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At 9:30pm EST tonight @EllenRichter will moderate #RNchat - I do believe she will continue the awesome #hcr from last week. :) 3/26/2010 20:39 philbaumann: Just got in! So glad I have a few minutes to take a breath & make a pot of coffee before #RNchat! Hope @ocdgirl2000 isnt sleeping~ ;) 3/26/2010 21:04 EllenRichter: #RNchat on twitter - tonight with @EllenRichter at 9:30 RNchat video http://www.youtube.com/watch?v=yY-xwzG7OrE 3/26/2010 21:17 nursingpins: Hello & welcome to the TGIF edition of #RNchat, a Twitter chat for any health care folks & of course for RNs! We like a place to share ideas 3/26/2010 21:27 rnchat: #RNchat is a way for nurses (& all others in health care!) to meet, tweet & share feelings, thoughts, ideas~ We welcome silent lurkers! 3/26/2010 21:29 rnchat: You can join our chat by signing into websites like tweetchat or tweetgrid or use twitter search page. Use hashtag #RNchat & follow along! 3/26/2010 21:30 rnchat: @rnchat Good evening ganglia! #RNChat 3/26/2010 21:30 RNMark: I'm searching for #RNchat live on TweetGrid Search - http://tweetgrid.com/search? q=%23RNchat 3/26/2010 21:31 seejanenurse: Lets begin the chat by seeing who is joining in. Introduce yourselves & tell us in 140 or less a bit about U #RNchat tonight! 3/26/2010 21:31 rnchat: Hi Ellen et al - Vernon in New Orleans - Critical Care #RNchat 3/26/2010 21:31 nursingpins: Good evening everyone. Denver Med Surg RN, Preceptor, Wound Care resource and soon to be BSN Student. #rnchat 3/26/2010 21:31 tactile: Spinning Tele RN #RNchat 3/26/2010 21:32 seejanenurse: @RNchat alison six year medical nurse! #RNchat 3/26/2010 21:32 ali_rn: I'm searching for #RNchat live on TweetGrid Search - http://tweetgrid.com/search? q=%23RNchat 3/26/2010 21:33 nursingpins: I'm @EllenRichter a critical care nurse in sunny south Florida. And, I work with attorneys on medical legal cases :) #RNchat 3/26/2010 21:33 rnchat: Lisa Gualtieri, just saying hi to @EllenRichter and #RNChat and then going back to work lisagualtieri:

RNchat Transcript March 26, 2010

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Transcript of #RNchat, a Twitter chat for registered nurses. Follow @RNchat - http://Twitter.com/RNchat - or visit the blog - http://RNchat.orgTopics:T1 As the volume of insured patients grows, we will need more resources to care for everyone, especially with longevity of lifeT2 The new hcr bill adds a 10% tax on fees for tanning bed services. Are there other "unhealthy" activities we can possibly tax? T3 Do you social media savvy nurses see Facebook & Twitter & such as valuable avenues for giving nursing care? #RNchat

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Page 1: RNchat Transcript March 26, 2010

At 9:30pm EST tonight @EllenRichter will moderate #RNchat - I do believe she willcontinue the awesome #hcr from last week. :)3/26/2010 20:39

philbaumann:

Just got in! So glad I have a few minutes to take a breath & make a pot of coffee before#RNchat! Hope @ocdgirl2000 isnt sleeping~ ;)3/26/2010 21:04

EllenRichter:

#RNchat on twitter - tonight with @EllenRichter at 9:30 RNchat videohttp://www.youtube.com/watch?v=yY-xwzG7OrE3/26/2010 21:17

nursingpins:

Hello & welcome to the TGIF edition of #RNchat, a Twitter chat for any health care folks& of course for RNs! We like a place to share ideas3/26/2010 21:27

rnchat:

#RNchat is a way for nurses (& all others in health care!) to meet, tweet & share feelings,thoughts, ideas~ We welcome silent lurkers!3/26/2010 21:29

rnchat:

You can join our chat by signing into websites like tweetchat or tweetgrid or use twittersearch page. Use hashtag #RNchat & follow along!3/26/2010 21:30

rnchat:

@rnchat Good evening ganglia! #RNChat3/26/2010 21:30

RNMark:

I'm searching for #RNchat live on TweetGrid Search - http://tweetgrid.com/search?q=%23RNchat3/26/2010 21:31

seejanenurse:

Lets begin the chat by seeing who is joining in. Introduce yourselves & tell us in 140 orless a bit about U #RNchat tonight!3/26/2010 21:31

rnchat:

Hi Ellen et al - Vernon in New Orleans - Critical Care #RNchat3/26/2010 21:31

nursingpins:

Good evening everyone. Denver Med Surg RN, Preceptor, Wound Care resource andsoon to be BSN Student. #rnchat3/26/2010 21:31

tactile:

Spinning Tele RN #RNchat3/26/2010 21:32

seejanenurse:

@RNchat alison six year medical nurse! #RNchat3/26/2010 21:32

ali_rn:

I'm searching for #RNchat live on TweetGrid Search - http://tweetgrid.com/search?q=%23RNchat3/26/2010 21:33

nursingpins:

I'm @EllenRichter a critical care nurse in sunny south Florida. And, I work with attorneyson medical legal cases :) #RNchat3/26/2010 21:33

rnchat:

Lisa Gualtieri, just saying hi to @EllenRichter and #RNChat and then going back to worklisagualtieri:

Page 2: RNchat Transcript March 26, 2010

3/26/2010 21:33

Hi Mike Rosenberg with the Philly Chapter of american society of health informaticsmanagers hope everybody is doing well! #RNchat3/26/2010 21:34

mikerosenberg9:

Hello everyone! Lisa here ~ clinical editor, critical care RN & women's health NP #RNchat3/26/2010 21:34

NursingCenter:

Becky - full-time Oncology nurse, Full -time BSN student, full time mom of four boys#rnchat3/26/2010 21:34

oncnurse66:

@lisagualtieri Well then we say hi back! :) Dont work too hard! #RNchat3/26/2010 21:34

rnchat:

Wonderful turnout, folks! This is great! I appreciate you all waiting til I got home fromwork! 9 PM was cutting it so close! :) #RNchat3/26/2010 21:35

rnchat:

Hi everyone! Kama, CNS, tertiary mental health, from Ontario, Canada #RNchat3/26/2010 21:35

nursekama:

@oncnurse66 WOW ~ you've got a lot going on!!! #RNchat3/26/2010 21:35

NursingCenter:

@rnchat Hope you had a good shift Ellen! Thanks for moderating! #RNchat3/26/2010 21:36

NursingCenter:

Remember, topics will be labeled T1, T2, etc. So please add topic label & hashtag#RNchat to ea tweet so we can track your tweets!3/26/2010 21:36

rnchat:

@RNchat i'm a nursing instructor/simulation specialist at Oregon Health & ScienceUniversity, in a DNP program, graduate in August #rnchat3/26/2010 21:37

maryannagordon:

I know how we talked about the new #hcr bill at Tuesday's chat. I think we can continuethat topic since we have lots to say! #RNchat3/26/2010 21:38

rnchat:

@rnchat I'm a physical rehab nurse and late life career changer. Have lasted two yearsplus. #RNChat3/26/2010 21:38

RNMark:

Howdy all. Labor/delivery nurse, nurse educator & soon to be a MSN. #RNchat3/26/2010 21:39

Aggiern95:

T1 People w/ pre-existing conditions will now be able to get insurance & medical care.How will this affect your role as a nurse? #RNchat3/26/2010 21:40

rnchat:

#T1-I called my insurance to see when I could put my 21 y/o son back on and they toldme no one says that they have to take him #rnchat3/26/2010 21:40

oncnurse66:

I see new faces tonight! So happy to have you here! :) #RNchat3/26/2010 21:40

rnchat:

Page 3: RNchat Transcript March 26, 2010

@RNchat t1 better able to help pts with med teaching, as they will have acccess tomeds? #RNchat3/26/2010 21:41

ali_rn:

For ANY #hcr to be effective - Nursing will also have to be reformed T1 #RNchat3/26/2010 21:42

nursingpins:

T1 I think that we will see a rise in patient's with multiple comorbidities for electiveprocedures. "Elective" is "Relative." #RNCHAT3/26/2010 21:43

tactile:

I am not educated in #hcr , hopefully patients can get access to primary care to preventthe revolving door of acute care fix ups #RNchat3/26/2010 21:43

seejanenurse:

@oncnurse66 T1 I read that there will be a high risk pool for those initial people needinginsurance who were "pre-existing" #RNchat3/26/2010 21:43

rnchat:

@nursingpins T1 in what way? Education? i.e. degree prepared? #rnchat3/26/2010 21:44

nursekama:

Nurses can not continue to RUN the hospitals AND do nursing care #hcr T1 #RNchat3/26/2010 21:44

nursingpins:

@RNchat T1 I can see untreated things being much worse than seen now b/c it would bepayed for & people would go in for tx. #RNchat3/26/2010 21:44

mandirocker:

I'm searching for #RNchat live on TweetGrid Search - http://tweetgrid.com/search?q=%23RNchat3/26/2010 21:44

RNconsult:

@nursingpins T1 That's an interesting comment, what kind of transformation do you thinkis necessary for nursing? #rnchat3/26/2010 21:45

maryannagordon:

@RNchat T1 - I hope it means that pts will get preventive care. In addition, pts will bemore consistent in getting prenatal care #RNchat3/26/2010 21:45

Aggiern95:

T1 I think it will depend on practice setting, more pts in primary care, but hopefully thiswill eventually mean less acute visits. #RNchat3/26/2010 21:45

NursingCenter:

T1 We may see an influx of pts who have had no health care for years, but aspreventative care becomes more available, will even out #RNCHAT3/26/2010 21:46

tactile:

@nursingpins good point! #rnchat #hcr3/26/2010 21:46

ali_rn:

@Aggiern95 T1 improving prenatal care, preventative care from birth would help loweroverall cost of health for centuries to come. #RNCHAT3/26/2010 21:46

tactile:

Page 4: RNchat Transcript March 26, 2010

Hello, RNconsult Here....Consumer Health and Advocacy #RNchat3/26/2010 21:47

RNconsult:

@nursingpins that is a very good pt. Also, we need to look at nursing education & facshortage. #RNchat3/26/2010 21:47

Aggiern95:

RT @tactile: T1 We may see an influx of pts who have had no health care for years, butas preventative care becomes more available, will even out #RNCHAT3/26/2010 21:47

rnchat:

T1 #hcr I don't expect this bill to survive the legal challenges from the states. #RNChat3/26/2010 21:47

RNMark:

Hospitals will have to hire people to do the non-nursing things we have always done - orshare duties #RNchat3/26/2010 21:48

nursingpins:

@RNchat Intro: Mandi, tiny, redhead, last sem ADN student, soon to be Prius driver,knitter, United Methodist :) <3 #RNchat #RNchat3/26/2010 21:48

mandirocker:

As @Aggiern95 says - preventive care will be a key in reform of any kind T1 #RNchat3/26/2010 21:49

nursingpins:

@nursingpins why exactly will they have to? no hospital is going to pay more money,when they can add duties as have always done #RNchat3/26/2010 21:49

ali_rn:

Intresting point @nursingpins. What sort of people do you think will be hired to share induties that once fell to nurses? #RNchat #RNchat3/26/2010 21:49

mikerosenberg9:

Lawsuits bogus states can opt out ! RT @RNMark: T1 #hcr I don't expect this bill tosurvive the legal challenges from the states. #RNChat3/26/2010 21:50

slackadjuster:

@mandirocker Thank you! #RNCHAT3/26/2010 21:50

tactile:

@RNchat Intro: Mandi, tiny, redhead, last semester ADN student, soon to be #Priusdriver, knitter, United Methodist :) <3 #RNchat3/26/2010 21:50

mandirocker:

Having Health Insurance.... No Guarantee .....To Receiving Quality CARE.http://yttwt.com/2k7gg video #HCR #RNchat3/26/2010 21:50

RNconsult:

RT @nursingpins: As @Aggiern95 says - preventive care will be a key in reform of anykind T1 #RNchat3/26/2010 21:51

nursekelsey:

RT @rnchat: T1 I hope more RNs turn to advance practice degrees to help educate &care for those in the community who are healthy #rnchat3/26/2010 21:51

nursekama:

Welcome to those who came after I said hello! :) Glad you are joining us~ #RNchat3/26/2010 21:52

rnchat:

Page 5: RNchat Transcript March 26, 2010

@ali_rn If things continue as they are - there will be no nurses. #RNchat3/26/2010 21:53

nursingpins:

Agree RT @bgaustin: Nurse practitioners to alleviate doc shortages & focused recruitment& incentive in rural areas are key #hcr T1 #rnchat3/26/2010 21:53

nursekama:

T1 I see lots of request for nurses who have an IT background to help handle techincaltask or champion the move to EHR #RNchat #RNchat3/26/2010 21:54

mikerosenberg9:

@nursekama Community nursing has been neglected - schools are getting involved incommunity nursing too. #RNchat3/26/2010 21:55

nursingpins:

Goodnight! I will be back to work at 0700. #RNchat3/26/2010 21:55

seejanenurse:

@mikerosenberg9 T1 As RN with IT background, I often feel insulted by IT folks assumingnurses don't know how to work the computer. #RNCHAT3/26/2010 21:56

tactile:

@seejanenurse #rnchat Good night! I'll be back to work tomorrow too, I hope. #RNCHAT3/26/2010 21:56

tactile:

Nurse Practitioners will play a big part in #hcr at ALL levels. #RNchat3/26/2010 21:56

nursingpins:

T1 As the volume of insured patients grows, we will need more resources to care foreveryone, especially with longevity of life #RNchat3/26/2010 21:56

rnchat:

RT @nursingpins: Nurse Practitioners will play a big part in #hcr at ALL levels. #RNchat3/26/2010 21:56

GIkner:

Yes, they will! Its great! >> RT @nursingpins: Nurse Practitioners will play a big part in#hcr at ALL levels. #RNchat3/26/2010 21:57

rnchat:

@mikerosenberg9 The #EHR movement has even hit the nsg schools. #RNchat3/26/2010 21:58

Aggiern95:

@nursekama Advance Practice Nurses sure to fill gap of decrease in GP...MDs #RNchat3/26/2010 21:58

RNconsult:

I will be moving along to the next topic in 2 minutes but you are welcome to continue T1as long as you like! :) #RNchat3/26/2010 21:58

rnchat:

@nursingpins My program packaged 5,832 meals sent to #Haiti for our community class.Organization is called Heaven Sent Ministries #RNchat3/26/2010 21:58

mandirocker:

T1 Yes I think this is an exciting time for nurse practitioners and for nurses who areconsidering advanced practice degrees #RNchat3/26/2010 21:59

rnchat:

Page 6: RNchat Transcript March 26, 2010

@rnchat agree - will need many new resources - will show up in droves since they finallyhave some hc (and need it) #RNchat3/26/2010 21:59

nursingpins:

@bgaustin Health IT can really use more nurses! #RNchat3/26/2010 21:59

mikerosenberg9:

@rnchat T1 that is a very good point. Where are we going to get these neededresources? #RNchat3/26/2010 22:00

Aggiern95:

Where do I apply?? <<Ellen :) RT @mikerosenberg9: @bgaustin Health IT can really usemore nurses! #RNchat3/26/2010 22:00

rnchat:

Nurses can no longer be effective in hospitals and continue to do all the non-nursingduties #RNchat3/26/2010 22:01

nursingpins:

@mikerosenberg9 Former Oracle Developer here. Nurse comprehension of EMR potentialis limited by their overall computer savvy. #RNChat3/26/2010 22:01

RNMark:

RT @rnchat: Yes, they will! Its great! >> RT @nursingpins: Nurse Practitioners will play abig part in #hcr at ALL levels. #RNchat3/26/2010 22:02

NursingCenter:

T1 There is an increase of co-morbidities w/ #mentalhealth clients, so I hope there will bemore community nursing services w/ #hsr #rnchat3/26/2010 22:02

nursekama:

@nursingpins ok pls explain this, because i don't understand. #RNchat3/26/2010 22:02

ali_rn:

T2 The new hcr bill adds a 10% tax on fees for tanning bed services. Are there other"unhealthy" activities we can possibly tax? #RNchat3/26/2010 22:03

rnchat:

Question Is ? How can Nurses impact a change in Health Care Delivery "Quality Care"#RNchat3/26/2010 22:03

RNconsult:

@nursekama I had not thought of the mental health needs. I hope that those services willbe provided also #rnchat3/26/2010 22:04

oncnurse66:

@nursingpins You mean I have to stop mopping floors and plunging toilets? Who willshovel snow on weekends? #RNChat3/26/2010 22:04

RNMark:

I think There will be an explosion of community hc when started - so many unmet needs(so many who have not had access) #RNchat3/26/2010 22:05

nursingpins:

@RNMark - smiling - many nurses are still expected to do those things. #RNchat3/26/2010 22:05

nursingpins:

Page 7: RNchat Transcript March 26, 2010

@RNconsult We really went radical with "all RN" facilities. We need to get team nursingtheme back again where RN is educator of all #RNchat3/26/2010 22:06

rnchat:

What ? Professor Kellermann http://yttwt.com/ufunn .....Has to Say about Health CareReform #HCR Must see (VIDEO) #RNchat3/26/2010 22:06

RNconsult:

T2 - I think taxing candy and sodas is fair game. You don't have a "need" for high sugardrinks that cause health problems. #RNCHAT3/26/2010 22:06

tactile:

@rnchat T2 Unhealthy activity tax? Leave my FarmVille and Twinkies Alone! :) #RNChat3/26/2010 22:06

RNMark:

Nursing needs to be out from hospital control - holdover from Diploma and TariningSchool days #RNchat3/26/2010 22:08

nursingpins:

T2 I also wouldn't mind higher taxes on video games that encourage ppl to sit for longperiods of time. #RNCHAT3/26/2010 22:08

tactile:

@tactileT2, where would it stop? Movie popcorn, butter, french fries, ice cream? #rnchat3/26/2010 22:08

oncnurse66:

T2 - Philly mesures to tax soad and other soft drinks resulted in huge industry blow back!http://tinyurl.com/y8vrmpb #RNchat3/26/2010 22:08

mikerosenberg9:

T2 But if you're going to raise taxes on unhealthy activities, lower rates/taxes on healthyactivities. Gyms, physical activity, etc #RNCHAT3/26/2010 22:09

tactile:

Nursing will not advance as long as we are under hospital control #RNchat3/26/2010 22:09

nursingpins:

T2 - I think that tobacco products is also fair game for the "unhealthy tax" #RNchat3/26/2010 22:09

Aggiern95:

@tactile T2 Cigarettes still sell at USD 8 per pack. Sin Taxes monitize sin, not stop it.#RNChat3/26/2010 22:09

RNMark:

@oncnurse66 T2 It would stop at foods with actual nutritional value. Popcorn is healthywhen it's air popped and not soaked. #RNCHAT3/26/2010 22:10

tactile:

@oncnurse66 T2 Yes! All the things you've listed should have a "poor health quality"tariff! Pay the penalty for bad habits #RNchat3/26/2010 22:10

rnchat:

T2 - Philly mesures to tax soad and other soft drinks resulted in huge industry blow back!#RNchat #RNchat3/26/2010 22:10

mikerosenberg9:

@nursingpins agreed, hospitals don't make decisions to benefit patients or staff, only theirali_rn:

Page 8: RNchat Transcript March 26, 2010

staffing need #RNchat3/26/2010 22:10

@Aggiern95 I agree - tobacco and alcohol taxes should be taxed for hc - legalized andtax pot too. #RNchat3/26/2010 22:11

nursingpins:

T2 and when I mean soad I mean soda! #RNchat #RNchat3/26/2010 22:11

mikerosenberg9:

T2 Mac and cheese is staple of low income diet. Placing a single set of good/bad tags onfood choices unjust and culturally biased #RNChat3/26/2010 22:13

RNMark:

@mikerosenberg9 What happened with the soda tax? Who made money from that andhow? #RNchat3/26/2010 22:13

rnchat:

@nursingpins Pots, pans, dishes all taxed currently #RNchat3/26/2010 22:14

RNMark:

T2-I do not want to punish people for food choices that they make. I see more value ineducating people to make their own decision #rnchat3/26/2010 22:14

oncnurse66:

@RNMark T2 They could lower the amount of sodium and fat in cheaper foods, it'spossible, to avoid the tax. #RNCHAT3/26/2010 22:15

tactile:

T2-Neither we or the government should dictate just educate #rnchat3/26/2010 22:15

oncnurse66:

@RNMark T2 But there are healthier low income diets of rices and vegetables, forexample. Mac N Cheese will be an MI in 20 yrs #RNchat3/26/2010 22:15

rnchat:

@rnchat T2 - Last I heard the soda / pop industry pushed back pretty hard so that itwouldn't happen. #RNchat3/26/2010 22:15

mikerosenberg9:

@oncnurse66 amen! #RNchat3/26/2010 22:16

mandirocker:

Healthy food should be subsidized N poorer areas to be affordable. If you're going to taxunhealthy food, make good food affordable. #RNCHAT3/26/2010 22:16

tactile:

@RNMark We need to find a way to ensure that all income levels have access toaffordable produce. T2 #RNchat3/26/2010 22:16

Aggiern95:

@oncnurse66 T2 education only goes so far. You have to show people the benefit that ahealthy lifestyle will give their wallet. #RNCHAT3/26/2010 22:16

tactile:

RT @tactile: Healthy food should be subsidized N poorer areas to be affordable. If you'regoing to tax unhealthy food, make good food affordable. #RNCHAT3/26/2010 22:16

rnchat:

Page 9: RNchat Transcript March 26, 2010

RT @Aggiern95: @RNMark We need to find a way to ensure that all income levels haveaccess to affordable produce. T2 #RNchat3/26/2010 22:17

nursingpins:

RT @nursingpins: RT @Aggiern95: @RNMark We need to find a way to ensure that allincome levels have access to affordable produce. T2 #RNCHAT3/26/2010 22:17

tactile:

Health CARE!!!... IS....A Future @ RISK... A Must See...( VIDEO )http://www.vidtweeter.com/show.php?id=q80qm #HCR #RNchat3/26/2010 22:17

RNconsult:

@tactile @RNChat parent economics: gotta feed kids within budget. Tradeoffs are notalways voluntary and reach beyond health care. #RNChat3/26/2010 22:18

RNMark:

RT @NursingCenter: RT @rnchat: Yes, they will! Its great! >> Nurse Practitioners willplay a big part in #hcr at ALL levels. #RNchat3/26/2010 22:19

TXTECH_NURSE:

@RNMark T2 I grew up on gov subsidized food & free school lunch/breakfast. Believeme, I know. That's why I advocate subs produce. #RNCHAT3/26/2010 22:20

tactile:

Two minutes til the last topic :) #RNchat3/26/2010 22:20

rnchat:

Healthy affordable food could be a part of the community hc programs #RNchat3/26/2010 22:20

nursingpins:

@ali_rn Glad you could make it tonight! :) Thanks & enjoy #RNchat3/26/2010 22:20

rnchat:

RT @ttuhsc: RT @Newsweek: Meet Your New Doctor: The Three-Year Medical Studenthttp://bit.ly/bCqRdk #RNchat nurse turn doc3/26/2010 22:21

TXTECH_NURSE:

T2 Yes, our food consumption habits in the USA really could use sprucing up, bothindigent as well as wealthy! #RNchat3/26/2010 22:23

rnchat:

@tactile The WIC program is a good example of govt sub with health education. Teachingpeople how to raise healthy children #rnchat3/26/2010 22:24

oncnurse66:

RT @nursingpins: Nursing needs to be out from hospital control - holdover from Diplomaand Tarining School days #RNchat3/26/2010 22:24

RNconsult:

T3 What role will social media play in delivering preventive/ educational nursing care tothose eligible for health care services? #RNchat3/26/2010 22:25

rnchat:

A really good point! >> RT @RNconsult: RT @nursingpins: Nursing needs to be out fromhospital control #RNchat3/26/2010 22:27

rnchat:

Page 10: RNchat Transcript March 26, 2010

T3 Do you social media savvy nurses see Facebook & Twitter & such as valuableavenues for giving nursing care? #RNchat3/26/2010 22:28

rnchat:

I think it will help people doing the care in the communities - target group will not have(access) T3 #RNchat3/26/2010 22:29

nursingpins:

@rnchat T3 - SM can have a great impact in providing pt. education. Many pt are alreadyusing the internet for hc info #RNchat3/26/2010 22:30

Aggiern95:

The 60yo COPD patient without care will not be checking the sites on SM - but we willbe.T3 #RNchat3/26/2010 22:31

nursingpins:

T3 funny think, at work today, we were forbidden to update our facebook statuses whileon the clock. they are checking. #RNCHAT3/26/2010 22:31

nursebrittney:

T3 it would be intresting to add SM plans in order to raise education. Since so muchmisinformation already has a headstart! #RNchat3/26/2010 22:31

mikerosenberg9:

RT @rnchat: T3 Do you social media savvy nurses see Facebook & Twitter & such asvaluable avenues for giving nursing care? #RNchat3/26/2010 22:31

nursingpins:

@rnchat T3 - I think that SM can be a great avenue for nurses to reach pts and providesound health info/education #RNchat3/26/2010 22:32

Aggiern95:

@Aggiern95 T3 Yes people search the internet for info, but do they look for their nurse?Are there ways to find educ, reinforcement? #RNchat3/26/2010 22:32

rnchat:

T3 Telenursing Yes!!!!....Consulting to Health Consumers. Video...Audio/viaTwitter#RNchat3/26/2010 22:33

RNconsult:

RT @tactile: Healthy food should be subsidized N poorer areas to be affordable. If you'regoing to tax unhealthy food, make good food affordable. #RNCHAT3/26/2010 22:33

Knutschen:

T3 Like for instance, all post op open heart patients join a Facebook Page run by CVICU/CV stepdown nurses #RNchat3/26/2010 22:34

rnchat:

@nursebrittney: Hospitals will be a hinder at all levels of improved hc without outsidepressure #RNchat3/26/2010 22:34

nursingpins:

@rnchat my hospital has recommended us NOT to be "friends" with patients on SM#rnchat3/26/2010 22:34

oncnurse66:

@nursebrittney Our facility blocked all SM from computers #rnchatoncnurse66:

Page 11: RNchat Transcript March 26, 2010

3/26/2010 22:35

T3: Can SM dehumanize? Without eye contact (see my post, http://is.gd/aNBBv) andtouch, is more lost as well? #RNchat3/26/2010 22:35

lisagualtieri:

@oncnurse66 T3 Oh yes, I agree with your hospital. You shouldnt "friend" a patientpersonally but a health care group is different #RNchat3/26/2010 22:35

rnchat:

RT @oncnurse66: @rnchat my hospital has recommended us NOT to be "friends" withpatients on SM #RNchat3/26/2010 22:36

mikerosenberg9:

@nursingpins T3 I have been a volunteer member of an ask a nurse blog for 5 years.Social media has a place in prevention. #RNCHAT3/26/2010 22:36

tactile:

@oncnurse66 T3 I think that at this time, most hospitals block social media sites becausethe staff use them for themselves! #RNchat3/26/2010 22:36

rnchat:

#rnchat spaced on the chat tonight...I swear one of these days life will let me join again.3/26/2010 22:36

mkopp1:

@rnchat as do I some patients can become "stalkers" : } #rnchat3/26/2010 22:37

oncnurse66:

T3 Tools like Telehealth (http://tinyurl.com/ydzywha) will be useful in Web 2.0 form.Access to an RN 24/7 for health advice. #rnchat3/26/2010 22:37

nursekama:

@tactile T3 Can you share that blog link with us? #RNchat3/26/2010 22:37

rnchat:

@rnchat I find Social Media is a excellent vehicle for targeting health populations...ieHealth maintainence #RNchat3/26/2010 22:37

RNconsult:

@tactile YES a big and important place - but more important for the providers at thispoint. #RNchat3/26/2010 22:37

nursingpins:

@oncnurse66 t3 I completely agree with that. I do not give out personal info to pts.#RNCHAT3/26/2010 22:38

tactile:

T3 maybe replace the nurses' line and have a live chat. #rnchat3/26/2010 22:38

mkopp1:

@nursingpins t3 Social Media has really improved my access to nursing education online.Twitter keeps me up to date. #RNCHAT3/26/2010 22:39

tactile:

@rnchat @oncnurse66 T3 - I agree you should not 'friend' a pt. The use of groups pageswill provide an online support comm for pts #RNchat3/26/2010 22:39

Aggiern95:

Page 12: RNchat Transcript March 26, 2010

RT @tactile: Healthy food should be subsidized N poorer areas to be affordable. If you'regoing to tax unhealthy food, make good food affordable. #RNCHAT3/26/2010 22:39

happyfish103:

@RNchat It is the ask_a_nurse community on Livejournal. Several years ago, a group ofRNs, including myself, took it over. #RNchat3/26/2010 22:40

tactile:

"Intelligent Consumerism".... In #Health Care may be the Web ?!!!http://www.nytimes.com/2009/10/06/technology/06bosworth.html?_r=1 #RNchat3/26/2010 22:41

RNconsult:

@rnchat T3 A big part of what we do is link ppl with low cost clinics in their area andconfirm if they need to be seen. #RNCHAT3/26/2010 22:41

tactile:

@tactile - has helped all nurses who are looking - still tip of the berg though (potential)#RNchat3/26/2010 22:42

nursingpins:

T3 @tactile I totally agree about Twitter opening up new avenues for knowledgeattainment! Its just amazing #RNchat3/26/2010 22:42

rnchat:

T3 Another issue besides boundaries includes: how do you ensure you're reallydialoguing with a nurse via social media? #rnchat3/26/2010 22:42

nursekama:

@nursekama t3 On our ask_a_nurse blog, we had an imposter. After that, eachmoderator has to give full name, license to other mods. #RNCHAT3/26/2010 22:43

tactile:

@tactile " Ask a Nurse "......Great Format!!! #RNchat3/26/2010 22:44

RNconsult:

@tactile your work is an example of things to come on a big scale (great!) #RNchat3/26/2010 22:44

nursingpins:

@nursekama T3 we also confirmed via IP addresses that ppl were where they stated,and consulted with US and Canadian attys. #RNCHAT3/26/2010 22:44

tactile:

@nursekama T3 - there are ways to verify users on twitter but extra steps would have tobe taken to be sure advice is good. #RNchat3/26/2010 22:44

mikerosenberg9:

@nursekama T3 Great point about validation behind a screen name! I'm sure there willbe ways to verify an acct for the public to see #RNchat3/26/2010 22:44

rnchat:

@tactile T3 That's great! Glad to hear you were able to overcome that issue. Thanks forsharing. :) #rnchat3/26/2010 22:45

nursekama:

@RNconsult I really just wanted to save ppl money and time. We've helped ppl treatwounds,when we send ppl to the ER, they need it. #RNCHAT3/26/2010 22:45

tactile:

Page 13: RNchat Transcript March 26, 2010

@nursekama It was difficult, but after we had the 1 imposter, necessary. Also, it's actuallyhard to impersonate medical training. #RNCHAT3/26/2010 22:46

tactile:

@tactile sounds like you have been involved in lots of great IT projects that let yournursing talents shine! #RNchat3/26/2010 22:47

mikerosenberg9:

As always, friends, this hour (and some) has gone by in a blink! Please continue to chaton any of the topics we discussed! #RNchat3/26/2010 22:47

rnchat:

@mikerosenberg9 Yes, but the truth is I HATE IT. I left IT to become a nurse. Still, I'mthe go to girl for computer problems. Sigh. #RNCHAT3/26/2010 22:48

tactile:

I'm signing off, thanks for the great conversation all (as usual!). Have a great weekend!#rnchat3/26/2010 22:49

nursekama:

I would like to just stop & thank everyone who participated for making this chat so veryVERY interesting tonight! Great group! :) #RNchat3/26/2010 22:49

rnchat:

Great job as always Ellen - Thanks. #RNchat3/26/2010 22:49

nursingpins:

@rnchat Thanks Ellen! I must sign off now ~ great discussions gang! Have a good nighteveryone! #RNchat3/26/2010 22:49

NursingCenter:

Yes, thanks, Ellen!! RT @nursingpins: Great job as always Ellen - Thanks. #RNCHAT3/26/2010 22:50

tactile:

@rnchat I earned an MBA to avoid IT only to still become the go to person with techissues. To be honest I enjoy helping people! #RNchat3/26/2010 22:50

mikerosenberg9:

RT @NursingCenter: @rnchat Thanks Ellen! I must sign off now ~ great discussionsgang! Have a good night everyone! #rnchat3/26/2010 22:50

oncnurse66:

Thanks so much. We really have such a diverse & interesting group of nurses on Twitter.We must keep this going forever! :) #RNchat3/26/2010 22:51

rnchat:

Thank you all for a great chat! Everybody have a great weekend. #RNchat3/26/2010 22:51

mikerosenberg9:

@oncnurse66 education only goes so far. show people the benefit of a healthy lifestylewill give their wallet #RNCHAT (via @tactile)3/26/2010 22:51

bacigalupe:

T3, How about youtube? Some seek infos on it. RT @rnchat T3 #RNchat3/26/2010 22:51

attet:

To all the new people here tonight at #RNchat please follow me @EllenRichter OK? :)rnchat:

Page 14: RNchat Transcript March 26, 2010

3/26/2010 22:52

Thank's Ellen ...Great Group.... andTOPICS tonite #RNchat3/26/2010 22:52

RNconsult:

@attet T3 Yes, YouTube is definitely a fantastic avenue for nursing! We really have greatopportunities ahead of us! #RNchat3/26/2010 22:53

rnchat:

Please watch for tweets from this account with a link to tonight's transcript. It should beout over the weekend! See you all soon! #RNchat3/26/2010 22:55

rnchat:

Hi #RNchat folks, sorry I missed it tonight, looked lively! I was traveling, catch ya nexttime.3/26/2010 23:06

Kineticycle:

RT @RNchat: A really good point! >> RT @RNconsult: RT @nursingpins: Nursing needsto be out from hospital control #RNchat3/26/2010 23:09

ColoradoHealth:

RT @tactile: @nursingpins t3 Social Media has really improved my access to nursingeducation online. Twitter keeps me up to date. #RNCHAT3/26/2010 23:28

ColoradoHealth: