1. EllenRichter: Some interesting reading related to #RNchat tonight "Hospital Delirium | Delirium in
Elderly Patients | Caring.com" http://j.mp/9UuIIa
6/23/2010 19:58
EllenRichter: Another good article for #RNchat topic tonight "Hallucinations in Hospital Pose Risk to
Elderly - NYTimes.com" http://j.mp/akcXBe
6/23/2010 20:01
EllenRichter: Excellent tips for patient safety!"Triage: Delirium in elderly patients: an often overlooked
problem" http://j.mp/agTSnQ #RNchat
6/23/2010 20:04
EllenRichter: Article identifies key points for care "Elderly hospital patients facing risk of delirium |
Deseret News" http://j.mp/cqTwNs #RNchat
6/23/2010 20:06
EllenRichter: "Bill Text - 111th Congress (2009-2010) - Registered Nurse Safe Staffing Act of 2010"
http://j.mp/d74Hzi #RNchat Topic for tonight's chat
6/23/2010 20:19
EllenRichter: A wonderful blog for #RNchat topic tonite "Aging: When the Elderly Have a Sudden Onset
of Confusion...?" http://j.mp/d4YRFA
6/23/2010 20:28
nursingpins: Geriatric Medicine in the Hospital Setting…Very Common Mistakes!
http://tinyurl.com/23wzaxj #RNchat
6/23/2010 20:32
EllenRichter: Do improved nurse:pt ratios really help with pt outcomes? "States Consider Merits of
Mandated Staffing Ratios" http://j.mp/cgH49g #RNchat
6/23/2010 20:39
nursingpins: What is "active ageing"? (W.H.O) http://www.who.int/ageing/active_ageing/en/index.html
#RNchat
6/23/2010 20:39
EllenRichter: "Mandatory Hospital Nurse to Patient Staffing Ratios: The Argument For & Against
Mandatory Staffing Ratios" http://j.mp/cl97RB #RNchat
6/23/2010 20:46
EllenRichter: Great #RNchat topic read! "Surprises in Work Environment Contribute to High Turnover
Rates of New Nurses - RWJF" http://j.mp/d1ERXT
6/23/2010 20:53
EllenRichter: #RNchat nurse:pt ratios "Implications of the California Nurse Staffing Mandate for Other
States (PubMed Abstract only) http://j.mp/c7KQIS
6/23/2010 20:55
rnchat: Just to clear up any possible confusion, tonite @EllenRichter (thats me) will be typing
under the guise of this account name for #RNchat :)
6/23/2010 20:58
rnchat: Signing into TweetGrid for #RNchat (wish the site would remember the password for me)
:)
6/23/2010 20:59
chemosabe: hello all working on the floor, will try to keep up. #rnchat

2. 6/23/2010 21:00
rnchat: RT @nursingpins: My favorite study re:Ratios - http://scrubsmag.com/nurse-staffing-
ratios-save-lives/ #rnchat
6/23/2010 21:01
MatthewBrowning: Go Ellen!! :-) RT @PhilBaumann: Dropping in to say Hi at #RNchat while manic-tasking -
@EllenRichter does an amazing job, doesn't she!
6/23/2010 21:02
rnchat: Hello everyone who is joining in tonite! This is #RNchat & I am moderating tonite for
@philbaumann ~Welcome nurses & health care professnals
6/23/2010 21:03
rnchat: @chemosabe Appreciate how difficult it is to chat while at work!! #RNchat
6/23/2010 21:03
nursingpins: Vernon -critical care in new orleans - hi all -thanks for hosting tonight Ellen. #rnchat
6/23/2010 21:04
rnchat: Lets begin with our usual introductions. Please say hello & tell us a tiny bit about
yourselves! #RNchat
6/23/2010 21:04
rnchat: @nursingpins LOL you beat me to it! :) #RNchat
6/23/2010 21:05
seejanenurse: Telemetry Janey here, hello #RNchat
6/23/2010 21:05
chemosabe: I'm searching for #rnchat live on TweetGrid Search - http://tweetgrid.com/search?
q=%23rnchat
6/23/2010 21:05
chemosabe: #rnchat
6/23/2010 21:05
rnchat: I'm @EllenRichter a critical care nurse & legal nurse consultant. I currently live in south
Florida & its hurricane season! :) #RNchat
6/23/2010 21:06
nursingpins: @chemosabe TweetChat works well most of the time. #rnchat
6/23/2010 21:07
chemosabe: I'm @chemosabe, Oncology NUM, Brisbane, Australia. 11am Thursday down here, and
we now have new PM #rnchat
6/23/2010 21:07
rnchat: Just want to say that #RNchat is a way for nurses (& all others in health care!) to meet,
tweet & share feelings, thoughts & ideas~
6/23/2010 21:07
chemosabe: have issues using work computer with both tweetchat and tweetgrid #rnchat
6/23/2010 21:08
MatthewBrowning: RT @RNchat: Just want to say that #RNchat is a way for nurses (& others in health
care!) to meet, tweet & share feelings, thoughts & ideas~
6/23/2010 21:08

3. rnchat: The topics will be labeled T1, T2, etc. Please remember to type topic label & hashtag
#RNchat to ea tweet so we can track your responses!
6/23/2010 21:08
rnchat: T1 Looking to Cali RNs for help to discuss our 1st topic. It has to do with mandated
staffing ratios #RNchat
6/23/2010 21:11
hiremysisterrn: #RNchat - I'm' @hiremysisterRN. Sis is a GN/RN looking for work in critical care field,
near Philadelphia, PA. Nice to meet you all!
6/23/2010 21:12
rnchat: T1 How can RNs work with hospital admin to ensure compliance with mandated ratios
when there are staffing problems, sick calls, etc? #RNchat
6/23/2010 21:14
seejanenurse: T1 I wonder if it is only CA that has mandated ratios, or do unionized nurses also have
ratios enforcement? #RNchat
6/23/2010 21:14
nursingpins: T1 I think ratios will event. have to be mandated. Hospitals will never allow safe staffing
due to cost perceptions. #rnchat
6/23/2010 21:14
rnchat: T1 If RN:pt staffing ratios are mandated by law, how responsible are individual nurses to
help maintain compliance? #RNchat
6/23/2010 21:15
seejanenurse: T1 I think that RNs could sign up for on call, overtime for staffing problems, sick calls etc,
if ratios were enforced. #RNchat
6/23/2010 21:15
chemosabe: T1 Qld uses Business Planning Framework to budget and run units, supposedly including
staffing ratios..lol #rnchat
6/23/2010 21:16
rnchat: @seejanenurse T1 Good question. Does anyone work in a state where RN:pt ratios are
mandated by law? #RNchat
6/23/2010 21:16
seejanenurse: T1 I am personally doing the overtime now, due to understaffing and this just enables
admin to "not hire" more. #RNchat
6/23/2010 21:17
nursingpins: T1 nurses maintain what they can of safe staffing now, ANY improv would help. Would
not worry so much about call-ins etc #rnchat
6/23/2010 21:17
rnchat: @seejanenurse T1 But doesnt mandated overtime cause RN burnout & that ripple effect
goes to the patient? #RNchat
6/23/2010 21:18
chemosabe: T1 our hospital uses casual pool, then agency, then parttimers, then OT. #rnchat
6/23/2010 21:19
rnchat: T1 Are you content with the staffing numbers on the unit you work in? #RNchat

4. 6/23/2010 21:19
seejanenurse: T1 Yes, I get cranky sometimes from working overtime, I can't do it every week. #RNchat
6/23/2010 21:20
nursingpins: T1- I tweeted an informal study 2 weeks ago. Over 80% of nurses at 5 hospitals here
had OT - 40% had more than 16hrs. #rnchat
6/23/2010 21:21
dlwdillon: RT @nursingpins: Vernon -critical care in new orleans - hi all -thanks for hosting tonight
Ellen. #rnchat
6/23/2010 21:21
chemosabe: T1 personally looking at an acuity based staffing model for ambulatory oncology unit
#rnchat
6/23/2010 21:21
rnchat: @nursingpins T1 And were those nurses who did more than 16 hrs OT still happy &
enjoying their work? #RNchat
6/23/2010 21:22
seejanenurse: @nursingpins T1 16 hours in 1 shift, is sick. I once worked from 0700-2300 I almost died.
I would never, ever say yes to that again. #RNchat
6/23/2010 21:22
nursingpins: T1 most hospitals have quit using agency here - 2 of the large agencys closed - they let
you sink or swim! #rnchat
6/23/2010 21:22
rnchat: @chemosabe T1 We have used acuity-based staffing models but they are only good on
paper. Not easily fulfilled with hi acuity #RNchat
6/23/2010 21:23
KentBottles: RT @EllenRichter #RNchat topic read! "Surprises in Work Environment Contribute to High
Turnover Rates of New Nurses" http://j.mp/d1ERXT
6/23/2010 21:24
chemosabe: @rnchat Thanks Ellen, doing the research currently, always happy to take advice or
experience #rnchat
6/23/2010 21:24
nursingpins: T1 most appreciate the OT - but do not enjoy the work - the nursing profession (what is
left of it) is changing fast. #rnchat
6/23/2010 21:24
rnchat: T1 Do mandated minimum nurse:patient ratios really impact on patient safety and improve
patient outcomes upon hospital discharge? #RNchat
6/23/2010 21:24
cyclingwidow: T1 what are your feelings on MANDATORY overtime and how much is too much (from a
safety perspective)? #RNChat
6/23/2010 21:24
rnchat: @KentBottles Thanks for that link RT :) #RNchat
6/23/2010 21:25
nursingpins: T1 there will be no meaningful improvement in hc until we have safe staffing. #rnchat
6/23/2010 21:25

5. rnchat: @cyclingwidow T1 Great question. I hope folks answer it! :) #RNchat
6/23/2010 21:25
chemosabe: T1 all mandatory staffing issues are only as good as the staff working, skill mix etc...
#rnchat
6/23/2010 21:25
seejanenurse: @cyclingwidow I don't think any overtime should be mandatory, I just don't understand
that concept at all. #RNchat
6/23/2010 21:26
rnchat: T1 If nurses are mandated by law to work with minimum safe staffing ratios, then we are
all obligated to help maintain those ratios #RNchat
6/23/2010 21:27
nursingpins: T1 we have used acuity-based staffing for years - bottom line - you get the same # of
nurses regardless - just change the#'s #rnchat
6/23/2010 21:27
chemosabe: T1 no such thing as Mandatory OT in Qld public hospitals #rnchat
6/23/2010 21:27
cyclingwidow: T1 Hate working overtime only to find my check LESS than normal because of taxes. That
REALLY discourages #RNCHAT
6/23/2010 21:28
seejanenurse: @rnchat I agree, if ratios were mandated, I would understand the responsibility, even if it
meant working overtime (I do it anyway!) #RNchat
6/23/2010 21:28
rnchat: T1 There needs to be a part-time pool of nurses to fill in holes in staffing---we shouldn't
use staff for mandatory OT #RNchat
6/23/2010 21:29
nursingpins: T1 As long as hospitals do the #'s - there will be no improvement - Nursing needs to be
outside hospital control. #rnchat
6/23/2010 21:30
cyclingwidow: @seejanenurse I don't either. Unscheduled MO especially. Yes we are nurses, yes we are
dedicated to patients but we have lives too #RNCHAT
6/23/2010 21:30
rnchat: T1 So does anyone feel mandatory minimum safe staffing numbers shows improvement in
patient outcomes? Or RN satisfaction? #RNchat
6/23/2010 21:30
seejanenurse: T1 bottom line, I am working overtime anyway, where are the mandated ratios to go along
with it? #RNchat
6/23/2010 21:30
rnchat: T1 Are patients and nursing staff happier in hospitals where staffing is better? #RNchat
6/23/2010 21:31
nursingpins: T1 most hospitals have prn/pt pools - used for reg staffing - never call unless call-ins
#rnchat
6/23/2010 21:31

6. cyclingwidow: @rnchat Honestly, I think it depends on how the minimum numbers are met, skill levels,
overtime, etc #RNCHAT
6/23/2010 21:31
seejanenurse: T1 I have not read the research, but I bet the nurses are more effective, and patient
outcomes should follow that, naturally. #RNchat
6/23/2010 21:32
nursingpins: T1 - hard to say if they are happy are not - have not worked in a well staffed hospital in
years. #rnchat
6/23/2010 21:32
nursingpins: T1 I must say - staffing in critical areas has gotten better in the past 5 years. #rnchat
6/23/2010 21:33
seejanenurse: @nursingpins gangbang staffing for years! Oh help us. #RNchat
6/23/2010 21:33
cyclingwidow: @rnchat Staffing at my current facility is great. When we opened 9 yrs ago everyone was
happy. Oh how we forget how good we have it #RNCHAT
6/23/2010 21:33
rnchat: T1 My ICU is supposed to be 2 patients to 1 RN, but with staffing shortages, they easily
add a 3rd patient to our load #RNchat
6/23/2010 21:33
nursingpins: T1 Hospitals must hire people to run the hospitals and let nurses nurse - we can no
longer do it all. #rnchat
6/23/2010 21:34
rnchat: So so true! > RT @nursingpins: T1 Hospitals must hire people to run the hospitals and let
nurses nurse - we can no longer do it all. #rnchat
6/23/2010 21:34
medicalconnect: RT @nursingpins: T1 Hospitals must hire people to run the hospitals and let nurses nurse
- we can no longer do it all. #rnchat
6/23/2010 21:35
rnchat: T1 I will bring an end to this topic with a link to the bill: Registered Nurse Safe Staffing
Act of 2010" http://j.mp/d74Hzi #RNchat
6/23/2010 21:36
chemosabe: @rnchat is that ventilated patients? #rnchat
6/23/2010 21:36
rnchat: @chemosabe T1 At some hospitals, chronic ventilators are 4:1 or even on step-down
units #RNchat
6/23/2010 21:37
seejanenurse: @rnchat T1 Thanks for the link. #RNchat
6/23/2010 21:37
philbaumann: @rnchat That used to happen to me. I'd get 3 or 4 criticals, or like 2 criticals plus 2 or 3
tele's with dementia. #RNchat
6/23/2010 21:38
rnchat: @philbaumann Dementia....our next topic! :) #RNchat

7. 6/23/2010 21:38
nursechenene: T1 mandated nurse/pt ratios can improve safety w/ fewer pts to care for-but higher nurse
demand may trend toward needing a warm body #rnchat
6/23/2010 21:38
rnchat: OK folks, moving right along to our next topic. We can surely talk about staffing for days
on end! :) #RNchat
6/23/2010 21:39
nursingpins: T1 - where ratios will be important is the fast growing postacute/acute units where hosps
say a nurse cant take 5-often with 3 vents #rnchat
6/23/2010 21:40
rnchat: T2 Anyone who's cared for elderly pts understands how quickly delirium sets in when
they're hospitalized! #RNchat
6/23/2010 21:40
seejanenurse: T2 Yes, put the elderly in an unfamiliar environment, where the <bleep> never ends, they
will get delirious (so would I) #RNchat
6/23/2010 21:41
cyclingwidow: @rnchat Add anesthesia to that hospitalization and you've practically got a sure thing
#RNCHAT
6/23/2010 21:41
rnchat: T2 We are aware of safety risks when elderly get confused. What measures can we act
on to prevent injury while hospitalizd? #RNchat
6/23/2010 21:42
rnchat: I keep getting my T1 & T2 discombobulated :) #RNchat
6/23/2010 21:42
NursePru: T2 We have alarms built into the bed. Any patient that isn't oriented x 3 has the alarm
activated to prevent falls. #rnchat
6/23/2010 21:43
seejanenurse: T2 even young patients, transfer from ICU to telemetry with delirium, they call it ICU
psychosis. I never believed it, but it true. #RNchat
6/23/2010 21:43
chemosabe: T2 @rnchat is that your delirium setting in #rnchat
6/23/2010 21:43
seejanenurse: T2 I love our bed alarms, they have a voice option. I record, "Stay in bed, wait for your
nurse." #RNchat
6/23/2010 21:44
rnchat: @chemosabe LOLLLLLLLLLL #RNchat
6/23/2010 21:44
cyclingwidow: @rnchat T2 Keep the family involved and make room for a loved one to be with them at
any time (or all times if they wish) #RNCHAT
6/23/2010 21:44
rnchat: T2 Touchy subject: should staffing be increased on units when patients become acutely
delirious & confused? 1:1 aides? #RNchat
6/23/2010 21:45

8. seejanenurse: @cyclingwidow T1 I am not sure if the night nurse will be happy with that option. I love
the helpful family. #RNchat
6/23/2010 21:45
abegler: RT @EllenRichter: "Mandatory Hospital Nurse Patient Staff Ratios:Argument For &
Against Mandatory Staff Ratios" http://j.mp/cl97RB #RNchat
6/23/2010 21:46
nursingpins: T2 older pts will always be a fall risk-again it gets down to staff-"People"must watch
them-some will cont to fall unless watched. #rnchat
6/23/2010 21:46
rnchat: @cyclingwidow T2 Yes, involving the family from the onset is very important when acute
confusion is identified in the hospital #RNchat
6/23/2010 21:47
NursePru: T2 @nursingpins so true. Sometimes alarms aren't enough if staff doesn't get there in
time. #rnchat
6/23/2010 21:47
seejanenurse: T1 The 1:1 option with aides, short staffs the floor, unfortunately. It is as if we are being
punished even more. #RNchat
6/23/2010 21:47
seejanenurse: Ooops I meant T2 I am delirious now too. #RNchat
6/23/2010 21:48
rnchat: T2 Involving the family also prevents them from pointing a finger at the staff for not
keeping a close eye. They understand better #RNchat
6/23/2010 21:48
dlwdillon: RT @nursingpins: T1 most hospitals have quit using agency here - 2 of the large
agencys closed - they let you sink or swim! #rnchat
6/23/2010 21:48
NursePru: T2 For the confused and really impulsive patient's that can't sit still...a sitter is the only
true way to keep a patient safe. #rnchat
6/23/2010 21:48
dlwdillon: RT @nursingpins: T1 there will be no meaningful improvement in hc until we have safe
staffing. #rnchat
6/23/2010 21:48
cyclingwidow: @seejanenurse We try to practice Family Centered care (helps that we are a Women's
hospital--OB/GYN--but the GYN do suffer dementia) #RNCHAT
6/23/2010 21:49
nursingpins: T2 always better when family stays -but we need more NA's too-often 1 NA for each 12 -
15pts+plus all they do AND help watch pts. #rnchat
6/23/2010 21:49
dlwdillon: RT @nursingpins: T1 at most hospitals "acuity-based staffing" is a joke. It is meaningless
as presently used. #rnchat
6/23/2010 21:49
MatthewBrowning: RT @dlwdillon: RT @nursingpins: T1 there will be no meaningful improvement in hc until

9. we have safe staffing. #rnchat
6/23/2010 21:50
wantnews: RT @rnchat: T1 I will bring an end to this topic with a link to the bill: Registered Nurse
Safe Staffing Act of 2010" http://j.mp/d74Hzi #RNchat
6/23/2010 21:50
cyclingwidow: T2 Hate bring a patient to the desk but have resorted to that, in a recliner chair so that
someone would be with the pt at all times #RNCHAT
6/23/2010 21:50
nursingpins: T2 -so many problems would go away if hospitals just hired enough people to take care
of the patients. #rnchat
6/23/2010 21:51
MatthewBrowning: T2 sorry for late join- Agree Family involvement is huge- IF they have some involved-
largest need is more CNA/HHA to meet demand #RNChat
6/23/2010 21:51
AbbieCitron: Lurking all chat RT @NursePru: T2 For the confused-really impulsive patients a sitter is
the only true way to keep a patient safe. #rnchat
6/23/2010 21:51
rnchat: @nursingpins T2 I imagine there are also challenges on the side of administration to
budget more nursing staff for safe staffing #RNchat
6/23/2010 21:52
nursingpins: @cyclingwidow pts to the desk at small units works well - but in busy units - not possible.
#rnchat
6/23/2010 21:52
MatthewBrowning: @nursingpins even a large contingency pool with a great communications system would
improve care- Right now #RNChat
6/23/2010 21:52
rnchat: T2 In ICUs we cant take them to a desk. They are wired in their rooms. Its a challenge to
provide safe envirnmt for confused in ICU #RNchat
6/23/2010 21:53
cyclingwidow: @nursingpins T2 we shouldn't have to resort to that on any unit. #RNCHAT
6/23/2010 21:55
nursechenene: #RNChat T2 nurse:pt ratio and budget justification is not a job I would want.
6/23/2010 21:55
MatthewBrowning: @rnchat T2 challenges for certain but patient safety can no longer be a cost-benefit
equation- When MY patient is injured bc no help #RNChat
6/23/2010 21:55
AbbieCitron: T2 involving family is important, but can't hold them accountable to keep pt. safe. Often
they fall asleep too. #rnchat
6/23/2010 21:55
nursingpins: @MatthewBrowning A large pool would be wonderful! #rnchat
6/23/2010 21:55
MatthewBrowning: amen! RT @nursechenene: #RNChat T2 nurse:pt ratio and budget justification is not a

10. job I would want.
6/23/2010 21:55
cyclingwidow: T2 have also taken turns with other staff, saved our charting to do while sitting with
pleasantly confused patients. Not ideal #RNCHAT
6/23/2010 21:56
rnchat: A large pool of the right gene pool too! >> RT @nursingpins: @MatthewBrowning A large
pool would be wonderful! #rnchat #RNchat
6/23/2010 21:56
rnchat: @cyclingwidow T2 Charting in a confused patient's room is an excellent idea. Any staff
coverage counts in #ptsafety issues #RNchat
6/23/2010 21:57
cyclingwidow: @cyclingwidow T2 and definately not possible most of the time. AND not fair to the other
patients that are receiving less attention #RNCHAT
6/23/2010 21:58
MatthewBrowning: minimum safe staffing ratios with no efficient coverage for absences = Short Staffing, avg
nurse vacancy 7-9% #RNChat
6/23/2010 21:58
DebErupts: Adequate nursing staff in the long run SAVES the hospital money. Nurses are worth every
penny. #RNChat
6/23/2010 21:58
rnchat: I tweeted a few links to some good reading on points that can send a person, espec
elderly, into a confused state when hospitalized #RNchat
6/23/2010 21:59
chemosabe: hey y'all have to go access TIVAD, may miss rest of chat. take care, chat soon. Thanks
Ellen and all #rnchat
6/23/2010 22:00
cyclingwidow: Thanks to all. Must sign out and get 2 little ladies off to bed. #RNCHAT
6/23/2010 22:00
DebErupts: Understaffed hospitals have more errors, bad outcomes, longer stays, lawsuits. Proper
staffing is key to good quality care. #RNChat
6/23/2010 22:01
MatthewBrowning: @nursingpins turnover, pt and staff safety, pt outcomes, med errors, surgical errors and
fatalities ALL tied to poor staffing #RNChat
6/23/2010 22:01
nursingpins: @DebErupts studies have shown safe staffing saves noney - infections, turnover, errors,
lawsuits - on and on. #rnchat
6/23/2010 22:01
nursechenene: #rnchat And I feel the EMR's are including alot of charting that protects the facility and not
the nurse.
6/23/2010 22:01
rnchat: Well, unfortunately our hour has come to an end! Please continue any topic of
conversations without me! This was great! #RNchat
6/23/2010 22:02

11. MatthewBrowning: RT @DebErupts: Adequate nursing staff in the long run SAVES the hospital money.
Nurses are worth every penny. #RNChat
6/23/2010 22:02
nursechenene: #rnchat pt # plus ever changing EMR does frustrate a person. Feel att'n to detail has to
be rushed
6/23/2010 22:03
MatthewBrowning: My company, YourNurseIsOn.com was created solely to put the right nurse in the right
place at the right time-no nurses=no healthcare #RNChat
6/23/2010 22:04
rnchat: @nursechenene Yes, a good EMR program will work to the benefit of both the hospital &
RNs if it is utilized correctly & completely #RNchat
6/23/2010 22:04
DebErupts: New study examines impact of nurse-patient ratios law, California: http://bit.ly/b63C5u
#RNChat
6/23/2010 22:04
MatthewBrowning: RT @nursingpins: @DebErupts studies have shown safe staffing saves noney -
infections, turnover, errors, lawsuits - on and on. #rnchat
6/23/2010 22:04
rnchat: I want to thank all of our participants tonight for great tweeting on our topics of discussion.
This is truly a wonderful group!! #RNchat
6/23/2010 22:05
MatthewBrowning: I got so tired of ALWAYS having to call nurses 1 at a time- 30/hr HOPING 1 would say
"yes" -We are ALL short staffed- all the time #RNChat
6/23/2010 22:06
nursingpins: Hospitals must start explaining EMR to nurses - many have no clue - and it will be a big
problem at the last min. #rnchat
6/23/2010 22:06
rnchat: Do improved nurse:pt ratios really help with pt outcomes? "States Consider Merits of
Mandated Staffing Ratios" http://j.mp/cgH49g #RNchat
6/23/2010 22:07
MatthewBrowning: short staffing also increases "mental health" days, burnout, and causes nurses to LEAVE
the profession voluntarily or injured #RNChat
6/23/2010 22:07
DebErupts: And, Mathew, as a nurse I hated getting those calls every day I had off. Felt guilty if I
said, "no." #RNChat
6/23/2010 22:07
rnchat: Mandatory Hospital Nurse to Patient Staffing Ratios: The Argument For & Against
Mandatory Staffing Ratios" http://j.mp/cl97RB #RNchat
6/23/2010 22:08
rnchat: Great #RNchat topic read! "Surprises in Work Environment Contribute to High Turnover
Rates of New Nurses - RWJF" http://j.mp/d1ERXT
6/23/2010 22:08
MatthewBrowning: @rnchat Thanks for hosting Ellen! @nursingpins Nurse Informatics is becoming HUGE

12. opportunity for nurses to teach nurses #RNChat
6/23/2010 22:08
DebErupts: RT @rnchat: Great #RNchat topic read! "Surprises in Work Environment Contribute to
High Turnover Rates of New Nurses - RWJF" http://j.mp/d1ERXT
6/23/2010 22:09
MatthewBrowning: Too True! RT @DebErupts: And, Mathew, as a nurse I hated getting those calls every
day I had off. Felt guilty if I said, "no." #RNChat
6/23/2010 22:09
MatthewBrowning: @DebErupts That is why we made our system collaborative- if we are not available -we
should NOT be bothered-If we R, PLEASE call ;-) #RNChat
6/23/2010 22:10
rnchat: @PhilBaumann @seejanenurse @AbbieCitron @cyclingwidow @nursingpins
@MatthewBrowning @DebErupts @chemosabe You all make #RNchat great!
6/23/2010 22:11
MatthewBrowning: RT @rnchat: T1 There needs to be a part-time pool of nurses to fill in holes in staffing---
we shouldn't use staff for mandatory OT #RNchat
6/23/2010 22:12
nursingpins: Pub awareness/education will help ratios before the hospitals will,hospitals have seen
nurses as servants since the TS/Diploma days #rnchat
6/23/2010 22:13
nursingpins: RT @MatthewBrowning:RT @rnchat: T1There needs to be a pt pool of nur to fill in holes
in staffing-we shouldnt use staff for mand OT #rnchat
6/23/2010 22:14
rnchat: For those who missed tonight's chat, watch for the transcript link to be posted by
@PhilBaumann #RNchat
6/23/2010 22:14
chemosabe: back in time for the end, cheers all. #rnchat
6/23/2010 22:16
rnchat: @nursingpins There are more & more authors writing articles & blogs that address the
RN:pt ratio issues which raise public awareness #RNchat
6/23/2010 22:16
nursingpins: T1 many nurses can't find jobs- now would be the time for hospitals to hire and train them
-before nurses refuse to go back to them. #rnchat
6/23/2010 22:17
MatthewBrowning: @rnchat If we cannot contact the right nurse in time- the ratios become hard to meet-
add in flex-time and call volume is impossible #RNChat
6/23/2010 22:18
nursingpins: @rnchat Have seen them too - as more people realize the risk they put themselves in by
going into the hospital - will help ratios. #rnchat
6/23/2010 22:19
MatthewBrowning: @nursingpins LOTS of schools are beginning Nurse Informatics degrees this fall because
of HUGE Gov't funding for #HIT Great Opp!! #RNChat
6/23/2010 22:20

13. nursingpins: T1 mant hospitals do not even try to replace call-ins - pts are redivided and nurses do the
best they can. #rnchat
6/23/2010 22:20
MatthewBrowning: I do not believe the Boomers will accept same care we give their parents- and aging in
place will increase need for homecare nurses #RNChat
6/23/2010 22:21
nursingpins: @MatthewBrowning I noticed - I think informatics is a wonderful opportunity. The best
future for nurses will be Nurse Practioners. #rnchat
6/23/2010 22:23
EllenRichter: @nursingpins "the best they can do" is not always the answer that will fly when something
bad occurs as a result of poor staffing #RNchat
6/23/2010 22:24
MatthewBrowning: RT @rnchat: For those who missed tonight's chat, watch for the transcript link to be
posted by @PhilBaumann #RNchat
6/23/2010 22:24
MatthewBrowning: RT @rnchat @PhilBaumann @seejanenurse @AbbieCitron @cyclingwidow @nursingpins
@MatthewBrowning @DebErupts @chemosabe You make #RNchat great!
6/23/2010 22:25
EllenRichter: @MatthewBrowning Yes geriatric medicine is a growing field--much has to do with
refusing to be treated like our grandparents were #RNchat
6/23/2010 22:26
nursingpins: Many jobs will open up outside hosps - in the near future hosps will not be able to hire
enough nurses, they will not work for them #rnchat
6/23/2010 22:26
ColoradoHealth: RT @EllenRichter: @MatthewBrowning Yes geriatric medicine is a growing field--much
has to do with refusing to be treated like our grandparents were #RNchat
6/23/2010 22:26
MatthewBrowning: @nursingpins hmmm. maybe- I am FNP and went entrepreneur - the system needs major
repair- I hope to fix one little area- staff comm #RNChat
6/23/2010 22:27
MatthewBrowning: @EllenRichter Anything to do with Geri will be hot for next 25 yrs!! #RNChat
6/23/2010 22:29
nursingpins: @MatthewBrowning There is so much that needs fixing - I agree, staffing is #1 - poor
staffing is a major problem of our hc. #rnchat
6/23/2010 22:31
MatthewBrowning: @nursingpins my vision with #YNIO is to scan 3000 staff for 300 qualified and available
staff and confirm 1 in under 5 minutes ;-) #RNChat
6/23/2010 22:31
MatthewBrowning: Whoops- gotta run- night all! #RNChat
6/23/2010 22:32
nursingpins: @MatthewBrowning Your system will do well -when people get access to hc they have
been needing for years hosps will be overflowing. #rnchat
6/23/2010 22:34

14. nursingpins: @nursingpins But hospitals have done so much to ruin the profession -(Treated so badly)
many will not go back when needed. #rnchat
6/23/2010 22:36
TeriRN: @RNchat oh my I was off today and never saw that there was an #RNChat tonight. Darn
looked like a great chat. ={
6/23/2010 22:51
stshno: We are aware that safe nurse/patient ratios saves lives.Our ratios are among the best in
the city.The ANA: http://tinyurl.com/nycdyc #rnchat
6/23/2010 23:00
Wanderer_RN: @seejanenurse I love it when family stays with the delirious - when they're helpful. Often
all they do is call us and don't help. #rnchat
6/24/2010 03:43