rnchat: Welcome to #RNchat! Please prepend your replies to topics with T1, T2, etc. ...OK, let's
start with introductions!
10/22/2009 20:32
RoRod101: Hi All! I am a RN, NP, Nurse Educator, & DNP student. Happy 2 B in a chat w/ fellow
nurses :) Luv, Ro #RNchat
10/22/2009 20:32
lorryschoenly: @lorryschoenly here - correctional nurse educator and advocator #rnchat
10/22/2009 20:33
BonnieRN: Geriatric Care Manager & Legal Nurse Consultant here (so etiquette calls for naming
topics first as T1, etc.?) Where is list? #rnchat
10/22/2009 20:35
rnchat: T1 Nursing's Relationship w/Technology: How can Nursing improve how it relates to
technology? ie: are we "savvy" enough? o_O #RNchat
10/22/2009 20:36
SafetyNurse: #RNchat Barbara Olson, RN patient and medication safety specialist. Happy 2 b here
(had to get up from pre-Project Runway nap). Worth it.
10/22/2009 20:36
RoRod101: Hello @BonnieRN & @lorryschoenly! #RNchat
10/22/2009 20:36
lorryschoenly: LOL - Bonnie, that's after the intros ;-) #rnchat
10/22/2009 20:37
RoRod101: @SafetyNurse Hey there! :) #RNchat
10/22/2009 20:38
lorryschoenly: T1 - Starting in nursing school for the newbies is a start #rnchat
10/22/2009 20:39
SafetyNurse: #RNChat Hi @RoRod! Thx 4 RTs since last time
10/22/2009 20:39
EllenRichter: OMG I am late!! Was on a conference call! :) #RNchat
10/22/2009 20:39
rnchat: @BonnieRN It makes it easier to track the conversation, so we know what you're
referring to. Also: for search & transcripts. #RNchat
10/22/2009 20:40
EllenRichter: T1 You bet we are savvy enough! I know that nurses can do anything they set their
minds to...I talk from 34 years of it :) #RNchat
10/22/2009 20:41
BonnieRN: Thanks Phil, so, T1 is a statement or an answer (sorry I am new to this chat) Heh, Ellen,
DF. #rnchat
10/22/2009 20:42
EllenRichter: T1 LOL I remember we would "dipstick" urine to test sugar & acetone for diabetics, now
look at us with glucometry (just one example) #RNchat
10/22/2009 20:42
SafetyNurse: #RNChat T1 I don't doubt nurses are smart enough. But I wonder if tech works for nursing
in the way it works for other (non-healthcare)

10/22/2009 20:42
AnthonyBurich: #rnchat T1 I think students in nursing school are definitely ready to learn whatever
technology in nursing curriculum is developed & taught.
10/22/2009 20:42
RoRod101: T1 Perhaps some nursing CE on incorporating tech in the classroom #RNchat
10/22/2009 20:43
EllenRichter: @BonnieRN ~GF, hi & welcome! Nice to have you here! #RNchat
10/22/2009 20:43
hillarygayle: Hi, nurses! I'm Hillary, new grad (August 09) working on orthopedic/med-surg floor.
#RNchat
10/22/2009 20:44
SafetyNurse: #RNChat @BonnieRN Almost like Jeopardy.... "What is, 'It's not accessible for 200, Alex'?
"
10/22/2009 20:44
BonnieRN: T1 - of course we are savvy enough for technology. What technology? Labs? Ho-hum. I
thought we were discussing social media tech. #rnchat
10/22/2009 20:44
EllenRichter: T1 I know that technology will help nursing. Once records are 100% electronic, medical
histories will not be mysteries on admission #RNchat
10/22/2009 20:45
SafetyNurse: @hillarygayle Hi Hillary #RNChat
10/22/2009 20:46
EllenRichter: Oh, sorry...intro= Ellen, critical care nurse, South Florida, also legal nurse consultant for
medical litigation ~Hello folks :) #RNchat
10/22/2009 20:46
rnchat: @BonnieRN We discuss a broad range of topics, not just social media, but you can
answer as far as that's concerned too. #RNchat
10/22/2009 20:46
AnthonyBurich: #RNchat T1 We are taught to critically think. Part of that is searching for pertinent info we
may not know. There are many apps to help.
10/22/2009 20:47
rnchat: @hillarygayle Welcome, glad you could make it! #RNchat
10/22/2009 20:47
rnchat: BTW, you may find this chat easier to follow if you sign in to http://TweetChat.com &
enter: RNchat. #RNchat
10/22/2009 20:48
SafetyNurse: @EllenRichter #RNChat. I agree with you for the far potential. But I hear nurses complain
all of the time about the WAY tech serves them.
10/22/2009 20:48
RoRod101: @AnthonyBurich @hillarygayle Hello, please to meet you both. Ro #RNchat
10/22/2009 20:48
EllenRichter: @AnthonyBurich: T1 yes, apps to help us by providing fast, current info will augment &
improve care #RNchat
10/22/2009 20:49

hillarygayle: T1 We're currently switching our hospital over to Meditech charting software. Feels like
everyone but me HATES it. #RNchat
10/22/2009 20:49
SafetyNurse: #RNChat T1 So I'm wondering, do I encounter the 10% who will complain about anything
or is this legit?
10/22/2009 20:49
AnthonyBurich: #RNchat My intro - Anthony Burich, 1st year nursing school student, Northern California,
future RN. Loving the program!
10/22/2009 20:49
EllenRichter: @safetynurse T1 I bet if nurses had more input into programs & technological advances
they use, there would be less complaining #RNchat
10/22/2009 20:50
BonnieRN: @hillarygayle hi Hillary - nice to have a new grad present. #rnchat
10/22/2009 20:50
AnthonyBurich: #RNchat T1 Any technology that can streamline the nursing process while maintaining
safety and privacy should be welcomed.
10/22/2009 20:50
SafetyNurse: @AnthonyBurich #RNChat T1 So information "hunting and gathering" is part of what
nurses expect to do while OTJ?
10/22/2009 20:51
RoRod101: RT @EllenRichter T1 I bet if nurses had more input into programs & technological
advances they use, there would be less complaining #RNchat
10/22/2009 20:51
AnthonyBurich: @RoRod101 Hi Ro, pleasure to meet you as well! #rnchat
10/22/2009 20:51
EllenRichter: @safetynurse T1 LOL, oh no, nurses love to complain & many hate change because in
the beginning, change interferes with care #RNchat
10/22/2009 20:51
hillarygayle: @EllenRichter absolutely does. esp in my hospital, where last night I had 7 patients, 5
post-op. #rnchat
10/22/2009 20:53
RoRod101: @EllenRichter T1 If the nurses will be users it makes sense to have their input #RNchat
10/22/2009 20:54
SafetyNurse: @EllenRichter But it's a been a long time, Ellen. Is it just vanilla change-hate? Or is there
something missing in design/workflow? #RNChat
10/22/2009 20:55
EllenRichter: T1 My dad had surgery last week & the OR nurse took our cell # & texted us when
surgeon was closing so we could go back 2 waiting rm #RNchat
10/22/2009 20:55
hillarygayle: @safetynurse Small town, small hospital. Change interferes with care b/c of high ratios on
our floors. #rnchat
10/22/2009 20:55
EllenRichter: T1 So, texting was used as health care communication for families of patients in the OR
#RNchat

10/22/2009 20:56
rnchat: Next topic coming up in a few minutes. Feel free to discuss first topic or move on to next.
It's all good. #RNchat
10/22/2009 20:56
EllenRichter: @safetynurse T1 good question! I think its a combo of both...hate change AND design fail
#RNchat
10/22/2009 20:57
AnthonyBurich: @SafetyNurse Is it possible to be familiar with specifics for every drug, diagnosis, etc? I
think we need to seek unfamiliar info. #rnchat
10/22/2009 20:57
SafetyNurse: @EllenRichter That's a win! #RNChat
10/22/2009 20:58
EllenRichter: T1 In almost ALL situations where big changes are happening, it cause major ripples; with
hc technology we must endure it for now #RNchat
10/22/2009 20:58
SafetyNurse: @AnthonyBurich T1 Oh, I agree, Anthony. I think the app suggestion is great. Just think
its use should be part and parcel... #RNChat
10/22/2009 20:59
rnchat: T2 Patient Safety: How well are we doing w/Pt safety? What grade would you give the
profession? What needs most improvement? #RNchat
10/22/2009 20:59
EllenRichter: @anthonyburich T1 I dont know a nurse who practices without Google or a PDA program
at their fingertips, too much to memorize #RNchat
10/22/2009 21:00
SafetyNurse: @AnthonyBurich T1 of what's considered a norm. Not just available to me (a patient) if I
get a "smart" nurse or a "dig native" nurse #RNChat
10/22/2009 21:00
SafetyNurse: @rnchat OMG Phil! Patient safety tonight, too??? Should I yell BINGO now??? #RNChat
10/22/2009 21:00
BonnieRN: T2 - Fall prevention is always an issue. So many concerns really in safety. #rnchat
10/22/2009 21:01
SafetyNurse: @EllenRichter Woohoo! That's a nice observation. #RNChat
10/22/2009 21:01
rnchat: @SafetyNurse :) #RNchat
10/22/2009 21:01
AnthonyBurich: @EllenRichter @safetynurse T1 I think the design fail of past projects fosters the change
hate of present. #rnchat
10/22/2009 21:01
rnchat: @SafetyNurse I figured they actually can dovetail, so if you want to add your pt safety
perspective, feel free. #RNchat
10/22/2009 21:02
EllenRichter: RT @AnthonyBurich: @EllenRichter @safetynurse T1 I think the design fail of past
projects fosters the change hate of present. #rnchat ~YES!!
10/22/2009 21:02

EllenRichter: T2 I review medical records involved in litigation, so I see many glitches in patient safety.
I see the fails~ They are still there. #RNchat
10/22/2009 21:03
SafetyNurse: @rnchat Wonder how "schooled" nurses feel abt #ptsafety. When I went to school, it ws
"side rails up x 4." Stuff now proven to kill. #RNChat
10/22/2009 21:04
EllenRichter: T2 At least the organizations themselves & the regulating agencies are FOCUSED more
on patient safety this past decade #RNchat
10/22/2009 21:04
SafetyNurse: @AnthonyBurich T1 Amen. #RNChat
10/22/2009 21:05
bhawkesRN: Beth Hawkes Staff Development here sorry I'm late #rnchat
10/22/2009 21:06
EllenRichter: T2 Today's student nurses seem very cognizant of pt safety, pt identification, &
precautions such as falls, isolation, allergies #RNchat
10/22/2009 21:07
SafetyNurse: @hillarygayle T2 Ummm... wondering what "patient safety" looks like from ur
perspective.... what u were taught? What u c OTJ? #RNChat
10/22/2009 21:07
RoRod101: @bhawkesRN Hey there! Glad you could make it. #RNchat
10/22/2009 21:07
SafetyNurse: @bhawkesRN Hi Beth #RNChat
10/22/2009 21:07
EllenRichter: @bhawkesRN You will be docked 30 minutes #RNchat
10/22/2009 21:07
BonnieRN: Hi Beth, perfect timing. Staff development specialist and reviewing T2 Safety Concerns or
Pt. Safety. #rnchat
10/22/2009 21:08
bhawkesRN: Thanks all! #rnchat
10/22/2009 21:08
rnchat: @bhawkesRN Welcome, Beth! #RNchat
10/22/2009 21:09
bhawkesRN: T2 Focus on basic nsg care reduces risk. #rnchat
10/22/2009 21:10
EllenRichter: T2 Medication safety is still a tough area because so many are involved: doctor,
pharmacist, nurse, patient...fail can occur 4-fold #RNchat
10/22/2009 21:10
RoRod101: @EllenRichter T2 Patient safety begins in while in nursing school. SimMan is used in the
lab to simulate caring 4 a pt #RNchat
10/22/2009 21:10
AnthonyBurich: #RNchat T2 Teachers are really drilling many different #ptsafety protocols into us. But I
read many students state X in reality Y for NCLEX
10/22/2009 21:12

EllenRichter: @bhawkesRN T2 Unfortunately basic nsg care is very complex! So there is potential risk
for error even with basics #RNchat
10/22/2009 21:13
bhawkesRN: T2 @AnthonyBurich ? X in reality Y for NCLEX? afraid I don't follow #rnchat
10/22/2009 21:13
SafetyNurse: @EllenRichter Great % (I think >1/2) of harm-causing med errors originate in "admin"
phase of med use, making nurses very vulnerable #RNChat
10/22/2009 21:14
RoRod101: T2 SimMan is used 2 teach in a safe environment but the opportunity is there to teach if
something goes wrong 2 prevent in real life #RNchat
10/22/2009 21:14
EllenRichter: @BonnieRN ~I know, its tough. I miss so much. When I read the transcript afterward, I
see how many tweets passed me by! #RNchat
10/22/2009 21:15
bhawkesRN: T2 For example, if we round q 1 hr to assist with voiding, we have fewer falls. If we
ambulate we have less pneumonia and DVT. #rnchat
10/22/2009 21:15
BonnieRN: T2 - Nurses have always been the last line of defense. #rnchat
10/22/2009 21:15
SafetyNurse: @RoRod101 T2 Do your students get to view real med products (boxes, labels) to
becoem aware of look-alike, sound-alike risk points? #RNChat
10/22/2009 21:16
EllenRichter: @safetynurse T2 I do believe that student nurses struggle with med administration the
most. So much info to know abt each drug #RNchat
10/22/2009 21:17
AnthonyBurich: @bhawkesRN Read student posts that teachers tell them things done certain way OTJ
but differently if answering a question on NCLEX. #rnchat
10/22/2009 21:18
vulturegirl: RT @ReconChesty RT @BonnieRN T2 - Nurses have always been the last line of
defense. #rnchat / Very True!!
10/22/2009 21:19
RoRod101: @SafetyNurse T2 They must pass (pass/fail) a medication administration simulation
before giving meds. #RNchat
10/22/2009 21:20
bhawkesRN: @anthonyBurich Oh, gotcha. thanks #rnchat
10/22/2009 21:20
SafetyNurse: @EllenRichter T2 ....and a med admin process that often doesn't support reliability.
#RNChat
10/22/2009 21:20
EllenRichter: T2 In general, nursing profession has aggressively moved towards creating a safer
environmt in hospital care but we're not there yet #RNchat
10/22/2009 21:23
SafetyNurse: T2 Wondering what you guys see when a nurse makes a mistake? #RNChat
10/22/2009 21:24

EllenRichter: @safetynurse We laugh at work b/c our computerized medication system will not let us
override tylenol but we can override dilaudid! #RNchat
10/22/2009 21:24
bhawkesRN: T2 I would like to see peer review as a way to address some pt incidents. #rnchat
10/22/2009 21:25
EllenRichter: @safetynurse T2 when a nurse errs, it is supposed to be opportunity for learning, but we
all know fear & shame preside #RNchat
10/22/2009 21:25
chuymatt: I have seen good things in clinicals. We had one RN give kayexalate v. kaopectate to
someone who was low K c diarrhea. #rnchat
10/22/2009 21:26
RoRod101: @EllenRichter T2 I agree, the nursing profession has aggressively moved towards
creating a safer environment when providing care #RNchat
10/22/2009 21:26
EllenRichter: RT @bhawkesRN: T2 I would like to see peer review as a way to address some pt
incidents ~peer review=great way to learn! #RNchat
10/22/2009 21:27
BonnieRN: T2 - I am sorry but pear review reeks of discipline. We need learning opportunities and
mentoring of trusted colleagues... #rnchat
10/22/2009 21:27
chuymatt: by end of shift it was nailed down to pharm error with the handwritten order... after 2 days
of administration. #rnchat
10/22/2009 21:27
SafetyNurse: @EllenRichter T2 maybe I will shamelessly beg Phil to add "when things go awry" for a
future chat topic #RNChat
10/22/2009 21:28
SafetyNurse: @chuymatt Happens all the time, sorry to say. Welcome to LASA-related errors (look-
alike, sound-alike drug names) #RNChat
10/22/2009 21:29
bhawkesRN: T2 I agree peer review must be approached professionally. Possibly like the medical
model which is not primairily disciplinary. #rnchat
10/22/2009 21:29
EllenRichter: @chuymattT2 Those types of med errors happen all the time, & many take days before
someone spots the problem! #RNchat
10/22/2009 21:29
rnchat: We'll be wrapping up. Yes, time warps inside the #RNchat.
10/22/2009 21:29
SafetyNurse: @BonnieRN ...and measures to prevent a recurrence with another practitioner after
memory of the event fades... #RNChat
10/22/2009 21:30
rnchat: Feel free to keep chatting if you'd like (just swipe your credit card). I'll post a few
administrative details in a moment. #RNchat
10/22/2009 21:31
BonnieRN: @bhawkesRN Agree 100% #rnchat

10/22/2009 21:31
chuymatt: @SafetyNurse I KNOW that there are systems to prevent that kind of contraindicated med
error with all inclusive EMRs. #rnchat
10/22/2009 21:31
EllenRichter: @bonnieRN Dont be too hard on peer review! As long as there are no repercussions,
nurses CAN learn from med errors & near-misses #RNchat
10/22/2009 21:31
rnchat: Transcript of tonight's #RNchat will be posted in a bit.
10/22/2009 21:31
RoRod101: Where did the time go? Great chat! Enjoyed tweetin' with you all. #RNchat
10/22/2009 21:31
BonnieRN: @EllenRichter the follow up of learning is key... #rnchat
10/22/2009 21:32
EllenRichter: Yes, as usual, thanks to @philbaumann for getting us nurses together on Twitter...its
working out wonderfully! :) #RNchat
10/22/2009 21:33
SafetyNurse: @chuymatt You are correct, there are higher level safeguards available. Matter of hard-
wiring them into care. #RNChat
10/22/2009 21:33
bhawkesRN: @BonnieRn we have plans to implement peer review in 2010. I'm excited and want to be
part of the group. But then I'm a joiner :) #rnchat
10/22/2009 21:33
EllenRichter: RT @BonnieRN: @EllenRichter the follow up of learning is key... #rnchat ~Cant agree
more! :)
10/22/2009 21:33
SafetyNurse: Bye all, thanks for the great conversation(s)! #RNChat
10/22/2009 21:33
rnchat: If you haven't tried tools such as http://TweetChat.com or http://TweetGrid.com or
http://Twazzup.com give them a spin. #RNchat
10/22/2009 21:34