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philbaumann:     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


EllenRichter:    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


nursingpins:     #RNchat on twitter - tonight with @EllenRichter at 9:30 RNchat video
                 http://www.youtube.com/watch?v=yY-xwzG7OrE
                 3/26/2010 21:17


rnchat:          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


RNMark:          @rnchat Good evening ganglia! #RNChat
                 3/26/2010 21:30


seejanenurse:    I'm searching for #RNchat live on TweetGrid Search - http://tweetgrid.com/search?
                 q=%23RNchat
                 3/26/2010 21:31


rnchat:          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


nursingpins:     Hi Ellen et al - Vernon in New Orleans - Critical Care #RNchat
                 3/26/2010 21:31


tactile:         Good evening everyone. Denver Med Surg RN, Preceptor, Wound Care resource and
                 soon to be BSN Student. #rnchat
                 3/26/2010 21:31


seejanenurse:    Spinning Tele RN #RNchat
                 3/26/2010 21:32


ali_rn:          @RNchat alison six year medical nurse! #RNchat
                 3/26/2010 21:32


nursingpins:     I'm searching for #RNchat live on TweetGrid Search - http://tweetgrid.com/search?
                 q=%23RNchat
                 3/26/2010 21:33


rnchat:          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


lisagualtieri:   Lisa Gualtieri, just saying hi to @EllenRichter and #RNChat and then going back to work
3/26/2010 21:33


mikerosenberg9:    Hi Mike Rosenberg with the Philly Chapter of american society of health informatics
                   managers hope everybody is doing well! #RNchat
                   3/26/2010 21:34


NursingCenter:     Hello everyone! Lisa here ~ clinical editor, critical care RN & women's health NP #RNchat
                   3/26/2010 21:34


oncnurse66:        Becky - full-time Oncology nurse, Full -time BSN student, full time mom of four boys
                   #rnchat
                   3/26/2010 21:34


rnchat:            @lisagualtieri Well then we say hi back! :) Dont work too hard! #RNchat
                   3/26/2010 21:34


rnchat:            Wonderful turnout, folks! This is great! I appreciate you all waiting til I got home from
                   work! 9 PM was cutting it so close! :) #RNchat
                   3/26/2010 21:35


nursekama:         Hi everyone! Kama, CNS, tertiary mental health, from Ontario, Canada #RNchat
                   3/26/2010 21:35


NursingCenter:     @oncnurse66 WOW ~ you've got a lot going on!!! #RNchat
                   3/26/2010 21:35


NursingCenter:     @rnchat Hope you had a good shift Ellen! Thanks for moderating! #RNchat
                   3/26/2010 21:36


rnchat:            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


maryannagordon: @RNchat i'm a nursing instructor/simulation specialist at Oregon Health & Science
                University, in a DNP program, graduate in August #rnchat
                   3/26/2010 21:37


rnchat:            I know how we talked about the new #hcr bill at Tuesday's chat. I think we can continue
                   that topic since we have lots to say! #RNchat
                   3/26/2010 21:38


RNMark:            @rnchat I'm a physical rehab nurse and late life career changer. Have lasted two years
                   plus. #RNChat
                   3/26/2010 21:38


Aggiern95:         Howdy all. Labor/delivery nurse, nurse educator & soon to be a MSN. #RNchat
                   3/26/2010 21:39


rnchat:            T1 People w/ pre-existing conditions will now be able to get insurance & medical care.
                   How will this affect your role as a nurse? #RNchat
                   3/26/2010 21:40


oncnurse66:        #T1-I called my insurance to see when I could put my 21 y/o son back on and they told
                   me no one says that they have to take him #rnchat
                   3/26/2010 21:40


rnchat:            I see new faces tonight! So happy to have you here! :) #RNchat
                   3/26/2010 21:40
ali_rn:            @RNchat t1 better able to help pts with med teaching, as they will have acccess to
                   meds? #RNchat
                   3/26/2010 21:41


nursingpins:       For ANY #hcr to be effective - Nursing will also have to be reformed T1 #RNchat
                   3/26/2010 21:42


tactile:           T1 I think that we will see a rise in patient's with multiple comorbidities for elective
                   procedures. "Elective" is "Relative." #RNCHAT
                   3/26/2010 21:43


seejanenurse:      I am not educated in #hcr , hopefully patients can get access to primary care to prevent
                   the revolving door of acute care fix ups #RNchat
                   3/26/2010 21:43


rnchat:            @oncnurse66 T1 I read that there will be a high risk pool for those initial people needing
                   insurance who were "pre-existing" #RNchat
                   3/26/2010 21:43


nursekama:         @nursingpins T1 in what way? Education? i.e. degree prepared? #rnchat
                   3/26/2010 21:44


nursingpins:       Nurses can not continue to RUN the hospitals AND do nursing care #hcr T1 #RNchat
                   3/26/2010 21:44


mandirocker:       @RNchat T1 I can see untreated things being much worse than seen now b/c it would be
                   payed for & people would go in for tx. #RNchat
                   3/26/2010 21:44


RNconsult:         I'm searching for #RNchat live on TweetGrid Search - http://tweetgrid.com/search?
                   q=%23RNchat
                   3/26/2010 21:44


maryannagordon: @nursingpins T1 That's an interesting comment, what kind of transformation do you think
                is necessary for nursing? #rnchat
                   3/26/2010 21:45


Aggiern95:         @RNchat T1 - I hope it means that pts will get preventive care. In addition, pts will be
                   more consistent in getting prenatal care #RNchat
                   3/26/2010 21:45


NursingCenter:     T1 I think it will depend on practice setting, more pts in primary care, but hopefully this
                   will eventually mean less acute visits. #RNchat
                   3/26/2010 21:45


tactile:           T1 We may see an influx of pts who have had no health care for years, but as
                   preventative care becomes more available, will even out #RNCHAT
                   3/26/2010 21:46


ali_rn:            @nursingpins good point! #rnchat #hcr
                   3/26/2010 21:46


tactile:           @Aggiern95 T1 improving prenatal care, preventative care from birth would help lower
                   overall cost of health for centuries to come. #RNCHAT
                   3/26/2010 21:46
RNconsult:        Hello, RNconsult Here....Consumer Health and Advocacy #RNchat
                  3/26/2010 21:47


Aggiern95:        @nursingpins that is a very good pt. Also, we need to look at nursing education & fac
                  shortage. #RNchat
                  3/26/2010 21:47


rnchat:           RT @tactile: T1 We may see an influx of pts who have had no health care for years, but
                  as preventative care becomes more available, will even out #RNCHAT
                  3/26/2010 21:47


RNMark:           T1 #hcr I don't expect this bill to survive the legal challenges from the states. #RNChat
                  3/26/2010 21:47


nursingpins:      Hospitals will have to hire people to do the non-nursing things we have always done - or
                  share duties #RNchat
                  3/26/2010 21:48


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


nursingpins:      As @Aggiern95 says - preventive care will be a key in reform of any kind T1 #RNchat
                  3/26/2010 21:49


ali_rn:           @nursingpins why exactly will they have to? no hospital is going to pay more money,
                  when they can add duties as have always done #RNchat
                  3/26/2010 21:49


mikerosenberg9:   Intresting point @nursingpins. What sort of people do you think will be hired to share in
                  duties that once fell to nurses? #RNchat #RNchat
                  3/26/2010 21:49


slackadjuster:    Lawsuits bogus states can opt out ! RT @RNMark: T1 #hcr I don't expect this bill to
                  survive the legal challenges from the states. #RNChat
                  3/26/2010 21:50


tactile:          @mandirocker Thank you! #RNCHAT
                  3/26/2010 21:50


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


RNconsult:        Having Health Insurance.... No Guarantee .....To Receiving Quality CARE.
                  http://yttwt.com/2k7gg video #HCR #RNchat
                  3/26/2010 21:50


nursekelsey:      RT @nursingpins: As @Aggiern95 says - preventive care will be a key in reform of any
                  kind T1 #RNchat
                  3/26/2010 21:51


nursekama:        RT @rnchat: T1 I hope more RNs turn to advance practice degrees to help educate &
                  care for those in the community who are healthy #rnchat
                  3/26/2010 21:51


rnchat:           Welcome to those who came after I said hello! :) Glad you are joining us~ #RNchat
                  3/26/2010 21:52
nursingpins:      @ali_rn If things continue as they are - there will be no nurses. #RNchat
                  3/26/2010 21:53


nursekama:        Agree RT @bgaustin: Nurse practitioners to alleviate doc shortages & focused recruitment
                  & incentive in rural areas are key #hcr T1 #rnchat
                  3/26/2010 21:53


mikerosenberg9:   T1 I see lots of request for nurses who have an IT background to help handle techincal
                  task or champion the move to EHR #RNchat #RNchat
                  3/26/2010 21:54


nursingpins:      @nursekama Community nursing has been neglected - schools are getting involved in
                  community nursing too. #RNchat
                  3/26/2010 21:55


seejanenurse:     Goodnight! I will be back to work at 0700. #RNchat
                  3/26/2010 21:55


tactile:          @mikerosenberg9 T1 As RN with IT background, I often feel insulted by IT folks assuming
                  nurses don't know how to work the computer. #RNCHAT
                  3/26/2010 21:56


tactile:          @seejanenurse #rnchat Good night! I'll be back to work tomorrow too, I hope. #RNCHAT
                  3/26/2010 21:56


nursingpins:      Nurse Practitioners will play a big part in #hcr at ALL levels. #RNchat
                  3/26/2010 21:56


rnchat:           T1 As the volume of insured patients grows, we will need more resources to care for
                  everyone, especially with longevity of life #RNchat
                  3/26/2010 21:56


GIkner:           RT @nursingpins: Nurse Practitioners will play a big part in #hcr at ALL levels. #RNchat
                  3/26/2010 21:56


rnchat:           Yes, they will! Its great! >> RT @nursingpins: Nurse Practitioners will play a big part in
                  #hcr at ALL levels. #RNchat
                  3/26/2010 21:57


Aggiern95:        @mikerosenberg9 The #EHR movement has even hit the nsg schools. #RNchat
                  3/26/2010 21:58


RNconsult:        @nursekama Advance Practice Nurses sure to fill gap of decrease in GP...MDs #RNchat
                  3/26/2010 21:58


rnchat:           I will be moving along to the next topic in 2 minutes but you are welcome to continue T1
                  as long as you like! :) #RNchat
                  3/26/2010 21:58


mandirocker:      @nursingpins My program packaged 5,832 meals sent to #Haiti for our community class.
                  Organization is called Heaven Sent Ministries #RNchat
                  3/26/2010 21:58


rnchat:           T1 Yes I think this is an exciting time for nurse practitioners and for nurses who are
                  considering advanced practice degrees #RNchat
                  3/26/2010 21:59
nursingpins:      @rnchat agree - will need many new resources - will show up in droves since they finally
                  have some hc (and need it) #RNchat
                  3/26/2010 21:59


mikerosenberg9:   @bgaustin Health IT can really use more nurses! #RNchat
                  3/26/2010 21:59


Aggiern95:        @rnchat T1 that is a very good point. Where are we going to get these needed
                  resources? #RNchat
                  3/26/2010 22:00


rnchat:           Where do I apply?? <<Ellen :) RT @mikerosenberg9: @bgaustin Health IT can really use
                  more nurses! #RNchat
                  3/26/2010 22:00


nursingpins:      Nurses can no longer be effective in hospitals and continue to do all the non-nursing
                  duties #RNchat
                  3/26/2010 22:01


RNMark:           @mikerosenberg9 Former Oracle Developer here. Nurse comprehension of EMR potential
                  is limited by their overall computer savvy. #RNChat
                  3/26/2010 22:01


NursingCenter:    RT @rnchat: Yes, they will! Its great! >> RT @nursingpins: Nurse Practitioners will play a
                  big part in #hcr at ALL levels. #RNchat
                  3/26/2010 22:02


nursekama:        T1 There is an increase of co-morbidities w/ #mentalhealth clients, so I hope there will be
                  more community nursing services w/ #hsr #rnchat
                  3/26/2010 22:02


ali_rn:           @nursingpins ok pls explain this, because i don't understand. #RNchat
                  3/26/2010 22:02


rnchat:           T2 The new hcr bill adds a 10% tax on fees for tanning bed services. Are there other
                  "unhealthy" activities we can possibly tax? #RNchat
                  3/26/2010 22:03


RNconsult:        Question Is ? How can Nurses impact a change in Health Care Delivery "Quality Care"
                  #RNchat
                  3/26/2010 22:03


oncnurse66:       @nursekama I had not thought of the mental health needs. I hope that those services will
                  be provided also #rnchat
                  3/26/2010 22:04


RNMark:           @nursingpins You mean I have to stop mopping floors and plunging toilets? Who will
                  shovel snow on weekends? #RNChat
                  3/26/2010 22:04


nursingpins:      I think There will be an explosion of community hc when started - so many unmet needs
                  (so many who have not had access) #RNchat
                  3/26/2010 22:05


nursingpins:      @RNMark - smiling - many nurses are still expected to do those things. #RNchat
                  3/26/2010 22:05
rnchat:           @RNconsult We really went radical with "all RN" facilities. We need to get team nursing
                  theme back again where RN is educator of all #RNchat
                  3/26/2010 22:06


RNconsult:        What ? Professor Kellermann http://yttwt.com/ufunn .....Has to Say about Health Care
                  Reform #HCR Must see (VIDEO) #RNchat
                  3/26/2010 22:06


tactile:          T2 - I think taxing candy and sodas is fair game. You don't have a "need" for high sugar
                  drinks that cause health problems. #RNCHAT
                  3/26/2010 22:06


RNMark:           @rnchat T2 Unhealthy activity tax? Leave my FarmVille and Twinkies Alone! :) #RNChat
                  3/26/2010 22:06


nursingpins:      Nursing needs to be out from hospital control - holdover from Diploma and Tarining
                  School days #RNchat
                  3/26/2010 22:08


tactile:          T2 I also wouldn't mind higher taxes on video games that encourage ppl to sit for long
                  periods of time. #RNCHAT
                  3/26/2010 22:08


oncnurse66:       @tactileT2, where would it stop? Movie popcorn, butter, french fries, ice cream? #rnchat
                  3/26/2010 22:08


mikerosenberg9:   T2 - Philly mesures to tax soad and other soft drinks resulted in huge industry blow back!
                  http://tinyurl.com/y8vrmpb #RNchat
                  3/26/2010 22:08


tactile:          T2 But if you're going to raise taxes on unhealthy activities, lower rates/taxes on healthy
                  activities. Gyms, physical activity, etc #RNCHAT
                  3/26/2010 22:09


nursingpins:      Nursing will not advance as long as we are under hospital control #RNchat
                  3/26/2010 22:09


Aggiern95:        T2 - I think that tobacco products is also fair game for the "unhealthy tax" #RNchat
                  3/26/2010 22:09


RNMark:           @tactile T2 Cigarettes still sell at USD 8 per pack. Sin Taxes monitize sin, not stop it.
                  #RNChat
                  3/26/2010 22:09


tactile:          @oncnurse66 T2 It would stop at foods with actual nutritional value. Popcorn is healthy
                  when it's air popped and not soaked. #RNCHAT
                  3/26/2010 22:10


rnchat:           @oncnurse66 T2 Yes! All the things you've listed should have a "poor health quality"
                  tariff! Pay the penalty for bad habits #RNchat
                  3/26/2010 22:10


mikerosenberg9:   T2 - Philly mesures to tax soad and other soft drinks resulted in huge industry blow back!
                  #RNchat #RNchat
                  3/26/2010 22:10


ali_rn:           @nursingpins agreed, hospitals don't make decisions to benefit patients or staff, only their
staffing need #RNchat
                  3/26/2010 22:10


nursingpins:      @Aggiern95 I agree - tobacco and alcohol taxes should be taxed for hc - legalized and
                  tax pot too. #RNchat
                  3/26/2010 22:11


mikerosenberg9:   T2 and when I mean soad I mean soda! #RNchat #RNchat
                  3/26/2010 22:11


RNMark:           T2 Mac and cheese is staple of low income diet. Placing a single set of good/bad tags on
                  food choices unjust and culturally biased #RNChat
                  3/26/2010 22:13


rnchat:           @mikerosenberg9 What happened with the soda tax? Who made money from that and
                  how? #RNchat
                  3/26/2010 22:13


RNMark:           @nursingpins Pots, pans, dishes all taxed currently #RNchat
                  3/26/2010 22:14


oncnurse66:       T2-I do not want to punish people for food choices that they make. I see more value in
                  educating people to make their own decision #rnchat
                  3/26/2010 22:14


tactile:          @RNMark T2 They could lower the amount of sodium and fat in cheaper foods, it's
                  possible, to avoid the tax. #RNCHAT
                  3/26/2010 22:15


oncnurse66:       T2-Neither we or the government should dictate just educate #rnchat
                  3/26/2010 22:15


rnchat:           @RNMark T2 But there are healthier low income diets of rices and vegetables, for
                  example. Mac N Cheese will be an MI in 20 yrs #RNchat
                  3/26/2010 22:15


mikerosenberg9:   @rnchat T2 - Last I heard the soda / pop industry pushed back pretty hard so that it
                  wouldn't happen. #RNchat
                  3/26/2010 22:15


mandirocker:      @oncnurse66 amen! #RNchat
                  3/26/2010 22:16


tactile:          Healthy food should be subsidized N poorer areas to be affordable. If you're going to tax
                  unhealthy food, make good food affordable. #RNCHAT
                  3/26/2010 22:16


Aggiern95:        @RNMark We need to find a way to ensure that all income levels have access to
                  affordable produce. T2 #RNchat
                  3/26/2010 22:16


tactile:          @oncnurse66 T2 education only goes so far. You have to show people the benefit that a
                  healthy lifestyle will give their wallet. #RNCHAT
                  3/26/2010 22:16


rnchat:           RT @tactile: Healthy food should be subsidized N poorer areas to be affordable. If you're
                  going to tax unhealthy food, make good food affordable. #RNCHAT
                  3/26/2010 22:16
nursingpins:       RT @Aggiern95: @RNMark We need to find a way to ensure that all income levels have
                   access to affordable produce. T2 #RNchat
                   3/26/2010 22:17


tactile:           RT @nursingpins: RT @Aggiern95: @RNMark We need to find a way to ensure that all
                   income levels have access to affordable produce. T2 #RNCHAT
                   3/26/2010 22:17


RNconsult:         Health CARE!!!... IS....A Future @ RISK... A Must See...( VIDEO )
                   http://www.vidtweeter.com/show.php?id=q80qm #HCR #RNchat
                   3/26/2010 22:17


RNMark:            @tactile @RNChat parent economics: gotta feed kids within budget. Tradeoffs are not
                   always voluntary and reach beyond health care. #RNChat
                   3/26/2010 22:18


TXTECH_NURSE: RT @NursingCenter: RT @rnchat: Yes, they will! Its great! >> Nurse Practitioners will
              play a big part in #hcr at ALL levels. #RNchat
                   3/26/2010 22:19


tactile:           @RNMark T2 I grew up on gov subsidized food & free school lunch/breakfast. Believe
                   me, I know. That's why I advocate subs produce. #RNCHAT
                   3/26/2010 22:20


rnchat:            Two minutes til the last topic :) #RNchat
                   3/26/2010 22:20


nursingpins:       Healthy affordable food could be a part of the community hc programs #RNchat
                   3/26/2010 22:20


rnchat:            @ali_rn Glad you could make it tonight! :) Thanks & enjoy #RNchat
                   3/26/2010 22:20


TXTECH_NURSE: RT @ttuhsc: RT @Newsweek: Meet Your New Doctor: The Three-Year Medical Student
              http://bit.ly/bCqRdk #RNchat nurse turn doc
                   3/26/2010 22:21


rnchat:            T2 Yes, our food consumption habits in the USA really could use sprucing up, both
                   indigent as well as wealthy! #RNchat
                   3/26/2010 22:23


oncnurse66:        @tactile The WIC program is a good example of govt sub with health education. Teaching
                   people how to raise healthy children #rnchat
                   3/26/2010 22:24


RNconsult:         RT @nursingpins: Nursing needs to be out from hospital control - holdover from Diploma
                   and Tarining School days #RNchat
                   3/26/2010 22:24


rnchat:            T3 What role will social media play in delivering preventive/ educational nursing care to
                   those eligible for health care services? #RNchat
                   3/26/2010 22:25


rnchat:            A really good point! >> RT @RNconsult: RT @nursingpins: Nursing needs to be out from
                   hospital control #RNchat
                   3/26/2010 22:27
rnchat:           T3 Do you social media savvy nurses see Facebook & Twitter & such as valuable
                  avenues for giving nursing care? #RNchat
                  3/26/2010 22:28


nursingpins:      I think it will help people doing the care in the communities - target group will not have
                  (access) T3 #RNchat
                  3/26/2010 22:29


Aggiern95:        @rnchat T3 - SM can have a great impact in providing pt. education. Many pt are already
                  using the internet for hc info #RNchat
                  3/26/2010 22:30


nursingpins:      The 60yo COPD patient without care will not be checking the sites on SM - but we will
                  be.T3 #RNchat
                  3/26/2010 22:31


nursebrittney:    T3 funny think, at work today, we were forbidden to update our facebook statuses while
                  on the clock. they are checking. #RNCHAT
                  3/26/2010 22:31


mikerosenberg9:   T3 it would be intresting to add SM plans in order to raise education. Since so much
                  misinformation already has a headstart! #RNchat
                  3/26/2010 22:31


nursingpins:      RT @rnchat: T3 Do you social media savvy nurses see Facebook & Twitter & such as
                  valuable avenues for giving nursing care? #RNchat
                  3/26/2010 22:31


Aggiern95:        @rnchat T3 - I think that SM can be a great avenue for nurses to reach pts and provide
                  sound health info/education #RNchat
                  3/26/2010 22:32


rnchat:           @Aggiern95 T3 Yes people search the internet for info, but do they look for their nurse?
                  Are there ways to find educ, reinforcement? #RNchat
                  3/26/2010 22:32


RNconsult:        T3 Telenursing Yes!!!!....Consulting to Health Consumers. Video...Audio/viaTwitter
                  #RNchat
                  3/26/2010 22:33


Knutschen:        RT @tactile: Healthy food should be subsidized N poorer areas to be affordable. If you're
                  going to tax unhealthy food, make good food affordable. #RNCHAT
                  3/26/2010 22:33


rnchat:           T3 Like for instance, all post op open heart patients join a Facebook Page run by CVICU/
                  CV stepdown nurses #RNchat
                  3/26/2010 22:34


nursingpins:      @nursebrittney: Hospitals will be a hinder at all levels of improved hc without outside
                  pressure #RNchat
                  3/26/2010 22:34


oncnurse66:       @rnchat my hospital has recommended us NOT to be "friends" with patients on SM
                  #rnchat
                  3/26/2010 22:34


oncnurse66:       @nursebrittney Our facility blocked all SM from computers #rnchat
3/26/2010 22:35


lisagualtieri:    T3: Can SM dehumanize? Without eye contact (see my post, http://is.gd/aNBBv) and
                  touch, is more lost as well? #RNchat
                  3/26/2010 22:35


rnchat:           @oncnurse66 T3 Oh yes, I agree with your hospital. You shouldnt "friend" a patient
                  personally but a health care group is different #RNchat
                  3/26/2010 22:35


mikerosenberg9:   RT @oncnurse66: @rnchat my hospital has recommended us NOT to be "friends" with
                  patients on SM #RNchat
                  3/26/2010 22:36


tactile:          @nursingpins T3 I have been a volunteer member of an ask a nurse blog for 5 years.
                  Social media has a place in prevention. #RNCHAT
                  3/26/2010 22:36


rnchat:           @oncnurse66 T3 I think that at this time, most hospitals block social media sites because
                  the staff use them for themselves! #RNchat
                  3/26/2010 22:36


mkopp1:           #rnchat spaced on the chat tonight...I swear one of these days life will let me join again.
                  3/26/2010 22:36


oncnurse66:       @rnchat as do I some patients can become "stalkers" : } #rnchat
                  3/26/2010 22:37


nursekama:        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. #rnchat
                  3/26/2010 22:37


rnchat:           @tactile T3 Can you share that blog link with us? #RNchat
                  3/26/2010 22:37


RNconsult:        @rnchat I find Social Media is a excellent vehicle for targeting health populations...ie
                  Health maintainence #RNchat
                  3/26/2010 22:37


nursingpins:      @tactile YES a big and important place - but more important for the providers at this
                  point. #RNchat
                  3/26/2010 22:37


tactile:          @oncnurse66 t3 I completely agree with that. I do not give out personal info to pts.
                  #RNCHAT
                  3/26/2010 22:38


mkopp1:           T3 maybe replace the nurses' line and have a live chat. #rnchat
                  3/26/2010 22:38


tactile:          @nursingpins t3 Social Media has really improved my access to nursing education online.
                  Twitter keeps me up to date. #RNCHAT
                  3/26/2010 22:39


Aggiern95:        @rnchat @oncnurse66 T3 - I agree you should not 'friend' a pt. The use of groups pages
                  will provide an online support comm for pts #RNchat
                  3/26/2010 22:39
happyfish103:     RT @tactile: Healthy food should be subsidized N poorer areas to be affordable. If you're
                  going to tax unhealthy food, make good food affordable. #RNCHAT
                  3/26/2010 22:39


tactile:          @RNchat It is the ask_a_nurse community on Livejournal. Several years ago, a group of
                  RNs, including myself, took it over. #RNchat
                  3/26/2010 22:40


RNconsult:        "Intelligent Consumerism".... In #Health Care may be the Web ?!!!
                  http://www.nytimes.com/2009/10/06/technology/06bosworth.html?_r=1 #RNchat
                  3/26/2010 22:41


tactile:          @rnchat T3 A big part of what we do is link ppl with low cost clinics in their area and
                  confirm if they need to be seen. #RNCHAT
                  3/26/2010 22:41


nursingpins:      @tactile - has helped all nurses who are looking - still tip of the berg though (potential)
                  #RNchat
                  3/26/2010 22:42


rnchat:           T3 @tactile I totally agree about Twitter opening up new avenues for knowledge
                  attainment! Its just amazing #RNchat
                  3/26/2010 22:42


nursekama:        T3 Another issue besides boundaries includes: how do you ensure you're really
                  dialoguing with a nurse via social media? #rnchat
                  3/26/2010 22:42


tactile:          @nursekama t3 On our ask_a_nurse blog, we had an imposter. After that, each
                  moderator has to give full name, license to other mods. #RNCHAT
                  3/26/2010 22:43


RNconsult:        @tactile " Ask a Nurse "......Great Format!!! #RNchat
                  3/26/2010 22:44


nursingpins:      @tactile your work is an example of things to come on a big scale (great!) #RNchat
                  3/26/2010 22:44


tactile:          @nursekama T3 we also confirmed via IP addresses that ppl were where they stated,
                  and consulted with US and Canadian attys. #RNCHAT
                  3/26/2010 22:44


mikerosenberg9:   @nursekama T3 - there are ways to verify users on twitter but extra steps would have to
                  be taken to be sure advice is good. #RNchat
                  3/26/2010 22:44


rnchat:           @nursekama T3 Great point about validation behind a screen name! I'm sure there will
                  be ways to verify an acct for the public to see #RNchat
                  3/26/2010 22:44


nursekama:        @tactile T3 That's great! Glad to hear you were able to overcome that issue. Thanks for
                  sharing. :) #rnchat
                  3/26/2010 22:45


tactile:          @RNconsult I really just wanted to save ppl money and time. We've helped ppl treat
                  wounds,when we send ppl to the ER, they need it. #RNCHAT
                  3/26/2010 22:45
tactile:          @nursekama It was difficult, but after we had the 1 imposter, necessary. Also, it's actually
                  hard to impersonate medical training. #RNCHAT
                  3/26/2010 22:46


mikerosenberg9:   @tactile sounds like you have been involved in lots of great IT projects that let your
                  nursing talents shine! #RNchat
                  3/26/2010 22:47


rnchat:           As always, friends, this hour (and some) has gone by in a blink! Please continue to chat
                  on any of the topics we discussed! #RNchat
                  3/26/2010 22:47


tactile:          @mikerosenberg9 Yes, but the truth is I HATE IT. I left IT to become a nurse. Still, I'm
                  the go to girl for computer problems. Sigh. #RNCHAT
                  3/26/2010 22:48


nursekama:        I'm signing off, thanks for the great conversation all (as usual!). Have a great weekend!
                  #rnchat
                  3/26/2010 22:49


rnchat:           I would like to just stop & thank everyone who participated for making this chat so very
                  VERY interesting tonight! Great group! :) #RNchat
                  3/26/2010 22:49


nursingpins:      Great job as always Ellen - Thanks. #RNchat
                  3/26/2010 22:49


NursingCenter:    @rnchat Thanks Ellen! I must sign off now ~ great discussions gang! Have a good night
                  everyone! #RNchat
                  3/26/2010 22:49


tactile:          Yes, thanks, Ellen!! RT @nursingpins: Great job as always Ellen - Thanks. #RNCHAT
                  3/26/2010 22:50


mikerosenberg9:   @rnchat I earned an MBA to avoid IT only to still become the go to person with tech
                  issues. To be honest I enjoy helping people! #RNchat
                  3/26/2010 22:50


oncnurse66:       RT @NursingCenter: @rnchat Thanks Ellen! I must sign off now ~ great discussions
                  gang! Have a good night everyone! #rnchat
                  3/26/2010 22:50


rnchat:           Thanks so much. We really have such a diverse & interesting group of nurses on Twitter.
                  We must keep this going forever! :) #RNchat
                  3/26/2010 22:51


mikerosenberg9:   Thank you all for a great chat! Everybody have a great weekend. #RNchat
                  3/26/2010 22:51


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


attet:            T3, How about youtube? Some seek infos on it. RT @rnchat T3 #RNchat
                  3/26/2010 22:51


rnchat:           To all the new people here tonight at #RNchat please follow me @EllenRichter OK? :)
3/26/2010 22:52


RNconsult:        Thank's Ellen ...Great Group.... andTOPICS tonite #RNchat
                  3/26/2010 22:52


rnchat:           @attet T3 Yes, YouTube is definitely a fantastic avenue for nursing! We really have great
                  opportunities ahead of us! #RNchat
                  3/26/2010 22:53


rnchat:           Please watch for tweets from this account with a link to tonight's transcript. It should be
                  out over the weekend! See you all soon! #RNchat
                  3/26/2010 22:55


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


ColoradoHealth:   RT @RNchat: A really good point! >> RT @RNconsult: RT @nursingpins: Nursing needs
                  to be out from hospital control #RNchat
                  3/26/2010 23:09


ColoradoHealth:   RT @tactile: @nursingpins t3 Social Media has really improved my access to nursing
                  education online. Twitter keeps me up to date. #RNCHAT
                  3/26/2010 23:28

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RNchat Transcript March 26, 2010

  • 1. philbaumann: 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 EllenRichter: 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 nursingpins: #RNchat on twitter - tonight with @EllenRichter at 9:30 RNchat video http://www.youtube.com/watch?v=yY-xwzG7OrE 3/26/2010 21:17 rnchat: 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 RNMark: @rnchat Good evening ganglia! #RNChat 3/26/2010 21:30 seejanenurse: I'm searching for #RNchat live on TweetGrid Search - http://tweetgrid.com/search? q=%23RNchat 3/26/2010 21:31 rnchat: 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 nursingpins: Hi Ellen et al - Vernon in New Orleans - Critical Care #RNchat 3/26/2010 21:31 tactile: Good evening everyone. Denver Med Surg RN, Preceptor, Wound Care resource and soon to be BSN Student. #rnchat 3/26/2010 21:31 seejanenurse: Spinning Tele RN #RNchat 3/26/2010 21:32 ali_rn: @RNchat alison six year medical nurse! #RNchat 3/26/2010 21:32 nursingpins: I'm searching for #RNchat live on TweetGrid Search - http://tweetgrid.com/search? q=%23RNchat 3/26/2010 21:33 rnchat: 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 lisagualtieri: Lisa Gualtieri, just saying hi to @EllenRichter and #RNChat and then going back to work
  • 2. 3/26/2010 21:33 mikerosenberg9: Hi Mike Rosenberg with the Philly Chapter of american society of health informatics managers hope everybody is doing well! #RNchat 3/26/2010 21:34 NursingCenter: Hello everyone! Lisa here ~ clinical editor, critical care RN & women's health NP #RNchat 3/26/2010 21:34 oncnurse66: Becky - full-time Oncology nurse, Full -time BSN student, full time mom of four boys #rnchat 3/26/2010 21:34 rnchat: @lisagualtieri Well then we say hi back! :) Dont work too hard! #RNchat 3/26/2010 21:34 rnchat: Wonderful turnout, folks! This is great! I appreciate you all waiting til I got home from work! 9 PM was cutting it so close! :) #RNchat 3/26/2010 21:35 nursekama: Hi everyone! Kama, CNS, tertiary mental health, from Ontario, Canada #RNchat 3/26/2010 21:35 NursingCenter: @oncnurse66 WOW ~ you've got a lot going on!!! #RNchat 3/26/2010 21:35 NursingCenter: @rnchat Hope you had a good shift Ellen! Thanks for moderating! #RNchat 3/26/2010 21:36 rnchat: 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 maryannagordon: @RNchat i'm a nursing instructor/simulation specialist at Oregon Health & Science University, in a DNP program, graduate in August #rnchat 3/26/2010 21:37 rnchat: I know how we talked about the new #hcr bill at Tuesday's chat. I think we can continue that topic since we have lots to say! #RNchat 3/26/2010 21:38 RNMark: @rnchat I'm a physical rehab nurse and late life career changer. Have lasted two years plus. #RNChat 3/26/2010 21:38 Aggiern95: Howdy all. Labor/delivery nurse, nurse educator & soon to be a MSN. #RNchat 3/26/2010 21:39 rnchat: T1 People w/ pre-existing conditions will now be able to get insurance & medical care. How will this affect your role as a nurse? #RNchat 3/26/2010 21:40 oncnurse66: #T1-I called my insurance to see when I could put my 21 y/o son back on and they told me no one says that they have to take him #rnchat 3/26/2010 21:40 rnchat: I see new faces tonight! So happy to have you here! :) #RNchat 3/26/2010 21:40
  • 3. ali_rn: @RNchat t1 better able to help pts with med teaching, as they will have acccess to meds? #RNchat 3/26/2010 21:41 nursingpins: For ANY #hcr to be effective - Nursing will also have to be reformed T1 #RNchat 3/26/2010 21:42 tactile: T1 I think that we will see a rise in patient's with multiple comorbidities for elective procedures. "Elective" is "Relative." #RNCHAT 3/26/2010 21:43 seejanenurse: I am not educated in #hcr , hopefully patients can get access to primary care to prevent the revolving door of acute care fix ups #RNchat 3/26/2010 21:43 rnchat: @oncnurse66 T1 I read that there will be a high risk pool for those initial people needing insurance who were "pre-existing" #RNchat 3/26/2010 21:43 nursekama: @nursingpins T1 in what way? Education? i.e. degree prepared? #rnchat 3/26/2010 21:44 nursingpins: Nurses can not continue to RUN the hospitals AND do nursing care #hcr T1 #RNchat 3/26/2010 21:44 mandirocker: @RNchat T1 I can see untreated things being much worse than seen now b/c it would be payed for & people would go in for tx. #RNchat 3/26/2010 21:44 RNconsult: I'm searching for #RNchat live on TweetGrid Search - http://tweetgrid.com/search? q=%23RNchat 3/26/2010 21:44 maryannagordon: @nursingpins T1 That's an interesting comment, what kind of transformation do you think is necessary for nursing? #rnchat 3/26/2010 21:45 Aggiern95: @RNchat T1 - I hope it means that pts will get preventive care. In addition, pts will be more consistent in getting prenatal care #RNchat 3/26/2010 21:45 NursingCenter: T1 I think it will depend on practice setting, more pts in primary care, but hopefully this will eventually mean less acute visits. #RNchat 3/26/2010 21:45 tactile: T1 We may see an influx of pts who have had no health care for years, but as preventative care becomes more available, will even out #RNCHAT 3/26/2010 21:46 ali_rn: @nursingpins good point! #rnchat #hcr 3/26/2010 21:46 tactile: @Aggiern95 T1 improving prenatal care, preventative care from birth would help lower overall cost of health for centuries to come. #RNCHAT 3/26/2010 21:46
  • 4. RNconsult: Hello, RNconsult Here....Consumer Health and Advocacy #RNchat 3/26/2010 21:47 Aggiern95: @nursingpins that is a very good pt. Also, we need to look at nursing education & fac shortage. #RNchat 3/26/2010 21:47 rnchat: RT @tactile: T1 We may see an influx of pts who have had no health care for years, but as preventative care becomes more available, will even out #RNCHAT 3/26/2010 21:47 RNMark: T1 #hcr I don't expect this bill to survive the legal challenges from the states. #RNChat 3/26/2010 21:47 nursingpins: Hospitals will have to hire people to do the non-nursing things we have always done - or share duties #RNchat 3/26/2010 21:48 mandirocker: @RNchat Intro: Mandi, tiny, redhead, last sem ADN student, soon to be Prius driver, knitter, United Methodist :) <3 #RNchat #RNchat 3/26/2010 21:48 nursingpins: As @Aggiern95 says - preventive care will be a key in reform of any kind T1 #RNchat 3/26/2010 21:49 ali_rn: @nursingpins why exactly will they have to? no hospital is going to pay more money, when they can add duties as have always done #RNchat 3/26/2010 21:49 mikerosenberg9: Intresting point @nursingpins. What sort of people do you think will be hired to share in duties that once fell to nurses? #RNchat #RNchat 3/26/2010 21:49 slackadjuster: Lawsuits bogus states can opt out ! RT @RNMark: T1 #hcr I don't expect this bill to survive the legal challenges from the states. #RNChat 3/26/2010 21:50 tactile: @mandirocker Thank you! #RNCHAT 3/26/2010 21:50 mandirocker: @RNchat Intro: Mandi, tiny, redhead, last semester ADN student, soon to be #Prius driver, knitter, United Methodist :) <3 #RNchat 3/26/2010 21:50 RNconsult: Having Health Insurance.... No Guarantee .....To Receiving Quality CARE. http://yttwt.com/2k7gg video #HCR #RNchat 3/26/2010 21:50 nursekelsey: RT @nursingpins: As @Aggiern95 says - preventive care will be a key in reform of any kind T1 #RNchat 3/26/2010 21:51 nursekama: RT @rnchat: T1 I hope more RNs turn to advance practice degrees to help educate & care for those in the community who are healthy #rnchat 3/26/2010 21:51 rnchat: Welcome to those who came after I said hello! :) Glad you are joining us~ #RNchat 3/26/2010 21:52
  • 5. nursingpins: @ali_rn If things continue as they are - there will be no nurses. #RNchat 3/26/2010 21:53 nursekama: Agree RT @bgaustin: Nurse practitioners to alleviate doc shortages & focused recruitment & incentive in rural areas are key #hcr T1 #rnchat 3/26/2010 21:53 mikerosenberg9: T1 I see lots of request for nurses who have an IT background to help handle techincal task or champion the move to EHR #RNchat #RNchat 3/26/2010 21:54 nursingpins: @nursekama Community nursing has been neglected - schools are getting involved in community nursing too. #RNchat 3/26/2010 21:55 seejanenurse: Goodnight! I will be back to work at 0700. #RNchat 3/26/2010 21:55 tactile: @mikerosenberg9 T1 As RN with IT background, I often feel insulted by IT folks assuming nurses don't know how to work the computer. #RNCHAT 3/26/2010 21:56 tactile: @seejanenurse #rnchat Good night! I'll be back to work tomorrow too, I hope. #RNCHAT 3/26/2010 21:56 nursingpins: Nurse Practitioners will play a big part in #hcr at ALL levels. #RNchat 3/26/2010 21:56 rnchat: T1 As the volume of insured patients grows, we will need more resources to care for everyone, especially with longevity of life #RNchat 3/26/2010 21:56 GIkner: RT @nursingpins: Nurse Practitioners will play a big part in #hcr at ALL levels. #RNchat 3/26/2010 21:56 rnchat: Yes, they will! Its great! >> RT @nursingpins: Nurse Practitioners will play a big part in #hcr at ALL levels. #RNchat 3/26/2010 21:57 Aggiern95: @mikerosenberg9 The #EHR movement has even hit the nsg schools. #RNchat 3/26/2010 21:58 RNconsult: @nursekama Advance Practice Nurses sure to fill gap of decrease in GP...MDs #RNchat 3/26/2010 21:58 rnchat: I will be moving along to the next topic in 2 minutes but you are welcome to continue T1 as long as you like! :) #RNchat 3/26/2010 21:58 mandirocker: @nursingpins My program packaged 5,832 meals sent to #Haiti for our community class. Organization is called Heaven Sent Ministries #RNchat 3/26/2010 21:58 rnchat: T1 Yes I think this is an exciting time for nurse practitioners and for nurses who are considering advanced practice degrees #RNchat 3/26/2010 21:59
  • 6. nursingpins: @rnchat agree - will need many new resources - will show up in droves since they finally have some hc (and need it) #RNchat 3/26/2010 21:59 mikerosenberg9: @bgaustin Health IT can really use more nurses! #RNchat 3/26/2010 21:59 Aggiern95: @rnchat T1 that is a very good point. Where are we going to get these needed resources? #RNchat 3/26/2010 22:00 rnchat: Where do I apply?? <<Ellen :) RT @mikerosenberg9: @bgaustin Health IT can really use more nurses! #RNchat 3/26/2010 22:00 nursingpins: Nurses can no longer be effective in hospitals and continue to do all the non-nursing duties #RNchat 3/26/2010 22:01 RNMark: @mikerosenberg9 Former Oracle Developer here. Nurse comprehension of EMR potential is limited by their overall computer savvy. #RNChat 3/26/2010 22:01 NursingCenter: RT @rnchat: Yes, they will! Its great! >> RT @nursingpins: Nurse Practitioners will play a big part in #hcr at ALL levels. #RNchat 3/26/2010 22:02 nursekama: T1 There is an increase of co-morbidities w/ #mentalhealth clients, so I hope there will be more community nursing services w/ #hsr #rnchat 3/26/2010 22:02 ali_rn: @nursingpins ok pls explain this, because i don't understand. #RNchat 3/26/2010 22:02 rnchat: T2 The new hcr bill adds a 10% tax on fees for tanning bed services. Are there other "unhealthy" activities we can possibly tax? #RNchat 3/26/2010 22:03 RNconsult: Question Is ? How can Nurses impact a change in Health Care Delivery "Quality Care" #RNchat 3/26/2010 22:03 oncnurse66: @nursekama I had not thought of the mental health needs. I hope that those services will be provided also #rnchat 3/26/2010 22:04 RNMark: @nursingpins You mean I have to stop mopping floors and plunging toilets? Who will shovel snow on weekends? #RNChat 3/26/2010 22:04 nursingpins: I think There will be an explosion of community hc when started - so many unmet needs (so many who have not had access) #RNchat 3/26/2010 22:05 nursingpins: @RNMark - smiling - many nurses are still expected to do those things. #RNchat 3/26/2010 22:05
  • 7. rnchat: @RNconsult We really went radical with "all RN" facilities. We need to get team nursing theme back again where RN is educator of all #RNchat 3/26/2010 22:06 RNconsult: What ? Professor Kellermann http://yttwt.com/ufunn .....Has to Say about Health Care Reform #HCR Must see (VIDEO) #RNchat 3/26/2010 22:06 tactile: T2 - I think taxing candy and sodas is fair game. You don't have a "need" for high sugar drinks that cause health problems. #RNCHAT 3/26/2010 22:06 RNMark: @rnchat T2 Unhealthy activity tax? Leave my FarmVille and Twinkies Alone! :) #RNChat 3/26/2010 22:06 nursingpins: Nursing needs to be out from hospital control - holdover from Diploma and Tarining School days #RNchat 3/26/2010 22:08 tactile: T2 I also wouldn't mind higher taxes on video games that encourage ppl to sit for long periods of time. #RNCHAT 3/26/2010 22:08 oncnurse66: @tactileT2, where would it stop? Movie popcorn, butter, french fries, ice cream? #rnchat 3/26/2010 22:08 mikerosenberg9: T2 - Philly mesures to tax soad and other soft drinks resulted in huge industry blow back! http://tinyurl.com/y8vrmpb #RNchat 3/26/2010 22:08 tactile: T2 But if you're going to raise taxes on unhealthy activities, lower rates/taxes on healthy activities. Gyms, physical activity, etc #RNCHAT 3/26/2010 22:09 nursingpins: Nursing will not advance as long as we are under hospital control #RNchat 3/26/2010 22:09 Aggiern95: T2 - I think that tobacco products is also fair game for the "unhealthy tax" #RNchat 3/26/2010 22:09 RNMark: @tactile T2 Cigarettes still sell at USD 8 per pack. Sin Taxes monitize sin, not stop it. #RNChat 3/26/2010 22:09 tactile: @oncnurse66 T2 It would stop at foods with actual nutritional value. Popcorn is healthy when it's air popped and not soaked. #RNCHAT 3/26/2010 22:10 rnchat: @oncnurse66 T2 Yes! All the things you've listed should have a "poor health quality" tariff! Pay the penalty for bad habits #RNchat 3/26/2010 22:10 mikerosenberg9: T2 - Philly mesures to tax soad and other soft drinks resulted in huge industry blow back! #RNchat #RNchat 3/26/2010 22:10 ali_rn: @nursingpins agreed, hospitals don't make decisions to benefit patients or staff, only their
  • 8. staffing need #RNchat 3/26/2010 22:10 nursingpins: @Aggiern95 I agree - tobacco and alcohol taxes should be taxed for hc - legalized and tax pot too. #RNchat 3/26/2010 22:11 mikerosenberg9: T2 and when I mean soad I mean soda! #RNchat #RNchat 3/26/2010 22:11 RNMark: T2 Mac and cheese is staple of low income diet. Placing a single set of good/bad tags on food choices unjust and culturally biased #RNChat 3/26/2010 22:13 rnchat: @mikerosenberg9 What happened with the soda tax? Who made money from that and how? #RNchat 3/26/2010 22:13 RNMark: @nursingpins Pots, pans, dishes all taxed currently #RNchat 3/26/2010 22:14 oncnurse66: T2-I do not want to punish people for food choices that they make. I see more value in educating people to make their own decision #rnchat 3/26/2010 22:14 tactile: @RNMark T2 They could lower the amount of sodium and fat in cheaper foods, it's possible, to avoid the tax. #RNCHAT 3/26/2010 22:15 oncnurse66: T2-Neither we or the government should dictate just educate #rnchat 3/26/2010 22:15 rnchat: @RNMark T2 But there are healthier low income diets of rices and vegetables, for example. Mac N Cheese will be an MI in 20 yrs #RNchat 3/26/2010 22:15 mikerosenberg9: @rnchat T2 - Last I heard the soda / pop industry pushed back pretty hard so that it wouldn't happen. #RNchat 3/26/2010 22:15 mandirocker: @oncnurse66 amen! #RNchat 3/26/2010 22:16 tactile: Healthy food should be subsidized N poorer areas to be affordable. If you're going to tax unhealthy food, make good food affordable. #RNCHAT 3/26/2010 22:16 Aggiern95: @RNMark We need to find a way to ensure that all income levels have access to affordable produce. T2 #RNchat 3/26/2010 22:16 tactile: @oncnurse66 T2 education only goes so far. You have to show people the benefit that a healthy lifestyle will give their wallet. #RNCHAT 3/26/2010 22:16 rnchat: RT @tactile: Healthy food should be subsidized N poorer areas to be affordable. If you're going to tax unhealthy food, make good food affordable. #RNCHAT 3/26/2010 22:16
  • 9. nursingpins: RT @Aggiern95: @RNMark We need to find a way to ensure that all income levels have access to affordable produce. T2 #RNchat 3/26/2010 22:17 tactile: RT @nursingpins: RT @Aggiern95: @RNMark We need to find a way to ensure that all income levels have access to affordable produce. T2 #RNCHAT 3/26/2010 22:17 RNconsult: Health CARE!!!... IS....A Future @ RISK... A Must See...( VIDEO ) http://www.vidtweeter.com/show.php?id=q80qm #HCR #RNchat 3/26/2010 22:17 RNMark: @tactile @RNChat parent economics: gotta feed kids within budget. Tradeoffs are not always voluntary and reach beyond health care. #RNChat 3/26/2010 22:18 TXTECH_NURSE: RT @NursingCenter: RT @rnchat: Yes, they will! Its great! >> Nurse Practitioners will play a big part in #hcr at ALL levels. #RNchat 3/26/2010 22:19 tactile: @RNMark T2 I grew up on gov subsidized food & free school lunch/breakfast. Believe me, I know. That's why I advocate subs produce. #RNCHAT 3/26/2010 22:20 rnchat: Two minutes til the last topic :) #RNchat 3/26/2010 22:20 nursingpins: Healthy affordable food could be a part of the community hc programs #RNchat 3/26/2010 22:20 rnchat: @ali_rn Glad you could make it tonight! :) Thanks & enjoy #RNchat 3/26/2010 22:20 TXTECH_NURSE: RT @ttuhsc: RT @Newsweek: Meet Your New Doctor: The Three-Year Medical Student http://bit.ly/bCqRdk #RNchat nurse turn doc 3/26/2010 22:21 rnchat: T2 Yes, our food consumption habits in the USA really could use sprucing up, both indigent as well as wealthy! #RNchat 3/26/2010 22:23 oncnurse66: @tactile The WIC program is a good example of govt sub with health education. Teaching people how to raise healthy children #rnchat 3/26/2010 22:24 RNconsult: RT @nursingpins: Nursing needs to be out from hospital control - holdover from Diploma and Tarining School days #RNchat 3/26/2010 22:24 rnchat: T3 What role will social media play in delivering preventive/ educational nursing care to those eligible for health care services? #RNchat 3/26/2010 22:25 rnchat: A really good point! >> RT @RNconsult: RT @nursingpins: Nursing needs to be out from hospital control #RNchat 3/26/2010 22:27
  • 10. rnchat: T3 Do you social media savvy nurses see Facebook & Twitter & such as valuable avenues for giving nursing care? #RNchat 3/26/2010 22:28 nursingpins: I think it will help people doing the care in the communities - target group will not have (access) T3 #RNchat 3/26/2010 22:29 Aggiern95: @rnchat T3 - SM can have a great impact in providing pt. education. Many pt are already using the internet for hc info #RNchat 3/26/2010 22:30 nursingpins: The 60yo COPD patient without care will not be checking the sites on SM - but we will be.T3 #RNchat 3/26/2010 22:31 nursebrittney: T3 funny think, at work today, we were forbidden to update our facebook statuses while on the clock. they are checking. #RNCHAT 3/26/2010 22:31 mikerosenberg9: T3 it would be intresting to add SM plans in order to raise education. Since so much misinformation already has a headstart! #RNchat 3/26/2010 22:31 nursingpins: RT @rnchat: T3 Do you social media savvy nurses see Facebook & Twitter & such as valuable avenues for giving nursing care? #RNchat 3/26/2010 22:31 Aggiern95: @rnchat T3 - I think that SM can be a great avenue for nurses to reach pts and provide sound health info/education #RNchat 3/26/2010 22:32 rnchat: @Aggiern95 T3 Yes people search the internet for info, but do they look for their nurse? Are there ways to find educ, reinforcement? #RNchat 3/26/2010 22:32 RNconsult: T3 Telenursing Yes!!!!....Consulting to Health Consumers. Video...Audio/viaTwitter #RNchat 3/26/2010 22:33 Knutschen: RT @tactile: Healthy food should be subsidized N poorer areas to be affordable. If you're going to tax unhealthy food, make good food affordable. #RNCHAT 3/26/2010 22:33 rnchat: T3 Like for instance, all post op open heart patients join a Facebook Page run by CVICU/ CV stepdown nurses #RNchat 3/26/2010 22:34 nursingpins: @nursebrittney: Hospitals will be a hinder at all levels of improved hc without outside pressure #RNchat 3/26/2010 22:34 oncnurse66: @rnchat my hospital has recommended us NOT to be "friends" with patients on SM #rnchat 3/26/2010 22:34 oncnurse66: @nursebrittney Our facility blocked all SM from computers #rnchat
  • 11. 3/26/2010 22:35 lisagualtieri: T3: Can SM dehumanize? Without eye contact (see my post, http://is.gd/aNBBv) and touch, is more lost as well? #RNchat 3/26/2010 22:35 rnchat: @oncnurse66 T3 Oh yes, I agree with your hospital. You shouldnt "friend" a patient personally but a health care group is different #RNchat 3/26/2010 22:35 mikerosenberg9: RT @oncnurse66: @rnchat my hospital has recommended us NOT to be "friends" with patients on SM #RNchat 3/26/2010 22:36 tactile: @nursingpins T3 I have been a volunteer member of an ask a nurse blog for 5 years. Social media has a place in prevention. #RNCHAT 3/26/2010 22:36 rnchat: @oncnurse66 T3 I think that at this time, most hospitals block social media sites because the staff use them for themselves! #RNchat 3/26/2010 22:36 mkopp1: #rnchat spaced on the chat tonight...I swear one of these days life will let me join again. 3/26/2010 22:36 oncnurse66: @rnchat as do I some patients can become "stalkers" : } #rnchat 3/26/2010 22:37 nursekama: 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. #rnchat 3/26/2010 22:37 rnchat: @tactile T3 Can you share that blog link with us? #RNchat 3/26/2010 22:37 RNconsult: @rnchat I find Social Media is a excellent vehicle for targeting health populations...ie Health maintainence #RNchat 3/26/2010 22:37 nursingpins: @tactile YES a big and important place - but more important for the providers at this point. #RNchat 3/26/2010 22:37 tactile: @oncnurse66 t3 I completely agree with that. I do not give out personal info to pts. #RNCHAT 3/26/2010 22:38 mkopp1: T3 maybe replace the nurses' line and have a live chat. #rnchat 3/26/2010 22:38 tactile: @nursingpins t3 Social Media has really improved my access to nursing education online. Twitter keeps me up to date. #RNCHAT 3/26/2010 22:39 Aggiern95: @rnchat @oncnurse66 T3 - I agree you should not 'friend' a pt. The use of groups pages will provide an online support comm for pts #RNchat 3/26/2010 22:39
  • 12. happyfish103: RT @tactile: Healthy food should be subsidized N poorer areas to be affordable. If you're going to tax unhealthy food, make good food affordable. #RNCHAT 3/26/2010 22:39 tactile: @RNchat It is the ask_a_nurse community on Livejournal. Several years ago, a group of RNs, including myself, took it over. #RNchat 3/26/2010 22:40 RNconsult: "Intelligent Consumerism".... In #Health Care may be the Web ?!!! http://www.nytimes.com/2009/10/06/technology/06bosworth.html?_r=1 #RNchat 3/26/2010 22:41 tactile: @rnchat T3 A big part of what we do is link ppl with low cost clinics in their area and confirm if they need to be seen. #RNCHAT 3/26/2010 22:41 nursingpins: @tactile - has helped all nurses who are looking - still tip of the berg though (potential) #RNchat 3/26/2010 22:42 rnchat: T3 @tactile I totally agree about Twitter opening up new avenues for knowledge attainment! Its just amazing #RNchat 3/26/2010 22:42 nursekama: T3 Another issue besides boundaries includes: how do you ensure you're really dialoguing with a nurse via social media? #rnchat 3/26/2010 22:42 tactile: @nursekama t3 On our ask_a_nurse blog, we had an imposter. After that, each moderator has to give full name, license to other mods. #RNCHAT 3/26/2010 22:43 RNconsult: @tactile " Ask a Nurse "......Great Format!!! #RNchat 3/26/2010 22:44 nursingpins: @tactile your work is an example of things to come on a big scale (great!) #RNchat 3/26/2010 22:44 tactile: @nursekama T3 we also confirmed via IP addresses that ppl were where they stated, and consulted with US and Canadian attys. #RNCHAT 3/26/2010 22:44 mikerosenberg9: @nursekama T3 - there are ways to verify users on twitter but extra steps would have to be taken to be sure advice is good. #RNchat 3/26/2010 22:44 rnchat: @nursekama T3 Great point about validation behind a screen name! I'm sure there will be ways to verify an acct for the public to see #RNchat 3/26/2010 22:44 nursekama: @tactile T3 That's great! Glad to hear you were able to overcome that issue. Thanks for sharing. :) #rnchat 3/26/2010 22:45 tactile: @RNconsult I really just wanted to save ppl money and time. We've helped ppl treat wounds,when we send ppl to the ER, they need it. #RNCHAT 3/26/2010 22:45
  • 13. tactile: @nursekama It was difficult, but after we had the 1 imposter, necessary. Also, it's actually hard to impersonate medical training. #RNCHAT 3/26/2010 22:46 mikerosenberg9: @tactile sounds like you have been involved in lots of great IT projects that let your nursing talents shine! #RNchat 3/26/2010 22:47 rnchat: As always, friends, this hour (and some) has gone by in a blink! Please continue to chat on any of the topics we discussed! #RNchat 3/26/2010 22:47 tactile: @mikerosenberg9 Yes, but the truth is I HATE IT. I left IT to become a nurse. Still, I'm the go to girl for computer problems. Sigh. #RNCHAT 3/26/2010 22:48 nursekama: I'm signing off, thanks for the great conversation all (as usual!). Have a great weekend! #rnchat 3/26/2010 22:49 rnchat: I would like to just stop & thank everyone who participated for making this chat so very VERY interesting tonight! Great group! :) #RNchat 3/26/2010 22:49 nursingpins: Great job as always Ellen - Thanks. #RNchat 3/26/2010 22:49 NursingCenter: @rnchat Thanks Ellen! I must sign off now ~ great discussions gang! Have a good night everyone! #RNchat 3/26/2010 22:49 tactile: Yes, thanks, Ellen!! RT @nursingpins: Great job as always Ellen - Thanks. #RNCHAT 3/26/2010 22:50 mikerosenberg9: @rnchat I earned an MBA to avoid IT only to still become the go to person with tech issues. To be honest I enjoy helping people! #RNchat 3/26/2010 22:50 oncnurse66: RT @NursingCenter: @rnchat Thanks Ellen! I must sign off now ~ great discussions gang! Have a good night everyone! #rnchat 3/26/2010 22:50 rnchat: Thanks so much. We really have such a diverse & interesting group of nurses on Twitter. We must keep this going forever! :) #RNchat 3/26/2010 22:51 mikerosenberg9: Thank you all for a great chat! Everybody have a great weekend. #RNchat 3/26/2010 22:51 bacigalupe: @oncnurse66 education only goes so far. show people the benefit of a healthy lifestyle will give their wallet #RNCHAT (via @tactile) 3/26/2010 22:51 attet: T3, How about youtube? Some seek infos on it. RT @rnchat T3 #RNchat 3/26/2010 22:51 rnchat: To all the new people here tonight at #RNchat please follow me @EllenRichter OK? :)
  • 14. 3/26/2010 22:52 RNconsult: Thank's Ellen ...Great Group.... andTOPICS tonite #RNchat 3/26/2010 22:52 rnchat: @attet T3 Yes, YouTube is definitely a fantastic avenue for nursing! We really have great opportunities ahead of us! #RNchat 3/26/2010 22:53 rnchat: Please watch for tweets from this account with a link to tonight's transcript. It should be out over the weekend! See you all soon! #RNchat 3/26/2010 22:55 Kineticycle: Hi #RNchat folks, sorry I missed it tonight, looked lively! I was traveling, catch ya next time. 3/26/2010 23:06 ColoradoHealth: RT @RNchat: A really good point! >> RT @RNconsult: RT @nursingpins: Nursing needs to be out from hospital control #RNchat 3/26/2010 23:09 ColoradoHealth: RT @tactile: @nursingpins t3 Social Media has really improved my access to nursing education online. Twitter keeps me up to date. #RNCHAT 3/26/2010 23:28