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RNchat Transcript October, 28, 2010

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RNchat Transcript October, 28, 2010

  1. 1. #RNchat Transcript October 28, 2010 Follow @RNchat for Regular Updates Twitter.com/RNchat rnchat Getting signed into TweetGrid for tonight's #RNchat session on Twitter~ All #nurses & #hcsm folks are invited to join in our chat! :) rnchat Good evening Twitter #nurses & welcome to those of you who can participate in tonite's chat! Looking forward to it :) #RNchat nursingpins hey all -running late - Vernon in New Orleans - crit. care #RNchat ClearMedical It was a great #movingday! A couple of us are huddled in our new offices to listen to #RNchat tonight. rnchat As most of you know, @philbaumann is the creator of this #nursing social media chat but tonite @EllenRichter will fill in for him! #RNchat rnchat @nursingpins Hey there Vernon :) #RNchat rnchat #RNchat is a way for nurses (& all others in health care!) to meet, tweet & share feelings, thoughts, ideas~ We welcome silent lurkers! NursesNightOutSorry...running late to #RNchat tonight. Looking forward to the discussion. Wanderer_RN Tom from Portland. This will be 2 in a row! Usually just reading it after the chat is done. Cardiac nurse. #RNchat rnchat Apologies go out ahead of time to anyone who follows this Twitter account. There will be an hour of constant tweetage for #RNchat discussion bthenextstep Greetings everyone! Sean here. ICU nurse and now ACNP student. long time follower here. Actually made it tonight! #rnchat philbaumann @RNchat hehe - 'creator', I like that ;) #RNchat
  2. 2. rnchat Lets begin the hour by seeing who is joining in. Introduce yourselves & tell us in 140 what you do as a #nurse #RNchat tonight! bthenextstep @rnchat @Wanderer_RN @NursesNightOut @nursingpins @EllenRichter good to see everyone! #RNchat rnchat @Wanderer_RN @NursesNightOut @bthenextstep @philbaumann (aka creator...LOL well you ARE!) welcome!! #RNchat bthenextstep @philbaumann lol.. creator. nice. #rnchat rnchat I'm Ellen, a long-time critical care nurse, nurse educator, & legal nurse consultant working in S. Florida & loving being a nurse! #RNchat rnchat You can join our chat by signing into websites like tweetchat or tweetgrid or use twitter search page. Use hashtag #RNchat & follow along! nursingpins Vernon, loooog time SICU, nurse advocate and hospital nightmare. #RNchat rnchat @nursingpins LOL I like that term "hospital nightmare"!! Its powerful & vivid! ;) #RNchat rnchat The topics will be labeled T1, T2, etc. Please remember to add topic label & hashtag #RNchat to ea tweet so we can track your responses! Wanderer_RN @nursingpins "hospital nightmare" I like it! Know it's true as well. #RNchat rnchat Tonight's topics come from current issues in nursing & healthcare news. #RNchat dorameulman #RNchat Dora Meulman Citical Care RN on my phone and multitasking in company (not good) I maybe lurking :)) NursesNightOutGlad to be here! Thanks for the welcome! #rnchat rnchat T1 Many studies are surfacing linking 12-hr shifts with increase in nursing care errors. How can we salvage #ptsafety yet keep 12hrs #RNchat rnchat Can someone retweet the topic to spread it around? Thanks! :) #RNchat joshgriffin RT @rnchat: T1 Many studies are surfacing linking 12-hr shifts with increase in nursing care errors. How can we salvage #ptsafety yet keep 12hrs #RNchat bthenextstep T1 I would love to see the analysis in regards to # of shifts worked in a row or per week. #rnchat rnchat @dorameulman Welcome! #RNchat
  3. 3. bthenextstep T1 I mean safety can be compromised in 4 hrs, 8, 12. Why we are so fixated on 12 all of a sudden? #rnchat nursingpins T1 I think 12h shifts are here to stay -would take more nurses for 8 hr shifts-would cost more- don't think it is a poss (8hr shifts #RNchat rnchat @bthenextstep T1 As you can imagine, the incidence of errors rises with each consecutive shift. The # hrs sleep between shifts = 5.5 #RNchat nursingpins T1 I would like to see the study compared to working 8hrs - have seen nurses fall in the floor just as often on 8 hr nights. #RNchat Rapinedape @PhilBaumann @EllenRichter I just thought I would say hello to all #nurses tonight, I can´t attend @RNchat. Have a great #RNchat ! Wanderer_RN T1, 8 hour shift are tough as you do 5 a week, it's difficult to come back daily like that. Still tired after 8. #RNchat rnchat "Study Reveals Widespread Fatigue, Risk for Errors with 12-Hour Nursing Shifts" http: //j.mp/cwVpts #RNchat rnchat @Rapinedape Glad you stuck your head in! We miss you! :) #RNchat Trybarefoot One foot in #lrnchat - one foot in #RNchat. Bit of a balancing act tonite! Wanderer_RN @nursingpins We're having a hard enough time filling the 12 hours, not to mention the need if go to 8 hours. #RNchat rnchat T1 I agree about desirability of 12 hour shifts in our life! I would hate to work 5 8-hr shifts at the bedside again! #RNchat bthenextstep T1 I think we all agree that 12hr is not only reason for errors or exhaustion. #rnchat nursingpins T1 I'm sure there are errors due to 12hr shifts - but nothing compared to working short staffed shifts. #RNchat bthenextstep grr. tweetgrid not cooperating #rnchat rnchat 1 But unfortunately the data has been studied for the past 10 years & it does lean toward greater safety issues with the 12-hr shift #RNchat bthenextstep @nursingpins now now Vern stay on topic. *wink* #rnchat
  4. 4. rnchat @bthenextstep Share my TweetGrid with me! :) #RNchat nursingpins LOL-ok #RNchat Wanderer_RN Yup. RT @nursingpins: T1 I'm sure there are errors due to 12hr shifts - but nothing compared to working short staffed shifts. #RNchat bthenextstep @rnchat safety is relevant to many variables, 12hr shift is only one! #rnchat nursingpins T1 12h shifts are part of nursing culture - lives have been built around them - will be hard to change. #RNchat rnchat T2 Another good read on the issue "Patient Safety Risk? on ADVANCE for #Nurses" http://j.mp/9qaYjA #RNchat rnchat Oh geez, I meant T1 LOL #RNchat bthenextstep T1 so are we trying to imply that eliminating the 12 hr shift will decrease or eliminate the incident of errors? really? #rnchat rnchat T1 Our own Twitter #nurse extraordinaire @DonnaCardilloRN wrote this blog "Are 12-hour shifts safe?" http://j.mp/awouIq #RNchat ClearMedical Is it possible that 12 hour shifts are favored by understaffed facilities? T1 #RNchat Wanderer_RN T1, it's easier to focus on length of shift adn fatigue vs other issues about patient safety. It's a cop out. #RNchat experien_CEZ RT @RNchat: "Study Reveals Widespread Fatigue, Risk for Errors with 12-Hour Nursing Shifts" http://j.mp/cwVpts #RNchat rnchat @bthenextstep T1 I think its a fact that came out of studies & we cant ignore it. Maybe learn from it though & adjust in some ways? #RNchat nursingpins T1 - 12hrs do contribute to errors - but there are many other problems we should be looking at instead of 12h shifts. #RNchat bthenextstep @rnchat definitely further study. but yes, compelling to say the least. #rnchat bthenextstep @rnchat but then again, did we really need a study to tell us something all nurses already knew? That's the disturbing part. #rnchat
  5. 5. rnchat Just one more link for later reading T1 "Linking Medical Errors, Nurses’ 12-Hour Shifts" http://j.mp/93EbKW #RNchat rnchat @bthenextstep T1 The studies tested decision-making capabilities & judgement at end of 12-hr shifts compared to 8-hrs #RNchat nursingpins T2 - I think 12hr shifts are here to stay - will have to look at how to improve what few errors are caused by them. #RNchat nursingpins T2 -I would still like to see the same study done with 8hr night shifts for comparison. #RNchat DrDeanBurke #rnchat, forgive this lurking doc, but all the nurses I know have built, their lives and second jobs arnd 12 hr shifts.... rnchat T1 Woo hoo! I'm making enemies with this topic! LOL hey I just read the data & interpret it. I dont make the rules! I love 12 hrs! #RNchat rnchat @DrDeanBurke T1 We welcome your additions & comments!! :) #RNchat bthenextstep I guess I'm stuck on 12hr shift, b/c from my pnt of view - the shift length has little correlation 2 exhaustion/decisions/ judgment #RNchat Wanderer_RN T1, love my 12-hours. I know I get tired, but I'm aware of it. Change to my practice to comepnsate. #RNchat rnchat @ClearMedical T1 I think at this time in the evolution of nursing, most everyone favors 12-hr shifts for convenience in scheduling! #RNchat dorameulman #RNchat T1 3X12 hrs are less strssfull than 5X8hrs less travil time. The extra days off make up for the long days :)) bthenextstep T1 i don't know about you, but my head has been 'fuzzy' after just 4 hrs of a rough shift. #rnchat nursingpins T2 -It is to the point now - nurses could not do the min. that would be required in 8hrs - most can't do it in 12hrs. #RNchat bthenextstep @nursingpins T1 to support my friend Vern. what will elimn of 12hr shift due to our already stressed staffing? #rnchat PamelaKline RT @rnchat: Just one more link for later reading T1 "Linking Medical Errors, Nurses’ 12- Hour Shifts" http://j.mp/93EbKW #RNchat
  6. 6. Wanderer_RN T1, used to be more tired as I wasn't sleeping due to sleep apnea. That's fixed, now am clearer. Wasn't work making me tired. #RNchat bthenextstep T1 isn't the key: the nurse recognizing, or fellow staff members recognizing the s/s of fatigue/exhaust/etc #rnchat rnchat @PamelaKline Welcome GF! :) #RNchat Biebert We need to not ignore data. Got to keep emotions out of it. We used to base everything off of blood letting and leaches... T1 #RNchat bthenextstep @DrDeanBurke thanks for joining us doc! #rnchat rnchat T1 Hopefully, as a result of these study findings, we'll get appropriate break periods during our 12 hour shifts? That will help! #RNchat rnchat @Biebert T1 Yes, thats my point. We cannot ignore data. Some good could come of this information to improve safety in care delivery #RNchat bthenextstep T1 I am all for and 100% for EBP, but sometimes the research can be misleading or misguiding in its message. #rnchat NurseCircle lol @Biebert: We need to not ignore data. Got to keep emotions out of it. We used to base everything off blood letting and leaches #RNchat CardioNP Not worked 12 hr shifts in a while, can't recall errors, but after 3 12hrs in a row I was beat. Many RNs doing 2 jobs -prob not safe #RNchat Wanderer_RN T1, about 2 years ago there was a lot of talk about naps to combat fatigue, but it went nowhere., no time for breaks much less naps. #RNchat bthenextstep @rnchat ooooh What's that? Whats a break? Is that like getting to use the bathroom or something? ;) #rnchat rnchat OK moving along to topic 2 (T2) and thanks for your great input & comments on the first topic, folks! :) #RNchat DrDeanBurke #rnchat glad to be here @bthenextstep the safety issue will trump convenience, if further research confirms, imho-as it has in med. ed/res. bthenextstep @rnchat T2: bring it on! :) #rnchat rnchat @bthenextstep LOL yes I know....a decent "break" is a prehistoric concept these days, right? #RNchat
  7. 7. biofilic_ZinCo Install accessible greenroofs which have been shown to reduce medical errors! #RNchat dorameulman #RNchat T1 In critical care I'm in the zone sometimes 12 hrs aren't even enough. I get into it. I'm not done in 8 hrs. A little crazy :) bthenextstep @DrDeanBurke and your absolutely right about that. #rnchat nursingpins T1 12hr shifts are responsible for errors-will there be fewer with 8hr. shifts - prob not-8hr shifts come with their own problems. #RNchat rnchat T2 How do we improve "Hand-Off" reporting betw healthcare professionals to reduce errors in communication that impact on #ptsafety? #RNchat PamelaKline @rnchat thanks! Glad to b here! #RNchat bthenextstep @dorameulman oh yes. I know that feeling. #rnchat Srini2000 Srini, developer of medical instrumentation. Hello everyone. Sorry for joining in late #rnchat rnchat Again, will one or 2 of you RT the T2 topic so it gets around? :) #RNchat bthenextstep T2 I've always been a big supporter of a standardized report form for all. #rnchat rnchat @Srini2000 Welcome! :) #RNchat NurseCircle One of the nurses on our facebook discussion says she has to work two jobs anyway, so 5 8hr shifts wouldn't help. T1 #RNchat bthenextstep T1 I however believe nurse-nurse is the only way to give report. Not a fan of recorded report at all. #rnchat rnchat Me too! RT @bthenextstep: T2 I've always been a big supporter of a standardized report form for all. #rnchat #RNchat Trybarefoot Go WILD you #RNchat people! Great chatter tonite! Thx for letting me 'listen'! I'm off........... bthenextstep @nursingpins great point Vern. Great point. #rnchat s_eller s_eller Long-time ED RN, now using simulation-based education to teach RNs, MDS & Teams - another late joiner #rnchat nursingpins T2 - Hand off information could be more standardized - for the most part reports are free-style - #RNchat
  8. 8. joshgriffin RT @rnchat: T2 How do we improve "Hand-Off" reporting betw healthcare professionals to reduce errors in communication that impact on #ptsafety? #RNchat CardioNP OMG, so tired o Our institution uses SBAR, but seems I never get report when they send a pt to nuc med for stress test. #RNchat rnchat T2 Joint Commission literature states up to 80% errors due to faulty & haphazard communication about patients between caregivers #RNchat DrDeanBurke RT @rnchat: T2 How do we improve "Hand-Off" reporting betw healthcare professionals 2 reduce errors in communication tha #ptsafety? #RNchat bthenextstep I think recorded reports are a big culprit of the hand off errors. #rnchat bthenextstep T2 I think recorded reports are a big culprit of the hand off errors. #rnchat rnchat A link T2 "10 Hospitals and Health Systems to Partner With Joint Commission to Increase Hand-Off Communication" http://j.mp/cJ1JSZ #RNchat nursingpins T2 - haphazard is right - also I have found that bed-side reports are much better - can ask questions about what you see. #RNchat CardioNP Preferred to do bedside report, visualization of the pt was important. Reading a Kardex meant a lot less #RNchat bthenextstep T2 some hospitals actually want you to do nurse-nurse report in front of pt/family. Not sure how i feel about that? #rnchat DrDeanBurke #rnchat don't think recording can give the nuances of a face to face communication. but need focus, no distractions-difficult in any enviro. s_eller T2 - TJC says hand-offs area of risk due 2 faulty communication - I believe pt/surrogate should participate in transition of care #rnchat Srini2000 Excuse my ignorance. I imagine there is a lot of spoken info that needs to be handed off.Not everything can be noted. How to ? #rnchat rnchat @CardioNP T2 My facility uses SBAR too but it still doesnt help. Reports on pt conditions are never complete #RNchat
  9. 9. nursingpins T2 also have found many problems during bed-side reports - o2 off, iv's out, pt hanging out of the bed etc. #RNchat Wanderer_RN T2, bedside report is gret as you get "eyes-on" quick. #RNchat bthenextstep T2 SBAR is only as good as the person utilizing it. #rnchat CardioNP @rnchat I find SBAR totally ineffecitive (IMO). #RNchat dorameulman #RNchat We give report at the bedside. I just want the basic information 5 min per patient. I'll figure the rest out myself. Please go home! Wanderer_RN T2, unfortunately our reports to ancillary depts. are more lacking then nurse-nurse. #RNchat s_eller Pts and surrogates can fill in missing info & correct errors. Also gives real-time pain scores & goals #rnchat bthenextstep @dorameulman lol. hard to do in the ICU. 5 min report is impossible. :) #rnchat Wanderer_RN RT @bthenextstep: T2 SBAR is only as good as the person utilizing it. #rnchat #RNchat rnchat T2 Even nurse-physician communication about patient condition varies from person to person. We need standardized guides #RNchat CardioNP including pt/fam/so would add so much time to report that you'd never get out on time #RNchat nursingpins T2 a standard report sheet is important too - (many do not use) with the basics - including brief hx - labs etc. #RNchat rnchat @s_eller T2 Excellent points about family & surrogates #RNchat CardioNP T2 @rnchat Agree standardized report forms would help, but doubt would solve all the issues #RNchat bthenextstep T2 don't you think these 'studies' are trying to 'automatize' the human element of nursing sometimes? #rnchat Wanderer_RN T2 as much as I hate our written reports due to the tedious nature, it is nice to have the information. #RNchat s_eller @CardioNP agree that including pt/family can add time,but how much time is avoiding error worth? Standardization of report may help #rnchat
  10. 10. Srini2000 Is it possible to have audio report in addition to written report? #rnchat bthenextstep T2 the very reason our reports 'catch' the unspoken/unnoticed is the same reason errors are made. Hmm.. #rnchat rnchat T2 And its not only nurses who are lacking in hand-off reporting skills. Doctors, therapists, etc. need to improve on hand-off too #RNchat bthenextstep @Srini2000 yes, you can have both. but very time consuming. #rnchat dorameulman @bthenextstep #RNChat not imposable! Most nurses talk too much about nothing. Tell me the basics I got this.... OK :)) ashtoreth_1221 T2 - Some units I've seen Charge Nurse gets all the report - then as a group they will listen to the report as dictated by the CN. #RNChat Srini2000 @bthenextstep Isn't audion quicker than the written one? #rnchat DrDeanBurke @rnchat #rnchat wide variability in the reporting-it is an art and should be taught, not everyone can tell a story from beginning to end... Wanderer_RN T2 we have a written report sheet handed to the new nurse followed by a face-to-face. Maybe much but it has helped. #RNchat bthenextstep @dorameulman LOL I agree on the gossiping needing to stop. #rnchat rnchat @Srini2000 T2 Your suggestion could become very timely, writing a report AND verbally reporting too. We would need an hour or more! #RNchat ashtoreth_1221 @Srini2000 Some hospitals I've seen have audio reports - downside - time consuming to listen to it =( #RNchat s_eller T2 - does anyone do SIDR - standardized inter-disciplinary rounds/report & if so, do you include patients? #rnchat bthenextstep @Srini2000 audio good/quicker, but quality of report is lacking. hard to describe, but rn-rn report much better. #rnchat nursingpins T2 - there is many ways to include family in the care but report is not one of them - report then would change. #RNchat
  11. 11. rnchat T2 I cant count the times I've driven home & then called the ICU to pass along info I forgot to mention! #RNchat bthenextstep @rnchat currently we do audio report and then follow up afterward with face-face. very time consuming. #rnchat Srini2000 @ashtoreth_1221 Can imagine.Will need discipline and some training to be short and precise #rnchat CardioNP RT @DrDeanBurke #rnchat reporting-it is an art and should be taught, not everyone can tell a story from beginning to end... bthenextstep @s_eller never heard of that one. interesting . #rnchat ashtoreth_1221 T2 - maybe: a detailed written report (standardized form used) w/c would be read after a face-to- face brief report #RNChat bthenextstep RT @rnchat: T2 I cant count the times Ive driven home & then called the ICU to pass along info I forgot to mention! #rnchat bthenextstep T2 with all these variables: the standardized report is probably the most effective intervention. #rnchat Wanderer_RN @rnchat @Srini2000 we write report quickly then give face2face. Most are out w/in 30 min. Have to guide the verbal report though. #RNchat ashtoreth_1221T2 - sorry if I just jumped right in guys. #RNChat rnchat @CardioNP Agree w/ the RT @DrDeanBurke Reporting is an art & should be taught, not everyone can tell a story from beginning to end #RNchat bthenextstep T2 then there is the question: does each specialty area need/require their own 'standardized' report sheet? #rnchat PamelaKline RT @rnchat: T2 Joint Commission lit states up to 80% errors d/t faulty & haphazard communication about patients between caregivers #RNchat nursingpins T2 standardization of information is most important - otherwise some would be all over the board. #RNchat Wanderer_RN @ashtoreth_1221 Go for it! More ideas the better! #RNchat bthenextstep RT @Srini2000: @ashtoreth_1221 Can imagine.Will need discipline and some training to be short and precise #rnchat rnchat @ashtoreth_1221 Please jump whenever you like! We love the participation! :) #RNchat
  12. 12. CardioNP Our housestaff have online pt logs showing dx, meds, tx plan etc - used for MD communication, something for RNs could be adopted #RNchat Wanderer_RN @bthenextstep Each needs their own, we all have different focus. #RNchat rnchat Heres a brief video made by Joint Commish on the topic "Hand-off Communications Video" http://j.mp/cbILEy #RNchat s_eller @bthenextstep T2 - SIDR - done with RNs, MDs, Pharm, OT & Social work on our med/surg floors, but they don't include patients - yet #rnchat DrDeanBurke RT @rnchat: T2 I cant count the times ive driven home & then called the ICU 2 pass along info #RNchat LOL, how many tmes, I calld, ben cald! bthenextstep T2 for me: my report sheet ALWAYS helped me give my report. It doubled as a 'brain' for me while at the bedside. #rnchat ashtoreth_1221 T2 - d difficulty really is not the forms used or the way we report - it's the change that is difficult - some r not open to changes #RNChat rnchat @CardioNP T2 Wow, now that is interesting. Online pt logs showing Dx, meds, tx plan etc for hand off reporting #RNchat PamelaKline RT @rnchat: 10 Hospitals and Health Systems to Partner With Joint Commission to Inc Hand-Off Communication" http://j.mp/cJ1JSZ #RNchat ashtoreth_1221@RNchat Thank you! #RNChat bthenextstep @s_eller sounds very inclusive. #rnchat ashtoreth_1221@Wanderer_RN Thank you! #RNChat nursingpins T2 ICU reports are complex stories with many details - as @bthenextstep written standard report would help keep on track. #RNchat ClearMedical Imagine how hard it is for agency nurses. It's something even our best nurses struggle with... T2 #RNchat bthenextstep @ashtoreth_1221 very true. very true #rnchat rnchat One more link on the topic for later read "Joint Commish confronts deadly miscommunications" Healthcare IT News http://j.mp/ctjdtt #RNchat baerbelsmile RT @rnchat: T1 Hopefully, as a result of these study findings, we'll get appropriate break periods during our 12 hour shifts? That will help! #RNchat
  13. 13. bthenextstep @ClearMedical been there. done that. as a traveler it was one of the most diff. parts of working. #rnchat rnchat @ClearMedical T2 Some agency nurses have it down better than the regular staff! They know how hard it is to communicate on new pts #RNchat dorameulman @bthenextstep T2 #RNChat I leave my report sheet with oncoming staff. They have my cell number if they have questions. I never get called! nursingpins T2 there are so many PT nurses - the whole story has to be told over and over - as opposed to continuity of FT staff. #RNchat ashtoreth_1221@ClearMedical I can only imagine... =S #RNChat Wanderer_RN T2, it's really about being able to give the "Story" concisely and quickly. It's an art. Paper just helps! #RNchat DrDeanBurke #rnchat forgive me, but LOL thinking of one of my southern nurse travelers, giving report in NYC.... bthenextstep @nursingpins I'm a PRN employee now - so I'm living that nightmare right now. LOL #rnchat rnchat @dorameulman T2 Thats a good idea, to include a phone # to reach a caregiver after report. It can save much aggravation at times #RNchat ashtoreth_1221@Wanderer_RN that is definitely something I can agree on.... #RNChat PamelaKline @nursingpins T2 couldn't agree more! #RNchat bthenextstep T2 I also think the 'art' of a good report is receiving it properly. Asking the app. questions, inquiring, etc. #rnchat bthenextstep T2 I try to envision myself giving report to myself to make sure I don't miss anyting. #rnchat rnchat Well, holy cannoli! I cant believe that our hour is up! This was a terrific chat tonite! Great folks involved here! :) #RNchat Srini2000 @rnchat Thank you for letting me participate. This is an eye opening experience #rnchat bthenextstep @rnchat forgot how much i miss this stuff Ellen. Great ppl. Great conversation. #rnchat terikris @bthenextstep T2 I've worked for a hospital that does bedside report with fam/pt involved. It's not always possible or appropriate #RNchat
  14. 14. rnchat T2 Nothing is more frustrating than giving a detailed report to someone who isnt listening!! Talk about communication breaks! #RNchat bthenextstep btw.. someone needs to 'school' me on how to properly use Tweetgrid. LOL #rnchat s_eller T2 We use simulation during orientation so new grads can practice giving good hand-offs to oncoming shift & rapid response teams #rnchat ClearMedical We grade our nurses on their communication skills, but that doesn't always prove accurate. It's an art form! T2 #RNchat ashtoreth_1221 @RNchat that was a great chat. Thanks for letting me join even if it was already towards the end... #RNchat Wanderer_RN @rnchat Much better live than reading it post! #RNchat Wanderer_RN #RNchat rnchat @bthenextstep So happy you could show up for a change! I know our hours have been late these days! Good to have U, Sean! :) #RNchat PamelaKline RT @rnchat: Heres a brief video made by Joint Commish on the topic "Hand-off Communications Video" http://j.mp/cbILEy #RNchat s_eller RT @ClearMedical: We grade our nurses on their communication skills, but that doesnt always prove accurate. Its an art form! T2 #rnchat Wanderer_RN Night all! Have a good one! #RNchat rnchat @ashtoreth_1221 Watch for future chats! We have them weekly but not always same day or same time! #RNchat ashtoreth_1221 RT @PamelaKline: RT @rnchat: Heres a brief video made by Joint Commish on the topic " Hand-off Communications Video" http://j.mp/cbILEy #RNchat rnchat @DrDeanBurke Glad you participated! You made great points! #RNchat bthenextstep @RNchat absolutely soul-warming to see how this chat has developed. truly an awesome thing. @PhilBaumann #RNchat nursingpins T2 it is an art form as @ClearMedical says - and you have to know the pt - or write the things down for report. #RNchat
  15. 15. NurseCircle Thanks everyone! We reposted T1 on our facebook group for long term discussion. Great topic! http://www.facebook.com/NurseCircle #RNchat rnchat As you all know by now, watch for the Tweet link to the transcript of every #RNchat. Tonite's chat will be out soon! bthenextstep T1 T2 rather good point about focused hand off report and the lack of focus/exhaustion causing errors. Hmm... #rnchat ashtoreth_1221 @RNchat Will sure do. thanks again! good night great nurses! hope you rub off some of your greatness to me =) #RNchat rnchat And, while I have an audience here, I want to remind everyone that tomorrow is another #RNchat at 2 PM EST w/topics from @NAPH1981 bthenextstep #RNchat Thanks for the great conversation everyone. Intellectually stimulating as always! s_eller Good night all, thanks for the welcome - enjoyed the great conversation for my first #rnchat nursingpins Thanks Ellen & Phil and all present. #RNchat ashtoreth_1221@RNchat - does #RNChat have a facebook account? bthenextstep @terikris I couldn't agree more with you. #RNchat rnchat Thanks to all! Have a great night!! Signing off of this account for now! See you all again soon! :) #RNchat nursingpins RNchat on fb http://www.facebook.com/RNchat #RNchat PamelaKline @rnchat thanks Ellen & Phil! GREAT topics! #RNchat rnchat LOL thanks, u beat me to it! RT @nursingpins: RNchat on fb http://www.facebook.com/RNchat #RNchat bthenextstep RT @rnchat: LOL thanks, u beat me to it! RT @nursingpins: RNchat on fb http://www.facebook. com/RNchat #RNchat EllenRichter Woo hoo! That was a wonderful hour with the Twitter #nurses & some of our Twitter #doctors for #RNchat tonite! Thanks to everyone! Was fun! DrDeanBurke RT @EllenRichter: Woo hoo! That was a wonderful hour twttr #nurses & sum of R twttr #doctors 4 #RNchat tonite! thx 2 everyone! Was fun! bthenextstep @ClearMedical I'm thinking the standardized report sheet would definitely help the travel nurses. #rnchat
  16. 16. philbaumann @bthenextstep It has, hasn't?! It's a great community on #RNchat - Thank you @EllenRichter! CampusNurse Thanks so much for the great information. #RNchat EllenRichter Quick reminder to #nurses everywhere! Tomorrow is a TGIF edition of #RNchat at 2 PM EST with topics from @NAPH1981 so please join us! nursingpins 12h shift ? was ans by @medicalaxioms The conseq of shortening shift is inc number of HO.. and errors of lost info. magic # is ~12h #RNchat ashtoreth_1221 @RNchat thanks - will definitely recommend to my colleagues. #RNChat thanks for the great chat tonight. =)) ashtoreth_1221 RT @EllenRichter: Quick reminder to #nurses everywhere! Tomorrow is a TGIF edition of #RNchat at 2 PM EST with topics from @NAPH1981 so please join us! EllenRichter TY for making #RNchat fun & interesting tonite! @nursingpins @bthenextstep @ashtoreth_1221 @Srini2000 @s_eller @DrDeanBurke EllenRichter TY for making #RNchat fun & interesting tonite @PamelaKline @Wanderer_RN @ClearMedical @CardioNP @dorameulman @terikris NursesNightOut RT @NurseCircle: Thanks everyone! We reposted T1 on our facebook group for long term discussion. Great topic! http://www.facebook.com/NurseCircle #RNchat Moderated by @EllenRichter

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