RNchat Transcript December 1, 2009

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Transcript for #RNchat December 1, 2009. RNchat is a Twitter chat for registered nurses. …

Transcript for #RNchat December 1, 2009. RNchat is a Twitter chat for registered nurses.

Topics:

T1 Work Satisfaction: For nurses who are struggling with love of the profession, what are the reasons? What can help?

T2 Shortage of Willing Nurses: What realistic things can be done to quell the shortage?

T3 Thank You: How often do you hear that from the lips of administrators?

Follow on Twitter: @RNchat - http://twitter.com/RNchat

Blog: http://RNchat.org

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  • 1. rnchat: Welcome to #RNchat (Please note: Twitter may encounter downtime - if it does, we'll reschedule later). 12/1/2009 11:30 rnchat: OK, Let's get started with introductions. Tell us who you are and what matters most to you. #RNchat 12/1/2009 11:31 ali_rn: @RNchat i'm alison-i've been a med/surg nurse for 5 years, general interst in nursing #RNchat 12/1/2009 11:32 onlinenursing: Hello #RNChat people! Great to finally catch one of these. :) 12/1/2009 11:33 bthenextstep: Hi I'm Sean CC RN. All about pt advocacy and improving the delivery of bedside care. :) #rnchat 12/1/2009 11:33 rnchat: @ali_rn Welcome Alison! #RNchat 12/1/2009 11:33 bthenextstep: @ali_rn welcome! #rnchat 12/1/2009 11:34 InfusionNurse: Howdy! Infusion nurse and nurse educator..my name is Cora! #rnchat 12/1/2009 11:34 nursingpins: Hi all, Vernon Dutton in New Orleans - Critical Care, been nursing since before nurses could wear pants suits. #RNchat 12/1/2009 11:34 bthenextstep: @InfusionNurse nice to see you again Cora! #rnchat 12/1/2009 11:34 AbbieCitron: Hi RN Tweeps! Happy to be here for the 1st half hour! I'm a legal RN from Los Angeles! #rnchat 12/1/2009 11:34 onlinenursing: Hi @bthenextstep, @InfusionNurse, @ali_rn, @Nerdnurse #RNChat 12/1/2009 11:35 bthenextstep: @InfusionNurse @nursingpins #rnchat nice to see you both again! 12/1/2009 11:35 onlinenursing: I'm Terri- RN, NP, nurse educator, PhD Candidate, --- Love #RNchat. Family matters most, nursing and access to health care close second. 12/1/2009 11:36 rnchat: Our first topic is coming up in a minute. Please prepend your response to a topic with T1, T2, etc. #RNchat 12/1/2009 11:36 bhawkesRN: Hi nursing friends! Beth Staff Development, popping in quietly/quickly to say hi- have to go to a staff meeting momentairily :( #RNchat 12/1/2009 11:36 InfusionNurse: Glad to see u all too! RT @bthenextstep: @RoRod101 @nursingpins #rnchat nice to see you both again! #rnchat
  • 2. 12/1/2009 11:37 bthenextstep: @rnchat *thumbs up* #rnchat 12/1/2009 11:37 StressedFran: I'm Tami, editor at HCPro, reporting nursing news and information and stress relief! Nice to see you all again #RNchat 12/1/2009 11:37 bthenextstep: @bhawkesRN @onlinenursing @RoRod101 #RNchat nice to see you again! 12/1/2009 11:38 lorryschoenly: #RNChat- Hi, Everyone: correctional nurse educator/advocator. Chacking in from my refresher course 12/1/2009 11:38 rnchat: T1 Work Satisfaction: For nurses who are "struggling in the area of love for the profession", what are the reasons? What can help? #RNchat 12/1/2009 11:38 bthenextstep: T1 I guess I always look at the 'alternatives'. I've worked in far worse conditions and careers. Worse pay, coworkrs, envirnmnt, etc #rnchat 12/1/2009 11:39 ali_rn: @RNchat T1 far to much time managing patients, families, cna's, and paper and not enough spending time with pt's... #RNchat 12/1/2009 11:40 bthenextstep: T1 you get out of it -what you put into it. at the VERY least #rnchat 12/1/2009 11:40 EllenRichter: T1 Nothing can melt my heart & bring tears to my eyes more than the gratitude of pt/family when I make a difference in their lives #RNchat 12/1/2009 11:41 nursingpins: T1 short staffed, lack of appreciation & support from admin #rnchat 12/1/2009 11:41 RoRod101: RT @nursingpins: Good to see so many today #RNchat 12/1/2009 11:41 onlinenursing: T1 @nursingpins sent great link.Good ideas w/why we don't 'love' our jobs. Still media contributes :). http://tinyurl.com/yfqrpq4 #RNChat 12/1/2009 11:41 bthenextstep: T1 love the autonomy, responsibility, making a difference daily no matter how small. #rnchat 12/1/2009 11:41 EllenRichter: T1 Its that inner satisfaction as a nurse that keeps me going back to the bedside every day (ok & the money is good) ;) #RNchat 12/1/2009 11:42 KPNurseRecruit: I have to miss #RNchat today. I'm teaching a class. Looking forward to topic transcript afterwards. 12/1/2009 11:42 bthenextstep: T1 that tear of thanks from pt/ family makes it all worth it for me. #rnchat 12/1/2009 11:42
  • 3. EllenRichter: T1 Being a nurse from the dark ages, I marvel at how we have advanced technologically in nursing & love that! #RNchat 12/1/2009 11:43 onlinenursing: @bthenextstep is your cup half full? #RNChat.... would love to work w/others like you. I have a few students with same attitude. 12/1/2009 11:43 EllenRichter: Yep>> RT @bthenextstep: T1 that tear of thanks from pt/ family makes it all worth it for me. #rnchat #RNchat 12/1/2009 11:43 nursingpins: T1 personal thanks is what keeps me going back #rnchat 12/1/2009 11:43 EllenRichter: I have to miss most of the RNchat today too! Unfortunately!! But glad I got to stick my head in cuz I love u all :) #RNchat 12/1/2009 11:44 InfusionNurse: WOW! How long does it make u feel good? RT @bthenextstep: T1 that tear of thanks from pt/ family makes it all worth it for me. #rnchat 12/1/2009 11:44 bthenextstep: T1 when it's there: teamwork, comradarie, respect, etc LOVE that stuff. #rnchat 12/1/2009 11:44 RoRod101: RT @bthenextstep: T1 that tear of thanks from pt/ family makes it all worth it for me. #RNchat 12/1/2009 11:44 nursingpins: nursingpins but the tide goes way out sometimes with lack of admin. support #rnchat 12/1/2009 11:45 bthenextstep: @onlinenursing yep. Always at the very least -half full. #rnchat 12/1/2009 11:45 AbbieCitron: @EllenRichter will you be on the 9am conference call with me Ellen? #rnchat 12/1/2009 11:45 InfusionNurse: @EllenRichter ..we'll miss you..ttyl! #rnchat 12/1/2009 11:45 rnchat: T1 As a follow up: what could leadership do to enhance and ensure that the good stuff goes a much longer way? #RNchat 12/1/2009 11:45 bthenextstep: @EllenRichter thanks for popping in! #RNchat 12/1/2009 11:45 onlinenursing: T1 #RNChat - Nursing is the key to quality, affordable, health care access for all. keeps me going. Sometimes feels like uphill battle. 12/1/2009 11:45 GraftFinder: RT @bthenextstep: T1 that tear of thanks from pt/ family makes it all worth it for me. #rnchat (thanks for all you do!) 12/1/2009 11:46 AbbieCitron: TI you guys are making me miss the bedside! #rnchat 12/1/2009 11:46
  • 4. bthenextstep: T1 I guess we sometimes concentrate on the BAD.. when there is so much GOOD about our job/profession. #rnchat 12/1/2009 11:46 bthenextstep: T1 saving lives, making a small diff, improving health, making a patient smile, relieve pain, etc (i cld go on) #rnchat 12/1/2009 11:47 bthenextstep: @RNchat positive reinforcement is a must. Pnt out the good as much as the bad. when pnt out mistakes reinforce what went right. #RNchat 12/1/2009 11:48 nursingpins: T1 nursing is still wonderful - but we all know what the situation is #rnchat 12/1/2009 11:48 bthenextstep: T2 positive reinforcement is a must. Pnt out the good as much as the bad. when pnt out mistakes reinforce what went right. #rnchat 12/1/2009 11:48 onlinenursing: T1 - #RNChat... tangential example of how nsg/fix h/c -NURSE run clinics where Asthma ed, diabetes ed, diabetic foot care, med education... 12/1/2009 11:49 bthenextstep: @bthenextstep oops. guess that's not T2. lol #rnchat 12/1/2009 11:49 ERNurseJoy: Hello Everyone! #RNCHAT- I am a former ER Manager, Clinical Educator returned to the bedside.. missed patient care! :) 12/1/2009 11:50 ocdgirl2000: #rnchat sorry had to reboot 12/1/2009 11:50 bthenextstep: T1 always keeping the P.A.C.E. Postve Attitude Changes EVerything. #rnchat 12/1/2009 11:50 onlinenursing: @bthenextstep #RNChat -Yes,pos reinforcement & good mentoring nurses keep us going.Funny how it is not admin but how admin affects mentoring 12/1/2009 11:51 rnchat: @ERNurseJoy Good to have you here! #RNchat 12/1/2009 11:51 AbbieCitron: RT @bthenextstep: T1 always keeping the P.A.C.E. Postve Attitude Changes EVerything. #rnchat 12/1/2009 11:52 bthenextstep: T1 walk the walk and talk the talk. don't just point fingers and delegate. #rnchat 12/1/2009 11:52 InfusionNurse: I agree! RT @bthenextstep: T1 always keeping the P.A.C.E. Postve Attitude Changes EVerything. #rnchat 12/1/2009 11:52 bthenextstep: @JimRN welcome! #rnchat 12/1/2009 11:52 bthenextstep: @ERNurseJoy welcome! #rnchat 12/1/2009 11:52
  • 5. EllenRichter: T1 Just got off a call with my nurse manager at the hospital & administration that backs nursing up is key to satifaction!! #RNchat 12/1/2009 11:52 RoRod101: RT @InfusionNurse: I agree! RT @bthenextstep: T1 always keeping the P.A.C.E. Postve Attitude Changes EVerything. #RNchat 12/1/2009 11:52 bthenextstep: T1 we all know what a bad day is - it's our attitudes that help us get through them. Everyone being pos. not just yourself. #rnchat 12/1/2009 11:53 rnchat: Awesome convo. The next topic is builds on the first, so feel free to mix them up if you like. Coming up in one minute. #RNchat 12/1/2009 11:54 EllenRichter: @bthenextstep ~You made a hit with P.A.C.E. & I agree wholeheartedly!! :) Attitude is everything #RNchat 12/1/2009 11:54 JimRN: RT @bthenextstep: T1 walk the walk and talk the talk. don't just point fingers and delegate. #rnchat 12/1/2009 11:54 ocdgirl2000: @bthenextstep #rnchat T1 I love that! pointing fingers and delegating got my nurse manager in lots of trouble this past week. 12/1/2009 11:54 onlinenursing: RT @EllenRichter: Just got off a call with nurse manager at hospital & administration that backs nursing up is key to satifaction!! #RNchat 12/1/2009 11:54 bthenextstep: T1 and when you run into the neg - you strongly stand your pos. ground. attitude is infectious - pos and neg. #rnchat 12/1/2009 11:55 EllenRichter: OK bowing out>>>> bye guys!! (((twitter nurses))) #RNchat 12/1/2009 11:55 rnchat: T2 Shortage of (Willing) Nurses: What realistic things can be done to quell the shortage? (I know HUGE topic but give it a tweet.) #RNchat 12/1/2009 11:55 bthenextstep: @EllenRichter thanks again for stoppin in! #rnchat 12/1/2009 11:55 ERNurseJoy: LOVE IT! RT @bthenextstep T1 always keeping the P.A.C.E. Postve Attitude Changes EVerything. #rnchat 12/1/2009 11:56 onlinenursing: #RNChat TI - (devil's advocate)I would say that sometimes anger/frustration w/work helps encourage me 2change it.Dissat not nec. bad thing. 12/1/2009 11:56 bthenextstep: T2 I think supportive action will go along way for the shortage and attitude. #rnchat 12/1/2009 11:56 RoRod101: @EllenRichter Bye Ellen! Sorry to see you go, but it was good to see you! :) #RNchat 12/1/2009 11:56
  • 6. AbbieCitron: Me too, thanks everyone RT @EllenRichter: OK bowing out>>>> bye guys!! (((twitter nurses))) #rnchat 12/1/2009 11:57 bthenextstep: T2 maybe showing support with volunteering to give breaks when needed? How about lunches? or dinners? #rnchat 12/1/2009 11:57 ocdgirl2000: #rnchat T2 just heard Connecticut cut off supply of STATE Funding for LPNs. educational training! BAD MOVE! 12/1/2009 11:58 rnchat: @onlinenursing Excellent point! Being dissatisfied can lead to change versus complicity (assuming you have power to change). #RNchat 12/1/2009 11:58 bthenextstep: @onlinenursing another good point. change comes in many forms. even anger. #rnchat 12/1/2009 11:58 onlinenursing: T2- #RNChat need 2 encourage others about nursing.Advertise all the time.Don't tell your intelligent nephew 2 B an MD.Tell them 2 B a nurse! 12/1/2009 11:58 onlinenursing: RT @bthenextstep: maybe showing support w/vol to give breaks when needed? How about lunches? or dinners? #rnchat (Sabbaticals! GREAT idea!) 12/1/2009 11:59 ali_rn: @RNchat I think a more supportive training process, not rushing nurses to be on their own, not eating our young. #RNchat 12/1/2009 11:59 bthenextstep: I think we all have the 'power' to change - it's all in how it is applied. Being educat and tactful. #rnchat 12/1/2009 12:00 bthenextstep: RT @ali_rn I think a more supportive training process, not rushing nurses to be on their own, not eating our young (grt pnts) #rnchat 12/1/2009 12:00 ali_rn: @RNchat t2-maybe if we did a better job of training and orienting we could hang onto good nurses! #RNchat 12/1/2009 12:00 ocdgirl2000: @EllenRichter Bye! come back and read transcript! #rnchat 12/1/2009 12:01 bthenextstep: T2 but we also need to be realistic. Be honest with the new staff about working conditions/ staff/ attitude, etc. #rnchat 12/1/2009 12:02 nursingpins: nursingpins T2 just like nursing - it is the little things that count (and the hospitals could at least do the little things :) #rnchat 12/1/2009 12:03 InfusionNurse: T2.don't overload or make them feel guilty when short staffed. Pilots can't legally work after their work hrs r up, shld apply 2 us #rnchat 12/1/2009 12:04 bthenextstep: RT @nursingpins T2 just like nursing - it is the little things that count (and the hospitals could at least do the little things :) #rnchat
  • 7. 12/1/2009 12:04 onlinenursing: RT @ali_rn if we did better job training & orienting-could hang onto good nurses!#RNchat (Hear that!Don't rush students N2 Independ 2 quick) 12/1/2009 12:04 ocdgirl2000: #rnchat T2 expecting RN's to be business people when they are merely RN's is not the way to go. pushing them to the "bottom line?" is wrong! 12/1/2009 12:04 ali_rn: @bthenextstep can't be too honest! who would sign on for this chaos?! #rnchat 12/1/2009 12:05 bthenextstep: T1T2 I still think it the core it's about attitude #rnchat 12/1/2009 12:05 onlinenursing: @RNchat We R nurses,we always have power 2 change.Change/flexibility is our 1st name(after nurse of course :^)agree w/@bthenextstep #RNChat 12/1/2009 12:05 ocdgirl2000: #rnchat T2 RN's are not trained to please the stockholders! 12/1/2009 12:06 onlinenursing: Would help if I would remember to put darn hashtag in my AWESOME tweets. #RNChat 12/1/2009 12:06 RoRod101: T2 Support, mentor, and empower new nurses. Promote the nursing profession to attract potential nurses. #RNchat 12/1/2009 12:07 bthenextstep: @onlinenursing that's why tweetchat and tweetdeck are nice for this rnchat. :) #rnchat 12/1/2009 12:07 nursingpins: nursingpins T2 There are so many problems - at least here we can talk about one at a time and chang a few things #rnchat 12/1/2009 12:07 bthenextstep: RT @RoRod101: T2 Support, mentor, and empower new nurses. Promote the nursing profession to attract potential nurses. (lv empowr) #rnchat 12/1/2009 12:07 ocdgirl2000: @medxcentral come join us in #rnchat ! 12/1/2009 12:08 ali_rn: @bthenextstep i have to agree with you, but its a job of extremes...and some just cannot be explained... #rnchat 12/1/2009 12:08 andyatFAD: T2 @bthenextstep Ah, yes, but how to prepare for the ugliness without turning them off completely? #rnChat 12/1/2009 12:08 onlinenursing: @ocdgirl2000 #RNchat (devils advocate again)How does h/c get done w/o $? If RN's aren't aware of $, how can we deliver better/cheaper care? 12/1/2009 12:08 bthenextstep: @ali_rn true. very true. #rnchat 12/1/2009 12:09 bthenextstep: @andyatFAD be honest about it. up front. lets get serious here. What
  • 8. job/career/proffesion doesn't have an ugly side??? show me. #rnchat 12/1/2009 12:09 ocdgirl2000: @onlinenursing #rnchat T2 there are accountants, health care administrators, etc etc.NOT RN's! 12/1/2009 12:10 andyatFAD: @bthenextstep Absolutely true. I guess my actual question is, how to prepare minds that really, don't want to hear the negatives? #rnChat 12/1/2009 12:11 onlinenursing: RT @bthenextstep: @andyatFAD be honest about it/up front. lets get serious here.What job/career/proff doesn't have ugly side? #rnchat 12/1/2009 12:11 nursingpins: T2 the quality of new nurses is not what it once was - there are a lot of people who have been taught a little medicine #rnchat 12/1/2009 12:11 grimalkinrn: @ocdgirl2000 #rnchat It's important for RNs to be cost aware because often the pt will not be compliant if they can't afford the treatment. 12/1/2009 12:12 ali_rn: @bthenextstep hard to explain human side to new rn's they see stress, i think looking past that ,seeing people is what makes rn's #rnchat 12/1/2009 12:12 bthenextstep: @andyatFAD honestly? if not ready/prepared for the negatives. Maybe nursing isn't for them? this job isn't for everyone. #rnchat 12/1/2009 12:12 nursingpins: T2 take more time to bring them up to where they should be - nice if you have the time - #rnchat 12/1/2009 12:13 bthenextstep: @ali_rn GRT point. #rnchat 12/1/2009 12:13 InfusionNurse: true, but doesn't hurt to be informed about business of HC RT @ocdgirl2000: T2 RNs are not trained to please the stockholders! #rnchat 12/1/2009 12:13 rnchat: OK, last topic coming up in one minute. #RNchat 12/1/2009 12:13 bthenextstep: @andyatFAD maybe that's the problem. we're too busy coddling and sugar coating our reality too much?? #rnChat 12/1/2009 12:14 onlinenursing: @nursingpins - good tweet! Can you explain in 140 char. or less "taught a little medicine"? #RNChat 12/1/2009 12:14 ali_rn: @bthenextstep AGREED #rnchat 12/1/2009 12:14 nursingpins: T2 nursing is an art and it takes years to get comfortable #rnchat 12/1/2009 12:15 andyatFAD: @bthenextstep Oh, a cynic, eh? I don't think that's it. Faculty are always trying to explain
  • 9. the down side. How many really listen? #rnChat 12/1/2009 12:15 grimalkinrn: T3 #rnchat I hear thank you from a lot of people. Less from the docs I work with than anyone else. I hear it from pts and mgmt daily. 12/1/2009 12:15 onlinenursing: @ocdgirl2000 Good points!Agree,but does accountant know what cath is best 4 your pt/how many pts U should take/shift?all relates2$ #RNChat 12/1/2009 12:15 bthenextstep: @andyatFAD the ones that listen.. are the ones who are prepared. don't you think? #rnchat 12/1/2009 12:16 nursingpins: T2 there are too many corners being cut in nursing #rnchat 12/1/2009 12:17 InfusionNurse: T3..sometimes, lip service from leaders....pt/family, comes from the heart #rnchat 12/1/2009 12:17 andyatFAD: @bthenextstep Have to agree with you there, no doubt. #rnChat 12/1/2009 12:17 bthenextstep: T3 things are changing. docs never used to say thankyou's - but it's getting better at least in my world. #rnchat 12/1/2009 12:17 ali_rn: @onlinenursing lol-t2- #rnchat 12/1/2009 12:17 KPNurseRecruit: You may want to get over to the #RNChat that's happening right now! It's not too late. Always good info. 12/1/2009 12:18 nursingpins: T2 the first step in improvement is going to be enough staff #rnchat 12/1/2009 12:18 bthenextstep: @andyatFAD so why sugar coat it? why fluff it up? it only hurts you/us in the end. #rnchat 12/1/2009 12:18 onlinenursing: RT @grimalkinrn: T3 #rnchat I hear thank U from a lot of people. Less from docs I work w/than anyone else. I hear it from pts & mgmt daily. 12/1/2009 12:19 ocdgirl2000: @onlinenursing #rnchat T3 are we going by accountant's COST? or by patient safety? WE know safety! be damned the cost! 12/1/2009 12:19 grimalkinrn: RT @nursingpins: T2 the first step in improvement is going to be enough staff #rnchat So true 12/1/2009 12:19 onlinenursing: @ali_rn Love making people Laugh! Glad you did #RNChat... particularly administrators and academic higher ups. My favorite! 12/1/2009 12:20 bthenextstep: T3 maybe we should demand more from the ones who aren't thanking us - esp when thanking is deserved?? food for thought. #rnchat
  • 10. 12/1/2009 12:20 rnchat: T3 And by Thank You from Leadership, I mean sincere appreciation (backed by action) - not that phony lazy nonsense. #RNchat 12/1/2009 12:20 ali_rn: @RNchat mostly from coworkers/sometimes from immediate supervisors, not often from md's ,pts or families #RNchat 12/1/2009 12:21 andyatFAD: @bthenextstep T2 Don't want to sugarcoat, just want to reach them.I was often too honest when I taught.Maybe 1-sided opinion? #rnChat 12/1/2009 12:21 onlinenursing: @ocdgirl2000 #RNChat I have many pts with no insurance who won't fill scripts.If I know this,can find ways to get them meds.(just 1 example) 12/1/2009 12:22 ocdgirl2000: RT @RNchat: T3 And by Thank You from Leadership, I mean sincere appreciation (backed by action) - not that phony lazy nonsense. #RNchat 12/1/2009 12:22 grimalkinrn: @bthenextstep #rnchat T3 I agree that things are changing for the better. Everything takes time. 12/1/2009 12:22 ali_rn: @RNchat @bthenextstep depends on the doc-we have some that are amazing...and others that are not-same in any job #RNchat 12/1/2009 12:23 bthenextstep: @grimalkinrn yes. yes it does. but every journey worth taking was never easy. #rnchat 12/1/2009 12:23 nursingpins: @onlinenursing is a nursing educator - if we had more like her we would not be talking as much about this #rnchat 12/1/2009 12:23 onlinenursing: @ocdgirl2000 #RNChat, ex 2 -Clinic I work at charges 11$ 4 CBC, if pt. has it drawn outpt. costs them $120. I love accounting! We ROCK! 12/1/2009 12:24 bthenextstep: RT @nursingpins: @onlinenursing is a nursing educator - if we had more like her we would not be talking as much about this (true) #rnchat 12/1/2009 12:24 ocdgirl2000: @onlinenursing #rnchat this is a social service referral thing,I'm thinking more like,staffing numbers,ordering supplies on the floor, etc 12/1/2009 12:25 onlinenursing: (re: Nursing) RT @bthenextstep: @grimalkinrn yes. yes it does. but every journey worth taking was never easy. #rnchat 12/1/2009 12:25 nursingpins: people without ins. is treated different - I am ashamed to say #rnchat 12/1/2009 12:25 onlinenursing: RT @onlinenursing: @nursingpins Vernon - Now you are making me LOL! I am in trouble all the time, don't want more like me :). #RNChat 12/1/2009 12:26
  • 11. ali_rn: @bthenextstep t3-i like how you think...lol, sometimes people underestimate the power nurses have! #rnchat 12/1/2009 12:26 ali_rn: @RNchat t3-do those little dollar coupons to the cafeteria count ? #RNchat 12/1/2009 12:27 onlinenursing: RT @nursingpins: people without ins. is treated different - I am ashamed to say #rnchat (sent them 2 me... I will take them!) 12/1/2009 12:27 nursingpins: LOL #rnchat 12/1/2009 12:27 ali_rn: @andyatFAD t2-its tough to be honest and not overwhelm new grads-very fine line. #rnChat 12/1/2009 12:28 bthenextstep: @ali_rn yes. yes they do. It's up to us to keep reminding them! #rnchat 12/1/2009 12:28 rnchat: Coming up on one hour already! Any last thoughts, pearls of wisdom or corny nursing jokes to share? #RNchat 12/1/2009 12:28 andyatFAD: @ali_rn T3 They have coupons in cafeterias now? Boy, almost makes me miss the ol' days when I practiced. Almost. #rnChat 12/1/2009 12:28 andyatFAD: @ali_rn Agree fully. I've been involved in making books that try to do that and the line that needs to b walked is truly fine. #rnChat 12/1/2009 12:29 onlinenursing: RT @ali_rn: @andyatFAD t2-its tough to be honest and not overwhelm new grads-very fine line. #rnChat (yep, mentor, mentor, mentor) 12/1/2009 12:29 bthenextstep: as nurses we have the amazing power to affect/effect and initiate change. our actions speak much louder than we think. #rnchat 12/1/2009 12:30 ali_rn: @grimalkinrn t3-which is ohhh so helpful, when you don't have time to go!! lol #rnchat 12/1/2009 12:30 onlinenursing: @ocdgirl2000 But good RN wouldn't do that... Pt. Care first... Profit... that is the problem. PBS great program(Frontline)on h/c #RNChat 12/1/2009 12:30 seejanenurse: I missed it! #rnchat 12/1/2009 12:30 RoRod101: RT @bthenextstep As nurses we have the amazing power to affect/effect & initiate change Our actions speak much louder than we think #RNchat 12/1/2009 12:31 RoRod101: Enjoyed chatting with fellow Nurses! Thank you @RNchat for another twonderful hour! #RNchat 12/1/2009 12:31 bthenextstep: @rnchat awesome stuff as always Phil. Luv it. Just luv it. Thanks again for making this
  • 12. happen. #rnchat 12/1/2009 12:31 andyatFAD: @onlinenursing RT @ali_rn T3 Maybe there's a book or other product that could help here? down-n-dirty nursing tips kind of thing?Hmm #rnChat 12/1/2009 12:31 andyatFAD: @ali_rn Great idea, those coupons! Thanks all for sharing! #rnChat 12/1/2009 12:32 ali_rn: @onlinenursing i think the system is set up to present one layer of stress at a time- though faulty. #rnChat 12/1/2009 12:32 ali_rn: @andyatFAD @andyatFAD I smell opportunity!! lol #rnChat 12/1/2009 12:33 rnchat: THANK YOU all for chatting today - a great conversation! Next chat is 12/8 11:30a EST (16:30 UTC). Transcript up w/in 24 hours. #RNchat 12/1/2009 12:34 andyatFAD: @ali_rn You'd better believe it! #rnChat 12/1/2009 12:34 onlinenursing: RT @RoRod101 @bthenextstep-As RNs we have amazing power 2 affect/effect &initiate change Our actions speak much louder than we think #RNchat 12/1/2009 12:34 bthenextstep: Thanks for the great conversation everyone! Even add a couple more followers to my list! Awesome! have a great day. #rnchat 12/1/2009 12:35 ali_rn: RT @bthenextstep: as nurses have amazing power to affect/effect and initiate change. our actions speak much louder than we think. #rnchat 12/1/2009 12:36 nursingpins: If it was not for JCAH comming - the hospitals would be in a real mess #rnchat - the only time thigs are made to look good. 12/1/2009 12:36 onlinenursing: @ocdgirl2000 Laughing about keys! That totally happend to me once! Great #RNChat. I can't wait to come back. 12/1/2009 12:36 ali_rn: @grimalkinrn beg a coworker! lol #rnchat 12/1/2009 12:36 onlinenursing: @rnchat just want 2 say thanks #RNChat always give me stuff 2think about & take back 2 students.2Day Lots of good!Now go out & make change:) 12/1/2009 12:37 ocdgirl2000: @nursingpins AND...WHO makes them look good? do you see the managers come out and help? HA! #rnchat 12/1/2009 12:37 InfusionNurse: great chatting with you, thanks everyone! Thanks to @philbaumann as always..by #rnchat 12/1/2009 12:38 onlinenursing: (Re:Nursing. Hope #ANA, #STTI are listening)RT @nursingpins: we have no national voice -no central leadership -no solid direction #rnchat
  • 13. 12/1/2009 12:38 onlinenursing: RT @InfusionNurse: great chatting with you, thanks everyone! Thanks to @philbaumann as always..bye #rnchat 12/1/2009 12:38 bhawkesRN: RT @onlinenursing: T1 - #RNChat... tangential example of how nsg/fix h/c -NURSE run clinics where Asthma ed, diabetes ed, diabetic foot ... 12/1/2009 12:39 nursingpins: @ocdgirl2000 ell no #rnchat 12/1/2009 12:39 ocdgirl2000: @onlinenursing LOL! this is "pointing fingers & delegating manager" Nurse Practitioner" making over 125K. GOVERNMENT JOB. #rnchat "I forgot" 12/1/2009 12:42 ocdgirl2000: @nursingpins #rnchat when surveyors came from CARF, I stayed! past my paid hrs, while manager passed by,waving bye bye! scrubbing w bleach!! 12/1/2009 12:47 NursingCenter: @RNchat Bummed I missed today's chat...looking forward to the transcript! #rnchat 12/1/2009 13:15 onlinenursing: @NursingCenter bummer you missed it. Come and chat next time #RNChat 12/1/2009 13:19 SpeakHealth: Wow, awesome discussion abt nursing at #rnchat 12/1/2009 13:44 SafetyNurse: @mjcostajr Good Q 4 #rnchat (paging @philbaumann) & #HIT vendors. + try @SusanNiemeier. Most reliable processes likely IT-facilitated. 12/1/2009 15:52