Transcript of RNchat - a Twitter chat for registered nurses - for July 30, 2010. Follow @RNchat on Twitter. Topics: T1 Personal Health Records: Do PHR solutions actually lie in open-source iPhone, Android, etc. apps versus proprietary platforms? T1 Follow-up: that is, once most people have smart devices, will PHRs just be as common as, say, Contact info? T2 The Art of Dignity: Healthcare is Technology-intensive. But preserving human dignity is an Art. Tell us about your "artistry" T3 Sexual Health: SH is as vital as all other kinds. Is Nursing involved in assessing & addressing SH matters as much as it could? Follow us on Twitter: http://Twitter.com/RNchat and visit our blog: http://RNchat.org by Phil Baumann - @PhilBaumann

1. rnchat: One hour until #RNchat - 9pm ET. Consider using http://TweetChat.com during the chat.
7/30/2010 20:00
rnchat: Welcome my friends to #RNchat! If you're new, welcome! We'll get started momentarily
but first: introduce yourselves!
7/30/2010 21:00
rnchat: OK, our first topic will be up in a minute. Please add T1, T2, etc. when responding to a
topic. #RNchat
7/30/2010 21:04
TeriRN: Hi all. Teri, Travel Hospice Nurse now in DC. So glad to be able to join in again. #RNChat
7/30/2010 21:04
nursingpins: hi Phil, Pam and all - Vernon, critical care in New Orleans #rnchat
7/30/2010 21:04
rnchat: T1 Personal Health Records: Do PHR solutions actually lie in open-source iPhone,
Android, etc. apps versus proprietary platforms? #RNchat
7/30/2010 21:05
nursechenene: Hey all. Traci from work at Level I center in Southwest Missouri #rnchat
7/30/2010 21:05
rnchat: T1 Follow-up: that is, once most people have smart devices, will PHRs just be as
common as, say, Contact info? #RNchat
7/30/2010 21:08
nursingpins: Should be able to access PHR from any source? #rnchat
7/30/2010 21:08
pamsvulcan: T1 only if they are accessible & the data can be easily transferred across systems
#RNchat
7/30/2010 21:09
rnchat: @nursingpins Yes - being able to access and share via open platforms (securely of
course). #rnchat
7/30/2010 21:09
TeriRN: T1: For home health/hospice RN's and MD's it would be great to have instant access to
the info I'm acquiring so MD can make Dx or Tx #RNChat
7/30/2010 21:11
pamsvulcan: T1 right now those programs are online if they have smartphone interfaces that are easy
& secure #RNchat
7/30/2010 21:11
TeriRN: T1: Most EMR's I've worked with the nite staff & MD would have to wait till I could sync.
Nite staff @ disadvantage if I can't sync #RNChat
7/30/2010 21:13
jtknowles007: T1 I think security may be an issue with PHRs on mobile platforms. If (as RN) my device
goes missing, is private data exposed? !fb #RNchat
7/30/2010 21:14
TeriRN: T1: Ex: had pt in crisis, got new Rx, fam called nite staff, Had no clue what I had done &
didn't believe fam Called MD 4 new RX #RNChat

2. 7/30/2010 21:15
nursingpins: T1 I think it will imp all h. services to have remote access. Will be much easier to get
more done - will even encourage by conv. #rnchat
7/30/2010 21:15
TeriRN: @jtknowles007 That's why I always keep my passcoded and change it frequently.
#RNChat
7/30/2010 21:15
pamsvulcan: U2 but what if the patient walked in said 'look here on my phone, here's my health
history' #RNchat
7/30/2010 21:16
rnchat: @jtknowles007 Good point: there would need to be measures & protocols in place (eg:
should remote deletion be enabled?) #RNchat
7/30/2010 21:16
nursingpins: T1 the security will always be an issue - but will be worked out - same questions with
early e-commerce #rnchat
7/30/2010 21:17
jtknowles007: @TeriRN Good point, but what about those who are "forced" to use new tech & aren't
comfortable with it and don't follow protocol !fb #RNchat
7/30/2010 21:18
rnchat: RT @nursingpins: T1 the security will always be an issue - but will be worked out - same
questions with early e-commerce #RNchat
7/30/2010 21:18
nursingpins: T1 can be made secure - when was the last time PayPal security was breached? (can be
done) #rnchat
7/30/2010 21:18
jtknowles007: T1 Obviously playing devil's advocate here. I would LOVE to have access to PHRs, as
well as general med info electronically. #RNchat
7/30/2010 21:21
TeriRN: @jtknowles007 Def prob. Last job RNs still using passcode IT gave them. IT will need to
enforce PHR policies to maintain HIPAA Comp #RNChat
7/30/2010 21:21
nursingpins: T1 seems like authorized identification access may be problem? #rnchat
7/30/2010 21:22
TeriRN: @jtknowles007 That's how we learn and find the probs. Always good 2 have someone
play devil's advocate. =) #RNChat
7/30/2010 21:22
TeriRN: Last job used tokens for auth access. Unfortunately sync was a pain and VERY SLOW.
Not good if U need info quickly #RNChat
7/30/2010 21:24
jtknowles007: @pamsvulcan T1 Now that would be a problem. If u only get half the picture from one
source, something important could be missed !fb #RNchat
7/30/2010 21:25

3. rnchat: Next topic coming up in a moment! #RNchat
7/30/2010 21:26
pamsvulcan: T1 having the data/PHR program linked in with a specific health system could link it in
when a new chart/encounter is created #RNchat
7/30/2010 21:26
nursingpins: T1 records could be kept without names - then providers would have to have a code to
match info with patient names? #rnchat
7/30/2010 21:27
rnchat: T2 The Art of Dignity: Healthcare is Technology-intensive. But preserving human dignity is
an Art. Tell us about your "artistry". #RNchat
7/30/2010 21:28
TeriRN: T1: another prob we had was I could access hosp system, but hosp couldn't access
hospice system. Prob whem pt went 2 hosp for crisis #RNChat
7/30/2010 21:28
pamsvulcan: T1 my hospital has a myhealth website & EHR that is used for inpatient & ambulatory
visits idk if data can be txfr from PHR to EHR #RNchat
7/30/2010 21:29
TeriRN: T2: My latest was helping 13yo dying pt make her last wish 2 attend MS grad I went as
her med support & 2take care of "just in case" #RNChat
7/30/2010 21:30
nursechenene: as an OR nurse I witness daily coworkers who will uncover a pt for whatever purpose and
not cover them back. Forget there's a person #rnchat
7/30/2010 21:31
TeriRN: T2: She looked gr8 & dignity upheld as her classmates greeted her & cheered when she
received her diploma. Hilite of career so far #RNChat
7/30/2010 21:31
TeriRN: @nursechenene Oh one of my pet peeves. I also get irritated when I hear the pt called by
disease or rm # than their name. #RNChat
7/30/2010 21:33
nursingpins: T2 thankfully discretion has been part one of med. longest lasting culture - will cont to
based on tech prof integrity of provider. #rnchat
7/30/2010 21:33
pamsvulcan: @TeriRN I hear u - I evenhve to remind family members that patient has a name
#RNchat
7/30/2010 21:34
TeriRN: @pamsvulcan Ouch. That's not good when family calls them by room or disease.
#RNChat
7/30/2010 21:35
jtknowles007: @TeriRN Wow. That would be heartbreaking to hear someone referred to that way. I'll
avoid that mistake when clinicals start. !fb #RNchat
7/30/2010 21:37
pamsvulcan: @TeriRN usually its 'my brother... in room 2 needs such & such' mind u these r 2 bedded
rooms somebody's brother is in the next bed #RNchat
7/30/2010 21:38

4. TeriRN: @jtknowles007 Had a gr8 instructor who instilled respect & dignity in us RNs I've even
corrected fellow RNs & LPNs Nicely of course #RNChat
7/30/2010 21:39
jtknowles007: @TeriRN - You answered my next question...was going to ask if anyone "called out"
someone who treated patients that way. !fb #RNchat
7/30/2010 21:41
TeriRN: @pamsvulcan Had that happen lots. That's when I say "& UR brother is?" then I respond
w/ I'll B in to see Mr. Jones as soon as I can #RNChat
7/30/2010 21:41
TeriRN: @jtknowles007 I usually will answer back Ms or Mr So&So needs... If they keep insisting
what rm I will say Ms So&So in rm2 #RNChat
7/30/2010 21:42
TeriRN: @jtknowles007 I always try 2 give report by saying Ms So&So who has dementia..... It
helps 2 remind other nurses that they R persons #RNChat
7/30/2010 21:44
rnchat: Our final topic is coming up! #RNchat
7/30/2010 21:46
rnchat: Innuendo Alert: Our next topic is important, but I can see where it could go on a Friday
night ;) Be good, OK? :-) #RNchat
7/30/2010 21:47
rnchat: T3 Sexual Health: SH is as vital as all other kinds. Is Nursing involved in assessing &
addressing SH matters as much as it could? #RNchat
7/30/2010 21:48
holisticnurses: Hi #RNChat folks! Can't join in but wishing you all a great weekend! Looks like great
topics as always. RT @RNchat: Our final topic...
7/30/2010 21:48
TeriRN: T3: No where near enough. I have seen it totally deferred by nurses & MDs. including
myself. #RNChat
7/30/2010 21:49
jtknowles007: @TeriRN T2 - My prev career (photographer) always learned friends & family names, and
used them. Always helped make connections !fb #RNchat
7/30/2010 21:49
dorameulman: #RNchat following the tweets...interesting!
7/30/2010 21:50
TeriRN: T3: My last 2 pts were in their 40's, sexual health should have been addressed even if
tho they R on hospice. Still important. #RNChat
7/30/2010 21:50
TeriRN: @jtknowles007 Pts love it when a nurse remembers their name. Helps make their care
seem personal & that someone cares about them #RNChat
7/30/2010 21:51
pamsvulcan: T3 altenately - we have to convince some pts that their sexual behavior is inappropriate at
this time & advances unwanted #RNchat
7/30/2010 21:54

5. nursingpins: T3 SH is imp and nurses could/should be invo but due to present stafg ratios-what nur
are able to do is VERY limited (priorities #rnchat
7/30/2010 21:56
pamsvulcan: T3 the closest I may get to adressing SH is on dc instructions for postop Gyn/GynOnc pts
detailing vaginal rest #RNchat
7/30/2010 21:56
rnchat: Time flies: We'll be wrapping up in a moment. #RNchat
7/30/2010 21:57
rnchat: Before wrapping up, give us your parting thoughts, Super Nurse advice, pearls of wisdom
or your worst jokes. #RNchat
7/30/2010 21:58
TeriRN: @rnchat Gr8 topics. So glad 2B able 2 join again. Will check out the transcript 4 new
nursing friends. #RNChat
7/30/2010 21:58
jtknowles007: T3 Does gender play a role in SH discussions? Are men able to council women
effectively and vice versa? !fb #RNchat
7/30/2010 21:59
DebErupts: Shit I missed #RNChat
7/30/2010 21:59
nursingpins: Nurses need to reclaim control of whats left of the profession before it is too late. #rnchat
7/30/2010 22:00
pamsvulcan: T3 though it did come up in convo with two of my new RNs re: postop TAH pts. I
reassured them sex was still possible & important #RNchat
7/30/2010 22:00
TeriRN: @jtknowles007 I think it will depend on the nurse & the pt. But it can be done. #RNChat
7/30/2010 22:00
TeriRN: AMEN! RT @nursingpins: Nurses need to reclaim control of whats left of the profession
before it is too late. #RNChat
7/30/2010 22:00
dorameulman: #RNchat all we can do is our best for our pt's, some days we're better than others
because we're human!
7/30/2010 22:02
TeriRN: Gr8 thought! RT @dorameulman: #RNchat all we can do is our best for our pts, some
days were better than others because were human! #RNChat
7/30/2010 22:02
TeriRN: Gr8 chat every1. Looking forward to the next one. #RNChat
7/30/2010 22:03
nursingpins: Thanks Phil "GO NURSING" ---@onlinenursing #rnchat
7/30/2010 22:03
jtknowles007: Thanks for the opportunity to share & learn from everyone! See you next time. !fb
#RNchat

6. 7/30/2010 22:04
NursingCenter: RT @dorameulman #RNchat all we can do is our best for our pt's, some days we're
better than others because we're human!
7/30/2010 22:04
nursingpins: RT @NursingCenter: RT @dorameulman #RNchat all we can do is our best for our pts,
some days were better than others bc we're human! #rnchat
7/30/2010 22:06
eggy1024: @RNchat looks like i missed a good #RNchat. sorry to have missed out. enjoying reading
bits n pieces. happy friday my nsg friends!
7/30/2010 22:28
dorameulman: My thoughts and prayers are with the families and friends of LifeNet 12 Tucson AZ
#RNChat #Nursing
7/30/2010 23:10
TorontoEmerg: RT @NursingCenter: RT @dorameulman #RNchat all we can do is our best for our pt's,
some days we're better than others because we're human!
7/30/2010 23:22