rnchat: Welcome to #RNchat (Please note: Twitter may encounter downtime - if it does, we'll
rnchat: OK, Let's get started with introductions. Tell us who you are and what matters most to
ali_rn: @RNchat i'm alison-i've been a med/surg nurse for 5 years, general interst in nursing
onlinenursing: Hello #RNChat people! Great to finally catch one of these. :)
bthenextstep: Hi I'm Sean CC RN. All about pt advocacy and improving the delivery of bedside care. :)
rnchat: @ali_rn Welcome Alison! #RNchat
bthenextstep: @ali_rn welcome! #rnchat
InfusionNurse: Howdy! Infusion nurse and nurse educator..my name is Cora! #rnchat
nursingpins: Hi all, Vernon Dutton in New Orleans - Critical Care, been nursing since before nurses
could wear pants suits. #RNchat
bthenextstep: @InfusionNurse nice to see you again Cora! #rnchat
AbbieCitron: Hi RN Tweeps! Happy to be here for the 1st half hour! I'm a legal RN from Los Angeles!
onlinenursing: Hi @bthenextstep, @InfusionNurse, @ali_rn, @Nerdnurse #RNChat
bthenextstep: @InfusionNurse @nursingpins #rnchat nice to see you both again!
onlinenursing: I'm Terri- RN, NP, nurse educator, PhD Candidate, --- Love #RNchat. Family matters
most, nursing and access to health care close second.
rnchat: Our first topic is coming up in a minute. Please prepend your response to a topic with T1,
T2, etc. #RNchat
bhawkesRN: Hi nursing friends! Beth Staff Development, popping in quietly/quickly to say hi- have to
go to a staff meeting momentairily :( #RNchat
InfusionNurse: Glad to see u all too! RT @bthenextstep: @RoRod101 @nursingpins #rnchat nice to see
you both again! #rnchat
bthenextstep: @rnchat *thumbs up* #rnchat
StressedFran: I'm Tami, editor at HCPro, reporting nursing news and information and stress relief! Nice
to see you all again #RNchat
bthenextstep: @bhawkesRN @onlinenursing @RoRod101 #RNchat nice to see you again!
lorryschoenly: #RNChat- Hi, Everyone: correctional nurse educator/advocator. Chacking in from my
rnchat: T1 Work Satisfaction: For nurses who are "struggling in the area of love for the
profession", what are the reasons? What can help? #RNchat
bthenextstep: T1 I guess I always look at the 'alternatives'. I've worked in far worse conditions and
careers. Worse pay, coworkrs, envirnmnt, etc #rnchat
ali_rn: @RNchat T1 far to much time managing patients, families, cna's, and paper and not
enough spending time with pt's... #RNchat
bthenextstep: T1 you get out of it -what you put into it. at the VERY least #rnchat
EllenRichter: T1 Nothing can melt my heart & bring tears to my eyes more than the gratitude of
pt/family when I make a difference in their lives #RNchat
nursingpins: T1 short staffed, lack of appreciation & support from admin #rnchat
RoRod101: RT @nursingpins: Good to see so many today #RNchat
onlinenursing: T1 @nursingpins sent great link.Good ideas w/why we don't 'love' our jobs. Still media
contributes :). http://tinyurl.com/yfqrpq4 #RNChat
bthenextstep: T1 love the autonomy, responsibility, making a difference daily no matter how small.
EllenRichter: T1 Its that inner satisfaction as a nurse that keeps me going back to the bedside every
day (ok & the money is good) ;) #RNchat
KPNurseRecruit: I have to miss #RNchat today. I'm teaching a class. Looking forward to topic transcript
bthenextstep: T1 that tear of thanks from pt/ family makes it all worth it for me. #rnchat
EllenRichter: T1 Being a nurse from the dark ages, I marvel at how we have advanced technologically
in nursing & love that! #RNchat
onlinenursing: @bthenextstep is your cup half full? #RNChat.... would love to work w/others like you. I
have a few students with same attitude.
EllenRichter: Yep>> RT @bthenextstep: T1 that tear of thanks from pt/ family makes it all worth it for
me. #rnchat #RNchat
nursingpins: T1 personal thanks is what keeps me going back #rnchat
EllenRichter: I have to miss most of the RNchat today too! Unfortunately!! But glad I got to stick my
head in cuz I love u all :) #RNchat
InfusionNurse: WOW! How long does it make u feel good? RT @bthenextstep: T1 that tear of thanks
from pt/ family makes it all worth it for me. #rnchat
bthenextstep: T1 when it's there: teamwork, comradarie, respect, etc LOVE that stuff. #rnchat
RoRod101: RT @bthenextstep: T1 that tear of thanks from pt/ family makes it all worth it for me.
nursingpins: nursingpins but the tide goes way out sometimes with lack of admin. support #rnchat
bthenextstep: @onlinenursing yep. Always at the very least -half full. #rnchat
AbbieCitron: @EllenRichter will you be on the 9am conference call with me Ellen? #rnchat
InfusionNurse: @EllenRichter ..we'll miss you..ttyl! #rnchat
rnchat: T1 As a follow up: what could leadership do to enhance and ensure that the good stuff
goes a much longer way? #RNchat
bthenextstep: @EllenRichter thanks for popping in! #RNchat
onlinenursing: T1 #RNChat - Nursing is the key to quality, affordable, health care access for all. keeps
me going. Sometimes feels like uphill battle.
GraftFinder: RT @bthenextstep: T1 that tear of thanks from pt/ family makes it all worth it for me.
#rnchat (thanks for all you do!)
AbbieCitron: TI you guys are making me miss the bedside! #rnchat
bthenextstep: T1 I guess we sometimes concentrate on the BAD.. when there is so much GOOD about
our job/profession. #rnchat
bthenextstep: T1 saving lives, making a small diff, improving health, making a patient smile, relieve
pain, etc (i cld go on) #rnchat
bthenextstep: @RNchat positive reinforcement is a must. Pnt out the good as much as the bad. when
pnt out mistakes reinforce what went right. #RNchat
nursingpins: T1 nursing is still wonderful - but we all know what the situation is #rnchat
bthenextstep: T2 positive reinforcement is a must. Pnt out the good as much as the bad. when pnt out
mistakes reinforce what went right. #rnchat
onlinenursing: T1 - #RNChat... tangential example of how nsg/fix h/c -NURSE run clinics where Asthma
ed, diabetes ed, diabetic foot care, med education...
bthenextstep: @bthenextstep oops. guess that's not T2. lol #rnchat
ERNurseJoy: Hello Everyone! #RNCHAT- I am a former ER Manager, Clinical Educator returned to the
bedside.. missed patient care! :)
ocdgirl2000: #rnchat sorry had to reboot
bthenextstep: T1 always keeping the P.A.C.E. Postve Attitude Changes EVerything. #rnchat
onlinenursing: @bthenextstep #RNChat -Yes,pos reinforcement & good mentoring nurses keep us
going.Funny how it is not admin but how admin affects mentoring
rnchat: @ERNurseJoy Good to have you here! #RNchat
AbbieCitron: RT @bthenextstep: T1 always keeping the P.A.C.E. Postve Attitude Changes EVerything.
bthenextstep: T1 walk the walk and talk the talk. don't just point fingers and delegate. #rnchat
InfusionNurse: I agree! RT @bthenextstep: T1 always keeping the P.A.C.E. Postve Attitude Changes
bthenextstep: @JimRN welcome! #rnchat
bthenextstep: @ERNurseJoy welcome! #rnchat
EllenRichter: T1 Just got off a call with my nurse manager at the hospital & administration that backs
nursing up is key to satifaction!! #RNchat
RoRod101: RT @InfusionNurse: I agree! RT @bthenextstep: T1 always keeping the P.A.C.E. Postve
Attitude Changes EVerything. #RNchat
bthenextstep: T1 we all know what a bad day is - it's our attitudes that help us get through them.
Everyone being pos. not just yourself. #rnchat
rnchat: Awesome convo. The next topic is builds on the first, so feel free to mix them up if you
like. Coming up in one minute. #RNchat
EllenRichter: @bthenextstep ~You made a hit with P.A.C.E. & I agree wholeheartedly!! :) Attitude is
JimRN: RT @bthenextstep: T1 walk the walk and talk the talk. don't just point fingers and
ocdgirl2000: @bthenextstep #rnchat T1 I love that! pointing fingers and delegating got my nurse
manager in lots of trouble this past week.
onlinenursing: RT @EllenRichter: Just got off a call with nurse manager at hospital & administration that
backs nursing up is key to satifaction!! #RNchat
bthenextstep: T1 and when you run into the neg - you strongly stand your pos. ground. attitude is
infectious - pos and neg. #rnchat
EllenRichter: OK bowing out>>>> bye guys!! (((twitter nurses))) #RNchat
rnchat: T2 Shortage of (Willing) Nurses: What realistic things can be done to quell the shortage?
(I know HUGE topic but give it a tweet.) #RNchat
bthenextstep: @EllenRichter thanks again for stoppin in! #rnchat
ERNurseJoy: LOVE IT! RT @bthenextstep T1 always keeping the P.A.C.E. Postve Attitude Changes
onlinenursing: #RNChat TI - (devil's advocate)I would say that sometimes anger/frustration w/work helps
encourage me 2change it.Dissat not nec. bad thing.
bthenextstep: T2 I think supportive action will go along way for the shortage and attitude. #rnchat
RoRod101: @EllenRichter Bye Ellen! Sorry to see you go, but it was good to see you! :) #RNchat
AbbieCitron: Me too, thanks everyone RT @EllenRichter: OK bowing out>>>> bye guys!! (((twitter
bthenextstep: T2 maybe showing support with volunteering to give breaks when needed? How about
lunches? or dinners? #rnchat
ocdgirl2000: #rnchat T2 just heard Connecticut cut off supply of STATE Funding for LPNs. educational
training! BAD MOVE!
rnchat: @onlinenursing Excellent point! Being dissatisfied can lead to change versus complicity
(assuming you have power to change). #RNchat
bthenextstep: @onlinenursing another good point. change comes in many forms. even anger. #rnchat
onlinenursing: T2- #RNChat need 2 encourage others about nursing.Advertise all the time.Don't tell your
intelligent nephew 2 B an MD.Tell them 2 B a nurse!
onlinenursing: RT @bthenextstep: maybe showing support w/vol to give breaks when needed? How
about lunches? or dinners? #rnchat (Sabbaticals! GREAT idea!)
ali_rn: @RNchat I think a more supportive training process, not rushing nurses to be on their
own, not eating our young. #RNchat
bthenextstep: I think we all have the 'power' to change - it's all in how it is applied. Being educat and
bthenextstep: RT @ali_rn I think a more supportive training process, not rushing nurses to be on their
own, not eating our young (grt pnts) #rnchat
ali_rn: @RNchat t2-maybe if we did a better job of training and orienting we could hang onto
good nurses! #RNchat
ocdgirl2000: @EllenRichter Bye! come back and read transcript! #rnchat
bthenextstep: T2 but we also need to be realistic. Be honest with the new staff about working
conditions/ staff/ attitude, etc. #rnchat
nursingpins: nursingpins T2 just like nursing - it is the little things that count (and the hospitals could at
least do the little things :) #rnchat
InfusionNurse: T2.don't overload or make them feel guilty when short staffed. Pilots can't legally work
after their work hrs r up, shld apply 2 us #rnchat
bthenextstep: RT @nursingpins T2 just like nursing - it is the little things that count (and the hospitals
could at least do the little things :) #rnchat
onlinenursing: RT @ali_rn if we did better job training & orienting-could hang onto good nurses!#RNchat
(Hear that!Don't rush students N2 Independ 2 quick)
ocdgirl2000: #rnchat T2 expecting RN's to be business people when they are merely RN's is not the
way to go. pushing them to the "bottom line?" is wrong!
ali_rn: @bthenextstep can't be too honest! who would sign on for this chaos?! #rnchat
bthenextstep: T1T2 I still think it the core it's about attitude #rnchat
onlinenursing: @RNchat We R nurses,we always have power 2 change.Change/flexibility is our 1st
name(after nurse of course :^)agree w/@bthenextstep #RNChat
ocdgirl2000: #rnchat T2 RN's are not trained to please the stockholders!
onlinenursing: Would help if I would remember to put darn hashtag in my AWESOME tweets. #RNChat
RoRod101: T2 Support, mentor, and empower new nurses. Promote the nursing profession to attract
potential nurses. #RNchat
bthenextstep: @onlinenursing that's why tweetchat and tweetdeck are nice for this rnchat. :) #rnchat
nursingpins: nursingpins T2 There are so many problems - at least here we can talk about one at a
time and chang a few things #rnchat
bthenextstep: RT @RoRod101: T2 Support, mentor, and empower new nurses. Promote the nursing
profession to attract potential nurses. (lv empowr) #rnchat
ocdgirl2000: @medxcentral come join us in #rnchat !
ali_rn: @bthenextstep i have to agree with you, but its a job of extremes...and some just cannot
be explained... #rnchat
andyatFAD: T2 @bthenextstep Ah, yes, but how to prepare for the ugliness without turning them off
onlinenursing: @ocdgirl2000 #RNchat (devils advocate again)How does h/c get done w/o $? If RN's
aren't aware of $, how can we deliver better/cheaper care?
bthenextstep: @ali_rn true. very true. #rnchat
bthenextstep: @andyatFAD be honest about it. up front. lets get serious here. What
job/career/proffesion doesn't have an ugly side??? show me. #rnchat
ocdgirl2000: @onlinenursing #rnchat T2 there are accountants, health care administrators, etc etc.NOT
andyatFAD: @bthenextstep Absolutely true. I guess my actual question is, how to prepare minds that
really, don't want to hear the negatives? #rnChat
onlinenursing: RT @bthenextstep: @andyatFAD be honest about it/up front. lets get serious here.What
job/career/proff doesn't have ugly side? #rnchat
nursingpins: T2 the quality of new nurses is not what it once was - there are a lot of people who have
been taught a little medicine #rnchat
grimalkinrn: @ocdgirl2000 #rnchat It's important for RNs to be cost aware because often the pt will
not be compliant if they can't afford the treatment.
ali_rn: @bthenextstep hard to explain human side to new rn's they see stress, i think looking
past that ,seeing people is what makes rn's #rnchat
bthenextstep: @andyatFAD honestly? if not ready/prepared for the negatives. Maybe nursing isn't for
them? this job isn't for everyone. #rnchat
nursingpins: T2 take more time to bring them up to where they should be - nice if you have the time -
bthenextstep: @ali_rn GRT point. #rnchat
InfusionNurse: true, but doesn't hurt to be informed about business of HC RT @ocdgirl2000: T2 RNs are
not trained to please the stockholders! #rnchat
rnchat: OK, last topic coming up in one minute. #RNchat
bthenextstep: @andyatFAD maybe that's the problem. we're too busy coddling and sugar coating our
reality too much?? #rnChat
onlinenursing: @nursingpins - good tweet! Can you explain in 140 char. or less "taught a little
ali_rn: @bthenextstep AGREED #rnchat
nursingpins: T2 nursing is an art and it takes years to get comfortable #rnchat
andyatFAD: @bthenextstep Oh, a cynic, eh? I don't think that's it. Faculty are always trying to explain
the down side. How many really listen? #rnChat
grimalkinrn: T3 #rnchat I hear thank you from a lot of people. Less from the docs I work with than
anyone else. I hear it from pts and mgmt daily.
onlinenursing: @ocdgirl2000 Good points!Agree,but does accountant know what cath is best 4 your
pt/how many pts U should take/shift?all relates2$ #RNChat
bthenextstep: @andyatFAD the ones that listen.. are the ones who are prepared. don't you think?
nursingpins: T2 there are too many corners being cut in nursing #rnchat
InfusionNurse: T3..sometimes, lip service from leaders....pt/family, comes from the heart #rnchat
andyatFAD: @bthenextstep Have to agree with you there, no doubt. #rnChat
bthenextstep: T3 things are changing. docs never used to say thankyou's - but it's getting better at least
in my world. #rnchat
ali_rn: @onlinenursing lol-t2- #rnchat
KPNurseRecruit: You may want to get over to the #RNChat that's happening right now! It's not too late.
Always good info.
nursingpins: T2 the first step in improvement is going to be enough staff #rnchat
bthenextstep: @andyatFAD so why sugar coat it? why fluff it up? it only hurts you/us in the end.
onlinenursing: RT @grimalkinrn: T3 #rnchat I hear thank U from a lot of people. Less from docs I work
w/than anyone else. I hear it from pts & mgmt daily.
ocdgirl2000: @onlinenursing #rnchat T3 are we going by accountant's COST? or by patient safety?
WE know safety! be damned the cost!
grimalkinrn: RT @nursingpins: T2 the first step in improvement is going to be enough staff #rnchat So
onlinenursing: @ali_rn Love making people Laugh! Glad you did #RNChat... particularly administrators
and academic higher ups. My favorite!
bthenextstep: T3 maybe we should demand more from the ones who aren't thanking us - esp when
thanking is deserved?? food for thought. #rnchat
rnchat: T3 And by Thank You from Leadership, I mean sincere appreciation (backed by action) -
not that phony lazy nonsense. #RNchat
ali_rn: @RNchat mostly from coworkers/sometimes from immediate supervisors, not often from
md's ,pts or families #RNchat
andyatFAD: @bthenextstep T2 Don't want to sugarcoat, just want to reach them.I was often too
honest when I taught.Maybe 1-sided opinion? #rnChat
onlinenursing: @ocdgirl2000 #RNChat I have many pts with no insurance who won't fill scripts.If I know
this,can find ways to get them meds.(just 1 example)
ocdgirl2000: RT @RNchat: T3 And by Thank You from Leadership, I mean sincere appreciation
(backed by action) - not that phony lazy nonsense. #RNchat
grimalkinrn: @bthenextstep #rnchat T3 I agree that things are changing for the better. Everything
ali_rn: @RNchat @bthenextstep depends on the doc-we have some that are amazing...and
others that are not-same in any job #RNchat
bthenextstep: @grimalkinrn yes. yes it does. but every journey worth taking was never easy. #rnchat
nursingpins: @onlinenursing is a nursing educator - if we had more like her we would not be talking as
much about this #rnchat
onlinenursing: @ocdgirl2000 #RNChat, ex 2 -Clinic I work at charges 11$ 4 CBC, if pt. has it drawn
outpt. costs them $120. I love accounting! We ROCK!
bthenextstep: RT @nursingpins: @onlinenursing is a nursing educator - if we had more like her we
would not be talking as much about this (true) #rnchat
ocdgirl2000: @onlinenursing #rnchat this is a social service referral thing,I'm thinking more like,staffing
numbers,ordering supplies on the floor, etc
onlinenursing: (re: Nursing) RT @bthenextstep: @grimalkinrn yes. yes it does. but every journey worth
taking was never easy. #rnchat
nursingpins: people without ins. is treated different - I am ashamed to say #rnchat
onlinenursing: RT @onlinenursing: @nursingpins Vernon - Now you are making me LOL! I am in trouble
all the time, don't want more like me :). #RNChat
ali_rn: @bthenextstep t3-i like how you think...lol, sometimes people underestimate the power
nurses have! #rnchat
ali_rn: @RNchat t3-do those little dollar coupons to the cafeteria count ? #RNchat
onlinenursing: RT @nursingpins: people without ins. is treated different - I am ashamed to say #rnchat
(sent them 2 me... I will take them!)
nursingpins: LOL #rnchat
ali_rn: @andyatFAD t2-its tough to be honest and not overwhelm new grads-very fine line.
bthenextstep: @ali_rn yes. yes they do. It's up to us to keep reminding them! #rnchat
rnchat: Coming up on one hour already! Any last thoughts, pearls of wisdom or corny nursing
jokes to share? #RNchat
andyatFAD: @ali_rn T3 They have coupons in cafeterias now? Boy, almost makes me miss the ol'
days when I practiced. Almost. #rnChat
andyatFAD: @ali_rn Agree fully. I've been involved in making books that try to do that and the line that
needs to b walked is truly fine. #rnChat
onlinenursing: RT @ali_rn: @andyatFAD t2-its tough to be honest and not overwhelm new grads-very
fine line. #rnChat (yep, mentor, mentor, mentor)
bthenextstep: as nurses we have the amazing power to affect/effect and initiate change. our actions
speak much louder than we think. #rnchat
ali_rn: @grimalkinrn t3-which is ohhh so helpful, when you don't have time to go!! lol #rnchat
onlinenursing: @ocdgirl2000 But good RN wouldn't do that... Pt. Care first... Profit... that is the problem.
PBS great program(Frontline)on h/c #RNChat
seejanenurse: I missed it! #rnchat
RoRod101: RT @bthenextstep As nurses we have the amazing power to affect/effect & initiate
change Our actions speak much louder than we think #RNchat
RoRod101: Enjoyed chatting with fellow Nurses! Thank you @RNchat for another twonderful hour!
bthenextstep: @rnchat awesome stuff as always Phil. Luv it. Just luv it. Thanks again for making this
andyatFAD: @onlinenursing RT @ali_rn T3 Maybe there's a book or other product that could help
here? down-n-dirty nursing tips kind of thing?Hmm #rnChat
andyatFAD: @ali_rn Great idea, those coupons! Thanks all for sharing! #rnChat
ali_rn: @onlinenursing i think the system is set up to present one layer of stress at a time-
though faulty. #rnChat
ali_rn: @andyatFAD @andyatFAD I smell opportunity!! lol #rnChat
rnchat: THANK YOU all for chatting today - a great conversation! Next chat is 12/8 11:30a EST
(16:30 UTC). Transcript up w/in 24 hours. #RNchat
andyatFAD: @ali_rn You'd better believe it! #rnChat
onlinenursing: RT @RoRod101 @bthenextstep-As RNs we have amazing power 2 affect/effect &initiate
change Our actions speak much louder than we think #RNchat
bthenextstep: Thanks for the great conversation everyone! Even add a couple more followers to my list!
Awesome! have a great day. #rnchat
ali_rn: RT @bthenextstep: as nurses have amazing power to affect/effect and initiate change.
our actions speak much louder than we think. #rnchat
nursingpins: If it was not for JCAH comming - the hospitals would be in a real mess #rnchat - the only
time thigs are made to look good.
onlinenursing: @ocdgirl2000 Laughing about keys! That totally happend to me once! Great #RNChat. I
can't wait to come back.
ali_rn: @grimalkinrn beg a coworker! lol #rnchat
onlinenursing: @rnchat just want 2 say thanks #RNChat always give me stuff 2think about & take back
2 students.2Day Lots of good!Now go out & make change:)
ocdgirl2000: @nursingpins AND...WHO makes them look good? do you see the managers come out
and help? HA! #rnchat
InfusionNurse: great chatting with you, thanks everyone! Thanks to @philbaumann as always..by #rnchat
onlinenursing: (Re:Nursing. Hope #ANA, #STTI are listening)RT @nursingpins: we have no national
voice -no central leadership -no solid direction #rnchat
onlinenursing: RT @InfusionNurse: great chatting with you, thanks everyone! Thanks to @philbaumann
as always..bye #rnchat
bhawkesRN: RT @onlinenursing: T1 - #RNChat... tangential example of how nsg/fix h/c -NURSE run
clinics where Asthma ed, diabetes ed, diabetic foot ...
nursingpins: @ocdgirl2000 ell no #rnchat
ocdgirl2000: @onlinenursing LOL! this is "pointing fingers & delegating manager" Nurse Practitioner"
making over 125K. GOVERNMENT JOB. #rnchat "I forgot"
ocdgirl2000: @nursingpins #rnchat when surveyors came from CARF, I stayed! past my paid hrs, while
manager passed by,waving bye bye! scrubbing w bleach!!
NursingCenter: @RNchat Bummed I missed today's chat...looking forward to the transcript! #rnchat
onlinenursing: @NursingCenter bummer you missed it. Come and chat next time #RNChat
SpeakHealth: Wow, awesome discussion abt nursing at #rnchat
SafetyNurse: @mjcostajr Good Q 4 #rnchat (paging @philbaumann) & #HIT vendors. + try
@SusanNiemeier. Most reliable processes likely IT-facilitated.