RNchat Transcript November 11, 2009

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Transcript of #RNchat November 11, 2009. RNchat is a Twitter chat for registered nurses.

Topics:
T1 Mentoring: What are the most effective mentoring techniques. What fails? What works?

T2 Behavior Reinforcement in Hand Hygiene: Should positive/negative reinforcement be more ubiquitous? See http://bit.ly/1Fipcc

T3 What improvements/innovations would make medication prescribing/admin safer? Biggest risks currenty observed?

Follow @RNchat - http://Twitter.com/RNchat
Blog: http://RNchat.org

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RNchat Transcript November 11, 2009

  1. 1. rnchat: Curious about #RNchat & Twitter chats in general? A brief introduction - http://bit.ly/45p5ZF 11/11/2009 11:01 rnchat: Welcome to #RNchat! Let's get started with introductions. Tell us a bit about yourself. 11/11/2009 11:30 RoRod101: Hello fellow Nurses, I am a RN, NP, Educator & forever student. Glad to be here, the #bestfeeling is to be in good company. #RNchat 11/11/2009 11:31 EllenRichter: Hello there!! OMG I almost lost track of time!! :) Ellen here, Critical Care RN & Legal Nurse Consultant from S. Florida #RNchat 11/11/2009 11:31 lorryschoenly: Hi, All: I'm a correctional nursing educator and advocator from the Phila area #RNChat 11/11/2009 11:31 joniwatson: Joni Watson, onc nurse & director of the Nurse Oncology Education Program, providing CNE. #RNchat 11/11/2009 11:32 philbaumann: Feel free to stop by or stalk #RNchat going on now. 11/11/2009 11:33 AbbieCitron: Morning RN friends, I'm a legal nurse from Los Angeles, looking forward to following along with the chat. #RNChat 11/11/2009 11:33 ocdgirl2000: #rnchat Lynne Siegel R.N. Montgomery County Md.Comm Health II Behavioral Health Crisis Services Outpt Addiction, MAT, methadone TX. 11/11/2009 11:33 EllenRichter: @philbaumann @ocdgirl2000 (thanks for reminder) @abbiecitron @rorod101 @lorryschoenly @joniwatson welcome! :) #RNchat 11/11/2009 11:33 seejanenurse: Hi. RN from the north east, spinning on telemetry. Will try to follow. #RNchat 11/11/2009 11:34 InfusionNurse: morning all! infusion nurse and nurse educator.. #rnchat 11/11/2009 11:35 EllenRichter: Hey there @seejanenurse lets try to slow you down a while! :) welcome #RNchat 11/11/2009 11:35 bhawkesRN: Hi everyone! Beth here from the west. Staff Development #RNchat 11/11/2009 11:35 rnchat: We'll get started in one moment. Reminder: please prepend your responses with the Topic number (T1, T2, T3, etc) to give some order. #RNchat 11/11/2009 11:36 ocdgirl2000: @RNchat #rnchat lucky! I didn't get a re-tweet button :-( 11/11/2009 11:36 rnchat: T1 Mentoring: What are the most effective mentoring techniques you've used? What fails? What works? #RNchat 11/11/2009 11:37
  2. 2. NursingCenter: #rnchat Lisa Bonsall here - background in critical care and women's health. Now working from home in publishing 11/11/2009 11:37 nursebabs65: @bhawkesRN Hi Beth, what are we chattin 'bout/? #RNchat 11/11/2009 11:38 EllenRichter: T1 The best way for an adult to learn is by actually "doing"...a good mentor shows and then watches & critiques with kindness :) #RNchat 11/11/2009 11:39 joniwatson: T1 I usually do a lot of 1-on-1 face to face, email, etc. (& not just abt nursing but life in general) #RNChat 11/11/2009 11:39 bhawkesRN: Hi @nursebabs65! mentoring is the topic #RNchat 11/11/2009 11:39 ocdgirl2000: #rnchat T1 important to have personality fit for both. If this is not done, it will not work. 11/11/2009 11:40 bhawkesRN: T1 We have our new nsg residents pick mentors. We also have mentor circles for professional development #RNchat 11/11/2009 11:40 EllenRichter: Hi there @infusionnurse @bhawkesRN @nursingcenter & @nursebabs65 ~Welcome #RNchat 11/11/2009 11:40 lorryschoenly: T1 I think a successful mentorship starts with making the right match #RNChat 11/11/2009 11:40 NursingCenter: #RNchat T1 depends on the learner, but I've always liked the see one, do one approach when it comes to procedures 11/11/2009 11:41 LuvenRN: Hello to #RNChat participants! I'm a grant coord, for 5 nursing programs/Lft coast of CA and a student again myself (going 4 MSN). #rnchat 11/11/2009 11:41 InfusionNurse: T1 Buddy system..working one one one with the mentee. #rnchat 11/11/2009 11:41 EllenRichter: @ocdgirl2000 T1 I agree about matching personalities, but a REALLY good mentor can adapt to many different types of learners :) #RNchat 11/11/2009 11:41 NursingCenter: @lorryschoenly #RNchat T1 Yes - the right match is a must! 11/11/2009 11:42 EllenRichter: Excellent!! RT @bhawkesRN T1 We have new nsg residents pick mentors We also have mentor circles for professional development #RNchat 11/11/2009 11:42 RoRod101: T1 I think the most important qualification is to have a mentor who wants to be mentor. #RNchat 11/11/2009 11:42 lorryschoenly: T1 Coud we define what we mean by mentor? Some use as a synonym for preceptor in
  3. 3. orientation. #RNChat 11/11/2009 11:43 ocdgirl2000: @EllenRichter #rnchat exactly even if it is something you've never done, have no experience with, the personality will be the magnet! 11/11/2009 11:43 EllenRichter: Absolutely! RT @RoRod101: T1 I think the most important qualification is to have a mentor who wants to be mentor. #RNchat 11/11/2009 11:44 AbbieCitron: & patience RT @RoRod101: T1 I think the most important qualification is to have a mentor who wants to be mentor #RNChat 11/11/2009 11:44 EllenRichter: @lorryschoenly T1 A mentor can also be someone you look up to & learn from, not nec during "orientation" process...ongoing too :) #RNchat 11/11/2009 11:45 joniwatson: T1 some of my best mentoring (giving & receiving) occurred spontaneously. I love it when nurses give back and causes me to do so, 2 #rnchat 11/11/2009 11:45 rnchat: @lorryschoenly Very good question! We can discuss preceptorship in orientation but general mentoring is covered here too. #RNchat 11/11/2009 11:46 EllenRichter: T1 Mentor = patient, kind, understanding, experienced, approachable, & knowledgeable in adult education process #RNchat 11/11/2009 11:47 lorryschoenly: T1 @EllenRichter - Exactly. I think a mentor is someone who inspires you to be the best you can be in your chosen field. #RNChat 11/11/2009 11:48 rnchat: As a follow-up to T1 - what would you say are 3 key ingredients to successful mentoring? #RNchat 11/11/2009 11:48 ocdgirl2000: #rnchat T1 hate 2 say this but had 1 preceptor that didn't like my ethnicity, nasty in attitude, made my experience miserable :-( (yrs ago) 11/11/2009 11:48 EllenRichter: T1 Some of my fondest memories of my mentors are those who integrated humor into the learning process..that really helped! #RNchat 11/11/2009 11:48 lorryschoenly: T1 - key ingredients to mentorship: Commitment, Motivation, Role-modeling #RNChat 11/11/2009 11:49 rnchat: Shoulder tap: Next topic coming up in about 2 minutes. #RNchat 11/11/2009 11:49 RoRod101: RT @lorryschoenly: T1 - key ingredients to mentorship: Commitment, Motivation, Role- modeling #RNchat 11/11/2009 11:50 EllenRichter: T1 And yes, a lousy mentor can devastate a person's learning experience. Years on the job does not always equate mentor capability #RNchat 11/11/2009 11:50
  4. 4. joniwatson: T1 time, patience, open sharing of knowledge & experience #rnchat 11/11/2009 11:50 AbbieCitron: Humor always good! RT @EllenRichter: T1 Some of my fondest memories of my mentors are those who integrated humor #RNChat 11/11/2009 11:50 EllenRichter: Absolutely!! RT @lorryschoenly: T1 - key ingredients to mentorship: Commitment, Motivation, Role-modeling #RNchat 11/11/2009 11:50 InfusionNurse: agree..don't eat the young ones..instead mentor themRT @lorryschoenly: T1 - key ingredients: Commitment, Motivation, Role-modeling #rnchat 11/11/2009 11:51 EllenRichter: T1 I think this chat has a perfect handle on what a mentor is! We can add to wikipedia today! :) #RNchat 11/11/2009 11:51 EllenRichter: Agree! RT @NursingCenter: T1 I think one key ingredient is that the mentor has to be open to learning too! #RNchat 11/11/2009 11:52 rnchat: T2 Behavior Reinforcement in Hand Hygiene: Should positive/negative reinforcement be utilized more? (See http://bit.ly/1Fipcc ) #RNchat 11/11/2009 11:52 LuvenRN: "Yrs of experience does not equate 2 gd mentoring" - HC organizations can help by offering mentoring/preceptor courses 4 nrsg staff. #rnchat 11/11/2009 11:52 bhawkesRN: T1 All around pat on the back for us!!!! #RNchat 11/11/2009 11:52 AbbieCitron: RT @LuvenRN: "Yrs of experience does not equate 2 gd mentoring" - HC orgs can help by offering mentoring/prec courses 4 nrsg staff. #RNChat 11/11/2009 11:53 bhawkesRN: T2 Both. Accountability is important- fair blame. Acknowledging good behavior is important. #RNchat 11/11/2009 11:53 RoRod101: RT @bhawkesRN: T1 All around pat on the back for us!!!! #RNchat 11/11/2009 11:53 LuvenRN: T2 Heard that the video monitoring at Cleveland Clinic wrks well 4 ensuring gd hand hygiene - may be neg reinforcement but it wrks! #rnchat 11/11/2009 11:54 ocdgirl2000: #rnchat T1 even courses, experience and yrs aren't enough. there has to be a congruence in attitude that comes from the heart 11/11/2009 11:55 rnchat: RT @bhawkesRN: T1 All around pat on the back for us!!!! #RNchat 11/11/2009 11:55 lorryschoenly: T2 - I think handwashing is all about constant awareness vs more education. We need process improvement here #RNChat 11/11/2009 11:55
  5. 5. EllenRichter: T2 Handwashing is the problem of the day! Most places have tried all ways to enforce proper handwashing & neither way works 100% #RNchat 11/11/2009 11:56 joniwatson: I think "whatever works." I mean, really! How long have we known hand washing as an evidence-based practice?? #rnchat 11/11/2009 11:56 EllenRichter: T2 Handwashing studies show great compliance @ the start of a shift with a steady decline over the 12 hours :( #RNchat 11/11/2009 11:57 bhawkesRN: T2 Conscious awareness: Not handwashing has to become the new not wearing seat belts. #RNchat 11/11/2009 11:57 LuvenRN: T2 The video system RE: hand hygiene compliance provides the means 4 accountability, motivation, competition, reward. Pays 4 itself. #rnchat 11/11/2009 11:58 RoRod101: RT @bhawkesRN: T2 Conscious awareness: Not handwashing has to become the new not wearing seat belts. #RNchat 11/11/2009 11:58 InfusionNurse: T2 people tend to slack off on good handwashing..need to constant reminders #rnchat 11/11/2009 11:58 joniwatson: Can't find reference, but recently read about facility using patients to monitor hcp hand washing. I do it when I'm the patient. #rnchat 11/11/2009 11:59 EllenRichter: T2 We need bright colored temporary antibacterial skin dye 2 show that every 1 is using it! If your hands arent blue~you didnt wash #RNchat 11/11/2009 11:59 NursingCenter: RT @bhawkesRN: T2 Conscious awareness: Not handwashing has to become the new not wearing seat belts. #RNchat 11/11/2009 11:59 bhawkesRN: T2 @ellenrichter we all have the best of intentions in the morning!! lol #RNchat 11/11/2009 11:59 EllenRichter: @bhawkesRN T2 good analogy to the seatbelt!! :) #RNchat 11/11/2009 12:00 lorryschoenly: T2 Truthfully nurses need lizard skin to keep up with handwashing and not have their own skin breakdown issues #RNChat 11/11/2009 12:00 EllenRichter: T2 Using the patient as a tattletale is a great idea!! But what if they are unconscious or confused? ;) #RNchat 11/11/2009 12:00 bhawkesRN: @nursebabs65 T1 is first topic; T2 is second topic (handwashing) so preface ur remarks. I love using Tweetchat, it helps me follow #RNchat 11/11/2009 12:01 joniwatson: LOL! RT @EllenRichter: T2 Using the patient as a tattletale is a great idea!! But what if they are unconscious or confused? ;) #RNchat
  6. 6. 11/11/2009 12:01 rnchat: As follow-up to T1 - besides dopery as an explanation for poor hand-washing practices, what else do u suppose explains it? #RNchat 11/11/2009 12:01 EllenRichter: T2 At a few places I worked, the Infection Control Dept used RN staff to spy on RNs, MDs, NAs & report who wasnt washing correctly #RNchat 11/11/2009 12:02 bhawkesRN: T2 Technology! A device has been invented to scan hands in the pt room! #RNchat 11/11/2009 12:02 ocdgirl2000: #rnchat #T2 ...time, lack of supply nearby. 11/11/2009 12:03 joniwatson: T2 there is *no* good explanation for poor hand washing. #rnchat 11/11/2009 12:03 EllenRichter: T2 If every health care worker was required to touch their face or mouth after leaving a patient room, more might wash! #RNchat 11/11/2009 12:04 grimalkinrn: @rnchat #rnchat As a shift goes on, we become too harried and stressed, and simple things like handwashing (and restroom) take too long. 11/11/2009 12:04 EllenRichter: That is the CORRECT answer! RT @joniwatson: T2 there is *no* good explanation for poor hand washing. #RNchat 11/11/2009 12:04 LuvenRN: T2 I would think the antibacterial gel and foam dispensers on the walls of pt rooms & in hallways would help with supply problems? #rnchat 11/11/2009 12:04 ocdgirl2000: #rnchat T2 I know I freak out when we run out of paper towels and soap and the maids haven't come to replace!I end up bringing my own! 11/11/2009 12:04 joniwatson: T2 we have running water & sinks in every room. Nurses in developing countries scoff at our excuses. #rnchat 11/11/2009 12:05 bhawkesRN: T2 Every day one of us should tweet: Wash ur hands!! #RNchat 11/11/2009 12:05 InfusionNurse: agree...but it still happens..RT @joniwatson: T2 there is *no* good explanation for poor hand washing. #rnchat 11/11/2009 12:06 EllenRichter: T2 Even using gloves ritually gets poor compliance. You can tell when people are rushing or tired--infection control heads south #RNchat 11/11/2009 12:06 rnchat: RT @joniwatson: T2 there is *no* good explanation for poor hand washing. #rnchat 11/11/2009 12:06 NursingCenter: @bhawkesRN and we'll all retweet it! I like it! #rnchat 11/11/2009 12:07
  7. 7. rnchat: T2 - So what examples/models have you seen that have impressed you? Facilities, policies, etc. #RNchat 11/11/2009 12:08 NursingCenter: @EllenRichter Now there's a thought...I think you are on to something! #rnchat 11/11/2009 12:08 EllenRichter: T2 Its maddening when RNs & therapists are gowned & gloved in a room, sweating, working & another HC professional just walks in! #RNchat 11/11/2009 12:08 ocdgirl2000: #rnchat T2 true, there is no good reason! tell our county gov to get a better maid contract 2 deliver supplies on time!LOL!meanwhile I bring 11/11/2009 12:09 EllenRichter: T2 Its maddening when RNs & therapists R gownd & gloved in a room, sweating, working & another HC professional just walks in without #RNchat 11/11/2009 12:09 grimalkinrn: #rnchat Would like if facilities w/shared rooms had sanitizer and gloves be next to each bed, so staff doesn't have to walk away from pt. 11/11/2009 12:10 bhawkesRN: T2 I understand at Johns Hopkins ICU all folks promtpt each other non judgementally to wash hands #RNchat 11/11/2009 12:10 rnchat: Bad handwashing is the clinical equivalent of Super Evil Retweets. :) #RNchat 11/11/2009 12:11 EllenRichter: T2 More facilities are putting up hand sanitizers all over the halls & in rooms & in high traffic areas to encourage easy use #RNchat 11/11/2009 12:11 NursingCenter: @rnchat handwashing stations both inside and outside the patient rooms, esp isolation rooms #RNchat 11/11/2009 12:11 SusanNiemeierRN: T2 I've collaborated with architects to redesign location of sink & study effectivenss. $$ soln but highly impactful. #rnchat 11/11/2009 12:11 joniwatson: @EllenRichter agree! I've told others to leave and gown and glove and used it as an educ opp for pt and fam. #rnchat 11/11/2009 12:12 rnchat: OK - final topic coming up in a moment. Awesome discussion, friends! #RNchat 11/11/2009 12:12 RoRod101: RT @NursingCenter: handwashing stations both inside and outside the patient rooms, esp isolation rooms #RNchat 11/11/2009 12:13 EllenRichter: T2 I wish I had the pleasure of working in a facility like Johns Hopkins! #RNchat 11/11/2009 12:14 bhawkesRN: T@ Lets all take a moment to hold hands and recommit to handwashing #rnchat 11/11/2009 12:14 lorryschoenly: Agree! RT @RoRod101 @NursingCenter: handwashing stations both inside and outside
  8. 8. the patient rooms, esp isolation rooms #RNChat 11/11/2009 12:15 ocdgirl2000: @SusanNiemeierRN #rnchat T2 only in private health care will U see an RN participating in the function of saving effective work environment! 11/11/2009 12:15 grimalkinrn: @bhawkesRN and after holding hands, let us wash our hands again! #rnchat 11/11/2009 12:15 rnchat: T3 What improvements/innovations would make medication prescribing/admin safer? Biggest risks currently observed? #RNchat 11/11/2009 12:16 bhawkesRN: @nursebabs65 that didn't get posted becuz ur #RNchat had an * attached..? 11/11/2009 12:16 EllenRichter: T2 Actually speaking of handwashing, we really need to rethink how we approach computer keyboards in hospital nurses stations! BUGS #RNchat 11/11/2009 12:16 InfusionNurse: only after u all washed your hands..LOL RT @bhawkesRN: T@ Lets all take a moment to hold hands and recommit to handwashing #rnchat 11/11/2009 12:16 EllenRichter: LMAO! RT @grimalkinrn: @bhawkesRN and after holding hands, let us wash our hands again! #RNchat 11/11/2009 12:17 EllenRichter: T3 Wow, @philbaumann you are bringing up all hot topics!! Med errors & handwashing are =ly challenging issues! #RNchat 11/11/2009 12:18 grimalkinrn: @EllenRichter T2 #rnchat If you have been typing, your hands are dirty. Wash before and after charting, like anything else. 11/11/2009 12:19 joniwatson: @SusanNiemeierRN T2 respectfully disagree. It's our obligation as nurses to impact the work environment. #rnchat 11/11/2009 12:19 LuvenRN: T2 Education + peer support + baby steps w/ rewards --> mini culture-within-a-culture- change. #rnchat 11/11/2009 12:19 NursingCenter: T3 minimize distractions during med prep and admin...kind of a "no interruptions" zone.... #rnchat 11/11/2009 12:20 ocdgirl2000: #rnchat T3 that seems like any easy one 4 me? I only dispense one med, occasionally another one.. we use a computerized pump.Doc puts order! 11/11/2009 12:20 bhawkesRN: T3 For starters.....everyone follow @SafetyNurse ! Seriously #rnchat 11/11/2009 12:20 AbbieCitron: @EllenRichter LOL! med errors, how appropriate p what we just finished working on. #RNChat 11/11/2009 12:21
  9. 9. LuvenRN: I like this! RT @joniwatson It's our obligation as nurses to impact the work environment. #rnchat 11/11/2009 12:21 RoRod101: RT @bhawkesRN: T3 For starters.....everyone follow @SafetyNurse ! Seriously #RNchat 11/11/2009 12:21 EllenRichter: T3 Too many cooks spoil the broth = medication errors. I think prescribers need a direct route to pharmacy w/ no middlemen #RNchat 11/11/2009 12:21 tully3000: Lurking and agreeing: RT @bhawkesRN: T3 For starters.....everyone follow @SafetyNurse ! Seriously #rnchat 11/11/2009 12:22 joniwatson: T3 IMHO, leur-lock connections the same on every tubing is one of the biggest med admin risks. #rnchat 11/11/2009 12:22 InfusionNurse: T3 Lots of initiatives/mandates on preventing med errors.."human" factor still a big role. #rnchat 11/11/2009 12:22 NursingCenter: RT @bhawkesRN: T3 For starters.....everyone follow @SafetyNurse ! Seriously #rnchat 11/11/2009 12:22 grimalkinrn: @rnchat T3 #rnchat Med rooms must remain a quiet space and nurses not be when interrupted preparing meds. Distractions = Mistakes. 11/11/2009 12:22 AbbieCitron: T3, med errors, pharmacy checks, physician checks and RN checks on appropriate dosages for given weights #RNChat 11/11/2009 12:22 AbbieCitron: RT @RoRod101: RT @bhawkesRN: T3 For starters.....everyone follow @SafetyNurse ! Seriously #RNChat 11/11/2009 12:23 bhawkesRN: T3 CPOE #rnchat 11/11/2009 12:24 philbaumann: RT @bhawkesRN: T3 For starters.....everyone follow @SafetyNurse ! Seriously #rnchat 11/11/2009 12:24 grimalkinrn: @joniwatson #rnchat When using tubing that has high risk fluid (heparin, TPN, etc), I wrap the luer locks in red tape. 11/11/2009 12:24 EllenRichter: T3 Even in automated systems, people who refill the dispenser can make mistakes & fill wrong bins with wrong doses or drugs #RNchat 11/11/2009 12:24 ocdgirl2000: #rnchat T3 well yeah,we do need no distractions. I'm not allowed 2 answer the phone during dosing hours.patients have 2 deal with it.oh well 11/11/2009 12:24 AbbieCitron: T3 Where is @safetynurse? We miss you! #RNChat 11/11/2009 12:25 InfusionNurse: T3 Stop drug makers from using similar drug names and packaging.. #rnchat
  10. 10. 11/11/2009 12:26 EllenRichter: T3 There was just a recent article about distractions causing med errors...anyone have that link? It was excellent! #RNchat 11/11/2009 12:26 AbbieCitron: Good Point RT @InfusionNurse: T3 Stop drug makers from using similar drug names and packaging.. #RNChat 11/11/2009 12:26 nursebabs65: @bhawkesRN Will do/have done..thanks!! #rnchat 11/11/2009 12:27 EllenRichter: T3 There really should be only ONE name for every drug...not a million different brand names!! That gets so confusing! #RNchat 11/11/2009 12:27 EllenRichter: Yes!! RT @AbbieCitron Good Point RT @InfusionNurse T3 Stop drug makers from using similar drug names and packaging. #RNchat 11/11/2009 12:28 ocdgirl2000: @EllenRichter #rnchat yep. U got that right. can choose wrong inventory bottle # of methadone when rushing click and choose bottle from safe 11/11/2009 12:28 NursingCenter: @EllenRichter I remember reading this too! Gonna have a look around :) #rnchat 11/11/2009 12:29 rnchat: @EllenRichter T3 Was it this: Rx for Success: Don't Bother Nurses - http://bit.ly/2PK4UU #RNchat 11/11/2009 12:29 grimalkinrn: @EllenRichter t3 #rnchat http://bit.ly/44wz1b Reducing med errors by reducing distraction. 11/11/2009 12:30 EllenRichter: T3 A fe mos ago I had a pt on Clopidogrel~he called it Plavix~he didnt know we were giving it to him so he took his own Plavix too! #RNchat 11/11/2009 12:30 InfusionNurse: T3 speaking of drugs, did you all see the changes in heparin amount? http://tinyurl.com/ybyukdk #rnchat 11/11/2009 12:30 rnchat: Wow Wow Wee Wah! An hour's just about up! Feel free to keep going. I'll tweet some info about the chat in a moment. #RNchat 11/11/2009 12:30 EllenRichter: Great! RT @rnchat @EllenRichter T3 Was it this Rx for Success: Don't Bother Nurses - http://bit.ly/2PK4UUt #RNchat 11/11/2009 12:31 joniwatson: T3 review and enhance multiple hospital systems to strengthen med admin process throughout. #rnchat 11/11/2009 12:31 EllenRichter: Another good one! Thanx! RT @grimalkinrn @EllenRichter T3 http://bit.ly/44wz1b Reducing med errors by reducing distraction. #RNchat 11/11/2009 12:32 NursingCenter: @EllenRichter Yikes! #rnchat
  11. 11. 11/11/2009 12:32 AbbieCitron: T3An End to Interruptions: Nurses Preventing Medication Errors http://tinyurl.com/ydcorjk Via AJN #RNChat 11/11/2009 12:33 joniwatson: It's been a pleasure talking with you, Colleagues! Have a great day, & don't forget to wash your hands. ;) #rnchat 11/11/2009 12:33 ocdgirl2000: @EllenRichter #rnchat T3 68 huge identlcal quart sized white bottles, tiny numbers on bottom, numbers in computer. 11/11/2009 12:33 rnchat: THANK YOU Everybody! It's so cool to watch this chats: the ideas gather & fly and shift like a flock of birds. #RNchat 11/11/2009 12:33 RoRod101: It was great chatting with fellow nurses. Thank you @rnchat for hosting! #Rnchat 11/11/2009 12:33 NursingCenter: @EllenRichter Threading Needles in the Dark: The Effect of the Physical Work Environment on Nursing Practice http://bit.ly/xCv7x #rnchat 11/11/2009 12:33 EllenRichter: T3 I honestly think it wasnt such a bad idea back in the '70s when we had a dedicated "medication nurse" who had ONLY that one role #RNchat 11/11/2009 12:34 AbbieCitron: Thanks everyone for another great chat! And thanks Phil for making it happen! #RNChat 11/11/2009 12:35 NursingCenter: @rnchat Thank you! It's been fun ~ glad to have finally made it here! Have a good day everyone! #rnchat 11/11/2009 12:35 InfusionNurse: Thanks everyone. Have a great rest of the day! Thanks @philbaumann #rnchat 11/11/2009 12:35 rnchat: Transcript of today's #RNchat up soon. (I'll link to it, but if you go to http://rnchat.org & click Transcripts at top it'll be there). 11/11/2009 12:35 LuvenRN: Thank u for a gr8 RNChat this morning. Good info shared all around. Valuable time spent! :) #rnchat 11/11/2009 12:36 rnchat: Next #RNchat is Tuesday 11/17 11:30a EST (16:30 UTC). Cheers! 11/11/2009 12:36 grimalkinrn: Really enjoyed my first #RNchat!! Lovely to see so many ideas!! 11/11/2009 12:36 ocdgirl2000: @rnchat #rnchat T1 T2 T3 all excellent stimulating topics! had blast as usual! Love love love being with you all! thank goodness!thank you! 11/11/2009 12:36 EllenRichter: Yet another great article! Thanks! RT @NursingCenter Threading Needles in the Dark http://bit.ly/xCv7x #RNchat 11/11/2009 12:36
  12. 12. EllenRichter: Excellent group chat! Thanks to @philbaumann & to everyone who took an hour out of their busy day to come & share!! Gotta love RNs! #RNchat 11/11/2009 12:37 lorryschoenly: Enjoyed today's chat. Looking forward to next week's #RNChat 11/11/2009 12:37 EllenRichter: While we have a group of nurses together, let me just say that anyone who gets a Google wave account, please come look for us there! #RNchat 11/11/2009 12:38

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