Transcript of #RNchat, a Twitter chat for registered nurses, for Tuesday, April 6, 2010. Topic: T1 National Nurse #HR4601: What do you think about creating a National Nurse Position in U.S.? What are pros? Any cons?

1. rnchat: At Noon EST today we're having #RNchat - we'll discuss having a National Nurse &
#hr4601 context here: http://bit.ly/dptquA
4/6/2010 08:37
whydotpharma: @PhilBaumann Thanks for inspiring me: Twitter ROI= Return on Impulse
http://bit.ly/czivrO Pharma twittersphere III #hcsm #rnchat
4/6/2010 08:47
rnchat: Interesting conference #eNLM on today: genomic tech & #ePatient. It's free on Twitter -
http://bit.ly/dDzN2c #rnchat
4/6/2010 08:59
philbaumann: RT @rnchat: At Noon EST today we're having #RNchat - we'll discuss having a National
Nurse & #hr4601 context here: http://bit.ly/dptquA
4/6/2010 11:26
rnchat: 15 minutes until #RNchat - Our topic will be #HR4601 http://www.nationalnurse.org/
4/6/2010 11:45
rnchat: Consider using http://TweetChat.com for #RNchat Makes it a lot easier to follow. :)
4/6/2010 11:57
rnchat: Welcome to #RNchat - We'll get started in a moment but first please introduce yourselves!
4/6/2010 12:01
nursechenene: okay! using the tweetchat. Very exciting #rnchat
4/6/2010 12:03
rnchat: OK our first topic is coming up in a minute. Please read http://www.nationalnurse.org/
quickly and we'll get started. #RNchat
4/6/2010 12:04
AMartinRN: #rnchat A Martin RN from MO, nurse for 12 years critical care area
4/6/2010 12:04
seejanenurse: Hi! #RNchat already read it!
4/6/2010 12:04
nursingpins: GO #HR4601 Vernon in New Orleans -Critical Care #rnchat
4/6/2010 12:04
rnchat: When replying to topics, please add T1 for reference. No need to reply to me unless you
need to. #RNchat (we're devoting today to #HR4601).
4/6/2010 12:05
knwanurse: K Ewing a RN from MO a critical nurse for 1 year. #rnchat
4/6/2010 12:05
onlinenursing: Hello! Terri here from #sgf. Nurse, nurse educator, NP, PhD student.... nursing
organization junkie. Have great students here #RNChat!
4/6/2010 12:05
rnchat: T1 National Nurse #HR4601: What do you think about creating a National Nurse Position
in U.S.? What are pros? Any cons? #RNchat
4/6/2010 12:06
philbaumann: Phil - started #RNchat to get nurses speaking up and out; getting literate with emerging

2. tech; and rebooting the profession :) #RNchat
4/6/2010 12:06
InfusionNurse: Good day to all! Cora - infusion nurse and nurse educator. #RNchat
4/6/2010 12:06
MOMofZEJT: #RNChat School Nurse et in school for my BSN from Springfield!
4/6/2010 12:06
InfusionNurse: @philbaumann ...and you are doing an AWESOME job!! #RNchat
4/6/2010 12:07
ytleyva: Tanya here; med/surg nurse from MO #rnchat
4/6/2010 12:07
nursingpins: A national nurse position is the best news I've heard for nursing in quiet a while #rnchat
4/6/2010 12:08
StephenNP: #RNChat T1 Hi All, Stephen here, NP and DNP student. Would love to hear all opinions
on T1 #RNChat
4/6/2010 12:08
SusuG514: #RNchat Susan from MO. oncology nurse, BSN student.
4/6/2010 12:08
rnchat: @ytleyva @MOMofZEJT Welcome! #RNchat
4/6/2010 12:09
seejanenurse: The Surgeon General totally needs our assistance. #RNchat
4/6/2010 12:09
nursechenene: Traci from Mo. RNFA in level I trauma center and Army reserves. been in surgery for
wow 17 years now. #rnchat
4/6/2010 12:10
InfusionNurse: T1 - heard about this a year ago...wasn't sure then, now it makes sense for our
profession... #RNchat
4/6/2010 12:10
nursingpins: The National Nurse position will hopefully take some of the authority over nurses that the
hospitals have assumed #rnchat
4/6/2010 12:10
seejanenurse: t1 a major pro: let the world know what we do, promote our profession. #RNchat
4/6/2010 12:11
AMartinRN: #rnchat con- is this more govt. control?
4/6/2010 12:12
nursingpins: A national voice will be the best thing for nurses - but the position will have to have
authority #rnchat
4/6/2010 12:12
onlinenursing: T1 - nurses do preventative, education, and public health better than anyone. We need an
office of national nurse #RNChat
4/6/2010 12:12

3. knwanurse: Not only promote our profession but hopefully get a handle on the obesity and diabetes
that our country is facing #rnchat #rnchat
4/6/2010 12:13
seejanenurse: Just who is Mr. BLUMENAUER? I like him. #RNchat
4/6/2010 12:13
MOMofZEJT: #RNChat Huge epidemic that needs to be dealt with
4/6/2010 12:14
rnchat: @InfusionNurse T1 - anyone see this blog?? http://twurl.nl/ukepdo #RNchat
4/6/2010 12:14
nursechenene: I wonder how this gov't office would be more effective than the surgeon generals office.
#rnchat
4/6/2010 12:15
nursingpins: Hopefully a national nurse could get a handle on nurse/patient ratios - biggest threat to
nursing and patients now #rnchat
4/6/2010 12:15
ytleyva: T1-great point onlinenursing and nursingpins #rnchat
4/6/2010 12:16
onlinenursing: @InfusionNurse Good blog post! Thanks! #RNChat
4/6/2010 12:17
seejanenurse: Maybe the ANA is jealous. @InfusionNurse #RNchat
4/6/2010 12:17
ytleyva: T1 exciting that we're putting more effort on prevention #rnchat
4/6/2010 12:18
InfusionNurse: also wonder how "political" it will be RT @nursechenene: wonder how this govt office wld
b more effective than surgeon generals #RNchat
4/6/2010 12:18
seejanenurse: @nursechenene The Surgeon General needs a nurse to be more effective. #RNchat
4/6/2010 12:18
AMartinRN: #rnchat the nursing profession certainly needs to rise up and become more organized as
a national group
4/6/2010 12:19
MOMofZEJT: #RNChat yes that was a good blog, not to mention the comments! def get you thinking!
4/6/2010 12:19
onlinenursing: @nursingpins Good point. Friend who purchases insur. 4 his company says he now asks
about hosp nurse pt. ratios before purchasing. #RNChat
4/6/2010 12:19
ytleyva: T1 the blog is definitely informative, thank you #rnchat
4/6/2010 12:19
SusuG514: T1 Pro would be the bigger emphasis on prevention. #rnchat
4/6/2010 12:20

4. nursingpins: Did see the blog http://twurl.nl/ukepdo - nurses need a national voice that can be heard
#rnchat
4/6/2010 12:20
MOMofZEJT: #RNChat yes from that blog, not sure reliablity, but 3.8 % nurses belong to ANA group?
isn't that the National assoiciation?
4/6/2010 12:20
nursingpins: The ANA has to be more aggressive to be effective at anything - must have a way to
enforce any policies as will a national nurse #rnchat
4/6/2010 12:22
nursechenene: @nursingpins I agree. Our state does not have a large percentage that belongs to state
nsg group for local legislation. #rnchat
4/6/2010 12:23
nursechenene: Wonder what nat'l nurse involvement would be-T1 #rnchat
4/6/2010 12:23
SusuG514: Wonder how the new healthcare bill will affect this position. #rnchat
4/6/2010 12:24
MOMofZEJT: #RNChat I think a national nurse needs to be a NURSE and not a political figure!
4/6/2010 12:25
nursingpins: Nurses need to get out of the grip of hospital control and reclaim the profession - a
national nurse will be a good start -#rnchat
4/6/2010 12:26
nursechenene: @MOMofZEJT I think they'll be both and possibly be appointed by party association.
#rnchat
4/6/2010 12:26
philbaumann: T1 Perhaps ANA may have a small point about words. Still: Nursing needs a huge self-
esteem boost. That alone may be worth it. #RNchat
4/6/2010 12:26
AMartinRN: #rnchat completely agree this position should be filled by a currently practicing RN
4/6/2010 12:26
nursingpins: RT @MOMofZEJT: #RNChat I think a national nurse needs to be a NURSE and not a
political figure!
4/6/2010 12:26
SusuG514: @MOMofZEJT I agree with you. Nat nurse must focus on nursing not political gain.
#rnchat
4/6/2010 12:27
ladydawnie: @AMartinRN #rnchat i agree
4/6/2010 12:28
ERNurseJoy: RT @MOMofZEJT: #RNChat I think a national nurse needs to be a NURSE and not a
political figure!
4/6/2010 12:28
Nerdnurse: RT @nursingpins: RT @MOMofZEJT: #RNChat I think a national nurse needs to be a
NURSE and not a political figure!
4/6/2010 12:28

5. nursechenene: @SusuG514 I feel that way about nsg managemt in the hospital setting too. #rnchat
4/6/2010 12:28
SusuG514: @nursechenene excellent point and couldn't agree more. #rnchat
4/6/2010 12:29
InfusionNurse: T1 - there has to be a collective nursing voice to get this NNA HR 4601 passed...
#RNchat
4/6/2010 12:30
knwanurse: @MOMofZEJT i agree a political figure would not know what the important topics were if
not a nurse. #rnchat
4/6/2010 12:30
nursingpins: Nurses need leadership badly - will follow if leadership could be heard - nurses are on
their own as of now without direction #rnchat
4/6/2010 12:30
Nerdnurse: RT @nursechenene: @SusuG514 I feel that way about nsg managemt in the hospital
setting too. #rnchat --totally agree!
4/6/2010 12:30
knwanurse: @nursechenene If you are going to be in the heathcare field then you should be a nurse
#rnchat
4/6/2010 12:30
SusuG514: @AmartinRN I also agree with you. Do like that it would bring more light to nurse students
and also retired nurses though. #RNchat
4/6/2010 12:31
MOMofZEJT: #RNChat Thankfully school nursing has a wonderful figure in the DHSS who fights for
nurses esp school nurses
4/6/2010 12:31
ytleyva: Nurses shouldn't avoid politics. A national nurse should be a nurse and a political figure.
#rnchat
4/6/2010 12:31
AMartinRN: #rnchat agree with nsg mgt in hospital
4/6/2010 12:31
InfusionNurse: T1 To be effective & to survive in the position RT @ytleyva: A national nurse should be a
nurse and a political figure. #RNchat
4/6/2010 12:35
rnchat: I think we can agree that a National Nurse needs to be a nurse. It's impossible to avoid
politics but it should be professional. #RNchat
4/6/2010 12:35
rnchat: T1 Too often "outsiders" make important decisions without *any* clue about the nuances
of how nursing works. That's a problem. #RNchat
4/6/2010 12:36
nursingpins: A nightmare would be a National Nurse appointed from the AHA etc. - could be trouble if
politics involved #rnchat
4/6/2010 12:39

6. ladydawnie: #RNchat by using the 'productive ward project' nurses at ward level can decide on what
needs changing, works for them and the patient.
4/6/2010 12:40
SusuG514: @nursingpins I agree but how would you propose the position get filled? #rnchat
4/6/2010 12:41
nursingpins: The wrong person as the National Nurse could spell death for the profession #rnchat
4/6/2010 12:41
SusuG514: @windsorrn add #rnchat to your posts and they will be included in chat
4/6/2010 12:42
nursechenene: It will be interesting to see who is appointed as the 1st for this post. It has the potential to
be a progressive advocating positn #rnchat
4/6/2010 12:42
nursingpins: A National Nurse could be elected by Nursing Schoos, ACN etc- #rnchat
4/6/2010 12:43
nursechenene: @nursingpins The wrong person could cause more division in the profession. #rnchat
4/6/2010 12:44
nursequest: nursequest:RT #rnchat T1 discussion; I would like to see more nurses unite for
community health and preventative programs
4/6/2010 12:44
nursingpins: RT @nursechenene: @nursingpins The wrong person could cause more division in the
profession. #rnchat
4/6/2010 12:44
ytleyva: If I'm understanding correctly the current Surgeon General is now the National Nurse; Dr.
Regina Benjamin #rnchat
4/6/2010 12:47
WindsorRn: @plspassthegas @SusuG514 IDK what i'm doing? #rnchat T1 Interesting acticle.have
raised 3 girls and you can see personality diff's early
4/6/2010 12:49
SusuG514: @ytleyva the CNO is currently assistant surgeon general and would be elevated to full
time National Nurse position #rnchat
4/6/2010 12:49
knwanurse: I think that it should be a nurse who has experience with a little in every field. #rnchat
#rnchat
4/6/2010 12:51
MOMofZEJT: #RNChat yes very seasoned!
4/6/2010 12:52
ytleyva: Ok, so it's the Assistant Surgeon General who is also the CNO, seems like a huge
responsibility for one person. #rnchat
4/6/2010 12:53
InfusionNurse: sorry to interrupt, have to leave...great chat..thanks all!! #RNchat
4/6/2010 12:53

7. knwanurse: @MOMofZEJT somebody who has kept up with the ever changing technology and what
the health care has to offer people or lack of #rnchat
4/6/2010 12:53
onlinenursing: RT @nursequest: #rnchat T1 discussion; I would like to see more nurses unite for
community health and preventative programs
4/6/2010 12:54
knwanurse: @InfusionNurse great input! alot of things to ponder! #rnchat
4/6/2010 12:54
knwanurse: @ytleyva you are right that is a lot of information for one person, how do you propose to
not make the load so heavy? #rnchat
4/6/2010 12:55
rnchat: Our hour is almost up. We're also on Facebook http://Facebook.com/RNchat - Fan us
there too! #RNchat
4/6/2010 12:56
ytleyva: @nursequest How is the question. #rnchat
4/6/2010 12:56
nursingpins: Sorry - had to leave - thanks Phil - later all #rnchat
4/6/2010 12:56
MOMofZEJT: @onlinenursing #RNChat as a 'public' nurse I do prevention ed everyday! but 50%
welfare ratio in school. Frankly, they don't care!
4/6/2010 12:56
rnchat: @nursingpins Thanks for stopping by! #RNchat
4/6/2010 12:57
nursechenene: @knwanurse good delegation to effective nurses #rnchat
4/6/2010 12:57
rnchat: Before we wrap up today's #RNchat give us some parting thoughts.
4/6/2010 12:58
nursechenene: Thanks for the informative chat! #rnchat
4/6/2010 12:58
SusuG514: #rnchat thanks for the great discussion!
4/6/2010 12:58
ytleyva: I will take any advice on how to be more proactive about teaching prevention to the
public. #rnchat
4/6/2010 12:59
nursechenene: I think a nurse leader would get nurses out of a subordinate role to achieve the respect
for knowledge deserved. #rnchat
4/6/2010 12:59
MOMofZEJT: #RNChat hopefully a knowledgeable nursing committee will do the footwork for a good
National nurse!
4/6/2010 12:59
knwanurse: wonderful discussion!! Thanks lots of things to ponder!!! #rnchat
4/6/2010 12:59

8. CutePedsNurse: RT @onlinenursing #rnchat T1 discussion; I would like to see more nurses unite for
community health and preventative programs
4/6/2010 13:00
nursequest: #rnchat: will be following closely; thanks for the chat
4/6/2010 13:00
SusuG514: #rnchat This is a an area that needs the input of all nurses for the role to be effective.
Let's unite and let our voices be heard.
4/6/2010 13:00
WindsorRn: #rnchat T1 enjoyed some of the articles referenced...Thanks!
4/6/2010 13:01
rnchat: THANK YOU everybody for another great #RNchat! Transcript of today's chat will be up
soon. #HR4601
4/6/2010 13:03