rnchat:          Don't know what #RNChat is? Find out here http://www.rnchat.org/about/ & joint us at
                 9pm...
7/15/2010 21:07


doctoranonymous: Hey #RNChat - Just lurking and watching the chat. Looking forward to the discussion!
  ...
rnchat:          @NurseSallie you might try TweetChat on the net http://tweetchat.com and type in
                 #RNChat...
participate with Hospital U #rnchat
                 7/15/2010 21:31


onlinenursing:   T2 - hate it that I may prescribe ...
jtknowles007:    T3 -student's point of view - scripting could provide a foundation that the student could
               ...
onlinenursing:   @nursingpins T3 Love electronic #RNChat & yet sometimes I read EMR & have no real
                 pictur...
coniferhealth:    Great to hear nurses' thoughts during #RNchat on recent @healthleaders article about
                  s...
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RNchat Transcript July 15, 2010

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Transcript for #RNchat - a Twitter chat for registered nurses - for July 15, 2010.

TOPICS:

T1- How does lateral violence among RNs affect pt care? & how can we better prepare nurses & students to deal with lateral violence?

T2- Pharm:vast/quick changing/& can hurt pts.What areas do U need more pharm ed in & what should we teach nursing students?

T3 - Teaching better communication? how should we teach it & should scripting be used in Nursing?

Follow @RNchat - http://Twitter.com/RNchat for more!!

RNchat.org - http://RNchat.org

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RNchat Transcript July 15, 2010

  1. 1. rnchat: Don't know what #RNChat is? Find out here http://www.rnchat.org/about/ & joint us at 9pm EST. 7/15/2010 20:30 nursingpins: RT @rnchat: So far there are 50 trancripts of #RNchat - http://bit.ly/by9l1E - #hcsm 7/15/2010 20:41 rnchat: #RNChat in 15 minutes!!!!! Get yourself something cool to drink, put your feet up, and come join nurses from everywhere! 7/15/2010 20:45 onlinenursing: @rdjfraser Woah - check you out Rob ... the tech savy "new nurse" - it is what we should all aspire to be - http://bit.ly/chyFw4 #RNChat 7/15/2010 20:47 rnchat: Get ready for #RNChat in 5 minutes, hosted by @onlinenursing tonight. 7/15/2010 20:55 Vaticuss: Clinical instructor for ASN students. #rnchat 7/15/2010 21:01 rnchat: Reminder: Put question at beginning (i.e. - T1) & put your hashtag #RNChat in each reply. 7/15/2010 21:02 onlinenursing: Terri Nurse 15 short years-became a nurse after I shadowed an MD in high school honors class & found nurses job 2B much more fun! #RNChat 7/15/2010 21:02 rnchat: T1- How does lateral violence among RNs affect pt care? & how can we better prepare nurses & students to deal with lateral violence? #RNChat 7/15/2010 21:04 nursingpins: Hi all, Vernon in New Orleans -critical care. Thanks for hosting Terri. #RNchat 7/15/2010 21:04 philbaumann: Phil here: in & out tonight. Happy to see @onlinenursing lead tonight's chat! Good luck everybody!! #RNchat 7/15/2010 21:04 rnchat: If your wondering what lateral/horizontal violence in Nursing is - nice editorial from @NursingCenter - http://alturl.com/f3yhj #RNChat 7/15/2010 21:05 ali_rn: i have to say i have worked in one place for my career, and lateral violence is not an everyday occurance #RNchat 7/15/2010 21:05 onlinenursing: Funny you are wishing them luck Phil! :) - Hey Vernon glad to see you #RNChat... Yes, my first chat... we will see if I am smart enough. 7/15/2010 21:06 nursingpins: T1 LV is a big factor in nursing but pales in the passive aggressive behavior of many hc professionals (both are problems #RNchat 7/15/2010 21:06 ali_rn: t1-actually struggling to come with an example i have witnessed. #rnchat
  2. 2. 7/15/2010 21:07 doctoranonymous: Hey #RNChat - Just lurking and watching the chat. Looking forward to the discussion! 7/15/2010 21:07 onlinenursing: @nursingpins T1- I thought passive aggressive qualified as Lat. violence #RNChat 7/15/2010 21:08 nursingpins: T1 Lateral hostility my be a better term (but on the continuum #RNchat 7/15/2010 21:08 Vaticuss: T1. Professional socialization is one approach. How it affects pt care? Not sure... #rnchat 7/15/2010 21:08 rnchat: @doctoranonymous Welcome. Lurk all you want. We love lurkers. Jump in if you have words of wisdom (or whatever) #RNChat 7/15/2010 21:09 nursingpins: T1 right Terri it does qualify as LV #RNchat 7/15/2010 21:09 NUR3563: RT @Vaticuss: T1. Change the hazing, initiation culture; nursing "eating their young" is repugnant and detrimental. #rnchat 7/15/2010 21:09 rnchat: So, what specifically do we do in formal nursing education, to prevent lat. violence? Do we role play? Do scripted practice? Mentor? #RNChat 7/15/2010 21:12 nursingpins: T1 as you say Terri - I think it has been a part of the medical cultural since early days - #RNchat 7/15/2010 21:12 ali_rn: t1, is there anything you can do, beyond teach what it is and why it happens? the more you know....#rnchat 7/15/2010 21:14 onlinenursing: When I was a new nurse I had another ICU nurse dress me down in front of entire night shift over question I asked-felt so small #RNChat 7/15/2010 21:14 nursingpins: T1 Would help if we had more integration of the student orgs. with the established prepositional ones- ( #RNchat 7/15/2010 21:16 yvette2012: T1 I have to wonder how much stress in the workplace plays into it. #RNchat 7/15/2010 21:16 ali_rn: @yvette2012 i think that IS the reason it happens #RNchat 7/15/2010 21:18 ali_rn: RT @yvette2012: T1 I have to wonder how much stress in the workplace plays into it. #RNchat 7/15/2010 21:18 nursingpins: T1 has to do a lot with the pecking order in medicine - the most experienced/knowledgeable find easy targets in the novice #RNchat 7/15/2010 21:18
  3. 3. rnchat: @NurseSallie you might try TweetChat on the net http://tweetchat.com and type in #RNChat -then you can follow and type in on your own accnt 7/15/2010 21:18 nurseeducator: T1 Hi all! 1st witnessed HV as a young RN. My co-worker was so upset by the offenders that she was highly distracted #RNchat #rnchat 7/15/2010 21:19 nursingpins: T1 The change must start at with the professional organisations - #RNchat 7/15/2010 21:19 rnchat: T2 coming up in 5 minutes - #RNChat (will be 2 part question) 7/15/2010 21:20 philbaumann: @jtknowles007 Join in! Just add #RNchat to your tweets - Try using TweetChat.com - Good luck! I was second-career as well. #rnchat 7/15/2010 21:20 nurseeducator: RT @onlinenursing @Vaticuss: T1. Change the hazing, initiation culture; nursing "eating their young" is repugnant and detrimental. #rnchat 7/15/2010 21:21 onlinenursing: RT @yvette2012: T1 I have to wonder how much stress in the workplace plays into it. #RNchat ( RE: Lateral violence among nurses) 7/15/2010 21:21 onlinenursing: @KD0IMH Baw ha ha... is that how the public gets their image of nurses. Lord help us all! #RNChat (never seen it on ER - Lat. Violence) 7/15/2010 21:22 jtknowles007: T1 Hi all, John K here. Starting RN program this fall. How does gender play a role in in lateral violence? #RNchat !fb #RNchat 7/15/2010 21:23 nurseeducator: T1 How about expressive condescension by those in leadership? #rnchat #rnchat 7/15/2010 21:24 rnchat: T2- Pharm:vast/quick changing/& can hurt pts.What areas do U need more pharm ed in & what should we teach nursing students? #RNChat 7/15/2010 21:25 nurseeducator: @onlinenursing Hey Terri...I think stress does but also competition #RNchat #rnchat 7/15/2010 21:25 rnchat: Welcome @jtknowles007 ! So glad to have students here. GO NURSING! #RNChat 7/15/2010 21:26 jtknowles007: T2 - sorry to ask instead of answer - what role will handheld technology (iphone,ect) play in pharm ed, and practice? #RNchat 7/15/2010 21:28 onlinenursing: @nurseeducator agree-Good list-Stress,powerlessness,gender, competition-it does distract & thus increases risk for error & burnout #RNChat 7/15/2010 21:28 nurseeducator: T2 @jtknowles007 Apps are very useful in the clinical setting. We allow use and will prob
  4. 4. participate with Hospital U #rnchat 7/15/2010 21:31 onlinenursing: T2 - hate it that I may prescribe something that is taken off market in 2 months. Now leery new meds.Stick to old tried & true #RNChat 7/15/2010 21:34 nursingpins: T2 would be nice if there was a site that explained ACLS drugs and dsg in detail for quick reference - many codes ran only by ACLS #RNchat 7/15/2010 21:35 philbaumann: @onlinenursing That's why I think technologies like Microsoft Tag Reader could be key: could scan Rx & devices b4 use. #rnchat 7/15/2010 21:36 nursingpins: T2 with limited knowledge - the code will be ran (smaller hosps) mainly by ACLS - should understand and have quick access. #RNchat 7/15/2010 21:37 nurseeducator: T2 Could always use review with food and drug interactions must check if there's an app 4 that! #rnchat 7/15/2010 21:37 rnchat: We actually have a T3 tonight. Coming up in 2 minutes. #RNChat 7/15/2010 21:38 nursingpins: T2 quick - easy to read ACLS protocols should be on a screen at codes-would help the less knowledgeable who often have to run them #RNchat 7/15/2010 21:39 onlinenursing: @nurseeducator T2- Good idea! I also need tons of info on homeopathic and alternative/natural meds 4 drug interactions #RNChat 7/15/2010 21:39 rnchat: T3 - Teaching better communication? how should we teach it & should scripting be used in Nursing? http://ht.ly/2c3IR #RNChat 7/15/2010 21:40 joniwatson: Catching last part of #RNChat. Looks good!! 7/15/2010 21:41 rnchat: T3 - from Q-from @coniferhealth they were interested in nurse communication. Might lean back into T1 on lat violoence. #RNChat 7/15/2010 21:41 NursingCenter: Hello nurse friends! Sorry I'm so late! I'll try to catch up and join in! #rnchat 7/15/2010 21:41 nurseeducator: @onlinenursing T2 Patients are using so many different types of OTC supplements that a thorough assessment is necessary #rnchat 7/15/2010 21:42 nurseeducator: @NursingCenter Hi there...so long since my last RNchat! Nice to chat with you 2nite #rnchat 7/15/2010 21:43 onlinenursing: @NursingCenter @joniwatson Hey Ladies! Good to see you #RNChat 7/15/2010 21:43
  5. 5. jtknowles007: T3 -student's point of view - scripting could provide a foundation that the student could build upon during his/her career. !fb #RNchat 7/15/2010 21:43 joniwatson: T3: Teaching communication is an ongoing process. Never ending. #RNChat 7/15/2010 21:43 nurseeducator: Agree! RT @joniwatson: T3: Teaching communication is an ongoing process. Never ending. #rnchat 7/15/2010 21:44 jtknowles007: T3 - my first career - photography, had to learn the "script" - basic posing, before I could build on that to do my own thing !fb #RNchat 7/15/2010 21:44 NUR3563: @jtknowles007 T3-Good point-We teach skills & repeat/practice them over&over (IVs, Caths),but don't do the same with communication. #RNChat 7/15/2010 21:46 NursingCenter: It often goes back to those communication techniques we learned the first year in nursing school - even in the nonclinical setting #rnchat 7/15/2010 21:47 onlinenursing: T3 - #RNChat - what do they do for Doc's in teaching communication? Do they practice (same as spinal taps/colonoscopies) :) Wondering? 7/15/2010 21:50 jtknowles007: @NursingCenter restating, reflecting - yes! Unless we do those things, we may be missing what the patient is really saying !fb #RNchat 7/15/2010 21:51 nurseeducator: T3 Teaching communication through a variety of methods including Teamstepps which is multidisciplinary. #rnchat 7/15/2010 21:51 joniwatson: RT @NursingCenter: ...and practice is a must! Not easy to use silence, restating, reflecting ...but I find they're some of the best techniques #rnchat 7/15/2010 21:51 NUR3563: @nurseeducator T3 - What is teamstepps? #RNChat 7/15/2010 21:52 nurseeducator: @NursingCenter T3 Agree...practice, practice, practice! #rnchat 7/15/2010 21:52 nurseeducator: @NUR3563 T3 Teamstepps is a method for promoting teamwork and communication. all are equal stakeholders http://bit.ly/aav08R #rnchat 7/15/2010 21:54 rnchat: We are coming up on the end of the hour. Any final parting thoughts or words of wisdom for student nurses? #RNChat 7/15/2010 21:55 nursingpins: T3 - things are too complex for comm. to rely on word of mouth - must be accessible with stored location. #RNchat 7/15/2010 21:57
  6. 6. onlinenursing: @nursingpins T3 Love electronic #RNChat & yet sometimes I read EMR & have no real picture of my pt. their personality,spiritual needs, etc. 7/15/2010 21:57 NursingCenter: Parting thought for nursing students: Keep working hard...it will be worth it - you will make a difference! #rnchat 7/15/2010 21:58 onlinenursing: RT @NursingCenter: Parting thought for nursing students: Keep working hard...it will be worth it - you will make a difference! #rnchat AMEN 7/15/2010 22:00 NUR3563: RT @NursingCenter: Parting thought for nursing students: Keep working hard...it will be worth it - you will make a difference! #rnchat AMEN 7/15/2010 22:00 NursingCenter: @nursingpins Yes - the human factor is essential...can't replace actual conversation...so much info is conveyed nonverbally as well. #rnchat 7/15/2010 22:00 joniwatson: T3: Learned "therapeutic communication" as undergrad; it certainly didn't prep me for talking w/ nurse colleagues, physicians, etc. #RNChat 7/15/2010 22:00 rnchat: Our hour is up! Thanks guys for coming! #RNChat - Quick shout out to @rdjfraser and article on him - http://alturl.com/gohim 7/15/2010 22:01 jtknowles007: Parting thoughts - as a student, I appreciate all of your insights and opinions. Thanks for letting me participate. !fb #RNchat 7/15/2010 22:01 nurseeducator: Parting thoughts: You are the future of nursing. You will laugh, cry, and see life differently as a RN... This is a noble profession #rnchat 7/15/2010 22:01 joniwatson: @onlinenursing kudos on a great #RNChat! 7/15/2010 22:07 onlinenursing: RT @nursingpins: parting thought - as always remember to re clamp the foleys when you empty them :) #RNchat -BAW Ha ha ha -(GO NURSING!) 7/15/2010 22:07 NUR3563: RT @nursingpins: parting thought - as always remember to re clamp the foleys when you empty them :) #RNchat -BAW Ha ha ha -(GO NURSING!) 7/15/2010 22:07 NursingCenter: RT @joniwatson Parting thought: Nursing is always and adventure, full of continuous learning. Keep at it! #RNChat 7/15/2010 22:08 nurseeducator: RT @onlinenursing: RT @nursingpins: parting thought - as always remember to re clamp the foleys when you empty them :) #RNchat -BAW Ha ha ha -(GO NURSING!) 7/15/2010 22:08 jtknowles007: @NursingCenter Thanks so much #RNchat 7/15/2010 22:08
  7. 7. coniferhealth: Great to hear nurses' thoughts during #RNchat on recent @healthleaders article about scripting. Communication is so vital in #healthcare 7/15/2010 22:41 ladykimbsn: RT @NursingCenter: RT @nurseeducator U R the future of nsg. U will laugh, cry, & C life differently as RN. ths is a noble profession #rnchat 7/15/2010 23:25 CTStudentNurse: RT @ladykimbsn: RT @NursingCenter: RT @nurseeducator U R the future of nsg. U will laugh, cry, & C life differently as RN. ths is a noble profession #rnchat 7/15/2010 23:27 dorameulman: RT @tlomauro: RT @TelegraphNews Nurses spend more time doing paperwork than looking after patients - Telegraph http://bit.ly/b9h62i #RNChat 7/15/2010 23:43

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