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rnchat: You may ﬁnd using TweetChat - http://TweetChat.com - an easier way to participate in
rnchat: OK. Ready to start? Let's begin with introductions: who you are, what you do (or don't :) and
what you're passionate about. #RNchat
InfusionNurse: Hi all! Infusion nurse and nurse educator...always glad to be here..great group! #rnchat
medxcentral: Can't miss this. Hello all. I'm Jim.. owner of medXcentral.com, "Networking for those in
health care and those who need them." #rnchat
mkopp1: I'm Marie and I am an ER nurse in MN. Passionate about emergency care and learning
about legal RN consultant. #rnchat #rnchat
RoRod101: I am an RN, NP, Nurse Educator & DNP student. I am passionate about nursing. #RNchat
suzishepherd: #RNchat Checking in before bed (2 nocs coming up). Neonatal NP. Interest FCC, pain. I
write books and keep sheep too.
medxcentral: If you're within "ear-shot" .. join us NOW for a chat with #nurses on Twitter. Use
http://tweetchat.com and tune to -> #rnchat
medxcentral: @suzishepherd Stick around for an hour. :-) #rnchat
rnchat: Topic 1 Coming up in one minute. Prepend your tweet response to a topic with T1, T2 , etc.
TeriRN: Hey all. I'm a travel nurse specializing in hospice. I love to craft, travel and spend time
w/family and friends. #RNChat
rnchat: T1 Nursing Education. No question we need more (happy) nurses. What are our most
critical challenges in recruiting next generation? #RNchat
TeriRN: @RoRod101 Cool. I am ﬁnishing my BSN and plan to continue on for my DNP. #RNChat
mkopp1: Same to you Jim #rnchat
suzishepherd: #RNchat Suzanne Tietjen, Neonatal NP, checking in be4 bed (2 nocs coming up), Speak
and present on FCC, pain. Also write books & keep sheep.
RoRod101: @TeriRN Go for it, the wonderful thing about nursing we can move in many directions!
@medxcentral Nice to meet you too! #RNchat
1 of 10 9/30/09 3:44 PM
medxcentral: T1 ... Recruiting next gen nurses is one thing. Keeping them on board is another. Proper
orientation is a challenge @rnchat #rnchat
RoRod101: T1 Positive role modeling especially in the media where they reach millions of potential
TeriRN: T1 Having enough space in the nursing programs 4 the many eligible applicant. #RNChat
InfusionNurse: T1 from what I hear the challenge is new grad RNs cant get jobs...so they r moving on to
other jobs #rnchat
TeriRN: @medxcentral Oh I agree orientation is sooo critical. #RNChat
mannabsn: Is there an #RNchat goin on right now?
mkopp1: T1..getting them an appropriate ﬁtting job that ﬁts their skill level and matched with a mentor.
Jobs are hard to ﬁnd right now #rnchat
InfusionNurse: Also enough instructors in nrsg schools RT @TeriRN: T1 Having enough space in the
nursing programs 4 the many eligible applicant. #rnchat
medxcentral: @mannabsn Yes.. come jump in. #rnchat
rnchat: @mannabsn Yes, come on in. No late fees today. #rnchat
RoRod101: T1 Promotion of jobs for nurses in other areas not just hospitals. Especially where hospitals
are closing. #RNchat
suzishepherd: #RNchat T1 Talk with enthusiasm about our work. Let's get the students into schools (long
wait lists). Where are the educators?
mannabsn: great! thanks @rnchat @medxcenral glad to be here! #RNchat
mkopp1: RT @TeriRN: T1 Having enough space in the nursing programs 4 the many eligible
applicant.~Agreed...so many good ppl turned away #rnchat
suzishepherd: @mannabsn Indeed there is. #RNchat
medxcentral: Be careful not to redirect a limited quantity of #nurses away from #hospitals. Economy will
improve & boomers are coming. #rnchat
RoRod101: Salary for Nurse Educators need to be competitive #RNchat
2 of 10 9/30/09 3:44 PM
TeriRN: T1 I was lucky that a space opened the yr I started. Otherwise I would have had 2 wait &
hope I made it in the next yr. #RNChat
medxcentral: Unfortunately, @suzishepherd .. the #nurse educators are working for 30% higher pay in the
suzishepherd: #RNchat T1 Our hospital has nurse residency program that provides support & the chance
to try out different specialties to ﬁnd a good ﬁt.
rnchat: T1 As a follow-up, for those in facilities, what are your organizations doing to promote
nursing externally, at schools, etc.? #RNchat
medxcentral: Yep.. @mkopp1 .. I think 60,000 (?) potential #nurses were turned away in '07. Not sure
RoRod101: Alot of my graduating students had trouble ﬁnding jobs in hospital. I enc them 2 look at other
ave 3 hosp closed by in about 2 yrs #RNchat
mkopp1: T1 educate on other opportunities available to RNs other than #hospitals, #nursinghomes
TeriRN: T1 1 hosp in GA used to do internships 4 nurses. I thought it was good. Helped 2C if U were
a good ﬁt for them & what U wanted 2 do #RNChat
medxcentral: @suzishepherd Kinda-like the GM approach. If, after 60 days, you don't like it... return it. Or,
change specialty as the case is. #rnchat
suzishepherd: @medxcentral #RNchat T1 It's almost always about the money. Hard to say no to more $
these days. Some will teach for love but must pay well.
mannabsn: @RoRod101 the student I precepted this past spring said lots of folks from her class were
having trouble ﬁnding jobs #rnchat
rnchat: As a reminder (for search purposes and organizing the chats) please add T1, T2, etc. to the
beginning of your tweets on a topic. #rnchat
medxcentral: Agreed @suzishepherd ... #nurse faculty pay (lack of) is a chronic problem. #rnchat
mannabsn: maybe not so hard for experienced nurses to ﬁnd jobs but more difﬁcult to new grads?
mkopp1: I work with a few ppl who are doing the LPN route in order to get into RN school faster by
going back right away for their LPN to RN #rnchat
3 of 10 9/30/09 3:44 PM
InfusionNurse: I agree.. RT @mkopp1: T1 educate on other opportunities available to RNs other than
#hospitals, #nursinghomes #rnchat
RoRod101: @mannabsn T1 w/ hosp closing it leaves alot of experience nurses without jobs. Exp nurse
are more appealing & require less training. #RNchat
rnchat: @mannabsn That's what some reports are saying - grads having a hard time. Creates a
crazy roller-coaster cycle longer-term. #rnchat
medxcentral: But... what happens when the #hospital census picks back up? Who will care for the
medxcentral: And.. if we get universal coverage... census is going to pick up .. big time... agreed? What
TeriRN: I'm seeing where specilaty nurses R having trouble. I can't get on a med/surg ﬂoor b/c I
have done hospice 4 the last 6 yrs. #RNChat
InfusionNurse: T1 recession affected nursing, no one hiring new grads.costly to train than experienced
nurses.Those near retirement r still working #rnchat
rnchat: @medxcentral Welcome to the world of nursing :) Who picks up? Nurses. #rnchat
suzishepherd: #RNchat T1 @ a C/S met Nsg students that didn't know about Twitter and its potential for
helping them as nsg students. Gave brief lesson.
medxcentral: Phil.. I'm wondering where our #hcsm #hospital friends are in this convo. Would be great
input as long as non-marketing. #rnchat
mkopp1: @creature57 via Follow a ton of RNs with the push of a button - http://bit.ly/17xJtt #RNchat
medxcentral: @rnchat This is why I'm such a fan of nursing and nurses. Real challenges in play which
need creative resolution. #rnchat
rnchat: Shoulder tap: Next topic in about 5 minutes. #rnchat
2healthguru: @medxcentral: Lurking! #rnchat
OncologyNursing: Keep in mind that, as length of survival for #cancer patients increases, so will the need for
#oncology nurses #rnchat #RNchat
medxcentral: @TeriRN Transitioning from hospice to acute care setting is sometimes difﬁcult even when
jobs are plenty. #rnchat
4 of 10 9/30/09 3:44 PM
RoRod101: @medxcentral T1 Healthcare is moving in the direction of prevention as oppose to acute tx.
Transitional Care Model #RNchat
medxcentral: You're a recovering hospital admin, right? @2healthguru How do you feel about this topic?
ONSmark: T1 Surprising (trouble getting jobs) per Buerhaus stats "126,000+ nursing positions are
vacant" & "500,000 positions by 2025" etc. #rnchat
suzishepherd: @mkopp1 #RNchat Wow, thanks. Bookmarked it. I'll check these folks out later. http://bit.ly
RoRod101: Sorry go 2 go can't make it for the next topic. I enjoyed meeting everyone & discussing what
I am must passionate about nursing :-) #RNchat
suzishepherd: RT @mkopp1: @creature57 via Follow a ton of RNs with the push of a button - http://bit.ly
TeriRN: @medxcentral 2me the only diff is I go from house2house instead of room2roomStill using
med/surg &criticalthinking skills in hospice #RNChat
philbaumann: @medxcentral Yes, I welcome #hcsm #hcmktg #pharma peeps over on #RNchat to listen
(just give the nurses room to speak....or else :)
medxcentral: @ONSmark What's the date on the Buerhaus stats. If I recall, his report dates back about 2
years now. #rnchat
rnchat: @RoRod101 Glad you too part. Enjoy your day - next chat will be announced soon. #rnchat
TeriRN: @RoRod101 hope to see you next time this is a great group. #RNChat
medxcentral: Oh.. I agree, @TeriRN (though I'm not an expert) .. but for whatever reason, admins don't
agree. Why? #rnchat
rnchat: T2 Clinical Collaboration (or outside of clinical) - How effective have your collaboration
experiences been? What tools could help? #RNchat
suzishepherd: @TeriRN #RNchat T1 My experience with hospice nurses is they are among the best at
being an instrument of healing. Crazy not to value that.
ONSmark: @medxcentral 2008: Buerhaus et al. The future of the nursing workforce in the United
States: Data, trends and implications. (J&B) #rnchat
medxcentral: .@philbaumann I say... Attn: #nurses... think of this chat like Thanksgiving dinner with a
5 of 10 9/30/09 3:44 PM
large family. You've gotta speak up. :-) #rnchat
TeriRN: @medxcentral I'd be interested in knowing why IC a + in that my time management skills R
pretty good since I have 2 count in trafﬁc #RNChat
ONSmark: @medxcentral What's a better (more recent) source? BLS or HRSA have anything? Thanks.
OncologyNursing: #ONS and #ASCO just collaborated on joint chemo safety guidelines bit.ly/49Ca34 #rnchat
rnchat: @medxcentral Oh, believe me: nurses know how to be loud :) #rnchat
medxcentral: .@ONSmark Wish I knew. I have not had time to search. Shoot.. I shouldn't be here right
now. :-) .. share if you ﬁnd it. #rnchat
TeriRN: @suzishepherd Oh thanks. And I agree. While keeping comfortable 4 one dx, I'm critical
thinking about another & how 2 help pt. #RNChat
medxcentral: @rnchat I know.. I'm hoping to chat them up and get'em going here. Luckily, today's topic is
a HOT spot for me. #rnchat
rnchat: In case T2 slide by you, here it is again: - http://bit.ly/2KeVp0 #RNchat
suzishepherd: #RNchat T2 Took part in Vermont Oxford Network's NIC/Q project. Changed the way our
NICU works tgr. Titles left @ the door. Parents on team
ONSmark: T2 @InfusionNurse Agreed. I'm w/ ONS but I use INS standards/articles nearly every day.
Geek2Nurse: @medxcentral So we should reject universal coverage so they can't come to the hospital &
raise our census levels? #rnchat
TeriRN: @InfusionNurse T2 also need 2 have them see you as a professional & nurses to see
themselves as professionals. #RNChat
Geek2Nurse: @medxcentral Universal coverage won't create new sick people out of thin air. They're
already out there not being cared for. #rnchat
medxcentral: Hello @Geek2Nurse ... absolutely not! I'm just trying to ﬁgure out where the #nurses are
going to come from. #rnchat
medxcentral: Right @Geek2Nurse ... they are not getting care and are not at the hospital. What happens
when they are? #rnchat
6 of 10 9/30/09 3:44 PM
TeriRN: T2 I can see where SM can be of beneﬁt for collaboration, but then we get in2 the HIPAA
issues again. #RNChat
medxcentral: I'm one of the uninsured. I'd love to have coverage and would be grateful for the care of
#nurses when I go to the #hospital. #rnchat
OncologyNursing: @Geek2Nurse @medxcentral I think word is spreading among youth that nursing jobs are
available. School funding is part of the issue. #RNchat
Sumpinelse: #RNchat @medxcentral census goes up stafﬁng remains unchanged, case loads increase
mkopp1: @medxcentral @Geek2Nurse ... they are getting care (in ER) just not f/u care like they
need or meds that they need at home #rnchat
InfusionNurse: Same here, we use ur a lot 2! RT @ONSmark: T2 @InfusionNurse Agreed. Im w/ ONS but I
use INS standards/articles nearly every day. #rnchat
rnchat: @TeriRN Yes, that's the hippo. But perhaps there are workarounds. Nothing's impossible. If
you can think it, you can sink it. #rnchat
mkopp1: RT @Sumpinelse: #RNchat @medxcentral census goes up stafﬁng remains unchanged,
case loads increase quality (???????)-good point #rnchat
medxcentral: RT @rnchat: [Love that!] If you can think it, you can sink it. #fb #quote #rnchat
TeriRN: @rnchat This is where we need to get the geek nurses involved. So that SM and HIPAA can
co-exist. =) #RNChat
suzishepherd: #RNchat T2 Helped that VON had established culture of leaving titles at door. No one pulled
rank. This was key. Shared goals. Worked tgr..
TeriRN: @mkopp1 It also doesn't help when hospitals can still dictate pt load. That is 1 area of
reform I'd like to see. #RNChat
medxcentral: All reports indicate #hospital census will go up. Even b4 discussion of universal care, ie;
boomers. Now what do we do?!?!? Ideas? #rnchat
mkopp1: RT @TeriRN: @mkopp1 It also doesnt help when hospitals can still dictate pt load. That is 1
area of reform Id like to see.~RIght On! #rnchat
philbaumann: RT @TeriRN: @rnchat This is where we need to get the geek nurses involved. So that SM
and HIPAA can co-exist. =) #RNChat #hchit
7 of 10 9/30/09 3:44 PM
medxcentral: And.. I do not believe heavier patient load is the answer. We need the capacity to educate
more #nurses. That's the core. #rnchat
InfusionNurse: go into panic hiring frenzy..LOL!! RT @medxcentral: All reports indicate #hospital census will
go up. Now what do we do?!?!? Ideas? #rnchat
medxcentral: RT @TeriRN: This is where we need to get the geek nurses involved. So that SM and
HIPAA can co-exist. =) [Know any?] #rnchat
suzishepherd: RT @medxcentral: I do not believe heavier patient load is the answer. We need the capacity
to educate more #nurses. That's the core. #rnchat
rnchat: Follow-up T2 - If there was one technology you'd name that could improve collaboration
what would it look like (if not around now)? #rnchat
medxcentral: Ah.. @InfusionNurse .. you can't hire thin air. If there's no nurses... now what? #rnchat
medxcentral: As you can see.. this topic is near and dear to my heart. I'm very passionate about the
#nursing shortage. Been following for years. #rnchat
mkopp1: I believe EMR is a start. Get a bad report from another staff dept, look up the info yourself.
InfusionNurse: remember the nrsg shortage and what creative hiring ideas were done? RT @medxcentral:
Ah..If theres no nurses... now what? #rnchat
medxcentral: T2-b: #SocialMedia in general. "Two brains are better than one." We'll create the answers
rnchat: We're coming up on the ﬁnal bell in a few minutes. #RNchat
TeriRN: F/UT2 It would need 2 B something like Twitter. Would B able 2 get info from others across
world esp on rare dx. #RNChat
mkopp1: RT @medxcentral: T2-b: #SocialMedia in general. "Two brains are better than one." Well
create the answers together...somehow. :) #rnchat
TeriRN: RT @rnchat: Were coming up on the ﬁnal bell in a few minutes.// Nooooooo can't believe it's
been an hour. =( #RNChat
InfusionNurse: yup RT @medxcentral: T2-b: #SocialMedia in general. "Two brains are better than one."
Well create the answers together...somehow. #rnchat
medxcentral: .@InfusionNurse Creative #hiring / #stafﬁng only works if there's someone available for hire.
8 of 10 9/30/09 3:44 PM
ONSmark: T2 Agree with EMR suggestion for improving collaboration. Would elaborate but ﬁnal bell's
almost here! #rnchat
rnchat: @TeriRN I'd agree. A future topic will be how Enterprise versions of Twitter (Sci Fi stuff right
now) could shape collaboration. #rnchat
medxcentral: Before it's over.. Thank you all for putting up with my high energy level. I'm always out here.
Feel free to reach out. Ciao! #rnchat
medxcentral: @rnchat GREAT topic today. Thanks for the opportunity. Until next time. #rnchat
rnchat: For an additional 10 minutes, please swipe your credit card. #RNchat Yikes! Time ﬂies.
We're wrapping up. Final thoughts? Feel free 2 go on
InfusionNurse: Thanks everyone! Very interesting chat. Thanks to Phil for coordinating and moderating.
Looking forward to the next one #rnchat
rnchat: Our next #RNchat will be this Friday 10/2 12:00 EDT. We're still experimenting with times so
we can optimize. Thank you for ur ﬂexibility!
Sumpinelse: Thank you for allowing me to "lurk." #RNchat
TeriRN: T2 EMR is a start, but needs to be universal. Everyone uses the same system.
Collaboration is beneﬁcial outside of own setting IMHO #RNChat
mkopp1: Nice chatting with everyone! #rnchat
InfusionNurse: If u build it, they will come. It worked in the past..RT @medxcentral: only works if theres
someone available for hire. #rnchat
rnchat: @Sumpinelse We prefer the term "stalk" :) #rnchat
Sumpinelse: @RNchat #RNchat I will remember that for future meetings LOL.
2healthguru: @RNchat how 'bout medical staff/nursing/admin/governance, turf wars and clinical quality
imperative - room for improvement? #RNchat
suzishepherd: #RNchat Night all!
TeriRN: @2healthguru Sounds like a topic we can spend the whole hour+ on #RNChat
9 of 10 9/30/09 3:44 PM
TeriRN: @suzishepherd Nite. Hope you have a good shift. #RNChat
rnchat: Again, next chat is this Friday 10/2 12:00 EDT. Look forward to seeing you again! #rnchat
TeriRN: @rnchat see ya there. Thanks for moderating @PhilBaumann #RNChat
philbaumann: @terirn My pleasure! Thanks for partying! #RNChat
2healthguru: @PhilBaumann @terirn Indeed; the sociology of hospital culture is most worthy of
exploration if transformation is intention #RNChat
medxcentral: #overandout .. now on to site development and production work. #fb Enjoyed stimulating
InfusionNurse: RT @RNchat Again, next chat is this Friday 10/2 12:00 EDT. Look forward to seeing you
10 of 10 9/30/09 3:44 PM
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