The document details a #rnchat event discussing workplace bullying and lateral violence among nurses, emphasizing the importance of addressing this issue. Participants share personal experiences and suggest strategies for education and support, highlighting the need for formal training on the topic. Discussions also touch on the impact of high nurse-patient ratios and the necessity of mentorship in combating these challenges.

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. 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. 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. 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. 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. 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. 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. 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. 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. 10/6/2009 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. 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. 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. 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. 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. 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