rnchat:          One hour until #RNchat 12:00pm. No last-minute overtime requests. No pulls. No lifting.
                 ...
rnchat:          We got some awesome peeps here today! #RNchat
                 10/6/2009 12:09


NUR3563:         T1: Int...
JennyBizRN:     lateral violence I thing is topic. As in dreading report as that one RN will interogate you for
          ...
caring people you know. LOL! #RNchat
                  10/6/2009 12:21


KTetreauRnClnc:   I'm searching for #rnchat live ...
pixelrn:          @bhawkesRN Mostly in MICU and PACU. #RNChat
                  10/6/2009 12:26


RoRod101:         @onlin...
newsomz:         @pixelrn Thanks for the tips! #RNChat
                 10/6/2009 12:31


SafetyNurse:     hacked off- kee...
RoRod101:         RT @JennyBizRN T2 enuf incentive to keep stable, good Infection Control educators to
                  s...
next room #rnchat
                  10/6/2009 12:40


rnchat:           T2 Follow-up: Could IC be better "marketed"? eg: b...
mkopp1:         T2-b placement is huge! The more visible the better & people will ask if someone is in
                iso...
10/6/2009 12:47


AbbieCitron:    True and time factor as well, always rushed RT @SafetyNurse: @michele7962
              ...
ocdgirl2000:    @michele7962 "you would think people could be trusted to use common sense. Not sure
                what h...
JennyBizRN:       RT @bhawkesRN: Why is it that SOME hospitals are exemplary and many are not?
                  Differenc...
newsomz:          @EllenRichter http://runningahospital.blogspot.com/ #RNChat
                  10/6/2009 12:58


SafetyNu...
bhawkesRN:        Thank you for coordinating! #rnchat
                  10/6/2009 13:03


EllenRichter:     Nice to see ev...
EllenRichter:   @michlr: Yes, I missed last Wednesday's chat & by 6 PM I read the whole transcript &
                felt ...
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RNchat October 6, 2009

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Transcript of #RNchat, a Twitter chat for registered nurses. Topics: Workplace Bullying and Infection Control.

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RNchat October 6, 2009

  1. 1. rnchat: One hour until #RNchat 12:00pm. No last-minute overtime requests. No pulls. No lifting. No missing supplies. All fun. 10/6/2009 11:00 ocdgirl2000: @susanraisch RT @rnchat @ocdgirl2000 Workplace bullying is a totally legit topic to discuss. Be happy to host that! #RNchat @ 12 today EST 10/6/2009 11:24 rnchat: Spammer, Self-Promotion NOTE for #RNchat: We know people love to passively promote themselves on chats. Please: not *during* the chat. 10/6/2009 11:54 rnchat: Welcome to another #RNchat! 2 topics today. Prepend your tweets to topics with T1, T2, etc. | OK, let's get started with introductions. 10/6/2009 12:00 RoRod101: Hi, My name is Rosita but u can call me Ro. I am a RN, NP, Nurse Educator, & DNP student. Happy to be here! #RNchat 10/6/2009 12:02 bhawkesRN: Hi all Beth here, Staff Development acute care! #rnchat 10/6/2009 12:03 EllenRichter: Hi! ICU nurse & legal nurse consultant from S. Florida via NYC orig ~I love how health care is embracing social media #RNchat 10/6/2009 12:03 michele7962: Michele, RN, CLNC and Systems Engineer. #RNCHAT #RNCHAT 10/6/2009 12:03 onlinenursing: Hey Ro, Ellen, Phil. It's me Terri, RN, NP, Nurse Educator, and PhD student (oooh I am like Ro! ) Cool! #RNchat 10/6/2009 12:03 pixelrn: Hi there. I'm Beth. nurse, mom, blogger, etc. etc.....glad to finally make it to one of these! #RNChat 10/6/2009 12:05 newsomz: Carrie, nursing student in Florida. Trying out my first #RNChat #RNChat 10/6/2009 12:05 EllenRichter: @onlinenursing Hi back~ Yes we have quite a few RN doctoral candidates & grads on Twitter...its awesome #RNchat 10/6/2009 12:05 AbbieCitron: Hey everyone, Abbie here, I'm a legal nurse, no longer @ the bedside, but like learning from u all. #RNchat 10/6/2009 12:07 mkopp1: Marie, ER RN and mom in MN #rnchat 10/6/2009 12:07 SafetyNurse: #RNchat Barbara, patient & medication safety nurse, blogger, citizen, sometimes patient, the usual 10/6/2009 12:07 EllenRichter: Great turnout! Hi everyone! (too many to list 1 by 1) #RNchat 10/6/2009 12:08
  2. 2. rnchat: We got some awesome peeps here today! #RNchat 10/6/2009 12:09 NUR3563: T1: Interesting. Have a colleague doing research on workplace lateral violence & lack of ed prep of RN students for this. #RNChat 10/6/2009 12:09 RoRod101: RT @EllenRichter Great turnout! Hi everyone! (too many to list 1 by 1) #RNchat #RNchat 10/6/2009 12:09 AbbieCitron: @EllenRichter Hi Ellen, thanks for the reminder text about the chat. #RNchat 10/6/2009 12:10 JennyBizRN: Hi Rn, also aka my sideline biz Grissomedlegal ( much more boring persona) awake, coffe and awesome peepa #RNchat 10/6/2009 12:10 EllenRichter: LOL @AbbieCitron I'm just one of the town criers :) ~Unfortunately the hour goes so fast!! #RNchat 10/6/2009 12:11 newsomz: @NUR3563 T1: can definitely attest to lack of ed prep as I don't even know what the issue is about! Explain? #RNChat 10/6/2009 12:12 onlinenursing: T1: #RNchat. JCAHO actually tackled this recently from physician standpoint. New behavior standards for disruptive physicians in 2008. 10/6/2009 12:12 EllenRichter: @JennyBizRN ~Aw you couldve just given your business acct more pizzazz too! :) #RNchat 10/6/2009 12:12 pixelrn: T1 I've heard about it more than I've experienced it. It's def. one of those gray areas. #RNChat 10/6/2009 12:13 newsomz: T1: Ok, found ANA module about workplace lateral violence :) http://www.nursingworld.org/mods/mod440/lateralfull.htm #RNChat 10/6/2009 12:13 EllenRichter: RT @rnchat: We got some awesome peeps here today! #RNchat ~yup, yup 10/6/2009 12:13 onlinenursing: Lateral vioilence #RNchat (AKA 'eating our young') aggression between nurses or other health care professionals in speech, action, gossip... 10/6/2009 12:14 EllenRichter: I cant find T1~ #RNchat 10/6/2009 12:14 ocdgirl2000: #RNchat I'm Lynne Siegel R.N. an old timer, work for Montgomery County Gov, Community Health II Behavioral Health Crisis Services Addictions 10/6/2009 12:14 JennyBizRN: Thanks Ellen! #RNchat 10/6/2009 12:14 rnchat: @EllenRichter here http://twitter.com/RNchat/status/4658294347 #RNchat 10/6/2009 12:15
  3. 3. JennyBizRN: lateral violence I thing is topic. As in dreading report as that one RN will interogate you for 45 mintues? #RNchat 10/6/2009 12:16 AbbieCitron: T1 Think there must be a policy that protects RNs from retribution if they report this kind of behavior. Right? #RNchat 10/6/2009 12:17 rnchat: @newsomz This also provide a basic overview - http://bit.ly/FVCvi #RNchat 10/6/2009 12:17 summerbrown: RT @rnchat: We got some awesome peeps here today! #RNchat ~yup, yup (via @EllenRichter) sad that I can't join :( have fun! 10/6/2009 12:18 SafetyNurse: #rnchat Learning the ropes here.... so pls tell me if there's a better way... Lateral violence impairs open communication & by exten, safety 10/6/2009 12:18 bhawkesRN: T1 Lateral violence takes many forms. Impatience, undermining, lack of teamwork, gossip #rnchat 10/6/2009 12:18 michele7962: Unfortunately it isn't just nursing. It's everywhere. However as professionals we should know better. #RNCHAT 10/6/2009 12:18 ocdgirl2000: #RNchat illustrates it well in other job classificatons at @nojobisworth she is looking for RN's 10/6/2009 12:19 rnchat: RT @bhawkesRN: T1 Lateral violence takes many forms. Impatience, undermining, lack of teamwork, gossip #RNchat 10/6/2009 12:19 pixelrn: T1 One person's "bullying" is another person's "teachable moment." Helps to have a great mentor to rely on to help you parse it. #RNChat 10/6/2009 12:19 michele7962: Would hopeRT @AbbieCitron: T1 Think there must be a policy that protects RNs from retribution if they report this kind of behavior. #RNCHAT 10/6/2009 12:19 RoRod101: T1 1st step is 2 admit that it happens.Do my best 2 instill in nsg students tx peeps as u would like 2 B tx'd & model that behavior. #RNchat 10/6/2009 12:19 bhawkesRN: @SafetyNurse agree- bad behaviour ultimately affects patients #rnchat 10/6/2009 12:19 EllenRichter: T1 I honestly feel bullying has diminished over my 3 decades in nursing...we have more desire to nurture the young rather than eat #RNchat 10/6/2009 12:20 JennyBizRN: had an RN who would almost kill me trying to get report done. I reported to sup, then everyone knew.not worth reporting too often #RNchat 10/6/2009 12:20 AbbieCitron: T1 learning how to confront the issue or bully, is difficult for many nurses. We are such
  4. 4. caring people you know. LOL! #RNchat 10/6/2009 12:21 KTetreauRnClnc: I'm searching for #rnchat live on TweetGrid Search - http://tweetgrid.com/search? q=%23rnchat 10/6/2009 12:21 RoRod101: @pixelrn T1 I agree it is great to have a "good" mentor, especially when learning the ropes #RNchat 10/6/2009 12:21 KTetreauRnClnc: #rnchat 10/6/2009 12:21 rnchat: @pixelrn More about specific behaviors (passive-aggr, selective application of policy, using "saving life" as pretext for yelling).. #RNchat 10/6/2009 12:22 mkopp1: T1-we should know better but still it is allowed to happen in the work place. #rnchat 10/6/2009 12:22 EllenRichter: T1 Yes, abuse is everywhere, but the way we set up orientation & make preceptors take classes in adult ed helps us bring in the new #RNchat 10/6/2009 12:22 onlinenursing: @RoRod101 Good idea. What about formal education on lateral violence in RN curriculum ? Like communication format? #RNchat 10/6/2009 12:22 bhawkesRN: T1 Always hate sending new nurses out to the floors knowing that some of them will experience this. @pixelrn- what exp have you had? #rnchat 10/6/2009 12:23 pixelrn: @EllenRichter Agree. I've been a nurse for 5 yrs now and really haven't seen that much bullying. #RNChat 10/6/2009 12:23 ocdgirl2000: #RNchat when "teachable moments" end up leading to 6 months of extended leave for depression, it costs the insurance healthcare industry! 10/6/2009 12:24 EllenRichter: T1 Yes, we all work with Nurse Rachets, for sure~ And yes, that is unacceptable & no colleague should stand for verbal abuse #RNchat 10/6/2009 12:24 mkopp1: T1-I find, it is not the new RNs but those who have ben there longer taking part in the bullying lately #rnchat 10/6/2009 12:24 AbbieCitron: Agree RT @onlinenursing: @RoRod101 Good idea. What about formal education on lateral violence in RN curriculum ? #RNchat 10/6/2009 12:24 EllenRichter: @onlinenursing T1 Yes formal education on lateral violence should be a requirement to prepare nurses to deal with it correctly #RNchat 10/6/2009 12:25 EllenRichter: T1 Oops, didnt realize it was @RoRod101 's thought first! :) we all agree Ro! #RNchat 10/6/2009 12:26
  5. 5. pixelrn: @bhawkesRN Mostly in MICU and PACU. #RNChat 10/6/2009 12:26 RoRod101: @onlinenursing T1 Formal education on lateral violence is excellent along with practicing what you teach. #RNchat 10/6/2009 12:26 AbbieCitron: Unhappy people RT @mkopp1: T1-I find, it is not the new RNs but those who have ben there longer taking part in the bullying lately #RNchat 10/6/2009 12:27 EllenRichter: @mkopp1 ~T1 Yes bullying is so 60's and 70's :( We've come a long way (hopefully) #RNchat 10/6/2009 12:27 onlinenursing: T1: I saw this in hospitalASN prog where 'students' were unfortunately blamed 4 much & talked to as 'students',not upcoming peers. #RNChat 10/6/2009 12:27 JennyBizRN: RT@EllenRichter:@onlinenursing T1formal education on lateral violence should be required to prepare nurses 2deal with it correctly #RNchat 10/6/2009 12:27 newsomz: T1 what are good strategies for new RN's to combat lwv? #RNChat 10/6/2009 12:28 ocdgirl2000: @pixelrn #RNchat the more you have to lose (benefits, retirement, income, vested investments) the more likely it happens.(been there, do ... 10/6/2009 12:28 NUR3563: RT @RoRod101: @onlinenursing T1 Formal education on lateral violence is excellent along with practicing what you teach. #RNchat 10/6/2009 12:28 SafetyNurse: #rnchat I kind of favor behavior-based education based on standards w/ role playing. Some peeps don't recognize abuse for what it is 10/6/2009 12:28 rnchat: Next topic coming up in a couple minutes. #RNchat 10/6/2009 12:29 AbbieCitron: T1 I think some feel, deserted on the units, not enough support, high RN-PT ratios, can't give good care, & it comes off as anger. #RNchat 10/6/2009 12:29 EllenRichter: RT @SafetyNurse: Some peeps don't recognize abuse for what it is ~HOW TRUE!! #RNchat 10/6/2009 12:30 mkopp1: RT @EllenRichter: RT @SafetyNurse: Some peeps dont recognize abuse for what it is ~HOW TRUE!!~Agree! #rnchat 10/6/2009 12:31 pixelrn: @newsomz Find a good mentor and a good support system, and don't be too hard on yourself. #RNChat 10/6/2009 12:31 KTetreauRnClnc: @AbbieCitron I agree high RN-Pt ratios are very frustrating #rnchat 10/6/2009 12:31
  6. 6. newsomz: @pixelrn Thanks for the tips! #RNChat 10/6/2009 12:31 SafetyNurse: hacked off- keep misspelling #rnchat and losing lines of thought.... need error-proffing here! 10/6/2009 12:32 JennyBizRN: RT@AbbieCitron:think some feel,deserted on the units,not enuf support,high RN-PT ratios, cant give good care,&it comes off as anger. #RNchat 10/6/2009 12:32 onlinenursing: @SafetyNurse Excellent idea!, Agree @Abbie Citron. #RNChat 10/6/2009 12:32 SafetyNurse: #RNchat T1 See? 10/6/2009 12:32 rnchat: T2 Infection Control - Where are the weak points in IC? What can be done to drive rates down? Any success stories to share? #RNchat 10/6/2009 12:32 ERNurseJoy: RT @AbbieCitron T1 high RN-PT ratios, can't give good care, & it comes off as anger. #RNchat <- I agree with this esp in high acute areas 10/6/2009 12:33 onlinenursing: #RNchat. T1: The JCAHO standards forced hospitals to develop education for MDs who were disruptive (i.e. chart throwing, yelling...) 10/6/2009 12:33 ocdgirl2000: #RNchat establishment's way of cutbacks: eliminate go to the oldest RN's first. the ones with highest income, matched contributions ret ... 10/6/2009 12:33 pixelrn: @newsomz Also - Find a hospital that invests in a really good (and lengthy) orientation for new nurses. #RNChat 10/6/2009 12:33 JennyBizRN: T2 enuf incentive to keep stable, good Infection Control educators to start #RNchat 10/6/2009 12:34 nursingpins: Hi running late -The weak link is integrity #RNchat 10/6/2009 12:34 newsomz: @pixelrn Yep! That is #1 on my list when looking at places to apply. I hope the economy opens up a little b4 I graduate :) #RNChat 10/6/2009 12:34 michele7962: T2 - high patient ratios is a high contributor #rnchat 10/6/2009 12:35 ocdgirl2000: #RNchat so they engineer ways to marginalize them. you'll see more of this with the recession. 10/6/2009 12:35 SafetyNurse: @onlinenursing #rnchat TJC standards actually apply to everyone.... some prof. feel more "called out" than others, I think 10/6/2009 12:35 newsomz: T2 again high RN-PT ratios are a problem! #RNChat 10/6/2009 12:35
  7. 7. RoRod101: RT @JennyBizRN T2 enuf incentive to keep stable, good Infection Control educators to start #RNchat 10/6/2009 12:36 mkopp1: T2-doctor's avoiding infection control signs on patient doors doesn't help. We now have large yellow door hangs with all PPE avail. #rnchat 10/6/2009 12:36 AbbieCitron: T2, We once had a risk man. do nothing but monitor hosp. workers as they went in & out of Pt. rooms & documented hand washing. #RNchat 10/6/2009 12:36 JennyBizRN: T2 also, does hospital invest in proper housecleaning of "contaminated" rooms? #RNchat 10/6/2009 12:36 pixelrn: T2 Infection Control - What can be done? Lots of surveillance and evidence based results to drive action and policy. #RNChat 10/6/2009 12:36 bhawkesRN: T2 Rememeber when no one used seat belts? Peer Pressure---> remember when folks didn't wash their hands? #rnchat 10/6/2009 12:37 EllenRichter: RT @newsomz: T2 again high RN-PT ratios are a problem! ~Our superbugs dont help either, everyone is on contact for something :) #RNchat 10/6/2009 12:37 AbbieCitron: yes RT @pixelrn: T2 Infection Control - What can be done? Lots of surveillance and evidence based results to drive action and policy #RNchat 10/6/2009 12:38 EllenRichter: T2 I see health care professionals who walk into isolation room with no gloves, nothing~despite big signs and isolation gear at door #RNchat 10/6/2009 12:38 mkopp1: T2 we do secret audits monthly on handwashing. One staff member is assigned & we don't know who it is. #rnchat 10/6/2009 12:38 pixelrn: @bhawkesRN I was just about to say PEER PRESSURE! Great minds ... : ) #RNChat 10/6/2009 12:38 EllenRichter: T2 Now we swab nares for MRSA on all admits for elective OR or ICU admits & many are coming back positive #RNchat 10/6/2009 12:39 SafetyNurse: T1 Do u mean that RN integirty is the problem w/ lateral violence? RT @nursingpins: Hi running late -The weak link is integrity #RNchat 10/6/2009 12:39 AbbieCitron: T2 Equipment is often moved from room to room and not throughly cleaned. Many medical people never clean their stethoscopes. #RNchat 10/6/2009 12:40 RoRod101: RT @bhawkesRN T2 Rememeber when no one used seat belts? Peer Pressure---> remember when folks didn't wash their hands? & @pixelrn #RNchat 10/6/2009 12:40 KTetreauRnClnc: T1 I often see ancillary staff walk into isolationrooms withoutproper attire, then go to the
  8. 8. next room #rnchat 10/6/2009 12:40 rnchat: T2 Follow-up: Could IC be better "marketed"? eg: better placement/stocking of equipment/supplies versus "big brother" survey? #RNchat 10/6/2009 12:40 AbbieCitron: Great idea RT @mkopp1: T2 we do secret audits monthly on handwashing. One staff member is assigned & we dont know who it is. #RNchat 10/6/2009 12:41 ocdgirl2000: #RNchat if I HAD to work in a hospital again (heaven help me,lol) I would just buy and bring my own. easier, expensive, I know.. 10/6/2009 12:42 SafetyNurse: T2 #rnchat Did anyone c the NEJM piece last week where two high-profile MDs called out peers/professionals for failure to do the basics? 10/6/2009 12:42 michele7962: @AbbieCitron - Many medical people never clean their stethoscopes ~~~ Exactly - gross! #rnchat 10/6/2009 12:42 medxcentral: [I never realized] RT @AbbieCitron: T2 ... Many medical people never clean their stethoscopes. [Room to Room exposure] #rnchat 10/6/2009 12:42 EllenRichter: RT @RoRod101 @bhawkesRN @pixelrn T2 Remember when no one used seat belts? #RNchat ~good analogy! 10/6/2009 12:42 KTetreauRnClnc: @JennyBizRN or "contaminated equipment, like noninvasive bp cuffs #rnchat 10/6/2009 12:42 NUR3563: @SafetyNurse #RNChat. No, how interesting. Great Insights as always! 10/6/2009 12:42 pixelrn: @rnchat T2 Probably not. All of our isolation supples are so easy to get to. I think it's more about changing the culture. #RNChat 10/6/2009 12:43 ERNurseJoy: T2 we are monitored "foaming in/out of every room" IC does daily rounds also. #RNchat 10/6/2009 12:43 AbbieCitron: Yes read it RT @SafetyNurse: T2 NEJM piece last week where two high-profile MDs called out peers/prof. for failure to do the basics? #RNchat 10/6/2009 12:43 SafetyNurse: @rnchat #rnchat T2 1/2 Think there r best practice models out there. But not everywhere. If hand hygiene requires a trip down the hall.... 10/6/2009 12:43 EllenRichter: T1 ~We all see the breaks in infection control every day, so how can we expect improvement if everyone doesnt play same way? #RNchat 10/6/2009 12:43 michele7962: With everything you are taught in Micro, you would think people could be trusted to use common sense. Not sure what has happened. #rnchat 10/6/2009 12:43
  9. 9. mkopp1: T2-b placement is huge! The more visible the better & people will ask if someone is in iso #rnchat 10/6/2009 12:44 FiMed: RT @michele7962 @AbbieCitron - Many medical people never clean their stethoscopes ~~~ Exactly - gross! #rnchat 10/6/2009 12:44 medxcentral: RT @KTetreauRnClnc: @JennyBizRN or "contaminated equipment, like noninvasive bp cuffs" #rnchat 10/6/2009 12:44 mkopp1: RT @AbbieCitron - Many medical people never clean their stethoscopes ~including Medics (EMTs) #rnchat 10/6/2009 12:44 SafetyNurse: #rnchat T2 2/2 or a climb behind a bed to achieve, comliance will be low. But blowing by stuff that sings, waves, and tweets "do it"..... 10/6/2009 12:44 pixelrn: T2 In MICU we have a culture where we are always calling each other out (w/ no hard feelings) and I think it really works. #RNChat 10/6/2009 12:45 rnchat: @pixelrn So, let's extend the "marketing" concept to culture: how to change attitudes, values, etc. How to best drive change? #RNchat 10/6/2009 12:45 SafetyNurse: @michele7962 #rnchat Knowledge doesn't reliably drive behavior. 10/6/2009 12:46 nursingpins: T2 Would not be unreasonable for a handwashing monitor - given the importance #RNchat 10/6/2009 12:46 rnchat: RT @pixelrn: T2 In MICU we have a culture where we r always calling each other out (w/no hard feelings) and I think it really works. #RNchat 10/6/2009 12:46 mkopp1: T2-about stethoscopes and cleaning http://tinyurl.com/djw4fr #rnchat 10/6/2009 12:46 bhawkesRN: T2 I think we have both more awareness of transmission but still a culture of taking short cuts and "it won't happen to me" #rnchat 10/6/2009 12:46 EllenRichter: @safetynurse T2 Exactly! It couldnt be easier since its in everyone's face, yet its still a problem! :) So what gives? #RNchat 10/6/2009 12:46 ocdgirl2000: #RNchat You see, most CEO's of hospitals, like most big business in America are more concerned w profit & bonus checks,saving, not spending. 10/6/2009 12:47 EllenRichter: T2 LOL I am looking at my stethoscope right now & I pray that I cleaned it before leaving work! (I think i did!!) :) #RNchat 10/6/2009 12:47 ONSmark: T2 Per "best practice models out there" -- Putting Evidence Into Practice "Prevention of Infection" at http://bit.ly/x07dg #oncology #rnchat
  10. 10. 10/6/2009 12:47 AbbieCitron: True and time factor as well, always rushed RT @SafetyNurse: @michele7962 Knowledge doesnt reliably drive behavior. #RNchat 10/6/2009 12:47 michele7962: True - but SAD. RT @SafetyNurse: @michele7962 #rnchat Knowledge doesnt reliably drive behavior. #rnchat 10/6/2009 12:47 bhawkesRN: @pixelrn Love that u hold each other accountable! But how does that START in a unit? #rnchat 10/6/2009 12:47 SafetyNurse: @pixelrn #rnchat Are u comfortbale saying where u work? (Because I think your organization is an exemplar....) 10/6/2009 12:47 pixelrn: @rnchat As much as I like to mock "team building" we've had some gr8 experience w/ it. Gets everyone on the same page. #RNChat 10/6/2009 12:48 michele7962: Nice link. RT @mkopp1: T2-about stethoscopes and cleaning http://tinyurl.com/djw4fr #rnchat 10/6/2009 12:49 EllenRichter: RT @ocdgirl2000 Most CEO's of hospitals, like most big business in USA R more concerned w profit & bonus checks,saving, not spending #RNchat 10/6/2009 12:49 medxcentral: Whomever said we can't learn from #nurses, never attended a Tweetchat with them. LOL #rnchat 10/6/2009 12:49 SafetyNurse: @EllenRichter #rnchat Others r saying it here... culture... perception that it doesn't matter... not monitored in meaningful ways 10/6/2009 12:49 pixelrn: @SafetyNurse I work at Hopkins, so yeah, it probably is exemplary... : ) #RNChat 10/6/2009 12:50 newsomz: Glad to know alcohol swabs will get rid of MRSA. RT @mkopp1: T2-about stethoscopes and cleaning http://tinyurl.com/djw4fr #RNChat 10/6/2009 12:50 rnchat: @pixelrn Hey, if it works...Plus you also work at one of the better facilities (from what I hear). #RNchat 10/6/2009 12:51 bhawkesRN: @medxcentral I love you. #rnchat 10/6/2009 12:51 Kalabah: RT @pixelrn: T2 In MICU we have a culture where we always call each other out (w/ no hard feelings) and I think it really works. #RNChat 10/6/2009 12:51 EllenRichter: @pixelrn T1 Hey thats no fair! LOL ~You can tell from your tweets its somewhere in the higher ranks :) #RNchat 10/6/2009 12:52
  11. 11. ocdgirl2000: @michele7962 "you would think people could be trusted to use common sense. Not sure what has happened". #rnchat Corporate Mentality/ profit 10/6/2009 12:52 pixelrn: @SafetyNurse It's also a magnet hospital which might explain why I haven't seen much LWV. #RNChat 10/6/2009 12:52 mkopp1: RT@rnchat @pixelrn Hey, if it works..Plus you also work at one of the better facilities (from what I hear). I too have heard that :) #rnchat 10/6/2009 12:52 AbbieCitron: T2 read recently one hosp. didn't allow MDs to wear neck ties, due to spreading of infections by touching Pts. when examining. #RNchat 10/6/2009 12:52 Kalabah: Knowledge doesn't reliably drive behavior. RT @SafetyNurse: @michele7962 #rnchat 10/6/2009 12:52 nursingpins: T2 Unfortunatly handwashing is going to come down to integrity - will ult. have to be externally enforced. #RNchat 10/6/2009 12:52 ERNurseJoy: Eww... RT @mkopp1: T2-about stethoscopes and cleaning http://tinyurl.com/djw4fr #rnchat 10/6/2009 12:53 mkopp1: RT @pixelrn: @SafetyNurse Its also a magnet hospital which might explain why I havent seen much LWV. Magnet hosp R very important! #rnchat 10/6/2009 12:53 EllenRichter: RT @nursingpins: T2 Unfortunatly handwashing is going to come down to integrity - will ult. have to be externally enforced. #RNchat 10/6/2009 12:54 SafetyNurse: #rnchat OKAY- ready to learn how make the hashtag magically appear on every tweet.... ready to claw my fast, inaccurate fingers off 10/6/2009 12:54 bhawkesRN: Why is it that SOME hospitals are exemplary and many are not? Difference? #rnchat 10/6/2009 12:54 pixelrn: @rnchat T2 I like the idea of finding what works and then applying marketing concepts to it. #RNChat 10/6/2009 12:55 bhawkesRN: @medxcentral In an anyone- who -is -NOT -a -nurse (U aren't, rite?) but respects us like u do kind of way #rnchat 10/6/2009 12:55 EllenRichter: T2 Magnet hospitals ROCK but its a shame that it takes becoming magnet status for negativity like LWV to diminish in our field #RNchat 10/6/2009 12:55 newsomz: @SafetyNurse http://tweetchat.com/ #RNChat 10/6/2009 12:55 SafetyNurse: @AbbieCitron #RNchat In the UK, long sleeve white coats are OUT. Not allowed to wear. Think ties r on the chopping block 2. 10/6/2009 12:55
  12. 12. JennyBizRN: RT @bhawkesRN: Why is it that SOME hospitals are exemplary and many are not? Difference? It starts at the top, what is their focus? #RNchat 10/6/2009 12:55 rnchat: Yikes! We're coming up on an hour in about 5 minutes. #RNchat 10/6/2009 12:56 ocdgirl2000: #RNchat remember, we R Nurses, we don't look at Healthcare the same way as those who run the "Hospital Businesses" in this country! 10/6/2009 12:56 EllenRichter: LOL @safetynurse clawing her fingers off #RNchat 10/6/2009 12:56 bhawkesRN: T2 I believe that it's not external, it's nurturing the internal part of all of us that wants to do our best #rnchat 10/6/2009 12:56 pixelrn: @bhawkesRN Maybe comes down to the idea of inspiration and leadership. Paul Levy's blog is a gr8 example.... #RNChat 10/6/2009 12:56 mkopp1: RT @JennyBizRN @bhawkesRN: Why is it that SOME hospitals are exemplary and many are not?It starts at the top, what is their focus?:) #rnchat 10/6/2009 12:57 KTetreauRnClnc: boy, time flies #rnchat 10/6/2009 12:57 bhawkesRN: pixelrn Maybe comes down to the idea of inspiration and leadership. Paul Levy's blog is a gr8 example.... #rnchat 10/6/2009 12:57 pixelrn: @bhawkesRN I've never heard of his hospital, but from reading his blog I would love to work for him. #RNChat 10/6/2009 12:57 EllenRichter: @pixelrn T2 Have a link to that blog? #RNchat 10/6/2009 12:57 SafetyNurse: @bhawkesRN #RNCHAT What is valued is what gets rewarded. Stuff about "align" gets old when there's no follow-thru. But follow-thru works. 10/6/2009 12:57 KTetreauRnClnc: where did the hour go? #rnchat 10/6/2009 12:58 ONSmark: I'm not a nurse & I have utmost respect RT @bhawkesRN @medxcentral In an anyone- who -is -NOT -a -nurse but respects us kind of way #rnchat 10/6/2009 12:58 medxcentral: @bhawkesRN EXACTLY!!! You are correct; I'm not a nurse. But I know who "butters the bread" in health care; #nurses #rnchat 10/6/2009 12:58 Kalabah: RT @SafetyNurse: @EllenRichter #rnchat Others r saying culture... perception that it doesn't matter... not monitored in meaningful ways. 10/6/2009 12:58
  13. 13. newsomz: @EllenRichter http://runningahospital.blogspot.com/ #RNChat 10/6/2009 12:58 SafetyNurse: @bhawkesRN T2. Can tap that some. But remember that flight crews and healthcare works come from same pool. Systems we work in count. #rnchat 10/6/2009 12:59 rnchat: @pixelrn Yeah, Paul Levy does an amazing thing with his blog. #RNchat 10/6/2009 12:59 Kalabah: RT @pixelrn: @SafetyNurse I work at Hopkins, so yeah, it probably is exemplary... : ) #RNChat // It sure is! 10/6/2009 12:59 bhawkesRN: @pixelrn Beth Israel hospital is where Paul Levy works/leads. My dream hosp #rnchat 10/6/2009 12:59 EllenRichter: @newsomz: Thanks! :) #RNchat 10/6/2009 13:00 michele7962: Have a great day everyone! #rnchat 10/6/2009 13:00 bhawkesRN: I Know!! Let's all follow each other, k? #rnchat 10/6/2009 13:00 rnchat: OK time's up (please swipe your credit card for 10 more minutes :) See next tweets for administrative stuff. #RNchat 10/6/2009 13:00 AbbieCitron: Thanks for the engaging chat RNs! Until next time, stay well and happy! #RNchat 10/6/2009 13:00 Kalabah: RT @newsomz: Glad to know alcohol swabs will get rid of MRSA. About stethoscopes & cleaning http://tinyurl.com/djw4fr #RNChat (via @mkopp1) 10/6/2009 13:00 pixelrn: Fastest hour I've spent in a long time!!!! That was fun. #RNChat 10/6/2009 13:01 mkopp1: Until next time! @~~ #rnchat 10/6/2009 13:01 EllenRichter: LOL @ swiping credit card...where is the slot? @rnchat #RNchat 10/6/2009 13:01 ocdgirl2000: #RNchat Adventist hospitals in our area, mulitplying like rabbits, buying land, profits galore, almost got sited one year, Shady Grove..hehe 10/6/2009 13:01 KTetreauRnClnc: have a great day #rnchat 10/6/2009 13:02 EllenRichter: RT @bhawkesRN: Let's all follow each other, k? ~Yet another good idea! :) #RNchat 10/6/2009 13:02 RoRod101: Thanks for the great discussions! I enjoyed conversing with you all and meeting new tweeples! #RNchat 10/6/2009 13:02
  14. 14. bhawkesRN: Thank you for coordinating! #rnchat 10/6/2009 13:03 EllenRichter: Nice to see everyone again! :) OK when is the next chat, Phil? @rnchat #RNchat 10/6/2009 13:03 rnchat: Our next chat will be Friday 10/9 8:30pm EDT. #RNchat 10/6/2009 13:03 nursingpins: Thanks #RNchat 10/6/2009 13:03 egculbertson: Yay! RT @medxcentral: Congrats to @rnchat and this whole crew. I do believe #nurses have arrived on Twitter. AMEN! #rnchat 10/6/2009 13:04 rnchat: Transcript of today's chat will be posted here a little later - http://bit.ly/gOKC6 #RNchat 10/6/2009 13:04 EllenRichter: @ KTetreauRnClnc: glad you found your way in! :) #RNchat 10/6/2009 13:04 SafetyNurse: #rnchat Thanks all. Will look forward to another one! Barb 10/6/2009 13:05 EllenRichter: @medxcentral: Thanks for the pro-nursing compliments!! :) #RNchat 10/6/2009 13:05 michlr: thinks he just missed something *again* . Hop I can chat along next time, surely will read the transcript #RNchat 10/6/2009 13:05 rnchat: Thank you all for joining today. Always a good time. Please give your feedback. This is your chat! #RNchat 10/6/2009 13:05 ocdgirl2000: #RNchat ultra-cool! especially since I work with only 2 other RN's and the rest Psychotherapists and Doctors (no offense!)LOL! Thank you! 10/6/2009 13:06 EllenRichter: ~Going to read that blog now http://runningahospital.blogspot.com/ #RNchat 10/6/2009 13:06 KTetreauRnClnc: @EllenRichter thanks for your help getting in #rnchat 10/6/2009 13:06 EllenRichter: @rnchat ~Feedback: Make it 90 minutes! LOL :) #RNchat 10/6/2009 13:07 michlr: thinks he just missed something *again* and hopes can chat along next time, surely will read the transcript #RNchat 10/6/2009 13:07 mkopp1: RT @rnchat: Transcript of todays chat will be posted here a little later - http://bit.ly/gOKC6 #rnchat 10/6/2009 13:07 mkopp1: RT @rnchat: Our next chat will be Friday 10/9 8:30pm EDT. #rnchat 10/6/2009 13:07
  15. 15. EllenRichter: @michlr: Yes, I missed last Wednesday's chat & by 6 PM I read the whole transcript & felt like I missed nothing! :) #RNchat 10/6/2009 13:08 nursingpins: RT @EllenRichter ~Going to read that blog now http://runningahospital.blo... #RNchat (Worth a read) 10/6/2009 13:08 Kalabah: RT @pixelrn: Maybe comes down to the idea of INSPIRATION and LEADERSHIP. // Students need great leaders, few & far in-between. #RNChat 10/6/2009 13:08 rnchat: Paul Levy is also on Twitter: @Paulflevy #RNchat 10/6/2009 13:11 Kalabah: RT @bhawkesRN: @pixelrn Beth Israel hospital is where Paul Levy works/leads. My dream hosp #rnchat 10/6/2009 13:11 nursingpins: EllenRichter @rnchat ~Feedback: Make it 90 minutes! LOL :) #RNchat (2nd) 10/6/2009 13:11 nursingpins: RT @RNchat Paul Levy is also on Twitter: @Paulflevy #RNchat 10/6/2009 13:12 Kalabah: RT @rnchat: Paul Levy is also on Twitter: @Paulflevy #RNchat //THANK YOU! 10/6/2009 13:12

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