RNchat Transcript May 21, 2010
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RNchat Transcript May 21, 2010

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Transcript of RNchat - a Twitter chat for Registered Nurses - for Friday, May 21, 2010. ...

Transcript of RNchat - a Twitter chat for Registered Nurses - for Friday, May 21, 2010.

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

Topics:

T1 We see more implantable defibrillators each year. How do we address turning it off during end-of-life palliative care?

T2 Does the Nursing Care Plan you use at work help to guide your nursing care or is it an additional task to complete each day?

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RNchat Transcript May 21, 2010 Document Transcript

  • 1. EllenRichter: Great time to mention that one of the #RNchat topics today will discuss implantable defibrillators & their effect on DNR status. 5/21/2010 09:10 rnchat: RT @EllenRichter Great time to mention that an #RNchat topic today will discuss implantable defibrillators & their effect on DNR status. 5/21/2010 09:11 EllenRichter: Twitter #nurses come join us today @ 11:30 AM EST for our TGIF edition of #RNchat where we will discuss the validity of "Nursing Care Plans" 5/21/2010 09:16 visiting_nurse: support article 4 topic http://bit.ly/arp8vv RT @EllenRichter: #RNchat topics implantable defibrillators & effect on DNR status. 5/21/2010 09:42 visiting_nurse: To the Visiting Nurses FB Fans http://bit.ly/9PTUlE come out on Twitter #RNchat @11:30am http://bit.ly/cs36oS topic... http://bit.ly/avwJHl 5/21/2010 09:56 TeriRN: @EllenRichter in my job @ KP hospice we talk 2 the pt & fam about turning defib off. Painful when fires as pt is dying. #RNChat. 5/21/2010 10:17 visiting_nurse: Hi! @TeriRN Do you have a formal policy & procedure 4 hospice & defrib or is it just a practice incorporated in2 pt. care process? #RNChat 5/21/2010 10:52 EllenRichter: Thanks so much to @Visiting_Nurse for sharing a link to this great article to read for #RNchat topic today! ICDs vs DNR http://bit.ly/arp8vv 5/21/2010 11:03 TeriRN: @Visiting_Nurse No P&P yet Had 1st case last wk Talked in team, talked w/fam then had Defib Co go 2 home 2 shut off #RNChat 5/21/2010 11:05 philbaumann: Starting in a few minutes is #RNchat 11:30am EST lead by @EllenRichter #hcsm #hcsmeu 5/21/2010 11:11 rnchat: Howdy, Twitter nurses~ Twenty minutes until the TGIF edition of #RNchat at 11:30 AM EST! Come join us: care plans, ICDs vs DNR 5/21/2010 11:13 Aggiern95: RT @RNchat: Howdy, Twitter nurses~ Twenty minutes until the TGIF edition of #RNchat at 11:30 AM EST! Come join us: care plans, ICDs vs DNR 5/21/2010 11:14 rvabusiness: RT @PhilBaumann: Starting in a few minutes is #RNchat 11:30am EST lead by @EllenRichter #hcsm #hcsmeu 5/21/2010 11:14 superjenie: 20% Nursing Shortage by 2015 #RNChat http://bit.ly/cLBSFO via @MatthewBrowning -- to all nurses, thank you! you're under appreciated ;( 5/21/2010 11:20 KPNurseRecruit: RT @PhilBaumann: Starting in a few minutes is #RNchat 11:30am EST lead by
  • 2. @EllenRichter #hcsm #hcsmeu 5/21/2010 11:25 rnchat: Going to use http://tweetgrid.com to help manage the chat today! #RNchat 5/21/2010 11:31 rnchat: Whew, @philbaumann I had a little heart attack....LOL, at first the password didnt work for this account! #RNchat 5/21/2010 11:31 Vaticuss: #rnchat Lets see if I can follow along today! 5/21/2010 11:32 rnchat: Good afternoon Twitter #nurses & any other health care professional colleagues! Its time for another #RNchat 5/21/2010 11:33 visiting_nurse: Heather here - home health, hospice and community based care interests. Happy Friday! Glad2 c the sun n DC today. #RNchat 5/21/2010 11:33 rnchat: I am @EllenRichter filling in for our star moderator @philbaumann & I'm looking forward to this hour~ #RNchat 5/21/2010 11:34 rnchat: You can join our chat by signing into websites like tweetchat or tweetgrid or use twitter search page. Use hashtag #RNchat & follow along! 5/21/2010 11:34 rnchat: #RNchat is a way for nurses (& all others in health care!) to meet, tweet & share feelings, thoughts, ideas~ We welcome silent lurkers! 5/21/2010 11:35 NursingCenter: RT @rnchat: Good afternoon Twitter #nurses & any other health care professional colleagues! Its time for another #rnchat 5/21/2010 11:35 rnchat: many of you already know the rules! :) Introduce yourselves & tell us in 140 or less what brings you here today! #RNchat 5/21/2010 11:36 NursingCenter: Hi Ellen! Glad to finally be back here for #rnchat! #rnchat 5/21/2010 11:36 rnchat: I'm Ellen, a critical care RN in south Florida & I own a consulting business dealing with medical litigation #RNchat 5/21/2010 11:37 rnchat: The topics will be labeled T1, T2, etc. Please remember to add topic label & hashtag #RNchat to ea tweet so we can track your responses! 5/21/2010 11:38 rnchat: Nice to see everyone! I like these chats because I love being a nurse!! I know, its very basic, but hey, its true! :) #RNchat 5/21/2010 11:39 NursingCenter: Lisa here... background as critical care RN & women's health NP. Now a consultant
  • 3. clinical editor for LWW #rnchat 5/21/2010 11:40 StressedFran: Haven't been to one in a while, I'm Tami, I'm an editor at HCPro in the nursing and patient safety markets. #RNchat 5/21/2010 11:40 rnchat: T1 We see more implantable defibrillators each year. How do we address turning it off during end-of-life palliative care? #RNchat 5/21/2010 11:40 rnchat: Wow, what a great group of nurses today! So happy you all joined! :) #RNchat 5/21/2010 11:41 rnchat: T1 (also) Must we now include deactivation of devices in the wording of Living Wills? #RNchat 5/21/2010 11:42 tactile: Going to repeat that.. I'm JoAnne a med surg RN in Denver. #rnchat 5/21/2010 11:42 TRUSTMobility: Richard of TRUSTMobility, we're Safe Patient Handling Specialists & enjoy hearing you talk about your challenges helping us help you #RNCHat 5/21/2010 11:43 DebErupts: Deb RN, JD here. It should be addressed in the living will. #RNchat 5/21/2010 11:44 visiting_nurse: RT @Visiting_Nurse: @rnchat T1 oh great ? did not think about it from that aspect, but would be gr8 proactive measure #rnchat 5/21/2010 11:44 tactile: T1 I agree it needs to be addressed in the living will, well ahead of time when possible. I suggest everyone needs a living will. #rnchat 5/21/2010 11:45 rnchat: T1 For those who may not know, implantable defibrillators shock for lethal heart rhythms. In hospice or DNR pts, these rhythms occur #RNchat 5/21/2010 11:46 rnchat: T1 Yes, @DebErupts I agree w/ living will statement. I think we need to present this issue to all ICD patients after surgery! #RNchat 5/21/2010 11:47 onlinenursing: Hey guys! Terri here, popping in between patients to check on #RNChat -NP, RN, educator. T1- interesting topic! 5/21/2010 11:47 DebErupts: There is a time when the ICD no longer offers the prospect of increased survival and the ICD impedes active dying. #RNchat 5/21/2010 11:48 andyatFAD: Agree with @DebErupts. Should be part of will. (This is Andy, former crit care RN, now acq ed at FA Davis.) #RNchat 5/21/2010 11:49 rnchat: T1 Have any hospice professionals seen a dying pt get multiple shocks from an active
  • 4. device? It does occur--we need to end that. #RNchat 5/21/2010 11:49 NursingCenter: T1 Tough question-better to address before pt is critically or terminally ill. After placement is great idea. Even pre-op? #rnchat 5/21/2010 11:49 DebErupts: Agree, the best time to discuss is in the beginning of ICD placement #RNchat 5/21/2010 11:50 KPNurseRecruit: I'm joining the #RNChat for a bit this morning. Nurse Recruiter at Kaiser Permanente. Good morning (or afternoon) everyone! 5/21/2010 11:50 ONSmark: @IVchat I just realized we overlapped with #RNchat today! So many chats, not enough time :) #ivchat 5/21/2010 11:50 rnchat: T1 Not only is an activated firing implantable defibrillator an ethical DRN issue--also a pain issue that may not be easily stopped #RNchat 5/21/2010 11:51 visiting_nurse: @NursingCenter T1 #rnchat I wonder if preop dialogue would chng the minds of some? terminal CAD vs other condition? when do u draw the line? 5/21/2010 11:52 KPNurseRecruit: RT @rnchat: You can join our chat by signing into websites like tweetchat or tweetgrid or use twitter search page. Use hashtag #RNchat & follow along! 5/21/2010 11:52 andyatFAD: T1 Agree with @rnchat. How do we ethically shut off an ICD in terminally ill but not imminently dying pt? #RNchat 5/21/2010 11:53 IVchat: ik, will not do that again.RT @ONSmark: @IVchat I just realized we overlapped with #RNchat today! So many chats, not enough time :) #IVchat 5/21/2010 11:53 rnchat: T1 Had a patient last year who underwent surgery for ICD, then deactivated it 3 months later to enter hospice. Is this an issue too? #RNchat 5/21/2010 11:53 visiting_nurse: RT @TeriRN: @Visiting_Nurse No P&P yet Had 1st case last wk Talked in team, talked w/fam then had Defib Co go 2 home 2 shut off #RNChat 5/21/2010 11:54 DebErupts: What about DNR orders? Do ICDs provide resuscitation or do they merely manage arrhythmias, should remain operational? #RNchat 5/21/2010 11:54 InfusionNurse: @ONSmark ..thanks for joining us, I know #RNchat is going on 2.. will try not to overlap again next time w/ #RNchat #IVchat 5/21/2010 11:55 rnchat: Thanks to @Visiting_Nurse for sharing a link to this great article to read on the topic http://bit.ly/arp8vv #RNchat 5/21/2010 11:55
  • 5. IVchat: Out of respect for #RNchat, we will wrap up our #IVchat today. Thanks everyone for joining. Next #IVchat June 1 at 1200 ET. #IVchat 5/21/2010 11:56 rnchat: @VascularAccess #RNchat is a way for nurses (& all others in health care!) to meet, tweet & share feelings, thoughts, ideas~ Join in! 5/21/2010 11:56 KPNurseRecruit: RT @RNChat T1 We see more implantable defibrillators each year. How do we address turning it off during end-of-life palliative care? #RNchat 5/21/2010 11:57 rnchat: @IVchat Oh dear!! I had no idea!! No, we wont compete for times again!! Yikes~ Its also #ivchat #RNchat 5/21/2010 11:57 visiting_nurse: T1 pacemaker is not a resuscitative device & may enhance quality of life there4, pacemakers r not routinely considrd 4 deactivation #rnchat 5/21/2010 11:58 tersenurse: #rnchat sorry im late Logan here, BSN, new burn unit RN 5/21/2010 11:58 rnchat: @DebErupts T1 Think it would be physically hard to watch end-of-lifer die of ventricular fibrillation while getting numerous shocks #RNchat 5/21/2010 11:58 visiting_nurse: T1 previous tweet from sample policy regarding ICD deactivation and hospice pt. #rnchat 5/21/2010 11:59 KPNurseRecruit: RT @DebErupts Deb RN, JD here. It should be addressed in the living will. #RNchat T1 5/21/2010 11:59 IVchat: @vascularaccess @ONSmark and all others lurking..thanks! See u next time. Please join #RNChat now in progress.. #IVchat 5/21/2010 11:59 visiting_nurse: T1 "defibrillation can result in physical discomfort and psychological stress during the dying process" #rnchat 5/21/2010 12:01 NursingCenter: @rnchat You're right - sounds horrible #rnchat 5/21/2010 12:02 rnchat: My friend @Pallimed has wonderful blog for T1: Implantable Cardiac Defibrillators- Hospice Role in Deactivation? http://j.mp/c4Rqze #RNchat 5/21/2010 12:02 visiting_nurse: T1 and so the poluicy was developed to address those issues #rnchat 5/21/2010 12:02 tersenurse: #rnchat @visiting_nurse that surprises me. how can we say it's not resucitative device? fixing a lethal issue, isn't that the def of resuc? 5/21/2010 12:02 rnchat: Agree >> RT @visiting_nurse: T1 "defibrillation can result in physical discomfort and psychological stress during the dying process" #rnchat 5/21/2010 12:03
  • 6. rnchat: OK 2 more minutes & onward to topic 2, folks! Thanks for all your participation so far! #RNchat 5/21/2010 12:04 KPNurseRecruit: RT @rnchat: My friend @Pallimed has wonderful blog for T1: Implantable Cardiac Defibrillators- Hospice Role in Deactivation? http://j.mp/c4Rqze #RNchat 5/21/2010 12:04 NursingCenter: @tersenurse maybe not 'resuscitative' but it is 'life-sustaining' #rnchat 5/21/2010 12:05 rnchat: T1 To clear up issue: a defibrillator is resuscitative aid by sending heart electric shocks, pacemaker does not provide that current #RNchat 5/21/2010 12:06 NursingCenter: @rnchat Thank you Ellen! #rnchat 5/21/2010 12:07 DebErupts: ICDs represent another new life-extending technology,which examination of its ethical implications lags behind its use. Written P&P! #RNchat 5/21/2010 12:07 philbaumann: Plz Share: Anyone interested helping to start #PTSDchat for anyone w/PTSD - veterans, victims, etc.? LMKnow #RNchat #hcsm 5/21/2010 12:07 rnchat: T1 Main goal is to bring heightened awareness to the public about the additional steps needed for end-of-life care when you have ICD #RNchat 5/21/2010 12:07 NursingCenter: RT @rnchat Main goal is bring heightened awareness to public about additional steps needed for end-of-life care when you have ICD #rnchat 5/21/2010 12:08 rnchat: T2 We spent so much time writing Nursing Care Plans in school. How do they help your nursing care in the "real world"? #RNchat 5/21/2010 12:08 tersenurse: @NursingCenter T1do u think we should modify DNRs 2 include some life sustaining acts? not suggesting we remove all comfort measures #rnchat 5/21/2010 12:09 visiting_nurse: YES RT @rnchat: T1 Main goal is 2 bring awareness 2 the public about the additional steps needed 4 end-of-life care when u have ICD #RNchat 5/21/2010 12:09 KPNurseRecruit: RT @rnchat: T2 We spent so much time writing Nursing Care Plans in school. How do they help your nursing care in the "real world"? #RNchat 5/21/2010 12:09 tactile: T2 Care plans are a pain in my ass & I admit, I only do them because they are part of "minimal documentation." I don't see a benefit #rnchat 5/21/2010 12:11 rnchat: T2 Does the Nursing Care Plan you use at work help to guide your nursing care or is it an additional task to complete each day? #RNchat
  • 7. 5/21/2010 12:11 AmandaChanguris:RT @PhilBaumann: Plz Share: Anyone interested helping to start #PTSDchat for anyone w/PTSD - veterans, victims, etc.? LMKnow #RNchat #hcsm 5/21/2010 12:11 visiting_nurse: T2 LOL never can seem 2 get the team to look or follow them. just another task 4 some w/ no meaning. I happen 2 find value in them #RNchat 5/21/2010 12:11 tactile: T2 I love that the EMR has made it easier to document care plans, but really, I have not seen care change because of them. #rnchat 5/21/2010 12:12 rnchat: @visiting_nurse T2 I like that you find value in NCPs. How do they help your day? #RNchat 5/21/2010 12:12 tersenurse: agree> @tactile T2 Care plans R a pain in my ass&I admit, I only do them because they are part of "minimal doc." don't see a benefit #rnchat 5/21/2010 12:12 NursingCenter: @tersenurse T1 not sure...DNR planning must inc. awareness of ICD presence and its implications at end of life #rnchat 5/21/2010 12:13 visiting_nurse: T2 I am a very process oriented person. I prefer NCP that are more pathway in nature 2 show progress of the pt. #RNchat 5/21/2010 12:13 NursingCenter: T2 As much as I disliked care plans, must admit that actually doing them got me thinking about other interventions/care for my pts! #rnchat 5/21/2010 12:14 DebErupts: Like Clinical Pathways! Structured plans of care designed to support the implementation of clinical guidelines and protocols. #RNchat 5/21/2010 12:15 tactile: @NursingCenter T2 I think a good question would be how do we get all nurses to enact the interventions on the care plan? #rnchat 5/21/2010 12:15 visiting_nurse: T2 also 2 c quickly if nw interventions r needed if they r not meeting the goals. will admit there has 2 b a better way to cr8 them #RNchat 5/21/2010 12:16 tactile: T2 Care plans only work if we are actually doing the interventions they suggest. Doesn't help if we aren't walking the talk. #rnchat 5/21/2010 12:16 NursingCenter: @tactile Yes! Ours always got buried in the paperwork... With electronic records, where are the care plans? #rnchat 5/21/2010 12:17 rnchat: @tactile T2 Many times our nursing care IS what the NCP suggests, but we do it without thinking about those specific NCP problems #RNchat 5/21/2010 12:17
  • 8. BillCody: RT @rnchat: My friend @Pallimed has wonderful blog for T1: Implantable Cardiac Defibrillators- Hospice Role in Deactivation? http://j.mp/c4Rqze #RNchat 5/21/2010 12:17 tactile: @NursingCenter t2 that is easy, the care plan is under the care plan button. The CP is easier to find. Also, LOL CP also = care plan #rnchat 5/21/2010 12:17 DebErupts: Clinical pathways are practical and make more sense in the clinical setting. #RNchat 5/21/2010 12:18 rnchat: @NursingCenter T2 Most EMRs incorporate the nursing care plan into an Multidisciplinary Educational Record used by many depts #RNchat 5/21/2010 12:18 visiting_nurse: T2 and to answer the ? what is more effectv NCP vs protocol vs pathway & still incorporate current EBP customizd 2 pt. #rnchat 5/21/2010 12:18 tactile: @rnchat T2 True, but I also see pts at hi risk for complications with NO interventions actually happening. That is frustrating. #rnchat 5/21/2010 12:18 nursingpins: T2 - Care planes are the best for teaching - but I think the Structured plans of care are the future as per @DebErupts #RNchat 5/21/2010 12:19 tactile: @rnchat T2 If we are truly going to follow the careplan, we need to find a way to remove barriers to interventions. Again.. TIME. #rnchat 5/21/2010 12:19 rnchat: @DebErupts T2 Clinical pathways are great care guidelines but they are based on medical-driven diagnoses, not nursing diagnoses #RNchat 5/21/2010 12:19 KPNurseRecruit: RT @NursingCenter: T2 As much as I disliked care plans, must admit that actually doing them got me thinking about other interventions/care for my pts! #rnchat 5/21/2010 12:20 andyatFAD: @nursingpins Pardon my ignorance but what are structured care plans? #RNchat 5/21/2010 12:21 rnchat: @tactile T2 True!! TIME is always a factor in delivering great nursing care! So many nursing diagnoses, so little time! #RNchat 5/21/2010 12:21 KPNurseRecruit: RT @tactile: T2 Care plans only work if we are actually doing the interventions they suggest. Doesn't help if we aren't walking the talk. #rnchat 5/21/2010 12:21 tersenurse: T2 #rnchat I'm all about chcklists 2 benefit our pts bt i c CP as something that ends up taking time away from the bedside, w/ no benefit 5/21/2010 12:21 rnchat: T2 Funny about nursing care plans & litigation: Its usually one of the first documents an attorney scrutinizes! Keep that in mind! #RNchat 5/21/2010 12:21
  • 9. DebErupts: Clinical Pathways can be multidisciplinary and have a focus on the quality and co- ordination of care. #RNchat 5/21/2010 12:22 tactile: @tersenurse T2 Exactly. It takes 45min to an hour to do all my care plans. JUST THE CARE PLANS. There are better things to do. #rnchat 5/21/2010 12:23 andyatFAD: @DebErupts Thnx! #RNchat 5/21/2010 12:23 DebErupts: As an nurse attorney, the care plan is not my first focus. #RNchat 5/21/2010 12:23 andyatFAD: RT @DebErupts: Clinical Pathways can be multidisciplinary and have a focus on the quality and co-ordination of care.~Until the trial #RNchat 5/21/2010 12:24 tersenurse: #rnchat t2 its difficult to make something simple and beneficial, while keeping it quick and easy to use. anyone read checklist manifesto? 5/21/2010 12:24 tactile: T2 I also think we need to address the issue of Care Plans causing duplicate documentation. #rnchat 5/21/2010 12:24 rnchat: RT @tactile: T2 Care plans only work if we are actually doing the interventions they suggest. Doesn't help if we aren't walking the talk. #rnchat 5/21/2010 12:24 tersenurse: #rnchat t2 i doubt we can convince Atul Gawande to reformat nursing careplans.... 5/21/2010 12:25 andyatFAD: RT @tactile: @tersenurse T2 It takes 45min to an hour to do all my care plans. There are better things to do.~Until the trial #RNchat 5/21/2010 12:26 visiting_nurse: T2 but NCPs r part our training & discipline. what value do we provide if we are action oriented vs thinking & planning? #RNchat 5/21/2010 12:26 tersenurse: @tactile t2 #rnchat oh my god I know, plus frequently EMRs don't make it easy to modify and update when a CP is no longer needed 5/21/2010 12:26 tactile: @andyatFAD T2 If I'm actually walking the pt, assessing pain, getting the specialty bed, pushing the IS, there won't be a trial. #rnchat 5/21/2010 12:26 tersenurse: @Visiting_Nurse t2 #rnchat I don't know about you but it is a struggle and i try to multitask and do both, sometimes i fail. 5/21/2010 12:27 DebErupts: I hate nursing care plans. After 30 years as a nurse, I dread them. I want to throw-up thinking about them. There I finally said it. #RNchat 5/21/2010 12:27
  • 10. tactile: RT @DebErupts: I hate nursing care plans. After 30 years as a nurse, I dread them. I want to throw-up thinking about them. There I finally said it. #RNchat 5/21/2010 12:28 tactile: @DebErupts #RNchat I am so proud of you!!! 5/21/2010 12:29 rnchat: T2 Great to hear everyone's thoughts abt the validity of Nursing Care Plans in our daily pt care agendas. Its a chore to most RNs #RNchat 5/21/2010 12:29 tactile: @andyatFAD T2 In addition, my interventions are already documented in the doc flow sheet & note. Care plan makes it triple charting. #rnchat 5/21/2010 12:31 rnchat: T2 I agree with everyone who feels that there is value in NCPs but there must be a better way to merge the process with the care #RNchat 5/21/2010 12:31 rnchat: LOL with both of you! :) RT @tactile: @DebErupts #RNchat I am so proud of you!!! 5/21/2010 12:31 NursingCenter: I've got to run~ it's been great chatting with you all! Thank you @EllenRichter! Have a good weekend everyone! #rnchat 5/21/2010 12:32 tactile: @rnchat Exactly, why can't we check off the pieces of the care plan we already have to write in our progress note?? #rnchat 5/21/2010 12:32 rnchat: Just about time to wrap up this TGIF edition of #RNchat ~It has been fun filling in for @philbaumann & I'm so glad you all joined! 5/21/2010 12:33 tactile: @rnchat Ellen, you always do such a great job hosting #rnchat!!! #rnchat 5/21/2010 12:34 andyatFAD: @tactile Good point! #RNchat 5/21/2010 12:34 tersenurse: RT @tactile: @rnchat Ellen, you always do such a great job hosting #rnchat!!! #rnchat 5/21/2010 12:34 tactile: Would just like to ask for good thoughts and maybe prayers for me next week. Our facility is going to lay off RNs. I'm stressed. #rnchat 5/21/2010 12:34 rnchat: Please watch for tweets linking to today's transcript! There are always comments I find that I missed totally! Cant wait to read! :) #RNchat 5/21/2010 12:34 visiting_nurse: Thanks Ellen. Thank you the #rnchat participants. Until next time, have a gr8 weekend:-) 5/21/2010 12:35 rnchat: Thanks for the sweet tweets, folks! I love doing these chats! They are really a great way to expand the brain & share with others! #RNchat 5/21/2010 12:35
  • 11. derekrudnak: RT @PhilBaumann: Plz Share: Anyone interested helping to start #PTSDchat for anyone w/PTSD - veterans, victims, etc.? LMKnow #RNchat #hcsm 5/21/2010 12:36 EllenRichter: RT @tactile: Would just like to ask for good thoughts and maybe prayers for me next week. Our facility is going to lay off RNs. I'm stressed. #rnchat 5/21/2010 12:36 tactile: @tersenurse Thank you. I SHOULD be okay, b/c I have a superior review, still do skin and wound, & I update my care plans! #rnchat 5/21/2010 12:37 EllenRichter: Woo hoo! Thanks so much to all of the participants of today's #RNchat ~You made my job of moderator SO EASY!! Great chat!! xoxo TTYL! 5/21/2010 12:37 tactile: @philbaumann I'd like to suggest a topic for #RNchat.. the EMR is making dup, trip, & quadruplicate charting more common. How can we link? 5/21/2010 12:39 visiting_nurse: @tersenurse T2 I hear ya. I took no pleasure n updating plans of care for home health in my home becuz I had no time in ofc/pt. home #rnchat 5/21/2010 12:40 DianeSieg: RT @EllenRichter @tactile Asking for good thoughts and maybe prayers for me. Our facility is going to lay off RNs. I'm stressed. #rnchat 5/21/2010 12:40 KPNurseRecruit: @RNchat I ditto @Visiting_Nurse! Great job Ellen, interesting discussion, diverse participants on #RNChat today. Have a great weekend! 5/21/2010 12:41 visiting_nurse: @tersenurse T1 difrnc btwn Many curr ICDs combine the functions of pacing & defibrillation - pacing vs defibrillator is the & use? #rnchat 5/21/2010 12:47 mikerosenberg9: RT @tactile: @philbaumann I'd like to suggest a topic for #RNchat.. the EMR is making dup, trip, & quadruplicate charting more common. How can we link? 5/21/2010 12:51 philbaumann: @tactile Excellent topic to discuss on #RNchat - I'll put that on the list! Thanks! 5/21/2010 13:10 LindsayMBurke: Ugh! Missed the @RNchat today while I was inflight! I hope all you #RNchat 'ers had a great time? 5/21/2010 13:19 NursingCenter: RT @tactile: Would just like to ask for good thoughts and maybe prayers for me next week. Our facility is going to lay off RNs. I'm stressed. #rnchat 5/21/2010 13:49 NursingCenter: @RNchat @EllenRichter want to share this article from AACN Advanced Critical Care re: ICDs #RNchat http://bit.ly/bvsqAj 5/21/2010 13:52 pedagogymedical: RT @NursingCenter: @RNchat @EllenRichter want to share this article from AACN Advanced Critical Care re: ICDs #RNchat http://bit.ly/bvsqAj 5/21/2010 13:53
  • 12. EllenRichter: @Pallimed I hope you dont mind I referred our #RNchat readers to your blog on defibrillator deactivation in hospice http://j.mp/c4Rqze 5/21/2010 14:00 EllenRichter: @rvabusiness Hi there! Just curious...whats your link to #RNchat ~I see you RT'd our start time today! Did you join us? :) 5/21/2010 14:08