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          rnchat:           Welcome to tonight's #RNchat! It's @philbaumann moderating. Please pour yourself your
                            preferred treat & settle in. Introduce yourselves!
                            1/22/2010 21:00


          Nerdnurse:        @rnchat Nerdnurse here (Carole Eldridge), nursing college dean and first-timer to #RNchat
                            1/22/2010 21:01


          rnchat:           @Nerdnurse Welcome! Glad you're here! Feel free to "stalk" silently or contribute. I'll
                            mention a few tips to the group in a moment. #RNchat
                            1/22/2010 21:02


          onlinenursing:    Terri here. Work for @Nerdnurse. Huge fan of #RNChat and the tweeting nurses. #RNChat
                            1/22/2010 21:02


          EllenRichter:     Hello folks! Happy TGIF from south Florida, I'm Ellen a critical care RN & legal nurse
                            consultant :) #RNchat
                            1/22/2010 21:04


          EllenRichter:     Welcome @nerdnurse Wow, first time here? Enjoy! :) #RNchat
                            1/22/2010 21:04


          onlinenursing:    Hey @InfusionNurse and @EllenRichter! Good to see you! (Sorry, trouble typing daughter
                            crawling on table where laptop is :) #RNChat
                            1/22/2010 21:05


          EllenRichter:     Hi to all the "regulars"!! Terri, Phil, "infusion" LOL :) #RNchat
                            1/22/2010 21:05


          rnchat:           We'll get started in a moment. When responding to a topic, please prepend your tweet with
                            T1, T2, etc. Let's have fun. #RNchat
                            1/22/2010 21:06


          HITpol:           Nurses are the backbone of #MeaningfulUse and any successful #HealthIT implementation
                            #RNchat
                            1/22/2010 21:07


          EllenRichter:     Listening to the music of YouTube broadcasting Hope for Haiti as we chat #RNchat
                            1/22/2010 21:07


          Nerdnurse:        @EllenRichter Yep, first time. @onlinenursing has been after me 4 weeks, but couldn't find
                            time. See lots of great tweeps here! #RNchat
                            1/22/2010 21:07


          ocdgirl2000:      #rnchat omg twitter lockup!
                            1/22/2010 21:07


          rnchat:           Why Thank YOU RT @HITpol: Nurses are the backbone of #MeaningfulUse and any
                            successful #HealthIT implementation #RNchat
                            1/22/2010 21:07


          KPNurseRecruit:   I'm here tonight too...but still closing out some work too in Cali. #RNchat
                            1/22/2010 21:07


          ahier:            RT @HITpol Nurses are the backbone of #MeaningfulUse & any successful #HealthIT
                            implementation #RNchat
                            1/22/2010 21:08




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          InfusionNurse:    me too! so sad to watch..RT @EllenRichter: Listening to the music of YouTube broadcasting
                            Hope for Haiti as we chat #rnchat
                            1/22/2010 21:08


          EllenRichter:     @HITpol Thanks, and yes, we really have a pivotal role in Health IT implementation :)
                            #RNchat
                            1/22/2010 21:09


          rnchat:           OK, first topic coming right up. #RNchat
                            1/22/2010 21:09


          onlinenursing:    Hay @ocdgirl2000! Funny @Hitpool like crashing the #RNChat. and @ahier loves us
                            nurses too! Thanks! (Hi @KPNurseRecruit!)
                            1/22/2010 21:09


          EllenRichter:     Welcome @ocdgirl2000 @KPNurseRecruit :) #RNchat
                            1/22/2010 21:10


          rnchat:           T1 Psych Nursing: What are the biggest hurdles to proper treatment? (Not just for "Psych
                            RNs" here - all Nursing.) #RNchat
                            1/22/2010 21:10


          onlinenursing:    @EllenRichter wish I was listening 2 that. Instead, 3 kids and husband playing 'rock band'
                            with Queen going. Not so inspiring #RNChat
                            1/22/2010 21:11


          Nerdnurse:        @rnchat T!: Funding. No bucks anymore for psych. #RNchat
                            1/22/2010 21:11


          EllenRichter:     T1 Not a psyche RN but know the uphill battle trying to get a psych consult on a critical care
                            patient who needs mental help #RNchat
                            1/22/2010 21:11


          onlinenursing:    #RNChat T1: Hurdles-access due to cost (30% of my pt. pool no insurance), 30-40% with
                            Medicaid (which also means no access to specialists)
                            1/22/2010 21:12


          KPNurseRecruit:   @onlinenursing LOL Rockband! #RNChat
                            1/22/2010 21:12


          onlinenursing:    #RNChat T1: Yes @Nerdnurse - no funding! Also, not enough psychiatric practitioners.
                            Have psychologist N clinic 1day/wk (rare in Fam. prac)
                            1/22/2010 21:14


          Nerdnurse:        T1 Perception that psych isn't "real" illness needing treatment. #RNchat
                            1/22/2010 21:14


          ocdgirl2000:      #rnchat T1 insurance company rules ie referrals needed, fax,time restraints, waiting,
                            formats, signatures missing,etc.coding wrong.calls F/U
                            1/22/2010 21:14


          rnchat:           If you're new to #RNchat - you don't have to reply to @RNchat when responding (unless
                            you're specifically addressing me). Hashtag is fine.
                            1/22/2010 21:14


          rnchat:           RT @onlinenursing: #RNChat T1: Yes @Nerdnurse - no funding! Also, not enough



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                           psychiatric practitioners. Have psychologist N clinic 1day/ ...
                           1/22/2010 21:15


          ocdgirl2000:     #rnchat T1 makes it so overwhelming to patient,they give up!not worth going, non-complaint
                           with care due to fatigue from system restraints!
                           1/22/2010 21:16


          EllenRichter:    T1 Sometimes we cant get a psychiatrist to evaluate a Baker Act patient because no one is
                           on the "call list" anymore! #RNchat
                           1/22/2010 21:16


          Nerdnurse:       @onlinenursing Not too compelling to become psych practitioner when battle for money is
                           so tight and people don't see value of care. #RNchat
                           1/22/2010 21:16


          onlinenursing:   #RNChat - T1 - Not only "not a real illness" But social stigma in rural health practice, .ALSO,
                           no one wants 2 see kids
                           1/22/2010 21:16


          EllenRichter:    RT @Nerdnurse: @onlinenursing Not compelling 2 becom psych practitioner when battle for
                           $$ is so tight & ppl don't see value of care #RNchat
                           1/22/2010 21:18


          Nerdnurse:       After Wedgewood Baptist Church shooting by schizophrenic off meds, psych care got
                           funded for a while in FW. Didn't last. #RNchat
                           1/22/2010 21:18


          onlinenursing:   #RNChat- MO looking at legislation for psychologists to write RXs. This would be good, but
                           also raises all new questions about RXs
                           1/22/2010 21:18


          Nerdnurse:       @onlinenursing Psychologists writing RXs would be terrific! #RNchat
                           1/22/2010 21:19


          onlinenursing:   @EllenRichter #RNChat - what is baker act? Also... yes, what happened to good old call
                           lists? I miss them. Good points @Nerdnurse.
                           1/22/2010 21:19


          ocdgirl2000:     #rnchat T1 the diagnoses for referral has to really be specific and mitigating!how can a
                           primary doctor describe an acute problem?then refer
                           1/22/2010 21:19


          rnchat:          T1 As a follow-up: in your opinions has Psychiatry evolved much in 50 yrs? Or has it been
                           neurobiology & psychopharm doing legwork? #RNchat
                           1/22/2010 21:20


          Nerdnurse:       RT @ocdgirl2000: #rnchat T1 so overwhelming to pt, give up!not worth going,
                           non-complaint with care due to fatigue from system restraints!
                           1/22/2010 21:20


          onlinenursing:   I say let psych NP's write 4 controlled substances in all states & admit(heck, already do
                           counseling and medically manage pts). #RNchat.
                           1/22/2010 21:21


          ocdgirl2000:     #rnchat T1 many primary physicians think they CAN treat psych illness as well! you would
                           be surprised how many try to take on the role!
                           1/22/2010 21:21




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          Nerdnurse:       @rnchat T1 Agree neurobio, psychopharm doing real work--exciting stuff, tho. #RNchat
                           1/22/2010 21:21


          onlinenursing:   @RNChat Good question! I would agree... look there are no research $s in sociocultural
                           interventions. Research is where $$$ are. #RNChat.
                           1/22/2010 21:22


          EllenRichter:    @onlinenursing Baker Act a quickie wiki link http://i.cx/12z a limited way to keep one under
                           watch if they could harm self/others #RNchat
                           1/22/2010 21:22


          onlinenursing:   RT @Nerdnurse @ocdgirl2000: #rnchat T1 so overwhelming to pt, give up!not worth
                           going,non-complaint w/care due 2 fatigue frm system!
                           1/22/2010 21:22


          rnchat:          Next topic coming up in a minute. #RNchat
                           1/22/2010 21:24


          Nerdnurse:       #RNchat @onlinenursing @ocdgirl2000 Psych NPs writing & admitting more qualified than
                           most primary care!
                           1/22/2010 21:24


          ocdgirl2000:     #rnchat T1 there was a movement in the 80's for least the least restrictive environment
                           leading to less inpatient settings,this reduced care
                           1/22/2010 21:24


          onlinenursing:   RT @EllenRichter: Baker Act-wiki- http://bit.ly/82FMQN limited way 2keep 1 under watch if
                           could harm self/others #RNchat good old 96 hr hold
                           1/22/2010 21:24


          EllenRichter:    T1 We all know ppl who are depressed, no health insur, could really benefit from psych
                           help/drugs but cant get $ assistance #RNchat
                           1/22/2010 21:24


          rnchat:          T2 Nursing Challenges: What are the worst things about Nursing (from your perspective)?
                           What can be done to make positive changes? #RNchat
                           1/22/2010 21:26


          ocdgirl2000:     #rnchat T1 this, in the minds of insurance companies, made the care of mental illness,
                           inpatient, a questionable re-imbursement, forever.
                           1/22/2010 21:26


          onlinenursing:   @ocdgirl2000 Good point about outpatient movement (deinstitutionalizing) -also getting
                           Meds not entire picture. Psych=complex care #RNChat
                           1/22/2010 21:26


          rnchat:          Following up to T2 - We all b7tch from time to time. :) But what are the core problems the
                           profession must address & rut out? #RNchat
                           1/22/2010 21:28


          Nerdnurse:       T2 Sometimes I think we need to change the name of our profession. Too many female
                           overtones still. #RNchat
                           1/22/2010 21:28




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          EllenRichter:    Yes!! RT @onlinenursing @ocdgirl2000 Meds not entire picture. Psych=complex care
                           #RNchat
                           1/22/2010 21:28


          onlinenursing:   #RNChat - T2 - worst things about nursing-hours/overtime,lateral violence,non-agreement
                           about entry to practice,little mentoring of upcoming
                           1/22/2010 21:28


          Nerdnurse:       T2 Entry into practice is still not resolved. #RNchat
                           1/22/2010 21:28


          Nerdnurse:       T2 still eating our young #RNchat
                           1/22/2010 21:29


          EllenRichter:    T2 If I could undo & redo the nursing profession, I would make only ONE option for minimal
                           educational requirement...BSN #RNchat
                           1/22/2010 21:29


          onlinenursing:   RT @Nerdnurse: T2 Sometimes I think we need to change the name of our profession. Too
                           many female overtones still. #RNchat (good idea)
                           1/22/2010 21:29


          Nerdnurse:       RT @EllenRichter: T2 YES: I would make only ONE option for minimal educational
                           requirement...BSN #RNchat
                           1/22/2010 21:30


          EllenRichter:    Yes thats certainly a downfall RT @nerdnurse & @onlinenursing Too many female
                           overtones still #RNchat
                           1/22/2010 21:30


          ocdgirl2000:     #rnchat T2 well, RN retention should be a nationalized issue now.PERIOD.the fact that it's
                           not. is criminal.workplaces R getting away with..
                           1/22/2010 21:30


          InfusionNurse:   T2..lack of professional recognition and respect from other HCP's...still many stereotypes
                           going on.. #rnchat
                           1/22/2010 21:30


          Nerdnurse:       T2 Entry into practice such a hot button, though. Many good nurses disagree. #RNchat
                           1/22/2010 21:31


          EllenRichter:    T2 The multiple ways of becoming an RN has created dissidence within our profession &
                           and confusion by outsiders #RNchat
                           1/22/2010 21:31


          rnchat:          @onlinenursing That's an highlighting point. Nursing does still seem to retain a holdover
                           from the influence Paternalist times. #RNchat
                           1/22/2010 21:31


          onlinenursing:   @EllenRichter Amen-let's start there.RNs in BSN completion progR so tired of school.Still
                           they press on.Want them all 2 get there. #RNChat
                           1/22/2010 21:32


          Nerdnurse:       RT @InfusionNurse: T2..lack of professional recognition and respect from other HCP's...still
                           many stereotypes going on.. #rnchat
                           1/22/2010 21:32




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          ocdgirl2000:      #rnchat T2 reducing the RN population. without retention, there will be less and less
                            RN's.OK. who will do this. if not us?
                            1/22/2010 21:32


          onlinenursing:    RT @ocdgirl2000: #rnchat T2 well, RN retention should be a nationalized issue
                            now.PERIOD.the fact that it's not is criminal. :)
                            1/22/2010 21:32


          EllenRichter:     T2 Almost every nation on Earth has BSN as minimum standard for entry into practice
                            except the USA! Whats that about? #RNchat
                            1/22/2010 21:32


          onlinenursing:    RT @InfusionNurse: T2..lack of professional recognition and respect from other HCP's...still
                            many stereotypes going on.. #rnchat (agree!)
                            1/22/2010 21:33


          InfusionNurse:    T2...also dislike reference to "nurse" as just anyone who wears scrubs and assist patients or
                            physicians #rnchat
                            1/22/2010 21:33


          onlinenursing:    @EllenRichter #RNChat - well the 1s that actually hv some RN education and recognition
                            by licensure.Look at how many nations have nothing.
                            1/22/2010 21:34


          EllenRichter:     T2 Many of our new nurses are entering advanced practice & that will fill a big need, but
                            who will work at the bedside in 20 yrs? #RNchat
                            1/22/2010 21:34


          onlinenursing:    @InfusionNurse #RNChat - oh yeah... like the receptionist or housekeeping. Tee hee. They
                            are important, but not a nurse.
                            1/22/2010 21:34


          KPNurseRecruit:   #rnchat some RN programs are as fast as 17 mo...while other hc prof are bach prepared
                            min. Many PT positions now require PhD
                            1/22/2010 21:35


          EllenRichter:     How true! >> RT @onlinenursing:Look at how many nations have nothing. (relating to RN
                            education and recognition) #RNchat
                            1/22/2010 21:35


          Nerdnurse:        T2 Maybe a renaming would solve entry questions. Different licenses & names for different
                            degrees. But keep advanced nurses bedside #RNchat
                            1/22/2010 21:35


          onlinenursing:    @InfusionNurse #RNChat - how about how they portray nurses on shows like Greys
                            Anatomy, House, & Private Practice? LUV that. Re: stereotype
                            1/22/2010 21:36


          Nerdnurse:        T2 Media portrayals of nurses a huge problem. Hope all follow Truth About Nursing.
                            #RNchat
                            1/22/2010 21:37


          ocdgirl2000:      #rnchat T2 the "health room techs" in school health! they get called "the NURSE!" some
                            don't even have high school educations!
                            1/22/2010 21:37




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          BonnieRN:         T all I forgot how to jum in #RnChat
                            1/22/2010 21:37


          InfusionNurse:    Exactly !RT @onlinenursing: #RNChat - how about how they portray nurses on shows like
                            Greys Anatomy, House, & Private Practice? #rnchat
                            1/22/2010 21:38


          rnchat:           Great discussion here! #RNchat
                            1/22/2010 21:38


          EllenRichter:     @BonnieRN Hi there Bonnie!! Wow LTNS! You jumped in just fine! :) #RNchat
                            1/22/2010 21:38


          KPNurseRecruit:   #rnchat one of the challenges for me right now is how to keep the new grads that can not
                            find opps still engaged in the profession
                            1/22/2010 21:39


          EllenRichter:     T2 Yes, we really need to break that "handmaiden" mold given to us as nurses #RNchat
                            1/22/2010 21:39


          onlinenursing:    @KPNurseRecruit good point, lack bedsd RNs @EllenRichter alluded 2 is argument 4
                            17mo program.hv been at it 15 years & still learn #RNChat
                            1/22/2010 21:39


          rnchat:           @BonnieRN Good to see you here! #RNchat
                            1/22/2010 21:39


          InfusionNurse:    RT @ocdgirl2000: #rnchat T2 the "health room techs" in school health! get called "the
                            NURSE!" dont even have high school educations! #rnchat
                            1/22/2010 21:39


          ocdgirl2000:      #rnchat T2 techs work under RN license, get all the accolades,RN is treated like trash by
                            the government who employs her AND the tech.
                            1/22/2010 21:40


          InfusionNurse:    Yes, but how? RT @EllenRichter: T2 Yes, we really need to break that "handmaiden" mold
                            given to us as nurses #rnchat
                            1/22/2010 21:40


          onlinenursing:    #RNChat - T2 - soooo... like @Nerdnurse said - let's rename... what should we be?
                            Something super cool like WONDERWOMEN or something.
                            1/22/2010 21:40


          EllenRichter:     T2 I precept senior nursing students in my ICU & I'm not sure young people are always
                            entering the profession for the right reasons #RNchat
                            1/22/2010 21:40


          onlinenursing:    #RNChat. Hey Bonnie! Welcome! @BonnieRN
                            1/22/2010 21:41


          rnchat:           Or as @PhilBaumann says: "Nurses are the last Jedi Knights of the Republic." #RNchat
                            1/22/2010 21:41


          EllenRichter:     @onlinenursing umm...wonder-people" instead of wonderwomen? #RNchat
                            1/22/2010 21:41




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          Nerdnurse:        T2 No one will break us out of the handmaiden role except us. We have to refuse the role
                            and fight for more rights, responsibilities #RNchat
                            1/22/2010 21:42


          KPNurseRecruit:   #RNchat sorry, Phil. i keep forgeting the T1, T2, etc!
                            1/22/2010 21:42


          onlinenursing:    #RNChat - sorry Phill that won't work... Something else cool... like the green lanterns or
                            TarHeels(I know those are taken-just great names)
                            1/22/2010 21:43


          onlinenursing:    RT @rnchat: Or as @PhilBaumann says: "Nurses are the last Jedi Knights of the Republic."
                            #RNchat (LOVE IT!!!!)
                            1/22/2010 21:43


          NUR3563:          RT @rnchat: Or as @PhilBaumann says: "Nurses are the last Jedi Knights of the Republic."
                            #RNchat (LOVE IT!!!!)
                            1/22/2010 21:43


          Nerdnurse:        T2 We must feel THE FORCE of who we are! More education helps get more recognition,
                            respect. #RNchat
                            1/22/2010 21:43


          rnchat:           @KPNurseRecruit No problem at all - it's just a way to make following a bit easier (also for
                            transcripts). #RNchat
                            1/22/2010 21:43


          EllenRichter:     @Nerdnurse You are right. No one CAN break us of our stigma except us. #RNchat
                            1/22/2010 21:43


          InfusionNurse:    Agree RT @Nerdnurse:T2 No 1 will break us out of handmaiden role xcept us. refuse the
                            role & fight for more rights, responsibilities #rnchat
                            1/22/2010 21:44


          EllenRichter:     Cant agree more! RT @Nerdnurse: T2 We must feel THE FORCE of who we are! More
                            education helps get more recognition, respect. #RNchat
                            1/22/2010 21:44


          rnchat:           Shoulder tap: Next topic coming up in a moment. #RNchat
                            1/22/2010 21:44


          Nerdnurse:        #RNchat T2 No substitute by techs for the critical thinking of a seasoned RN. Must sell that.
                            1/22/2010 21:44


          onlinenursing:    @ocdgirl2000 Good point. I think the plan is to keep from paying 4 older RN's retirement.
                            We must cost too much. #RNChat. - T2
                            1/22/2010 21:45


          onlinenursing:    @EllenRichter Tee hee "THE FORCE"-maybe we should plan entire BSN nursing
                            curriculum around Star Wars & train Jedi Knights.love it! #RNChat
                            1/22/2010 21:46


          rnchat:           T3 Internet Health: As the world increasingly uses the (Social) Web, what are the
                            downsides? Potential for addiction, attention Dx? #RNchat
                            1/22/2010 21:46




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          EllenRichter:    T2 We have just got to learn NOT to take any crap from any other disciplines. We all have
                           important roles. #RNchat
                           1/22/2010 21:47


          onlinenursing:   #RNChat - T3.... who are you calling addicted? (Denial /Anger - stages of addiction
                           recovery)
                           1/22/2010 21:48


          Nerdnurse:       T3 #RNchat Downsides!??! Nooooo . . . . don't tell me there's anything bad about this! I'm
                           already addicted!
                           1/22/2010 21:49


          InfusionNurse:   T3, potential for misleading/ inaccurate information... #rnchat
                           1/22/2010 21:49


          EllenRichter:    T3 The downside of our dependence on the web is that we cant exist without it anymore!
                           #RNchat
                           1/22/2010 21:49


          EllenRichter:    @Nerdnurse @RNchat @onlinenursing T3 LOL yes I think that all of the participants here
                           tonight are members of Internet Anonymous :) #RNchat
                           1/22/2010 21:50


          onlinenursing:   T3 - #RNChat - O.K. seriously.... anonymity that could mean we can't contact people with
                           serious health issues.
                           1/22/2010 21:50


          rnchat:          Ah the irony :-) - RT @EllenRichter: T3 The downside of our dependence on the web is that
                           we cant exist without it anymore! #RNchat
                           1/22/2010 21:51


          ocdgirl2000:     #rnchat T2 more than just "education" & "critical thinking", retirement planning,..basic
                           workers rights,& legal rights.Nurses R clueless
                           1/22/2010 21:51


          EllenRichter:    T3 I cant work a single day at the hospital or in the legal field without whipping out my PDA
                           to surf for an answer to some question #RNchat
                           1/22/2010 21:51


          onlinenursing:   #RNChat - T3 - also, quacks feeding on desperate patients with diseases we don't know
                           cause or cure for yet (ex: parents w/autistic kids)
                           1/22/2010 21:51


          ocdgirl2000:     #rnchat T3 sorry for delayed tweet stuck again..
                           1/22/2010 21:51


          Nerdnurse:       RT @InfusionNurse: T3, potential for misleading/ inaccurate information... #rnchat --agree
                           we must educate, help people sort through stuff
                           1/22/2010 21:52


          EllenRichter:    LOL RT @rnchat Ah the irony RT @EllenRichter T3 The downside of our dependence on
                           the web is that we cant exist without it anymore! #RNchat
                           1/22/2010 21:52


          onlinenursing:   @ocdgirl2000 No worries. Love your #RNChat tweets. Loved that T2. THX!
                           1/22/2010 21:53




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           EllenRichter:     T3 The internet will be the stepping stone to universal health care practices #RNchat
                             1/22/2010 21:53


           Nerdnurse:        RT @EllenRichter: T3 The internet will be the stepping stone to universal health care
                             practices #RNchat --Agree!
                             1/22/2010 21:54


           EllenRichter:     LOL @RNchat So far, I cant think of any downsides of the web, as long as we use caution!!
                             :) #RNchat
                             1/22/2010 21:55


           philbaumann:      Our travel deeper into the Web is like a walk among falling snow. Glittery & enthralling. But
                             one day you turn around: piled in. #RNchat
                             1/22/2010 21:55


           EllenRichter:     @InfusionNurse LOL of course, to tweet as well!!! #RNchat
                             1/22/2010 21:55


           onlinenursing:    RT @EllenRichter: T3 The internet will b the stepping stone 2 universal h/c practices
                             #RNchat
                             1/22/2010 21:56


           KPNurseRecruit:   #RNChat T3 Data security/oversharing/naivety
                             1/22/2010 21:56


           EllenRichter:     @philbaumann Good analogy, but remember, spring eventually comes & the snow thaws
                             anyway :) #RNchat
                             1/22/2010 21:56


           rnchat:           @EllenRichter I could see that - there's definitely a lot of potential with the technology.
                             #RNchat
                             1/22/2010 21:56


           EllenRichter:     Yes, these are some of the things to be cautious of >> RT @KPNurseRecruit: #RNChat T3
                             Data security/oversharing/naivety
                             1/22/2010 21:57


           KPNurseRecruit:   RT @onlinenursing: RT @EllenRichter: T3 The internet will b the stepping stone 2 universal
                             h/c practices #RNchat
                             1/22/2010 21:57


           onlinenursing:    @Nerdnurse #RNChat - great point. Nurses will weed through information & set EBP
                             standards of care on the WEB. (Nice snow analogyPhil)
                             1/22/2010 21:57


           philbaumann:      @EllenRichter Exactly! It's important to know not to stare too long at each new flake and to
                             pack smart. :) #RNchat
                             1/22/2010 21:58


           ocdgirl2000:      #rnchat T3 there is a risk of addiction to anything!eating, working out, shopping, dieting,
                             yadah yadah..internet..yard sales, ebay auctions
                             1/22/2010 21:58


           rnchat:           T3 - Following up: On the whole, are nursing keeping up with new media? How problematic
                             is Web literacy? #RNchat
                             1/22/2010 21:59




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           EllenRichter:     @ocdgirl2000 I agree 100% ...addiction was around long before the internet--if you are
                             going to get addicted you will find something #RNchat
                             1/22/2010 21:59


           InfusionNurse:    LOL true RT @ocdgirl2000:T3 there is a risk of addiction 2 anything!eating,working out,
                             shopping, dieting,yard sales, ebay auctions #rnchat
                             1/22/2010 21:59


           Nerdnurse:        T3 I see wide variations in Internet literacy among nurses. Fight Web illiteracy every single
                             day. #RNchat
                             1/22/2010 22:00


           ocdgirl2000:      #rnchat T3 take a class on "addictions' you'll see!it's a "global" far-reaching thing!& it runs in
                             families too! from hoarding - workaholism
                             1/22/2010 22:01


           InfusionNurse:    T3 ffup..I don't think nursing(profession) is keeping up...individual nurses are, tho only a
                             handful #rnchat
                             1/22/2010 22:01


           EllenRichter:     @RNchat T3 As with all things, there R always the naysayers who resist change (like the
                             web) & make life that much more difficult ;) #RNchat
                             1/22/2010 22:01


           onlinenursing:    T3 #RNChat -(Re: web literacy)RNs N class c/o having 2 learn 2 blog,twitter,evaluate EHR
                             sys, & eval websites based on Berkley criteria. :)
                             1/22/2010 22:02


           RNMark:           @EllenRichter Our job becomes harder when we have to correct Internet misinformation or
                             hype #RNchat
                             1/22/2010 22:02


           EllenRichter:     T3 With the advent of EMRs thruout the country, all nurses will be required to deal with
                             computers, whether they like it or not #RNchat
                             1/22/2010 22:03


           onlinenursing:    @RNMark Hey Mark, welcome 2 #RNChat!
                             1/22/2010 22:03


           Nerdnurse:        @RNMark T3 Yes but at least it gives patients talking points with us and helps us help them
                             talk it through. #RNchat
                             1/22/2010 22:04


           holisticnurses:   RT @rnchat Or as @PhilBaumann says: "Nurses are the last Jedi Knights of the Republic."
                             #RNchat
                             1/22/2010 22:04


           EllenRichter:     @onlinenursing T3 I didnt understand your tweet. Are you saying the students are resisting
                             blogs, twitter & such? #RNchat
                             1/22/2010 22:04


           RNMark:           @onlinenursing Thanks. Was wondering why my Crackberry was going nutz. It was you all!
                             #RNChat
                             1/22/2010 22:04




11 of 15                                                                                                                 1/23/10 9:33 AM
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           rnchat:           We'll go a few more minutes (great chat going on) and then we'll wrap up. #RNchat
                             1/22/2010 22:04


           Nerdnurse:        #RNchat T3 Nurses could OWN healthcare on the Internet if we really wanted to step up
                             and take charge of disseminating information.
                             1/22/2010 22:04


           EllenRichter:     @RNMark Yes, I recall last summer having to convince families of ICU pts that the Diprivan
                             wouldnt kill them!! #RNchat
                             1/22/2010 22:05


           onlinenursing:    RT @Nerdnurse: Yes but at least it gives pts talking points w/us & helps us-help them-talk it
                             through #RNchat Re:internet missinfo & nurses
                             1/22/2010 22:05


           EllenRichter:     @Nerdnurse T3 I agree. We really could take electronic health and run with it in a positive
                             direction #RNchat
                             1/22/2010 22:06


           KPNurseRecruit:   #RNChat RNs met our EMR implementation last Aug with excitement, readiness, and yes,
                             trepidation. Some even felt it was time to retire
                             1/22/2010 22:06


           rnchat:           RT @Nerdnurse: #RNchat T3 Nurses could OWN healthcare on the Internet if we really
                             wanted to step up and take charge of disseminating in ...
                             1/22/2010 22:07


           RNMark:           @Nerdnurse A reasonable informed patient is great. When they glom onto opinion or other
                             non science, they take time to re educate #RNChat
                             1/22/2010 22:07


           ocdgirl2000:      RT @InfusionNurse: T3 ffup..I don't think nursing(profession) is keeping up...individual
                             nurses are, tho only a handful #rnchat
                             1/22/2010 22:08


           EllenRichter:     Yes, so many levels of ability! RT @Nerdnurse: T3 I see wide variations in Internet literacy
                             among nurses #RNchat
                             1/22/2010 22:08


           onlinenursing:    RT @Nerdnurse: #RNchat Nurses could OWN healthcare on Internet if we really wanted to
                             step up and take charge of disseminating information!
                             1/22/2010 22:08


           rnchat:           You realize these chats could go on for hours. :) #RNchat
                             1/22/2010 22:09


           Nerdnurse:        @RNMark #RNchat T3 Indeed it does take time to re-educate a misinformed pt. Tough
                             calling, but hopefully it's what we're trained for.
                             1/22/2010 22:10


           EllenRichter:     Sure we do!! >> RT @rnchat: You realize these chats could go on for hours. :) #RNchat
                             1/22/2010 22:10


           rnchat:           OK - We're going to wrap up. Feel free to continue if you'd like. #RNchat
                             1/22/2010 22:10




12 of 15                                                                                                                1/23/10 9:33 AM
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           onlinenursing:    RT @onlinenursing: @KPNurseRecruit Good point.We retire when we start EHR?Why is
                             that?What is scary about typing?- #RNChat (darn. forgot it)
                             1/22/2010 22:10


           onlinenursing:    @KPNurseRecruit I mean, coding pt with GI bleed is scary---- typing not scary. #RNChat
                             1/22/2010 22:10


           RNMark:           Example: levofloxacin: pt refuses it due to side effects. Like death from pneumonia is not a
                             risk? #RNChat
                             1/22/2010 22:11


           fi ndkarag:        @onlinenursing looks like I missed #RNchat going on
                             1/22/2010 22:11


           rnchat:           THANK YOU ALL! Lots of great conversation covered here. Transcript will be up within 24
                             hours. #RNchat
                             1/22/2010 22:11


           onlinenursing:    Bye guys #RNChat. Thanks Phil! You and Ellen Rock. @Nerdnurse.... Come again! Have to
                             go Rock Band now.
                             1/22/2010 22:11


           InfusionNurse:    @rnchat ..wow, 10 past 10pm...thanks again for moderating @philbaumann..thanks all.
                             Have a good weekend #rnchat
                             1/22/2010 22:12


           EllenRichter:     @rnchat Yes, this was a great chat tonight! Good people, interesting topics & subtopics!! :)
                             #RNchat
                             1/22/2010 22:12


           EllenRichter:     LOL @onlinenursing Rock On! ;) #RNchat
                             1/22/2010 22:13


           EllenRichter:     Thanks @philbaumann As usual U ran a great chat! :) Good nite friends! #RNchat
                             1/22/2010 22:13


           rnchat:           @findkarag Transcript will be up later (tomorrow). #RNchat
                             1/22/2010 22:14


           philbaumann:      @EllenRichter Oh, my pleasure - the time flies very fast! #RNchat
                             1/22/2010 22:14


           rnchat:           We'll make sure your tweet gets in :) RT @ocdgirl2000: #rnchat T3 everyone is online I cant
                             get a tweet in edgewise #RNchat
                             1/22/2010 22:15


           EllenRichter:     @ocdgirl2000 Now thats NOT like you....you ALWAYS get a word in edgewise! :) #RNchat
                             1/22/2010 22:15


           KPNurseRecruit:   #RNchat Have a great weekend. Thanks for great chat and moderating! @ellenrichter and
                             @philbaumann
                             1/22/2010 22:15


           InfusionNurse:    Great chat, Bye all! Till next chat!! #rnchat
                             1/22/2010 22:16




13 of 15                                                                                                             1/23/10 9:33 AM
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           onlinenursing:      @findkarag Yep... but join us next time! #RNChat
                               1/22/2010 22:16


           rnchat:             OK - Next #RNchat is next Friday 9pm EST. If you have any topic suggestions, tweet them
                               this way. Have a great night everyone!
                               1/22/2010 22:17


           EllenRichter:       @petermavrik Cmon, we dont bite! We would all love to hear what you have to say! I'm sure
                               its fantastic! Will be looking for U! :) #RNchat
                               1/22/2010 22:17


           onlinenursing:      RT @RNMark: Ex-levofloxacin-pt refuses due 2 side effects.Like death from pneumonia is
                               not a risk? #RNChat (Actually had this 2 weeks ago!)
                               1/22/2010 22:20


           holisticnurses:     @RNchat #RNChat happens every Friday?
                               1/22/2010 22:21


           Nerdnurse:          #RNchat Really enjoyed chat, hate to leave but duty in the form of a husband calls. Have
                               you discussed greening health care? @RNchat
                               1/22/2010 22:22


           ocdgirl2000:        #rnchat stuck
                               1/22/2010 22:23


           EllenRichter:       @petermavrik Well you still impact on patient outcome as a CNA & U still have experiences
                               we can talk about in this forum! Right? #RNchat
                               1/22/2010 22:23


           EllenRichter:       @holisticnurses Not sure if @RNchat is online so I will answer! #RNchat times vary! Watch
                               for each week's tweets! :)
                               1/22/2010 22:25


           Nerdnurse:          @EllenRichter Agree @petermavrik would have contributions to make as CNA--we need to
                               hear your voice! #RNchat
                               1/22/2010 22:25


           EllenRichter:       @Nerdnurse Glad u came. You made some really great points in 140 characters or less! :)
                               #RNchat
                               1/22/2010 22:26


           JennaMahanayRN: #RNChat darn it, missed it again! Every Friday, right? Excited to join next time
                               1/22/2010 22:27


           holisticnurses:     Thx! RT @EllenRichter @holisticnurses Not sure if @RNchat is online so I will answer!
                               #RNchat times vary! Watch for each week's tweets! :)
                               1/22/2010 22:28


           Nerdnurse:          @EllenRichter Thanks, and you're a great host! #RNchat
                               1/22/2010 22:33


           EllenRichter:       @JennaMahanayRN Hi Jenna! Seems like #RNchat is every Friday but it does change from
                               week to week so I suggest keeping an eye out for dates!
                               1/22/2010 22:36


           ocdgirl2000:        #rnchat OMG I had to reboot! the twitter feed is flying through my old PC like lightning so



14 of 15                                                                                                               1/23/10 9:33 AM
http://printyourtwitter.com/tweets.html


                          many folks on tonight! gained 40+ followers!
                          1/22/2010 22:47


           ocdgirl2000:   #rnchat must be because of the haiti fund raiser,friday nite, weather, peeps just love twitter!
                          1/22/2010 22:48


           ocdgirl2000:   #rnchat my twitter page was so blocked up with tweets coming in, my posts wouldn't go
                          through!that's why I couldn't get a tweet in edgewise!
                          1/22/2010 22:53


           fi ndkarag:     @onlinenursing Yes I will try to make it next time to #RNchat
                          1/22/2010 23:10




15 of 15                                                                                                            1/23/10 9:33 AM

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RNchat Transcript January 22, 2010

  • 1. http://printyourtwitter.com/tweets.html rnchat: Welcome to tonight's #RNchat! It's @philbaumann moderating. Please pour yourself your preferred treat & settle in. Introduce yourselves! 1/22/2010 21:00 Nerdnurse: @rnchat Nerdnurse here (Carole Eldridge), nursing college dean and first-timer to #RNchat 1/22/2010 21:01 rnchat: @Nerdnurse Welcome! Glad you're here! Feel free to "stalk" silently or contribute. I'll mention a few tips to the group in a moment. #RNchat 1/22/2010 21:02 onlinenursing: Terri here. Work for @Nerdnurse. Huge fan of #RNChat and the tweeting nurses. #RNChat 1/22/2010 21:02 EllenRichter: Hello folks! Happy TGIF from south Florida, I'm Ellen a critical care RN & legal nurse consultant :) #RNchat 1/22/2010 21:04 EllenRichter: Welcome @nerdnurse Wow, first time here? Enjoy! :) #RNchat 1/22/2010 21:04 onlinenursing: Hey @InfusionNurse and @EllenRichter! Good to see you! (Sorry, trouble typing daughter crawling on table where laptop is :) #RNChat 1/22/2010 21:05 EllenRichter: Hi to all the "regulars"!! Terri, Phil, "infusion" LOL :) #RNchat 1/22/2010 21:05 rnchat: We'll get started in a moment. When responding to a topic, please prepend your tweet with T1, T2, etc. Let's have fun. #RNchat 1/22/2010 21:06 HITpol: Nurses are the backbone of #MeaningfulUse and any successful #HealthIT implementation #RNchat 1/22/2010 21:07 EllenRichter: Listening to the music of YouTube broadcasting Hope for Haiti as we chat #RNchat 1/22/2010 21:07 Nerdnurse: @EllenRichter Yep, first time. @onlinenursing has been after me 4 weeks, but couldn't find time. See lots of great tweeps here! #RNchat 1/22/2010 21:07 ocdgirl2000: #rnchat omg twitter lockup! 1/22/2010 21:07 rnchat: Why Thank YOU RT @HITpol: Nurses are the backbone of #MeaningfulUse and any successful #HealthIT implementation #RNchat 1/22/2010 21:07 KPNurseRecruit: I'm here tonight too...but still closing out some work too in Cali. #RNchat 1/22/2010 21:07 ahier: RT @HITpol Nurses are the backbone of #MeaningfulUse & any successful #HealthIT implementation #RNchat 1/22/2010 21:08 1 of 15 1/23/10 9:33 AM
  • 2. http://printyourtwitter.com/tweets.html InfusionNurse: me too! so sad to watch..RT @EllenRichter: Listening to the music of YouTube broadcasting Hope for Haiti as we chat #rnchat 1/22/2010 21:08 EllenRichter: @HITpol Thanks, and yes, we really have a pivotal role in Health IT implementation :) #RNchat 1/22/2010 21:09 rnchat: OK, first topic coming right up. #RNchat 1/22/2010 21:09 onlinenursing: Hay @ocdgirl2000! Funny @Hitpool like crashing the #RNChat. and @ahier loves us nurses too! Thanks! (Hi @KPNurseRecruit!) 1/22/2010 21:09 EllenRichter: Welcome @ocdgirl2000 @KPNurseRecruit :) #RNchat 1/22/2010 21:10 rnchat: T1 Psych Nursing: What are the biggest hurdles to proper treatment? (Not just for "Psych RNs" here - all Nursing.) #RNchat 1/22/2010 21:10 onlinenursing: @EllenRichter wish I was listening 2 that. Instead, 3 kids and husband playing 'rock band' with Queen going. Not so inspiring #RNChat 1/22/2010 21:11 Nerdnurse: @rnchat T!: Funding. No bucks anymore for psych. #RNchat 1/22/2010 21:11 EllenRichter: T1 Not a psyche RN but know the uphill battle trying to get a psych consult on a critical care patient who needs mental help #RNchat 1/22/2010 21:11 onlinenursing: #RNChat T1: Hurdles-access due to cost (30% of my pt. pool no insurance), 30-40% with Medicaid (which also means no access to specialists) 1/22/2010 21:12 KPNurseRecruit: @onlinenursing LOL Rockband! #RNChat 1/22/2010 21:12 onlinenursing: #RNChat T1: Yes @Nerdnurse - no funding! Also, not enough psychiatric practitioners. Have psychologist N clinic 1day/wk (rare in Fam. prac) 1/22/2010 21:14 Nerdnurse: T1 Perception that psych isn't "real" illness needing treatment. #RNchat 1/22/2010 21:14 ocdgirl2000: #rnchat T1 insurance company rules ie referrals needed, fax,time restraints, waiting, formats, signatures missing,etc.coding wrong.calls F/U 1/22/2010 21:14 rnchat: If you're new to #RNchat - you don't have to reply to @RNchat when responding (unless you're specifically addressing me). Hashtag is fine. 1/22/2010 21:14 rnchat: RT @onlinenursing: #RNChat T1: Yes @Nerdnurse - no funding! Also, not enough 2 of 15 1/23/10 9:33 AM
  • 3. http://printyourtwitter.com/tweets.html psychiatric practitioners. Have psychologist N clinic 1day/ ... 1/22/2010 21:15 ocdgirl2000: #rnchat T1 makes it so overwhelming to patient,they give up!not worth going, non-complaint with care due to fatigue from system restraints! 1/22/2010 21:16 EllenRichter: T1 Sometimes we cant get a psychiatrist to evaluate a Baker Act patient because no one is on the "call list" anymore! #RNchat 1/22/2010 21:16 Nerdnurse: @onlinenursing Not too compelling to become psych practitioner when battle for money is so tight and people don't see value of care. #RNchat 1/22/2010 21:16 onlinenursing: #RNChat - T1 - Not only "not a real illness" But social stigma in rural health practice, .ALSO, no one wants 2 see kids 1/22/2010 21:16 EllenRichter: RT @Nerdnurse: @onlinenursing Not compelling 2 becom psych practitioner when battle for $$ is so tight & ppl don't see value of care #RNchat 1/22/2010 21:18 Nerdnurse: After Wedgewood Baptist Church shooting by schizophrenic off meds, psych care got funded for a while in FW. Didn't last. #RNchat 1/22/2010 21:18 onlinenursing: #RNChat- MO looking at legislation for psychologists to write RXs. This would be good, but also raises all new questions about RXs 1/22/2010 21:18 Nerdnurse: @onlinenursing Psychologists writing RXs would be terrific! #RNchat 1/22/2010 21:19 onlinenursing: @EllenRichter #RNChat - what is baker act? Also... yes, what happened to good old call lists? I miss them. Good points @Nerdnurse. 1/22/2010 21:19 ocdgirl2000: #rnchat T1 the diagnoses for referral has to really be specific and mitigating!how can a primary doctor describe an acute problem?then refer 1/22/2010 21:19 rnchat: T1 As a follow-up: in your opinions has Psychiatry evolved much in 50 yrs? Or has it been neurobiology & psychopharm doing legwork? #RNchat 1/22/2010 21:20 Nerdnurse: RT @ocdgirl2000: #rnchat T1 so overwhelming to pt, give up!not worth going, non-complaint with care due to fatigue from system restraints! 1/22/2010 21:20 onlinenursing: I say let psych NP's write 4 controlled substances in all states & admit(heck, already do counseling and medically manage pts). #RNchat. 1/22/2010 21:21 ocdgirl2000: #rnchat T1 many primary physicians think they CAN treat psych illness as well! you would be surprised how many try to take on the role! 1/22/2010 21:21 3 of 15 1/23/10 9:33 AM
  • 4. http://printyourtwitter.com/tweets.html Nerdnurse: @rnchat T1 Agree neurobio, psychopharm doing real work--exciting stuff, tho. #RNchat 1/22/2010 21:21 onlinenursing: @RNChat Good question! I would agree... look there are no research $s in sociocultural interventions. Research is where $$$ are. #RNChat. 1/22/2010 21:22 EllenRichter: @onlinenursing Baker Act a quickie wiki link http://i.cx/12z a limited way to keep one under watch if they could harm self/others #RNchat 1/22/2010 21:22 onlinenursing: RT @Nerdnurse @ocdgirl2000: #rnchat T1 so overwhelming to pt, give up!not worth going,non-complaint w/care due 2 fatigue frm system! 1/22/2010 21:22 rnchat: Next topic coming up in a minute. #RNchat 1/22/2010 21:24 Nerdnurse: #RNchat @onlinenursing @ocdgirl2000 Psych NPs writing & admitting more qualified than most primary care! 1/22/2010 21:24 ocdgirl2000: #rnchat T1 there was a movement in the 80's for least the least restrictive environment leading to less inpatient settings,this reduced care 1/22/2010 21:24 onlinenursing: RT @EllenRichter: Baker Act-wiki- http://bit.ly/82FMQN limited way 2keep 1 under watch if could harm self/others #RNchat good old 96 hr hold 1/22/2010 21:24 EllenRichter: T1 We all know ppl who are depressed, no health insur, could really benefit from psych help/drugs but cant get $ assistance #RNchat 1/22/2010 21:24 rnchat: T2 Nursing Challenges: What are the worst things about Nursing (from your perspective)? What can be done to make positive changes? #RNchat 1/22/2010 21:26 ocdgirl2000: #rnchat T1 this, in the minds of insurance companies, made the care of mental illness, inpatient, a questionable re-imbursement, forever. 1/22/2010 21:26 onlinenursing: @ocdgirl2000 Good point about outpatient movement (deinstitutionalizing) -also getting Meds not entire picture. Psych=complex care #RNChat 1/22/2010 21:26 rnchat: Following up to T2 - We all b7tch from time to time. :) But what are the core problems the profession must address & rut out? #RNchat 1/22/2010 21:28 Nerdnurse: T2 Sometimes I think we need to change the name of our profession. Too many female overtones still. #RNchat 1/22/2010 21:28 4 of 15 1/23/10 9:33 AM
  • 5. http://printyourtwitter.com/tweets.html EllenRichter: Yes!! RT @onlinenursing @ocdgirl2000 Meds not entire picture. Psych=complex care #RNchat 1/22/2010 21:28 onlinenursing: #RNChat - T2 - worst things about nursing-hours/overtime,lateral violence,non-agreement about entry to practice,little mentoring of upcoming 1/22/2010 21:28 Nerdnurse: T2 Entry into practice is still not resolved. #RNchat 1/22/2010 21:28 Nerdnurse: T2 still eating our young #RNchat 1/22/2010 21:29 EllenRichter: T2 If I could undo & redo the nursing profession, I would make only ONE option for minimal educational requirement...BSN #RNchat 1/22/2010 21:29 onlinenursing: RT @Nerdnurse: T2 Sometimes I think we need to change the name of our profession. Too many female overtones still. #RNchat (good idea) 1/22/2010 21:29 Nerdnurse: RT @EllenRichter: T2 YES: I would make only ONE option for minimal educational requirement...BSN #RNchat 1/22/2010 21:30 EllenRichter: Yes thats certainly a downfall RT @nerdnurse & @onlinenursing Too many female overtones still #RNchat 1/22/2010 21:30 ocdgirl2000: #rnchat T2 well, RN retention should be a nationalized issue now.PERIOD.the fact that it's not. is criminal.workplaces R getting away with.. 1/22/2010 21:30 InfusionNurse: T2..lack of professional recognition and respect from other HCP's...still many stereotypes going on.. #rnchat 1/22/2010 21:30 Nerdnurse: T2 Entry into practice such a hot button, though. Many good nurses disagree. #RNchat 1/22/2010 21:31 EllenRichter: T2 The multiple ways of becoming an RN has created dissidence within our profession & and confusion by outsiders #RNchat 1/22/2010 21:31 rnchat: @onlinenursing That's an highlighting point. Nursing does still seem to retain a holdover from the influence Paternalist times. #RNchat 1/22/2010 21:31 onlinenursing: @EllenRichter Amen-let's start there.RNs in BSN completion progR so tired of school.Still they press on.Want them all 2 get there. #RNChat 1/22/2010 21:32 Nerdnurse: RT @InfusionNurse: T2..lack of professional recognition and respect from other HCP's...still many stereotypes going on.. #rnchat 1/22/2010 21:32 5 of 15 1/23/10 9:33 AM
  • 6. http://printyourtwitter.com/tweets.html ocdgirl2000: #rnchat T2 reducing the RN population. without retention, there will be less and less RN's.OK. who will do this. if not us? 1/22/2010 21:32 onlinenursing: RT @ocdgirl2000: #rnchat T2 well, RN retention should be a nationalized issue now.PERIOD.the fact that it's not is criminal. :) 1/22/2010 21:32 EllenRichter: T2 Almost every nation on Earth has BSN as minimum standard for entry into practice except the USA! Whats that about? #RNchat 1/22/2010 21:32 onlinenursing: RT @InfusionNurse: T2..lack of professional recognition and respect from other HCP's...still many stereotypes going on.. #rnchat (agree!) 1/22/2010 21:33 InfusionNurse: T2...also dislike reference to "nurse" as just anyone who wears scrubs and assist patients or physicians #rnchat 1/22/2010 21:33 onlinenursing: @EllenRichter #RNChat - well the 1s that actually hv some RN education and recognition by licensure.Look at how many nations have nothing. 1/22/2010 21:34 EllenRichter: T2 Many of our new nurses are entering advanced practice & that will fill a big need, but who will work at the bedside in 20 yrs? #RNchat 1/22/2010 21:34 onlinenursing: @InfusionNurse #RNChat - oh yeah... like the receptionist or housekeeping. Tee hee. They are important, but not a nurse. 1/22/2010 21:34 KPNurseRecruit: #rnchat some RN programs are as fast as 17 mo...while other hc prof are bach prepared min. Many PT positions now require PhD 1/22/2010 21:35 EllenRichter: How true! >> RT @onlinenursing:Look at how many nations have nothing. (relating to RN education and recognition) #RNchat 1/22/2010 21:35 Nerdnurse: T2 Maybe a renaming would solve entry questions. Different licenses & names for different degrees. But keep advanced nurses bedside #RNchat 1/22/2010 21:35 onlinenursing: @InfusionNurse #RNChat - how about how they portray nurses on shows like Greys Anatomy, House, & Private Practice? LUV that. Re: stereotype 1/22/2010 21:36 Nerdnurse: T2 Media portrayals of nurses a huge problem. Hope all follow Truth About Nursing. #RNchat 1/22/2010 21:37 ocdgirl2000: #rnchat T2 the "health room techs" in school health! they get called "the NURSE!" some don't even have high school educations! 1/22/2010 21:37 6 of 15 1/23/10 9:33 AM
  • 7. http://printyourtwitter.com/tweets.html BonnieRN: T all I forgot how to jum in #RnChat 1/22/2010 21:37 InfusionNurse: Exactly !RT @onlinenursing: #RNChat - how about how they portray nurses on shows like Greys Anatomy, House, & Private Practice? #rnchat 1/22/2010 21:38 rnchat: Great discussion here! #RNchat 1/22/2010 21:38 EllenRichter: @BonnieRN Hi there Bonnie!! Wow LTNS! You jumped in just fine! :) #RNchat 1/22/2010 21:38 KPNurseRecruit: #rnchat one of the challenges for me right now is how to keep the new grads that can not find opps still engaged in the profession 1/22/2010 21:39 EllenRichter: T2 Yes, we really need to break that "handmaiden" mold given to us as nurses #RNchat 1/22/2010 21:39 onlinenursing: @KPNurseRecruit good point, lack bedsd RNs @EllenRichter alluded 2 is argument 4 17mo program.hv been at it 15 years & still learn #RNChat 1/22/2010 21:39 rnchat: @BonnieRN Good to see you here! #RNchat 1/22/2010 21:39 InfusionNurse: RT @ocdgirl2000: #rnchat T2 the "health room techs" in school health! get called "the NURSE!" dont even have high school educations! #rnchat 1/22/2010 21:39 ocdgirl2000: #rnchat T2 techs work under RN license, get all the accolades,RN is treated like trash by the government who employs her AND the tech. 1/22/2010 21:40 InfusionNurse: Yes, but how? RT @EllenRichter: T2 Yes, we really need to break that "handmaiden" mold given to us as nurses #rnchat 1/22/2010 21:40 onlinenursing: #RNChat - T2 - soooo... like @Nerdnurse said - let's rename... what should we be? Something super cool like WONDERWOMEN or something. 1/22/2010 21:40 EllenRichter: T2 I precept senior nursing students in my ICU & I'm not sure young people are always entering the profession for the right reasons #RNchat 1/22/2010 21:40 onlinenursing: #RNChat. Hey Bonnie! Welcome! @BonnieRN 1/22/2010 21:41 rnchat: Or as @PhilBaumann says: "Nurses are the last Jedi Knights of the Republic." #RNchat 1/22/2010 21:41 EllenRichter: @onlinenursing umm...wonder-people" instead of wonderwomen? #RNchat 1/22/2010 21:41 7 of 15 1/23/10 9:33 AM
  • 8. http://printyourtwitter.com/tweets.html Nerdnurse: T2 No one will break us out of the handmaiden role except us. We have to refuse the role and fight for more rights, responsibilities #RNchat 1/22/2010 21:42 KPNurseRecruit: #RNchat sorry, Phil. i keep forgeting the T1, T2, etc! 1/22/2010 21:42 onlinenursing: #RNChat - sorry Phill that won't work... Something else cool... like the green lanterns or TarHeels(I know those are taken-just great names) 1/22/2010 21:43 onlinenursing: RT @rnchat: Or as @PhilBaumann says: "Nurses are the last Jedi Knights of the Republic." #RNchat (LOVE IT!!!!) 1/22/2010 21:43 NUR3563: RT @rnchat: Or as @PhilBaumann says: "Nurses are the last Jedi Knights of the Republic." #RNchat (LOVE IT!!!!) 1/22/2010 21:43 Nerdnurse: T2 We must feel THE FORCE of who we are! More education helps get more recognition, respect. #RNchat 1/22/2010 21:43 rnchat: @KPNurseRecruit No problem at all - it's just a way to make following a bit easier (also for transcripts). #RNchat 1/22/2010 21:43 EllenRichter: @Nerdnurse You are right. No one CAN break us of our stigma except us. #RNchat 1/22/2010 21:43 InfusionNurse: Agree RT @Nerdnurse:T2 No 1 will break us out of handmaiden role xcept us. refuse the role & fight for more rights, responsibilities #rnchat 1/22/2010 21:44 EllenRichter: Cant agree more! RT @Nerdnurse: T2 We must feel THE FORCE of who we are! More education helps get more recognition, respect. #RNchat 1/22/2010 21:44 rnchat: Shoulder tap: Next topic coming up in a moment. #RNchat 1/22/2010 21:44 Nerdnurse: #RNchat T2 No substitute by techs for the critical thinking of a seasoned RN. Must sell that. 1/22/2010 21:44 onlinenursing: @ocdgirl2000 Good point. I think the plan is to keep from paying 4 older RN's retirement. We must cost too much. #RNChat. - T2 1/22/2010 21:45 onlinenursing: @EllenRichter Tee hee "THE FORCE"-maybe we should plan entire BSN nursing curriculum around Star Wars & train Jedi Knights.love it! #RNChat 1/22/2010 21:46 rnchat: T3 Internet Health: As the world increasingly uses the (Social) Web, what are the downsides? Potential for addiction, attention Dx? #RNchat 1/22/2010 21:46 8 of 15 1/23/10 9:33 AM
  • 9. http://printyourtwitter.com/tweets.html EllenRichter: T2 We have just got to learn NOT to take any crap from any other disciplines. We all have important roles. #RNchat 1/22/2010 21:47 onlinenursing: #RNChat - T3.... who are you calling addicted? (Denial /Anger - stages of addiction recovery) 1/22/2010 21:48 Nerdnurse: T3 #RNchat Downsides!??! Nooooo . . . . don't tell me there's anything bad about this! I'm already addicted! 1/22/2010 21:49 InfusionNurse: T3, potential for misleading/ inaccurate information... #rnchat 1/22/2010 21:49 EllenRichter: T3 The downside of our dependence on the web is that we cant exist without it anymore! #RNchat 1/22/2010 21:49 EllenRichter: @Nerdnurse @RNchat @onlinenursing T3 LOL yes I think that all of the participants here tonight are members of Internet Anonymous :) #RNchat 1/22/2010 21:50 onlinenursing: T3 - #RNChat - O.K. seriously.... anonymity that could mean we can't contact people with serious health issues. 1/22/2010 21:50 rnchat: Ah the irony :-) - RT @EllenRichter: T3 The downside of our dependence on the web is that we cant exist without it anymore! #RNchat 1/22/2010 21:51 ocdgirl2000: #rnchat T2 more than just "education" & "critical thinking", retirement planning,..basic workers rights,& legal rights.Nurses R clueless 1/22/2010 21:51 EllenRichter: T3 I cant work a single day at the hospital or in the legal field without whipping out my PDA to surf for an answer to some question #RNchat 1/22/2010 21:51 onlinenursing: #RNChat - T3 - also, quacks feeding on desperate patients with diseases we don't know cause or cure for yet (ex: parents w/autistic kids) 1/22/2010 21:51 ocdgirl2000: #rnchat T3 sorry for delayed tweet stuck again.. 1/22/2010 21:51 Nerdnurse: RT @InfusionNurse: T3, potential for misleading/ inaccurate information... #rnchat --agree we must educate, help people sort through stuff 1/22/2010 21:52 EllenRichter: LOL RT @rnchat Ah the irony RT @EllenRichter T3 The downside of our dependence on the web is that we cant exist without it anymore! #RNchat 1/22/2010 21:52 onlinenursing: @ocdgirl2000 No worries. Love your #RNChat tweets. Loved that T2. THX! 1/22/2010 21:53 9 of 15 1/23/10 9:33 AM
  • 10. http://printyourtwitter.com/tweets.html EllenRichter: T3 The internet will be the stepping stone to universal health care practices #RNchat 1/22/2010 21:53 Nerdnurse: RT @EllenRichter: T3 The internet will be the stepping stone to universal health care practices #RNchat --Agree! 1/22/2010 21:54 EllenRichter: LOL @RNchat So far, I cant think of any downsides of the web, as long as we use caution!! :) #RNchat 1/22/2010 21:55 philbaumann: Our travel deeper into the Web is like a walk among falling snow. Glittery & enthralling. But one day you turn around: piled in. #RNchat 1/22/2010 21:55 EllenRichter: @InfusionNurse LOL of course, to tweet as well!!! #RNchat 1/22/2010 21:55 onlinenursing: RT @EllenRichter: T3 The internet will b the stepping stone 2 universal h/c practices #RNchat 1/22/2010 21:56 KPNurseRecruit: #RNChat T3 Data security/oversharing/naivety 1/22/2010 21:56 EllenRichter: @philbaumann Good analogy, but remember, spring eventually comes & the snow thaws anyway :) #RNchat 1/22/2010 21:56 rnchat: @EllenRichter I could see that - there's definitely a lot of potential with the technology. #RNchat 1/22/2010 21:56 EllenRichter: Yes, these are some of the things to be cautious of >> RT @KPNurseRecruit: #RNChat T3 Data security/oversharing/naivety 1/22/2010 21:57 KPNurseRecruit: RT @onlinenursing: RT @EllenRichter: T3 The internet will b the stepping stone 2 universal h/c practices #RNchat 1/22/2010 21:57 onlinenursing: @Nerdnurse #RNChat - great point. Nurses will weed through information & set EBP standards of care on the WEB. (Nice snow analogyPhil) 1/22/2010 21:57 philbaumann: @EllenRichter Exactly! It's important to know not to stare too long at each new flake and to pack smart. :) #RNchat 1/22/2010 21:58 ocdgirl2000: #rnchat T3 there is a risk of addiction to anything!eating, working out, shopping, dieting, yadah yadah..internet..yard sales, ebay auctions 1/22/2010 21:58 rnchat: T3 - Following up: On the whole, are nursing keeping up with new media? How problematic is Web literacy? #RNchat 1/22/2010 21:59 10 of 15 1/23/10 9:33 AM
  • 11. http://printyourtwitter.com/tweets.html EllenRichter: @ocdgirl2000 I agree 100% ...addiction was around long before the internet--if you are going to get addicted you will find something #RNchat 1/22/2010 21:59 InfusionNurse: LOL true RT @ocdgirl2000:T3 there is a risk of addiction 2 anything!eating,working out, shopping, dieting,yard sales, ebay auctions #rnchat 1/22/2010 21:59 Nerdnurse: T3 I see wide variations in Internet literacy among nurses. Fight Web illiteracy every single day. #RNchat 1/22/2010 22:00 ocdgirl2000: #rnchat T3 take a class on "addictions' you'll see!it's a "global" far-reaching thing!& it runs in families too! from hoarding - workaholism 1/22/2010 22:01 InfusionNurse: T3 ffup..I don't think nursing(profession) is keeping up...individual nurses are, tho only a handful #rnchat 1/22/2010 22:01 EllenRichter: @RNchat T3 As with all things, there R always the naysayers who resist change (like the web) & make life that much more difficult ;) #RNchat 1/22/2010 22:01 onlinenursing: T3 #RNChat -(Re: web literacy)RNs N class c/o having 2 learn 2 blog,twitter,evaluate EHR sys, & eval websites based on Berkley criteria. :) 1/22/2010 22:02 RNMark: @EllenRichter Our job becomes harder when we have to correct Internet misinformation or hype #RNchat 1/22/2010 22:02 EllenRichter: T3 With the advent of EMRs thruout the country, all nurses will be required to deal with computers, whether they like it or not #RNchat 1/22/2010 22:03 onlinenursing: @RNMark Hey Mark, welcome 2 #RNChat! 1/22/2010 22:03 Nerdnurse: @RNMark T3 Yes but at least it gives patients talking points with us and helps us help them talk it through. #RNchat 1/22/2010 22:04 holisticnurses: RT @rnchat Or as @PhilBaumann says: "Nurses are the last Jedi Knights of the Republic." #RNchat 1/22/2010 22:04 EllenRichter: @onlinenursing T3 I didnt understand your tweet. Are you saying the students are resisting blogs, twitter & such? #RNchat 1/22/2010 22:04 RNMark: @onlinenursing Thanks. Was wondering why my Crackberry was going nutz. It was you all! #RNChat 1/22/2010 22:04 11 of 15 1/23/10 9:33 AM
  • 12. http://printyourtwitter.com/tweets.html rnchat: We'll go a few more minutes (great chat going on) and then we'll wrap up. #RNchat 1/22/2010 22:04 Nerdnurse: #RNchat T3 Nurses could OWN healthcare on the Internet if we really wanted to step up and take charge of disseminating information. 1/22/2010 22:04 EllenRichter: @RNMark Yes, I recall last summer having to convince families of ICU pts that the Diprivan wouldnt kill them!! #RNchat 1/22/2010 22:05 onlinenursing: RT @Nerdnurse: Yes but at least it gives pts talking points w/us & helps us-help them-talk it through #RNchat Re:internet missinfo & nurses 1/22/2010 22:05 EllenRichter: @Nerdnurse T3 I agree. We really could take electronic health and run with it in a positive direction #RNchat 1/22/2010 22:06 KPNurseRecruit: #RNChat RNs met our EMR implementation last Aug with excitement, readiness, and yes, trepidation. Some even felt it was time to retire 1/22/2010 22:06 rnchat: RT @Nerdnurse: #RNchat T3 Nurses could OWN healthcare on the Internet if we really wanted to step up and take charge of disseminating in ... 1/22/2010 22:07 RNMark: @Nerdnurse A reasonable informed patient is great. When they glom onto opinion or other non science, they take time to re educate #RNChat 1/22/2010 22:07 ocdgirl2000: RT @InfusionNurse: T3 ffup..I don't think nursing(profession) is keeping up...individual nurses are, tho only a handful #rnchat 1/22/2010 22:08 EllenRichter: Yes, so many levels of ability! RT @Nerdnurse: T3 I see wide variations in Internet literacy among nurses #RNchat 1/22/2010 22:08 onlinenursing: RT @Nerdnurse: #RNchat Nurses could OWN healthcare on Internet if we really wanted to step up and take charge of disseminating information! 1/22/2010 22:08 rnchat: You realize these chats could go on for hours. :) #RNchat 1/22/2010 22:09 Nerdnurse: @RNMark #RNchat T3 Indeed it does take time to re-educate a misinformed pt. Tough calling, but hopefully it's what we're trained for. 1/22/2010 22:10 EllenRichter: Sure we do!! >> RT @rnchat: You realize these chats could go on for hours. :) #RNchat 1/22/2010 22:10 rnchat: OK - We're going to wrap up. Feel free to continue if you'd like. #RNchat 1/22/2010 22:10 12 of 15 1/23/10 9:33 AM
  • 13. http://printyourtwitter.com/tweets.html onlinenursing: RT @onlinenursing: @KPNurseRecruit Good point.We retire when we start EHR?Why is that?What is scary about typing?- #RNChat (darn. forgot it) 1/22/2010 22:10 onlinenursing: @KPNurseRecruit I mean, coding pt with GI bleed is scary---- typing not scary. #RNChat 1/22/2010 22:10 RNMark: Example: levofloxacin: pt refuses it due to side effects. Like death from pneumonia is not a risk? #RNChat 1/22/2010 22:11 fi ndkarag: @onlinenursing looks like I missed #RNchat going on 1/22/2010 22:11 rnchat: THANK YOU ALL! Lots of great conversation covered here. Transcript will be up within 24 hours. #RNchat 1/22/2010 22:11 onlinenursing: Bye guys #RNChat. Thanks Phil! You and Ellen Rock. @Nerdnurse.... Come again! Have to go Rock Band now. 1/22/2010 22:11 InfusionNurse: @rnchat ..wow, 10 past 10pm...thanks again for moderating @philbaumann..thanks all. Have a good weekend #rnchat 1/22/2010 22:12 EllenRichter: @rnchat Yes, this was a great chat tonight! Good people, interesting topics & subtopics!! :) #RNchat 1/22/2010 22:12 EllenRichter: LOL @onlinenursing Rock On! ;) #RNchat 1/22/2010 22:13 EllenRichter: Thanks @philbaumann As usual U ran a great chat! :) Good nite friends! #RNchat 1/22/2010 22:13 rnchat: @findkarag Transcript will be up later (tomorrow). #RNchat 1/22/2010 22:14 philbaumann: @EllenRichter Oh, my pleasure - the time flies very fast! #RNchat 1/22/2010 22:14 rnchat: We'll make sure your tweet gets in :) RT @ocdgirl2000: #rnchat T3 everyone is online I cant get a tweet in edgewise #RNchat 1/22/2010 22:15 EllenRichter: @ocdgirl2000 Now thats NOT like you....you ALWAYS get a word in edgewise! :) #RNchat 1/22/2010 22:15 KPNurseRecruit: #RNchat Have a great weekend. Thanks for great chat and moderating! @ellenrichter and @philbaumann 1/22/2010 22:15 InfusionNurse: Great chat, Bye all! Till next chat!! #rnchat 1/22/2010 22:16 13 of 15 1/23/10 9:33 AM
  • 14. http://printyourtwitter.com/tweets.html onlinenursing: @findkarag Yep... but join us next time! #RNChat 1/22/2010 22:16 rnchat: OK - Next #RNchat is next Friday 9pm EST. If you have any topic suggestions, tweet them this way. Have a great night everyone! 1/22/2010 22:17 EllenRichter: @petermavrik Cmon, we dont bite! We would all love to hear what you have to say! I'm sure its fantastic! Will be looking for U! :) #RNchat 1/22/2010 22:17 onlinenursing: RT @RNMark: Ex-levofloxacin-pt refuses due 2 side effects.Like death from pneumonia is not a risk? #RNChat (Actually had this 2 weeks ago!) 1/22/2010 22:20 holisticnurses: @RNchat #RNChat happens every Friday? 1/22/2010 22:21 Nerdnurse: #RNchat Really enjoyed chat, hate to leave but duty in the form of a husband calls. Have you discussed greening health care? @RNchat 1/22/2010 22:22 ocdgirl2000: #rnchat stuck 1/22/2010 22:23 EllenRichter: @petermavrik Well you still impact on patient outcome as a CNA & U still have experiences we can talk about in this forum! Right? #RNchat 1/22/2010 22:23 EllenRichter: @holisticnurses Not sure if @RNchat is online so I will answer! #RNchat times vary! Watch for each week's tweets! :) 1/22/2010 22:25 Nerdnurse: @EllenRichter Agree @petermavrik would have contributions to make as CNA--we need to hear your voice! #RNchat 1/22/2010 22:25 EllenRichter: @Nerdnurse Glad u came. You made some really great points in 140 characters or less! :) #RNchat 1/22/2010 22:26 JennaMahanayRN: #RNChat darn it, missed it again! Every Friday, right? Excited to join next time 1/22/2010 22:27 holisticnurses: Thx! RT @EllenRichter @holisticnurses Not sure if @RNchat is online so I will answer! #RNchat times vary! Watch for each week's tweets! :) 1/22/2010 22:28 Nerdnurse: @EllenRichter Thanks, and you're a great host! #RNchat 1/22/2010 22:33 EllenRichter: @JennaMahanayRN Hi Jenna! Seems like #RNchat is every Friday but it does change from week to week so I suggest keeping an eye out for dates! 1/22/2010 22:36 ocdgirl2000: #rnchat OMG I had to reboot! the twitter feed is flying through my old PC like lightning so 14 of 15 1/23/10 9:33 AM
  • 15. http://printyourtwitter.com/tweets.html many folks on tonight! gained 40+ followers! 1/22/2010 22:47 ocdgirl2000: #rnchat must be because of the haiti fund raiser,friday nite, weather, peeps just love twitter! 1/22/2010 22:48 ocdgirl2000: #rnchat my twitter page was so blocked up with tweets coming in, my posts wouldn't go through!that's why I couldn't get a tweet in edgewise! 1/22/2010 22:53 fi ndkarag: @onlinenursing Yes I will try to make it next time to #RNchat 1/22/2010 23:10 15 of 15 1/23/10 9:33 AM