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RNchat Transcript March 16, 2010

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Transcript of #RNchat, a Twitter chat for registered nurses, for March 16, 2010. Follow @RNchat for more or visit the blog http://RNchat.org

Topics:

T1 The Question Nursing Answers: "What is the effect of entire h/c process on the human being?" Discuss.

T2 RN-LPN Relations: How healthy, overall, is the relationship between RNs & LPNs?

T3 Nursing Startups: What businesses do you think nurses should build that could change the world?

Published in: Health & Medicine, Education
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RNchat Transcript March 16, 2010

  1. 1. tully3000: RT @consultdoc: Hospitals beginning to add policies to "care for caregivers" who are involved in medical errors http://bit.ly/bePgqW #rnchat 3/16/2010 09:28 StressedFran: RT @PSeditor: RT @RNchat: RT @kevinmd Nursing Needs to Confront a Culture of Bullying - http://bit.ly/dme9yM #RNchat < Totally! 3/16/2010 10:04 philbaumann: I'm moderating today's #RNchat at12pm EST. Join in or stalk. Tell your friends. 3/16/2010 10:58 EllenRichter: Raising the bar! ~Nursing practice is more difficult today than in 2007~ Difficulty of NCLEX to be Increased http://i.cx/1h7 #RNchat #nurses 3/16/2010 11:29 rnchat: Welcome to #RNchat! Thank you for participating. Let's get started with introductions: tell us who you are, what you do & what you love. 3/16/2010 12:01 andyatFAD: Andy McPhee, Senior Acquisitions Editor for FA Davis. Former RN still in healthcare, sort of. #RNChat 3/16/2010 12:02 grimalkinrn: I am JoAnne. Med Surg RN, Skin & Wound Resource, Preceptor in Denver, Colorado! #rnchat 3/16/2010 12:02 AshleighPugh_RN: @ONSmark @rnchat thanks excited to be here! #RNchat 3/16/2010 12:03 grimalkinrn: @andyatFAD Love the new user pic! #rnchat 3/16/2010 12:03 AshleighPugh_RN: I am Ashleigh, an Oncology Educator/Technology Coordinator in Toronto #RNchat 3/16/2010 12:04 andyatFAD: @grimalkinrn Thanks! Kinda goofy, I know. #RNChat 3/16/2010 12:04 onlinenursing: #RNChat - Terri Schmitt - RN, FNP, PhD Candidate - educator and rural FNP - looking for my informatics students. Happy Tuesday! 3/16/2010 12:04 lorryschoenly: Lorry here - correctional nurse writer and educator. Glad for a writing break to chat with you folks #rnchat 3/16/2010 12:04 NursingCenter: Hi everyone! I'm Lisa, clinical editor for LWW and NursingCenter.com. Love chatting with all you nurses! #rnchat 3/16/2010 12:04 EllenRichter: Hi folks! Critical care RN & legal nurse consultant happy to be working from home so I can join #RNchat today! :) 3/16/2010 12:04 mkopp1: #rnchat I'm Marie ER RN in MN. Been a while since I have been available to participate! Waiting to pick kids up from preschool so not long
  2. 2. 3/16/2010 12:05 rnchat: We'll get started with our first topic in a minute. Please prepend your tweets with the topic, eg T1, T2, etc. #RNchat 3/16/2010 12:05 nursechenene: #RNchat I'm an operating room nurse and first assistant at a Level I trauma and burn center in SW Misssouri. 3/16/2010 12:05 nursekama: Kama, Clinical Nurse Specialist, Psych/Mental Health, London and St. Thomas. So excited to join today's chat! #RNChat #RNChat 3/16/2010 12:05 acmessner17: I am Angie, ICU RN in Springfield, MO & in school to get my BSN, which is how I got introduced to twitter! Hey Terri! #RNChat 3/16/2010 12:05 rnchat: I'm @PhilBaumann - started this funness. Trying to help nursing come to the 21st Century. Among other things. #RNchat 3/16/2010 12:05 rnchat: T1 The Question Nursing Answers: "What is the effect of the entire h/c process on the human being, from Wellness to Death?" Discuss. #RNchat 3/16/2010 12:06 ocdgirl2000: #rnchat Lynne from Montgomery County Gov, just got bad news,our Nurse manager is leaving..awww..behavioral health,crisis services,addictions 3/16/2010 12:06 EllenRichter: Standing room only! :) Hi friends!! (too many to tweet--TMTT) #RNchat 3/16/2010 12:07 grimalkinrn: t1 When the process works, the HC process extends quality of life, but can hinder death, cause denial, and prolonged suffering. #rnchat 3/16/2010 12:07 HauteSingleMama: I'm a student, still doing prerequisites :) I'm applying for the nursing program this fall! #rnchat 3/16/2010 12:08 EllenRichter: T1 I think we USED to see the h/c process as happening ONCE someone got ill--now prevention is number 1 goal in h/c #RNchat 3/16/2010 12:08 onlinenursing: @rnchat T1 - H/c should be natural and promote natural processes. Sometimes I worry that the emph in h/c is medications and cutting. #RNChat 3/16/2010 12:08 onlinenursing: @grimalkinrn Excellent point! Agree #RNChat. 3/16/2010 12:09 ocdgirl2000: #rnchat T1 ok just copy /pasted the fast way.. 3/16/2010 12:09 acmessner17: #RNChat: I sometimes feel that the h/c process intervenes too much in people's health, and prolongs things that are inevitable (Agree!) 3/16/2010 12:09
  3. 3. rnchat: @acmessner17 Welcome! #RNchat 3/16/2010 12:10 OncologyNursing: Hi everyone! Carrie from ONS here. #RNchat 3/16/2010 12:10 NUR3563: RT @EllenRichter T1 I think we USED to see the h/c process as happening ONCE someone got ill;now prevention is number 1 goal in h/c #RNchat 3/16/2010 12:10 EllenRichter: T1 Even at the point of death, we want to prevent pain & suffering ... isn't that preventive medicine too? :) #RNchat 3/16/2010 12:10 lorryschoenly: In corrections we are moving from an episodic model to chronic care model. I don't like the term but applaud the idea of a continuum #rnchat 3/16/2010 12:10 AshleighPugh_RN: T1 I would agree @EllenRichter #RNchat 3/16/2010 12:11 nursechenene: #RNchat I think emphasis should be on pt's wishes rather than what the h/c team wants ie end of life decisions. 3/16/2010 12:12 nursekama: RT @AshleighPugh_RN: T1 I would agree @EllenRichter #RNChat 3/16/2010 12:12 acmessner17: @rnchat I also think that prevention is the biggest goal in h/c today, which is a great focus I feel #RNchat 3/16/2010 12:12 nursekama: Can you expand on that at all? RT @ocdgirl2000: #rnchat T1 depends on the economy & politics #RNChat 3/16/2010 12:13 grimalkinrn: T1 The idea of prevention and healthy lifestyle is vital to control DM, HTN, CAD, etc. HC needs to focus on prevention. #rnchat 3/16/2010 12:14 EllenRichter: @grimalkinrn Yes, we really need to approach death with a more ethically acceptable process in health care #RNchat 3/16/2010 12:14 NursingCenter: @EllenRichter T1 Absolutely~ In ICU, some of the best days are when ur pt has a "good" death. #rnchat 3/16/2010 12:14 StephenNP: #RNchat T1 a great piece written by a colleague http://bit.ly/aKU8ss 3/16/2010 12:14 andyatFAD: Prevention may be the biggest goal but our entire hc system is set up for illness/acc. How to adapt? #RNChat 3/16/2010 12:14 onlinenursing: @grimalkinrn Agree again & if peep R ready to die we label them 'passively suicidal'
  4. 4. (P.S.looking 4ward 2 death-will be less busy:) #RNChat 3/16/2010 12:15 ocdgirl2000: #rnchat T1 Hate to be so pragmatic, but it's the reality.We need to be able to deal with it, and get out of our little "pretend" bubbles. 3/16/2010 12:15 NUR3563: RT @andyatFAD: Prevention may be the biggest goal but our entire hc system is set up for illness/acc. How to adapt? #RNChat 3/16/2010 12:15 EllenRichter: Happy to RT this one! >> @NursingCenter: T1 Absolutely~ In ICU, some of the best days are when ur pt has a "good" death. #rnchat 3/16/2010 12:15 NursingCenter: @onlinenursing LOL! Very true...Someone once said to me "I'll sleep when I'm dead" - love that line! #rnchat 3/16/2010 12:16 EllenRichter: @StephenNP Thanks! Going to read it right after the chat! :) #RNchat 3/16/2010 12:16 mkopp1: #rnchat T1: prevention is key. And more focus to this area is still needed. 3/16/2010 12:16 andyatFAD: RT @StephenNP: #RNchat T1 a great piece written by a colleague http://bit.ly/aKU8ss #RNChat 3/16/2010 12:16 rnchat: RT @NursingCenter: @EllenRichter T1 Absolutely~ In ICU, some of the best days are when ur pt has a "good" death. #rnchat 3/16/2010 12:16 grimalkinrn: @onlinenursing t1 I think labeling anyone w/the word "suicidal" will have drastically neg effects. "Comfort Care" more acceptable. #RNChat 3/16/2010 12:16 NursingCenter: @StephenNP Thanks for the link...will read after RNchat! #rnchat 3/16/2010 12:16 lorryschoenly: Prevention is part of correctional chronic care model-yes.Death-no. Nobody dies in corrections-we send them to @ellenrichter etal:o) #rnchat 3/16/2010 12:17 ocdgirl2000: #rnchat T1 Have you read the health care bill that is presently waiting for votes?fully? raise your hands/ 3/16/2010 12:17 ONSmark: Me too, plus the NEJM article it cites: RT @EllenRichter: @StephenNP Thanks! Going to read it right after the chat! :) #rnchat 3/16/2010 12:18 nursekama: Agree on prevention. In mental health, we focus on the experience of recovery vs. illness or problem-based models. #RNChat #RNChat 3/16/2010 12:18 philbaumann: T1 We have a culture with an unhealthy view of death. We prolong suffering and curtail
  5. 5. the experience of living fully. #RNchat 3/16/2010 12:18 nursechenene: #RNchat health in the csection increase in USA is in the news again. The number of inductions and sections is higher than any other country 3/16/2010 12:18 CIHC_ca: RT @nursekama: Agree on prevention. In mental health, we focus on the experience of recovery vs. illness or problem-based models. #RNChat 3/16/2010 12:19 EllenRichter: T1 Yes, prevention (& education & transparency) R magic buzzwords in h/c & our only hope to battle or biggest chronic conditions #RNchat 3/16/2010 12:19 EllenRichter: @lorryschoenly LOL, I think we all forget the T's from time to time! ;) #RNchat 3/16/2010 12:20 grimalkinrn: @lorryschoenly We all do it. #rnchat 3/16/2010 12:20 onlinenursing: @grimalkinrn Agree- label 'passively suicidal'. I have seen this diag, w/those who R not terminal. like, even elderly pts #RNChat 3/16/2010 12:20 onlinenursing: @lorryschoenly You are so good to try and at least remember T1! #RNChat 3/16/2010 12:21 grimalkinrn: @onlinenursing T1 Some ppl do not want to fight their chronic health condition any longer. That needs to be more acceptable. #RNChat 3/16/2010 12:22 nursechenene: #RNchat I feel death is my enemy during traumas not when it is part of natures course. 3/16/2010 12:22 onlinenursing: @nursechenene excellent point about surg intervention throughout the lifespan. T1- part 1 #RNChat 3/16/2010 12:22 acmessner17: #RNChat I think that the patients wishes needs to be something that is focused on more in h/c and seen as acceptable 3/16/2010 12:23 onlinenursing: @nursechenene T1 -part 2 - another example, orthorscopic knee surg to fix knee pain instead of wt. loss, PT -#1 proc. in us #RNChat 3/16/2010 12:23 grimalkinrn: Exactly!! RT @nursechenene: #RNchat I feel death is my enemy during traumas not when it is part of natures course. #rnchat 3/16/2010 12:23 andyatFAD: T1 @philbaumann That decision is so difficult to make, even for us, I think. Too many "what ifs" #RNChat 3/16/2010 12:24 philbaumann: @EllenRichter I know. It's a very difficult time. Tons of emotions involved. No "right" or "wrong" answer either. #RNchat 3/16/2010 12:24
  6. 6. EllenRichter: @acmessner17 T1 Sadly there is no recourse for a family member who decides NOT to follow an unresponsive pt's wishes #RNchat 3/16/2010 12:24 rnchat: Next topic coming up in two minutes. #RNchat 3/16/2010 12:25 nursechenene: @onlinenursing #RNchat Yes and with the same conclusion-get moving 3/16/2010 12:26 rnchat: T2 RN-LPN Relations: How healthy, overall, is the relationship between RNs & LPNs? With other disciplines? #RNchat 3/16/2010 12:27 NursingCenter: T1 Many think of end-of-life care as "pulling the plug". Not the case - it's a process, nurses r integral to helping pts/fam learn #rnchat 3/16/2010 12:27 EllenRichter: @rnchat I think nurses could discuss the frustrations in dealing with health care aspects of death & dying for hours #RNchat 3/16/2010 12:27 ocdgirl2000: #rnchat T1 politics: gov run healthcare is quite different! inefficiency & incompetency runs rampant..can't fire bad management 3/16/2010 12:27 EllenRichter: Great point! RT @NursingCenter: T1 Many think of end-of-life care as "pulling the plug". Not the case - it's a process #RNchat 3/16/2010 12:28 Favored1Aqua: RT @OncologyNursing: RT @EllenRichter: 2 all the Nurses on twttr 2day RT @rnchat nxt #RNchat - Tuesday 3/16 12p EST! - http://bit.ly/d9841Y 3/16/2010 12:28 nursechenene: #RNchat I can't weigh in on this one. We don't have LPN's in my area. 3/16/2010 12:28 davedawes: #RNchat What's an LPN? 3/16/2010 12:28 nursekama: @rnchat T2 Great question. I think we're struggling a bit in Ontario with our RN-RPN role blurring. We're all under one college... #RNChat 3/16/2010 12:29 grimalkinrn: @davedawes Licensed Practical Nurse #rnchat 3/16/2010 12:29 EllenRichter: T2 I have not worked with an LPN since 1985!! I have worked in "all RN" facilities---so I cant even comment! :( #RNchat 3/16/2010 12:29 grimalkinrn: T2 I love working as a team with LPNs, and with CNAs as well. LPNs can be a vital resource when correctly trained, partnered. #rnchat 3/16/2010 12:30 NursingCenter: T2 - Never worked with LPNs. Worked closely with nursing assistants who were
  7. 7. awesome! #rnchat 3/16/2010 12:30 davedawes: Thanks @grimalkinrn but what is the difference between an LPN and an RN? @davedawes Licensed Practical Nurse #rnchat 3/16/2010 12:30 nursekama: T2 Licensed Practical Nurse, LPN = Registered Practical Nurse, RPN (in Ontario, Canada) #RNChat 3/16/2010 12:30 onlinenursing: @davedawes Good question. In the US. it is a liscenced practical nurse - 9-12 month degree - basic nursing foundation #RNchat 3/16/2010 12:30 nursechenene: @NursingCenter Yes Many cultures honor the passing of life into death. Our culture fights the inevitable rather that embrace it #RNchat 3/16/2010 12:30 andyatFAD: T2 Taught LPNs backintheday; RNs loved them but they've moved into mostly chronic care now #RNChat 3/16/2010 12:31 EllenRichter: T2 I only remember, when I used to work with LPNs, they were delegated many RN tasks to free RNs up 4 education & other vital roles #RNchat 3/16/2010 12:31 acmessner17: #RNChat T2 Me personally I have never witnessed any bad relationships btwn RN's & LPN's, I feel that we are all in this field together 3/16/2010 12:31 MeredithGould: @RNchat I "lurk" on #RNchat b/c I <3 & respect nurses for contributing to hc...also I read the entire Cherry Ames series!!! 3/16/2010 12:31 onlinenursing: @davedawes #RNChat - level of education, more technical. 3/16/2010 12:31 ocdgirl2000: #rnchat T2 LPN's can't live without 'em! they run our inpatient clinics!take care of our patients 3/16/2010 12:32 EllenRichter: @MeredithGould LMAO @ Cherry Ames....that blasted open a dustball in my brain! ;) #RNchat 3/16/2010 12:32 andyatFAD: T2 @acmessner I'm glad that's still the case. #RNChat 3/16/2010 12:32 ONSmark: T2 Article "RNs & LPNs: A Powerful Team" at http://bit.ly/ddf4f3 #rnchat 3/16/2010 12:32 onlinenursing: #RNchat - T2 - I thought we were discussing relationships with nurses (both LPN and RN) with other disciplines? I am easily conf. 3/16/2010 12:33 nursekama: T2 At times there are issues between RN-RPN B/C they may be doing what they
  8. 8. consider as the "same job" & get paid differently too #RNChat 3/16/2010 12:33 ONSmark: From 2003, though! RT @ONSmark: T2 Article "RNs & LPNs: A Powerful Team" at http://bit.ly/ddf4f3 #rnchat 3/16/2010 12:33 EllenRichter: @ocdgirl2000 T2 Glad to see they are an important part of your team...I really loved working with LPNs #RNchat 3/16/2010 12:33 grimalkinrn: @EllenRichter I collect Cherry Ames books. When I was a little girl, going through burn therapies, I wanted to BE CHERRY AMES, RN #RNchat 3/16/2010 12:33 nursekama: T2 There are differences in the education and therefore, critical thinking and it needs to be acknowledged. Its not about tasks... #RNChat 3/16/2010 12:34 davedawes: #rnchat T2 we have care assistants in the UK who are delegated nursing tasks from RNs. They don't have degrees or diplomas though. 3/16/2010 12:34 ocdgirl2000: #rnchat T2 Contract agency won't pay 4 RN's 2 take care of inpatients in County facility who can't afford 2 pay them!addictions,no insurance 3/16/2010 12:34 EllenRichter: @nursekama T2 If RNs & LPNs are doing same job for diff pay, someone needs to re- look @ those job descriptions! :( #RNchat 3/16/2010 12:34 nursechenene: @acmessner17 #RNchat I agree. I have seen rivalry. Usually a power thing by the one in charge. Like others to know they are the boss 3/16/2010 12:35 nursekama: T2 My fear is we replace nurses (whether RN or RPN) w/ Personal Support Workers (who do not provide the same level of care) b/c of $ #RNChat 3/16/2010 12:35 Nerdnurse: #RNchat T2 We have an entry into practice problem in the US that we desperately need to resolve. Place for all, but should have diff license 3/16/2010 12:36 lorryschoenly: T2 - many LPNs in corrections. Relationship in any place governed by mutual respect,understanding of licensure,delegation,job desc #rnchat 3/16/2010 12:36 acmessner17: RT @ONSmark: From 2003, though! RT @ONSmark: T2 Article "RNs & LPNs: A Powerful Team" at http://bit.ly/ddf4f3 #rnchat 3/16/2010 12:36 andyatFAD: T2 @nursekama Is that the new name for nurse aides/assistants? #RNChat 3/16/2010 12:36 nursekama: @EllenRichter T2 Agreed! #RNChat 3/16/2010 12:36
  9. 9. onlinenursing: T2 - #RNChat - love my LPN in the office,couldn't see patients w/o her.My LPN bridge students R also cery clinically competent in RN program 3/16/2010 12:36 grimalkinrn: @acmessner17 Thanks for the link, will check it out after the chat! #rnchat 3/16/2010 12:36 andyatFAD: @Nerdnurse T2 Oh, I so agree. We've had the problem for decades. Why can't we solve it? #RNChat 3/16/2010 12:37 Nerdnurse: #RNchat T2 @nursekama Yes! And all research shows increased mortality and morbidity when we don't have RNs at bedside. BSN best, in fact. 3/16/2010 12:37 nursekama: @andyatFAD T2 Yes, its a term we use in Ontario at least! Here's example education in our Province: http://tinyurl.com/yjpaku2 #RNChat 3/16/2010 12:38 nursekama: RT @Nerdnurse: #RNchat T2 @nursekama Yes! And all research shows increased mortality and morbidity when we dont have RNs at bedside #RNChat 3/16/2010 12:38 acmessner17: @grimalkinrn Thank @ONSmark for the link for the article, I'm just retweeting it to everyone : ) #rnchat 3/16/2010 12:39 nursechenene: @acmessner17 #RNchat Thanks! I'll check it out. 3/16/2010 12:39 grimalkinrn: @andyatFAD @nerdnurse T2 If RNs want to be treated as part of the team by docs, etc, we need to treat CNAs, LPNs as teammates. #rnchat 3/16/2010 12:39 EllenRichter: @ONSmark T2 Thanks for the article link! :) #RNchat 3/16/2010 12:39 Nerdnurse: @andyatFAD #RNchat T2 We are our own worst enemies with entry into practice discussion. Research should guide the decision, not emotion. 3/16/2010 12:39 rnchat: Our final topic today is batting up in a moment. #RNchat 3/16/2010 12:40 grimalkinrn: T2 I also want to say that LPNs are great as teammates, but it's not fun to be taken away from the bedside for more paperwork. #rnchat 3/16/2010 12:40 davedawes: @nursekama T2 that happens inUK where care assistants are often employed instead of RNs because of £ (like $ but with Queen on them) #RNChat 3/16/2010 12:40 andyatFAD: @nursekama T2 Thanks for the link! We sometimes call them here personal care assistants. #RNChat 3/16/2010 12:40 RNMark: @Nerdnurse RN has more critical thinking skill due to nature of education and deeper
  10. 10. science backgrounds. Makes sense. #RNChat 3/16/2010 12:41 andyatFAD: @Nerdnurse T2 Agree completely. #RNChat 3/16/2010 12:41 ONSmark: @EllenRichter Sure. & 4 yer ? about earnings, BLS has RN info @ www.bls.gov/oco/ocos083.htm & LPN info @ www.bls.gov/oco/ocos102.htm #rnchat 3/16/2010 12:41 acmessner17: @RNMark I agree with that #RNchat T2 3/16/2010 12:42 rnchat: T3 Nursing Startups: What businesses do you think nurses should build that could change the world? #RNchat 3/16/2010 12:42 EllenRichter: @davedawes LOLLLL....love the definition! >> £ (like $ but with Queen on them) #RNchat 3/16/2010 12:42 nursekama: @grimalkinrn T2 Agree re: teamwork in practice, so where is that in the curriculum or post-licensure education? #interprofessional #RNChat 3/16/2010 12:42 ocdgirl2000: #rnchat T2 we deliver our pre-poured doses of methadone to the facility,inpatient, the LPN just monitors pt taking it,signs it off,locks up! 3/16/2010 12:43 davedawes: #rnchat There are a few nurse-led social enterprises in the UK that are trying to change the world (like ours :)) T3 3/16/2010 12:44 Trybarefoot: Just signed on - catching up on the conversation... #RNChat 3/16/2010 12:44 nursekama: T3 Consultation Businesses! Check this out on Wound Care: http://kohrconsulting.ca/index.htm #RNChat 3/16/2010 12:45 rnchat: @Trybarefoot Welcome! #RNchat 3/16/2010 12:45 RoRod101: Hello fellow nurses! Looks like I missed another great chat. T3 As nurses we are involved in changing the world on a daily basis #RNchat 3/16/2010 12:45 nursekama: Glad you could join us! RT @rnchat: @Trybarefoot Welcome! #RNChat 3/16/2010 12:46 nursekama: Couldn't have said it better myself! RT @RoRod101: T3 As nurses we are involved in changing the world on a daily basis #RNChat 3/16/2010 12:47 NursingCenter: RT @RoRod101 As nurses we are involved in changing the world on a daily basis #rnchat 3/16/2010 12:47
  11. 11. acmessner17: @grimalkinrn I like your ideas, especially about improving and advancing RN education #RNchat T3 3/16/2010 12:48 ocdgirl2000: #rnchat T3 Employment Law Human resources consultants. assisting RN's with with CLAIMS against employers,onsite trainingcourses on BULLYING 3/16/2010 12:48 lorryschoenly: T3 - Nurses have, are, and will change the world! But there is always more to do with the new avenues before us... #rnchat 3/16/2010 12:48 davedawes: #rnchat T3 I think the interesting thing about world-changing businesses is the sustainability of the business models #socents 3/16/2010 12:48 EllenRichter: Had to take a call! LOL Now I cant find T3!!! #RNchat 3/16/2010 12:48 grimalkinrn: @acmessner17 Thanks! I need to put it more into my own practice and go for my BSN. Just don't want more college. #RNchat 3/16/2010 12:49 grimalkinrn: @INQRIProgram Thanks! #rnchat 3/16/2010 12:49 rnchat: @EllenRichter http://twitter.com/RNchat/status/10577543527 #RNchat 3/16/2010 12:49 EllenRichter: @rnchat Thanks! #RNchat 3/16/2010 12:50 andyatFAD: T3 Uh, an RN for President? (Or PM, for those in the UK and Canada.) #RNChat 3/16/2010 12:50 EllenRichter: 3 I think anything related to home care is a good business endeavor. Anything to lower inpatient costs could be profitable to RNs #RNchat 3/16/2010 12:50 davedawes: @RoRod101 #rnchat I like sentiment but i feel there must be a difference between providing care for someone & "changing the world" 3/16/2010 12:50 acmessner17: @grimalkinrn I'm in school for my BSN right now, will graduate in December, really feel it has advanced myself as an RN tremendously #RNchat 3/16/2010 12:50 Trybarefoot: T3 Love working w/ RNs - great perspective that I don't have! RT @RoRod101 ..we are involved in changing the world on a daily basis #rnchat 3/16/2010 12:51 grimalkinrn: @acmessner17 I am afraid of Stats. #RNchat 3/16/2010 12:51 acmessner17: @grimalkinrn You should go for it, pursue your BSN, you can do it!!! : ) #RNchat 3/16/2010 12:52
  12. 12. grimalkinrn: @EllenRichter T3 I agree. Homecare agencies should be run by more nurses, not executives. #RNchat 3/16/2010 12:52 ONSmark: There was an RN Surgeon General (Richard Carmona) RT @andyatFAD: T3 Uh, an RN for President? (Or PM, for those in the UK and Canada) #rnchat 3/16/2010 12:52 RoRod101: @davedawes Nurses are not only care for patients but are researchers, consultants, business owners, change agents, and much more #RNchat 3/16/2010 12:52 Trybarefoot: T3 I like to think that 'changing the world' is a great opportunity to work #interprofessionally! No one profession can that on! #RNChat 3/16/2010 12:53 grimalkinrn: @acmessner17 I know. I need to call metro. #RNchat 3/16/2010 12:53 mkopp1: Ok I'm back. Had to get the kiddos. T3 defin. Homecare/hospice. #rnchat 3/16/2010 12:53 lorryschoenly: T3 - LOL Corrections is sorta home care behind bars... #rnchat 3/16/2010 12:53 RNMark: @grimalkinrn stats are easy.. 2+2 =4 68% of the time. :) #RNChat 3/16/2010 12:53 Carolde: RT @Nerdnurse: #RNchat T2 @nursekama Yes! And all research shows increased mortality and morbidity when we don't have RNs at bedside. BSN best, in fact. 3/16/2010 12:54 andyatFAD: @ONSmark T3 True enough and rather invisible, don't you think? #RNChat 3/16/2010 12:54 ONSmark: Go for it! RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadian politics...maybe Ill be Canadian PM one day ;) #rnchat 3/16/2010 12:54 andyatFAD: RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadian politics...maybe Ill be Canadian PM one day ;) Go for it! #RNChat 3/16/2010 12:54 grimalkinrn: @RNMark Oh, that was kinda mean. #statsfear ADNS AREAWESOME. #RNChat 3/16/2010 12:55 EllenRichter: Great perspective! RT @lorryschoenly: T3 - LOL Corrections is sorta home care behind bars... #rnchat 3/16/2010 12:55 Trybarefoot: Why NOT! :) RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadian politics...maybe I'll be Canadian PM one day ;) #RNchat 3/16/2010 12:55 ONSmark: Good point. I even had to look up his name :) RT @andyatFAD: @ONSmark T3 True enough and rather invisible, dont you think? #rnchat 3/16/2010 12:55
  13. 13. RoRod101: There was an RN Surgeon General (Richard Carmona) T3 An RN for President? (Or PM, for those in UK & Canada) #rnchat via @ONSmark @andyatFAD 3/16/2010 12:56 andyatFAD: RT @ONSmark: Good point. I even had to look up his name :) RT @andyatFAD: @ONSmark T3 And he was mostly a physician, I think, right? #RNChat 3/16/2010 12:56 INQRIProgram: T3 Collaborationw/other disciplines.Ex: @EllenRichter mentioned homecare. We have a nurse-pharma team preventing homecare med errors #rnchat 3/16/2010 12:56 grimalkinrn: Okay. I'm totally going to reapply to Metro after #rnchat, give Julie a call, get into prereqs for the Summer. Really. Going to do it. #fear 3/16/2010 12:56 EllenRichter: T3 I also think with the right avenue of marketing RNs can help produce electronic healthcare programs that actually meet our needs! #RNchat 3/16/2010 12:57 CIHC_ca: RT @Trybarefoot: T3 I like to think that 'changing the world' is a great opportunity to work #interprofessionally! #RNChat 3/16/2010 12:57 davedawes: @RoRod101 I agree about all the diff roles but how is the world genuinely being changed by every single one of these individuals? #RNchat 3/16/2010 12:57 rnchat: Our hour is coming up. We'll have a couple announcements, but first hit us with some parting wisdom! #RNchat 3/16/2010 12:58 acmessner17: @grimalkinrn That's great, you can do whatever you put your mind to!!!! Good luck! #RNchat 3/16/2010 12:58 davedawes: #rnchat Hospices are a great example of nurse entrepreneurship :) 3/16/2010 12:58 andyatFAD: Gotta run. Ciao, everyone, and thank you RNChat for a great session! #RNChat 3/16/2010 12:59 ONSmark: @andyatFAD Right, he "began as RN" then "built on that experience and pursued a medical degree" per article @ http://bit.ly/dshmJE #rnchat 3/16/2010 12:59 grimalkinrn: Take time to pee! Your bladder will thank you when you're older!! #RNchat 3/16/2010 12:59 AshleighPugh_RN: @rnchat nurses have the power to positively impact the world....getting started we need a stronger & more unified voice #RNchat 3/16/2010 12:59 Trybarefoot: T3 I've an RN colleague who has her own consulting business supporting/educating family caregivers (meet @CareStrategies) #RNchat 3/16/2010 12:59
  14. 14. NursingCenter: @andyatFAD Bye Andy! Nice "seeing" you! #rnchat 3/16/2010 13:00 EllenRichter: @grimalkinrn LMAO! #RNchat 3/16/2010 13:00 NursingCenter: RT @INQRIProgram: "parting wisdom" - nurses need and deserve a voice at the table when discussing quality in healthcare #rnchat 3/16/2010 13:00 NursingCenter: RT @AshleighPugh_RN nurses have the power to positively impact the world....getting started we need a stronger & more unified voice #rnchat 3/16/2010 13:00 rnchat: Did you know we're starting to rollout #RNchat on Facebook http://bit.ly/9LDwwP & LinkedIn http://bit.ly/9PYs2K ? Fan and connect. 3/16/2010 13:01 acmessner17: Going to head out, thanks #RNchat for a great chat session! Keep up the great work everyone!! : ) 3/16/2010 13:01 EllenRichter: @Trybarefoot T3 Yes, there are also nurse entrepreneur companies that oversee groups of independent elderly #RNchat 3/16/2010 13:01 nursekama: RT @EllenRichter: T3 I think w/ right avenue of marketing RNs can help produce e- healthcare programs that actually meet our needs #RNChat 3/16/2010 13:01 rnchat: THANK YOU everybody for coming to #RNchat. Let's do remarkable things for the profession. It MUST advance. The world depends on it. :) 3/16/2010 13:01 RoRod101: Nurses have the power to positively impact the world...we need a stronger & more unified voice #RNchat via @AshleighPugh_RN 3/16/2010 13:02 Trybarefoot: Parting wisdom -> oh how I've learned so much by being in the great company of RNs for 20 years! A privilege... #RNChat 3/16/2010 13:02 grimalkinrn: @EllenRichter I see everyone else's "parting wisdom" is more thoughtful, practical wisdom is also useful. #RNchat 3/16/2010 13:02 rnchat: Our next #RNchat will be Friday 3/19 8:30pm EST! Mark your calenders and invite your IRL co-workers. (We should make flyers!) 3/16/2010 13:03 NursingCenter: Great chatting with you all! Thank you @rnchat @philbaumann! #rnchat 3/16/2010 13:03 EllenRichter: @grimalkinrn I think yours was the best! ;) #RNchat 3/16/2010 13:03 mkopp1: Take care everyone! #rnchat 3/16/2010 13:03
  15. 15. ONSmark: Ditto! RT @NursingCenter: Great chatting with you all! Thank you @rnchat @philbaumann! #rnchat 3/16/2010 13:04 grimalkinrn: @rnchat Will do my best and try to get off work at 7 23 MST! #RNchat 3/16/2010 13:04 philbaumann: @NursingCenter So glad you could make it! #RNchat 3/16/2010 13:04 AshleighPugh_RN: thanks everyone...it was a great 1st #RNchat 3/16/2010 13:04 RoRod101: Good to converse with fellow nurses & share thoughts for the betterment of nursing..Gotta run, enjoy our brief but substantial talk #RNchat 3/16/2010 13:04 EllenRichter: @RNchat @philbaumann Great chat! Wonderful topics! They sent us tweeting our hearts out! I may not be @ Fridays chat :( #RNchat 3/16/2010 13:04 EllenRichter: @AshleighPugh_RN Do come back!! :) #RNchat 3/16/2010 13:05 rnchat: Transcript of today's #RNchat will be up in a bit! 3/16/2010 13:05 StephenNP: @EllenRichter I agree! Nurses need to be at the table when we are discussing Health IT issues (currently we are way underrepresented)#RNchat 3/16/2010 13:05 davedawes: #rnchat Lovely chatting with everyone and look forward to catching the next one that is before midnight UK time :) 3/16/2010 13:05 AshleighPugh_RN: @EllenRichter will do for sure :) #RNchat 3/16/2010 13:05 rnchat: So many of you to thank! Wonderful #RNchat today. You're all so totally cool and awesome it's painful! :) 3/16/2010 13:06 StephenNP: #RNchat Have a great day everyone - wonderful chat! 3/16/2010 13:06 EllenRichter: @StephenNP ~WAY underrepresented!! Possibly non-existent @ some companies! #RNchat 3/16/2010 13:06 nursekama: @rnchat Thanks for having us! :) Take care all! #RNChat 3/16/2010 13:07 ocdgirl2000: #rnchat T3 Never forget! Nurses are also Employees!You too,will one day get old, want to retire!Will your employer value you "THAT" much?? 3/16/2010 13:09
  16. 16. nursechenene: #RNchat I'll do my best to join you Friday. 3/16/2010 13:09 rnchat: @EllenRichter lol - we'll still have it - there's so much to talk about. Endless really. #RNchat 3/16/2010 13:10 rnchat: @MeredithGould Thank you! #RNchat 3/16/2010 13:10 Hospicecny: Do you have a #rnchat every day? week? I would like to tell out staff about it. 3/16/2010 13:11 rnchat: Next #RNchat will be Friday 3/19 8:30p EST! We'll do our best to serve different times, etc. 3/16/2010 13:12 ocdgirl2000: RT @rnchat: Next #RNchat will be Friday 3/19 8:30p EST! We'll do our best to serve different times, etc. 3/16/2010 13:13 rnchat: @ONSmark Thank you! #RNchat 3/16/2010 13:13 NytnGayle: RT @lorryschoenly: T3 - LOL Corrections is sorta home care behind bars... #rnchat 3/16/2010 13:13

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