Transcript of RNchat for April 9, 2010. RNchat is a Twitter chat for registered nurses. Follow @RNchat on Twitter for more http://Twitter.com/RNchat

1. philbaumann: @nursemichelle24 I wasn't planning on an #RNChat tonight. But I guess I can hold one
2night - any topic you'd like to see?
4/9/2010 20:29
nursemichelle24: I've never done an #RNChat or any other kind of chat for that matter! So I think I will need
to be guided!
4/9/2010 20:31
philbaumann: Sorry friends #RNchat wasn't schedule tonight. BUT I'll launch one anyway since there's
demand. Give me 10 minutes. - 9pm EST
4/9/2010 20:50
rnchat: Sorry friends #RNchat wasn't schedule tonight. BUT I'll launch one anyway since there's
demand. Give me 10 minutes. - 9pm EST
4/9/2010 20:50
tactile: @RNchat #RNchat Awesome!! Surprise #RNchat. I'm up for it!
4/9/2010 20:50
rnchat: @onlinenursing Last-minute decision: starting #rnchat at 9pm. I'll take topic a suggestion.
1st one I have should be interesting. :)
4/9/2010 20:54
rnchat: Welcome to #RNchat! This is an unscheduled chat. Consider using http://bit.ly/2fEg1K -
we'll start shortly. But 1st introduce yourselves!
4/9/2010 21:00
nursedave4: #RNChat I don't know if it will change much, still taking care of the pt in front of me
4/9/2010 21:00
SumTip: #RNChat Me too! My part will be just the same
4/9/2010 21:01
rnchat: @nursemichelle24 How #RNChat works is it's moderated. Moderator provided topics.
Follow along & you'll get the hang of it.
4/9/2010 21:02
nursemichelle24: Okay sounds good. #RNChat
4/9/2010 21:02
AMartinRN: #rnchat Alexa in Mo, RN X 12yr. , BSNstudent
4/9/2010 21:03
MatthewBrowning: RT @RNchat: Sorry friends #RNchat wasn't schedule tonight. BUT I'll launch one anyway
since there's demand. Give me 10 minutes. - 9pm EST
4/9/2010 21:03
nursemichelle24: My name is Michelle and I work in Pediatrics/PICU. I've only been an RN 18 months.
#RNChat
4/9/2010 21:04
SumTip: #RNChat I think it will mostly effect those with out insurance right now.
4/9/2010 21:04
SumTip: #RNChat I like the fact that children will stay on parents insurance longer
4/9/2010 21:04

2. tactile: RT @MatthewBrowning: RT @RNchat: Sorry friends #RNchat wasn't schedule tonight.
BUT I'll launch one anyway since there's demand. Give me 10 minutes. - 9pm EST
4/9/2010 21:05
grimalkinrn: RT @MatthewBrowning: RT @RNchat: Sorry friends #RNchat wasn't schedule tonight.
BUT I'll launch one anyway since there's demand. Give me 10 minutes. - 9pm EST
4/9/2010 21:05
rnchat: @SumTip Our topic for #RNchat will come up in a moment. Follow along & you'll get the
hang of it.
4/9/2010 21:05
rnchat: Before we get started, please prepend your answers to topics with topic number, eg T1,
T2, etc. #RNchat See http://RNchat.org for more.
4/9/2010 21:06
SumTip: #RNchat OK!
4/9/2010 21:06
nursedave4: #RNchat Dave Springfield, MO in Surgical ICU
4/9/2010 21:08
rnchat: T1 Profit of Healthcare: Is financial profit in healthcare moral? When might it not be?
When is it necessary? #RNchat
4/9/2010 21:08
nursedave4: #RNChat T1 profit is always the goal of any organization not for profit even has to make
money
4/9/2010 21:11
grimalkinrn: T1 #RNchat In order to provide healthcare, hospitals need to make money. Profit shouldn't
be sole focus of the hospital, should be pt care.
4/9/2010 21:13
nursemichelle24: T1 Who is profiting? The hospital, the health care providers? #RNChat
4/9/2010 21:13
tactile: T1 #RNchat I am working at a non profit hospital, but we are focusing on decreasing
costs b/c of influx of more uninsureds.
4/9/2010 21:14
AMartinRN: #rnchat it would be immoral when pts were refused care
4/9/2010 21:14
nursemichelle24: I work at a non-profit hospital. But every hospital must get money from outside providers
or somewhere in order to run. #RNChat
4/9/2010 21:14
nursedave4: #RNChat T1 Pofit incentives can be problematic if they lead to increased bonus, greed
can shadow care
4/9/2010 21:15
SumTip: #RNChat T1 Some profit is a must but there should be a limit. Do not get money hungry!
4/9/2010 21:15
chuymatt: T1 While turning a profit is not bad, does anyone think having pricing available would help
in keeping costs lower? #rnchat
4/9/2010 21:15

3. nursemichelle24: T1 How much money are insurance companies making and how do they decide what they
will or will not cover. How moral is that? #RNChat
4/9/2010 21:15
SumTip: #RNChat T1The government is not moral.
4/9/2010 21:16
nursedave4: #RNChat T1 insurance companies are in business to make money not be moral
4/9/2010 21:17
roni_b: T1 I also disagree with C-level bonuses in healthcare, esp when there are layoffs in care
providers #RNchat
4/9/2010 21:17
nursemichelle24: T1 Alexa-agree. The new health care plan will have issues but what is at the heart of it is
health care available to every American. #RNChat
4/9/2010 21:18
SumTip: #RNChat T1 Everybody needs insurance! So the health plan is good in some ways.
4/9/2010 21:20
nursedave4: #RNChat T1 having costs available to the public is a good way to keep honest, some
think anything made is too much though
4/9/2010 21:20
nursemichelle24: T1 Making money is not immoral. It's at what cost that sometimes makes it immoral.
#RNChat
4/9/2010 21:21
roni_b: T1 need to have transparency and accountability to increase public trust in healthcare
institutions #RNchat
4/9/2010 21:21
SumTip: #RNChat T1 Unfortunately money tends to make this world go round
4/9/2010 21:22
nursedave4: #RNChat T1 Depending on the market health systems may have to make more on
transactions than other markets just to make ends meet
4/9/2010 21:22
nursedave4: #RNChat T1 true rone_b more accountability may begin to return some trust, people are a
little gun shy now
4/9/2010 21:24
SumTip: #RNChat T1 True Dave. Health is not cheap!
4/9/2010 21:25
AMartinRN: #rnchat remember DRG's already decide how much the hospital is reinbursed and that's
sm. govt.
4/9/2010 21:26
rnchat: Second topic coming up in 2 minutes. #RNchat
4/9/2010 21:26
nursedave4: #RNChat T1 hospitals do not regain all that is charged that is why they work so hard to
keep overhead low, and waste cost low

4. 4/9/2010 21:27
nursedave4: #RNChat T1 much of the frustration isn't from paying for insurance, but paying for
insurance that does not cover needs
4/9/2010 21:28
rnchat: T2 Rebooting Nursing: If you could push a button, what one change in Nursing would you
want to make? #RNchat
4/9/2010 21:29
HauteSingleMama: RT @nursemichelle24: T1 Making money is not immoral. Its at what cost that sometimes
makes it immoral. #rnchat
4/9/2010 21:30
ELNC: #RNChat T1 Why are people so reluctant to pay for "their" healthcare?
4/9/2010 21:30
nursemichelle24: T1 People feel entitled to health care and that is why they complain about cost. #RNChat
4/9/2010 21:30
nursedave4: #RNChat T2 tough one for a new nurse to answer
4/9/2010 21:30
SumTip: #RNChat T1 People pay for so much of less importance. Why not health?
4/9/2010 21:32
AMartinRN: #rnchat T2 we are not the police for every one else in healthcare
4/9/2010 21:32
ELNC: #RNChat T2 Fewer pts ratio...to give the necessary care the pt's really require and the
"you" really want to give.
4/9/2010 21:32
sreeseRNMBA: T2 I think we need to be more involved in the "business" side of the equation...he who
has the gold rules #RNChat
4/9/2010 21:32
SumTip: #RNChat T2 YES! We are always short nurses it seems. I feel I can not do my best!
4/9/2010 21:33
ELNC: #RNChat T2 I think we all want to to the best we can, but given the high pt ratio it is
sometimes impossible.
4/9/2010 21:34
SumTip: #RNChat T2 We need to get nursing back to the old ways. To tech/business like.
4/9/2010 21:34
AMartinRN: #rnchat I would like to see nurses more unified as a collective group for more power to
enable us to drive our profession
4/9/2010 21:35
nursedave4: #RNChat T2 I agree if people cared more about the ins and outs of the system, business,
we could operate together better
4/9/2010 21:35
SumTip: #RNChat T2 When I have 6 plus pt I feel I neglect them.
4/9/2010 21:36

5. ELNC: #RNChat T2 There is so much patient teaching that just isn't getting done due to the high
pt ratio....it's sad.
4/9/2010 21:36
nursedave4: #RNChat T2 more unified would be nice, but it is hard to get unity in the hospital, little
lone the industry
4/9/2010 21:36
SumTip: #RNChat T2 I want to be able to give them all I can. 100%
4/9/2010 21:37
nursedave4: #RNChat T2 in business school we were tought those who learned all aspects of a
business or co. were most successful
4/9/2010 21:38
tactile: RT @ELNC: #RNChat T2 There is so much patient teaching that just isn't getting done
due to the high pt ratio....it's sad.
4/9/2010 21:38
ELNC: #RNChat T2 Unity is dfficult when nurses often times can't even work with the doctors.
We need to work together.
4/9/2010 21:38
sreeseRNMBA: T2 if we show we are competent with the business side of healthcare we will have a
greater say at table - #RNChat
4/9/2010 21:39
AMartinRN: #rnchat T2 unity would have to start at the industry level then work backwards to the
hosp., but the topic was if we could push a button
4/9/2010 21:39
ELNC: @SumTip #RNChat T2 and that is difficult these days.
4/9/2010 21:39
rnladyffchick: #RNChat is a nursing union an option?
4/9/2010 21:39
SumTip: #RNChat T2 Yes! We must learn to work together and be more easy to work with
4/9/2010 21:39
ELNC: @SumTip #RNChat T2 Absolutely!
4/9/2010 21:41
sreeseRNMBA: T2 @SumTip yes! #RNChat
4/9/2010 21:41
lacy_phillips: @SumTip Yes we are always short!!! And it is so hard to rely on float pool to make up for
lack of staffing #rnchat
4/9/2010 21:42
sreeseRNMBA: T2 no ratio is going to provide me with what I need in every situation...#RNChat
4/9/2010 21:42
SumTip: #RNChat T2 I love my job and all the wonderful people. I will just continue to do my best!
4/9/2010 21:43
rnchat: Third and last #RNchat topic coming up in 2 minutes.

6. 4/9/2010 21:43
nursemichelle24: T2 Pediatrics is either feast or famine! #RNChat
4/9/2010 21:44
ELNC: #RNChat T2 There has to be more that we would like to change...
4/9/2010 21:44
rnchat: T3 Web Literacy: Is Web Illiteracy a problem in nursing? If so, why? Is Web Literacy
valued enough in Nursing? #RNchat
4/9/2010 21:45
ELNC: #RNChat T2 Supervisors that can actually work on the floor they supervise...ie. able to
run a code!!!
4/9/2010 21:45
SumTip: #RNChat T2 Maybe less burnt out nurses!
4/9/2010 21:45
ELNC: @SumTip #RNChat T2 That is possible with less pt ratio...team players...and supportive
supervisor...etc.
4/9/2010 21:47
nursedave4: #RNChat T3 yes it is a problem, people do not use the tools available to problem solve, I
am at times part of this
4/9/2010 21:47
SumTip: #RNChat T3 Yes this is a problem!
4/9/2010 21:48
nursedave4: #RNChat T3 web literacy is not always valued, people do not always adapt to change and
the new, docs nurses etc
4/9/2010 21:49
SumTip: #RNChat T3 Those set in there old ways tend to have the biggest problem with change
4/9/2010 21:50
tactile: #RNchat T3 Web literacy is undervalued in nursing, and training on web based products
is not sufficient for those who did not have training.
4/9/2010 21:50
nursemichelle24: T3 I love MicroMedex. It saves me all the time! #RNChat
4/9/2010 21:51
nursedave4: #RNChat T3 by the time you are put on hold and finally get an answer, sometimes a
quick serch is quicker and easier
4/9/2010 21:51
SumTip: #RNChat T3 I do not always feel properly exposed or trained at times.
4/9/2010 21:52
nursemichelle24: The more web supports are used in our clinical practice, the more comfortable we will
become with them. #RNChat
4/9/2010 21:52
AMartinRN: #rnchat T3 this is a problem especially when the avg age of a RN is 47. I do not feel the
avg RN feels any value to web literacy
4/9/2010 21:53

7. nursedave4: #RNChat T3 more training would be nice, if interest could be gained, often training is just
done and completed because have to
4/9/2010 21:53
SumTip: #RNChat T3 YES! MicroMedex is AWESOME!
4/9/2010 21:53
nursemichelle24: T3 I also have Skyscape on my phone, so when my family asks me a medication
question I can tell them. #RNChat
4/9/2010 21:53
ELNC: #RNChat T3 I have never been able to access the web during work. No time.
4/9/2010 21:54
nursedave4: #RNChat T3 exposure is the only way to learn and become comfortable with any activity,
that is why practice makes perfect was said
4/9/2010 21:54
nursemichelle24: T3 I agree with Dave. If you don't use it, you don't value it, and vice versa. It is a catch
22. #RNChat
4/9/2010 21:54
tactile: T3 #RNchat Prior to nursing, I did a lot of tech training. My fellow RNs lean on me a lot
for help. I feel bad when I don't have time.
4/9/2010 21:55
ELNC: #RNChat T3 In the perfect world you would have time to access web to help with pt care
throughout the day. It could be a great tool .
4/9/2010 21:55
rnchat: RT @nursedave4: #RNChat T3 exposure is the only way to learn and become
comfortable with any activity, that is why practice makes perfect was said
4/9/2010 21:55
SumTip: #RNChat T3 I use the web at work when I can to answer questions I may have
4/9/2010 21:55
philbaumann: RT @ELNC: #RNChat T3 In the perfect world you would have time to access web to help
with pt care throughout the day. It could be a great tool .
4/9/2010 21:56
SumTip: #RNChat Good Night! This was FUN! Thank you!
4/9/2010 21:57
ELNC: @philbaumann #RNChat T3 Thanks Phil {wink}
4/9/2010 21:57
ELNC: @SumTip #RNChat T3 You are lucky that you have the time to access the web.
4/9/2010 21:58
ELNC: @SumTip #RNChat T3 Goodnight.
4/9/2010 21:58
SumTip: #RNChat T3 I do it while running down the hall with my COW
4/9/2010 21:59

8. rnchat: @SumTip Good night! Thanks for coming. Stay tuned for more on #RNchat
4/9/2010 21:59
AMartinRN: #RNChat thanks for doing an unscheduled chat for us, we appreciate it.
4/9/2010 21:59
rnchat: WOW - our hour is almost up. Lots of new people tonight! #RNchat
4/9/2010 22:00
ELNC: #RNChat T3 We could benefit and our pts could benefit even more if we were able to
access the web and research during our shift
4/9/2010 22:00
nursedave4: #RNChat Thank you for taking the time this evening
4/9/2010 22:00
ELNC: #RNChat T3 Goodnight from Colorado! Thanks for the chat..
4/9/2010 22:00
rnchat: Any parting thoughts? #RNchat
4/9/2010 22:01
rnchat: Note: We also have a Facebook Page - http://Facebook.com/RNchat #RNchat
4/9/2010 22:03
rnchat: THANK YOU everybody for another great #RNchat! A transcript of tonight's chat will be
up a bit later.
4/9/2010 22:04
roni_b: thanks! #RNchat
4/9/2010 22:04