Transcript of RNchat - a Twitter chat for registered nurses - for Friday, October 14, 2010. Follow @RNchat for regular updates. RNchat.org for blog posts. Topics included: T1 If U had the OK to freely use Twitter in any aspect of patient care delivery, how would U use it? To reach pts? Family? MDs? RNs? T2 Offer Topic Suggestions for Future Chats Moderated by @EllenRichter

1. RNchat Transcript for October 14, 2010
Follow @RNchat for Regular Updates
I'd like to begin tonite's #RNchat by thanking @philbaumann for
rnchat letting me moderate in his absence! I hope folks join in...TGIF~
philbaumann @RNchat And thank *your* for moderating. :) #RNchat
I also want to apologize to anyone who gets irritated by the flood of
rnchat tweets on this account. Please understand its just 1 hr/week! #RNchat
ehanesrn @EllenRichter, @PhilBaumann: Thanks for doing#RNchat. #rnchat
#RNchat is a way for nurses (& all others in health care!) to
meet, tweet & share feelings, thoughts, ideas~ And..we
rnchat welcome silent lurkers!
You can join our chat by signing into websites like tweetchat or
tweetgrid or use twitter search page. Use hashtag #RNchat &
rnchat follow along!
philbaumann @ehanesrn You're welcome! :) #RNchat
rnchat @ehanesrn Thanks :) #RNchat
Would love to hear the ways other RNs are using social media.
ehanesrn Interacting with pts? Blogging? What else? #rnchat
Lets begin the chat by seeing who is joining in. Introduce yourselves
rnchat & tell us in 140 or less what brings you to #RNchat tonight!
rnchat @ehanesrn OMG that is topic 1!!! LOL :) #RNchat
Vernon in New Orleans - critical care nurse, nurse advocate and
nursingpins hospital nightmare. #RNchat
2nd career RN. Previously PR, administration. Now defacto ofc
ehanesrn mgr/charge nurse for a plastic surgery ASC. #rnchat
ehanesrn @rnchat Sorry! Didn't mean to jump the gun. :-) #rnchat
I am @EllenRichter a critical care RN & legal nurse
consultant in sunny south Florida & I love social media
rnchat & health care! #RNchat

2. #RNChat Denver Med Surg Nurse, I'm also @grimalkinrn, but this is
WillowRN my more serious account.
ehanesrn @WillowRN Love Denver. Formerly of Colo Spgs. :-) #rnchat
Emily, 2nd degree nursing student at the end of my 7th week. Listening
HopHopHoppe in for the first time to #RNchat.
#RNchat Dora Meulman critical care nurse. I'm happy to be able to
dorameulman join in tonight :)
Hi there! Amy in New York, Holistic & Telehealth RN (in
homecare). Are you any where near West Palm Beach, Ellen? Just
holisticnurses there... #rnchat
Wow, too many of you to tweet hello individually! But I am saying hello
rnchat to all of you! :) #RNchat
pamsvulcan Hi! Pam, med-surg RN from NY here #RNChat
@holisticnurses I'm south of West Palm, north of Fort Lauderdale....
rnchat not too far from where u were....like 45 min #RNchat
holisticnurses @WillowRN Love the avatar too! #rnchat
rnchat Wonderful mix of #nurses tonight! #RNchat
The topics will be labeled T1 & T2~Please remember to add
topic label & hashtag #RNchat to ea tweet so we can track
rnchat your responses!
holisticnurses @rnchat Ahhhh! Nice. Missing the palm trees. #rnchat
OK lets start folks! I need to stop typing & drink some coffee
rnchat :) #RNchat
holisticnurses #rnchat
JeseLynn New grad, currently working on surgery. #RNchat
T1 If U had the OK to freely use Twitter in any aspect of patient care
delivery, how would U use it? To reach pts? Family? MDs? RNs?
rnchat #RNchat
ehanesrn @JeseLynn Awesome! That's the track I took, too. #rnchat
all my fellow nurses out there. There is an #RNchat currently in
progress. A great venue for networking, sharing ideas, meeting more
bthenextstep nurses!

3. rnchat (can 1 or 2 of you RT topic 1 so everyone sees it?) :) #RNchat
ehanesrn T1: all of the above. Assuming HIPAA compliance, natch. #rnchat
RT @rnchat: T1 If U had the OK to freely use Twitter in any aspect of
patient care delivery, how would U use it? To reach pts? Family? MDs?
WillowRN RNs? #RNchat
RT @rnchat: T1 If U had the OK to freely use Twitter in any aspect of
ehanesrn patient care delivery, how would U use it? #rnchat
@bthenextstep Awww thats so sweet of you! Thanks for that tweet
rnchat about the chat, Sean! :) #RNchat
T1 - if the OR could use it to give us a heads up where my pre-ops are in
pamsvulcan the cue to head out to surgery -might save a call or 3 #RNChat
#RNChat #t1 I would not really want to use Twitter itself for patient
WillowRN care delivery, but an internal social media system could be helpful.
rnchat @ehanesrn T1 Can you give an example? #RNchat
@rnchat poking my head in to say Hi! Sorry can't stay tonight. Have a
bthenextstep great weekend everyone! Keep up the grt work @EllenRichter #RNchat
@RNchat all sorts of new nurses following me this week. trying to pass
bthenextstep on the word! #RNchat
T1 - same with other areas that typically have a long wait - like MRI of
pamsvulcan CT - especially since I expect it could be built in... #RNChat
@rnchat T1: Triage via Twitter. Explain treatment modalities. Obtain
ehanesrn MD input. #rnchat
@pamsvulcan T1 Yes, good idea! A surgical center tweeted to me when
my dad's shoulder surgery was nearly done so we could head back
rnchat #RNchat
@pamsvulcan #t1 #RNChat Exactly. Continued updates on patient
grimalkinrn statuses could help facilitate pt flow through their stay.
pamsvulcan T1... to the scheduling system which I think is computerized #RNChat
T1 - my first thought was patients being able to tweet what they need in
Emergiblog the hospital! Save a call bell, tweet what you need LOL #rnchat
@RNchat wow I don't see how that would work. With confidentiality, I
JeseLynn have no problems contacting pts doctors or family. #RNchat

4. T1 Again, keeping in mind HIPAA, would be a great tool to coordinate
holisticnurses care for pts and families. #rnchat
T1 as @WillowRN says - would use mostly for "social media
system" now - but who know what the future potential will
nursingpins be? #RNchat
ehanesrn @JeseLynn @RNChat: Yes, HIPAA is a barrier. #rnchat
RT @bthenextstep: all my fellow nurses out there. There is an #RNchat
currently in progress. A great venue for networking, sharing ideas,
Emergiblog meeting more nurses!
@Emergiblog Oh that would be useful - but not all our elderly are quite
pamsvulcan that computer saavy T1 #RNChat
holisticnurses @Emergiblog That's an interesting idea! Efficient use. T1 #rnchat
#RNchat T1: I tweet at work sometimes on my phone, follow chat etc.
dorameulman during down time. Most days lately I'm too busy!
@Emergiblog T1 #rnchat I'm not so sure a lot of my patients could
WillowRN successfully tweet or type while on their narcotic PCAs.
@RNChat: I could see using DM to obtain pt hx, communicate c pt
ehanesrn families regarding status. No HIPAA issues there. #rnchat
RT @rnchat: T1 If U had the OK to freely use Twitter in any aspect of
patient care delivery, how would U use it? To reach pts? Family? MDs?
dorameulman RNs? #RNchat
RT @rnchat: T1 If U had the OK to freely use Twitter in any aspect of
patient care delivery, how would U use it? To reach pts? Family? MDs?
JeseLynn RNs? #RNchat
ehanesrn @WillowRN @Emergiblog: T1: LOL #rnchat
T1 We use email and IM to communicate as telehealth nurses...Twitter
holisticnurses would be similar. T1 #rnchat
@dorameulman T1 I meant using Twitter for professional nursing care
delivery to effectively & quickly communicate with others
rnchat #RNchat
T1 Twitter and other sm are just tools to do what we already do-just
nursingpins have more ways to do it with sm - only limited by imigination. #RNchat

5. RT @nursingpins: T1 Twitter and other sm are just tools to do what we
already do-just have more ways to do it with sm - only limited by
mcgaula imigination. #RNchat
@rnchat T1 #RNchat I envision a medical tablet that is small, can be
carried on a nurse's person,& can be used to chart, scan
grimalkinrn meds, track pt
T1: For communicating c members of care team, not sure texting isn't
ehanesrn equally as efficient as Twitter, and more secure. #rnchat
@WillowRN some of my patients - including one recently are so
addicted to their crackberries they'd fight a well meaning spouse...
pamsvulcan #RNChat
T1 I know of diabetic educators who are using Twitter to help regulate
rnchat insulin on new diabetics who tweet their finger stick glucose #RNchat
Just thinking: what if the patient had a tablet with pictured buttons,
Emergiblog they press and auto tweet goes to RN cell phone with need #rnchat
nursingpins @grimalkinrn I see that too. #RNchat
@rnchat #RNchat An internal social media system could auto tweet
WillowRN VS, heart monitor, pt flow info, to the RN, Doc, also pt family.
...before letting go of their smartphone and leaving off the texting post-
pamsvulcan op #RNChat
T1 Would love to tweet ETA of nurse visits to homecare pts if they had
holisticnurses a company supplied mobile device. #rnchat
RT @rnchat:I know of diabetic educators using Twitter to help regulate
ehanesrn insulin on new diabetics who tweet their finger stick glucose #rnchat
@ehanesrn T1 Texting is great but you need a cell &
rnchat reception. With Twitter you can also communicate via web. #RNchat
@Emergiblog T1 that would be great - like a picture menu - could
pamsvulcan overcome some language barriers #RNChat
@Emergiblog Careful there, you're tweeting out multi-million $ ideas
pcam #rnchat
#Rnchat T1 I can also see where social media can be overused &
WillowRN amp; interfere w/personal communication/presence in the hospital.

6. @rnchat T1 True. Who doesn't have a cell and reception? LOL JK
ehanesrn #rnchat
WillowRN @PamsVulcan We mus have similar patients. #RNChat
T1 ***I just want to say, all of your suggestions on Twitter use in
rnchat nursing care delivery are terrific!!*** Great ideas folks! #RNchat
#RNchat T1 I don't see it happening any time soon. Not enough of my
dorameulman peers on Twitter!
T1 As Phil has envisioned - machines will be tweeting too - so many
nursingpins possibilities - new uses are found every day - an exciting time. #RNchat
RT @Emergiblog: thinking: what if pt had a tablet with pictured
buttons, they press and auto tweet goes to RN cell phone with need
ehanesrn #rnchat
@ehanesrn yes, simplified devices for patients to use would be ideal! T1
holisticnurses #rnchat
RT @dorameulman: #RNchat T1 I dont see it happening any time
soon. Not enough of my peers on Twitter! << YES!
ehanesrn #rnchat
@dorameulman Good reason to increase informatics focus in the
nursingpins nursing schools. (Will catch on faster than many think. #RNchat
T1 Well, remember, if we all keep this up, one day soon, Twitter may
rnchat reach a hospital near you! :) #RNchat
@ehanesrn there are restaurants already using iPads for their menu
pamsvulcan systems - the only issue would be finding $ for the tech #RNChat
#RNchat T1: I love Twitter but honestly I think you all are on a
dorameulman different planter to me. Don't see it any time soon :(
T1 Its almost like how cellphones were 20 yrs ago. Soon social media
rnchat communication will be prime turf for sending/receiving info #RNchat
It is so hard to realize that not everyone is active on social
Emergiblog media/networking sites - I am up to my hairline in it! : D #rnchat
T1 hospital here using twitter to notify nurses of schedule changes and
nursingpins needs. #RNchat
@nursingpins T1 I think nursing informatics focuses more on
ehanesrn traditional IT than social media. More balance would be good. #rnchat

7. OK, 2 more minutes & I will tweet the next topic. I
thoroughly enjoyed everyones Twitter ideas! Cant wait to read them
rnchat again later! #RNchat
ehanesrn @nursingpins T1 Wow, that's progressive! Kudos. #rnchat
ehanesrn @pamsvulcan $$ always the issue, no matter the question! :-) #rnchat
T1 some of my co-workers are so active on social media it's quicker to
pamsvulcan send them a direct message - than call their homes #RNChat
RT @Emergiblog: It is so hard to realize that not everyone is active on
ehanesrn social media sites - I am up to my hairline in it! #rnchat
@ehanesrn Informatics - adding sm - one of @onlinenursing
requirements is to attend an online nursing chat. (It is coming
nursingpins #RNchat
T1 Currently, at my facility, we are not allowed to access sites like
rnchat Twitter from hospital computers. Those sites are blocked. #RNchat
RT @nursingpins: Informatics - adding sm - one of @onlinenursing
requirements is to attend an online nursing chat. <<
ehanesrn Good! #rnchat
@ehanesrn ahh but with the right spin - patient satisfaction/safety, etc
pamsvulcan someone may pay for at least one unit to try it out #RNChat
@pamsvulcan In the midst of hard fight c administration to allow soc
ehanesrn media at all in our private med grp. Very tough battle. #rnchat
OK moving on to T2....... and, again, please will a few of you RT the
rnchat tweet so everyone sees it? #RNchat
RT @rnchat: T1 At my facility, we are not allowed to access sites like
Twitter from hosp computers. Those sites blocked. < ditto.
ehanesrn #rnchat
T2 You've all been recipients of varied #RNchat topics over the past
rnchat year. Now its YOUR turn to suggest good topics for future chats! Ideas?
RT @rnchat: T2 You've all been recipients of varied #RNchat topics
over the past year. Now its YOUR turn to suggest good topics for future
WillowRN chats! Ideas?
RT @rnchat: OK moving on to T2....... and, again, please will a few of
seejanenurse you RT the tweet so everyone sees it? #RNchat

8. @rnchat T2 #RNchat I'd really be more interested in discussions of
grimalkinrn ethics, education, and RN growth.
T2 I will write each one down & save them! If we use your
rnchat topic, you win a month off in Maui! :) #RNchat
@ehanesrn I thing the restricts will continue to ease up-due to many
reasons - but especially due to work at the Mayo Clinic for sm.
nursingpins #RNchat
RT @rnchat: T2 You've all been recipients of varied #RNchat topics
ehanesrn over past year. Now its YOUR turn to suggest topics! Ideas? #rnchat
RT @rnchat: T2 You've been recipients of varied #RNchat topics...
Now its YOUR turn to suggest good topics for future chats! Ideas?
pamsvulcan #RNChat
Ethics is always good; the state of nursing education; advanced degrees
Emergiblog in nursing; how the profession will look in the future #rnchat
Emergiblog Work options outside the hospital; lateral violence; #rnchat
T2 How can specialty nursing associations be more collaborative in
improving patient care? Each org seems so separate in their aim.
holisticnurses #rnchat
T2: How about the recent IOM report? BSN as entry level for RNs?
ehanesrn Merits of DNP? #rnchat
@Emergiblog T2 #rnchat A chat on dealing with aspects of lateral
WillowRN violence would be great.
What responsibility do nurses have to drug seeking patients in all
Emergiblog areas? Are we contributing to addictions? #rnchat
Most excellent! RT @ehanesrn: T2: How about the recent IOM report?
Emergiblog BSN as entry level for RNs? Merits of DNP? #rnchat
T2 Hospital/Nurse relations (at an all time low) is a can of worms we
nursingpins can poke it - will continue to be a growing problem. #RNchat
T2 how different areas, units, hospitals are educating, precepting,
mentoring new RNs, filling in the gaps from school to real world
pamsvulcan #RNChat
Hello. It has been a while. T2: Union/Non-Union nursing discussion in
seejanenurse the future maybe. #RNchat

9. Emergiblog What do we want from our professional organizations? #rnchat
T2 Great suggestions, folks! Each one is excellent! I cant wait to use
rnchat many of them!! #RNchat
RT @Emergiblog: T2 What do we want from our professional
ehanesrn organizations? << Yes. #rnchat
RT @seejanenurse: T2: Union/Non-Union nursing discussion in the
future maybe. < Yes. Nurse unions not an issue in my area.
ehanesrn Curious. #rnchat
T2 What do you think about having an invited guest to a chat? Think its
rnchat too disorganized to have a speaker with Q & As? #RNchat
@MedoraRN @@eagleinRVA - happening right now is #RNchat - go to
nickdawson tweetchat.com and enter RNCHAT, ya'll would love it!
rnchat @nickdawson Thanks so much for letting others know! :) #RNchat
nursingpins @rnchat I think it would be a great idea! (Invited gueats #RNchat
ehanesrn @rnchat T2 I like the idea of invited guests. #rnchat
@rnchat T2 invited guest for Q&A would be a great idea -
pamsvulcan just need some heads up about the person's area of expertise #RNChat
T2 LOL maybe the President would like to come and do a Twitter chat
rnchat with some of America's nurses? He tweets, no? :) #RNchat
@rnchat LOL. Isn't there a RN equivalent to the Surgeon General?? T2
ehanesrn #rnchat
WillowRN @RNchat I believe an intern at OFA tweets. #RNchat
I'm all for it. RT @rnchat: T2 What do you think about having an
holisticnurses invited guest . #rnchat
Yes! A Chief nursing officer RT @ehanesrn: @rnchat LOL. Isnt there a
Emergiblog RN equivalent to the Surgeon General?? T2 #rnchat
So grt! RT @RNchat I know of diabetic educators using Twitter to help
JaeSelle regulate insulin on diabetics who tweet their glucose # #RNchat
T2 We could ask Teri Mills to talk about the National Nurse position
Emergiblog #rnchat
T2 OK, maybe we can have a few experts in different areas ie. nursing
rnchat education, ethics, unions, etc. That may be an idea to stir! #RNchat

10. T2 Discuss the pros and cons of blogging as a professional; pitfalls, how
Emergiblog to safely navigate HIPAA #rnchat
@rnchat #RNchat T2 A chat on getting where you want to go,
networking in hospitals could be helpful, esp for our many
WillowRN students/new grads.
T2 also ways nurses can advocate for improved staffing issues. we talk
holisticnurses about it but how do we do it. #rnchat
T2 or Shalala:(Guest) putting nurses in right place,right time improv
nursingpins quality.Nurses must get out of shift ment to lead(Today :) #RNchat
#RNchat T1 we are better educated BUT are we delivering better
dorameulman patient care? Are we teaching new nurses how to be caregivers?
RT @WillowRN: @rnchat #RNchat T2 A chat on getting where you
want to go, networking in hospitals could be helpful, esp for our many
FreshRN students/new grads.
Be sure and let us know who wins the month off in Maui; I need to buy
Emergiblog some sunblock while it's still in the stores! : D #rnchat
What a wonderfully creative group of #nurses (& others)
tonite! It's been a total pleasure to moderate this chat! Wonderful
rnchat minds! #RNchat
@RNchat The President has a twitter account. There's no harm in
joysyfu trying. =) #RNchat
Gotta run. Thanks to everyone for the chat and the RTs! Can't wait for
ehanesrn next time. #rnchat
Looking forward to slowly digesting everyone's ideas when this chat is
rnchat put into a transcript! Deepest thanks to every one of U! #RNchat
#RNChat #T2 Caring for yourself as a nurse could be an interesting
topic. Preventing injury, burnout, TMJ, Ulcers (says the RN w/an
WillowRN ulcer)
Emergiblog It's been fun! Off to blog! : ) #rnchat
I'm gonna wind up our hour of fun & I thank everyone for
joining in & sharing your ideas. #Nurses rock. Proud to be
rnchat one! #RNchat
nursingpins Sorry it must end - Thanks Ellen - great job as always. #RNchat

11. pamsvulcan This has been a pleasure! #RNChat
RT @nursingpins: Sorry it must end - Thanks Ellen - great job as
WillowRN always. #RNchat
T2 Great question that would help families! @dorameulman Are we
holisticnurses teaching new nurses how to be caregivers? #rnchat
Wish I could thank each & every one of you individually.
Maybe tomorrow I'll hunt you all down. @EllenRichter saying goodnite
rnchat all! #RNchat
Anyone who hasnt already followed the other nurses in the chat, please
do so! Lets grow our #nursing community on Twitter & in
rnchat #hcsm #RNchat
The Looming Physician Shortage: Does This Chart Frighten You? http:
chukwumaonyeije //t.co/KKBkKxl #MDChat #RNChat #hcsm
T2 Yes indeed! @WillowRN Burnout is a big issue! Always an
holisticnurses important topic. #rnchat
alrighty. signing off rnchat and tweetgrid. takes some getting used to...
holisticnurses tweetgrid. #rnchat
Be on the look-out for tweets tomorrow with the link to the transcript
rnchat of tonight's Twitter chat. RT the link to your RN buddies! #RNchat
@holisticnurses T2 #rnchat Stress is a continued problem for nsg. I've
WillowRN now cared for 3 RNs w ruptured stress ulcers, not H. pylori.
JohnettaMiner #RNchat #nurses rock
RT @WillowRN: T2 #rnchat It'd be interesting to read statistics re:
stress-related illness & nurses. Would love to create a retreat
holisticnurses for RNs!
Tea, prayers, & peace surrounding my soul knowing a sweet
nurse in ATL tucked dad in 2nite. #RNchat Sweet Dreams all. ~Peace
JOYFULLTOO and Love~
@Nurses_Network Hi there! Holler at me tomorrow when you get a
chance & I'll explain to you about the Twitter chats &
EllenRichter amp; their times! #RNchat

12. RT @rnchat: Be on the look-out for tweets tomorrow with the link to
the transcript of tonight's Twitter chat. RT the link to your RN buddies!
FreshRN #RNchat
@holisticnurses @WillowRN #rnchat Now, a retreat for nurses---that's
nursekeith something we could all get behind!
@nursekeith Tweetgrid.com &Tweetchat.com are sites to
allow u to participate in chats. Sign in w/ Twitter acct and enter
holisticnurses #RNchat hashtag.
Any investors out there? RT @nursekeith: @holisticnurses
@WillowRN #rnchat a retreat for nurses---that's something we could
holisticnurses all get behind!