RNchat Transcript for July 9, 2010

ctsinclair: RT @emacartney: How a pediatrician makes a blog work: Seattle Children's 'Seattle Mama Doc' explains http://ow.ly/29hdD #hcsm #RNchat 7/9/2010 14:58 cerner: Survey- Uptick in Health IT Use Will Help Doctors Take on More Patients: http://bit.ly/9VZ1jC #HCSM #RNchat 7/9/2010 16:01 rnchat: Topics on tonight's #RNchat 9pm EST: #BP cleanup ramifications | What #nurses are/could be doing with digital technology. 7/9/2010 16:44 rnchat: Welcome my friends to the Friday night edition of #RNchat! We'll get started in a moment but first introduce yourselves. Welcome newcomers! 7/9/2010 21:00 rnchat: @EllenRichter OK - Might be a slow night anyhoo, but we'll see. #rnchat 7/9/2010 21:00 ocdgirl2000: #rnchat Lynne Siegel RN CHN II methadone dispensing RN HHS Montgomery County GOV MD Outpt addiction services! 7/9/2010 21:02 InfusionNurse: Good Friday evening to all...Cora - infusion nurse - its been a while..glad to be here tonite!! #RNchat 7/9/2010 21:03 ocdgirl2000: #rnchat and NEW pt . 7/9/2010 21:03 rnchat: OK, we'll start our first #RNchat topic in a minute. Note: When responding to a topic add T1, T2, etc. to your tweet. Relax & enjoy!! 7/9/2010 21:04 jrobinsonRN: Hurry up Ellen. I'm multitasking to try to do this. #RNChat 7/9/2010 21:04 ocdgirl2000: #rnchat to a Cardiology practice, ughhh!same one I used to work for in Feb 1999!LOL! 7/9/2010 21:04 rnchat: T1 Public Health Ramifications of #BP Spill: What are/can nurses do to mitigate damage to crews, populations, etc? #RNchat 7/9/2010 21:05 ocdgirl2000: #rnchat T1 #BP encourage them to move away. find family members in other states,link resources for social services! 7/9/2010 21:07 ocdgirl2000: RT @rnchat: @NurseSallie @jrobinsonRN @ocdgirl2000 Welcome! #rnchat 7/9/2010 21:08 jrobinsonRN: T1 - Not sure if nurses are going to even have a say in anything going on down there. #RNChat 7/9/2010 21:08 holisticnurses: Hi there! T1 The oil spill is a public health issue. Educate, advocate, and encourage ppl to report symptoms ASAP. Call Congress too #Rnchat

7/9/2010 21:11 ocdgirl2000: #rnchat T1 peeps lose income from jobs like fishing, restaurants, lose health insurance..drug use goes up, relapses in "our industry". 7/9/2010 21:11 nursekama: @rnchat Hello! Sorry I'm late joining...looks like we have a good crowd out tonight. :) #rnchat 7/9/2010 21:13 jrobinsonRN: T1 - Hmm, liver and renal probs from the oil dispersant - that's kinda scary. #RNChat 7/9/2010 21:14 rnchat: @nursekama Good to see here & @holisticnurses too! #rnchat 7/9/2010 21:14 rnchat: @jrobinsonRN Good point - and that's problem, huh? #rnchat 7/9/2010 21:15 holisticnurses: RT @jrobinsonRN: T1 - Hmm, liver and renal probs from the oil dispersant - thats kinda scary. #Rnchat 7/9/2010 21:16 jrobinsonRN: T1-reading that CDC report abt dispersant makes me wonder if cure for the spill isn't worse than the oil #RNChat 7/9/2010 21:19 holisticnurses: T1 So we know all these things are at risk or already happening...what now? Many affected...How fast is BP paying out claims? #Rnchat 7/9/2010 21:19 ocdgirl2000: #rnchat T1 Our country & our clinic, in particular, had plans in effect, to take transfers (patients/cases) from Hurricane Katrina.local gov 7/9/2010 21:19 holisticnurses: @jrobinsonRN And is the dispersant local to that area? Can weather patterns bring it farther inland? #Rnchat 7/9/2010 21:20 EllenRichter: Hello everyone! Just got in! Whew, TGIF!! Going to read up on everyone's T1 answers!! #RNchat 7/9/2010 21:23 jrobinsonRN: T1 @holisticnurses - Doesn't seem like the dispersant would be able to go far inland. #RNChat 7/9/2010 21:24 ocdgirl2000: #rnchat T1 with the hurricane season, the oil will be spreading everywhere. up all the coastlines. EVERYWHERE!BP is bad! 7/9/2010 21:24 EllenRichter: T1 I know from a public health perspective, the oil spill is serious, but my heart truly breaks for the wildlife :( #RNchat 7/9/2010 21:25 ocdgirl2000: @EllenRichter #rnchat welcome! long time no see! 7/9/2010 21:25

jrobinsonRN: T1 - yes Ellen, it kills me to think about the animals that are helpless to get away from this. #RNChat 7/9/2010 21:26 EllenRichter: @ocdgirl2000 I know!!! Where have you been, gf?? I miss you! :) #RNchat 7/9/2010 21:26 rnchat: Thar he blows: just had a Fail Whale citing. ;) #rnchat 7/9/2010 21:26 InfusionNurse: @EllenRichter ..hi ellen! #RNchat 7/9/2010 21:27 holisticnurses: Agreed! RT @EllenRichter: the oil spill is serious, but my heart truly breaks for the wildlife :( #Rnchat 7/9/2010 21:27 nursekama: T1 Agree w/ @holisticnurses that its a public health concern. We know that the environment impacts health. RNs can influence policy #rnchat 7/9/2010 21:28 EllenRichter: @jrobinsonRN I know. My heart just bleeds when I see videos or photos of the oil's devastation of the coastal wildlife #RNchat 7/9/2010 21:28 holisticnurses: @nursekama Yes, affecting policy is a courageous effort for nurses. #Rnchat 7/9/2010 21:29 jrobinsonRN: T1 @nursekama - nurses can't stick together for their own issues - do you think they'll stick together to influence policy on this? #RNChat 7/9/2010 21:30 KPNurseRecruit: RT @rnchat: Topics on tonight's #RNchat 9pm EST: #BP cleanup ramifications | What #nurses are/could be doing with digital technology. 7/9/2010 21:30 EllenRichter: T1 I wonder if the coastal vacation town hospitals are slower than usual from less visitors. That will affect nurses. #RNchat 7/9/2010 21:30 holisticnurses: T1 I would hope this serves as an example of how not to do business, but I fear not much will change. Big Corps have to care! #Rnchat 7/9/2010 21:31 nursekama: T1 @jrobinsonRN Nurses not sticking together on issues? Hasn't been my experience - most support our professional organization #RNAO #rnchat 7/9/2010 21:32 jrobinsonRN: T1 - @holisticnurses - I'm with you, things don't change when greed is involved. #RNChat 7/9/2010 21:32 ocdgirl2000: RT @rnchat: Thar he blows: just had a Fail Whale citing. ;) #rnchat 7/9/2010 21:32 rnchat: Heads up: Our next topic is coming up in a moment! #RNchat 7/9/2010 21:33

KPNurseRecruit: @RNchat Greetings, #RNChat! I'm able to join for the last half. Glad to be here! 7/9/2010 21:33 EllenRichter: @ocdgirl2000 Oh dear! Sorry to hear about your cardiac adventure! If you have questions, you can always email me! #RNchat 7/9/2010 21:33 nursekama: T1 An example of our unified approach, we strategically lobby each year at Queen's Park in Toronto. See http://tinyurl.com/28tbd2r #rnchat 7/9/2010 21:34 EllenRichter: ~~Waving to everyone @ #RNchat tonite! We have standing room only, eh? Too numerous to count? ;) 7/9/2010 21:34 rnchat: T2 Present & Future of Digital Tech: From mobile apps to social media, what are nurses doing? How can we use them to their fullest? #RNchat 7/9/2010 21:35 ocdgirl2000: @EllenRichter thanx! #rnchat I just might do that! been 10 years since I worked for this same practice!LOL! hoodwinked! 7/9/2010 21:35 holisticnurses: T1 Oil isn't an industry about taking care of people or the earth. If we depend on it less... #Rnchat 7/9/2010 21:35 InfusionNurse: LOL.. some of my tweets r not showing up here..RT @NurseSallie: T1 fail whale must have encountered oil slick #RNchat 7/9/2010 21:35 EllenRichter: No fail whale citings in Florida so far! LOL~ #RNchat 7/9/2010 21:35 jrobinsonRN: T1 - @nursekama - aha, you're up in Canada - would love to experience more nurses sticking together down here in the US #RNChat 7/9/2010 21:36 EllenRichter: SO WELL PUT! RT @holisticnurses: T1 Oil isn't an industry about taking care of people or the earth. If we depend on it less... #RNchat 7/9/2010 21:36 holisticnurses: @EllenRichter ~ waving back to you and the rest of #RNChat. Amy here btw! I jumped in w/o a hello! It's the topic that got me going. #Rnchat 7/9/2010 21:36 holisticnurses: @InfusionNurse Oh no! Yours can't be missed! #Rnchat 7/9/2010 21:37 KPNurseRecruit: I'm a Nurse Recruiter at Kaiser Permanente--but I think I keep the "recruitment" dialed down pretty low on twitter! #RNchat (forgot hashtag) 7/9/2010 21:37 nursekama: T1 @jrobinsonRN You're welcome to come up here!!! :) #rnchat 7/9/2010 21:37 jrobinsonRN: T2 - have not gone mobile yet - haven't seen a need. #RNChat 7/9/2010 21:38

EllenRichter: @ocdgirl2000 I'll DM you my email address! #RNchat 7/9/2010 21:38 KPNurseRecruit: RT @rnchat: T2 Present & Future of Digital Tech: From mobile apps to social media, what are nurses doing? How can we use them to their fullest? #RNchat 7/9/2010 21:38 jrobinsonRN: T1 @nursekama - don't tempt me, I'm ready to move farther north - too hot down here. :) #RNChat 7/9/2010 21:39 DebErupts: Nurses protest this show! TV show Cali Nurse casting for young nurses or nursing students - http://ping.fm/tr6lH #RNChat 7/9/2010 21:39 holisticnurses: @nursekama ha! we can't even agree on how to deliver our healthcare. ;) off topic! I dig you, Canucks! #Rnchat 7/9/2010 21:39 InfusionNurse: aww. thanks. good to c u again..RT @holisticnurses: @InfusionNurse Oh no! Yours cant be missed! #RNchat 7/9/2010 21:40 nursekama: @holisticnurses and @jrobinsonRN - You two just made my day! :) #rnchat 7/9/2010 21:41 holisticnurses: T2 Nurses should design credible apps. #Rnchat 7/9/2010 21:41 jrobinsonRN: LOL !! AMEN RT @holisticnurses: @nursekama ha! we cant even agree on how to deliver our healthcare. ;) off topic! I dig you,Canucks! #RNChat 7/9/2010 21:42 ocdgirl2000: RT @DebErupts: Nurses protest this show! TV show Cali Nurse casting for young nurses or nursing students - http://ping.fm/tr6lH #RNChat 7/9/2010 21:42 dorameulman: I would like to hear from other nurses about their experiences with Family Centered Care and Open Visitation. #RNChat #nurses #nursing 7/9/2010 21:43 jrobinsonRN: @NurseSallie T2 - guess I'm an old fogie - I still prefer my drug book in my hand, not on a computerized device #RNChat 7/9/2010 21:43 ocdgirl2000: @EllenRichter okies! #rnchat i am also getting ready to go to DD wedding San Diego! flight takeoff 7/22-8/4!yay! 7/9/2010 21:44 holisticnurses: T2 or at the very least plug great apps: http://blogs.vnsny.org/2010/06/20/ten-iphone- apps-for-creative-caregivers/ #plug #Rnchat 7/9/2010 21:44 InfusionNurse: T2 - some r still slow to adapt but they don't have a choice... #RNchat 7/9/2010 21:44

nursekama: T2 Would be nice if more of us could figure out how to utilize #opendata to address some system issues. Ie. housing, environment... #rnchat 7/9/2010 21:45 EllenRichter: T2 I love the ease of web based medication programs like Micromedex to search drug compatibilies, actions, warnings, etc #RNchat 7/9/2010 21:45 KPNurseRecruit: RT @holisticnurses: T2 or at the very least plug great apps: http://blogs.vnsny.org/2010/06/20/ten-iphone-apps-for-creative-caregivers/ #plug #Rnchat 7/9/2010 21:46 EllenRichter: Uh....the fail whale reared its head in south Florida! Darn thing! Ate my tweets! ;) #RNchat 7/9/2010 21:47 nursekama: T2 Examples of #opendata - http://vantrash.ca/ and http://www.fixmystreet.com/ #rnchat 7/9/2010 21:47 jrobinsonRN: @EllenRichter T2 - did not like to have to "fight" for computer access at hospital - always not enough terminals to go around #RNChat 7/9/2010 21:48 EllenRichter: T2 My facility is FINALLY going electronic medical records this September. I cannot wait! I'm sure we'll have growing pains too! #RNchat 7/9/2010 21:48 EllenRichter: @jrobinsonRN T2 We've been getting more terminals each year. They finally realized they get more out of us if we all have web access #RNchat 7/9/2010 21:49 jrobinsonRN: @EllenRichter T2 - ugg, give me handwritten records to review any day - don't like the printed format of EMRs that I've seen so far #RNChat 7/9/2010 21:49 jrobinsonRN: @EllenRichter T2 - at least they have clued in, still too many places trying to get by on scant number of computers #RNChat 7/9/2010 21:51 EllenRichter: @jrobinsonRN Oh I agree! To audit & review an EMR is a nightmare! Its so fragmented. But at the bedside, it really cuts paperwork #RNchat 7/9/2010 21:51 jrobinsonRN: @EllenRichter T2 - way 2 easy to hide things in the EMR with the fragmentation - & when they use chart by exception ARGGGGGGG!! #RNChat 7/9/2010 21:52 ScottGodes: @EllenRichter Has anyone in risk management there looked into cyberinsurance for the switch? #RNchat 7/9/2010 21:53 EllenRichter: T2 We can make EMR pros & cons a whole 'nother chat topic next time, if everyone likes!! Right Phil? :) #RNchat 7/9/2010 21:53 nursekama: T2 @EllenRichter Lucky! We're 1/2 electronic & 1/2 paper. I dread the thought of any of my peers being called to court in this state #rnchat 7/9/2010 21:53

ocdgirl2000: #rnchat T2 biggest issue 4 us, I am only RN that is "growing" with this software program that we use to dispense methadone.2 of us in COUNTY 7/9/2010 21:53 EllenRichter: T2 I'm very jealous of the cutting edge facilities that utilize products like iphones for nurses in patient care areas #RNchat 7/9/2010 21:54 jrobinsonRN: T2 - What apps besides drug calcs & books would U need clinically? Most stuff is in my head already from college & CEs. #RNChat 7/9/2010 21:55 rnchat: OK - we'll be wrapping up soon! Before we go: give us your follow recommendations (nursing or otherwise)! #RNchat 7/9/2010 21:56 ocdgirl2000: #rnchat T2 training a new RN to use this program (I'm trying to do so NOW!) is time consuming, NOT my job, and really takes months to learn! 7/9/2010 21:56 EllenRichter: @jrobinsonRN T2 Lab value app, heart sounds app, IV solution app, insulin sliding scale app just to name a few! #RNchat 7/9/2010 21:57 EllenRichter: @ocdgirl2000 T2 But teaching technology to your colleagues IS a part of your job! Why shouldn't it be? Train the trainer concept. #RNchat 7/9/2010 21:58 InfusionNurse: gonna say bye b4 the whale eats my tweets . So good to see familiar names. Thanks for the great chat..have a great weekend to all!! #RNchat 7/9/2010 21:58 EllenRichter: @InfusionNurse Same to you! Hey, how has the IV chat worked out? #RNchat 7/9/2010 22:00 jrobinsonRN: @EllenRichter T2 - Guess that could help newer nurses that don't have everything already crammed into their head #RNChat 7/9/2010 22:00 rnchat: Wow - hour is up! THANK YOU everybody for participating. Transcript will be up soon. Like us on http://Facebook.com/RNchat #RNchat 7/9/2010 22:00 nursekama: RT @EllenRichter: ...teaching technology to your colleagues IS a part of your job! Why shouldnt it be? Train the trainer concept. #rnchat 7/9/2010 22:00 nursekama: #ff @holisticnurses @jrobinsonRN @EllenRichter @rnchat @ocdgirl2000 Have a great night everyone! #rnchat 7/9/2010 22:01 EllenRichter: @jrobinsonRN T2 LOL, believe me, I'm not a newer nurse & I rely on programs & apps to help me every day. They improve our nursing! #RNchat 7/9/2010 22:02 rnchat: Excellent Show tonight!!! Hope you all had fun! I'll put the transcript up soon (may be tomorrow). Cheers! :) #rnchat 7/9/2010 22:03

ocdgirl2000: @EllenRichter #rnchat T2 the "acting Nurse Manager "1.can't teach.2. doesn't understand much of it herself.3.language barriers 4.vacations! 7/9/2010 22:03 InfusionNurse: Doing well, we have it every other week..join us sometime..RT @EllenRichter: Same to you! Hey, how has the IV chat worked out? #RNchat 7/9/2010 22:03 EllenRichter: @jrobinsonRN T2 I just saw your EMR comment abt charting by exception! I miss reading descriptions & individuality in pt responses #RNchat 7/9/2010 22:05 EllenRichter: @ocdgirl2000 Sounds like YOU should be the next nurse manager, then! :) #RNchat 7/9/2010 22:07 holisticnurses: Good night, everyone! Had to step away for a bit but enjoyed the chat and great info! #Rnchat 7/9/2010 22:07 ocdgirl2000: #rnchat T2 I'll be out of town for 3 weeks, can't wait to see the methadone software fiascos in our clinic when I'm gone!LOL!OMG!!hahaha! 7/9/2010 22:08 EllenRichter: @RNchat Great topics tonight! Sorry I blew in late! Day from hell @ the hospital. Enjoyed the chat! Love the company of great RNs! #RNchat 7/9/2010 22:10 EllenRichter: @ocdgirl2000 LMAO Think word will get to the streets? Maybe they'll err in the patients' favor!! #RNchat 7/9/2010 22:10 ocdgirl2000: @EllenRichter #rnchat no joke! when I get back,after I get through a possible procedure or two? hmmm? maybe~ I might take a crack @ the job! 7/9/2010 22:10 holisticnurses: Huh uh! RT @jrobinsonRN: T1-@holisticnurses - have read some stuff that says bp litigation will be slow 4 citizen claims #RNChat 7/9/2010 22:12 ocdgirl2000: RT @nursekama: #ff @holisticnurses @jrobinsonRN @EllenRichter @rnchat @ocdgirl2000 Have a great night everyone! #rnchat 7/9/2010 22:14 EllenRichter: @ScottGodes Out of curiousity, what would cyberinsurance protect against during switch from paper to electronic medical records? #RNchat 7/9/2010 22:14 EllenRichter: @ocdgirl2000 GF, I think you have been ready for that role for as long as I know you. That job has your name written on it! It does! #RNchat 7/9/2010 22:15 ScottGodes: @EllenRichter Policies should be written to cover a data breach. Think about how much data can be held electronically on a drive. #RNChat 7/9/2010 22:20 rnchat: @EllenRichter Thank you for coming! Great time! #rnchat

7/9/2010 22:21 ScottGodes: @EllenRichter A tiny 8GB flash drive reportedly can hold 3809 photos. http://www.flashbay.com/usb_drive_data_capacity.html #RNChat 7/9/2010 22:22 EllenRichter: @ScottGodes OMG I imagine policies re: data storage & breaches go hand in hand w/ transition to EMR, no? Are hosps that carefree? #RNchat 7/9/2010 22:24 EllenRichter: @ScottGodes Once the whole nation ends up using EMRs fully, imagine how a computer glitch could ultimately cripple the system? #RNchat 7/9/2010 22:27 ScottGodes: @EllenRichter I hope that they are on top of it. Or know good coverage lawyers! #RNChat 7/9/2010 22:28 EllenRichter: @ScottGodes Is that your area of law? Do you work with cyberpolicies? I'll bet this is a good time to specialize in that area :) #RNchat 7/9/2010 22:29 EllenRichter: @ocdgirl2000 It could be time for the next person to wear the "schmuck crown" in the kingdom. Maybe you are ready to step down! ;) #RNchat 7/9/2010 22:31 EllenRichter: OK, my poor dogs are literally crying at the door!! I came home & went RIGHT to #RNchat! I can use a nice walk too! Just to decompress! :) 7/9/2010 22:38 onlinenursing: @EllenRichter Darn - I missed #RNChat ! Good thing I will be able to read the transcript. 7/9/2010 23:32

RNchat Transcript for July 9, 2010

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