RNchat Transcript March 23 2010

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Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full …

Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.

Topic:

T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?

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  • 1. rnchat: One hour until #RNchat! Consider using http://TweetChat.com. Come join us! 3/23/2010 11:01 rnchat: Welcome to today's #RNchat! Our chat will begin in a moment, but first introduce yourselves! 3/23/2010 12:01 ali_rn: worked a double and then slept 4 hrs, not sure i'm awake but ready for #rnchat 3/23/2010 12:02 EllenRichter: Anyone having trouble participating in a Twitter chat? I like to use http://tweetgrid.com ~I make a column for #RNchat 3/23/2010 12:02 ali_rn: RT @ali_rn: ali-medical nurse for 6 yrs #rnchat 3/23/2010 12:03 EllenRichter: @ali_rn Oooo....those doubles are killers! #RNchat 3/23/2010 12:03 grimalkinrn: Med Surg RN, Denver Colorado. Also Skin & Wound resource RN, preceptor. JUST GOT MY ACCEPTANCE LETTER FOR BSN PROGRAM. #rnchat 3/23/2010 12:03 rnchat: OK, first topic coming up in one minute. Please prepend your answers to topics with T1, T2, etc. #RNchat 3/23/2010 12:04 oncnurse66: BSN student, RN in Oncology from SW Missouri #RNchat 3/23/2010 12:04 ali_rn: @grimalkinrn whoo-hoo, have not made that leap yet #rnchat 3/23/2010 12:04 philbaumann: I'm moderating #RNchat right now. Jump in or spy. We'll talk a bit about #hcr too 3/23/2010 12:05 rnchat: T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place? #RNchat 3/23/2010 12:05 EllenRichter: Hi Twitter mates! I'm a critical care RN (off today....yay) & I work w/ attys to help them understand the intricacies of health care #RNchat 3/23/2010 12:05 ali_rn: @EllenRichter the kids who get up at 5am are worse! #RNchat 3/23/2010 12:05 bthenextstep: well hello everyone! I had time this afternoon to pop in! I'm a critical care RN of 5 yrs. bsn student currently in the ICU #rnchat 3/23/2010 12:05 Lifes_Dash: RT @PhilBaumann: I'm moderating #RNchat right now. Jump in or spy. We'll talk a bit about #hcr too 3/23/2010 12:06 onlinenursing: Hey #RNChat friends! Terri - Missouri - NP, Educator, maybe someday finish dissertation
  • 2. for PhD :) 3/23/2010 12:06 tersenurse: Logan here, RN BSN 1 yr med surg exp new burn ICU nurse #RNchat 3/23/2010 12:07 EllenRichter: @grimalkinrn Congrats on getting accepted to a BSN program! :) #RNchat 3/23/2010 12:07 oncnurse66: T1 I am not sure what changes will occur I tried to read the actual bill and it was in greek #RNchat 3/23/2010 12:08 nursekama: Hi Everyone! Psych/mental health nurse from Ontario. Looking forward to today's discussions. #rnchat 3/23/2010 12:08 JoeCascio: I'm Joe Cascio, technologist, former CTO of a cardiology imaging co. Watching the POTUS press the flesh after signing #HCR into law. #RNchat 3/23/2010 12:09 EllenRichter: T1 It will be nice to see more patients given health care options they never had because they will now have some kind of insurance #RNchat 3/23/2010 12:09 bthenextstep: @onlinenursing and a hi/hello back at ya! #rnchat 3/23/2010 12:09 bthenextstep: tweetchat seems to be wonky today... #rnchat 3/23/2010 12:09 tersenurse: t1 I agree with Ellen, also I look forward to staff being more aware of what things cost. #rnchat 3/23/2010 12:09 onlinenursing: T1 thing I would like -access 2 preventative ed 4 everyone who needs it w/RN w/o insurance ref ex-DM, HTN, asthma ed, obesity, nutr #RNChat 3/23/2010 12:10 bthenextstep: @oncnurse66 I know the feeling.. on trying to read the new hc reform bill! #rnchat 3/23/2010 12:10 grimalkinrn: t1 #RNCHAT I am hoping to see fewer of my patients bankrupted by their illnesses. I hope to see more people with access to health care. 3/23/2010 12:10 cyclingwidow: Hi all, spending part of my lunch with you. Kim, background in surgical, cardiac, infection control an currently IT! #rnchat 3/23/2010 12:10 oncnurse66: T1 very worried about what will happen to my Oncology pts who have only Medicare coverage #RNchat 3/23/2010 12:10 EllenRichter: T1 It will be interesting to see how small businesses get around the 50 employee rule too #RNchat 3/23/2010 12:10
  • 3. bthenextstep: t1 can someone shed some light on the 'highlights' of this hc reform bill's impact on rn's?? #rnchat 3/23/2010 12:11 tersenurse: t1: i'm hoping that the majority of america will c the changes in action & will understand that this really is aimed at helping them #rnchat 3/23/2010 12:11 EllenRichter: T1 I hear that the fines imposed on small businesses to NOT cover their employees will cost less than covering them! Hmmm... #RNchat 3/23/2010 12:11 ocdgirl2000: #rnchat ?now? 3/23/2010 12:11 tersenurse: RT @grimalkinrn: t1 #RNCHAT I am hoping to see fewer of my patients bankrupted by their illnesses. I hope to see more people with access to health care. 3/23/2010 12:12 nursekama: T1 Equal access to health care! #rnchat 3/23/2010 12:12 bthenextstep: t1 I'm aware of the other 'impacts'.. but not sure how to answer t1 question? #rnchat 3/23/2010 12:12 onlinenursing: @EllenRichter T1 looking forward 2 hving pts w/health insurance/30-40% of my rural health pts hv no insurance(cost/preexisting) #RNChat 3/23/2010 12:12 BenefitStudioTO: RT @EllenRichter: It will be nice to see more patients given healthcare opt. they never had b/c they will now have some kind of ins. #RNchat 3/23/2010 12:13 bthenextstep: t1 will this equal access cause a 'surge' of admissions? #rnchat 3/23/2010 12:13 tersenurse: @onlinenursing @EllenRichter @grimalkinrn couldn't agree with you all more about T1 #rnchat 3/23/2010 12:13 cyclingwidow: T1 it is a start but I am very concerned. They can't manage SS, Medicare/caid, the postal service.....but it is a start #rnchat 3/23/2010 12:13 bthenextstep: t1 do you think this hc reform bill will 'affect' our bottom dollar - as in our salaries? #rnchat 3/23/2010 12:14 EllenRichter: T1 Yes our current health care system is in such need for change that anything we do seems inadequate compared to the big problem #RNchat 3/23/2010 12:14 cyclingwidow: @bthenextstep hopefully we will see fewer admissions due to better access to primary care #rnchat 3/23/2010 12:14 oncnurse66: @cyclingwidow t1 I couldn't agree more. It seems that every government managed endeavor is a mess #RNchat
  • 4. 3/23/2010 12:15 onlinenursing: @bthenextstep Good point T1- surge (but maybe less in the ER? or more prventative care) also just in time for mass of baby boomers #RNChat 3/23/2010 12:15 EllenRichter: @bthenextstep I believe that health care reform will B a good thing for RN profession in the long run. It will guarantee us jobs. #RNchat 3/23/2010 12:15 onlinenursing: @cyclingwidow agree with pt to access to primary care :). #RNChat 3/23/2010 12:16 bthenextstep: @cyclingwidow never thought of it that way. good point. #rnchat 3/23/2010 12:16 JoeCascio: @EllenRichter Can you expand a bit on the 50 employee rule you mentioned? #RNchat 3/23/2010 12:16 InfusionNurse: Just saying hi to all..can't join chat today...have fun! #rnchat 3/23/2010 12:16 EllenRichter: T1 As nurses, we all know that anything to do with health care will require nursing intervention. We are the backbone of the system #RNchat 3/23/2010 12:16 bthenextstep: t1 don't get me wrong - I'm all for providing proper health care coverage for all. Just seems this bill is a lot of swiss cheese. #rnchat 3/23/2010 12:17 onlinenursing: RT @oncnurse66: @cyclingwidow t1 I couldn't agree more. It seems that every government managed endeavor is a mess #RNchat (tee hee. true) 3/23/2010 12:17 bthenextstep: @EllenRichter good point... #RNchat 3/23/2010 12:17 EllenRichter: @JoeCascio I wish I could look for a link for you but I dont want to miss the chat. I will send later. #RNchat 3/23/2010 12:17 EllenRichter: @JoeCascio Under 50 employees, health care coverage not required by owner...over 50 if U dont cover employees you pay fine instead #RNchat 3/23/2010 12:18 onlinenursing: @bthenextstep tee hee swiss chees and back room deals-That is what made it so unpalatable. We need h/c reform bad #RNChat 3/23/2010 12:18 ocdgirl2000: #rnchat T1 oh my! missing this! Lynne Siegel. better late than never! I'm a gov worker, we just experienced massive cutbacks to FY '11 3/23/2010 12:19 EllenRichter: @bthenextstep LOL, if you think the bill is swiss cheese, what would you call our current health care system?? Black hole? :) #RNchat 3/23/2010 12:20
  • 5. bthenextstep: t1 I guess i'm just very leary about this who reform package.. hopefully more good than bad. #rnchat 3/23/2010 12:20 oncnurse66: @online nursing T1 We need health care reform and government reform. : ) #RNchat 3/23/2010 12:20 EllenRichter: @RNchat What a great turnout today!! Hello to everyone at the chat! Too many to Tweet names but your tweets are great! #RNchat 3/23/2010 12:20 onlinenursing: T1 #RNChat - NY times article on passage was pretty good - http://nyti.ms/cgePyj might be in there @JoeCascio @EllenRichter 3/23/2010 12:20 cyclingwidow: @onlinenursing we need healthcare COVERAGE reform. :) #rnchat 3/23/2010 12:21 bthenextstep: @EllenRichter ouch. touche'. well said - blackhole. LOL #RNchat 3/23/2010 12:21 EllenRichter: @onlinenursing Ohh...great link! :) #RNchat 3/23/2010 12:22 onlinenursing: RT @cyclingwidow: @onlinenursing we need healthcare COVERAGE reform. :) #rnchat (ahhh yes... even better. Coverage reform - part 1) 3/23/2010 12:22 ocdgirl2000: #rnchat T1 it IS swiss cheese. You have to work in Gov to KNOW gov! they are mostly incompetent eople who couldn't make it in private sector 3/23/2010 12:22 nursekama: @onlinenursing T1 Agree. Hopefully a greater focus on public health and community nursing. Address social determinants of health. #rnchat 3/23/2010 12:23 NursingCenter: T1 sounds good for nsg & access for ins. coverage, concerned about cuts to outpt programs- already seeing this here w/ pulm rehab #rnchat 3/23/2010 12:23 bthenextstep: t1 I guess I'm still on the fence over this whole debacle. I understand there will be sacrifices made. Just taking it all in still #rnchat 3/23/2010 12:24 EllenRichter: @ocdgirl2000 You are our constant reminder of government #fail in their portion of the health care industry. What a shame, right? #RNchat 3/23/2010 12:24 oncnurse66: would love to see greater access to preventative care for people. #RNchat 3/23/2010 12:24 onlinenursing: @cyclingwidow we do h/c bkwrds: ie-knw pt.obese/HTN/DM will have MI,but wont cover prsnl trainer,nutritn ed 2 fix-just surgry & meds #RNChat 3/23/2010 12:25 grimalkinrn: RT @oncnurse66: would love to see greater access to preventative care for people. #RNchat T1 3/23/2010 12:25
  • 6. EllenRichter: T1 I guess nurses wont be paying into the higher taxes toward health care at salaries over $250K! #RNchat 3/23/2010 12:25 FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat 3/23/2010 12:26 onlinenursing: @ocdgirl2000 You hve good background for this topic- suggestions for improving govt. h/c programs (if you had like a top 5 list?) #RNChat 3/23/2010 12:26 EllenRichter: Hopefully you will >> RT @oncnurse66: would love to see greater access to preventative care for people #RNchat 3/23/2010 12:26 cyclingwidow: T1 how much of a burden will it put on employers to carry employee's children now to TWENTY-SIX years of age? #rnchat 3/23/2010 12:26 tersenurse: @oncnurse66 #hcr should increase preventive medecine and make it available to everyone #rnchat we'll keep our figners crossed 3/23/2010 12:26 onlinenursing: @grimalkinrn Where did you go to - looking 4 ur great insight today? Congrats on BSN program! WOO HOO! #RNChat 3/23/2010 12:27 EllenRichter: T1 I think we are all on the same page as far as identifying all the health care changes needed. Implementation is the tough part! #RNchat 3/23/2010 12:28 grimalkinrn: @onlinenursing Metro State in Denver. #RNChat 3/23/2010 12:28 ocdgirl2000: #rnchat T1 they are cutting hours on health room techs that work under school health RNS! the ridiculous incompetent nurse managers STAY!OK? 3/23/2010 12:28 nursekama: @oncnurse66 Don't forget health promotion! #rnchat 3/23/2010 12:28 bthenextstep: RT @EllenRichter: T1 we are all on the same page as the health care changes needed. Implementation is the tough part! well said #rnchat 3/23/2010 12:29 EllenRichter: @cyclingwidow Is that the new cutoff for children to be covered? Age 26? I hadnt seen that yet! #RNchat 3/23/2010 12:29 NUR3563: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat (Great article!) 3/23/2010 12:30 onlinenursing: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat (Great article!) 3/23/2010 12:30
  • 7. EllenRichter: T1 LOL @philbaumann if you didnt have #hcr as a topic today I'd be shocked! ;) #RNchat 3/23/2010 12:30 bthenextstep: @onlinenursing GREAT point about backwards healthcare. We know the solutions to the problems.. but aren't willing to pay for them #rnchat 3/23/2010 12:31 swat_pellegrino: Any advice/tips for students just starting school? #rnchat 3/23/2010 12:31 bthenextstep: T1 we preach about being a proactive practice - yet we function in such a reactive environment. *sigh* #rnchat 3/23/2010 12:31 philbaumann: @EllenRichter I actually only have 2 topics set because #hcr is huge. #RNchat 3/23/2010 12:31 2healthguru: say what? #RNchat on #healthreform; ok u got my attention.... 3/23/2010 12:31 bthenextstep: @swat_pellegrino best advice - Never. Give. Up. #rnchat 3/23/2010 12:32 lyall: Word up #RNchat Aussie RN in WA & I've ivented a new specialty yo: #gangstanurse #humour 3/23/2010 12:33 wantnews: @FutureofNursing #hcr access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat (Great article!) Few States trying to take it away. 3/23/2010 12:33 rnchat: ATTENTION: I initially had on 2 topics today. Would you like to just continue #hcr since it's so big? Let me know in 2 minutes!!! #RNchat 3/23/2010 12:33 cyclingwidow: @EllenRichter I've read 26 in several articles. #rnchat 3/23/2010 12:33 swat_pellegrino: Do male RNs get the same respect female RNs get? #rnchat 3/23/2010 12:34 2healthguru: #RNchat: will nurses step up into leadership? Context article here 4physician leadership challenge; nursing equivalent? http://bit.ly/a0IGju 3/23/2010 12:34 EllenRichter: @bthenextstep Actually I think nursing are VERY proactive! In hospitals we have fall, DVT, decubitus prevention just to name 3 #RNchat 3/23/2010 12:34 rnchat: @2healthguru :) #RNchat #healthreform 3/23/2010 12:34 EllenRichter: LOL my spelling and grammar suck today! :) #RNchat 3/23/2010 12:34 wantnews: RT @oncnurse66: would love to see greater access to preventative care for people.
  • 8. #RNchat 3/23/2010 12:35 bthenextstep: @EllenRichter msunderstood me. WE are proactive - our hc system is reactive. a very tough arrangement. #rnchat 3/23/2010 12:35 bthenextstep: @swat_pellegrino respect is always earned - regardless of your gender. #rnchat 3/23/2010 12:35 ocdgirl2000: #rnchat T1 since when does it make more sense 2 salvage Management jobs?pass around RN's that cause hostile work environment,then cut techs? 3/23/2010 12:36 NursingCenter: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat #rnchat 3/23/2010 12:36 onlinenursing: @2healthguru Good point #RNChat unfortunately RNs R very often not invited 2 table.Hearings h/c reform were 1st N lng tm ANA asked 2 tstify 3/23/2010 12:36 EllenRichter: @2healthguru Good question! Will nurses be ALLOWED to sit in leadership positions? We are a force that is held back alot. :( #RNchat 3/23/2010 12:36 bthenextstep: @ocdgirl2000 T1 I guess it's called 'trimming' instead of cutting huh? LOL #rnchat 3/23/2010 12:37 EllenRichter: @bthenextstep Ahhh....sorry there! I definitely misunderstood u! ;) #RNchat 3/23/2010 12:37 deladie: RT @2healthguru: #RNchat: will nurses step up into leadership? Context article here 4physician leadership challenge; nursing equivalent? http://bit.ly/a0IGju 3/23/2010 12:37 rnchat: Let's just continue the rest of #RNchat with T1. Let it fly!!!! 3/23/2010 12:37 EllenRichter: T1 I always found that when nurses were given leadership positions in health care, those were the institutions that moved forward #RNchat 3/23/2010 12:38 2healthguru: @EllenRichter @onlinenursing any culture that fails to value RN as central to patient care team is flawed & toxic #RNChat 3/23/2010 12:38 bthenextstep: T1 are nurses not given the ldrshp positions in HC because we are the squeaky wheel? we say what others wont? #rnchat 3/23/2010 12:39 2healthguru: #RNchat the business model where RNs are order takers is history 3/23/2010 12:39 EllenRichter: @2healthguru OOOooo....great adjectives! Flawed and toxic. I kinda agree 100% :) #RNchat 3/23/2010 12:40
  • 9. nursekama: T1 @deladie What role and position is your professional nursing association taking on? #rnchat 3/23/2010 12:40 cyclingwidow: @EllenRichter my organization is very unique in that. CEO is also CNO, IT director is RN, Quality-RN, Compliance/Regulatory-RN. :) #rnchat 3/23/2010 12:40 oncnurse66: RT @bthenextstep: T1 are nurses not given the ldrshp positions in HC because we are the squeaky wheel? we say what others wont? #RNchat 3/23/2010 12:41 EllenRichter: @2healthguru GREAT POINT! The stigma of being the "order taker" is just horrid! Even though we DO take orders, we do SO much more! #RNchat 3/23/2010 12:41 lyall: RT @2healthguru: @EllenRichter @onlinenursing any culture that fails to value RN as central to patient care team is flawed & toxic #RNChat 3/23/2010 12:41 bthenextstep: @cyclingwidow OO. where do you work! can i get a job there! all RN ldrshp roles! #rnchat 3/23/2010 12:42 EllenRichter: @cyclingwidow You are very lucky to be working in the environment you are in. Enjoy every second of it. Where is this? :) #RNchat 3/23/2010 12:42 NUR3563: RT @2healthguru: #RNchat the business model where RNs are order takers is history (love it) 3/23/2010 12:42 onlinenursing: RT @2healthguru: #RNchat the business model where RNs are order takers is history (love it) 3/23/2010 12:42 NursingCenters: Nurse leaders are part of #healthreform -- nurse-managed health centers are now recognized for the first time in federal law. #RNchat 3/23/2010 12:42 bthenextstep: RT @onlinenursing: RT @2healthguru: #RNchat the business model where RNs are order takers is history (love it) #rnchat 3/23/2010 12:43 EllenRichter: RT @NursingCenters RN leaders are part of #healthreform--RN-managed health centers are now recognized for 1st time in federal law. #RNchat 3/23/2010 12:44 cyclingwidow: @bthenextstep @ellenrichter The Women's Hospital. Our parent organization also now has an RN as the System CEO! #rnchat 3/23/2010 12:44 onlinenursing: @mike_hensgen Good point. Why don't you join us for discussion at #RNchat 3/23/2010 12:44 2healthguru: @EllenRichter how about being the eyes and ears of frontline risk management? what about the impaired doc? #RNchat 3/23/2010 12:44
  • 10. oncnurse66: t1 glad that I can add my 21 y/o son back ins sad that I know my employer will just pass the cost on to me #RNchat 3/23/2010 12:44 Justamom3: RT @EllenRichter: RT @NursingCenters RN leaders are part of #healthreform--RN- managed health centers are now recognized for 1st time in federal law. #RNchat 3/23/2010 12:45 RNconsult: Quality Health Care Begins Outside The ER...Door's with Patient Teaching and Advocacy. Health Professionals must Lead !!!#RNchat #RNchat 3/23/2010 12:45 lyall: @2healthguru I'm not going to wait until I'm invited to provide nursing input #RNchat *beingseriousnow* 3/23/2010 12:45 2healthguru: Amy best in class model of health care transformation will put the RN on that team and not solely as an order taker #RNchat 3/23/2010 12:46 ocdgirl2000: #rnchat I think there will be tons of jobs for us out there,but no money to pay us with.gross depression in finances 4 the country re taxes 3/23/2010 12:46 JoeCascio: Does anyone see any changes in the long term for co-ops or non-fee-for-service models of delivery? #rnchat 3/23/2010 12:46 onlinenursing: #RNChat - good point @2healthguru @EllenRichter - what about not enough health care providers? Who says RNs cant B 1st line 2 help w/that. 3/23/2010 12:46 EllenRichter: @2healthguru Oh, I think that we are still reeling from the past year's events related to whistle-blowing endeavors! #RNchat 3/23/2010 12:46 nursekama: @lyall Good for you! Start advocating now! #rnchat 3/23/2010 12:47 bthenextstep: @2healthguru we know that - unfortunately those that need to know still are uninformed or unaware. #rnchat 3/23/2010 12:47 onlinenursing: @lyall Your input is good. Please jump in... #RNChat is meeting of the minds, trying to openly discuss real issues in real time. 3/23/2010 12:47 bthenextstep: @cyclingwidow that's awesome. congrats on a great place to work. #rnchat 3/23/2010 12:49 seejanenurse: @RNchat I am totally missing out! #RNchat. :( 3/23/2010 12:49 cyclingwidow: Nurses do SO much more that "provide care". Tired of the "just a nurse" mentality that some have. Our input will be critical #rnchat 3/23/2010 12:49
  • 11. bthenextstep: @onlinenursing absolutely! the problem is the immediacy of results would not be there to justify the cost/benefit analyses. #rnchat 3/23/2010 12:50 EllenRichter: T1 If RNs R going to take role of front line health care managers we must raise the bar to at least BSN, if not more, for those RNs #RNchat 3/23/2010 12:50 onlinenursing: @JoeCascio Good point.Many of my pts B4 were cashpay (no health insurance).Clinic faird better w/this & it cost these pts less 4 h/c #RNChat 3/23/2010 12:50 EllenRichter: Isnt it great? >> RT @onlinenursing: #RNChat is meeting of the minds, trying to openly discuss real issues in real time. #RNchat 3/23/2010 12:51 ocdgirl2000: #rnchat T1 but the money that was going to be used for school loans will now be used for health care.right? 3/23/2010 12:51 tersenurse: @EllenRichter I agree 2 some extent but i'm concerned that there aren't enough rns to take on the influx of pts we are about to get #rnchat 3/23/2010 12:51 maryannagordon: @EllenRichter T1 completely agree. We have to elevate our entry level of education commensurate to the level of expertise required #Rnchat 3/23/2010 12:52 RNconsult: Hey this Doctor has a Point....Check this out !!! http://hbr.org/2010/04/turning-doctors-into- leaders/ar/pr #RNchat 3/23/2010 12:52 onlinenursing: @bthenextstep neither is a lifetime of HTN/DM meds (not a quick fix either) #RNChat 3/23/2010 12:52 cyclingwidow: T1 be interested to see how this all ties in with ARRA/HITECH also #rnchat 3/23/2010 12:52 ocdgirl2000: #rnchat T1 what was it, in the healthcare bill tied to educational money, regarding the cost of healthcare? 3/23/2010 12:53 onlinenursing: @tersenurse Hopefully the influx will be in primary care and out of the ER's and hospitals where the uninsured have been coming #RNChat 3/23/2010 12:53 bthenextstep: @onlinenursing preaching to the choir on that one. I'm with ya. just a matter of getting other on the same page. #RNChat 3/23/2010 12:54 bthenextstep: @maryannagordon @EllenRichter I would agree. higher education for all nurses is a key ingredient. #Rnchat 3/23/2010 12:54 onlinenursing: @EllenRichter Yep #RNChat is totally great. 3/23/2010 12:55
  • 12. tersenurse: @onlinenursing you don't think that with the influx to primary care we will catch more illnesses that need hospitalization too? #rnchat 3/23/2010 12:55 nursekama: It will. RT @cyclingwidow: T1 Improved access to primary care should drive up demand for Advanced Practice Nurses (APNs) as well #rnchat 3/23/2010 12:55 EllenRichter: @onlinenursing LOL I feel like a broken record. But I believe educational rise is paramount in dissolving our current RN stigma #RNchat 3/23/2010 12:56 oncnurse66: RT @bthenextstep: I would agree. higher education for all nurses is a key ingredient.Yes but with pay to match #RNchat 3/23/2010 12:56 Nerdnurse: RT @EllenRichter: @onlinenursing LOL I feel like a broken record. But I believe educational rise is paramount in dissolving our current RN stigma #RNchat 3/23/2010 12:56 rnchat: @seejanenurse It's ok. I'll throw a transcript up soon. #RNchat 3/23/2010 12:56 rnchat: Wow! We're coming up on the hour. #RNchat 3/23/2010 12:57 maryannagordon: @RNconsult He's saying what many of us have been saying for years - the present hierarchical culture cannot continue #rnchat 3/23/2010 12:57 bthenextstep: @oncnurse66 absolutely. higher education should = higher pay. #rnchat 3/23/2010 12:57 EllenRichter: @ocdgirl2000 I think doctors will be successful in the US if more of them approach their practice like a business & pts like clients #RNchat 3/23/2010 12:57 tersenurse: @oncnurse66 my hospital gives differential for each educational stepping stone #rnchat 3/23/2010 12:58 ocdgirl2000: #rnchat T1 it's simply looking at other societies to see how they fared..ask the Nurses in England,Australia,Russia? 3/23/2010 12:58 onlinenursing: @tersenurse hope those who R ill enough 2 need hospital go there anywy.We R going 2B short staffed frm aging pop more thanh/c reform #RNChat 3/23/2010 12:58 rnchat: Any tweets of wisdom about healthcare reform or anything for that matter? #RNchat 3/23/2010 12:59 NursingCenter: @rnchat great - I've missed so much too! Will definitely read this...great discussion happening! #rnchat 3/23/2010 12:59 oncnurse66: @tersenurse mine does too but it is insignifigant compared to the cost of my BSN #RNchat 3/23/2010 12:59
  • 13. tersenurse: @onlinenursing good point #rnchat 3/23/2010 12:59 onlinenursing: @bthenextstep No money in researching anything but drugs and surgery. Interesting that it all comes back 2 that. #RNChat 3/23/2010 12:59 EllenRichter: Good link! >> RT @RNconsult: Hey this Doctor has a Point~Check this out! http://hbr.org/2010/04/turning-doctors-into-leaders/ar/pr #RNchat 3/23/2010 13:00 onlinenursing: RT @bthenextstep @oncnurse66 absolutely-higher ed should = higher pay #rnchat Baw ha ha - each degree=less money 4 me :)Just love nursing! 3/23/2010 13:00 bthenextstep: @onlinenursing it has to. always about money. in the end we as RN's still have to prove our worth on the cost/benefit curve. #rnchat 3/23/2010 13:00 EllenRichter: RT @onlinenursing:Hopefully the influx will be in primary care & out of the ER's & hospitals where the uninsured have been coming #RNchat 3/23/2010 13:01 oncnurse66: @onlinenursing the pride of accomplishment is worth more than $$....Ha Ha #RNchat 3/23/2010 13:01 onlinenursing: #RNChat wisdom - GO NURSING! WE can do it. We can be the change health care needs. 3/23/2010 13:02 cyclingwidow: Now how to staff the influx to primary care? I know I can't afford the pay cut to work in primary care #rnchat 3/23/2010 13:02 lyall: Universal healthcare hasn't diminished my freedom in Australia. #RNChat 3/23/2010 13:02 ocdgirl2000: @onlinenursing EXACTLY! there will be no money for education,unless you R child of Pharma CEO! #rnchat 3/23/2010 13:02 rnchat: Thank you all for coming! The transcript of this chat will be up in a bit. The next #RNchat will be announced soon as well. Enjoy your day!! 3/23/2010 13:03 bthenextstep: @rnchat awesome chat as always Phil. Always. I missed this stuff! #rnchat 3/23/2010 13:04 EllenRichter: Yes our poor abused ERs...hopefully #hcr will reduce the ridiculous cycles of inappropriate ER visits! No insurance will pay for BS #RNchat 3/23/2010 13:04 bthenextstep: thanks for the chatting fellow tweets! have a great day. #rnchat 3/23/2010 13:05 RNconsult: Assessment and analysis....Gone.... Too many check boxes . Not enough time at the
  • 14. bedside : ( #RNchat 3/23/2010 13:05 EllenRichter: Geez, is it an hour already? Thanks so much for the delightful & stimulating break in our Tuesday @philbaumann ~Great #RNchat today! 3/23/2010 13:06 rnchat: Great work everyone! Wow, that was amazing! #RNchat 3/23/2010 13:07 EllenRichter: @RNchat If you need help to moderate a 2nd chat later this week you are welcome to holler! :) #RNchat 3/23/2010 13:07 JoeCascio: @cyclingwidow Hi, saw you on #rnchat. Your bio says RN wrkng in IT. Are you involved in EMRs at all? 3/23/2010 13:07 EllenRichter: @RNconsult Gee I think the check boxes has streamlined documentation & allows us MORE time at the bedside! No? :( #RNchat 3/23/2010 13:08 ocdgirl2000: @RNCHAT Thank you Phil,as always,EXCELLENT,busy tweeting,my twitter page bottlenecking!LOL! great group! #rnchat c-yas next time! 3/23/2010 13:08 JoeCascio: Interesting and thought-provoking #rnchat again today. 3/23/2010 13:09 mkopp1: Hope so! RT @EllenRichter Yes our poor abused ERs...hopefully #hcr will reduce the inapprop ER visits! No insurance will pay for BS #RNchat 3/23/2010 13:11 seejanenurse: RT @lyall: Universal healthcare hasn't diminished my freedom in Australia. #RNChat 3/23/2010 13:11 MatthewBrowning: Darn! missed another #RNChat I'll watch for the transcript ;-) 3/23/2010 13:12 nurseantonio: RT @onlinenursing: #RNChat wisdom - GO NURSING! WE can do it. We can be the change health care needs. 3/23/2010 13:12 adamcoyne: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife Care http://su.pr/2rDZTF #RNChat #hcr 3/23/2010 13:16