Transcript of #RNchat, a Twitter chat for registered nurses. Topics: Workplace Bullying and Infection Control.

1. rnchat: One hour until #RNchat 12:00pm. No last-minute overtime requests. No pulls. No lifting.
No missing supplies. All fun.
10/6/2009 11:00
ocdgirl2000: @susanraisch RT @rnchat @ocdgirl2000 Workplace bullying is a totally legit topic to
discuss. Be happy to host that! #RNchat @ 12 today EST
10/6/2009 11:24
rnchat: Spammer, Self-Promotion NOTE for #RNchat: We know people love to passively promote
themselves on chats. Please: not *during* the chat.
10/6/2009 11:54
rnchat: Welcome to another #RNchat! 2 topics today. Prepend your tweets to topics with T1, T2,
etc. | OK, let's get started with introductions.
10/6/2009 12:00
RoRod101: Hi, My name is Rosita but u can call me Ro. I am a RN, NP, Nurse Educator, & DNP
student. Happy to be here! #RNchat
10/6/2009 12:02
bhawkesRN: Hi all Beth here, Staff Development acute care! #rnchat
10/6/2009 12:03
EllenRichter: Hi! ICU nurse & legal nurse consultant from S. Florida via NYC orig ~I love how health
care is embracing social media #RNchat
10/6/2009 12:03
michele7962: Michele, RN, CLNC and Systems Engineer. #RNCHAT #RNCHAT
10/6/2009 12:03
onlinenursing: Hey Ro, Ellen, Phil. It's me Terri, RN, NP, Nurse Educator, and PhD student (oooh I am
like Ro! ) Cool! #RNchat
10/6/2009 12:03
pixelrn: Hi there. I'm Beth. nurse, mom, blogger, etc. etc.....glad to finally make it to one of these!
#RNChat
10/6/2009 12:05
newsomz: Carrie, nursing student in Florida. Trying out my first #RNChat #RNChat
10/6/2009 12:05
EllenRichter: @onlinenursing Hi back~ Yes we have quite a few RN doctoral candidates & grads on
Twitter...its awesome #RNchat
10/6/2009 12:05
AbbieCitron: Hey everyone, Abbie here, I'm a legal nurse, no longer @ the bedside, but like learning
from u all. #RNchat
10/6/2009 12:07
mkopp1: Marie, ER RN and mom in MN #rnchat
10/6/2009 12:07
SafetyNurse: #RNchat Barbara, patient & medication safety nurse, blogger, citizen, sometimes patient,
the usual
10/6/2009 12:07
EllenRichter: Great turnout! Hi everyone! (too many to list 1 by 1) #RNchat
10/6/2009 12:08

2. rnchat: We got some awesome peeps here today! #RNchat
10/6/2009 12:09
NUR3563: T1: Interesting. Have a colleague doing research on workplace lateral violence & lack of
ed prep of RN students for this. #RNChat
10/6/2009 12:09
RoRod101: RT @EllenRichter Great turnout! Hi everyone! (too many to list 1 by 1) #RNchat #RNchat
10/6/2009 12:09
AbbieCitron: @EllenRichter Hi Ellen, thanks for the reminder text about the chat. #RNchat
10/6/2009 12:10
JennyBizRN: Hi Rn, also aka my sideline biz Grissomedlegal ( much more boring persona) awake,
coffe and awesome peepa #RNchat
10/6/2009 12:10
EllenRichter: LOL @AbbieCitron I'm just one of the town criers :) ~Unfortunately the hour goes so fast!!
#RNchat
10/6/2009 12:11
newsomz: @NUR3563 T1: can definitely attest to lack of ed prep as I don't even know what the
issue is about! Explain? #RNChat
10/6/2009 12:12
onlinenursing: T1: #RNchat. JCAHO actually tackled this recently from physician standpoint. New
behavior standards for disruptive physicians in 2008.
10/6/2009 12:12
EllenRichter: @JennyBizRN ~Aw you couldve just given your business acct more pizzazz too! :)
#RNchat
10/6/2009 12:12
pixelrn: T1 I've heard about it more than I've experienced it. It's def. one of those gray areas.
#RNChat
10/6/2009 12:13
newsomz: T1: Ok, found ANA module about workplace lateral violence :)
http://www.nursingworld.org/mods/mod440/lateralfull.htm #RNChat
10/6/2009 12:13
EllenRichter: RT @rnchat: We got some awesome peeps here today! #RNchat ~yup, yup
10/6/2009 12:13
onlinenursing: Lateral vioilence #RNchat (AKA 'eating our young') aggression between nurses or other
health care professionals in speech, action, gossip...
10/6/2009 12:14
EllenRichter: I cant find T1~ #RNchat
10/6/2009 12:14
ocdgirl2000: #RNchat I'm Lynne Siegel R.N. an old timer, work for Montgomery County Gov,
Community Health II Behavioral Health Crisis Services Addictions
10/6/2009 12:14
JennyBizRN: Thanks Ellen! #RNchat
10/6/2009 12:14
rnchat: @EllenRichter here http://twitter.com/RNchat/status/4658294347 #RNchat
10/6/2009 12:15

3. JennyBizRN: lateral violence I thing is topic. As in dreading report as that one RN will interogate you for
45 mintues? #RNchat
10/6/2009 12:16
AbbieCitron: T1 Think there must be a policy that protects RNs from retribution if they report this kind
of behavior. Right? #RNchat
10/6/2009 12:17
rnchat: @newsomz This also provide a basic overview - http://bit.ly/FVCvi #RNchat
10/6/2009 12:17
summerbrown: RT @rnchat: We got some awesome peeps here today! #RNchat ~yup, yup (via
@EllenRichter) sad that I can't join :( have fun!
10/6/2009 12:18
SafetyNurse: #rnchat Learning the ropes here.... so pls tell me if there's a better way... Lateral violence
impairs open communication & by exten, safety
10/6/2009 12:18
bhawkesRN: T1 Lateral violence takes many forms. Impatience, undermining, lack of teamwork, gossip
#rnchat
10/6/2009 12:18
michele7962: Unfortunately it isn't just nursing. It's everywhere. However as professionals we should
know better. #RNCHAT
10/6/2009 12:18
ocdgirl2000: #RNchat illustrates it well in other job classificatons at @nojobisworth she is looking for
RN's
10/6/2009 12:19
rnchat: RT @bhawkesRN: T1 Lateral violence takes many forms. Impatience, undermining, lack
of teamwork, gossip #RNchat
10/6/2009 12:19
pixelrn: T1 One person's "bullying" is another person's "teachable moment." Helps to have a great
mentor to rely on to help you parse it. #RNChat
10/6/2009 12:19
michele7962: Would hopeRT @AbbieCitron: T1 Think there must be a policy that protects RNs from
retribution if they report this kind of behavior. #RNCHAT
10/6/2009 12:19
RoRod101: T1 1st step is 2 admit that it happens.Do my best 2 instill in nsg students tx peeps as u
would like 2 B tx'd & model that behavior. #RNchat
10/6/2009 12:19
bhawkesRN: @SafetyNurse agree- bad behaviour ultimately affects patients #rnchat
10/6/2009 12:19
EllenRichter: T1 I honestly feel bullying has diminished over my 3 decades in nursing...we have more
desire to nurture the young rather than eat #RNchat
10/6/2009 12:20
JennyBizRN: had an RN who would almost kill me trying to get report done. I reported to sup, then
everyone knew.not worth reporting too often #RNchat
10/6/2009 12:20
AbbieCitron: T1 learning how to confront the issue or bully, is difficult for many nurses. We are such

4. caring people you know. LOL! #RNchat
10/6/2009 12:21
KTetreauRnClnc: I'm searching for #rnchat live on TweetGrid Search - http://tweetgrid.com/search?
q=%23rnchat
10/6/2009 12:21
RoRod101: @pixelrn T1 I agree it is great to have a "good" mentor, especially when learning the
ropes #RNchat
10/6/2009 12:21
KTetreauRnClnc: #rnchat
10/6/2009 12:21
rnchat: @pixelrn More about specific behaviors (passive-aggr, selective application of policy,
using "saving life" as pretext for yelling).. #RNchat
10/6/2009 12:22
mkopp1: T1-we should know better but still it is allowed to happen in the work place. #rnchat
10/6/2009 12:22
EllenRichter: T1 Yes, abuse is everywhere, but the way we set up orientation & make preceptors take
classes in adult ed helps us bring in the new #RNchat
10/6/2009 12:22
onlinenursing: @RoRod101 Good idea. What about formal education on lateral violence in RN
curriculum ? Like communication format? #RNchat
10/6/2009 12:22
bhawkesRN: T1 Always hate sending new nurses out to the floors knowing that some of them will
experience this. @pixelrn- what exp have you had? #rnchat
10/6/2009 12:23
pixelrn: @EllenRichter Agree. I've been a nurse for 5 yrs now and really haven't seen that much
bullying. #RNChat
10/6/2009 12:23
ocdgirl2000: #RNchat when "teachable moments" end up leading to 6 months of extended leave for
depression, it costs the insurance healthcare industry!
10/6/2009 12:24
EllenRichter: T1 Yes, we all work with Nurse Rachets, for sure~ And yes, that is unacceptable & no
colleague should stand for verbal abuse #RNchat
10/6/2009 12:24
mkopp1: T1-I find, it is not the new RNs but those who have ben there longer taking part in the
bullying lately #rnchat
10/6/2009 12:24
AbbieCitron: Agree RT @onlinenursing: @RoRod101 Good idea. What about formal education on
lateral violence in RN curriculum ? #RNchat
10/6/2009 12:24
EllenRichter: @onlinenursing T1 Yes formal education on lateral violence should be a requirement to
prepare nurses to deal with it correctly #RNchat
10/6/2009 12:25
EllenRichter: T1 Oops, didnt realize it was @RoRod101 's thought first! :) we all agree Ro! #RNchat
10/6/2009 12:26

5. pixelrn: @bhawkesRN Mostly in MICU and PACU. #RNChat
10/6/2009 12:26
RoRod101: @onlinenursing T1 Formal education on lateral violence is excellent along with practicing
what you teach. #RNchat
10/6/2009 12:26
AbbieCitron: Unhappy people RT @mkopp1: T1-I find, it is not the new RNs but those who have ben
there longer taking part in the bullying lately #RNchat
10/6/2009 12:27
EllenRichter: @mkopp1 ~T1 Yes bullying is so 60's and 70's :( We've come a long way (hopefully)
#RNchat
10/6/2009 12:27
onlinenursing: T1: I saw this in hospitalASN prog where 'students' were unfortunately blamed 4 much &
talked to as 'students',not upcoming peers. #RNChat
10/6/2009 12:27
JennyBizRN: RT@EllenRichter:@onlinenursing T1formal education on lateral violence should be
required to prepare nurses 2deal with it correctly #RNchat
10/6/2009 12:27
newsomz: T1 what are good strategies for new RN's to combat lwv? #RNChat
10/6/2009 12:28
ocdgirl2000: @pixelrn #RNchat the more you have to lose (benefits, retirement, income, vested
investments) the more likely it happens.(been there, do ...
10/6/2009 12:28
NUR3563: RT @RoRod101: @onlinenursing T1 Formal education on lateral violence is excellent
along with practicing what you teach. #RNchat
10/6/2009 12:28
SafetyNurse: #rnchat I kind of favor behavior-based education based on standards w/ role playing.
Some peeps don't recognize abuse for what it is
10/6/2009 12:28
rnchat: Next topic coming up in a couple minutes. #RNchat
10/6/2009 12:29
AbbieCitron: T1 I think some feel, deserted on the units, not enough support, high RN-PT ratios, can't
give good care, & it comes off as anger. #RNchat
10/6/2009 12:29
EllenRichter: RT @SafetyNurse: Some peeps don't recognize abuse for what it is ~HOW TRUE!!
#RNchat
10/6/2009 12:30
mkopp1: RT @EllenRichter: RT @SafetyNurse: Some peeps dont recognize abuse for what it is
~HOW TRUE!!~Agree! #rnchat
10/6/2009 12:31
pixelrn: @newsomz Find a good mentor and a good support system, and don't be too hard on
yourself. #RNChat
10/6/2009 12:31
KTetreauRnClnc: @AbbieCitron I agree high RN-Pt ratios are very frustrating #rnchat
10/6/2009 12:31

6. newsomz: @pixelrn Thanks for the tips! #RNChat
10/6/2009 12:31
SafetyNurse: hacked off- keep misspelling #rnchat and losing lines of thought.... need error-proffing
here!
10/6/2009 12:32
JennyBizRN: RT@AbbieCitron:think some feel,deserted on the units,not enuf support,high RN-PT
ratios, cant give good care,&it comes off as anger. #RNchat
10/6/2009 12:32
onlinenursing: @SafetyNurse Excellent idea!, Agree @Abbie Citron. #RNChat
10/6/2009 12:32
SafetyNurse: #RNchat T1 See?
10/6/2009 12:32
rnchat: T2 Infection Control - Where are the weak points in IC? What can be done to drive rates
down? Any success stories to share? #RNchat
10/6/2009 12:32
ERNurseJoy: RT @AbbieCitron T1 high RN-PT ratios, can't give good care, & it comes off as anger.
#RNchat <- I agree with this esp in high acute areas
10/6/2009 12:33
onlinenursing: #RNchat. T1: The JCAHO standards forced hospitals to develop education for MDs who
were disruptive (i.e. chart throwing, yelling...)
10/6/2009 12:33
ocdgirl2000: #RNchat establishment's way of cutbacks: eliminate go to the oldest RN's first. the ones
with highest income, matched contributions ret ...
10/6/2009 12:33
pixelrn: @newsomz Also - Find a hospital that invests in a really good (and lengthy) orientation
for new nurses. #RNChat
10/6/2009 12:33
JennyBizRN: T2 enuf incentive to keep stable, good Infection Control educators to start #RNchat
10/6/2009 12:34
nursingpins: Hi running late -The weak link is integrity #RNchat
10/6/2009 12:34
newsomz: @pixelrn Yep! That is #1 on my list when looking at places to apply. I hope the economy
opens up a little b4 I graduate :) #RNChat
10/6/2009 12:34
michele7962: T2 - high patient ratios is a high contributor #rnchat
10/6/2009 12:35
ocdgirl2000: #RNchat so they engineer ways to marginalize them. you'll see more of this with the
recession.
10/6/2009 12:35
SafetyNurse: @onlinenursing #rnchat TJC standards actually apply to everyone.... some prof. feel more
"called out" than others, I think
10/6/2009 12:35
newsomz: T2 again high RN-PT ratios are a problem! #RNChat
10/6/2009 12:35

7. RoRod101: RT @JennyBizRN T2 enuf incentive to keep stable, good Infection Control educators to
start #RNchat
10/6/2009 12:36
mkopp1: T2-doctor's avoiding infection control signs on patient doors doesn't help. We now have
large yellow door hangs with all PPE avail. #rnchat
10/6/2009 12:36
AbbieCitron: T2, We once had a risk man. do nothing but monitor hosp. workers as they went in & out
of Pt. rooms & documented hand washing. #RNchat
10/6/2009 12:36
JennyBizRN: T2 also, does hospital invest in proper housecleaning of "contaminated" rooms? #RNchat
10/6/2009 12:36
pixelrn: T2 Infection Control - What can be done? Lots of surveillance and evidence based results
to drive action and policy. #RNChat
10/6/2009 12:36
bhawkesRN: T2 Rememeber when no one used seat belts? Peer Pressure---> remember when folks
didn't wash their hands? #rnchat
10/6/2009 12:37
EllenRichter: RT @newsomz: T2 again high RN-PT ratios are a problem! ~Our superbugs dont help
either, everyone is on contact for something :) #RNchat
10/6/2009 12:37
AbbieCitron: yes RT @pixelrn: T2 Infection Control - What can be done? Lots of surveillance and
evidence based results to drive action and policy #RNchat
10/6/2009 12:38
EllenRichter: T2 I see health care professionals who walk into isolation room with no gloves,
nothing~despite big signs and isolation gear at door #RNchat
10/6/2009 12:38
mkopp1: T2 we do secret audits monthly on handwashing. One staff member is assigned & we
don't know who it is. #rnchat
10/6/2009 12:38
pixelrn: @bhawkesRN I was just about to say PEER PRESSURE! Great minds ... : ) #RNChat
10/6/2009 12:38
EllenRichter: T2 Now we swab nares for MRSA on all admits for elective OR or ICU admits & many
are coming back positive #RNchat
10/6/2009 12:39
SafetyNurse: T1 Do u mean that RN integirty is the problem w/ lateral violence? RT @nursingpins: Hi
running late -The weak link is integrity #RNchat
10/6/2009 12:39
AbbieCitron: T2 Equipment is often moved from room to room and not throughly cleaned. Many
medical people never clean their stethoscopes. #RNchat
10/6/2009 12:40
RoRod101: RT @bhawkesRN T2 Rememeber when no one used seat belts? Peer Pressure--->
remember when folks didn't wash their hands? & @pixelrn #RNchat
10/6/2009 12:40
KTetreauRnClnc: T1 I often see ancillary staff walk into isolationrooms withoutproper attire, then go to the

8. next room #rnchat
10/6/2009 12:40
rnchat: T2 Follow-up: Could IC be better "marketed"? eg: better placement/stocking of
equipment/supplies versus "big brother" survey? #RNchat
10/6/2009 12:40
AbbieCitron: Great idea RT @mkopp1: T2 we do secret audits monthly on handwashing. One staff
member is assigned & we dont know who it is. #RNchat
10/6/2009 12:41
ocdgirl2000: #RNchat if I HAD to work in a hospital again (heaven help me,lol) I would just buy and
bring my own. easier, expensive, I know..
10/6/2009 12:42
SafetyNurse: T2 #rnchat Did anyone c the NEJM piece last week where two high-profile MDs called
out peers/professionals for failure to do the basics?
10/6/2009 12:42
michele7962: @AbbieCitron - Many medical people never clean their stethoscopes ~~~ Exactly - gross!
#rnchat
10/6/2009 12:42
medxcentral: [I never realized] RT @AbbieCitron: T2 ... Many medical people never clean their
stethoscopes. [Room to Room exposure] #rnchat
10/6/2009 12:42
EllenRichter: RT @RoRod101 @bhawkesRN @pixelrn T2 Remember when no one used seat belts?
#RNchat ~good analogy!
10/6/2009 12:42
KTetreauRnClnc: @JennyBizRN or "contaminated equipment, like noninvasive bp cuffs #rnchat
10/6/2009 12:42
NUR3563: @SafetyNurse #RNChat. No, how interesting. Great Insights as always!
10/6/2009 12:42
pixelrn: @rnchat T2 Probably not. All of our isolation supples are so easy to get to. I think it's
more about changing the culture. #RNChat
10/6/2009 12:43
ERNurseJoy: T2 we are monitored "foaming in/out of every room" IC does daily rounds also. #RNchat
10/6/2009 12:43
AbbieCitron: Yes read it RT @SafetyNurse: T2 NEJM piece last week where two high-profile MDs
called out peers/prof. for failure to do the basics? #RNchat
10/6/2009 12:43
SafetyNurse: @rnchat #rnchat T2 1/2 Think there r best practice models out there. But not everywhere.
If hand hygiene requires a trip down the hall....
10/6/2009 12:43
EllenRichter: T1 ~We all see the breaks in infection control every day, so how can we expect
improvement if everyone doesnt play same way? #RNchat
10/6/2009 12:43
michele7962: With everything you are taught in Micro, you would think people could be trusted to use
common sense. Not sure what has happened. #rnchat
10/6/2009 12:43

9. mkopp1: T2-b placement is huge! The more visible the better & people will ask if someone is in
iso #rnchat
10/6/2009 12:44
FiMed: RT @michele7962 @AbbieCitron - Many medical people never clean their stethoscopes
~~~ Exactly - gross! #rnchat
10/6/2009 12:44
medxcentral: RT @KTetreauRnClnc: @JennyBizRN or "contaminated equipment, like noninvasive bp
cuffs" #rnchat
10/6/2009 12:44
mkopp1: RT @AbbieCitron - Many medical people never clean their stethoscopes ~including
Medics (EMTs) #rnchat
10/6/2009 12:44
SafetyNurse: #rnchat T2 2/2 or a climb behind a bed to achieve, comliance will be low. But blowing by
stuff that sings, waves, and tweets "do it".....
10/6/2009 12:44
pixelrn: T2 In MICU we have a culture where we are always calling each other out (w/ no hard
feelings) and I think it really works. #RNChat
10/6/2009 12:45
rnchat: @pixelrn So, let's extend the "marketing" concept to culture: how to change attitudes,
values, etc. How to best drive change? #RNchat
10/6/2009 12:45
SafetyNurse: @michele7962 #rnchat Knowledge doesn't reliably drive behavior.
10/6/2009 12:46
nursingpins: T2 Would not be unreasonable for a handwashing monitor - given the importance
#RNchat
10/6/2009 12:46
rnchat: RT @pixelrn: T2 In MICU we have a culture where we r always calling each other out
(w/no hard feelings) and I think it really works. #RNchat
10/6/2009 12:46
mkopp1: T2-about stethoscopes and cleaning http://tinyurl.com/djw4fr #rnchat
10/6/2009 12:46
bhawkesRN: T2 I think we have both more awareness of transmission but still a culture of taking short
cuts and "it won't happen to me" #rnchat
10/6/2009 12:46
EllenRichter: @safetynurse T2 Exactly! It couldnt be easier since its in everyone's face, yet its still a
problem! :) So what gives? #RNchat
10/6/2009 12:46
ocdgirl2000: #RNchat You see, most CEO's of hospitals, like most big business in America are more
concerned w profit & bonus checks,saving, not spending.
10/6/2009 12:47
EllenRichter: T2 LOL I am looking at my stethoscope right now & I pray that I cleaned it before leaving
work! (I think i did!!) :) #RNchat
10/6/2009 12:47
ONSmark: T2 Per "best practice models out there" -- Putting Evidence Into Practice "Prevention of
Infection" at http://bit.ly/x07dg #oncology #rnchat

10. 10/6/2009 12:47
AbbieCitron: True and time factor as well, always rushed RT @SafetyNurse: @michele7962
Knowledge doesnt reliably drive behavior. #RNchat
10/6/2009 12:47
michele7962: True - but SAD. RT @SafetyNurse: @michele7962 #rnchat Knowledge doesnt reliably
drive behavior. #rnchat
10/6/2009 12:47
bhawkesRN: @pixelrn Love that u hold each other accountable! But how does that START in a unit?
#rnchat
10/6/2009 12:47
SafetyNurse: @pixelrn #rnchat Are u comfortbale saying where u work? (Because I think your
organization is an exemplar....)
10/6/2009 12:47
pixelrn: @rnchat As much as I like to mock "team building" we've had some gr8 experience w/ it.
Gets everyone on the same page. #RNChat
10/6/2009 12:48
michele7962: Nice link. RT @mkopp1: T2-about stethoscopes and cleaning http://tinyurl.com/djw4fr
#rnchat
10/6/2009 12:49
EllenRichter: RT @ocdgirl2000 Most CEO's of hospitals, like most big business in USA R more
concerned w profit & bonus checks,saving, not spending #RNchat
10/6/2009 12:49
medxcentral: Whomever said we can't learn from #nurses, never attended a Tweetchat with them. LOL
#rnchat
10/6/2009 12:49
SafetyNurse: @EllenRichter #rnchat Others r saying it here... culture... perception that it doesn't
matter... not monitored in meaningful ways
10/6/2009 12:49
pixelrn: @SafetyNurse I work at Hopkins, so yeah, it probably is exemplary... : ) #RNChat
10/6/2009 12:50
newsomz: Glad to know alcohol swabs will get rid of MRSA. RT @mkopp1: T2-about stethoscopes
and cleaning http://tinyurl.com/djw4fr #RNChat
10/6/2009 12:50
rnchat: @pixelrn Hey, if it works...Plus you also work at one of the better facilities (from what I
hear). #RNchat
10/6/2009 12:51
bhawkesRN: @medxcentral I love you. #rnchat
10/6/2009 12:51
Kalabah: RT @pixelrn: T2 In MICU we have a culture where we always call each other out (w/ no
hard feelings) and I think it really works. #RNChat
10/6/2009 12:51
EllenRichter: @pixelrn T1 Hey thats no fair! LOL ~You can tell from your tweets its somewhere in the
higher ranks :) #RNchat
10/6/2009 12:52

11. ocdgirl2000: @michele7962 "you would think people could be trusted to use common sense. Not sure
what has happened". #rnchat Corporate Mentality/ profit
10/6/2009 12:52
pixelrn: @SafetyNurse It's also a magnet hospital which might explain why I haven't seen much
LWV. #RNChat
10/6/2009 12:52
mkopp1: RT@rnchat @pixelrn Hey, if it works..Plus you also work at one of the better facilities
(from what I hear). I too have heard that :) #rnchat
10/6/2009 12:52
AbbieCitron: T2 read recently one hosp. didn't allow MDs to wear neck ties, due to spreading of
infections by touching Pts. when examining. #RNchat
10/6/2009 12:52
Kalabah: Knowledge doesn't reliably drive behavior. RT @SafetyNurse: @michele7962 #rnchat
10/6/2009 12:52
nursingpins: T2 Unfortunatly handwashing is going to come down to integrity - will ult. have to be
externally enforced. #RNchat
10/6/2009 12:52
ERNurseJoy: Eww... RT @mkopp1: T2-about stethoscopes and cleaning http://tinyurl.com/djw4fr
#rnchat
10/6/2009 12:53
mkopp1: RT @pixelrn: @SafetyNurse Its also a magnet hospital which might explain why I havent
seen much LWV. Magnet hosp R very important! #rnchat
10/6/2009 12:53
EllenRichter: RT @nursingpins: T2 Unfortunatly handwashing is going to come down to integrity - will
ult. have to be externally enforced. #RNchat
10/6/2009 12:54
SafetyNurse: #rnchat OKAY- ready to learn how make the hashtag magically appear on every tweet....
ready to claw my fast, inaccurate fingers off
10/6/2009 12:54
bhawkesRN: Why is it that SOME hospitals are exemplary and many are not? Difference? #rnchat
10/6/2009 12:54
pixelrn: @rnchat T2 I like the idea of finding what works and then applying marketing concepts to
it. #RNChat
10/6/2009 12:55
bhawkesRN: @medxcentral In an anyone- who -is -NOT -a -nurse (U aren't, rite?) but respects us like
u do kind of way #rnchat
10/6/2009 12:55
EllenRichter: T2 Magnet hospitals ROCK but its a shame that it takes becoming magnet status for
negativity like LWV to diminish in our field #RNchat
10/6/2009 12:55
newsomz: @SafetyNurse http://tweetchat.com/ #RNChat
10/6/2009 12:55
SafetyNurse: @AbbieCitron #RNchat In the UK, long sleeve white coats are OUT. Not allowed to wear.
Think ties r on the chopping block 2.
10/6/2009 12:55

12. JennyBizRN: RT @bhawkesRN: Why is it that SOME hospitals are exemplary and many are not?
Difference? It starts at the top, what is their focus? #RNchat
10/6/2009 12:55
rnchat: Yikes! We're coming up on an hour in about 5 minutes. #RNchat
10/6/2009 12:56
ocdgirl2000: #RNchat remember, we R Nurses, we don't look at Healthcare the same way as those
who run the "Hospital Businesses" in this country!
10/6/2009 12:56
EllenRichter: LOL @safetynurse clawing her fingers off #RNchat
10/6/2009 12:56
bhawkesRN: T2 I believe that it's not external, it's nurturing the internal part of all of us that wants to do
our best #rnchat
10/6/2009 12:56
pixelrn: @bhawkesRN Maybe comes down to the idea of inspiration and leadership. Paul Levy's
blog is a gr8 example.... #RNChat
10/6/2009 12:56
mkopp1: RT @JennyBizRN @bhawkesRN: Why is it that SOME hospitals are exemplary and many
are not?It starts at the top, what is their focus?:) #rnchat
10/6/2009 12:57
KTetreauRnClnc: boy, time flies #rnchat
10/6/2009 12:57
bhawkesRN: pixelrn Maybe comes down to the idea of inspiration and leadership. Paul Levy's blog is a
gr8 example.... #rnchat
10/6/2009 12:57
pixelrn: @bhawkesRN I've never heard of his hospital, but from reading his blog I would love to
work for him. #RNChat
10/6/2009 12:57
EllenRichter: @pixelrn T2 Have a link to that blog? #RNchat
10/6/2009 12:57
SafetyNurse: @bhawkesRN #RNCHAT What is valued is what gets rewarded. Stuff about "align" gets
old when there's no follow-thru. But follow-thru works.
10/6/2009 12:57
KTetreauRnClnc: where did the hour go? #rnchat
10/6/2009 12:58
ONSmark: I'm not a nurse & I have utmost respect RT @bhawkesRN @medxcentral In an anyone-
who -is -NOT -a -nurse but respects us kind of way #rnchat
10/6/2009 12:58
medxcentral: @bhawkesRN EXACTLY!!! You are correct; I'm not a nurse. But I know who "butters the
bread" in health care; #nurses #rnchat
10/6/2009 12:58
Kalabah: RT @SafetyNurse: @EllenRichter #rnchat Others r saying culture... perception that it
doesn't matter... not monitored in meaningful ways.
10/6/2009 12:58

13. newsomz: @EllenRichter http://runningahospital.blogspot.com/ #RNChat
10/6/2009 12:58
SafetyNurse: @bhawkesRN T2. Can tap that some. But remember that flight crews and healthcare
works come from same pool. Systems we work in count. #rnchat
10/6/2009 12:59
rnchat: @pixelrn Yeah, Paul Levy does an amazing thing with his blog. #RNchat
10/6/2009 12:59
Kalabah: RT @pixelrn: @SafetyNurse I work at Hopkins, so yeah, it probably is exemplary... : )
#RNChat // It sure is!
10/6/2009 12:59
bhawkesRN: @pixelrn Beth Israel hospital is where Paul Levy works/leads. My dream hosp #rnchat
10/6/2009 12:59
EllenRichter: @newsomz: Thanks! :) #RNchat
10/6/2009 13:00
michele7962: Have a great day everyone! #rnchat
10/6/2009 13:00
bhawkesRN: I Know!! Let's all follow each other, k? #rnchat
10/6/2009 13:00
rnchat: OK time's up (please swipe your credit card for 10 more minutes :) See next tweets for
administrative stuff. #RNchat
10/6/2009 13:00
AbbieCitron: Thanks for the engaging chat RNs! Until next time, stay well and happy! #RNchat
10/6/2009 13:00
Kalabah: RT @newsomz: Glad to know alcohol swabs will get rid of MRSA. About stethoscopes &
cleaning http://tinyurl.com/djw4fr #RNChat (via @mkopp1)
10/6/2009 13:00
pixelrn: Fastest hour I've spent in a long time!!!! That was fun. #RNChat
10/6/2009 13:01
mkopp1: Until next time! @~~ #rnchat
10/6/2009 13:01
EllenRichter: LOL @ swiping credit card...where is the slot? @rnchat #RNchat
10/6/2009 13:01
ocdgirl2000: #RNchat Adventist hospitals in our area, mulitplying like rabbits, buying land, profits
galore, almost got sited one year, Shady Grove..hehe
10/6/2009 13:01
KTetreauRnClnc: have a great day #rnchat
10/6/2009 13:02
EllenRichter: RT @bhawkesRN: Let's all follow each other, k? ~Yet another good idea! :) #RNchat
10/6/2009 13:02
RoRod101: Thanks for the great discussions! I enjoyed conversing with you all and meeting new
tweeples! #RNchat
10/6/2009 13:02

14. bhawkesRN: Thank you for coordinating! #rnchat
10/6/2009 13:03
EllenRichter: Nice to see everyone again! :) OK when is the next chat, Phil? @rnchat #RNchat
10/6/2009 13:03
rnchat: Our next chat will be Friday 10/9 8:30pm EDT. #RNchat
10/6/2009 13:03
nursingpins: Thanks #RNchat
10/6/2009 13:03
egculbertson: Yay! RT @medxcentral: Congrats to @rnchat and this whole crew. I do believe #nurses
have arrived on Twitter. AMEN! #rnchat
10/6/2009 13:04
rnchat: Transcript of today's chat will be posted here a little later - http://bit.ly/gOKC6 #RNchat
10/6/2009 13:04
EllenRichter: @ KTetreauRnClnc: glad you found your way in! :) #RNchat
10/6/2009 13:04
SafetyNurse: #rnchat Thanks all. Will look forward to another one! Barb
10/6/2009 13:05
EllenRichter: @medxcentral: Thanks for the pro-nursing compliments!! :) #RNchat
10/6/2009 13:05
michlr: thinks he just missed something *again* . Hop I can chat along next time, surely will read
the transcript #RNchat
10/6/2009 13:05
rnchat: Thank you all for joining today. Always a good time. Please give your feedback. This is
your chat! #RNchat
10/6/2009 13:05
ocdgirl2000: #RNchat ultra-cool! especially since I work with only 2 other RN's and the rest
Psychotherapists and Doctors (no offense!)LOL! Thank you!
10/6/2009 13:06
EllenRichter: ~Going to read that blog now http://runningahospital.blogspot.com/ #RNchat
10/6/2009 13:06
KTetreauRnClnc: @EllenRichter thanks for your help getting in #rnchat
10/6/2009 13:06
EllenRichter: @rnchat ~Feedback: Make it 90 minutes! LOL :) #RNchat
10/6/2009 13:07
michlr: thinks he just missed something *again* and hopes can chat along next time, surely will
read the transcript #RNchat
10/6/2009 13:07
mkopp1: RT @rnchat: Transcript of todays chat will be posted here a little later - http://bit.ly/gOKC6
#rnchat
10/6/2009 13:07
mkopp1: RT @rnchat: Our next chat will be Friday 10/9 8:30pm EDT. #rnchat
10/6/2009 13:07

15. EllenRichter: @michlr: Yes, I missed last Wednesday's chat & by 6 PM I read the whole transcript &
felt like I missed nothing! :) #RNchat
10/6/2009 13:08
nursingpins: RT @EllenRichter ~Going to read that blog now http://runningahospital.blo... #RNchat
(Worth a read)
10/6/2009 13:08
Kalabah: RT @pixelrn: Maybe comes down to the idea of INSPIRATION and LEADERSHIP. //
Students need great leaders, few & far in-between. #RNChat
10/6/2009 13:08
rnchat: Paul Levy is also on Twitter: @Paulflevy #RNchat
10/6/2009 13:11
Kalabah: RT @bhawkesRN: @pixelrn Beth Israel hospital is where Paul Levy works/leads. My
dream hosp #rnchat
10/6/2009 13:11
nursingpins: EllenRichter @rnchat ~Feedback: Make it 90 minutes! LOL :) #RNchat (2nd)
10/6/2009 13:11
nursingpins: RT @RNchat Paul Levy is also on Twitter: @Paulflevy #RNchat
10/6/2009 13:12
Kalabah: RT @rnchat: Paul Levy is also on Twitter: @Paulflevy #RNchat //THANK YOU!
10/6/2009 13:12