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RT @consultdoc: Hospitals beginning to add policies to "care for caregivers" who are involved in medical errors http://bit.ly/bePgqW #rnchat 3/16/2010 09:28 tully3000: RT @PSeditor: RT @RNchat: RT @kevinmd Nursing Needs to Confront a Culture of Bullying - http://bit.ly/dme9yM #RNchat < Totally! 3/16/2010 10:04 StressedFran: I'm moderating today's #RNchat at12pm EST. Join in or stalk. Tell your friends. 3/16/2010 10:58 philbaumann: Raising the bar! ~Nursing practice is more difficult today than in 2007~ Difficulty of NCLEX to be Increased http://i.cx/1h7 #RNchat #nurses 3/16/2010 11:29 EllenRichter: Welcome to #RNchat! Thank you for participating. Let's get started with introductions: tell us who you are, what you do & what you love. 3/16/2010 12:01 rnchat: Andy McPhee, Senior Acquisitions Editor for FA Davis. Former RN still in healthcare, sort of. #RNChat 3/16/2010 12:02 andyatFAD: I am JoAnne. Med Surg RN, Skin & Wound Resource, Preceptor in Denver, Colorado! #rnchat 3/16/2010 12:02 grimalkinrn: @ONSmark @rnchat thanks excited to be here! #RNchat 3/16/2010 12:03 AshleighPugh_RN: @andyatFAD Love the new user pic! #rnchat 3/16/2010 12:03 grimalkinrn: I am Ashleigh, an Oncology Educator/Technology Coordinator in Toronto #RNchat 3/16/2010 12:04 AshleighPugh_RN: @grimalkinrn Thanks! Kinda goofy, I know. #RNChat 3/16/2010 12:04 andyatFAD: #RNChat - Terri Schmitt - RN, FNP, PhD Candidate - educator and rural FNP - looking for my informatics students. Happy Tuesday! 3/16/2010 12:04 onlinenursing: Lorry here - correctional nurse writer and educator. Glad for a writing break to chat with you folks #rnchat 3/16/2010 12:04 lorryschoenly: Hi everyone! I'm Lisa, clinical editor for LWW and NursingCenter.com. Love chatting with all you nurses! #rnchat 3/16/2010 12:04 NursingCenter: Hi folks! Critical care RN & legal nurse consultant happy to be working from home so I can join #RNchat today! :) 3/16/2010 12:04 EllenRichter: #rnchat I'm Marie ER RN in MN. Been a while since I have been available to participate! Waiting to pick kids up from preschool so not long mkopp1:
16

RNchat Transcript March 16, 2010

Aug 29, 2014

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Health & Medicine

RN Chat

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?
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Transcript
Page 1: RNchat Transcript March 16, 2010

RT @consultdoc: Hospitals beginning to add policies to "care for caregivers" who areinvolved in medical errors http://bit.ly/bePgqW #rnchat3/16/2010 09:28

tully3000:

RT @PSeditor: RT @RNchat: RT @kevinmd Nursing Needs to Confront a Culture ofBullying - http://bit.ly/dme9yM #RNchat < Totally!3/16/2010 10:04

StressedFran:

I'm moderating today's #RNchat at12pm EST. Join in or stalk. Tell your friends.3/16/2010 10:58

philbaumann:

Raising the bar! ~Nursing practice is more difficult today than in 2007~ Difficulty ofNCLEX to be Increased http://i.cx/1h7 #RNchat #nurses3/16/2010 11:29

EllenRichter:

Welcome to #RNchat! Thank you for participating. Let's get started with introductions: tellus who you are, what you do & what you love.3/16/2010 12:01

rnchat:

Andy McPhee, Senior Acquisitions Editor for FA Davis. Former RN still in healthcare, sortof. #RNChat3/16/2010 12:02

andyatFAD:

I am JoAnne. Med Surg RN, Skin & Wound Resource, Preceptor in Denver, Colorado!#rnchat3/16/2010 12:02

grimalkinrn:

@ONSmark @rnchat thanks excited to be here! #RNchat3/16/2010 12:03

AshleighPugh_RN:

@andyatFAD Love the new user pic! #rnchat3/16/2010 12:03

grimalkinrn:

I am Ashleigh, an Oncology Educator/Technology Coordinator in Toronto #RNchat3/16/2010 12:04

AshleighPugh_RN:

@grimalkinrn Thanks! Kinda goofy, I know. #RNChat3/16/2010 12:04

andyatFAD:

#RNChat - Terri Schmitt - RN, FNP, PhD Candidate - educator and rural FNP - lookingfor my informatics students. Happy Tuesday!3/16/2010 12:04

onlinenursing:

Lorry here - correctional nurse writer and educator. Glad for a writing break to chat withyou folks #rnchat3/16/2010 12:04

lorryschoenly:

Hi everyone! I'm Lisa, clinical editor for LWW and NursingCenter.com. Love chatting withall you nurses! #rnchat3/16/2010 12:04

NursingCenter:

Hi folks! Critical care RN & legal nurse consultant happy to be working from home so Ican join #RNchat today! :)3/16/2010 12:04

EllenRichter:

#rnchat I'm Marie ER RN in MN. Been a while since I have been available to participate!Waiting to pick kids up from preschool so not long

mkopp1:

Page 2: RNchat Transcript March 16, 2010

3/16/2010 12:05

We'll get started with our first topic in a minute. Please prepend your tweets with thetopic, eg T1, T2, etc. #RNchat3/16/2010 12:05

rnchat:

#RNchat I'm an operating room nurse and first assistant at a Level I trauma and burncenter in SW Misssouri.3/16/2010 12:05

nursechenene:

Kama, Clinical Nurse Specialist, Psych/Mental Health, London and St. Thomas. Soexcited to join today's chat! #RNChat #RNChat3/16/2010 12:05

nursekama:

I am Angie, ICU RN in Springfield, MO & in school to get my BSN, which is how I gotintroduced to twitter! Hey Terri! #RNChat3/16/2010 12:05

acmessner17:

I'm @PhilBaumann - started this funness. Trying to help nursing come to the 21stCentury. Among other things. #RNchat3/16/2010 12:05

rnchat:

T1 The Question Nursing Answers: "What is the effect of the entire h/c process on thehuman being, from Wellness to Death?" Discuss. #RNchat3/16/2010 12:06

rnchat:

#rnchat Lynne from Montgomery County Gov, just got bad news,our Nurse manager isleaving..awww..behavioral health,crisis services,addictions3/16/2010 12:06

ocdgirl2000:

Standing room only! :) Hi friends!! (too many to tweet--TMTT) #RNchat3/16/2010 12:07

EllenRichter:

t1 When the process works, the HC process extends quality of life, but can hinder death,cause denial, and prolonged suffering. #rnchat3/16/2010 12:07

grimalkinrn:

I'm a student, still doing prerequisites :) I'm applying for the nursing program this fall!#rnchat3/16/2010 12:08

HauteSingleMama:

T1 I think we USED to see the h/c process as happening ONCE someone got ill--nowprevention is number 1 goal in h/c #RNchat3/16/2010 12:08

EllenRichter:

@rnchat T1 - H/c should be natural and promote natural processes. Sometimes I worrythat the emph in h/c is medications and cutting. #RNChat3/16/2010 12:08

onlinenursing:

@grimalkinrn Excellent point! Agree #RNChat.3/16/2010 12:09

onlinenursing:

#rnchat T1 ok just copy /pasted the fast way..3/16/2010 12:09

ocdgirl2000:

#RNChat: I sometimes feel that the h/c process intervenes too much in people's health,and prolongs things that are inevitable (Agree!)3/16/2010 12:09

acmessner17:

Page 3: RNchat Transcript March 16, 2010

@acmessner17 Welcome! #RNchat3/16/2010 12:10

rnchat:

Hi everyone! Carrie from ONS here. #RNchat3/16/2010 12:10

OncologyNursing:

RT @EllenRichter T1 I think we USED to see the h/c process as happening ONCEsomeone got ill;now prevention is number 1 goal in h/c #RNchat3/16/2010 12:10

NUR3563:

T1 Even at the point of death, we want to prevent pain & suffering ... isn't that preventivemedicine too? :) #RNchat3/16/2010 12:10

EllenRichter:

In corrections we are moving from an episodic model to chronic care model. I don't likethe term but applaud the idea of a continuum #rnchat3/16/2010 12:10

lorryschoenly:

T1 I would agree @EllenRichter #RNchat3/16/2010 12:11

AshleighPugh_RN:

#RNchat I think emphasis should be on pt's wishes rather than what the h/c team wantsie end of life decisions.3/16/2010 12:12

nursechenene:

RT @AshleighPugh_RN: T1 I would agree @EllenRichter #RNChat3/16/2010 12:12

nursekama:

@rnchat I also think that prevention is the biggest goal in h/c today, which is a greatfocus I feel #RNchat3/16/2010 12:12

acmessner17:

Can you expand on that at all? RT @ocdgirl2000: #rnchat T1 depends on the economy &politics #RNChat3/16/2010 12:13

nursekama:

T1 The idea of prevention and healthy lifestyle is vital to control DM, HTN, CAD, etc. HCneeds to focus on prevention. #rnchat3/16/2010 12:14

grimalkinrn:

@grimalkinrn Yes, we really need to approach death with a more ethically acceptableprocess in health care #RNchat3/16/2010 12:14

EllenRichter:

@EllenRichter T1 Absolutely~ In ICU, some of the best days are when ur pt has a "good"death. #rnchat3/16/2010 12:14

NursingCenter:

#RNchat T1 a great piece written by a colleague http://bit.ly/aKU8ss3/16/2010 12:14

StephenNP:

Prevention may be the biggest goal but our entire hc system is set up for illness/acc. Howto adapt? #RNChat3/16/2010 12:14

andyatFAD:

@grimalkinrn Agree again & if peep R ready to die we label them 'passively suicidal'onlinenursing:

Page 4: RNchat Transcript March 16, 2010

(P.S.looking 4ward 2 death-will be less busy:) #RNChat3/16/2010 12:15

#rnchat T1 Hate to be so pragmatic, but it's the reality.We need to be able to deal with it,and get out of our little "pretend" bubbles.3/16/2010 12:15

ocdgirl2000:

RT @andyatFAD: Prevention may be the biggest goal but our entire hc system is set upfor illness/acc. How to adapt? #RNChat3/16/2010 12:15

NUR3563:

Happy to RT this one! >> @NursingCenter: T1 Absolutely~ In ICU, some of the best daysare when ur pt has a "good" death. #rnchat3/16/2010 12:15

EllenRichter:

@onlinenursing LOL! Very true...Someone once said to me "I'll sleep when I'm dead" -love that line! #rnchat3/16/2010 12:16

NursingCenter:

@StephenNP Thanks! Going to read it right after the chat! :) #RNchat3/16/2010 12:16

EllenRichter:

#rnchat T1: prevention is key. And more focus to this area is still needed.3/16/2010 12:16

mkopp1:

RT @StephenNP: #RNchat T1 a great piece written by a colleague http://bit.ly/aKU8ss#RNChat3/16/2010 12:16

andyatFAD:

RT @NursingCenter: @EllenRichter T1 Absolutely~ In ICU, some of the best days arewhen ur pt has a "good" death. #rnchat3/16/2010 12:16

rnchat:

@onlinenursing t1 I think labeling anyone w/the word "suicidal" will have drastically negeffects. "Comfort Care" more acceptable. #RNChat3/16/2010 12:16

grimalkinrn:

@StephenNP Thanks for the link...will read after RNchat! #rnchat3/16/2010 12:16

NursingCenter:

Prevention is part of correctional chronic care model-yes.Death-no. Nobody dies incorrections-we send them to @ellenrichter etal:o) #rnchat3/16/2010 12:17

lorryschoenly:

#rnchat T1 Have you read the health care bill that is presently waiting for votes?fully?raise your hands/3/16/2010 12:17

ocdgirl2000:

Me too, plus the NEJM article it cites: RT @EllenRichter: @StephenNP Thanks! Going toread it right after the chat! :) #rnchat3/16/2010 12:18

ONSmark:

Agree on prevention. In mental health, we focus on the experience of recovery vs. illnessor problem-based models. #RNChat #RNChat3/16/2010 12:18

nursekama:

T1 We have a culture with an unhealthy view of death. We prolong suffering and curtailphilbaumann:

Page 5: RNchat Transcript March 16, 2010

the experience of living fully. #RNchat3/16/2010 12:18

#RNchat health in the csection increase in USA is in the news again. The number ofinductions and sections is higher than any other country3/16/2010 12:18

nursechenene:

RT @nursekama: Agree on prevention. In mental health, we focus on the experience ofrecovery vs. illness or problem-based models. #RNChat3/16/2010 12:19

CIHC_ca:

T1 Yes, prevention (& education & transparency) R magic buzzwords in h/c & our onlyhope to battle or biggest chronic conditions #RNchat3/16/2010 12:19

EllenRichter:

@lorryschoenly LOL, I think we all forget the T's from time to time! ;) #RNchat3/16/2010 12:20

EllenRichter:

@lorryschoenly We all do it. #rnchat3/16/2010 12:20

grimalkinrn:

@grimalkinrn Agree- label 'passively suicidal'. I have seen this diag, w/those who R notterminal. like, even elderly pts #RNChat3/16/2010 12:20

onlinenursing:

@lorryschoenly You are so good to try and at least remember T1! #RNChat3/16/2010 12:21

onlinenursing:

@onlinenursing T1 Some ppl do not want to fight their chronic health condition anylonger. That needs to be more acceptable. #RNChat3/16/2010 12:22

grimalkinrn:

#RNchat I feel death is my enemy during traumas not when it is part of natures course.3/16/2010 12:22

nursechenene:

@nursechenene excellent point about surg intervention throughout the lifespan. T1- part1 #RNChat3/16/2010 12:22

onlinenursing:

#RNChat I think that the patients wishes needs to be something that is focused on morein h/c and seen as acceptable3/16/2010 12:23

acmessner17:

@nursechenene T1 -part 2 - another example, orthorscopic knee surg to fix knee paininstead of wt. loss, PT -#1 proc. in us #RNChat3/16/2010 12:23

onlinenursing:

Exactly!! RT @nursechenene: #RNchat I feel death is my enemy during traumas notwhen it is part of natures course. #rnchat3/16/2010 12:23

grimalkinrn:

T1 @philbaumann That decision is so difficult to make, even for us, I think. Too many"what ifs" #RNChat3/16/2010 12:24

andyatFAD:

@EllenRichter I know. It's a very difficult time. Tons of emotions involved. No "right" or"wrong" answer either. #RNchat3/16/2010 12:24

philbaumann:

Page 6: RNchat Transcript March 16, 2010

@acmessner17 T1 Sadly there is no recourse for a family member who decides NOT tofollow an unresponsive pt's wishes #RNchat3/16/2010 12:24

EllenRichter:

Next topic coming up in two minutes. #RNchat3/16/2010 12:25

rnchat:

@onlinenursing #RNchat Yes and with the same conclusion-get moving3/16/2010 12:26

nursechenene:

T2 RN-LPN Relations: How healthy, overall, is the relationship between RNs & LPNs?With other disciplines? #RNchat3/16/2010 12:27

rnchat:

T1 Many think of end-of-life care as "pulling the plug". Not the case - it's a process,nurses r integral to helping pts/fam learn #rnchat3/16/2010 12:27

NursingCenter:

@rnchat I think nurses could discuss the frustrations in dealing with health care aspectsof death & dying for hours #RNchat3/16/2010 12:27

EllenRichter:

#rnchat T1 politics: gov run healthcare is quite different! inefficiency & incompetency runsrampant..can't fire bad management3/16/2010 12:27

ocdgirl2000:

Great point! RT @NursingCenter: T1 Many think of end-of-life care as "pulling the plug".Not the case - it's a process #RNchat3/16/2010 12:28

EllenRichter:

RT @OncologyNursing: RT @EllenRichter: 2 all the Nurses on twttr 2day RT @rnchat nxt#RNchat - Tuesday 3/16 12p EST! - http://bit.ly/d9841Y3/16/2010 12:28

Favored1Aqua:

#RNchat I can't weigh in on this one. We don't have LPN's in my area.3/16/2010 12:28

nursechenene:

#RNchat What's an LPN?3/16/2010 12:28

davedawes:

@rnchat T2 Great question. I think we're struggling a bit in Ontario with our RN-RPN roleblurring. We're all under one college... #RNChat3/16/2010 12:29

nursekama:

@davedawes Licensed Practical Nurse #rnchat3/16/2010 12:29

grimalkinrn:

T2 I have not worked with an LPN since 1985!! I have worked in "all RN" facilities---so Icant even comment! :( #RNchat3/16/2010 12:29

EllenRichter:

T2 I love working as a team with LPNs, and with CNAs as well. LPNs can be a vitalresource when correctly trained, partnered. #rnchat3/16/2010 12:30

grimalkinrn:

T2 - Never worked with LPNs. Worked closely with nursing assistants who wereNursingCenter:

Page 7: RNchat Transcript March 16, 2010

awesome! #rnchat3/16/2010 12:30

Thanks @grimalkinrn but what is the difference between an LPN and an RN?@davedawes Licensed Practical Nurse #rnchat3/16/2010 12:30

davedawes:

T2 Licensed Practical Nurse, LPN = Registered Practical Nurse, RPN (in Ontario,Canada) #RNChat3/16/2010 12:30

nursekama:

@davedawes Good question. In the US. it is a liscenced practical nurse - 9-12 monthdegree - basic nursing foundation #RNchat3/16/2010 12:30

onlinenursing:

@NursingCenter Yes Many cultures honor the passing of life into death. Our culture fightsthe inevitable rather that embrace it #RNchat3/16/2010 12:30

nursechenene:

T2 Taught LPNs backintheday; RNs loved them but they've moved into mostly chroniccare now #RNChat3/16/2010 12:31

andyatFAD:

T2 I only remember, when I used to work with LPNs, they were delegated many RN tasksto free RNs up 4 education & other vital roles #RNchat3/16/2010 12:31

EllenRichter:

#RNChat T2 Me personally I have never witnessed any bad relationships btwn RN's &LPN's, I feel that we are all in this field together3/16/2010 12:31

acmessner17:

@RNchat I "lurk" on #RNchat b/c I <3 & respect nurses for contributing to hc...also I readthe entire Cherry Ames series!!!3/16/2010 12:31

MeredithGould:

@davedawes #RNChat - level of education, more technical.3/16/2010 12:31

onlinenursing:

#rnchat T2 LPN's can't live without 'em! they run our inpatient clinics!take care of ourpatients3/16/2010 12:32

ocdgirl2000:

@MeredithGould LMAO @ Cherry Ames....that blasted open a dustball in my brain! ;)#RNchat3/16/2010 12:32

EllenRichter:

T2 @acmessner I'm glad that's still the case. #RNChat3/16/2010 12:32

andyatFAD:

T2 Article "RNs & LPNs: A Powerful Team" at http://bit.ly/ddf4f3 #rnchat3/16/2010 12:32

ONSmark:

#RNchat - T2 - I thought we were discussing relationships with nurses (both LPN andRN) with other disciplines? I am easily conf.3/16/2010 12:33

onlinenursing:

T2 At times there are issues between RN-RPN B/C they may be doing what theynursekama:

Page 8: RNchat Transcript March 16, 2010

consider as the "same job" & get paid differently too #RNChat3/16/2010 12:33

From 2003, though! RT @ONSmark: T2 Article "RNs & LPNs: A Powerful Team" athttp://bit.ly/ddf4f3 #rnchat3/16/2010 12:33

ONSmark:

@ocdgirl2000 T2 Glad to see they are an important part of your team...I really lovedworking with LPNs #RNchat3/16/2010 12:33

EllenRichter:

@EllenRichter I collect Cherry Ames books. When I was a little girl, going through burntherapies, I wanted to BE CHERRY AMES, RN #RNchat3/16/2010 12:33

grimalkinrn:

T2 There are differences in the education and therefore, critical thinking and it needs tobe acknowledged. Its not about tasks... #RNChat3/16/2010 12:34

nursekama:

#rnchat T2 we have care assistants in the UK who are delegated nursing tasks from RNs.They don't have degrees or diplomas though.3/16/2010 12:34

davedawes:

#rnchat T2 Contract agency won't pay 4 RN's 2 take care of inpatients in County facilitywho can't afford 2 pay them!addictions,no insurance3/16/2010 12:34

ocdgirl2000:

@nursekama T2 If RNs & LPNs are doing same job for diff pay, someone needs to re-look @ those job descriptions! :( #RNchat3/16/2010 12:34

EllenRichter:

@acmessner17 #RNchat I agree. I have seen rivalry. Usually a power thing by the one incharge. Like others to know they are the boss3/16/2010 12:35

nursechenene:

T2 My fear is we replace nurses (whether RN or RPN) w/ Personal Support Workers (whodo not provide the same level of care) b/c of $ #RNChat3/16/2010 12:35

nursekama:

#RNchat T2 We have an entry into practice problem in the US that we desperately needto resolve. Place for all, but should have diff license3/16/2010 12:36

Nerdnurse:

T2 - many LPNs in corrections. Relationship in any place governed by mutualrespect,understanding of licensure,delegation,job desc #rnchat3/16/2010 12:36

lorryschoenly:

RT @ONSmark: From 2003, though! RT @ONSmark: T2 Article "RNs & LPNs: APowerful Team" at http://bit.ly/ddf4f3 #rnchat3/16/2010 12:36

acmessner17:

T2 @nursekama Is that the new name for nurse aides/assistants? #RNChat3/16/2010 12:36

andyatFAD:

@EllenRichter T2 Agreed! #RNChat3/16/2010 12:36

nursekama:

Page 9: RNchat Transcript March 16, 2010

T2 - #RNChat - love my LPN in the office,couldn't see patients w/o her.My LPN bridgestudents R also cery clinically competent in RN program3/16/2010 12:36

onlinenursing:

@acmessner17 Thanks for the link, will check it out after the chat! #rnchat3/16/2010 12:36

grimalkinrn:

@Nerdnurse T2 Oh, I so agree. We've had the problem for decades. Why can't we solveit? #RNChat3/16/2010 12:37

andyatFAD:

#RNchat T2 @nursekama Yes! And all research shows increased mortality and morbiditywhen we don't have RNs at bedside. BSN best, in fact.3/16/2010 12:37

Nerdnurse:

@andyatFAD T2 Yes, its a term we use in Ontario at least! Here's example education inour Province: http://tinyurl.com/yjpaku2 #RNChat3/16/2010 12:38

nursekama:

RT @Nerdnurse: #RNchat T2 @nursekama Yes! And all research shows increasedmortality and morbidity when we dont have RNs at bedside #RNChat3/16/2010 12:38

nursekama:

@grimalkinrn Thank @ONSmark for the link for the article, I'm just retweeting it toeveryone : ) #rnchat3/16/2010 12:39

acmessner17:

@acmessner17 #RNchat Thanks! I'll check it out.3/16/2010 12:39

nursechenene:

@andyatFAD @nerdnurse T2 If RNs want to be treated as part of the team by docs, etc,we need to treat CNAs, LPNs as teammates. #rnchat3/16/2010 12:39

grimalkinrn:

@ONSmark T2 Thanks for the article link! :) #RNchat3/16/2010 12:39

EllenRichter:

@andyatFAD #RNchat T2 We are our own worst enemies with entry into practicediscussion. Research should guide the decision, not emotion.3/16/2010 12:39

Nerdnurse:

Our final topic today is batting up in a moment. #RNchat3/16/2010 12:40

rnchat:

T2 I also want to say that LPNs are great as teammates, but it's not fun to be taken awayfrom the bedside for more paperwork. #rnchat3/16/2010 12:40

grimalkinrn:

@nursekama T2 that happens inUK where care assistants are often employed instead ofRNs because of £ (like $ but with Queen on them) #RNChat3/16/2010 12:40

davedawes:

@nursekama T2 Thanks for the link! We sometimes call them here personal careassistants. #RNChat3/16/2010 12:40

andyatFAD:

@Nerdnurse RN has more critical thinking skill due to nature of education and deeperRNMark:

Page 10: RNchat Transcript March 16, 2010

science backgrounds. Makes sense. #RNChat3/16/2010 12:41

@Nerdnurse T2 Agree completely. #RNChat3/16/2010 12:41

andyatFAD:

@EllenRichter Sure. & 4 yer ? about earnings, BLS has RN info @www.bls.gov/oco/ocos083.htm & LPN info @ www.bls.gov/oco/ocos102.htm #rnchat3/16/2010 12:41

ONSmark:

@RNMark I agree with that #RNchat T23/16/2010 12:42

acmessner17:

T3 Nursing Startups: What businesses do you think nurses should build that couldchange the world? #RNchat3/16/2010 12:42

rnchat:

@davedawes LOLLLL....love the definition! >> £ (like $ but with Queen on them) #RNchat3/16/2010 12:42

EllenRichter:

@grimalkinrn T2 Agree re: teamwork in practice, so where is that in the curriculum orpost-licensure education? #interprofessional #RNChat3/16/2010 12:42

nursekama:

#rnchat T2 we deliver our pre-poured doses of methadone to the facility,inpatient, theLPN just monitors pt taking it,signs it off,locks up!3/16/2010 12:43

ocdgirl2000:

#rnchat There are a few nurse-led social enterprises in the UK that are trying to changethe world (like ours :)) T33/16/2010 12:44

davedawes:

Just signed on - catching up on the conversation... #RNChat3/16/2010 12:44

Trybarefoot:

T3 Consultation Businesses! Check this out on Wound Care:http://kohrconsulting.ca/index.htm #RNChat3/16/2010 12:45

nursekama:

@Trybarefoot Welcome! #RNchat3/16/2010 12:45

rnchat:

Hello fellow nurses! Looks like I missed another great chat. T3 As nurses we are involvedin changing the world on a daily basis #RNchat3/16/2010 12:45

RoRod101:

Glad you could join us! RT @rnchat: @Trybarefoot Welcome! #RNChat3/16/2010 12:46

nursekama:

Couldn't have said it better myself! RT @RoRod101: T3 As nurses we are involved inchanging the world on a daily basis #RNChat3/16/2010 12:47

nursekama:

RT @RoRod101 As nurses we are involved in changing the world on a daily basis#rnchat3/16/2010 12:47

NursingCenter:

Page 11: RNchat Transcript March 16, 2010

@grimalkinrn I like your ideas, especially about improving and advancing RN education#RNchat T33/16/2010 12:48

acmessner17:

#rnchat T3 Employment Law Human resources consultants. assisting RN's with withCLAIMS against employers,onsite trainingcourses on BULLYING3/16/2010 12:48

ocdgirl2000:

T3 - Nurses have, are, and will change the world! But there is always more to do with thenew avenues before us... #rnchat3/16/2010 12:48

lorryschoenly:

#rnchat T3 I think the interesting thing about world-changing businesses is thesustainability of the business models #socents3/16/2010 12:48

davedawes:

Had to take a call! LOL Now I cant find T3!!! #RNchat3/16/2010 12:48

EllenRichter:

@acmessner17 Thanks! I need to put it more into my own practice and go for my BSN.Just don't want more college. #RNchat3/16/2010 12:49

grimalkinrn:

@INQRIProgram Thanks! #rnchat3/16/2010 12:49

grimalkinrn:

@EllenRichter http://twitter.com/RNchat/status/10577543527 #RNchat3/16/2010 12:49

rnchat:

@rnchat Thanks! #RNchat3/16/2010 12:50

EllenRichter:

T3 Uh, an RN for President? (Or PM, for those in the UK and Canada.) #RNChat3/16/2010 12:50

andyatFAD:

3 I think anything related to home care is a good business endeavor. Anything to lowerinpatient costs could be profitable to RNs #RNchat3/16/2010 12:50

EllenRichter:

@RoRod101 #rnchat I like sentiment but i feel there must be a difference betweenproviding care for someone & "changing the world"3/16/2010 12:50

davedawes:

@grimalkinrn I'm in school for my BSN right now, will graduate in December, really feel ithas advanced myself as an RN tremendously #RNchat3/16/2010 12:50

acmessner17:

T3 Love working w/ RNs - great perspective that I don't have! RT @RoRod101 ..we areinvolved in changing the world on a daily basis #rnchat3/16/2010 12:51

Trybarefoot:

@acmessner17 I am afraid of Stats. #RNchat3/16/2010 12:51

grimalkinrn:

@grimalkinrn You should go for it, pursue your BSN, you can do it!!! : ) #RNchat3/16/2010 12:52

acmessner17:

Page 12: RNchat Transcript March 16, 2010

@EllenRichter T3 I agree. Homecare agencies should be run by more nurses, notexecutives. #RNchat3/16/2010 12:52

grimalkinrn:

There was an RN Surgeon General (Richard Carmona) RT @andyatFAD: T3 Uh, an RNfor President? (Or PM, for those in the UK and Canada) #rnchat3/16/2010 12:52

ONSmark:

@davedawes Nurses are not only care for patients but are researchers, consultants,business owners, change agents, and much more #RNchat3/16/2010 12:52

RoRod101:

T3 I like to think that 'changing the world' is a great opportunity to work#interprofessionally! No one profession can that on! #RNChat3/16/2010 12:53

Trybarefoot:

@acmessner17 I know. I need to call metro. #RNchat3/16/2010 12:53

grimalkinrn:

Ok I'm back. Had to get the kiddos. T3 defin. Homecare/hospice. #rnchat3/16/2010 12:53

mkopp1:

T3 - LOL Corrections is sorta home care behind bars... #rnchat3/16/2010 12:53

lorryschoenly:

@grimalkinrn stats are easy.. 2+2 =4 68% of the time. :) #RNChat3/16/2010 12:53

RNMark:

RT @Nerdnurse: #RNchat T2 @nursekama Yes! And all research shows increasedmortality and morbidity when we don't have RNs at bedside. BSN best, in fact.3/16/2010 12:54

Carolde:

@ONSmark T3 True enough and rather invisible, don't you think? #RNChat3/16/2010 12:54

andyatFAD:

Go for it! RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadianpolitics...maybe Ill be Canadian PM one day ;) #rnchat3/16/2010 12:54

ONSmark:

RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadian politics...maybe Illbe Canadian PM one day ;) Go for it! #RNChat3/16/2010 12:54

andyatFAD:

@RNMark Oh, that was kinda mean. #statsfear ADNS AREAWESOME. #RNChat3/16/2010 12:55

grimalkinrn:

Great perspective! RT @lorryschoenly: T3 - LOL Corrections is sorta home care behindbars... #rnchat3/16/2010 12:55

EllenRichter:

Why NOT! :) RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadianpolitics...maybe I'll be Canadian PM one day ;) #RNchat3/16/2010 12:55

Trybarefoot:

Good point. I even had to look up his name :) RT @andyatFAD: @ONSmark T3 Trueenough and rather invisible, dont you think? #rnchat3/16/2010 12:55

ONSmark:

Page 13: RNchat Transcript March 16, 2010

There was an RN Surgeon General (Richard Carmona) T3 An RN for President? (Or PM,for those in UK & Canada) #rnchat via @ONSmark @andyatFAD3/16/2010 12:56

RoRod101:

RT @ONSmark: Good point. I even had to look up his name :) RT @andyatFAD:@ONSmark T3 And he was mostly a physician, I think, right? #RNChat3/16/2010 12:56

andyatFAD:

T3 Collaborationw/other disciplines.Ex: @EllenRichter mentioned homecare. We have anurse-pharma team preventing homecare med errors #rnchat3/16/2010 12:56

INQRIProgram:

Okay. I'm totally going to reapply to Metro after #rnchat, give Julie a call, get into prereqsfor the Summer. Really. Going to do it. #fear3/16/2010 12:56

grimalkinrn:

T3 I also think with the right avenue of marketing RNs can help produce electronichealthcare programs that actually meet our needs! #RNchat3/16/2010 12:57

EllenRichter:

RT @Trybarefoot: T3 I like to think that 'changing the world' is a great opportunity to work#interprofessionally! #RNChat3/16/2010 12:57

CIHC_ca:

@RoRod101 I agree about all the diff roles but how is the world genuinely being changedby every single one of these individuals? #RNchat3/16/2010 12:57

davedawes:

Our hour is coming up. We'll have a couple announcements, but first hit us with someparting wisdom! #RNchat3/16/2010 12:58

rnchat:

@grimalkinrn That's great, you can do whatever you put your mind to!!!! Good luck!#RNchat3/16/2010 12:58

acmessner17:

#rnchat Hospices are a great example of nurse entrepreneurship :)3/16/2010 12:58

davedawes:

Gotta run. Ciao, everyone, and thank you RNChat for a great session! #RNChat3/16/2010 12:59

andyatFAD:

@andyatFAD Right, he "began as RN" then "built on that experience and pursued amedical degree" per article @ http://bit.ly/dshmJE #rnchat3/16/2010 12:59

ONSmark:

Take time to pee! Your bladder will thank you when you're older!! #RNchat3/16/2010 12:59

grimalkinrn:

@rnchat nurses have the power to positively impact the world....getting started we need astronger & more unified voice #RNchat3/16/2010 12:59

AshleighPugh_RN:

T3 I've an RN colleague who has her own consulting business supporting/educating familycaregivers (meet @CareStrategies) #RNchat3/16/2010 12:59

Trybarefoot:

Page 14: RNchat Transcript March 16, 2010

@andyatFAD Bye Andy! Nice "seeing" you! #rnchat3/16/2010 13:00

NursingCenter:

@grimalkinrn LMAO! #RNchat3/16/2010 13:00

EllenRichter:

RT @INQRIProgram: "parting wisdom" - nurses need and deserve a voice at the tablewhen discussing quality in healthcare #rnchat3/16/2010 13:00

NursingCenter:

RT @AshleighPugh_RN nurses have the power to positively impact the world....gettingstarted we need a stronger & more unified voice #rnchat3/16/2010 13:00

NursingCenter:

Did you know we're starting to rollout #RNchat on Facebook http://bit.ly/9LDwwP &LinkedIn http://bit.ly/9PYs2K ? Fan and connect.3/16/2010 13:01

rnchat:

Going to head out, thanks #RNchat for a great chat session! Keep up the great workeveryone!! : )3/16/2010 13:01

acmessner17:

@Trybarefoot T3 Yes, there are also nurse entrepreneur companies that oversee groupsof independent elderly #RNchat3/16/2010 13:01

EllenRichter:

RT @EllenRichter: T3 I think w/ right avenue of marketing RNs can help produce e-healthcare programs that actually meet our needs #RNChat3/16/2010 13:01

nursekama:

THANK YOU everybody for coming to #RNchat. Let's do remarkable things for theprofession. It MUST advance. The world depends on it. :)3/16/2010 13:01

rnchat:

Nurses have the power to positively impact the world...we need a stronger & more unifiedvoice #RNchat via @AshleighPugh_RN3/16/2010 13:02

RoRod101:

Parting wisdom -> oh how I've learned so much by being in the great company of RNs for20 years! A privilege... #RNChat3/16/2010 13:02

Trybarefoot:

@EllenRichter I see everyone else's "parting wisdom" is more thoughtful, practical wisdomis also useful. #RNchat3/16/2010 13:02

grimalkinrn:

Our next #RNchat will be Friday 3/19 8:30pm EST! Mark your calenders and invite yourIRL co-workers. (We should make flyers!)3/16/2010 13:03

rnchat:

Great chatting with you all! Thank you @rnchat @philbaumann! #rnchat3/16/2010 13:03

NursingCenter:

@grimalkinrn I think yours was the best! ;) #RNchat3/16/2010 13:03

EllenRichter:

Take care everyone! #rnchat3/16/2010 13:03

mkopp1:

Page 15: RNchat Transcript March 16, 2010

Ditto! RT @NursingCenter: Great chatting with you all! Thank you @rnchat@philbaumann! #rnchat3/16/2010 13:04

ONSmark:

@rnchat Will do my best and try to get off work at 7 23 MST! #RNchat3/16/2010 13:04

grimalkinrn:

@NursingCenter So glad you could make it! #RNchat3/16/2010 13:04

philbaumann:

thanks everyone...it was a great 1st #RNchat3/16/2010 13:04

AshleighPugh_RN:

Good to converse with fellow nurses & share thoughts for the betterment of nursing..Gottarun, enjoy our brief but substantial talk #RNchat3/16/2010 13:04

RoRod101:

@RNchat @philbaumann Great chat! Wonderful topics! They sent us tweeting our heartsout! I may not be @ Fridays chat :( #RNchat3/16/2010 13:04

EllenRichter:

@AshleighPugh_RN Do come back!! :) #RNchat3/16/2010 13:05

EllenRichter:

Transcript of today's #RNchat will be up in a bit!3/16/2010 13:05

rnchat:

@EllenRichter I agree! Nurses need to be at the table when we are discussing Health ITissues (currently we are way underrepresented)#RNchat3/16/2010 13:05

StephenNP:

#rnchat Lovely chatting with everyone and look forward to catching the next one that isbefore midnight UK time :)3/16/2010 13:05

davedawes:

@EllenRichter will do for sure :) #RNchat3/16/2010 13:05

AshleighPugh_RN:

So many of you to thank! Wonderful #RNchat today. You're all so totally cool andawesome it's painful! :)3/16/2010 13:06

rnchat:

#RNchat Have a great day everyone - wonderful chat!3/16/2010 13:06

StephenNP:

@StephenNP ~WAY underrepresented!! Possibly non-existent @ some companies!#RNchat3/16/2010 13:06

EllenRichter:

@rnchat Thanks for having us! :) Take care all! #RNChat3/16/2010 13:07

nursekama:

#rnchat T3 Never forget! Nurses are also Employees!You too,will one day get old, want toretire!Will your employer value you "THAT" much??3/16/2010 13:09

ocdgirl2000:

Page 16: RNchat Transcript March 16, 2010

#RNchat I'll do my best to join you Friday.3/16/2010 13:09

nursechenene:

@EllenRichter lol - we'll still have it - there's so much to talk about. Endless really.#RNchat3/16/2010 13:10

rnchat:

@MeredithGould Thank you! #RNchat3/16/2010 13:10

rnchat:

Do you have a #rnchat every day? week? I would like to tell out staff about it.3/16/2010 13:11

Hospicecny:

Next #RNchat will be Friday 3/19 8:30p EST! We'll do our best to serve different times,etc.3/16/2010 13:12

rnchat:

RT @rnchat: Next #RNchat will be Friday 3/19 8:30p EST! We'll do our best to servedifferent times, etc.3/16/2010 13:13

ocdgirl2000:

@ONSmark Thank you! #RNchat3/16/2010 13:13

rnchat:

RT @lorryschoenly: T3 - LOL Corrections is sorta home care behind bars... #rnchat3/16/2010 13:13

NytnGayle: