. #rnchat cluckyRN @TheToddRN My humor gets me in trouble now..never worked that way in the hospital. I miss that. #rnchat EllenRichter T2 Great question with about a million answers! #RNchat
- 8. Julia1219 #rnchat had hip surgery last yr & was a big diff in my nite/day nurses as far as 'holistic' care!! pamsvulcan @rnchat T2 missed nursing care partly because there are too many fires to put out, partly because newbies don't know better #RNCHAT baerbelsmile RT @nurseeducator: T1 Nurses near retirement are watching the pension age and pay out. Fears of raising the retirement age #RNChat EllenRichter T2 One huge problem with missed nursing care is a simple arithmetic issue! You cant do 100 things in 60 minutes & do them all well. #RNchat ocdgirl2000 @NurseEducator #rnchat T1 yeah ours is telling us we'll lose health care bennies.that's so we will vote their choice of political candidates onlinenursing @Geek2Nurse We all need a psychiatric nurse consult here at #RNChat :) Seriously,psych is one of the most critical areas of nursing. nurseeducator T2 good article! Did you read B, Kalisch studies on the subject? #RNChat Geek2Nurse T2: Mom just had major 7.5-hr back surgery in TX; was taken to her room on the med floor & left for 4 hrs before she saw a nurse!!! #rnchat rnchat RT @EllenRichter - T2 Great question with about a million answers! #RNchat - I know, that's why I asked it ;^) TheToddRN T2 Health care has become less human and more tech. We have become point of sale clerks, not nurturers. Over-regulated at times. #rnchat Geek2Nurse @onlinenursing Definitely critica! ;) Totally different from other inpatient areas, though, as far as care, routines, etc. #rnchat mcgaula RT @nurseeducator: T1 Nurses near retirement are watching the pension age and pay out. Fears of raising the retirement age #RNChat Julia1219 RT @TheToddRN: T2 Health care become less human &more tech. become point of sale clerks, not nurturers. Over-regulated at times. #rnchat pamsvulcan T2 priorities are a big issue: Twitter/FB/online games vs responding to call bells/investigating discrepancies/T&P q2hr, etc #RNCHAT Wanderer_RN Late comer, Tom, cardiac nurse. #RNchat ocdgirl2000 #rnchat T2 as a pt MYSELF over last week.I found the RN's 2 B stuck in lots of bullshit.sorry but true.no time to dc my IV? I was in pain! jtknowles007 @TheToddRN T2 Agreed. I love tech, but we are working with human beings. Too many dx test, not enough human interaction? #RNchat
- 9. EllenRichter @TheToddRN T2 I've always said "you cant wipe a tear with a mousepad" ...sometimes nursing care just cant be electronic or automated #RNchat Geek2Nurse @Wanderer_RN Yo, Tom! #rnchat dorameulman #RNchat T2 Sad read. Some nurses just should not be at the bedside. There are so many options if you don't love it LEAVE. Do something else InfusionNurse RT@TheToddRN: T2 Health care has become less human more tech. We become point of sale clerks, not nurturers. Over-regulated #rnchat Julia1219 #rnchat i think so much of life is to involved with tech; my fav part of nursing is the pt-RN interaction!! TheToddRN T2 We don't have time to listen anymore. We are "turning tables" like a server does. The only times we can slow down is w/ chronics. #rnchat ocdgirl2000 #rnchat T2 I ended up D/Cing my OWN IV when it was time to go home. RN was sitting at station doing WHAT? mvaughnrn RT @TheToddRN: T2 Health care has become less human and more tech. We have become point of sale clerks, not nurturers. Over-regulated at times. #rnchat onlinenursing @Geek2Nurse I found when I worked in psych that the med knowledge, communication, & holistic care was even more #RNChat FreshRN RT @dorameulman: Some RNs just shouldn't be at the bedside. There are so many options if you dont love it LEAVE. Do something else #RNChat EllenRichter T2 Nursing just has too many responsibilities. It gets overwhelming & amp; those nurses who cant juggle it all slack off in pt care areas #RNchat nurseeducator T2 Poor use of existing staff, need for improved delegation and organizational skills in addition to prioritizing #RNChat rnchat @Wanderer_RN Welcome! We accept them all, late, early, non-nurse, student! #RNChat TheToddRN Difficult to focus on pt care when we are busy doing chart audits for the mgmt every day. #rnchat jtknowles007 @EllenRichter with so many responsibilities how do the slackers keep their jobs? Seriously-make way for those that can keep up !fb #RNchat
- 10. nurseeducator T2 missed care sometimes with pts who are perceived to be " light" #RNChat InfusionNurse Terrible..RT @ocdgirl2000: #rnchat T2 I ended up D/Cing my OWN IV when it was time to go home. RN was sitting at station doing WHAT? EllenRichter RT @dorameulman: #RNchat T2 Sad read. Some nurses just should not be at the bedside. There are so many options if you don't love it LEAVE. Do something else EllenRichter @dorameulman That was an excellent tweet! #RNchat ocdgirl2000 #rnchat T2 Nurse Practitioner was so hung up on synthroid dosage being "exact" because I "didn't make an actual list" she was looking it up! NursingCenter Hey gang! Lisa here - sorry to be jumping in late. Will try to catch up quickly! #rnchat Geek2Nurse @onlinenursing I can't start an IV & would get in the way in a medical code, but the rest of it is true. ;) #rnchat Wanderer_RN T@ Funny thing about nite/day nursing. Feel like I have more time at night to do "holistic" side #RNchat TheToddRN I feel bipolar now. T1 - good feeling, happy. T2 - bad feeling, sad. #rnchat LuvenRN Just joining in myself. Can you repeat the T2 question? #RNChat onlinenursing RT @nurseeducator: T2 missed care sometimes with pts who are perceived to be "light" #RNChat (I believe you hit on something here) healthgist http://j.mp/9ZzB0z ♻ @LuvenRN Just joining in myself. Can you repeat the T2 question? #RNChat pamsvulcan T2 it is overwhelming - I can easily spend the start of any shift spending 1- 2hrs trying to fix stuff that was missed or overlooked #RNCHAT ocdgirl2000 #rnchat T2 I mean Synthroid 0.1mg is what it is!!! looking it up for 15 minutes on your cell phone PDA to get .1222...??hello??? Geek2Nurse @Wanderer_RN Absolutely, can do a lot more 1:1 personal therapeutic interaction at night. #rnchat EllenRichter T2 Unfortunately there are enough nursing missed care horror stories to stretch across the universe. We only hear about the errors! #RNchat
- 11. InfusionNurse LOL..RT @TheToddRN: I feel bipolar now. T1 - good feeling, happy. T2 - bad feeling, sad. #rnchat EllenRichter RT @rnchat: T2-Why R important nursing care areas missed (R we still 'holistic') & do patients perceive us as scolding, non- listeners? #RNChat Wanderer_RN T2, lots to do, even more if you don't have competent/willing to work aides leaving it to the urse to do all. #RNchat BraivHC @EllenRichter Amen! Don't hear enough of the good stories because negativity sells. It's sad really. #RNChat onlinenursing RT @Wanderer_RN Feel like I have more time at night to do " holistic" side - Yes, but pts want 2 sleep :) #RNchat dorameulman #RNchat T2 Nursing is more high tech but that's no excuse for sloppy lazy care. We have to hold each other accountable. Geek2Nurse T2: Someone posted a bunch of positive patient comments clipped from discharge surveys in our break room the other day... #rnchat EllenRichter @healthgist Did you see T2 ? I just RT'ed it! :) #RNchat Julia1219 T2 the night nurses were so so much better! #rnchat Wanderer_RN t2, we're perceived sometimes as scolding/non-listening because they don't want to hear what we're saying! #RNchat pamsvulcan @Geek2Nurse on med/surg we are trying to let them sleep if at all possible, not so much with the 1:1 interventions #RNCHAT rnchat @LuvenRN T2-Why R important nursing care areas missed (R we still 'holistic') & do patients perceive us as scolding, non- listeners? #RNChat nurseeducator @LuvenRN Hi there! Miss tweeting with you! #RNChat Geek2Nurse T2: That was so nice, esp after a shift where I had been the focus of all the angry psychotic/delusional patients. ;) #rnchat ocdgirl2000 @InfusionNurse #rnchat T2 what was worse, was that the damn thing hurt WHOLE time because orig. RN was DIGGING to get blood 4 venipuncture! EllenRichter T2 Gonna write a story of my 10 days at my father's side after a lung resection with complications. The nursing care was pitiful #RNchat jtknowles007 RT @dorameulman: #RNchat Nursing is more high tech but thats no excuse for sloppy lazy care. We have to hold each other accountable. #RNchat
- 12. brittanie @onlinenursing I'm currently a student, first semester :) I really feel drawn to NICU. I want to do mission Nursing too. #RNchat TheToddRN Holistic seems to have become at the hands of each individ. RN. As an entity, the system doesn't seem to support it. #rnchat Geek2Nurse @pamsvulcan Oh, goodness, I don't go waking them up for therapeutic interaction. ;) But the ones who are up & need it get quality! #rnchat EllenRichter @Geek2Nurse T2 Yes, its so important for nurses to get feedback on the positive experiences patients had too! #RNchat pamsvulcan T2 if I am scolding it's because somebody is trying to do something foolish - like site on a commode for an hour straight... #RNCHAT LuvenRN Hi there @nurseeducator. Likewise! #RNChat onlinenursing @EllenRichter True - good nursing story - GM just in hospital for heart surgery - nurse is one to catch her UTI - GO NURSING! #RNChat FreshRN @rnchat Reading the article you tweeted [http://bit.ly/b5fEj2] about & quot;Missed Nursing Care: View from the hospital bed"--horrific! #RNChat brittanie @Geek2Nurse I think that's an incredible area! One of my favorite instructors is big on psych. I love hearing about it #RNchat LuvenRN T2: Anyone working in service occupations needs ongoing customer service coaching. Once is not enough. #RNChat jtknowles007 @brittanie I always talk with my friend from Columbia about doing mission nursing too! I would love that opportunity. #RNchat Geek2Nurse T2: incidentally, when I'm queen of the hospitals, I'm going to OUTLAW noisy doors. You'd think they could make them not slam! #rnchat TorontoEmerg @TheToddRN Agree: we push nurses to be task oriented, doing rather than thinking #rnchat InfusionNurse RT @Wanderer_RN: t2, we're perceived sometimes as scolding/non- listening because they don't want to hear what we're saying! #RNchat ocdgirl2000 @InfusionNurse #rnchat T2 she was digging away at the BEST hand veins U ever saw!I swear! I could do better on my "oldies" in Leisure World!
- 13. Wanderer_RN T2 have horror stories of my own from my wife's post-c-section experience. HEr care was me and her mom. Nurses not there at all. #RNchat rnchat Final T3 - up in 3 minutes and then we will wrap up. #RNChat Wanderer_RN @Geek2Nurse Yeah, your doors slam to much! #RNchat Geek2Nurse T2: Also doors that make horrendous clacking sounds when you open them to try to "quietly" check on sleeping patients. #rnchat Julia1219 #rnchat i believe holistic nursing is definitely an individual choice! TheToddRN @torontoemerg: I agree. With new technology it takes us further away from humanizing the hospital experience. #rnchat EllenRichter T2 So getting back to your original question, how can we ever remedy these missed nursing issues? It seems hopeless! We need help. #RNchat Geek2Nurse @Wanderer_RN :P #rnchat pamsvulcan @Geek2Nurse I know, some of the better conversations, interactions have been when my other patients are otherwise occupied #RNCHAT Lawcats @LuvenRN #RNChat is nursing a service or a profession? LuvenRN T2: "scolding" "not listening" "not there at all" < a symptom of not & quot;being present"? As a society, R we all having trouble w/that? #RNChat Wanderer_RN T2, as for sleep, sometimes you HAVE to wake them up, esp. on a tele floor. But I try to let people sleep by clustering, etc. #RNchat FreshRN I agree! RT @Julia1219: #rnchat i believe holistic nursing is definitely an individual choice! #RNChat EllenRichter @onlinenursing T2 Great to hear the good nursing care given to your GM! :) #RNchat InfusionNurse Not good..sorry about ur exp RT @ocdgirl2000: #rnchat what was worse, was that the damn thing hurt WHOLE time because orig. RN was DIGGING LuvenRN @Lawcats Nursing is both. Professionals who help people are providing service. #RNChat Geek2Nurse @Wanderer_RN My personal philosophy is NEVER wake a sleeping psych patient unless the unit is on fire. ;) #rnchat ocdgirl2000 #rnchat T2 If I mention several time that my IV site HURTS and the vein is raised, show it to the RN, it gets brushed off, then not DC'd??
- 14. InfusionNurse RT @Lawcats: @LuvenRN #RNChat is nursing a service or a profession? pamsvulcan @LuvenRN T2 not being present is definitely a big issue - too much time is spent multi-tasking, divided priorities #RNCHAT Wanderer_RN Yup. Hard to balance. RT @LuvenRN: @Lawcats Nursing is both. Professionals who help people are providing service. #RNChat #RNchat nurseeducator RT @LuvenRN: T2: "scolding" "not listening" "not there at all" < a symptom of not "being present"? As a society, R we all having trouble w/that? #RNChat Geek2Nurse @Wanderer_RN Tele is a whole different thing, of course. #rnchat EllenRichter @Lawcats Good question. Its a profession that provides services in which the results are based on assessment & evaluation skills #RNchat onlinenursing @EllenRichter T2 - 1st step is to start w/the RN in the mirror- more aware as RN's of our pateints, our demeanor, our desk activity. #RNChat dorameulman “@TheToddRN: I feel bipolar now. T1 - good feeling, happy. T2 - bad feeling, sad. #rnchat you're histerical You would be fun to work with. TorontoEmerg T2 Can anyone define "holistic" nursing? Isn't that what were supposed to do, ideally? #rnchat ocdgirl2000 #rnchat T2 clearly, when it is TIME to go and I am dressed, my RIDE is waiting,I 've told the nurse..why would she make me wait in PAIN? TheToddRN @dorameulman: Thanks! I think humor helps with most every situation. #rnchat cluckyRN @Geek2Nurse @Wanderer_RN I did tele for years. I feel your pain! #rnchat Wanderer_RN @Geek2Nurse HA! We do that with a certain subset of our patients too! #RNchat Geek2Nurse @TorontoEmerg Holistic just means seeing the big picture; addressing/considering all aspects of the patient, not just medical. #rnchat InfusionNurse Bad care= poor outcome RT @ocdgirl2000: #rnchat T2 my IV site HURTS.. vein is raised, show it to the RN, it gets brushed off, then not DC'd?? rnchat @EllenRichter can read my mind-T3 - what one change can each of us make to improve our practice/profession/units this week? #RNChat EllenRichter @onlinenursing T2 Good first step advice: Look in the mirror...see what kind of nurse you really are portraying #RNchat
- 15. Julia1219 RT @Geek2Nurse: @TorontoEmerg Holistic just means seeing the big picture; addressing/considering all aspects of the patient, not just medical. #rnchat LuvenRN T2: they say skills R easy 2 teach but attitude is not. A gd attitude & amp; the desire 2 achieve personal best-from whence does it come? #RNChat CKRN T2 @geek2nurse @torontoemerg to me, ideally, the phrase " holistic nursing" should be redundant if doing the nursing thing right. #rnchat Geek2Nurse @TorontoEmerg Many take it to mean "alternative therapy, " but that's not necessarily true; just 1 possible aspect of holistic care. #rnchat nursekeith @TorontoEmerg There r many definitions for holistic nsg but I feel nsg as a whole is by and large holistic in nature #rnchat onlinenursing @TorontoEmerg - Good question! 'holistic'- more than getting my check list done until the next shift arrives- bigger picture #RNChat Wanderer_RN T2, we have to be "holisitic" because seeing the big pic makes all the difference. Takes awhile to get there though! #RNchat ocdgirl2000 #rnchat T2 I went over to the bedside drawer, (after cardiac cath!!), found the dressing supplies, and D/C'd my own IV. Felt SO much better. TheToddRN I feel the best solution is to become the patient. When in bed as one, it gives u the perspective needed to be truly empathetic #rnchat Geek2Nurse @CKRN Exactly! #rnchat FreshRN RT@CKRN @geek2nurse @torontoemerg to me, ideally, the phrase & quot;holistic nursing" should be redundant if doing the nursing thing right #RNChat cluckyRN @Lawcats @LuvenRN In Occ Health, it is definitely both. Also manage workers comp, hearing testing, spirometry, DOT testing. #rnchat onlinenursing @TheToddRN Are you being humorous again? Too much of that & they will invite you back 2 #RNChat CKRN T3 we can all be as present as possible and self monitor to see if what we think we're doing/conveying is consistent with the actual #rnchat
- 16. EllenRichter T3 With primary care nursing we ea end up working in a vacuum. 1 RN doesnt know what the next is doing. We need more teamwork focus #RNchat Geek2Nurse @FreshRN Yes. Nursing == holistic care. #rnchat TheToddRN Those who have been there as a pt know what to expect from nursing and where the areas of opportunity lie for us to be better RNs. #rnchat NursingCenter RT @Geek2Nurse: @FreshRN Yes. Nursing == holistic care. #rnchat Geek2Nurse T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patient's has been worse. #rnchat EllenRichter @TheToddRN T3 Great point! Maybe every health care professional needs to be a tortured patient for a week #RNchat NursingCenter RT @onlinenursing @TorontoEmerg holistic- more than getting my check list done until the next shift arrives- bigger picture #rnchat ocdgirl2000 RT @TheToddRN: I feel the best solution is to become the patient. When in bed as one, it gives u the perspective needed to be truly empathetic #rnchat TheToddRN @onlinenursing: again, I'm sorry. It's my "brand" though, I can't help it. #rnchat Wanderer_RN T3, try to be "present" more and not thinking 3-4 steps ahead. Get caught in that cycle too often. #RNchat Julia1219 t3-- presence with our patients and treating them as individuals #rnchat NursingCenter RT @Geek2Nurse TorontoEmerg Holistic means seeing the big picture; address/consider all aspects of the patient, not just medical #rnchat Geek2Nurse T3 Also that difficult patients really don't *enjoy* being the miserable annoying people they are, & would change if they knew how. #rnchat TorontoEmerg T3 As charge nurse, I can support the nurses working with me to ensure have the space/time to give good, holistic, patient care, #rnchat LuvenRN T3: "B the change U want to see in this world" always comes 2 mind when I think abt wanting 2 make a diff. Role modeling& lt; important! #RNChat TheToddRN I have been a pt where I work - in the CCU. I feel I can bring a level of care that many of my peers are unable to. I use it to help #rnchat AlisynGayle RT @Geek2Nurse: T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patient's has been worse. #rnchat
- 17. ocdgirl2000 #rnchat T3 there is no experience better than being the patient yourself. onlinenursing RT @Geek2Nurse: T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patient's has been worse. #rnchat Geek2Nurse @Wanderer_RN T3 Mindfulness is SO hard to maintain! #rnchat EllenRichter T3 Today I asked a RN to please help me a minute w/ a pt. She said she couldnt...she had charting to catch up on. I'm like....duh?? #RNchat TheToddRN @EllenRichter love that answer...priority? #rnchat Geek2Nurse @EllenRichter T3: the team mindset really makes a huge difference. #rnchat shegeekxdesign RT @onlinenursing: RT @Geek2Nurse: T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patient's has been worse. #rnchat rnchat Can you believe it has been an hour already? #RNChat - time to wrap up. Parting words of wisdom to your patients in twitter land? Julia1219 RT @Geek2Nurse: T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patient's has been worse. #rnchat NursingCenter @EllenRichter ouch...I remember too many interactions like that! #rnchat Wanderer_RN T3, as charge, keeping my ears open for troubles on the unit and being available to help. Keeping the team together. #RNchat FreshRN T3- As you're taking report @ start of shift & making a checklist of what needs to b done, add at least 1 task RE: holistic pt needs #RNChat nursekeith @RNchat Every patient deserves a nurse! #rnchat dorameulman #RNchat T3 Take a few minutes to listen to your patient/family. Be kind and compasionate and a team player with your peers. It rubs off :) FreshRN RT @Geek2Nurse: T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patients has been worse. #RNChat Wanderer_RN @EllenRichter T3, it's almost like you work where I do! #RNchat NursingCenter RT @nursekeith: @RNchat Every patient deserves a nurse! #rnchat redheadedchick2 RT @TheToddRN: Those who have been there as a pt know what to expect from nursing and where the areas of opportunity lie for us to be better RNs. #rnchat EllenRichter @rnchat (@onlinenursing) Absolutely terrific chat!! You did a wonderful job moderating tonight! Woo hoo! :) #RNchat TorontoEmerg @EllenRichter T3 I would so . . .unhappy with that nurse. #rnchat
- 18. TheToddRN Don't eat the big white mint! That's my creedo - if I had to have a creedo #rnchat ocdgirl2000 #rnchat T3 actually,my day as the pt was NOT that bad. it was STRESSful & scary.The staff was more about filing about doing chores than care cluckyRN KY Jelly is NOT for your toast! #rnchat EllenRichter @TorontoEmerg T3 Oh I was sickened by that nurse's comment, and believe me, I let her know it. #RNchat Julia1219 #rnchat thanks for the great convo/input/info guys!! Yay nursing Wanderer_RN YES!!! RT @TheToddRN: Don't eat the big white mint! That's my creedo - if I had to have a creedo #rnchat InfusionNurse Good job Terri. Thanks and good night to all #RNChat TheToddRN That's all the wisdom I have #rnchat onlinenursing Dear patient-I am serious about Ur health & about you - remind me to sit down for a minute & listen to what U R trying to tell me! #RNChat BraivHC Great chats tonight, I enjoyed them both. Thanks! #RNChat #hcsm redheadedchick2 Another thing that has helped me be a better nurse is being a caregiver to a parent and inlaw who was sick. #rnchat Lawcats Every patient NEEDS a nurse! RT @NursingCenter: RT @nursekeith: @RNchat Every patient deserves a nurse! #rnchat Geek2Nurse Psych unit wisdom: The difference between staff and patients is the patients get better. ;) #rnchat TheToddRN Thanks again everyone! #rnchat FreshRN @TheToddRN @CluckyRN - - LOL ;) #RNChat LuvenRN Thanks, everyone, for being here and thanks to @onlinenursing for moderating. Awesome group & discussion! #RNChat InfusionNurse LOL RT @cluckyRN: KY Jelly is NOT for your toast! #rnchat Wanderer_RN Thanks all! T'was fun. Never seems to happen on my days off. #RNchat onlinenursing RT @cluckyRN: KY Jelly is NOT for your toast! #rnchat (Baw ha ha - between you and @TheToddRN ) Barrel of laughs! EllenRichter Great chat tonight!! Please, all of the new nurses who joined us, please follow the rest of the nurses in #RNchat! We are power in #s!
- 19. ocdgirl2000 #rnchat T3 I have no patients in twitter land. they can't afford computers! cluckyRN when is the next #rnchat onlinenursing @Julia1219 So glad you came!!!! Thanks to all of you for your words of wisdome #RNChat TorontoEmerg RT @onlinenursing: RT @cluckyRN: KY Jelly is NOT for your toast! #rnchat (Baw ha ha - between you and @TheToddRN ) Barrel of laughs! Geek2Nurse @Wanderer_RN Happy day off! I'm headed back for #3 of 3 tonight. #rnchat pamsvulcan Thanks for another great chat! #RNCHAT CKRN Thanks to everyone, first time at this tweetchat, but very much enjoyed the conversation. Have a good one! #rnchat rnchat @cluckyRN - wish I knew when next #RNChat was - @PhilBaumann will keep us posted with this hashtag-he will get transcript up too. THX guys! ocdgirl2000 #rnchat much easier on me with this new laptop hehe ;-p NursingCenter @onlinenursing What a chat! Great job moderating...looking forward to the transcript to read what I missed at the start! #rnchat cluckyRN @dorameulman @EllenRichter Moving pts alone is why I am in occ health now-ruined back. #rnchat TorontoEmerg Good for blog topics :) #rnchat EllenRichter @cluckyRN Actually I'd like to do a #RNchat next week, maybe Wed in the daytime. I will check with @philbaumann to see his plans too! nurseeducator Thank-you @onlinenursning! Great job! #RNChat EllenRichter @ocdgirl2000 LOL its about time! Your dinosaur computer was killing our chats! You were never there! ;) #RNchat ocdgirl2000 #rnchat great seeing you all again, and getting used to chatting on my new "machine" philbaumann @rnchat Over a year ago, I planned getting a regular time for #RNchat - but you know what? I kinda dig the mystery. ;-) cluckyRN @EllenRichter Thx! #rnchat I work 8-5 M-F *ducking* onlinenursing @TorontoEmerg and your blog is one of the best to read - particularly poems and photos #RNChat EllenRichter @cluckyRN Awww, thats so sad to hear. So many nurses with wrecked backs :( #RNchat
- 20. ocdgirl2000 @EllenRichter #rnchat lol! I know, but now I have to get used to this new keyboard!haha! philbaumann Thank you @onlinenursing for running #RNchat! Always a gr8 job. I'll tweet out when the transcript is up! Cheers everyone! EllenRichter @cluckyRN LOL! Hey, you'll have to take your lunch to a computer for the hour of chat!! :) #RNchat Lawcats Wish i could have paid more attention but vikings packers on! RT @NurseEducator: Thank-you @onlinenursning! Great job! #RNChat cluckyRN @EllenRichter Impossible to do this on an iPhone!! #rnchat EllenRichter @cluckyRN LMAO! OK good point. I could never do a chat on my phone either! :) #RNchat cluckyRN @Lawcats @NurseEducator @onlinenursning Im watching the game too. Know Farve, but no texting! #rnchat onlinenursing @Lawcats football is a priority you know! #RNChat onlinenursing @philbaumann Mystery is good! I kind of like it, keeps me monitoring the hashtag #RNChat onlinenursing Night all! #RNChat JaeSelle @PhilBaumann mysteries always keep it interesting ;) #rnchat EllenRichter OK I'm still in my scrubs, yuck. I gotta get changed & make dinner etc then back to work in the morning! Have a good evening folks #RNchat philbaumann @JaeSelle Absolutely! :) #rnchat happikiki23 RT @InfusionNurse: LOL RT @cluckyRN: KY Jelly is NOT for your toast! #rnchat Lawcats Absolutely! RT @onlinenursing: @Lawcats football is a priority you know! #RNChat ocdgirl2000 #rnchat Nighty Night Nursey Nurses! cluckyRN Gnite y'all!!! #rnchat Nice meeting y'all! If it's wet and or sticky and it ain't yours, PUT YOUR GLOVES ON~! END CHAT RNchat for Sunday, October 24, 2010 - Moderated by @OnlineNursing Twitter.com/RNchat RNchat.org