Transcript of #RNchat - a Twitter chat for registered nurses - for Friday, April 23, 2010. Follow @RNchat on Twitter for more - http://Twitter.com/RNchat Topics: T1 Hospital Acquired Infections: What are the weak links in infection control? Do we need better marketing campaigns? #RNchat T2 Patient Empowerment: What makes patients "empowered"? How can nursing enhance/inspire empowerment? #RNchat T3 Mobile Health: What examples of mobile tech in healthcare stand out? What apps would you like to see developed? #RNchat

1. rnchat: Good morning (or evening)! - Today at 11:30a EST is #RNchat! Come join us!
4/23/2010 07:03
rnchat: Reading for one of our #RNchat topics today at 11:30 am EST on Patient Empowerment
by @HealthCentral - http://cot.ag/biDjis
4/23/2010 08:44
philbaumann: RT @rnchat: Good morning (or evening)! - Today at 11:30a EST is #RNchat! Come join
us!
4/23/2010 09:10
healthcentral: We're honored! DM if u have any Qs :) @RNchat Reading for our #RNchat today on
Patient Empowerment by @HealthCentral http://cot.ag/biDjis
4/23/2010 09:27
rnchat: Welcome to #RNchat! We'll get started soon w/our three topics. But first, introduce
yourselves!
4/23/2010 11:31
rnchat: First topic in one minute. Please prepend your responses with T1, T2, etc. Try using
http://TweetChat.com or http://TweetGrid.com #RNchat
4/23/2010 11:34
rnchat: T1 Hospital Acquired Infections: What are the weak links in infection control? Do we need
better IC marketing campaigns? #RNchat
4/23/2010 11:35
rnchat: @joyfulkira Good morning! We have three topics. Just follow along. Consider using
http://tweetchat.com #rnchat
4/23/2010 11:35
oncnurse66: Becky, Oncology nurse, mom, student. Good morning everyone #rnchat
4/23/2010 11:35
KPNurseRecruit: RT @rnchat: First topic in one minute. Please prepend your responses with T1, T2, etc.
Try using http://TweetChat.com or http://TweetGrid.com #RNchat
4/23/2010 11:35
oncnurse66: T1- In my opinion, pt visitors play a big part in the spread of infection. need better
education when visiting isolation pts #rnchat
4/23/2010 11:38
KPNurseRecruit: Greetings #RNChat! I'm a nurse recruiter with Kaiser Permanente in California.
4/23/2010 11:38
nursingpins: sorry -late. Vernon, critical care in New Orleans #RNchat
4/23/2010 11:41
nursingpins: T1 The # in each hospital responsible for the spread of infection is small - each hosp.
need to be more aggressive #RNchat
4/23/2010 11:44
nursingpins: RT @oncnurse66: T1- In my opinion, pt visitors play a big part in the spread of infection.
need better education when visiting isolation pts #rnchat
4/23/2010 11:45
oncnurse66: onc floor has low rate of HAI rt immune compromised pts. But one c-diff always turns into

2. more rt the number of visitors in/out #rnchat
4/23/2010 11:48
oncnurse66: t1 hosp gives pt brochure telling pt to watch and to tell doc/nurse to wash their hands
makes me mad insinuates that we dont #rnchat
4/23/2010 11:51
KPNurseRecruit: Infection Control is an on-going education opportunity. Here's a vid from CDC:
http://www.cdc.gov/CDCTV/HandsTogether/ #RNChat T1
4/23/2010 11:52
rnchat: Next topic coming up in 2 minutes. #RNchat
4/23/2010 11:53
rnchat: T2 Patient Empowerment: What makes patients "empowered"? How can nursing
enhance/inspire patient empowerment? #RNchat
4/23/2010 11:55
DonnaPetko: Hi everyone, sorry late. First time to chat --Donna, case manager home health, student.
#RNchat
4/23/2010 11:55
nursingpins: T2 Inform is the key to emprt -being able to say "Y/N" is the last thing we loose-and the
most many have until informed #RNchat
4/23/2010 11:57
oncnurse66: T2 nurses can empower through teaching/ example, pts need to understand what meds
they are taking and why #rnchat
4/23/2010 12:00
KPNurseRecruit: RT @rnchat: T2 Patient Empowerment: What makes patients "empowered"? How can
nursing enhance/inspire patient empowerment? #RNchat
4/23/2010 12:00
DonnaPetko: RT @nursingpins: T2 Inform is the key to emprt --agree, informing pts allows them to
make their own choices which empowers them. #RNchat
4/23/2010 12:01
nursingpins: Empowerment is very imp. for pts..but still down the list. We need to be more concerned
re: getting them in and out w/o killing them #RNchat
4/23/2010 12:02
nursingpins: It is hard to focus on pt. emp when over 40% of new grads can't use national patient
safety resources http://tinyurl.com/yhzugd7 #RNchat
4/23/2010 12:03
KPNurseRecruit: I've seen nurses do knowledge exchange (give report) right with the pt which seems to
encourage dialogue and empowerment. #RNChat T2
4/23/2010 12:03
MeredithGould: RT @nursingpins: Empowerment is very imp. for pts..but we need to be more concerned
re: getting them in and out w/o killing them #RNchat
4/23/2010 12:03
nursingpins: Pts. must be informed before they get to the hosps - unfortunately nurses do not have
time for the Must be done already #RNchat
4/23/2010 12:07

3. philbaumann: RT @nursingpins: Empowerment is very imp. for pts..but still down the list. We need to be
more concerned re: getting them in and out w/o killing them #RNchat
4/23/2010 12:08
nursingpins: For (Most) pts.- being able to get help, see a nurse, fresh water,the right meds and a few
kind words will be empowering enough #RNchat
4/23/2010 12:09
oncnurse66: RT @nursingpins: Pts. must be informed before they get to the hosps - unfortunately
nurses do not have time #rnchat
4/23/2010 12:10
DonnaPetko: Giving pts the tools they need to manage their situation, allowing them to make choices
and some control all very empowering #RNchat
4/23/2010 12:12
rnchat: Next topic in coming up! (NOTE - we'll probably go a few minutes over.) #RNchat
4/23/2010 12:13
nursingpins: RT @DonnaPetko: Giving pts the tools they need to manage their situation, allowing them
to make choices and some control all very empowering #RNchat
4/23/2010 12:13
nursingpins: T2 We can do our part to empower pts - but until more nurses hired, I don't see nurses
being a factor in the hosp. (time) #RNchat
4/23/2010 12:13
KPNurseRecruit: RT @DonnaPetko: Giving pts the tools they need to manage their situation, allowing them
to make choices and some control all very empowering #RNchat
4/23/2010 12:13
nursingpins: We need to be working on empowering nurses - as it is, we have little more than (Yes) -
(N0) options. #RNchat
4/23/2010 12:15
rnchat: T3 Mobile Health: What examples of mobile tech in healthcare stand out? What apps
would you like to see developed? #RNchat
4/23/2010 12:15
Nerdnurse: RT @nursingpins: We need to be working on empowering nurses - as it is, we have little
more than (Yes) - (N0) options. #RNchat
4/23/2010 12:15
oncnurse66: @nursingpins You are SO right #rnchat
4/23/2010 12:16
KPNurseRecruit: @nursingpins what are the nurse ratios in your state? #RNChat T2 Healthy ratios can
make a big diff in nurse & pt empowerment (and outcomes)
4/23/2010 12:17
DonnaPetko: Agreed: RT @nursingpins: We need to be working on empowering nurses - as it is, we
have little more than (Yes) - (N0) options. #RNchat
4/23/2010 12:17
karenfranklinj: RT @nursingpins: We need to be working on empowering nurses - as it is, we have little
more than (Yes) - (N0) options. #RNchat
4/23/2010 12:19

4. jm_healy: @nursingpins #RNChat i agree. it is simply not safe or efficient. that's one reason i like
#intensivecare.
4/23/2010 12:20
nursingpins: @KPNurseRecruit no set # -ICU usually 2:1 MS anywhere from 8-14 pacute 4 to 6:1 at
the mercy of the hosps - many worse - some better #RNchat
4/23/2010 12:20
oncnurse66: T2 wish that staffing was based on acuity not numbers/pt care suffers #rnchat
4/23/2010 12:21
DonnaPetko: RT @oncnurse66: T2 wish that staffing was based on acuity not numbers/pt care suffers
#RNchat
4/23/2010 12:22
nursingpins: @oncnurse66 The hosps manip the #'s - will never have true acuity as long as the hosps.
are in charge of the #'s #RNchat
4/23/2010 12:23
oncnurse66: had 6 last week w/ four who needed to be ICU I left feeling like a bad nurse #rnchat
4/23/2010 12:23
joyfulkira: @nursingpins RT I agree..empowerment through education and advocacy #RNchat
4/23/2010 12:26
nursingpins: Needs to be based on true acuity - but true acuity does not exist in Most hosps. - based
on #'s is the best we can ask for now #RNchat
4/23/2010 12:26
nursingpins: RT @joyfulkira: @nursingpins RT I agree..empowerment through education and advocacy
#RNchat
4/23/2010 12:27
nursingpins: The nursing profession will not expand as long as hospitals are in control of nurse pract. -
NP's are our hope for getting us out #RNchat
4/23/2010 12:30
oncnurse66: @nursingpins and the hosp wonders why they have prob with nurse retention #rnchat
4/23/2010 12:31
KPNurseRecruit: Systems like *grasp* help with staffing with eye to acuity, yes? I know CA ratios are diff...
#RNChat T2
4/23/2010 12:31
oncnurse66: @KPNurseRecruit what are CA ratios? #rnchat
4/23/2010 12:32
nursingpins: @oncnurse66 Right - and MANY will be leaving the hospitals (as emps) ASAP #RNchat
4/23/2010 12:32
KPNurseRecruit: One of the hospitals in my area just ordered 100 ipads. I want to schedule a meeting with
my colleagues there to find out more #RNChat T3
4/23/2010 12:33
rnchat: OK, we'll be wrapping up in a moment! #RNchat
4/23/2010 12:35

5. rnchat: Before we leave - any last moment thoughts? #RNchat
4/23/2010 12:36
KPNurseRecruit: @oncnurse66 This recent article has an overview of CA Nurse ratios: http://bit.ly/aikmJp
#RNChat
4/23/2010 12:36
nursingpins: Be sure to clamp the drainage tube on the Foley's when you empty them :) #RNchat
#GONURSES #RNchat
4/23/2010 12:38
KPNurseRecruit: Thanks for hosting Phil. I appreciate the learning from all who attended. #RNChat I'm off
to a Daisy Reward & Recog mtg now for RNs
4/23/2010 12:39
rnchat: THANK YOU everybody for participating in today's #RNchat. Fan (or Like?) us on
Facebook: http://Facebook.com/RNchat - Transcript up soon!
4/23/2010 12:40
nursingpins: Thanks Phil & all here #RNchat
4/23/2010 12:41
DonnaPetko: Thanks Phil and RNchat. Enjoyed it! Have a GREAT weekend everyone! :-) #RNchat
4/23/2010 12:41
rnchat: @KPNurseRecruit You're welcome - my pleasure! Thank you for your contributions!
#rnchat
4/23/2010 12:45
CranioArt: RT @nursingpins: We need to be working on empowering nurses - as it is, we have little
more than (Yes) - (N0) options. #RNchat
4/23/2010 12:48
napernurse: RT @DonnaPetko: Giving pts the tools they need to manage their situation, allowing them
to make choices and some control all very empowering #RNchat
4/23/2010 13:44
napernurse: RT @nursingpins: It is hard to focus on pt. emp when over 40% of new grads can't use
national patient safety resources http://tinyurl.com/yhzugd7 #RNchat
4/23/2010 13:46