Transcript of #RNchat, a Twitter chat for registered nurses, for March 16, 2010. Follow @RNchat for more or visit the blog http://RNchat.org Topics: T1 The Question Nursing Answers: "What is the effect of entire h/c process on the human being?" Discuss. T2 RN-LPN Relations: How healthy, overall, is the relationship between RNs & LPNs? T3 Nursing Startups: What businesses do you think nurses should build that could change the world?

1. tully3000: RT @consultdoc: Hospitals beginning to add policies to "care for caregivers" who are
involved in medical errors http://bit.ly/bePgqW #rnchat
3/16/2010 09:28
StressedFran: RT @PSeditor: RT @RNchat: RT @kevinmd Nursing Needs to Confront a Culture of
Bullying - http://bit.ly/dme9yM #RNchat < Totally!
3/16/2010 10:04
philbaumann: I'm moderating today's #RNchat at12pm EST. Join in or stalk. Tell your friends.
3/16/2010 10:58
EllenRichter: Raising the bar! ~Nursing practice is more difficult today than in 2007~ Difficulty of
NCLEX to be Increased http://i.cx/1h7 #RNchat #nurses
3/16/2010 11:29
rnchat: Welcome to #RNchat! Thank you for participating. Let's get started with introductions: tell
us who you are, what you do & what you love.
3/16/2010 12:01
andyatFAD: Andy McPhee, Senior Acquisitions Editor for FA Davis. Former RN still in healthcare, sort
of. #RNChat
3/16/2010 12:02
grimalkinrn: I am JoAnne. Med Surg RN, Skin & Wound Resource, Preceptor in Denver, Colorado!
#rnchat
3/16/2010 12:02
AshleighPugh_RN: @ONSmark @rnchat thanks excited to be here! #RNchat
3/16/2010 12:03
grimalkinrn: @andyatFAD Love the new user pic! #rnchat
3/16/2010 12:03
AshleighPugh_RN: I am Ashleigh, an Oncology Educator/Technology Coordinator in Toronto #RNchat
3/16/2010 12:04
andyatFAD: @grimalkinrn Thanks! Kinda goofy, I know. #RNChat
3/16/2010 12:04
onlinenursing: #RNChat - Terri Schmitt - RN, FNP, PhD Candidate - educator and rural FNP - looking
for my informatics students. Happy Tuesday!
3/16/2010 12:04
lorryschoenly: Lorry here - correctional nurse writer and educator. Glad for a writing break to chat with
you folks #rnchat
3/16/2010 12:04
NursingCenter: Hi everyone! I'm Lisa, clinical editor for LWW and NursingCenter.com. Love chatting with
all you nurses! #rnchat
3/16/2010 12:04
EllenRichter: Hi folks! Critical care RN & legal nurse consultant happy to be working from home so I
can join #RNchat today! :)
3/16/2010 12:04
mkopp1: #rnchat I'm Marie ER RN in MN. Been a while since I have been available to participate!
Waiting to pick kids up from preschool so not long

2. 3/16/2010 12:05
rnchat: We'll get started with our first topic in a minute. Please prepend your tweets with the
topic, eg T1, T2, etc. #RNchat
3/16/2010 12:05
nursechenene: #RNchat I'm an operating room nurse and first assistant at a Level I trauma and burn
center in SW Misssouri.
3/16/2010 12:05
nursekama: Kama, Clinical Nurse Specialist, Psych/Mental Health, London and St. Thomas. So
excited to join today's chat! #RNChat #RNChat
3/16/2010 12:05
acmessner17: I am Angie, ICU RN in Springfield, MO & in school to get my BSN, which is how I got
introduced to twitter! Hey Terri! #RNChat
3/16/2010 12:05
rnchat: I'm @PhilBaumann - started this funness. Trying to help nursing come to the 21st
Century. Among other things. #RNchat
3/16/2010 12:05
rnchat: T1 The Question Nursing Answers: "What is the effect of the entire h/c process on the
human being, from Wellness to Death?" Discuss. #RNchat
3/16/2010 12:06
ocdgirl2000: #rnchat Lynne from Montgomery County Gov, just got bad news,our Nurse manager is
leaving..awww..behavioral health,crisis services,addictions
3/16/2010 12:06
EllenRichter: Standing room only! :) Hi friends!! (too many to tweet--TMTT) #RNchat
3/16/2010 12:07
grimalkinrn: t1 When the process works, the HC process extends quality of life, but can hinder death,
cause denial, and prolonged suffering. #rnchat
3/16/2010 12:07
HauteSingleMama: I'm a student, still doing prerequisites :) I'm applying for the nursing program this fall!
#rnchat
3/16/2010 12:08
EllenRichter: T1 I think we USED to see the h/c process as happening ONCE someone got ill--now
prevention is number 1 goal in h/c #RNchat
3/16/2010 12:08
onlinenursing: @rnchat T1 - H/c should be natural and promote natural processes. Sometimes I worry
that the emph in h/c is medications and cutting. #RNChat
3/16/2010 12:08
onlinenursing: @grimalkinrn Excellent point! Agree #RNChat.
3/16/2010 12:09
ocdgirl2000: #rnchat T1 ok just copy /pasted the fast way..
3/16/2010 12:09
acmessner17: #RNChat: I sometimes feel that the h/c process intervenes too much in people's health,
and prolongs things that are inevitable (Agree!)
3/16/2010 12:09

3. rnchat: @acmessner17 Welcome! #RNchat
3/16/2010 12:10
OncologyNursing: Hi everyone! Carrie from ONS here. #RNchat
3/16/2010 12:10
NUR3563: RT @EllenRichter T1 I think we USED to see the h/c process as happening ONCE
someone got ill;now prevention is number 1 goal in h/c #RNchat
3/16/2010 12:10
EllenRichter: T1 Even at the point of death, we want to prevent pain & suffering ... isn't that preventive
medicine too? :) #RNchat
3/16/2010 12:10
lorryschoenly: In corrections we are moving from an episodic model to chronic care model. I don't like
the term but applaud the idea of a continuum #rnchat
3/16/2010 12:10
AshleighPugh_RN: T1 I would agree @EllenRichter #RNchat
3/16/2010 12:11
nursechenene: #RNchat I think emphasis should be on pt's wishes rather than what the h/c team wants
ie end of life decisions.
3/16/2010 12:12
nursekama: RT @AshleighPugh_RN: T1 I would agree @EllenRichter #RNChat
3/16/2010 12:12
acmessner17: @rnchat I also think that prevention is the biggest goal in h/c today, which is a great
focus I feel #RNchat
3/16/2010 12:12
nursekama: Can you expand on that at all? RT @ocdgirl2000: #rnchat T1 depends on the economy &
politics #RNChat
3/16/2010 12:13
grimalkinrn: T1 The idea of prevention and healthy lifestyle is vital to control DM, HTN, CAD, etc. HC
needs to focus on prevention. #rnchat
3/16/2010 12:14
EllenRichter: @grimalkinrn Yes, we really need to approach death with a more ethically acceptable
process in health care #RNchat
3/16/2010 12:14
NursingCenter: @EllenRichter T1 Absolutely~ In ICU, some of the best days are when ur pt has a "good"
death. #rnchat
3/16/2010 12:14
StephenNP: #RNchat T1 a great piece written by a colleague http://bit.ly/aKU8ss
3/16/2010 12:14
andyatFAD: Prevention may be the biggest goal but our entire hc system is set up for illness/acc. How
to adapt? #RNChat
3/16/2010 12:14
onlinenursing: @grimalkinrn Agree again & if peep R ready to die we label them 'passively suicidal'

4. (P.S.looking 4ward 2 death-will be less busy:) #RNChat
3/16/2010 12:15
ocdgirl2000: #rnchat T1 Hate to be so pragmatic, but it's the reality.We need to be able to deal with it,
and get out of our little "pretend" bubbles.
3/16/2010 12:15
NUR3563: RT @andyatFAD: Prevention may be the biggest goal but our entire hc system is set up
for illness/acc. How to adapt? #RNChat
3/16/2010 12:15
EllenRichter: Happy to RT this one! >> @NursingCenter: T1 Absolutely~ In ICU, some of the best days
are when ur pt has a "good" death. #rnchat
3/16/2010 12:15
NursingCenter: @onlinenursing LOL! Very true...Someone once said to me "I'll sleep when I'm dead" -
love that line! #rnchat
3/16/2010 12:16
EllenRichter: @StephenNP Thanks! Going to read it right after the chat! :) #RNchat
3/16/2010 12:16
mkopp1: #rnchat T1: prevention is key. And more focus to this area is still needed.
3/16/2010 12:16
andyatFAD: RT @StephenNP: #RNchat T1 a great piece written by a colleague http://bit.ly/aKU8ss
#RNChat
3/16/2010 12:16
rnchat: RT @NursingCenter: @EllenRichter T1 Absolutely~ In ICU, some of the best days are
when ur pt has a "good" death. #rnchat
3/16/2010 12:16
grimalkinrn: @onlinenursing t1 I think labeling anyone w/the word "suicidal" will have drastically neg
effects. "Comfort Care" more acceptable. #RNChat
3/16/2010 12:16
NursingCenter: @StephenNP Thanks for the link...will read after RNchat! #rnchat
3/16/2010 12:16
lorryschoenly: Prevention is part of correctional chronic care model-yes.Death-no. Nobody dies in
corrections-we send them to @ellenrichter etal:o) #rnchat
3/16/2010 12:17
ocdgirl2000: #rnchat T1 Have you read the health care bill that is presently waiting for votes?fully?
raise your hands/
3/16/2010 12:17
ONSmark: Me too, plus the NEJM article it cites: RT @EllenRichter: @StephenNP Thanks! Going to
read it right after the chat! :) #rnchat
3/16/2010 12:18
nursekama: Agree on prevention. In mental health, we focus on the experience of recovery vs. illness
or problem-based models. #RNChat #RNChat
3/16/2010 12:18
philbaumann: T1 We have a culture with an unhealthy view of death. We prolong suffering and curtail

5. the experience of living fully. #RNchat
3/16/2010 12:18
nursechenene: #RNchat health in the csection increase in USA is in the news again. The number of
inductions and sections is higher than any other country
3/16/2010 12:18
CIHC_ca: RT @nursekama: Agree on prevention. In mental health, we focus on the experience of
recovery vs. illness or problem-based models. #RNChat
3/16/2010 12:19
EllenRichter: T1 Yes, prevention (& education & transparency) R magic buzzwords in h/c & our only
hope to battle or biggest chronic conditions #RNchat
3/16/2010 12:19
EllenRichter: @lorryschoenly LOL, I think we all forget the T's from time to time! ;) #RNchat
3/16/2010 12:20
grimalkinrn: @lorryschoenly We all do it. #rnchat
3/16/2010 12:20
onlinenursing: @grimalkinrn Agree- label 'passively suicidal'. I have seen this diag, w/those who R not
terminal. like, even elderly pts #RNChat
3/16/2010 12:20
onlinenursing: @lorryschoenly You are so good to try and at least remember T1! #RNChat
3/16/2010 12:21
grimalkinrn: @onlinenursing T1 Some ppl do not want to fight their chronic health condition any
longer. That needs to be more acceptable. #RNChat
3/16/2010 12:22
nursechenene: #RNchat I feel death is my enemy during traumas not when it is part of natures course.
3/16/2010 12:22
onlinenursing: @nursechenene excellent point about surg intervention throughout the lifespan. T1- part
1 #RNChat
3/16/2010 12:22
acmessner17: #RNChat I think that the patients wishes needs to be something that is focused on more
in h/c and seen as acceptable
3/16/2010 12:23
onlinenursing: @nursechenene T1 -part 2 - another example, orthorscopic knee surg to fix knee pain
instead of wt. loss, PT -#1 proc. in us #RNChat
3/16/2010 12:23
grimalkinrn: Exactly!! RT @nursechenene: #RNchat I feel death is my enemy during traumas not
when it is part of natures course. #rnchat
3/16/2010 12:23
andyatFAD: T1 @philbaumann That decision is so difficult to make, even for us, I think. Too many
"what ifs" #RNChat
3/16/2010 12:24
philbaumann: @EllenRichter I know. It's a very difficult time. Tons of emotions involved. No "right" or
"wrong" answer either. #RNchat
3/16/2010 12:24

6. EllenRichter: @acmessner17 T1 Sadly there is no recourse for a family member who decides NOT to
follow an unresponsive pt's wishes #RNchat
3/16/2010 12:24
rnchat: Next topic coming up in two minutes. #RNchat
3/16/2010 12:25
nursechenene: @onlinenursing #RNchat Yes and with the same conclusion-get moving
3/16/2010 12:26
rnchat: T2 RN-LPN Relations: How healthy, overall, is the relationship between RNs & LPNs?
With other disciplines? #RNchat
3/16/2010 12:27
NursingCenter: T1 Many think of end-of-life care as "pulling the plug". Not the case - it's a process,
nurses r integral to helping pts/fam learn #rnchat
3/16/2010 12:27
EllenRichter: @rnchat I think nurses could discuss the frustrations in dealing with health care aspects
of death & dying for hours #RNchat
3/16/2010 12:27
ocdgirl2000: #rnchat T1 politics: gov run healthcare is quite different! inefficiency & incompetency runs
rampant..can't fire bad management
3/16/2010 12:27
EllenRichter: Great point! RT @NursingCenter: T1 Many think of end-of-life care as "pulling the plug".
Not the case - it's a process #RNchat
3/16/2010 12:28
Favored1Aqua: RT @OncologyNursing: RT @EllenRichter: 2 all the Nurses on twttr 2day RT @rnchat nxt
#RNchat - Tuesday 3/16 12p EST! - http://bit.ly/d9841Y
3/16/2010 12:28
nursechenene: #RNchat I can't weigh in on this one. We don't have LPN's in my area.
3/16/2010 12:28
davedawes: #RNchat What's an LPN?
3/16/2010 12:28
nursekama: @rnchat T2 Great question. I think we're struggling a bit in Ontario with our RN-RPN role
blurring. We're all under one college... #RNChat
3/16/2010 12:29
grimalkinrn: @davedawes Licensed Practical Nurse #rnchat
3/16/2010 12:29
EllenRichter: T2 I have not worked with an LPN since 1985!! I have worked in "all RN" facilities---so I
cant even comment! :( #RNchat
3/16/2010 12:29
grimalkinrn: T2 I love working as a team with LPNs, and with CNAs as well. LPNs can be a vital
resource when correctly trained, partnered. #rnchat
3/16/2010 12:30
NursingCenter: T2 - Never worked with LPNs. Worked closely with nursing assistants who were

7. awesome! #rnchat
3/16/2010 12:30
davedawes: Thanks @grimalkinrn but what is the difference between an LPN and an RN?
@davedawes Licensed Practical Nurse #rnchat
3/16/2010 12:30
nursekama: T2 Licensed Practical Nurse, LPN = Registered Practical Nurse, RPN (in Ontario,
Canada) #RNChat
3/16/2010 12:30
onlinenursing: @davedawes Good question. In the US. it is a liscenced practical nurse - 9-12 month
degree - basic nursing foundation #RNchat
3/16/2010 12:30
nursechenene: @NursingCenter Yes Many cultures honor the passing of life into death. Our culture fights
the inevitable rather that embrace it #RNchat
3/16/2010 12:30
andyatFAD: T2 Taught LPNs backintheday; RNs loved them but they've moved into mostly chronic
care now #RNChat
3/16/2010 12:31
EllenRichter: T2 I only remember, when I used to work with LPNs, they were delegated many RN tasks
to free RNs up 4 education & other vital roles #RNchat
3/16/2010 12:31
acmessner17: #RNChat T2 Me personally I have never witnessed any bad relationships btwn RN's &
LPN's, I feel that we are all in this field together
3/16/2010 12:31
MeredithGould: @RNchat I "lurk" on #RNchat b/c I <3 & respect nurses for contributing to hc...also I read
the entire Cherry Ames series!!!
3/16/2010 12:31
onlinenursing: @davedawes #RNChat - level of education, more technical.
3/16/2010 12:31
ocdgirl2000: #rnchat T2 LPN's can't live without 'em! they run our inpatient clinics!take care of our
patients
3/16/2010 12:32
EllenRichter: @MeredithGould LMAO @ Cherry Ames....that blasted open a dustball in my brain! ;)
#RNchat
3/16/2010 12:32
andyatFAD: T2 @acmessner I'm glad that's still the case. #RNChat
3/16/2010 12:32
ONSmark: T2 Article "RNs & LPNs: A Powerful Team" at http://bit.ly/ddf4f3 #rnchat
3/16/2010 12:32
onlinenursing: #RNchat - T2 - I thought we were discussing relationships with nurses (both LPN and
RN) with other disciplines? I am easily conf.
3/16/2010 12:33
nursekama: T2 At times there are issues between RN-RPN B/C they may be doing what they

8. consider as the "same job" & get paid differently too #RNChat
3/16/2010 12:33
ONSmark: From 2003, though! RT @ONSmark: T2 Article "RNs & LPNs: A Powerful Team" at
http://bit.ly/ddf4f3 #rnchat
3/16/2010 12:33
EllenRichter: @ocdgirl2000 T2 Glad to see they are an important part of your team...I really loved
working with LPNs #RNchat
3/16/2010 12:33
grimalkinrn: @EllenRichter I collect Cherry Ames books. When I was a little girl, going through burn
therapies, I wanted to BE CHERRY AMES, RN #RNchat
3/16/2010 12:33
nursekama: T2 There are differences in the education and therefore, critical thinking and it needs to
be acknowledged. Its not about tasks... #RNChat
3/16/2010 12:34
davedawes: #rnchat T2 we have care assistants in the UK who are delegated nursing tasks from RNs.
They don't have degrees or diplomas though.
3/16/2010 12:34
ocdgirl2000: #rnchat T2 Contract agency won't pay 4 RN's 2 take care of inpatients in County facility
who can't afford 2 pay them!addictions,no insurance
3/16/2010 12:34
EllenRichter: @nursekama T2 If RNs & LPNs are doing same job for diff pay, someone needs to re-
look @ those job descriptions! :( #RNchat
3/16/2010 12:34
nursechenene: @acmessner17 #RNchat I agree. I have seen rivalry. Usually a power thing by the one in
charge. Like others to know they are the boss
3/16/2010 12:35
nursekama: T2 My fear is we replace nurses (whether RN or RPN) w/ Personal Support Workers (who
do not provide the same level of care) b/c of $ #RNChat
3/16/2010 12:35
Nerdnurse: #RNchat T2 We have an entry into practice problem in the US that we desperately need
to resolve. Place for all, but should have diff license
3/16/2010 12:36
lorryschoenly: T2 - many LPNs in corrections. Relationship in any place governed by mutual
respect,understanding of licensure,delegation,job desc #rnchat
3/16/2010 12:36
acmessner17: RT @ONSmark: From 2003, though! RT @ONSmark: T2 Article "RNs & LPNs: A
Powerful Team" at http://bit.ly/ddf4f3 #rnchat
3/16/2010 12:36
andyatFAD: T2 @nursekama Is that the new name for nurse aides/assistants? #RNChat
3/16/2010 12:36
nursekama: @EllenRichter T2 Agreed! #RNChat
3/16/2010 12:36

9. onlinenursing: T2 - #RNChat - love my LPN in the office,couldn't see patients w/o her.My LPN bridge
students R also cery clinically competent in RN program
3/16/2010 12:36
grimalkinrn: @acmessner17 Thanks for the link, will check it out after the chat! #rnchat
3/16/2010 12:36
andyatFAD: @Nerdnurse T2 Oh, I so agree. We've had the problem for decades. Why can't we solve
it? #RNChat
3/16/2010 12:37
Nerdnurse: #RNchat T2 @nursekama Yes! And all research shows increased mortality and morbidity
when we don't have RNs at bedside. BSN best, in fact.
3/16/2010 12:37
nursekama: @andyatFAD T2 Yes, its a term we use in Ontario at least! Here's example education in
our Province: http://tinyurl.com/yjpaku2 #RNChat
3/16/2010 12:38
nursekama: RT @Nerdnurse: #RNchat T2 @nursekama Yes! And all research shows increased
mortality and morbidity when we dont have RNs at bedside #RNChat
3/16/2010 12:38
acmessner17: @grimalkinrn Thank @ONSmark for the link for the article, I'm just retweeting it to
everyone : ) #rnchat
3/16/2010 12:39
nursechenene: @acmessner17 #RNchat Thanks! I'll check it out.
3/16/2010 12:39
grimalkinrn: @andyatFAD @nerdnurse T2 If RNs want to be treated as part of the team by docs, etc,
we need to treat CNAs, LPNs as teammates. #rnchat
3/16/2010 12:39
EllenRichter: @ONSmark T2 Thanks for the article link! :) #RNchat
3/16/2010 12:39
Nerdnurse: @andyatFAD #RNchat T2 We are our own worst enemies with entry into practice
discussion. Research should guide the decision, not emotion.
3/16/2010 12:39
rnchat: Our final topic today is batting up in a moment. #RNchat
3/16/2010 12:40
grimalkinrn: T2 I also want to say that LPNs are great as teammates, but it's not fun to be taken away
from the bedside for more paperwork. #rnchat
3/16/2010 12:40
davedawes: @nursekama T2 that happens inUK where care assistants are often employed instead of
RNs because of £ (like $ but with Queen on them) #RNChat
3/16/2010 12:40
andyatFAD: @nursekama T2 Thanks for the link! We sometimes call them here personal care
assistants. #RNChat
3/16/2010 12:40
RNMark: @Nerdnurse RN has more critical thinking skill due to nature of education and deeper

10. science backgrounds. Makes sense. #RNChat
3/16/2010 12:41
andyatFAD: @Nerdnurse T2 Agree completely. #RNChat
3/16/2010 12:41
ONSmark: @EllenRichter Sure. & 4 yer ? about earnings, BLS has RN info @
www.bls.gov/oco/ocos083.htm & LPN info @ www.bls.gov/oco/ocos102.htm #rnchat
3/16/2010 12:41
acmessner17: @RNMark I agree with that #RNchat T2
3/16/2010 12:42
rnchat: T3 Nursing Startups: What businesses do you think nurses should build that could
change the world? #RNchat
3/16/2010 12:42
EllenRichter: @davedawes LOLLLL....love the definition! >> £ (like $ but with Queen on them) #RNchat
3/16/2010 12:42
nursekama: @grimalkinrn T2 Agree re: teamwork in practice, so where is that in the curriculum or
post-licensure education? #interprofessional #RNChat
3/16/2010 12:42
ocdgirl2000: #rnchat T2 we deliver our pre-poured doses of methadone to the facility,inpatient, the
LPN just monitors pt taking it,signs it off,locks up!
3/16/2010 12:43
davedawes: #rnchat There are a few nurse-led social enterprises in the UK that are trying to change
the world (like ours :)) T3
3/16/2010 12:44
Trybarefoot: Just signed on - catching up on the conversation... #RNChat
3/16/2010 12:44
nursekama: T3 Consultation Businesses! Check this out on Wound Care:
http://kohrconsulting.ca/index.htm #RNChat
3/16/2010 12:45
rnchat: @Trybarefoot Welcome! #RNchat
3/16/2010 12:45
RoRod101: Hello fellow nurses! Looks like I missed another great chat. T3 As nurses we are involved
in changing the world on a daily basis #RNchat
3/16/2010 12:45
nursekama: Glad you could join us! RT @rnchat: @Trybarefoot Welcome! #RNChat
3/16/2010 12:46
nursekama: Couldn't have said it better myself! RT @RoRod101: T3 As nurses we are involved in
changing the world on a daily basis #RNChat
3/16/2010 12:47
NursingCenter: RT @RoRod101 As nurses we are involved in changing the world on a daily basis
#rnchat
3/16/2010 12:47

11. acmessner17: @grimalkinrn I like your ideas, especially about improving and advancing RN education
#RNchat T3
3/16/2010 12:48
ocdgirl2000: #rnchat T3 Employment Law Human resources consultants. assisting RN's with with
CLAIMS against employers,onsite trainingcourses on BULLYING
3/16/2010 12:48
lorryschoenly: T3 - Nurses have, are, and will change the world! But there is always more to do with the
new avenues before us... #rnchat
3/16/2010 12:48
davedawes: #rnchat T3 I think the interesting thing about world-changing businesses is the
sustainability of the business models #socents
3/16/2010 12:48
EllenRichter: Had to take a call! LOL Now I cant find T3!!! #RNchat
3/16/2010 12:48
grimalkinrn: @acmessner17 Thanks! I need to put it more into my own practice and go for my BSN.
Just don't want more college. #RNchat
3/16/2010 12:49
grimalkinrn: @INQRIProgram Thanks! #rnchat
3/16/2010 12:49
rnchat: @EllenRichter http://twitter.com/RNchat/status/10577543527 #RNchat
3/16/2010 12:49
EllenRichter: @rnchat Thanks! #RNchat
3/16/2010 12:50
andyatFAD: T3 Uh, an RN for President? (Or PM, for those in the UK and Canada.) #RNChat
3/16/2010 12:50
EllenRichter: 3 I think anything related to home care is a good business endeavor. Anything to lower
inpatient costs could be profitable to RNs #RNchat
3/16/2010 12:50
davedawes: @RoRod101 #rnchat I like sentiment but i feel there must be a difference between
providing care for someone & "changing the world"
3/16/2010 12:50
acmessner17: @grimalkinrn I'm in school for my BSN right now, will graduate in December, really feel it
has advanced myself as an RN tremendously #RNchat
3/16/2010 12:50
Trybarefoot: T3 Love working w/ RNs - great perspective that I don't have! RT @RoRod101 ..we are
involved in changing the world on a daily basis #rnchat
3/16/2010 12:51
grimalkinrn: @acmessner17 I am afraid of Stats. #RNchat
3/16/2010 12:51
acmessner17: @grimalkinrn You should go for it, pursue your BSN, you can do it!!! : ) #RNchat
3/16/2010 12:52

12. grimalkinrn: @EllenRichter T3 I agree. Homecare agencies should be run by more nurses, not
executives. #RNchat
3/16/2010 12:52
ONSmark: There was an RN Surgeon General (Richard Carmona) RT @andyatFAD: T3 Uh, an RN
for President? (Or PM, for those in the UK and Canada) #rnchat
3/16/2010 12:52
RoRod101: @davedawes Nurses are not only care for patients but are researchers, consultants,
business owners, change agents, and much more #RNchat
3/16/2010 12:52
Trybarefoot: T3 I like to think that 'changing the world' is a great opportunity to work
#interprofessionally! No one profession can that on! #RNChat
3/16/2010 12:53
grimalkinrn: @acmessner17 I know. I need to call metro. #RNchat
3/16/2010 12:53
mkopp1: Ok I'm back. Had to get the kiddos. T3 defin. Homecare/hospice. #rnchat
3/16/2010 12:53
lorryschoenly: T3 - LOL Corrections is sorta home care behind bars... #rnchat
3/16/2010 12:53
RNMark: @grimalkinrn stats are easy.. 2+2 =4 68% of the time. :) #RNChat
3/16/2010 12:53
Carolde: RT @Nerdnurse: #RNchat T2 @nursekama Yes! And all research shows increased
mortality and morbidity when we don't have RNs at bedside. BSN best, in fact.
3/16/2010 12:54
andyatFAD: @ONSmark T3 True enough and rather invisible, don't you think? #RNChat
3/16/2010 12:54
ONSmark: Go for it! RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadian
politics...maybe Ill be Canadian PM one day ;) #rnchat
3/16/2010 12:54
andyatFAD: RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadian politics...maybe Ill
be Canadian PM one day ;) Go for it! #RNChat
3/16/2010 12:54
grimalkinrn: @RNMark Oh, that was kinda mean. #statsfear ADNS AREAWESOME. #RNChat
3/16/2010 12:55
EllenRichter: Great perspective! RT @lorryschoenly: T3 - LOL Corrections is sorta home care behind
bars... #rnchat
3/16/2010 12:55
Trybarefoot: Why NOT! :) RT @AshleighPugh_RN: @ONSmark I one day want to be in Canadian
politics...maybe I'll be Canadian PM one day ;) #RNchat
3/16/2010 12:55
ONSmark: Good point. I even had to look up his name :) RT @andyatFAD: @ONSmark T3 True
enough and rather invisible, dont you think? #rnchat
3/16/2010 12:55

13. RoRod101: There was an RN Surgeon General (Richard Carmona) T3 An RN for President? (Or PM,
for those in UK & Canada) #rnchat via @ONSmark @andyatFAD
3/16/2010 12:56
andyatFAD: RT @ONSmark: Good point. I even had to look up his name :) RT @andyatFAD:
@ONSmark T3 And he was mostly a physician, I think, right? #RNChat
3/16/2010 12:56
INQRIProgram: T3 Collaborationw/other disciplines.Ex: @EllenRichter mentioned homecare. We have a
nurse-pharma team preventing homecare med errors #rnchat
3/16/2010 12:56
grimalkinrn: Okay. I'm totally going to reapply to Metro after #rnchat, give Julie a call, get into prereqs
for the Summer. Really. Going to do it. #fear
3/16/2010 12:56
EllenRichter: T3 I also think with the right avenue of marketing RNs can help produce electronic
healthcare programs that actually meet our needs! #RNchat
3/16/2010 12:57
CIHC_ca: RT @Trybarefoot: T3 I like to think that 'changing the world' is a great opportunity to work
#interprofessionally! #RNChat
3/16/2010 12:57
davedawes: @RoRod101 I agree about all the diff roles but how is the world genuinely being changed
by every single one of these individuals? #RNchat
3/16/2010 12:57
rnchat: Our hour is coming up. We'll have a couple announcements, but first hit us with some
parting wisdom! #RNchat
3/16/2010 12:58
acmessner17: @grimalkinrn That's great, you can do whatever you put your mind to!!!! Good luck!
#RNchat
3/16/2010 12:58
davedawes: #rnchat Hospices are a great example of nurse entrepreneurship :)
3/16/2010 12:58
andyatFAD: Gotta run. Ciao, everyone, and thank you RNChat for a great session! #RNChat
3/16/2010 12:59
ONSmark: @andyatFAD Right, he "began as RN" then "built on that experience and pursued a
medical degree" per article @ http://bit.ly/dshmJE #rnchat
3/16/2010 12:59
grimalkinrn: Take time to pee! Your bladder will thank you when you're older!! #RNchat
3/16/2010 12:59
AshleighPugh_RN: @rnchat nurses have the power to positively impact the world....getting started we need a
stronger & more unified voice #RNchat
3/16/2010 12:59
Trybarefoot: T3 I've an RN colleague who has her own consulting business supporting/educating family
caregivers (meet @CareStrategies) #RNchat
3/16/2010 12:59

14. NursingCenter: @andyatFAD Bye Andy! Nice "seeing" you! #rnchat
3/16/2010 13:00
EllenRichter: @grimalkinrn LMAO! #RNchat
3/16/2010 13:00
NursingCenter: RT @INQRIProgram: "parting wisdom" - nurses need and deserve a voice at the table
when discussing quality in healthcare #rnchat
3/16/2010 13:00
NursingCenter: RT @AshleighPugh_RN nurses have the power to positively impact the world....getting
started we need a stronger & more unified voice #rnchat
3/16/2010 13:00
rnchat: Did you know we're starting to rollout #RNchat on Facebook http://bit.ly/9LDwwP &
LinkedIn http://bit.ly/9PYs2K ? Fan and connect.
3/16/2010 13:01
acmessner17: Going to head out, thanks #RNchat for a great chat session! Keep up the great work
everyone!! : )
3/16/2010 13:01
EllenRichter: @Trybarefoot T3 Yes, there are also nurse entrepreneur companies that oversee groups
of independent elderly #RNchat
3/16/2010 13:01
nursekama: RT @EllenRichter: T3 I think w/ right avenue of marketing RNs can help produce e-
healthcare programs that actually meet our needs #RNChat
3/16/2010 13:01
rnchat: THANK YOU everybody for coming to #RNchat. Let's do remarkable things for the
profession. It MUST advance. The world depends on it. :)
3/16/2010 13:01
RoRod101: Nurses have the power to positively impact the world...we need a stronger & more unified
voice #RNchat via @AshleighPugh_RN
3/16/2010 13:02
Trybarefoot: Parting wisdom -> oh how I've learned so much by being in the great company of RNs for
20 years! A privilege... #RNChat
3/16/2010 13:02
grimalkinrn: @EllenRichter I see everyone else's "parting wisdom" is more thoughtful, practical wisdom
is also useful. #RNchat
3/16/2010 13:02
rnchat: Our next #RNchat will be Friday 3/19 8:30pm EST! Mark your calenders and invite your
IRL co-workers. (We should make flyers!)
3/16/2010 13:03
NursingCenter: Great chatting with you all! Thank you @rnchat @philbaumann! #rnchat
3/16/2010 13:03
EllenRichter: @grimalkinrn I think yours was the best! ;) #RNchat
3/16/2010 13:03
mkopp1: Take care everyone! #rnchat
3/16/2010 13:03

15. ONSmark: Ditto! RT @NursingCenter: Great chatting with you all! Thank you @rnchat
@philbaumann! #rnchat
3/16/2010 13:04
grimalkinrn: @rnchat Will do my best and try to get off work at 7 23 MST! #RNchat
3/16/2010 13:04
philbaumann: @NursingCenter So glad you could make it! #RNchat
3/16/2010 13:04
AshleighPugh_RN: thanks everyone...it was a great 1st #RNchat
3/16/2010 13:04
RoRod101: Good to converse with fellow nurses & share thoughts for the betterment of nursing..Gotta
run, enjoy our brief but substantial talk #RNchat
3/16/2010 13:04
EllenRichter: @RNchat @philbaumann Great chat! Wonderful topics! They sent us tweeting our hearts
out! I may not be @ Fridays chat :( #RNchat
3/16/2010 13:04
EllenRichter: @AshleighPugh_RN Do come back!! :) #RNchat
3/16/2010 13:05
rnchat: Transcript of today's #RNchat will be up in a bit!
3/16/2010 13:05
StephenNP: @EllenRichter I agree! Nurses need to be at the table when we are discussing Health IT
issues (currently we are way underrepresented)#RNchat
3/16/2010 13:05
davedawes: #rnchat Lovely chatting with everyone and look forward to catching the next one that is
before midnight UK time :)
3/16/2010 13:05
AshleighPugh_RN: @EllenRichter will do for sure :) #RNchat
3/16/2010 13:05
rnchat: So many of you to thank! Wonderful #RNchat today. You're all so totally cool and
awesome it's painful! :)
3/16/2010 13:06
StephenNP: #RNchat Have a great day everyone - wonderful chat!
3/16/2010 13:06
EllenRichter: @StephenNP ~WAY underrepresented!! Possibly non-existent @ some companies!
#RNchat
3/16/2010 13:06
nursekama: @rnchat Thanks for having us! :) Take care all! #RNChat
3/16/2010 13:07
ocdgirl2000: #rnchat T3 Never forget! Nurses are also Employees!You too,will one day get old, want to
retire!Will your employer value you "THAT" much??
3/16/2010 13:09

16. nursechenene: #RNchat I'll do my best to join you Friday.
3/16/2010 13:09
rnchat: @EllenRichter lol - we'll still have it - there's so much to talk about. Endless really.
#RNchat
3/16/2010 13:10
rnchat: @MeredithGould Thank you! #RNchat
3/16/2010 13:10
Hospicecny: Do you have a #rnchat every day? week? I would like to tell out staff about it.
3/16/2010 13:11
rnchat: Next #RNchat will be Friday 3/19 8:30p EST! We'll do our best to serve different times,
etc.
3/16/2010 13:12
ocdgirl2000: RT @rnchat: Next #RNchat will be Friday 3/19 8:30p EST! We'll do our best to serve
different times, etc.
3/16/2010 13:13
rnchat: @ONSmark Thank you! #RNchat
3/16/2010 13:13
NytnGayle: RT @lorryschoenly: T3 - LOL Corrections is sorta home care behind bars... #rnchat
3/16/2010 13:13