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          rnchat:          You may find using TweetChat - http://TweetChat.com - an easier way to participate in
                           #RNchat
                           9/30/2009 12:39


          rnchat:          OK. Ready to start? Let's begin with introductions: who you are, what you do (or don't :) and
                           what you're passionate about. #RNchat
                           9/30/2009 13:00


          InfusionNurse:   Hi all! Infusion nurse and nurse educator...always glad to be here..great group! #rnchat
                           9/30/2009 13:01


          medxcentral:     Can't miss this. Hello all. I'm Jim.. owner of medXcentral.com, "Networking for those in
                           health care and those who need them." #rnchat
                           9/30/2009 13:01


          mkopp1:          I'm Marie and I am an ER nurse in MN. Passionate about emergency care and learning
                           about legal RN consultant. #rnchat #rnchat
                           9/30/2009 13:02


          RoRod101:        I am an RN, NP, Nurse Educator & DNP student. I am passionate about nursing. #RNchat
                           9/30/2009 13:02


          suzishepherd:    #RNchat Checking in before bed (2 nocs coming up). Neonatal NP. Interest FCC, pain. I
                           write books and keep sheep too.
                           9/30/2009 13:03


          medxcentral:     If you're within "ear-shot" .. join us NOW for a chat with #nurses on Twitter. Use
                           http://tweetchat.com and tune to -> #rnchat
                           9/30/2009 13:03


          medxcentral:     @suzishepherd Stick around for an hour. :-) #rnchat
                           9/30/2009 13:04


          rnchat:          Topic 1 Coming up in one minute. Prepend your tweet response to a topic with T1, T2 , etc.
                           #RNchat
                           9/30/2009 13:04


          TeriRN:          Hey all. I'm a travel nurse specializing in hospice. I love to craft, travel and spend time
                           w/family and friends. #RNChat
                           9/30/2009 13:06


          rnchat:          T1 Nursing Education. No question we need more (happy) nurses. What are our most
                           critical challenges in recruiting next generation? #RNchat
                           9/30/2009 13:06


          TeriRN:          @RoRod101 Cool. I am finishing my BSN and plan to continue on for my DNP. #RNChat
                           9/30/2009 13:06


          mkopp1:          Same to you Jim #rnchat
                           9/30/2009 13:07


          suzishepherd:    #RNchat Suzanne Tietjen, Neonatal NP, checking in be4 bed (2 nocs coming up), Speak
                           and present on FCC, pain. Also write books & keep sheep.
                           9/30/2009 13:08


          RoRod101:        @TeriRN Go for it, the wonderful thing about nursing we can move in many directions!
                           @medxcentral Nice to meet you too! #RNchat
                           9/30/2009 13:09




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          medxcentral:     T1 ... Recruiting next gen nurses is one thing. Keeping them on board is another. Proper
                           orientation is a challenge @rnchat #rnchat
                           9/30/2009 13:09


          RoRod101:        T1 Positive role modeling especially in the media where they reach millions of potential
                           nurses #RNchat
                           9/30/2009 13:10


          TeriRN:          T1 Having enough space in the nursing programs 4 the many eligible applicant. #RNChat
                           9/30/2009 13:10


          InfusionNurse:   T1 from what I hear the challenge is new grad RNs cant get jobs...so they r moving on to
                           other jobs #rnchat
                           9/30/2009 13:10


          TeriRN:          @medxcentral Oh I agree orientation is sooo critical. #RNChat
                           9/30/2009 13:11


          mannabsn:        Is there an #RNchat goin on right now?
                           9/30/2009 13:11


          mkopp1:          T1..getting them an appropriate fitting job that fits their skill level and matched with a mentor.
                           Jobs are hard to find right now #rnchat
                           9/30/2009 13:11


          InfusionNurse:   Also enough instructors in nrsg schools RT @TeriRN: T1 Having enough space in the
                           nursing programs 4 the many eligible applicant. #rnchat
                           9/30/2009 13:12


          medxcentral:     @mannabsn Yes.. come jump in. #rnchat
                           9/30/2009 13:12


          rnchat:          @mannabsn Yes, come on in. No late fees today. #rnchat
                           9/30/2009 13:12


          RoRod101:        T1 Promotion of jobs for nurses in other areas not just hospitals. Especially where hospitals
                           are closing. #RNchat
                           9/30/2009 13:12


          suzishepherd:    #RNchat T1 Talk with enthusiasm about our work. Let's get the students into schools (long
                           wait lists). Where are the educators?
                           9/30/2009 13:13


          mannabsn:        great! thanks @rnchat @medxcenral glad to be here! #RNchat
                           9/30/2009 13:13


          mkopp1:          RT @TeriRN: T1 Having enough space in the nursing programs 4 the many eligible
                           applicant.~Agreed...so many good ppl turned away #rnchat
                           9/30/2009 13:14


          suzishepherd:    @mannabsn Indeed there is. #RNchat
                           9/30/2009 13:14


          medxcentral:     Be careful not to redirect a limited quantity of #nurses away from #hospitals. Economy will
                           improve & boomers are coming. #rnchat
                           9/30/2009 13:15


          RoRod101:        Salary for Nurse Educators need to be competitive #RNchat
                           9/30/2009 13:15




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          TeriRN:         T1 I was lucky that a space opened the yr I started. Otherwise I would have had 2 wait &
                          hope I made it in the next yr. #RNChat
                          9/30/2009 13:15


          medxcentral:    Unfortunately, @suzishepherd .. the #nurse educators are working for 30% higher pay in the
                          field. #rnchat
                          9/30/2009 13:16


          suzishepherd:   #RNchat T1 Our hospital has nurse residency program that provides support & the chance
                          to try out different specialties to find a good fit.
                          9/30/2009 13:16


          rnchat:         T1 As a follow-up, for those in facilities, what are your organizations doing to promote
                          nursing externally, at schools, etc.? #RNchat
                          9/30/2009 13:17


          medxcentral:    Yep.. @mkopp1 .. I think 60,000 (?) potential #nurses were turned away in '07. Not sure
                          though. #rnchat
                          9/30/2009 13:17


          RoRod101:       Alot of my graduating students had trouble finding jobs in hospital. I enc them 2 look at other
                          ave 3 hosp closed by in about 2 yrs #RNchat
                          9/30/2009 13:18


          mkopp1:         T1 educate on other opportunities available to RNs other than #hospitals, #nursinghomes
                          #rnchat
                          9/30/2009 13:18


          TeriRN:         T1 1 hosp in GA used to do internships 4 nurses. I thought it was good. Helped 2C if U were
                          a good fit for them & what U wanted 2 do #RNChat
                          9/30/2009 13:18


          medxcentral:    @suzishepherd Kinda-like the GM approach. If, after 60 days, you don't like it... return it. Or,
                          change specialty as the case is. #rnchat
                          9/30/2009 13:19


          suzishepherd:   @medxcentral #RNchat T1 It's almost always about the money. Hard to say no to more $
                          these days. Some will teach for love but must pay well.
                          9/30/2009 13:19


          mannabsn:       @RoRod101 the student I precepted this past spring said lots of folks from her class were
                          having trouble finding jobs #rnchat
                          9/30/2009 13:19


          rnchat:         As a reminder (for search purposes and organizing the chats) please add T1, T2, etc. to the
                          beginning of your tweets on a topic. #rnchat
                          9/30/2009 13:20


          medxcentral:    Agreed @suzishepherd ... #nurse faculty pay (lack of) is a chronic problem. #rnchat
                          9/30/2009 13:20


          mannabsn:       maybe not so hard for experienced nurses to find jobs but more difficult to new grads?
                          #rnchat
                          9/30/2009 13:20


          mkopp1:         I work with a few ppl who are doing the LPN route in order to get into RN school faster by
                          going back right away for their LPN to RN #rnchat
                          9/30/2009 13:21




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          InfusionNurse:      I agree.. RT @mkopp1: T1 educate on other opportunities available to RNs other than
                              #hospitals, #nursinghomes #rnchat
                              9/30/2009 13:21


          RoRod101:           @mannabsn T1 w/ hosp closing it leaves alot of experience nurses without jobs. Exp nurse
                              are more appealing & require less training. #RNchat
                              9/30/2009 13:22


          rnchat:             @mannabsn That's what some reports are saying - grads having a hard time. Creates a
                              crazy roller-coaster cycle longer-term. #rnchat
                              9/30/2009 13:22


          medxcentral:        But... what happens when the #hospital census picks back up? Who will care for the
                              patients? #rnchat
                              9/30/2009 13:23


          medxcentral:        And.. if we get universal coverage... census is going to pick up .. big time... agreed? What
                              then? #rnchat
                              9/30/2009 13:24


          TeriRN:             I'm seeing where specilaty nurses R having trouble. I can't get on a med/surg floor b/c I
                              have done hospice 4 the last 6 yrs. #RNChat
                              9/30/2009 13:24


          InfusionNurse:      T1 recession affected nursing, no one hiring new grads.costly to train than experienced
                              nurses.Those near retirement r still working #rnchat
                              9/30/2009 13:24


          rnchat:             @medxcentral Welcome to the world of nursing :) Who picks up? Nurses. #rnchat
                              9/30/2009 13:24


          suzishepherd:       #RNchat T1 @ a C/S met Nsg students that didn't know about Twitter and its potential for
                              helping them as nsg students. Gave brief lesson.
                              9/30/2009 13:25


          medxcentral:        Phil.. I'm wondering where our #hcsm #hospital friends are in this convo. Would be great
                              input as long as non-marketing. #rnchat
                              9/30/2009 13:25


          mkopp1:             @creature57 via Follow a ton of RNs with the push of a button - http://bit.ly/17xJtt #RNchat
                              9/30/2009 13:25


          medxcentral:        @rnchat This is why I'm such a fan of nursing and nurses. Real challenges in play which
                              need creative resolution. #rnchat
                              9/30/2009 13:26


          rnchat:             Shoulder tap: Next topic in about 5 minutes. #rnchat
                              9/30/2009 13:26


          2healthguru:        @medxcentral: Lurking! #rnchat
                              9/30/2009 13:27


          OncologyNursing: Keep in mind that, as length of survival for #cancer patients increases, so will the need for
                           #oncology nurses #rnchat #RNchat
                              9/30/2009 13:27


          medxcentral:        @TeriRN Transitioning from hospice to acute care setting is sometimes difficult even when
                              jobs are plenty. #rnchat
                              9/30/2009 13:27




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          RoRod101:       @medxcentral T1 Healthcare is moving in the direction of prevention as oppose to acute tx.
                          Transitional Care Model #RNchat
                          9/30/2009 13:27


          medxcentral:    You're a recovering hospital admin, right? @2healthguru How do you feel about this topic?
                          Solution? #rnchat
                          9/30/2009 13:28


          ONSmark:        T1 Surprising (trouble getting jobs) per Buerhaus stats "126,000+ nursing positions are
                          vacant" & "500,000 positions by 2025" etc. #rnchat
                          9/30/2009 13:29


          suzishepherd:   @mkopp1 #RNchat Wow, thanks. Bookmarked it. I'll check these folks out later. http://bit.ly
                          /17xJtt
                          9/30/2009 13:29


          RoRod101:       Sorry go 2 go can't make it for the next topic. I enjoyed meeting everyone & discussing what
                          I am must passionate about nursing :-) #RNchat
                          9/30/2009 13:29


          suzishepherd:   RT @mkopp1: @creature57 via Follow a ton of RNs with the push of a button - http://bit.ly
                          /17xJtt #RNchat
                          9/30/2009 13:30


          TeriRN:         @medxcentral 2me the only diff is I go from house2house instead of room2roomStill using
                          med/surg &criticalthinking skills in hospice #RNChat
                          9/30/2009 13:30


          philbaumann:    @medxcentral Yes, I welcome #hcsm #hcmktg #pharma peeps over on #RNchat to listen
                          (just give the nurses room to speak....or else :)
                          9/30/2009 13:30


          medxcentral:    @ONSmark What's the date on the Buerhaus stats. If I recall, his report dates back about 2
                          years now. #rnchat
                          9/30/2009 13:31


          rnchat:         @RoRod101 Glad you too part. Enjoy your day - next chat will be announced soon. #rnchat
                          9/30/2009 13:31


          TeriRN:         @RoRod101 hope to see you next time this is a great group. #RNChat
                          9/30/2009 13:31


          medxcentral:    Oh.. I agree, @TeriRN (though I'm not an expert) .. but for whatever reason, admins don't
                          agree. Why? #rnchat
                          9/30/2009 13:32


          rnchat:         T2 Clinical Collaboration (or outside of clinical) - How effective have your collaboration
                          experiences been? What tools could help? #RNchat
                          9/30/2009 13:33


          suzishepherd:   @TeriRN #RNchat T1 My experience with hospice nurses is they are among the best at
                          being an instrument of healing. Crazy not to value that.
                          9/30/2009 13:33


          ONSmark:        @medxcentral 2008: Buerhaus et al. The future of the nursing workforce in the United
                          States: Data, trends and implications. (J&B) #rnchat
                          9/30/2009 13:33


          medxcentral:    .@philbaumann I say... Attn: #nurses... think of this chat like Thanksgiving dinner with a



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                             large family. You've gotta speak up. :-) #rnchat
                             9/30/2009 13:33


          TeriRN:            @medxcentral I'd be interested in knowing why IC a + in that my time management skills R
                             pretty good since I have 2 count in traffic #RNChat
                             9/30/2009 13:34


          ONSmark:           @medxcentral What's a better (more recent) source? BLS or HRSA have anything? Thanks.
                             #rnchat
                             9/30/2009 13:34


          OncologyNursing: #ONS and #ASCO just collaborated on joint chemo safety guidelines bit.ly/49Ca34 #rnchat
                           #RNchat
                             9/30/2009 13:35


          rnchat:            @medxcentral Oh, believe me: nurses know how to be loud :) #rnchat
                             9/30/2009 13:35


          medxcentral:       .@ONSmark Wish I knew. I have not had time to search. Shoot.. I shouldn't be here right
                             now. :-) .. share if you find it. #rnchat
                             9/30/2009 13:36


          TeriRN:            @suzishepherd Oh thanks. And I agree. While keeping comfortable 4 one dx, I'm critical
                             thinking about another & how 2 help pt. #RNChat
                             9/30/2009 13:37


          medxcentral:       @rnchat I know.. I'm hoping to chat them up and get'em going here. Luckily, today's topic is
                             a HOT spot for me. #rnchat
                             9/30/2009 13:37


          rnchat:            In case T2 slide by you, here it is again: - http://bit.ly/2KeVp0 #RNchat
                             9/30/2009 13:37


          suzishepherd:      #RNchat T2 Took part in Vermont Oxford Network's NIC/Q project. Changed the way our
                             NICU works tgr. Titles left @ the door. Parents on team
                             9/30/2009 13:38


          ONSmark:           T2 @InfusionNurse Agreed. I'm w/ ONS but I use INS standards/articles nearly every day.
                             #rnchat
                             9/30/2009 13:38


          Geek2Nurse:        @medxcentral So we should reject universal coverage so they can't come to the hospital &
                             raise our census levels? #rnchat
                             9/30/2009 13:39


          TeriRN:            @InfusionNurse T2 also need 2 have them see you as a professional & nurses to see
                             themselves as professionals. #RNChat
                             9/30/2009 13:39


          Geek2Nurse:        @medxcentral Universal coverage won't create new sick people out of thin air. They're
                             already out there not being cared for. #rnchat
                             9/30/2009 13:40


          medxcentral:       Hello @Geek2Nurse ... absolutely not! I'm just trying to figure out where the #nurses are
                             going to come from. #rnchat
                             9/30/2009 13:40


          medxcentral:       Right @Geek2Nurse ... they are not getting care and are not at the hospital. What happens
                             when they are? #rnchat
                             9/30/2009 13:41




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          TeriRN:            T2 I can see where SM can be of benefit for collaboration, but then we get in2 the HIPAA
                             issues again. #RNChat
                             9/30/2009 13:42


          medxcentral:       I'm one of the uninsured. I'd love to have coverage and would be grateful for the care of
                             #nurses when I go to the #hospital. #rnchat
                             9/30/2009 13:42


          OncologyNursing: @Geek2Nurse @medxcentral I think word is spreading among youth that nursing jobs are
                           available. School funding is part of the issue. #RNchat
                             9/30/2009 13:43


          Sumpinelse:        #RNchat @medxcentral census goes up staffing remains unchanged, case loads increase
                             quality (???????)
                             9/30/2009 13:43


          mkopp1:            @medxcentral @Geek2Nurse ... they are getting care (in ER) just not f/u care like they
                             need or meds that they need at home #rnchat
                             9/30/2009 13:43


          InfusionNurse:     Same here, we use ur a lot 2! RT @ONSmark: T2 @InfusionNurse Agreed. Im w/ ONS but I
                             use INS standards/articles nearly every day. #rnchat
                             9/30/2009 13:43


          rnchat:            @TeriRN Yes, that's the hippo. But perhaps there are workarounds. Nothing's impossible. If
                             you can think it, you can sink it. #rnchat
                             9/30/2009 13:44


          mkopp1:            RT @Sumpinelse: #RNchat @medxcentral census goes up staffing remains unchanged,
                             case loads increase quality (???????)-good point #rnchat
                             9/30/2009 13:45


          medxcentral:       RT @rnchat: [Love that!] If you can think it, you can sink it. #fb #quote #rnchat
                             9/30/2009 13:46


          TeriRN:            @rnchat This is where we need to get the geek nurses involved. So that SM and HIPAA can
                             co-exist. =) #RNChat
                             9/30/2009 13:46


          suzishepherd:      #RNchat T2 Helped that VON had established culture of leaving titles at door. No one pulled
                             rank. This was key. Shared goals. Worked tgr..
                             9/30/2009 13:47


          TeriRN:            @mkopp1 It also doesn't help when hospitals can still dictate pt load. That is 1 area of
                             reform I'd like to see. #RNChat
                             9/30/2009 13:47


          medxcentral:       All reports indicate #hospital census will go up. Even b4 discussion of universal care, ie;
                             boomers. Now what do we do?!?!? Ideas? #rnchat
                             9/30/2009 13:48


          mkopp1:            RT @TeriRN: @mkopp1 It also doesnt help when hospitals can still dictate pt load. That is 1
                             area of reform Id like to see.~RIght On! #rnchat
                             9/30/2009 13:48


          philbaumann:       RT @TeriRN: @rnchat This is where we need to get the geek nurses involved. So that SM
                             and HIPAA can co-exist. =) #RNChat #hchit
                             9/30/2009 13:49




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          medxcentral:     And.. I do not believe heavier patient load is the answer. We need the capacity to educate
                           more #nurses. That's the core. #rnchat
                           9/30/2009 13:50


          InfusionNurse:   go into panic hiring frenzy..LOL!! RT @medxcentral: All reports indicate #hospital census will
                           go up. Now what do we do?!?!? Ideas? #rnchat
                           9/30/2009 13:50


          medxcentral:     RT @TeriRN: This is where we need to get the geek nurses involved. So that SM and
                           HIPAA can co-exist. =) [Know any?] #rnchat
                           9/30/2009 13:50


          suzishepherd:    RT @medxcentral: I do not believe heavier patient load is the answer. We need the capacity
                           to educate more #nurses. That's the core. #rnchat
                           9/30/2009 13:51


          rnchat:          Follow-up T2 - If there was one technology you'd name that could improve collaboration
                           what would it look like (if not around now)? #rnchat
                           9/30/2009 13:51


          medxcentral:     Ah.. @InfusionNurse .. you can't hire thin air. If there's no nurses... now what? #rnchat
                           9/30/2009 13:52


          medxcentral:     As you can see.. this topic is near and dear to my heart. I'm very passionate about the
                           #nursing shortage. Been following for years. #rnchat
                           9/30/2009 13:53


          mkopp1:          I believe EMR is a start. Get a bad report from another staff dept, look up the info yourself.
                           #rnchat
                           9/30/2009 13:54


          InfusionNurse:   remember the nrsg shortage and what creative hiring ideas were done? RT @medxcentral:
                           Ah..If theres no nurses... now what? #rnchat
                           9/30/2009 13:55


          medxcentral:     T2-b: #SocialMedia in general. "Two brains are better than one." We'll create the answers
                           together...somehow. #rnchat
                           9/30/2009 13:55


          rnchat:          We're coming up on the final bell in a few minutes. #RNchat
                           9/30/2009 13:55


          TeriRN:          F/UT2 It would need 2 B something like Twitter. Would B able 2 get info from others across
                           world esp on rare dx. #RNChat
                           9/30/2009 13:56


          mkopp1:          RT @medxcentral: T2-b: #SocialMedia in general. "Two brains are better than one." Well
                           create the answers together...somehow. :) #rnchat
                           9/30/2009 13:56


          TeriRN:          RT @rnchat: Were coming up on the final bell in a few minutes.// Nooooooo can't believe it's
                           been an hour. =( #RNChat
                           9/30/2009 13:57


          InfusionNurse:   yup RT @medxcentral: T2-b: #SocialMedia in general. "Two brains are better than one."
                           Well create the answers together...somehow. #rnchat
                           9/30/2009 13:57


          medxcentral:     .@InfusionNurse Creative #hiring / #staffing only works if there's someone available for hire.



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                           #rnchat
                           9/30/2009 13:58


          ONSmark:         T2 Agree with EMR suggestion for improving collaboration. Would elaborate but final bell's
                           almost here! #rnchat
                           9/30/2009 13:58


          rnchat:          @TeriRN I'd agree. A future topic will be how Enterprise versions of Twitter (Sci Fi stuff right
                           now) could shape collaboration. #rnchat
                           9/30/2009 13:59


          medxcentral:     Before it's over.. Thank you all for putting up with my high energy level. I'm always out here.
                           Feel free to reach out. Ciao! #rnchat
                           9/30/2009 13:59


          medxcentral:     @rnchat GREAT topic today. Thanks for the opportunity. Until next time. #rnchat
                           9/30/2009 13:59


          rnchat:          For an additional 10 minutes, please swipe your credit card. #RNchat Yikes! Time flies.
                           We're wrapping up. Final thoughts? Feel free 2 go on
                           9/30/2009 14:00


          InfusionNurse:   Thanks everyone! Very interesting chat. Thanks to Phil for coordinating and moderating.
                           Looking forward to the next one #rnchat
                           9/30/2009 14:00


          rnchat:          Our next #RNchat will be this Friday 10/2 12:00 EDT. We're still experimenting with times so
                           we can optimize. Thank you for ur flexibility!
                           9/30/2009 14:01


          Sumpinelse:      Thank you for allowing me to "lurk." #RNchat
                           9/30/2009 14:01


          TeriRN:          T2 EMR is a start, but needs to be universal. Everyone uses the same system.
                           Collaboration is beneficial outside of own setting IMHO #RNChat
                           9/30/2009 14:01


          mkopp1:          Nice chatting with everyone! #rnchat
                           9/30/2009 14:01


          InfusionNurse:   If u build it, they will come. It worked in the past..RT @medxcentral: only works if theres
                           someone available for hire. #rnchat
                           9/30/2009 14:02


          rnchat:          @Sumpinelse We prefer the term "stalk" :) #rnchat
                           9/30/2009 14:02


          Sumpinelse:      @RNchat #RNchat I will remember that for future meetings LOL.
                           9/30/2009 14:03


          2healthguru:     @RNchat how 'bout medical staff/nursing/admin/governance, turf wars and clinical quality
                           imperative - room for improvement? #RNchat
                           9/30/2009 14:03


          suzishepherd:    #RNchat Night all!
                           9/30/2009 14:03


          TeriRN:          @2healthguru Sounds like a topic we can spend the whole hour+ on #RNChat
                           9/30/2009 14:04




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           TeriRN:          @suzishepherd Nite. Hope you have a good shift. #RNChat
                            9/30/2009 14:05


           rnchat:          Again, next chat is this Friday 10/2 12:00 EDT. Look forward to seeing you again! #rnchat
                            9/30/2009 14:05


           TeriRN:          @rnchat see ya there. Thanks for moderating @PhilBaumann #RNChat
                            9/30/2009 14:07


           philbaumann:     @terirn My pleasure! Thanks for partying! #RNChat
                            9/30/2009 14:09


           2healthguru:     @PhilBaumann @terirn Indeed; the sociology of hospital culture is most worthy of
                            exploration if transformation is intention #RNChat
                            9/30/2009 14:10


           medxcentral:     #overandout .. now on to site development and production work. #fb Enjoyed stimulating
                            #rnchat today.
                            9/30/2009 14:12


           InfusionNurse:   RT @RNchat Again, next chat is this Friday 10/2 12:00 EDT. Look forward to seeing you
                            again! #rnchat
                            9/30/2009 14:20




10 of 10                                                                                                           9/30/09 3:44 PM

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RNchat Transcript Sep 30 2009

  • 1. http://printyourtwitter.com/tweets.html rnchat: You may find using TweetChat - http://TweetChat.com - an easier way to participate in #RNchat 9/30/2009 12:39 rnchat: OK. Ready to start? Let's begin with introductions: who you are, what you do (or don't :) and what you're passionate about. #RNchat 9/30/2009 13:00 InfusionNurse: Hi all! Infusion nurse and nurse educator...always glad to be here..great group! #rnchat 9/30/2009 13:01 medxcentral: Can't miss this. Hello all. I'm Jim.. owner of medXcentral.com, "Networking for those in health care and those who need them." #rnchat 9/30/2009 13:01 mkopp1: I'm Marie and I am an ER nurse in MN. Passionate about emergency care and learning about legal RN consultant. #rnchat #rnchat 9/30/2009 13:02 RoRod101: I am an RN, NP, Nurse Educator & DNP student. I am passionate about nursing. #RNchat 9/30/2009 13:02 suzishepherd: #RNchat Checking in before bed (2 nocs coming up). Neonatal NP. Interest FCC, pain. I write books and keep sheep too. 9/30/2009 13:03 medxcentral: If you're within "ear-shot" .. join us NOW for a chat with #nurses on Twitter. Use http://tweetchat.com and tune to -> #rnchat 9/30/2009 13:03 medxcentral: @suzishepherd Stick around for an hour. :-) #rnchat 9/30/2009 13:04 rnchat: Topic 1 Coming up in one minute. Prepend your tweet response to a topic with T1, T2 , etc. #RNchat 9/30/2009 13:04 TeriRN: Hey all. I'm a travel nurse specializing in hospice. I love to craft, travel and spend time w/family and friends. #RNChat 9/30/2009 13:06 rnchat: T1 Nursing Education. No question we need more (happy) nurses. What are our most critical challenges in recruiting next generation? #RNchat 9/30/2009 13:06 TeriRN: @RoRod101 Cool. I am finishing my BSN and plan to continue on for my DNP. #RNChat 9/30/2009 13:06 mkopp1: Same to you Jim #rnchat 9/30/2009 13:07 suzishepherd: #RNchat Suzanne Tietjen, Neonatal NP, checking in be4 bed (2 nocs coming up), Speak and present on FCC, pain. Also write books & keep sheep. 9/30/2009 13:08 RoRod101: @TeriRN Go for it, the wonderful thing about nursing we can move in many directions! @medxcentral Nice to meet you too! #RNchat 9/30/2009 13:09 1 of 10 9/30/09 3:44 PM
  • 2. http://printyourtwitter.com/tweets.html medxcentral: T1 ... Recruiting next gen nurses is one thing. Keeping them on board is another. Proper orientation is a challenge @rnchat #rnchat 9/30/2009 13:09 RoRod101: T1 Positive role modeling especially in the media where they reach millions of potential nurses #RNchat 9/30/2009 13:10 TeriRN: T1 Having enough space in the nursing programs 4 the many eligible applicant. #RNChat 9/30/2009 13:10 InfusionNurse: T1 from what I hear the challenge is new grad RNs cant get jobs...so they r moving on to other jobs #rnchat 9/30/2009 13:10 TeriRN: @medxcentral Oh I agree orientation is sooo critical. #RNChat 9/30/2009 13:11 mannabsn: Is there an #RNchat goin on right now? 9/30/2009 13:11 mkopp1: T1..getting them an appropriate fitting job that fits their skill level and matched with a mentor. Jobs are hard to find right now #rnchat 9/30/2009 13:11 InfusionNurse: Also enough instructors in nrsg schools RT @TeriRN: T1 Having enough space in the nursing programs 4 the many eligible applicant. #rnchat 9/30/2009 13:12 medxcentral: @mannabsn Yes.. come jump in. #rnchat 9/30/2009 13:12 rnchat: @mannabsn Yes, come on in. No late fees today. #rnchat 9/30/2009 13:12 RoRod101: T1 Promotion of jobs for nurses in other areas not just hospitals. Especially where hospitals are closing. #RNchat 9/30/2009 13:12 suzishepherd: #RNchat T1 Talk with enthusiasm about our work. Let's get the students into schools (long wait lists). Where are the educators? 9/30/2009 13:13 mannabsn: great! thanks @rnchat @medxcenral glad to be here! #RNchat 9/30/2009 13:13 mkopp1: RT @TeriRN: T1 Having enough space in the nursing programs 4 the many eligible applicant.~Agreed...so many good ppl turned away #rnchat 9/30/2009 13:14 suzishepherd: @mannabsn Indeed there is. #RNchat 9/30/2009 13:14 medxcentral: Be careful not to redirect a limited quantity of #nurses away from #hospitals. Economy will improve & boomers are coming. #rnchat 9/30/2009 13:15 RoRod101: Salary for Nurse Educators need to be competitive #RNchat 9/30/2009 13:15 2 of 10 9/30/09 3:44 PM
  • 3. http://printyourtwitter.com/tweets.html TeriRN: T1 I was lucky that a space opened the yr I started. Otherwise I would have had 2 wait & hope I made it in the next yr. #RNChat 9/30/2009 13:15 medxcentral: Unfortunately, @suzishepherd .. the #nurse educators are working for 30% higher pay in the field. #rnchat 9/30/2009 13:16 suzishepherd: #RNchat T1 Our hospital has nurse residency program that provides support & the chance to try out different specialties to find a good fit. 9/30/2009 13:16 rnchat: T1 As a follow-up, for those in facilities, what are your organizations doing to promote nursing externally, at schools, etc.? #RNchat 9/30/2009 13:17 medxcentral: Yep.. @mkopp1 .. I think 60,000 (?) potential #nurses were turned away in '07. Not sure though. #rnchat 9/30/2009 13:17 RoRod101: Alot of my graduating students had trouble finding jobs in hospital. I enc them 2 look at other ave 3 hosp closed by in about 2 yrs #RNchat 9/30/2009 13:18 mkopp1: T1 educate on other opportunities available to RNs other than #hospitals, #nursinghomes #rnchat 9/30/2009 13:18 TeriRN: T1 1 hosp in GA used to do internships 4 nurses. I thought it was good. Helped 2C if U were a good fit for them & what U wanted 2 do #RNChat 9/30/2009 13:18 medxcentral: @suzishepherd Kinda-like the GM approach. If, after 60 days, you don't like it... return it. Or, change specialty as the case is. #rnchat 9/30/2009 13:19 suzishepherd: @medxcentral #RNchat T1 It's almost always about the money. Hard to say no to more $ these days. Some will teach for love but must pay well. 9/30/2009 13:19 mannabsn: @RoRod101 the student I precepted this past spring said lots of folks from her class were having trouble finding jobs #rnchat 9/30/2009 13:19 rnchat: As a reminder (for search purposes and organizing the chats) please add T1, T2, etc. to the beginning of your tweets on a topic. #rnchat 9/30/2009 13:20 medxcentral: Agreed @suzishepherd ... #nurse faculty pay (lack of) is a chronic problem. #rnchat 9/30/2009 13:20 mannabsn: maybe not so hard for experienced nurses to find jobs but more difficult to new grads? #rnchat 9/30/2009 13:20 mkopp1: I work with a few ppl who are doing the LPN route in order to get into RN school faster by going back right away for their LPN to RN #rnchat 9/30/2009 13:21 3 of 10 9/30/09 3:44 PM
  • 4. http://printyourtwitter.com/tweets.html InfusionNurse: I agree.. RT @mkopp1: T1 educate on other opportunities available to RNs other than #hospitals, #nursinghomes #rnchat 9/30/2009 13:21 RoRod101: @mannabsn T1 w/ hosp closing it leaves alot of experience nurses without jobs. Exp nurse are more appealing & require less training. #RNchat 9/30/2009 13:22 rnchat: @mannabsn That's what some reports are saying - grads having a hard time. Creates a crazy roller-coaster cycle longer-term. #rnchat 9/30/2009 13:22 medxcentral: But... what happens when the #hospital census picks back up? Who will care for the patients? #rnchat 9/30/2009 13:23 medxcentral: And.. if we get universal coverage... census is going to pick up .. big time... agreed? What then? #rnchat 9/30/2009 13:24 TeriRN: I'm seeing where specilaty nurses R having trouble. I can't get on a med/surg floor b/c I have done hospice 4 the last 6 yrs. #RNChat 9/30/2009 13:24 InfusionNurse: T1 recession affected nursing, no one hiring new grads.costly to train than experienced nurses.Those near retirement r still working #rnchat 9/30/2009 13:24 rnchat: @medxcentral Welcome to the world of nursing :) Who picks up? Nurses. #rnchat 9/30/2009 13:24 suzishepherd: #RNchat T1 @ a C/S met Nsg students that didn't know about Twitter and its potential for helping them as nsg students. Gave brief lesson. 9/30/2009 13:25 medxcentral: Phil.. I'm wondering where our #hcsm #hospital friends are in this convo. Would be great input as long as non-marketing. #rnchat 9/30/2009 13:25 mkopp1: @creature57 via Follow a ton of RNs with the push of a button - http://bit.ly/17xJtt #RNchat 9/30/2009 13:25 medxcentral: @rnchat This is why I'm such a fan of nursing and nurses. Real challenges in play which need creative resolution. #rnchat 9/30/2009 13:26 rnchat: Shoulder tap: Next topic in about 5 minutes. #rnchat 9/30/2009 13:26 2healthguru: @medxcentral: Lurking! #rnchat 9/30/2009 13:27 OncologyNursing: Keep in mind that, as length of survival for #cancer patients increases, so will the need for #oncology nurses #rnchat #RNchat 9/30/2009 13:27 medxcentral: @TeriRN Transitioning from hospice to acute care setting is sometimes difficult even when jobs are plenty. #rnchat 9/30/2009 13:27 4 of 10 9/30/09 3:44 PM
  • 5. http://printyourtwitter.com/tweets.html RoRod101: @medxcentral T1 Healthcare is moving in the direction of prevention as oppose to acute tx. Transitional Care Model #RNchat 9/30/2009 13:27 medxcentral: You're a recovering hospital admin, right? @2healthguru How do you feel about this topic? Solution? #rnchat 9/30/2009 13:28 ONSmark: T1 Surprising (trouble getting jobs) per Buerhaus stats "126,000+ nursing positions are vacant" & "500,000 positions by 2025" etc. #rnchat 9/30/2009 13:29 suzishepherd: @mkopp1 #RNchat Wow, thanks. Bookmarked it. I'll check these folks out later. http://bit.ly /17xJtt 9/30/2009 13:29 RoRod101: Sorry go 2 go can't make it for the next topic. I enjoyed meeting everyone & discussing what I am must passionate about nursing :-) #RNchat 9/30/2009 13:29 suzishepherd: RT @mkopp1: @creature57 via Follow a ton of RNs with the push of a button - http://bit.ly /17xJtt #RNchat 9/30/2009 13:30 TeriRN: @medxcentral 2me the only diff is I go from house2house instead of room2roomStill using med/surg &criticalthinking skills in hospice #RNChat 9/30/2009 13:30 philbaumann: @medxcentral Yes, I welcome #hcsm #hcmktg #pharma peeps over on #RNchat to listen (just give the nurses room to speak....or else :) 9/30/2009 13:30 medxcentral: @ONSmark What's the date on the Buerhaus stats. If I recall, his report dates back about 2 years now. #rnchat 9/30/2009 13:31 rnchat: @RoRod101 Glad you too part. Enjoy your day - next chat will be announced soon. #rnchat 9/30/2009 13:31 TeriRN: @RoRod101 hope to see you next time this is a great group. #RNChat 9/30/2009 13:31 medxcentral: Oh.. I agree, @TeriRN (though I'm not an expert) .. but for whatever reason, admins don't agree. Why? #rnchat 9/30/2009 13:32 rnchat: T2 Clinical Collaboration (or outside of clinical) - How effective have your collaboration experiences been? What tools could help? #RNchat 9/30/2009 13:33 suzishepherd: @TeriRN #RNchat T1 My experience with hospice nurses is they are among the best at being an instrument of healing. Crazy not to value that. 9/30/2009 13:33 ONSmark: @medxcentral 2008: Buerhaus et al. The future of the nursing workforce in the United States: Data, trends and implications. (J&B) #rnchat 9/30/2009 13:33 medxcentral: .@philbaumann I say... Attn: #nurses... think of this chat like Thanksgiving dinner with a 5 of 10 9/30/09 3:44 PM
  • 6. http://printyourtwitter.com/tweets.html large family. You've gotta speak up. :-) #rnchat 9/30/2009 13:33 TeriRN: @medxcentral I'd be interested in knowing why IC a + in that my time management skills R pretty good since I have 2 count in traffic #RNChat 9/30/2009 13:34 ONSmark: @medxcentral What's a better (more recent) source? BLS or HRSA have anything? Thanks. #rnchat 9/30/2009 13:34 OncologyNursing: #ONS and #ASCO just collaborated on joint chemo safety guidelines bit.ly/49Ca34 #rnchat #RNchat 9/30/2009 13:35 rnchat: @medxcentral Oh, believe me: nurses know how to be loud :) #rnchat 9/30/2009 13:35 medxcentral: .@ONSmark Wish I knew. I have not had time to search. Shoot.. I shouldn't be here right now. :-) .. share if you find it. #rnchat 9/30/2009 13:36 TeriRN: @suzishepherd Oh thanks. And I agree. While keeping comfortable 4 one dx, I'm critical thinking about another & how 2 help pt. #RNChat 9/30/2009 13:37 medxcentral: @rnchat I know.. I'm hoping to chat them up and get'em going here. Luckily, today's topic is a HOT spot for me. #rnchat 9/30/2009 13:37 rnchat: In case T2 slide by you, here it is again: - http://bit.ly/2KeVp0 #RNchat 9/30/2009 13:37 suzishepherd: #RNchat T2 Took part in Vermont Oxford Network's NIC/Q project. Changed the way our NICU works tgr. Titles left @ the door. Parents on team 9/30/2009 13:38 ONSmark: T2 @InfusionNurse Agreed. I'm w/ ONS but I use INS standards/articles nearly every day. #rnchat 9/30/2009 13:38 Geek2Nurse: @medxcentral So we should reject universal coverage so they can't come to the hospital & raise our census levels? #rnchat 9/30/2009 13:39 TeriRN: @InfusionNurse T2 also need 2 have them see you as a professional & nurses to see themselves as professionals. #RNChat 9/30/2009 13:39 Geek2Nurse: @medxcentral Universal coverage won't create new sick people out of thin air. They're already out there not being cared for. #rnchat 9/30/2009 13:40 medxcentral: Hello @Geek2Nurse ... absolutely not! I'm just trying to figure out where the #nurses are going to come from. #rnchat 9/30/2009 13:40 medxcentral: Right @Geek2Nurse ... they are not getting care and are not at the hospital. What happens when they are? #rnchat 9/30/2009 13:41 6 of 10 9/30/09 3:44 PM
  • 7. http://printyourtwitter.com/tweets.html TeriRN: T2 I can see where SM can be of benefit for collaboration, but then we get in2 the HIPAA issues again. #RNChat 9/30/2009 13:42 medxcentral: I'm one of the uninsured. I'd love to have coverage and would be grateful for the care of #nurses when I go to the #hospital. #rnchat 9/30/2009 13:42 OncologyNursing: @Geek2Nurse @medxcentral I think word is spreading among youth that nursing jobs are available. School funding is part of the issue. #RNchat 9/30/2009 13:43 Sumpinelse: #RNchat @medxcentral census goes up staffing remains unchanged, case loads increase quality (???????) 9/30/2009 13:43 mkopp1: @medxcentral @Geek2Nurse ... they are getting care (in ER) just not f/u care like they need or meds that they need at home #rnchat 9/30/2009 13:43 InfusionNurse: Same here, we use ur a lot 2! RT @ONSmark: T2 @InfusionNurse Agreed. Im w/ ONS but I use INS standards/articles nearly every day. #rnchat 9/30/2009 13:43 rnchat: @TeriRN Yes, that's the hippo. But perhaps there are workarounds. Nothing's impossible. If you can think it, you can sink it. #rnchat 9/30/2009 13:44 mkopp1: RT @Sumpinelse: #RNchat @medxcentral census goes up staffing remains unchanged, case loads increase quality (???????)-good point #rnchat 9/30/2009 13:45 medxcentral: RT @rnchat: [Love that!] If you can think it, you can sink it. #fb #quote #rnchat 9/30/2009 13:46 TeriRN: @rnchat This is where we need to get the geek nurses involved. So that SM and HIPAA can co-exist. =) #RNChat 9/30/2009 13:46 suzishepherd: #RNchat T2 Helped that VON had established culture of leaving titles at door. No one pulled rank. This was key. Shared goals. Worked tgr.. 9/30/2009 13:47 TeriRN: @mkopp1 It also doesn't help when hospitals can still dictate pt load. That is 1 area of reform I'd like to see. #RNChat 9/30/2009 13:47 medxcentral: All reports indicate #hospital census will go up. Even b4 discussion of universal care, ie; boomers. Now what do we do?!?!? Ideas? #rnchat 9/30/2009 13:48 mkopp1: RT @TeriRN: @mkopp1 It also doesnt help when hospitals can still dictate pt load. That is 1 area of reform Id like to see.~RIght On! #rnchat 9/30/2009 13:48 philbaumann: RT @TeriRN: @rnchat This is where we need to get the geek nurses involved. So that SM and HIPAA can co-exist. =) #RNChat #hchit 9/30/2009 13:49 7 of 10 9/30/09 3:44 PM
  • 8. http://printyourtwitter.com/tweets.html medxcentral: And.. I do not believe heavier patient load is the answer. We need the capacity to educate more #nurses. That's the core. #rnchat 9/30/2009 13:50 InfusionNurse: go into panic hiring frenzy..LOL!! RT @medxcentral: All reports indicate #hospital census will go up. Now what do we do?!?!? Ideas? #rnchat 9/30/2009 13:50 medxcentral: RT @TeriRN: This is where we need to get the geek nurses involved. So that SM and HIPAA can co-exist. =) [Know any?] #rnchat 9/30/2009 13:50 suzishepherd: RT @medxcentral: I do not believe heavier patient load is the answer. We need the capacity to educate more #nurses. That's the core. #rnchat 9/30/2009 13:51 rnchat: Follow-up T2 - If there was one technology you'd name that could improve collaboration what would it look like (if not around now)? #rnchat 9/30/2009 13:51 medxcentral: Ah.. @InfusionNurse .. you can't hire thin air. If there's no nurses... now what? #rnchat 9/30/2009 13:52 medxcentral: As you can see.. this topic is near and dear to my heart. I'm very passionate about the #nursing shortage. Been following for years. #rnchat 9/30/2009 13:53 mkopp1: I believe EMR is a start. Get a bad report from another staff dept, look up the info yourself. #rnchat 9/30/2009 13:54 InfusionNurse: remember the nrsg shortage and what creative hiring ideas were done? RT @medxcentral: Ah..If theres no nurses... now what? #rnchat 9/30/2009 13:55 medxcentral: T2-b: #SocialMedia in general. "Two brains are better than one." We'll create the answers together...somehow. #rnchat 9/30/2009 13:55 rnchat: We're coming up on the final bell in a few minutes. #RNchat 9/30/2009 13:55 TeriRN: F/UT2 It would need 2 B something like Twitter. Would B able 2 get info from others across world esp on rare dx. #RNChat 9/30/2009 13:56 mkopp1: RT @medxcentral: T2-b: #SocialMedia in general. "Two brains are better than one." Well create the answers together...somehow. :) #rnchat 9/30/2009 13:56 TeriRN: RT @rnchat: Were coming up on the final bell in a few minutes.// Nooooooo can't believe it's been an hour. =( #RNChat 9/30/2009 13:57 InfusionNurse: yup RT @medxcentral: T2-b: #SocialMedia in general. "Two brains are better than one." Well create the answers together...somehow. #rnchat 9/30/2009 13:57 medxcentral: .@InfusionNurse Creative #hiring / #staffing only works if there's someone available for hire. 8 of 10 9/30/09 3:44 PM
  • 9. http://printyourtwitter.com/tweets.html #rnchat 9/30/2009 13:58 ONSmark: T2 Agree with EMR suggestion for improving collaboration. Would elaborate but final bell's almost here! #rnchat 9/30/2009 13:58 rnchat: @TeriRN I'd agree. A future topic will be how Enterprise versions of Twitter (Sci Fi stuff right now) could shape collaboration. #rnchat 9/30/2009 13:59 medxcentral: Before it's over.. Thank you all for putting up with my high energy level. I'm always out here. Feel free to reach out. Ciao! #rnchat 9/30/2009 13:59 medxcentral: @rnchat GREAT topic today. Thanks for the opportunity. Until next time. #rnchat 9/30/2009 13:59 rnchat: For an additional 10 minutes, please swipe your credit card. #RNchat Yikes! Time flies. We're wrapping up. Final thoughts? Feel free 2 go on 9/30/2009 14:00 InfusionNurse: Thanks everyone! Very interesting chat. Thanks to Phil for coordinating and moderating. Looking forward to the next one #rnchat 9/30/2009 14:00 rnchat: Our next #RNchat will be this Friday 10/2 12:00 EDT. We're still experimenting with times so we can optimize. Thank you for ur flexibility! 9/30/2009 14:01 Sumpinelse: Thank you for allowing me to "lurk." #RNchat 9/30/2009 14:01 TeriRN: T2 EMR is a start, but needs to be universal. Everyone uses the same system. Collaboration is beneficial outside of own setting IMHO #RNChat 9/30/2009 14:01 mkopp1: Nice chatting with everyone! #rnchat 9/30/2009 14:01 InfusionNurse: If u build it, they will come. It worked in the past..RT @medxcentral: only works if theres someone available for hire. #rnchat 9/30/2009 14:02 rnchat: @Sumpinelse We prefer the term "stalk" :) #rnchat 9/30/2009 14:02 Sumpinelse: @RNchat #RNchat I will remember that for future meetings LOL. 9/30/2009 14:03 2healthguru: @RNchat how 'bout medical staff/nursing/admin/governance, turf wars and clinical quality imperative - room for improvement? #RNchat 9/30/2009 14:03 suzishepherd: #RNchat Night all! 9/30/2009 14:03 TeriRN: @2healthguru Sounds like a topic we can spend the whole hour+ on #RNChat 9/30/2009 14:04 9 of 10 9/30/09 3:44 PM
  • 10. http://printyourtwitter.com/tweets.html TeriRN: @suzishepherd Nite. Hope you have a good shift. #RNChat 9/30/2009 14:05 rnchat: Again, next chat is this Friday 10/2 12:00 EDT. Look forward to seeing you again! #rnchat 9/30/2009 14:05 TeriRN: @rnchat see ya there. Thanks for moderating @PhilBaumann #RNChat 9/30/2009 14:07 philbaumann: @terirn My pleasure! Thanks for partying! #RNChat 9/30/2009 14:09 2healthguru: @PhilBaumann @terirn Indeed; the sociology of hospital culture is most worthy of exploration if transformation is intention #RNChat 9/30/2009 14:10 medxcentral: #overandout .. now on to site development and production work. #fb Enjoyed stimulating #rnchat today. 9/30/2009 14:12 InfusionNurse: RT @RNchat Again, next chat is this Friday 10/2 12:00 EDT. Look forward to seeing you again! #rnchat 9/30/2009 14:20 10 of 10 9/30/09 3:44 PM