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rnchat:            Attention for #RNchat - here's a screencast on tools & ways to follow the conversation
                ...
EllenRichter:    T1 Great question! @ my hospital there is a war going on~some want open
                 visiting~others ...
prepare families to totally take over the care #RNchat
                 11/4/2009 11:47


bhawkesRN:       T1 Involving fa...
lorryschoenly:   AGREE! RT @bhawkesRN: T2 I notice if a Doc knows my name/face he/she is less likely
                 2 b ...
Assessment-Recommendation #RNChat
                 11/4/2009 12:10


rnchat:          Spectacular chat everyone! We're mov...
11/4/2009 12:17


bhawkesRN:       Hi Ro! ur time card will be docked :) #RNChat
                 11/4/2009 12:17


MyCare...
11/4/2009 12:22


EllenRichter:    @bhawkesRN LMAO U remembered! Ha~ :) #RNchat
                 11/4/2009 12:22


RoRod10...
lyall:           T3 Another thing: why so many hospitals called 'Medical Centre'? Med centre ignores
                 reas...
nurseeducator:   T3 Agreed Patients should be referred to by their name, formally and respectfully #rnchat
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11/4/2009 12:37


rnchat:        Next #RNchat is 11:30a EST Wednesday 11/11.
               11/4/2009 12:37


lyall:      ...
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RNchat Transcript November 4 2009

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Transcript of #RNchat a Twitter chat for registered nurses (and the rest of the world).

Topics discussed: Family of Patients, Nurse-Doctor Relationships and "Consumer" versus "Patient" or other labels for those cared for.

Published in: Health & Medicine
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RNchat Transcript November 4 2009

  1. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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

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