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RNchat Transcript for November 4, 2010

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Transcript of #RNchat - a Twitter chat for registered nurses - for Thursday, November 4, 2010. ...

Transcript of #RNchat - a Twitter chat for registered nurses - for Thursday, November 4, 2010.

Follow @RNchat - http://Twitter.com/RNchat for regular updates.

Topics were provided by the kindness of Palo Alto Medical Foundation (@PaloAlto on Twitter) through Erin Macartney (@emacartney):

T1 Are your job responsibilities changing with the advent of health care reform? How?

T2 How do you personally maintain excellent standards of care in the face of budget cuts and pressures?

T3 What areas of health innovation do you think are most important to patient care?

Chat was moderated by Phil Baumann, RN (@PhilBaumann on Twitter)

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    RNchat Transcript for November 4, 2010 RNchat Transcript for November 4, 2010 Presentation Transcript

    • Transcript of #RNchat for November 4, 2010 Follow @RNchat for Regular Updates Twitter.com/RNchat RNchat.org Moderated by @PhilBaumann Welcome to #RNchat everyone! Today's topics will be from rnchat @paloaltomedical - Say Hi to them as we get started with introductions! nursingpins Thanks @paloaltomedical for your participation. #RNchat PaloAltoMedical Hi Everyone! Looking forward to the #RNchat! FreshRN Hello @PaloAltoMedical! Look forward to chatting with you =) #RNchat pamressler Hello @paloaltomedical #rnchat PaloAltoMedical @nursingpins Thank you! Glad to be here with you all! #RNchat IVchat Greetings to all, hello @paloaltomedical!! #RNchat PaloAltoMedical @pamressler Hello to you too. Thanks for joining today's #RNchat! --& ;gt; (non-clinical) advocate for patient centered care, involved w/ renee_berry @Y_A_H_A @hcsmSV @KLXmedia ( @paloaltomedical patient) #rnchat Thx! Looking fwd to chatting w/you too! RT @freshrn: Hello PaloAltoMedical @PaloAltoMedical! Look forward to chatting with you =) #RNchat Thanks - Greetings to you too! RT @ivchat: Greetings to all, hello PaloAltoMedical @paloaltomedical!! #RNchat T1 Are your job responsibilities changing with the advent of health care rnchat reform? How? #RNchat (In case ya missed it :) RT @rnchat: T1 Are your job responsibilities rnchat changing with the advent of health care reform? How? #rnchat Think community edu is super important but I may have to lurk on this renee_berry question bc I wouldn't be able to provide clinical perspective #rnchat Great question - curious here, too RT @rnchat: T1 Are your job responsibilities changing with the advent of health care reform? How? NAPH1981 #RNchat
    • T1 - As far as I can see NOTHING has changed - and getting worse with nursingpins ratios and staffing. #RNchat We are happy to be joining #RNchat today! RT @RNchat T1 Are your job PerfectServeInc responsibilities changing with the advent of health care reform? How? T1 the only change I have seen is the initiation of & ;quot;swing beds& ; factnurse quot; and not sure that is r/t HCR #RNchat nursingpins Glad to see NAPH1981 #RNchat RT @NAPH1981: Great question - curious here, too RT @rnchat: T1 Are your job responsibilities changing with the advent of health care reform? renee_berry How? #RNchat factnurse T1 - our ratios and staffing are getting worse as well #RNchat Greetings to all, hello @paloaltomedical! RN in community mental Health Gracetx FT Worth Tx #RNchat T1 From an admin perspc mor regulatory focus also seeing changs in staffn visiting_nurse due 2 cuts in MCR reimbursemnt for home health #RNChat Hey all lurking at the mo and making school lunches, T1 ur reform not chemosabe relevant down under, our reform coming too, not sure how yet #rnchat Ooooh I am late. Sorry - Hellow #RNChat - Terri here - just finished an onlinenursing elluminate class with students. T1- nothing changed yet. But lots of planning and meetings with community Gracetx stakeholders to see what it means for us #RNCHAT T1 I'm from California where we have state-mandated nurse/staffing ratios, FreshRN so we don't have as much as a problem with it I think... #RNchat @nursingpins I am going to agree with Vernon - no changes yet, too many NUR3563 scared of not making $ - so decreased staffing. #RNChat factnurse T1 what changes can I as a staff nurse expect to see? #RNchat onlinenursing @chemosabe hey down under! Good to see you! Here in #RNChat IVchat T1 - affecting outpt. services as well. #RNchat chemosabe @onlinenursing thanx Terri, 0550 Fri here #rnchat RT @visiting_nurse T1 we haven't seen cuts yet but anticipate them 2 cuts Gracetx in MCR reimbursemnt for Community MH #RNChat RT @IVchat: T1 - affecting outpt. services as well. #RNchat (Yes - diabetic onlinenursing foot clinic closed at local hospital) #RNChat
    • @factnurse you can expect to see more patient navigators, team-based care, NAPH1981 coordination, etc ... #hcr #RNchat RT @naph1981: @factnurse you can expect to see more patient navigators, CGreaves team-based care, coordination, etc ... #hcr #RNchat RT @NAPH1981: @factnurse you can expect to see more patient navigators, FreshRN team-based care, coordination, etc ... #hcr #RNchat awesome, so important RT @NAPH1981 @factnurse you can expect to see renee_berry more patient navigators, team-based care, coordination #hcr #rnchat RT @NAPH1981 @factnurse you can expect to see more patient navigators, PerfectServeInc team-based care, coordination, etc ... #hcr #RNchat @NAPH1981 Who is responsible for implementing those changes? FreshRN #RNchat factnurse @NAPH1981 Okay, I guess that makes sense #RNchat T1 You will see more patient advocates - which will will help improve nursingpins patient care. #RNchat @NAPH1981 were you involved in advocating for increased #RN patient renee_berry navigators in #hcr ? #rnchat @factnurse you can expect to see more patient navigators, team-based care, onlinenursing coordination, etc - sounds like a job for nursing! #RNChat RT @nursingpins T1 You will see more patient advocates w/ #hcr - which renee_berry will will help improve patient care #rnchat rnchat Shoulder tap: Next topic coming up in a moment! #RNchat T2 How do you personally maintain excellent standards of care in the face rnchat of budget cuts and pressures? #RNchat RT @Gracetx: same hre sum of the community benefit programs R in visiting_nurse jeopardy/cut services staff nurses R having 2 make more visits #RNChat T1 @FreshRN theyre delivery system reforms included in #hcr. some need NAPH1981 additl regulations from HHS before they can be implemented #RNchat RT @nursingpins: T1 You will see more patient advocates - which will will PaloAltoMedical help improve patient care. #RNchat T1 others are grant programs that states and/or other entities can apply for NAPH1981 and implement #RNchat chemosabe T2 personally or within work unit? #rnchat
    • Good question! RT @rnchat: T2 How do you personally maintain excellent FreshRN standards of care in the face of budget cuts and pressures? #RNchat T2 #RNChat - same as always: Look for evidence,/research, listen to onlinenursing advocate for pt. family, be innovate, be cost cutting. interesting q RT @rnchat T2 How do you personally maintain excellent renee_berry standards of care in the face of budget cuts pressures? #rnchat T2 - It is very hard to maintain standards - unfortunately I have seen the nursingpins integ. of nursing decline because of ridiculous staffing. #RNchat RT @onlinenursing T2 same as always: Look for evidence/research, listen renee_berry to advocate for pt. family #innovate #rnchat T2 - difficult, only a few (conscientious ones) would care to keep up b/c of IVchat low staffing, increased pt. load. #RNchat @onlinenursing That can be tough to be innovative and cost cutting at the PerfectServeInc same time. #RNChat T2-challenge have to figure out what might not get done when hv less staff. Gracetx OR what can unskilled staff do if we have less nurses? #RNchat @renee_berry we have been lobbying to include everyone in care NAPH1981 coordination - nurses, physicians, social workers, you name it! T1 #RNchat T2 Many corners are being cut and many things are not being done. nursingpins #RNchat Exactly! RT @PerfectServeInc @onlinenursing That can be tough to be Gracetx innovative and cost cutting at the same time. #RNChat @nursingpins I concur. We are lucky if we get to eat and go to the factnurse bathroom. 12hr days are usually 14hrs at least now. #RNchat so true.. RT @nursingpins: T2 Many corners are being cut and many things IVchat are not being done. #RNchat T2 Hospitals will be the biggest obstacle to safe staffing and hc nursingpins improvement. They will not allow it without mandate. #RNchat @factnurse We are lucky if we get to eat and go to the bathroom. 12hr days chemosabe are usually 14hrs at least now _ paid overtime? #rnchat the documntatn declines 2 RT @IVchat: so tru.. RT @nursingpins: T2 Many visiting_nurse corners R being cut many things R not being done. #RNchat
    • @NAPH1981 awesome, I'd love to learn more abt your efforts! I've been renee_berry fascinated w/ @HospiceAction community legislative action #rnchat RT @IVchat: so true.. RT @nursingpins: T2 Many corners are being cut and FreshRN many things are not being done. #RNchat @visiting_nurse T1 #RNchat TX is going to cut 10-15-20% of community Gracetx health programs bcuse state funds shortage. Myb #her will help? so u dont kno if it is not getting done or not documentd T2 Many corners R visiting_nurse being cut many things R not being done. #RNchat @nursingpins T2 Hospitals will be the biggest obstacle to safe staffing and chemosabe hc improvement _ industrial action by hcw? #rnchat So true!!!! Scary! RT @nursingpins T2 Many corners are being cut and Gracetx many things are not being done. #RNchat nursingpins T2 It is documented - but it is not done. #RNchat FreshRN Wow RT @nursingpins: T2 It is documented - but it is not done. #RNchat Yikes! RT @Gracetx: T1 #RNchat TX is going to cut 10-15-20% of visiting_nurse community health programs bcuse state funds shortage. RT @PaloAltoMedical: RT @nursingpins: T1 You will see more patient HospitalFocus5 advocates - which will will help improve patient care. #RNchat ExactlyRT @visiting_nurse so u dont kno if it is not getting done or not Gracetx documentd T2 Many corners R cut things R not being done. #RNchat At fully staffed, or decreased staffing? RT @nursingpins T2 It is PerfectServeInc documented - but it is not done. #RNchat IVchat scary...RT @nursingpins: T2 It is documented - but it is not done. #RNchat I find not doc not done too often RT @nursingpins T2 It is documented - Gracetx but it is not done. #RNchat chemosabe T2 adage downunda is if it is documented it didn't happen! #rnchat nursingpins @PerfectServeInc short staffed. #RNchat not sure HCR will help tho bcuz many nonprofits rely on Medicare to subsidize Medicaid community health programs RT @Gracetx: T1 visiting_nurse #RNchat factnurse I find doc not done more often than I would like to admit #RNchat T2 Nurses and patients are obviously both suffering...something needs to be FreshRN done #RNchat
    • RT @FreshRN: T2 Nurses and patients are obviously both suffering... nursingpins something needs to be done #RNchat rnchat Shoulder tap: Final topic coming up in a couple minutes! #RNchat @nursingpins I'm afraid advocates can advocate - but will it do much good factnurse if there isn't enough staff to take care of pt #RNchat RT @dorameulman: #NYC health department shows EMR's help primary docs improve care. http://bit.ly/bnFI1H #health #MDChat #RNChat CernerPhysician #hcsm In Austin yest./dept state health sd plan on T1 #RNchat TX is gonna cut 10- Gracetx 15-20% of community health programs bcuse state funds shortage. T3 What areas of health innovation do you think are most important to rnchat patient care? #RNchat @rnchat T2 Denver RN here - my hospital had a major layoff this year, our WillowRN pt loads are too heavy. Too much goes undone. #RNchat Many claims being denied due 2 vry issue w/ increase in noncompliance w/ visiting_nurse accrd standrds @Gracetx: I find not doc not done 2 oftn #RNchat @factnurse Patient advocate groups will pressure hospitals to post their nursingpins unsafe staffing and more #RNchat RT @rnchat T3 What areas of health innovation do you think are most PerfectServeInc important to patient care? #RNchat RT @nursingpins: @factnurse Patient advocate groups will pressure FreshRN hospitals to post their unsafe staffing and more #RNchat RT @rnchat T3 What areas of health innovation do you think are most renee_berry important to patient care? #rnchat RT @rnchat: T3 What areas of health innovation do you think are most CGreaves important to patient care? #RNchat T3 I think before we innovate any further, we need to solve the problem of WillowRN staffing hospitals. More nurses would be innovative #RNchat 2ndRT @factnurse: @nursingpins I'm afraid advocates cn advocate - but visiting_nurse will it do much gd if thr isn't enough staff 2 take care of pt #RNchat factnurse @nursingpins thats good #RNchat T3 The biggest inov. I've seen are touch pads that allow patients to see x- nursingpins rays and all kinds of info at the bedside. #RNchat
    • I've been very impressed w/ e-patient movement, advocating patients to renee_berry participate in their care http://ow.ly/34D5Y #rnchat RT @nursingpins T3 The biggest inov. I've seen are touch pads that allow PaloAltoMedical patients to see x-rays and all kinds of info at the bedside #RNchat T3- need to b open 2 nontraditional collaboration w public community Gracetx health. Use promotoras etc. #RNchat Do you think that will help patient care,or patient communication? RT PerfectServeInc @nursingpins T3 The biggest inov. I've seen are touch pads.. #RNchat T3 Also fascinated with the strength of the #hcsm community encouraging renee_berry stronger sources for reliable online #health information #rnchat nursingpins T3 communication helps care in all areas #RNchat agree RT @Gracetx T3- need to b open 2 nontraditional collaboration w/ renee_berry #PublicHealth community #rnchat I think anything that shortens the hospital stay will benefit the patient factnurse #RNchat RT @renee_berry: T3 Also fascinated with the strength of the #hcsm community encouraging stronger sources for reliable online #health jodyms information #rnchat T3 - patients are already innovative...seeking out info using social media.. IVchat #RNchat T3 think this is a great #innovative resource for #oncologists renee_berry #communication skills http://ow.ly/34DcS #cancer #rnchat T3- Are there issues with nurses spending too much time trying to reach PerfectServeInc physicians, etc? Improve coordination of care--& ;gt;more time? #RNchat T3 I've seen more informed patients in the last year than the prev. 10. nursingpins #RNchat T3 #RnChat what would be great is incorporating the pts TV into a demo WillowRN system, so pt could view xrays, call RN, etc from the touch screen. RT @renee_berry: T3 think this is a great #innovative resource for CGreaves #oncologists #communication skills http://ow.ly/34DcS #cancer #rnchat same! RT @renee_berry: impressed w/ e-patient movement, advocating NAPH1981 patients to participate in their care http://ow.ly/34D5Y #rnchat
    • cool cc @epatientdave RT @nursingpins T3 Ive seen more informed renee_berry patients in the last year than the prev 10 #RN #rnchat @PerfectServeInc reaching phys is only a minor problem - that I have seen. nursingpins #RNchat @thesournurse I totes posted that to the wrong account, but you should grimalkinrn lurk on #RNchat when you get a chance, lots of good info. Thanks! RT @nursingpins @PerfectServeInc reaching phys is only a minor PerfectServeInc problem - that I have seen. #RNchat #RnChat T3 Also, forget touchpads, could we just get more manageable WillowRN beds and call lights?? THAT would be huge. tech that allows more intensive services to be provided in home environment supportive of Hospital @ Home program by Hopkins T3 - visiting_nurse #RNchat Yes! RT @nursingpins: T3 I've seen more informed patients in the last year hcsmSV than the prev. 10. #RNchat #hcsmSV T3 experience as patient: & ;quot;buzzers& ;quot; for urgent care so you can go wait in your car, was awesome when I had migraine @paloaltomedical renee_berry #rnchat Wow Rt @renee_berry T3 & ;quot;buzzers& ;quot; for urgent care so you can go wait in your car, was awesome when I had migraine PerfectServeInc @paloaltomedical #rnchat RT @hcsmSV: Yes! RT @nursingpins: T3 I've seen more informed patients jodyms in the last year than the prev. 10. #RNchat #hcsmSV lots of patients w/ blogs, twitter, FB RT @nursingpins: T3 Ive seen more IVchat informed patients in the last year than the prev. 10. #RNchat @renee_berry T3 is it like those buzzers they give you when you're in line FreshRN for a busy restaurant? #RNchat @FreshRN exactly, I was in excruciating pain, got to go sit in quiet.. Talk renee_berry about patient-centered, can't express enough gratitude #rnchat @renee_berry oh, that's awesome! I haven't seen that yet personally but I FreshRN hope to soon #RNchat Five yrs ago you wouldn't have seen this RT@kevinmd RT @efalchuk: Five jodyms Tips 4 Diagnosing Yourself on the Web: http://bit.ly/cSgC9X #RNCHAT
    • T3 another nice innovation with touch pads - phys can see x-rays EKG's nursingpins from anywhere. #RNchat factnurse Innovation: 1st I've ever done this. #RNchat RT @FreshRN: @renee_berry T3 is it like those buzzers they give you when IVchat youre in line for a busy restaurant? #RNchat T3 best innovation - transforming care at the bedside - good old fashioned chemosabe pt focussed care!!! #rnchat rnchat Fast fast hour! We'll wrap up in a few moments. #RNchat RT @chemosabe T3 best innovation - transforming care at the bedside - PerfectServeInc good old fashioned pt focussed care!!! #rnchat @chemosabe and innovation can be an extension of pt. centered care. nursingpins #RNchat rnchat Before we leave, give us your parting thoughts or wishes. #RNchat RT @renee_berry: T3 think this is a great #innovative resource for erlanovation #oncologists #communication skills http://ow.ly/34DcS #cancer #rnchat @PhilBaumann #IsCool T3 how about TweetChats for improving #health systems #AWESOME #innovation opening doors/spreading good ideas renee_berry #rnchat By all enjoy thursday nite, i'll try enjoy fri at the coal face! @nursing pins, of chemosabe course tech is helping transforming care! #rnchat IVchat Nurses rule!! Thank you for the chat! Bye! #RNchat factnurse So glad I did this. How often is the chat? #RNchat PerfectServeInc Enjoyed our first #RNchat today. We will be sure to attend more! Same RT@NAPH1981 @renee_berry: impressed w/ e-patient movement, Gracetx advocating patients to participate in their care http://ow.ly/34D5Y #rnchat Thanks for another opportunity to share ideas and discuss important FreshRN topics! Together we can make a difference #RNchat THANK YOU, everybody! And thank you @paloaltomedical for the topics. rnchat Transcript will be up soon! Next chat TBA. #RNchat Official End of Chat Additional Remarks: nursingpins Thanks to RNchat and all interested. - and what @FreshRN said. #RNchat
    • Don't forget it's National #Hospice Month this November http://ow. renee_berry ly/34Bzs #myPassion Thanks for a great Chat! #rnchat Love it RT @WillowRN T3 #RnChat wd b great incorporating pts TV into Gracetx demo system, pt could view xrays, call RN, etc from the touch screen. Final thoughts: Thanks to nurses for providing patient-centered care and PaloAltoMedical advocacy! #RNchat nursingpins Thanks to @paloaltomedical #RNchat TY too! RT @rnchat: THANK YOU, everybody! And thank you @paloaltomedical for the topics. Transcript will be up soon! Next chat TBA. PaloAltoMedical #RNchat Looking forward to next time! RT @rnchat THANK YOU, everybody! And renee_berry thank you @paloaltomedical for the topics. #rnchat RT @renee_berry: Don't forget it's National #Hospice Month this November http://ow.ly/34Bzs #myPassion Thanks for a great Chat! WhatNursesDo #rnchat RT @PaloAltoMedical: Final thoughts: Thanks to nurses for providing renee_berry patient-centered care advocacy! #RN #nurse #rnchat Gracetx RT @nursingpins: Thanks to @paloaltomedical #RNchat T3 #RNChat (late joining)-research team approach similar to onc. Will DrDeanBurke require hi tech to coordinate and communicate. doc, nurse,soc.ser Thanks to @RNchat for hosting and allowing us to join in today. We PaloAltoMedical appreciate everyone who participated ( watched). Voices!! #RNchat Thanks to you too. Enjoyed learning and sharing! RT @nursingpins: PaloAltoMedical Thanks to @paloaltomedical #RNchat rnchat @PaloAltoMedical Thank you! A great chat! #RNchat Great to chat with @paloaltomedical today during #RNchat. One of our PerfectServeInc board members is on staff at @paloaltomedical --& ;gt;Dr. Aigen.