RNchat Transcript October 24, 2010

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Transcript of #RNchat - a Twitter chat for registered nurses - for Sunday, October 24, 2010.

Follow @RNchat on Twitter for updates.

Visit RNchat.org for more on the chat.

Topics include:

T1 - How are nurse - hospital relations where you are & have the hospitals slowed down hiring? If so, is it affecting staffing?

T2-Why R important nursing care areas missed (R we still 'holistic') & do patients perceive us as scolding, non- listeners?

T3 - what one change can each of us make to improve our practice/profession/units this week?

Follow @RNchat - http://Twitter.com/RNchat for regular updates.

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RNchat Transcript October 24, 2010

  1. 1. RNchat Transcript for Sunday, October 24, 2010 Follow @RNchat for Regular Updates Twitter.com/RNchat RNchat.org rnchat O.K. let's get started with #RNChat - @onlinenursing here moderating - I want to begin by thanking @PhilBaumann for allowing me 2 B here! rnchat I want 2 begin by saying that for the next hour this account will be tweeting alot! My apologies if it busies your twitter stream #RNChat TheToddRN Really excited to be in my first real chat! #RNChat philbaumann Good luck everyone! And thank you @onlinenursing for hosting #RNchat! Cheers! EllenRichter @RNchat Yes!! That article sure was good turf for a #RNchat topic! Missed nursing care: View from the hospital bed http://bit.ly/b5fEj2 rnchat Why don't you all start with introductions and I will follow with tips for #RNChat in a minute :) GO NURSING! Julia1219 #RNChat Julia Cruzan Student Nurse in NUR 3563 pamsvulcan Hi Pam from NY here - med/surg RN #RNCHAT onlinenursing Terri here - RN, NP, Nurse educator, student myself - Lover of #RNChat ! Geek2Nurse Yay! An #RNChat when I'm not sleeping/working/in class. :) I'm Ruth, a psych RN in Oregon/Washington, working on my MSN to be a psych NP. EllenRichter @onlinenursing Welcome & thanks for moderating tonight's #RNchat hour!! Great to have made it here!! :) BraivHC Hi, Jennifer from Braiv Healthcare - healthcare job board, career resource and resume writing service. #RNChat onlinenursing @TheToddRN @EllenRichter @Julia1219 - Hi guys! #RNChat Srini2000 srini, medical equipment manufacturer - hello everyone! #rnchat TheToddRN Todd - CCU RN, BSN student - nervous about twitter. #RNChat dorameulman #RNchat Dora Meulman Critical Care RN I'm glad to be here this evening :) rnchat @Geek2Nurse glad to have you with us! (you too @BraivHC @TheTOddRN #RNChat TheToddRN Hi Terri! #RNChat
  2. 2. Geek2Nurse @TheToddRN Twitter's not to be nervous about. Twitter is just hanging out with friends. ;) #RNChat EllenRichter @TheToddRN Nothing to be scared about! We'll save you! :) #RNchat moonischasingmeNicole, ICU nurse blog @ www.raspberrystethoscope.com #rnchat ctsinclair It will be interesting to see how much/little the #RNchat and #HCSM crowds overlap tonight. #RNchat rnchat O.K. - to follow the chat - follow hashtag #RNChat - be sure to put it in all of your replies. Also, note replies with topic - i.e. T1, T2 BraivHC @TheToddRN Nothing to be nervous about. Just jump in when you can or lurk and learn. No pressure! #RNChat CKRN Courtney from Kansas City, Med-Surg & Home Health RN, Nursing Faculty, hoping to be a DNP student this time next year. #rnchat EllenRichter @ctsinclair Oh yes thats right!! We have #hcsm chat at 9 pm too! Yikes, again we overlapped someone's chat! #RNchat moonischasingmeGo to http://tweetchat.com/room/rnchat to follow it easier. #rnchat TheToddRN Sounds great! Thanks for your hospitality everyone. #RNChat Geek2Nurse @moonischasingme Thanks, I can never remember where that is. ;) #RNChat rnchat T1 - purely for my personal interest - Up in a couple of minutes. #RNChat BraivHC Definately easier-Automatically adds #RNChat to posts RT @moonischasingme Go to http://tweetchat.com/room/rnchat to follow it easier #RNChat jtknowles007 John K. Nursing student from Indiana. !fb #RNchat EllenRichter @moonischasingme Thanks for sharing that link to tweetchat! Good idea! #RNchat moonischasingme@EllenRichter No problem!:) #rnchat Geek2Nurse Hey, let's see if I can multitask and do two chats at once... :) #RNChat #hcsm EllenRichter I also like tweetgrid.com for the Twitter chats because I can also watch other hashtags or keywords as well as #RNchat ShebaMuturi Indeed RT @ctsinclair: It will be interesting to see how much/little the #RNchat and #HCSM crowds overlap tonight. #RNchat rnchat T1 - How are nurse - hospital relations where you are & have the hospitals slowed down hiring? If so, is it affecting staffing? #RNChat
  3. 3. BraivHC @Geek2Nurse That's what I'm doing, tweet chat open in 2 windows side by side. Works pretty well. #RNChat EllenRichter @crgonzalez I so rarely get home early enough for any chats on Sunday nights! Now there are 2! #RNchat CKRN seems that hiring for our new grads this year was slower, jobs requiring experience seem just as prevalent as always. #rnchat onlinenursing @EllenRichter So glad you are here at #RNChat - how was the coffee. (I use tweetdeck guys and it works like twitgrid) EllenRichter T1 I think most every hospital is experiencing financial dismay & it absolutely affects staffing decisions which can be dismal #RNchat redheadedchick2 #rnchat My hospital has slowed down hiring. And I have a friend 6 months out of school still without a job. Geek2Nurse T1 our hospital system has radically slowed hiring. Staffing is tough for us in psych because we don't use float pool RNs. #rnchat BraivHC Hiring for new grads has slowed but hiring for experienced RN's is up- Hearing from employers it is the hardest position to fill #RNChat nurseeducator T1 Less orientees but poeple not leaving jobs either. #RNChat ctsinclair Hey great to see you here @CKRN. If anyone here is looking at social media in nursing education talk to @CKRN #rnchat Julia1219 slower for new grads i believe #rnchat TheToddRN T1 Very few RN positions available in MO. With 5 nursing schools here in the city many grads will be hard pressed for jobs. #rnchat dorameulman #RNchat T1 Nurse Hosp Relations are good at CMC Charlotte NC. We are hiring like crazy. Come join us :)) redheadedchick2#rnchat They force our productivity to be over 100%. ctsinclair T1 - seeing a lot more locum nurses at my hospital. Hard to keep up trust between palliative care team and nursing staff at times. #rnchat EllenRichter T1 I have not worked side by side with a new grad in years, and I work at the bedside #RNchat nurseeducator T1 most of our new hires lately are new grads but in smaller groups. #RNChat pamsvulcan RT @rnchat: T1 - We have been hiring - to replace RNs who have transferred out to other units. #RNCHAT
  4. 4. jtknowles007 T1 hmmm.... very discouraging for the student nurse. This is exactly what I ran into with 1st career. !fb #RNchat TheToddRN T1 With economy so bad, fewer retirement age RNs leaving. #RNChat #rnchat Geek2Nurse T1 I live next to an adult foster care. They just hired 3 new grad RNs who couldn't find jobs. One is driving >60 miles for the job. #rnchat onlinenursing Any of you working in an area where they decided not to fill a job due to fright of h/c reform? #RNChat Geek2Nurse T1: Our hospital system has implemented a nurse internship program for new grads. Had 500 applicants this year, selected 50. #rnchat nurseeducator T1 Nurses near retirement are watching the pension age and pay out. Fears of raising the retirement age #RNChat TheToddRN Not that I'm aware of Terri #rnchat pamsvulcan T1 all of our new hires are new grads - our hospital uses an RN residency model with preceptors/mentors to try to help them #RNCHAT EllenRichter WOW interesting question! RT @onlinenursing: Any of U work in areas where they decided not to fill jobs due to fright of h/c reform? #RNchat rnchat #RNChat - T1 - Interesting! All of this will lead to our T2 topic - which stems from this STTI article - http://bit.ly/b5fEj2 EllenRichter T1 Many of the nurses I work with are in their 50s or 60s with no retirement thoughts in sight (including me) #RNchat rnchat RT @nurseeducator: T1 Nurses near retirement are watching the pension age and pay out. Fears of raising the retirement age #RNChat Julia1219 T1 so what do you suggest for a new grad nurse??! #rnchat cluckyRN Sorry Im late, my first time here, be gentle. Occ Health Rn x 6 yrs, RN x 15 yrs in Mississippi. #rnchat InfusionNurse RT @EllenRichter: T1 Many of the nurses I work with are in their 50s or 60s with no retirement thoughts in sight (including me) #RNchat EllenRichter @onlinenursing By the way, the coffee is delicious, thanks! ;) #RNchat nursebabs65 T1 my hospital uses up nurses and discards them when they get burned out #rnchat rnchat @cluckyRN Glad to have you and so many first time #RNChat tweeps with us tonight. Don't worry - it doesn't hurt a bit.
  5. 5. jtknowles007 T1 some of us are nursing students in our forties with hopes of working for 20+ years. Any room for us? !fb #RNchat EllenRichter @cluckyRN Welcome! We are happy to have you join in! #RNchat nurseeducator @EllenRichter Nurses near 60 are def thinking abt retirement and worrying about the pending age increase. Retire at 60 with 20 yrs. #RNChat dorameulman “@pamsvulcan: T1 Our hospital uses an RN residency model with preceptors/mentors to try to help them #RNCHAT We have this also for new grads EllenRichter @nursebabs65 T1 I think your hospital is like most, unfortunately! #RNchat pamsvulcan @jtknowles007 there's always room for more RNs #RNCHAT BraivHC @jtknowles007 There is always room for skilled, professional, caring nurses. #RNChat TheToddRN T1 there might be a bottleneck soon. When those in their 60's retire with those now in their 50s. Mass exodus of nurses then? #rnchat ocdgirl2000 #RNchat T1 ahhh! I can't wait to retire. date set at 4/2015! onlinenursing @Julia1219 T1 - Tips for nursing students - continue your education, be flexible, be open, and think outside the box/or the bedside #RNChat nurseeducator @pamsvulcan @jtknowles007 agree always room but be willing to be flexible #RNChat pamsvulcan @dorameulman T1 My manager also had me go to nights for part of the summer to help the newer RNs with some tips, & education #RNCHAT BraivHC @Julia1219 As a new grad keep your eyes/ears open, volunteer, be flexible, utilize your network. #RNChat onlinenursing Sorry - had to share - cracking up! My 2 youngest kids, who are supposed 2B preparing 4 bed, just came in wearing my high heels! #RNChat Geek2Nurse T1: my preceptor pointed out that jobs get scarce for new grads in bad economy because semi-retired RNs go back to work. #rnchat Julia1219 @Braivhc @onlinenursing thanks for the tips :) #rnchat onlinenursing @ocdgirl2000 What will nursing do without you? You can't retire - you have to die at the bedside like the rest of us #RNChat TheToddRN @onlinenursing agree with continuing education. Make your own job security with more education. Never a bad idea. #rnchat
  6. 6. nurseeducator @onlinenursing smiles! enjoy them! #RNChat InfusionNurse Oh no...RT @nursebabs65: T1 my hospital uses up nurses and discards them when they get burned out #rnchat jtknowles007 @BraivHC Utilize your network. Amen! !fb #RNchat rnchat T2 up in 3 minutes - you can read the article if you would like - http://bit. ly/b5fEj2 Via @NurseEducator #RNChat EllenRichter T1 To students & new grads, remember there is health IT, community health, a big surge in interventional radiology, & case mgmt #RNchat ocdgirl2000 #rnchat T1 local gov jobs are at a premium now,for RN's since many R "older RNs" who can't tolerate the physical demands of Hospital Nursing TheToddRN @onlinenursing funny, I'm wearing high heels too! JK #rnchat shannynlee RT @InfusionNurse: Oh no...RT @nursebabs65: T1 my hospital uses up nurses and discards them when they get burned out #rnchat NUR3563 RT @Geek2Nurse my preceptor pointed out that jobs get scarce for new grads in bad economy because semi-retired RNs go back to work. #rnchat EllenRichter @onlinenursing LMAO! Kids are the best, even when you're trying to moderate a chat online their interruptions are OK! :) #RNchat EllenRichter @TheToddRN haha~! #RNchat jtknowles007 T1 - be flexible. Amazed how many of my peers have decided what they want to specialize in without knowing the job market. !fb #RNchat onlinenursing @TheToddRN Stop making me laugh! ROFL - when I have to get up to type in the computer, after laughing, it makes it hard to chat #RNChat ocdgirl2000 @onlinenursing #rnchat T1 hate to say it....but it looks like I might just be doing just that! FreshRN RT @EllenRichter: To students & new grads, remember there is health IT, comm health, a surge @ interventional radiology, & case mgmt #RNChat nurseeducator @ocdgirl2000 Nice! 2016 for me but I fear the age will be raised and that would make it 2018! #RNChat TheToddRN @onlinenursing sorry about that. I'll work on being more professional (always been an issue for me). :) #rnchat
  7. 7. BraivHC RT @jtknowles007: T1 - be flexible-Amazed how many of peers have decided what they want 2 specialize in w/o knowing the job market #RNChat cluckyRN I never knew Occ Health existed until I went to it after burnout set it. Now may transfer to Case mgmt. #rnchat EllenRichter @onlinenursing Youre doing a fine job, laughter and all! :) #RNchat nurseeducator @jtknowles007 do you have a preference? #RNChat BraivHC @TheToddRN Don't ever change it! The great personality is part of your brand and you should be proud of it. #RNChat ocdgirl2000 @NurseEducator #rnchat T1 no age raising when there is a " union contract agreement already in place" TheToddRN @EllenRichter: good point. as you can see, the CIS and EHR is becoming a huge focal point in healthcare. RNs are needed there 4 sure #rnchat jtknowles007 @nurseeducator I don't. At least not yet. Want to experience a few different areas before even considering a specialty. !fb #RNchat rnchat T2-Why R important nursing care areas missed (R we still 'holistic') & amp; do patients perceive us as scolding, non- listeners? #RNChat cluckyRN No nx unions in MS. Will work til I die. #rnchat brittanie Still don't feel I have anything to contribute, but I always enjoy watching #RNChat nurseeducator @ocdgirl2000 Our union retirement fund is in the red zone! We've already been given a warning by the union abt the possible increase #RNChat InfusionNurse Hiring new grads? RT @EllenRichter: T1 remember health IT, community health, interventional radiology, & case mgmt #RNchat TheToddRN @BraivHC: I never thought of my personality as my brand, but I sure do like the concept. #rnchat Geek2Nurse @brittanie I often feel that way too, since psych is kind of an outlier, & amp; topics don't always really apply. ;) #rnchat onlinenursing @brittanie You can lurk all you want, but where do you work or where do you want to work in nursing? #RNChat TheToddRN Union? We even say that word - fired! At very least, reprimanded. #rnchat cluckyRN @TheToddRN My humor gets me in trouble now..never worked that way in the hospital. I miss that. #rnchat EllenRichter T2 Great question with about a million answers! #RNchat
  8. 8. Julia1219 #rnchat had hip surgery last yr & was a big diff in my nite/day nurses as far as 'holistic' care!! pamsvulcan @rnchat T2 missed nursing care partly because there are too many fires to put out, partly because newbies don't know better #RNCHAT baerbelsmile RT @nurseeducator: T1 Nurses near retirement are watching the pension age and pay out. Fears of raising the retirement age #RNChat EllenRichter T2 One huge problem with missed nursing care is a simple arithmetic issue! You cant do 100 things in 60 minutes & do them all well. #RNchat ocdgirl2000 @NurseEducator #rnchat T1 yeah ours is telling us we'll lose health care bennies.that's so we will vote their choice of political candidates onlinenursing @Geek2Nurse We all need a psychiatric nurse consult here at #RNChat :) Seriously,psych is one of the most critical areas of nursing. nurseeducator T2 good article! Did you read B, Kalisch studies on the subject? #RNChat Geek2Nurse T2: Mom just had major 7.5-hr back surgery in TX; was taken to her room on the med floor & left for 4 hrs before she saw a nurse!!! #rnchat rnchat RT @EllenRichter - T2 Great question with about a million answers! #RNchat - I know, that's why I asked it ;^) TheToddRN T2 Health care has become less human and more tech. We have become point of sale clerks, not nurturers. Over-regulated at times. #rnchat Geek2Nurse @onlinenursing Definitely critica! ;) Totally different from other inpatient areas, though, as far as care, routines, etc. #rnchat mcgaula RT @nurseeducator: T1 Nurses near retirement are watching the pension age and pay out. Fears of raising the retirement age #RNChat Julia1219 RT @TheToddRN: T2 Health care become less human &more tech. become point of sale clerks, not nurturers. Over-regulated at times. #rnchat pamsvulcan T2 priorities are a big issue: Twitter/FB/online games vs responding to call bells/investigating discrepancies/T&P q2hr, etc #RNCHAT Wanderer_RN Late comer, Tom, cardiac nurse. #RNchat ocdgirl2000 #rnchat T2 as a pt MYSELF over last week.I found the RN's 2 B stuck in lots of bullshit.sorry but true.no time to dc my IV? I was in pain! jtknowles007 @TheToddRN T2 Agreed. I love tech, but we are working with human beings. Too many dx test, not enough human interaction? #RNchat
  9. 9. EllenRichter @TheToddRN T2 I've always said "you cant wipe a tear with a mousepad" ...sometimes nursing care just cant be electronic or automated #RNchat Geek2Nurse @Wanderer_RN Yo, Tom! #rnchat dorameulman #RNchat T2 Sad read. Some nurses just should not be at the bedside. There are so many options if you don't love it LEAVE. Do something else InfusionNurse RT@TheToddRN: T2 Health care has become less human more tech. We become point of sale clerks, not nurturers. Over-regulated #rnchat Julia1219 #rnchat i think so much of life is to involved with tech; my fav part of nursing is the pt-RN interaction!! TheToddRN T2 We don't have time to listen anymore. We are "turning tables" like a server does. The only times we can slow down is w/ chronics. #rnchat ocdgirl2000 #rnchat T2 I ended up D/Cing my OWN IV when it was time to go home. RN was sitting at station doing WHAT? mvaughnrn RT @TheToddRN: T2 Health care has become less human and more tech. We have become point of sale clerks, not nurturers. Over-regulated at times. #rnchat onlinenursing @Geek2Nurse I found when I worked in psych that the med knowledge, communication, & holistic care was even more #RNChat FreshRN RT @dorameulman: Some RNs just shouldn't be at the bedside. There are so many options if you dont love it LEAVE. Do something else #RNChat EllenRichter T2 Nursing just has too many responsibilities. It gets overwhelming & amp; those nurses who cant juggle it all slack off in pt care areas #RNchat nurseeducator T2 Poor use of existing staff, need for improved delegation and organizational skills in addition to prioritizing #RNChat rnchat @Wanderer_RN Welcome! We accept them all, late, early, non-nurse, student! #RNChat TheToddRN Difficult to focus on pt care when we are busy doing chart audits for the mgmt every day. #rnchat jtknowles007 @EllenRichter with so many responsibilities how do the slackers keep their jobs? Seriously-make way for those that can keep up !fb #RNchat
  10. 10. nurseeducator T2 missed care sometimes with pts who are perceived to be " light" #RNChat InfusionNurse Terrible..RT @ocdgirl2000: #rnchat T2 I ended up D/Cing my OWN IV when it was time to go home. RN was sitting at station doing WHAT? EllenRichter RT @dorameulman: #RNchat T2 Sad read. Some nurses just should not be at the bedside. There are so many options if you don't love it LEAVE. Do something else EllenRichter @dorameulman That was an excellent tweet! #RNchat ocdgirl2000 #rnchat T2 Nurse Practitioner was so hung up on synthroid dosage being "exact" because I "didn't make an actual list" she was looking it up! NursingCenter Hey gang! Lisa here - sorry to be jumping in late. Will try to catch up quickly! #rnchat Geek2Nurse @onlinenursing I can't start an IV & would get in the way in a medical code, but the rest of it is true. ;) #rnchat Wanderer_RN T@ Funny thing about nite/day nursing. Feel like I have more time at night to do "holistic" side #RNchat TheToddRN I feel bipolar now. T1 - good feeling, happy. T2 - bad feeling, sad. #rnchat LuvenRN Just joining in myself. Can you repeat the T2 question? #RNChat onlinenursing RT @nurseeducator: T2 missed care sometimes with pts who are perceived to be "light" #RNChat (I believe you hit on something here) healthgist http://j.mp/9ZzB0z ♻ @LuvenRN Just joining in myself. Can you repeat the T2 question? #RNChat pamsvulcan T2 it is overwhelming - I can easily spend the start of any shift spending 1- 2hrs trying to fix stuff that was missed or overlooked #RNCHAT ocdgirl2000 #rnchat T2 I mean Synthroid 0.1mg is what it is!!! looking it up for 15 minutes on your cell phone PDA to get .1222...??hello??? Geek2Nurse @Wanderer_RN Absolutely, can do a lot more 1:1 personal therapeutic interaction at night. #rnchat EllenRichter T2 Unfortunately there are enough nursing missed care horror stories to stretch across the universe. We only hear about the errors! #RNchat
  11. 11. InfusionNurse LOL..RT @TheToddRN: I feel bipolar now. T1 - good feeling, happy. T2 - bad feeling, sad. #rnchat EllenRichter RT @rnchat: T2-Why R important nursing care areas missed (R we still 'holistic') & do patients perceive us as scolding, non- listeners? #RNChat Wanderer_RN T2, lots to do, even more if you don't have competent/willing to work aides leaving it to the urse to do all. #RNchat BraivHC @EllenRichter Amen! Don't hear enough of the good stories because negativity sells. It's sad really. #RNChat onlinenursing RT @Wanderer_RN Feel like I have more time at night to do " holistic" side - Yes, but pts want 2 sleep :) #RNchat dorameulman #RNchat T2 Nursing is more high tech but that's no excuse for sloppy lazy care. We have to hold each other accountable. Geek2Nurse T2: Someone posted a bunch of positive patient comments clipped from discharge surveys in our break room the other day... #rnchat EllenRichter @healthgist Did you see T2 ? I just RT'ed it! :) #RNchat Julia1219 T2 the night nurses were so so much better! #rnchat Wanderer_RN t2, we're perceived sometimes as scolding/non-listening because they don't want to hear what we're saying! #RNchat pamsvulcan @Geek2Nurse on med/surg we are trying to let them sleep if at all possible, not so much with the 1:1 interventions #RNCHAT rnchat @LuvenRN T2-Why R important nursing care areas missed (R we still 'holistic') & do patients perceive us as scolding, non- listeners? #RNChat nurseeducator @LuvenRN Hi there! Miss tweeting with you! #RNChat Geek2Nurse T2: That was so nice, esp after a shift where I had been the focus of all the angry psychotic/delusional patients. ;) #rnchat ocdgirl2000 @InfusionNurse #rnchat T2 what was worse, was that the damn thing hurt WHOLE time because orig. RN was DIGGING to get blood 4 venipuncture! EllenRichter T2 Gonna write a story of my 10 days at my father's side after a lung resection with complications. The nursing care was pitiful #RNchat jtknowles007 RT @dorameulman: #RNchat Nursing is more high tech but thats no excuse for sloppy lazy care. We have to hold each other accountable. #RNchat
  12. 12. brittanie @onlinenursing I'm currently a student, first semester :) I really feel drawn to NICU. I want to do mission Nursing too. #RNchat TheToddRN Holistic seems to have become at the hands of each individ. RN. As an entity, the system doesn't seem to support it. #rnchat Geek2Nurse @pamsvulcan Oh, goodness, I don't go waking them up for therapeutic interaction. ;) But the ones who are up & need it get quality! #rnchat EllenRichter @Geek2Nurse T2 Yes, its so important for nurses to get feedback on the positive experiences patients had too! #RNchat pamsvulcan T2 if I am scolding it's because somebody is trying to do something foolish - like site on a commode for an hour straight... #RNCHAT LuvenRN Hi there @nurseeducator. Likewise! #RNChat onlinenursing @EllenRichter True - good nursing story - GM just in hospital for heart surgery - nurse is one to catch her UTI - GO NURSING! #RNChat FreshRN @rnchat Reading the article you tweeted [http://bit.ly/b5fEj2] about & quot;Missed Nursing Care: View from the hospital bed"--horrific! #RNChat brittanie @Geek2Nurse I think that's an incredible area! One of my favorite instructors is big on psych. I love hearing about it #RNchat LuvenRN T2: Anyone working in service occupations needs ongoing customer service coaching. Once is not enough. #RNChat jtknowles007 @brittanie I always talk with my friend from Columbia about doing mission nursing too! I would love that opportunity. #RNchat Geek2Nurse T2: incidentally, when I'm queen of the hospitals, I'm going to OUTLAW noisy doors. You'd think they could make them not slam! #rnchat TorontoEmerg @TheToddRN Agree: we push nurses to be task oriented, doing rather than thinking #rnchat InfusionNurse RT @Wanderer_RN: t2, we're perceived sometimes as scolding/non- listening because they don't want to hear what we're saying! #RNchat ocdgirl2000 @InfusionNurse #rnchat T2 she was digging away at the BEST hand veins U ever saw!I swear! I could do better on my "oldies" in Leisure World!
  13. 13. Wanderer_RN T2 have horror stories of my own from my wife's post-c-section experience. HEr care was me and her mom. Nurses not there at all. #RNchat rnchat Final T3 - up in 3 minutes and then we will wrap up. #RNChat Wanderer_RN @Geek2Nurse Yeah, your doors slam to much! #RNchat Geek2Nurse T2: Also doors that make horrendous clacking sounds when you open them to try to "quietly" check on sleeping patients. #rnchat Julia1219 #rnchat i believe holistic nursing is definitely an individual choice! TheToddRN @torontoemerg: I agree. With new technology it takes us further away from humanizing the hospital experience. #rnchat EllenRichter T2 So getting back to your original question, how can we ever remedy these missed nursing issues? It seems hopeless! We need help. #RNchat Geek2Nurse @Wanderer_RN :P #rnchat pamsvulcan @Geek2Nurse I know, some of the better conversations, interactions have been when my other patients are otherwise occupied #RNCHAT Lawcats @LuvenRN #RNChat is nursing a service or a profession? LuvenRN T2: "scolding" "not listening" "not there at all" < a symptom of not & quot;being present"? As a society, R we all having trouble w/that? #RNChat Wanderer_RN T2, as for sleep, sometimes you HAVE to wake them up, esp. on a tele floor. But I try to let people sleep by clustering, etc. #RNchat FreshRN I agree! RT @Julia1219: #rnchat i believe holistic nursing is definitely an individual choice! #RNChat EllenRichter @onlinenursing T2 Great to hear the good nursing care given to your GM! :) #RNchat InfusionNurse Not good..sorry about ur exp RT @ocdgirl2000: #rnchat what was worse, was that the damn thing hurt WHOLE time because orig. RN was DIGGING LuvenRN @Lawcats Nursing is both. Professionals who help people are providing service. #RNChat Geek2Nurse @Wanderer_RN My personal philosophy is NEVER wake a sleeping psych patient unless the unit is on fire. ;) #rnchat ocdgirl2000 #rnchat T2 If I mention several time that my IV site HURTS and the vein is raised, show it to the RN, it gets brushed off, then not DC'd??
  14. 14. InfusionNurse RT @Lawcats: @LuvenRN #RNChat is nursing a service or a profession? pamsvulcan @LuvenRN T2 not being present is definitely a big issue - too much time is spent multi-tasking, divided priorities #RNCHAT Wanderer_RN Yup. Hard to balance. RT @LuvenRN: @Lawcats Nursing is both. Professionals who help people are providing service. #RNChat #RNchat nurseeducator RT @LuvenRN: T2: "scolding" "not listening" "not there at all" < a symptom of not "being present"? As a society, R we all having trouble w/that? #RNChat Geek2Nurse @Wanderer_RN Tele is a whole different thing, of course. #rnchat EllenRichter @Lawcats Good question. Its a profession that provides services in which the results are based on assessment & evaluation skills #RNchat onlinenursing @EllenRichter T2 - 1st step is to start w/the RN in the mirror- more aware as RN's of our pateints, our demeanor, our desk activity. #RNChat dorameulman “@TheToddRN: I feel bipolar now. T1 - good feeling, happy. T2 - bad feeling, sad. #rnchat you're histerical You would be fun to work with. TorontoEmerg T2 Can anyone define "holistic" nursing? Isn't that what were supposed to do, ideally? #rnchat ocdgirl2000 #rnchat T2 clearly, when it is TIME to go and I am dressed, my RIDE is waiting,I 've told the nurse..why would she make me wait in PAIN? TheToddRN @dorameulman: Thanks! I think humor helps with most every situation. #rnchat cluckyRN @Geek2Nurse @Wanderer_RN I did tele for years. I feel your pain! #rnchat Wanderer_RN @Geek2Nurse HA! We do that with a certain subset of our patients too! #RNchat Geek2Nurse @TorontoEmerg Holistic just means seeing the big picture; addressing/considering all aspects of the patient, not just medical. #rnchat InfusionNurse Bad care= poor outcome RT @ocdgirl2000: #rnchat T2 my IV site HURTS.. vein is raised, show it to the RN, it gets brushed off, then not DC'd?? rnchat @EllenRichter can read my mind-T3 - what one change can each of us make to improve our practice/profession/units this week? #RNChat EllenRichter @onlinenursing T2 Good first step advice: Look in the mirror...see what kind of nurse you really are portraying #RNchat
  15. 15. Julia1219 RT @Geek2Nurse: @TorontoEmerg Holistic just means seeing the big picture; addressing/considering all aspects of the patient, not just medical. #rnchat LuvenRN T2: they say skills R easy 2 teach but attitude is not. A gd attitude & amp; the desire 2 achieve personal best-from whence does it come? #RNChat CKRN T2 @geek2nurse @torontoemerg to me, ideally, the phrase " holistic nursing" should be redundant if doing the nursing thing right. #rnchat Geek2Nurse @TorontoEmerg Many take it to mean "alternative therapy, " but that's not necessarily true; just 1 possible aspect of holistic care. #rnchat nursekeith @TorontoEmerg There r many definitions for holistic nsg but I feel nsg as a whole is by and large holistic in nature #rnchat onlinenursing @TorontoEmerg - Good question! 'holistic'- more than getting my check list done until the next shift arrives- bigger picture #RNChat Wanderer_RN T2, we have to be "holisitic" because seeing the big pic makes all the difference. Takes awhile to get there though! #RNchat ocdgirl2000 #rnchat T2 I went over to the bedside drawer, (after cardiac cath!!), found the dressing supplies, and D/C'd my own IV. Felt SO much better. TheToddRN I feel the best solution is to become the patient. When in bed as one, it gives u the perspective needed to be truly empathetic #rnchat Geek2Nurse @CKRN Exactly! #rnchat FreshRN RT@CKRN @geek2nurse @torontoemerg to me, ideally, the phrase & quot;holistic nursing" should be redundant if doing the nursing thing right #RNChat cluckyRN @Lawcats @LuvenRN In Occ Health, it is definitely both. Also manage workers comp, hearing testing, spirometry, DOT testing. #rnchat onlinenursing @TheToddRN Are you being humorous again? Too much of that & they will invite you back 2 #RNChat CKRN T3 we can all be as present as possible and self monitor to see if what we think we're doing/conveying is consistent with the actual #rnchat
  16. 16. EllenRichter T3 With primary care nursing we ea end up working in a vacuum. 1 RN doesnt know what the next is doing. We need more teamwork focus #RNchat Geek2Nurse @FreshRN Yes. Nursing == holistic care. #rnchat TheToddRN Those who have been there as a pt know what to expect from nursing and where the areas of opportunity lie for us to be better RNs. #rnchat NursingCenter RT @Geek2Nurse: @FreshRN Yes. Nursing == holistic care. #rnchat Geek2Nurse T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patient's has been worse. #rnchat EllenRichter @TheToddRN T3 Great point! Maybe every health care professional needs to be a tortured patient for a week #RNchat NursingCenter RT @onlinenursing @TorontoEmerg holistic- more than getting my check list done until the next shift arrives- bigger picture #rnchat ocdgirl2000 RT @TheToddRN: I feel the best solution is to become the patient. When in bed as one, it gives u the perspective needed to be truly empathetic #rnchat TheToddRN @onlinenursing: again, I'm sorry. It's my "brand" though, I can't help it. #rnchat Wanderer_RN T3, try to be "present" more and not thinking 3-4 steps ahead. Get caught in that cycle too often. #RNchat Julia1219 t3-- presence with our patients and treating them as individuals #rnchat NursingCenter RT @Geek2Nurse TorontoEmerg Holistic means seeing the big picture; address/consider all aspects of the patient, not just medical #rnchat Geek2Nurse T3 Also that difficult patients really don't *enjoy* being the miserable annoying people they are, & would change if they knew how. #rnchat TorontoEmerg T3 As charge nurse, I can support the nurses working with me to ensure have the space/time to give good, holistic, patient care, #rnchat LuvenRN T3: "B the change U want to see in this world" always comes 2 mind when I think abt wanting 2 make a diff. Role modeling& lt; important! #RNChat TheToddRN I have been a pt where I work - in the CCU. I feel I can bring a level of care that many of my peers are unable to. I use it to help #rnchat AlisynGayle RT @Geek2Nurse: T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patient's has been worse. #rnchat
  17. 17. ocdgirl2000 #rnchat T3 there is no experience better than being the patient yourself. onlinenursing RT @Geek2Nurse: T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patient's has been worse. #rnchat Geek2Nurse @Wanderer_RN T3 Mindfulness is SO hard to maintain! #rnchat EllenRichter T3 Today I asked a RN to please help me a minute w/ a pt. She said she couldnt...she had charting to catch up on. I'm like....duh?? #RNchat TheToddRN @EllenRichter love that answer...priority? #rnchat Geek2Nurse @EllenRichter T3: the team mindset really makes a huge difference. #rnchat shegeekxdesign RT @onlinenursing: RT @Geek2Nurse: T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patient's has been worse. #rnchat rnchat Can you believe it has been an hour already? #RNChat - time to wrap up. Parting words of wisdom to your patients in twitter land? Julia1219 RT @Geek2Nurse: T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patient's has been worse. #rnchat NursingCenter @EllenRichter ouch...I remember too many interactions like that! #rnchat Wanderer_RN T3, as charge, keeping my ears open for troubles on the unit and being available to help. Keeping the team together. #RNchat FreshRN T3- As you're taking report @ start of shift & making a checklist of what needs to b done, add at least 1 task RE: holistic pt needs #RNChat nursekeith @RNchat Every patient deserves a nurse! #rnchat dorameulman #RNchat T3 Take a few minutes to listen to your patient/family. Be kind and compasionate and a team player with your peers. It rubs off :) FreshRN RT @Geek2Nurse: T3 One thing that helps me is to remind myself that no matter how bad my day has been, the patients has been worse. #RNChat Wanderer_RN @EllenRichter T3, it's almost like you work where I do! #RNchat NursingCenter RT @nursekeith: @RNchat Every patient deserves a nurse! #rnchat redheadedchick2 RT @TheToddRN: Those who have been there as a pt know what to expect from nursing and where the areas of opportunity lie for us to be better RNs. #rnchat EllenRichter @rnchat (@onlinenursing) Absolutely terrific chat!! You did a wonderful job moderating tonight! Woo hoo! :) #RNchat TorontoEmerg @EllenRichter T3 I would so . . .unhappy with that nurse. #rnchat
  18. 18. TheToddRN Don't eat the big white mint! That's my creedo - if I had to have a creedo #rnchat ocdgirl2000 #rnchat T3 actually,my day as the pt was NOT that bad. it was STRESSful & scary.The staff was more about filing about doing chores than care cluckyRN KY Jelly is NOT for your toast! #rnchat EllenRichter @TorontoEmerg T3 Oh I was sickened by that nurse's comment, and believe me, I let her know it. #RNchat Julia1219 #rnchat thanks for the great convo/input/info guys!! Yay nursing Wanderer_RN YES!!! RT @TheToddRN: Don't eat the big white mint! That's my creedo - if I had to have a creedo #rnchat InfusionNurse Good job Terri. Thanks and good night to all #RNChat TheToddRN That's all the wisdom I have #rnchat onlinenursing Dear patient-I am serious about Ur health & about you - remind me to sit down for a minute & listen to what U R trying to tell me! #RNChat BraivHC Great chats tonight, I enjoyed them both. Thanks! #RNChat #hcsm redheadedchick2 Another thing that has helped me be a better nurse is being a caregiver to a parent and inlaw who was sick. #rnchat Lawcats Every patient NEEDS a nurse! RT @NursingCenter: RT @nursekeith: @RNchat Every patient deserves a nurse! #rnchat Geek2Nurse Psych unit wisdom: The difference between staff and patients is the patients get better. ;) #rnchat TheToddRN Thanks again everyone! #rnchat FreshRN @TheToddRN @CluckyRN - - LOL ;) #RNChat LuvenRN Thanks, everyone, for being here and thanks to @onlinenursing for moderating. Awesome group & discussion! #RNChat InfusionNurse LOL RT @cluckyRN: KY Jelly is NOT for your toast! #rnchat Wanderer_RN Thanks all! T'was fun. Never seems to happen on my days off. #RNchat onlinenursing RT @cluckyRN: KY Jelly is NOT for your toast! #rnchat (Baw ha ha - between you and @TheToddRN ) Barrel of laughs! EllenRichter Great chat tonight!! Please, all of the new nurses who joined us, please follow the rest of the nurses in #RNchat! We are power in #s!
  19. 19. ocdgirl2000 #rnchat T3 I have no patients in twitter land. they can't afford computers! cluckyRN when is the next #rnchat onlinenursing @Julia1219 So glad you came!!!! Thanks to all of you for your words of wisdome #RNChat TorontoEmerg RT @onlinenursing: RT @cluckyRN: KY Jelly is NOT for your toast! #rnchat (Baw ha ha - between you and @TheToddRN ) Barrel of laughs! Geek2Nurse @Wanderer_RN Happy day off! I'm headed back for #3 of 3 tonight. #rnchat pamsvulcan Thanks for another great chat! #RNCHAT CKRN Thanks to everyone, first time at this tweetchat, but very much enjoyed the conversation. Have a good one! #rnchat rnchat @cluckyRN - wish I knew when next #RNChat was - @PhilBaumann will keep us posted with this hashtag-he will get transcript up too. THX guys! ocdgirl2000 #rnchat much easier on me with this new laptop hehe ;-p NursingCenter @onlinenursing What a chat! Great job moderating...looking forward to the transcript to read what I missed at the start! #rnchat cluckyRN @dorameulman @EllenRichter Moving pts alone is why I am in occ health now-ruined back. #rnchat TorontoEmerg Good for blog topics :) #rnchat EllenRichter @cluckyRN Actually I'd like to do a #RNchat next week, maybe Wed in the daytime. I will check with @philbaumann to see his plans too! nurseeducator Thank-you @onlinenursning! Great job! #RNChat EllenRichter @ocdgirl2000 LOL its about time! Your dinosaur computer was killing our chats! You were never there! ;) #RNchat ocdgirl2000 #rnchat great seeing you all again, and getting used to chatting on my new "machine" philbaumann @rnchat Over a year ago, I planned getting a regular time for #RNchat - but you know what? I kinda dig the mystery. ;-) cluckyRN @EllenRichter Thx! #rnchat I work 8-5 M-F *ducking* onlinenursing @TorontoEmerg and your blog is one of the best to read - particularly poems and photos #RNChat EllenRichter @cluckyRN Awww, thats so sad to hear. So many nurses with wrecked backs :( #RNchat
  20. 20. ocdgirl2000 @EllenRichter #rnchat lol! I know, but now I have to get used to this new keyboard!haha! philbaumann Thank you @onlinenursing for running #RNchat! Always a gr8 job. I'll tweet out when the transcript is up! Cheers everyone! EllenRichter @cluckyRN LOL! Hey, you'll have to take your lunch to a computer for the hour of chat!! :) #RNchat Lawcats Wish i could have paid more attention but vikings packers on! RT @NurseEducator: Thank-you @onlinenursning! Great job! #RNChat cluckyRN @EllenRichter Impossible to do this on an iPhone!! #rnchat EllenRichter @cluckyRN LMAO! OK good point. I could never do a chat on my phone either! :) #RNchat cluckyRN @Lawcats @NurseEducator @onlinenursning Im watching the game too. Know Farve, but no texting! #rnchat onlinenursing @Lawcats football is a priority you know! #RNChat onlinenursing @philbaumann Mystery is good! I kind of like it, keeps me monitoring the hashtag #RNChat onlinenursing Night all! #RNChat JaeSelle @PhilBaumann mysteries always keep it interesting ;) #rnchat EllenRichter OK I'm still in my scrubs, yuck. I gotta get changed & make dinner etc then back to work in the morning! Have a good evening folks #RNchat philbaumann @JaeSelle Absolutely! :) #rnchat happikiki23 RT @InfusionNurse: LOL RT @cluckyRN: KY Jelly is NOT for your toast! #rnchat Lawcats Absolutely! RT @onlinenursing: @Lawcats football is a priority you know! #RNChat ocdgirl2000 #rnchat Nighty Night Nursey Nurses! cluckyRN Gnite y'all!!! #rnchat Nice meeting y'all! If it's wet and or sticky and it ain't yours, PUT YOUR GLOVES ON~! END CHAT RNchat for Sunday, October 24, 2010 - Moderated by @OnlineNursing Twitter.com/RNchat RNchat.org

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