Transcript for #RNchat - a Twitter chat for registered nurses - for July 15, 2010. TOPICS: T1- How does lateral violence among RNs affect pt care? & how can we better prepare nurses & students to deal with lateral violence? T2- Pharm:vast/quick changing/& can hurt pts.What areas do U need more pharm ed in & what should we teach nursing students? T3 - Teaching better communication? how should we teach it & should scripting be used in Nursing? Follow @RNchat - http://Twitter.com/RNchat for more!! RNchat.org - http://RNchat.org

1. rnchat: Don't know what #RNChat is? Find out here http://www.rnchat.org/about/ & joint us at
9pm EST.
7/15/2010 20:30
nursingpins: RT @rnchat: So far there are 50 trancripts of #RNchat - http://bit.ly/by9l1E - #hcsm
7/15/2010 20:41
rnchat: #RNChat in 15 minutes!!!!! Get yourself something cool to drink, put your feet up, and
come join nurses from everywhere!
7/15/2010 20:45
onlinenursing: @rdjfraser Woah - check you out Rob ... the tech savy "new nurse" - it is what we should
all aspire to be - http://bit.ly/chyFw4 #RNChat
7/15/2010 20:47
rnchat: Get ready for #RNChat in 5 minutes, hosted by @onlinenursing tonight.
7/15/2010 20:55
Vaticuss: Clinical instructor for ASN students. #rnchat
7/15/2010 21:01
rnchat: Reminder: Put question at beginning (i.e. - T1) & put your hashtag #RNChat in each
reply.
7/15/2010 21:02
onlinenursing: Terri Nurse 15 short years-became a nurse after I shadowed an MD in high school
honors class & found nurses job 2B much more fun! #RNChat
7/15/2010 21:02
rnchat: T1- How does lateral violence among RNs affect pt care? & how can we better prepare
nurses & students to deal with lateral violence? #RNChat
7/15/2010 21:04
nursingpins: Hi all, Vernon in New Orleans -critical care. Thanks for hosting Terri. #RNchat
7/15/2010 21:04
philbaumann: Phil here: in & out tonight. Happy to see @onlinenursing lead tonight's chat! Good luck
everybody!! #RNchat
7/15/2010 21:04
rnchat: If your wondering what lateral/horizontal violence in Nursing is - nice editorial from
@NursingCenter - http://alturl.com/f3yhj #RNChat
7/15/2010 21:05
ali_rn: i have to say i have worked in one place for my career, and lateral violence is not an
everyday occurance #RNchat
7/15/2010 21:05
onlinenursing: Funny you are wishing them luck Phil! :) - Hey Vernon glad to see you #RNChat... Yes,
my first chat... we will see if I am smart enough.
7/15/2010 21:06
nursingpins: T1 LV is a big factor in nursing but pales in the passive aggressive behavior of many hc
professionals (both are problems #RNchat
7/15/2010 21:06
ali_rn: t1-actually struggling to come with an example i have witnessed. #rnchat

2. 7/15/2010 21:07
doctoranonymous: Hey #RNChat - Just lurking and watching the chat. Looking forward to the discussion!
7/15/2010 21:07
onlinenursing: @nursingpins T1- I thought passive aggressive qualified as Lat. violence #RNChat
7/15/2010 21:08
nursingpins: T1 Lateral hostility my be a better term (but on the continuum #RNchat
7/15/2010 21:08
Vaticuss: T1. Professional socialization is one approach. How it affects pt care? Not sure... #rnchat
7/15/2010 21:08
rnchat: @doctoranonymous Welcome. Lurk all you want. We love lurkers. Jump in if you have
words of wisdom (or whatever) #RNChat
7/15/2010 21:09
nursingpins: T1 right Terri it does qualify as LV #RNchat
7/15/2010 21:09
NUR3563: RT @Vaticuss: T1. Change the hazing, initiation culture; nursing "eating their young" is
repugnant and detrimental. #rnchat
7/15/2010 21:09
rnchat: So, what specifically do we do in formal nursing education, to prevent lat. violence? Do
we role play? Do scripted practice? Mentor? #RNChat
7/15/2010 21:12
nursingpins: T1 as you say Terri - I think it has been a part of the medical cultural since early days -
#RNchat
7/15/2010 21:12
ali_rn: t1, is there anything you can do, beyond teach what it is and why it happens? the more
you know....#rnchat
7/15/2010 21:14
onlinenursing: When I was a new nurse I had another ICU nurse dress me down in front of entire night
shift over question I asked-felt so small #RNChat
7/15/2010 21:14
nursingpins: T1 Would help if we had more integration of the student orgs. with the established
prepositional ones- ( #RNchat
7/15/2010 21:16
yvette2012: T1 I have to wonder how much stress in the workplace plays into it. #RNchat
7/15/2010 21:16
ali_rn: @yvette2012 i think that IS the reason it happens #RNchat
7/15/2010 21:18
ali_rn: RT @yvette2012: T1 I have to wonder how much stress in the workplace plays into it.
#RNchat
7/15/2010 21:18
nursingpins: T1 has to do a lot with the pecking order in medicine - the most
experienced/knowledgeable find easy targets in the novice #RNchat
7/15/2010 21:18

3. rnchat: @NurseSallie you might try TweetChat on the net http://tweetchat.com and type in
#RNChat -then you can follow and type in on your own accnt
7/15/2010 21:18
nurseeducator: T1 Hi all! 1st witnessed HV as a young RN. My co-worker was so upset by the offenders
that she was highly distracted #RNchat #rnchat
7/15/2010 21:19
nursingpins: T1 The change must start at with the professional organisations - #RNchat
7/15/2010 21:19
rnchat: T2 coming up in 5 minutes - #RNChat (will be 2 part question)
7/15/2010 21:20
philbaumann: @jtknowles007 Join in! Just add #RNchat to your tweets - Try using TweetChat.com -
Good luck! I was second-career as well. #rnchat
7/15/2010 21:20
nurseeducator: RT @onlinenursing @Vaticuss: T1. Change the hazing, initiation culture; nursing "eating
their young" is repugnant and detrimental. #rnchat
7/15/2010 21:21
onlinenursing: RT @yvette2012: T1 I have to wonder how much stress in the workplace plays into it.
#RNchat ( RE: Lateral violence among nurses)
7/15/2010 21:21
onlinenursing: @KD0IMH Baw ha ha... is that how the public gets their image of nurses. Lord help us
all! #RNChat (never seen it on ER - Lat. Violence)
7/15/2010 21:22
jtknowles007: T1 Hi all, John K here. Starting RN program this fall. How does gender play a role in in
lateral violence? #RNchat !fb #RNchat
7/15/2010 21:23
nurseeducator: T1 How about expressive condescension by those in leadership? #rnchat #rnchat
7/15/2010 21:24
rnchat: T2- Pharm:vast/quick changing/& can hurt pts.What areas do U need more pharm ed in &
what should we teach nursing students? #RNChat
7/15/2010 21:25
nurseeducator: @onlinenursing Hey Terri...I think stress does but also competition #RNchat #rnchat
7/15/2010 21:25
rnchat: Welcome @jtknowles007 ! So glad to have students here. GO NURSING! #RNChat
7/15/2010 21:26
jtknowles007: T2 - sorry to ask instead of answer - what role will handheld technology (iphone,ect) play
in pharm ed, and practice? #RNchat
7/15/2010 21:28
onlinenursing: @nurseeducator agree-Good list-Stress,powerlessness,gender, competition-it does
distract & thus increases risk for error & burnout #RNChat
7/15/2010 21:28
nurseeducator: T2 @jtknowles007 Apps are very useful in the clinical setting. We allow use and will prob

4. participate with Hospital U #rnchat
7/15/2010 21:31
onlinenursing: T2 - hate it that I may prescribe something that is taken off market in 2 months. Now
leery new meds.Stick to old tried & true #RNChat
7/15/2010 21:34
nursingpins: T2 would be nice if there was a site that explained ACLS drugs and dsg in detail for quick
reference - many codes ran only by ACLS #RNchat
7/15/2010 21:35
philbaumann: @onlinenursing That's why I think technologies like Microsoft Tag Reader could be key:
could scan Rx & devices b4 use. #rnchat
7/15/2010 21:36
nursingpins: T2 with limited knowledge - the code will be ran (smaller hosps) mainly by ACLS - should
understand and have quick access. #RNchat
7/15/2010 21:37
nurseeducator: T2 Could always use review with food and drug interactions must check if there's an app
4 that! #rnchat
7/15/2010 21:37
rnchat: We actually have a T3 tonight. Coming up in 2 minutes. #RNChat
7/15/2010 21:38
nursingpins: T2 quick - easy to read ACLS protocols should be on a screen at codes-would help the
less knowledgeable who often have to run them #RNchat
7/15/2010 21:39
onlinenursing: @nurseeducator T2- Good idea! I also need tons of info on homeopathic and
alternative/natural meds 4 drug interactions #RNChat
7/15/2010 21:39
rnchat: T3 - Teaching better communication? how should we teach it & should scripting be used
in Nursing? http://ht.ly/2c3IR #RNChat
7/15/2010 21:40
joniwatson: Catching last part of #RNChat. Looks good!!
7/15/2010 21:41
rnchat: T3 - from Q-from @coniferhealth they were interested in nurse communication. Might lean
back into T1 on lat violoence. #RNChat
7/15/2010 21:41
NursingCenter: Hello nurse friends! Sorry I'm so late! I'll try to catch up and join in! #rnchat
7/15/2010 21:41
nurseeducator: @onlinenursing T2 Patients are using so many different types of OTC supplements that a
thorough assessment is necessary #rnchat
7/15/2010 21:42
nurseeducator: @NursingCenter Hi there...so long since my last RNchat! Nice to chat with you 2nite
#rnchat
7/15/2010 21:43
onlinenursing: @NursingCenter @joniwatson Hey Ladies! Good to see you #RNChat
7/15/2010 21:43

5. jtknowles007: T3 -student's point of view - scripting could provide a foundation that the student could
build upon during his/her career. !fb #RNchat
7/15/2010 21:43
joniwatson: T3: Teaching communication is an ongoing process. Never ending. #RNChat
7/15/2010 21:43
nurseeducator: Agree! RT @joniwatson: T3: Teaching communication is an ongoing process. Never
ending. #rnchat
7/15/2010 21:44
jtknowles007: T3 - my first career - photography, had to learn the "script" - basic posing, before I could
build on that to do my own thing !fb #RNchat
7/15/2010 21:44
NUR3563: @jtknowles007 T3-Good point-We teach skills & repeat/practice them over&over (IVs,
Caths),but don't do the same with communication. #RNChat
7/15/2010 21:46
NursingCenter: It often goes back to those communication techniques we learned the first year in nursing
school - even in the nonclinical setting #rnchat
7/15/2010 21:47
onlinenursing: T3 - #RNChat - what do they do for Doc's in teaching communication? Do they practice
(same as spinal taps/colonoscopies) :) Wondering?
7/15/2010 21:50
jtknowles007: @NursingCenter restating, reflecting - yes! Unless we do those things, we may be
missing what the patient is really saying !fb #RNchat
7/15/2010 21:51
nurseeducator: T3 Teaching communication through a variety of methods including Teamstepps which is
multidisciplinary. #rnchat
7/15/2010 21:51
joniwatson: RT @NursingCenter: ...and practice is a must! Not easy to use silence, restating,
reflecting ...but I find they're some of the best techniques #rnchat
7/15/2010 21:51
NUR3563: @nurseeducator T3 - What is teamstepps? #RNChat
7/15/2010 21:52
nurseeducator: @NursingCenter T3 Agree...practice, practice, practice! #rnchat
7/15/2010 21:52
nurseeducator: @NUR3563 T3 Teamstepps is a method for promoting teamwork and communication. all
are equal stakeholders http://bit.ly/aav08R #rnchat
7/15/2010 21:54
rnchat: We are coming up on the end of the hour. Any final parting thoughts or words of wisdom
for student nurses? #RNChat
7/15/2010 21:55
nursingpins: T3 - things are too complex for comm. to rely on word of mouth - must be accessible with
stored location. #RNchat
7/15/2010 21:57

6. onlinenursing: @nursingpins T3 Love electronic #RNChat & yet sometimes I read EMR & have no real
picture of my pt. their personality,spiritual needs, etc.
7/15/2010 21:57
NursingCenter: Parting thought for nursing students: Keep working hard...it will be worth it - you will make
a difference! #rnchat
7/15/2010 21:58
onlinenursing: RT @NursingCenter: Parting thought for nursing students: Keep working hard...it will be
worth it - you will make a difference! #rnchat AMEN
7/15/2010 22:00
NUR3563: RT @NursingCenter: Parting thought for nursing students: Keep working hard...it will be
worth it - you will make a difference! #rnchat AMEN
7/15/2010 22:00
NursingCenter: @nursingpins Yes - the human factor is essential...can't replace actual conversation...so
much info is conveyed nonverbally as well. #rnchat
7/15/2010 22:00
joniwatson: T3: Learned "therapeutic communication" as undergrad; it certainly didn't prep me for
talking w/ nurse colleagues, physicians, etc. #RNChat
7/15/2010 22:00
rnchat: Our hour is up! Thanks guys for coming! #RNChat - Quick shout out to @rdjfraser and
article on him - http://alturl.com/gohim
7/15/2010 22:01
jtknowles007: Parting thoughts - as a student, I appreciate all of your insights and opinions. Thanks for
letting me participate. !fb #RNchat
7/15/2010 22:01
nurseeducator: Parting thoughts: You are the future of nursing. You will laugh, cry, and see life differently
as a RN... This is a noble profession #rnchat
7/15/2010 22:01
joniwatson: @onlinenursing kudos on a great #RNChat!
7/15/2010 22:07
onlinenursing: RT @nursingpins: parting thought - as always remember to re clamp the foleys when you
empty them :) #RNchat -BAW Ha ha ha -(GO NURSING!)
7/15/2010 22:07
NUR3563: RT @nursingpins: parting thought - as always remember to re clamp the foleys when you
empty them :) #RNchat -BAW Ha ha ha -(GO NURSING!)
7/15/2010 22:07
NursingCenter: RT @joniwatson Parting thought: Nursing is always and adventure, full of continuous
learning. Keep at it! #RNChat
7/15/2010 22:08
nurseeducator: RT @onlinenursing: RT @nursingpins: parting thought - as always remember to re clamp
the foleys when you empty them :) #RNchat -BAW Ha ha ha -(GO NURSING!)
7/15/2010 22:08
jtknowles007: @NursingCenter Thanks so much #RNchat
7/15/2010 22:08

7. coniferhealth: Great to hear nurses' thoughts during #RNchat on recent @healthleaders article about
scripting. Communication is so vital in #healthcare
7/15/2010 22:41
ladykimbsn: RT @NursingCenter: RT @nurseeducator U R the future of nsg. U will laugh, cry, & C life
differently as RN. ths is a noble profession #rnchat
7/15/2010 23:25
CTStudentNurse: RT @ladykimbsn: RT @NursingCenter: RT @nurseeducator U R the future of nsg. U will
laugh, cry, & C life differently as RN. ths is a noble profession #rnchat
7/15/2010 23:27
dorameulman: RT @tlomauro: RT @TelegraphNews Nurses spend more time doing paperwork than
looking after patients - Telegraph http://bit.ly/b9h62i #RNChat
7/15/2010 23:43