This Twitter chat document discusses a #RNchat discussion among nurses about reducing catheter-associated urinary tract infections (UTIs). Some key points:
- Catheter-associated UTIs are a Medicare "Never Event" that will no longer be reimbursed.
- Nurses described practices at their facilities to minimize catheter use and remove them as soon as possible to reduce UTIs. These included only using catheters when necessary, setting goals to remove them within 2 days, and teaching home catheter care.
- However, some nurses noted that some patients are still being sent home with indwelling catheters and minimal instructions, leading to problems. The discussion focused on preventing UTIs by optimizing catheter care
This document contains a series of tweets from a Twitter chat about nursing education using the hashtag #RNchat. Nurses, nursing students, and others participating in the chat introduced themselves and shared what they felt was missing from their nursing education or what they would change. Common responses included a lack of clinical experience and hands-on skills training, not enough education on time management, communication, and end-of-life care, and a desire for more diversity and interprofessional education. The chat participants engaged in discussion on three topic areas related to nursing education.
Transcript of RNchat - a Twitter chat for registered nurses - for August 6, 2010.
Follow @RNchat - http://Twitter.com/RNcat for regular updates.
Visit http://RNchat.org for more on RNchat.
Topic:
The role of sexism in the perception of nursing. Do people (consciously/unconsciously) still enframe Nursing as a "female" field?
Transcript of #RNchat - a Twitter chat for registered nurses - for Saturday August 28, 2010.
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Topics included:
Postpartum Depression: What post-discharge resources work the best for detecting/treating PPD? Are facilities doing enough?
T2 Product Recalls: What technologies are being deployed to ensure products safety? e.g. Tag Readers; real-time alerts.
T3 Continuing Education: How are emerging media changing CE? Do you see CE being achieved via Social Media?
For more, visit our blog http://RNchat.org
run by @PhilBaumann
The document discusses a weekly Twitter chat (#RNchat) between nurses on June 30, 2010. Several nurses promote and remind others about the chat scheduled for 9 PM EST that evening. They encourage nurses to join and share ideas on various healthcare topics. During the chat, the nurses discuss challenges around educating patients, families, and other providers about end-of-life options and planning. They also touch on issues such as lack of access to hospice care.
Transcript of #RNchat - a Twitter chat for registered nurses. Follow @RNchat for regular updates.
Topics:
T1 Bedside Communication - what works and what doesn't? from @ VoalteTrey | What helps, what hinders?
T2 Hospitals Blocking Facebook - Some hospitals are blocking Facebook & other social media. Should or shouldn't they?
T2 Follow up: How web-literate are policy-makers? Do they really understand them, or just superficially? (
This document summarizes an online chat between nurses discussing nursing issues and patient safety. The nurses welcome each other and introduce themselves. They then discuss how the nursing perspective could best be represented on an advisory board, the importance of patient safety, challenges with staffing ratios impacting care, and strategies for nurses to get more involved in social media and advocacy.
This document summarizes a Twitter discussion between nurses during an #RNchat event on August 19, 2010. Nurses from different specialties introduced themselves and discussed two topics: reducing catheter-associated UTIs and views on unlimited family visiting in hospitals. For the first topic, nurses shared what their facilities do to minimize foley catheter use and prevent UTIs. For the second topic, most nurses supported liberal visiting policies but noted families should not interfere with care or become overwhelmed themselves.
This document contains a series of tweets from a Twitter chat about nursing education using the hashtag #RNchat. Nurses, nursing students, and others participating in the chat introduced themselves and shared what they felt was missing from their nursing education or what they would change. Common responses included a lack of clinical experience and hands-on skills training, not enough education on time management, communication, and end-of-life care, and a desire for more diversity and interprofessional education. The chat participants engaged in discussion on three topic areas related to nursing education.
Transcript of RNchat - a Twitter chat for registered nurses - for August 6, 2010.
Follow @RNchat - http://Twitter.com/RNcat for regular updates.
Visit http://RNchat.org for more on RNchat.
Topic:
The role of sexism in the perception of nursing. Do people (consciously/unconsciously) still enframe Nursing as a "female" field?
Transcript of #RNchat - a Twitter chat for registered nurses - for Saturday August 28, 2010.
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Topics included:
Postpartum Depression: What post-discharge resources work the best for detecting/treating PPD? Are facilities doing enough?
T2 Product Recalls: What technologies are being deployed to ensure products safety? e.g. Tag Readers; real-time alerts.
T3 Continuing Education: How are emerging media changing CE? Do you see CE being achieved via Social Media?
For more, visit our blog http://RNchat.org
run by @PhilBaumann
The document discusses a weekly Twitter chat (#RNchat) between nurses on June 30, 2010. Several nurses promote and remind others about the chat scheduled for 9 PM EST that evening. They encourage nurses to join and share ideas on various healthcare topics. During the chat, the nurses discuss challenges around educating patients, families, and other providers about end-of-life options and planning. They also touch on issues such as lack of access to hospice care.
Transcript of #RNchat - a Twitter chat for registered nurses. Follow @RNchat for regular updates.
Topics:
T1 Bedside Communication - what works and what doesn't? from @ VoalteTrey | What helps, what hinders?
T2 Hospitals Blocking Facebook - Some hospitals are blocking Facebook & other social media. Should or shouldn't they?
T2 Follow up: How web-literate are policy-makers? Do they really understand them, or just superficially? (
This document summarizes an online chat between nurses discussing nursing issues and patient safety. The nurses welcome each other and introduce themselves. They then discuss how the nursing perspective could best be represented on an advisory board, the importance of patient safety, challenges with staffing ratios impacting care, and strategies for nurses to get more involved in social media and advocacy.
This document summarizes a Twitter discussion between nurses during an #RNchat event on August 19, 2010. Nurses from different specialties introduced themselves and discussed two topics: reducing catheter-associated UTIs and views on unlimited family visiting in hospitals. For the first topic, nurses shared what their facilities do to minimize foley catheter use and prevent UTIs. For the second topic, most nurses supported liberal visiting policies but noted families should not interfere with care or become overwhelmed themselves.
Transcript of #RNchat for February 19, 2010.
Topics include:
T1 Grievances: What are best practices for grievances? When should nurses go public? How should they proceed?
T2 Pharmaceutical Industry: Is the industry sufficiently supportive of nursing? How should they be involved? What can they do for us?
T3 Women's Health: What Dx and Tx disparities do you still see between men and women?
Follow @RNchat for more (http://Twitter.com/RNchat)
Transcript of RNchat - a Twitter chat for registered nurses. Follow @RNchat for regular updates.
Topics included:
T1 Public Health Ramifications of #BP Spill: What are/can nurses do to mitigate damage to crews, populations, etc?
T2 Present & Future of Digital Tech: From mobile apps to social media, what are nurses doing? How can we use them to their fullest?
Visit http://RNchat.org for more.
Transcript of #RNchat for March 19, 2010. RNchat is a Twitter chat for registered nurses. Follow @RNchat (http://Twitter.com/RNchat) or visit http://RNchat.org for more.
Transcript of #RNchat, a Twitter chat for registered nurses, moderated by Ellen Richter (@EllenRichter on Twitter).
Topics included:
T1 Every July, as new interns begin hospital rotations, patterns show a rise in patient safety events, termed the "July Effect"
T1 (contd) In what ways can the nursing profession help to reduce actual patient errors related to the "July Effect"?
T2 Theres growing evidence of the benefits of family being present during resuscitative efforts, especially a child. Do you agree?
T2 (contd) Would U want to be sent away from a loved one's side if its the last time U may see them alive? What are the pros/cons?
Follow @RNchat (http://Twitter.com/RNchat) for updates.
Transcript of RNchat - a Twitter chat for Registered Nurses - for Friday, May 21, 2010.
Follow @RNchat on Twitter: http://Twitter.com/RNchat
Topics:
T1 We see more implantable defibrillators each year. How do we address turning it off during end-of-life palliative care?
T2 Does the Nursing Care Plan you use at work help to guide your nursing care or is it an additional task to complete each day?
Transcript for #RNchat - a Twitter chat for registered nurses - for July 15, 2010.
TOPICS:
T1- How does lateral violence among RNs affect pt care? & how can we better prepare nurses & students to deal with lateral violence?
T2- Pharm:vast/quick changing/& can hurt pts.What areas do U need more pharm ed in & what should we teach nursing students?
T3 - Teaching better communication? how should we teach it & should scripting be used in Nursing?
Follow @RNchat - http://Twitter.com/RNchat for more!!
RNchat.org - http://RNchat.org
Transcript of RNchat for February 5, 2010. RNchat is a Twitter chat for registered nurses.
Topics include:
T1 Domestic Violence - How better (or worse) are healthcare, legal & community systems doing w/DV?
T2 Nursing News Sources - Where do you get your news on the profession? What are top sources? Blogs, Journals, etc.
T3 Community Nursing - What's the current state of community nursing? What specific areas need attention?
T4 Tech Trends - What are the biggest trends in h/c & nursing tech? (Web, mobile, devices)
This document contains tweets from EllenRichter and others discussing topics for an #RNchat Twitter chat about nursing issues. EllenRichter provides links to articles about elderly hospital patients, delirium, nurse staffing ratios, and new nurse turnover. Others introduce themselves and their locations. The chat then begins discussing the impacts and challenges of mandated nurse-to-patient ratio laws.
Transcript of #RNchat for February 26, 2010. RNchat is a Twitter chat for registered nurses. Follow on Twitter: @RNchat.
Topics include:
Augmented Reality
Pediatric Pharmacology
Fall Prevention
Transcript of #RNchat for January 22, 2010. RNchat is a Twitter chat for registered nurses and the general public.
Follow RNchat on Twitter: http://Twitter.com/RNchat
Transcript of #RNchat, a Twitter chat for registered nurses, for March 16, 2010. Follow @RNchat for more or visit the blog http://RNchat.org
Topics:
T1 The Question Nursing Answers: "What is the effect of entire h/c process on the human being?" Discuss.
T2 RN-LPN Relations: How healthy, overall, is the relationship between RNs & LPNs?
T3 Nursing Startups: What businesses do you think nurses should build that could change the world?
Transcript for RNchat - a Twitter chat for registered nurses - for July 23, 2010.
Topics:
T1 Handwashing: What advances have you seen? How does Design affect compliance? What drives ya nuts when you see it?
T1 Follow-up: Are messages about what kinds of washing (eg soap & friction for c diff & other spores instead of alcohol) effective?
T2 Telehealth: How can telehealth nursing expand with role of the Web (Social Media, digital media, etc.)?
T3 Enhancing Collaboration: What are biggest challenges in provider collaboration? What solutions (technical or other) work best?
Follow @RNchat on Twitter - http://Twitter.com/RNchat and visit the blog RNchat.org for more!
This document summarizes a Twitter chat ("#RNchat") about how healthcare workplaces can help nurses deal with grief from patient deaths.
1) Nurses discussed how having extra staff help with patient care allows the primary nurse time to grieve with family and take a break. Grief support groups and counseling were also suggested.
2) Most agreed nursing education does not adequately prepare students for dealing with workplace grief. Storytelling from experienced nurses was proposed as a way to address this.
3) Whether current systems motivate hospitals to provide grief support is uncertain, though some nurses noted supportive policies at their institutions while others felt "grief time" may be seen as unproductive.
Transcript of RNchat, a Twitter chat for registered nurses. Learn more at http://RNchat.org. Follow @RNchat on Twitter - http://Twitter.com/RNchat
Topics included:
T1 Mobile Mobile Technology: from @HeathercatCAP - How can mobile tech benefit nurses? Specific examples, use case?
T2 Buzzword: Patient-Empowerment: What is patient empowerment to you? How might the Web (truly) empower?
T3 Nurses as linchpins: Comment on this assertion: "Nurses are the linchpins of health, from research to provision"
Transcript of #RNchat Twitter chat for registered nurses on October 29, 2009.
Topic: Drug Diversion.
NOTE: Twitter crashed just as the chat started. Here's the tweet that's missing:
T1 Drug Diversion: What have been your experiences (be mindful of confidentiality of course). Big problem? Getting better or worse? #RNchat
Transcript of #RNchat, a Twitter chat for registered nurses, for Friday April 2, 2010. Follow @RNchat on Twitter - http://Twitter.com/RNchat
Topics:
T1 If health care professnal makes accidental yet fatal med error what should resulting action be? Terminate? Suspend? Revoke? Jail?
T2 Should ea facility develop & implement their own nursing care standards or should there be internat'l standards of nursing care?
This document summarizes a Twitter chat (#IVchat) about infusion nursing hosted by @InfusionNurse. Nurses and others discussed using social media for their specialty and networking. They debated measuring PICC insertion sites and using vein finders. The chat experienced some technical difficulties but continued discussions on increasing public awareness of infusion nursing and improving standards. They look forward to the next #IVchat scheduled in two weeks.
This document contains tweets from a Twitter chat about infusion nursing. Some key points:
- The chat was started by @InfusionNurse to discuss issues related to infusion nursing.
- Several nurses and others involved in oncology and infusion resources participated in the chat to discuss topics like what social networks they use, using technology to find veins, and how social media could increase awareness of infusion nursing as a specialty.
- Opinions were shared on the growing use of Twitter versus Facebook among nurses and challenges in getting more nurses engaged online. Measuring arm circumference for PICC lines and using vein finders were also discussed.
- Increasing public understanding of what nurses do through social media was suggested as
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
This document contains a transcript of a #RNchat Twitter discussion between nurses on February 7, 2013. Nurses introduced themselves and discussed whether robots could replace nurses as claimed in a blog post. Most nurses argued that while technology may replace some tasks, nursing requires human interaction, empathy, clinical judgment and bedside manner that robots cannot provide. The discussion highlighted the human aspects of nursing that are important to patients.
Transcript of #RNchat - a Twitter chat for registered nurses - for December 23, 2010.
Follow @RNchat - http://Twitter.com/RNchat - for regular updates.
Transcript of #RNchat for February 19, 2010.
Topics include:
T1 Grievances: What are best practices for grievances? When should nurses go public? How should they proceed?
T2 Pharmaceutical Industry: Is the industry sufficiently supportive of nursing? How should they be involved? What can they do for us?
T3 Women's Health: What Dx and Tx disparities do you still see between men and women?
Follow @RNchat for more (http://Twitter.com/RNchat)
Transcript of RNchat - a Twitter chat for registered nurses. Follow @RNchat for regular updates.
Topics included:
T1 Public Health Ramifications of #BP Spill: What are/can nurses do to mitigate damage to crews, populations, etc?
T2 Present & Future of Digital Tech: From mobile apps to social media, what are nurses doing? How can we use them to their fullest?
Visit http://RNchat.org for more.
Transcript of #RNchat for March 19, 2010. RNchat is a Twitter chat for registered nurses. Follow @RNchat (http://Twitter.com/RNchat) or visit http://RNchat.org for more.
Transcript of #RNchat, a Twitter chat for registered nurses, moderated by Ellen Richter (@EllenRichter on Twitter).
Topics included:
T1 Every July, as new interns begin hospital rotations, patterns show a rise in patient safety events, termed the "July Effect"
T1 (contd) In what ways can the nursing profession help to reduce actual patient errors related to the "July Effect"?
T2 Theres growing evidence of the benefits of family being present during resuscitative efforts, especially a child. Do you agree?
T2 (contd) Would U want to be sent away from a loved one's side if its the last time U may see them alive? What are the pros/cons?
Follow @RNchat (http://Twitter.com/RNchat) for updates.
Transcript of RNchat - a Twitter chat for Registered Nurses - for Friday, May 21, 2010.
Follow @RNchat on Twitter: http://Twitter.com/RNchat
Topics:
T1 We see more implantable defibrillators each year. How do we address turning it off during end-of-life palliative care?
T2 Does the Nursing Care Plan you use at work help to guide your nursing care or is it an additional task to complete each day?
Transcript for #RNchat - a Twitter chat for registered nurses - for July 15, 2010.
TOPICS:
T1- How does lateral violence among RNs affect pt care? & how can we better prepare nurses & students to deal with lateral violence?
T2- Pharm:vast/quick changing/& can hurt pts.What areas do U need more pharm ed in & what should we teach nursing students?
T3 - Teaching better communication? how should we teach it & should scripting be used in Nursing?
Follow @RNchat - http://Twitter.com/RNchat for more!!
RNchat.org - http://RNchat.org
Transcript of RNchat for February 5, 2010. RNchat is a Twitter chat for registered nurses.
Topics include:
T1 Domestic Violence - How better (or worse) are healthcare, legal & community systems doing w/DV?
T2 Nursing News Sources - Where do you get your news on the profession? What are top sources? Blogs, Journals, etc.
T3 Community Nursing - What's the current state of community nursing? What specific areas need attention?
T4 Tech Trends - What are the biggest trends in h/c & nursing tech? (Web, mobile, devices)
This document contains tweets from EllenRichter and others discussing topics for an #RNchat Twitter chat about nursing issues. EllenRichter provides links to articles about elderly hospital patients, delirium, nurse staffing ratios, and new nurse turnover. Others introduce themselves and their locations. The chat then begins discussing the impacts and challenges of mandated nurse-to-patient ratio laws.
Transcript of #RNchat for February 26, 2010. RNchat is a Twitter chat for registered nurses. Follow on Twitter: @RNchat.
Topics include:
Augmented Reality
Pediatric Pharmacology
Fall Prevention
Transcript of #RNchat for January 22, 2010. RNchat is a Twitter chat for registered nurses and the general public.
Follow RNchat on Twitter: http://Twitter.com/RNchat
Transcript of #RNchat, a Twitter chat for registered nurses, for March 16, 2010. Follow @RNchat for more or visit the blog http://RNchat.org
Topics:
T1 The Question Nursing Answers: "What is the effect of entire h/c process on the human being?" Discuss.
T2 RN-LPN Relations: How healthy, overall, is the relationship between RNs & LPNs?
T3 Nursing Startups: What businesses do you think nurses should build that could change the world?
Transcript for RNchat - a Twitter chat for registered nurses - for July 23, 2010.
Topics:
T1 Handwashing: What advances have you seen? How does Design affect compliance? What drives ya nuts when you see it?
T1 Follow-up: Are messages about what kinds of washing (eg soap & friction for c diff & other spores instead of alcohol) effective?
T2 Telehealth: How can telehealth nursing expand with role of the Web (Social Media, digital media, etc.)?
T3 Enhancing Collaboration: What are biggest challenges in provider collaboration? What solutions (technical or other) work best?
Follow @RNchat on Twitter - http://Twitter.com/RNchat and visit the blog RNchat.org for more!
This document summarizes a Twitter chat ("#RNchat") about how healthcare workplaces can help nurses deal with grief from patient deaths.
1) Nurses discussed how having extra staff help with patient care allows the primary nurse time to grieve with family and take a break. Grief support groups and counseling were also suggested.
2) Most agreed nursing education does not adequately prepare students for dealing with workplace grief. Storytelling from experienced nurses was proposed as a way to address this.
3) Whether current systems motivate hospitals to provide grief support is uncertain, though some nurses noted supportive policies at their institutions while others felt "grief time" may be seen as unproductive.
Transcript of RNchat, a Twitter chat for registered nurses. Learn more at http://RNchat.org. Follow @RNchat on Twitter - http://Twitter.com/RNchat
Topics included:
T1 Mobile Mobile Technology: from @HeathercatCAP - How can mobile tech benefit nurses? Specific examples, use case?
T2 Buzzword: Patient-Empowerment: What is patient empowerment to you? How might the Web (truly) empower?
T3 Nurses as linchpins: Comment on this assertion: "Nurses are the linchpins of health, from research to provision"
Transcript of #RNchat Twitter chat for registered nurses on October 29, 2009.
Topic: Drug Diversion.
NOTE: Twitter crashed just as the chat started. Here's the tweet that's missing:
T1 Drug Diversion: What have been your experiences (be mindful of confidentiality of course). Big problem? Getting better or worse? #RNchat
Transcript of #RNchat, a Twitter chat for registered nurses, for Friday April 2, 2010. Follow @RNchat on Twitter - http://Twitter.com/RNchat
Topics:
T1 If health care professnal makes accidental yet fatal med error what should resulting action be? Terminate? Suspend? Revoke? Jail?
T2 Should ea facility develop & implement their own nursing care standards or should there be internat'l standards of nursing care?
This document summarizes a Twitter chat (#IVchat) about infusion nursing hosted by @InfusionNurse. Nurses and others discussed using social media for their specialty and networking. They debated measuring PICC insertion sites and using vein finders. The chat experienced some technical difficulties but continued discussions on increasing public awareness of infusion nursing and improving standards. They look forward to the next #IVchat scheduled in two weeks.
This document contains tweets from a Twitter chat about infusion nursing. Some key points:
- The chat was started by @InfusionNurse to discuss issues related to infusion nursing.
- Several nurses and others involved in oncology and infusion resources participated in the chat to discuss topics like what social networks they use, using technology to find veins, and how social media could increase awareness of infusion nursing as a specialty.
- Opinions were shared on the growing use of Twitter versus Facebook among nurses and challenges in getting more nurses engaged online. Measuring arm circumference for PICC lines and using vein finders were also discussed.
- Increasing public understanding of what nurses do through social media was suggested as
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
This document contains a transcript of a #RNchat Twitter discussion between nurses on February 7, 2013. Nurses introduced themselves and discussed whether robots could replace nurses as claimed in a blog post. Most nurses argued that while technology may replace some tasks, nursing requires human interaction, empathy, clinical judgment and bedside manner that robots cannot provide. The discussion highlighted the human aspects of nursing that are important to patients.
Transcript of #RNchat - a Twitter chat for registered nurses - for December 23, 2010.
Follow @RNchat - http://Twitter.com/RNchat - for regular updates.
Transcript of #RNchat - a Twitter chat for registered nurses - for Thursday, November 4, 2010.
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Topics were provided by the kindness of Palo Alto Medical Foundation (@PaloAlto on Twitter) through Erin Macartney (@emacartney):
T1 Are your job responsibilities changing with the advent of health care reform? How?
T2 How do you personally maintain excellent standards of care in the face of budget cuts and pressures?
T3 What areas of health innovation do you think are most important to patient care?
Chat was moderated by Phil Baumann, RN (@PhilBaumann on Twitter)
Transcript of #RNchat - a Twitter chat for registered nurses - for Friday October 29, 2010.
Follow @RNchat - http://Twitter.com/RNchat - for regular updates. Visit RNchat.org for more.
Topics provided by @NAPH1981
Produced by @PhilBaumann
The #RNchat discussion focused on two topics: 1) the link between 12-hour nursing shifts and medical errors, and 2) improving hand-off communication between healthcare professionals. For the first topic, nurses debated the pros and cons of 12-hour shifts, acknowledging studies showing increased errors but also that 12-hour shifts have become ingrained in nursing culture and schedules. For the second topic, nurses suggested standardized report forms and emphasized the importance of nurse-to-nurse communication over recorded reports. The discussion highlighted balancing research findings with the realities of nursing practice and patient safety.
Transcript of #RNchat - a Twitter chat for registered nurses - for Sunday, October 24, 2010.
Follow @RNchat on Twitter for updates.
Visit RNchat.org for more on the chat.
Topics include:
T1 - How are nurse - hospital relations where you are & have the hospitals slowed down hiring? If so, is it affecting staffing?
T2-Why R important nursing care areas missed (R we still 'holistic') & do patients perceive us as scolding, non- listeners?
T3 - what one change can each of us make to improve our practice/profession/units this week?
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Transcript of RNchat - a Twitter chat for registered nurses - for Friday, October 14, 2010.
Follow @RNchat for regular updates. RNchat.org for blog posts.
Topics included:
T1 If U had the OK to freely use Twitter in any aspect of patient care delivery, how would U use it? To reach pts? Family? MDs? RNs?
T2 Offer Topic Suggestions for Future Chats
Moderated by @EllenRichter
Transcript of #RNchat - a Twitter chat for registered nurses - for Saturday September 18, 2010.
This was the First Birthday of RNchat.
Follow @RNchat for regular updates - http://Twitter.com/RNchat
Visit the blog: http://RNchat.org
Transcript of RNchat - a Twitter chat for registered nurses - for June 4, 2010.
Follow @RNchat on Twitter for more: http://Twitter.com/RNchat
Topics:
Nurses' Bill of Rights
Motivating Environments in Nursing
Transcript for #RNchat - a Twitter chat for registered nurses - for Friday May 28, 2010. Follow @RNchat - http://Twitter.com/RNchat
Topics:
T1 The general dilemma of h/care socmedia: people can hurt themselves w/o the media (noone to talk to) or actually get hurt w/it
T2 Alternative Career Paths: Bedside nursing isn't the only career. What other pathways are available? How can we prep grads' paths?
T3 RN Camp: "Where Nursing Reboots" - http://RNcamp.com I want to extend #RNchat into "real life". See link & the next tweet
T3 RNcamp - It's tentatively scheduled for October, but may need to be 1st Qtr 2011. What would you like to see discussed there?
T3 If you would like to contribute or have questions about RNcamp, @ reply or email: Reboot@RNcamp.com
This document summarizes an #RNchat discussion on Twitter about the proposed National Nurse Act of 2010 and nursing degree requirements. Participants welcomed each other and introduced themselves as the discussion began. Regarding the National Nurse Act, most saw pros like increasing nursing's political leverage and changing public perception of the profession, though a few noted it could grow political. When asked about other countries' high-level nursing roles, one mentioned Scotland's health minister was formerly a nurse. The discussion then shifted to some Philadelphia hospitals requiring BSNs for new nurses.
Transcript of #RNchat, a Twitter chat for registered nurses, for Tuesday, April 6, 2010.
Topic:
T1 National Nurse #HR4601: What do you think about creating a National Nurse Position in U.S.? What are pros? Any cons?
Transcript of #RNchat, a Twitter chat for registered nurses. Follow @RNchat - http://Twitter.com/RNchat - or visit the blog - http://RNchat.org
Topics:
T1 As the volume of insured patients grows, we will need more resources to care for everyone, especially with longevity of life
T2 The new hcr bill adds a 10% tax on fees for tanning bed services. Are there other "unhealthy" activities we can possibly tax?
T3 Do you social media savvy nurses see Facebook & Twitter & such as valuable avenues for giving nursing care? #RNchat
1. rnchat: A reminder to all the wonderful Twitter nurses: Join us tonite for #RNchat @ 9 PM EST
moderated by @EllenRichter ~Pull up a keyboard & chat!
8/19/2010 07:34
rnchat: How Many Docs & Nurses Are on Twitter? - http://bit.ly/cpDsYY #RNchat
8/19/2010 14:45
EdBennett: A balanced article on risks / rewards of social media for nurses. Features @PhilBaumann
and #RNChat http://bit.ly/c5JuhI
8/19/2010 16:40
rnchat: 10 minutes til #RNchat starts. I'm headed to Tweetgrid.com cuz I like that one, but theres
also Tweetchat.com & Twitterfall.com :)
8/19/2010 20:52
rnchat: Thanks to everyone that took the time to retweet the time of tonite's #RNchat to their
followers :)
8/19/2010 20:54
rnchat: I'm just keeping a constant caffeine level steady-state by sipping on my 5th cup of coffee
today! #RNchat
8/19/2010 20:58
NurseCircle: We're ready for #RNchat!
8/19/2010 20:58
NursesNightOut: Gotta love the enthusiasm! “@dorameulman: Raising my resveratrol level waiting for
#RNChat to start #NursesNightOut :))”
8/19/2010 20:59
rnchat: @NurseCircle Awesome. I'm ready too. Lets begin by introducing ourselves in 140
characters! What do U do, where from? :) #RNchat
8/19/2010 21:00
rnchat: @NursesNightOut I like your account name!! :) #RNchat
8/19/2010 21:00
nursekris99: My grape is Greek tonight! #RNChat
8/19/2010 21:01
rnchat: #RNchat is a way for nurses (& all others in health care!) to meet, tweet & share feelings,
thoughts, ideas! We welcome silent lurkers!
8/19/2010 21:02
rnchat: I'm @EllenRichter a critical care RN working in south Florida & I also work with attorneys
on medical litigation. #RNchat
8/19/2010 21:03
ClearMedNetwork: Looks like the nurses are ready 4 fun...lol “@dorameulman: Raising my resveratrol level
waiting for #RNChat to start #NursesNightOut :))”
8/19/2010 21:04
rnchat: I must keep my fingers crossed that my internet connection stays put. It was lost for
almost an hour this evening! :( #RNchat
8/19/2010 21:04
nursekris99: I'm Kris: an onocology nurse, patient advocate, and insurance-stalker. I'm also a smart-
2. a$$, if you haven't noticed... ;) #RNChat
8/19/2010 21:05
dorameulman: Hi everyone I'm Dora I work in a 29 bed MICU #RNChat
8/19/2010 21:05
jtknowles007: Hi, I'm John. I'm a nursing student from Indiana. !fb #RNchat
8/19/2010 21:05
rnchat: You can join our chat or follow along at websites like tweetchat, tweetgrid or twitterfall! Or
use Twitter's search & our hashtag #RNchat
8/19/2010 21:06
NursesNightOut: @nursekris99 We like smart $@&es! lol. #RNchat
8/19/2010 21:07
rnchat: The topics will be labeled T1, T2, etc. Please remember to add topic label & hashtag
#RNchat to ea tweet so we can track your responses!
8/19/2010 21:08
rnchat: Nice to see all of you who joined! Welcome :) #RNchat
8/19/2010 21:10
dorameulman: @RNchat lots of us on here tonight so much fun. Most nurses are smart a$$'s that's how
we survive #RNChat #Nurses NightOut :)
8/19/2010 21:10
rnchat: First topic coming up. #RNchat
8/19/2010 21:10
rnchat: T1 One Medicare Never Event is Foley catheter-related UTI. How does your practice
strive to reduce this complication? Is it working? #RNchat
8/19/2010 21:11
ClearMedical: @RyanJonSheets @SteveCarran @Biebert @TRCochran you should check out the
#RNchat discussion right now. Neat stuff!
8/19/2010 21:11
rnchat: @dorameulman Having fun while still being a nurse is always fun, even if its during off
time like now! ;) #RNchat
8/19/2010 21:12
dlwdillon: RT @jrobinsonRN: I'm Jennifer, a legal nurse consultant from TX #RNChat
8/19/2010 21:13
rnchat: T1 One Medicare Never Event is Foley catheter-related UTI. How does your practice
strive to reduce this complication? Is it working? #RNchat
8/19/2010 21:13
CaliPNP: I'm Sue. I'm a PNP in Radiology in a teaching hospital. #rnchat
8/19/2010 21:14
nursekris99: T1: Luckily, I'm outpatient. But we see folks sent home w/indwelling and no care
intructions til they see urologist in 2 weeks! #RNChat
8/19/2010 21:15
dorameulman: T1 my unit does well we don't have many UTI's. Unless like yesterday pts pull them out
3. with the balloon still inflated :-O #RNChat
8/19/2010 21:15
rnchat: T1 At my facility our goal is to remove Foley caths on all patients. They need a VERY
good reason to stay beyond 2 days. #RNchat
8/19/2010 21:15
nursekris99: @dorameulman HAHA! I had one on Tuesday do the same thing! #RNChat
8/19/2010 21:16
rnchat: T1 I also see patients undergo some inpatient surgery without ever having a Foley
inserted. Only if they cant void do we put 1 in. #RNchat
8/19/2010 21:17
rnchat: T1 @nursekris99 Thats sad to see. No home catheter-care instructions are given at all?
Yikes. #RNchat
8/19/2010 21:18
dorameulman: T1 in ICU I would say 95%of pts have a foley. #RNChat
8/19/2010 21:18
nursekris99: My folks are usually post-op, prostate seed implant. Needed until swelling goes down.
#RNChat
8/19/2010 21:18
nursekris99: @RNchat T1 Minimal instruction combined with rural education makes for multiple F/C
problems in my population. #RNChat
8/19/2010 21:21
rnchat: T1@dorameulman You are in MICU. I bet many pts require it for unstable
hemodynamics--thats a good reason to keep it #RNchat
8/19/2010 21:21
jrobinsonRN: T1-am still seeing lots of foley infections in records I review, while pts w/o foleys aren't
having urine output monitored-bad news #RNChat
8/19/2010 21:21
rnchat: T1 @jrobinsonRN The push for SCIP postop protocol for UTI prevention is fairly new, like
2 yrs old? Maybe your charts are older? #RNchat
8/19/2010 21:23
TeriRNBSN: T1: We use foley's as a last resort if it will aid in patient comfort. We teach families foley
hygiene to help reduce UTI's #RNChat
8/19/2010 21:24
rnchat: T1 Surgical Care Improvement Project (SCIP), a national quality improvement project
designed to improve surgical care in hospitals #RNchat
8/19/2010 21:24
jrobinsonRN: @rnchat charts aren't older, SOL for suits in TX is 2 yrs #RNChat
8/19/2010 21:24
rnchat: T1 @jrobinsonRN But if your record reviews are just non-acute medical pts with
catheters, thats bad. Change needs to occur! #RNchat
8/19/2010 21:25
dorameulman: T1 we get them out as soon as poss but for us they're almost always necessary. I use
4. Condom Caths when I can on men. #RNChat
8/19/2010 21:25
Rampracer: WHEELIE cATHOLIC: The Cripper Arrives! - http://ow.ly/2sbIR #sci #rnchat #hcsm
8/19/2010 21:27
TeriRNBSN: T1: When I worked in Sub acute we tried to get the foley's out ASAP also. Then we set
up a bowel and bladder program. #RNChat
8/19/2010 21:28
rnchat: T1 We need to realize that catheter-acquired UTIs will not be reimbursed and can cause
chronic problems too #RNchat
8/19/2010 21:28
ERNurseJoy: We put stickers on foley bags that tell when/who inserted them- inpatient units don't have
to dig in the charts find insertion dates #RNChat
8/19/2010 21:29
jrobinsonRN: Apparently foley care has gone the way of the dinosaur. Am wondering if they even teach
it in CNA & nrsg school anymore. #RNChat
8/19/2010 21:30
TeriRNBSN: T1: We left foley's in our pt's w/stg 3 & 4 Decubs until healed. #RNChat
8/19/2010 21:30
rnchat: T1 @TeriRNBSN Yes, bladder programs are much more difficult than just keeping a
Foley but its the right way to prevent catheter-UTIs #RNchat
8/19/2010 21:31
jrobinsonRN: @TeriRNBSN Not much you can do if you are going to get those decubs healed if pt is
incontinent. #RNChat
8/19/2010 21:31
nursingpins: Hey all - got called in - will read back. #RNchat
8/19/2010 21:31
TeriRNBSN: @jrobinsonRN From some of the CNA's I watch bathing patient's I wonder if they are
trained in proper way to do pericare period. #RNChat
8/19/2010 21:32
dorameulman: T1 we get lectured in our huddles about this. #RNChat falls are our new pet peeve plus
restraints!
8/19/2010 21:32
jrobinsonRN: @TeriRNBSN If they are trained, then it's gotta be pure laziness. #RNChat
8/19/2010 21:32
TeriRNBSN: @rnchat It helps if all are on board in doing what is best for pt. I hate to see nurses &
CNA's not follow the plan. A pet peeve #RNChat
8/19/2010 21:33
TeriRNBSN: @jrobinsonRN You can pretty much tell it is laziness. Saddens me. And if I said
something management came down on me not CNA. #RNChat
8/19/2010 21:35
rnchat: T2 I was recently "family member/visitor" instd of RN. I wanted unlimited visiting time.
What do U think? Is it OK to break rules? #RNchat
8/19/2010 21:35
5. nursekris99: T2: I feel if pt benefits from presence of family, they should be in there! I broke rules to let
folks stay a lot back in the day #RNChat
8/19/2010 21:37
rnchat: T2 LOL I love this topic. I'm a big fan of unlimited visiting, as long as the health care folks
can do their work. But many disagree #RNchat
8/19/2010 21:37
TeriRNBSN: T2: As a hospice nurse I say YES! I feel it helps the pt w/orientation, less need for
restraints & accommodates the changing world. #RNChat
8/19/2010 21:37
jrobinsonRN: T2 - Don't have a problem w/open visiting if no interference in care of ALL pts, not just
the ones they R visiting #RNChat
8/19/2010 21:37
nursekris99: T2 However, if family disruptive or interferes with good care, they gotta GO. Also, family
need a break when they don't realize it #RNChat
8/19/2010 21:38
dorameulman: T2 fantastic I've been eager to discuss this topic. We have Family Centered Care
throughout our hospital including all the ICU's #RNChat
8/19/2010 21:38
nursingpins: T2 My ideas have changed over the years - think family should be able to stay anytime
now. #RNchat
8/19/2010 21:38
TeriRNBSN: T2: Not every one is a 9-5 worker anymore. We need to adapt to meet the needs of the
pt & family. #RNChat
8/19/2010 21:38
nursekris99: T2 Family does pt no good if they're exhausted and burnt out. #RNChat
8/19/2010 21:39
jrobinsonRN: @nursekris99 T2 - true, but if no one else avail to stay, no way I'd leave my family alone
even if I'd been there for days w/o sleep #RNChat
8/19/2010 21:40
nextHealthMedia: Isn't unlimited visiting a basic tenet of Planetree hospitals? #RNchat
8/19/2010 21:40
DebErupts: Advocate for unlimited visitation. #RNChat
8/19/2010 21:41
rnchat: T2 I think family and S.O. should be taught to give some of the care if they choose to stay
past visiting hrs. It can benefit both! #RNchat
8/19/2010 21:41
nextHealthMedia: There's no less miserable alternative than a Foley in the works as of yet? If you haven't
had one... #RNchat
8/19/2010 21:41
TeriRNBSN: @rnchat I agree. Also starts the DC process so that families are comfortable w/care when
they go home #RNChat
8/19/2010 21:42
6. nursekris99: @RNchat T2 TOTALLY agree about family help! Our job is to get pt to a point where they
don't need us any more! #RNChat
8/19/2010 21:42
DebErupts: There was no way I was going to leave my frightened daughter alone after her spinal cord
injury. Family took turns being with her. #RNChat
8/19/2010 21:43
rnchat: T2 So glad to see so many advocates of unlimited visiting! I think families do better as a
whole when they are involved in the care! #RNchat
8/19/2010 21:43
jrobinsonRN: @rnchat T2 - too many think hospital is 5star hotel - they don't want to learn how to do
their care even when dcing home soon. #RNChat
8/19/2010 21:43
CaliPNP: T2 Only time family shouldn't be in is report time in NICU setting (my last life). Parents
would listen to other pts' report. HIPPA #rnchat
8/19/2010 21:44
dorameulman: T1 family at bedside 24/7 helps ICU pts I've learned to get the family to help me with
mouthcare turning etc #RNChat
8/19/2010 21:45
rnchat: T2 @DebErupts I can relate. I could never leave a frightened family member in the
hospital alone! We take shifts among ourselves #RNchat
8/19/2010 21:46
DebErupts: When my daughter was hospitalized they did bedside reports and allowed me to
participate. #RNChat
8/19/2010 21:46
rnchat: T2 @CaliPNP Great point about eavesdropping and HIPPA violations during change of
shift. Thats not good either. #RNchat
8/19/2010 21:46
rnchat: T2 @dorameulman I do the same thing! Teach them little things like mouth care, ROM,
help with turns, even on critically ill. :) #RNchat
8/19/2010 21:47
nursingpins: As @DebErupts says - Pt family can be much more helpful than prev. thought. #RNchat
8/19/2010 21:47
dorameulman: T2 occ we have family drama's always interesting. Plus what's that yellow no green no
red no. Constant questions are difficult #RNChat
8/19/2010 21:48
DebErupts: Daughter had trach, jaw wired shut, no use of hands. Communicated by nodding head to
letter board for 2 wks. Family very important! #RNChat
8/19/2010 21:49
rnchat: T2 I think with children, its almost expected that the parents will sit vigil at their bedsides
but adult pts need some of that too! #RNchat
8/19/2010 21:49
jrobinsonRN: @dorameulman yes, constant interuptions make things difficult - have to find a balance,
set boundaries with some families #RNChat
7. 8/19/2010 21:49
nursingpins: Like @rnchat - I teach family to help too - who knows, we may event be able to give them
a couple more pts. LOL #RNchat
8/19/2010 21:50
CaliPNP: @RNchat T2 we used to have NICU parents mixing up info telling it to another pts'
parents & getting everyone into huge conundrum #rnchat
8/19/2010 21:50
RNMark: T2 Have had families challenge and argue about each and every nursing intervention.
Unlimited visiting could hazard pt care. #RNChat
8/19/2010 21:50
jrobinsonRN: @nursingpins T2 OK, I must have worked in wrong place, have had too many pt/family
refusing to participate in self/family care #RNChat
8/19/2010 21:51
rnchat: T2 @NurseCircle Now thats cool! Let us know what kind of responses you get on FB! :)
#RNchat
8/19/2010 21:51
dorameulman: T1 we allow family to stay for procedures ie EGD's or even codes and assign a pt rep or
nurse to help them #RNChat
8/19/2010 21:51
jrobinsonRN: @RNMark Yes, so have I - that is where you need to set boundaries - I like family
involvement but not shy about setting rules up #RNChat
8/19/2010 21:52
rnchat: T2 @nursingpins LMAO...imagine if staffing ratios increased because of all the family
helpers assisting us! ;) #RNchat
8/19/2010 21:52
nursingpins: That has been a big prob. in the past @RNMark - will always be a prob. for some - but
things are changing believe it or not. #RNchat
8/19/2010 21:52
RNMark: T2 How do we bring equity and sanity to visits? Behavioral contracts? BTW best
experience I had included 30 family in one room. #RNChat
8/19/2010 21:52
rnchat: T2 @RNMark Absolutely agree. There are those family members we want to string up &
flog but most times they are just stressed to max #RNchat
8/19/2010 21:53
DebErupts: Kept track of every damn thing they did. Families can prevent errors and assist with care.
Use them! #RNChat
8/19/2010 21:53
nursingpins: Will just be another assignment sheet to fill out - family assignment. - hospitals will limit
them too. #RNchat
8/19/2010 21:53
nursekris99: T2: Could see insurers refusing to pay if skilled nursing was assisted by family. You know
they would!!! LOL! #RNChat
8/19/2010 21:55
8. rnchat: Wow, I cant believe its almost an hour! We never even got to T3! Think I'll save it for next
week! We can stay with T1 & T2 for now! #RNchat
8/19/2010 21:55
RNMark: @RNchat Flogging takes too much time and cant be delegated. #RNChat
8/19/2010 21:55
nursingpins: Family staying all the time is a big issue with some nurses - many older nurses are
against it - new nurses quicker to accept it. #RNchat
8/19/2010 21:56
DebErupts: Limiting visitors to a few at a time is reasonable. Need to use common sense. Provide a
lounge for family members to hang out. #RNChat
8/19/2010 21:56
rnchat: T2 @nursekris99 The family may help with skilled nursing care but the RNs still do all the
documentation & thats what insurance sees #RNchat
8/19/2010 21:56
jrobinsonRN: T2 Taking time to educate families can help a lot with their behavior and whether or not
they are help or hindrance. #RNChat
8/19/2010 21:57
rnchat: @RNMark LMAO! ;) I just saw your flog response! #RNchat
8/19/2010 21:57
nursingpins: RT @DebErupts: Limiting visitors to a few at a time is reasonable. Need to use common
sense. #RNchat
8/19/2010 21:57
nursingpins: The biggest issue in nursing is unsafe ratios - it is killing nursing! #RNchat
8/19/2010 21:58
jrobinsonRN: T2 hospitals that still have semi pvt rooms are a problem w/ visitors #RNChat
8/19/2010 21:58
RNMark: @rnchat TY #RNChat
8/19/2010 21:58
rnchat: T2 So, I guess I won't feel bad that I pushed my way into unlimited visiting hours with my
dad after his surgery. I know it helped #RNchat
8/19/2010 21:59
jrobinsonRN: T2 - nurses are still responsible for care - CANNOT just expect family to do things w/o
followup and ensuring appropriate care given #RNChat
8/19/2010 22:00
rnchat: T2 @jrobinsonRN Yes semi-private rooms make unlimited visiting tough. I admit, my dad
was in a private room. ICU rooms are private #RNchat
8/19/2010 22:00
nursekris99: @RNchat Yes, they see the documentation. But just saying the industry, if able, would
turn a great thing into a not-so-great thing #RNChat
8/19/2010 22:01
jrobinsonRN: @rnchat U actually tried to be nice about it - when my fam. in hospital, staff know up
front who I am & I'm not leaving - period. #RNChat
8/19/2010 22:02
9. dorameulman: T2 I've felt the urge to flog many times lol. We have no visitors between 6-8 to allow for
shift change. It's bliss #RNChat :)
8/19/2010 22:02
nursingpins: We as nurses need to support pt. advocacy groups too - they will help expose unsafe
practices allowed by hospitals. #RNchat
8/19/2010 22:02
nursekris99: T2: I really love when family show interest in helping the pt. If nothing else, gives me
confidence that pt may do well at d/c #RNChat
8/19/2010 22:02
rnchat: I'm want to thank everyone who participated. Great, great responses to the topics!! Terrific
nurses on Twitter! ;) #RNchat
8/19/2010 22:03
jrobinsonRN: @nursekris99 Family shouldn't be doing skilled nursing tasks, that is what educated
nurses are for. #RNChat
8/19/2010 22:03
rnchat: @DebErupts Oh geez....that sounds like it was a nightmare! #RNchat
8/19/2010 22:03
RNMark: @jrobinsonRN I never voluntarily tell staff that I'm an RN when I visit. I've gotten strong
negative vibes. #RNChat
8/19/2010 22:04
DebErupts: Family should not be doing skilled nursing procedures due to liability issues, unless part
of discharge teaching. #RNChat
8/19/2010 22:04
nursingpins: Thanks Ellen - got to run - teaching ACLS to a group of family members -:) #RNchat
8/19/2010 22:05
rnchat: Totally agree RT @nursingpins We as RNs need to support pt. advocacy groups - they
help expose unsafe practices allowed by hospitals #RNchat
8/19/2010 22:05
rnchat: @nursingpins Vernon! Enjoy! Thanks for participating while at work! :) #RNchat
8/19/2010 22:06
DebErupts: To @RNMark @jrobinsonRN Can you imagine the reaction when I tell them I'm a Nurse
Attorney. Usually keep it to myself. #RNChat
8/19/2010 22:07
rnchat: Well, everyone enjoy the rest of the week! TGIF in a few hours. See you next time!
Anyone new, please follow me @EllenRichter :) #RNchat
8/19/2010 22:08
rnchat: @DebErupts Yes, that nurse-attorney title must shut people up pretty fast! ;) #RNchat
8/19/2010 22:08
nursekris99: @RNchat Thank you Ellen!! Great discussions! #RNChat
8/19/2010 22:08
rnchat: @nursekris99 No, thanks to you all, who made the discussions come to life! :) #RNchat
10. 8/19/2010 22:09
dorameulman: @RNchat thanks Ellen enjoyed #RNChat tonight. Nurses ROCK :))
8/19/2010 22:10
rnchat: Be on the look-out for @PhilBaumann's tweet with the link to the transcript of tonite's
chat. There are always tweets I missed! :) #RNchat
8/19/2010 22:10
jrobinsonRN: @nursingpins ACLS to family huh? LOL #RNChat
8/19/2010 22:11
rnchat: @dorameulman Yes, nurses DO rock! Even the wise-a$$ ones! ;) #RNchat
8/19/2010 22:11
DebErupts: Thank-you, it's been fun. #RNChat
8/19/2010 22:12
jrobinsonRN: @DebErupts Bet the looks on the faces when you do tell them you're RN, JD is priceless
:) #RNChat
8/19/2010 22:13
rnchat: I'm signing off the @RNchat account! Enjoy your night, folks! Keep up the discussions if
you so desire! G'nite!!:) #RNchat
8/19/2010 22:13
maryannagordon: RT @nursingpins: The biggest issue in nursing is unsafe ratios - it is killing nursing!
#RNchat
8/19/2010 22:18
DebErupts: @APBBlue LOL! I forget others are reading our #RNChat
8/19/2010 22:20