Professional Documents
Culture Documents
RNchat Transcript July 23, 2010
RNchat Transcript July 23, 2010
onlinenursing: Hola mi #RNChat amigos. Yo soy Terri, soy enfermera practica y professor de
enfermeras. (practicing my espanol :). Terri from MO here.
7/23/2010 21:02
holisticnurses: Hi! Amy in NYC (It's stormy all right!) Telehealth & Holistic RN...will be popping in & out.
Hey to all! #Rnchat
7/23/2010 21:03
rnchat: OK, our first topic will be up in a minute. When replying please add T1, T2 etc to your
response. #RNchat
7/23/2010 21:04
onlinenursing: @onlinenursing Hey Amy - great to see you here. nice new pic! #RNChat.
7/23/2010 21:04
nlw0507: Hi! I'm Nikki and I'm a new grad nurse from Madison, WI #RnChat #rnchat
7/23/2010 21:04
rnchat: T1 Handwashing: What advances have you seen? How does Design affect compliance?
What drives ya nuts when you see it? #RNchat
7/23/2010 21:05
Trybarefoot: Evening! Gerard via Nova Scotia. Health educator/consultant/facilitator w/ large emphasis
on team dev in healthcare! #RNchat
7/23/2010 21:06
onlinenursing: @InfusionNurse Hey Cora @InfusionNurse! Glad to see you on #RNChat. Hi Nikki
@nlw0507
7/23/2010 21:06
onlinenursing: T1 - #RNChat - while I love the new alcohol scrub (makes things handy in the hall). I
think it decreases use of soap & H20... (part 1)
7/23/2010 21:08
onlinenursing: T1 - #RNChat - part 2 - & I know from medical mission work with no H20 that nothing
cleans hands like good old soap and water
7/23/2010 21:08
holisticnurses: T1 I'd love to hear about natural products for handwashing in hospitals. #Rnchat
7/23/2010 21:09
CaliPNP: Hey from LA...I'm Sue a pediatric NP working for anesthesia / radiology services #RNchat
7/23/2010 21:10
onlinenursing: @Trybarefoot & @Nursingpins - Hey guys! Great to see so many wonderful RNs in
#RNChat.
7/23/2010 21:10
onlinenursing: RT @InfusionNurse handwashing compliance still poor accdg to APIC -still an issue w/
preventing infections-need reinforce/reeducate #RNCHAT
7/23/2010 21:11
NUR3563: RT @InfusionNurse handwashing compliance still poor accdg to APIC -still an issue w/
preventing infections-need reinforce/reeducate #RNCHAT
7/23/2010 21:11
InfusionNurse: Hi Vernon...RT @nursingpins: Hey all - running late -Vernon in New Orleans #RNCHAT
7/23/2010 21:12
onlinenursing: T1 -sort of off subject,but has to do with handwashing- did anyone see article this week
abt how sepsis more common postop than DVT? #RNChat
7/23/2010 21:12
Trybarefoot: @onlinenursing Thx - tho I'm more of a 'friend' of RNs - work w/ nurses all the time -
privileged to be able to participate #RNchat
7/23/2010 21:12
holisticnurses: T1 Amazing how important handwashing is in homecare when educating pts re:
woundcare. Still love soap & H2O too! #Rnchat
7/23/2010 21:13
nursingpins: noticed that most nurses use the foam in-room disp. - hand washing still a noticeable
problem - must keep reinforcing everywhere. #RNchat
7/23/2010 21:13
InfusionNurse: what would u recommend? RT @holisticnurses: T1 Id love to hear about natural products
for handwashing in hospitals. #RNCHAT
7/23/2010 21:14
Trybarefoot: T1 agree that education/updates are important...within hospital settings AND with general
public! #RNchat
7/23/2010 21:14
InfusionNurse: Hi Sue! RT @CaliPNP: Hey from LA...Im Sue a pediatric NP working for anesthesia /
radiology services #RNCHAT
7/23/2010 21:15
onlinenursing: T1 - #RNChat most of cellulitis I see in clinic (lots in summer with bug bites/ poison Ivy) is
MRSA - handwashing at home essential!
7/23/2010 21:16
InfusionNurse: I agree RT @nursingpins: most nurses use foam in-room disp. - hand washing a
noticeable problem - must keep reinforcing everywhere. #RNCHAT
7/23/2010 21:18
nursingpins: most nurses don't touch patients anymore without gloves - at least that is a help #RNchat
7/23/2010 21:18
CaliPNP: @InfusionNurse Hi Terri! I've been off line this week but it's nice to be back #RNchat
7/23/2010 21:18
onlinenursing: @InfusionNurse T1 - #RNCHat mostly I work in rural prctc. lots of farm work, outside
work. Also-kids with dirty hands scratch everything.
7/23/2010 21:18
onlinenursing: @nursingpins #RNChat - only if they don't use their gloves to touch lots of other things 1st
or stick dirty hands into the glove box :)
7/23/2010 21:20
InfusionNurse: ? is they wash hands after/between pts? RT @nursingpins: most nurses dont touch
patients anymore w/o gloves - at least that help #RNCHAT
7/23/2010 21:20
Trybarefoot: T1 An imp public health issue - my exp is soap/water is part of the key msg - tho is it
more risky in an acute or home care setting? #RNchat
7/23/2010 21:20
nursingpins: @onlinenursing you are right - goes hand and glove :) could not resist. #RNchat
7/23/2010 21:21
rnchat: T1 Follow-up: Are messages about what kinds of washing (eg soap & friction for c diff &
other spores instead of alcohol) effective? #rnchat
7/23/2010 21:22
CaliPNP: APN Phys Exam course won't let U glove up...sets U up as vector w/o good handwashing
#RNchat
7/23/2010 21:23
nursingpins: peer pressure is strongest enforcer - will have to starting checking each other - #RNchat
7/23/2010 21:23
CaliPNP: However, RNs are by nature ALWAYS good handwashers...can't say same for other
disciplines #RNchat
7/23/2010 21:24
holisticnurses: T1 Remember bag technique being just as important as handwashing in home care.
#Rnchat
7/23/2010 21:27
Trybarefoot: OUCH! ;) RT @CaliPNP: However, RNs are by nature ALWAYS good handwashers...can't
say same for other disciplines #RNchat
7/23/2010 21:27
rnchat: @CaliPNP That's a good point, which may be an upcoming topic: how can nurses
effectively get others do, er, clean up their act. #rnchat
7/23/2010 21:29
onlinenursing: #rnchat It can help w/nurse education of rural patients, working pts, triage, ed of new
parents, & all sorts of psychosocial screenings.
7/23/2010 21:30
nursingpins: T2 There is so much potential with t.h. (most important with seeing patients with cams-
can read expressions and gestures which helps #RNchat
7/23/2010 21:30
podmedic: #rnchat I see telehealth nursing evolution into live online nurse chat support similar to
website tech support.
7/23/2010 21:31
CaliPNP: @Trybarefoot I'll back that one up w/ some good ole' research, K? #RNchat
http://www.ncbi.nlm.nih.gov/pubmed/12593714
7/23/2010 21:31
holisticnurses: T2 Sense of sound, clinical knowledge/experience and intuition is what I have to work w/
in telehealth...video chat can enhance #Rnchat
7/23/2010 21:31
Trybarefoot: T2 can really help RNs connect and collaborate w/ other providers as well! #RNchat
7/23/2010 21:32
podmedic: hi-def webcams offer opportunities for remote monitoring and assessment. #rnchat
7/23/2010 21:33
CaliPNP: @Trybarefoot That study also says RNs have a huge area for improvement...to be fair T1
#RNchat
7/23/2010 21:33
InfusionNurse: agree RT @podmedic: #rnchat I see telehealth nursing evolution into live online nurse
chat support similar to website tech support. #RNCHAT
7/23/2010 21:34
rnchat: RT @podmedic: hi-def webcams offer opportunities for remote monitoring and
assessment. #rnchat
7/23/2010 21:34
InfusionNurse: good pt RT @holisticnurses: T2 Of course not many elderly home care pts have
computers...would supplying certain pts with a device #RNCHAT
7/23/2010 21:34
Trybarefoot: @CaliPNP T1 Awesome - luv the evidence! Helps to solidify the facts - and move us from
generalizations, stereotypes etc - thx! #RNchat
7/23/2010 21:35
holisticnurses: T2 Also brings up the point of state bs national licensure. We can educate from anywhere
online & via phone. #Rnchat
7/23/2010 21:36
Trybarefoot: Hats off to you! RT @CaliPNP: @Trybarefoot That study also says RNs have a huge
area for improvement...to be fair T1 #RNchat
7/23/2010 21:36
InfusionNurse: Hi Jamie..I agree if provided 4 pts...RT @podmedic: hi-def webcams offer opportunities
for remote monitoring and assessment. #RNCHAT
7/23/2010 21:36
nursingpins: computers will become a "medical device" as important as o2 machines. event will be
covered as needed equipment #RNchat
7/23/2010 21:37
holisticnurses: T2 That was state bs national licensure. Chatting via iPhone is tres difficult! #Rnchat
7/23/2010 21:38
onlinenursing: RT @InfusionNurse @podmedic: #rnchat I see telehealth nsing evolution N2 live online
nurse chat support similar 2 website tech support.
7/23/2010 21:39
holisticnurses: T2 Will always need to distinguish ourselves from computer only generated info.
Computers can't empathize...yet! #Rnchat
7/23/2010 21:40
CaliPNP: Facetime on the iPhone 4 has some immediate gratification potential for wound
care...problem is both sides have to have it :( T2 #RNchat
7/23/2010 21:40
Trybarefoot: Nice point. RT @holisticnurses: T2 need to distinguish ourselves from computer only
generated info. Computers can't empathize...yet! #Rnchat
7/23/2010 21:41
holisticnurses: RT @CaliPNP: Facetime on iPhone 4 has some imm. gratification potential 4 wound
care...problem is both sides have to have it :( T2 #Rnchat
7/23/2010 21:43
onlinenursing: #RNChat - sorry -using tweetdeck and that went out w/both accounts. My bad.
7/23/2010 21:45
holisticnurses: T2 Also caregiver support via video chat and, yes, RN lead education/support groups.
#Rnchat
7/23/2010 21:45
Trybarefoot: Absolutely! RT @holisticnurses: T2 Also caregiver support via video chat and, yes, RN
lead education/support groups. #Rnchat
7/23/2010 21:46
holisticnurses: RT @Trybarefoot: T2 can really help RNs connect and collaborate w/ other providers as
well! #Rnchat
7/23/2010 21:46
rnchat: T3 Enhancing Collaboration: What are biggest challenges in provider collaboration? What
solutions (technical or other) work best? #RNchat
7/23/2010 21:47
nursingpins: T2 t.h will be important for heart patients - already programs that allow remote view and
diagnosis #RNchat
7/23/2010 21:47
holisticnurses: T2 Medication compliance and education too! I can see the pills someone is asking me
about. #Rnchat
7/23/2010 21:48
holisticnurses: T3 EMR...sometimes we're not all seeing the same info. #Rnchat
7/23/2010 21:51
onlinenursing: T3 many prblms as rural hlth NP N NP only clinic trying2 send pts2 spclists who dislike
NPs-often they berate pts 4 hvng NP provider #RNChat
7/23/2010 21:52
onlinenursing: RT @holisticnurses: T3 EMR...sometimes we're not all seeing the same info. #Rnchat
(Re: Collaboration issues in h/c)
7/23/2010 21:53
InfusionNurse: T3 - Ego - leave it at home and think about the patient... #RNCHAT
7/23/2010 21:53
CaliPNP: RT @onlinenursing: T3 many prblms as rural hlth NP N NP only clinic trying2 send pts2
spclists who dislike NPs-often they berate pts 4 hvng NP provider #RNChat
7/23/2010 21:53
onlinenursing: RT @InfusionNurse: T3 - Ego - leave it at home and think about the patient... #RNCHAT
(LOVE IT!)
7/23/2010 21:54
Trybarefoot: @onlinenursing T3 As a Manager in primary health care the rural NPs on my team had
the EXACT exp #RNchat
7/23/2010 21:54
CaliPNP: @onlinenursing T3 Same in tertiary care ctrs. Prvt MDs don't want to hear how it's going
to go from an NP. Want to hear from an MD #RNchat
7/23/2010 21:55
Trybarefoot: T3 Ego - yes! And a real lack of understanding of the scope/roles/responsibilities of NPs
(key for collaboration!) #RNchat
7/23/2010 21:55
holisticnurses: RT @onlinenursing: RT @InfusionNurse: T3 - Ego - leave it at home and think about the
patient... #RNCHAT (LOVE IT!) #Rnchat
7/23/2010 21:55
rnchat: Yowza! Our hour together is coming up! :( We'll wrap up in a couple minutes. #RNchat
7/23/2010 21:58
DebErupts: For real collaboration everyone needs to be involved in decision making. #RNChat
7/23/2010 21:58
holisticnurses: RT @DebErupts: For real collaboration everyone needs to be involved in decision making.
#Rnchat
7/23/2010 21:58
MeredithGould: @RNchat You were well represented by @PhilBaumann at last nights #health2meet
#RNchat
7/23/2010 21:59
nurseeducator: T3 The heart of collabis having a common goal, defined expectations, meas. outcomes
and people who are willing to get the job done! #RNChat
7/23/2010 22:00
onlinenursing: RT @DebErupts: For real collaboration everyone needs to be involved in decision making.
#RNChat (AMEN, all professionals at the table)
7/23/2010 22:00
onlinenursing: @MeredithGould Heard it was good #health2meet - wish we could have been there. SO
PROUD OF PHIL! #RNChat
7/23/2010 22:01
holisticnurses: Not too late for your words of wisdom. ;) RT @NurseSallie: Im late! #Rnchat
7/23/2010 22:01
onlinenursing: @NurseSallie Hey Sallie - better late than never #RNChat. Hope you are well!
7/23/2010 22:01
nursingpins: T3 hopfully the EMR will trigger services and help organize provider collaboration by
inclusion #RNchat
7/23/2010 22:01
NurseSallie: I spent day with 22 DNP students and ethicists ... got to say nurses are awesome.
#rnchat
7/23/2010 22:02
onlinenursing: #RNChat - parting thought: GO NURSING! Or as my friend phil would say - may the force
be with you young Jedi Knights! Thx 4 grt chat all.
7/23/2010 22:02
Trybarefoot: Pearl -> Take the time. Give the time. Plan the time. Celebrate the time. Collaborate!
#RNchat
7/23/2010 22:02
rnchat: THANK YOU Everybody for another excellent #RNchat!! Transcript will be up soon.
Remember: Nurses are the last Jedi Nights of the Republic!
7/23/2010 22:03
DebErupts: Collaboration requires trust and respect, which is lacking many times among health care
members. #RNChat
7/23/2010 22:03
nurseeducator: Sorry so late...on the road all day! Not even using my own computer or tweetdeck!
#RNChat
7/23/2010 22:03
InfusionNurse: Great to chat u all again..good night to all...have a great weekend... #RNCHAT
7/23/2010 22:04
Trybarefoot: Pearl #2 (sorry!) -> I always learn from my RN colleagues - thank you for that! #RNchat
7/23/2010 22:04
Trybarefoot: RT @DebErupts: Collaboration requires trust and respect, which is lacking many times
among health care members. #RNChat #interprofessional
7/23/2010 22:09
InfusionNurse: great job Phil - u make us proud!! RT @philbaumann: Why thank you! Nurses are an
easy group to be proud of! :) #RNCHAT
7/23/2010 22:10
ArtxImagination: AWESOME!! RT @RNchat: RT @NurseSallie: I spent day with 22 DNP students and
ethicists ... got to say nurses are awesome. #rnchat
7/23/2010 22:14
dlwdillon: RT @nursingpins: most nurses don't touch patients anymore without gloves - at least that
is a help #RNchat
7/23/2010 22:48