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rnchat:          Well hello there, friends! Welcome to #RNchat. We'll get started in a moment.
                 1/29/2010 20:59


rnchat:          So, introduce yourselves. Tell us who you are, what you do and what you believe.
                 #RNchat
                 1/29/2010 21:00


ocdgirl2000:     #rnchat coffee,& my dog has a huge raw marrow bone.lol!
                 1/29/2010 21:00


nursingpins:     Hey all #rnchat
                 1/29/2010 21:01


grimalkinrn:     #Rnchat I'm a Med Surg RN in Denver, Colorado. I precept new grads and students and
                 believe that good nursing is the key to good recovery.
                 1/29/2010 21:01


seejanenurse:    I am going to miss #RNchat secondary to 0700 shift. I better rest up to optimize immune
                 system.
                 1/29/2010 21:02


rnchat:          @seejanenurse Rest easy! #RNchat
                 1/29/2010 21:02


nursingpins:     vernon - nursingpins -critical care, New Orleans #rnchat
                 1/29/2010 21:02


InfusionNurse:   Good evening all...glad its Friday!! How's everyone tonight? #rnchat
                 1/29/2010 21:03


rnchat:          @InfusionNurse We're good. Welcome! #RNchat
                 1/29/2010 21:04


davedawes:       What on earth is #RNchat?
                 1/29/2010 21:04


grimalkinrn:     Ahhhh.. the internet fails me just in time for #rnchat
                 1/29/2010 21:05


JennaMahanayRN: #RNChat hello happy Friday!
                 1/29/2010 21:06


rnchat:          @davedawes It's a Twitter chat for RNs (although it's open to anyone). See slideshare
                 here - http://rnchat.org - Join in! #RNchat
                 1/29/2010 21:06


grimalkinrn:     @davedawes #rnchat is a weekly three topic hour long chat about different
                 concerns/ideas in the nursing/medical community.
                 1/29/2010 21:06


findkarag:       pacu nurse , washington #RNchat
                 1/29/2010 21:06


chuymatt:        In Olympia, WA as a student about to finish classes and move on to preceptorship.
                 #rnchat
                 1/29/2010 21:06


rnchat:          OK, we'll get started in a moment. Remember to prepend your replies to topics with T1,
                 T2, etc. We recommend http://TweetChat.com #RNchat
                 1/29/2010 21:07


davedawes:       @RNchat Very cool! I take it from the time that this is for American RNs rather than
                 insomniac British RNs :) #RNChat
                 1/29/2010 21:07
chuymatt:          @davedawes we appreciate british insomniacs here! #rnchat
                   1/29/2010 21:08


ocdgirl2000:       #rnchat T1 getting my T warmed up with copy cut an paste
                   1/29/2010 21:08


JennaMahanayRN: Do we have any topics yet? #rnchat
                   1/29/2010 21:08


onlinenursing:     Hey #RNChat tweeps - Terri - MO - FNP, Educator, PhD student, lover of RNChat!
                   1/29/2010 21:08


JennaMahanayRN: Endo/GI nurse, Oregon #RNChat
                   1/29/2010 21:09


rnchat:            T1 Nursing Informatics: What would you include in a Nrsg Informatics undergrad
                   program? What are critical foundations? #RNchat
                   1/29/2010 21:09


EllenRichter:      Wow, nice turnout! Hello folks! I am from S. Florida, a critical care RN & legal nurse
                   consultant happy to be here tonite :) #RNchat
                   1/29/2010 21:09


ocdgirl2000:       #rnchat T1 drum roll.....
                   1/29/2010 21:09


onlinenursing:     T1- Basics of EHR: Security, privacy, clinical decision mking systs, tech support, cost....
                   but what else? #RNChat
                   1/29/2010 21:10


holisticnurses:    Amy, Telehealth/Holistic Nurse...NYC. Hi all! #rnchat
                   1/29/2010 21:11


EllenRichter:      T1 I know nothing about nursing informatics & would love to learn from the responses of
                   others! #RNchat
                   1/29/2010 21:11


chuymatt:          T1= Security should be huge; computer literacy is still an issue with many of the nurses I
                   am enrolled with and work with. #rnchat
                   1/29/2010 21:11


onlinenursing:     Hey nursing students? What do you wish your undergrad nsg informatics instructor would
                   have taught you about technology #RNChat
                   1/29/2010 21:11


rnchat:            @holisticnurses Welcome! #RNchat
                   1/29/2010 21:11


ocdgirl2000:       #rnchat T1 we title each of our 3 topics as we discuss them with a T1 and a #RNchat that
                   way we can stick together! then we move on to T2
                   1/29/2010 21:11


asthehospturRNs: Telemetry nurse here. #rnchat
                   1/29/2010 21:12


rnchat:            @JennaMahanayRN Glad you could make it. #RNchat
                   1/29/2010 21:12


JennaMahanayRN: Wow! I'm clueless about Nursing informatics, can't wait to learn more tho #RNChat
                   1/29/2010 21:12


davedawes:         @chuymatt I feel welcome already and I recognise a few familiar faces namely
                   @onlinenursing (Terri) and @EllenRichter #RNChat
                   1/29/2010 21:12


onlinenursing:     @EllenRichter what do you wish you could learn to help you communicate? Blogging,
onlinenursing:     @EllenRichter what do you wish you could learn to help you communicate? Blogging,
                   twitter, evaluating webpages for validity? #RNChat
                   1/29/2010 21:12


philbaumann:       And I'm the guy who's moderating #RNchat tonight. :)
                   1/29/2010 21:12


nursingpins:       T1 system evaluations - so broad -will ultimately be used to diag. and treat patients
                   #rnchat
                   1/29/2010 21:13


onlinenursing:     @holisticnurses Should undergrad RN's learn about telehealth? #RNChat (that's
                   informatics)
                   1/29/2010 21:13


JennaMahanayRN: @EllenRichter evaluating webpages for validity is huge, especially since there is so much
                "junk" out there. #RNChat
                   1/29/2010 21:13


davedawes:         T1 - we don't really teach nursing informatics in the UK at pre-registration level but there
                   is a growing interest in it post-reg #RNChat
                   1/29/2010 21:14


grimalkinrn:       #RNchat T1 As a nurse with a tech background, I feel that what is missing is the ability to
                   teach informatics. So many mindnumbing classes.
                   1/29/2010 21:14


ocdgirl2000:       #rnchat T1 desire to learn software applications is the biggest hurdle!
                   1/29/2010 21:14


chuymatt:          @onlinenursing I think that is going to be the best way to deal with our ballooning
                   healthcare costs. #rnchat
                   1/29/2010 21:14


rnchat:            @scanman Not at all. Good to see you, Vijay! #RNchat
                   1/29/2010 21:14


holisticnurses:    T1 #rnchat telecommunication, legalities, programming, hippa, practical uses of nursing
                   infoatics
                   1/29/2010 21:14


EllenRichter:      T1 @onlinenursing So thats informatics? Sure a nurse MUST learn about all that in this
                   day & age~ #RNchat
                   1/29/2010 21:14


lisagualtieri:     T1 I teach Online Consumer Health and Web Strategies for Health Communication
                   @TuftsUniversity - are these useful for undergrad RNs? #rnchat
                   1/29/2010 21:15


grimalkinrn:       #RNchat T1 have also seen instructors be very patronizing to experienced RNs who just
                   don't use computers often. Senior RNs deserve respect.
                   1/29/2010 21:16


holisticnurses:    Yes, basics at least. RT @onlinenursing @holisticnurses Should undergrad RN's learn
                   about telehealth? #RNChat (that's informatics)
                   1/29/2010 21:16


davedawes:         T1 I suppose information retreival is a pretty key skill but some of the other aspects of
                   nursing informatics seem optional #RNChat
                   1/29/2010 21:16


EllenRichter:      T1 Nursing is so much more than "Principles & Practices of Nursing Care", its so
                   important to integrate all new technology into educ #RNchat
                   1/29/2010 21:17


nursingpins:       T1 hospitals are going to have to get involved teaching informatics - such a big divide
                   #rnchat
1/29/2010 21:17


JennaMahanayRN: @EllenRichter I agree! #RNChat
                  1/29/2010 21:17


chuymatt:         @grimalkinrn btw, love your name. There needs to be consistent continuing education for
                  technological issues. ... #rnchat
                  1/29/2010 21:18


holisticnurses:   Yes! RT @EllenRichter T1 Nursing is so much more than "Principles & Practices of
                  Nursing Care" #RNchat
                  1/29/2010 21:18


lisagualtieri:    @chuymatt - current students are graduate students. Had 1 RN, @pamressler, would love
                  more! Also had docs. #rnchat
                  1/29/2010 21:18


rnchat:           RT @grimalkinrn: #RNchat T1 have also seen instructors be very patronizing to
                  experienced RNs who just don't use computers often. Senior RNs deserve respect.
                  1/29/2010 21:19


onlinenursing:    @holisticnurses Cool! So if you could pick like 5 telehealth issues/gems, what would they
                  be? #RNChat
                  1/29/2010 21:19


rnchat:           RT @EllenRichter: T1 Nursing is so much more than "Principles & Practices of Nursing
                  Care", its so important to integrate all new technology into educ #RNchat
                  1/29/2010 21:19


grimalkinrn:      RT @chuymatt: There needs to be consistent continuing education for technological
                  issues. ... #rnchat T1 True, you can't just teach once.
                  1/29/2010 21:19


EllenRichter:     T1 I've been out of academia for a long time. I'm kind of shocked that nsg school
                  curriculum isnt FULL of informatics & technology #RNchat
                  1/29/2010 21:20


holisticnurses:   #rnchat and how to read and navigate computer medical records is important. Lots of
                  programs out there
                  1/29/2010 21:20


ocdgirl2000:      #rnchat T1 not cost efficient to invest time putting an RN in front of a computer screen
                  when she can B running around processing PTs in/out
                  1/29/2010 21:20


chuymatt:         T1 maybe a basics class should be taught and a major focus should be made on the
                  particulars for the facility in orientation. #rnchat
                  1/29/2010 21:20


onlinenursing:    Can U tell that I am revamping the nursing informatics course I teach? 6 week - 3 hour
                  course #RNChat want it 2B fun not boring/overwhelming
                  1/29/2010 21:20


EllenRichter:     T1 Gee @onlinenursing Maybe we should all take your course! :) #RNchat
                  1/29/2010 21:21


chuymatt:         @ocdgirl2000 This is a subject of my research tome: designing EMRs to fit the workflow
                  EXACTLY leads to reduced med error. #rnchat
                  1/29/2010 21:22


davedawes:        T1 - I think one of the big challenges and opportunities is that patients can now access so
                  much quality health info themselves #RNChat
                  1/29/2010 21:22


onlinenursing:    @rnchat Great point! I hate patronizing. We are all learning here everyday. If it was FUN
                  it would be way more interesting. #RNChat
1/29/2010 21:22


grimalkinrn:      #rnchat T1 Hospitals also need to invest in the right equipment in order to make
                  informatics easier to swallow. Our workstations are giant!
                  1/29/2010 21:22


InfusionNurse:    agree RT @chuymatt: T1 maybe a basics class be taught & major focus be made on
                  facility in orientation. #rnchat
                  1/29/2010 21:22


holisticnurses:   @grimalkinrn #rnchat And mote nurses designing programs. IT guys don'take it easy!
                  1/29/2010 21:22


JennaMahanayRN: @onlinenursing Are RN informatics courses included in RN schools now? I graduated in
                2008, we didn't have it, would love it! #RNChat
                  1/29/2010 21:22


rnchat:           We're gonna move to our next topic in a moment. #RNchat Feel free to add thoughts on
                  T1 if you'd like, just add T1 to avoid mayhem. :)
                  1/29/2010 21:22


JennaMahanayRN: I agree! RT @EllenRichter: T1 Gee @onlinenursing Maybe we should all take your
                course! :) #RNchat
                  1/29/2010 21:22


RoRod101:         Hello Nurses! :) #RNchat
                  1/29/2010 21:22


EllenRichter:     T1 @ocdgirl2000 I feel we are totally pushed to work with computers in our work areas. I
                  dont really agree with U #RNchat
                  1/29/2010 21:23


chuymatt:         @JennaMahanayRN Tacoma, WA= no nursing informatics here. #rnchat
                  1/29/2010 21:23


rnchat:           @JennaMahanayRN It was included in mine - but it was very numb and basically
                  useless. Coulda been much better. #RNchat
                  1/29/2010 21:23


JennaMahanayRN: Sorry, forgot to add T1 to my posts! #RNChat
                  1/29/2010 21:23


ocdgirl2000:      #rnchat T1 employers prefer RN's who pay for their own courses & ed on their own
                  TIME!lol!
                  1/29/2010 21:23


lisagualtieri:    RT @ocdgirl2000 #rnchat T1 not cost efficient to invest time to putt RN in front of
                  computer when can B running around processing PTs in/out
                  1/29/2010 21:24


grimalkinrn:      T1 #rnchat I feel bulky, cheap equipment slows us down more than it should. Hard to
                  chart in the room when the computer loses connection.
                  1/29/2010 21:24


EllenRichter:     LOL @jennamahanayrn I wont say when I graduated! They didnt even have
                  correctotype!! LMAO #RNchat
                  1/29/2010 21:24


lisagualtieri:    T1: Should RN informatics courses include use of social media? #rnchat
                  1/29/2010 21:25


rnchat:           T2 Green Nursing: What efforts to "green" nursing have you seen. What are biggest
                  priorities? #RNchat
                  1/29/2010 21:25


EllenRichter:     T1 LOL Gee, 10 minutes ago I thought I didn't know what informatics were, now I realize I
                  can teach them! :) #RNchat
can teach them! :) #RNchat
                   1/29/2010 21:25


chuymatt:          @EllenRichter THOSE were the DAYS! The days of the mimeograph! ;) The fact you use
                   twitter speaks well of you. #rnchat
                   1/29/2010 21:25


grimalkinrn:       T2 #RNchat Our hospital implemented recycling programs for packaging and batteries, as
                   well as safer EPA mandated drug disposal systems.
                   1/29/2010 21:26


EllenRichter:      LMAO @chuymatt "mimeograph" brings back such memories! Like Xerox! :) #RNchat
                   1/29/2010 21:26


nursingpins:       RT @EllenRichter: T1 LOL Gee, 10 minutes ago ........smiling #rnchat
                   1/29/2010 21:27


davedawes:         T2 - I have seen social & environmental audits in some health providers although mainly
                   social enterprise ones #RNChat
                   1/29/2010 21:27


philbaumann:       @lisagualtieri I think they should be - the newer generation may not need technical
                   education - but implications of tech explored #RNchat
                   1/29/2010 21:28


EllenRichter:      T2 I think THE biggest thing we all see from day 2 day is recycling of non-medical record
                   paper documents with patient info #RNchat
                   1/29/2010 21:28


onlinenursing:     @grimalkinrn great points. Recycling has been a big one (i.e. glass) and being 'paperless'
                   although I see lots of paper still #RNChat
                   1/29/2010 21:29


grimalkinrn:       @philbaumann T1 #RNchat Newer generation must be more conscious of online privacy.
                   Don't think it is taken seriously by many.
                   1/29/2010 21:29


holisticnurses:    LOL! I'm still getting the hang of this too! RT @JennaMahanayRN Sorry, forgot to add T1
                   to my posts! #RNChat
                   1/29/2010 21:29


EllenRichter:      LOL @nursingpins It scares me how you're always smiling... LMAO ;) #RNchat
                   1/29/2010 21:29


onlinenursing:     RT @philbaumann: I think they should B -newer generation may not need tech ed,but
                   implications of tech explored #RNchat (Re:informatics)
                   1/29/2010 21:30


ocdgirl2000:       #rnchat T2 we JUST started getting conscious of how much paper we use tOO much of
                   where we work!
                   1/29/2010 21:30


davedawes:         This has been great and I wish I could stay but its 2-30am in the morning here so I have
                   to go to sleep #RNChat
                   1/29/2010 21:30


JennaMahanayRN: We are recycling all paper, cardboard /plastic & aluminum at my workplace, but we're
                Oregonians, ha ha! #RNChat
                   1/29/2010 21:30


EllenRichter:      T1 @chuymatt Yes, you hit the nail on the head. Many have no idea how lax we have
                   been with electronic info. We have lots to learn #RNchat
                   1/29/2010 21:31


grimalkinrn:       @davedawes #rnchat Thanks for stopping by!!
                   1/29/2010 21:31
EllenRichter:     @davedawes Bless you for staying THIS long!! Come again! :) #RNchat
                  1/29/2010 21:31


ocdgirl2000:      #rnchat T2 mostly, Nursing has no clue about "greening" in their care..how about wound
                  care supplies?
                  1/29/2010 21:31


EllenRichter:     T2 We recycle batteries too. Not only paper. But we were just talking about setting up a
                  plastics recycle bin. We need more of that #RNchat
                  1/29/2010 21:32


ocdgirl2000:      #rnchat T2 less harmful to the environment? the obvious, of course...
                  1/29/2010 21:32


nursingpins:      T2 such a big difference in hospital policy - some only have (Linen) & ( Trash) others
                  have glass, plastic etc - #rnchat
                  1/29/2010 21:32


JennaMahanayRN: @davedawes, thanks for joining! #RNChat
                  1/29/2010 21:32


rnchat:           T2 As a follow-up (h/t @ocdgirl2000 ) - How aware of "greening" are facilities? #RNchat
                  1/29/2010 21:32


JennaMahanayRN: @ocdgirl2000 T2, good point! We waste so much!!! #RNChat
                  1/29/2010 21:33


NUR3563:          RT @ocdgirl2000: #rnchat T2 mostly, Nursing has no clue about "greening" in their
                  care..how about wound care supplies? (Great point!)
                  1/29/2010 21:33


onlinenursing:    RT @ocdgirl2000: #rnchat T2 mostly, Nursing has no clue about "greening" in their
                  care..how about wound care supplies? (Great point!)
                  1/29/2010 21:33


chuymatt:         T2- how much of the greening is actually "greenwashing?" #rnchat
                  1/29/2010 21:33


InfusionNurse:    As long as sterility and IC practices r not compromised..RT @ocdgirl2000: T2 mostly,
                  Nursing "greening" how abt wound care supplies? #rnchat
                  1/29/2010 21:34


JennaMahanayRN: T2 What happens to all those sharps containers?? #RNChat
                  1/29/2010 21:34


onlinenursing:    #RNChat I have to go too.... kids want snacks (so demanding - feed us, shelter us, clothe
                  us... Kidding). Thanks guys! Love #RNChat
                  1/29/2010 21:34


EllenRichter:     T2 We really DO waste so much in health care, don't we? Whats with that? :( #RNchat
                  1/29/2010 21:35


holisticnurses:   Agreed! Feel like they use "green" but don't follow "green" RT @rnchat T2 ) - How aware
                  of "greening" are facilities? #RNchat
                  1/29/2010 21:36


EllenRichter:     @onlinenursing Good mommy! Thanks for the informatics crash course! :) #RNchat
                  1/29/2010 21:36


nursingpins:      T2 the closer you are to the teaching hosps - the more aware they are - dept. heads in
                  smaller hosps should rotate to larger hosps #rnchat
                  1/29/2010 21:36


EllenRichter:     RT @chuymatt: T2- how much of the greening is actually "greenwashing?" (Gee,
                  hopefully not much!!) #RNchat
1/29/2010 21:37


ocdgirl2000:      #rnchat T2 notice how we don't even think about it or give it a second thought??We don't
                  question where it goes next?or if it hurts animals?
                  1/29/2010 21:37


grimalkinrn:      @ocdgirl2000 Cavicide, etc are toxic to the skin when wet, safe when dry. This is why
                  they should never be left in the room. T2 #rnchat
                  1/29/2010 21:37


EllenRichter:     T2 @nursingpins What a good idea! Actually every person in a small hospital should have
                  to rotate to a teaching facility! #RNchat
                  1/29/2010 21:38


holisticnurses:   Great point! Natural cleaning supplies likely cost more.RT @ocdgirl2000 #rnchat T2 what
                  are they using in the patients rooms to clean?
                  1/29/2010 21:38


nursingpins:      T2 -right now it is priorities - greening is not a priority in most hospitals. #rnchat
                  1/29/2010 21:38


ocdgirl2000:      #rnchat T2 we know the germs are dead,the dressing is changed sterile,& that is the end
                  of our responsibility. correct?
                  1/29/2010 21:39


InfusionNurse:    T2..greening may include proper disposal of medications...not many do it right.. #rnchat
                  1/29/2010 21:39


EllenRichter:     T2 @nursingpins If hospitals got fined for what they threw out in recycle items, maybe
                  the table would turn faster #RNchat
                  1/29/2010 21:40


holisticnurses:   #rnchat Isn't our water full of med byproducts? Big issue for our future. T2
                  1/29/2010 21:40


rnchat:           Nice convo! Our third topic's coming up. #RNchat
                  1/29/2010 21:40


holisticnurses:   Yes, my point exactly! RT @InfusionNurse T2..greening may include proper disposal of
                  medications...not many do it right.. #rnchat
                  1/29/2010 21:41


grimalkinrn:      @ocdgirl2000 #rnchat T2 No, it is our responsibility to make sure biohazards properly
                  disposed of. Germs from old dressings are not dead.
                  1/29/2010 21:41


EllenRichter:     T2 @ocdgirl2000 Interesting point! The chemicals & detergents could be toxic over time.
                  Thats scary. #RNchat
                  1/29/2010 21:41


ocdgirl2000:      #rnchat T2 whose responsibility is it? I guess we should wait till the hospital gets sued?
                  LOL!
                  1/29/2010 21:41


nursingpins:      T2 good idea Ellen- hospitals (for the most part) will not do anything without enforcment
                  #rnchat
                  1/29/2010 21:41


rnchat:           T3 Unrestricted Visiting Hours: What are your thoughts? What might justify restrictions?
                  #RNchat
                  1/29/2010 21:41


InfusionNurse:    T2 greening shouldn't = skimping supplies... #rnchat
                  1/29/2010 21:42


grimalkinrn:      @holisticnurses #RNchat T2 We recently were all retrained on med disposal and new
                  signage placed. Far fewer meds in the water at work, now.
signage placed. Far fewer meds in the water at work, now.
                  1/29/2010 21:42


ocdgirl2000:      @InfusionNurse #rnchat T2 incinerate is the only way, according to dispensing
                  guidelines?
                  1/29/2010 21:45


EllenRichter:     @infusionnurse T3 Family members = any type of significant other #RNchat
                  1/29/2010 21:45


holisticnurses:   When I worked in ICU, loved visiting hours. Pts did better with family around. Explains the
                  jump to Hospice. ;)RT @rnchat T3 #RNchat
                  1/29/2010 21:46


chuymatt:         @ellenRichter -here, here! #rnchat
                  1/29/2010 21:46


EllenRichter:     LOL @nursingpins T3 I absolutely disagree. I think correctly trained & cooperative family
                  members totally rock in ICUs. We need them #RNchat
                  1/29/2010 21:46


grimalkinrn:      @EllenRichter #rnchat T3 It is not up to us to judge who the pt deems as family. But if
                  visitors cause a disruption, they should leave.
                  1/29/2010 21:46


cindythroop:      (Oops, eavesdropping... ) Interesting idea I heard yesterday: include patient's family in
                  grand rounds. #RNchat
                  1/29/2010 21:47


nursingpins:      T3 In critical areas - the emotional roller coaster is to much for many families - esp if
                  many different ones are in and out. #rnchat
                  1/29/2010 21:47


ocdgirl2000:      #rnchat T3 tell ya the truth., pt's don't stay long enough to have to have unrestricted
                  visitors? unless end of life issue?
                  1/29/2010 21:47


EllenRichter:     T3 Now, talking about litigation & falls, there wouldn't be any if the families were there at
                  the time to see how easily it happens! #RNchat
                  1/29/2010 21:47


grimalkinrn:      RT @EllenRichter: T3 Now, talking about litigation & falls, there wouldn't be any if the
                  families were there at the time to see how easily it happens! #RNchat
                  1/29/2010 21:48


nursingpins:      T3 I agree Ellen - family members staying in critical areas should have an orientation first.
                  #rnchat
                  1/29/2010 21:49


EllenRichter:     T3 @cindythroop YES! The doctors wouldnt have families badgering their offices all day
                  for info if they were at grand rounds! #RNchat
                  1/29/2010 21:50


chuymatt:         T3- having an orientation for family members (how to get RRTs, what are bad s/Sx, etc)
                  they could assist us greatly. #rnchat
                  1/29/2010 21:50


holisticnurses:   Yep, more education the better! RT @nursingpins T3 - family members staying in critical
                  areas should have an orientation first. #rnchat
                  1/29/2010 21:50


lisagualtieri:    @rnchat: Great questions - also separate the wheat from the chaff (RNs from lurkers like
                  me) #rnchat
                  1/29/2010 21:50


EllenRichter:     T3 @nursingpins Yes, not nec orientation but absolute limit-setting, like no running to the
nurses station every minute #RNchat
                  1/29/2010 21:50


chuymatt:         @nursingpins well, we are agreed! MAKE it SO! #rnchat
                  1/29/2010 21:51


ocdgirl2000:      #rnchat T2 so many undocumented in this country now, we risk bringing yet MORE
                  communicable disease in an "already vulnerable" population..
                  1/29/2010 21:51


rnchat:           OK, one last topic coming up. #RNchat
                  1/29/2010 21:51


EllenRichter:     @chuymatt Exactly! Families can be our eyes, ears, & can provide emotional stability
                  (most times) when we walk away to do something #RNchat
                  1/29/2010 21:51


EllenRichter:     LOL >> RT @chuymatt: @nursingpins well, we are agreed! MAKE it SO! #RNchat
                  1/29/2010 21:52


EllenRichter:     Oops, I forgot the darn T3 with my last tweet #RNchat
                  1/29/2010 21:52


ocdgirl2000:      #rnchat T2 bringing children into hospital with positive TB tests,never been immunized, or
                  had their hep B..scary! I've seen'em, b-4 school!
                  1/29/2010 21:53


nursingpins:      #rnchat
                  1/29/2010 21:54


ocdgirl2000:      #rnchat T2 carriers of MRSA from serving in the wars..
                  1/29/2010 21:55


rnchat:           T4 Apple's iPad: Do you think such a devise is worth investing in? How could it improve
                  nursing process? (no "pad" jokes ;) #RNchat
                  1/29/2010 21:55


EllenRichter:     T3 @holisticnurses I bet home care would do better if signif others spent more quality
                  time in the hospital learning to care for pt #RNchat
                  1/29/2010 21:55


chuymatt:         T4- In my informatics research, studies show that touch is 2x faster than mouse/kbd
                  combos. If only it were not so shut down... #rnchat
                  1/29/2010 21:56


ocdgirl2000:      #rnchat T2 every time we bring in more visitors, we bring in more exposures. get patients
                  home & back to their "own friendly germs"!
                  1/29/2010 21:56


EllenRichter:     T4 I have only Windows knowledge. I dont know how the iPad works or how it can benefit
                  nursing. But knowing Apple, it can! :) #RNchat
                  1/29/2010 21:56


InfusionNurse:    T4..would wait for next generation before buying..too new to tell yet how it might work in
                  nursing... #rnchat
                  1/29/2010 21:57


grimalkinrn:      @InfusionNurse #rnchat T4 have used other touch screen computers to chart.. loved it.
                  My current hospital doesn't have those.
                  1/29/2010 21:58


holisticnurses:   @EllenRichter T3 #rnchat Indeed! I see challenges RN's face in the hosp. but what I'm
                  seeing is unprepared fams at discharge. It's busy tho
                  1/29/2010 21:58


lisagualtieri:    RT @EllenRichter: T4 I dont know how the iPad works or how it can benefit nursing. But
                  knowing Apple, it can! :) #RNchat
knowing Apple, it can! :) #RNchat
                   1/29/2010 21:58


nursingpins:       T4 I think it will eventually be a big help - but I spent an hr. teaching a nurse how to use
                   the new program IV pumps #rnchat
                   1/29/2010 21:59


grimalkinrn:       #rnchat T4 Screens need to be able to be cleaned. Many hospital cleaners can't be used,
                   makes touchscreens vectors for cdiff, VRE, MRSA.
                   1/29/2010 21:59


EllenRichter:      T4 Call it what you want~iPad, e-prescriptions, EMRs~everythng electronic will help make
                   things safer & more accurate in health care #RNchat
                   1/29/2010 22:00


nursingpins:       T4 hospitals are going to have to get more involved in teaching all the new tech or the
                   divide is going to get greater. #rnchat
                   1/29/2010 22:00


rnchat:            RT @grimalkinrn: #rnchat T4 Screens need to be able to be cleaned. Many hospital
                   cleaners can't be used, makes touchscreens vectors for cdiff, VRE, MRSA.
                   1/29/2010 22:00


EllenRichter:      T4 Good point about infection control & multiple users with electronic equipment.
                   Sometimes we dont think about them! #RNchat
                   1/29/2010 22:00


JennaMahanayRN: T4 being able to "touch" the screen rather than use mouse would seriously speed things
                up! #RNChat
                   1/29/2010 22:00


holisticnurses:    @grimalkinrn #rnchat T4 our homecare RN's use tablets. I assign cases to them, can
                   review info, etc. I say go for it! Tablets at hospitals.
                   1/29/2010 22:00


EllenRichter:      #RNchat Too bad we cant all work together in Twitter General (a teaching hospital, of
                   course) ;)
                   1/29/2010 22:01


ocdgirl2000:       #rnchat T4 oh, we're doing skip T3 thing again!LOL!costs $100 4 the Doc 2 send a
                   homecare RN/co. via insurance co. 4 F/U liason arrangement
                   1/29/2010 22:01


chuymatt:          T4 - a protective coating that is resistant to UV light so that you can have UV banks? I
                   don't know about the resistances. #rnchat
                   1/29/2010 22:02


MeredithGould:     RT @EllenRichter: #RNchat Too bad we cant all work together in Twitter General (a
                   teaching hospital, of course) ;)
                   1/29/2010 22:02


EllenRichter:      OMG LOL @ocdgirl2000 You missed T3??? :) #RNchat
                   1/29/2010 22:02


grimalkinrn:       @EllenRichter #Rnchat Twitter General would be AWESOME. I call charge of the ALL
                   CAPS floor.
                   1/29/2010 22:03


lordofkingz:       RT @JennaMahanayRN: T2 What happens to all those sharps containers?? #RNChat
                   <now there's a question I find myself asking!
                   1/29/2010 22:03


EllenRichter:      @MeredithGould LOL! Thanks for the RT! You could be our first "customer"! :) #RNchat
                   1/29/2010 22:03


philbaumann:       Keyboards are definitely harder to keep clean. Impossible in clinical really. Smooth
surfaces (unibody ideally) would be much easier #RNchat
                  1/29/2010 22:03


holisticnurses:   @EllenRichter T4 #rnchat Good point! Not sure of cleansing policy, bc I don't have one.
                  1/29/2010 22:03


InfusionNurse:    Thanks all, need to sign off...have a great weekend! Till next chat! #rnchat
                  1/29/2010 22:04


ocdgirl2000:      holisticnurses: @grimalkinrn #rnchat T4 EXACTLY! I did this for most of my Nursing
                  career. until I got too old & the insurance sucked!LMAO!
                  1/29/2010 22:04


grimalkinrn:      @philbaumann #rnchat T4 I agree keyboards are harder to clean, but bleach, cavicide can
                  be used. Can't use those on touchscreens.
                  1/29/2010 22:04


MeredithGould:    @EllenRichter I was hoping to become your Director of Communications & get free
                  scrubs. #RNchat
                  1/29/2010 22:04


JennaMahanayRN: @philbaumann Our facility is considering keyboard covers that are removable and
                cleanable! #RNchat
                  1/29/2010 22:05


EllenRichter:     T4 Some touchscreens you cant use with gloves. That is a pain when you are in a patient
                  room & multitasking #RNchat
                  1/29/2010 22:05


rnchat:           @InfusionNurse Thanks for stopping by! Have a good night. #RNchat
                  1/29/2010 22:05


chuymatt:         T4 - so, having 4 pads per nurse, a bank where they can be exposed to high levels of
                  UV and allow for switching out. #rnchat
                  1/29/2010 22:06


markmag:          Shout out to all the peeps on #RNchat
                  1/29/2010 22:06


ocdgirl2000:      @InfusionNurse #rnchat nite!!
                  1/29/2010 22:06


EllenRichter:     You would be superb!! RT @MeredithGould: @EllenRichter I was hoping to become your
                  Director of Communications & get free scrubs. #RNchat
                  1/29/2010 22:06


chuymatt:         @EllenRichter I know that the iPod touch screens are fully functional with gloves. #rnchat
                  1/29/2010 22:06


holisticnurses:   Woot! RT @markmag Shout out to all the peeps on #RNchat
                  1/29/2010 22:07


JoeCascio:        @EllenRichter If people could use their own devices, might mitigate some of the infection
                  issues. #RNChat
                  1/29/2010 22:07


grimalkinrn:      T4 #rnchat Have the pad mounted in the wall of the hospital room WITH a cleansable
                  screen. If each room had this, might be easier.
                  1/29/2010 22:07


EllenRichter:     I must have missed @infusionnurse 's goodbye tweet! Byeeee!! :) #RNchat
                  1/29/2010 22:07


holisticnurses:   @EllenRichter T4 #rnchat That's right! Ever try to use the iPhone wearing winter gloves?
                  Doesn't work. Ha!
                  1/29/2010 22:08
lisagualtieri:     Need to pick up son after school play, thanks for letting me join in! #rnchat
                   1/29/2010 22:08


JennaMahanayRN: Goodnight all, gotta run! Thanks for the great #RNChat tonight!
                   1/29/2010 22:08


EllenRichter:      @JoeCascio Yes but our own devices dont have the medical programs on them! Then
                   theres the whole issue of their info on our property #RNchat
                   1/29/2010 22:08


MeredithGould:     @EllenRichter The scrubs would, of course, need to be purple & I'd like a scoop or
                   Princess neckline. #RNchat
                   1/29/2010 22:08


holisticnurses:    I must have a refurb! Not for me. :) RT @chuymatt @EllenRichter I know that the iPod
                   touch screens are fully functional with gloves. #rnchat
                   1/29/2010 22:08


philbaumann:       @markmag Thank you! #RNchat
                   1/29/2010 22:09


lisagualtieri:     Would appreciate #rnchat help w/study w@PamRessler: Do you blog about your health or
                   know someone who does? http://bit.ly/dkdqTt
                   1/29/2010 22:10


holisticnurses:    Is any healthcare org using Apple? Curious? T4 I know that the iPod touch screens are
                   fully functional with gloves. #rnchat
                   1/29/2010 22:10


JoeCascio:         @EllenRichter EZ to load any app you want on a smart phone. But yeah the data egress
                   issues are real. #RNchat
                   1/29/2010 22:11


nursingpins:       Enjoyed it -got to run - good seeing all -Thanks Phil #rnchat
                   1/29/2010 22:11


rnchat:            We'll be winding down tonight's #RNchat. Feel free to continue chatting.
                   1/29/2010 22:11


EllenRichter:      @lisagualtieri Nice to "see" you again Lisa! :) #RNchat
                   1/29/2010 22:11


holisticnurses:    RT @lisagualtieri Would appreciate #rnchat help w/study. Do you blog about your health
                   or know someone who does? http://bit.ly/dkdqTt
                   1/29/2010 22:12


cyclingwidow:      Darn kids wanting stories & water. Missed #rnchat
                   1/29/2010 22:12


rnchat:            This was an awesome #RNchat tonight! Thank you to everybody - great to see new peeps
                   here!
                   1/29/2010 22:12


chuymatt:          T5- G'night all! #rnchat
                   1/29/2010 22:13


rnchat:            I'll put up a transcript of tonight's #RNchat tomorrow.
                   1/29/2010 22:13


EllenRichter:      Well, Phil, you really had some excellent topics!! Great chat tonight! We didnt stop for a
                   second! Cant wait to read transcript! #RNchat
                   1/29/2010 22:13


ocdgirl2000:       #rnchat we have cheap puters at work..old dells..lol! and standard gov software programs
                   ewww! Maryland Based SMART ..."NOT"!!!LMAO!!
                   1/29/2010 22:13
1/29/2010 22:13


rnchat:           @chuymatt Goodnight - glad you made it! #RNchat
                  1/29/2010 22:13


holisticnurses:   Bye nurses! #rnchat Getting the hang of it. Until next time...
                  1/29/2010 22:13


rnchat:           RT @lisagualtieri: Would appreciate #rnchat help w/study w@PamRessler: Do you blog
                  about your health or know someone who does? http://bit.ly/dkdqTt
                  1/29/2010 22:14


grimalkinrn:      @rnchat Great #rnchat! Glad to see some new tweeps and get to participate for once.
                  Made my sick day better!
                  1/29/2010 22:14


EllenRichter:     @meredithgould I think you missed your calling. Any desire to design scrubwear? ;)
                  #RNchat
                  1/29/2010 22:14


suzishepherd:     Sorry I missed it - just got back in cell phone range. Looking forward to the transcript.
                  #rnchat
                  1/29/2010 22:14


EllenRichter:     Great chat, folks! Too many of you to say goodbye individually!! (((#RNchat))) group hug
                  LOL
                  1/29/2010 22:15


rnchat:           OK, next #RNchat is next Friday 2/5 9pm EST! Look forward to seeing you then!
                  1/29/2010 22:15


rnchat:           RT @EllenRichter: Great chat, folks! Too many of you to say goodbye individually!!
                  (((#RNchat))) group hug LOL
                  1/29/2010 22:16


ocdgirl2000:      #rnchat our specfic software program is "so" specialized,few RN's are using anything
                  remotely like it..heheh..maybe in California & New York
                  1/29/2010 22:16


EllenRichter:     Looking forward to going back & following all the new people from tonight's chat I don't
                  know yet! (don't worry, I wont stalk U) #RNchat
                  1/29/2010 22:17

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RNchat Transcript January 29 2010

  • 1. rnchat: Well hello there, friends! Welcome to #RNchat. We'll get started in a moment. 1/29/2010 20:59 rnchat: So, introduce yourselves. Tell us who you are, what you do and what you believe. #RNchat 1/29/2010 21:00 ocdgirl2000: #rnchat coffee,& my dog has a huge raw marrow bone.lol! 1/29/2010 21:00 nursingpins: Hey all #rnchat 1/29/2010 21:01 grimalkinrn: #Rnchat I'm a Med Surg RN in Denver, Colorado. I precept new grads and students and believe that good nursing is the key to good recovery. 1/29/2010 21:01 seejanenurse: I am going to miss #RNchat secondary to 0700 shift. I better rest up to optimize immune system. 1/29/2010 21:02 rnchat: @seejanenurse Rest easy! #RNchat 1/29/2010 21:02 nursingpins: vernon - nursingpins -critical care, New Orleans #rnchat 1/29/2010 21:02 InfusionNurse: Good evening all...glad its Friday!! How's everyone tonight? #rnchat 1/29/2010 21:03 rnchat: @InfusionNurse We're good. Welcome! #RNchat 1/29/2010 21:04 davedawes: What on earth is #RNchat? 1/29/2010 21:04 grimalkinrn: Ahhhh.. the internet fails me just in time for #rnchat 1/29/2010 21:05 JennaMahanayRN: #RNChat hello happy Friday! 1/29/2010 21:06 rnchat: @davedawes It's a Twitter chat for RNs (although it's open to anyone). See slideshare here - http://rnchat.org - Join in! #RNchat 1/29/2010 21:06 grimalkinrn: @davedawes #rnchat is a weekly three topic hour long chat about different concerns/ideas in the nursing/medical community. 1/29/2010 21:06 findkarag: pacu nurse , washington #RNchat 1/29/2010 21:06 chuymatt: In Olympia, WA as a student about to finish classes and move on to preceptorship. #rnchat 1/29/2010 21:06 rnchat: OK, we'll get started in a moment. Remember to prepend your replies to topics with T1, T2, etc. We recommend http://TweetChat.com #RNchat 1/29/2010 21:07 davedawes: @RNchat Very cool! I take it from the time that this is for American RNs rather than insomniac British RNs :) #RNChat 1/29/2010 21:07
  • 2. chuymatt: @davedawes we appreciate british insomniacs here! #rnchat 1/29/2010 21:08 ocdgirl2000: #rnchat T1 getting my T warmed up with copy cut an paste 1/29/2010 21:08 JennaMahanayRN: Do we have any topics yet? #rnchat 1/29/2010 21:08 onlinenursing: Hey #RNChat tweeps - Terri - MO - FNP, Educator, PhD student, lover of RNChat! 1/29/2010 21:08 JennaMahanayRN: Endo/GI nurse, Oregon #RNChat 1/29/2010 21:09 rnchat: T1 Nursing Informatics: What would you include in a Nrsg Informatics undergrad program? What are critical foundations? #RNchat 1/29/2010 21:09 EllenRichter: Wow, nice turnout! Hello folks! I am from S. Florida, a critical care RN & legal nurse consultant happy to be here tonite :) #RNchat 1/29/2010 21:09 ocdgirl2000: #rnchat T1 drum roll..... 1/29/2010 21:09 onlinenursing: T1- Basics of EHR: Security, privacy, clinical decision mking systs, tech support, cost.... but what else? #RNChat 1/29/2010 21:10 holisticnurses: Amy, Telehealth/Holistic Nurse...NYC. Hi all! #rnchat 1/29/2010 21:11 EllenRichter: T1 I know nothing about nursing informatics & would love to learn from the responses of others! #RNchat 1/29/2010 21:11 chuymatt: T1= Security should be huge; computer literacy is still an issue with many of the nurses I am enrolled with and work with. #rnchat 1/29/2010 21:11 onlinenursing: Hey nursing students? What do you wish your undergrad nsg informatics instructor would have taught you about technology #RNChat 1/29/2010 21:11 rnchat: @holisticnurses Welcome! #RNchat 1/29/2010 21:11 ocdgirl2000: #rnchat T1 we title each of our 3 topics as we discuss them with a T1 and a #RNchat that way we can stick together! then we move on to T2 1/29/2010 21:11 asthehospturRNs: Telemetry nurse here. #rnchat 1/29/2010 21:12 rnchat: @JennaMahanayRN Glad you could make it. #RNchat 1/29/2010 21:12 JennaMahanayRN: Wow! I'm clueless about Nursing informatics, can't wait to learn more tho #RNChat 1/29/2010 21:12 davedawes: @chuymatt I feel welcome already and I recognise a few familiar faces namely @onlinenursing (Terri) and @EllenRichter #RNChat 1/29/2010 21:12 onlinenursing: @EllenRichter what do you wish you could learn to help you communicate? Blogging,
  • 3. onlinenursing: @EllenRichter what do you wish you could learn to help you communicate? Blogging, twitter, evaluating webpages for validity? #RNChat 1/29/2010 21:12 philbaumann: And I'm the guy who's moderating #RNchat tonight. :) 1/29/2010 21:12 nursingpins: T1 system evaluations - so broad -will ultimately be used to diag. and treat patients #rnchat 1/29/2010 21:13 onlinenursing: @holisticnurses Should undergrad RN's learn about telehealth? #RNChat (that's informatics) 1/29/2010 21:13 JennaMahanayRN: @EllenRichter evaluating webpages for validity is huge, especially since there is so much "junk" out there. #RNChat 1/29/2010 21:13 davedawes: T1 - we don't really teach nursing informatics in the UK at pre-registration level but there is a growing interest in it post-reg #RNChat 1/29/2010 21:14 grimalkinrn: #RNchat T1 As a nurse with a tech background, I feel that what is missing is the ability to teach informatics. So many mindnumbing classes. 1/29/2010 21:14 ocdgirl2000: #rnchat T1 desire to learn software applications is the biggest hurdle! 1/29/2010 21:14 chuymatt: @onlinenursing I think that is going to be the best way to deal with our ballooning healthcare costs. #rnchat 1/29/2010 21:14 rnchat: @scanman Not at all. Good to see you, Vijay! #RNchat 1/29/2010 21:14 holisticnurses: T1 #rnchat telecommunication, legalities, programming, hippa, practical uses of nursing infoatics 1/29/2010 21:14 EllenRichter: T1 @onlinenursing So thats informatics? Sure a nurse MUST learn about all that in this day & age~ #RNchat 1/29/2010 21:14 lisagualtieri: T1 I teach Online Consumer Health and Web Strategies for Health Communication @TuftsUniversity - are these useful for undergrad RNs? #rnchat 1/29/2010 21:15 grimalkinrn: #RNchat T1 have also seen instructors be very patronizing to experienced RNs who just don't use computers often. Senior RNs deserve respect. 1/29/2010 21:16 holisticnurses: Yes, basics at least. RT @onlinenursing @holisticnurses Should undergrad RN's learn about telehealth? #RNChat (that's informatics) 1/29/2010 21:16 davedawes: T1 I suppose information retreival is a pretty key skill but some of the other aspects of nursing informatics seem optional #RNChat 1/29/2010 21:16 EllenRichter: T1 Nursing is so much more than "Principles & Practices of Nursing Care", its so important to integrate all new technology into educ #RNchat 1/29/2010 21:17 nursingpins: T1 hospitals are going to have to get involved teaching informatics - such a big divide #rnchat
  • 4. 1/29/2010 21:17 JennaMahanayRN: @EllenRichter I agree! #RNChat 1/29/2010 21:17 chuymatt: @grimalkinrn btw, love your name. There needs to be consistent continuing education for technological issues. ... #rnchat 1/29/2010 21:18 holisticnurses: Yes! RT @EllenRichter T1 Nursing is so much more than "Principles & Practices of Nursing Care" #RNchat 1/29/2010 21:18 lisagualtieri: @chuymatt - current students are graduate students. Had 1 RN, @pamressler, would love more! Also had docs. #rnchat 1/29/2010 21:18 rnchat: RT @grimalkinrn: #RNchat T1 have also seen instructors be very patronizing to experienced RNs who just don't use computers often. Senior RNs deserve respect. 1/29/2010 21:19 onlinenursing: @holisticnurses Cool! So if you could pick like 5 telehealth issues/gems, what would they be? #RNChat 1/29/2010 21:19 rnchat: RT @EllenRichter: T1 Nursing is so much more than "Principles & Practices of Nursing Care", its so important to integrate all new technology into educ #RNchat 1/29/2010 21:19 grimalkinrn: RT @chuymatt: There needs to be consistent continuing education for technological issues. ... #rnchat T1 True, you can't just teach once. 1/29/2010 21:19 EllenRichter: T1 I've been out of academia for a long time. I'm kind of shocked that nsg school curriculum isnt FULL of informatics & technology #RNchat 1/29/2010 21:20 holisticnurses: #rnchat and how to read and navigate computer medical records is important. Lots of programs out there 1/29/2010 21:20 ocdgirl2000: #rnchat T1 not cost efficient to invest time putting an RN in front of a computer screen when she can B running around processing PTs in/out 1/29/2010 21:20 chuymatt: T1 maybe a basics class should be taught and a major focus should be made on the particulars for the facility in orientation. #rnchat 1/29/2010 21:20 onlinenursing: Can U tell that I am revamping the nursing informatics course I teach? 6 week - 3 hour course #RNChat want it 2B fun not boring/overwhelming 1/29/2010 21:20 EllenRichter: T1 Gee @onlinenursing Maybe we should all take your course! :) #RNchat 1/29/2010 21:21 chuymatt: @ocdgirl2000 This is a subject of my research tome: designing EMRs to fit the workflow EXACTLY leads to reduced med error. #rnchat 1/29/2010 21:22 davedawes: T1 - I think one of the big challenges and opportunities is that patients can now access so much quality health info themselves #RNChat 1/29/2010 21:22 onlinenursing: @rnchat Great point! I hate patronizing. We are all learning here everyday. If it was FUN it would be way more interesting. #RNChat
  • 5. 1/29/2010 21:22 grimalkinrn: #rnchat T1 Hospitals also need to invest in the right equipment in order to make informatics easier to swallow. Our workstations are giant! 1/29/2010 21:22 InfusionNurse: agree RT @chuymatt: T1 maybe a basics class be taught & major focus be made on facility in orientation. #rnchat 1/29/2010 21:22 holisticnurses: @grimalkinrn #rnchat And mote nurses designing programs. IT guys don'take it easy! 1/29/2010 21:22 JennaMahanayRN: @onlinenursing Are RN informatics courses included in RN schools now? I graduated in 2008, we didn't have it, would love it! #RNChat 1/29/2010 21:22 rnchat: We're gonna move to our next topic in a moment. #RNchat Feel free to add thoughts on T1 if you'd like, just add T1 to avoid mayhem. :) 1/29/2010 21:22 JennaMahanayRN: I agree! RT @EllenRichter: T1 Gee @onlinenursing Maybe we should all take your course! :) #RNchat 1/29/2010 21:22 RoRod101: Hello Nurses! :) #RNchat 1/29/2010 21:22 EllenRichter: T1 @ocdgirl2000 I feel we are totally pushed to work with computers in our work areas. I dont really agree with U #RNchat 1/29/2010 21:23 chuymatt: @JennaMahanayRN Tacoma, WA= no nursing informatics here. #rnchat 1/29/2010 21:23 rnchat: @JennaMahanayRN It was included in mine - but it was very numb and basically useless. Coulda been much better. #RNchat 1/29/2010 21:23 JennaMahanayRN: Sorry, forgot to add T1 to my posts! #RNChat 1/29/2010 21:23 ocdgirl2000: #rnchat T1 employers prefer RN's who pay for their own courses & ed on their own TIME!lol! 1/29/2010 21:23 lisagualtieri: RT @ocdgirl2000 #rnchat T1 not cost efficient to invest time to putt RN in front of computer when can B running around processing PTs in/out 1/29/2010 21:24 grimalkinrn: T1 #rnchat I feel bulky, cheap equipment slows us down more than it should. Hard to chart in the room when the computer loses connection. 1/29/2010 21:24 EllenRichter: LOL @jennamahanayrn I wont say when I graduated! They didnt even have correctotype!! LMAO #RNchat 1/29/2010 21:24 lisagualtieri: T1: Should RN informatics courses include use of social media? #rnchat 1/29/2010 21:25 rnchat: T2 Green Nursing: What efforts to "green" nursing have you seen. What are biggest priorities? #RNchat 1/29/2010 21:25 EllenRichter: T1 LOL Gee, 10 minutes ago I thought I didn't know what informatics were, now I realize I can teach them! :) #RNchat
  • 6. can teach them! :) #RNchat 1/29/2010 21:25 chuymatt: @EllenRichter THOSE were the DAYS! The days of the mimeograph! ;) The fact you use twitter speaks well of you. #rnchat 1/29/2010 21:25 grimalkinrn: T2 #RNchat Our hospital implemented recycling programs for packaging and batteries, as well as safer EPA mandated drug disposal systems. 1/29/2010 21:26 EllenRichter: LMAO @chuymatt "mimeograph" brings back such memories! Like Xerox! :) #RNchat 1/29/2010 21:26 nursingpins: RT @EllenRichter: T1 LOL Gee, 10 minutes ago ........smiling #rnchat 1/29/2010 21:27 davedawes: T2 - I have seen social & environmental audits in some health providers although mainly social enterprise ones #RNChat 1/29/2010 21:27 philbaumann: @lisagualtieri I think they should be - the newer generation may not need technical education - but implications of tech explored #RNchat 1/29/2010 21:28 EllenRichter: T2 I think THE biggest thing we all see from day 2 day is recycling of non-medical record paper documents with patient info #RNchat 1/29/2010 21:28 onlinenursing: @grimalkinrn great points. Recycling has been a big one (i.e. glass) and being 'paperless' although I see lots of paper still #RNChat 1/29/2010 21:29 grimalkinrn: @philbaumann T1 #RNchat Newer generation must be more conscious of online privacy. Don't think it is taken seriously by many. 1/29/2010 21:29 holisticnurses: LOL! I'm still getting the hang of this too! RT @JennaMahanayRN Sorry, forgot to add T1 to my posts! #RNChat 1/29/2010 21:29 EllenRichter: LOL @nursingpins It scares me how you're always smiling... LMAO ;) #RNchat 1/29/2010 21:29 onlinenursing: RT @philbaumann: I think they should B -newer generation may not need tech ed,but implications of tech explored #RNchat (Re:informatics) 1/29/2010 21:30 ocdgirl2000: #rnchat T2 we JUST started getting conscious of how much paper we use tOO much of where we work! 1/29/2010 21:30 davedawes: This has been great and I wish I could stay but its 2-30am in the morning here so I have to go to sleep #RNChat 1/29/2010 21:30 JennaMahanayRN: We are recycling all paper, cardboard /plastic & aluminum at my workplace, but we're Oregonians, ha ha! #RNChat 1/29/2010 21:30 EllenRichter: T1 @chuymatt Yes, you hit the nail on the head. Many have no idea how lax we have been with electronic info. We have lots to learn #RNchat 1/29/2010 21:31 grimalkinrn: @davedawes #rnchat Thanks for stopping by!! 1/29/2010 21:31
  • 7. EllenRichter: @davedawes Bless you for staying THIS long!! Come again! :) #RNchat 1/29/2010 21:31 ocdgirl2000: #rnchat T2 mostly, Nursing has no clue about "greening" in their care..how about wound care supplies? 1/29/2010 21:31 EllenRichter: T2 We recycle batteries too. Not only paper. But we were just talking about setting up a plastics recycle bin. We need more of that #RNchat 1/29/2010 21:32 ocdgirl2000: #rnchat T2 less harmful to the environment? the obvious, of course... 1/29/2010 21:32 nursingpins: T2 such a big difference in hospital policy - some only have (Linen) & ( Trash) others have glass, plastic etc - #rnchat 1/29/2010 21:32 JennaMahanayRN: @davedawes, thanks for joining! #RNChat 1/29/2010 21:32 rnchat: T2 As a follow-up (h/t @ocdgirl2000 ) - How aware of "greening" are facilities? #RNchat 1/29/2010 21:32 JennaMahanayRN: @ocdgirl2000 T2, good point! We waste so much!!! #RNChat 1/29/2010 21:33 NUR3563: RT @ocdgirl2000: #rnchat T2 mostly, Nursing has no clue about "greening" in their care..how about wound care supplies? (Great point!) 1/29/2010 21:33 onlinenursing: RT @ocdgirl2000: #rnchat T2 mostly, Nursing has no clue about "greening" in their care..how about wound care supplies? (Great point!) 1/29/2010 21:33 chuymatt: T2- how much of the greening is actually "greenwashing?" #rnchat 1/29/2010 21:33 InfusionNurse: As long as sterility and IC practices r not compromised..RT @ocdgirl2000: T2 mostly, Nursing "greening" how abt wound care supplies? #rnchat 1/29/2010 21:34 JennaMahanayRN: T2 What happens to all those sharps containers?? #RNChat 1/29/2010 21:34 onlinenursing: #RNChat I have to go too.... kids want snacks (so demanding - feed us, shelter us, clothe us... Kidding). Thanks guys! Love #RNChat 1/29/2010 21:34 EllenRichter: T2 We really DO waste so much in health care, don't we? Whats with that? :( #RNchat 1/29/2010 21:35 holisticnurses: Agreed! Feel like they use "green" but don't follow "green" RT @rnchat T2 ) - How aware of "greening" are facilities? #RNchat 1/29/2010 21:36 EllenRichter: @onlinenursing Good mommy! Thanks for the informatics crash course! :) #RNchat 1/29/2010 21:36 nursingpins: T2 the closer you are to the teaching hosps - the more aware they are - dept. heads in smaller hosps should rotate to larger hosps #rnchat 1/29/2010 21:36 EllenRichter: RT @chuymatt: T2- how much of the greening is actually "greenwashing?" (Gee, hopefully not much!!) #RNchat
  • 8. 1/29/2010 21:37 ocdgirl2000: #rnchat T2 notice how we don't even think about it or give it a second thought??We don't question where it goes next?or if it hurts animals? 1/29/2010 21:37 grimalkinrn: @ocdgirl2000 Cavicide, etc are toxic to the skin when wet, safe when dry. This is why they should never be left in the room. T2 #rnchat 1/29/2010 21:37 EllenRichter: T2 @nursingpins What a good idea! Actually every person in a small hospital should have to rotate to a teaching facility! #RNchat 1/29/2010 21:38 holisticnurses: Great point! Natural cleaning supplies likely cost more.RT @ocdgirl2000 #rnchat T2 what are they using in the patients rooms to clean? 1/29/2010 21:38 nursingpins: T2 -right now it is priorities - greening is not a priority in most hospitals. #rnchat 1/29/2010 21:38 ocdgirl2000: #rnchat T2 we know the germs are dead,the dressing is changed sterile,& that is the end of our responsibility. correct? 1/29/2010 21:39 InfusionNurse: T2..greening may include proper disposal of medications...not many do it right.. #rnchat 1/29/2010 21:39 EllenRichter: T2 @nursingpins If hospitals got fined for what they threw out in recycle items, maybe the table would turn faster #RNchat 1/29/2010 21:40 holisticnurses: #rnchat Isn't our water full of med byproducts? Big issue for our future. T2 1/29/2010 21:40 rnchat: Nice convo! Our third topic's coming up. #RNchat 1/29/2010 21:40 holisticnurses: Yes, my point exactly! RT @InfusionNurse T2..greening may include proper disposal of medications...not many do it right.. #rnchat 1/29/2010 21:41 grimalkinrn: @ocdgirl2000 #rnchat T2 No, it is our responsibility to make sure biohazards properly disposed of. Germs from old dressings are not dead. 1/29/2010 21:41 EllenRichter: T2 @ocdgirl2000 Interesting point! The chemicals & detergents could be toxic over time. Thats scary. #RNchat 1/29/2010 21:41 ocdgirl2000: #rnchat T2 whose responsibility is it? I guess we should wait till the hospital gets sued? LOL! 1/29/2010 21:41 nursingpins: T2 good idea Ellen- hospitals (for the most part) will not do anything without enforcment #rnchat 1/29/2010 21:41 rnchat: T3 Unrestricted Visiting Hours: What are your thoughts? What might justify restrictions? #RNchat 1/29/2010 21:41 InfusionNurse: T2 greening shouldn't = skimping supplies... #rnchat 1/29/2010 21:42 grimalkinrn: @holisticnurses #RNchat T2 We recently were all retrained on med disposal and new signage placed. Far fewer meds in the water at work, now.
  • 9. signage placed. Far fewer meds in the water at work, now. 1/29/2010 21:42 ocdgirl2000: @InfusionNurse #rnchat T2 incinerate is the only way, according to dispensing guidelines? 1/29/2010 21:45 EllenRichter: @infusionnurse T3 Family members = any type of significant other #RNchat 1/29/2010 21:45 holisticnurses: When I worked in ICU, loved visiting hours. Pts did better with family around. Explains the jump to Hospice. ;)RT @rnchat T3 #RNchat 1/29/2010 21:46 chuymatt: @ellenRichter -here, here! #rnchat 1/29/2010 21:46 EllenRichter: LOL @nursingpins T3 I absolutely disagree. I think correctly trained & cooperative family members totally rock in ICUs. We need them #RNchat 1/29/2010 21:46 grimalkinrn: @EllenRichter #rnchat T3 It is not up to us to judge who the pt deems as family. But if visitors cause a disruption, they should leave. 1/29/2010 21:46 cindythroop: (Oops, eavesdropping... ) Interesting idea I heard yesterday: include patient's family in grand rounds. #RNchat 1/29/2010 21:47 nursingpins: T3 In critical areas - the emotional roller coaster is to much for many families - esp if many different ones are in and out. #rnchat 1/29/2010 21:47 ocdgirl2000: #rnchat T3 tell ya the truth., pt's don't stay long enough to have to have unrestricted visitors? unless end of life issue? 1/29/2010 21:47 EllenRichter: T3 Now, talking about litigation & falls, there wouldn't be any if the families were there at the time to see how easily it happens! #RNchat 1/29/2010 21:47 grimalkinrn: RT @EllenRichter: T3 Now, talking about litigation & falls, there wouldn't be any if the families were there at the time to see how easily it happens! #RNchat 1/29/2010 21:48 nursingpins: T3 I agree Ellen - family members staying in critical areas should have an orientation first. #rnchat 1/29/2010 21:49 EllenRichter: T3 @cindythroop YES! The doctors wouldnt have families badgering their offices all day for info if they were at grand rounds! #RNchat 1/29/2010 21:50 chuymatt: T3- having an orientation for family members (how to get RRTs, what are bad s/Sx, etc) they could assist us greatly. #rnchat 1/29/2010 21:50 holisticnurses: Yep, more education the better! RT @nursingpins T3 - family members staying in critical areas should have an orientation first. #rnchat 1/29/2010 21:50 lisagualtieri: @rnchat: Great questions - also separate the wheat from the chaff (RNs from lurkers like me) #rnchat 1/29/2010 21:50 EllenRichter: T3 @nursingpins Yes, not nec orientation but absolute limit-setting, like no running to the
  • 10. nurses station every minute #RNchat 1/29/2010 21:50 chuymatt: @nursingpins well, we are agreed! MAKE it SO! #rnchat 1/29/2010 21:51 ocdgirl2000: #rnchat T2 so many undocumented in this country now, we risk bringing yet MORE communicable disease in an "already vulnerable" population.. 1/29/2010 21:51 rnchat: OK, one last topic coming up. #RNchat 1/29/2010 21:51 EllenRichter: @chuymatt Exactly! Families can be our eyes, ears, & can provide emotional stability (most times) when we walk away to do something #RNchat 1/29/2010 21:51 EllenRichter: LOL >> RT @chuymatt: @nursingpins well, we are agreed! MAKE it SO! #RNchat 1/29/2010 21:52 EllenRichter: Oops, I forgot the darn T3 with my last tweet #RNchat 1/29/2010 21:52 ocdgirl2000: #rnchat T2 bringing children into hospital with positive TB tests,never been immunized, or had their hep B..scary! I've seen'em, b-4 school! 1/29/2010 21:53 nursingpins: #rnchat 1/29/2010 21:54 ocdgirl2000: #rnchat T2 carriers of MRSA from serving in the wars.. 1/29/2010 21:55 rnchat: T4 Apple's iPad: Do you think such a devise is worth investing in? How could it improve nursing process? (no "pad" jokes ;) #RNchat 1/29/2010 21:55 EllenRichter: T3 @holisticnurses I bet home care would do better if signif others spent more quality time in the hospital learning to care for pt #RNchat 1/29/2010 21:55 chuymatt: T4- In my informatics research, studies show that touch is 2x faster than mouse/kbd combos. If only it were not so shut down... #rnchat 1/29/2010 21:56 ocdgirl2000: #rnchat T2 every time we bring in more visitors, we bring in more exposures. get patients home & back to their "own friendly germs"! 1/29/2010 21:56 EllenRichter: T4 I have only Windows knowledge. I dont know how the iPad works or how it can benefit nursing. But knowing Apple, it can! :) #RNchat 1/29/2010 21:56 InfusionNurse: T4..would wait for next generation before buying..too new to tell yet how it might work in nursing... #rnchat 1/29/2010 21:57 grimalkinrn: @InfusionNurse #rnchat T4 have used other touch screen computers to chart.. loved it. My current hospital doesn't have those. 1/29/2010 21:58 holisticnurses: @EllenRichter T3 #rnchat Indeed! I see challenges RN's face in the hosp. but what I'm seeing is unprepared fams at discharge. It's busy tho 1/29/2010 21:58 lisagualtieri: RT @EllenRichter: T4 I dont know how the iPad works or how it can benefit nursing. But knowing Apple, it can! :) #RNchat
  • 11. knowing Apple, it can! :) #RNchat 1/29/2010 21:58 nursingpins: T4 I think it will eventually be a big help - but I spent an hr. teaching a nurse how to use the new program IV pumps #rnchat 1/29/2010 21:59 grimalkinrn: #rnchat T4 Screens need to be able to be cleaned. Many hospital cleaners can't be used, makes touchscreens vectors for cdiff, VRE, MRSA. 1/29/2010 21:59 EllenRichter: T4 Call it what you want~iPad, e-prescriptions, EMRs~everythng electronic will help make things safer & more accurate in health care #RNchat 1/29/2010 22:00 nursingpins: T4 hospitals are going to have to get more involved in teaching all the new tech or the divide is going to get greater. #rnchat 1/29/2010 22:00 rnchat: RT @grimalkinrn: #rnchat T4 Screens need to be able to be cleaned. Many hospital cleaners can't be used, makes touchscreens vectors for cdiff, VRE, MRSA. 1/29/2010 22:00 EllenRichter: T4 Good point about infection control & multiple users with electronic equipment. Sometimes we dont think about them! #RNchat 1/29/2010 22:00 JennaMahanayRN: T4 being able to "touch" the screen rather than use mouse would seriously speed things up! #RNChat 1/29/2010 22:00 holisticnurses: @grimalkinrn #rnchat T4 our homecare RN's use tablets. I assign cases to them, can review info, etc. I say go for it! Tablets at hospitals. 1/29/2010 22:00 EllenRichter: #RNchat Too bad we cant all work together in Twitter General (a teaching hospital, of course) ;) 1/29/2010 22:01 ocdgirl2000: #rnchat T4 oh, we're doing skip T3 thing again!LOL!costs $100 4 the Doc 2 send a homecare RN/co. via insurance co. 4 F/U liason arrangement 1/29/2010 22:01 chuymatt: T4 - a protective coating that is resistant to UV light so that you can have UV banks? I don't know about the resistances. #rnchat 1/29/2010 22:02 MeredithGould: RT @EllenRichter: #RNchat Too bad we cant all work together in Twitter General (a teaching hospital, of course) ;) 1/29/2010 22:02 EllenRichter: OMG LOL @ocdgirl2000 You missed T3??? :) #RNchat 1/29/2010 22:02 grimalkinrn: @EllenRichter #Rnchat Twitter General would be AWESOME. I call charge of the ALL CAPS floor. 1/29/2010 22:03 lordofkingz: RT @JennaMahanayRN: T2 What happens to all those sharps containers?? #RNChat <now there's a question I find myself asking! 1/29/2010 22:03 EllenRichter: @MeredithGould LOL! Thanks for the RT! You could be our first "customer"! :) #RNchat 1/29/2010 22:03 philbaumann: Keyboards are definitely harder to keep clean. Impossible in clinical really. Smooth
  • 12. surfaces (unibody ideally) would be much easier #RNchat 1/29/2010 22:03 holisticnurses: @EllenRichter T4 #rnchat Good point! Not sure of cleansing policy, bc I don't have one. 1/29/2010 22:03 InfusionNurse: Thanks all, need to sign off...have a great weekend! Till next chat! #rnchat 1/29/2010 22:04 ocdgirl2000: holisticnurses: @grimalkinrn #rnchat T4 EXACTLY! I did this for most of my Nursing career. until I got too old & the insurance sucked!LMAO! 1/29/2010 22:04 grimalkinrn: @philbaumann #rnchat T4 I agree keyboards are harder to clean, but bleach, cavicide can be used. Can't use those on touchscreens. 1/29/2010 22:04 MeredithGould: @EllenRichter I was hoping to become your Director of Communications & get free scrubs. #RNchat 1/29/2010 22:04 JennaMahanayRN: @philbaumann Our facility is considering keyboard covers that are removable and cleanable! #RNchat 1/29/2010 22:05 EllenRichter: T4 Some touchscreens you cant use with gloves. That is a pain when you are in a patient room & multitasking #RNchat 1/29/2010 22:05 rnchat: @InfusionNurse Thanks for stopping by! Have a good night. #RNchat 1/29/2010 22:05 chuymatt: T4 - so, having 4 pads per nurse, a bank where they can be exposed to high levels of UV and allow for switching out. #rnchat 1/29/2010 22:06 markmag: Shout out to all the peeps on #RNchat 1/29/2010 22:06 ocdgirl2000: @InfusionNurse #rnchat nite!! 1/29/2010 22:06 EllenRichter: You would be superb!! RT @MeredithGould: @EllenRichter I was hoping to become your Director of Communications & get free scrubs. #RNchat 1/29/2010 22:06 chuymatt: @EllenRichter I know that the iPod touch screens are fully functional with gloves. #rnchat 1/29/2010 22:06 holisticnurses: Woot! RT @markmag Shout out to all the peeps on #RNchat 1/29/2010 22:07 JoeCascio: @EllenRichter If people could use their own devices, might mitigate some of the infection issues. #RNChat 1/29/2010 22:07 grimalkinrn: T4 #rnchat Have the pad mounted in the wall of the hospital room WITH a cleansable screen. If each room had this, might be easier. 1/29/2010 22:07 EllenRichter: I must have missed @infusionnurse 's goodbye tweet! Byeeee!! :) #RNchat 1/29/2010 22:07 holisticnurses: @EllenRichter T4 #rnchat That's right! Ever try to use the iPhone wearing winter gloves? Doesn't work. Ha! 1/29/2010 22:08
  • 13. lisagualtieri: Need to pick up son after school play, thanks for letting me join in! #rnchat 1/29/2010 22:08 JennaMahanayRN: Goodnight all, gotta run! Thanks for the great #RNChat tonight! 1/29/2010 22:08 EllenRichter: @JoeCascio Yes but our own devices dont have the medical programs on them! Then theres the whole issue of their info on our property #RNchat 1/29/2010 22:08 MeredithGould: @EllenRichter The scrubs would, of course, need to be purple & I'd like a scoop or Princess neckline. #RNchat 1/29/2010 22:08 holisticnurses: I must have a refurb! Not for me. :) RT @chuymatt @EllenRichter I know that the iPod touch screens are fully functional with gloves. #rnchat 1/29/2010 22:08 philbaumann: @markmag Thank you! #RNchat 1/29/2010 22:09 lisagualtieri: Would appreciate #rnchat help w/study w@PamRessler: Do you blog about your health or know someone who does? http://bit.ly/dkdqTt 1/29/2010 22:10 holisticnurses: Is any healthcare org using Apple? Curious? T4 I know that the iPod touch screens are fully functional with gloves. #rnchat 1/29/2010 22:10 JoeCascio: @EllenRichter EZ to load any app you want on a smart phone. But yeah the data egress issues are real. #RNchat 1/29/2010 22:11 nursingpins: Enjoyed it -got to run - good seeing all -Thanks Phil #rnchat 1/29/2010 22:11 rnchat: We'll be winding down tonight's #RNchat. Feel free to continue chatting. 1/29/2010 22:11 EllenRichter: @lisagualtieri Nice to "see" you again Lisa! :) #RNchat 1/29/2010 22:11 holisticnurses: RT @lisagualtieri Would appreciate #rnchat help w/study. Do you blog about your health or know someone who does? http://bit.ly/dkdqTt 1/29/2010 22:12 cyclingwidow: Darn kids wanting stories & water. Missed #rnchat 1/29/2010 22:12 rnchat: This was an awesome #RNchat tonight! Thank you to everybody - great to see new peeps here! 1/29/2010 22:12 chuymatt: T5- G'night all! #rnchat 1/29/2010 22:13 rnchat: I'll put up a transcript of tonight's #RNchat tomorrow. 1/29/2010 22:13 EllenRichter: Well, Phil, you really had some excellent topics!! Great chat tonight! We didnt stop for a second! Cant wait to read transcript! #RNchat 1/29/2010 22:13 ocdgirl2000: #rnchat we have cheap puters at work..old dells..lol! and standard gov software programs ewww! Maryland Based SMART ..."NOT"!!!LMAO!! 1/29/2010 22:13
  • 14. 1/29/2010 22:13 rnchat: @chuymatt Goodnight - glad you made it! #RNchat 1/29/2010 22:13 holisticnurses: Bye nurses! #rnchat Getting the hang of it. Until next time... 1/29/2010 22:13 rnchat: RT @lisagualtieri: Would appreciate #rnchat help w/study w@PamRessler: Do you blog about your health or know someone who does? http://bit.ly/dkdqTt 1/29/2010 22:14 grimalkinrn: @rnchat Great #rnchat! Glad to see some new tweeps and get to participate for once. Made my sick day better! 1/29/2010 22:14 EllenRichter: @meredithgould I think you missed your calling. Any desire to design scrubwear? ;) #RNchat 1/29/2010 22:14 suzishepherd: Sorry I missed it - just got back in cell phone range. Looking forward to the transcript. #rnchat 1/29/2010 22:14 EllenRichter: Great chat, folks! Too many of you to say goodbye individually!! (((#RNchat))) group hug LOL 1/29/2010 22:15 rnchat: OK, next #RNchat is next Friday 2/5 9pm EST! Look forward to seeing you then! 1/29/2010 22:15 rnchat: RT @EllenRichter: Great chat, folks! Too many of you to say goodbye individually!! (((#RNchat))) group hug LOL 1/29/2010 22:16 ocdgirl2000: #rnchat our specfic software program is "so" specialized,few RN's are using anything remotely like it..heheh..maybe in California & New York 1/29/2010 22:16 EllenRichter: Looking forward to going back & following all the new people from tonight's chat I don't know yet! (don't worry, I wont stalk U) #RNchat 1/29/2010 22:17