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 November 17, 2009

747 views

Published on

Transcript for #RNchat November 17, 2009. RNchat is a Twitter chat for registered nurses.

Topics:

T1 h1n1 Vaccine: Do facilities have a right to mandate nurses to get vaccinated? #RNchat

T2 Education Requirements: Should a BSN be the minimum requirement for RN? Why or why not? #RNchat

T3 Fall prevention: What are best practices? Are dangerous practices still being taught/reinforced? #RNchat

Follow on Twitter: @RNchat - http://twitter.com/RNchat

Blog: http://RNchat.org

Published in: Health & Medicine
  • Login to see the comments

  • Be the first to like this

RNchat Transcript November 17, 2009

  1. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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

×