• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
RNchat Transcript March 19, 2010
 

RNchat Transcript March 19, 2010

on

  • 1,125 views

Transcript of #RNchat for March 19, 2010. RNchat is a Twitter chat for registered nurses. Follow @RNchat (http://Twitter.com/RNchat) or visit http://RNchat.org for more.

Transcript of #RNchat for March 19, 2010. RNchat is a Twitter chat for registered nurses. Follow @RNchat (http://Twitter.com/RNchat) or visit http://RNchat.org for more.

Statistics

Views

Total Views
1,125
Views on SlideShare
1,125
Embed Views
0

Actions

Likes
0
Downloads
2
Comments
0

0 Embeds 0

No embeds

Accessibility

Categories

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    RNchat Transcript March 19, 2010 RNchat Transcript March 19, 2010 Document Transcript

    • rnchat: 15 minutes to #RNchat 8:30pm EST. Try using http://TweetChat.com or http://TweetGrid.com for maximum R&B. 3/19/2010 20:15 rnchat: Welcome to tonight's #RNchat! If you're new just ask me questions or just watch. OK, let's start with introductions. Tell us about yourself! 3/19/2010 20:30 oncnurse66: I am new to twitter and this is my first chat. My name is Becky and I am an Oncology nurse and a BSN Nursing Informatics student. #rnchat 3/19/2010 20:31 rnchat: @oncnurse66 Welcome! Let me know if you have any questions. #RNchat 3/19/2010 20:33 rnchat: @oncnurse66 We may see a slow start tonight but by 9p we may see an uptick. #RNchat 3/19/2010 20:35 rnchat: T1 Outmoded Practices: What keeps outmoded practices from being retired? What blocks innovation? h/t @Vaticuss #RNchat 3/19/2010 20:35 nursingpins: Hey all running late - busy at the hosp. #rnchat 3/19/2010 20:36 nursechenene: #RNchat T1 Rural providers that have been there all their lives and need to retire but can't fill their positions. 3/19/2010 20:36 Kineticycle: #rnchat Fear of change keeps innovation from happening. 3/19/2010 20:37 nursingpins: The hospitals keep outmoded practices from going away - hospitals are the biggest obstacle for nursing advancement. T1 #rnchat 3/19/2010 20:38 InfusionNurse: Hi all! T1 - Nurses have "that's how we've always done it, why change if it works" attitude. Many r afraid of change/technology! #RNchat 3/19/2010 20:38 lorryschoenly: T1 We are all most comfortable practicing they way we originally learned and are comfortable. It is 'safer' than changing..... #rnchat 3/19/2010 20:38 Kineticycle: #rnchat T1 Tradition is not an excuse for avoiding evidence based care, if u dont like change, ur going to dislike obsolescence even more. 3/19/2010 20:40 rnchat: RT @Kineticycle: #rnchat T1 Tradition is not an excuse for avoiding evidence based care, if u dont like change, ur going to dislike obsolescence even more. 3/19/2010 20:41 nursekama: Hello! Hope its not too late to join. My name is Kama and I'm a Clinical Nurse Specialist, Psych/Mental Health, Southwestern Ontario #RNchat 3/19/2010 20:42 rnchat: @Vaticuss Welcome! Add #RNchat to your replies so we can see them them within the
    • stream. Join in and thanks for coming! 3/19/2010 20:43 oncnurse66: We work in a field that has to change with technology and updated evidence based practice I don't think that we have a choice #rnchat 3/19/2010 20:43 nursechenene: #RNchat T1 We nurses have to stay current with profession to prove to facility change need to implement evidence based. 3/19/2010 20:44 nursingpins: On change - nurses are going to need help running the hospitals - has become too much to do it all. #rnchat 3/19/2010 20:44 Vaticuss: RT @Vaticuss But as educators are we holding on to the practices we cherish at the costs of innovation? #rnchat 3/19/2010 20:45 nursechenene: #RNchat Amen to that. 3/19/2010 20:45 Vaticuss: RT @Vaticuss When we keep adding new practices without retiring old ones, are we only adding to the frustration of our students? #rnchat 3/19/2010 20:45 nursingpins: Nurses have run the hospitals so long - many things nurses do are not nursing duties - have done so long - now assumed. #rnchat 3/19/2010 20:45 StephenNP: T1 - Nursing is leading the evidence-based practice initiative - we all need to embrace this culture and apply it to our practice #RNchat 3/19/2010 20:46 Trybarefoot: Evening #RNChat folks - just signing on - will hover a bit to catch up! 3/19/2010 20:47 nursechenene: Yes like calling the doctor's office for them and answering their pagers. Floored that a facility still condones this practice. #RNchat 3/19/2010 20:47 nursingpins: Last time I looked - nobody was following - glad things are better there @StephenNP #rnchat 3/19/2010 20:48 oncnurse66: @nursingpins the hospital where I work now requires nurses to enter patient charges for services such as Sub Q injections #rnchat 3/19/2010 20:48 rnchat: @Trybarefoot Good to see you! #RNchat 3/19/2010 20:48 Vaticuss: @nursingpins How do you mean? What changes are you seeking? #rnchat 3/19/2010 20:49 rnchat: @nursekama Good to see you again! #RNchat 3/19/2010 20:49
    • nursingpins: @oncnurse66 Much of that is from the Diploma School days - when nurses were hospital slaves - continues. #rnchat 3/19/2010 20:49 Kineticycle: #rnchat Welcome to all the new folks who have joined in tonight! 3/19/2010 20:50 Trybarefoot: I'm Gerard (Nova Scotia) - consultant in health/health care - previously Manager Primary Health Care - work w/ RNs always! #RNchat 3/19/2010 20:50 maryannagordon: T1It's not for lack of effort from nrsg schools. We teach EBP, but new grads get intimidated by seasoned nurses into doing old way #Rnchat 3/19/2010 20:50 rnchat: RT @Kineticycle: #rnchat Welcome to all the new folks who have joined in tonight! 3/19/2010 20:51 nursingpins: Nursing care is only a small part of what nurses do - nurses run the hospitals @Vaticuss and spend very little time nursing. #rnchat 3/19/2010 20:51 Vaticuss: @nursingpins So how can we inspire change? #rnchat 3/19/2010 20:52 InfusionNurse: @maryannagordon T1 not all seasoned nurses r that way... #RNchat 3/19/2010 20:53 nursingpins: We must demand it a as group - no national voice - Unions are on the way for many. hospitals are happy as things are. #rnchat 3/19/2010 20:54 Vaticuss: @maryannagordon So is it just a matter of time until those nurses are gone? We can teach it for years but getting into action...? #rnchat 3/19/2010 20:54 nursingpins: Nurses can no longer run the hospitals and provide the care - has become too much - I'm hoping EMR will help - but will not cure. #rnchat 3/19/2010 20:56 maryannagordon: @InfusionNurse of course not, speaking in generalities - but when new nurses don't feel authorized to speak up, that's what happens #rnchat 3/19/2010 20:56 Vaticuss: @oncnurse66 And why is capturing those charges met with such resistance? #rnchat 3/19/2010 20:56 InfusionNurse: T1 - there's "personal" innovation - nurses wanting to change, but hindered by "process" innovation #RNchat 3/19/2010 20:57 Vaticuss: @oncnurse66 Why us there so much resistance to capturing charges for services? #rnchat 3/19/2010 20:58 nursechenene: As long as the EMR is not abused by the number crunchers by implementing more charting windows to ease their stats configurations. #RNchat
    • 3/19/2010 20:58 nursingpins: Hospitals must hire (hospital management) people to do some of the non-nursing duties we have assumed. #rnchat 3/19/2010 20:58 nursechenene: Otherwise an EMR is a great time saver #RNchat 3/19/2010 20:59 maryannagordon: @Vaticuss Maybe. Dont know. I think it has to be a concerted effort between nrsg schools and hospital educatrs, EBP not going away #rnchat 3/19/2010 20:59 Vaticuss: @nursingpins But wouldn't CONVINCING be more effective than demanding? #rnchat 3/19/2010 20:59 oncnurse66: @vaticuss it takes so much more time you are trying to care for the patient while bein hounded to charge for your "services" #rnchat 3/19/2010 21:00 nursingpins: If left to the hospitals - nurses will continue to do it all - It is taking mandates just to get safe staffing! #rnchat 3/19/2010 21:00 rnchat: Sorry - left of the hashtag for our second topic. Apologies! Coming up... #RNchat 3/19/2010 21:00 rnchat: T2 NCLEX Difficulty: NCSBN is raising the bar. What do you think: does the bar need to be raised? How are new grads doing? #RNchat 3/19/2010 21:01 Trybarefoot: Signing off all - not familiar w/ NCLEX or NCSBN (?) - so don't think I can contribute much value - will look forward to next time! #RNchat 3/19/2010 21:02 nursingpins: T2 - great idea - the bar needs to be raised - new grads have no idea what they have got themselves into - #rnchat 3/19/2010 21:02 Vaticuss: @oncnurse66 I can understand that. But the revenue generated by the charges justifies/accomodates nursing positions? #rnchat 3/19/2010 21:02 mandirocker: @RNchat T2: A higher bar is scary for someone taking boards this summer :o/ but this year my program brought in Kaplan, thankfully. #RNchat 3/19/2010 21:04 nursingpins: The switch from nursing school to staff is a shock - no relation to school and reality (re staffing) #rnchat 3/19/2010 21:04 nexthospitalmag: RT @nursingpins: The switch from nursing school to staff is a shock - no relation to school and reality (re staffing) #rnchat 3/19/2010 21:05 InfusionNurse: T2 - it is a licensure exam..think bar should always be high! #RNchat 3/19/2010 21:05
    • nursingpins: @Vaticuss that response is typical administration - nursing should not be responsible for ALL charges. #rnchat 3/19/2010 21:06 Vaticuss: @nursingpins Hm. More than a measure of how the grads are doing, measures the success of the curricular practices of colleges. #rnchat 3/19/2010 21:07 nursingpins: Nurses need more than accommodation. #rnchat 3/19/2010 21:08 maryannagordon: @nursingpins T1 no doubt, and we try to prepare them for that. We want to learn from their preceptors, but want them to teach, too #rnchat 3/19/2010 21:08 InfusionNurse: @mandirocker ..good luck! #RNchat 3/19/2010 21:08 Vaticuss: @nursingpins So, what charges should rn be respnsbl for? #rnchat 3/19/2010 21:09 InfusionNurse: @Trybarefoot ..see you next chat. #RNchat 3/19/2010 21:09 nursingpins: T1 - I agree - nurses MUST teach the new ones - frustration is fueling a lot of our hostility for each other. #rnchat 3/19/2010 21:10 nursekama: @InfusionNurse Does pre-licensure education address the transition experience? Are u all familiar w/ NTF: http://tinyurl.com/ydjozfh #RNchat 3/19/2010 21:10 Vaticuss: @nursingpins FYI: Im not administration! :). #rnchat 3/19/2010 21:10 rnchat: Final topic coming up in a moment! #RNchat 3/19/2010 21:11 maryannagordon: @Vaticuss T1 I agree, curriculum must change to ensure new grads meet the needs of hospitals. I'm at OHSU, our OCNE curriculum tries #rnchat 3/19/2010 21:11 mandirocker: @nursingpins I agree, I have had experience with both floor nursing as a Nurse Extern & School Clinical....MAJOR difference. #RNchat 3/19/2010 21:11 nursingpins: @Vaticuss -Sorry. #rnchat 3/19/2010 21:11 maryannagordon: @nursekama great resource, thanks - will pass on to my students #rnchat 3/19/2010 21:12 rnchat: RT @nursekama: @InfusionNurse Does pre-licensure education address the transition experience? Are u all familiar w/ NTF: http://tinyurl.com/ydjozfh #RNchat 3/19/2010 21:12 oncnurse66: @vaticussT1 The computer program should automatically charge for the services when
    • the sub q injection is charged #rnchat 3/19/2010 21:12 rnchat: T3 Happy Certified Nurses Day!: What are the things you most appreciate about what CNAs do (or have done) in your practice? #RNchat 3/19/2010 21:13 rnchat: Please note: you may continue to discuss any topic if another one starts, just ad T2, etc. #RNchat 3/19/2010 21:13 Vaticuss: @maryannagordon And I agree. But what can be cut? Who is willing to let go of hospital corners, rolling gauze, iv drip rates... #rnchat 3/19/2010 21:13 nursingpins: Nurses could not get by without CNAs - underpaid and under appreciated. #rnchat 3/19/2010 21:14 maryannagordon: T1 for those not familiar with OCNE (Oregon Consortium for Nursing Education) I suggest read about it at http://ocne.org/ #rnchat 3/19/2010 21:14 InfusionNurse: @nursekama ..that's a great resource for new grads...is it only for Canadian grads? #RNchat 3/19/2010 21:14 Vaticuss: @oncnurse66 See, now that is innovation! Great response! #rnchat 3/19/2010 21:14 Vaticuss: @Vaticuss Its not like colleges have a lot of fluff in the curriculum. #rnchat 3/19/2010 21:16 RNMark: Dudes! Here for my dose of ADD/ADHD! #RNChat 3/19/2010 21:16 maryannagordon: @Vaticuss T1 OCNE curriculum doesn't teach any of that. Focuses on what students will need to know in real world, uses simulation #rnchat 3/19/2010 21:16 rnchat: @RNMark Hope we have enough of the good stuff ;) #RNchat 3/19/2010 21:17 InfusionNurse: T3 - still new (only 2nd yr) so didn't do much but to send cards and emails.. #RNchat 3/19/2010 21:17 nursekama: T2 @InfusionNurse I don't see why the resources wouldn't be applicable to American grads...check out transition theory. :) #RNchat 3/19/2010 21:17 Vaticuss: @maryannagordon Sounds progressive! #rnchat 3/19/2010 21:18 InfusionNurse: LOL....RT @RNMark: Dudes! Here for my dose of ADD/ADHD! #RNchat 3/19/2010 21:18 davedawes: #RNchat Sorry I have only arrived! Late night RCN meeting. Are we on T3 already? 3/19/2010 21:18
    • maryannagordon: @Vaticuss OCNE let go of teachng every single thing. Instead, we teach a few things deeply (CHF, DM, MI, HTN), most frequently seen #rnchat 3/19/2010 21:19 InfusionNurse: @nursekama T2 - wow, impressive...http://www.nursingthefuture.ca/transition_theory #RNchat 3/19/2010 21:20 nursingpins: @InfusionNurse that is funny -re: ADD/ADHD - really LOL #rnchat 3/19/2010 21:20 maryannagordon: @VaticussT1 yes, is 1st of its kind, other states now modeling curricula after it - duel enrollment between comm. colleges & OHSU #rnchat 3/19/2010 21:21 Vaticuss: @maryannagordon Any measurement stats to support this method? (said hopefully!) #rnchat 3/19/2010 21:21 InfusionNurse: @davedawes ..kinda all over the T's..1-3... #RNchat 3/19/2010 21:21 RNMark: @maryannagordon OCNE model makes sense but risks loss of broad integrative thinking. Maybe not now but someday. #RNChat 3/19/2010 21:21 maryannagordon: @RNMark disagree. Based on Tanner's Model of Clinical Judgment, it's ALL about broad integrative thinking, putting it all together #rnchat 3/19/2010 21:23 nursingpins: Good night all, got to run - thanks Phil - later #rnchat 3/19/2010 21:24 Vaticuss: @InfusionNurse Sry. Prolly my fault. It's my first time. (blush) #rnchat 3/19/2010 21:24 RNMark: @InfusionNurse My TweetModel: Show up>blather>enjoy feeling of failure :) #RNChat 3/19/2010 21:24 rnchat: @davedawes You can discuss any topic actually, but we are on T3 - http://bit.ly/9w6Gxc :) #RNchat 3/19/2010 21:24 Vaticuss: @RNMark Ha! #rnchat 3/19/2010 21:25 maryannagordon: also guilty, 1st time - will try to be better about T1, T2, T3 and blathering! #rnchat 3/19/2010 21:27 InfusionNurse: @Vaticuss ..oh no...as @philbaumann said we can continue to discuss any of the topics..glad to see u here! #RNchat 3/19/2010 21:27 rnchat: @nursingpins Have a good one! #RNchat 3/19/2010 21:27 mikeskobba: In the NICU the certified lactation nurses really push practice and support families in
    • breast feeding. #RNChat 3/19/2010 21:27 rnchat: Wow! Our hour is almost up! Crazy! #RNchat 3/19/2010 21:28 InfusionNurse: @nursingpins ..night, have a good weekend!! #RNchat 3/19/2010 21:28 rnchat: @Vaticuss It's cool... Twitter chats are confusing at first, but you'll be hooked :) You can try http://TweetChat.com #RNchat 3/19/2010 21:28 InfusionNurse: LOVE it!!! LOL..RT @RNMark: @InfusionNurse My TweetModel: Show up>blather>enjoy feeling of failure :) #RNchat 3/19/2010 21:28 nursechenene: #RNchat I enjoy it. 3/19/2010 21:28 rnchat: Before we wrap up, what parting ideas or thoughts would you like to share? #RNchat 3/19/2010 21:29 Vaticuss: @maryannagordon Double ha! :). #rnchat 3/19/2010 21:29 maryannagordon: @rnchat oh, is it only for an hour? Wow! Cool connection, any idea how many people watch/participate? Same group every time? #rnchat 3/19/2010 21:29 oncnurse66: Nite all. I enjoyed my first time on #rnchat #rnchat 3/19/2010 21:30 InfusionNurse: Is it true that only a wet baby likes "change"?? LOL...j/k! Thanks for a great chat!! See you all RNchatters!!! Good night! #RNchat 3/19/2010 21:31 rnchat: @oncnurse66 Glad you could make it to #RNchat tonight! Stay tuned to upcoming times. :) 3/19/2010 21:31 rnchat: BTW: we're putting #RNchat on Facebook http://bit.ly/9LDwwP & LinkedIn http://bit.ly/9PYs2K - Fan and connect. 3/19/2010 21:32 maryannagordon: @Vaticuss T1 we just graduated 1st BSN cohort last June, 2nd group graduating soon - research on new grad capabilities ongoing #rnchat 3/19/2010 21:32 Vaticuss: @rnchat Parting thoughts: I really am going to try to use "blather" more often. Thanks Mark! #rnchat 3/19/2010 21:33 nursekama: Thanks everyone! Looking forward to the next #RNchat 3/19/2010 21:33 rnchat: @maryannagordon I'll have to sort through to get numbers, but the constitution varies,
    • keeps evolving. Yes, super fast hour! #RNchat 3/19/2010 21:33 rnchat: THANK YOU everybody for showing up! Transcript for tonight's chat will be up soon. Next chat is Tuesday 3/23 12pm EST! #RNchat 3/19/2010 21:34 InfusionNurse: @philbaumann..thanks for moderating, great job! Glad to see new and "been here, done that" friends on here.... #RNchat 3/19/2010 21:34 Vaticuss: @maryannagordon Lots of potential in that model. Will be looking for future measurements! #rnchat 3/19/2010 21:35 rnchat: @InfusionNurse Yes, me too. Always nice to see you here! :) #RNchat 3/19/2010 21:36 Vaticuss: @InfusionNurse Good night all. #rnchat 3/19/2010 21:36 RNMark: @maryannagordo concerned that limiting scope of studies creates artificial limits based on awareness of options. #RNChat 3/19/2010 21:36 maryannagordon: Enjoyed the chat, everyone, looking forward to the next! Thanks, I'll actually try to "blather" less next time! #rnchat 3/19/2010 21:37 rnchat: @maryannagordon We love blather! ;) See you next time! #RNchat 3/19/2010 21:39 rnchat: @Vaticuss Good night! #RNchat 3/19/2010 21:39 rnchat: @nursekama Thank you - enjoy your weekend! #RNchat 3/19/2010 21:40 RNMark: @maryannagordon OH NO! Blather is Best Part: separates humans from rest of food chain, lawyers, etc. #RNChat #RNChat 3/19/2010 21:41 oncnurse66: RT @nursingpins: T2 - great idea - the bar needs to be raised - new grads have no idea what they have got themselves into - #rnchat 3/19/2010 21:49 maryannagordon: @RNMark my husband always quotes Shakespeare, "first we kill all the lawyers!" (he went to law school!) Blather atcha next time! #rnchat 3/19/2010 22:18 SwedishCareers: RT @rnchat THANK YOU everybody for showing up! Transcript for tonight's chat will be up soon. Next chat is Tuesday 3/23 12pm EST! #RNchat 3/19/2010 22:37 SwedishCareers: YES! RNs tweet & FB! Yay! RT @rnchat BTW: we're putting #RNchat on Facebook http://bit.ly/9LDwwP & LinkedIn http://bit.ly/9PYs2K 3/19/2010 22:38
    • JennyBizRN: RT @nursingpins: The hospitals keep outmoded practices from going away - hospitals are the biggest obstacle for nursing advancement. T1 #rnchat 3/19/2010 23:20