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          rnchat:          RT @EllenRichter: Im getting signed in onTweetGrid http://tweetgrid.com/ for the #rnchat
                           10/2/2009 11:49


          rnchat:          Other tools for Twitter chats are http://TweetChat.com & Twazzup: http://bit.ly/i3gCy #rnchat
                           10/2/2009 11:51


          EllenRichter:    LOL, also signed in on http://old.twitterfall.com/ just in case one method fails (gasp) for
                           #RNchat at 12 noon EST
                           10/2/2009 11:56


          rnchat:          Welcome, friends. We'll start in a moment but a note: Please prepend your tweet to a
                           specific topic with T1, T2, etc. #rnchat
                           10/2/2009 12:00


          medxcentral:     The Growing Role Of #Nurses Online | #rnchat #nursing (http://ping.fm/rI2lv)
                           10/2/2009 12:01


          rnchat:          We'll have 2 topics today. Let's start with introductions: who u are, what u do, what fuels
                           your life. #RNchat
                           10/2/2009 12:02


          twchat:          #RNchat is one of dozens that can be found on the Twitter Chat Schedule http://bit.ly/oXBBu
                           10/2/2009 12:02


          shelleyatKCI:    Good info- RT @medxcentral: The Growing Role Of #Nurses Online | #rnchat #nursing
                           (http://ping.fm/rI2lv)
                           10/2/2009 12:03


          rnchat:          NOTE: This hour is a conversation. Please keep links to external sources, self-promotion to
                           a minimum. Thank you. #rnchat
                           10/2/2009 12:03


          onlinenursing:   @RNchat Hello #RNchat people. I am Terri, RN/NP in MO. Love teaching, technology,
                           currently in throws of trying to finish phD. #RNchat
                           10/2/2009 12:04


          EllenRichter:    I'm a critical care RN & legal nurse consultant & keeping up w/technology is my fuel for sure
                           #RNchat
                           10/2/2009 12:04


          TeriRN:          I'm a travel nurse specializing in hospice, my faith in Jesus Christ, my family & my friends
                           fuel my life. #RNChat
                           10/2/2009 12:05


          bhawkesRN:       Hi! I'm Beth Hawkes, currently in Staff Development in acute care.I love promoting new
                           nurses, nursing professionality, technology #RNchat
                           10/2/2009 12:06


          rnchat:          T1 Online Boundaries - What are the major concerns & responses to patient-provider
                           relationships in social media? #RNchat
                           10/2/2009 12:07


          EllenRichter:    Hi friends ~Good to see U all! :) #RNchat
                           10/2/2009 12:07


          bhawkesRN:       T1 Respect for pts and confidentiality have to be assured #RNchat
                           10/2/2009 12:09


          onlinenursing:   T1: hmmm... Concerns: confidentiality/fidelity of provider-pt.-relationship. Responses: mostly



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                           individual per institution. #RNchat
                           10/2/2009 12:09


          TeriRN:          RT @bhawkesRN: T1 Respect for pts and confidentiality have to be assured//Probably no 1
                           concern or problem. #RNChat
                           10/2/2009 12:10


          bthenextstep:    Hi. My name is Sean. I'm a Critical Care RN, working in an ICU. Currently finishing my BSN.
                           I have a passion for our profession #RNchat
                           10/2/2009 12:10


          EllenRichter:    T1 Foremost responsibility is to privacy about those things considered confidential #RNchat
                           10/2/2009 12:10


          bhawkesRN:       RT @onlinenursing: T1: hmmm... Concerns: confidentiality/fidelity of provider-
                           pt.-relationship. #RNchat
                           10/2/2009 12:11


          rnchat:          T1 Follow-up food-for-thought: SM shrinks our world so-to-speak, makes boundry-crossing
                           easier, yes? How to address that? #rnchat
                           10/2/2009 12:12


          bthenextstep:    T1 I think advocacy ties in with the privacy issue. #RNchat
                           10/2/2009 12:13


          medxcentral:     Senator continues to seek solution to #nurse shortage | #nursing #nurses #rnchat
                           (http://ping.fm/BKnhe)
                           10/2/2009 12:13


          bthenextstep:    T1 boundaries should not be 'grayed' just bc it's online. #rnchat
                           10/2/2009 12:14


          EllenRichter:    T1 SM is the perfect way for isolated individuals to participate in health care maintenance
                           #RNchat
                           10/2/2009 12:14


          dyinghappy:      must stop reading #RNChat as "Repub Natl Conv hat" (seen at @terirn @bhawkesRN
                           @medxcentral)
                           10/2/2009 12:14


          onlinenursing:   T1: What entity should set parameters and monitor pt confidentiality? #RNChat
                           10/2/2009 12:15


          bhawkesRN:       T1 SM can also lend itself to impulsive communication becuz of its nature; so have to be on
                           gaurd #RNchat
                           10/2/2009 12:15


          onlinenursing:   T1: Because, while breeches of confidentiality are bad, being able to connect with patients &
                           other h/c prof. about pts is good. #RNChat
                           10/2/2009 12:16


          rnchat:          @dyinghappy One reason we use RNchat (this isn't a political reason, just branding).;
                           #rnchat
                           10/2/2009 12:16


          bthenextstep:    RT @onlinenursing: T1: What entity should set parameters and monitor pt confidentiality? It
                           would involve more than ONE entity #RNChat
                           10/2/2009 12:16


          onlinenursing:   RT @EllenRichter: T1 SM is the perfect way for isolated individuals to participate in health



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                           care maintenance #RNchat. Agree!
                           10/2/2009 12:16


          bhawkesRN:       T1.. gaurd..guard..? oh thats better #RNchat
                           10/2/2009 12:16


          onlinenursing:   @bthenextstep T1: Agreed. How many and which entities would it take? Would this invade
                           the providers privacy? #RNChat
                           10/2/2009 12:18


          EllenRichter:    T1 There has to be a private chat available in all SM platforms so pts & HC providers can
                           talk about confidential topics too #RNchat
                           10/2/2009 12:18


          TeriRN:          T1 A written agreement between pt & healthcare provider would spell out boundries. This
                           would help w/some boundry issues I think #RNChat
                           10/2/2009 12:19


          dyinghappy:      RT @RNchat @dyinghappy One reason we use RNchat (this isn't a political reason, just
                           branding).; #rnchat <thx!>
                           10/2/2009 12:19


          bhawkesRN:       RT @EllenRichter: T1 There has to be private chat available so pts & HC providers can talk
                           about confidential topics agree! #RNchat
                           10/2/2009 12:21


          bthenextstep:    so what's the best way to follow this chat / conversation? #rnchat
                           10/2/2009 12:21


          EllenRichter:    T1 I think SM protocols should be along same lines as giving out medical info via phone or
                           fax~ #RNchat
                           10/2/2009 12:21


          TeriRN:          @bthenextstep I use tweetchat. #RNChat
                           10/2/2009 12:22


          EllenRichter:    @onlinenursing @bhawkesRN Thanks for the agreements! #RNchat :)
                           10/2/2009 12:22


          onlinenursing:   RT @TeriRN:written agreement between pt & h/c provider would spell out boundries. would
                           help w/some boundry issues. #RNChat Excellent idea!
                           10/2/2009 12:22


          bhawkesRN:       T1 in face to face and paper world, confidentiality is protected. Electronic world must provide
                           same #RNchat
                           10/2/2009 12:23


          TeriRN:          I know twitter has the DM, but you have to follow the person to use it, what other SM have a
                           private chat & how is it used? #RNChat
                           10/2/2009 12:24


          onlinenursing:   @bthenextstep Use Tweet Deck or another organizer. Set up search column for #RNChat.
                           Works great!
                           10/2/2009 12:24


          EllenRichter:    T1 How do you deal with pts you never met before? If U meet via SM how do you sign a
                           contract? Fax? Electronic? #RNchat
                           10/2/2009 12:25


          bthenextstep:    @onlinenursing thanks. tweetchat seems to be better at 'realtime' messaging #RNChat



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                           10/2/2009 12:25


          TeriRN:          @bthenextstep The field of informatics I think is going to grow rapidly w/ the use of SM &
                           healthcare. Great place to start. #RNChat
                           10/2/2009 12:25


          rnchat:          Shoulder tap: Next topic coming up in a few minutes. You'll like this. #rnchat
                           10/2/2009 12:26


          bthenextstep:    T1 What if institution IS blocks SM sites? - maybe that's the answer then? getting the IS
                           involved. #rnchat
                           10/2/2009 12:26


          EllenRichter:    @onlinenursing T1 I think if institution blocks SM sites, 1st job is to "undo" that issue! :)
                           #RNchat
                           10/2/2009 12:27


          TeriRN:          @EllenRichter I think that the pt/healthcare provider needs a face2face relationship 1st B4
                           using SM to communicate #RNChat
                           10/2/2009 12:28


          bhawkesRN:       re: institution blocking SM. I believe institutions will get on board as they see the value. Only
                           a matter of time. #RNchat
                           10/2/2009 12:28


          TeriRN:          RT @EllenRichter: @onlinenursing T1 I think if institution blocks SM sites, 1st job is to
                           "undo" that issue! :)// Agree #RNChat
                           10/2/2009 12:29


          onlinenursing:   RT @bthenextstep:What if institution IS blocks SM sites?maybe that's the answer?getting IS
                           involved.Great idea!Thxs 4 Tweetchat tip.#RNChat
                           10/2/2009 12:30


          EllenRichter:    @terirn But what if its an isolated pregnant teen who needs advice on where to go for help,
                           how do U get a face2face first? #RNchat
                           10/2/2009 12:30


          onlinenursing:   RT @bhawkesRN: re: institution blocking SM. I believe institutions will get on board as they
                           see the value. Only a matter of time. #RNchat.
                           10/2/2009 12:30


          TeriRN:          @EllenRichter Oh good point. #RNChat
                           10/2/2009 12:31


          rnchat:          T2 Nursing Humor - It's Friday, so have fun. Keeping HIPAA-compliance & pt dignity in
                           mind, tell us your jokes, war stories, etc. #RNchat
                           10/2/2009 12:31


          onlinenursing:   @EllenRichter, @terirn: Ahhh the ethics of pt. confidentiality not only f2f, but in cyberworld.
                           #RNChat
                           10/2/2009 12:32


          bthenextstep:    T1 @EllenRichter @terirn #RNchat I think there would be exceptions. which is why there is
                           no single straight answer.
                           10/2/2009 12:32


          EllenRichter:    @terirn :) #RNchat
                           10/2/2009 12:32


          EllenRichter:    RT @onlinenursing @bhawkesRN re: institution blocking SM~Institutions will get on board



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                           as they see the value~Only a matter of time. #RNchat
                           10/2/2009 12:32


          bthenextstep:    @rnchat thanks for the new SM communcae. Love this new chat idea! have to run #RNchat
                           10/2/2009 12:33


          bhawkesRN:       T2 OK. So had this adorable elderly female pt who were getting ready for angiogram. She
                           turns to me and says: #RNchat
                           10/2/2009 12:33


          onlinenursing:   T2: Ha ha ha... @bhawkesRN is like one of the funniest tweeters I know. Yesterday's twist
                           on aricept joke Hillarious! Meant to put #RNChat
                           10/2/2009 12:35


          EllenRichter:    T1 we need to make SM communication a key part of the health care process! Its here so
                           lets use it & benefit from it #RNchat
                           10/2/2009 12:35


          bhawkesRN:       T2 "dear, I don't know WHY the Dr says I need this angiogram. I,ve been taking the Prozac
                           just like he said!" #RNchat
                           10/2/2009 12:35


          rnchat:          @bthenextstep Sure. Come back again. I'll announce the next one at then end of this chat.
                           #rnchat
                           10/2/2009 12:36


          bhawkesRN:       T2 thanks @onlinenursing. Lots of humour to be found in the hospital!!! #RNchat
                           10/2/2009 12:36


          TeriRN:          @EllenRichter T1 I heartly agree. We need to embrace the changes and use them to better
                           ourselves and our pts #RNChat
                           10/2/2009 12:37


          TeriRN:          T2 90yo <100 lb woman was eating checkers thinking they were cookies Me & aide tried 2
                           stop her she left us black & blue. #RNChat
                           10/2/2009 12:38


          onlinenursing:   RT @EllenRichter: we need to make SM communication key part of the h/c process! Its
                           here so lets use it & benefit from it #RNchat
                           10/2/2009 12:38


          TeriRN:          @bhawkesRN You probably find most of the humor in charting. Love how nurses & docs
                           write a note not realizing what it really says. #RNChat
                           10/2/2009 12:39


          EllenRichter:    (this is an old one) Oriental cardiologist listens 2 old lady's heart, says "oh a heart murmur"
                           in heavy heavy Chinese accent #RNchat
                           10/2/2009 12:40


          gypsygirl52:     #rnchat
                           10/2/2009 12:40


          EllenRichter:    So, old lady's eyes widen...she calls her daughter "Doctor said "ahh youre a hot mama!"
                           #RNchat
                           10/2/2009 12:41


          onlinenursing:   T2: After years of Asthma and Diabetes ed, I have seriously seen things like this: http://bit.ly
                           /2g90ZS #RNChat
                           10/2/2009 12:41




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          bhawkesRN:       @teriRN T2 charting, yes can be hilarious!! hUmour is all around just have to look for it
                           #RNchat
                           10/2/2009 12:42


          onlinenursing:   RT @TeriRN: You probably find most of the humor in charting.Love how nurses &docs write
                           a note not realizing what it really says. #RNChat :)
                           10/2/2009 12:42


          EllenRichter:    @onlinenursing: LOL, I remember that episode of House! That was funny! #RNchat
                           10/2/2009 12:43


          bhawkesRN:       @ellenRichter T2 LOL! "heart murmur" = "hot mama" !! #RNchat
                           10/2/2009 12:44


          TeriRN:          @onlinenursing That was a great episode of House. I think if that happened in office doc
                           would walk out ROFL. #RNChat
                           10/2/2009 12:45


          TeriRN:          @EllenRichter LOL. that is funny never heard it before. #RNChat
                           10/2/2009 12:45


          rnchat:          @gypsygirl52 Why, hello recruiter confused about how to use Twitter. This might help -
                           http://bit.ly/cJSP2 #rnchat
                           10/2/2009 12:45


          EllenRichter:    @rnchat ~OMG LOL that link! #RNchat :)
                           10/2/2009 12:47


          bhawkesRN:       @gypsygirl52 why yes, I am looking for a travel assignment.$150.00 per hour, Tues-Thurs.
                           3 pts tops.thank you #RNchat
                           10/2/2009 12:47


          TeriRN:          @rnchat LOL that is sooooo funny. #RNChat
                           10/2/2009 12:48


          TeriRN:          @bhawkesRN Hey that's some negotiating. =) #RNChat
                           10/2/2009 12:49


          onlinenursing:   ROFL! The RNs at #RNChat and moderator cracking me up!
                           10/2/2009 12:50


          EllenRichter:    Watch @bhawkes snag the job! :) #RNchat
                           10/2/2009 12:50


          EllenRichter:    Watch @bhawkesRN snag the job! LOL, darn typos :) #RNchat
                           10/2/2009 12:51


          2healthguru:     @EllenRichter they don't get it! more will be revealed.... #RNchat
                           10/2/2009 12:51


          bhawkesRN:       @onlinenursing T2 get up off the floor! This is a professional conference. #RNchat
                           10/2/2009 12:51


          onlinenursing:   RT @funscience: #RNChat T1: Now here is a use for SM-High Court uses Twitter to issue
                           injunction against impersonator http://bit.ly/12K9gr
                           10/2/2009 12:52


          bhawkesRN:       @ellenRichter ..snag the job or nag the snob? #RNchat
                           10/2/2009 12:52




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          TeriRN:          RT @bhawkesRN: @onlinenursing T2 get up off the floor! This is a professional
                           conference.// I'm afraid I'm ROFL now #RNChat
                           10/2/2009 12:53


          EllenRichter:    @2healthguru ~In due time they will 'get' it. Its a process, just like everything electronic :)
                           #RNchat
                           10/2/2009 12:53


          TeriRN:          @bhawkesRN If you get the job I'll hire you to negotiate for me. =D #RNChat
                           10/2/2009 12:53


          rnchat:          HI I'M A HEADHUNTER, NURSES! I HAVE A ONCE-IN-A-LIFETIME OPPORTUNITY. HOW
                           DO I TAKE MY CAPS OFF? o_O #rnchat
                           10/2/2009 12:54


          bhawkesRN:       @Rnchat T1-9 or wherever we are. Clearly a moderator is needed. #RNchat
                           10/2/2009 12:54


          EllenRichter:    Imagine having 25 newly diagnosed diabetic teens meeting in a chat like this with an RN
                           moderator? Would ROCK #RNchat
                           10/2/2009 12:54


          onlinenursing:   #RNCHat: This has been so much fun. I am going to give extra credit to students if they
                           participate in next one.
                           10/2/2009 12:55


          bhawkesRN:       We at @rnchat have all gone bonkers to the dark side #RNchat
                           10/2/2009 12:55


          EllenRichter:    @onlinenursing Great idea!! Next semester make it mandatory! :) #RNchat
                           10/2/2009 12:56


          onlinenursing:   RT @EllenRichter: Imagine having 25 newly diagnosed diabetic teens meeting in a chat like
                           this with an RN moderator? Would ROCK #RNchat YES!
                           10/2/2009 12:56


          EllenRichter:    << pulling my colleagues up off the floor LOL~ #RNchat
                           10/2/2009 12:56


          rnchat:          We're coming up on an hour. #rnchat
                           10/2/2009 12:57


          bhawkesRN:       RT @EllenRichter: @onlinenursing Great idea!! Next semester make it mandatory! :)
                           #RNchat
                           10/2/2009 12:57


          rnchat:          @onlinenursing Yes, please invite them in. #rnchat
                           10/2/2009 12:57


          bhawkesRN:       I'm quite concerned that the BRN will NOT approve this conference for CEs as I had hoped
                           #RNchat
                           10/2/2009 12:58


          TeriRN:          @onlinenursing Which my instructors would do that too. #RNChat
                           10/2/2009 12:58


          TeriRN:          @bhawkesRN Don't you remember RN= Really Nuts =D #RNChat
                           10/2/2009 12:58




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          EllenRichter:    Yes this is a great chat. We need tons more brainstorming & networking sessions like this to
                           help formulate a safe zone for patients #RNchat
                           10/2/2009 12:59


          bhawkesRN:       @rnchat Please invite me to your next party #RNchat
                           10/2/2009 13:00


          TeriRN:          @bhawkesRN Hey we need CE's in Humor. That's what keeps us "sane". #RNChat
                           10/2/2009 13:00


          rnchat:          I'm sorry about the little invasion by our recruiter friend, but they love to crash Twitter chats.
                           But I have character, so :) #rnchat
                           10/2/2009 13:00


          EllenRichter:    @JimQuillen :) LOL, tuff to be a tweeting RN in a hospital #RNchat
                           10/2/2009 13:00


          TeriRN:          @EllenRichter Agreed. I like being able to discuss issues with fellow nurses from all over.
                           great insights. #RNChat
                           10/2/2009 13:01


          EllenRichter:    Thank goodness there are lots of medical & nursing humor sites & blogs online~ Humor is
                           the best stress-reliever :) #RNchat
                           10/2/2009 13:01


          EllenRichter:    @rnchat ~Yes you are definitely #1 Hall Monitor! :) TYVM (that note was a riot) #RNchat
                           10/2/2009 13:02


          TeriRN:          @rnchat Hey she added humor to our discussion. =) #RNChat
                           10/2/2009 13:03


          EllenRichter:    We need 90 minutes! #RNchat
                           10/2/2009 13:03


          TeriRN:          @rnchat For now good. Not sure when I get to Ca in 2 weeks. But we'll see. Will join every
                           chance I get. #RNChat
                           10/2/2009 13:03


          onlinenursing:   Today's Time and day good for me. Will try to make it on Tuesdays (meeting day 4 me).
                           Thank you @#RNChat!!! #RNChat
                           10/2/2009 13:04


          rnchat:          @TeriRN Yes, she did. They assume too much about their ancient marketing ways. Twitter
                           totally confuses them & they get burned. #RNchat
                           10/2/2009 13:05


          bhawkesRN:       my work schedule varies,will try my best to make it. If I'm not there, give me an excused
                           absence and will make the next one :) #RNchat
                           10/2/2009 13:05


          EllenRichter:    @rnchat Can we go back to a night time chat again soon? #RNchat
                           10/2/2009 13:05


          bhawkesRN:       RT @EllenRichter: @rnchat Can we go back to a night time chat again soon? ...my
                           preference as well #RNchat
                           10/2/2009 13:06


          EllenRichter:    RT @terirn @EllenRichter Agreed. I like being able to discuss issues with fellow nurses
                           from all over. great insights. #RNChat ~networking!



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                             10/2/2009 13:07


          rnchat:            @EllenRichter Yes, I'll probably have 2 per week (1 day, 1 night). Right now, experimenting
                             with different times/days. #rnchat
                             10/2/2009 13:07


          TeriRN:            Great talking with y'all. Gotta run get stuff to cook supper. Look forward to chatting on
                             Tuesday. #RNChat
                             10/2/2009 13:09


          philbaumann:       @bhawkesRN Nights seem to work well too. Which night do you think has broadest
                             appeal/availability? #RNchat
                             10/2/2009 13:09


          EllenRichter:      I just started trying to make #hcsm chats on Sunday nites at 9 EST, so that would be my
                             only conflict :( #RNchat
                             10/2/2009 13:10


          onlinenursing:     Keep me posted @RNChat. Back to writing AANP grant application. Wish me luck (I need
                             it)! #RNChat Bye.
                             10/2/2009 13:10


          rnchat:            We'll have a transcript of today's #RNchat up in a bit on the website. Thank you all!
                             10/2/2009 13:12


          EllenRichter:      @rnchat That transcript was great! I flipped thru it and felt like I was there on Wednesday,
                             thanks for doing that so quickly!! #RNchat
                             10/2/2009 13:13


          EllenRichter:      @onlinenursing Good luck!! (why is it I know U dont need luck?) #RNchat
                             10/2/2009 13:14


          bhawkesRN:         @philbaumann I'd say no Sat or Sun nites due to travel. I liked Fri nite, but may preclude
                             some younger rNs? Am flexible #RNchat
                             10/2/2009 13:16


          bhawkesRN:         shout out to @RN chat for coordinating! #RNchat
                             10/2/2009 13:19


          AmbulatoryNurse: @RNChat is hosting a twitter chat for nurses next Tuesday (10/6) at 12pm. Find out more at
                           http://www.rnchat.org #rnchat
                             10/2/2009 14:23


          MedSurgNurses:     @RNChat is hosting a twitter chat for nurses next Tuesday (10/6) at 12pm. Find out more at
                             http://www.rnchat.org #rnchat
                             10/2/2009 14:23


          InfusionNurse:     Thanks I missed it today. RT @RNChat We'll have a transcript of today's #RNchat up in a bit
                             on the website. Thank you all!
                             10/2/2009 15:02


          bthenextstep:      RT @bhawkesRN: shout out to @RN chat for coordinating! #RNchat
                             10/2/2009 18:03


          onlinenursing:     Thanks friends & #RNchat tweeps 4 the fun &#ff: @bthenextstep, @eczemasupport,
                             @drjfpmd, @summerbrown, @pillpushera, @drwalker_rph, @#RNchat
                             10/2/2009 18:42


          onlinenursing:     RT @AmbulatoryNurse: @RNChat is hosting a twitter chat 4 nurses next Tuesday (10/6) at
                             12pm. Find out more at http://www.rnchat.org #rnchat



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           10/2/2009 18:44




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RNchat Transcript October 2, 2009

  • 1. http://printyourtwitter.com/tweets.html rnchat: RT @EllenRichter: Im getting signed in onTweetGrid http://tweetgrid.com/ for the #rnchat 10/2/2009 11:49 rnchat: Other tools for Twitter chats are http://TweetChat.com & Twazzup: http://bit.ly/i3gCy #rnchat 10/2/2009 11:51 EllenRichter: LOL, also signed in on http://old.twitterfall.com/ just in case one method fails (gasp) for #RNchat at 12 noon EST 10/2/2009 11:56 rnchat: Welcome, friends. We'll start in a moment but a note: Please prepend your tweet to a specific topic with T1, T2, etc. #rnchat 10/2/2009 12:00 medxcentral: The Growing Role Of #Nurses Online | #rnchat #nursing (http://ping.fm/rI2lv) 10/2/2009 12:01 rnchat: We'll have 2 topics today. Let's start with introductions: who u are, what u do, what fuels your life. #RNchat 10/2/2009 12:02 twchat: #RNchat is one of dozens that can be found on the Twitter Chat Schedule http://bit.ly/oXBBu 10/2/2009 12:02 shelleyatKCI: Good info- RT @medxcentral: The Growing Role Of #Nurses Online | #rnchat #nursing (http://ping.fm/rI2lv) 10/2/2009 12:03 rnchat: NOTE: This hour is a conversation. Please keep links to external sources, self-promotion to a minimum. Thank you. #rnchat 10/2/2009 12:03 onlinenursing: @RNchat Hello #RNchat people. I am Terri, RN/NP in MO. Love teaching, technology, currently in throws of trying to finish phD. #RNchat 10/2/2009 12:04 EllenRichter: I'm a critical care RN & legal nurse consultant & keeping up w/technology is my fuel for sure #RNchat 10/2/2009 12:04 TeriRN: I'm a travel nurse specializing in hospice, my faith in Jesus Christ, my family & my friends fuel my life. #RNChat 10/2/2009 12:05 bhawkesRN: Hi! I'm Beth Hawkes, currently in Staff Development in acute care.I love promoting new nurses, nursing professionality, technology #RNchat 10/2/2009 12:06 rnchat: T1 Online Boundaries - What are the major concerns & responses to patient-provider relationships in social media? #RNchat 10/2/2009 12:07 EllenRichter: Hi friends ~Good to see U all! :) #RNchat 10/2/2009 12:07 bhawkesRN: T1 Respect for pts and confidentiality have to be assured #RNchat 10/2/2009 12:09 onlinenursing: T1: hmmm... Concerns: confidentiality/fidelity of provider-pt.-relationship. Responses: mostly 1 of 10 10/2/09 8:28 PM
  • 2. http://printyourtwitter.com/tweets.html individual per institution. #RNchat 10/2/2009 12:09 TeriRN: RT @bhawkesRN: T1 Respect for pts and confidentiality have to be assured//Probably no 1 concern or problem. #RNChat 10/2/2009 12:10 bthenextstep: Hi. My name is Sean. I'm a Critical Care RN, working in an ICU. Currently finishing my BSN. I have a passion for our profession #RNchat 10/2/2009 12:10 EllenRichter: T1 Foremost responsibility is to privacy about those things considered confidential #RNchat 10/2/2009 12:10 bhawkesRN: RT @onlinenursing: T1: hmmm... Concerns: confidentiality/fidelity of provider- pt.-relationship. #RNchat 10/2/2009 12:11 rnchat: T1 Follow-up food-for-thought: SM shrinks our world so-to-speak, makes boundry-crossing easier, yes? How to address that? #rnchat 10/2/2009 12:12 bthenextstep: T1 I think advocacy ties in with the privacy issue. #RNchat 10/2/2009 12:13 medxcentral: Senator continues to seek solution to #nurse shortage | #nursing #nurses #rnchat (http://ping.fm/BKnhe) 10/2/2009 12:13 bthenextstep: T1 boundaries should not be 'grayed' just bc it's online. #rnchat 10/2/2009 12:14 EllenRichter: T1 SM is the perfect way for isolated individuals to participate in health care maintenance #RNchat 10/2/2009 12:14 dyinghappy: must stop reading #RNChat as "Repub Natl Conv hat" (seen at @terirn @bhawkesRN @medxcentral) 10/2/2009 12:14 onlinenursing: T1: What entity should set parameters and monitor pt confidentiality? #RNChat 10/2/2009 12:15 bhawkesRN: T1 SM can also lend itself to impulsive communication becuz of its nature; so have to be on gaurd #RNchat 10/2/2009 12:15 onlinenursing: T1: Because, while breeches of confidentiality are bad, being able to connect with patients & other h/c prof. about pts is good. #RNChat 10/2/2009 12:16 rnchat: @dyinghappy One reason we use RNchat (this isn't a political reason, just branding).; #rnchat 10/2/2009 12:16 bthenextstep: RT @onlinenursing: T1: What entity should set parameters and monitor pt confidentiality? It would involve more than ONE entity #RNChat 10/2/2009 12:16 onlinenursing: RT @EllenRichter: T1 SM is the perfect way for isolated individuals to participate in health 2 of 10 10/2/09 8:28 PM
  • 3. http://printyourtwitter.com/tweets.html care maintenance #RNchat. Agree! 10/2/2009 12:16 bhawkesRN: T1.. gaurd..guard..? oh thats better #RNchat 10/2/2009 12:16 onlinenursing: @bthenextstep T1: Agreed. How many and which entities would it take? Would this invade the providers privacy? #RNChat 10/2/2009 12:18 EllenRichter: T1 There has to be a private chat available in all SM platforms so pts & HC providers can talk about confidential topics too #RNchat 10/2/2009 12:18 TeriRN: T1 A written agreement between pt & healthcare provider would spell out boundries. This would help w/some boundry issues I think #RNChat 10/2/2009 12:19 dyinghappy: RT @RNchat @dyinghappy One reason we use RNchat (this isn't a political reason, just branding).; #rnchat <thx!> 10/2/2009 12:19 bhawkesRN: RT @EllenRichter: T1 There has to be private chat available so pts & HC providers can talk about confidential topics agree! #RNchat 10/2/2009 12:21 bthenextstep: so what's the best way to follow this chat / conversation? #rnchat 10/2/2009 12:21 EllenRichter: T1 I think SM protocols should be along same lines as giving out medical info via phone or fax~ #RNchat 10/2/2009 12:21 TeriRN: @bthenextstep I use tweetchat. #RNChat 10/2/2009 12:22 EllenRichter: @onlinenursing @bhawkesRN Thanks for the agreements! #RNchat :) 10/2/2009 12:22 onlinenursing: RT @TeriRN:written agreement between pt & h/c provider would spell out boundries. would help w/some boundry issues. #RNChat Excellent idea! 10/2/2009 12:22 bhawkesRN: T1 in face to face and paper world, confidentiality is protected. Electronic world must provide same #RNchat 10/2/2009 12:23 TeriRN: I know twitter has the DM, but you have to follow the person to use it, what other SM have a private chat & how is it used? #RNChat 10/2/2009 12:24 onlinenursing: @bthenextstep Use Tweet Deck or another organizer. Set up search column for #RNChat. Works great! 10/2/2009 12:24 EllenRichter: T1 How do you deal with pts you never met before? If U meet via SM how do you sign a contract? Fax? Electronic? #RNchat 10/2/2009 12:25 bthenextstep: @onlinenursing thanks. tweetchat seems to be better at 'realtime' messaging #RNChat 3 of 10 10/2/09 8:28 PM
  • 4. http://printyourtwitter.com/tweets.html 10/2/2009 12:25 TeriRN: @bthenextstep The field of informatics I think is going to grow rapidly w/ the use of SM & healthcare. Great place to start. #RNChat 10/2/2009 12:25 rnchat: Shoulder tap: Next topic coming up in a few minutes. You'll like this. #rnchat 10/2/2009 12:26 bthenextstep: T1 What if institution IS blocks SM sites? - maybe that's the answer then? getting the IS involved. #rnchat 10/2/2009 12:26 EllenRichter: @onlinenursing T1 I think if institution blocks SM sites, 1st job is to "undo" that issue! :) #RNchat 10/2/2009 12:27 TeriRN: @EllenRichter I think that the pt/healthcare provider needs a face2face relationship 1st B4 using SM to communicate #RNChat 10/2/2009 12:28 bhawkesRN: re: institution blocking SM. I believe institutions will get on board as they see the value. Only a matter of time. #RNchat 10/2/2009 12:28 TeriRN: RT @EllenRichter: @onlinenursing T1 I think if institution blocks SM sites, 1st job is to "undo" that issue! :)// Agree #RNChat 10/2/2009 12:29 onlinenursing: RT @bthenextstep:What if institution IS blocks SM sites?maybe that's the answer?getting IS involved.Great idea!Thxs 4 Tweetchat tip.#RNChat 10/2/2009 12:30 EllenRichter: @terirn But what if its an isolated pregnant teen who needs advice on where to go for help, how do U get a face2face first? #RNchat 10/2/2009 12:30 onlinenursing: RT @bhawkesRN: re: institution blocking SM. I believe institutions will get on board as they see the value. Only a matter of time. #RNchat. 10/2/2009 12:30 TeriRN: @EllenRichter Oh good point. #RNChat 10/2/2009 12:31 rnchat: T2 Nursing Humor - It's Friday, so have fun. Keeping HIPAA-compliance & pt dignity in mind, tell us your jokes, war stories, etc. #RNchat 10/2/2009 12:31 onlinenursing: @EllenRichter, @terirn: Ahhh the ethics of pt. confidentiality not only f2f, but in cyberworld. #RNChat 10/2/2009 12:32 bthenextstep: T1 @EllenRichter @terirn #RNchat I think there would be exceptions. which is why there is no single straight answer. 10/2/2009 12:32 EllenRichter: @terirn :) #RNchat 10/2/2009 12:32 EllenRichter: RT @onlinenursing @bhawkesRN re: institution blocking SM~Institutions will get on board 4 of 10 10/2/09 8:28 PM
  • 5. http://printyourtwitter.com/tweets.html as they see the value~Only a matter of time. #RNchat 10/2/2009 12:32 bthenextstep: @rnchat thanks for the new SM communcae. Love this new chat idea! have to run #RNchat 10/2/2009 12:33 bhawkesRN: T2 OK. So had this adorable elderly female pt who were getting ready for angiogram. She turns to me and says: #RNchat 10/2/2009 12:33 onlinenursing: T2: Ha ha ha... @bhawkesRN is like one of the funniest tweeters I know. Yesterday's twist on aricept joke Hillarious! Meant to put #RNChat 10/2/2009 12:35 EllenRichter: T1 we need to make SM communication a key part of the health care process! Its here so lets use it & benefit from it #RNchat 10/2/2009 12:35 bhawkesRN: T2 "dear, I don't know WHY the Dr says I need this angiogram. I,ve been taking the Prozac just like he said!" #RNchat 10/2/2009 12:35 rnchat: @bthenextstep Sure. Come back again. I'll announce the next one at then end of this chat. #rnchat 10/2/2009 12:36 bhawkesRN: T2 thanks @onlinenursing. Lots of humour to be found in the hospital!!! #RNchat 10/2/2009 12:36 TeriRN: @EllenRichter T1 I heartly agree. We need to embrace the changes and use them to better ourselves and our pts #RNChat 10/2/2009 12:37 TeriRN: T2 90yo <100 lb woman was eating checkers thinking they were cookies Me & aide tried 2 stop her she left us black & blue. #RNChat 10/2/2009 12:38 onlinenursing: RT @EllenRichter: we need to make SM communication key part of the h/c process! Its here so lets use it & benefit from it #RNchat 10/2/2009 12:38 TeriRN: @bhawkesRN You probably find most of the humor in charting. Love how nurses & docs write a note not realizing what it really says. #RNChat 10/2/2009 12:39 EllenRichter: (this is an old one) Oriental cardiologist listens 2 old lady's heart, says "oh a heart murmur" in heavy heavy Chinese accent #RNchat 10/2/2009 12:40 gypsygirl52: #rnchat 10/2/2009 12:40 EllenRichter: So, old lady's eyes widen...she calls her daughter "Doctor said "ahh youre a hot mama!" #RNchat 10/2/2009 12:41 onlinenursing: T2: After years of Asthma and Diabetes ed, I have seriously seen things like this: http://bit.ly /2g90ZS #RNChat 10/2/2009 12:41 5 of 10 10/2/09 8:28 PM
  • 6. http://printyourtwitter.com/tweets.html bhawkesRN: @teriRN T2 charting, yes can be hilarious!! hUmour is all around just have to look for it #RNchat 10/2/2009 12:42 onlinenursing: RT @TeriRN: You probably find most of the humor in charting.Love how nurses &docs write a note not realizing what it really says. #RNChat :) 10/2/2009 12:42 EllenRichter: @onlinenursing: LOL, I remember that episode of House! That was funny! #RNchat 10/2/2009 12:43 bhawkesRN: @ellenRichter T2 LOL! "heart murmur" = "hot mama" !! #RNchat 10/2/2009 12:44 TeriRN: @onlinenursing That was a great episode of House. I think if that happened in office doc would walk out ROFL. #RNChat 10/2/2009 12:45 TeriRN: @EllenRichter LOL. that is funny never heard it before. #RNChat 10/2/2009 12:45 rnchat: @gypsygirl52 Why, hello recruiter confused about how to use Twitter. This might help - http://bit.ly/cJSP2 #rnchat 10/2/2009 12:45 EllenRichter: @rnchat ~OMG LOL that link! #RNchat :) 10/2/2009 12:47 bhawkesRN: @gypsygirl52 why yes, I am looking for a travel assignment.$150.00 per hour, Tues-Thurs. 3 pts tops.thank you #RNchat 10/2/2009 12:47 TeriRN: @rnchat LOL that is sooooo funny. #RNChat 10/2/2009 12:48 TeriRN: @bhawkesRN Hey that's some negotiating. =) #RNChat 10/2/2009 12:49 onlinenursing: ROFL! The RNs at #RNChat and moderator cracking me up! 10/2/2009 12:50 EllenRichter: Watch @bhawkes snag the job! :) #RNchat 10/2/2009 12:50 EllenRichter: Watch @bhawkesRN snag the job! LOL, darn typos :) #RNchat 10/2/2009 12:51 2healthguru: @EllenRichter they don't get it! more will be revealed.... #RNchat 10/2/2009 12:51 bhawkesRN: @onlinenursing T2 get up off the floor! This is a professional conference. #RNchat 10/2/2009 12:51 onlinenursing: RT @funscience: #RNChat T1: Now here is a use for SM-High Court uses Twitter to issue injunction against impersonator http://bit.ly/12K9gr 10/2/2009 12:52 bhawkesRN: @ellenRichter ..snag the job or nag the snob? #RNchat 10/2/2009 12:52 6 of 10 10/2/09 8:28 PM
  • 7. http://printyourtwitter.com/tweets.html TeriRN: RT @bhawkesRN: @onlinenursing T2 get up off the floor! This is a professional conference.// I'm afraid I'm ROFL now #RNChat 10/2/2009 12:53 EllenRichter: @2healthguru ~In due time they will 'get' it. Its a process, just like everything electronic :) #RNchat 10/2/2009 12:53 TeriRN: @bhawkesRN If you get the job I'll hire you to negotiate for me. =D #RNChat 10/2/2009 12:53 rnchat: HI I'M A HEADHUNTER, NURSES! I HAVE A ONCE-IN-A-LIFETIME OPPORTUNITY. HOW DO I TAKE MY CAPS OFF? o_O #rnchat 10/2/2009 12:54 bhawkesRN: @Rnchat T1-9 or wherever we are. Clearly a moderator is needed. #RNchat 10/2/2009 12:54 EllenRichter: Imagine having 25 newly diagnosed diabetic teens meeting in a chat like this with an RN moderator? Would ROCK #RNchat 10/2/2009 12:54 onlinenursing: #RNCHat: This has been so much fun. I am going to give extra credit to students if they participate in next one. 10/2/2009 12:55 bhawkesRN: We at @rnchat have all gone bonkers to the dark side #RNchat 10/2/2009 12:55 EllenRichter: @onlinenursing Great idea!! Next semester make it mandatory! :) #RNchat 10/2/2009 12:56 onlinenursing: RT @EllenRichter: Imagine having 25 newly diagnosed diabetic teens meeting in a chat like this with an RN moderator? Would ROCK #RNchat YES! 10/2/2009 12:56 EllenRichter: << pulling my colleagues up off the floor LOL~ #RNchat 10/2/2009 12:56 rnchat: We're coming up on an hour. #rnchat 10/2/2009 12:57 bhawkesRN: RT @EllenRichter: @onlinenursing Great idea!! Next semester make it mandatory! :) #RNchat 10/2/2009 12:57 rnchat: @onlinenursing Yes, please invite them in. #rnchat 10/2/2009 12:57 bhawkesRN: I'm quite concerned that the BRN will NOT approve this conference for CEs as I had hoped #RNchat 10/2/2009 12:58 TeriRN: @onlinenursing Which my instructors would do that too. #RNChat 10/2/2009 12:58 TeriRN: @bhawkesRN Don't you remember RN= Really Nuts =D #RNChat 10/2/2009 12:58 7 of 10 10/2/09 8:28 PM
  • 8. http://printyourtwitter.com/tweets.html EllenRichter: Yes this is a great chat. We need tons more brainstorming & networking sessions like this to help formulate a safe zone for patients #RNchat 10/2/2009 12:59 bhawkesRN: @rnchat Please invite me to your next party #RNchat 10/2/2009 13:00 TeriRN: @bhawkesRN Hey we need CE's in Humor. That's what keeps us "sane". #RNChat 10/2/2009 13:00 rnchat: I'm sorry about the little invasion by our recruiter friend, but they love to crash Twitter chats. But I have character, so :) #rnchat 10/2/2009 13:00 EllenRichter: @JimQuillen :) LOL, tuff to be a tweeting RN in a hospital #RNchat 10/2/2009 13:00 TeriRN: @EllenRichter Agreed. I like being able to discuss issues with fellow nurses from all over. great insights. #RNChat 10/2/2009 13:01 EllenRichter: Thank goodness there are lots of medical & nursing humor sites & blogs online~ Humor is the best stress-reliever :) #RNchat 10/2/2009 13:01 EllenRichter: @rnchat ~Yes you are definitely #1 Hall Monitor! :) TYVM (that note was a riot) #RNchat 10/2/2009 13:02 TeriRN: @rnchat Hey she added humor to our discussion. =) #RNChat 10/2/2009 13:03 EllenRichter: We need 90 minutes! #RNchat 10/2/2009 13:03 TeriRN: @rnchat For now good. Not sure when I get to Ca in 2 weeks. But we'll see. Will join every chance I get. #RNChat 10/2/2009 13:03 onlinenursing: Today's Time and day good for me. Will try to make it on Tuesdays (meeting day 4 me). Thank you @#RNChat!!! #RNChat 10/2/2009 13:04 rnchat: @TeriRN Yes, she did. They assume too much about their ancient marketing ways. Twitter totally confuses them & they get burned. #RNchat 10/2/2009 13:05 bhawkesRN: my work schedule varies,will try my best to make it. If I'm not there, give me an excused absence and will make the next one :) #RNchat 10/2/2009 13:05 EllenRichter: @rnchat Can we go back to a night time chat again soon? #RNchat 10/2/2009 13:05 bhawkesRN: RT @EllenRichter: @rnchat Can we go back to a night time chat again soon? ...my preference as well #RNchat 10/2/2009 13:06 EllenRichter: RT @terirn @EllenRichter Agreed. I like being able to discuss issues with fellow nurses from all over. great insights. #RNChat ~networking! 8 of 10 10/2/09 8:28 PM
  • 9. http://printyourtwitter.com/tweets.html 10/2/2009 13:07 rnchat: @EllenRichter Yes, I'll probably have 2 per week (1 day, 1 night). Right now, experimenting with different times/days. #rnchat 10/2/2009 13:07 TeriRN: Great talking with y'all. Gotta run get stuff to cook supper. Look forward to chatting on Tuesday. #RNChat 10/2/2009 13:09 philbaumann: @bhawkesRN Nights seem to work well too. Which night do you think has broadest appeal/availability? #RNchat 10/2/2009 13:09 EllenRichter: I just started trying to make #hcsm chats on Sunday nites at 9 EST, so that would be my only conflict :( #RNchat 10/2/2009 13:10 onlinenursing: Keep me posted @RNChat. Back to writing AANP grant application. Wish me luck (I need it)! #RNChat Bye. 10/2/2009 13:10 rnchat: We'll have a transcript of today's #RNchat up in a bit on the website. Thank you all! 10/2/2009 13:12 EllenRichter: @rnchat That transcript was great! I flipped thru it and felt like I was there on Wednesday, thanks for doing that so quickly!! #RNchat 10/2/2009 13:13 EllenRichter: @onlinenursing Good luck!! (why is it I know U dont need luck?) #RNchat 10/2/2009 13:14 bhawkesRN: @philbaumann I'd say no Sat or Sun nites due to travel. I liked Fri nite, but may preclude some younger rNs? Am flexible #RNchat 10/2/2009 13:16 bhawkesRN: shout out to @RN chat for coordinating! #RNchat 10/2/2009 13:19 AmbulatoryNurse: @RNChat is hosting a twitter chat for nurses next Tuesday (10/6) at 12pm. Find out more at http://www.rnchat.org #rnchat 10/2/2009 14:23 MedSurgNurses: @RNChat is hosting a twitter chat for nurses next Tuesday (10/6) at 12pm. Find out more at http://www.rnchat.org #rnchat 10/2/2009 14:23 InfusionNurse: Thanks I missed it today. RT @RNChat We'll have a transcript of today's #RNchat up in a bit on the website. Thank you all! 10/2/2009 15:02 bthenextstep: RT @bhawkesRN: shout out to @RN chat for coordinating! #RNchat 10/2/2009 18:03 onlinenursing: Thanks friends & #RNchat tweeps 4 the fun &#ff: @bthenextstep, @eczemasupport, @drjfpmd, @summerbrown, @pillpushera, @drwalker_rph, @#RNchat 10/2/2009 18:42 onlinenursing: RT @AmbulatoryNurse: @RNChat is hosting a twitter chat 4 nurses next Tuesday (10/6) at 12pm. Find out more at http://www.rnchat.org #rnchat 9 of 10 10/2/09 8:28 PM
  • 10. http://printyourtwitter.com/tweets.html 10/2/2009 18:44 10 of 10 10/2/09 8:28 PM