1.
rnchat: Attention for #RNchat - here's a screencast on tools & ways to follow the conversation
more easily - http://bit.ly/3TxutB
11/4/2009 10:10
rnchat: Welcome to #RNchat! So let's start with introductions: tell us who you are, what you do or
whatever's on your mind.
11/4/2009 11:30
bhawkesRN: Hi! Beth here in the western corner. Staff Development, acute care #RNChat
11/4/2009 11:31
EllenRichter: Howdy folks. Glad to be able to make the chat today. I am a critical care nurse & legal
nurse consultant from S. Florida~ #RNchat
11/4/2009 11:31
EllenRichter: Ahh yes, I think I told people to use Twitterchat...I meant Tweetchat....oops~ :) #RNchat
11/4/2009 11:33
AbbieCitron: Hi Guys, I'm Abbie, a legal RN from Calif. Looking forward to the RN chat today.
#RNCHAT
11/4/2009 11:33
OncologyNursing: Hi, everyone. I'm Carrie, a copy editor from the Oncology Nursing Society. #RNchat
#RNchat
11/4/2009 11:34
rnchat: @marcobucci Welcome! Glad you can join us. #RNchat
11/4/2009 11:34
lorryschoenly: Greetings from the Philly 'burbs - Lorry, Correctional Nurse educator and
advocator...recent returnee to the staff nurse army. #RNChat
11/4/2009 11:34
lyall: I'm a nurse from the future. Token Gen-Y RN & if I disappear it's coz I've gone to sleep
as it's 1230 AM on Thurs in Western Aust. #rnchat
11/4/2009 11:34
EllenRichter: Hello Phil, Beth, Abbie, and Marco (welcome Marco...you will like this) #RNchat
11/4/2009 11:35
bhawkesRN: @marcobucci welcome! #RNChat
11/4/2009 11:35
rnchat: We'll have 3 topics today on #RNchat. First topic coming up...
11/4/2009 11:35
bhawkesRN: is @lyall whining again? #RNChat
11/4/2009 11:35
EllenRichter: LOL Lyall, hopefully you'll stay awake. And hi Lorry & Carrie & the "non-nurse" too!!
#RNchat
11/4/2009 11:36
rnchat: @OncologyNursing Welcome aboard. :) #RNchat
11/4/2009 11:36
rnchat: T1 Family of Patients: It can be said Pt care extends to Fam. What are challenges of Fam
eduction, support, etc? #RNchat
11/4/2009 11:37

2.
EllenRichter: T1 Great question! @ my hospital there is a war going on~some want open
visiting~others are rebelling vehemently (I advocate 24 hrs) #RNchat
11/4/2009 11:39
EllenRichter: T1 When the family is on our side, its 80% of the battle. I love family members
participating in pt care! #RNchat
11/4/2009 11:40
bhawkesRN: T1 In acute care sometimes nurses view families as tolerable at best #RNChat
11/4/2009 11:40
AbbieCitron: RT @EllenRichter: T1 When the family is on our side, its 80% of the battle. I love family
members participating in pt care! #RNCHAT
11/4/2009 11:41
lorryschoenly: T1 At transitional care where I'm doing clinicals they have open hours. Some nurses see
it as a hindrance to efficiency #RNChat
11/4/2009 11:42
MyCareBand: @EllenRichter #RNchat T1 What you mean night shift contending with family all noc long
:)
11/4/2009 11:42
AbbieCitron: TI Don't you agree that as nurses we give family centered care, not only direct patient
care. Family edu. & teaching is key! #RNCHAT
11/4/2009 11:42
lorryschoenly: T1 If the family is there we can teach them along with the patient ;-) #RNChat
11/4/2009 11:43
EllenRichter: T1 Obviously my opinion, but I think anyone against open visiting is very old-fashioned &
needs to rethink the whole thing #RNchat
11/4/2009 11:43
marcobucci: In the ER, I feel the best time for the family to be involved is with elderly pt.'s. They need
the extra help. #RNchat
11/4/2009 11:43
EllenRichter: @MyCareBand LOL...sorry! But yes, if a family member can only visit at night, let it be so!
:) #RNchat
11/4/2009 11:44
bhawkesRN: RT @marcobucci: In the ER, I feel the best time for the family to be involved is with
elderly pt.s. They need the extra help. #RNChat
11/4/2009 11:44
EllenRichter: T1 Actually, as someone who reviews cases for litigation, if family was allowed, less
patients would FALL!! :) #RNchat
11/4/2009 11:44
AbbieCitron: And with pediatrics RT @marcobucci: In the ER, I feel the best time for the family to be
involved is with elderly pt.s. #RNCHAT
11/4/2009 11:45
MyCareBand: T1 so in essence move more pt responsibility onto the family at all hours, not just in
education #rnchat
11/4/2009 11:46
EllenRichter: T1 Involving families directly in care puts more responsibility on them, too, & helps

3.
prepare families to totally take over the care #RNchat
11/4/2009 11:47
bhawkesRN: T1 Involving families eases their anxiety and fear. #RNChat
11/4/2009 11:48
AbbieCitron: TI When the family has an active role and learns, it provides a safer transition at
discharge. #RNCHAT
11/4/2009 11:48
bhawkesRN: T1 Its about putting pts and families in control. #RNChat
11/4/2009 11:49
MyCareBand: T1 reverse the care model to back to a day when families cared for the sick at home and
doc/nurse came to visit #rnchat
11/4/2009 11:49
EllenRichter: T1 Yes, Phil, the patient should be the ultimate one to decide if they want open visiting
(unless theyre confused, of course) #RNchat
11/4/2009 11:50
EllenRichter: RT @bhawkesRN: T1 Involving families eases their anxiety and fear. ~YESSSS #RNchat
11/4/2009 11:50
EllenRichter: T1 I think we are all on the same page as far as family involvement in nursing care :)
#RNchat
11/4/2009 11:51
rnchat: Next topic coming up in a moment. Feel free to continue topic 1 or the next.... #RNchat
11/4/2009 11:52
JimQuillen: R @EllenRichter: Nurses come join us at 11:30 AM EST for #RNchat by signing into a
program that follows hashtags (ex:Twitterchat etc)
11/4/2009 11:54
philbaumann: For those of you who attended #epatcon or have an interest in #epatient, #RNchat will
have something u may be interested in in about 15 min
11/4/2009 11:55
rnchat: T2 Nurse-Doc Relationships: What are best ways to foster workable relationships
w/Docs? Any pet peeves & likes to share? #RNchat
11/4/2009 11:55
EllenRichter: @lorryschoenly BTW, I am so excited to hear that you are returning to "bedside" nursing
again! Let us know how it progresses! :) #RNchat
11/4/2009 11:55
bhawkesRN: T1 any suggestions for hosp culture change re: including families more? #RNChat
11/4/2009 11:56
EllenRichter: It sounded like #epatcon was awesome! I tried to read many tweets from there #RNchat
11/4/2009 11:56
bhawkesRN: T2 I notice if a Doc knows my name/face he/she is less likely 2 b annonymously grumpy
on phone #RNChat
11/4/2009 11:58
lorryschoenly: @EllenRichter I am embracing gerontology - a much needed field for compassionate care.
Glad to see U R in gero ICU. #RNChat
11/4/2009 11:58

4.
lorryschoenly: AGREE! RT @bhawkesRN: T2 I notice if a Doc knows my name/face he/she is less likely
2 b annonymously grumpy on phone #RNChat
11/4/2009 11:59
bhawkesRN: T2 I do cringe when some nurses call & r unprepared to talk w/doc: not good 4 nsg as a
whole #RNChat
11/4/2009 12:01
ONSmark: T2 "Perceptions of collaboration & communication between the RN-MD relationship in an
oncology ICU" 2610 @ http://bit.ly/obKme #rnchat
11/4/2009 12:01
lorryschoenly: AONE has nurse-physician collaboration guidelines with good ideas http://bit.ly/2EPL6s
#RNChat
11/4/2009 12:01
marcobucci: I think SBAR is a great to use as a guide. It's straight and to the point. #RNchat
11/4/2009 12:07
bhawkesRN: T2 I learn alot when I ask a doc his/her reasoning when I don't follow #RNChat
11/4/2009 12:08
EllenRichter: T2 I have seen nurses struggle so with SBAR, and then they cant converse about the
situation outside of the terms #RNchat
11/4/2009 12:08
lorryschoenly: I have found some of the problem can be the institution doesn't have clear guidelines and
avenue of recourse when MD or RN 'act out' #RNChat
11/4/2009 12:08
marcobucci: Personally, I enjoy working with residents. It's a learning experience for the both of you.
#RNchat
11/4/2009 12:09
lyall: What's SBAR? #rnchat
11/4/2009 12:09
bhawkesRN: T2 Its also helpful to know how to deal w/bullies at times #RNChat
11/4/2009 12:09
joniwatson: @RNChat sorry I'm missing the discussion! I'm trying to gain system access to TweetChat
right now. #RNChat
11/4/2009 12:09
EllenRichter: Very good point~ Always learning! RT @bhawkesRN T2 I learn alot when I ask a doc
his/her reasoning when I don't follow #RNChat #RNchat
11/4/2009 12:09
nurseeducator: T2 we use both SBAR and now Teamstepps as a means to improve care and
communications. Need good buy in from admin and training. #rnchat
11/4/2009 12:09
mkopp1: t2 love the docs I work with! Mutual respect goes a long way! #rnchat
11/4/2009 12:09
bhawkesRN: T2 Docs want u to get to the point. So have ur ducks in a row. #RNChat
11/4/2009 12:10
lorryschoenly: RT @lyall: Whats SBAR? Framework for verbal communciation - Situation-Background-

5.
Assessment-Recommendation #RNChat
11/4/2009 12:10
rnchat: Spectacular chat everyone! We're moving along to our third & final topic in a moment...
#RNchat
11/4/2009 12:10
nurseeducator: @lyall situation-background-assessment-recommendation. Used as an efficient way 2
report a problem uniformly #rnchat
11/4/2009 12:11
rnchat: T3 "Consumer" or "Patient" (or "Citizen"): Much has been made about labels for who we
care 4. What's your take? Semantics or useful? #RNchat
11/4/2009 12:11
bhawkesRN: T2 Quack, quack! lol #RNChat
11/4/2009 12:12
EllenRichter: I love hearing that! >> RT @mkopp1: t2 love the docs I work with! Mutual respect goes a
long way! #rnchat #RNchat
11/4/2009 12:12
bhawkesRN: RT @EllenRichter: I love hearing that! >> RT @mkopp1: t2 love the docs I work with!
Mutual respect goes a long way! #rnchat #RNchat
11/4/2009 12:13
RoRod101: Hello RNchat nurses! #RNchat
11/4/2009 12:14
DaphneLeigh: RT @philbaumann: Those of you who attended #epatcon or have interest in #epatient,
#RNchat has something that may interest you.
11/4/2009 12:14
StressedFran: Following #RNchat for the first time. Very insightful.
11/4/2009 12:15
joniwatson: T3 To me, they're the same - simply used for different audiences. #RNChat
11/4/2009 12:15
ONSmark: T3 Not precisely on topic, but we always use "patients with cancer" over "cancer patients"
(so condition doesn't "define" person) #rnchat
11/4/2009 12:16
EllenRichter: T3 Well, citizen is a new one to me, but I imagine no one likes to be labelled Patient. I
like health care consumer! :) #RNchat
11/4/2009 12:16
AbbieCitron: T3 I think semantics, as far as RNs concern. It shouldn't effect the type of care you give.
Hi Ro, late welcome. #RNCHAT
11/4/2009 12:16
bhawkesRN: T3 I think I like "client" #RNChat
11/4/2009 12:16
marcobucci: Pure semantics. The latest texts state 'client' and truthfully you don't treat them any
different. We've just moved from paternalism.#RNchat
11/4/2009 12:16
nurseeducator: T3 So tired of the constant title changes but we mostly use patients but also refer to them
as clients, and consumers #rnchat

6.
11/4/2009 12:17
bhawkesRN: Hi Ro! ur time card will be docked :) #RNChat
11/4/2009 12:17
MyCareBand: T3 Consumer gives power , patient takes it away #rnchat
11/4/2009 12:17
EllenRichter: T3 I agree w/Abbie, it really is JUST a term. Its the care given & the results that are most
important, not the term for the client #RNchat
11/4/2009 12:17
EllenRichter: Good point! >> RT @MyCareBand: T3 Consumer gives power , patient takes it away
#rnchat #RNchat
11/4/2009 12:18
AbbieCitron: RT @marcobucci: Pure semantics. Truthfully you dont treat them any different. Weve just
moved from paternalism.#RNchat #RNCHAT
11/4/2009 12:18
RoRod101: Hello @AbbieCitron @bhawkesRN :) #RNchat
11/4/2009 12:19
marcobucci: If anything the patients have not changed. The profession has. #RNchat
11/4/2009 12:19
AbbieCitron: LOL Beth! RT @bhawkesRN: Hi Ro! ur time card will be docked :) #RNCHAT
11/4/2009 12:19
bhawkesRN: T3 Just my opinion but I think titles/semantics are hugely important. #RNChat
11/4/2009 12:19
rnchat: T3 by the way has a touch of humor to it of course but it's an important issue for some.
Does language influence practice? How? #RNchat
11/4/2009 12:20
AbbieCitron: Tell us more RT @bhawkesRN: T3 Just my opinion but I think titles/semantics are hugely
important. #RNCHAT
11/4/2009 12:20
bhawkesRN: @AbbieCitron credit4 time card joke goes 2 @EllenRichter who has kept track of MY time
in the past :) #RNChat
11/4/2009 12:21
nurseeducator: @bhawkesRN Titles are important but with constant change especially with administrative
titles its hard to keep up and remember all! #rnchat
11/4/2009 12:21
EllenRichter: T3 Tylenol/acetaminophen/APAP they are all just terms for the same thing. Does it really
matter what we call patients? #RNchat
11/4/2009 12:21
MyCareBand: T3 semantics are key to our own mindset and those around us #rnchat
11/4/2009 12:21
bhawkesRN: T3 Words carry connotations and attributes. #RNChat
11/4/2009 12:22
RoRod101: @EllenRichter Hey there, sorry to be late. Looks like a missed a great chat. At least get
to greet friends. #RNchat

7.
11/4/2009 12:22
EllenRichter: @bhawkesRN LMAO U remembered! Ha~ :) #RNchat
11/4/2009 12:22
RoRod101: RT @bhawkesRN: T3 Words carry connotations and attributes. #RNchat
11/4/2009 12:22
lyall: T3 I really dislike term 'client'. It emphasises $ transactions & feels wrong in a universal
healthcare system like Australia. #rnchat
11/4/2009 12:23
bhawkesRN: T3 Would u rather order Meatloaf or rosemary and sage infused ground veal? #RNChat
11/4/2009 12:23
JimRN: That's Y I use SBAR. RT @bhawkesRN: T2 When I call doc, I always know what I want.
So then I know if Im not getting it! lol #RNChat
11/4/2009 12:23
nurseeducator: @lyall agreed, sounds less personal #rnchat
11/4/2009 12:24
bhawkesRN: @lyall Interesting! See, my point exactly, tho. What do u prefer? #RNChat
11/4/2009 12:24
EllenRichter: T3 I do see the value of feeling in control when you are a "health care consumer", so I
see where youre coming from Beth. #RNchat
11/4/2009 12:24
bhawkesRN: T3 Would like a term that doesnt convey dependence or power imbalance #RNChat
11/4/2009 12:24
JimRN: I agree. Titles are very important RT @bhawkesRN: T3 Words carry connotations and
attributes. #RNChat
11/4/2009 12:26
lyall: @bhawkesRN 'patient' however health providers must always remember pts are
healthcare consumers even if they are not paying. #rnchat
11/4/2009 12:26
EllenRichter: T3 How bout "human being with alleged medical condition seeking collaborative care"
instead of "patient" LOL we can make an acronym #RNchat
11/4/2009 12:26
AbbieCitron: @bhawkesRN I also see what you are saying, but we are still the advocate, whether it is
patient, client or consumer. #RNCHAT
11/4/2009 12:27
rnchat: RT @bhawkesRN: T3 Would like a term that doesnt convey dependence or power
imbalance #RNchat
11/4/2009 12:27
onlinenursing: #RNchat T3: (Hello late, #STTI finished up in Indianapolis)... anyway, agree w/
@bhawkesRN about terminology.
11/4/2009 12:27
EllenRichter: @JimRN T3 Yes titles are important when they count for something, not when their
weight is thrown around with it :) #RNchat
11/4/2009 12:28

8.
lyall: T3 Another thing: why so many hospitals called 'Medical Centre'? Med centre ignores
reason why hospitals exist - to provide nursing #rnchat
11/4/2009 12:28
bhawkesRN: Good point @AbbieCitron #RNChat
11/4/2009 12:28
AbbieCitron: T3 so what IS the best title then? #RNCHAT
11/4/2009 12:29
EllenRichter: And welcome BTW, Jim & Terri! #RNchat
11/4/2009 12:29
MiriamETucker: I've been hearing that the term "patient" is being seen as negative by some . #RNChat is
discussing now.
11/4/2009 12:30
bhawkesRN: @AbbieCitron I Have no answer :( Sometimes I just like to stir things up! :) #RNChat
11/4/2009 12:30
EllenRichter: RT @lyall: T3 why are so many hospitals called 'Medical Centre'? Med centre ignores
reason why hospitals exist~to provide nursing #RNchat
11/4/2009 12:30
MyCareBand: @AbbieCitron #RNCHAT Depends on your personal mindset and how you want to
interact with those you serve
11/4/2009 12:30
nurseeducator: @EllenRichter very true! #rnchat
11/4/2009 12:30
rnchat: We're coming to a close on #RNchat. Any parting thoughts?
11/4/2009 12:31
onlinenursing: RT @lyall: why so many hospitals called 'Medical Centres'? Med centre ignores reason
why hospitals exist - to provide nursing #rnchat
11/4/2009 12:31
EllenRichter: T3 why dont we just call the patient/client/health care consumer by their NAME? #RNchat
11/4/2009 12:31
JimRN: @EllenRichter Thanks, and I agree that titles should not be used to influence the power
(im)balance) #rnchat
11/4/2009 12:31
bhawkesRN: @EllenRichter @lyall darn, the RT in tweetchat is not working! Its the thought that
counts? #RNChat
11/4/2009 12:32
EllenRichter: RT @rnchat: We're coming to a close on #RNchat. Any parting thoughts? << I think we
just love this chat, Phil..TYVM is my parting thought
11/4/2009 12:32
AbbieCitron: Like it! RT @EllenRichter: T3 why dont we just call the patient/client/health care
consumer by their NAME? #RNCHAT
11/4/2009 12:32
lyall: T3 'UCLA Hospital' would more accurately convey what happens inside its walls than
'UCLA Medical Center' #rnchat
11/4/2009 12:33

9.
nurseeducator: T3 Agreed Patients should be referred to by their name, formally and respectfully #rnchat
11/4/2009 12:33
JimRN: That's a novel idea! @EllenRichter T3 why dont we just call the patient/client/health care
consumer by their NAME? #RNchat
11/4/2009 12:33
RoRod101: RT @nurseeducator: T3 Agreed Patients should be referred to by their name, formally
and respectfully #RNchat
11/4/2009 12:34
bhawkesRN: Thanks much to @Philbaumann for facilitating this fine group #RNChat
11/4/2009 12:34
onlinenursing: #RNchat T3 suggestion about mindset/terminology.Need 2 develop strong/autonomous
mindset of nursing.Good book http://bit.ly/1aohdY
11/4/2009 12:34
ONSmark: Like it too! Won't work for *collectively* though RT @EllenRichter: T3 why dont we call
patient/client/healthcare consumer by NAME? #rnchat
11/4/2009 12:34
rnchat: Holy carp! An hour's up! Feel free to continue chatting. Transcript of today's #RNchat will
be up shortly. See next tweet for next chat...
11/4/2009 12:34
AbbieCitron: Thanks Phil and all the others for another great #RNChat, even if @bhawkesRN had to
stir it up! (just kidding) #RNCHAT
11/4/2009 12:35
lorryschoenly: DITTO! RT @bhawkesRN: Thanks much to @Philbaumann for facilitating this fine group
#RNChat
11/4/2009 12:35
onlinenursing: RT @bhawkesRN: Thanks much to @Philbaumann for facilitating this fine group
#RNChat! Agreed.
11/4/2009 12:35
lyall: T3 Quick primer for those interested in Hospital vs Medical Centre http://bit.ly/28fAZW
#rnchat
11/4/2009 12:35
RoRod101: RT @lorryschoenly: @bhawkesRN: Thanks much to @Philbaumann for facilitating this
fine group #RNchat
11/4/2009 12:35
EllenRichter: LOL yes we have a very bright, cohesive & opinionated group returning for each #RNchat
& it just gets better and larger by the week!
11/4/2009 12:36
MyCareBand: thansk @PhilBaumann for #rnchat!
11/4/2009 12:36
nurseeducator: T3 Thanks and I enjoyed my frist RN chat will all of you even though I had to review the
video tutorial first 2 get to tweet chat! #rnchat
11/4/2009 12:37
rnchat: THANK YOU all for joining #RNchat! I'm so proud to work with you all & I can't tell well
you what it's like to witness what you create here.

10.
11/4/2009 12:37
rnchat: Next #RNchat is 11:30a EST Wednesday 11/11.
11/4/2009 12:37
lyall: Thank you @PhilBaumann @RNChat Gee it's almost 2 AM well I guess it means I'm
dedicated. Do I get a CNE point for participating? LOL #rnchat
11/4/2009 12:38
rnchat: @lyall Well, thanks for joining. Get some sleep! :) #RNchat
11/4/2009 12:41
philbaumann: @Lyall @RoRod101 @onlinenursing @lorryschoenly - You are all welcome. Thank you.
Transcript of #RNChat coming up in a bit. :)
11/4/2009 12:43
bhawkesRN: Totally gets extra points for attending #RNChat @Lyall at 0200 Austrailian time.
11/4/2009 12:44