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RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
RNchat Transcript March 05, 2010
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RNchat Transcript March 05, 2010

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Transcript of #RNchat, a Twitter chat for registered nurses and the public. …

Transcript of #RNchat, a Twitter chat for registered nurses and the public.

Topics included:

Nursing Salaries
Second-career Registered Nurses

For more information:

visit http://RNchat.org
Follow @RNchat on Twitter: http://Twitter.com/RNchat

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  • 1. rnchat: Welcome to #RNchat! We'll get started in a moment. Let's begin with introductions. Tell us about yourself in < 140! 3/5/2010 20:30 EllenRichter: Good evening! I am happy to stop work for a quick break with my #RNchat friends tonight!! TGIF even if I'm working!! :) 3/5/2010 20:32 lorryschoenly: Hi, glad we are a little early tonight. Need to leave at 9 - Correctional Nurse educator and advocate. Howdy All #rnchat 3/5/2010 20:33 KPNurseRecruit: Hi everyone! I'm happy to be back tonight after having to miss the last 2 #RNChat I'm a Nurse Recruiter within Kaiser Permanente in Cali 3/5/2010 20:33 EllenRichter: I'm from unseasonably freezing south Florida! I'm a critical care nurse & legal nurse consultant. :) #RNchat 3/5/2010 20:34 InfusionNurse: Howdy to all!! Infusion nurse and nurse educator. Happy to be here!! #rnchat 3/5/2010 20:34 EllenRichter: Howdy Phil, Lorry, Louetta & "Infusion"! #RNchat 3/5/2010 20:35 rnchat: OK, first topic coming up! #RNchat Please prepend replies to topics with T1, T2, etc. 3/5/2010 20:36 InfusionNurse: @EllenRichter ..LOL...Ido have a name....its Cora!! LOL Hi back to you all!! #rnchat 3/5/2010 20:36 rnchat: @EllenRichter @infusionnurse @kpnurserecruit @lorryshoenly Howdy! #RNchat 3/5/2010 20:37 cyclingwidow: Missing my nurse peeps tonight at #rnchat. Am at 5yr olds Upward awards 3/5/2010 20:37 EllenRichter: @InfusionNurse Cora!! Well, finally! LMAO~ Welcome Cora! :) #RNchat 3/5/2010 20:37 rnchat: T1 Nursing Salaries: What are average salaries for different kinds of nursing? How can we demonstrate value & raise pay? #RNchat 3/5/2010 20:37 ocdgirl2000: #rnchat OMG didn't know it was tonight! T1 3/5/2010 20:38 InfusionNurse: T1: varies with geographic location, experience and length of service... #rnchat 3/5/2010 20:39 rnchat: @ocdgirl2000 Sorry - I didn't promote it too heavily. ...Welcome! #RNchat 3/5/2010 20:40 EllenRichter: @RNchat Wow T1 is an excellent question! How can we demonstrate value & raise pay? #RNchat 3/5/2010 20:41 EllenRichter: T1 I watch all my colleagues in other disciplines ie: PT, RT, nutrition--they all bill for
  • 2. services rendered. Where did we go wrong? #RNchat 3/5/2010 20:42 KPNurseRecruit: RT @rnchat: T1 Nursing Salaries: What are average salaries for different kinds of nursing? How can we demonstrate value & raise pay? #RNchat 3/5/2010 20:42 EllenRichter: @ocdgirl2000 T1 Yes, good benefits really can be an important salary adjuster!! #RNchat 3/5/2010 20:42 EllenRichter: T1 I really think nurses need to restructure how we get paid & what we get paid for #RNchat 3/5/2010 20:43 philbaumann: @EllenRichter "Your backside is clean and dry. That'll be $35 please. We take Visa, Mastercard, Medicare, Medicaid" ;) #RNchat 3/5/2010 20:44 ocdgirl2000: #rnchat T1yep, and accumulated leave, sick leave benefits, retirement benefits, matched retirement contributions, etc. 3/5/2010 20:44 EllenRichter: T1LMAO @philbaumann almost kinda!! #RNchat 3/5/2010 20:44 ocdgirl2000: #rnchat T1 my "leave" accumulates at a faster rate after 5,10, 15 years.. 3/5/2010 20:45 philbaumann: @EllenRichter Actually, I left a zero out. $35 is way too low. Gotta go for the gusto. That's what docs have done ;) #RNchat 3/5/2010 20:46 InfusionNurse: @philbaumann ..T1 wish it's that way, often nursing is free...part of room charge..sad #rnchat 3/5/2010 20:46 EllenRichter: T1 I really do believe our "worth" would increase if everyone saw our task lists per hour and divided that by our hourly wages! #RNchat 3/5/2010 20:49 ocdgirl2000: #rnchat T1 I know they enacted the Lilly Ledbetter act in 2009,in MD so that if you are performing the exact same job as a peer,same salary! 3/5/2010 20:49 nursingpins: Nurses could take on cases - would not have to be there all the time - ordinate the care - (a true nursing practice) #Rnchat T1 3/5/2010 20:49 onlinenursing: Ahhhh I 'm late to #RNChat 3/5/2010 20:50 EllenRichter: T1 If I perform 15 high level patient-care interventions in 1 hour & make $30/hr, each task is worth only $2 bucks? C'mon its insane #RNchat 3/5/2010 20:50 EllenRichter: @nursingpins T1 I always thought that was a great idea & think with electronics improving, we will see better use of RNs #RNchat 3/5/2010 20:51 rnchat: @nursingpins Hi, Vernon! #RNchat
  • 3. 3/5/2010 20:52 EllenRichter: And hi Vernon, Terri & Lynne!! :) #RNchat 3/5/2010 20:52 meducate: @EllenRichter it's about fair market value within the HC system #rnchat :0) 3/5/2010 20:52 nursingpins: Charge for Assmts - care plans - complex procedures - be there for questions and education - fee for service #rnchat T1 3/5/2010 20:52 EllenRichter: @meducate Hi there! T1 But nurses really never SET fair market value before! I think its high time! :) #RNchat 3/5/2010 20:53 onlinenursing: T1 - interesting conversation. Here in SWMo, salaries are some of the lowest in nation for RN, NP, and academia. Great ideas guys #RNChat 3/5/2010 20:53 rnchat: OK, next topic coming up in a moment. Pay is a huge issue - so many angles to discuss. We should do a whole chat on it, right? #RNchat 3/5/2010 20:53 InfusionNurse: @meducate ..do u know what the FMV is for nurses? #rnchat 3/5/2010 20:54 nursingpins: As nurses - we do so little now - compared to what we could do - we do everything else AND nursing #rnchat 3/5/2010 20:55 EllenRichter: @onlinenursing Yes its really very disappointing to see the wide differences in RN salaries throughout the country! #RNchat 3/5/2010 20:55 rnchat: RT @nursingpins: As nurses - we do so little now - compared to what we could do - we do everything else AND nursing #RNchat 3/5/2010 20:55 EllenRichter: LOL how sad but true! How to get out from that rut?? >> RT @nursingpins: As nurses we do everything else AND nursing #rnchat #RNchat 3/5/2010 20:56 nursingpins: We do a tiny bit for everybody but not a lot for any one pt - as we should #rnchat 3/5/2010 20:57 KPNurseRecruit: T1 If there's any consolation, in my regional area, nurses r more highly compensated than most the rest of the multidisp team mbrs #RNChat 3/5/2010 20:57 onlinenursing: @rnchat & @nursingpins - great points- imagine how much healthcare would improve if nurses could just nurse and not everything else #RNChat 3/5/2010 20:57 ocdgirl2000: #rnchat T1 lets not go there!The gov is cutting services now! we have no cleaning services any more!Guess who the maids are>? 3/5/2010 20:57 rnchat: T2 Second-career Nurses: What are your experiences with them? Do their backgrounds bring new perspective? #RNchat
  • 4. 3/5/2010 20:57 InfusionNurse: @nursingpins ..we've been so "giving" that we really don't think of getting paid for all that we do... #rnchat 3/5/2010 20:58 EllenRichter: T1 My patient said "why do nurses have to empty the garbage & linen from the ICU rooms?" "There is no one else" I answered #RNchat 3/5/2010 20:58 EllenRichter: T2 Second-career usually connotates some increased level of maturity. I think 2nd career RNs "critically think" better #RNchat 3/5/2010 21:00 EllenRichter: @ocdgirl2000 LOL, yes, lets not go there....maid service 101 #RNchat 3/5/2010 21:00 onlinenursing: T2- hmm-good question.Depends on the nurse.4some it is career they always wanted,4others they R just trying 2 find job security. #RNChat 3/5/2010 21:01 nursingpins: I welcome (2nd. degree nurses) for so long - nurses had always been nurses - They have fresh perspectives and the maturity helps. #rnchat T2 3/5/2010 21:01 EllenRichter: @Cathy_Robinson Theres just not enough housekeeping help after hours! If we do a procedure in an ICU room, we make a mess! #RNchat 3/5/2010 21:01 KPNurseRecruit: T1 A quick salary comparison calculator tool in case u ever decide 2 move 2 another region in US. http://www.bestplaces.net/COL/ #RNChat 3/5/2010 21:02 Cathy_Robinson: RT @nursingpins: I welcome (2nd. degree nurses) for so long - nurses had always been nurses - They have fresh perspectives and the maturity helps. #rnchat T2 3/5/2010 21:02 ocdgirl2000: #rnchat T2 Large BAGS of garbage down long halls..with a million little empty methadone dose bottles..with patients looking at us.."eyes.." 3/5/2010 21:02 EllenRichter: T2 I had an orientation programs for open heart RNs with no prior ICU experience...many were firefighters who became RNs #RNchat 3/5/2010 21:03 ocdgirl2000: #rnchat T2 and no vacuum cleaner..had to ask where it was?one we had manager didn't like it in her office.now, it's gone! 3/5/2010 21:04 nursingpins: I work with a guy who was an off-shore worker - wonderful nurse - married a nurse and got interested - great leader #rnchat 3/5/2010 21:04 philbaumann: I'm second-career myself. I do think there's something about having a different background & being older. Lots of positive feedback. #RNchat 3/5/2010 21:04 ocdgirl2000: #rnchat T2 I'm a second career RN. 3/5/2010 21:04
  • 5. DianaCCRN: @EllenRichter @Cathy_Robinson #RNchat We do not staff housekeeping after hours in my facility. It is all on us. 3/5/2010 21:05 EllenRichter: T2 Those firefighter-to-RN staff were really great workers!! I loved them!! :) #RNchat 3/5/2010 21:05 ocdgirl2000: #rnchat T2 degree was in human ecology, textile marketing. 3/5/2010 21:05 jodyms: Checking over to #RNChat. Be back later. 3/5/2010 21:05 InfusionNurse: @ocdgirl2000 @philbaumann....any regrets? #rnchat 3/5/2010 21:05 philbaumann: Of course, if you started nursing as a first career, you probably don't know how much work yer doing compared to office workers ;) #RNchat 3/5/2010 21:06 nursingpins: For Critical Care - takes years to be really effective - but there are so many opportunities in so many other areas (2nd career) #rnchat T2 3/5/2010 21:07 EllenRichter: @philbaumann Funny...I am a first-career RN and I still cannot believe how much work I do! ;) #RNchat 3/5/2010 21:07 KPNurseRecruit: I interviewed an RN 2day who was an archeaologist n his previous career. Took his degree and turned it into an accelerated MSN. #RNChat T2 3/5/2010 21:07 philbaumann: @InfusionNurse No - but I do wish nursing got a LOT more support from the culture, facilities, (and nurses themselves) etc. #rnchat 3/5/2010 21:07 onlinenursing: Ooohhh.Love paramedic to RN people. hey ROCK! the premed2RN though-repeatedly remind me they were premed-like their smarter :) #RNChat 3/5/2010 21:07 philbaumann: @EllenRichter LOL - but if you worked in an office before nursing, you'd proly go "Damn, THIS is work" ;) #RNchat 3/5/2010 21:08 EllenRichter: @KPNurseRecruit Wow, thats a very unusual change in careers! There must be no opportunity for archeologists? :) #RNchat 3/5/2010 21:08 DianaCCRN: @onlinenursing T2 #rnchat my thoughts excatly. Also some of the older generation have issues respecting younger nurses w/ more experience. 3/5/2010 21:08 meducate: @InfusionNurse It has to be established or derived #rnchat 3/5/2010 21:08 Cathy_Robinson: RT @onlinenursing: Ooohhh.Love paramedic to RN people. hey ROCK! the premed2RN though-repeatedly remind me they were premed-like their smarter :) #RNChat 3/5/2010 21:09 lperk: @EllenRichter I would agree. #RNchat
  • 6. 3/5/2010 21:10 KPNurseRecruit: @EllenRichter He is actually internal--but going for higher level mgmt position. U should see him rock on the research n protocols #RNChat 3/5/2010 21:10 EllenRichter: @lperk Thanks! I love when people agree with me!! ;) #RNchat 3/5/2010 21:11 onlinenursing: RT @DianaCCRN #RNChat Also some of older generation have issues respecting younger nurses w/ more experience.Good point-back 2 lat. violence 3/5/2010 21:11 ocdgirl2000: #rnchat T2 was preggers with number 2 kid & was age 28 had job at Beltsville agricultural research center.. 18 credits away.. 3/5/2010 21:11 rnchat: @meducate Derived value. Kinda like derivative markets. I like that. Nurses should use that model. Worked for bailed-out banks. ;) #rnchat 3/5/2010 21:11 ocdgirl2000: #rnchat T2 then had him, he was born with Sturge Weber Syndrome 3/5/2010 21:12 EllenRichter: I think it was T1 I'd like to be on the "derived value" committee, thank you!! :) #RNchat 3/5/2010 21:12 onlinenursing: @ocdgirl2000 So did having the child with an illness help push you to nursing? #RNChat 3/5/2010 21:13 DianaCCRN: #rnchat T2 my husband is currently in nursing school after working in Agriculture for 8 years. It was necessary but NSG seems to fit him. 3/5/2010 21:13 nursingpins: I would rather have the rudest most expir'ed nurse that the sweetest one with little-- respect for knowledge has never been a problem #rnchat 3/5/2010 21:13 onlinenursing: @EllenRichter we would totally make you chair of the derived value committe :) #RNChat. 3/5/2010 21:14 philbaumann: @onlinenursing @dianaCCRN I could see that happening. In my experience, though, respect for expertise has trumped age issues. #RNChat 3/5/2010 21:14 jodyms: @PhilBaumann No hiding in the cubicle or restroom, that's for sure. #rnchat T2 3/5/2010 21:14 jodyms: @nursechenene Makes sense. I'm interested in cancer survivorship, #RNChat 3/5/2010 21:15 EllenRichter: @DianaCCRN Many of those factory workers will not stay nurses for sure. Its not the kind of job you take JUST because you can #RNchat 3/5/2010 21:15 ocdgirl2000: #rnchat T2 well bad marriage ensued among all that with all those hospitalizations , I figured what the heck?I'm here all the time anyway? 3/5/2010 21:16 philbaumann: @jodyms Yep. No long lunches (or any lunches) either. ;) #RNchat
  • 7. 3/5/2010 21:16 onlinenursing: @nursingpins ahhhh-great point! Love it-want experience-although barking orders/angry RN raises my B/P.Met 1 yest when GF had surg #RNChat 3/5/2010 21:16 Cathy_Robinson: RT @ocdgirl2000: #rnchat T2 well bad marriage ensued among all that with all those hospitalizations , I figured what the heck?I'm here all the time anyway? 3/5/2010 21:16 rnchat: RT @EllenRichter: @DianaCCRN Many of those factory workers will not stay nurses for sure. Its not the kind of job you take JUST because you can #RNchat 3/5/2010 21:16 NursingCenter: Hi everyone! Just jumping in here ~ will try to catch up! #rnchat 3/5/2010 21:17 jodyms: @PhilBaumann I can imagine; having been a patient and worked in hospitals (pr/mktg) #RNchat Would do rounds w/Night Supervisor #RNchats 3/5/2010 21:17 EllenRichter: @ocdgirl2000 What a story! You are amazing! #RNchat 3/5/2010 21:18 ocdgirl2000: @onlinenursing #rnchat a child,both children, and both parents..I've been caring for people my whole life, really...lol, in retrospect.. 3/5/2010 21:18 PamelaKline: @EllenRichter I couldn't agree more Ellen! #RNChat 3/5/2010 21:18 Cathy_Robinson: RT @ocdgirl2000: @onlinenursing #rnchat a child,both children, and both parents..I've been caring for people my whole life, really...lol, in retrospect.. 3/5/2010 21:18 EllenRichter: @NursingCenter Hi there GF, welcome! :) #RNchat 3/5/2010 21:19 InfusionNurse: They can b/c they know they're good!! RT @EllenRichter: @nursingpins LOL yes, and why are some of the best ICU nurses rude?? #rnchat 3/5/2010 21:19 rnchat: Nice conversation! Final topic coming up in a few minutes. #RNchat 3/5/2010 21:19 PamelaKline: @EllenRichter #RNChat 3/5/2010 21:19 rnchat: @NursingCenter Great to see you! #RNchat 3/5/2010 21:19 PamelaKline: @PamelaKline oops! Hit send & wasn't done! Thanks Ellen. Hi Phil:) Sorry I'm late #RNChat 3/5/2010 21:20 KPNurseRecruit: @NursingCenter Glad you made it! #RNChat 3/5/2010 21:20 InfusionNurse: @nursingpins ...knowledge is power.... #rnchat 3/5/2010 21:20
  • 8. lperk: #rnchat T2 I'm a second career RN, too, via accelerated MSN. Previous& current pt univ prof in communic &new grad RN. Plan to continu both 3/5/2010 21:20 EllenRichter: @PamelaKline Hi Pam! Thanks! I really do wish for that! Give $ value to our thousands of patient-related interventions! #RNchat 3/5/2010 21:20 heathersebi98: T2 I'm a second career RN as well...was a music major the first go round. Talk about change! #RNchat 3/5/2010 21:21 ocdgirl2000: #rnchat T2 daughter ADHD bipolar, son Sturge Weber syndrome ,bilateral. congenital glaucoma from 3 mos old, bilateral surgeries, 7 times! 3/5/2010 21:21 nursesluck: I was mostly a waitress prior 2 nursing, trying 2 raise enough $ 2 put myself thru college drama training. #rnchat 3/5/2010 21:21 NursingCenter: @EllenRichter @rnchat Thanks for the welcome! Glad to be here - sorry I'm late! #rnchat 3/5/2010 21:21 nursingpins: RT @InfusionNurse: @nursingpins ...knowledge is power.... #rnchat 3/5/2010 21:21 rnchat: @PamelaKline Hi, Pam! Glad you're hear! Ah, time's not important as long as it all works out. :) #RNchat 3/5/2010 21:22 DianaCCRN: @EllenRichter @nursingpins #RNchat I see us as more vocal patient advocates. We are pushy but those are the nurses I want on my side! 3/5/2010 21:22 heathersebi98: I kind of disagree...ICU nurses have their niche, but have you ever seen a medsurg nurse work? YO, that's some MAJOR skill! #RNchat 3/5/2010 21:22 EllenRichter: T2 Wow I think 2nd career RNs outnumber 1st career ones! Its great to know people flock to the profession. Are you all happy U did? #RNchat 3/5/2010 21:23 nursingpins: @InfusionNurse I have been guilty of being rude to less expirenced nurses - trying to change :) #rnchat 3/5/2010 21:23 NursingCenter: @nursesluck wow - love to hear stories about how nurses got into nursing...so many different paths! #rnchat 3/5/2010 21:23 nursesluck: My mom's death in 82 changed all that: I wanted 2 save the world. Premed turned 2 nursing after 5 C's threw my GPA! No regrets. #rnchat 3/5/2010 21:23 EllenRichter: @heathersebi98 ABSOLUTELY! I think med/surg nurses---these days especially---need to get a medal of honor. High acuity, low staffing #RNchat 3/5/2010 21:24 DianaCCRN: @nursingpins @InfusionNurse #rnchat the nature of nursing is for us to eat our young.
  • 9. 3/5/2010 21:24 heathersebi98: @EllenRichter preach it sister! #RNchat 3/5/2010 21:24 EllenRichter: @nursesluck Wow, what an interesting, sad, yet happy (in the end) (hopefully) change of careers! #RNchat 3/5/2010 21:24 InfusionNurse: @nursingpins ..rude or impatient? #rnchat 3/5/2010 21:25 nursingpins: Units need to maintain a mix- for many reasons - all need support #rnchat (each other) 3/5/2010 21:25 NursingCenter: @nursingpins I've been there too - we all have our bad days! Or days when our patience is not as it should be! #rnchat 3/5/2010 21:25 rnchat: Actually - you know what? The convo about T2 has turned out to be very interesting. #RNchat - Shall we skip 3 and just burn this one out? 3/5/2010 21:25 ocdgirl2000: #rnchat I taught my son how 2 have his eyes checked without anesthesia sitting on telephone book 4 years old,applanation tonometer!pressure 3/5/2010 21:25 NursingCenter: RT @EllenRichter ABSOLUTELY! I think med/surg nurses--these days especially--need to get a medal of honor. High acuity, low staffing #rnchat 3/5/2010 21:25 EllenRichter: Actually....there really is no place for rudeness or an uppity attitude by any nurse, experienced or new. Come now... #RNchat 3/5/2010 21:26 onlinenursing: RT @nursingpins @InfusionNurse agree knowledge is power,still not excuse 4 rude w/fams or fellow RNs. Need 2 teach clear uncond com #RNChat 3/5/2010 21:26 heathersebi98: RT @EllenRichter: Actually....there really is no place for rudeness or an uppity attitude by any nurse, experienced or new. Come now... #RNchat 3/5/2010 21:26 ocdgirl2000: #rnchat my son could tell the techs or the Nurses which veins were the best to use, and when his IV's were bad..LOL! 3/5/2010 21:27 PamelaKline: @rnchat T2, I don't know about that 1.I have 2 male friends that r in nsg school now. 1 was a Realtor & other worked @GM! #RNChat 3/5/2010 21:27 nursingpins: Hart to remember how hard it was when you first started -then you learn so much - then with somebody right out of school you forget #rnchat 3/5/2010 21:28 onlinenursing: T2- #RNchat funny how much comes back 2 education (pay, communication, second career, attitude :)whew-lots of pressure for educators 3/5/2010 21:28 meducate: @RNchat yup! #rnchat
  • 10. 3/5/2010 21:28 InfusionNurse: Good 4 him RT @ocdgirl2000: my son could tell the techs or the Nurses which veins were the best to use, and when his IVs were bad. #rnchat 3/5/2010 21:29 PamelaKline: RT @EllenRichter: Actually..there really is no place for rudeness or an uppity attitude by any nurse, experienced or new. Come now #RNChat 3/5/2010 21:29 heathersebi98: It's imperative that we change our nursing education system to meet the needs of second career nurses...and nurses in general. #RNchat 3/5/2010 21:29 heathersebi98: No longer can we scare the tar out of students...we need to empower them to be the future of our careers. #RNchat 3/5/2010 21:30 rnchat: @meducate You've inspired a new angle: Nursing should fund higher pay with derivatives & then proclaim itself Too Big To Fail. #RNchat 3/5/2010 21:30 InfusionNurse: True but it happens.RT @EllenRichter: there really is no place for rudeness or an uppity attitude by any nurse, experienced or new. #rnchat 3/5/2010 21:30 shawnta2231: RT @NursingCenter: RT @EllenRichter ABSOLUTELY! I think med/surg nurses--these days especially--need to get a medal of honor. High acuity, low staffing #rnchat 3/5/2010 21:31 shawnta2231: RT @onlinenursing: RT @DianaCCRN #RNChat Also some of older generation have issues respecting younger nurses w/ more experience.Good point-back 2 lat. violence 3/5/2010 21:31 shawnta2231: RT @philbaumann: Of course, if you started nursing as a first career, you probably don't know how much work yer doing compared to office workers ;) #RNchat 3/5/2010 21:31 shawnta2231: RT @onlinenursing: T1 - interesting conversation. Here in SWMo, salaries are some of the lowest in nation for RN, NP, and academia. Great ideas guys #RNChat 3/5/2010 21:31 onlinenursing: RT @heathersebi98 It's imperative that we change R nursing education system 2 meet the needs of second career nurses & nurses in gen #RNchat 3/5/2010 21:32 NUR3563: RT @heathersebi98 It's imperative that we change R nursing education system 2 meet the needs of second career nurses & nurses in gen #RNchat 3/5/2010 21:32 ocdgirl2000: #rnchat T2 when you are the RN in the family,you are the advocate and the "defender".You R the one who chases down Doctors & hospital folks! 3/5/2010 21:32 nursingpins: MS is hard - compared to any specialty - you are right #rnchat 3/5/2010 21:32 nursingpins: MS requires so much time management - just to do the paper work #rnchat 3/5/2010 21:34
  • 11. EllenRichter: LOL I got nervous there with the barrage of RTs :) #RNchat 3/5/2010 21:34 RNMark: @NUR3563 Agreed. I'm a second career nurse had to work 50 hrs/wk and do the ADN. Lucky I'm still sane. Or not #RNchat 3/5/2010 21:34 PamelaKline: Do u think part of the reason for rudeness from older RN's is because they're intimidated by the newer RN? Power struggle maybe? #RNChat 3/5/2010 21:34 DianaCCRN: @InfusionNurse @EllenRichter #rnchat A good preceptor program helps. Also Hate that ' I am an RN so I am too good to do that' attitude. 3/5/2010 21:35 ocdgirl2000: @wendymindy79 add your #rnchat hashtag and join us!!! follow @rnchat hey phil! 3/5/2010 21:35 EllenRichter: Thats why there are so many incidents that occur on med/surg floor. Its a series of disasters waiting to happen--bless med/surg RNs #RNchat 3/5/2010 21:36 nursingpins: @PamelaKline One reason - they are so much more comfortable in the situation = makes it easy for them. #rnchat (but no excuse) 3/5/2010 21:36 EllenRichter: @PamelaKline Pam I think many older nurses just have shorter fuses & little patience to teach. They just want to do their work. :( #RNchat 3/5/2010 21:37 InfusionNurse: any thoughts on the opposite of T2 RN's seeking other degrees? #rnchat 3/5/2010 21:37 onlinenursing: @RNMark Mark! Gload to see you here. Love your pic (own a dachsund). Yes, Accelerated BSN for 2nd career RNs is where we should head #RNchat 3/5/2010 21:37 PamelaKline: 2 good to do that attitude-hate it: When I was a RN tech, 1 RN was too good to get bedpans, she'd get me even if I was busy! #RNChat 3/5/2010 21:38 heathersebi98: @EllenRichter MS is the catch-all! Students should have to learn organization from there rather than thrown to ICU at graduation! #RNchat 3/5/2010 21:38 EllenRichter: @InfusionNurse I know of RNs who go back for law degrees after many years in health care & are excellent health litigation attorneys #RNchat 3/5/2010 21:39 RNMark: @PamelaKline Nursing has evolved; older nurses haven't always accepted it. New nurses expect equality.vs hierarchy. #RNChat 3/5/2010 21:39 nursingpins: RT @heathersebi98: @EllenRichter MS is the catch-all! Students should have to learn organization from there rather than thrown to ICU at graduation! #RNchat 3/5/2010 21:39 PamelaKline: @EllenRichter maybe-1 place I worked,there was 1 RN that ALWAYS intimidated nsg students, new RN's. I think she wanted the POWER:) #RNChat 3/5/2010 21:39
  • 12. rnchat: Funny: (Some) ICU nurses see Med/Surg nursing as a light-load, while Med/Surg nurses think 2 patients in ICU is a breeze. :) #RNchat 3/5/2010 21:39 EllenRichter: @heathersebi98 I cant agree with you more. Every single RN should have to start their career on med/surg for at least 2 years! #RNchat 3/5/2010 21:39 DianaCCRN: @PamelaKline I work CCU and we do our own pt care. I teach that first to precptees. #rnchat 3/5/2010 21:40 PamelaKline: @NursingCenter me 2! I never did either. I hardly ever had a RN aide to anything 4 me. I felt 2 guilty LOL! #RNChat 3/5/2010 21:40 KPNurseRecruit: I have to zip my son to Sadie Hawkins dance tonight now. Great chatting with you all! #RNChat 3/5/2010 21:40 EllenRichter: @Kineticycle Good luck in your new place!! Wow, you moved today and still have time to chat? :) #RNchat 3/5/2010 21:40 PamelaKline: @DianaCCRN that's great! #RNChat 3/5/2010 21:41 ocdgirl2000: #rnchat I went back to school /divorcee with 2 kids,one disabled,2parents with cancer,& was in my 30's.I taught 15 aerobics classes a week. 3/5/2010 21:41 nursingpins: Medicine requires a hierarchy in critical decisions - #rnchat 3/5/2010 21:41 NursingCenter: @KPNurseRecruit Awww ~ fun! Have a good night! #rnchat 3/5/2010 21:41 rnchat: It's all about perspective. No kind of nursing is harder or easier than another. #RNchat 3/5/2010 21:42 RNMark: @onlinenursing Disagree. Accelerated BSN would require earnings disruption. Not living in van down by river. Need part time model #RNChat 3/5/2010 21:42 onlinenursing: @rnchat again-why can't we all just get along:)? R we so insecure that we feel we need to be 'better' than other nurses?lat.violence #RNchat 3/5/2010 21:42 EllenRichter: @rnchat Each nurse should have to switch for one week! Med surg go to ICU, ICU nurse work on med surg floor! Then report back! :) #RNchat 3/5/2010 21:42 Kineticycle: #RNchat we all seem to think everyone else has it easier than we do. We all are busy + should be thankful we get to choose our area of work. 3/5/2010 21:42 NursingCenter: @ocdgirl2000 I'm exhausted just reading that! Wow - how did you manage? #rnchat 3/5/2010 21:42
  • 13. DianaCCRN: Rule number one. Provide care for the patient FIRST. All inclusive task. #rnchat 3/5/2010 21:43 onlinenursing: @RNMark ahhhh excellent point about #RNchat. So, how would a full time weekend model work? 12 hours 2 days? 3/5/2010 21:43 ocdgirl2000: #rnchat that was the fastest way I could make a buck and get free babysitting.child support was unreliable.. 3/5/2010 21:44 philbaumann: @EllenRichter @onlinenursing When I was bedside, I got the living s&*^ pulled outta me, so I know everybody's got their load. :) #RNchat 3/5/2010 21:44 Susie: really want to teach my mom to use twitter bc i think she'd love this #RNchat 3/5/2010 21:44 PamelaKline: RT @DianaCCRN: Rule number one. Provide care for the patient FIRST. All inclusive task. #rnchat #RNChat 3/5/2010 21:44 heathersebi98: Nursing programs: adapt to the change in student population...offer weekend/night classes. Working adults could both work and learn! #RNchat 3/5/2010 21:44 grimalkinrn: #rnchat finally out with friends for a change!! Med surg RN!! 3/5/2010 21:44 EllenRichter: @DianaCCRN Diana, most days, after 12 hours, I still haven't gotten past rule number one! #RNchat 3/5/2010 21:44 KPNurseRecruit: RT @NursingCenter @KPNurseRecruit Awww ~ fun! Have a good night! #rnchat Thank you! You too. 3/5/2010 21:44 NursingCenter: @EllenRichter After 8 years in ICU, I was completely overwhelmed when pulled to med- surg! #rnchat 3/5/2010 21:44 Kineticycle: #RNchat Start Monday at Johns Hopkins in Balt, very excited! We all need more "exchange" programs to share perspectives + ideas. 3/5/2010 21:44 NursingCenter: RT @PamelaKline: RT @DianaCCRN: Rule number one. Provide care for the patient FIRST. All inclusive task. #rnchat #rnchat 3/5/2010 21:45 rnchat: @Susie We'd love to have her here! It's one of the reasons for it - to get more nurses involved. Show her slides @ http://RNchat.org #RNchat 3/5/2010 21:45 RNMark: @heathersebi98 Disagree. ICU vs MedSurg success may be more function of learning style, personality, and nurse cognition. Research? #RNChat 3/5/2010 21:45 EllenRichter: @ocdgirl2000 You really should write a book! I think everyone on Twitter who follow you would buy it! Thats a good $ million! ;) #RNchat 3/5/2010 21:45
  • 14. DianaCCRN: @EllenRichter #RNchat it's a hard task but by far the most satisfying. 3/5/2010 21:46 EllenRichter: @NursingCenter Oh I'll bet. Sometimes I transfer out SUCH a heavy patient to a med/surg floor & the nurse has 5 others like mine!! #RNchat 3/5/2010 21:47 ocdgirl2000: @NursingCenter #rnchat I'm getting a little teary eyed now..but I must have been very blessed. Very Blessed indeed!Good health for years! 3/5/2010 21:47 heathersebi98: @RNMark I totally see your point. But what about basic nsg organization. Learning to take care of 7 vs 2? BIG difference. Time mgt! #RNchat 3/5/2010 21:47 EllenRichter: @rnchat LOL you got to @susie before me! I was gonna say the same thing ;) #RNchat 3/5/2010 21:48 EllenRichter: @meducate Hey, are you calling us ODD? or just funny? ;) #RNchat 3/5/2010 21:49 heathersebi98: And, let's face facts:a MS pt is not going to get the pt care that a ICU pt gets.There's just no enough time or hands! #RNchat (sad) 3/5/2010 21:49 rnchat: OK folks, time to wrap it up. Any pearls of wisdom before we finish? #RNchat 3/5/2010 21:49 onlinenursing: @EllenRichter level of acuity of medsurg pts makes me concerned that we may be burning out our great med surg. Med surge need 4-5. #RNchat 3/5/2010 21:50 RNMark: @onlinenursing I was grad of Virginia Commonwealth Nursing Program (RIP) we did 2x8 and 2x12 shifts for clinical. Huge value add! #RNChat 3/5/2010 21:50 grimalkinrn: #rnchat I have had my butt kicked on multiple floors. We should never assume anyone's load is light and stop looking down on one another. 3/5/2010 21:50 ocdgirl2000: @Kineticycle #rnchat oh Hopkins is awesome!! my son gets all of his care there!Sturge Weber Center for Excellence in in Kennedy Kreiger. 3/5/2010 21:50 EllenRichter: @rnchat My pearl of wisdom is a great big "thanks Phil" for thinking this whole thing up, so nurses and others can meet like this! #RNchat 3/5/2010 21:50 RNMark: @onlinenursing Side point on pt census. As rehab nurse I carry 9 pt at night and am charge RN. #RNChat 3/5/2010 21:51 PamelaKline: Great topics Phil! Thanks:) #RNChat 3/5/2010 21:51 InfusionNurse: @rnchat ..Nurses rule!!! ...thanks for the great chat...have a great weekend! Till next chat!! #rnchat 3/5/2010 21:51
  • 15. philbaumann: @EllenRichter Aw, shucks. It's such a fun thing to run. Very proud of nursing and what we can do with #RNchat no matter how small. :) 3/5/2010 21:52 EllenRichter: @RNMark Just out of curiosity, is your rehab staffing safe? I would imagine you have more ancillary help too? #RNchat 3/5/2010 21:52 ocdgirl2000: #RNCHAT pearl of wisdom. make sure you study and KNOW the USA Federal and STATE EMPLOYMENT LAWS. especially the EEOC rights that YOU have! 3/5/2010 21:52 Cathy_Robinson: RT @rnchat: Funny: (Some) ICU nurses see Med/Surg nursing as a light-load, while Med/Surg nurses think 2 patients in ICU is a breeze. :) #RNchat 3/5/2010 21:52 onlinenursing: #RNChat @EllenRichter - agree... thanks to Phil. Also - I love nursing-always wanted 2 B 1 & want 2 B 1 forever.We will fix h/c.GO NURSING! 3/5/2010 21:53 EllenRichter: @philbaumann Its really taken off nicely. Everyone knows to look for #RNchat every week & thats so important! :) 3/5/2010 21:53 Cathy_Robinson: RT @onlinenursing: @rnchat again-why can't we all just get along:)? R we so insecure that we feel we need to be 'better' than other nurses?lat.violence #RNchat 3/5/2010 21:53 NursingCenter: RT @onlinenursing: #RNChat I love nursing-always wanted 2 B 1 & want 2 B 1 forever.We will fix h/c.GO NURSING! #rnchat 3/5/2010 21:54 EllenRichter: RT @NursingCenter Treat other nurses as you would like and expect to be treated. We are in this together - for the good of our pts. #rnchat 3/5/2010 21:54 Cathy_Robinson: RT @philbaumann: @EllenRichter @onlinenursing When I was bedside, I got the living s&*^ pulled outta me, so I know everybody's got their load. :) #RNchat 3/5/2010 21:54 RNMark: @heathersebi98 ICU pt requires more depth and system thinking. some folks better at deep concentration with smaller span #RNChat 3/5/2010 21:54 NUR3563: RT @InfusionNurse: @rnchat ..Nurses rule!!! ...thanks for the great chat...have a great weekend! Till next chat!! #rnchat 3/5/2010 21:54 onlinenursing: RT @InfusionNurse: @rnchat ..Nurses rule!!! ...thanks for the great chat...have a great weekend! Till next chat!! #rnchat 3/5/2010 21:54 Cathy_Robinson: RT @NursingCenter: @EllenRichter After 8 years in ICU, I was completely overwhelmed when pulled to med-surg! #rnchat 3/5/2010 21:54 PamelaKline: RT @NursingCenter: Treat other nurses as u would like and expect 2 b treated. We are in this together - for the good of our pts. #RNChat 3/5/2010 21:54
  • 16. Kineticycle: #RNchat Pearl of wisdon: avoid cranial / rectal inversion as much as possible, be nice, forgive often and smile more. 3/5/2010 21:54 Cathy_Robinson: RT @ocdgirl2000: @NursingCenter #rnchat I'm getting a little teary eyed now..but I must have been very blessed. Very Blessed indeed!Good health for years! 3/5/2010 21:55 nursingpins: nursingpins Don't forget to re-clamp the foley drainage tubes when you do your I's & O's - :) #rnchat 3/5/2010 21:55 NursingCenter: Thanks Phil and RNchat friends! Have a great night everyone! #rnchat 3/5/2010 21:55 PamelaKline: @Kineticycle LOL, great advice!!! #RNChat 3/5/2010 21:55 rnchat: RT @Kineticycle: #RNchat Pearl of wisdon: avoid cranial / rectal inversion as much as possible, be nice, forgive often & smile more. #RNchat 3/5/2010 21:55 Cathy_Robinson: RT @EllenRichter: @rnchat My pearl of wisdom is a great big "thanks Phil" for thinking this whole thing up, so nurses and others can meet like this! #RNchat 3/5/2010 21:55 rnchat: THANK YOU everybody!!! Another great chat. There are so many more topics that grow out of the topics, it's amazing! #RNchat 3/5/2010 21:56 heathersebi98: @RNMark I agree whole heartedly...but is that what we want to train new nurses to do? Think narrowly? #RNChat (playing devils advocate) 3/5/2010 21:56 nursingpins: Thanks to Phil and all - gn. #rnchat & nurses. 3/5/2010 21:56 RNMark: @EllenRichter Rehab staffing assumes healthy patients. Co-morbids get you every time... no one expects heart block, repeat stroke :) #RNChat 3/5/2010 21:56 nursingpins: RT @Kineticycle: #RNchat Pearl of wisdon: avoid cranial / rectal inversion as much as possible, be nice, forgive often and smile more. 3/5/2010 21:57 EllenRichter: TOUCHE! RT @Kineticycle #RNchat Pearl of wisdom~avoid cranial/rectal inversion as much as possible, be nice, forgive often and smile more. 3/5/2010 21:57 NUR3563: RT @Kineticycle #RNchat Pearl of wisdom~avoid cranial/rectal inversion as much as possible, be nice, forgive often and smile more. 3/5/2010 21:58 RNMark: @heathersebi98 training new nurses is one thing.. every one starts as m/s +psych nurse, specialties have unique cognitive needs IMHO #RNChat 3/5/2010 21:59 ocdgirl2000: @EllenRichter #rnchat I was thinking if I retired early,would it be too late to go back to school and get a law degree? 60yrs old?LOL! 3/5/2010 21:59
  • 17. EllenRichter: @RNMark Yes, I'll bet comorbidities are a staffing killer. I havent had a patient lately that doesnt have 8 medical diagnoses! #RNchat 3/5/2010 21:59 rnchat: I'll post a transcript of this chat - it'll be up tomorrow. Cheers everybody! Enjoy your weekend! #RNchat 3/5/2010 22:00

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