1.
rnchat: T1 h1n1 Vaccine: Do facilities have a right to mandate nurses to get vaccinated?
#RNchat
11/17/2009 11:35
EllenRichter: T1 As usual, great question: should facilities be able to mandate nurses to get H1N1
vaccine #RNchat
11/17/2009 11:36
StressedFran: The feeling I've been getting from RNs I've talked to is no, but it'd be wise for employees
to get it! #RNchat
11/17/2009 11:38
EllenRichter: T1 Honestly, health care practices should be governed by 1self w/ advice from health
care professional, not mandated by a company #RNchat
11/17/2009 11:38
bhawkesRN: T1 If I owned a facility I would strongly encourage vacs but not mandate #rnchat
11/17/2009 11:39
InfusionNurse: T1...if nurse doesn't do it voluntarily, I would say yes! #rnchat
11/17/2009 11:39
StressedFran: Many of HCPro website polls of healthcare employees on this issue have been pretty split
#RNchat
11/17/2009 11:39
EllenRichter: T1 But on the other hand, if hc professionals are in environment where H1N1 is high, all
should be protected to reduce outbreaks #RNchat
11/17/2009 11:40
AbbieCitron: RT @bhawkesRN: T1 If I owned a facility I would strongly encourage vacs but not
mandate #RNChat
11/17/2009 11:40
NursingCenter: I agree - RT @bhawkesRN T1 If I owned a facility I would strongly encourage vacs but
not mandate #rnchat
11/17/2009 11:40
EllenRichter: Me too! RT @bhawkesRN: T1 I noticed this year more peer pressure for RNs to get vac.
Great way to change behavior #RNchat
11/17/2009 11:41
bhawkesRN: T1 You can however make it highly inconvient NOT to get vac...w/out mandating! #rnchat
11/17/2009 11:41
EllenRichter: T1 Getting my H1N1 vaccine on Thursday~ #RNchat
11/17/2009 11:41
AbbieCitron: T1 could be much liability on both sides when mandating vs. strongly encouraging.
#RNChat
11/17/2009 11:42
EllenRichter: T1 What if licensure divisions mandated vaccinations for renewals? #RNchat
11/17/2009 11:42
SafetyNurse: T1 Wonder where the cross-over pt is. What % need to be immunized in order to drive
risk into the mathematical hinterlands.... #rnchat
11/17/2009 11:43

2.
rnchat: @andyatFAD Glad you're here. To join the chat, add #RNchat to your answer to a topic.
Let me know if you have any questions!
11/17/2009 11:43
StressedFran: T1 - any1 from NY? The state removed its mandate, after protests- it seems like this
group would agree with the state's decision? #RNchat
11/17/2009 11:43
bhawkesRN: T1 agree w/ @AbbieCitron. Usually always for that matter! :) #rnchat
11/17/2009 11:43
BonnieRN: #rnchat I am needing a primer on how to follow and post. also, what topics?
11/17/2009 11:43
NursingCenter: gotta run...call from school for sick little one...will read transcript. Have fun everyone!
#rnchat
11/17/2009 11:43
SafetyNurse: @EllenRichter T1 Now that's different than "as a condition of employment".... #rnchat
11/17/2009 11:44
EllenRichter: ~All staff who choose not to vac wear big red X RT @bhawkesRN: T1 You can make it
highly inconvient NOT to get vac w/out mandating! #RNchat
11/17/2009 11:44
SafetyNurse: @EllenRichter The scarlet V? (That could be interesting......) #rnchat
11/17/2009 11:45
bhawkesRN: Welcome @andyat FAD ! #rnchat
11/17/2009 11:45
AbbieCitron: @BonnieRN RT @tully3000: Hi nurses-try using Tweetchat #rnchat what is the accessory
website that auto-inserts hashtags? #RNChat
11/17/2009 11:45
EllenRichter: @SafetyNurse Should it be a condition of employment or a professional requirement?
#RNchat
11/17/2009 11:46
andyatFAD: #RNchat Gotcha. Thanks.
11/17/2009 11:46
StressedFran: @EllenRichter some hospitals are requiring masks instead of an X for entire shift staff
refuse vaccine--that a good idea you think? #RNchat
11/17/2009 11:46
clearlydriven: just got in.. #RNChat
11/17/2009 11:47
rnchat: If you're new to these, Tweetchat is recommended since you don't have to add #RNchat
& you can focus only on the chat - http://tweetchat.com
11/17/2009 11:47
EllenRichter: @StressedFran LOL interesting concept! Is that for real? Masks for all who dont
vaccinate? #RNchat
11/17/2009 11:48
EllenRichter: @bhawkesRN LOL, no no I take full credit for the red X comment! Was before the RT! ;)
#RNchat
11/17/2009 11:48

3.
EllenRichter: Welcome to all the new people who are joining the chat for the first time! Nice to see
more participation! :) #RNchat
11/17/2009 11:49
StressedFran: @EllenRichter I believe so - kind of the hospital's way around "mandating" it - just makes
it uncomfortable! i'll find sources #RNchat
11/17/2009 11:49
SafetyNurse: @EllenRichter Condition of employment runs better for me. Condition for licensure more
problematic. All nurses? Clinical nurses? #rnchat
11/17/2009 11:49
bhawkesRN: Hi @clearlydriven! #rnchat
11/17/2009 11:49
BonnieRN: BonnieRN here, LNC, Geriatric Care Manager, IT and Everything health care. #rnchat
11/17/2009 11:50
lorryschoenly: #RNchat T1 My clinical site sent memo that they can require masks for those who do not
get vac
11/17/2009 11:50
StressedFran: T1 for seasonal flu, get vaccine or wear mask:
http://www.lasvegasnow.com/Global/story.asp?S=11482492 #RNchat
11/17/2009 11:51
EllenRichter: @SafetyNurse Oh clinical nurses for sure. Not aware of any higher risk for non-clinical
professionals though--is there? #RNchat
11/17/2009 11:51
BonnieRN: knowing about the tweetchat was very helpful, thank you @Philbaumann #rnchat
11/17/2009 11:51
mkopp1: Hi guys! Marie here. ER RN #rnchat
11/17/2009 11:51
SafetyNurse: @lorryschoenly Carrots and sticks... they're cool tools everywhere you go.... #rnchat
11/17/2009 11:51
clearlydriven: Hi @bhawkesRN #RNChat
11/17/2009 11:52
BonnieRN: @philbaumann I did have an issue w/ hack of late & have remedied. U still following me,
sir? #rnchat
11/17/2009 11:52
rnchat: Nice conversation! Next topic coming up in 2 minutes #RNchat
11/17/2009 11:52
mkopp1: Our hospital is mandating that if you didn't get the vaccinations you have to wear a mask
as well. #rnchat
11/17/2009 11:52
bhawkesRN: T1 Interesting. Hep vaccines have always been optional but staff are not required to
always wear gloves if no vac #rnchat
11/17/2009 11:53
BonnieRN: @philbaumann where do we find out on times of chat, etc... ? U have become so popular
it is tricky to find out from hastag alone. #rnchat

4.
11/17/2009 11:53
SafetyNurse: 1/2 My daughter didn't want a flu-shot last year (1st year in college-10 hours from home).
I told her, fine. When u r sick,... #rnchat
11/17/2009 11:53
clearlydriven: how do we submit topics? #RNChat
11/17/2009 11:53
EllenRichter: Hopefully in 10 years we wont have 72 vaccines to take every season to protect against
everything out there! Could cause sore arms! #RNchat
11/17/2009 11:54
rnchat: T2 Education Requirements: For example,should a BSN be the minimum requirement for
RN? Why or why not? #RNchat
11/17/2009 11:55
mkopp1: We keep track of who is vaccinated and who isn't and also they are tracking staff with ILI
and that are calling in sick. #rnchat
11/17/2009 11:55
StressedFran: @bhawkesRN T1 good point - @SafetyNurse haha you painted a bit of a picture for her,
seemed to help #RNchat
11/17/2009 11:55
EllenRichter: @SafetyNurse LOL great job with your daughter! :) #RNchat
11/17/2009 11:56
InfusionNurse: T2..depends on the type of job..but for leadership roles, yes.. #rnchat
11/17/2009 11:57
EllenRichter: T2 is a very sensitive question that has been the core of heavy discussion for decades!
How do we do it in 140 characters? :) #RNchat
11/17/2009 11:57
BonnieRN: 2/2 Most need to work ASAP. Requirements of degree separates the haves from the have
nots that cannot invest right away. #rnchat
11/17/2009 11:57
clearlydriven: agree with @InfusionNurse...leadership...yes #RNChat
11/17/2009 11:58
mkopp1: @InfusionNurse, define leadership? Does this include Charge Nurses or more like
management? #rnchat
11/17/2009 12:00
SafetyNurse: The UK just changed their entry to practice requirements, think I saw 2012? Anyone else
see it? #rnchat
11/17/2009 12:00
RoRod101: Hello Nursing Tweeps! #RNchat
11/17/2009 12:00
clearlydriven: I would say management...those that set the vision for the future... #RNChat
11/17/2009 12:01
EllenRichter: T2 For the profession's growth in healthcare heirarchy, a 4 year college degree really
should be the RN minimum #RNchat
11/17/2009 12:01

5.
rnchat: T2 As a follow up: (I know this is sensitive so do ur best): Over ur career have u seen
differences in different Educ bakgrounds? #RNchat
11/17/2009 12:01
EllenRichter: @rnchat The T2 topic would be a great international public wave topic #RNchat
11/17/2009 12:02
bhawkesRN: Hi @RoRod! There's a late sign in sheet being passed around :) #rnchat
11/17/2009 12:02
lyall: T2 In Australia there's only 1 edu pathway to be RN: go to Uni & get a Bachelor of
Nursing. Hospital training phased out by end 80s #rnchat
11/17/2009 12:02
andyatFAD: A few decades ago, when this topic first came up, there was virtually no difference after
the first year. Not sure how it is now. #RNchat
11/17/2009 12:03
lorryschoenly: #RNchat T2 Our Pharmacy and PT colleagues have moved to doctorate as practice entry
while nurses continue to debate BSN
11/17/2009 12:03
BonnieRN: 1/2 T2, of course dif. in education but experience rains supreme (safe enough answer,
yet true)... #rnchat
11/17/2009 12:03
EllenRichter: T2 As we know, a degree alone doesnt make someone more effective as a healthcare
prof, but educated ppl learn abt more options #RNchat
11/17/2009 12:04
clearlydriven: there's a nursing shortage now...if there is a BSN minimum requirement, the supply will
be impacted #RNChat
11/17/2009 12:04
EllenRichter: Yes!!! RT @lorryschoenly:T2 Our Pharmacy and PT colleagues moved to doctorate as
practice entry while nurses continue to debate BSN #RNchat
11/17/2009 12:04
RoRod101: T2 I am for the advancement of nursing. I have worked side by side with excellent nurses
of a variety of educational backgrounds. #RNchat
11/17/2009 12:04
mkopp1: #rnchat experiencing tech difficulties. Was booted out and now can't log back in to
tweetchat :(
11/17/2009 12:05
RoRod101: @bhawkesRN Darn! I tried to sneak in. :) #RNchat
11/17/2009 12:05
BonnieRN: 2/2 T2 I am very happy to have BSN but got ADN 1st. Ihave memberships that w/o BSN
would not be possible as a Nurse Entrepreneur. #rnchat
11/17/2009 12:05
StressedFran: T2 Well, as a novice to this topic, what do you guys think are the benefits of a BSN?
Your "Unique Value Proposition" if you will #RNchat
11/17/2009 12:05
joniwatson: Sorry to miss the #RNchat. Having an OB ultrasound!
11/17/2009 12:05

6.
EllenRichter: @clearlydriven ~So if theres a nursing shortage, we need to entice more ppl, not lower
the standards for RN completion #RNchat
11/17/2009 12:05
clearlydriven: Pharmacy and PT has learned to use technicians more effectively than nursing has used
its support staff #RNChat
11/17/2009 12:06
BonnieRN: T2 we must remember there will always be a nursing shortage. ADN and LPN always will
be needed. #rnchat
11/17/2009 12:06
bhawkesRN: T2 Need fed funding to subsidize BSN entry level. Set a future date, grandfather #rnchat
11/17/2009 12:06
grimalkinrn: Late to the party... just woke up. #rnchat
11/17/2009 12:07
BonnieRN: T2 my favorite line: there is not a nursing shortage (truly) but a shortage of attractive
nursing jobs. #rnchat
11/17/2009 12:07
mkopp1: I'm searching for #rnchat live on TweetGrid Search - http://tweetgrid.com/search?
q=%23rnchat
11/17/2009 12:07
clearlydriven: I agree - don't - lower standards...there are pleanty of interested people...not enough
school openings #RNChat
11/17/2009 12:07
mkopp1: I'm back. #rnchat
11/17/2009 12:07
grimalkinrn: RT @bhawkesRN: T2 Need fed funding to subsidize BSN entry level. Set a future date,
grandfather #rnchat
11/17/2009 12:07
BonnieRN: T2 I will always remain a Nurse Enptrepreneur. Without the private sector of demand vs
supply... etc... #rnchat
11/17/2009 12:08
EllenRichter: RT @bhawkesRN: Absolutely~lets do it already! T2 Need fed funding to subsidize BSN
entry level. Set a future date, grandfather #RNchat
11/17/2009 12:08
RoRod101: T2 This is a hot topic in New Jersey. A bill has been proposed to make it a requirement
for nurses to obtain BSN within 10 years. #RNchat
11/17/2009 12:08
mkopp1: I had a BA first then my ADN, so I am viewed as a BSN at work. Currently undecided for
my next career step and best school. #rnchat
11/17/2009 12:09
BonnieRN: @philbaumann is there a way to tell how many nurses are involved with the
conversation? #rnchat
11/17/2009 12:09
mkopp1: T2 either way it will be a higher level program such as a Masters #rnchat
11/17/2009 12:10

7.
andyatFAD: If there wasn't a market for non-BSN nurses, we wouldn't be having this chat. There IS a
market, I'm afraid. #RNchat
11/17/2009 12:10
bhawkesRN: T2 Everyone who chooses not to get vac has to get BSN, hows that? #rnchat
11/17/2009 12:10
rnchat: Next topic coming up in 2 minutes - #RNchat
11/17/2009 12:10
SafetyNurse: The 2 year programs in my community require so much basic science pre-reques that the
"2 year" nurse winds up w/ far more. #rnchat
11/17/2009 12:11
BonnieRN: @philbaumann is it protocol to introduce the next topic by you or is this a multi-level
conversation? lol #rnchat
11/17/2009 12:11
RoRod101: T2 @mkopp1 Nurses are natural mavens. There are so many different advance degrees
in nursing that one can pursue. #RNchat
11/17/2009 12:11
EllenRichter: @andyatFAD ~Hopefully we will change the market needs & more pull will be for BSN
and higher #RNchat
11/17/2009 12:12
BonnieRN: @bhawkesRN lol... I had my vaccination. Can I get a bonus or is not being sick enough...
#rnchat
11/17/2009 12:12
EllenRichter: ~LMAO!! RT @bhawkesRN: T2 Everyone who chooses not to get vac has to get BSN,
hows that? #rnchat #RNchat
11/17/2009 12:13
grimalkinrn: @bhawkesRN But I got the vac and I want a BSN... just can't afford to go back to school
right now. #rnchat
11/17/2009 12:13
EllenRichter: @BonnieRN ~We all love you here because you ask many great chat questions that
others might just be thinking but not asking! ;) #RNchat
11/17/2009 12:14
grimalkinrn: @SafetyNurse Exactly... I had to take 4 years total of classes for my "two year" degree.
However, I could work and go to school. #rnchat
11/17/2009 12:14
BonnieRN: T2 is it yet politcally correct to say American Nurses need focus on filling needs of
positions? #rnchat
11/17/2009 12:14
rnchat: T3 Fall prevention: What are best practices? Are dangerous practices still being
taught/reinforced? #RNchat
11/17/2009 12:14
mkopp1: RT @RoRod101: T2 There are so many different advance degrees in nursing.~Just can't
decide what to be when I grow up! LOL #rnchat
11/17/2009 12:15
bhawkesRN: T2 @grimalkinrn re: can't afford to go back to school- I wish that weren't a barrier for
anyone who has the Want-To like you #rnchat

8.
11/17/2009 12:15
BonnieRN: @EllenRichter U have to wonder, who IS going to be offended and I wish no harm... but I
went to a poor comm. college 1st. T2 #rnchat
11/17/2009 12:15
EllenRichter: @grimalkinrn Yes thats sad...we want to get higher nursing education but there are no
funds! Was monetary struggle for my MA too :( #RNchat
11/17/2009 12:16
EllenRichter: T3 There is no nurse working in a clinical setting today that doesnt live & breathe fall
prevention! #RNchat
11/17/2009 12:16
clearlydriven: T3 AONE discussion board this week talking about removing baby powder from units B/C
falls #RNChat
11/17/2009 12:16
grimalkinrn: T3 - Frequent rounding to check 3 P's - pain, positioning, potty. Use of fall risk protocols,
bed alarms. Bedside commodes, #rnchat
11/17/2009 12:17
grimalkinrn: RT @EllenRichter: T3 There is no nurse working in a clinical setting today that doesnt live
& breathe fall prevention! #RNchat Preach it!!
11/17/2009 12:17
lyall: Ever since getting the CSL PanVax I've been getting uncontrollable urges to wallow in
mud. Is this an adverse effect? #rnchat
11/17/2009 12:18
EllenRichter: T3 Just as we all can imagine, there are right & wrong ways to prevent patient injury &
I'm sure there are poor practices out there #RNchat
11/17/2009 12:18
clearlydriven: anybody here involved with NDNQI? #RNChat
11/17/2009 12:18
SafetyNurse: T3 Think the relationship (and prevention strategies) r/t medications and falls needs to be
explored more. #rnchat
11/17/2009 12:19
mkopp1: RT @grimalkinrn: T3 Frequent rounding to check 3 P's -pain, positioning, potty. Use of fall
risk protocols, bed alarms. BSC. ~AMEN! #rnchat
11/17/2009 12:19
EllenRichter: T3 Yes the hourly rounding for the 3P's or 4P's has really shown dramatic improvement in
safety AND pt satisfaction with care #RNchat
11/17/2009 12:19
grimalkinrn: I wish call lights would call when they fell on the floor. Often, a call light is the sign that
someone is about to fall #rnchat
11/17/2009 12:20
SafetyNurse: T3 Out of curiosity, how many clinical people are seeing the Beers List in use (visible? or
integrated in CPOE/eMARs?) #rnchat
11/17/2009 12:20
BonnieRN: @phillbaumann so the chats are 1 hr? PRN? lol #rnchat
11/17/2009 12:20

9.
StressedFran: we talk to ppl all the time about fall prevention here ~case studies who have improved
always say hourly rounding is the best method #RNchat
11/17/2009 12:21
bhawkesRN: T3 @SafetyNurse ? not familiar w/Beer list? #rnchat
11/17/2009 12:21
SafetyNurse: @bhawkesRN Think its been updated since this:
http://www.dcri.duke.edu/ccge/curtis/beers.html. #rnchat
11/17/2009 12:23
EllenRichter: T3 Our facility has placed hourly rounding sheets into the medical records. Yes, its more
charting but it shows we are involved #RNchat
11/17/2009 12:23
RoRod101: RT @mkopp1@grimalkinrn T3 Frequent rounding 2 check 3 Ps -pain, positioning, potty.
Use of fall risk protocols, bed alarms BSC. ~ :) #RNchat
11/17/2009 12:24
EllenRichter: @SafetyNurse I never heard of Beers List! Have a good link you can share? Maybe I call
it something else out here~ #RNchat
11/17/2009 12:24
BonnieRN: T3 I use the Beers List in care for the Elderly --> http://www.fmda.org/beers.pdf There are
many on the internet w/ simple search #rnchat
11/17/2009 12:24
EllenRichter: @SafetyNurse Is it a numerical value given to a person based on the number of safety-
altering drugs they take? #RNchat
11/17/2009 12:26
SafetyNurse: @EllenRichter 1/2 I've started following @SusanNeimeierRN on Twitter. She posts lots of
e-stuff, describing auto-documentation #rnchat
11/17/2009 12:26
EllenRichter: GREAT chat! Thanks so much @philbaumann & all the nurses (& others) who shared
today. I must run & meet my parents for lunch! xox #RNchat
11/17/2009 12:27
EllenRichter: @SafetyNurse That link to susan doesnt go to a Twitter acct! #RNchat
11/17/2009 12:28
BonnieRN: I like this TtweetChat for conversing... how cleaver (it boggles the mind). #rnchat
11/17/2009 12:28
SafetyNurse: @EllenRichter No, what I know i just a list. But u r on the right track in thinking about
how to use it to ID risk. #rnchat
11/17/2009 12:28
bhawkesRN: T3 @SafetyNurse tried to follow @SusanNeimeierRN... page does not exist? #rnchat
11/17/2009 12:28
SafetyNurse: @EllenRichter I will look up the correct spelling. My bad. #rnchat
11/17/2009 12:29
rnchat: We're coming up on an hour already! Before we end, share a parting thought with us.
#RNchat
11/17/2009 12:29
bhawkesRN: Thanks to @philbaumann for coordinating. You guys, this is such a cool venue and we

10.
are charter members!! #rnchat
11/17/2009 12:30
andyatFAD: Thanks for letting me in today, everyone. It was my first. Thanks @philbaumann. Gotta
run. #RNchat
11/17/2009 12:30
RoRod101: Luv chattin' with you all! Nurses are truly awesome! Thank you @philbaumann for setting
this up! #RNchat
11/17/2009 12:30
BonnieRN: @andyatFAD I am happy to meet you, welcome! #rnchat
11/17/2009 12:31
SafetyNurse: twitter.com/SusanNiemeierRN #rnchat
11/17/2009 12:31
StressedFran: Thanks everyone! love the insight #RNchat
11/17/2009 12:31
BonnieRN: I plan to go back and follow those who have joined in. I imagine most are on my list
already. #rnchat
11/17/2009 12:31
clearlydriven: great youtube link about the changing workforce that effects us all
http://www.youtube.com/watch?v=kY3AgpmQ6ZU #RNChat
11/17/2009 12:31
rnchat: THANK YOU Everybody! Another great convo! Transcript of today's #RNchat will be
posted later.
11/17/2009 12:32
BonnieRN: Yes, thanks @philbaumann :-) Nice to say hi and participate today! #rnchat
11/17/2009 12:32
rnchat: Next #RNchat is Tuesday 11/24 11:30a EST (16:30 UTC). Cheers!
11/17/2009 12:32
clearlydriven: love talking to nurses...love being a nurse...have a great day everyone #RNChat
11/17/2009 12:32
SafetyNurse: Thanks for sharing the 3Ps and the 4Ps! So nice to have had the chance to "chat"!
#rnchat
11/17/2009 12:33
lyall: Night (actually morning now) but I still particip... ZZZzzzz ZZZzzz #rnchat
11/17/2009 12:36
StressedFran: Don't be stressed! Nurses, take time 2 talk with your colleagues from all over the place!
Follow hashtag #RNchat at Tuesday 11/24 11:30a EST
11/17/2009 12:40
SusanNiemeierRN: Thanks for the call out @SafetyNurse ! #rnchat
11/17/2009 12:41