RNchat Transcript March 23, 2010

One hour until #RNchat! Consider using http://TweetChat.com. Come join us!3/23/2010 11:01

rnchat:

Welcome to today's #RNchat! Our chat will begin in a moment, but first introduceyourselves!3/23/2010 12:01

rnchat:

worked a double and then slept 4 hrs, not sure i'm awake but ready for #rnchat3/23/2010 12:02

ali_rn:

Anyone having trouble participating in a Twitter chat? I like to use http://tweetgrid.com ~Imake a column for #RNchat3/23/2010 12:02

EllenRichter:

RT @ali_rn: ali-medical nurse for 6 yrs #rnchat3/23/2010 12:03

ali_rn:

@ali_rn Oooo....those doubles are killers! #RNchat3/23/2010 12:03

EllenRichter:

Med Surg RN, Denver Colorado. Also Skin & Wound resource RN, preceptor. JUST GOTMY ACCEPTANCE LETTER FOR BSN PROGRAM. #rnchat3/23/2010 12:03

grimalkinrn:

OK, first topic coming up in one minute. Please prepend your answers to topics with T1,T2, etc. #RNchat3/23/2010 12:04

rnchat:

BSN student, RN in Oncology from SW Missouri #RNchat3/23/2010 12:04

oncnurse66:

@grimalkinrn whoo-hoo, have not made that leap yet #rnchat3/23/2010 12:04

ali_rn:

I'm moderating #RNchat right now. Jump in or spy. We'll talk a bit about #hcr too3/23/2010 12:05

philbaumann:

T1 Health Care Reform: What impact will the recent act's passage have on nursing?What reforms would you like to see take place? #RNchat3/23/2010 12:05

rnchat:

Hi Twitter mates! I'm a critical care RN (off today....yay) & I work w/ attys to help themunderstand the intricacies of health care #RNchat3/23/2010 12:05

EllenRichter:

@EllenRichter the kids who get up at 5am are worse! #RNchat3/23/2010 12:05

ali_rn:

well hello everyone! I had time this afternoon to pop in! I'm a critical care RN of 5 yrs. bsnstudent currently in the ICU #rnchat3/23/2010 12:05

bthenextstep:

RT @PhilBaumann: I'm moderating #RNchat right now. Jump in or spy. We'll talk a bitabout #hcr too3/23/2010 12:06

Lifes_Dash:

Hey #RNChat friends! Terri - Missouri - NP, Educator, maybe someday finish dissertationonlinenursing:

for PhD :)3/23/2010 12:06

Logan here, RN BSN 1 yr med surg exp new burn ICU nurse #RNchat3/23/2010 12:07

tersenurse:

@grimalkinrn Congrats on getting accepted to a BSN program! :) #RNchat3/23/2010 12:07

EllenRichter:

T1 I am not sure what changes will occur I tried to read the actual bill and it was in greek#RNchat3/23/2010 12:08

oncnurse66:

Hi Everyone! Psych/mental health nurse from Ontario. Looking forward to today'sdiscussions. #rnchat3/23/2010 12:08

nursekama:

I'm Joe Cascio, technologist, former CTO of a cardiology imaging co. Watching thePOTUS press the flesh after signing #HCR into law. #RNchat3/23/2010 12:09

JoeCascio:

T1 It will be nice to see more patients given health care options they never had becausethey will now have some kind of insurance #RNchat3/23/2010 12:09

EllenRichter:

@onlinenursing and a hi/hello back at ya! #rnchat3/23/2010 12:09

bthenextstep:

tweetchat seems to be wonky today... #rnchat3/23/2010 12:09

bthenextstep:

t1 I agree with Ellen, also I look forward to staff being more aware of what things cost.#rnchat3/23/2010 12:09

tersenurse:

T1 thing I would like -access 2 preventative ed 4 everyone who needs it w/RN w/oinsurance ref ex-DM, HTN, asthma ed, obesity, nutr #RNChat3/23/2010 12:10

onlinenursing:

@oncnurse66 I know the feeling.. on trying to read the new hc reform bill! #rnchat3/23/2010 12:10

bthenextstep:

t1 #RNCHAT I am hoping to see fewer of my patients bankrupted by their illnesses. Ihope to see more people with access to health care.3/23/2010 12:10

grimalkinrn:

Hi all, spending part of my lunch with you. Kim, background in surgical, cardiac, infectioncontrol an currently IT! #rnchat3/23/2010 12:10

cyclingwidow:

T1 very worried about what will happen to my Oncology pts who have only Medicarecoverage #RNchat3/23/2010 12:10

oncnurse66:

T1 It will be interesting to see how small businesses get around the 50 employee rule too#RNchat3/23/2010 12:10

EllenRichter:

t1 can someone shed some light on the 'highlights' of this hc reform bill's impact on rn's??#rnchat3/23/2010 12:11

bthenextstep:

t1: i'm hoping that the majority of america will c the changes in action & will understandthat this really is aimed at helping them #rnchat3/23/2010 12:11

tersenurse:

T1 I hear that the fines imposed on small businesses to NOT cover their employees willcost less than covering them! Hmmm... #RNchat3/23/2010 12:11

EllenRichter:

#rnchat ?now?3/23/2010 12:11

ocdgirl2000:

RT @grimalkinrn: t1 #RNCHAT I am hoping to see fewer of my patients bankrupted bytheir illnesses. I hope to see more people with access to health care.3/23/2010 12:12

tersenurse:

T1 Equal access to health care! #rnchat3/23/2010 12:12

nursekama:

t1 I'm aware of the other 'impacts'.. but not sure how to answer t1 question? #rnchat3/23/2010 12:12

bthenextstep:

@EllenRichter T1 looking forward 2 hving pts w/health insurance/30-40% of my ruralhealth pts hv no insurance(cost/preexisting) #RNChat3/23/2010 12:12

onlinenursing:

RT @EllenRichter: It will be nice to see more patients given healthcare opt. they neverhad b/c they will now have some kind of ins. #RNchat3/23/2010 12:13

BenefitStudioTO:

t1 will this equal access cause a 'surge' of admissions? #rnchat3/23/2010 12:13

bthenextstep:

@onlinenursing @EllenRichter @grimalkinrn couldn't agree with you all more about T1#rnchat3/23/2010 12:13

tersenurse:

T1 it is a start but I am very concerned. They can't manage SS, Medicare/caid, the postalservice.....but it is a start #rnchat3/23/2010 12:13

cyclingwidow:

t1 do you think this hc reform bill will 'affect' our bottom dollar - as in our salaries? #rnchat3/23/2010 12:14

bthenextstep:

T1 Yes our current health care system is in such need for change that anything we doseems inadequate compared to the big problem #RNchat3/23/2010 12:14

EllenRichter:

@bthenextstep hopefully we will see fewer admissions due to better access to primarycare #rnchat3/23/2010 12:14

cyclingwidow:

@cyclingwidow t1 I couldn't agree more. It seems that every government managedendeavor is a mess #RNchat

oncnurse66:

3/23/2010 12:15

@bthenextstep Good point T1- surge (but maybe less in the ER? or more prventativecare) also just in time for mass of baby boomers #RNChat3/23/2010 12:15

onlinenursing:

@bthenextstep I believe that health care reform will B a good thing for RN profession inthe long run. It will guarantee us jobs. #RNchat3/23/2010 12:15

EllenRichter:

@cyclingwidow agree with pt to access to primary care :). #RNChat3/23/2010 12:16

onlinenursing:

@cyclingwidow never thought of it that way. good point. #rnchat3/23/2010 12:16

bthenextstep:

@EllenRichter Can you expand a bit on the 50 employee rule you mentioned? #RNchat3/23/2010 12:16

JoeCascio:

Just saying hi to all..can't join chat today...have fun! #rnchat3/23/2010 12:16

InfusionNurse:

T1 As nurses, we all know that anything to do with health care will require nursingintervention. We are the backbone of the system #RNchat3/23/2010 12:16

EllenRichter:

t1 don't get me wrong - I'm all for providing proper health care coverage for all. Justseems this bill is a lot of swiss cheese. #rnchat3/23/2010 12:17

bthenextstep:

RT @oncnurse66: @cyclingwidow t1 I couldn't agree more. It seems that everygovernment managed endeavor is a mess #RNchat (tee hee. true)3/23/2010 12:17

onlinenursing:

@EllenRichter good point... #RNchat3/23/2010 12:17

bthenextstep:

@JoeCascio I wish I could look for a link for you but I dont want to miss the chat. I willsend later. #RNchat3/23/2010 12:17

EllenRichter:

@JoeCascio Under 50 employees, health care coverage not required by owner...over 50if U dont cover employees you pay fine instead #RNchat3/23/2010 12:18

EllenRichter:

@bthenextstep tee hee swiss chees and back room deals-That is what made it sounpalatable. We need h/c reform bad #RNChat3/23/2010 12:18

onlinenursing:

#rnchat T1 oh my! missing this! Lynne Siegel. better late than never! I'm a gov worker, wejust experienced massive cutbacks to FY '113/23/2010 12:19

ocdgirl2000:

@bthenextstep LOL, if you think the bill is swiss cheese, what would you call our currenthealth care system?? Black hole? :) #RNchat3/23/2010 12:20

EllenRichter:

t1 I guess i'm just very leary about this who reform package.. hopefully more good thanbad. #rnchat3/23/2010 12:20

bthenextstep:

@online nursing T1 We need health care reform and government reform. : ) #RNchat3/23/2010 12:20

oncnurse66:

@RNchat What a great turnout today!! Hello to everyone at the chat! Too many to Tweetnames but your tweets are great! #RNchat3/23/2010 12:20

EllenRichter:

T1 #RNChat - NY times article on passage was pretty good - http://nyti.ms/cgePyj mightbe in there @JoeCascio @EllenRichter3/23/2010 12:20

onlinenursing:

@onlinenursing we need healthcare COVERAGE reform. :) #rnchat3/23/2010 12:21

cyclingwidow:

@EllenRichter ouch. touche'. well said - blackhole. LOL #RNchat3/23/2010 12:21

bthenextstep:

@onlinenursing Ohh...great link! :) #RNchat3/23/2010 12:22

EllenRichter:

RT @cyclingwidow: @onlinenursing we need healthcare COVERAGE reform. :) #rnchat(ahhh yes... even better. Coverage reform - part 1)3/23/2010 12:22

onlinenursing:

#rnchat T1 it IS swiss cheese. You have to work in Gov to KNOW gov! they are mostlyincompetent eople who couldn't make it in private sector3/23/2010 12:22

ocdgirl2000:

@onlinenursing T1 Agree. Hopefully a greater focus on public health and communitynursing. Address social determinants of health. #rnchat3/23/2010 12:23

nursekama:

T1 sounds good for nsg & access for ins. coverage, concerned about cuts to outptprograms- already seeing this here w/ pulm rehab #rnchat3/23/2010 12:23

NursingCenter:

t1 I guess I'm still on the fence over this whole debacle. I understand there will besacrifices made. Just taking it all in still #rnchat3/23/2010 12:24

bthenextstep:

@ocdgirl2000 You are our constant reminder of government #fail in their portion of thehealth care industry. What a shame, right? #RNchat3/23/2010 12:24

EllenRichter:

would love to see greater access to preventative care for people. #RNchat3/23/2010 12:24

oncnurse66:

@cyclingwidow we do h/c bkwrds: ie-knw pt.obese/HTN/DM will have MI,but wont coverprsnl trainer,nutritn ed 2 fix-just surgry & meds #RNChat3/23/2010 12:25

onlinenursing:

RT @oncnurse66: would love to see greater access to preventative care for people.#RNchat T13/23/2010 12:25

grimalkinrn:

T1 I guess nurses wont be paying into the higher taxes toward health care at salariesover $250K! #RNchat3/23/2010 12:25

EllenRichter:

Health Reform Winner: Increased access to OB-GYN and Midwife Carehttp://su.pr/2rDZTF #RNChat3/23/2010 12:26

FutureofNursing:

@ocdgirl2000 You hve good background for this topic- suggestions for improving govt.h/c programs (if you had like a top 5 list?) #RNChat3/23/2010 12:26

onlinenursing:

Hopefully you will >> RT @oncnurse66: would love to see greater access to preventativecare for people #RNchat3/23/2010 12:26

EllenRichter:

T1 how much of a burden will it put on employers to carry employee's children now toTWENTY-SIX years of age? #rnchat3/23/2010 12:26

cyclingwidow:

@oncnurse66 #hcr should increase preventive medecine and make it available toeveryone #rnchat we'll keep our figners crossed3/23/2010 12:26

tersenurse:

@grimalkinrn Where did you go to - looking 4 ur great insight today? Congrats on BSNprogram! WOO HOO! #RNChat3/23/2010 12:27

onlinenursing:

T1 I think we are all on the same page as far as identifying all the health care changesneeded. Implementation is the tough part! #RNchat3/23/2010 12:28

EllenRichter:

@onlinenursing Metro State in Denver. #RNChat3/23/2010 12:28

grimalkinrn:

#rnchat T1 they are cutting hours on health room techs that work under school healthRNS! the ridiculous incompetent nurse managers STAY!OK?3/23/2010 12:28

ocdgirl2000:

@oncnurse66 Don't forget health promotion! #rnchat3/23/2010 12:28

nursekama:

RT @EllenRichter: T1 we are all on the same page as the health care changes needed.Implementation is the tough part! well said #rnchat3/23/2010 12:29

bthenextstep:

@cyclingwidow Is that the new cutoff for children to be covered? Age 26? I hadnt seenthat yet! #RNchat3/23/2010 12:29

EllenRichter:

RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and MidwifeCare http://su.pr/2rDZTF #RNChat (Great article!)3/23/2010 12:30

NUR3563:

RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and MidwifeCare http://su.pr/2rDZTF #RNChat (Great article!)3/23/2010 12:30

onlinenursing:

T1 LOL @philbaumann if you didnt have #hcr as a topic today I'd be shocked! ;) #RNchat3/23/2010 12:30

EllenRichter:

@onlinenursing GREAT point about backwards healthcare. We know the solutions to theproblems.. but aren't willing to pay for them #rnchat3/23/2010 12:31

bthenextstep:

Any advice/tips for students just starting school? #rnchat3/23/2010 12:31

swat_pellegrino:

T1 we preach about being a proactive practice - yet we function in such a reactiveenvironment. *sigh* #rnchat3/23/2010 12:31

bthenextstep:

@EllenRichter I actually only have 2 topics set because #hcr is huge. #RNchat3/23/2010 12:31

philbaumann:

say what? #RNchat on #healthreform; ok u got my attention....3/23/2010 12:31

2healthguru:

@swat_pellegrino best advice - Never. Give. Up. #rnchat3/23/2010 12:32

bthenextstep:

Word up #RNchat Aussie RN in WA & I've ivented a new specialty yo: #gangstanurse#humour3/23/2010 12:33

lyall:

@FutureofNursing #hcr access to OB-GYN and Midwife Care http://su.pr/2rDZTF#RNChat (Great article!) Few States trying to take it away.3/23/2010 12:33

wantnews:

ATTENTION: I initially had on 2 topics today. Would you like to just continue #hcr sinceit's so big? Let me know in 2 minutes!!! #RNchat3/23/2010 12:33

rnchat:

@EllenRichter I've read 26 in several articles. #rnchat3/23/2010 12:33

cyclingwidow:

Do male RNs get the same respect female RNs get? #rnchat3/23/2010 12:34

swat_pellegrino:

#RNchat: will nurses step up into leadership? Context article here 4physician leadershipchallenge; nursing equivalent? http://bit.ly/a0IGju3/23/2010 12:34

2healthguru:

@bthenextstep Actually I think nursing are VERY proactive! In hospitals we have fall,DVT, decubitus prevention just to name 3 #RNchat3/23/2010 12:34

EllenRichter:

@2healthguru :) #RNchat #healthreform3/23/2010 12:34

rnchat:

LOL my spelling and grammar suck today! :) #RNchat3/23/2010 12:34

EllenRichter:

RT @oncnurse66: would love to see greater access to preventative care for people.wantnews:

#RNchat3/23/2010 12:35

@EllenRichter msunderstood me. WE are proactive - our hc system is reactive. a verytough arrangement. #rnchat3/23/2010 12:35

bthenextstep:

@swat_pellegrino respect is always earned - regardless of your gender. #rnchat3/23/2010 12:35

bthenextstep:

#rnchat T1 since when does it make more sense 2 salvage Management jobs?passaround RN's that cause hostile work environment,then cut techs?3/23/2010 12:36

ocdgirl2000:

RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and MidwifeCare http://su.pr/2rDZTF #RNChat #rnchat3/23/2010 12:36

NursingCenter:

@2healthguru Good point #RNChat unfortunately RNs R very often not invited 2table.Hearings h/c reform were 1st N lng tm ANA asked 2 tstify3/23/2010 12:36

onlinenursing:

@2healthguru Good question! Will nurses be ALLOWED to sit in leadership positions? Weare a force that is held back alot. :( #RNchat3/23/2010 12:36

EllenRichter:

@ocdgirl2000 T1 I guess it's called 'trimming' instead of cutting huh? LOL #rnchat3/23/2010 12:37

bthenextstep:

@bthenextstep Ahhh....sorry there! I definitely misunderstood u! ;) #RNchat3/23/2010 12:37

EllenRichter:

RT @2healthguru: #RNchat: will nurses step up into leadership? Context article here4physician leadership challenge; nursing equivalent? http://bit.ly/a0IGju3/23/2010 12:37

deladie:

Let's just continue the rest of #RNchat with T1. Let it fly!!!!3/23/2010 12:37

rnchat:

T1 I always found that when nurses were given leadership positions in health care, thosewere the institutions that moved forward #RNchat3/23/2010 12:38

EllenRichter:

@EllenRichter @onlinenursing any culture that fails to value RN as central to patient careteam is flawed & toxic #RNChat3/23/2010 12:38

2healthguru:

T1 are nurses not given the ldrshp positions in HC because we are the squeaky wheel?we say what others wont? #rnchat3/23/2010 12:39

bthenextstep:

#RNchat the business model where RNs are order takers is history3/23/2010 12:39

2healthguru:

@2healthguru OOOooo....great adjectives! Flawed and toxic. I kinda agree 100% :)#RNchat3/23/2010 12:40

EllenRichter:

T1 @deladie What role and position is your professional nursing association taking on?#rnchat3/23/2010 12:40

nursekama:

@EllenRichter my organization is very unique in that. CEO is also CNO, IT director is RN,Quality-RN, Compliance/Regulatory-RN. :) #rnchat3/23/2010 12:40

cyclingwidow:

RT @bthenextstep: T1 are nurses not given the ldrshp positions in HC because we arethe squeaky wheel? we say what others wont? #RNchat3/23/2010 12:41

oncnurse66:

@2healthguru GREAT POINT! The stigma of being the "order taker" is just horrid! Eventhough we DO take orders, we do SO much more! #RNchat3/23/2010 12:41

EllenRichter:

RT @2healthguru: @EllenRichter @onlinenursing any culture that fails to value RN ascentral to patient care team is flawed & toxic #RNChat3/23/2010 12:41

lyall:

@cyclingwidow OO. where do you work! can i get a job there! all RN ldrshp roles! #rnchat3/23/2010 12:42

bthenextstep:

@cyclingwidow You are very lucky to be working in the environment you are in. Enjoyevery second of it. Where is this? :) #RNchat3/23/2010 12:42

EllenRichter:

RT @2healthguru: #RNchat the business model where RNs are order takers is history(love it)3/23/2010 12:42

NUR3563:

RT @2healthguru: #RNchat the business model where RNs are order takers is history(love it)3/23/2010 12:42

onlinenursing:

Nurse leaders are part of #healthreform -- nurse-managed health centers are nowrecognized for the first time in federal law. #RNchat3/23/2010 12:42

NursingCenters:

RT @onlinenursing: RT @2healthguru: #RNchat the business model where RNs areorder takers is history (love it) #rnchat3/23/2010 12:43

bthenextstep:

RT @NursingCenters RN leaders are part of #healthreform--RN-managed health centersare now recognized for 1st time in federal law. #RNchat3/23/2010 12:44

EllenRichter:

@bthenextstep @ellenrichter The Women's Hospital. Our parent organization also nowhas an RN as the System CEO! #rnchat3/23/2010 12:44

cyclingwidow:

@mike_hensgen Good point. Why don't you join us for discussion at #RNchat3/23/2010 12:44

onlinenursing:

@EllenRichter how about being the eyes and ears of frontline risk management? whatabout the impaired doc? #RNchat3/23/2010 12:44

2healthguru:

t1 glad that I can add my 21 y/o son back ins sad that I know my employer will just passthe cost on to me #RNchat3/23/2010 12:44

oncnurse66:

RT @EllenRichter: RT @NursingCenters RN leaders are part of #healthreform--RN-managed health centers are now recognized for 1st time in federal law. #RNchat3/23/2010 12:45

Justamom3:

Quality Health Care Begins Outside The ER...Door's with Patient Teaching and Advocacy.Health Professionals must Lead !!!#RNchat #RNchat3/23/2010 12:45

RNconsult:

@2healthguru I'm not going to wait until I'm invited to provide nursing input #RNchat*beingseriousnow*3/23/2010 12:45

lyall:

Amy best in class model of health care transformation will put the RN on that team andnot solely as an order taker #RNchat3/23/2010 12:46

2healthguru:

#rnchat I think there will be tons of jobs for us out there,but no money to pay uswith.gross depression in finances 4 the country re taxes3/23/2010 12:46

ocdgirl2000:

Does anyone see any changes in the long term for co-ops or non-fee-for-service modelsof delivery? #rnchat3/23/2010 12:46

JoeCascio:

#RNChat - good point @2healthguru @EllenRichter - what about not enough health careproviders? Who says RNs cant B 1st line 2 help w/that.3/23/2010 12:46

onlinenursing:

@2healthguru Oh, I think that we are still reeling from the past year's events related towhistle-blowing endeavors! #RNchat3/23/2010 12:46

EllenRichter:

@lyall Good for you! Start advocating now! #rnchat3/23/2010 12:47

nursekama:

@2healthguru we know that - unfortunately those that need to know still are uninformed orunaware. #rnchat3/23/2010 12:47

bthenextstep:

@lyall Your input is good. Please jump in... #RNChat is meeting of the minds, trying toopenly discuss real issues in real time.3/23/2010 12:47

onlinenursing:

@cyclingwidow that's awesome. congrats on a great place to work. #rnchat3/23/2010 12:49

bthenextstep:

@RNchat I am totally missing out! #RNchat. :(3/23/2010 12:49

seejanenurse:

Nurses do SO much more that "provide care". Tired of the "just a nurse" mentality thatsome have. Our input will be critical #rnchat3/23/2010 12:49

cyclingwidow:

@onlinenursing absolutely! the problem is the immediacy of results would not be there tojustify the cost/benefit analyses. #rnchat3/23/2010 12:50

bthenextstep:

T1 If RNs R going to take role of front line health care managers we must raise the bar toat least BSN, if not more, for those RNs #RNchat3/23/2010 12:50

EllenRichter:

@JoeCascio Good point.Many of my pts B4 were cashpay (no health insurance).Clinicfaird better w/this & it cost these pts less 4 h/c #RNChat3/23/2010 12:50

onlinenursing:

Isnt it great? >> RT @onlinenursing: #RNChat is meeting of the minds, trying to openlydiscuss real issues in real time. #RNchat3/23/2010 12:51

EllenRichter:

#rnchat T1 but the money that was going to be used for school loans will now be usedfor health care.right?3/23/2010 12:51

ocdgirl2000:

@EllenRichter I agree 2 some extent but i'm concerned that there aren't enough rns totake on the influx of pts we are about to get #rnchat3/23/2010 12:51

tersenurse:

@EllenRichter T1 completely agree. We have to elevate our entry level of educationcommensurate to the level of expertise required #Rnchat3/23/2010 12:52

maryannagordon:

Hey this Doctor has a Point....Check this out !!! http://hbr.org/2010/04/turning-doctors-into-leaders/ar/pr #RNchat3/23/2010 12:52

RNconsult:

@bthenextstep neither is a lifetime of HTN/DM meds (not a quick fix either) #RNChat3/23/2010 12:52

onlinenursing:

T1 be interested to see how this all ties in with ARRA/HITECH also #rnchat3/23/2010 12:52

cyclingwidow:

#rnchat T1 what was it, in the healthcare bill tied to educational money, regarding the costof healthcare?3/23/2010 12:53

ocdgirl2000:

@tersenurse Hopefully the influx will be in primary care and out of the ER's and hospitalswhere the uninsured have been coming #RNChat3/23/2010 12:53

onlinenursing:

@onlinenursing preaching to the choir on that one. I'm with ya. just a matter of gettingother on the same page. #RNChat3/23/2010 12:54

bthenextstep:

@maryannagordon @EllenRichter I would agree. higher education for all nurses is a keyingredient. #Rnchat3/23/2010 12:54

bthenextstep:

@EllenRichter Yep #RNChat is totally great.3/23/2010 12:55

onlinenursing:

@onlinenursing you don't think that with the influx to primary care we will catch moreillnesses that need hospitalization too? #rnchat3/23/2010 12:55

tersenurse:

It will. RT @cyclingwidow: T1 Improved access to primary care should drive up demandfor Advanced Practice Nurses (APNs) as well #rnchat3/23/2010 12:55

nursekama:

@onlinenursing LOL I feel like a broken record. But I believe educational rise isparamount in dissolving our current RN stigma #RNchat3/23/2010 12:56

EllenRichter:

RT @bthenextstep: I would agree. higher education for all nurses is a key ingredient.Yesbut with pay to match #RNchat3/23/2010 12:56

oncnurse66:

RT @EllenRichter: @onlinenursing LOL I feel like a broken record. But I believeeducational rise is paramount in dissolving our current RN stigma #RNchat3/23/2010 12:56

Nerdnurse:

@seejanenurse It's ok. I'll throw a transcript up soon. #RNchat3/23/2010 12:56

rnchat:

Wow! We're coming up on the hour. #RNchat3/23/2010 12:57

rnchat:

@RNconsult He's saying what many of us have been saying for years - the presenthierarchical culture cannot continue #rnchat3/23/2010 12:57

maryannagordon:

@oncnurse66 absolutely. higher education should = higher pay. #rnchat3/23/2010 12:57

bthenextstep:

@ocdgirl2000 I think doctors will be successful in the US if more of them approach theirpractice like a business & pts like clients #RNchat3/23/2010 12:57

EllenRichter:

@oncnurse66 my hospital gives differential for each educational stepping stone #rnchat3/23/2010 12:58

tersenurse:

#rnchat T1 it's simply looking at other societies to see how they fared..ask the Nurses inEngland,Australia,Russia?3/23/2010 12:58

ocdgirl2000:

@tersenurse hope those who R ill enough 2 need hospital go there anywy.We R going 2Bshort staffed frm aging pop more thanh/c reform #RNChat3/23/2010 12:58

onlinenursing:

Any tweets of wisdom about healthcare reform or anything for that matter? #RNchat3/23/2010 12:59

rnchat:

@rnchat great - I've missed so much too! Will definitely read this...great discussionhappening! #rnchat3/23/2010 12:59

NursingCenter:

@tersenurse mine does too but it is insignifigant compared to the cost of my BSN#RNchat3/23/2010 12:59

oncnurse66:

@onlinenursing good point #rnchat3/23/2010 12:59

tersenurse:

@bthenextstep No money in researching anything but drugs and surgery. Interesting thatit all comes back 2 that. #RNChat3/23/2010 12:59

onlinenursing:

Good link! >> RT @RNconsult: Hey this Doctor has a Point~Check this out!http://hbr.org/2010/04/turning-doctors-into-leaders/ar/pr #RNchat3/23/2010 13:00

EllenRichter:

RT @bthenextstep @oncnurse66 absolutely-higher ed should = higher pay #rnchat Bawha ha - each degree=less money 4 me :)Just love nursing!3/23/2010 13:00

onlinenursing:

@onlinenursing it has to. always about money. in the end we as RN's still have to proveour worth on the cost/benefit curve. #rnchat3/23/2010 13:00

bthenextstep:

RT @onlinenursing:Hopefully the influx will be in primary care & out of the ER's &hospitals where the uninsured have been coming #RNchat3/23/2010 13:01

EllenRichter:

@onlinenursing the pride of accomplishment is worth more than $$....Ha Ha #RNchat3/23/2010 13:01

oncnurse66:

#RNChat wisdom - GO NURSING! WE can do it. We can be the change health careneeds.3/23/2010 13:02

onlinenursing:

Now how to staff the influx to primary care? I know I can't afford the pay cut to work inprimary care #rnchat3/23/2010 13:02

cyclingwidow:

Universal healthcare hasn't diminished my freedom in Australia. #RNChat3/23/2010 13:02

lyall:

@onlinenursing EXACTLY! there will be no money for education,unless you R child ofPharma CEO! #rnchat3/23/2010 13:02

ocdgirl2000:

Thank you all for coming! The transcript of this chat will be up in a bit. The next #RNchatwill be announced soon as well. Enjoy your day!!3/23/2010 13:03

rnchat:

@rnchat awesome chat as always Phil. Always. I missed this stuff! #rnchat3/23/2010 13:04

bthenextstep:

Yes our poor abused ERs...hopefully #hcr will reduce the ridiculous cycles ofinappropriate ER visits! No insurance will pay for BS #RNchat3/23/2010 13:04

EllenRichter:

thanks for the chatting fellow tweets! have a great day. #rnchat3/23/2010 13:05

bthenextstep:

Assessment and analysis....Gone.... Too many check boxes . Not enough time at theRNconsult:

bedside : ( #RNchat3/23/2010 13:05

Geez, is it an hour already? Thanks so much for the delightful & stimulating break in ourTuesday @philbaumann ~Great #RNchat today!3/23/2010 13:06

EllenRichter:

Great work everyone! Wow, that was amazing! #RNchat3/23/2010 13:07

rnchat:

@RNchat If you need help to moderate a 2nd chat later this week you are welcome toholler! :) #RNchat3/23/2010 13:07

EllenRichter:

@cyclingwidow Hi, saw you on #rnchat. Your bio says RN wrkng in IT. Are you involvedin EMRs at all?3/23/2010 13:07

JoeCascio:

@RNconsult Gee I think the check boxes has streamlined documentation & allows usMORE time at the bedside! No? :( #RNchat3/23/2010 13:08

EllenRichter:

@RNCHAT Thank you Phil,as always,EXCELLENT,busy tweeting,my twitter pagebottlenecking!LOL! great group! #rnchat c-yas next time!3/23/2010 13:08

ocdgirl2000:

Interesting and thought-provoking #rnchat again today.3/23/2010 13:09

JoeCascio:

Hope so! RT @EllenRichter Yes our poor abused ERs...hopefully #hcr will reduce theinapprop ER visits! No insurance will pay for BS #RNchat3/23/2010 13:11

mkopp1:

RT @lyall: Universal healthcare hasn't diminished my freedom in Australia. #RNChat3/23/2010 13:11

seejanenurse:

Darn! missed another #RNChat I'll watch for the transcript ;-)3/23/2010 13:12

MatthewBrowning:

RT @onlinenursing: #RNChat wisdom - GO NURSING! WE can do it. We can be thechange health care needs.3/23/2010 13:12

nurseantonio:

RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and MidwifeCare http://su.pr/2rDZTF #RNChat #hcr3/23/2010 13:16

adamcoyne: