RNchat Transcript April 9, 2010

570 views

Published on

Transcript of RNchat for April 9, 2010. RNchat is a Twitter chat for registered nurses. Follow @RNchat on Twitter for more http://Twitter.com/RNchat

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
570
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
2
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

RNchat Transcript April 9, 2010

  1. 1. philbaumann: @nursemichelle24 I wasn't planning on an #RNChat tonight. But I guess I can hold one 2night - any topic you'd like to see? 4/9/2010 20:29 nursemichelle24: I've never done an #RNChat or any other kind of chat for that matter! So I think I will need to be guided! 4/9/2010 20:31 philbaumann: Sorry friends #RNchat wasn't schedule tonight. BUT I'll launch one anyway since there's demand. Give me 10 minutes. - 9pm EST 4/9/2010 20:50 rnchat: Sorry friends #RNchat wasn't schedule tonight. BUT I'll launch one anyway since there's demand. Give me 10 minutes. - 9pm EST 4/9/2010 20:50 tactile: @RNchat #RNchat Awesome!! Surprise #RNchat. I'm up for it! 4/9/2010 20:50 rnchat: @onlinenursing Last-minute decision: starting #rnchat at 9pm. I'll take topic a suggestion. 1st one I have should be interesting. :) 4/9/2010 20:54 rnchat: Welcome to #RNchat! This is an unscheduled chat. Consider using http://bit.ly/2fEg1K - we'll start shortly. But 1st introduce yourselves! 4/9/2010 21:00 nursedave4: #RNChat I don't know if it will change much, still taking care of the pt in front of me 4/9/2010 21:00 SumTip: #RNChat Me too! My part will be just the same 4/9/2010 21:01 rnchat: @nursemichelle24 How #RNChat works is it's moderated. Moderator provided topics. Follow along & you'll get the hang of it. 4/9/2010 21:02 nursemichelle24: Okay sounds good. #RNChat 4/9/2010 21:02 AMartinRN: #rnchat Alexa in Mo, RN X 12yr. , BSNstudent 4/9/2010 21:03 MatthewBrowning: RT @RNchat: Sorry friends #RNchat wasn't schedule tonight. BUT I'll launch one anyway since there's demand. Give me 10 minutes. - 9pm EST 4/9/2010 21:03 nursemichelle24: My name is Michelle and I work in Pediatrics/PICU. I've only been an RN 18 months. #RNChat 4/9/2010 21:04 SumTip: #RNChat I think it will mostly effect those with out insurance right now. 4/9/2010 21:04 SumTip: #RNChat I like the fact that children will stay on parents insurance longer 4/9/2010 21:04
  2. 2. tactile: RT @MatthewBrowning: RT @RNchat: Sorry friends #RNchat wasn't schedule tonight. BUT I'll launch one anyway since there's demand. Give me 10 minutes. - 9pm EST 4/9/2010 21:05 grimalkinrn: RT @MatthewBrowning: RT @RNchat: Sorry friends #RNchat wasn't schedule tonight. BUT I'll launch one anyway since there's demand. Give me 10 minutes. - 9pm EST 4/9/2010 21:05 rnchat: @SumTip Our topic for #RNchat will come up in a moment. Follow along & you'll get the hang of it. 4/9/2010 21:05 rnchat: Before we get started, please prepend your answers to topics with topic number, eg T1, T2, etc. #RNchat See http://RNchat.org for more. 4/9/2010 21:06 SumTip: #RNchat OK! 4/9/2010 21:06 nursedave4: #RNchat Dave Springfield, MO in Surgical ICU 4/9/2010 21:08 rnchat: T1 Profit of Healthcare: Is financial profit in healthcare moral? When might it not be? When is it necessary? #RNchat 4/9/2010 21:08 nursedave4: #RNChat T1 profit is always the goal of any organization not for profit even has to make money 4/9/2010 21:11 grimalkinrn: T1 #RNchat In order to provide healthcare, hospitals need to make money. Profit shouldn't be sole focus of the hospital, should be pt care. 4/9/2010 21:13 nursemichelle24: T1 Who is profiting? The hospital, the health care providers? #RNChat 4/9/2010 21:13 tactile: T1 #RNchat I am working at a non profit hospital, but we are focusing on decreasing costs b/c of influx of more uninsureds. 4/9/2010 21:14 AMartinRN: #rnchat it would be immoral when pts were refused care 4/9/2010 21:14 nursemichelle24: I work at a non-profit hospital. But every hospital must get money from outside providers or somewhere in order to run. #RNChat 4/9/2010 21:14 nursedave4: #RNChat T1 Pofit incentives can be problematic if they lead to increased bonus, greed can shadow care 4/9/2010 21:15 SumTip: #RNChat T1 Some profit is a must but there should be a limit. Do not get money hungry! 4/9/2010 21:15 chuymatt: T1 While turning a profit is not bad, does anyone think having pricing available would help in keeping costs lower? #rnchat 4/9/2010 21:15
  3. 3. nursemichelle24: T1 How much money are insurance companies making and how do they decide what they will or will not cover. How moral is that? #RNChat 4/9/2010 21:15 SumTip: #RNChat T1The government is not moral. 4/9/2010 21:16 nursedave4: #RNChat T1 insurance companies are in business to make money not be moral 4/9/2010 21:17 roni_b: T1 I also disagree with C-level bonuses in healthcare, esp when there are layoffs in care providers #RNchat 4/9/2010 21:17 nursemichelle24: T1 Alexa-agree. The new health care plan will have issues but what is at the heart of it is health care available to every American. #RNChat 4/9/2010 21:18 SumTip: #RNChat T1 Everybody needs insurance! So the health plan is good in some ways. 4/9/2010 21:20 nursedave4: #RNChat T1 having costs available to the public is a good way to keep honest, some think anything made is too much though 4/9/2010 21:20 nursemichelle24: T1 Making money is not immoral. It's at what cost that sometimes makes it immoral. #RNChat 4/9/2010 21:21 roni_b: T1 need to have transparency and accountability to increase public trust in healthcare institutions #RNchat 4/9/2010 21:21 SumTip: #RNChat T1 Unfortunately money tends to make this world go round 4/9/2010 21:22 nursedave4: #RNChat T1 Depending on the market health systems may have to make more on transactions than other markets just to make ends meet 4/9/2010 21:22 nursedave4: #RNChat T1 true rone_b more accountability may begin to return some trust, people are a little gun shy now 4/9/2010 21:24 SumTip: #RNChat T1 True Dave. Health is not cheap! 4/9/2010 21:25 AMartinRN: #rnchat remember DRG's already decide how much the hospital is reinbursed and that's sm. govt. 4/9/2010 21:26 rnchat: Second topic coming up in 2 minutes. #RNchat 4/9/2010 21:26 nursedave4: #RNChat T1 hospitals do not regain all that is charged that is why they work so hard to keep overhead low, and waste cost low
  4. 4. 4/9/2010 21:27 nursedave4: #RNChat T1 much of the frustration isn't from paying for insurance, but paying for insurance that does not cover needs 4/9/2010 21:28 rnchat: T2 Rebooting Nursing: If you could push a button, what one change in Nursing would you want to make? #RNchat 4/9/2010 21:29 HauteSingleMama: RT @nursemichelle24: T1 Making money is not immoral. Its at what cost that sometimes makes it immoral. #rnchat 4/9/2010 21:30 ELNC: #RNChat T1 Why are people so reluctant to pay for "their" healthcare? 4/9/2010 21:30 nursemichelle24: T1 People feel entitled to health care and that is why they complain about cost. #RNChat 4/9/2010 21:30 nursedave4: #RNChat T2 tough one for a new nurse to answer 4/9/2010 21:30 SumTip: #RNChat T1 People pay for so much of less importance. Why not health? 4/9/2010 21:32 AMartinRN: #rnchat T2 we are not the police for every one else in healthcare 4/9/2010 21:32 ELNC: #RNChat T2 Fewer pts ratio...to give the necessary care the pt's really require and the "you" really want to give. 4/9/2010 21:32 sreeseRNMBA: T2 I think we need to be more involved in the "business" side of the equation...he who has the gold rules #RNChat 4/9/2010 21:32 SumTip: #RNChat T2 YES! We are always short nurses it seems. I feel I can not do my best! 4/9/2010 21:33 ELNC: #RNChat T2 I think we all want to to the best we can, but given the high pt ratio it is sometimes impossible. 4/9/2010 21:34 SumTip: #RNChat T2 We need to get nursing back to the old ways. To tech/business like. 4/9/2010 21:34 AMartinRN: #rnchat I would like to see nurses more unified as a collective group for more power to enable us to drive our profession 4/9/2010 21:35 nursedave4: #RNChat T2 I agree if people cared more about the ins and outs of the system, business, we could operate together better 4/9/2010 21:35 SumTip: #RNChat T2 When I have 6 plus pt I feel I neglect them. 4/9/2010 21:36
  5. 5. ELNC: #RNChat T2 There is so much patient teaching that just isn't getting done due to the high pt ratio....it's sad. 4/9/2010 21:36 nursedave4: #RNChat T2 more unified would be nice, but it is hard to get unity in the hospital, little lone the industry 4/9/2010 21:36 SumTip: #RNChat T2 I want to be able to give them all I can. 100% 4/9/2010 21:37 nursedave4: #RNChat T2 in business school we were tought those who learned all aspects of a business or co. were most successful 4/9/2010 21:38 tactile: RT @ELNC: #RNChat T2 There is so much patient teaching that just isn't getting done due to the high pt ratio....it's sad. 4/9/2010 21:38 ELNC: #RNChat T2 Unity is dfficult when nurses often times can't even work with the doctors. We need to work together. 4/9/2010 21:38 sreeseRNMBA: T2 if we show we are competent with the business side of healthcare we will have a greater say at table - #RNChat 4/9/2010 21:39 AMartinRN: #rnchat T2 unity would have to start at the industry level then work backwards to the hosp., but the topic was if we could push a button 4/9/2010 21:39 ELNC: @SumTip #RNChat T2 and that is difficult these days. 4/9/2010 21:39 rnladyffchick: #RNChat is a nursing union an option? 4/9/2010 21:39 SumTip: #RNChat T2 Yes! We must learn to work together and be more easy to work with 4/9/2010 21:39 ELNC: @SumTip #RNChat T2 Absolutely! 4/9/2010 21:41 sreeseRNMBA: T2 @SumTip yes! #RNChat 4/9/2010 21:41 lacy_phillips: @SumTip Yes we are always short!!! And it is so hard to rely on float pool to make up for lack of staffing #rnchat 4/9/2010 21:42 sreeseRNMBA: T2 no ratio is going to provide me with what I need in every situation...#RNChat 4/9/2010 21:42 SumTip: #RNChat T2 I love my job and all the wonderful people. I will just continue to do my best! 4/9/2010 21:43 rnchat: Third and last #RNchat topic coming up in 2 minutes.
  6. 6. 4/9/2010 21:43 nursemichelle24: T2 Pediatrics is either feast or famine! #RNChat 4/9/2010 21:44 ELNC: #RNChat T2 There has to be more that we would like to change... 4/9/2010 21:44 rnchat: T3 Web Literacy: Is Web Illiteracy a problem in nursing? If so, why? Is Web Literacy valued enough in Nursing? #RNchat 4/9/2010 21:45 ELNC: #RNChat T2 Supervisors that can actually work on the floor they supervise...ie. able to run a code!!! 4/9/2010 21:45 SumTip: #RNChat T2 Maybe less burnt out nurses! 4/9/2010 21:45 ELNC: @SumTip #RNChat T2 That is possible with less pt ratio...team players...and supportive supervisor...etc. 4/9/2010 21:47 nursedave4: #RNChat T3 yes it is a problem, people do not use the tools available to problem solve, I am at times part of this 4/9/2010 21:47 SumTip: #RNChat T3 Yes this is a problem! 4/9/2010 21:48 nursedave4: #RNChat T3 web literacy is not always valued, people do not always adapt to change and the new, docs nurses etc 4/9/2010 21:49 SumTip: #RNChat T3 Those set in there old ways tend to have the biggest problem with change 4/9/2010 21:50 tactile: #RNchat T3 Web literacy is undervalued in nursing, and training on web based products is not sufficient for those who did not have training. 4/9/2010 21:50 nursemichelle24: T3 I love MicroMedex. It saves me all the time! #RNChat 4/9/2010 21:51 nursedave4: #RNChat T3 by the time you are put on hold and finally get an answer, sometimes a quick serch is quicker and easier 4/9/2010 21:51 SumTip: #RNChat T3 I do not always feel properly exposed or trained at times. 4/9/2010 21:52 nursemichelle24: The more web supports are used in our clinical practice, the more comfortable we will become with them. #RNChat 4/9/2010 21:52 AMartinRN: #rnchat T3 this is a problem especially when the avg age of a RN is 47. I do not feel the avg RN feels any value to web literacy 4/9/2010 21:53
  7. 7. nursedave4: #RNChat T3 more training would be nice, if interest could be gained, often training is just done and completed because have to 4/9/2010 21:53 SumTip: #RNChat T3 YES! MicroMedex is AWESOME! 4/9/2010 21:53 nursemichelle24: T3 I also have Skyscape on my phone, so when my family asks me a medication question I can tell them. #RNChat 4/9/2010 21:53 ELNC: #RNChat T3 I have never been able to access the web during work. No time. 4/9/2010 21:54 nursedave4: #RNChat T3 exposure is the only way to learn and become comfortable with any activity, that is why practice makes perfect was said 4/9/2010 21:54 nursemichelle24: T3 I agree with Dave. If you don't use it, you don't value it, and vice versa. It is a catch 22. #RNChat 4/9/2010 21:54 tactile: T3 #RNchat Prior to nursing, I did a lot of tech training. My fellow RNs lean on me a lot for help. I feel bad when I don't have time. 4/9/2010 21:55 ELNC: #RNChat T3 In the perfect world you would have time to access web to help with pt care throughout the day. It could be a great tool . 4/9/2010 21:55 rnchat: RT @nursedave4: #RNChat T3 exposure is the only way to learn and become comfortable with any activity, that is why practice makes perfect was said 4/9/2010 21:55 SumTip: #RNChat T3 I use the web at work when I can to answer questions I may have 4/9/2010 21:55 philbaumann: RT @ELNC: #RNChat T3 In the perfect world you would have time to access web to help with pt care throughout the day. It could be a great tool . 4/9/2010 21:56 SumTip: #RNChat Good Night! This was FUN! Thank you! 4/9/2010 21:57 ELNC: @philbaumann #RNChat T3 Thanks Phil {wink} 4/9/2010 21:57 ELNC: @SumTip #RNChat T3 You are lucky that you have the time to access the web. 4/9/2010 21:58 ELNC: @SumTip #RNChat T3 Goodnight. 4/9/2010 21:58 SumTip: #RNChat T3 I do it while running down the hall with my COW 4/9/2010 21:59
  8. 8. rnchat: @SumTip Good night! Thanks for coming. Stay tuned for more on #RNchat 4/9/2010 21:59 AMartinRN: #RNChat thanks for doing an unscheduled chat for us, we appreciate it. 4/9/2010 21:59 rnchat: WOW - our hour is almost up. Lots of new people tonight! #RNchat 4/9/2010 22:00 ELNC: #RNChat T3 We could benefit and our pts could benefit even more if we were able to access the web and research during our shift 4/9/2010 22:00 nursedave4: #RNChat Thank you for taking the time this evening 4/9/2010 22:00 ELNC: #RNChat T3 Goodnight from Colorado! Thanks for the chat.. 4/9/2010 22:00 rnchat: Any parting thoughts? #RNchat 4/9/2010 22:01 rnchat: Note: We also have a Facebook Page - http://Facebook.com/RNchat #RNchat 4/9/2010 22:03 rnchat: THANK YOU everybody for another great #RNchat! A transcript of tonight's chat will be up a bit later. 4/9/2010 22:04 roni_b: thanks! #RNchat 4/9/2010 22:04

×