RNchat Transcript for July 30, 2010
•
0 likes•307 views
Transcript of RNchat - a Twitter chat for registered nurses - for July 30, 2010. Follow @RNchat on Twitter. Topics: T1 Personal Health Records: Do PHR solutions actually lie in open-source iPhone, Android, etc. apps versus proprietary platforms? T1 Follow-up: that is, once most people have smart devices, will PHRs just be as common as, say, Contact info? T2 The Art of Dignity: Healthcare is Technology-intensive. But preserving human dignity is an Art. Tell us about your "artistry" T3 Sexual Health: SH is as vital as all other kinds. Is Nursing involved in assessing & addressing SH matters as much as it could? Follow us on Twitter: http://Twitter.com/RNchat and visit our blog: http://RNchat.org by Phil Baumann - @PhilBaumann
Recommended
More Related Content
Viewers also liked
Viewers also liked (10)
More from RN Chat
More from RN Chat (12)
Recently uploaded
Recently uploaded (20)
RNchat Transcript for July 30, 2010
- 1. rnchat: One hour until #RNchat - 9pm ET. Consider using http://TweetChat.com during the chat. 7/30/2010 20:00 rnchat: Welcome my friends to #RNchat! If you're new, welcome! We'll get started momentarily but first: introduce yourselves! 7/30/2010 21:00 rnchat: OK, our first topic will be up in a minute. Please add T1, T2, etc. when responding to a topic. #RNchat 7/30/2010 21:04 TeriRN: Hi all. Teri, Travel Hospice Nurse now in DC. So glad to be able to join in again. #RNChat 7/30/2010 21:04 nursingpins: hi Phil, Pam and all - Vernon, critical care in New Orleans #rnchat 7/30/2010 21:04 rnchat: T1 Personal Health Records: Do PHR solutions actually lie in open-source iPhone, Android, etc. apps versus proprietary platforms? #RNchat 7/30/2010 21:05 nursechenene: Hey all. Traci from work at Level I center in Southwest Missouri #rnchat 7/30/2010 21:05 rnchat: T1 Follow-up: that is, once most people have smart devices, will PHRs just be as common as, say, Contact info? #RNchat 7/30/2010 21:08 nursingpins: Should be able to access PHR from any source? #rnchat 7/30/2010 21:08 pamsvulcan: T1 only if they are accessible & the data can be easily transferred across systems #RNchat 7/30/2010 21:09 rnchat: @nursingpins Yes - being able to access and share via open platforms (securely of course). #rnchat 7/30/2010 21:09 TeriRN: T1: For home health/hospice RN's and MD's it would be great to have instant access to the info I'm acquiring so MD can make Dx or Tx #RNChat 7/30/2010 21:11 pamsvulcan: T1 right now those programs are online if they have smartphone interfaces that are easy & secure #RNchat 7/30/2010 21:11 TeriRN: T1: Most EMR's I've worked with the nite staff & MD would have to wait till I could sync. Nite staff @ disadvantage if I can't sync #RNChat 7/30/2010 21:13 jtknowles007: T1 I think security may be an issue with PHRs on mobile platforms. If (as RN) my device goes missing, is private data exposed? !fb #RNchat 7/30/2010 21:14 TeriRN: T1: Ex: had pt in crisis, got new Rx, fam called nite staff, Had no clue what I had done & didn't believe fam Called MD 4 new RX #RNChat
- 2. 7/30/2010 21:15 nursingpins: T1 I think it will imp all h. services to have remote access. Will be much easier to get more done - will even encourage by conv. #rnchat 7/30/2010 21:15 TeriRN: @jtknowles007 That's why I always keep my passcoded and change it frequently. #RNChat 7/30/2010 21:15 pamsvulcan: U2 but what if the patient walked in said 'look here on my phone, here's my health history' #RNchat 7/30/2010 21:16 rnchat: @jtknowles007 Good point: there would need to be measures & protocols in place (eg: should remote deletion be enabled?) #RNchat 7/30/2010 21:16 nursingpins: T1 the security will always be an issue - but will be worked out - same questions with early e-commerce #rnchat 7/30/2010 21:17 jtknowles007: @TeriRN Good point, but what about those who are "forced" to use new tech & aren't comfortable with it and don't follow protocol !fb #RNchat 7/30/2010 21:18 rnchat: RT @nursingpins: T1 the security will always be an issue - but will be worked out - same questions with early e-commerce #RNchat 7/30/2010 21:18 nursingpins: T1 can be made secure - when was the last time PayPal security was breached? (can be done) #rnchat 7/30/2010 21:18 jtknowles007: T1 Obviously playing devil's advocate here. I would LOVE to have access to PHRs, as well as general med info electronically. #RNchat 7/30/2010 21:21 TeriRN: @jtknowles007 Def prob. Last job RNs still using passcode IT gave them. IT will need to enforce PHR policies to maintain HIPAA Comp #RNChat 7/30/2010 21:21 nursingpins: T1 seems like authorized identification access may be problem? #rnchat 7/30/2010 21:22 TeriRN: @jtknowles007 That's how we learn and find the probs. Always good 2 have someone play devil's advocate. =) #RNChat 7/30/2010 21:22 TeriRN: Last job used tokens for auth access. Unfortunately sync was a pain and VERY SLOW. Not good if U need info quickly #RNChat 7/30/2010 21:24 jtknowles007: @pamsvulcan T1 Now that would be a problem. If u only get half the picture from one source, something important could be missed !fb #RNchat 7/30/2010 21:25
- 3. rnchat: Next topic coming up in a moment! #RNchat 7/30/2010 21:26 pamsvulcan: T1 having the data/PHR program linked in with a specific health system could link it in when a new chart/encounter is created #RNchat 7/30/2010 21:26 nursingpins: T1 records could be kept without names - then providers would have to have a code to match info with patient names? #rnchat 7/30/2010 21:27 rnchat: T2 The Art of Dignity: Healthcare is Technology-intensive. But preserving human dignity is an Art. Tell us about your "artistry". #RNchat 7/30/2010 21:28 TeriRN: T1: another prob we had was I could access hosp system, but hosp couldn't access hospice system. Prob whem pt went 2 hosp for crisis #RNChat 7/30/2010 21:28 pamsvulcan: T1 my hospital has a myhealth website & EHR that is used for inpatient & ambulatory visits idk if data can be txfr from PHR to EHR #RNchat 7/30/2010 21:29 TeriRN: T2: My latest was helping 13yo dying pt make her last wish 2 attend MS grad I went as her med support & 2take care of "just in case" #RNChat 7/30/2010 21:30 nursechenene: as an OR nurse I witness daily coworkers who will uncover a pt for whatever purpose and not cover them back. Forget there's a person #rnchat 7/30/2010 21:31 TeriRN: T2: She looked gr8 & dignity upheld as her classmates greeted her & cheered when she received her diploma. Hilite of career so far #RNChat 7/30/2010 21:31 TeriRN: @nursechenene Oh one of my pet peeves. I also get irritated when I hear the pt called by disease or rm # than their name. #RNChat 7/30/2010 21:33 nursingpins: T2 thankfully discretion has been part one of med. longest lasting culture - will cont to based on tech prof integrity of provider. #rnchat 7/30/2010 21:33 pamsvulcan: @TeriRN I hear u - I evenhve to remind family members that patient has a name #RNchat 7/30/2010 21:34 TeriRN: @pamsvulcan Ouch. That's not good when family calls them by room or disease. #RNChat 7/30/2010 21:35 jtknowles007: @TeriRN Wow. That would be heartbreaking to hear someone referred to that way. I'll avoid that mistake when clinicals start. !fb #RNchat 7/30/2010 21:37 pamsvulcan: @TeriRN usually its 'my brother... in room 2 needs such & such' mind u these r 2 bedded rooms somebody's brother is in the next bed #RNchat 7/30/2010 21:38
- 4. TeriRN: @jtknowles007 Had a gr8 instructor who instilled respect & dignity in us RNs I've even corrected fellow RNs & LPNs Nicely of course #RNChat 7/30/2010 21:39 jtknowles007: @TeriRN - You answered my next question...was going to ask if anyone "called out" someone who treated patients that way. !fb #RNchat 7/30/2010 21:41 TeriRN: @pamsvulcan Had that happen lots. That's when I say "& UR brother is?" then I respond w/ I'll B in to see Mr. Jones as soon as I can #RNChat 7/30/2010 21:41 TeriRN: @jtknowles007 I usually will answer back Ms or Mr So&So needs... If they keep insisting what rm I will say Ms So&So in rm2 #RNChat 7/30/2010 21:42 TeriRN: @jtknowles007 I always try 2 give report by saying Ms So&So who has dementia..... It helps 2 remind other nurses that they R persons #RNChat 7/30/2010 21:44 rnchat: Our final topic is coming up! #RNchat 7/30/2010 21:46 rnchat: Innuendo Alert: Our next topic is important, but I can see where it could go on a Friday night ;) Be good, OK? :-) #RNchat 7/30/2010 21:47 rnchat: T3 Sexual Health: SH is as vital as all other kinds. Is Nursing involved in assessing & addressing SH matters as much as it could? #RNchat 7/30/2010 21:48 holisticnurses: Hi #RNChat folks! Can't join in but wishing you all a great weekend! Looks like great topics as always. RT @RNchat: Our final topic... 7/30/2010 21:48 TeriRN: T3: No where near enough. I have seen it totally deferred by nurses & MDs. including myself. #RNChat 7/30/2010 21:49 jtknowles007: @TeriRN T2 - My prev career (photographer) always learned friends & family names, and used them. Always helped make connections !fb #RNchat 7/30/2010 21:49 dorameulman: #RNchat following the tweets...interesting! 7/30/2010 21:50 TeriRN: T3: My last 2 pts were in their 40's, sexual health should have been addressed even if tho they R on hospice. Still important. #RNChat 7/30/2010 21:50 TeriRN: @jtknowles007 Pts love it when a nurse remembers their name. Helps make their care seem personal & that someone cares about them #RNChat 7/30/2010 21:51 pamsvulcan: T3 altenately - we have to convince some pts that their sexual behavior is inappropriate at this time & advances unwanted #RNchat 7/30/2010 21:54
- 5. nursingpins: T3 SH is imp and nurses could/should be invo but due to present stafg ratios-what nur are able to do is VERY limited (priorities #rnchat 7/30/2010 21:56 pamsvulcan: T3 the closest I may get to adressing SH is on dc instructions for postop Gyn/GynOnc pts detailing vaginal rest #RNchat 7/30/2010 21:56 rnchat: Time flies: We'll be wrapping up in a moment. #RNchat 7/30/2010 21:57 rnchat: Before wrapping up, give us your parting thoughts, Super Nurse advice, pearls of wisdom or your worst jokes. #RNchat 7/30/2010 21:58 TeriRN: @rnchat Gr8 topics. So glad 2B able 2 join again. Will check out the transcript 4 new nursing friends. #RNChat 7/30/2010 21:58 jtknowles007: T3 Does gender play a role in SH discussions? Are men able to council women effectively and vice versa? !fb #RNchat 7/30/2010 21:59 DebErupts: Shit I missed #RNChat 7/30/2010 21:59 nursingpins: Nurses need to reclaim control of whats left of the profession before it is too late. #rnchat 7/30/2010 22:00 pamsvulcan: T3 though it did come up in convo with two of my new RNs re: postop TAH pts. I reassured them sex was still possible & important #RNchat 7/30/2010 22:00 TeriRN: @jtknowles007 I think it will depend on the nurse & the pt. But it can be done. #RNChat 7/30/2010 22:00 TeriRN: AMEN! RT @nursingpins: Nurses need to reclaim control of whats left of the profession before it is too late. #RNChat 7/30/2010 22:00 dorameulman: #RNchat all we can do is our best for our pt's, some days we're better than others because we're human! 7/30/2010 22:02 TeriRN: Gr8 thought! RT @dorameulman: #RNchat all we can do is our best for our pts, some days were better than others because were human! #RNChat 7/30/2010 22:02 TeriRN: Gr8 chat every1. Looking forward to the next one. #RNChat 7/30/2010 22:03 nursingpins: Thanks Phil "GO NURSING" ---@onlinenursing #rnchat 7/30/2010 22:03 jtknowles007: Thanks for the opportunity to share & learn from everyone! See you next time. !fb #RNchat
- 6. 7/30/2010 22:04 NursingCenter: RT @dorameulman #RNchat all we can do is our best for our pt's, some days we're better than others because we're human! 7/30/2010 22:04 nursingpins: RT @NursingCenter: RT @dorameulman #RNchat all we can do is our best for our pts, some days were better than others bc we're human! #rnchat 7/30/2010 22:06 eggy1024: @RNchat looks like i missed a good #RNchat. sorry to have missed out. enjoying reading bits n pieces. happy friday my nsg friends! 7/30/2010 22:28 dorameulman: My thoughts and prayers are with the families and friends of LifeNet 12 Tucson AZ #RNChat #Nursing 7/30/2010 23:10 TorontoEmerg: RT @NursingCenter: RT @dorameulman #RNchat all we can do is our best for our pt's, some days we're better than others because we're human! 7/30/2010 23:22