Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.


RNchat Transcript December 29 2009 Slide 1 RNchat Transcript December 29 2009 Slide 2 RNchat Transcript December 29 2009 Slide 3 RNchat Transcript December 29 2009 Slide 4 RNchat Transcript December 29 2009 Slide 5 RNchat Transcript December 29 2009 Slide 6 RNchat Transcript December 29 2009 Slide 7 RNchat Transcript December 29 2009 Slide 8 RNchat Transcript December 29 2009 Slide 9 RNchat Transcript December 29 2009 Slide 10 RNchat Transcript December 29 2009 Slide 11
Upcoming SlideShare
Jtap chapter 28 & 29
Download to read offline and view in fullscreen.



Download to read offline

RNchat Transcript December 29 2009

Download to read offline

Transcript of RNchat for December 29, 2009. RNchat is a Twitter chat for registered nurses who discuss a wide range of topics related to the nursing profession and health care and technology.

Topics include:

T1 - Robo-nurses
T2 - Using software to deliver care using algorithms & decision-trees.
T3 - Malpractice Litigation

You can follow RNchat on Twitter:

Blog: http://Rnchat,org

Related Books

Free with a 30 day trial from Scribd

See all

Related Audiobooks

Free with a 30 day trial from Scribd

See all
  • Be the first to like this

RNchat Transcript December 29 2009

  1. 1. philbaumann: Our good friend @EllenRichter will moderate tonight's #RNchat - 9p EST. She'll show ya how to have fun with these chats. 12/29/2009 06:44 rnchat: Hello & welcome to the holiday edition of #RNchat, with me (@EllenRichter) barely filling the shoes of our star moderator @philbaumann :) 12/29/2009 20:59 rnchat: #RNchat is a way for nurses (& all others in health care!) to meet, tweet & share feelings, thoughts, ideas~ We welcome silent lurkers! 12/29/2009 21:01 rnchat: Lets begin the hour by seeing who is joining in. Introduce yourselves & tell us in 140 or less what brings you to #RNchat tonight! 12/29/2009 21:02 rnchat: Dont forget to include the #RNchat hashtag with your tweets! 12/29/2009 21:02 marcobucci: Hello everyone. Hope you all had a great holiday #rnchat 12/29/2009 21:03 ocdgirl2000: #rnchat how are all of you this evening? 12/29/2009 21:03 TeriRN: I'm Teri, a hospice travel nurse. I'm here to have fun talking w/fellow nurses & glean from their knowledge. =) #RNChat 12/29/2009 21:04 rnchat: Welcome all (and all lurkers) :) #RNchat 12/29/2009 21:05 tstitt: <--Tom Stitt, principal @aperial, open source web svcs for healthcare, sometimes moderator of #hcmktg, silent listener tonight #rnchat 12/29/2009 21:05 eggy1024: hello, hello from cold, snowy madison, wisconsin! hospice nurse now, ER nurse in past. looking forward to the chat. #RNchat 12/29/2009 21:05 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! 12/29/2009 21:06 nursingpins: Hi all - good to see ya- critical care New Orleans #rnchat 12/29/2009 21:06 marcobucci: I'm recently new to the profession and am currently working in the ER #rnchat 12/29/2009 21:06 rnchat: Some new faces....welcome!! #RNchat 12/29/2009 21:06 TeriRN: @eggy1024 Wow what a change from ER to Hospice. #RNChat 12/29/2009 21:07 ocdgirl2000: #rnchat let me know when the topics change from T1 to T2, I tend to be ADHD or
  2. 2. ocd..LMAO!! 12/29/2009 21:07 lorryschoenly: #RNChat Hi, Ellen, mostly lurking fron my cell tonight 12/29/2009 21:08 ePatientDave: Department of Redundancy department: RT @MeredithGould: Silently lurking! #RNchat 12/29/2009 21:08 TeriRN: @ocdgirl2000 Don't worry you'll know when it changes. #RNChat 12/29/2009 21:08 rnchat: T1 Bedside nursing shortages have led to development of Robo-nurses. What types of nursing tasks can we SAFELY give up to a robot? #RNchat 12/29/2009 21:09 ocdgirl2000: @rnchat #rnchat or womanpower!! 12/29/2009 21:09 tstitt: T1-Example of nursing robot - like this? 1.html #rnchat 12/29/2009 21:11 TeriRN: T1 NONE! It bothers me 2C stats of bedside nurse shortage when I try 2get assignments in hospital & can't d/t out of hosp 4 6yrs #RNChat 12/29/2009 21:11 rnchat: Think we could have a robot do turns every 2 hours with a staff member in a hospital? #RNchat 12/29/2009 21:11 nursingpins: T1 Riobo-nurses would be another that we would be responsible for - will be another gen or 2 before they will be any help. #rnchat 12/29/2009 21:12 rnchat: @tstitt that! #rnchat 12/29/2009 21:12 TeriRN: @marcobucci T1 but even then if the pt has A-fib the electronic BP can be inaccurate. #RNChat 12/29/2009 21:13 ocdgirl2000: #rnchat T1 um no..Robo nurses can't get in the face of an IV drug user & tell them they can't get dosed until they get in the bathroom & pee 12/29/2009 21:13 rnchat: What if the doctor ordered medication, pharmacy filled robot & robot scanned & dispensed to long-term pts? #RNchat 12/29/2009 21:14 ocdgirl2000: #rnchat T1 at least when it comes to dosing methadone..I don't think a robo nurse would be as effective 12/29/2009 21:14 eggy1024: T1 #RNchat BP checks would be great, but we still are responsible for checking to see if WNL, so wouldnt it just be easier to do ourselves? 12/29/2009 21:14
  3. 3. rnchat: Just thinking out of the box...we may not have the luxury of doing everything ourselves with shortages! #RNchat 12/29/2009 21:15 nursingpins: T1 -ANY help we got would be appreciated - even a Robo-nurse. - would be as good as some we have today - #rnchat 12/29/2009 21:16 TeriRN: @eggy1024 I agree. I've used electronic BP cuffs & manual on pts getting a wide diff. major when pt is on bp meds & adjusting d/t BP #RNChat 12/29/2009 21:17 eggy1024: #RNchat T1 what about things like emptying foley catheters, making beds, or stocking supplies? 12/29/2009 21:17 rnchat: I think we all know...its a given...that a robot could not replace a thinking human, but there are possibilities! #RNchat 12/29/2009 21:17 eggy1024: T1 I would LOVE a robo nurse to clean poop/puke up! #RNchat 12/29/2009 21:18 rnchat: @eggy1024 T1 good tasks to delegate to a robot #RNchat 12/29/2009 21:19 marcobucci: Ultimately, pt. care is neglected. We are stuck workingn in inadequate environments giving sub par care. #rnchat 12/29/2009 21:19 rnchat: @tstitt Thanks for that great link! Stroke/neuro robot- #RNchat 12/29/2009 21:21 rnchat: Almost time to move on to T2 #RNchat 12/29/2009 21:21 TeriRN: RT @eggy1024: T1 I would LOVE a robo nurse to clean poop/puke up!// that I'll let them do gladly. #RNChat 12/29/2009 21:21 ocdgirl2000: #rnchat T1 the stuff they like to nag us for attention! 12/29/2009 21:23 rnchat: OK, along the same lines of thinking...T2 addresses dealing with patient care despite man (and woman) power shortages #RNchat 12/29/2009 21:23 nursingpins: T1 -robo-nurses could never replace the human touch - one of the most important things in nursing #rnchat 12/29/2009 21:24 rnchat: T2 Should we rely on apps/programs to prompt health care personnel to deliver care using standardized algorithms & decision trees? #RNchat 12/29/2009 21:24 ocdgirl2000: #rnchat T2 that's a question for management!LOL! 12/29/2009 21:26
  4. 4. TeriRN: T2: I think nursing has been doing that for a while with clinical pathways. #RNChat 12/29/2009 21:26 rnchat: @ocdgirl2000 LOL T2 OK this is management asking!! ;) #RNchat 12/29/2009 21:28 ocdgirl2000: #rnchat T2 risk involved that more mistakes are made, who takes responsibilty? 12/29/2009 21:28 eggy1024: #RNchat T2 clinical pathways r everywhere, 4everything, but so often things arent 100% black and white; can b hard 2just go down an algrthm. 12/29/2009 21:29 rnchat: T2 @ocdgirl2000 same responsibility as always, just following a standardized recipe #RNchat 12/29/2009 21:29 nursingpins: T2 algorithams & ACLS has been the biggest infl in saving lives I've seen in 35y of nursing - codes were a comp pandemonium pre #rnchat 12/29/2009 21:30 ocdgirl2000: #rnchat T2 unskilled personnel are now performing skilled tasks that they may not be qualified to perform adequately, 12/29/2009 21:30 marcobucci: Algorithms are an excellent tool to help point in the rght direction. But they can only be effective when used by the right person. #rnchat 12/29/2009 21:30 rnchat: T2 So if we are terribly short-staffed, can we give a less experienced RN an iPhone w/app for postop chole pt care? #RNchat 12/29/2009 21:30 rnchat: T1 & T2 So robots & algorithms are only as good as the people using them #RNchat 12/29/2009 21:33 ocdgirl2000: @rnchat #rnchat T2"less experienced" or "no experienced?" out of school vs someone who is unknown.. 12/29/2009 21:33 LoryRN: @RNchat so then what is nursing the person or the app-no thanks i want a person who can see outside the box #RNchat 12/29/2009 21:33 eggy1024: #RNchat T2 where do we draw the line? give a GN a fresh post-op CABG pt with an algorithm to follow? 12/29/2009 21:34 TeriRN: RT @rnchat: T1 & T2 So robots & algorithms are only as good as the people using them #RNChat 12/29/2009 21:34 marcobucci: Less xperienced RN should stay true to their knowledge base. Stepping beyond your scope only puts people at risk. App or not. #rnchat 12/29/2009 21:34 rnchat: T2 Great points. We still have much to do if we are going to combat the nursing
  5. 5. shortages soon! #RNchat 12/29/2009 21:36 eggy1024: RT @terirn: RT @rnchat: T1 & T2 So robots & algorithms are only as good as the people using them #RNChat 12/29/2009 21:36 rnchat: On to topic T3 folks :) And thanks for your patience with me! LOL~ #RNchat 12/29/2009 21:36 rnchat: T3 What are your fears as a health care professional regarding malpractice litigation? How do U protect yourself against a lawsuit? #RNchat 12/29/2009 21:37 eggy1024: @rnchat #RNchat where are the nsg shortages? nsg jobs are next to impossible to find around here and other parts of our state. 12/29/2009 21:37 TeriRN: T2 As a travel nurse, I think managers should look at years in nursing as well as experience. I would love 2 go 2 a med/surg floor. #RNChat 12/29/2009 21:38 rnchat: So true! RT @ocdgirl2000 #rnchat T2 there will be times when all you have on your staff will be new nurses and agency nurses! 12/29/2009 21:38 TeriRN: T2:managers won't look @ my profile d/t being in hospice for 6yrs. Still critical think & do all the RN task just in homes not hosp. #RNChat 12/29/2009 21:39 rnchat: @eggy1024 When the baby boomer RNs retire, there wont be many left at the bedside! #RNchat 12/29/2009 21:39 marcobucci: Nursing lawsuits are fairly uncommon in Canada. We do have union protection and lawyers regarding that. #rnchat 12/29/2009 21:40 rnchat: Do those of you who use computerized charting feel that it protects your documentation better from legal standpoint? #RNchat 12/29/2009 21:41 TeriRN: T3: I have my own coverage 4 malpractice I make sure I document everything I do Not documented not done my nsg instructor taught me #RNChat 12/29/2009 21:42 rnchat: T3 I find it amazing how health care lawsuits are not prevalent in other countries like in the USA #RNchat 12/29/2009 21:42 ShimCode: @tstitt User stories, checklists & algorithms – evolved by challenge, experience & anecdote! Meaningful Use...I say! Oh My! #rnchat 12/29/2009 21:42 TeriRN: T3:Computerized documentation helps in that there is no error in not being able to read the handwriting. #RNChat 12/29/2009 21:43
  6. 6. rnchat: @TeriRN T3 your instructor was correct...not documented = not done #RNchat 12/29/2009 21:44 MeredithGould: RT @LoryRN: @RNchat T3 Chart everything, get families permission in writing when needed, and pray a lot #RNchat 12/29/2009 21:44 TeriRN: T3:If nurse is lousy documentor by hand they tend to be lousy documentors on comp. Although comp helps with some assessment docum. #RNChat 12/29/2009 21:45 lrm4z: #RNchat Logan here sorry a bit late. T3 first few months on my own I was constantly concerned that something i did would get me sued... 12/29/2009 21:45 rnchat: T3 Many EMR programs prompt you to document things you would normally never hand- write ritually #RNchat 12/29/2009 21:46 ocdgirl2000: #rnchat I stay late, work off the clock, do documentation for others as well..which I should NOT do.. 12/29/2009 21:46 rnchat: Welcome @Irm4z T3 Yes, most of us fear getting sued all the time! Even when we do things correctly~ #RNchat 12/29/2009 21:47 rnchat: @ocdgirl2000 T3 pssst....never document for others! :( #RNchat 12/29/2009 21:47 TeriRN: "cont. to rest quietly" one of my pet peeves. too ambiguous & can be interpreted in any way by a lawyer. #RNChat 12/29/2009 21:47 lrm4z: #RNchat T3 only thing I've learned to do is be as diligent as poss and keep a positive attitude, as well as work off the clock :( 12/29/2009 21:48 ocdgirl2000: #rnchat T3 we have # of clients assigned, each- it's only a few hrs to do it, for heavens sakes! once a month you update their notes, and + 12/29/2009 21:48 TeriRN: RT @rnchat: @ocdgirl2000 T3 pssst....never document for others! :( // definitely a no no protect your license. U worked 2 hard 4 it #RNChat 12/29/2009 21:49 lrm4z: #rnchat RE: documentation, no I don't feel protected, it's so easy to point and click and not "really document" 12/29/2009 21:49 rnchat: T3 Litigation is real & can be frightening for a health care worker. We must always be diligent when charting to cover ourselves #RNchat 12/29/2009 21:49 eggy1024: @TeriRN #RNchat i hate "will continue to monitor" and then never see charting reflecting f/u. 12/29/2009 21:49
  7. 7. nursingpins: T3 the lit is full of evid. that many lawsuits could be avoided by est. relationships and honesty etc before an event - have seen it #rnchat 12/29/2009 21:50 TeriRN: @eggy1024 I agree. monitor what? esp as final not of shift. You left so who monitored. another pet peeve too. #RNChat 12/29/2009 21:51 rnchat: @TeriRN T3 Yes, I really hate redundant, empty charting statements like the one u mentioned #RNchat 12/29/2009 21:51 rnchat: @nursingpins T3 Yes, big move toward openness & honesty with the pt from the get-go can reduce frequency of litigation episodes #RNchat 12/29/2009 21:52 ocdgirl2000: @RNchat #rnchat T3 not FOR her, just do her patient's notes when she's not up to date for the month! it has to get done! or, dr needs it 12/29/2009 21:52 lrm4z: T3 #RNchat someone explain the repercussions of documenting for others pls... I do it too, and have even been asked to do so by others 12/29/2009 21:53 eggy1024: @ocdgirl2000 #RNchat r u documenting stuff you saw/did? how do you know what to chart/can you trust the other nurse actually did it? risky! 12/29/2009 21:54 TeriRN: If U didn't do the assessment of the pt & document the assessment based on what UR told UR name is on bottom line. #RNChat 12/29/2009 21:54 rnchat: T3 @Irm4z If you document for others, are you stating THEIR findings? If so, THEY should be charting them, not you #RNchat 12/29/2009 21:55 TeriRN: If something goes wrong U R the one called in to court not the nurse who actually did assessment. #RNChat 12/29/2009 21:55 ocdgirl2000: #rnchat T3 things have 2 get done, I do them.notes charting,pt's stating things,urinalysis results,breathalizer results,Takehome schedules 12/29/2009 21:55 lrm4z: @rnchat no no, do the assessment myself, and chart for them, even if they did an assessment too. #rnchat 12/29/2009 21:56 rnchat: T3 When reading medical records, its assumed that the writer is writing about THEIR findings #RNchat 12/29/2009 21:56 rnchat: Well, sitting in the moderator seat, this hour flew like it was 15 minutes!! I enjoyed being on the other end of the questions! :) #RNchat 12/29/2009 21:57 TeriRN: @ocdgirl2000 If U heard the pt say it saw the lab & test results then U can doc that but if
  8. 8. nurse told U it's UR word against theirs #RNChat 12/29/2009 21:58 nursingpins: T3 charting should be eth objective or subjective and listed as so - too many opinions get charted as fact #rnchat 12/29/2009 21:58 marcobucci: U could be documenting things that were never done & be held liable for them. also breaches privacy of pt. If you're not primary RN. #rnchat 12/29/2009 21:58 lrm4z: @rnchat Thanks sorry I was late :) I'll be more on time next time, scouts honor! #rnchat 12/29/2009 21:58 ocdgirl2000: @lrm4z #rnchat T3 they probably didn't even do that...LOL! I do what probably never got done..if you know what I mean.. 12/29/2009 21:58 eggy1024: @rnchat yes, what a great time! this was my first #RNchat. quite enjoyable. thanks to you and others who were here too! 12/29/2009 21:58 rnchat: Thanks to everyone for participating so actively tonight! It was fun! Great responses to all the topics! THANKS! :) #RNchat 12/29/2009 21:59 TeriRN: @rnchat I think U did great Ellen. Missed Phil but glad U could step in and help. Thanks. Glad I was finally able to join in again. #RNChat 12/29/2009 21:59 TeriRN: @lrm4z Glad you were able to join in when you could. #RNChat 12/29/2009 21:59 rnchat: @philbaumann will decide the next chat so be on the lookout for further tweets! :) #RNchat 12/29/2009 22:00 ocdgirl2000: #rnchat T3 we have computerized notes, schedules and dosing. 3/4 or more of the notes are written by me. That's a fact. I only work 20 hrs. 12/29/2009 22:00 nursingpins: Thanks Ellen for taking over tonight - great job #rnchat 12/29/2009 22:00 rnchat: Transcripts of the chat will be provided by @philbaumann later on or tomorrow...hes great about that! :) #RNchat 12/29/2009 22:01 lrm4z: @TeriRN thanks for the warm welcome! #rnchat 12/29/2009 22:01 rnchat: LOL guys....thanks for the cheers!! @tstitt @nursingpins @TeriRN @ocdgirl2000 #RNchat 12/29/2009 22:02 TeriRN: @JimRN You missed a great chat. =( Look for the transcript. We missed you. #RNChat 12/29/2009 22:02
  9. 9. marcobucci: Good stuff tonight. Take care all! #rnchat 12/29/2009 22:02 ocdgirl2000: #rnchat Thank you Ellen! it was fun and great to be back at Nurse chat! stim as usual! clap clap clap!! 12/29/2009 22:02 eggy1024: @RNchat how often do you guys get together for this? #RNchat 12/29/2009 22:02 rnchat: You all are welcome to continue. I'm slipping back into my own Twitter account now! Enjoy your nite & Happy New Year!! #RNchat 12/29/2009 22:03 rnchat: @Eggy1024 we do it weekly, trying to alternate hours & days Glad you came! :) #RNchat 12/29/2009 22:04 ocdgirl2000: @eggy1024 #rnchat whenever I get enough reminders!LOL! also I have to not be working depends on hours they decide to have it~~ 12/29/2009 22:04 TeriRN: @eggy1024 Usually once a week around this time and this day. @philbaumann post time and day. Pls come back and join in #RNChat 12/29/2009 22:04 EllenRichter: THANKS for your help everyone!! I know I messed up a lot...forgot to type T2, T1, LOL~~ #RNchat 12/29/2009 22:06 TeriRN: @EllenRichter I think you did great. Hard to remember all of that. #RNChat 12/29/2009 22:06 EllenRichter: Boy, you guys that chart for others...thats wavy seas!! I wouldnt suggest doing that very much! Even if its to save time! #RNchat 12/29/2009 22:07 MeredithGould: @EllenRichter No mess ups apparent! Totally great job. #RNchat 12/29/2009 22:07 EllenRichter: @TeriRN thanks :) Glad u made it home early! #RNchat 12/29/2009 22:08 eggy1024: no, it was fun! you did great. thanks! @EllenRichter #RNchat 12/29/2009 22:08 EllenRichter: @MeredithGould Yes...I got your DM but was afraid to respond on my account while signed into @RNchat LOL ~TY though!! #RNchat 12/29/2009 22:09 TeriRN: @EllenRichter Me too. Left home of 2yrold actively dying. Needed this 2nite. Thanks #RNChat 12/29/2009 22:09 EllenRichter: @eggy1024 I missed your intro...what type of nurse? #RNchat 12/29/2009 22:09 EllenRichter: @TeriRN I just love hospice nursing more each year. If I didnt love critical care, hospice
  10. 10. would be my next choice #RNchat 12/29/2009 22:10 eggy1024: @EllenRichter now hospice, have done mostly ER tho...still kind of miss it! #RNchat 12/29/2009 22:11 eggy1024: @EllenRichter @TeriRN i find there's more charting in hospice nsg than ER nsg. #RNchat 12/29/2009 22:12 EllenRichter: I work in geriatric critical care which means more than half of my pts end up hospice if they make really helps families #RNchat 12/29/2009 22:12 ocdgirl2000: @eggy1024 #rnchat charting is more for medicare reimbursement? 12/29/2009 22:14 EllenRichter: Well, in 2015, we will be directing our robo-nurses to follow algorithms that we will electronically chart about from home #RNchat 12/29/2009 22:15 TeriRN: @EllenRichter That's a scary thought. I don't ever want to give up my face to face with pts. #RNChat 12/29/2009 22:16 EllenRichter: Should be interesting to see how nursing care twists & turns with health care reform cost cuts #RNchat 12/29/2009 22:16 ocdgirl2000: @EllenRichter #rnchat in 2015 I'm going to be retired!! that's the YEAR! then I can work agency and get free bennies where I am now! 12/29/2009 22:17 DONNAinOHIO: RT @EllenRichter: Should be interesting to see how nursing care twists & turns with health care reform cost cuts #RNchat 12/29/2009 22:17 EllenRichter: No, @TeriRN neither do I want to give up face-to-face patient contact! I love being a bedside hospital nurse #RNchat 12/29/2009 22:19 EllenRichter: LOL @ocdgirl2000 I wish I could retire in 2015! Geez thats right around the corner! Lucky YOU! #RNchat 12/29/2009 22:20 EllenRichter: Thanks for the RT @DONNAinOHIO :) #RNchat 12/29/2009 22:20 EllenRichter: OK 2 dogs' eyes are yellow from holding it in!! I need to take them out! Have a great nite~ :) #RNchat 12/29/2009 22:22 ocdgirl2000: #rnchat I like the idea of being "available" 2 some select places that I become "familiar" with,comfortable with..just 2 help with patients 12/29/2009 22:22 ocdgirl2000: #rnchat I don't want to be a slave to a bullying boss and a scheduled lifetime of people telling me what I can and cannot do..tired of it.. 12/29/2009 22:23
  11. 11. JimRN: Don't hospice & critical care have opposite goals? #justaskin #rnchat 12/29/2009 22:33

Transcript of RNchat for December 29, 2009. RNchat is a Twitter chat for registered nurses who discuss a wide range of topics related to the nursing profession and health care and technology. Topics include: T1 - Robo-nurses T2 - Using software to deliver care using algorithms & decision-trees. T3 - Malpractice Litigation You can follow RNchat on Twitter: Blog: http://Rnchat,org


Total views


On Slideshare


From embeds


Number of embeds