rnchat:          Tonight on #RNchat we will discuss Augmented Reality (AR) & its implications in nursing
                 ...
holisticnurses:   Hi all! Telehealth/Holistic RN, NYC #rnchat
                  2/26/2010 21:08


rnchat:           Wow......
TeriRN:           1st time hearing the term. Haven't had a chance to look at the article you posted.
                  #RN...
2/26/2010 21:21


tactile:         T1 It could be useful for ppl in hard to reach areas. However, I worked in IT. Left it ...
nursingpins:      T1 - we could have another chat about AR - it will be very common in near future, still
                ...
I would like to know too:) falls #RNchat
                  2/26/2010 21:35


ocdgirl2000:      @holisticnurses #rnchat T1 ...
TeriRN:           @nursingpins Agreed, but the #'s could be less. I've witnessed nurses & aides ignore the
               ...
TeriRN:           @BonnieRN AWWWWW! Nurses need to where roller skates. =D #RNChat
                  2/26/2010 21:43


rnc...
2/26/2010 21:48


Trybarefoot:      Just 'iistening' here quietly - interesting chat...#RNChat
                  2/26/2010...
TeriRN:           @NursingCenter Better late than never. =D #RNChat
                  2/26/2010 21:52


TeriRN:           ...
TeriRN:           @holisticnurses T3: I agree. I think some R dx'd ADD/ADHD when all they need is
                  redire...
TeriRN:           @cyclingwidow Welcome Kim #RNChat
                  2/26/2010 22:04


holisticnurses:   Burden falls on ...
InfusionNurse:    T3 - meds for tx adult crohn's r available, docs use same med for peds crohn's until one
               ...
NursingCenter:    @cyclingwidow re: dosing...I would think age matters too, pharmacokinetics r/t organ
                  d...
KaitlynAliano:    Intelligent conversation as always. Would love to connect w/ everyone via @Twitter or
                  ...
chuymatt:         @rnchat West coast here! Not a problem for me. #rnchat
                  2/26/2010 22:24


cyclingwidow:...
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RNchat Transcript February 26, 2010

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Transcript of #RNchat for February 26, 2010. RNchat is a Twitter chat for registered nurses. Follow on Twitter: @RNchat.

Topics include:

Augmented Reality
Pediatric Pharmacology
Fall Prevention

Published in: Health & Medicine, Technology
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RNchat Transcript February 26, 2010

  1. 1. rnchat: Tonight on #RNchat we will discuss Augmented Reality (AR) & its implications in nursing & health care in general >> Read up? http://i.cx/16o 2/26/2010 19:58 rnchat: One of our topic on #RNchat tonite: Augmented Reality (AR) & its implications in health care ~Heres another article >> http://i.cx/16p 2/26/2010 20:01 nursingpins: How Augmented Reality Works (#RNchat topic tonight) http://tinyurl.com/5hstkg 2/26/2010 20:16 rnchat: Another topic at #RNchat tonite (in 30 minutes) is about pediatric drug development & clinical trials ~Some links to info >> http://i.cx/16r 2/26/2010 20:34 rnchat: 3rd topic tonite @ #RNchat will be re: patient safety! How are we doing with inpatient falls? Why cant we achieve 100% falls prevention? 2/26/2010 20:43 rnchat: Hello & welcome to tonites edition of #RNchat, a Twitter chat for any health care folks & of course for RNs! Its a place to share ideas 2/26/2010 21:02 KaitlynAliano: @rnchat, no problem. ;-) #RNchat 2/26/2010 21:03 CutePedsNurse: #Rnchat Hello!! :) 2/26/2010 21:03 rnchat: Lets take a few minutes to seeing who is joining in. Introduce yourselves & tell us in 140 or less what brings you to #RNchat tonight! 2/26/2010 21:04 nursingpins: Hi all, Vernon Dutton -critical care & nursing history in New Orleans #RNchat 2/26/2010 21:04 rnchat: @CutePedsNurse Hi! #RNchat 2/26/2010 21:04 KaitlynAliano: Nursing student from NJ here! #RNchat 2/26/2010 21:05 InfusionNurse: Good evening to all!! Infusion nurse and nurse educator. Glad to be here tonite!! #RNchat 2/26/2010 21:06 rnchat: I am @EllenRichter & like Vernon, I'm a critical care nurse, & I am a legal nurse consultant too. I love to meet like this & share #RNchat 2/26/2010 21:06 tactile: RT @tactile: Med Surg nurse in Denver, Colorado. I'm also @grimalkinrn. I am also a skin and wound resource. #RNchat 2/26/2010 21:08 CutePedsNurse: RT @CutePedsNurse Hi all!! I'm a peds nurse who is preparing for nicu!! Yea! Looking for ideas. I'm Jennifer /forgot the #RNchat 2/26/2010 21:08
  2. 2. holisticnurses: Hi all! Telehealth/Holistic RN, NYC #rnchat 2/26/2010 21:08 rnchat: Wow...great turnout, folks! Hello to all of you! Too many to put in one tweet! :) Waving hi! #RNchat 2/26/2010 21:09 rnchat: #RNchat is a way for nurses (& all others in health care!) to meet, tweet & share feelings, thoughts, ideas~ We welcome silent lurkers! 2/26/2010 21:09 TeriRN: Hey all. Traveling nurse specializing in hospice. #RNChat 2/26/2010 21:09 InfusionNurse: Happy to see familiar names and new ones too...Hi all! #RNchat 2/26/2010 21:10 bthenextstep: @rnchat just wanted to say hello to all my fellow RN's out there. Can't stay. I've missed these chats! School keeps me busy! #RNchat 2/26/2010 21:10 rnchat: The topics will be labeled T1, T2, etc. Please remember to add topic label & hashtag #RNchat to ea tweet so we can track your responses! 2/26/2010 21:10 rnchat: You can join our chat by signing into websites like tweetchat or tweetgrid or use twitter search page. Use hashtag #RNchat & follow along! 2/26/2010 21:11 rnchat: T1 Augmented Reality: AR will become more common. What uses could you envision for AR in nursing? #RNchat 2/26/2010 21:12 InfusionNurse: @bthenextstep ...we miss you...have fun studying!! #RNchat 2/26/2010 21:13 bthenextstep: @rnchat have a great night everyone! *high fives around the room* #RNchat 2/26/2010 21:13 rnchat: @bthenextstep We'll save your seat! :) #RNchat 2/26/2010 21:14 rnchat: T1 Is everyone familiar with augmented reality? #RNchat 2/26/2010 21:15 CutePedsNurse: T1- #RNchat I think we will begin to lose track of our patients and not really know them. 2/26/2010 21:16 nursingpins: T1-so much potl-Dr. office - nest avlib. apt -what serv--Hosp.wait time- ins. info -best feature - see what others tweet about same. #RNchat 2/26/2010 21:16 InfusionNurse: T1 - just read up on it but would love to see AR used in finding veins...esp. peds and obese pts. & others w/ bad veins. #RNchat 2/26/2010 21:16 SunnyStokes: Hello all! I'm Sunny, disease management nurse in primary care in rural SC. #RNchat 2/26/2010 21:17
  3. 3. TeriRN: 1st time hearing the term. Haven't had a chance to look at the article you posted. #RNChat 2/26/2010 21:17 rnchat: @CutePedsNurse T1 Either that, or we may just get to know them better with AR #RNchat 2/26/2010 21:17 tactile: I was googling augmented reality to see if it was something I should screen for, to be honest. T1 #RNchat 2/26/2010 21:17 BonnieRN: #RNChat Phil, could you explain the term? 2/26/2010 21:18 rnchat: T1 Very broadly, its a wireless way to access information that is far away from the accessor #RNchat 2/26/2010 21:18 InfusionNurse: T1 - shld help us, accdg to the article, we can point to a pt and all their info appears on your phone/screen! #RNchat 2/26/2010 21:19 CutePedsNurse: T1-#RNchat I think it could go either way but I still like more interaction. 2/26/2010 21:19 rnchat: T1 @nursingpins had a great response tweet with ways AR is used #RNchat 2/26/2010 21:19 nursingpins: T1 unlimited info about any given place Resturant ex - menu, prices, reserv other reviews - will work the same for medical info. #RNchat 2/26/2010 21:19 DaveyHo69: Like Nascar? Love your career choice! RT @CutePedsNurse: I'm a peds nurse who is preparing for nicu!! I'm Jennifer forgot the #RNchat 2/26/2010 21:20 holisticnurses: T1 There are two articles. It would be great at teaching pt's anatomy and physiology of their diseases as well as student RNs. #rnchat 2/26/2010 21:20 BonnieRN: #RNChat oh man, I did not know there was homework... studying up... 2/26/2010 21:20 rnchat: @BonnieRN LOL hi Bonnie! Its Ellen tonite, not Phil & welcome. I tweeted 2 links earlier to familiarize ppl with the term AR #RNchat 2/26/2010 21:21 KaitlynAliano: T1: I think it could be beneficial when educating clients. #RNchat 2/26/2010 21:21 holisticnurses: @BonnieRN T1 One article shows graphics projected from a screen onto a person or a surface. Blurs the line of reality and techology. #rnchat 2/26/2010 21:21 InfusionNurse: @BonnieRN ..Ellen is moderating, don't know if Phil is here tonite #RNchat
  4. 4. 2/26/2010 21:21 tactile: T1 It could be useful for ppl in hard to reach areas. However, I worked in IT. Left it for more personal interaction #RNchat 2/26/2010 21:21 rnchat: T1 The ability for medical aid to be brought right to a desolate area via AR is amazing #RNchat 2/26/2010 21:22 BonnieRN: #RNChat T1, U guys are over my head... lol I see the aps.... 2/26/2010 21:23 nursingpins: T1 check pharmacy to see if they have your meds - prices- is it ready-gneric avlib. information is limitless for any place -location #RNchat 2/26/2010 21:24 rnchat: T1 I would love to see the ability to put sensors on patients' skin that would ring at the 1st sign of pressure build up #RNchat 2/26/2010 21:24 TeriRN: @rnchat I see I'm going 2need 2do some studying. I'm still not getting AR Right now C how it could B used as an invasion of privacy. #RNChat 2/26/2010 21:25 KaitlynAliano: The ultrasound of the future: http://bit.ly/aWabTK (speaking of augmented reality...) #RNchat 2/26/2010 21:25 TeriRN: @rnchat But that could be with any technology I know. Like the ideas for use I'm seeing so far. #RNChat 2/26/2010 21:26 InfusionNurse: Awesome! RT @KaitlynAliano: The ultrasound of the future: http://bit.ly/aWabTK (speaking of augmented reality...) #RNchat 2/26/2010 21:27 TeriRN: That's amazing. RT @KaitlynAliano: The ultrasound of the future: http://bit.ly/aWabTK (speaking of augmented reality...) #RNChat 2/26/2010 21:27 nursingpins: T1 AR is like layers of information - you can cont how much info you get on your phone just by pointing your phone at location etc. #RNchat 2/26/2010 21:27 CutePedsNurse: #RNchat T1 I agree that it could be very good for information. We would also need to be careful about confidentiality. 2/26/2010 21:28 rnchat: @CutePedsNurse T1 Yes, we ALWAYS have to be aware of confidentiality in health care, no matter what we are doing. :) #RNchat 2/26/2010 21:29 rnchat: OK 3 more minutes & on to the next topic, folks :) #RNchat 2/26/2010 21:29 TeriRN: @rnchat T1: That will be interesting. #RNChat 2/26/2010 21:29
  5. 5. nursingpins: T1 - we could have another chat about AR - it will be very common in near future, still developing. #RNchat 2/26/2010 21:29 KaitlynAliano: @InfusionNurse @terirn - I know! Isn't it? #RNchat 2/26/2010 21:30 InfusionNurse: T1 - perhaps still a new concept to us but I can see where it will be helpful to us so we can care for patients better... #RNchat 2/26/2010 21:30 rnchat: @nursingpins I agree. Augmented Reality is something we can build upon in future chats! Today we are getting everyone on same page #RNchat 2/26/2010 21:31 InfusionNurse: @KaitlynAliano ...T1 that's exactly what I want to help me find veins easily....no missed attempts! #RNchat 2/26/2010 21:31 holisticnurses: @InfusionNurse There is a product called Accuvein that can find veins for IV insertion. T1 #rnchat 2/26/2010 21:31 CutePedsNurse: RT @nursingpins T1 - we could have another chat about AR - it will be very common in near future, still developing. #RNchat <>Yes 2/26/2010 21:32 KaitlynAliano: @InfusionNurse, you're right. That would be a great use of technology! #RNchat 2/26/2010 21:32 InfusionNurse: Yup, been using it, best so far in the market but its not AR . RT @holisticnurses: product called Accuvein for IV insertion. T1 #RNchat 2/26/2010 21:32 rnchat: T2 Despite aggressive programs to identify pts at risk for falls, statistics R still too high. What more can we do to combat falls? #RNchat 2/26/2010 21:33 TeriRN: @InfusionNurse I could of used something like that when I had my MI & the best vein they could find was in shoulder with a 22. #RNChat 2/26/2010 21:33 ocdgirl2000: RT @holisticnurses: @InfusionNurse There is a product called Accuvein that can find veins for IV insertion. T1 #rnchat 2/26/2010 21:33 KaitlynAliano: @rnchat, that's a tough one! re: T2... #RNchat 2/26/2010 21:34 InfusionNurse: OMG!! RT @TeriRN:...the best vein they could find was in shoulder with a 22. #RNchat 2/26/2010 21:34 TeriRN: T2: For nursing homes, staffing needs to be better. Not the state minimum. #RNChat 2/26/2010 21:34 nursingpins: T2 other than raising the bed as high as it will go - (to hear them when they hit the floor)
  6. 6. I would like to know too:) falls #RNchat 2/26/2010 21:35 ocdgirl2000: @holisticnurses #rnchat T1 whoever invented that will be rich! "accuevein" 2/26/2010 21:35 holisticnurses: Agreed, staffing. But that's a conundrum all it's own. RT @TeriRN: T2: For nursing homes, staffing needs to be better. #rnchat 2/26/2010 21:35 nursingpins: T2 we need to make sure beds are in the lowest position (easy thing to remember) #RNchat 2/26/2010 21:36 rnchat: T2 I think we need some more innovative & sensitive bed & chair sensor devices, ones that quickly pull a nurse to the bedside? :) #RNchat 2/26/2010 21:36 TeriRN: T2: Also better ed So far inservices I've been in 4falls have been jokes Unfortunately places I was @ wasn't in position 2sug better #RNChat 2/26/2010 21:37 holisticnurses: Yes! Come up with something good. http://www.accuvein.com/ RT @ocdgirl2000: #rnchat T1 whoever invented that will be rich! #rnchat 2/26/2010 21:37 KaitlynAliano: RT @holisticnurses: Agreed, staffing. But that's a conundrum all it's own. RT @TeriRN: T2: For nursing homes, staffing needs to b... #RNchat 2/26/2010 21:37 rnchat: T2 I also think any pt identified as a high risk should have visiting hours opened so family can sit in shifts round the clock #RNchat 2/26/2010 21:37 holisticnurses: T2 Redesign location of nurses' station. #rnchat 2/26/2010 21:37 TeriRN: @holisticnurses Boy is it ever. Staffing is always better when it's survey time. Then back to the bare minimum. =( #RNChat 2/26/2010 21:38 nursingpins: Latest study - some never events can't be 100% prevented - unfortunately falls are one of them. #RNchat 2/26/2010 21:38 ocdgirl2000: #rnchat T2 group homes seem to do quite well around here,best of both worlds! great care,surveyors keep closer eye on them.cheaper,like home 2/26/2010 21:38 KaitlynAliano: How do you all feel about restraints? We learned them 2 wks ago and were told they can keep a patient at risk for a fall in bed. #RNchat 2/26/2010 21:38 rnchat: T2 If we place the responsibility on the family too, it could reduce falls just by having more manpower alone! #RNchat 2/26/2010 21:38
  7. 7. TeriRN: @nursingpins Agreed, but the #'s could be less. I've witnessed nurses & aides ignore the alarms b/c it's not their pt. #RNChat 2/26/2010 21:39 holisticnurses: @KaitlynAliano T2 Eeekk...not a restraint fan here. #rnchat 2/26/2010 21:40 rnchat: @KaitlynAliano T2 The risk for falls is not usually a criteria for restraints. This is why its such a challenge. #RNchat 2/26/2010 21:40 nursingpins: T2 video monitors offer the best hope (and somebody to watch them) #RNchat 2/26/2010 21:40 TeriRN: Same here.>>>>RT @holisticnurses: @KaitlynAliano T2 Eeekk...not a restraint fan here. #RNChat 2/26/2010 21:40 holisticnurses: Good idea! RT @rnchat: T2 pt identified as a high risk should have visiting hours opened so family can sit in shifts round the clock #rnchat 2/26/2010 21:40 rnchat: RT @nursingpins: T2 video monitors offer the best hope (and somebody to watch them) #RNchat 2/26/2010 21:40 DianaCCRN: T2 #RNchat my workplace looking at hiring private sitters for qualified patients. Cheaper than paying for fall. 2/26/2010 21:41 KaitlynAliano: @holisticnurses, me neither! Just curious. #RNchat 2/26/2010 21:41 InfusionNurse: Good idea..RT @nursingpins: T2 video monitors offer the best hope (and somebody to watch them) #RNchat 2/26/2010 21:41 nursingpins: @TeriRN Your are right - has to be a shared responsibility. #RNchat 2/26/2010 21:41 holisticnurses: Privacy laws prohibit video cameras in certain areas RT @nursingpins: T2 video monitors offer the best hope (somebody to watch them) #rnchat 2/26/2010 21:42 TeriRN: @DianaCCRN Worked at one that told families they had to pay for the sitter. Families can't afford it many times. #RNChat 2/26/2010 21:42 ocdgirl2000: #rnchat T2 the reason why pt's R in Nursing Homes is because families mostly don't have time or inclination 2 B involved.or pt would be home 2/26/2010 21:42 BonnieRN: T2 #rnchat private sitters and family, quiet alarms someone who can run fast 2/26/2010 21:42 holisticnurses: Research Granny Cams. Slippery slope issue. RT @InfusionNurse: Good idea..RT @nursingpins: T2 video monitors offer the best hope #rnchat 2/26/2010 21:43
  8. 8. TeriRN: @BonnieRN AWWWWW! Nurses need to where roller skates. =D #RNChat 2/26/2010 21:43 rnchat: @ocdgirl2000 T2 LOL, yes but these are the same families that definitely have time for litigation if the pt falls! #RNchat 2/26/2010 21:43 tactile: @KaitlynAliano T2 I think restraints, chemical and physical should be a last resort and increase the risk of delirium and injury #RNchat 2/26/2010 21:44 holisticnurses: Of course. Glad they're discussing the issue in schools. RT @KaitlynAliano: @holisticnurses, me neither! Just curious. #rnchat 2/26/2010 21:44 KaitlynAliano: @TeriRN, roller skates could contribute to nurses' falls! :-D #RNchat 2/26/2010 21:44 BonnieRN: T2 awww yes, litigation... #rnchat 2/26/2010 21:44 TeriRN: @ocdgirl2000 Not always true Sometimes families can't handle the pt 2stay home & they can't live alone nor afford private sitters #RNChat 2/26/2010 21:45 rnchat: @tactile T2 Yes good point. I dont think most hospitals even list "fall risk" as a choice in restraint policies #RNchat 2/26/2010 21:45 ocdgirl2000: @rnchat #rnchat T2 sometimes!, sometimes not even, they have time to fight over the leftover accounts! 2/26/2010 21:45 TeriRN: @KaitlynAliano Darn it always a down side to good ideas. =D #RNChat 2/26/2010 21:45 holisticnurses: Fall team! Great! RT @nursingpins: T2 ideally a(fall team)to assign & monitor-anything can be done with enough help #rnchat 2/26/2010 21:45 rnchat: @BonnieRN LOL, yes, litigation...now you can tell its me & not Phil ;) #RNchat 2/26/2010 21:46 TeriRN: @holisticnurses T2: I like that a fall team. Facilities have wound care teams & IV teams add a fall team. #RNChat 2/26/2010 21:46 rnchat: @holisticnurses T2 But wont a Fall Team be costly? In this day & age how can we OK more staff? #RNchat 2/26/2010 21:47 rnchat: 2 minutes & on to topic 3 :) #RNchat 2/26/2010 21:48 ocdgirl2000: @TeriRN #rnchat T2 nursing homes are upwards 70K a year! cheaper to pay round the clock Nursing care in pt's home!
  9. 9. 2/26/2010 21:48 Trybarefoot: Just 'iistening' here quietly - interesting chat...#RNChat 2/26/2010 21:48 KaitlynAliano: @rnchat, that's what I was thinking, too. Hospitals are trying to cut costs. A new team would be a no-go, wouldn't it? #RNchat 2/26/2010 21:48 TeriRN: @rnchat T2: Wouldn't it B cheaper than litigation &increased care needed from the injuries? Although cost of more staff will B issue #RNChat 2/26/2010 21:49 nursingpins: @rnchat T2 would add to cost but we are doing everything already without enough help and support :) #RNchat 2/26/2010 21:49 tactile: T2 We should also try to equally distribute fall risk pts among the staff. No RN should have all of them, and neither should 1 CNA! #RNchat 2/26/2010 21:49 TeriRN: @ocdgirl2000 Not if you don't have the money & have 2 rely on Medicaid. #RNChat 2/26/2010 21:49 holisticnurses: Interdisclipinary approach with the present staff. ??? RT @rnchat: T2 But wont a Fall Team be costly? #rnchat 2/26/2010 21:50 rnchat: Sigh >> Yes! So true RT @nursingpins T2 would add to cost but we are doing everything already without enough help and support :) #RNchat 2/26/2010 21:50 nursingpins: T2 we could try to split them up - but 60% of falls are not ID'd as fall potential. #RNchat 2/26/2010 21:50 TeriRN: @holisticnurses T2: That's an idea. #RNChat 2/26/2010 21:50 rnchat: T2 Awesome responses to the falls topic, folks! :) #RNchat 2/26/2010 21:51 TeriRN: RT @nursingpins: T2 we could try to split them up - but 60% of falls are not IDd as fall potential.<<Sad but true #RNChat 2/26/2010 21:51 NursingCenter: Hey gang! Sorry I'm so late :) I'll try to catch up! #rnchat 2/26/2010 21:51 rnchat: @nursingpins Is that your facility's statistic or is that the US statistic...60% of falls not IDd as potential? #RNchat 2/26/2010 21:51 KaitlynAliano: @NursingCenter, welcome! #RNchat 2/26/2010 21:52 rnchat: @NursingCenter Welcome!! :) #RNchat 2/26/2010 21:52
  10. 10. TeriRN: @NursingCenter Better late than never. =D #RNChat 2/26/2010 21:52 TeriRN: @NursingCenter Glad you made it. #RNChat 2/26/2010 21:53 rnchat: T3 Pediatric Rx: What is the future of peds Rx development? What are ethical dilemmas of pediatric clinical trials? #RNchat 2/26/2010 21:53 ocdgirl2000: #rnchat T2 we used to see mostly all of our orthopedic patients as falls from Nursing Homes, the ones that were the lower income.. 2/26/2010 21:54 InfusionNurse: T3 - not much clinical trials going on for peds...can't use them as study subjects? #RNchat 2/26/2010 21:54 NursingCenter: Thanks for the welcomes! Talking about falls, huh? Horrible when it happens - will check transcript later to read your ideas! #rnchat 2/26/2010 21:55 holisticnurses: T2 And incentives for fall teams that decrease statistics. Seems like a return to a team approach on floors-RN, LPN, CNA, SW, MD. #rnchat 2/26/2010 21:55 KaitlynAliano: RT @rnchat: T3: Pediatric Rx: What is the future of peds Rx development? What are ethical dilemmas of pediatric clinical trials? #RNchat 2/26/2010 21:55 TeriRN: @holisticnurses T2: seen to many MDs order restraints rather than try to come up with better solution or use sol. offered by RN #RNChat 2/26/2010 21:56 rnchat: T3 Some examples of pediatric clinical trials are at this link http://i.cx/16r #RNchat 2/26/2010 21:56 tactile: T3 #rnchat Pediatric trials: the benefits HAVE to outweigh the risks to growth, mental and emotional development, and health. 2/26/2010 21:56 holisticnurses: MD's should take a monitoring shift. :) RT @TeriRN: @holisticnurses T2: seen many MDs order restraints rather than try to come up... #rnchat 2/26/2010 21:57 ocdgirl2000: #rnchat T3 sometimes you see some Peds clinical trials at NIH, simply because the patients can live there, be observed go to school there.. 2/26/2010 21:57 nursingpins: T3 listening - peds exp is nill #RNchat 2/26/2010 21:58 holisticnurses: T3 Hmm...good question. All I can say is too many kids on Ritalin in my opinion. #rnchat 2/26/2010 21:58 TeriRN: @holisticnurses T2: MDs take a monitoring shift? That I would love to see. #RNChat 2/26/2010 21:58
  11. 11. TeriRN: @holisticnurses T3: I agree. I think some R dx'd ADD/ADHD when all they need is redirection or consistant discipline. #RNChat 2/26/2010 22:00 rnchat: T3 If you had a terminally ill child, would you consent to a clinical trial of a new drug for possible treatment? #RNchat 2/26/2010 22:00 holisticnurses: But medical students should to better understand the problem. RT @TeriRN:T2: MDs take a monitoring shift? That I would love to see. #rnchat 2/26/2010 22:00 TeriRN: @holisticnurses T2: I sooooooo agree with you on that. #RNChat 2/26/2010 22:01 rnchat: T3 Didnt ADD & ADHD evolve with the computer age? #RNchat 2/26/2010 22:01 TeriRN: @rnchat T3: wow that's a hard one. Not sure what I would do. #RNChat 2/26/2010 22:01 ocdgirl2000: #rnchat T3 well,usually stuff around mental health,learning issues,sometimes it's cancer treatment,or lupus,my friend grew up@ NIH,she's 55 2/26/2010 22:01 rnchat: T3 What is the ethically correct way to deal with development of new drugs to treat pediatric disorders? #RNchat 2/26/2010 22:02 holisticnurses: Or was it the diagnosis that evolved? RT @rnchat: T3 Didnt ADD & ADHD evolve with the computer age? #rnchat 2/26/2010 22:02 TeriRN: @rnchat T3: Hmmm good question. But using the standard I see where some adults would have been labeled ADD/ADHD as a kid. #RNChat 2/26/2010 22:03 NursingCenter: T3 Ethical dilemmas with ped clinical trials ~ risk v. benefits, differences in physical & emotional development #rnchat 2/26/2010 22:03 KaitlynAliano: @rnchat, only if there was nothing to lose and everything to gain... #RNchat 2/26/2010 22:03 rnchat: @ocdgirl2000 T3 Good examples! :) #RNchat 2/26/2010 22:03 cyclingwidow: Late arrival but I did make it tonight. Kim, RN, BSN, Clinical Analyst in IT #rnchat 2/26/2010 22:03 InfusionNurse: @rnchat ..T3... or the use of an approved drug 4 adults not peds but would help the illness... #RNchat 2/26/2010 22:03 KaitlynAliano: @cyclingwidow, welcome! #RNchat 2/26/2010 22:03
  12. 12. TeriRN: @cyclingwidow Welcome Kim #RNChat 2/26/2010 22:04 holisticnurses: Burden falls on MD's to accurately report findings. RT @rnchat: T3 What is the ethically correct way to deal w development of new rx #rnchat 2/26/2010 22:04 NursingCenter: @cyclingwidow welcome! #rnchat 2/26/2010 22:04 rnchat: @cyclingwidow Welcome anyway! :) #RNchat 2/26/2010 22:04 pamQ: T3 - There's this term called #NADD - Nerd Attention Deficiency Disorder w/c evolved from the digital age. http://bit.ly/aSEVQT #RNchat 2/26/2010 22:04 TeriRN: @InfusionNurse T3: this is why some drugs can't be put in liquid form, FDA afraid MDs will use them 4 peds when not tested. #RNChat 2/26/2010 22:05 rnchat: @TeriRN T3 Interesting point about liquid meds being easy to use on kids even if not tested first! #RNchat 2/26/2010 22:06 holisticnurses: @ocdgirl2000 Must have been so very difficult for family...two kids at NIH. T3 #rnchat 2/26/2010 22:06 cyclingwidow: T3 personal example, 11 yo DD on Zantac for reflux. Just took her off it after she started having severe abd pain & severe anxiety #rnchat 2/26/2010 22:06 InfusionNurse: @TeriRN ..whatever form it comes, doc just use smaller adult doses for peds since no clincial data..but somehow it works... #RNchat 2/26/2010 22:07 rnchat: @cyclingwidow Did they feel those symptoms were related to the Zantac? #RNchat 2/26/2010 22:08 cyclingwidow: @cyclingwidow listed as side effects but could it be that the "rare" side effects might actually be common in children? #rnchat 2/26/2010 22:08 holisticnurses: RT @cyclingwidow listed as side effects but could it be that the "rare" side effects might actually be common in children? #rnchat 2/26/2010 22:08 ocdgirl2000: @holisticnurses #rnchat T3 this was so many years ago too!they were also from another country!Lima, Peru, well off, but parents got divorced 2/26/2010 22:09 rnchat: T3 I always disliked recovering babies who had open heart. Drugs & drips were too small to calculate. It always scared me. #RNchat 2/26/2010 22:09 TeriRN: @InfusionNurse T3: interesting. This is the reason my MD told me I couldn't have a certain med 4 my child that prob would have work #RNChat 2/26/2010 22:10
  13. 13. InfusionNurse: T3 - meds for tx adult crohn's r available, docs use same med for peds crohn's until one finally got fda approved for crohns. #RNchat 2/26/2010 22:10 ocdgirl2000: @holisticnurses #rnchat T3 & one healthy child.the one child that survived,my friend,went into very good remissions,very few exacerbations 2/26/2010 22:11 holisticnurses: Agreed. Same here in Peds rotation. RT @rnchat: T3 Drugs & drips were too small to calculate. It always scared me. #rnchat 2/26/2010 22:11 holisticnurses: @ocdgirl2000 T3 That's one success story. :) #rnchat 2/26/2010 22:11 rnchat: T3 Many topical meds for severe skin conditions like psoriasis/eczema have warnings for very limited pediatric use #RNchat 2/26/2010 22:12 NursingCenter: Not much peds experience here...but what about consent? At what age can/should the child be involved in the decision to enroll? #rnchat 2/26/2010 22:12 InfusionNurse: T3 - so if docs use adult dose for peds w/o FDA approval for peds use - isn't that off label use? #RNchat 2/26/2010 22:12 cyclingwidow: T3 how do you determine the appropriate dosing for a child? Weight is common but is that always appropriate? #rnchat 2/26/2010 22:13 rnchat: @NursingCenter T3 Good question! I would imagine a parent must consent for any minor? #RNchat 2/26/2010 22:13 Trybarefoot: Just thinking the same? RT @NursingCenter: but what about consent? At what age can/should the child be involved in the decision? #rnchat 2/26/2010 22:14 InfusionNurse: yet parents use them..RT @rnchat: T3 Many topical meds for skin conditions psoriasis/eczema warnings for very limited pediatric use #RNchat 2/26/2010 22:14 cyclingwidow: @rnchat Unless emancipated. Parents must consent even for our minor OB pts. Of course the minor can then consent for their minor #rnchat 2/26/2010 22:15 holisticnurses: T3 Used to do Peds Telehealth...parents would beg for antibiotics to treat viral infections. Told them...you don't want to overuse. #rnchat 2/26/2010 22:15 InfusionNurse: @NursingCenter ...parent's provide the consent...till the age of 18. #RNchat 2/26/2010 22:15 ocdgirl2000: @holisticnurses #rnchat T3 until recently,she's not well now.she's worked so hard over the years.HER CHOICE!!no one could tell her anything! 2/26/2010 22:16
  14. 14. NursingCenter: @cyclingwidow re: dosing...I would think age matters too, pharmacokinetics r/t organ development, receptors- all the cellular stuff! #rnchat 2/26/2010 22:16 InfusionNurse: @cyclingwidow ..that is the issue esp. since there's no clinical data/recommendation for peds dosing. #RNchat 2/26/2010 22:17 Trybarefoot: Across all USA? Canada?! RT @InfusionNurse: @NursingCenter ...parent's provide the consent...till the age of 18. #RNchat 2/26/2010 22:17 holisticnurses: @ocdgirl2000 T3 Ah, was it partly her strong will that kept her well all these years too?!? #rnchat 2/26/2010 22:17 rnchat: I just noticed that we have gone past our usual hour! Before people filter out I want to thank everyone for participating tonite!! #RNchat 2/26/2010 22:18 NursingCenter: @holisticnurses I can see both sides of that one! Always want my kids to feel better right away!!! #rnchat 2/26/2010 22:18 holisticnurses: LOL! That would perpetuate use of meds only! RT @chuymatt: @holisticnurses I wish we could have the MDs prescribe placebos still. #rnchat 2/26/2010 22:18 cyclingwidow: @NursingCenter T3 exactly my thought. 2 of my girls are 2yrs apart and the younger is the bigger child! Seems odd to give her MORE #rnchat 2/26/2010 22:18 KaitlynAliano: @Trybarefoot, Canada may have a different age of consent...(?) #RNchat 2/26/2010 22:18 tactile: @EllenRichter Thanks for hosting! Glad I could participate. I'm off to a hot bath and bed!! I doubt I'll get off early tomorrow! #RNchat 2/26/2010 22:19 KaitlynAliano: @rnchat, great chat, Ellen! #RNchat 2/26/2010 22:19 InfusionNurse: Thanks Ellen! RT @rnchat: I just noticed that we have gone past our usual hour! I want to thank everyone for participating tonite!! #RNchat 2/26/2010 22:19 Trybarefoot: Sorry I came late - appreciate the connections! Nite all..! #RNchat 2/26/2010 22:19 InfusionNurse: @Trybarefoot ..don;t know about Canada..sorry! #RNchat 2/26/2010 22:19 Trybarefoot: I'm thinking maybe? Need to ask that question! RT @KaitlynAliano: @Trybarefoot, Canada may have a different age of consent...(?) #RNchat 2/26/2010 22:20
  15. 15. KaitlynAliano: Intelligent conversation as always. Would love to connect w/ everyone via @Twitter or @LinkedIN. Enjoy the weekend! #RNchat 2/26/2010 22:20 nursingpins: Great job as always Ellen - Thanks, #RNchat 2/26/2010 22:20 rnchat: @Trybarefoot Glad you came too! You like to hang out with the nurses :) #RNchat 2/26/2010 22:20 InfusionNurse: Good nite to all! Have a great weekend! Great chat tonite...till next chat!! #RNchat 2/26/2010 22:21 rnchat: Great responses to all the topics! We will definitely chat more about Augmented Reality in future chats as we see apps being used! #RNchat 2/26/2010 22:21 holisticnurses: An hour passed by so soon. Aw, well thanks Ellen and RNChat for the great discussion. Bye, everyone! Have a great weekend. #rnchat 2/26/2010 22:22 grimalkinrn: @KaitlynAliano Feel free to follow me @tactile - my nursing/political twitter, or if you are brave, @grimalkinrn. #RNchat 2/26/2010 22:22 cyclingwidow: Glad the girls decided to stay up late so I could get on the computer. :) even if I was REALLY late #rnchat 2/26/2010 22:22 NursingCenter: @holisticnurses Yes - and unfortunately those infections are on the rise... #rnchat 2/26/2010 22:22 Kineticycle: #rnchat hey folks...sorry I missed out tonight! Hope it went well! Catch ya next time. 2/26/2010 22:22 TeriRN: @rnchat Great job tonight Ellen. Great convos too. Will start studying about AR. #RNChat 2/26/2010 22:22 cyclingwidow: Thanks Ellen @ellenrichter #rnchat 2/26/2010 22:23 ocdgirl2000: @RNchat #rnchat Thank You!As always, the Hostess with the Mostess!!Ellen! 2/26/2010 22:23 rnchat: I think I will suggest an alternate time for a chat next week so we can include more of the west coast USA folks! Be on the lookout! #RNchat 2/26/2010 22:23 holisticnurses: Yes, that's my point too! We would educate viral vs bacterial. RT @cyclingwidow: but NEVER antibiotics for viral infections. #rnchat 2/26/2010 22:23 NursingCenter: Thanks Ellen! Have a great weekend everyone! #rnchat 2/26/2010 22:23 TeriRN: @rnchat I would love that. Tonight I was off. But next Friday I'll be 30-45 mins late onto chat #RNChat 2/26/2010 22:24
  16. 16. chuymatt: @rnchat West coast here! Not a problem for me. #rnchat 2/26/2010 22:24 cyclingwidow: @holisticnurses working in IT now but used to be in Infection Control. I will still get on that soapbox anytime. :) #rnchat 2/26/2010 22:24 rnchat: Thanks to all of the participants!! Everyone have a great weekend (whenever in your nursing week that may be!!) LOL Gnite! #RNchat 2/26/2010 22:24 holisticnurses: @cyclingwidow Best of luck with your 11yo! Bye, bye. #rnchat 2/26/2010 22:25 rnchat: Be on the lookout for @philbaumann to post this week's chat in transcript form on http://rnchat.org #RNchat 2/26/2010 22:25 ocdgirl2000: #rnchat @rnchat, I was hoping more graduating Nursing students would start joining us for our chats! I think it won't be long! 2/26/2010 22:25 holisticnurses: The IT/IC soapbox is welcomed anytime! RT @cyclingwidow: I will still get on that soapbox anytime. :) #rnchat 2/26/2010 22:26 rnchat: @ocdgirl2000 Yes, pretty soon we will have a new group of RN grads! Its great, isnt it? #RNchat 2/26/2010 22:26 cyclingwidow: Great convo at #RNChat tonight. @Busymom @ms_stacey You should follow @RNChat 2/26/2010 22:27 KaitlynAliano: @ocdgirl2000, several nursing students participated last week. Not sure where they disappeared to! #RNchat 2/26/2010 22:31 Trybarefoot: YUP! Spent yrs surrounded by RNs! Now I train 'em! RT @rnchat: @Trybarefoot You like to hang out with the nurses #RNchat 2/26/2010 22:32 Trybarefoot: @ocdgirl2000 #FF @LindsayBurke - she's the coolest RN grad I know! Watch her soar! #RNchat 2/26/2010 22:35 ocdgirl2000: @KaitlynAliano #rnchat hope we're not too boring and stodgy?LOL!we'll have to start sending our PR invites earlier next time! 2/26/2010 22:39 holisticnurses: We just talked about this on #RNchat RT @nytimesscience Rising Threat of Infections Unfazed by Antibiotics http://nyti.ms/cRgBg7 2/26/2010 23:22

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