Transcript of RNchat - a Twitter chat for Registered Nurses - for Friday, May 21, 2010. Follow @RNchat on Twitter: http://Twitter.com/RNchat Topics: T1 We see more implantable defibrillators each year. How do we address turning it off during end-of-life palliative care? T2 Does the Nursing Care Plan you use at work help to guide your nursing care or is it an additional task to complete each day?

1. EllenRichter: Great time to mention that one of the #RNchat topics today will discuss implantable
defibrillators & their effect on DNR status.
5/21/2010 09:10
rnchat: RT @EllenRichter Great time to mention that an #RNchat topic today will discuss
implantable defibrillators & their effect on DNR status.
5/21/2010 09:11
EllenRichter: Twitter #nurses come join us today @ 11:30 AM EST for our TGIF edition of #RNchat
where we will discuss the validity of "Nursing Care Plans"
5/21/2010 09:16
visiting_nurse: support article 4 topic http://bit.ly/arp8vv RT @EllenRichter: #RNchat topics implantable
defibrillators & effect on DNR status.
5/21/2010 09:42
visiting_nurse: To the Visiting Nurses FB Fans http://bit.ly/9PTUlE come out on Twitter #RNchat
@11:30am http://bit.ly/cs36oS topic... http://bit.ly/avwJHl
5/21/2010 09:56
TeriRN: @EllenRichter in my job @ KP hospice we talk 2 the pt & fam about turning defib off.
Painful when fires as pt is dying. #RNChat.
5/21/2010 10:17
visiting_nurse: Hi! @TeriRN Do you have a formal policy & procedure 4 hospice & defrib or is it just a
practice incorporated in2 pt. care process? #RNChat
5/21/2010 10:52
EllenRichter: Thanks so much to @Visiting_Nurse for sharing a link to this great article to read for
#RNchat topic today! ICDs vs DNR http://bit.ly/arp8vv
5/21/2010 11:03
TeriRN: @Visiting_Nurse No P&P yet Had 1st case last wk Talked in team, talked w/fam then had
Defib Co go 2 home 2 shut off #RNChat
5/21/2010 11:05
philbaumann: Starting in a few minutes is #RNchat 11:30am EST lead by @EllenRichter #hcsm
#hcsmeu
5/21/2010 11:11
rnchat: Howdy, Twitter nurses~ Twenty minutes until the TGIF edition of #RNchat at 11:30 AM
EST! Come join us: care plans, ICDs vs DNR
5/21/2010 11:13
Aggiern95: RT @RNchat: Howdy, Twitter nurses~ Twenty minutes until the TGIF edition of #RNchat
at 11:30 AM EST! Come join us: care plans, ICDs vs DNR
5/21/2010 11:14
rvabusiness: RT @PhilBaumann: Starting in a few minutes is #RNchat 11:30am EST lead by
@EllenRichter #hcsm #hcsmeu
5/21/2010 11:14
superjenie: 20% Nursing Shortage by 2015 #RNChat http://bit.ly/cLBSFO via @MatthewBrowning -- to
all nurses, thank you! you're under appreciated ;(
5/21/2010 11:20
KPNurseRecruit: RT @PhilBaumann: Starting in a few minutes is #RNchat 11:30am EST lead by

2. @EllenRichter #hcsm #hcsmeu
5/21/2010 11:25
rnchat: Going to use http://tweetgrid.com to help manage the chat today! #RNchat
5/21/2010 11:31
rnchat: Whew, @philbaumann I had a little heart attack....LOL, at first the password didnt work for
this account! #RNchat
5/21/2010 11:31
Vaticuss: #rnchat Lets see if I can follow along today!
5/21/2010 11:32
rnchat: Good afternoon Twitter #nurses & any other health care professional colleagues! Its time
for another #RNchat
5/21/2010 11:33
visiting_nurse: Heather here - home health, hospice and community based care interests. Happy Friday!
Glad2 c the sun n DC today. #RNchat
5/21/2010 11:33
rnchat: I am @EllenRichter filling in for our star moderator @philbaumann & I'm looking forward
to this hour~ #RNchat
5/21/2010 11:34
rnchat: You can join our chat by signing into websites like tweetchat or tweetgrid or use twitter
search page. Use hashtag #RNchat & follow along!
5/21/2010 11:34
rnchat: #RNchat is a way for nurses (& all others in health care!) to meet, tweet & share feelings,
thoughts, ideas~ We welcome silent lurkers!
5/21/2010 11:35
NursingCenter: RT @rnchat: Good afternoon Twitter #nurses & any other health care professional
colleagues! Its time for another #rnchat
5/21/2010 11:35
rnchat: many of you already know the rules! :) Introduce yourselves & tell us in 140 or less what
brings you here today! #RNchat
5/21/2010 11:36
NursingCenter: Hi Ellen! Glad to finally be back here for #rnchat! #rnchat
5/21/2010 11:36
rnchat: I'm Ellen, a critical care RN in south Florida & I own a consulting business dealing with
medical litigation #RNchat
5/21/2010 11:37
rnchat: The topics will be labeled T1, T2, etc. Please remember to add topic label & hashtag
#RNchat to ea tweet so we can track your responses!
5/21/2010 11:38
rnchat: Nice to see everyone! I like these chats because I love being a nurse!! I know, its very
basic, but hey, its true! :) #RNchat
5/21/2010 11:39
NursingCenter: Lisa here... background as critical care RN & women's health NP. Now a consultant

3. clinical editor for LWW #rnchat
5/21/2010 11:40
StressedFran: Haven't been to one in a while, I'm Tami, I'm an editor at HCPro in the nursing and
patient safety markets. #RNchat
5/21/2010 11:40
rnchat: T1 We see more implantable defibrillators each year. How do we address turning it off
during end-of-life palliative care? #RNchat
5/21/2010 11:40
rnchat: Wow, what a great group of nurses today! So happy you all joined! :) #RNchat
5/21/2010 11:41
rnchat: T1 (also) Must we now include deactivation of devices in the wording of Living Wills?
#RNchat
5/21/2010 11:42
tactile: Going to repeat that.. I'm JoAnne a med surg RN in Denver. #rnchat
5/21/2010 11:42
TRUSTMobility: Richard of TRUSTMobility, we're Safe Patient Handling Specialists & enjoy hearing you
talk about your challenges helping us help you #RNCHat
5/21/2010 11:43
DebErupts: Deb RN, JD here. It should be addressed in the living will. #RNchat
5/21/2010 11:44
visiting_nurse: RT @Visiting_Nurse: @rnchat T1 oh great ? did not think about it from that aspect, but
would be gr8 proactive measure #rnchat
5/21/2010 11:44
tactile: T1 I agree it needs to be addressed in the living will, well ahead of time when possible. I
suggest everyone needs a living will. #rnchat
5/21/2010 11:45
rnchat: T1 For those who may not know, implantable defibrillators shock for lethal heart rhythms.
In hospice or DNR pts, these rhythms occur #RNchat
5/21/2010 11:46
rnchat: T1 Yes, @DebErupts I agree w/ living will statement. I think we need to present this issue
to all ICD patients after surgery! #RNchat
5/21/2010 11:47
onlinenursing: Hey guys! Terri here, popping in between patients to check on #RNChat -NP, RN,
educator. T1- interesting topic!
5/21/2010 11:47
DebErupts: There is a time when the ICD no longer offers the prospect of increased survival and the
ICD impedes active dying. #RNchat
5/21/2010 11:48
andyatFAD: Agree with @DebErupts. Should be part of will. (This is Andy, former crit care RN, now
acq ed at FA Davis.) #RNchat
5/21/2010 11:49
rnchat: T1 Have any hospice professionals seen a dying pt get multiple shocks from an active

4. device? It does occur--we need to end that. #RNchat
5/21/2010 11:49
NursingCenter: T1 Tough question-better to address before pt is critically or terminally ill. After placement
is great idea. Even pre-op? #rnchat
5/21/2010 11:49
DebErupts: Agree, the best time to discuss is in the beginning of ICD placement #RNchat
5/21/2010 11:50
KPNurseRecruit: I'm joining the #RNChat for a bit this morning. Nurse Recruiter at Kaiser Permanente.
Good morning (or afternoon) everyone!
5/21/2010 11:50
ONSmark: @IVchat I just realized we overlapped with #RNchat today! So many chats, not enough
time :) #ivchat
5/21/2010 11:50
rnchat: T1 Not only is an activated firing implantable defibrillator an ethical DRN issue--also a
pain issue that may not be easily stopped #RNchat
5/21/2010 11:51
visiting_nurse: @NursingCenter T1 #rnchat I wonder if preop dialogue would chng the minds of some?
terminal CAD vs other condition? when do u draw the line?
5/21/2010 11:52
KPNurseRecruit: RT @rnchat: You can join our chat by signing into websites like tweetchat or tweetgrid or
use twitter search page. Use hashtag #RNchat & follow along!
5/21/2010 11:52
andyatFAD: T1 Agree with @rnchat. How do we ethically shut off an ICD in terminally ill but not
imminently dying pt? #RNchat
5/21/2010 11:53
IVchat: ik, will not do that again.RT @ONSmark: @IVchat I just realized we overlapped with
#RNchat today! So many chats, not enough time :) #IVchat
5/21/2010 11:53
rnchat: T1 Had a patient last year who underwent surgery for ICD, then deactivated it 3 months
later to enter hospice. Is this an issue too? #RNchat
5/21/2010 11:53
visiting_nurse: RT @TeriRN: @Visiting_Nurse No P&P yet Had 1st case last wk Talked in team, talked
w/fam then had Defib Co go 2 home 2 shut off #RNChat
5/21/2010 11:54
DebErupts: What about DNR orders? Do ICDs provide resuscitation or do they merely manage
arrhythmias, should remain operational? #RNchat
5/21/2010 11:54
InfusionNurse: @ONSmark ..thanks for joining us, I know #RNchat is going on 2.. will try not to overlap
again next time w/ #RNchat #IVchat
5/21/2010 11:55
rnchat: Thanks to @Visiting_Nurse for sharing a link to this great article to read on the topic
http://bit.ly/arp8vv #RNchat
5/21/2010 11:55

5. IVchat: Out of respect for #RNchat, we will wrap up our #IVchat today. Thanks everyone for
joining. Next #IVchat June 1 at 1200 ET. #IVchat
5/21/2010 11:56
rnchat: @VascularAccess #RNchat is a way for nurses (& all others in health care!) to meet,
tweet & share feelings, thoughts, ideas~ Join in!
5/21/2010 11:56
KPNurseRecruit: RT @RNChat T1 We see more implantable defibrillators each year. How do we address
turning it off during end-of-life palliative care? #RNchat
5/21/2010 11:57
rnchat: @IVchat Oh dear!! I had no idea!! No, we wont compete for times again!! Yikes~ Its also
#ivchat #RNchat
5/21/2010 11:57
visiting_nurse: T1 pacemaker is not a resuscitative device & may enhance quality of life there4,
pacemakers r not routinely considrd 4 deactivation #rnchat
5/21/2010 11:58
tersenurse: #rnchat sorry im late Logan here, BSN, new burn unit RN
5/21/2010 11:58
rnchat: @DebErupts T1 Think it would be physically hard to watch end-of-lifer die of ventricular
fibrillation while getting numerous shocks #RNchat
5/21/2010 11:58
visiting_nurse: T1 previous tweet from sample policy regarding ICD deactivation and hospice pt. #rnchat
5/21/2010 11:59
KPNurseRecruit: RT @DebErupts Deb RN, JD here. It should be addressed in the living will. #RNchat T1
5/21/2010 11:59
IVchat: @vascularaccess @ONSmark and all others lurking..thanks! See u next time. Please join
#RNChat now in progress.. #IVchat
5/21/2010 11:59
visiting_nurse: T1 "defibrillation can result in physical discomfort and psychological stress during the
dying process" #rnchat
5/21/2010 12:01
NursingCenter: @rnchat You're right - sounds horrible #rnchat
5/21/2010 12:02
rnchat: My friend @Pallimed has wonderful blog for T1: Implantable Cardiac Defibrillators-
Hospice Role in Deactivation? http://j.mp/c4Rqze #RNchat
5/21/2010 12:02
visiting_nurse: T1 and so the poluicy was developed to address those issues #rnchat
5/21/2010 12:02
tersenurse: #rnchat @visiting_nurse that surprises me. how can we say it's not resucitative device?
fixing a lethal issue, isn't that the def of resuc?
5/21/2010 12:02
rnchat: Agree >> RT @visiting_nurse: T1 "defibrillation can result in physical discomfort and
psychological stress during the dying process" #rnchat
5/21/2010 12:03

6. rnchat: OK 2 more minutes & onward to topic 2, folks! Thanks for all your participation so far!
#RNchat
5/21/2010 12:04
KPNurseRecruit: RT @rnchat: My friend @Pallimed has wonderful blog for T1: Implantable Cardiac
Defibrillators- Hospice Role in Deactivation? http://j.mp/c4Rqze #RNchat
5/21/2010 12:04
NursingCenter: @tersenurse maybe not 'resuscitative' but it is 'life-sustaining' #rnchat
5/21/2010 12:05
rnchat: T1 To clear up issue: a defibrillator is resuscitative aid by sending heart electric shocks,
pacemaker does not provide that current #RNchat
5/21/2010 12:06
NursingCenter: @rnchat Thank you Ellen! #rnchat
5/21/2010 12:07
DebErupts: ICDs represent another new life-extending technology,which examination of its ethical
implications lags behind its use. Written P&P! #RNchat
5/21/2010 12:07
philbaumann: Plz Share: Anyone interested helping to start #PTSDchat for anyone w/PTSD - veterans,
victims, etc.? LMKnow #RNchat #hcsm
5/21/2010 12:07
rnchat: T1 Main goal is to bring heightened awareness to the public about the additional steps
needed for end-of-life care when you have ICD #RNchat
5/21/2010 12:07
NursingCenter: RT @rnchat Main goal is bring heightened awareness to public about additional steps
needed for end-of-life care when you have ICD #rnchat
5/21/2010 12:08
rnchat: T2 We spent so much time writing Nursing Care Plans in school. How do they help your
nursing care in the "real world"? #RNchat
5/21/2010 12:08
tersenurse: @NursingCenter T1do u think we should modify DNRs 2 include some life sustaining
acts? not suggesting we remove all comfort measures #rnchat
5/21/2010 12:09
visiting_nurse: YES RT @rnchat: T1 Main goal is 2 bring awareness 2 the public about the additional
steps needed 4 end-of-life care when u have ICD #RNchat
5/21/2010 12:09
KPNurseRecruit: RT @rnchat: T2 We spent so much time writing Nursing Care Plans in school. How do
they help your nursing care in the "real world"? #RNchat
5/21/2010 12:09
tactile: T2 Care plans are a pain in my ass & I admit, I only do them because they are part of
"minimal documentation." I don't see a benefit #rnchat
5/21/2010 12:11
rnchat: T2 Does the Nursing Care Plan you use at work help to guide your nursing care or is it
an additional task to complete each day? #RNchat

7. 5/21/2010 12:11
AmandaChanguris:RT @PhilBaumann: Plz Share: Anyone interested helping to start #PTSDchat for anyone
w/PTSD - veterans, victims, etc.? LMKnow #RNchat #hcsm
5/21/2010 12:11
visiting_nurse: T2 LOL never can seem 2 get the team to look or follow them. just another task 4 some
w/ no meaning. I happen 2 find value in them #RNchat
5/21/2010 12:11
tactile: T2 I love that the EMR has made it easier to document care plans, but really, I have not
seen care change because of them. #rnchat
5/21/2010 12:12
rnchat: @visiting_nurse T2 I like that you find value in NCPs. How do they help your day?
#RNchat
5/21/2010 12:12
tersenurse: agree> @tactile T2 Care plans R a pain in my ass&I admit, I only do them because they
are part of "minimal doc." don't see a benefit #rnchat
5/21/2010 12:12
NursingCenter: @tersenurse T1 not sure...DNR planning must inc. awareness of ICD presence and its
implications at end of life #rnchat
5/21/2010 12:13
visiting_nurse: T2 I am a very process oriented person. I prefer NCP that are more pathway in nature 2
show progress of the pt. #RNchat
5/21/2010 12:13
NursingCenter: T2 As much as I disliked care plans, must admit that actually doing them got me thinking
about other interventions/care for my pts! #rnchat
5/21/2010 12:14
DebErupts: Like Clinical Pathways! Structured plans of care designed to support the implementation of
clinical guidelines and protocols. #RNchat
5/21/2010 12:15
tactile: @NursingCenter T2 I think a good question would be how do we get all nurses to enact
the interventions on the care plan? #rnchat
5/21/2010 12:15
visiting_nurse: T2 also 2 c quickly if nw interventions r needed if they r not meeting the goals. will admit
there has 2 b a better way to cr8 them #RNchat
5/21/2010 12:16
tactile: T2 Care plans only work if we are actually doing the interventions they suggest. Doesn't
help if we aren't walking the talk. #rnchat
5/21/2010 12:16
NursingCenter: @tactile Yes! Ours always got buried in the paperwork... With electronic records, where
are the care plans? #rnchat
5/21/2010 12:17
rnchat: @tactile T2 Many times our nursing care IS what the NCP suggests, but we do it without
thinking about those specific NCP problems #RNchat
5/21/2010 12:17

8. BillCody: RT @rnchat: My friend @Pallimed has wonderful blog for T1: Implantable Cardiac
Defibrillators- Hospice Role in Deactivation? http://j.mp/c4Rqze #RNchat
5/21/2010 12:17
tactile: @NursingCenter t2 that is easy, the care plan is under the care plan button. The CP is
easier to find. Also, LOL CP also = care plan #rnchat
5/21/2010 12:17
DebErupts: Clinical pathways are practical and make more sense in the clinical setting. #RNchat
5/21/2010 12:18
rnchat: @NursingCenter T2 Most EMRs incorporate the nursing care plan into an Multidisciplinary
Educational Record used by many depts #RNchat
5/21/2010 12:18
visiting_nurse: T2 and to answer the ? what is more effectv NCP vs protocol vs pathway & still
incorporate current EBP customizd 2 pt. #rnchat
5/21/2010 12:18
tactile: @rnchat T2 True, but I also see pts at hi risk for complications with NO interventions
actually happening. That is frustrating. #rnchat
5/21/2010 12:18
nursingpins: T2 - Care planes are the best for teaching - but I think the Structured plans of care are
the future as per @DebErupts #RNchat
5/21/2010 12:19
tactile: @rnchat T2 If we are truly going to follow the careplan, we need to find a way to remove
barriers to interventions. Again.. TIME. #rnchat
5/21/2010 12:19
rnchat: @DebErupts T2 Clinical pathways are great care guidelines but they are based on
medical-driven diagnoses, not nursing diagnoses #RNchat
5/21/2010 12:19
KPNurseRecruit: RT @NursingCenter: T2 As much as I disliked care plans, must admit that actually doing
them got me thinking about other interventions/care for my pts! #rnchat
5/21/2010 12:20
andyatFAD: @nursingpins Pardon my ignorance but what are structured care plans? #RNchat
5/21/2010 12:21
rnchat: @tactile T2 True!! TIME is always a factor in delivering great nursing care! So many
nursing diagnoses, so little time! #RNchat
5/21/2010 12:21
KPNurseRecruit: RT @tactile: T2 Care plans only work if we are actually doing the interventions they
suggest. Doesn't help if we aren't walking the talk. #rnchat
5/21/2010 12:21
tersenurse: T2 #rnchat I'm all about chcklists 2 benefit our pts bt i c CP as something that ends up
taking time away from the bedside, w/ no benefit
5/21/2010 12:21
rnchat: T2 Funny about nursing care plans & litigation: Its usually one of the first documents an
attorney scrutinizes! Keep that in mind! #RNchat
5/21/2010 12:21

9. DebErupts: Clinical Pathways can be multidisciplinary and have a focus on the quality and co-
ordination of care. #RNchat
5/21/2010 12:22
tactile: @tersenurse T2 Exactly. It takes 45min to an hour to do all my care plans. JUST THE
CARE PLANS. There are better things to do. #rnchat
5/21/2010 12:23
andyatFAD: @DebErupts Thnx! #RNchat
5/21/2010 12:23
DebErupts: As an nurse attorney, the care plan is not my first focus. #RNchat
5/21/2010 12:23
andyatFAD: RT @DebErupts: Clinical Pathways can be multidisciplinary and have a focus on the
quality and co-ordination of care.~Until the trial #RNchat
5/21/2010 12:24
tersenurse: #rnchat t2 its difficult to make something simple and beneficial, while keeping it quick and
easy to use. anyone read checklist manifesto?
5/21/2010 12:24
tactile: T2 I also think we need to address the issue of Care Plans causing duplicate
documentation. #rnchat
5/21/2010 12:24
rnchat: RT @tactile: T2 Care plans only work if we are actually doing the interventions they
suggest. Doesn't help if we aren't walking the talk. #rnchat
5/21/2010 12:24
tersenurse: #rnchat t2 i doubt we can convince Atul Gawande to reformat nursing careplans....
5/21/2010 12:25
andyatFAD: RT @tactile: @tersenurse T2 It takes 45min to an hour to do all my care plans. There are
better things to do.~Until the trial #RNchat
5/21/2010 12:26
visiting_nurse: T2 but NCPs r part our training & discipline. what value do we provide if we are action
oriented vs thinking & planning? #RNchat
5/21/2010 12:26
tersenurse: @tactile t2 #rnchat oh my god I know, plus frequently EMRs don't make it easy to modify
and update when a CP is no longer needed
5/21/2010 12:26
tactile: @andyatFAD T2 If I'm actually walking the pt, assessing pain, getting the specialty bed,
pushing the IS, there won't be a trial. #rnchat
5/21/2010 12:26
tersenurse: @Visiting_Nurse t2 #rnchat I don't know about you but it is a struggle and i try to
multitask and do both, sometimes i fail.
5/21/2010 12:27
DebErupts: I hate nursing care plans. After 30 years as a nurse, I dread them. I want to throw-up
thinking about them. There I finally said it. #RNchat
5/21/2010 12:27

10. tactile: RT @DebErupts: I hate nursing care plans. After 30 years as a nurse, I dread them. I
want to throw-up thinking about them. There I finally said it. #RNchat
5/21/2010 12:28
tactile: @DebErupts #RNchat I am so proud of you!!!
5/21/2010 12:29
rnchat: T2 Great to hear everyone's thoughts abt the validity of Nursing Care Plans in our daily pt
care agendas. Its a chore to most RNs #RNchat
5/21/2010 12:29
tactile: @andyatFAD T2 In addition, my interventions are already documented in the doc flow
sheet & note. Care plan makes it triple charting. #rnchat
5/21/2010 12:31
rnchat: T2 I agree with everyone who feels that there is value in NCPs but there must be a better
way to merge the process with the care #RNchat
5/21/2010 12:31
rnchat: LOL with both of you! :) RT @tactile: @DebErupts #RNchat I am so proud of you!!!
5/21/2010 12:31
NursingCenter: I've got to run~ it's been great chatting with you all! Thank you @EllenRichter! Have a
good weekend everyone! #rnchat
5/21/2010 12:32
tactile: @rnchat Exactly, why can't we check off the pieces of the care plan we already have to
write in our progress note?? #rnchat
5/21/2010 12:32
rnchat: Just about time to wrap up this TGIF edition of #RNchat ~It has been fun filling in for
@philbaumann & I'm so glad you all joined!
5/21/2010 12:33
tactile: @rnchat Ellen, you always do such a great job hosting #rnchat!!! #rnchat
5/21/2010 12:34
andyatFAD: @tactile Good point! #RNchat
5/21/2010 12:34
tersenurse: RT @tactile: @rnchat Ellen, you always do such a great job hosting #rnchat!!! #rnchat
5/21/2010 12:34
tactile: Would just like to ask for good thoughts and maybe prayers for me next week. Our facility
is going to lay off RNs. I'm stressed. #rnchat
5/21/2010 12:34
rnchat: Please watch for tweets linking to today's transcript! There are always comments I find
that I missed totally! Cant wait to read! :) #RNchat
5/21/2010 12:34
visiting_nurse: Thanks Ellen. Thank you the #rnchat participants. Until next time, have a gr8 weekend:-)
5/21/2010 12:35
rnchat: Thanks for the sweet tweets, folks! I love doing these chats! They are really a great way
to expand the brain & share with others! #RNchat
5/21/2010 12:35

11. derekrudnak: RT @PhilBaumann: Plz Share: Anyone interested helping to start #PTSDchat for anyone
w/PTSD - veterans, victims, etc.? LMKnow #RNchat #hcsm
5/21/2010 12:36
EllenRichter: RT @tactile: Would just like to ask for good thoughts and maybe prayers for me next
week. Our facility is going to lay off RNs. I'm stressed. #rnchat
5/21/2010 12:36
tactile: @tersenurse Thank you. I SHOULD be okay, b/c I have a superior review, still do skin
and wound, & I update my care plans! #rnchat
5/21/2010 12:37
EllenRichter: Woo hoo! Thanks so much to all of the participants of today's #RNchat ~You made my
job of moderator SO EASY!! Great chat!! xoxo TTYL!
5/21/2010 12:37
tactile: @philbaumann I'd like to suggest a topic for #RNchat.. the EMR is making dup, trip, &
quadruplicate charting more common. How can we link?
5/21/2010 12:39
visiting_nurse: @tersenurse T2 I hear ya. I took no pleasure n updating plans of care for home health in
my home becuz I had no time in ofc/pt. home #rnchat
5/21/2010 12:40
DianeSieg: RT @EllenRichter @tactile Asking for good thoughts and maybe prayers for me. Our
facility is going to lay off RNs. I'm stressed. #rnchat
5/21/2010 12:40
KPNurseRecruit: @RNchat I ditto @Visiting_Nurse! Great job Ellen, interesting discussion, diverse
participants on #RNChat today. Have a great weekend!
5/21/2010 12:41
visiting_nurse: @tersenurse T1 difrnc btwn Many curr ICDs combine the functions of pacing &
defibrillation - pacing vs defibrillator is the & use? #rnchat
5/21/2010 12:47
mikerosenberg9: RT @tactile: @philbaumann I'd like to suggest a topic for #RNchat.. the EMR is making
dup, trip, & quadruplicate charting more common. How can we link?
5/21/2010 12:51
philbaumann: @tactile Excellent topic to discuss on #RNchat - I'll put that on the list! Thanks!
5/21/2010 13:10
LindsayMBurke: Ugh! Missed the @RNchat today while I was inflight! I hope all you #RNchat 'ers had a
great time?
5/21/2010 13:19
NursingCenter: RT @tactile: Would just like to ask for good thoughts and maybe prayers for me next
week. Our facility is going to lay off RNs. I'm stressed. #rnchat
5/21/2010 13:49
NursingCenter: @RNchat @EllenRichter want to share this article from AACN Advanced Critical Care re:
ICDs #RNchat http://bit.ly/bvsqAj
5/21/2010 13:52
pedagogymedical: RT @NursingCenter: @RNchat @EllenRichter want to share this article from AACN
Advanced Critical Care re: ICDs #RNchat http://bit.ly/bvsqAj
5/21/2010 13:53

12. EllenRichter: @Pallimed I hope you dont mind I referred our #RNchat readers to your blog on
defibrillator deactivation in hospice http://j.mp/c4Rqze
5/21/2010 14:00
EllenRichter: @rvabusiness Hi there! Just curious...whats your link to #RNchat ~I see you RT'd our
start time today! Did you join us? :)
5/21/2010 14:08