RNchat Transcript October 24, 2010

RNchat Transcript for Sunday, October 24, 2010
Follow @RNchat for Regular Updates
Twitter.com/RNchat
RNchat.org
rnchat
O.K. let's get started with #RNChat - @onlinenursing here moderating - I
want to begin by thanking @PhilBaumann for allowing me 2 B here!
rnchat
I want 2 begin by saying that for the next hour this account will be tweeting
alot! My apologies if it busies your twitter stream #RNChat
TheToddRN Really excited to be in my first real chat! #RNChat
philbaumann
Good luck everyone! And thank you @onlinenursing for hosting #RNchat!
Cheers!
EllenRichter
@RNchat Yes!! That article sure was good turf for a #RNchat topic! Missed
nursing care: View from the hospital bed http://bit.ly/b5fEj2
rnchat
Why don't you all start with introductions and I will follow with tips for
#RNChat in a minute :) GO NURSING!
Julia1219 #RNChat Julia Cruzan Student Nurse in NUR 3563
pamsvulcan Hi Pam from NY here - med/surg RN #RNCHAT
onlinenursing Terri here - RN, NP, Nurse educator, student myself - Lover of #RNChat !
Geek2Nurse
Yay! An #RNChat when I'm not sleeping/working/in class. :) I'm Ruth, a
psych RN in Oregon/Washington, working on my MSN to be a psych NP.
EllenRichter
@onlinenursing Welcome &amp; thanks for moderating tonight's
#RNchat hour!! Great to have made it here!! :)
BraivHC
Hi, Jennifer from Braiv Healthcare - healthcare job board, career resource
and resume writing service. #RNChat
onlinenursing @TheToddRN @EllenRichter @Julia1219 - Hi guys! #RNChat
Srini2000 srini, medical equipment manufacturer - hello everyone! #rnchat
TheToddRN Todd - CCU RN, BSN student - nervous about twitter. #RNChat
dorameulman #RNchat Dora Meulman Critical Care RN I'm glad to be here this evening :)
rnchat
@Geek2Nurse glad to have you with us! (you too @BraivHC @TheTOddRN
#RNChat
TheToddRN Hi Terri! #RNChat

Geek2Nurse
@TheToddRN Twitter's not to be nervous about. Twitter is just hanging out
with friends. ;) #RNChat
EllenRichter @TheToddRN Nothing to be scared about! We'll save you! :) #RNchat
moonischasingmeNicole, ICU nurse blog @ www.raspberrystethoscope.com #rnchat
ctsinclair
It will be interesting to see how much/little the #RNchat and #HCSM
crowds overlap tonight. #RNchat
rnchat
O.K. - to follow the chat - follow hashtag #RNChat - be sure to put it in all of
your replies. Also, note replies with topic - i.e. T1, T2
BraivHC
@TheToddRN Nothing to be nervous about. Just jump in when you can or
lurk and learn. No pressure! #RNChat
CKRN
Courtney from Kansas City, Med-Surg &amp; Home Health RN,
Nursing Faculty, hoping to be a DNP student this time next year. #rnchat
EllenRichter
@ctsinclair Oh yes thats right!! We have #hcsm chat at 9 pm too! Yikes,
again we overlapped someone's chat! #RNchat
moonischasingmeGo to http://tweetchat.com/room/rnchat to follow it easier. #rnchat
TheToddRN Sounds great! Thanks for your hospitality everyone. #RNChat
Geek2Nurse
@moonischasingme Thanks, I can never remember where that is. ;)
#RNChat
rnchat T1 - purely for my personal interest - Up in a couple of minutes. #RNChat
BraivHC
Definately easier-Automatically adds #RNChat to posts RT
@moonischasingme Go to http://tweetchat.com/room/rnchat to follow it
easier #RNChat
jtknowles007 John K. Nursing student from Indiana. !fb #RNchat
EllenRichter
@moonischasingme Thanks for sharing that link to tweetchat! Good idea!
#RNchat
moonischasingme@EllenRichter No problem!:) #rnchat
Geek2Nurse Hey, let's see if I can multitask and do two chats at once... :) #RNChat #hcsm
EllenRichter
I also like tweetgrid.com for the Twitter chats because I can also watch other
hashtags or keywords as well as #RNchat
ShebaMuturi
Indeed RT @ctsinclair: It will be interesting to see how much/little the
#RNchat and #HCSM crowds overlap tonight. #RNchat
rnchat
T1 - How are nurse - hospital relations where you are &amp; have the
hospitals slowed down hiring? If so, is it affecting staffing? #RNChat

BraivHC
@Geek2Nurse That's what I'm doing, tweet chat open in 2 windows side by
side. Works pretty well. #RNChat
EllenRichter
@crgonzalez I so rarely get home early enough for any chats on Sunday
nights! Now there are 2! #RNchat
CKRN
seems that hiring for our new grads this year was slower, jobs requiring
experience seem just as prevalent as always. #rnchat
onlinenursing
@EllenRichter So glad you are here at #RNChat - how was the coffee. (I use
tweetdeck guys and it works like twitgrid)
EllenRichter
T1 I think most every hospital is experiencing financial dismay &amp; it
absolutely affects staffing decisions which can be dismal #RNchat
redheadedchick2
#rnchat My hospital has slowed down hiring. And I have a friend 6 months
out of school still without a job.
Geek2Nurse
T1 our hospital system has radically slowed hiring. Staffing is tough for us in
psych because we don't use float pool RNs. #rnchat
BraivHC
Hiring for new grads has slowed but hiring for experienced RN's is up-
Hearing from employers it is the hardest position to fill #RNChat
nurseeducator T1 Less orientees but poeple not leaving jobs either. #RNChat
ctsinclair
Hey great to see you here @CKRN. If anyone here is looking at social media
in nursing education talk to @CKRN #rnchat
Julia1219 slower for new grads i believe #rnchat
TheToddRN
T1 Very few RN positions available in MO. With 5 nursing schools here in the
city many grads will be hard pressed for jobs. #rnchat
dorameulman
#RNchat T1 Nurse Hosp Relations are good at CMC Charlotte NC. We are
hiring like crazy. Come join us :))
redheadedchick2#rnchat They force our productivity to be over 100%.
ctsinclair
T1 - seeing a lot more locum nurses at my hospital. Hard to keep up trust
between palliative care team and nursing staff at times. #rnchat
EllenRichter
T1 I have not worked side by side with a new grad in years, and I work at the
bedside #RNchat
nurseeducator
T1 most of our new hires lately are new grads but in smaller groups.
#RNChat
pamsvulcan
RT @rnchat: T1 - We have been hiring - to replace RNs who have transferred
out to other units. #RNCHAT

jtknowles007
T1 hmmm.... very discouraging for the student nurse. This is exactly what I
ran into with 1st career. !fb #RNchat
TheToddRN
T1 With economy so bad, fewer retirement age RNs leaving. #RNChat
#rnchat
Geek2Nurse
T1 I live next to an adult foster care. They just hired 3 new grad RNs who
couldn't find jobs. One is driving &gt;60 miles for the job. #rnchat
onlinenursing
Any of you working in an area where they decided not to fill a job due to
fright of h/c reform? #RNChat
Geek2Nurse
T1: Our hospital system has implemented a nurse internship program for
new grads. Had 500 applicants this year, selected 50. #rnchat
nurseeducator
T1 Nurses near retirement are watching the pension age and pay out. Fears
of raising the retirement age #RNChat
TheToddRN Not that I'm aware of Terri #rnchat
pamsvulcan
T1 all of our new hires are new grads - our hospital uses an RN residency
model with preceptors/mentors to try to help them #RNCHAT
EllenRichter
WOW interesting question! RT @onlinenursing: Any of U work in areas
where they decided not to fill jobs due to fright of h/c reform? #RNchat
rnchat
#RNChat - T1 - Interesting! All of this will lead to our T2 topic - which stems
from this STTI article - http://bit.ly/b5fEj2
EllenRichter
T1 Many of the nurses I work with are in their 50s or 60s with no retirement
thoughts in sight (including me) #RNchat
rnchat
RT @nurseeducator: T1 Nurses near retirement are watching the pension
age and pay out. Fears of raising the retirement age #RNChat
Julia1219 T1 so what do you suggest for a new grad nurse??! #rnchat
cluckyRN
Sorry Im late, my first time here, be gentle. Occ Health Rn x 6 yrs, RN x 15
yrs in Mississippi. #rnchat
InfusionNurse
RT @EllenRichter: T1 Many of the nurses I work with are in their 50s or 60s
with no retirement thoughts in sight (including me) #RNchat
EllenRichter @onlinenursing By the way, the coffee is delicious, thanks! ;) #RNchat
nursebabs65
T1 my hospital uses up nurses and discards them when they get burned out
#rnchat
rnchat
@cluckyRN Glad to have you and so many first time #RNChat tweeps with
us tonight. Don't worry - it doesn't hurt a bit.

jtknowles007
T1 some of us are nursing students in our forties with hopes of working for
20+ years. Any room for us? !fb #RNchat
EllenRichter @cluckyRN Welcome! We are happy to have you join in! #RNchat
nurseeducator
@EllenRichter Nurses near 60 are def thinking abt retirement and worrying
about the pending age increase. Retire at 60 with 20 yrs. #RNChat
dorameulman
“@pamsvulcan: T1 Our hospital uses an RN residency model with
preceptors/mentors to try to help them #RNCHAT We have this also for new
grads
EllenRichter @nursebabs65 T1 I think your hospital is like most, unfortunately! #RNchat
pamsvulcan @jtknowles007 there's always room for more RNs #RNCHAT
BraivHC
@jtknowles007 There is always room for skilled, professional, caring nurses.
#RNChat
TheToddRN
T1 there might be a bottleneck soon. When those in their 60's retire with
those now in their 50s. Mass exodus of nurses then? #rnchat
ocdgirl2000 #RNchat T1 ahhh! I can't wait to retire. date set at 4/2015!
onlinenursing
@Julia1219 T1 - Tips for nursing students - continue your education, be
flexible, be open, and think outside the box/or the bedside #RNChat
nurseeducator
@pamsvulcan @jtknowles007 agree always room but be willing to be flexible
#RNChat
pamsvulcan
@dorameulman T1 My manager also had me go to nights for part of the
summer to help the newer RNs with some tips, &amp; education
#RNCHAT
BraivHC
@Julia1219 As a new grad keep your eyes/ears open, volunteer, be flexible,
utilize your network. #RNChat
onlinenursing
Sorry - had to share - cracking up! My 2 youngest kids, who are supposed 2B
preparing 4 bed, just came in wearing my high heels! #RNChat
Geek2Nurse
T1: my preceptor pointed out that jobs get scarce for new grads in bad
economy because semi-retired RNs go back to work. #rnchat
Julia1219 @Braivhc @onlinenursing thanks for the tips :) #rnchat
onlinenursing
@ocdgirl2000 What will nursing do without you? You can't retire - you have
to die at the bedside like the rest of us #RNChat
TheToddRN
@onlinenursing agree with continuing education. Make your own job
security with more education. Never a bad idea. #rnchat

nurseeducator @onlinenursing smiles! enjoy them! #RNChat
InfusionNurse
Oh no...RT @nursebabs65: T1 my hospital uses up nurses and discards them
when they get burned out #rnchat
jtknowles007 @BraivHC Utilize your network. Amen! !fb #RNchat
rnchat
T2 up in 3 minutes - you can read the article if you would like - http://bit.
ly/b5fEj2 Via @NurseEducator #RNChat
EllenRichter
T1 To students &amp; new grads, remember there is health IT,
community health, a big surge in interventional radiology, &amp; case
mgmt #RNchat
ocdgirl2000
#rnchat T1 local gov jobs are at a premium now,for RN's since many R
&quot;older RNs&quot; who can't tolerate the physical demands
of Hospital Nursing
TheToddRN @onlinenursing funny, I'm wearing high heels too! JK #rnchat
shannynlee
RT @InfusionNurse: Oh no...RT @nursebabs65: T1 my hospital uses up
nurses and discards them when they get burned out #rnchat
NUR3563
RT @Geek2Nurse my preceptor pointed out that jobs get scarce for new
grads in bad economy because semi-retired RNs go back to work. #rnchat
EllenRichter
@onlinenursing LMAO! Kids are the best, even when you're trying to
moderate a chat online their interruptions are OK! :) #RNchat
EllenRichter @TheToddRN haha~! #RNchat
jtknowles007
T1 - be flexible. Amazed how many of my peers have decided what they want
to specialize in without knowing the job market. !fb #RNchat
onlinenursing
@TheToddRN Stop making me laugh! ROFL - when I have to get up to type
in the computer, after laughing, it makes it hard to chat #RNChat
ocdgirl2000
@onlinenursing #rnchat T1 hate to say it....but it looks like I might just be
doing just that!
FreshRN
RT @EllenRichter: To students &amp; new grads, remember there is
health IT, comm health, a surge @ interventional radiology, &amp; case
mgmt #RNChat
nurseeducator
@ocdgirl2000 Nice! 2016 for me but I fear the age will be raised and that
would make it 2018! #RNChat
TheToddRN
@onlinenursing sorry about that. I'll work on being more professional
(always been an issue for me). :) #rnchat

BraivHC
RT @jtknowles007: T1 - be flexible-Amazed how many of peers have decided
what they want 2 specialize in w/o knowing the job market #RNChat
cluckyRN
I never knew Occ Health existed until I went to it after burnout set it. Now
may transfer to Case mgmt. #rnchat
EllenRichter @onlinenursing Youre doing a fine job, laughter and all! :) #RNchat
nurseeducator @jtknowles007 do you have a preference? #RNChat
BraivHC
@TheToddRN Don't ever change it! The great personality is part of your
brand and you should be proud of it. #RNChat
ocdgirl2000
@NurseEducator #rnchat T1 no age raising when there is a &quot;
union contract agreement already in place&quot;
TheToddRN
@EllenRichter: good point. as you can see, the CIS and EHR is becoming a
huge focal point in healthcare. RNs are needed there 4 sure #rnchat
jtknowles007
@nurseeducator I don't. At least not yet. Want to experience a few different
areas before even considering a specialty. !fb #RNchat
rnchat
T2-Why R important nursing care areas missed (R we still 'holistic') &
amp; do patients perceive us as scolding, non- listeners? #RNChat
cluckyRN No nx unions in MS. Will work til I die. #rnchat
brittanie
Still don't feel I have anything to contribute, but I always enjoy watching
#RNChat
nurseeducator
@ocdgirl2000 Our union retirement fund is in the red zone! We've already
been given a warning by the union abt the possible increase #RNChat
InfusionNurse
Hiring new grads? RT @EllenRichter: T1 remember health IT, community
health, interventional radiology, &amp; case mgmt #RNchat
TheToddRN
@BraivHC: I never thought of my personality as my brand, but I sure do like
the concept. #rnchat
Geek2Nurse
@brittanie I often feel that way too, since psych is kind of an outlier, &
amp; topics don't always really apply. ;) #rnchat
onlinenursing
@brittanie You can lurk all you want, but where do you work or where do
you want to work in nursing? #RNChat
TheToddRN Union? We even say that word - fired! At very least, reprimanded. #rnchat
cluckyRN
@TheToddRN My humor gets me in trouble now..never worked that way in
the hospital. I miss that. #rnchat
EllenRichter T2 Great question with about a million answers! #RNchat

Julia1219
#rnchat had hip surgery last yr &amp; was a big diff in my nite/day
nurses as far as 'holistic' care!!
pamsvulcan
@rnchat T2 missed nursing care partly because there are too many fires to
put out, partly because newbies don't know better #RNCHAT
baerbelsmile
EllenRichter
T2 One huge problem with missed nursing care is a simple arithmetic issue!
You cant do 100 things in 60 minutes &amp; do them all well. #RNchat
ocdgirl2000
@NurseEducator #rnchat T1 yeah ours is telling us we'll lose health care
bennies.that's so we will vote their choice of political candidates
onlinenursing
@Geek2Nurse We all need a psychiatric nurse consult here at #RNChat :)
Seriously,psych is one of the most critical areas of nursing.
nurseeducator T2 good article! Did you read B, Kalisch studies on the subject? #RNChat
Geek2Nurse
T2: Mom just had major 7.5-hr back surgery in TX; was taken to her room on
the med floor &amp; left for 4 hrs before she saw a nurse!!! #rnchat
rnchat
RT @EllenRichter - T2 Great question with about a million answers!
#RNchat - I know, that's why I asked it ;^)
TheToddRN
T2 Health care has become less human and more tech. We have become
point of sale clerks, not nurturers. Over-regulated at times. #rnchat
Geek2Nurse
@onlinenursing Definitely critica! ;) Totally different from other inpatient
areas, though, as far as care, routines, etc. #rnchat
mcgaula
Julia1219
RT @TheToddRN: T2 Health care become less human &amp;more
tech. become point of sale clerks, not nurturers. Over-regulated at times.
#rnchat
pamsvulcan
T2 priorities are a big issue: Twitter/FB/online games vs responding to call
bells/investigating discrepancies/T&amp;P q2hr, etc #RNCHAT
Wanderer_RN Late comer, Tom, cardiac nurse. #RNchat
ocdgirl2000
#rnchat T2 as a pt MYSELF over last week.I found the RN's 2 B stuck in lots
of bullshit.sorry but true.no time to dc my IV? I was in pain!
jtknowles007
@TheToddRN T2 Agreed. I love tech, but we are working with human
beings. Too many dx test, not enough human interaction? #RNchat

EllenRichter
@TheToddRN T2 I've always said &quot;you cant wipe a tear with a
mousepad&quot; ...sometimes nursing care just cant be electronic or
automated #RNchat
Geek2Nurse @Wanderer_RN Yo, Tom! #rnchat
dorameulman
#RNchat T2 Sad read. Some nurses just should not be at the bedside. There
are so many options if you don't love it LEAVE. Do something else
InfusionNurse
RT@TheToddRN: T2 Health care has become less human more tech. We
become point of sale clerks, not nurturers. Over-regulated #rnchat
Julia1219
#rnchat i think so much of life is to involved with tech; my fav part of
nursing is the pt-RN interaction!!
TheToddRN
T2 We don't have time to listen anymore. We are &quot;turning
tables&quot; like a server does. The only times we can slow down is w/
chronics. #rnchat
ocdgirl2000
#rnchat T2 I ended up D/Cing my OWN IV when it was time to go home. RN
was sitting at station doing WHAT?
mvaughnrn
RT @TheToddRN: T2 Health care has become less human and more tech.
We have become point of sale clerks, not nurturers. Over-regulated at times.
#rnchat
onlinenursing
@Geek2Nurse I found when I worked in psych that the med knowledge,
communication, &amp; holistic care was even more #RNChat
FreshRN
RT @dorameulman: Some RNs just shouldn't be at the bedside. There are so
many options if you dont love it LEAVE. Do something else #RNChat
EllenRichter
T2 Nursing just has too many responsibilities. It gets overwhelming &
amp; those nurses who cant juggle it all slack off in pt care areas #RNchat
nurseeducator
T2 Poor use of existing staff, need for improved delegation and
organizational skills in addition to prioritizing #RNChat
rnchat
@Wanderer_RN Welcome! We accept them all, late, early, non-nurse,
student! #RNChat
TheToddRN
Difficult to focus on pt care when we are busy doing chart audits for the
mgmt every day. #rnchat
jtknowles007
@EllenRichter with so many responsibilities how do the slackers keep their
jobs? Seriously-make way for those that can keep up !fb #RNchat

nurseeducator
T2 missed care sometimes with pts who are perceived to be &quot;
light&quot; #RNChat
InfusionNurse
Terrible..RT @ocdgirl2000: #rnchat T2 I ended up D/Cing my OWN IV
when it was time to go home. RN was sitting at station doing WHAT?
EllenRichter
RT @dorameulman: #RNchat T2 Sad read. Some nurses just should not be
at the bedside. There are so many options if you don't love it LEAVE. Do
something else
EllenRichter @dorameulman That was an excellent tweet! #RNchat
ocdgirl2000
#rnchat T2 Nurse Practitioner was so hung up on synthroid dosage being
&quot;exact&quot; because I &quot;didn't make an actual
list&quot; she was looking it up!
NursingCenter
Hey gang! Lisa here - sorry to be jumping in late. Will try to catch up quickly!
#rnchat
Geek2Nurse
@onlinenursing I can't start an IV &amp; would get in the way in a
medical code, but the rest of it is true. ;) #rnchat
Wanderer_RN
T@ Funny thing about nite/day nursing. Feel like I have more time at night
to do &quot;holistic&quot; side #RNchat
TheToddRN I feel bipolar now. T1 - good feeling, happy. T2 - bad feeling, sad. #rnchat
LuvenRN Just joining in myself. Can you repeat the T2 question? #RNChat
onlinenursing
RT @nurseeducator: T2 missed care sometimes with pts who are perceived
to be &quot;light&quot; #RNChat (I believe you hit on something
here)
healthgist
http://j.mp/9ZzB0z ♻ @LuvenRN Just joining in myself. Can you
repeat the T2 question? #RNChat
pamsvulcan
T2 it is overwhelming - I can easily spend the start of any shift spending 1-
2hrs trying to fix stuff that was missed or overlooked #RNCHAT
ocdgirl2000
#rnchat T2 I mean Synthroid 0.1mg is what it is!!! looking it up for 15
minutes on your cell phone PDA to get .1222...??hello???
Geek2Nurse
@Wanderer_RN Absolutely, can do a lot more 1:1 personal therapeutic
interaction at night. #rnchat
EllenRichter
T2 Unfortunately there are enough nursing missed care horror stories to
stretch across the universe. We only hear about the errors! #RNchat

InfusionNurse
LOL..RT @TheToddRN: I feel bipolar now. T1 - good feeling, happy. T2 - bad
feeling, sad. #rnchat
EllenRichter
RT @rnchat: T2-Why R important nursing care areas missed (R we still
'holistic') &amp; do patients perceive us as scolding, non- listeners?
#RNChat
Wanderer_RN
T2, lots to do, even more if you don't have competent/willing to work aides
leaving it to the urse to do all. #RNchat
BraivHC
@EllenRichter Amen! Don't hear enough of the good stories because
negativity sells. It's sad really. #RNChat
onlinenursing
RT @Wanderer_RN Feel like I have more time at night to do &quot;
holistic&quot; side - Yes, but pts want 2 sleep :) #RNchat
dorameulman
#RNchat T2 Nursing is more high tech but that's no excuse for sloppy lazy
care. We have to hold each other accountable.
Geek2Nurse
T2: Someone posted a bunch of positive patient comments clipped from
discharge surveys in our break room the other day... #rnchat
EllenRichter @healthgist Did you see T2 ? I just RT'ed it! :) #RNchat
Julia1219 T2 the night nurses were so so much better! #rnchat
Wanderer_RN
t2, we're perceived sometimes as scolding/non-listening because they don't
want to hear what we're saying! #RNchat
pamsvulcan
@Geek2Nurse on med/surg we are trying to let them sleep if at all possible,
not so much with the 1:1 interventions #RNCHAT
rnchat
@LuvenRN T2-Why R important nursing care areas missed (R we still
'holistic') &amp; do patients perceive us as scolding, non- listeners?
#RNChat
nurseeducator @LuvenRN Hi there! Miss tweeting with you! #RNChat
Geek2Nurse
T2: That was so nice, esp after a shift where I had been the focus of all the
angry psychotic/delusional patients. ;) #rnchat
ocdgirl2000
@InfusionNurse #rnchat T2 what was worse, was that the damn thing hurt
WHOLE time because orig. RN was DIGGING to get blood 4 venipuncture!
EllenRichter
T2 Gonna write a story of my 10 days at my father's side after a lung
resection with complications. The nursing care was pitiful #RNchat
jtknowles007
RT @dorameulman: #RNchat Nursing is more high tech but thats no excuse
for sloppy lazy care. We have to hold each other accountable. #RNchat

brittanie
@onlinenursing I'm currently a student, first semester :) I really feel drawn
to NICU. I want to do mission Nursing too. #RNchat
TheToddRN
Holistic seems to have become at the hands of each individ. RN. As an entity,
the system doesn't seem to support it. #rnchat
Geek2Nurse
@pamsvulcan Oh, goodness, I don't go waking them up for therapeutic
interaction. ;) But the ones who are up &amp; need it get quality!
#rnchat
EllenRichter
@Geek2Nurse T2 Yes, its so important for nurses to get feedback on the
positive experiences patients had too! #RNchat
pamsvulcan
T2 if I am scolding it's because somebody is trying to do something foolish -
like site on a commode for an hour straight... #RNCHAT
LuvenRN Hi there @nurseeducator. Likewise! #RNChat
onlinenursing
@EllenRichter True - good nursing story - GM just in hospital for heart
surgery - nurse is one to catch her UTI - GO NURSING! #RNChat
FreshRN
@rnchat Reading the article you tweeted [http://bit.ly/b5fEj2] about &
quot;Missed Nursing Care: View from the hospital bed&quot;--horrific!
#RNChat
brittanie
@Geek2Nurse I think that's an incredible area! One of my favorite
instructors is big on psych. I love hearing about it #RNchat
LuvenRN
T2: Anyone working in service occupations needs ongoing customer service
coaching. Once is not enough. #RNChat
jtknowles007
@brittanie I always talk with my friend from Columbia about doing mission
nursing too! I would love that opportunity. #RNchat
Geek2Nurse
T2: incidentally, when I'm queen of the hospitals, I'm going to OUTLAW
noisy doors. You'd think they could make them not slam! #rnchat
TorontoEmerg
@TheToddRN Agree: we push nurses to be task oriented, doing rather than
thinking #rnchat
InfusionNurse
RT @Wanderer_RN: t2, we're perceived sometimes as scolding/non-
listening because they don't want to hear what we're saying! #RNchat
ocdgirl2000
@InfusionNurse #rnchat T2 she was digging away at the BEST hand veins U
ever saw!I swear! I could do better on my &quot;oldies&quot; in
Leisure World!

Wanderer_RN
T2 have horror stories of my own from my wife's post-c-section experience.
HEr care was me and her mom. Nurses not there at all. #RNchat
rnchat Final T3 - up in 3 minutes and then we will wrap up. #RNChat
Wanderer_RN @Geek2Nurse Yeah, your doors slam to much! #RNchat
Geek2Nurse
T2: Also doors that make horrendous clacking sounds when you open them
to try to &quot;quietly&quot; check on sleeping patients. #rnchat
Julia1219 #rnchat i believe holistic nursing is definitely an individual choice!
TheToddRN
@torontoemerg: I agree. With new technology it takes us further away from
humanizing the hospital experience. #rnchat
EllenRichter
T2 So getting back to your original question, how can we ever remedy these
missed nursing issues? It seems hopeless! We need help. #RNchat
Geek2Nurse @Wanderer_RN :P #rnchat
pamsvulcan
@Geek2Nurse I know, some of the better conversations, interactions have
been when my other patients are otherwise occupied #RNCHAT
Lawcats @LuvenRN #RNChat is nursing a service or a profession?
LuvenRN
T2: &quot;scolding&quot; &quot;not listening&quot;
&quot;not there at all&quot; &lt; a symptom of not &
quot;being present&quot;? As a society, R we all having trouble w/that?
#RNChat
Wanderer_RN
T2, as for sleep, sometimes you HAVE to wake them up, esp. on a tele floor.
But I try to let people sleep by clustering, etc. #RNchat
FreshRN
I agree! RT @Julia1219: #rnchat i believe holistic nursing is definitely an
individual choice! #RNChat
EllenRichter
@onlinenursing T2 Great to hear the good nursing care given to your GM! :)
#RNchat
InfusionNurse
Not good..sorry about ur exp RT @ocdgirl2000: #rnchat what was worse,
was that the damn thing hurt WHOLE time because orig. RN was DIGGING
LuvenRN
@Lawcats Nursing is both. Professionals who help people are providing
service. #RNChat
Geek2Nurse
@Wanderer_RN My personal philosophy is NEVER wake a sleeping psych
patient unless the unit is on fire. ;) #rnchat
ocdgirl2000
#rnchat T2 If I mention several time that my IV site HURTS and the vein is
raised, show it to the RN, it gets brushed off, then not DC'd??

InfusionNurse RT @Lawcats: @LuvenRN #RNChat is nursing a service or a profession?
pamsvulcan
@LuvenRN T2 not being present is definitely a big issue - too much time is
spent multi-tasking, divided priorities #RNCHAT
Wanderer_RN
Yup. Hard to balance. RT @LuvenRN: @Lawcats Nursing is both.
Professionals who help people are providing service. #RNChat #RNchat
nurseeducator
RT @LuvenRN: T2: &quot;scolding&quot; &quot;not
listening&quot; &quot;not there at all&quot; &lt; a
symptom of not &quot;being present&quot;? As a society, R we all
having trouble w/that? #RNChat
Geek2Nurse @Wanderer_RN Tele is a whole different thing, of course. #rnchat
EllenRichter
@Lawcats Good question. Its a profession that provides services in which the
results are based on assessment &amp; evaluation skills #RNchat
onlinenursing
@EllenRichter T2 - 1st step is to start w/the RN in the mirror- more aware as
RN's of our pateints, our demeanor, our desk activity. #RNChat
dorameulman
“@TheToddRN: I feel bipolar now. T1 - good feeling, happy. T2 - bad feeling,
sad. #rnchat you're histerical You would be fun to work with.
TorontoEmerg
T2 Can anyone define &quot;holistic&quot; nursing? Isn't that
what were supposed to do, ideally? #rnchat
ocdgirl2000
#rnchat T2 clearly, when it is TIME to go and I am dressed, my RIDE is
waiting,I 've told the nurse..why would she make me wait in PAIN?
TheToddRN
@dorameulman: Thanks! I think humor helps with most every situation.
#rnchat
cluckyRN @Geek2Nurse @Wanderer_RN I did tele for years. I feel your pain! #rnchat
Wanderer_RN
@Geek2Nurse HA! We do that with a certain subset of our patients too!
#RNchat
Geek2Nurse
@TorontoEmerg Holistic just means seeing the big picture;
addressing/considering all aspects of the patient, not just medical. #rnchat
InfusionNurse
Bad care= poor outcome RT @ocdgirl2000: #rnchat T2 my IV site HURTS..
vein is raised, show it to the RN, it gets brushed off, then not DC'd??
rnchat
@EllenRichter can read my mind-T3 - what one change can each of us make
to improve our practice/profession/units this week? #RNChat
EllenRichter
@onlinenursing T2 Good first step advice: Look in the mirror...see what kind
of nurse you really are portraying #RNchat

Julia1219
RT @Geek2Nurse: @TorontoEmerg Holistic just means seeing the big
picture; addressing/considering all aspects of the patient, not just medical.
#rnchat
LuvenRN
T2: they say skills R easy 2 teach but attitude is not. A gd attitude &
amp; the desire 2 achieve personal best-from whence does it come?
#RNChat
CKRN
T2 @geek2nurse @torontoemerg to me, ideally, the phrase &quot;
holistic nursing&quot; should be redundant if doing the nursing thing
right. #rnchat
Geek2Nurse
@TorontoEmerg Many take it to mean &quot;alternative therapy,
&quot; but that's not necessarily true; just 1 possible aspect of holistic
care. #rnchat
nursekeith
@TorontoEmerg There r many definitions for holistic nsg but I feel nsg as a
whole is by and large holistic in nature #rnchat
onlinenursing
@TorontoEmerg - Good question! 'holistic'- more than getting my check list
done until the next shift arrives- bigger picture #RNChat
Wanderer_RN
T2, we have to be &quot;holisitic&quot; because seeing the big pic
makes all the difference. Takes awhile to get there though! #RNchat
ocdgirl2000
#rnchat T2 I went over to the bedside drawer, (after cardiac cath!!), found
the dressing supplies, and D/C'd my own IV. Felt SO much better.
TheToddRN
I feel the best solution is to become the patient. When in bed as one, it gives
u the perspective needed to be truly empathetic #rnchat
Geek2Nurse @CKRN Exactly! #rnchat
FreshRN
RT@CKRN @geek2nurse @torontoemerg to me, ideally, the phrase &
quot;holistic nursing&quot; should be redundant if doing the nursing
thing right #RNChat
cluckyRN
@Lawcats @LuvenRN In Occ Health, it is definitely both. Also manage
workers comp, hearing testing, spirometry, DOT testing. #rnchat
onlinenursing
@TheToddRN Are you being humorous again? Too much of that &amp;
they will invite you back 2 #RNChat
CKRN
T3 we can all be as present as possible and self monitor to see if what we
think we're doing/conveying is consistent with the actual #rnchat

EllenRichter
T3 With primary care nursing we ea end up working in a vacuum. 1 RN
doesnt know what the next is doing. We need more teamwork focus #RNchat
Geek2Nurse @FreshRN Yes. Nursing == holistic care. #rnchat
TheToddRN
Those who have been there as a pt know what to expect from nursing and
where the areas of opportunity lie for us to be better RNs. #rnchat
NursingCenter RT @Geek2Nurse: @FreshRN Yes. Nursing == holistic care. #rnchat
Geek2Nurse
T3 One thing that helps me is to remind myself that no matter how bad my
day has been, the patient's has been worse. #rnchat
EllenRichter
@TheToddRN T3 Great point! Maybe every health care professional needs to
be a tortured patient for a week #RNchat
NursingCenter
RT @onlinenursing @TorontoEmerg holistic- more than getting my check
list done until the next shift arrives- bigger picture #rnchat
ocdgirl2000
RT @TheToddRN: I feel the best solution is to become the patient. When in
bed as one, it gives u the perspective needed to be truly empathetic #rnchat
TheToddRN
@onlinenursing: again, I'm sorry. It's my &quot;brand&quot;
though, I can't help it. #rnchat
Wanderer_RN
T3, try to be &quot;present&quot; more and not thinking 3-4 steps
ahead. Get caught in that cycle too often. #RNchat
Julia1219 t3-- presence with our patients and treating them as individuals #rnchat
NursingCenter
RT @Geek2Nurse TorontoEmerg Holistic means seeing the big picture;
address/consider all aspects of the patient, not just medical #rnchat
Geek2Nurse
T3 Also that difficult patients really don't *enjoy* being the miserable
annoying people they are, &amp; would change if they knew how.
#rnchat
TorontoEmerg
T3 As charge nurse, I can support the nurses working with me to ensure have
the space/time to give good, holistic, patient care, #rnchat
LuvenRN
T3: &quot;B the change U want to see in this world&quot; always
comes 2 mind when I think abt wanting 2 make a diff. Role modeling&
lt; important! #RNChat
TheToddRN
I have been a pt where I work - in the CCU. I feel I can bring a level of care
that many of my peers are unable to. I use it to help #rnchat
AlisynGayle
RT @Geek2Nurse: T3 One thing that helps me is to remind myself that no
matter how bad my day has been, the patient's has been worse. #rnchat

ocdgirl2000 #rnchat T3 there is no experience better than being the patient yourself.
onlinenursing
Geek2Nurse @Wanderer_RN T3 Mindfulness is SO hard to maintain! #rnchat
EllenRichter
T3 Today I asked a RN to please help me a minute w/ a pt. She said she
couldnt...she had charting to catch up on. I'm like....duh?? #RNchat
TheToddRN @EllenRichter love that answer...priority? #rnchat
Geek2Nurse @EllenRichter T3: the team mindset really makes a huge difference. #rnchat
shegeekxdesign
RT @onlinenursing: RT @Geek2Nurse: T3 One thing that helps me is to
remind myself that no matter how bad my day has been, the patient's has
been worse. #rnchat
rnchat
Can you believe it has been an hour already? #RNChat - time to wrap up.
Parting words of wisdom to your patients in twitter land?
Julia1219
NursingCenter @EllenRichter ouch...I remember too many interactions like that! #rnchat
Wanderer_RN
T3, as charge, keeping my ears open for troubles on the unit and being
available to help. Keeping the team together. #RNchat
FreshRN
T3- As you're taking report @ start of shift &amp; making a checklist of
what needs to b done, add at least 1 task RE: holistic pt needs #RNChat
nursekeith @RNchat Every patient deserves a nurse! #rnchat
dorameulman
#RNchat T3 Take a few minutes to listen to your patient/family. Be kind and
compasionate and a team player with your peers. It rubs off :)
FreshRN
matter how bad my day has been, the patients has been worse. #RNChat
Wanderer_RN @EllenRichter T3, it's almost like you work where I do! #RNchat
NursingCenter RT @nursekeith: @RNchat Every patient deserves a nurse! #rnchat
redheadedchick2
RT @TheToddRN: Those who have been there as a pt know what to expect
from nursing and where the areas of opportunity lie for us to be better RNs.
#rnchat
EllenRichter
@rnchat (@onlinenursing) Absolutely terrific chat!! You did a wonderful job
moderating tonight! Woo hoo! :) #RNchat
TorontoEmerg @EllenRichter T3 I would so . . .unhappy with that nurse. #rnchat

TheToddRN
Don't eat the big white mint! That's my creedo - if I had to have a creedo
#rnchat
ocdgirl2000
#rnchat T3 actually,my day as the pt was NOT that bad. it was STRESSful
&amp; scary.The staff was more about filing about doing chores than
care
cluckyRN KY Jelly is NOT for your toast! #rnchat
EllenRichter
@TorontoEmerg T3 Oh I was sickened by that nurse's comment, and believe
me, I let her know it. #RNchat
Julia1219 #rnchat thanks for the great convo/input/info guys!! Yay nursing
Wanderer_RN
YES!!! RT @TheToddRN: Don't eat the big white mint! That's my creedo - if
I had to have a creedo #rnchat
InfusionNurse Good job Terri. Thanks and good night to all #RNChat
TheToddRN That's all the wisdom I have #rnchat
onlinenursing
Dear patient-I am serious about Ur health &amp; about you - remind
me to sit down for a minute &amp; listen to what U R trying to tell me!
#RNChat
BraivHC Great chats tonight, I enjoyed them both. Thanks! #RNChat #hcsm
redheadedchick2
Another thing that has helped me be a better nurse is being a caregiver to a
parent and inlaw who was sick. #rnchat
Lawcats
Every patient NEEDS a nurse! RT @NursingCenter: RT @nursekeith:
@RNchat Every patient deserves a nurse! #rnchat
Geek2Nurse
Psych unit wisdom: The difference between staff and patients is the patients
get better. ;) #rnchat
TheToddRN Thanks again everyone! #rnchat
FreshRN @TheToddRN @CluckyRN - - LOL ;) #RNChat
LuvenRN
Thanks, everyone, for being here and thanks to @onlinenursing for
moderating. Awesome group &amp; discussion! #RNChat
InfusionNurse LOL RT @cluckyRN: KY Jelly is NOT for your toast! #rnchat
Wanderer_RN Thanks all! T'was fun. Never seems to happen on my days off. #RNchat
onlinenursing
RT @cluckyRN: KY Jelly is NOT for your toast! #rnchat (Baw ha ha -
between you and @TheToddRN ) Barrel of laughs!
EllenRichter
Great chat tonight!! Please, all of the new nurses who joined us, please follow
the rest of the nurses in #RNchat! We are power in #s!

ocdgirl2000 #rnchat T3 I have no patients in twitter land. they can't afford computers!
cluckyRN when is the next #rnchat
onlinenursing
@Julia1219 So glad you came!!!! Thanks to all of you for your words of
wisdome #RNChat
TorontoEmerg
RT @onlinenursing: RT @cluckyRN: KY Jelly is NOT for your toast! #rnchat
(Baw ha ha - between you and @TheToddRN ) Barrel of laughs!
Geek2Nurse
@Wanderer_RN Happy day off! I'm headed back for #3 of 3 tonight.
#rnchat
pamsvulcan Thanks for another great chat! #RNCHAT
CKRN
Thanks to everyone, first time at this tweetchat, but very much enjoyed the
conversation. Have a good one! #rnchat
rnchat
@cluckyRN - wish I knew when next #RNChat was - @PhilBaumann will
keep us posted with this hashtag-he will get transcript up too. THX guys!
ocdgirl2000 #rnchat much easier on me with this new laptop hehe ;-p
NursingCenter
@onlinenursing What a chat! Great job moderating...looking forward to the
transcript to read what I missed at the start! #rnchat
cluckyRN
@dorameulman @EllenRichter Moving pts alone is why I am in occ health
now-ruined back. #rnchat
TorontoEmerg Good for blog topics :) #rnchat
EllenRichter
@cluckyRN Actually I'd like to do a #RNchat next week, maybe Wed in the
daytime. I will check with @philbaumann to see his plans too!
nurseeducator Thank-you @onlinenursning! Great job! #RNChat
EllenRichter
@ocdgirl2000 LOL its about time! Your dinosaur computer was killing our
chats! You were never there! ;) #RNchat
ocdgirl2000
#rnchat great seeing you all again, and getting used to chatting on my new
&quot;machine&quot;
philbaumann
@rnchat Over a year ago, I planned getting a regular time for #RNchat - but
you know what? I kinda dig the mystery. ;-)
cluckyRN @EllenRichter Thx! #rnchat I work 8-5 M-F *ducking*
onlinenursing
@TorontoEmerg and your blog is one of the best to read - particularly poems
and photos #RNChat
EllenRichter
@cluckyRN Awww, thats so sad to hear. So many nurses with wrecked backs
:( #RNchat

ocdgirl2000
@EllenRichter #rnchat lol! I know, but now I have to get used to this new
keyboard!haha!
philbaumann
Thank you @onlinenursing for running #RNchat! Always a gr8 job. I'll tweet
out when the transcript is up! Cheers everyone!
EllenRichter
@cluckyRN LOL! Hey, you'll have to take your lunch to a computer for the
hour of chat!! :) #RNchat
Lawcats
Wish i could have paid more attention but vikings packers on! RT
@NurseEducator: Thank-you @onlinenursning! Great job! #RNChat
cluckyRN @EllenRichter Impossible to do this on an iPhone!! #rnchat
EllenRichter
@cluckyRN LMAO! OK good point. I could never do a chat on my phone
either! :) #RNchat
cluckyRN
@Lawcats @NurseEducator @onlinenursning Im watching the game too.
Know Farve, but no texting! #rnchat
onlinenursing @Lawcats football is a priority you know! #RNChat
onlinenursing
@philbaumann Mystery is good! I kind of like it, keeps me monitoring the
hashtag #RNChat
onlinenursing Night all! #RNChat
JaeSelle @PhilBaumann mysteries always keep it interesting ;) #rnchat
EllenRichter
OK I'm still in my scrubs, yuck. I gotta get changed &amp; make dinner
etc then back to work in the morning! Have a good evening folks #RNchat
philbaumann @JaeSelle Absolutely! :) #rnchat
happikiki23
RT @InfusionNurse: LOL RT @cluckyRN: KY Jelly is NOT for your toast!
#rnchat
Lawcats
Absolutely! RT @onlinenursing: @Lawcats football is a priority you know!
#RNChat
ocdgirl2000 #rnchat Nighty Night Nursey Nurses!
cluckyRN
Gnite y'all!!! #rnchat Nice meeting y'all! If it's wet and or sticky and it ain't
yours, PUT YOUR GLOVES ON~!
END CHAT
RNchat for Sunday, October 24, 2010 - Moderated by @OnlineNursing
Twitter.com/RNchat
RNchat.org

RNchat Transcript October 24, 2010

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