Transcript of #RNchat for February 26, 2010. RNchat is a Twitter chat for registered nurses. Follow on Twitter: @RNchat.
Topics include:
Augmented Reality
Pediatric Pharmacology
Fall Prevention
1. rnchat: Tonight on #RNchat we will discuss Augmented Reality (AR) & its implications in nursing
& health care in general >> Read up? http://i.cx/16o
2/26/2010 19:58
rnchat: One of our topic on #RNchat tonite: Augmented Reality (AR) & its implications in health
care ~Heres another article >> http://i.cx/16p
2/26/2010 20:01
nursingpins: How Augmented Reality Works (#RNchat topic tonight) http://tinyurl.com/5hstkg
2/26/2010 20:16
rnchat: Another topic at #RNchat tonite (in 30 minutes) is about pediatric drug development &
clinical trials ~Some links to info >> http://i.cx/16r
2/26/2010 20:34
rnchat: 3rd topic tonite @ #RNchat will be re: patient safety! How are we doing with inpatient
falls? Why cant we achieve 100% falls prevention?
2/26/2010 20:43
rnchat: Hello & welcome to tonites edition of #RNchat, a Twitter chat for any health care folks &
of course for RNs! Its a place to share ideas
2/26/2010 21:02
KaitlynAliano: @rnchat, no problem. ;-) #RNchat
2/26/2010 21:03
CutePedsNurse: #Rnchat Hello!! :)
2/26/2010 21:03
rnchat: Lets take a few minutes to seeing who is joining in. Introduce yourselves & tell us in 140
or less what brings you to #RNchat tonight!
2/26/2010 21:04
nursingpins: Hi all, Vernon Dutton -critical care & nursing history in New Orleans #RNchat
2/26/2010 21:04
rnchat: @CutePedsNurse Hi! #RNchat
2/26/2010 21:04
KaitlynAliano: Nursing student from NJ here! #RNchat
2/26/2010 21:05
InfusionNurse: Good evening to all!! Infusion nurse and nurse educator. Glad to be here tonite!! #RNchat
2/26/2010 21:06
rnchat: I am @EllenRichter & like Vernon, I'm a critical care nurse, & I am a legal nurse
consultant too. I love to meet like this & share #RNchat
2/26/2010 21:06
tactile: RT @tactile: Med Surg nurse in Denver, Colorado. I'm also @grimalkinrn. I am also a
skin and wound resource. #RNchat
2/26/2010 21:08
CutePedsNurse: RT @CutePedsNurse Hi all!! I'm a peds nurse who is preparing for nicu!! Yea! Looking for
ideas. I'm Jennifer /forgot the #RNchat
2/26/2010 21:08
2. holisticnurses: Hi all! Telehealth/Holistic RN, NYC #rnchat
2/26/2010 21:08
rnchat: Wow...great turnout, folks! Hello to all of you! Too many to put in one tweet! :) Waving hi!
#RNchat
2/26/2010 21:09
rnchat: #RNchat is a way for nurses (& all others in health care!) to meet, tweet & share feelings,
thoughts, ideas~ We welcome silent lurkers!
2/26/2010 21:09
TeriRN: Hey all. Traveling nurse specializing in hospice. #RNChat
2/26/2010 21:09
InfusionNurse: Happy to see familiar names and new ones too...Hi all! #RNchat
2/26/2010 21:10
bthenextstep: @rnchat just wanted to say hello to all my fellow RN's out there. Can't stay. I've missed
these chats! School keeps me busy! #RNchat
2/26/2010 21:10
rnchat: The topics will be labeled T1, T2, etc. Please remember to add topic label & hashtag
#RNchat to ea tweet so we can track your responses!
2/26/2010 21:10
rnchat: You can join our chat by signing into websites like tweetchat or tweetgrid or use twitter
search page. Use hashtag #RNchat & follow along!
2/26/2010 21:11
rnchat: T1 Augmented Reality: AR will become more common. What uses could you envision for
AR in nursing? #RNchat
2/26/2010 21:12
InfusionNurse: @bthenextstep ...we miss you...have fun studying!! #RNchat
2/26/2010 21:13
bthenextstep: @rnchat have a great night everyone! *high fives around the room* #RNchat
2/26/2010 21:13
rnchat: @bthenextstep We'll save your seat! :) #RNchat
2/26/2010 21:14
rnchat: T1 Is everyone familiar with augmented reality? #RNchat
2/26/2010 21:15
CutePedsNurse: T1- #RNchat I think we will begin to lose track of our patients and not really know them.
2/26/2010 21:16
nursingpins: T1-so much potl-Dr. office - nest avlib. apt -what serv--Hosp.wait time- ins. info -best
feature - see what others tweet about same. #RNchat
2/26/2010 21:16
InfusionNurse: T1 - just read up on it but would love to see AR used in finding veins...esp. peds and
obese pts. & others w/ bad veins. #RNchat
2/26/2010 21:16
SunnyStokes: Hello all! I'm Sunny, disease management nurse in primary care in rural SC. #RNchat
2/26/2010 21:17
3. TeriRN: 1st time hearing the term. Haven't had a chance to look at the article you posted.
#RNChat
2/26/2010 21:17
rnchat: @CutePedsNurse T1 Either that, or we may just get to know them better with AR
#RNchat
2/26/2010 21:17
tactile: I was googling augmented reality to see if it was something I should screen for, to be
honest. T1 #RNchat
2/26/2010 21:17
BonnieRN: #RNChat Phil, could you explain the term?
2/26/2010 21:18
rnchat: T1 Very broadly, its a wireless way to access information that is far away from the
accessor #RNchat
2/26/2010 21:18
InfusionNurse: T1 - shld help us, accdg to the article, we can point to a pt and all their info appears on
your phone/screen! #RNchat
2/26/2010 21:19
CutePedsNurse: T1-#RNchat I think it could go either way but I still like more interaction.
2/26/2010 21:19
rnchat: T1 @nursingpins had a great response tweet with ways AR is used #RNchat
2/26/2010 21:19
nursingpins: T1 unlimited info about any given place Resturant ex - menu, prices, reserv other reviews
- will work the same for medical info. #RNchat
2/26/2010 21:19
DaveyHo69: Like Nascar? Love your career choice! RT @CutePedsNurse: I'm a peds nurse who is
preparing for nicu!! I'm Jennifer forgot the #RNchat
2/26/2010 21:20
holisticnurses: T1 There are two articles. It would be great at teaching pt's anatomy and physiology of
their diseases as well as student RNs. #rnchat
2/26/2010 21:20
BonnieRN: #RNChat oh man, I did not know there was homework... studying up...
2/26/2010 21:20
rnchat: @BonnieRN LOL hi Bonnie! Its Ellen tonite, not Phil & welcome. I tweeted 2 links earlier
to familiarize ppl with the term AR #RNchat
2/26/2010 21:21
KaitlynAliano: T1: I think it could be beneficial when educating clients. #RNchat
2/26/2010 21:21
holisticnurses: @BonnieRN T1 One article shows graphics projected from a screen onto a person or a
surface. Blurs the line of reality and techology. #rnchat
2/26/2010 21:21
InfusionNurse: @BonnieRN ..Ellen is moderating, don't know if Phil is here tonite #RNchat
4. 2/26/2010 21:21
tactile: T1 It could be useful for ppl in hard to reach areas. However, I worked in IT. Left it for
more personal interaction #RNchat
2/26/2010 21:21
rnchat: T1 The ability for medical aid to be brought right to a desolate area via AR is amazing
#RNchat
2/26/2010 21:22
BonnieRN: #RNChat T1, U guys are over my head... lol I see the aps....
2/26/2010 21:23
nursingpins: T1 check pharmacy to see if they have your meds - prices- is it ready-gneric avlib.
information is limitless for any place -location #RNchat
2/26/2010 21:24
rnchat: T1 I would love to see the ability to put sensors on patients' skin that would ring at the 1st
sign of pressure build up #RNchat
2/26/2010 21:24
TeriRN: @rnchat I see I'm going 2need 2do some studying. I'm still not getting AR Right now C
how it could B used as an invasion of privacy. #RNChat
2/26/2010 21:25
KaitlynAliano: The ultrasound of the future: http://bit.ly/aWabTK (speaking of augmented reality...)
#RNchat
2/26/2010 21:25
TeriRN: @rnchat But that could be with any technology I know. Like the ideas for use I'm seeing
so far. #RNChat
2/26/2010 21:26
InfusionNurse: Awesome! RT @KaitlynAliano: The ultrasound of the future: http://bit.ly/aWabTK (speaking
of augmented reality...) #RNchat
2/26/2010 21:27
TeriRN: That's amazing. RT @KaitlynAliano: The ultrasound of the future: http://bit.ly/aWabTK
(speaking of augmented reality...) #RNChat
2/26/2010 21:27
nursingpins: T1 AR is like layers of information - you can cont how much info you get on your phone
just by pointing your phone at location etc. #RNchat
2/26/2010 21:27
CutePedsNurse: #RNchat T1 I agree that it could be very good for information. We would also need to be
careful about confidentiality.
2/26/2010 21:28
rnchat: @CutePedsNurse T1 Yes, we ALWAYS have to be aware of confidentiality in health care,
no matter what we are doing. :) #RNchat
2/26/2010 21:29
rnchat: OK 3 more minutes & on to the next topic, folks :) #RNchat
2/26/2010 21:29
TeriRN: @rnchat T1: That will be interesting. #RNChat
2/26/2010 21:29
5. nursingpins: T1 - we could have another chat about AR - it will be very common in near future, still
developing. #RNchat
2/26/2010 21:29
KaitlynAliano: @InfusionNurse @terirn - I know! Isn't it? #RNchat
2/26/2010 21:30
InfusionNurse: T1 - perhaps still a new concept to us but I can see where it will be helpful to us so we
can care for patients better... #RNchat
2/26/2010 21:30
rnchat: @nursingpins I agree. Augmented Reality is something we can build upon in future chats!
Today we are getting everyone on same page #RNchat
2/26/2010 21:31
InfusionNurse: @KaitlynAliano ...T1 that's exactly what I want to help me find veins easily....no missed
attempts! #RNchat
2/26/2010 21:31
holisticnurses: @InfusionNurse There is a product called Accuvein that can find veins for IV insertion. T1
#rnchat
2/26/2010 21:31
CutePedsNurse: RT @nursingpins T1 - we could have another chat about AR - it will be very common in
near future, still developing. #RNchat <>Yes
2/26/2010 21:32
KaitlynAliano: @InfusionNurse, you're right. That would be a great use of technology! #RNchat
2/26/2010 21:32
InfusionNurse: Yup, been using it, best so far in the market but its not AR . RT @holisticnurses: product
called Accuvein for IV insertion. T1 #RNchat
2/26/2010 21:32
rnchat: T2 Despite aggressive programs to identify pts at risk for falls, statistics R still too high.
What more can we do to combat falls? #RNchat
2/26/2010 21:33
TeriRN: @InfusionNurse I could of used something like that when I had my MI & the best vein
they could find was in shoulder with a 22. #RNChat
2/26/2010 21:33
ocdgirl2000: RT @holisticnurses: @InfusionNurse There is a product called Accuvein that can find
veins for IV insertion. T1 #rnchat
2/26/2010 21:33
KaitlynAliano: @rnchat, that's a tough one! re: T2... #RNchat
2/26/2010 21:34
InfusionNurse: OMG!! RT @TeriRN:...the best vein they could find was in shoulder with a 22. #RNchat
2/26/2010 21:34
TeriRN: T2: For nursing homes, staffing needs to be better. Not the state minimum. #RNChat
2/26/2010 21:34
nursingpins: T2 other than raising the bed as high as it will go - (to hear them when they hit the floor)
6. I would like to know too:) falls #RNchat
2/26/2010 21:35
ocdgirl2000: @holisticnurses #rnchat T1 whoever invented that will be rich! "accuevein"
2/26/2010 21:35
holisticnurses: Agreed, staffing. But that's a conundrum all it's own. RT @TeriRN: T2: For nursing
homes, staffing needs to be better. #rnchat
2/26/2010 21:35
nursingpins: T2 we need to make sure beds are in the lowest position (easy thing to remember)
#RNchat
2/26/2010 21:36
rnchat: T2 I think we need some more innovative & sensitive bed & chair sensor devices, ones
that quickly pull a nurse to the bedside? :) #RNchat
2/26/2010 21:36
TeriRN: T2: Also better ed So far inservices I've been in 4falls have been jokes Unfortunately
places I was @ wasn't in position 2sug better #RNChat
2/26/2010 21:37
holisticnurses: Yes! Come up with something good. http://www.accuvein.com/ RT @ocdgirl2000: #rnchat
T1 whoever invented that will be rich! #rnchat
2/26/2010 21:37
KaitlynAliano: RT @holisticnurses: Agreed, staffing. But that's a conundrum all it's own. RT @TeriRN:
T2: For nursing homes, staffing needs to b... #RNchat
2/26/2010 21:37
rnchat: T2 I also think any pt identified as a high risk should have visiting hours opened so family
can sit in shifts round the clock #RNchat
2/26/2010 21:37
holisticnurses: T2 Redesign location of nurses' station. #rnchat
2/26/2010 21:37
TeriRN: @holisticnurses Boy is it ever. Staffing is always better when it's survey time. Then back
to the bare minimum. =( #RNChat
2/26/2010 21:38
nursingpins: Latest study - some never events can't be 100% prevented - unfortunately falls are one of
them. #RNchat
2/26/2010 21:38
ocdgirl2000: #rnchat T2 group homes seem to do quite well around here,best of both worlds! great
care,surveyors keep closer eye on them.cheaper,like home
2/26/2010 21:38
KaitlynAliano: How do you all feel about restraints? We learned them 2 wks ago and were told they can
keep a patient at risk for a fall in bed. #RNchat
2/26/2010 21:38
rnchat: T2 If we place the responsibility on the family too, it could reduce falls just by having
more manpower alone! #RNchat
2/26/2010 21:38
7. TeriRN: @nursingpins Agreed, but the #'s could be less. I've witnessed nurses & aides ignore the
alarms b/c it's not their pt. #RNChat
2/26/2010 21:39
holisticnurses: @KaitlynAliano T2 Eeekk...not a restraint fan here. #rnchat
2/26/2010 21:40
rnchat: @KaitlynAliano T2 The risk for falls is not usually a criteria for restraints. This is why its
such a challenge. #RNchat
2/26/2010 21:40
nursingpins: T2 video monitors offer the best hope (and somebody to watch them) #RNchat
2/26/2010 21:40
TeriRN: Same here.>>>>RT @holisticnurses: @KaitlynAliano T2 Eeekk...not a restraint fan here.
#RNChat
2/26/2010 21:40
holisticnurses: Good idea! RT @rnchat: T2 pt identified as a high risk should have visiting hours opened
so family can sit in shifts round the clock #rnchat
2/26/2010 21:40
rnchat: RT @nursingpins: T2 video monitors offer the best hope (and somebody to watch them)
#RNchat
2/26/2010 21:40
DianaCCRN: T2 #RNchat my workplace looking at hiring private sitters for qualified patients. Cheaper
than paying for fall.
2/26/2010 21:41
KaitlynAliano: @holisticnurses, me neither! Just curious. #RNchat
2/26/2010 21:41
InfusionNurse: Good idea..RT @nursingpins: T2 video monitors offer the best hope (and somebody to
watch them) #RNchat
2/26/2010 21:41
nursingpins: @TeriRN Your are right - has to be a shared responsibility. #RNchat
2/26/2010 21:41
holisticnurses: Privacy laws prohibit video cameras in certain areas RT @nursingpins: T2 video monitors
offer the best hope (somebody to watch them) #rnchat
2/26/2010 21:42
TeriRN: @DianaCCRN Worked at one that told families they had to pay for the sitter. Families
can't afford it many times. #RNChat
2/26/2010 21:42
ocdgirl2000: #rnchat T2 the reason why pt's R in Nursing Homes is because families mostly don't
have time or inclination 2 B involved.or pt would be home
2/26/2010 21:42
BonnieRN: T2 #rnchat private sitters and family, quiet alarms someone who can run fast
2/26/2010 21:42
holisticnurses: Research Granny Cams. Slippery slope issue. RT @InfusionNurse: Good idea..RT
@nursingpins: T2 video monitors offer the best hope #rnchat
2/26/2010 21:43
8. TeriRN: @BonnieRN AWWWWW! Nurses need to where roller skates. =D #RNChat
2/26/2010 21:43
rnchat: @ocdgirl2000 T2 LOL, yes but these are the same families that definitely have time for
litigation if the pt falls! #RNchat
2/26/2010 21:43
tactile: @KaitlynAliano T2 I think restraints, chemical and physical should be a last resort and
increase the risk of delirium and injury #RNchat
2/26/2010 21:44
holisticnurses: Of course. Glad they're discussing the issue in schools. RT @KaitlynAliano:
@holisticnurses, me neither! Just curious. #rnchat
2/26/2010 21:44
KaitlynAliano: @TeriRN, roller skates could contribute to nurses' falls! :-D #RNchat
2/26/2010 21:44
BonnieRN: T2 awww yes, litigation... #rnchat
2/26/2010 21:44
TeriRN: @ocdgirl2000 Not always true Sometimes families can't handle the pt 2stay home & they
can't live alone nor afford private sitters #RNChat
2/26/2010 21:45
rnchat: @tactile T2 Yes good point. I dont think most hospitals even list "fall risk" as a choice in
restraint policies #RNchat
2/26/2010 21:45
ocdgirl2000: @rnchat #rnchat T2 sometimes!, sometimes not even, they have time to fight over the
leftover accounts!
2/26/2010 21:45
TeriRN: @KaitlynAliano Darn it always a down side to good ideas. =D #RNChat
2/26/2010 21:45
holisticnurses: Fall team! Great! RT @nursingpins: T2 ideally a(fall team)to assign & monitor-anything
can be done with enough help #rnchat
2/26/2010 21:45
rnchat: @BonnieRN LOL, yes, litigation...now you can tell its me & not Phil ;) #RNchat
2/26/2010 21:46
TeriRN: @holisticnurses T2: I like that a fall team. Facilities have wound care teams & IV teams
add a fall team. #RNChat
2/26/2010 21:46
rnchat: @holisticnurses T2 But wont a Fall Team be costly? In this day & age how can we OK
more staff? #RNchat
2/26/2010 21:47
rnchat: 2 minutes & on to topic 3 :) #RNchat
2/26/2010 21:48
ocdgirl2000: @TeriRN #rnchat T2 nursing homes are upwards 70K a year! cheaper to pay round the
clock Nursing care in pt's home!
9. 2/26/2010 21:48
Trybarefoot: Just 'iistening' here quietly - interesting chat...#RNChat
2/26/2010 21:48
KaitlynAliano: @rnchat, that's what I was thinking, too. Hospitals are trying to cut costs. A new team
would be a no-go, wouldn't it? #RNchat
2/26/2010 21:48
TeriRN: @rnchat T2: Wouldn't it B cheaper than litigation &increased care needed from the
injuries? Although cost of more staff will B issue #RNChat
2/26/2010 21:49
nursingpins: @rnchat T2 would add to cost but we are doing everything already without enough help
and support :) #RNchat
2/26/2010 21:49
tactile: T2 We should also try to equally distribute fall risk pts among the staff. No RN should
have all of them, and neither should 1 CNA! #RNchat
2/26/2010 21:49
TeriRN: @ocdgirl2000 Not if you don't have the money & have 2 rely on Medicaid. #RNChat
2/26/2010 21:49
holisticnurses: Interdisclipinary approach with the present staff. ??? RT @rnchat: T2 But wont a Fall
Team be costly? #rnchat
2/26/2010 21:50
rnchat: Sigh >> Yes! So true RT @nursingpins T2 would add to cost but we are doing everything
already without enough help and support :) #RNchat
2/26/2010 21:50
nursingpins: T2 we could try to split them up - but 60% of falls are not ID'd as fall potential. #RNchat
2/26/2010 21:50
TeriRN: @holisticnurses T2: That's an idea. #RNChat
2/26/2010 21:50
rnchat: T2 Awesome responses to the falls topic, folks! :) #RNchat
2/26/2010 21:51
TeriRN: RT @nursingpins: T2 we could try to split them up - but 60% of falls are not IDd as fall
potential.<<Sad but true #RNChat
2/26/2010 21:51
NursingCenter: Hey gang! Sorry I'm so late :) I'll try to catch up! #rnchat
2/26/2010 21:51
rnchat: @nursingpins Is that your facility's statistic or is that the US statistic...60% of falls not IDd
as potential? #RNchat
2/26/2010 21:51
KaitlynAliano: @NursingCenter, welcome! #RNchat
2/26/2010 21:52
rnchat: @NursingCenter Welcome!! :) #RNchat
2/26/2010 21:52
10. TeriRN: @NursingCenter Better late than never. =D #RNChat
2/26/2010 21:52
TeriRN: @NursingCenter Glad you made it. #RNChat
2/26/2010 21:53
rnchat: T3 Pediatric Rx: What is the future of peds Rx development? What are ethical dilemmas
of pediatric clinical trials? #RNchat
2/26/2010 21:53
ocdgirl2000: #rnchat T2 we used to see mostly all of our orthopedic patients as falls from Nursing
Homes, the ones that were the lower income..
2/26/2010 21:54
InfusionNurse: T3 - not much clinical trials going on for peds...can't use them as study subjects?
#RNchat
2/26/2010 21:54
NursingCenter: Thanks for the welcomes! Talking about falls, huh? Horrible when it happens - will check
transcript later to read your ideas! #rnchat
2/26/2010 21:55
holisticnurses: T2 And incentives for fall teams that decrease statistics. Seems like a return to a team
approach on floors-RN, LPN, CNA, SW, MD. #rnchat
2/26/2010 21:55
KaitlynAliano: RT @rnchat: T3: Pediatric Rx: What is the future of peds Rx development? What are
ethical dilemmas of pediatric clinical trials? #RNchat
2/26/2010 21:55
TeriRN: @holisticnurses T2: seen to many MDs order restraints rather than try to come up with
better solution or use sol. offered by RN #RNChat
2/26/2010 21:56
rnchat: T3 Some examples of pediatric clinical trials are at this link http://i.cx/16r #RNchat
2/26/2010 21:56
tactile: T3 #rnchat Pediatric trials: the benefits HAVE to outweigh the risks to growth, mental and
emotional development, and health.
2/26/2010 21:56
holisticnurses: MD's should take a monitoring shift. :) RT @TeriRN: @holisticnurses T2: seen many MDs
order restraints rather than try to come up... #rnchat
2/26/2010 21:57
ocdgirl2000: #rnchat T3 sometimes you see some Peds clinical trials at NIH, simply because the
patients can live there, be observed go to school there..
2/26/2010 21:57
nursingpins: T3 listening - peds exp is nill #RNchat
2/26/2010 21:58
holisticnurses: T3 Hmm...good question. All I can say is too many kids on Ritalin in my opinion. #rnchat
2/26/2010 21:58
TeriRN: @holisticnurses T2: MDs take a monitoring shift? That I would love to see. #RNChat
2/26/2010 21:58
11. TeriRN: @holisticnurses T3: I agree. I think some R dx'd ADD/ADHD when all they need is
redirection or consistant discipline. #RNChat
2/26/2010 22:00
rnchat: T3 If you had a terminally ill child, would you consent to a clinical trial of a new drug for
possible treatment? #RNchat
2/26/2010 22:00
holisticnurses: But medical students should to better understand the problem. RT @TeriRN:T2: MDs take
a monitoring shift? That I would love to see. #rnchat
2/26/2010 22:00
TeriRN: @holisticnurses T2: I sooooooo agree with you on that. #RNChat
2/26/2010 22:01
rnchat: T3 Didnt ADD & ADHD evolve with the computer age? #RNchat
2/26/2010 22:01
TeriRN: @rnchat T3: wow that's a hard one. Not sure what I would do. #RNChat
2/26/2010 22:01
ocdgirl2000: #rnchat T3 well,usually stuff around mental health,learning issues,sometimes it's cancer
treatment,or lupus,my friend grew up@ NIH,she's 55
2/26/2010 22:01
rnchat: T3 What is the ethically correct way to deal with development of new drugs to treat
pediatric disorders? #RNchat
2/26/2010 22:02
holisticnurses: Or was it the diagnosis that evolved? RT @rnchat: T3 Didnt ADD & ADHD evolve with
the computer age? #rnchat
2/26/2010 22:02
TeriRN: @rnchat T3: Hmmm good question. But using the standard I see where some adults
would have been labeled ADD/ADHD as a kid. #RNChat
2/26/2010 22:03
NursingCenter: T3 Ethical dilemmas with ped clinical trials ~ risk v. benefits, differences in physical &
emotional development #rnchat
2/26/2010 22:03
KaitlynAliano: @rnchat, only if there was nothing to lose and everything to gain... #RNchat
2/26/2010 22:03
rnchat: @ocdgirl2000 T3 Good examples! :) #RNchat
2/26/2010 22:03
cyclingwidow: Late arrival but I did make it tonight. Kim, RN, BSN, Clinical Analyst in IT #rnchat
2/26/2010 22:03
InfusionNurse: @rnchat ..T3... or the use of an approved drug 4 adults not peds but would help the
illness... #RNchat
2/26/2010 22:03
KaitlynAliano: @cyclingwidow, welcome! #RNchat
2/26/2010 22:03
12. TeriRN: @cyclingwidow Welcome Kim #RNChat
2/26/2010 22:04
holisticnurses: Burden falls on MD's to accurately report findings. RT @rnchat: T3 What is the ethically
correct way to deal w development of new rx #rnchat
2/26/2010 22:04
NursingCenter: @cyclingwidow welcome! #rnchat
2/26/2010 22:04
rnchat: @cyclingwidow Welcome anyway! :) #RNchat
2/26/2010 22:04
pamQ: T3 - There's this term called #NADD - Nerd Attention Deficiency Disorder w/c evolved
from the digital age. http://bit.ly/aSEVQT #RNchat
2/26/2010 22:04
TeriRN: @InfusionNurse T3: this is why some drugs can't be put in liquid form, FDA afraid MDs
will use them 4 peds when not tested. #RNChat
2/26/2010 22:05
rnchat: @TeriRN T3 Interesting point about liquid meds being easy to use on kids even if not
tested first! #RNchat
2/26/2010 22:06
holisticnurses: @ocdgirl2000 Must have been so very difficult for family...two kids at NIH. T3 #rnchat
2/26/2010 22:06
cyclingwidow: T3 personal example, 11 yo DD on Zantac for reflux. Just took her off it after she started
having severe abd pain & severe anxiety #rnchat
2/26/2010 22:06
InfusionNurse: @TeriRN ..whatever form it comes, doc just use smaller adult doses for peds since no
clincial data..but somehow it works... #RNchat
2/26/2010 22:07
rnchat: @cyclingwidow Did they feel those symptoms were related to the Zantac? #RNchat
2/26/2010 22:08
cyclingwidow: @cyclingwidow listed as side effects but could it be that the "rare" side effects might
actually be common in children? #rnchat
2/26/2010 22:08
holisticnurses: RT @cyclingwidow listed as side effects but could it be that the "rare" side effects might
actually be common in children? #rnchat
2/26/2010 22:08
ocdgirl2000: @holisticnurses #rnchat T3 this was so many years ago too!they were also from another
country!Lima, Peru, well off, but parents got divorced
2/26/2010 22:09
rnchat: T3 I always disliked recovering babies who had open heart. Drugs & drips were too small
to calculate. It always scared me. #RNchat
2/26/2010 22:09
TeriRN: @InfusionNurse T3: interesting. This is the reason my MD told me I couldn't have a
certain med 4 my child that prob would have work #RNChat
2/26/2010 22:10
13. InfusionNurse: T3 - meds for tx adult crohn's r available, docs use same med for peds crohn's until one
finally got fda approved for crohns. #RNchat
2/26/2010 22:10
ocdgirl2000: @holisticnurses #rnchat T3 & one healthy child.the one child that survived,my friend,went
into very good remissions,very few exacerbations
2/26/2010 22:11
holisticnurses: Agreed. Same here in Peds rotation. RT @rnchat: T3 Drugs & drips were too small to
calculate. It always scared me. #rnchat
2/26/2010 22:11
holisticnurses: @ocdgirl2000 T3 That's one success story. :) #rnchat
2/26/2010 22:11
rnchat: T3 Many topical meds for severe skin conditions like psoriasis/eczema have warnings for
very limited pediatric use #RNchat
2/26/2010 22:12
NursingCenter: Not much peds experience here...but what about consent? At what age can/should the
child be involved in the decision to enroll? #rnchat
2/26/2010 22:12
InfusionNurse: T3 - so if docs use adult dose for peds w/o FDA approval for peds use - isn't that off label
use? #RNchat
2/26/2010 22:12
cyclingwidow: T3 how do you determine the appropriate dosing for a child? Weight is common but is
that always appropriate? #rnchat
2/26/2010 22:13
rnchat: @NursingCenter T3 Good question! I would imagine a parent must consent for any
minor? #RNchat
2/26/2010 22:13
Trybarefoot: Just thinking the same? RT @NursingCenter: but what about consent? At what age
can/should the child be involved in the decision? #rnchat
2/26/2010 22:14
InfusionNurse: yet parents use them..RT @rnchat: T3 Many topical meds for skin conditions
psoriasis/eczema warnings for very limited pediatric use #RNchat
2/26/2010 22:14
cyclingwidow: @rnchat Unless emancipated. Parents must consent even for our minor OB pts. Of
course the minor can then consent for their minor #rnchat
2/26/2010 22:15
holisticnurses: T3 Used to do Peds Telehealth...parents would beg for antibiotics to treat viral infections.
Told them...you don't want to overuse. #rnchat
2/26/2010 22:15
InfusionNurse: @NursingCenter ...parent's provide the consent...till the age of 18. #RNchat
2/26/2010 22:15
ocdgirl2000: @holisticnurses #rnchat T3 until recently,she's not well now.she's worked so hard over
the years.HER CHOICE!!no one could tell her anything!
2/26/2010 22:16
14. NursingCenter: @cyclingwidow re: dosing...I would think age matters too, pharmacokinetics r/t organ
development, receptors- all the cellular stuff! #rnchat
2/26/2010 22:16
InfusionNurse: @cyclingwidow ..that is the issue esp. since there's no clinical data/recommendation for
peds dosing. #RNchat
2/26/2010 22:17
Trybarefoot: Across all USA? Canada?! RT @InfusionNurse: @NursingCenter ...parent's provide the
consent...till the age of 18. #RNchat
2/26/2010 22:17
holisticnurses: @ocdgirl2000 T3 Ah, was it partly her strong will that kept her well all these years too?!?
#rnchat
2/26/2010 22:17
rnchat: I just noticed that we have gone past our usual hour! Before people filter out I want to
thank everyone for participating tonite!! #RNchat
2/26/2010 22:18
NursingCenter: @holisticnurses I can see both sides of that one! Always want my kids to feel better right
away!!! #rnchat
2/26/2010 22:18
holisticnurses: LOL! That would perpetuate use of meds only! RT @chuymatt: @holisticnurses I wish we
could have the MDs prescribe placebos still. #rnchat
2/26/2010 22:18
cyclingwidow: @NursingCenter T3 exactly my thought. 2 of my girls are 2yrs apart and the younger is
the bigger child! Seems odd to give her MORE #rnchat
2/26/2010 22:18
KaitlynAliano: @Trybarefoot, Canada may have a different age of consent...(?) #RNchat
2/26/2010 22:18
tactile: @EllenRichter Thanks for hosting! Glad I could participate. I'm off to a hot bath and bed!!
I doubt I'll get off early tomorrow! #RNchat
2/26/2010 22:19
KaitlynAliano: @rnchat, great chat, Ellen! #RNchat
2/26/2010 22:19
InfusionNurse: Thanks Ellen! RT @rnchat: I just noticed that we have gone past our usual hour! I want to
thank everyone for participating tonite!! #RNchat
2/26/2010 22:19
Trybarefoot: Sorry I came late - appreciate the connections! Nite all..! #RNchat
2/26/2010 22:19
InfusionNurse: @Trybarefoot ..don;t know about Canada..sorry! #RNchat
2/26/2010 22:19
Trybarefoot: I'm thinking maybe? Need to ask that question! RT @KaitlynAliano: @Trybarefoot,
Canada may have a different age of consent...(?) #RNchat
2/26/2010 22:20
15. KaitlynAliano: Intelligent conversation as always. Would love to connect w/ everyone via @Twitter or
@LinkedIN. Enjoy the weekend! #RNchat
2/26/2010 22:20
nursingpins: Great job as always Ellen - Thanks, #RNchat
2/26/2010 22:20
rnchat: @Trybarefoot Glad you came too! You like to hang out with the nurses :) #RNchat
2/26/2010 22:20
InfusionNurse: Good nite to all! Have a great weekend! Great chat tonite...till next chat!! #RNchat
2/26/2010 22:21
rnchat: Great responses to all the topics! We will definitely chat more about Augmented Reality in
future chats as we see apps being used! #RNchat
2/26/2010 22:21
holisticnurses: An hour passed by so soon. Aw, well thanks Ellen and RNChat for the great discussion.
Bye, everyone! Have a great weekend. #rnchat
2/26/2010 22:22
grimalkinrn: @KaitlynAliano Feel free to follow me @tactile - my nursing/political twitter, or if you are
brave, @grimalkinrn. #RNchat
2/26/2010 22:22
cyclingwidow: Glad the girls decided to stay up late so I could get on the computer. :) even if I was
REALLY late #rnchat
2/26/2010 22:22
NursingCenter: @holisticnurses Yes - and unfortunately those infections are on the rise... #rnchat
2/26/2010 22:22
Kineticycle: #rnchat hey folks...sorry I missed out tonight! Hope it went well! Catch ya next time.
2/26/2010 22:22
TeriRN: @rnchat Great job tonight Ellen. Great convos too. Will start studying about AR. #RNChat
2/26/2010 22:22
cyclingwidow: Thanks Ellen @ellenrichter #rnchat
2/26/2010 22:23
ocdgirl2000: @RNchat #rnchat Thank You!As always, the Hostess with the Mostess!!Ellen!
2/26/2010 22:23
rnchat: I think I will suggest an alternate time for a chat next week so we can include more of the
west coast USA folks! Be on the lookout! #RNchat
2/26/2010 22:23
holisticnurses: Yes, that's my point too! We would educate viral vs bacterial. RT @cyclingwidow: but
NEVER antibiotics for viral infections. #rnchat
2/26/2010 22:23
NursingCenter: Thanks Ellen! Have a great weekend everyone! #rnchat
2/26/2010 22:23
TeriRN: @rnchat I would love that. Tonight I was off. But next Friday I'll be 30-45 mins late onto
chat #RNChat
2/26/2010 22:24
16. chuymatt: @rnchat West coast here! Not a problem for me. #rnchat
2/26/2010 22:24
cyclingwidow: @holisticnurses working in IT now but used to be in Infection Control. I will still get on
that soapbox anytime. :) #rnchat
2/26/2010 22:24
rnchat: Thanks to all of the participants!! Everyone have a great weekend (whenever in your
nursing week that may be!!) LOL Gnite! #RNchat
2/26/2010 22:24
holisticnurses: @cyclingwidow Best of luck with your 11yo! Bye, bye. #rnchat
2/26/2010 22:25
rnchat: Be on the lookout for @philbaumann to post this week's chat in transcript form on
http://rnchat.org #RNchat
2/26/2010 22:25
ocdgirl2000: #rnchat @rnchat, I was hoping more graduating Nursing students would start joining us
for our chats! I think it won't be long!
2/26/2010 22:25
holisticnurses: The IT/IC soapbox is welcomed anytime! RT @cyclingwidow: I will still get on that
soapbox anytime. :) #rnchat
2/26/2010 22:26
rnchat: @ocdgirl2000 Yes, pretty soon we will have a new group of RN grads! Its great, isnt it?
#RNchat
2/26/2010 22:26
cyclingwidow: Great convo at #RNChat tonight. @Busymom @ms_stacey You should follow @RNChat
2/26/2010 22:27
KaitlynAliano: @ocdgirl2000, several nursing students participated last week. Not sure where they
disappeared to! #RNchat
2/26/2010 22:31
Trybarefoot: YUP! Spent yrs surrounded by RNs! Now I train 'em! RT @rnchat: @Trybarefoot You like
to hang out with the nurses #RNchat
2/26/2010 22:32
Trybarefoot: @ocdgirl2000 #FF @LindsayBurke - she's the coolest RN grad I know! Watch her soar!
#RNchat
2/26/2010 22:35
ocdgirl2000: @KaitlynAliano #rnchat hope we're not too boring and stodgy?LOL!we'll have to start
sending our PR invites earlier next time!
2/26/2010 22:39
holisticnurses: We just talked about this on #RNchat RT @nytimesscience Rising Threat of Infections
Unfazed by Antibiotics http://nyti.ms/cRgBg7
2/26/2010 23:22