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RNchat Transcript July 23, 2010
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RNchat Transcript July 23, 2010

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Transcript for RNchat - a Twitter chat for registered nurses - for July 23, 2010. …

Transcript for RNchat - a Twitter chat for registered nurses - for July 23, 2010.

Topics:

T1 Handwashing: What advances have you seen? How does Design affect compliance? What drives ya nuts when you see it?

T1 Follow-up: Are messages about what kinds of washing (eg soap & friction for c diff & other spores instead of alcohol) effective?

T2 Telehealth: How can telehealth nursing expand with role of the Web (Social Media, digital media, etc.)?

T3 Enhancing Collaboration: What are biggest challenges in provider collaboration? What solutions (technical or other) work best?

Follow @RNchat on Twitter - http://Twitter.com/RNchat and visit the blog RNchat.org for more!

Published in: Health & Medicine

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  • 1. rnchat: Welcome to Friday Night Live on #RNchat! We'll get zipping in a moment, but foist tell us about yourself!! Welcome first-timers! :) 7/23/2010 21:00 onlinenursing: Hola mi #RNChat amigos. Yo soy Terri, soy enfermera practica y professor de enfermeras. (practicing my espanol :). Terri from MO here. 7/23/2010 21:02 holisticnurses: Hi! Amy in NYC (It's stormy all right!) Telehealth & Holistic RN...will be popping in & out. Hey to all! #Rnchat 7/23/2010 21:03 rnchat: OK, our first topic will be up in a minute. When replying please add T1, T2 etc to your response. #RNchat 7/23/2010 21:04 onlinenursing: @onlinenursing Hey Amy - great to see you here. nice new pic! #RNChat. 7/23/2010 21:04 nlw0507: Hi! I'm Nikki and I'm a new grad nurse from Madison, WI #RnChat #rnchat 7/23/2010 21:04 InfusionNurse: Howdy all!! It's Cora - infusionnurse...from Indianapolis... #RNCHAT 7/23/2010 21:04 rnchat: T1 Handwashing: What advances have you seen? How does Design affect compliance? What drives ya nuts when you see it? #RNchat 7/23/2010 21:05 holisticnurses: @onlinenursing Thanks Terri! Congrats on learning Spanish. #Rnchat 7/23/2010 21:05 Trybarefoot: Evening! Gerard via Nova Scotia. Health educator/consultant/facilitator w/ large emphasis on team dev in healthcare! #RNchat 7/23/2010 21:06 onlinenursing: @InfusionNurse Hey Cora @InfusionNurse! Glad to see you on #RNChat. Hi Nikki @nlw0507 7/23/2010 21:06 InfusionNurse: @holisticnurses @onlinenursing...hola amigas!! #RNCHAT 7/23/2010 21:07 onlinenursing: T1 - #RNChat - while I love the new alcohol scrub (makes things handy in the hall). I think it decreases use of soap & H20... (part 1) 7/23/2010 21:08 Trybarefoot: Now happening! RT @rnchat: Welcome to Friday Night Live on #RNchat! 7/23/2010 21:08 nursingpins: Hey all - running late -Vernon in New Orleans #RNchat 7/23/2010 21:08 InfusionNurse: @Trybarefoot @nlw0507...howdy!! #RNCHAT 7/23/2010 21:08 onlinenursing: T1 - #RNChat - part 2 - & I know from medical mission work with no H20 that nothing
  • 2. cleans hands like good old soap and water 7/23/2010 21:08 holisticnurses: T1 I'd love to hear about natural products for handwashing in hospitals. #Rnchat 7/23/2010 21:09 InfusionNurse: T1 - handwashing compliance still poor accdg to APIC...still an issue w/ preventing infections...need reinforce/reeducate #RNCHAT 7/23/2010 21:09 holisticnurses: @InfusionNurse Hi Cora! #Rnchat 7/23/2010 21:09 CaliPNP: Hey from LA...I'm Sue a pediatric NP working for anesthesia / radiology services #RNchat 7/23/2010 21:10 holisticnurses: @Trybarefoot Hi there! Thanks for your RT earlier. Welcome. #Rnchat 7/23/2010 21:10 onlinenursing: @Trybarefoot & @Nursingpins - Hey guys! Great to see so many wonderful RNs in #RNChat. 7/23/2010 21:10 onlinenursing: RT @InfusionNurse handwashing compliance still poor accdg to APIC -still an issue w/ preventing infections-need reinforce/reeducate #RNCHAT 7/23/2010 21:11 NUR3563: RT @InfusionNurse handwashing compliance still poor accdg to APIC -still an issue w/ preventing infections-need reinforce/reeducate #RNCHAT 7/23/2010 21:11 InfusionNurse: Hi Vernon...RT @nursingpins: Hey all - running late -Vernon in New Orleans #RNCHAT 7/23/2010 21:12 onlinenursing: T1 -sort of off subject,but has to do with handwashing- did anyone see article this week abt how sepsis more common postop than DVT? #RNChat 7/23/2010 21:12 Trybarefoot: @onlinenursing Thx - tho I'm more of a 'friend' of RNs - work w/ nurses all the time - privileged to be able to participate #RNchat 7/23/2010 21:12 holisticnurses: T1 Amazing how important handwashing is in homecare when educating pts re: woundcare. Still love soap & H2O too! #Rnchat 7/23/2010 21:13 nursingpins: noticed that most nurses use the foam in-room disp. - hand washing still a noticeable problem - must keep reinforcing everywhere. #RNchat 7/23/2010 21:13 InfusionNurse: what would u recommend? RT @holisticnurses: T1 Id love to hear about natural products for handwashing in hospitals. #RNCHAT 7/23/2010 21:14 Trybarefoot: T1 agree that education/updates are important...within hospital settings AND with general public! #RNchat 7/23/2010 21:14
  • 3. InfusionNurse: Hi Sue! RT @CaliPNP: Hey from LA...Im Sue a pediatric NP working for anesthesia / radiology services #RNCHAT 7/23/2010 21:15 onlinenursing: T1 - #RNChat most of cellulitis I see in clinic (lots in summer with bug bites/ poison Ivy) is MRSA - handwashing at home essential! 7/23/2010 21:16 InfusionNurse: I agree RT @nursingpins: most nurses use foam in-room disp. - hand washing a noticeable problem - must keep reinforcing everywhere. #RNCHAT 7/23/2010 21:18 nursingpins: most nurses don't touch patients anymore without gloves - at least that is a help #RNchat 7/23/2010 21:18 CaliPNP: @InfusionNurse Hi Terri! I've been off line this week but it's nice to be back #RNchat 7/23/2010 21:18 onlinenursing: @InfusionNurse T1 - #RNCHat mostly I work in rural prctc. lots of farm work, outside work. Also-kids with dirty hands scratch everything. 7/23/2010 21:18 onlinenursing: @nursingpins #RNChat - only if they don't use their gloves to touch lots of other things 1st or stick dirty hands into the glove box :) 7/23/2010 21:20 InfusionNurse: ? is they wash hands after/between pts? RT @nursingpins: most nurses dont touch patients anymore w/o gloves - at least that help #RNCHAT 7/23/2010 21:20 Trybarefoot: T1 An imp public health issue - my exp is soap/water is part of the key msg - tho is it more risky in an acute or home care setting? #RNchat 7/23/2010 21:20 nursingpins: @onlinenursing you are right - goes hand and glove :) could not resist. #RNchat 7/23/2010 21:21 CaliPNP: oops...I didn't #RNchat that last one... 7/23/2010 21:21 rnchat: T1 Follow-up: Are messages about what kinds of washing (eg soap & friction for c diff & other spores instead of alcohol) effective? #rnchat 7/23/2010 21:22 CaliPNP: APN Phys Exam course won't let U glove up...sets U up as vector w/o good handwashing #RNchat 7/23/2010 21:23 nursingpins: peer pressure is strongest enforcer - will have to starting checking each other - #RNchat 7/23/2010 21:23 CaliPNP: However, RNs are by nature ALWAYS good handwashers...can't say same for other disciplines #RNchat 7/23/2010 21:24 rnchat: Our next topic is coming up in a moment! #RNchat 7/23/2010 21:26
  • 4. rnchat: T2 Telehealth: How can telehealth nursing expand with role of the Web (Social Media, digital media, etc.)? #RNchat 7/23/2010 21:27 holisticnurses: T1 Remember bag technique being just as important as handwashing in home care. #Rnchat 7/23/2010 21:27 Trybarefoot: OUCH! ;) RT @CaliPNP: However, RNs are by nature ALWAYS good handwashers...can't say same for other disciplines #RNchat 7/23/2010 21:27 rnchat: @CaliPNP That's a good point, which may be an upcoming topic: how can nurses effectively get others do, er, clean up their act. #rnchat 7/23/2010 21:29 onlinenursing: #rnchat It can help w/nurse education of rural patients, working pts, triage, ed of new parents, & all sorts of psychosocial screenings. 7/23/2010 21:30 nursingpins: T2 There is so much potential with t.h. (most important with seeing patients with cams- can read expressions and gestures which helps #RNchat 7/23/2010 21:30 podmedic: #rnchat I see telehealth nursing evolution into live online nurse chat support similar to website tech support. 7/23/2010 21:31 CaliPNP: @Trybarefoot I'll back that one up w/ some good ole' research, K? #RNchat http://www.ncbi.nlm.nih.gov/pubmed/12593714 7/23/2010 21:31 holisticnurses: T2 Sense of sound, clinical knowledge/experience and intuition is what I have to work w/ in telehealth...video chat can enhance #Rnchat 7/23/2010 21:31 onlinenursing: @nursingpins agree. - T2 #RNChat 7/23/2010 21:32 Trybarefoot: T2 can really help RNs connect and collaborate w/ other providers as well! #RNchat 7/23/2010 21:32 podmedic: hi-def webcams offer opportunities for remote monitoring and assessment. #rnchat 7/23/2010 21:33 CaliPNP: @Trybarefoot That study also says RNs have a huge area for improvement...to be fair T1 #RNchat 7/23/2010 21:33 InfusionNurse: agree RT @podmedic: #rnchat I see telehealth nursing evolution into live online nurse chat support similar to website tech support. #RNCHAT 7/23/2010 21:34 rnchat: RT @podmedic: hi-def webcams offer opportunities for remote monitoring and assessment. #rnchat 7/23/2010 21:34
  • 5. InfusionNurse: good pt RT @holisticnurses: T2 Of course not many elderly home care pts have computers...would supplying certain pts with a device #RNCHAT 7/23/2010 21:34 Trybarefoot: @CaliPNP T1 Awesome - luv the evidence! Helps to solidify the facts - and move us from generalizations, stereotypes etc - thx! #RNchat 7/23/2010 21:35 holisticnurses: T2 Also brings up the point of state bs national licensure. We can educate from anywhere online & via phone. #Rnchat 7/23/2010 21:36 Trybarefoot: Hats off to you! RT @CaliPNP: @Trybarefoot That study also says RNs have a huge area for improvement...to be fair T1 #RNchat 7/23/2010 21:36 InfusionNurse: Hi Jamie..I agree if provided 4 pts...RT @podmedic: hi-def webcams offer opportunities for remote monitoring and assessment. #RNCHAT 7/23/2010 21:36 nursingpins: computers will become a "medical device" as important as o2 machines. event will be covered as needed equipment #RNchat 7/23/2010 21:37 holisticnurses: T2 That was state bs national licensure. Chatting via iPhone is tres difficult! #Rnchat 7/23/2010 21:38 onlinenursing: RT @InfusionNurse @podmedic: #rnchat I see telehealth nsing evolution N2 live online nurse chat support similar 2 website tech support. 7/23/2010 21:39 Trybarefoot: Handwashing compliance depends on professional status (via @CaliPNP) -> http://bit.ly/979ESd #RNchat 7/23/2010 21:39 holisticnurses: T2 Will always need to distinguish ourselves from computer only generated info. Computers can't empathize...yet! #Rnchat 7/23/2010 21:40 CaliPNP: Facetime on the iPhone 4 has some immediate gratification potential for wound care...problem is both sides have to have it :( T2 #RNchat 7/23/2010 21:40 holisticnurses: Darn you, auto-correct! :) #Rnchat 7/23/2010 21:41 Trybarefoot: Nice point. RT @holisticnurses: T2 need to distinguish ourselves from computer only generated info. Computers can't empathize...yet! #Rnchat 7/23/2010 21:41 holisticnurses: RT @CaliPNP: Facetime on iPhone 4 has some imm. gratification potential 4 wound care...problem is both sides have to have it :( T2 #Rnchat 7/23/2010 21:43 onlinenursing: T2 - potential for telehealth - online chat rooms/therapy/connection of adolescents w/chronic dz (like Type1DM, CF, Sickle Cell) - #RNChat 7/23/2010 21:43
  • 6. NUR3563: T2 - potential for telehealth - online chat rooms/therapy/connection of adolescents w/chronic dz (like Type1DM, CF, Sickle Cell) - #RNChat 7/23/2010 21:43 holisticnurses: RT @nursingpins: computers will become a "medical device" as important as o2 machines. event will be covered as needed equipment #Rnchat 7/23/2010 21:43 rnchat: RT @nursingpins: computers will become a "medical device" as important as o2 machines. event will be covered as needed equipment #rnchat 7/23/2010 21:44 onlinenursing: #RNChat - sorry -using tweetdeck and that went out w/both accounts. My bad. 7/23/2010 21:45 holisticnurses: T2 Also caregiver support via video chat and, yes, RN lead education/support groups. #Rnchat 7/23/2010 21:45 rnchat: Our final topic is coming up! #RNchat 7/23/2010 21:46 Trybarefoot: Absolutely! RT @holisticnurses: T2 Also caregiver support via video chat and, yes, RN lead education/support groups. #Rnchat 7/23/2010 21:46 holisticnurses: RT @Trybarefoot: T2 can really help RNs connect and collaborate w/ other providers as well! #Rnchat 7/23/2010 21:46 rnchat: T3 Enhancing Collaboration: What are biggest challenges in provider collaboration? What solutions (technical or other) work best? #RNchat 7/23/2010 21:47 nursingpins: T2 t.h will be important for heart patients - already programs that allow remote view and diagnosis #RNchat 7/23/2010 21:47 holisticnurses: T2 Medication compliance and education too! I can see the pills someone is asking me about. #Rnchat 7/23/2010 21:48 Trybarefoot: RT @rnchat: T3 Collaboration: What are biggest challenges in collaboration? What solutions work best? #RNchat #interprofessional 7/23/2010 21:49 holisticnurses: T3 EMR...sometimes we're not all seeing the same info. #Rnchat 7/23/2010 21:51 onlinenursing: T3 many prblms as rural hlth NP N NP only clinic trying2 send pts2 spclists who dislike NPs-often they berate pts 4 hvng NP provider #RNChat 7/23/2010 21:52 onlinenursing: RT @holisticnurses: T3 EMR...sometimes we're not all seeing the same info. #Rnchat (Re: Collaboration issues in h/c) 7/23/2010 21:53
  • 7. InfusionNurse: T3 - Ego - leave it at home and think about the patient... #RNCHAT 7/23/2010 21:53 CaliPNP: RT @onlinenursing: T3 many prblms as rural hlth NP N NP only clinic trying2 send pts2 spclists who dislike NPs-often they berate pts 4 hvng NP provider #RNChat 7/23/2010 21:53 onlinenursing: RT @InfusionNurse: T3 - Ego - leave it at home and think about the patient... #RNCHAT (LOVE IT!) 7/23/2010 21:54 Trybarefoot: @onlinenursing T3 As a Manager in primary health care the rural NPs on my team had the EXACT exp #RNchat 7/23/2010 21:54 CaliPNP: @onlinenursing T3 Same in tertiary care ctrs. Prvt MDs don't want to hear how it's going to go from an NP. Want to hear from an MD #RNchat 7/23/2010 21:55 Trybarefoot: T3 Ego - yes! And a real lack of understanding of the scope/roles/responsibilities of NPs (key for collaboration!) #RNchat 7/23/2010 21:55 holisticnurses: RT @onlinenursing: RT @InfusionNurse: T3 - Ego - leave it at home and think about the patient... #RNCHAT (LOVE IT!) #Rnchat 7/23/2010 21:55 onlinenursing: T3 @CaliPNP @Trybarefoot looks like a common problem-sigh!I like @infusionNurse solution-all on same team-not enough of us 2 go arnd #RNChat 7/23/2010 21:57 rnchat: Yowza! Our hour together is coming up! :( We'll wrap up in a couple minutes. #RNchat 7/23/2010 21:58 DebErupts: For real collaboration everyone needs to be involved in decision making. #RNChat 7/23/2010 21:58 holisticnurses: RT @DebErupts: For real collaboration everyone needs to be involved in decision making. #Rnchat 7/23/2010 21:58 MeredithGould: @RNchat You were well represented by @PhilBaumann at last nights #health2meet #RNchat 7/23/2010 21:59 nurseeducator: T3 The heart of collabis having a common goal, defined expectations, meas. outcomes and people who are willing to get the job done! #RNChat 7/23/2010 22:00 onlinenursing: RT @DebErupts: For real collaboration everyone needs to be involved in decision making. #RNChat (AMEN, all professionals at the table) 7/23/2010 22:00 Trybarefoot: T3 Collaboration requires CLARITY - re: roles, leadership, decision making, communication, purpose! #RNchat 7/23/2010 22:00
  • 8. rnchat: OK, before we close up give us your parting thoughts, pearls of wisdom. #RNchat 7/23/2010 22:00 onlinenursing: @MeredithGould Heard it was good #health2meet - wish we could have been there. SO PROUD OF PHIL! #RNChat 7/23/2010 22:01 holisticnurses: Not too late for your words of wisdom. ;) RT @NurseSallie: Im late! #Rnchat 7/23/2010 22:01 onlinenursing: @NurseSallie Hey Sallie - better late than never #RNChat. Hope you are well! 7/23/2010 22:01 nursingpins: T3 hopfully the EMR will trigger services and help organize provider collaboration by inclusion #RNchat 7/23/2010 22:01 NurseSallie: I spent day with 22 DNP students and ethicists ... got to say nurses are awesome. #rnchat 7/23/2010 22:02 onlinenursing: #RNChat - parting thought: GO NURSING! Or as my friend phil would say - may the force be with you young Jedi Knights! Thx 4 grt chat all. 7/23/2010 22:02 Trybarefoot: Pearl -> Take the time. Give the time. Plan the time. Celebrate the time. Collaborate! #RNchat 7/23/2010 22:02 rnchat: THANK YOU Everybody for another excellent #RNchat!! Transcript will be up soon. Remember: Nurses are the last Jedi Nights of the Republic! 7/23/2010 22:03 DebErupts: Collaboration requires trust and respect, which is lacking many times among health care members. #RNChat 7/23/2010 22:03 nurseeducator: Sorry so late...on the road all day! Not even using my own computer or tweetdeck! #RNChat 7/23/2010 22:03 nursingpins: RT @onlinenursing GO NURSING! goodnight. #RNchat 7/23/2010 22:04 InfusionNurse: Great to chat u all again..good night to all...have a great weekend... #RNCHAT 7/23/2010 22:04 Trybarefoot: Pearl #2 (sorry!) -> I always learn from my RN colleagues - thank you for that! #RNchat 7/23/2010 22:04 rnchat: @holisticnurses My pleasure!! Thanks for being here! :) #rnchat 7/23/2010 22:07 Trybarefoot: Thx Phil - enjoy the weekend all! #RNchat 7/23/2010 22:07 rnchat: RT @onlinenursing: #RNChat - parting thought: GO NURSING! Or as my friend phil
  • 9. would say - may the force be with you young Jedi Knights! Thx 4 grt chat all. 7/23/2010 22:07 Trybarefoot: RT @DebErupts: Collaboration requires trust and respect, which is lacking many times among health care members. #RNChat #interprofessional 7/23/2010 22:09 InfusionNurse: great job Phil - u make us proud!! RT @philbaumann: Why thank you! Nurses are an easy group to be proud of! :) #RNCHAT 7/23/2010 22:10 ArtxImagination: AWESOME!! RT @RNchat: RT @NurseSallie: I spent day with 22 DNP students and ethicists ... got to say nurses are awesome. #rnchat 7/23/2010 22:14 rnchat: @InfusionNurse :-) #rnchat 7/23/2010 22:14 holisticnurses: RT @Trybarefoot: RT @DebErupts: Collaboration requires trust and respect, which is lacking many times among health care members. #RNChat #interprofessional 7/23/2010 22:15 dlwdillon: RT @nursingpins: most nurses don't touch patients anymore without gloves - at least that is a help #RNchat 7/23/2010 22:48 dlwdillon: RT @nursingpins: computers will become a "medical device" as important as o2 machines. event will be covered as needed equipment #RNchat 7/23/2010 22:52