RNchat Transcript April 16, 2010

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Transcript for RNchat for Friday, April 16, 2010. RNchat is a Twitter chat for registered nurses.

Topics include:

T1 Health care professionals experience a level of grief when endearing patients die. How can our workplaces help us deal w/ this?

T2 Does the current educational system prepare new health care professionals to effectively manage grief at the workplace?

Follow @RNchat for more (http://Twitter.com/RNchat) or visit the blog http://RNchat.org

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RNchat Transcript April 16, 2010

  1. 1. http://printyourtweets.com/tweets.html rnchat: Signing into http://www.tweetgrid.com to participate in today's RNchat >> use hashtag & search for #RNchat 4/16/2010 11:26 philbaumann: Interested in nursing?: Jump into #RNchat - in 15mins 12p EST. Use http://tweetchat or http:/tweetgrid.com 4/16/2010 11:45 rnchat: Wouldn't you know...of all days for my computer to run terribly S-L-O-W -its @EllenRichter moderating today's #RNchat 4/16/2010 12:00 rnchat: Hello & welcome to the TGIF edition of #RNchat, a Twitter chat for any health care folks & of course for RNs! We need a place to share ideas 4/16/2010 12:01 holisticnurses: RT @rnchat: 3 minutes to #RNchat a 12 noon EST! Thanks to @philbaumann & @Trybarefoot for the reminder tweet :) 4/16/2010 12:02 tactile: @RNchat @tactile here. Med Surg RN in Denver, Colorado #RNchat 4/16/2010 12:02 rnchat: #RNchat is a way for nurses to meet, tweet & share feelings, thoughts, ideas. BTW, we welcome silent lurkers too if you are shy! :) 4/16/2010 12:03 holisticnurses: Hi #RNChat @EllenRichter and everyone here today! Telehealth/Holistic Nurse in NYC. #rnchat 4/16/2010 12:03 rnchat: You can join our chat by signing into websites like tweetchat or tweetgrid or use twitter search page. Use hashtag #RNchat & follow along! 4/16/2010 12:03 HeatheratCAP: RT @rnchat: #RNchat is a way for nurses to meet, tweet & share feelings, thoughts, ideas. BTW, we welcome silent lurkers too if you are shy! :) 4/16/2010 12:04 nursingpins: Hey all - Vernon, critical care in New Orleans #RNchat 4/16/2010 12:05 rnchat: Lets begin the hour by seeing who is joining in. Introduce yourselves & tell us in 140 or less what brings you to #RNchat today 4/16/2010 12:05 rnchat: I am @EllenRichter filling in for @PhilBaumann as moderator. I'm a critical care nurse & legal nurse consultant in Florida :) HI! #RNchat 4/16/2010 12:06 HeatheratCAP: Hi #RNChat @EllenRichter @holisticnurses and everyone else here. I am in Sarasota, FL. What is today's topic? 4/16/2010 12:06 rnchat: @holisticnurses @HeatheratCAP @nursingpins @tactile welcome! :) #RNchat 4/16/2010 12:07 1 of 12 4/17/10 4:04 PM
  2. 2. http://printyourtweets.com/tweets.html HeatheratCAP: #RNChat, I tweet for #Voalte, a communication solution for nurses and clinicians. 4/16/2010 12:07 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! 4/16/2010 12:08 rnchat: T1 Health care professionals experience a level of grief when endearing patients die. How can our workplaces help us deal w/ this? #RNchat 4/16/2010 12:09 philbaumann: Thank you @EllenRichter for leading today's #RNchat! 4/16/2010 12:11 tactile: T1 #RNchat If a nurse has an actively dying pt, on a regular floor, other staff should help pass meds, do cares, to allow focus on pt &fam. 4/16/2010 12:11 holisticnurses: T1 Grief support and education courses. We need a forum to talk about these issues. It's not natural to have to just 'move on'. #rnchat 4/16/2010 12:12 tactile: T1 #Rnchat After a death, expected or not, time should be made for the pt's nurse to mourn w/family, speak to chaplain, have alone time. 4/16/2010 12:12 rnchat: T1 @tactile Yes, so the nurse caring for a dying patient needs support with the rest of her assignment. Dying patients need care #RNchat 4/16/2010 12:13 holisticnurses: @tactile Agreed. Nurse should have more time with family. As a Hospice Nurse I had the opp. to speak w/ the chaplain as needed. #rnchat 4/16/2010 12:13 tactile: T1 #Rnchat If the pt's death involved prolonged resuscitation, or trauma, then the nurse may need longer to recover. EAP can help. 4/16/2010 12:13 rnchat: @holisticnurses T1 Its so true. People believe health care professionals just dust off and move on, but we carry this grief inside #RNchat 4/16/2010 12:14 Trybarefoot: Am 'listening' quietly today to #RNchat - not a topic I can contribute to - but interested all the same! 4/16/2010 12:15 rnchat: @tactile T1 I'll bet most nurses dont realize EAP can help deal with grief in the workplace #RNchat 4/16/2010 12:16 ONSmark: T1 Staff retreats w/ grief counselors like the one for oncology nurses summarized at http://bit.ly/9I3YPm #rnchat 4/16/2010 12:16 2 of 12 4/17/10 4:04 PM
  3. 3. http://printyourtweets.com/tweets.html nursingpins: T1 There needs to be Grief Policies to make sure the option is available - agree @tactile re: (time should be made) #RNchat 4/16/2010 12:17 rnchat: @holisticnurses T1 Yes, I have always loved & supported the hospice principles, which address everyone involved in the dying process #RNchat 4/16/2010 12:17 holisticnurses: Depending on healthcare setting..."optional" meetings to share thoughts, grief counselor onsite, narrative exercises, meditation. #rnchat 4/16/2010 12:18 VNHC: T1 We host two annual remembrance services in Spring & Winter which many of our nurses find helpful and can support families #RNChat #RNchat 4/16/2010 12:18 holisticnurses: We should use it more! RT @rnchat: @tactile T1 Ill bet most nurses dont realize EAP can help deal with grief in the workplace #rnchat 4/16/2010 12:18 rnchat: T1 I have never been given the opportunity to deal with grief from a loss at the workplace. It would have helped so many times #RNchat 4/16/2010 12:18 holisticnurses: T1 @RNChat Critical Care was always the toughest for me in regards to that. Some very diff. code situations but no break to process. #rnchat 4/16/2010 12:20 rnchat: T1 Has any nurse here today participated in grief counselling sessions at their workplace? Did it help? Was it effective? #RNchat 4/16/2010 12:20 VNHC: T1 we also partner with a local mental health org to offer free assistance/counseling to nurses dealing w/ grief - look for similar #RNchat 4/16/2010 12:21 nursingpins: T1 Grief time will probably have to be mandated - hospitals will not give up "unproductive time" without a fight #RNchat 4/16/2010 12:21 tactile: @nursingpins T1 Every hospital I have worked, we made extra time to cover for that nurse and allow her time to deal with her grief. #RNchat 4/16/2010 12:22 holisticnurses: @rnchat T1 Never formally offered grief support counseling. If I wanted it, had to seek it out myself, besides EAP. #rnchat 4/16/2010 12:23 rnchat: @holisticnurses T1 Yes, in critical care many deaths are drawn out & emotional for pts, families & STAFF! We all need soothing after #RNchat 4/16/2010 12:23 rnchat: @officiallycoble Welcome! :) #RNchat 4/16/2010 12:24 VNHC: T1 See the amazing Sesame Street special Wed. night? Something similar for RNs would 3 of 12 4/17/10 4:04 PM
  4. 4. http://printyourtweets.com/tweets.html be helpful. http://www.sesameworkshop.org/grief #RNchat 4/16/2010 12:25 rnchat: @nursingpins T1 Sad to think that "time for staff to grieve" could be considered "unproductive time"! :( #RNchat 4/16/2010 12:25 tactile: @rnchat T1 my hospital offers regular grief workshops, and quarterly masses to remember our patients. #RNchat 4/16/2010 12:25 holisticnurses: T1 Not sure nursing school focused much on grief either. Remember Hospice rotation in Comm. Health, but little about nurses' loss. #rnchat 4/16/2010 12:25 nursingpins: T1 Nur at one time counted on each other for emotional support -but now you may not see the same nur for days #RNchat (Is a problem) #RNchat 4/16/2010 12:26 rnchat: @ONSmark @VNHC Thank you both for the links! :) #RNchat 4/16/2010 12:26 VNHC: T1 Good point @holisticnurses - perhaps this is an issue that isn't adequately addressed at the academic level. #RNchat 4/16/2010 12:27 rnchat: T2 is along the same lines, folks :) #RNchat 4/16/2010 12:27 tactile: T1 #RNchat @nursingpins this is a big part of where hospital culture comes into play. My hospital automatically shifts to allow grief time. 4/16/2010 12:27 HeatheratCAP: Sorry I don't have anything to contribute to this topic, but your comments are very interesting. #RNChat 4/16/2010 12:27 nursingpins: T1 We fight for lunch breaks - grief time will not go over well with hospitals #RNchat 4/16/2010 12:27 holisticnurses: T1 That's why I support AHNA (Holistic Nurses Assoc) principles because such emphasis on self-care in nursing. #rnchat 4/16/2010 12:28 rnchat: T3 Does the current educational system prepare new health care professionals to effectively manage grief at the workplace? #RNchat 4/16/2010 12:28 rnchat: #RNchat 4/16/2010 12:28 rnchat: LOL well, that was supposed to be T2 :) #RNchat 4/16/2010 12:28 4 of 12 4/17/10 4:04 PM
  5. 5. http://printyourtweets.com/tweets.html rnchat: T2 Does the current educational system prepare new health care professionals to effectively manage grief at the workplace? #RNchat 4/16/2010 12:29 tactile: @nursingpins #RNchat T1 We must work in very different environments. When there is an impending death on a floor, we do everything we can 4/16/2010 12:29 rnchat: @nursingpins T1 Would you come to work on your own time to attend a paid grief counselling session if you needed it? #RNchat 4/16/2010 12:30 tactile: T2 #RNchat No. I took an elective death &dying class, and take educational opportunities offered, but there was little training. 4/16/2010 12:30 VNHC: T1 is this a potential Medicare mandate issue? Can local/fed gov. force hospitals or other health orgs to offer grief services? #RNchat 4/16/2010 12:30 holisticnurses: T2 So much to cover in nursing school but would help to have more preparation on nurses' experience of death. Need more storytelling #rnchat 4/16/2010 12:31 rnchat: @tactile T1 Based on your tweets, you should consider yourself lucky to work in facilities that provide good nursing support!! :) #RNchat 4/16/2010 12:31 tactile: T2 #RNchat More training on death & dying needs to occur. Now, it's just a blurb at the end of a chapter. "unfortunately, sometime ppl die." 4/16/2010 12:32 rnchat: @holisticnurses T2 Most everyone has experienced some loss in their life. That can be applied in nursing school to learn how to cope #RNchat 4/16/2010 12:32 holisticnurses: @tactile Very true! The writers must have had difficulty with grief too. #rnchat 4/16/2010 12:32 VNHC: T2 Storytelling - YES! But how? There are resources available like nurseconnect.com and others but are they being utilized? #RNchat 4/16/2010 12:33 tactile: @rnchat T1 #RNchat I love my hospital, my manager, my coworkers. I am very lucky, but as you know, I sacrifice a lot to keep my job. 4/16/2010 12:34 holisticnurses: @rnchat T2 Agreed! An opp. to share personal experience is important and instantly relatable. #rnchat 4/16/2010 12:34 rnchat: @tactile T2 Great point about death just being a blurb @ end of each chapter! Its a topic needing a chapter all to itself, actually! #RNchat 4/16/2010 12:34 VNHC: T2 What's the standard/infrastructure for connecting with other nurses on a personal level? 5 of 12 4/17/10 4:04 PM
  6. 6. http://printyourtweets.com/tweets.html #RNchat 4/16/2010 12:35 holisticnurses: In nursing school, working nurses need to come in to share their experiences. RT @VNHC: T2 Storytelling - YES! But how? #rnchat 4/16/2010 12:35 ONSmark: T2 Some nursing schools use simulations like "Simulated Death: Innovative Approach to Teaching EOL Care" http://bit.ly/aqUyGW #rnchat 4/16/2010 12:36 rnchat: T2 I wish there were Hospice experiences when I was a student nurse. We never dealt with death unless it happened to occur on a ward #RNchat 4/16/2010 12:36 tactile: @rnchat T2 Or a class in itself. I had to seek out an elective class, and felt it helped. #RNchat 4/16/2010 12:36 VNHC: T2 I also see age and aversion to technology (i.e. social media) being issues. Many in our org don't even like to use email! #RNchat 4/16/2010 12:37 ONSmark: @VNHC "don't even like to use email!" -- wow!!! #rnchat 4/16/2010 12:37 holisticnurses: T2 Maybe a nurse should write a textbook solely on the topic of dying and grief in the workplace. Perhaps there is one out there? #rnchat 4/16/2010 12:38 rnchat: @ONSmark T2 Wonderful link! I bet simulated death could surely help nurses learn to cope with grief better #RNchat 4/16/2010 12:39 holisticnurses: RT @ONSmark: T2 Some nursing schools use "Simulated Death: Innovative Approach to Teaching EOL Care" http://bit.ly/aqUyGW #rnchat 4/16/2010 12:40 rnchat: @holisticnurses T2 Perhaps this could be your next project? We could all be contributors! :) #RNchat 4/16/2010 12:40 VNHC: T2 it seems if there was some mandate built into the Medicare reporting/reimbursement process, part of hire orientation, could help. #RNchat 4/16/2010 12:40 holisticnurses: Yes, I would enjoy that! :) RT @rnchat: @holisticnurses T2 Perhaps this could be your next project? We could all be contributors! #rnchat 4/16/2010 12:41 VNHC: T2 at least it could provide an intro to the topic and provide forum for discussing resources (internal/external) available. #RNchat 4/16/2010 12:41 rnchat: @ONSmark T2 Are you joking? We love the links! Don't hold back if they have relevance! And...thanks! :) #RNchat 4/16/2010 12:42 6 of 12 4/17/10 4:04 PM
  7. 7. http://printyourtweets.com/tweets.html holisticnurses: Yes! Love this! RT @ONSmark One last link: "Peer-Supported Storytelling for Grieving Pediatric Oncology Nurses" http://bit.ly/cBjwvh #rnchat 4/16/2010 12:42 nursingpins: T2 (Excellence in Palliative & End-of-Life Care)" from the AACN http://tinyurl.com/y7bqvpa #RNchat 4/16/2010 12:43 tactile: @rnchat T2 #RNchat I have to say that one reason I specifically have avoided picking up hospice shifts... I don't feel comfortable doing so. 4/16/2010 12:43 rnchat: @VNHC T2 Good point. If it was mandated for reimbursement, wouldn't that be great! I just don't see that happening yet. #RNchat 4/16/2010 12:43 holisticnurses: Thank you. RT @nursingpins: T2 (Excellence in Palliative & End-of-Life Care)" from the AACN http://tinyurl.com/y7bqvpa #rnchat 4/16/2010 12:43 rnchat: I'm going to slip in T3, because it all relates.... :) #RNchat 4/16/2010 12:44 rnchat: @nursingpins T2 Awesome link! Thanks~ :) #RNchat 4/16/2010 12:44 ONSmark: @rnchat Thanks for encouragement. I am not a practitioner myself so I can only be "middle man" so to speak. #rnchat 4/16/2010 12:44 VNHC: @nursingpins Fantastic resource, thanks! "Excellence in Palliative & End-of-Life Care" from the AACN http://tinyurl.com/y7bqvpa #RNchat 4/16/2010 12:45 HauteSingleMama: Aghhh! Missing #RNchat because I'm in my a review for my bio lab final. Will read transcript later - very interested in todays topic! 4/16/2010 12:45 rnchat: T3 Knowing how important grief counseling is, should it be mandatory for professionals who deal with death in their workplace? #RNchat 4/16/2010 12:45 nursingpins: T3 - I think it absolutely should be mandatory #RNchat 4/16/2010 12:47 ONSmark: Thanks. I've cited this & ELNEC before. RT @nursingpins: Excellence in Palliative & EOL Care from AACN http://tinyurl.com/y7bqvpa #rnchat 4/16/2010 12:47 VNHC: T3 Absolutely! Look at other services (i.e. police, fire, etc.) - they all require counseling after traumatic experiences, right? #RNchat 4/16/2010 12:48 tactile: @rnchat #RNchat T3. It should not be mandatory, as everyone deals differently with grief. If a RN is not dealing, it can be made mandatory. 4/16/2010 12:48 7 of 12 4/17/10 4:04 PM
  8. 8. http://printyourtweets.com/tweets.html holisticnurses: T3 Yes, grief counseling and communication is very important for ALL nurses. We don't want to burnout! #rnchat 4/16/2010 12:49 rnchat: T3 Medscape for Nurses recently had a whole series of end-of-life articles, many of which addressed nurses & how they are affected #RNchat 4/16/2010 12:50 tactile: t3 #RNCHAT When you make something mandatory, it feels like punishment that your patient died. It needs to be optional. 4/16/2010 12:50 mandirocker: @RNchat T2 had Hospice rotation as a student (this graduating semester) but was < 5 hrs x1 day, not long enough nor full scope. #RNchat 4/16/2010 12:50 VNHC: T3 hmmm, now that I look more closely, mandatory counseling may not be req for other emergency services - varies by county/state #RNchat 4/16/2010 12:50 rnchat: T3 I feel that many times hostile behavior between nurses can be due to stressful situations at work, including patient deaths #RNchat 4/16/2010 12:51 mandirocker: @RNchat T3 No, not at all I don't believe. #RNchat 4/16/2010 12:52 rnchat: @tactile T3 Mandatory can also be in the nurses favor if a facility MUST provide them with support or help. It can be good! :) #RNchat 4/16/2010 12:52 holisticnurses: RT @rnchat: T3 many times hostile behavior betwn nurses can be due to stressful situations at work, includg patient deaths #rnchat 4/16/2010 12:52 officiallycoble: RT @nursingpins agreed. even as a patient, I'd want a healthy caregiver who can cope -- should be mandatory #RNchat 4/16/2010 12:52 holisticnurses: RT @officiallycoble: RT @nursingpins agreed. even as a patient, Id want a healthy caregiver who can cope -- should be mandatory #rnchat 4/16/2010 12:53 rnchat: T3 Great point!! >> RT @HSIJen: Even as a patient, I'd want a healthy caregiver who can cope #RNchat 4/16/2010 12:54 tactile: @rnchat #RNchat t3 I see potential for a "fault" to be placed. RNs may need time away from hospital to recover, not mandatory class there. 4/16/2010 12:54 philbaumann: T3 Facilities need 2 integrate daily support - not just 1 in-service and an occasional talk. Needs to be proactive but not over top. #rnchat 4/16/2010 12:55 VNHC: T3 Important to note that mandatory doesn't mean "psych evaluation" - just a 8 of 12 4/17/10 4:04 PM
  9. 9. http://printyourtweets.com/tweets.html forum/resource for talking openly about grief. #RNchat 4/16/2010 12:56 nickdawson: RT @philbaumann: T3 Facilities need 2 integrate daily support. Needs to be proactive but not over top. #rnchat 4/16/2010 12:56 tactile: @rnchat #RNchat T3 I agree with mandatory education before patient deaths. I don't agree with mandatory grief sessions after. 4/16/2010 12:57 VNHC: T3 After losing a patient, spending 45 minutes with a trained counselor just to check in and offer support can only be helpful. #RNchat 4/16/2010 12:57 holisticnurses: T3 And we all know avoidance & denial may be one coping behavior in matters of death and dying. #rnchat 4/16/2010 12:58 rnchat: @philbaumann T3 We need more facilities with innovative & supportive management to provide integrated daily support when needed #RNchat 4/16/2010 12:58 nursingpins: RT @rnchat: @philbaumann T3 We need more facilities with innovative & supportive management to provide integrated daily support when needed #RNchat 4/16/2010 12:58 rnchat: Agree!! RT @VNHC: T3 After losing a patient, 45 minutes w/ a trained counselor to check in and offer support can only be helpful. #RNchat 4/16/2010 12:59 tactile: T3 #RNchat @nursingpins I agree some things should be mandatory, but you cannot direct how a nurse grieves. I would be offended. 4/16/2010 12:59 rnchat: While everyone is still here I must say that this was truly a wonderful chat today. Everyone offered great ideas & thoughts & links #RNchat 4/16/2010 13:00 tactile: T3 #RNchat Also this should not only focus on RNs, all staff who care for pt should be given opportunity to grieve as they need. 4/16/2010 13:00 tactile: T3 #rnchat How far do you take "mandatory grieving?" Just the nurse? The CNA? Grief counseling should be available to all and optional. 4/16/2010 13:01 rnchat: @tactile T3 Absolutely agree with you! Grief process in health care is for ALL practitioners, not just nurses! :) #RNchat 4/16/2010 13:02 tactile: @nursingpins T3 #rnchat I agree with yearly training. I don't agree with a mandatory class/workshop/therapist AFTER a pt death. 4/16/2010 13:03 VNHC: @tactile Absolutely. And doesn't mean telling someone "how" to grieve, only offer options/suggestions on what may work 4 individual. #RNchat 9 of 12 4/17/10 4:04 PM
  10. 10. http://printyourtweets.com/tweets.html 4/16/2010 13:03 nursingpins: T3 The training should be mandatory - then grieve how you want. #RNchat 4/16/2010 13:03 holisticnurses: @tactile T2 Perhaps individual grief sessions are only as long as the nurse needs them to be. But not right after a death. #rnchat 4/16/2010 13:04 rnchat: T3 Just like families have a funeral & ceremony for closure, health care workers need closure from pt relationships. We hurt @ times #RNchat 4/16/2010 13:04 tactile: @holisticnurses T3 Exactly. I sought a brief time to pray, called my grandmother to say I loved her, and then grieved on my own. #rnchat 4/16/2010 13:06 rnchat: T3 I did pediatric open heart ICU for a short while. Babies died & no one talked about it. I ended up leaving there. Too painful. #RNchat 4/16/2010 13:07 nursingpins: T3 without training - many will continue to need a bitch slap - at least the training will prevent that #RNchat 4/16/2010 13:07 rnchat: @nursingpins LOL I love your descriptions, and yes, I agree...training can only help, not hurt the grief process #RNchat 4/16/2010 13:08 twchat: @rnchat I know #RNchat is listed on the Chat Sched, but if you use http://twebevent.com /RNchat u can post ur nxt chat day/time on that pg 4/16/2010 13:08 tactile: @nursingpins t3 #RNchat It's important to realize when someone just needs a bitchslap, metaphorically, of course. 4/16/2010 13:09 holisticnurses: I must sign off. Lovely chat! Thank you everyone, #rnchat, @EllenRichter for moderating. Lots of great info to read through again. #rnchat 4/16/2010 13:09 tactile: @holisticnurses #rnchat Was great to chat with you today. 4/16/2010 13:11 holisticnurses: PS Also wanted to share something I wrote about personal grief: http://tinyurl.com/y2clslq Nurses need to share their experiences! #rnchat 4/16/2010 13:11 holisticnurses: @tactile Thanks! Talk to you soon! #rnchat 4/16/2010 13:11 rnchat: As fill-in moderator I wish you all a great day & fun weekend. TY all for making my role so much fun! @EllenRichter signing off! xox #RNchat 4/16/2010 13:11 philbaumann: RT @holisticnurses: PS Also wanted to share something I wrote about personal grief: http://tinyurl.com/y2clslq Nurses need to share their experiences! #rnchat 10 of 12 4/17/10 4:04 PM
  11. 11. http://printyourtweets.com/tweets.html 4/16/2010 13:13 rnchat: @holisticnurses Wonderful! Thanks so much for sharing your personal experience with us all! #RNchat 4/16/2010 13:13 nursingpins: T3 one can get training in dealing with death - or you can experience many deaths and learn the sane -training saves grief #RNchat 4/16/2010 13:13 grimalkinrn: #RNchat Another great chat! Thanks @EllenRichter, sorry I can't keep my twitters straight. Thanks to everyone who participated!! 4/16/2010 13:15 rnchat: Twitter nurses please be on the look-out for the link to the transcript of today's #RNchat on health care professionals & grief management 4/16/2010 13:15 VNHC: Nice chatting with everyone - will definitely be back! Thanks... #RNchat 4/16/2010 13:16 rnchat: I'll get a transcript up asap - I'm on Amtrak now & my connection is jittery. Thanks everybody & big thanks to Ellen! - @PhilBaumann #rnchat 4/16/2010 13:16 nursingpins: Great job Ellen - thanks Phil -Thanks all #RNchat 4/16/2010 13:19 EllenRichter: Thanks folks! Your tweets made #RNchat a very valuable experience! @tactile @philbaumann @nursingpins @holisticnurses @ONSmark @VNHC :) 4/16/2010 13:30 EllenRichter: @Trybarefoot @HeatheratCAP I hope you enjoyed the sidelines of #RNchat today! You can always suggest other health care topics for future! 4/16/2010 13:32 MeredithGould: @EllenRichter Always support #RNchat, in memory of Cherry Ames: Nurse Supervisor. 4/16/2010 13:40 Trybarefoot: I did indeed! RT @EllenRichter: @Trybarefoot @HeatheratCAP I hope you enjoyed the sidelines of #RNchat today! 4/16/2010 13:58 HeatheratCAP: @Trybarefoot and @EllenRichter I very much enjoyed the chat today. Thanks! #RNChat 4/16/2010 14:00 LuvenRN: @PhilBaumann I'm sorry I missed the #RNChat this morning. Do you have the next one scheduled? 4/16/2010 14:09 philbaumann: @LuvenRN Haven't scheduled next #RNChat yet but will announce soon. What time(s) days work for you? 4/16/2010 14:12 11 of 12 4/17/10 4:04 PM
  12. 12. http://printyourtweets.com/tweets.html EllenRichter: @holisticnurses Great blog posting you shared with us today at #RNchat ---thanks! http://tinyurl.com/y2clslq 4/16/2010 14:44 holisticnurses: @philbaumann Thank you, sir, for the RT! Amazing #rnchat as always. 4/16/2010 15:44 philbaumann: @holisticnurses Sure! Ellen does a great job moderating #rnchat! 4/16/2010 15:54 EllenRichter: @ONSmark Well, we are honored that you spent an hour of your birthday at #RNchat with us!! Happy birthday & many more!! :) 4/16/2010 16:18 storyboardlife: RT @EllenRichter: Attention Twitter RNs ~ #RNchat is tomorrow at 12 noon! Come join in to discuss how nurses (& other hc workers) deal with grief on the job 4/16/2010 22:47 12 of 12 4/17/10 4:04 PM

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