RNchat Transcript May 14, 20101

663 views

Published on

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?

  • Be the first to comment

  • 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

×