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 May 14, 20101

Transcript of RNchat, a Twitter chat for registered nurses. Follow @RNchat and the hashtag #RNchat - http://Twitter.com/RNchat

Topics included:

T1 Patient Ratios as Public Health Threat: How strong a moral imperative is it to establish better patient loads? (See next tweet)

T1 Follow-up: Might nurses have an ethical obligation to public protest high pt/rn ratios? Should ratios be strongly public record?

T2 Fall Prevention: What are best practices for implementing fall prevention plans & procedures? What works? What doesn't?

  • Login to see the comments

  • Be the first to like this

RNchat Transcript May 14, 20101

  1. 1. rnchat: 15 minutes until #RNchat! Consider using http://TweetChat.com or http://TweetGrid.com during the chat! :) 5/14/2010 11:15 EllenRichter: Hi there! OMG just in time for another #RNchat ...I almost forgot there was another one today!! :) 5/14/2010 11:23 rnchat: Welcome to today's #RNchat! We'll get started in a moment, but first introduce yourselves! 5/14/2010 11:30 EllenRichter: I apologize ahead of time but I need to do other work while I participate today! I'll try to multitask! :) #RNchat 5/14/2010 11:32 rnchat: OK we'll get started in one minute with the first topic. Please prepend your answers with T1, T2, etc. #RNchat 5/14/2010 11:34 EllenRichter: I'm a critical care nurse working in a predominantly geriatric ICU setting & I also consult with attorneys on healthcare litigation #RNchat 5/14/2010 11:34 rnchat: T1 Patient Ratios as Public Health Threat: How strong a moral imperative is it to establish better patient loads? (See next tweet) #RNchat 5/14/2010 11:35 EllenRichter: Hi @philbaumann How goes it today? Hope you are well! :) #RNchat 5/14/2010 11:35 rnchat: T1 Follow-up: Might nurses have an ethical obligation to public protest high pt/rn ratios? Should ratios be strongly public record? #RNchat 5/14/2010 11:36 bthenextstep: t1 yet another sensitive topic phil...lol #rnchat 5/14/2010 11:36 bthenextstep: oh wait.. sorry. My name is Sean. CC RN and avid social media finatic. :) #rnchat 5/14/2010 11:37 pamsvulcan: Hi! I'm Pam med/surg RN from NY #RNchat 5/14/2010 11:37 bthenextstep: t1 i think it's safe to say we already voice our opinions at the 'employer' level. patient safety is always our focus. #rnchat 5/14/2010 11:38 visiting_nurse: @rnchat #RNchat 5/14/2010 11:38 philbaumann: @EllenRichter I'm good. How are things? #rnchat 5/14/2010 11:39 bthenextstep: t1 i'm still trying to figure out how the beuracrats (not at bedside) decide on what the approp ratios are? makes no sense. #rnchat 5/14/2010 11:40
  2. 2. visiting_nurse: @rnchat #RNchat hi evry1, fingers r faster than the mind 2day. happy friday. Heather here interested n home health, hospice & public health 5/14/2010 11:40 rnchat: @pamsvulcan Welcome Pam. #rnchat 5/14/2010 11:41 EllenRichter: T1 Staffing ratios are math problems. We all know there are only 60 min to ea hour, so with fewer nurses, pt care hours drop! #RNchat 5/14/2010 11:42 pamsvulcan: T1 I worked for 16yrs in M/S & had pt loads from 16 (inpt rehab) - 6 (currently) Limiting pt load is a must for pt & staff safety #RNchat 5/14/2010 11:42 cerner: The Cerner team celebrated US nurses this week with National Nurses Week. Thank you for all you do! #RNchat 5/14/2010 11:42 EllenRichter: T1 If the ratio is 6:1, Mr Smith only gets 10 min of care/hour. At 4:1 he gets 5 additional minutes. Staffing can make or break care #RNchat 5/14/2010 11:44 bthenextstep: t1 it's the total time needed to care for the individual - not there classified illness. grr. #rnchat 5/14/2010 11:45 EllenRichter: @bthenextstep T1 Yes, the bureaucrats usually are not part of a 6 patient assignment, right? They get VIP treatment! #RNchat 5/14/2010 11:45 bthenextstep: @EllenRichter amen to that. see how they feel when they get neglected due to RN being overwhelmed. #RNchat 5/14/2010 11:46 jrobinsonRN: T1 TNA here in TX does not agree with mandating ratios but letting the hospitals decide proper ratios hasn't worked either #RNChat 5/14/2010 11:46 EllenRichter: T1 We all know that patient acuity changes all day long & its nearly impossible to staff based on acuity. At least limit the high #s #RNchat 5/14/2010 11:46 visiting_nurse: @rnchat T1 #RNchat alrdy n highly regulated settn . when pt/stff ratios bcome regulatd we risk the ability 2 adapt locally 2 un4seen circums 5/14/2010 11:47 bthenextstep: t1 i do believe there a fine balance between abusing the system and fair ratios, but pt safety is a must. #rnchat 5/14/2010 11:47 takouklaki: RT @EllenRichter: T1 Staffing ratios are math problems. We all know there are only 60 min to ea hour, so with fewer nurses, pt care hours drop! #RNchat 5/14/2010 11:48 takouklaki: RT @EllenRichter: T1 If the ratio is 6:1, Mr Smith only gets 10 min of care/hour. At 4:1 he gets 5 additional minutes. Staffing can make or break care #RNchat
  3. 3. 5/14/2010 11:48 jrobinsonRN: I have always refused to give VIP tx - they get the best I can give- period. #RNChat 5/14/2010 11:48 bthenextstep: t1 the budget suffers when the ratio is abused. then you get 'scheduled' short handed. #rnchat 5/14/2010 11:49 EllenRichter: T1 The frustrations of unfair nurse:patient ratios is what burns good nurses out. We just can't tolerate giving substandard care.. #RNchat 5/14/2010 11:49 visiting_nurse: @rnchat T1 #RNchat that said changes need 2 occur & mayb its using math/finance 2 show wht it looks lk on paper @EllenRichter show outcome $ 5/14/2010 11:49 pamsvulcan: T1 but Mr. Smith might get less than the 10 minutes alloted him when Mrs Lee requires 30min d/t multiple problems #RNchat 5/14/2010 11:49 bthenextstep: @EllenRichter t1 I agree. burnout is inevitable with the unsafe / improper ratios #RNchat 5/14/2010 11:50 KPNurseRecruit: Wish I could be on #RNChat today. Will try to check in again later. T1: Much written about California ratios and nurse satisfaction. 5/14/2010 11:51 jrobinsonRN: I have rarely seen ratios get abused in the last 10 yrs - we were almost always understaffed no matter where I worked. #RNChat 5/14/2010 11:51 bthenextstep: @jrobinsonRN I've seen the 'abuse' in smaller hospitals. It's disgruntling. #rnchat 5/14/2010 11:52 BonSecoursRVA: RT @PhilBaumann: Nurses should join in today's #RNchat starting in a few minutes at 11:30am EST 5/14/2010 11:52 EllenRichter: @visiting_nurse T1 Financial outcome can be same for both lousy or good staffing, but patient care RESULTS not measured in dollars #RNchat 5/14/2010 11:52 jrobinsonRN: @bthenextstep must be nice to have the staff to be able to abuse the ratios, I must have worked at the "wrong" hospital #RNChat 5/14/2010 11:53 bthenextstep: t1 i've always said how can you assign a numerical value to the human condition. health care may be a business - but ppl aren't. #rnchat 5/14/2010 11:53 EllenRichter: @KPNurseRecruit T1 Yes, I am curious as to how successful Cali's set pt ratios has been on nursing satisfaction! Share when you can #RNchat 5/14/2010 11:54 jrobinsonRN: T1 - have friends in CA that report they actually like going to work since the ratios came about #RNChat 5/14/2010 11:55
  4. 4. nursingpins: T1 Staffing will not improve unless mandated or we take our profession back from the hospitals - hey all - running late. #rnchat 5/14/2010 11:55 EllenRichter: @bthenextstep T1 Only reason we have to assign numerical values to humans is b/c we cant pull nurses out of the air. Must plan ahead #RNchat 5/14/2010 11:56 bthenextstep: RT @jrobinsonRN: T1 - have friends in CA that report they actually like going to work since the ratios came about #RNChat - awesome 5/14/2010 11:56 philbaumann: @BonSecoursRVA It's underway but the second topic will come up in a few ;) #RNchat 5/14/2010 11:57 EllenRichter: @jrobinsonRN T1 Thats good to hear. Cannot understand why the whole nation can't follow suit with California's patient ratio laws. #RNchat 5/14/2010 11:58 bthenextstep: t1 in the end it's all about the money/budget. #rnchat 5/14/2010 11:58 jrobinsonRN: @nursingpins - T! Hate to have mandated but since we haven't taken our profession back, mandated ratios R next best thing #RNChat 5/14/2010 11:58 pamsvulcan: T1 @nursingpins how do they enforce/maintain ration in the event of sick calls, etc? #RNchat 5/14/2010 11:58 SternNursing: @EllenRichter #RNChat Hello! Mind if I join in the conversation? 5/14/2010 11:59 EllenRichter: @visiting_nurse T1 Unfortunately, even with good care, rehospitalizations occur. & in some towns there is only 1 facility--no choice #RNchat 5/14/2010 11:59 jrobinsonRN: @EllenRichter T1 CA always does things first - TX will be unlikely to ever do it #RNChat 5/14/2010 12:00 EllenRichter: @SternNursing Please do join! Nice to see you again! :) #RNchat 5/14/2010 12:00 jrobinsonRN: @pamsvulcan T1 - on-call, float staff & agency to maintain ratios for call-ins #RNChat 5/14/2010 12:00 visiting_nurse: T1 #RNchat I just hate 2 c the nursing profession become even further regulated with mandated ratios. how do we take back our profession? 5/14/2010 12:01 pamsvulcan: T1 and mandatory OT won't lead to further burnout & dissatisfaction? #RNchat 5/14/2010 12:01 EllenRichter: @jrobinsonRN T1 I hear you about TX....what a shame. The RNs are fighting in Florida for mandatory minimum ratios--I'm praying! #RNchat 5/14/2010 12:01
  5. 5. nursingpins: I hated to see the gov. take over HC - but we had no choice - will be the same with staffing - will have to be mandated. #rnchat 5/14/2010 12:02 jrobinsonRN: @pamsvulcan T1 - pleeze! I know tons of nurses gripe about mandatory OT, but they don't gripe when THEY choose to work lots of OT #RNChat 5/14/2010 12:02 bthenextstep: t1 mandating will most likely be the 'start' but hopefully not the only 'answer'. #rnchat 5/14/2010 12:02 jrobinsonRN: @EllenRichter - I let my FL license lapse this year - maybe I should have kept it #RNChat 5/14/2010 12:03 EllenRichter: @jrobinsonRN T1 LOL we said the same thing about OT shifts! :) #RNchat 5/14/2010 12:03 nursingpins: Nurses need to get out from under the control of hospitals - nurses let the hospitals run them - they ran our prof into the ground. #rnchat 5/14/2010 12:04 rnchat: OK, next topic coming up in a minute! #RNchat 5/14/2010 12:04 jrobinsonRN: @pamsvulcan - most nurses I know will work a ton of OT regularly for extra $, they just don't want someone to tell them to work OT #RNChat 5/14/2010 12:04 pamsvulcan: T1 Not me - my scheduled days wipe me out - OT would be to much #RNchat 5/14/2010 12:04 EllenRichter: T1 Back to your original question, Phil, I think maybe the public SHOULD have a say in nurse:pt ratios since it affects us all! #RNchat 5/14/2010 12:04 rnchat: T2 Fall Prevention: What are best practices for implementing fall prevention plans & procedures? What works? What doesn't? #RNchat 5/14/2010 12:05 jrobinsonRN: @pamsvulcan - you and me both - I can do OT for a while, but I don't know how all the nurses I know keep up that OT pace #RNChat 5/14/2010 12:05 nursingpins: Most nurses in New Orleans are working OT - hospitals will not hire the nurses - plenty of applications! #rnchat 5/14/2010 12:05 jrobinsonRN: @EllenRichter T1 I don't think the public fully understands the implications of ratios & quality care #RNChat 5/14/2010 12:05 EllenRichter: T1 Situations as serious as substandard staffing is something the public should hear about VERY much! Then maybe things will change. #RNchat 5/14/2010 12:06 visiting_nurse: @nursingpins T1 #RNchat so what work has been done 2 take nursing out of the room &
  6. 6. bed charge to help show our value. 5/14/2010 12:06 jrobinsonRN: T2 Best practices for fall prevention/plans - appropriate staffing to enforce/enact the plans already in place #RNChat 5/14/2010 12:06 pamsvulcan: T2 we score pts for fall risk, have beds with built in alarms, min hourly rounding, try to engage family when available #RNchat 5/14/2010 12:07 EllenRichter: T1 Its the public that votes for the government seats that can make these changes law. Time to stop whining behind closed doors. #RNchat 5/14/2010 12:08 jrobinsonRN: @visiting_nurse T1 I haven't seen any facility try to take nursing hours out of the daily charge #RNChat 5/14/2010 12:08 SternNursing: @EllenRichter #RNChat Realistic ratios are vital to delivering quality, safe patient care. This is a huge liability in our profession. 5/14/2010 12:08 jrobinsonRN: @EllenRichter Amen to that - unfortunately many healthcare professionals & politicians don't like transparency #RNChat 5/14/2010 12:09 EllenRichter: T2 Fall prevention is a complex process of attempting to recognize danger before it happens. Many times preventive measures do work. #RNchat 5/14/2010 12:10 nursingpins: healthcare has been shrouded in secrecy for so long - it is time the public got involved - and informed of their danger. #rnchat 5/14/2010 12:11 jrobinsonRN: @EllenRichter T2 - most fall prevention programs would work if there were enough staff to actually monitor and see pts more often #RNChat 5/14/2010 12:11 bthenextstep: t2 as annoying as most fall prevention measures are. they work. wrist bands. evaluation scales, good hx, the works. #rnchat 5/14/2010 12:12 EllenRichter: @nursingpins T2 I agree with you on removing that "cloak of secrecy" about the inner workings of health care. Start with staffing! #RNchat 5/14/2010 12:12 EllenRichter: T2 The important thing with fall prevention is that we make every attempt to reduce risk. If it still happens, at least we tried all #RNchat 5/14/2010 12:13 visiting_nurse: T2 - most fall prevention Interventions are not reimbursable, therefore progrms do not get passed the assessment phase #RNChat 5/14/2010 12:14 nursingpins: T2 more time is spent doctoring restraint flow sheets than monitoring patients - the whole thing goes back to staffing. #rnchat 5/14/2010 12:14
  7. 7. jrobinsonRN: T1/T2 anyone else see the trend that inadequate staffing is a root cause of many safety issues? #RNChat 5/14/2010 12:14 EllenRichter: @visiting_nurse T2 How can you compare the reimbursability of a bed alarm to the cost of a hip fracture repair? #RNchat 5/14/2010 12:15 nursingpins: T2 - staffing is the cause of most errors, accidental deaths, falls and nurses leaving the profession! #rnchat 5/14/2010 12:16 EllenRichter: @jrobinsonRN T2 Yes, it makes total sense. Poor staffing ratios = unsafe situations. Unsafe situations = negative occurrences #RNchat 5/14/2010 12:16 jrobinsonRN: @visiting_nurse T2 facilities don't care about fall programs being reimbursable when they have to pay $ to settle a case r/t fall #RNChat 5/14/2010 12:16 visiting_nurse: @EllenRichter T2 Home health interventions are different than that of a facility and we lack control over the home environment #RNchat 5/14/2010 12:16 visiting_nurse: @EllenRichter T2 Many things we r asked to do are not directly related to the medical condition that is reimbursed by Medicare #RNchat 5/14/2010 12:17 EllenRichter: T2 Actually most interventions related to a Fall Prevention program are NOT costly at all. Many dont even require a physician order. #RNchat 5/14/2010 12:18 jrobinsonRN: @EllenRichter - yet how many times have I seen nurses say "I can't do that w/o Dr order?" is that laziness or ignorance? #RNChat 5/14/2010 12:18 visiting_nurse: @EllenRichter T2 So we assess for it & do the best that we can do to keep them from falling. But many do not want to rearrange furn #RNchat 5/14/2010 12:19 visiting_nurse: @EllenRichter T2 Or get rid of that favorite rug or improve the lighting in their home #RNchat 5/14/2010 12:20 pamsvulcan: @EllenRichter they just need to be built into the system & all our routine practice, safety checks, keeping needed items close by... #RNchat 5/14/2010 12:20 EllenRichter: @nursingpins T2 Isnt it amazing how major research points out the serious problems w/ RN staffing ratios yet nothing changes! #RNchat 5/14/2010 12:20 jrobinsonRN: @visiting_nurse at some point pts must take some responsibility - if they refuse to accomodate for safety-they are liable for self #RNChat 5/14/2010 12:21
  8. 8. nursingpins: T2 -I've seen countless pts. fall because the nurse would not call for soft wrist restraints- will not use without an order = fall #rnchat 5/14/2010 12:22 nursingpins: T2 -nurses just do not have time to watch the patients as they should - most falls could be prevented. (Staff) #rnchat 5/14/2010 12:23 jrobinsonRN: @nursingpins Most policies require order for restraints w/in a given time period for use but can be placed b4 order received #RNChat 5/14/2010 12:23 jrobinsonRN: @nursingpins restraints aren't always the answer for falls though, more staffing, sitters, engaged family members work better #RNChat 5/14/2010 12:24 EllenRichter: T2 I wonder if , once the US is 100% EMR, will that improve the amount of time RNs spend with their pts? Will care improve then? #RNchat 5/14/2010 12:24 nursingpins: T2 - nursing is a time manganese nightmare - you barley have time to do the things that MUST be done - falls - going to happen! #rnchat 5/14/2010 12:25 rnchat: Our hour is almost up! We'll wrap up in a couple minues. #RNchat 5/14/2010 12:25 visiting_nurse: T2 #RNchat but r publicly reported outcomes r affected if they go 2 the ER or r hospitalizd becuz of a fall. we get the ding. 5/14/2010 12:25 jrobinsonRN: @EllenRichter too many places I've seen don't have enough computers - EMRs taking more time than handwritten records #RNChat 5/14/2010 12:25 EllenRichter: @rnchat Geez, these were great topics!! We could have done 90 minutes easily! The hour flew by!! :) #RNchat 5/14/2010 12:26 jrobinsonRN: @EllenRichter not to mention user-unfriendly EMRs and staf that don't know how to navigate computer programs well #RNChat 5/14/2010 12:26 EllenRichter: @visiting_nurse T2 I would imagine its much harder to prevent falls in a person's home. I was thinking along the lines of hospitals. #RNchat 5/14/2010 12:27 rnchat: Before we sign-off, give us your parting thoughts! #RNchat 5/14/2010 12:27 jrobinsonRN: @visiting_nurse Is there no recourse if ur records indicate that u did everything but pts were noncompliant with fall precautions? #RNChat 5/14/2010 12:28 egculbertson: #RNchat is talking about fall prevention, which is a topic that fascinates me. Can't wait to check in on the discussion. 5/14/2010 12:28
  9. 9. nursingpins: Don't forget to clamp the Foleys when you empty them - "GO NURSES" - @onlinenursing Thanks Phil and ALL #rnchat 5/14/2010 12:29 rnchat: @EllenRichter Yup - always goes fast! #RNchat 5/14/2010 12:30 EllenRichter: @jrobinsonRN T2 We know from working as LNCs how important it is to document that the RNs did everything per Fall Prevention Policy #RNchat 5/14/2010 12:30 rnchat: Well done everybody! THANK YOU for another great #RNchat! Transcript of today's chat will be up later! Cheers! 5/14/2010 12:30 jrobinsonRN: @nursingpins "Don't forget to clamp the foleys when you empty them" - what a visual! ICK! LOL! #RNChat 5/14/2010 12:31 visiting_nurse: @jrobinsonRN nope this is what the public will see http://bit.ly/aL1Mu2 as you can tell you can not annotate the graph / results #RNchat 5/14/2010 12:32 EllenRichter: Have a great day, folks!! Wonderful getting together like this for a 2nd time this week! What a double-treat! Twitter RNs rock! :) #RNchat 5/14/2010 12:33 jrobinsonRN: @visiting_nurse We MUST come up w/ better system for reports, too many inaccuracies and not showing the whole picture #RNChat 5/14/2010 12:33 EllenRichter: LOL I must admit....I did none of my other work during the hour of #RNchat. The topics were just too good to pass up! :) 5/14/2010 12:34 nursingpins: @EllenRichter You are right (research) everybody from the the WHO to RWJF had told the problem - what do they do? - Nothing #rnchat 5/14/2010 12:36 jrobinsonRN: @nursingpins Have watched 2 decades go by, studies done to death on problem but few take action to fix problems #RNChat 5/14/2010 12:37 jrobinsonRN: @nursingpins If I watch another decade go by without changes - I might have to turn in my nursing license out of frustration #RNChat 5/14/2010 12:38 nursingpins: @jrobinsonRN Most of the reporting now ie: chart information is wrong as it is - more emphasis on useless charting than pt. care. #rnchat 5/14/2010 12:38 visiting_nurse: @jrobinsonRN agree becuz this is the system that CMS uses 4 all HC settngs/provdrs qual ratings. i.e. my resistnc 2 mor regs #RNChat 5/14/2010 12:38 nursingpins: @jrobinsonRN Thats right - and unfortunately HC went to hell in a hand basket in this country - will take much to fix. #rnchat 5/14/2010 12:40
  10. 10. jrobinsonRN: @nursingpins - the excessive charting is to CYA - just a bandaid so the root problem doesn't have to be addressed #RNChat 5/14/2010 12:40 nursingpins: @jrobinsonRN result - most of the charting is false information - Do you think all the things charted are actually done? #rnchat 5/14/2010 12:44 nursingpins: @jrobinsonRN For the most part - the charting of (Most) nurses is useless - chance that information is correct - about 50% #rnchat 5/14/2010 12:45 nursingpins: @jrobinsonRN Nurses have been put into a situation where they can no longer do what is expected - result corners cut. #rnchat 5/14/2010 12:47 nursingpins: Nurses can no longer do what is expect of them-result-corners cut-quality of care down the tubes-cause=hospitals and poor staffing. #rnchat 5/14/2010 12:50 jrobinsonRN: @nursingpins As a legal nurse that reads med recs for living - I can see when charting is incorrect based on all the other evidence #RNChat 5/14/2010 12:51 nursingpins: @jrobinsonRN and unfortunately - more and more charting is false information - the scary thing is that it is being accepted(norm) #rnchat 5/14/2010 12:55 jrobinsonRN: @nursingpins Yes, it makes me crazy that this is acceptable behavior #RNChat 5/14/2010 12:56 nursingpins: @jrobinsonRN many times I question a patient "Had no medication all day" yet the MAR is full of signed off medication. #rnchat 5/14/2010 12:57 nursingpins: @jrobinsonRN At most hospitals, I don't even bother to read the charting - have not seen a Dr. read nurses notes in years. #rnchat 5/14/2010 13:01 jrobinsonRN: @nursingpins Perhaps if they read the nurse's notes, we would see improved communication & pt outcomes. #RNChat 5/14/2010 13:03 HealthXMedia: Two days late but right on time for National Nurses Week: http://bit.ly/bbFZUm #rnchat #hxm #nurses 5/14/2010 13:04 MeredithGould: Forever & always grateful for #nurses: Two days late but right on time for National Nurses Week: http://bit.ly/bbFZUm #rnchat #hxm 5/14/2010 13:06 mariamoo: RT @EllenRichter: T1 We all know that patient acuity changes all day long & its nearly impossible to staff based on acuity. At least limit the high #s #RNchat 5/14/2010 13:12 mariamoo: RT @EllenRichter: T1 Staffing ratios are math problems. We all know there are only 60
  11. 11. min to ea hour, so with fewer nurses, pt care hours drop! #RNchat 5/14/2010 13:13 colleenpence: Me too. Esp. lately. RT @MeredithGould: Forever & always grateful for #nurses: National Nurses Week: http://bit.ly/bbFZUm #rnchat #hxm 5/14/2010 13:13 NursingCenter: Hello twitter nurses ~ getting a late start today! Bummed to have missed #rnchat too! Will have to catch up via transcript! 5/14/2010 13:24 KPNurseRecruit: @EllenRichter Here's one article on lower CA ratios positively impacting pt outcomes and nursing satisfaction: http://bit.ly/aikmJp #RNChat 5/14/2010 14:37 beawarefm: RT @harik108: RT @EllenRichter Here's one article on lower CA ratios positively impacting pt outcomes nursing satisfaction: http://bit.ly/aikmJp #RNChat 5/14/2010 14:43 KPNurseRecruit: RT @asthehosptuRNs I specifically chose CA for the state-mandated ratios. #rnchat T1. 5/14/2010 14:47 cernerRxProcess: RT @Cerner: The Cerner team celebrated US nurses this week with National Nurses Week. Thank you for all you do! #RNchat 5/14/2010 16:07 jrobinsonRN: Back atcha w/ #ff luv @DonnaPetko @ TRUSTMobility - @Visiting_Nurse - #RNchat was gr8t today, glad I made it there 5/14/2010 16:40 buttons04: RT @rnchat: 101 Blog Posts Every Nurse Should Read - http://bit.ly/aG70tj #RNchat 5/14/2010 21:50 _ePatient: #ePatient RT @hcsmeu: #ePatient #ePatient #RNChat #hcsmeu... - #rnchat ...: http://url4.eu/3QarX 5/14/2010 22:20

×