Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information. Topic: T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?

1. rnchat: One hour until #RNchat! Consider using http://TweetChat.com. Come join us!
3/23/2010 11:01
rnchat: Welcome to today's #RNchat! Our chat will begin in a moment, but first introduce
yourselves!
3/23/2010 12:01
ali_rn: worked a double and then slept 4 hrs, not sure i'm awake but ready for #rnchat
3/23/2010 12:02
EllenRichter: Anyone having trouble participating in a Twitter chat? I like to use http://tweetgrid.com ~I
make a column for #RNchat
3/23/2010 12:02
ali_rn: RT @ali_rn: ali-medical nurse for 6 yrs #rnchat
3/23/2010 12:03
EllenRichter: @ali_rn Oooo....those doubles are killers! #RNchat
3/23/2010 12:03
grimalkinrn: Med Surg RN, Denver Colorado. Also Skin & Wound resource RN, preceptor. JUST GOT
MY ACCEPTANCE LETTER FOR BSN PROGRAM. #rnchat
3/23/2010 12:03
rnchat: OK, first topic coming up in one minute. Please prepend your answers to topics with T1,
T2, etc. #RNchat
3/23/2010 12:04
oncnurse66: BSN student, RN in Oncology from SW Missouri #RNchat
3/23/2010 12:04
ali_rn: @grimalkinrn whoo-hoo, have not made that leap yet #rnchat
3/23/2010 12:04
philbaumann: I'm moderating #RNchat right now. Jump in or spy. We'll talk a bit about #hcr too
3/23/2010 12:05
rnchat: T1 Health Care Reform: What impact will the recent act's passage have on nursing?
What reforms would you like to see take place? #RNchat
3/23/2010 12:05
EllenRichter: Hi Twitter mates! I'm a critical care RN (off today....yay) & I work w/ attys to help them
understand the intricacies of health care #RNchat
3/23/2010 12:05
ali_rn: @EllenRichter the kids who get up at 5am are worse! #RNchat
3/23/2010 12:05
bthenextstep: well hello everyone! I had time this afternoon to pop in! I'm a critical care RN of 5 yrs. bsn
student currently in the ICU #rnchat
3/23/2010 12:05
Lifes_Dash: RT @PhilBaumann: I'm moderating #RNchat right now. Jump in or spy. We'll talk a bit
about #hcr too
3/23/2010 12:06
onlinenursing: Hey #RNChat friends! Terri - Missouri - NP, Educator, maybe someday finish dissertation

2. for PhD :)
3/23/2010 12:06
tersenurse: Logan here, RN BSN 1 yr med surg exp new burn ICU nurse #RNchat
3/23/2010 12:07
EllenRichter: @grimalkinrn Congrats on getting accepted to a BSN program! :) #RNchat
3/23/2010 12:07
oncnurse66: T1 I am not sure what changes will occur I tried to read the actual bill and it was in greek
#RNchat
3/23/2010 12:08
nursekama: Hi Everyone! Psych/mental health nurse from Ontario. Looking forward to today's
discussions. #rnchat
3/23/2010 12:08
JoeCascio: I'm Joe Cascio, technologist, former CTO of a cardiology imaging co. Watching the
POTUS press the flesh after signing #HCR into law. #RNchat
3/23/2010 12:09
EllenRichter: T1 It will be nice to see more patients given health care options they never had because
they will now have some kind of insurance #RNchat
3/23/2010 12:09
bthenextstep: @onlinenursing and a hi/hello back at ya! #rnchat
3/23/2010 12:09
bthenextstep: tweetchat seems to be wonky today... #rnchat
3/23/2010 12:09
tersenurse: t1 I agree with Ellen, also I look forward to staff being more aware of what things cost.
#rnchat
3/23/2010 12:09
onlinenursing: T1 thing I would like -access 2 preventative ed 4 everyone who needs it w/RN w/o
insurance ref ex-DM, HTN, asthma ed, obesity, nutr #RNChat
3/23/2010 12:10
bthenextstep: @oncnurse66 I know the feeling.. on trying to read the new hc reform bill! #rnchat
3/23/2010 12:10
grimalkinrn: t1 #RNCHAT I am hoping to see fewer of my patients bankrupted by their illnesses. I
hope to see more people with access to health care.
3/23/2010 12:10
cyclingwidow: Hi all, spending part of my lunch with you. Kim, background in surgical, cardiac, infection
control an currently IT! #rnchat
3/23/2010 12:10
oncnurse66: T1 very worried about what will happen to my Oncology pts who have only Medicare
coverage #RNchat
3/23/2010 12:10
EllenRichter: T1 It will be interesting to see how small businesses get around the 50 employee rule too
#RNchat
3/23/2010 12:10

3. bthenextstep: t1 can someone shed some light on the 'highlights' of this hc reform bill's impact on rn's??
#rnchat
3/23/2010 12:11
tersenurse: t1: i'm hoping that the majority of america will c the changes in action & will understand
that this really is aimed at helping them #rnchat
3/23/2010 12:11
EllenRichter: T1 I hear that the fines imposed on small businesses to NOT cover their employees will
cost less than covering them! Hmmm... #RNchat
3/23/2010 12:11
ocdgirl2000: #rnchat ?now?
3/23/2010 12:11
tersenurse: RT @grimalkinrn: t1 #RNCHAT I am hoping to see fewer of my patients bankrupted by
their illnesses. I hope to see more people with access to health care.
3/23/2010 12:12
nursekama: T1 Equal access to health care! #rnchat
3/23/2010 12:12
bthenextstep: t1 I'm aware of the other 'impacts'.. but not sure how to answer t1 question? #rnchat
3/23/2010 12:12
onlinenursing: @EllenRichter T1 looking forward 2 hving pts w/health insurance/30-40% of my rural
health pts hv no insurance(cost/preexisting) #RNChat
3/23/2010 12:12
BenefitStudioTO: RT @EllenRichter: It will be nice to see more patients given healthcare opt. they never
had b/c they will now have some kind of ins. #RNchat
3/23/2010 12:13
bthenextstep: t1 will this equal access cause a 'surge' of admissions? #rnchat
3/23/2010 12:13
tersenurse: @onlinenursing @EllenRichter @grimalkinrn couldn't agree with you all more about T1
#rnchat
3/23/2010 12:13
cyclingwidow: T1 it is a start but I am very concerned. They can't manage SS, Medicare/caid, the postal
service.....but it is a start #rnchat
3/23/2010 12:13
bthenextstep: t1 do you think this hc reform bill will 'affect' our bottom dollar - as in our salaries? #rnchat
3/23/2010 12:14
EllenRichter: T1 Yes our current health care system is in such need for change that anything we do
seems inadequate compared to the big problem #RNchat
3/23/2010 12:14
cyclingwidow: @bthenextstep hopefully we will see fewer admissions due to better access to primary
care #rnchat
3/23/2010 12:14
oncnurse66: @cyclingwidow t1 I couldn't agree more. It seems that every government managed
endeavor is a mess #RNchat

4. 3/23/2010 12:15
onlinenursing: @bthenextstep Good point T1- surge (but maybe less in the ER? or more prventative
care) also just in time for mass of baby boomers #RNChat
3/23/2010 12:15
EllenRichter: @bthenextstep I believe that health care reform will B a good thing for RN profession in
the long run. It will guarantee us jobs. #RNchat
3/23/2010 12:15
onlinenursing: @cyclingwidow agree with pt to access to primary care :). #RNChat
3/23/2010 12:16
bthenextstep: @cyclingwidow never thought of it that way. good point. #rnchat
3/23/2010 12:16
JoeCascio: @EllenRichter Can you expand a bit on the 50 employee rule you mentioned? #RNchat
3/23/2010 12:16
InfusionNurse: Just saying hi to all..can't join chat today...have fun! #rnchat
3/23/2010 12:16
EllenRichter: T1 As nurses, we all know that anything to do with health care will require nursing
intervention. We are the backbone of the system #RNchat
3/23/2010 12:16
bthenextstep: t1 don't get me wrong - I'm all for providing proper health care coverage for all. Just
seems this bill is a lot of swiss cheese. #rnchat
3/23/2010 12:17
onlinenursing: RT @oncnurse66: @cyclingwidow t1 I couldn't agree more. It seems that every
government managed endeavor is a mess #RNchat (tee hee. true)
3/23/2010 12:17
bthenextstep: @EllenRichter good point... #RNchat
3/23/2010 12:17
EllenRichter: @JoeCascio I wish I could look for a link for you but I dont want to miss the chat. I will
send later. #RNchat
3/23/2010 12:17
EllenRichter: @JoeCascio Under 50 employees, health care coverage not required by owner...over 50
if U dont cover employees you pay fine instead #RNchat
3/23/2010 12:18
onlinenursing: @bthenextstep tee hee swiss chees and back room deals-That is what made it so
unpalatable. We need h/c reform bad #RNChat
3/23/2010 12:18
ocdgirl2000: #rnchat T1 oh my! missing this! Lynne Siegel. better late than never! I'm a gov worker, we
just experienced massive cutbacks to FY '11
3/23/2010 12:19
EllenRichter: @bthenextstep LOL, if you think the bill is swiss cheese, what would you call our current
health care system?? Black hole? :) #RNchat
3/23/2010 12:20

5. bthenextstep: t1 I guess i'm just very leary about this who reform package.. hopefully more good than
bad. #rnchat
3/23/2010 12:20
oncnurse66: @online nursing T1 We need health care reform and government reform. : ) #RNchat
3/23/2010 12:20
EllenRichter: @RNchat What a great turnout today!! Hello to everyone at the chat! Too many to Tweet
names but your tweets are great! #RNchat
3/23/2010 12:20
onlinenursing: T1 #RNChat - NY times article on passage was pretty good - http://nyti.ms/cgePyj might
be in there @JoeCascio @EllenRichter
3/23/2010 12:20
cyclingwidow: @onlinenursing we need healthcare COVERAGE reform. :) #rnchat
3/23/2010 12:21
bthenextstep: @EllenRichter ouch. touche'. well said - blackhole. LOL #RNchat
3/23/2010 12:21
EllenRichter: @onlinenursing Ohh...great link! :) #RNchat
3/23/2010 12:22
onlinenursing: RT @cyclingwidow: @onlinenursing we need healthcare COVERAGE reform. :) #rnchat
(ahhh yes... even better. Coverage reform - part 1)
3/23/2010 12:22
ocdgirl2000: #rnchat T1 it IS swiss cheese. You have to work in Gov to KNOW gov! they are mostly
incompetent eople who couldn't make it in private sector
3/23/2010 12:22
nursekama: @onlinenursing T1 Agree. Hopefully a greater focus on public health and community
nursing. Address social determinants of health. #rnchat
3/23/2010 12:23
NursingCenter: T1 sounds good for nsg & access for ins. coverage, concerned about cuts to outpt
programs- already seeing this here w/ pulm rehab #rnchat
3/23/2010 12:23
bthenextstep: t1 I guess I'm still on the fence over this whole debacle. I understand there will be
sacrifices made. Just taking it all in still #rnchat
3/23/2010 12:24
EllenRichter: @ocdgirl2000 You are our constant reminder of government #fail in their portion of the
health care industry. What a shame, right? #RNchat
3/23/2010 12:24
oncnurse66: would love to see greater access to preventative care for people. #RNchat
3/23/2010 12:24
onlinenursing: @cyclingwidow we do h/c bkwrds: ie-knw pt.obese/HTN/DM will have MI,but wont cover
prsnl trainer,nutritn ed 2 fix-just surgry & meds #RNChat
3/23/2010 12:25
grimalkinrn: RT @oncnurse66: would love to see greater access to preventative care for people.
#RNchat T1
3/23/2010 12:25

6. EllenRichter: T1 I guess nurses wont be paying into the higher taxes toward health care at salaries
over $250K! #RNchat
3/23/2010 12:25
FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife Care
http://su.pr/2rDZTF #RNChat
3/23/2010 12:26
onlinenursing: @ocdgirl2000 You hve good background for this topic- suggestions for improving govt.
h/c programs (if you had like a top 5 list?) #RNChat
3/23/2010 12:26
EllenRichter: Hopefully you will >> RT @oncnurse66: would love to see greater access to preventative
care for people #RNchat
3/23/2010 12:26
cyclingwidow: T1 how much of a burden will it put on employers to carry employee's children now to
TWENTY-SIX years of age? #rnchat
3/23/2010 12:26
tersenurse: @oncnurse66 #hcr should increase preventive medecine and make it available to
everyone #rnchat we'll keep our figners crossed
3/23/2010 12:26
onlinenursing: @grimalkinrn Where did you go to - looking 4 ur great insight today? Congrats on BSN
program! WOO HOO! #RNChat
3/23/2010 12:27
EllenRichter: T1 I think we are all on the same page as far as identifying all the health care changes
needed. Implementation is the tough part! #RNchat
3/23/2010 12:28
grimalkinrn: @onlinenursing Metro State in Denver. #RNChat
3/23/2010 12:28
ocdgirl2000: #rnchat T1 they are cutting hours on health room techs that work under school health
RNS! the ridiculous incompetent nurse managers STAY!OK?
3/23/2010 12:28
nursekama: @oncnurse66 Don't forget health promotion! #rnchat
3/23/2010 12:28
bthenextstep: RT @EllenRichter: T1 we are all on the same page as the health care changes needed.
Implementation is the tough part! well said #rnchat
3/23/2010 12:29
EllenRichter: @cyclingwidow Is that the new cutoff for children to be covered? Age 26? I hadnt seen
that yet! #RNchat
3/23/2010 12:29
NUR3563: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife
Care http://su.pr/2rDZTF #RNChat (Great article!)
3/23/2010 12:30
onlinenursing: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife
Care http://su.pr/2rDZTF #RNChat (Great article!)
3/23/2010 12:30

7. EllenRichter: T1 LOL @philbaumann if you didnt have #hcr as a topic today I'd be shocked! ;) #RNchat
3/23/2010 12:30
bthenextstep: @onlinenursing GREAT point about backwards healthcare. We know the solutions to the
problems.. but aren't willing to pay for them #rnchat
3/23/2010 12:31
swat_pellegrino: Any advice/tips for students just starting school? #rnchat
3/23/2010 12:31
bthenextstep: T1 we preach about being a proactive practice - yet we function in such a reactive
environment. *sigh* #rnchat
3/23/2010 12:31
philbaumann: @EllenRichter I actually only have 2 topics set because #hcr is huge. #RNchat
3/23/2010 12:31
2healthguru: say what? #RNchat on #healthreform; ok u got my attention....
3/23/2010 12:31
bthenextstep: @swat_pellegrino best advice - Never. Give. Up. #rnchat
3/23/2010 12:32
lyall: Word up #RNchat Aussie RN in WA & I've ivented a new specialty yo: #gangstanurse
#humour
3/23/2010 12:33
wantnews: @FutureofNursing #hcr access to OB-GYN and Midwife Care http://su.pr/2rDZTF
#RNChat (Great article!) Few States trying to take it away.
3/23/2010 12:33
rnchat: ATTENTION: I initially had on 2 topics today. Would you like to just continue #hcr since
it's so big? Let me know in 2 minutes!!! #RNchat
3/23/2010 12:33
cyclingwidow: @EllenRichter I've read 26 in several articles. #rnchat
3/23/2010 12:33
swat_pellegrino: Do male RNs get the same respect female RNs get? #rnchat
3/23/2010 12:34
2healthguru: #RNchat: will nurses step up into leadership? Context article here 4physician leadership
challenge; nursing equivalent? http://bit.ly/a0IGju
3/23/2010 12:34
EllenRichter: @bthenextstep Actually I think nursing are VERY proactive! In hospitals we have fall,
DVT, decubitus prevention just to name 3 #RNchat
3/23/2010 12:34
rnchat: @2healthguru :) #RNchat #healthreform
3/23/2010 12:34
EllenRichter: LOL my spelling and grammar suck today! :) #RNchat
3/23/2010 12:34
wantnews: RT @oncnurse66: would love to see greater access to preventative care for people.

8. #RNchat
3/23/2010 12:35
bthenextstep: @EllenRichter msunderstood me. WE are proactive - our hc system is reactive. a very
tough arrangement. #rnchat
3/23/2010 12:35
bthenextstep: @swat_pellegrino respect is always earned - regardless of your gender. #rnchat
3/23/2010 12:35
ocdgirl2000: #rnchat T1 since when does it make more sense 2 salvage Management jobs?pass
around RN's that cause hostile work environment,then cut techs?
3/23/2010 12:36
NursingCenter: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife
Care http://su.pr/2rDZTF #RNChat #rnchat
3/23/2010 12:36
onlinenursing: @2healthguru Good point #RNChat unfortunately RNs R very often not invited 2
table.Hearings h/c reform were 1st N lng tm ANA asked 2 tstify
3/23/2010 12:36
EllenRichter: @2healthguru Good question! Will nurses be ALLOWED to sit in leadership positions? We
are a force that is held back alot. :( #RNchat
3/23/2010 12:36
bthenextstep: @ocdgirl2000 T1 I guess it's called 'trimming' instead of cutting huh? LOL #rnchat
3/23/2010 12:37
EllenRichter: @bthenextstep Ahhh....sorry there! I definitely misunderstood u! ;) #RNchat
3/23/2010 12:37
deladie: RT @2healthguru: #RNchat: will nurses step up into leadership? Context article here
4physician leadership challenge; nursing equivalent? http://bit.ly/a0IGju
3/23/2010 12:37
rnchat: Let's just continue the rest of #RNchat with T1. Let it fly!!!!
3/23/2010 12:37
EllenRichter: T1 I always found that when nurses were given leadership positions in health care, those
were the institutions that moved forward #RNchat
3/23/2010 12:38
2healthguru: @EllenRichter @onlinenursing any culture that fails to value RN as central to patient care
team is flawed & toxic #RNChat
3/23/2010 12:38
bthenextstep: T1 are nurses not given the ldrshp positions in HC because we are the squeaky wheel?
we say what others wont? #rnchat
3/23/2010 12:39
2healthguru: #RNchat the business model where RNs are order takers is history
3/23/2010 12:39
EllenRichter: @2healthguru OOOooo....great adjectives! Flawed and toxic. I kinda agree 100% :)
#RNchat
3/23/2010 12:40

9. nursekama: T1 @deladie What role and position is your professional nursing association taking on?
#rnchat
3/23/2010 12:40
cyclingwidow: @EllenRichter my organization is very unique in that. CEO is also CNO, IT director is RN,
Quality-RN, Compliance/Regulatory-RN. :) #rnchat
3/23/2010 12:40
oncnurse66: RT @bthenextstep: T1 are nurses not given the ldrshp positions in HC because we are
the squeaky wheel? we say what others wont? #RNchat
3/23/2010 12:41
EllenRichter: @2healthguru GREAT POINT! The stigma of being the "order taker" is just horrid! Even
though we DO take orders, we do SO much more! #RNchat
3/23/2010 12:41
lyall: RT @2healthguru: @EllenRichter @onlinenursing any culture that fails to value RN as
central to patient care team is flawed & toxic #RNChat
3/23/2010 12:41
bthenextstep: @cyclingwidow OO. where do you work! can i get a job there! all RN ldrshp roles! #rnchat
3/23/2010 12:42
EllenRichter: @cyclingwidow You are very lucky to be working in the environment you are in. Enjoy
every second of it. Where is this? :) #RNchat
3/23/2010 12:42
NUR3563: RT @2healthguru: #RNchat the business model where RNs are order takers is history
(love it)
3/23/2010 12:42
onlinenursing: RT @2healthguru: #RNchat the business model where RNs are order takers is history
(love it)
3/23/2010 12:42
NursingCenters: Nurse leaders are part of #healthreform -- nurse-managed health centers are now
recognized for the first time in federal law. #RNchat
3/23/2010 12:42
bthenextstep: RT @onlinenursing: RT @2healthguru: #RNchat the business model where RNs are
order takers is history (love it) #rnchat
3/23/2010 12:43
EllenRichter: RT @NursingCenters RN leaders are part of #healthreform--RN-managed health centers
are now recognized for 1st time in federal law. #RNchat
3/23/2010 12:44
cyclingwidow: @bthenextstep @ellenrichter The Women's Hospital. Our parent organization also now
has an RN as the System CEO! #rnchat
3/23/2010 12:44
onlinenursing: @mike_hensgen Good point. Why don't you join us for discussion at #RNchat
3/23/2010 12:44
2healthguru: @EllenRichter how about being the eyes and ears of frontline risk management? what
about the impaired doc? #RNchat
3/23/2010 12:44

10. oncnurse66: t1 glad that I can add my 21 y/o son back ins sad that I know my employer will just pass
the cost on to me #RNchat
3/23/2010 12:44
Justamom3: RT @EllenRichter: RT @NursingCenters RN leaders are part of #healthreform--RN-
managed health centers are now recognized for 1st time in federal law. #RNchat
3/23/2010 12:45
RNconsult: Quality Health Care Begins Outside The ER...Door's with Patient Teaching and Advocacy.
Health Professionals must Lead !!!#RNchat #RNchat
3/23/2010 12:45
lyall: @2healthguru I'm not going to wait until I'm invited to provide nursing input #RNchat
*beingseriousnow*
3/23/2010 12:45
2healthguru: Amy best in class model of health care transformation will put the RN on that team and
not solely as an order taker #RNchat
3/23/2010 12:46
ocdgirl2000: #rnchat I think there will be tons of jobs for us out there,but no money to pay us
with.gross depression in finances 4 the country re taxes
3/23/2010 12:46
JoeCascio: Does anyone see any changes in the long term for co-ops or non-fee-for-service models
of delivery? #rnchat
3/23/2010 12:46
onlinenursing: #RNChat - good point @2healthguru @EllenRichter - what about not enough health care
providers? Who says RNs cant B 1st line 2 help w/that.
3/23/2010 12:46
EllenRichter: @2healthguru Oh, I think that we are still reeling from the past year's events related to
whistle-blowing endeavors! #RNchat
3/23/2010 12:46
nursekama: @lyall Good for you! Start advocating now! #rnchat
3/23/2010 12:47
bthenextstep: @2healthguru we know that - unfortunately those that need to know still are uninformed or
unaware. #rnchat
3/23/2010 12:47
onlinenursing: @lyall Your input is good. Please jump in... #RNChat is meeting of the minds, trying to
openly discuss real issues in real time.
3/23/2010 12:47
bthenextstep: @cyclingwidow that's awesome. congrats on a great place to work. #rnchat
3/23/2010 12:49
seejanenurse: @RNchat I am totally missing out! #RNchat. :(
3/23/2010 12:49
cyclingwidow: Nurses do SO much more that "provide care". Tired of the "just a nurse" mentality that
some have. Our input will be critical #rnchat
3/23/2010 12:49

11. bthenextstep: @onlinenursing absolutely! the problem is the immediacy of results would not be there to
justify the cost/benefit analyses. #rnchat
3/23/2010 12:50
EllenRichter: T1 If RNs R going to take role of front line health care managers we must raise the bar to
at least BSN, if not more, for those RNs #RNchat
3/23/2010 12:50
onlinenursing: @JoeCascio Good point.Many of my pts B4 were cashpay (no health insurance).Clinic
faird better w/this & it cost these pts less 4 h/c #RNChat
3/23/2010 12:50
EllenRichter: Isnt it great? >> RT @onlinenursing: #RNChat is meeting of the minds, trying to openly
discuss real issues in real time. #RNchat
3/23/2010 12:51
ocdgirl2000: #rnchat T1 but the money that was going to be used for school loans will now be used
for health care.right?
3/23/2010 12:51
tersenurse: @EllenRichter I agree 2 some extent but i'm concerned that there aren't enough rns to
take on the influx of pts we are about to get #rnchat
3/23/2010 12:51
maryannagordon: @EllenRichter T1 completely agree. We have to elevate our entry level of education
commensurate to the level of expertise required #Rnchat
3/23/2010 12:52
RNconsult: Hey this Doctor has a Point....Check this out !!! http://hbr.org/2010/04/turning-doctors-into-
leaders/ar/pr #RNchat
3/23/2010 12:52
onlinenursing: @bthenextstep neither is a lifetime of HTN/DM meds (not a quick fix either) #RNChat
3/23/2010 12:52
cyclingwidow: T1 be interested to see how this all ties in with ARRA/HITECH also #rnchat
3/23/2010 12:52
ocdgirl2000: #rnchat T1 what was it, in the healthcare bill tied to educational money, regarding the cost
of healthcare?
3/23/2010 12:53
onlinenursing: @tersenurse Hopefully the influx will be in primary care and out of the ER's and hospitals
where the uninsured have been coming #RNChat
3/23/2010 12:53
bthenextstep: @onlinenursing preaching to the choir on that one. I'm with ya. just a matter of getting
other on the same page. #RNChat
3/23/2010 12:54
bthenextstep: @maryannagordon @EllenRichter I would agree. higher education for all nurses is a key
ingredient. #Rnchat
3/23/2010 12:54
onlinenursing: @EllenRichter Yep #RNChat is totally great.
3/23/2010 12:55

12. tersenurse: @onlinenursing you don't think that with the influx to primary care we will catch more
illnesses that need hospitalization too? #rnchat
3/23/2010 12:55
nursekama: It will. RT @cyclingwidow: T1 Improved access to primary care should drive up demand
for Advanced Practice Nurses (APNs) as well #rnchat
3/23/2010 12:55
EllenRichter: @onlinenursing LOL I feel like a broken record. But I believe educational rise is
paramount in dissolving our current RN stigma #RNchat
3/23/2010 12:56
oncnurse66: RT @bthenextstep: I would agree. higher education for all nurses is a key ingredient.Yes
but with pay to match #RNchat
3/23/2010 12:56
Nerdnurse: RT @EllenRichter: @onlinenursing LOL I feel like a broken record. But I believe
educational rise is paramount in dissolving our current RN stigma #RNchat
3/23/2010 12:56
rnchat: @seejanenurse It's ok. I'll throw a transcript up soon. #RNchat
3/23/2010 12:56
rnchat: Wow! We're coming up on the hour. #RNchat
3/23/2010 12:57
maryannagordon: @RNconsult He's saying what many of us have been saying for years - the present
hierarchical culture cannot continue #rnchat
3/23/2010 12:57
bthenextstep: @oncnurse66 absolutely. higher education should = higher pay. #rnchat
3/23/2010 12:57
EllenRichter: @ocdgirl2000 I think doctors will be successful in the US if more of them approach their
practice like a business & pts like clients #RNchat
3/23/2010 12:57
tersenurse: @oncnurse66 my hospital gives differential for each educational stepping stone #rnchat
3/23/2010 12:58
ocdgirl2000: #rnchat T1 it's simply looking at other societies to see how they fared..ask the Nurses in
England,Australia,Russia?
3/23/2010 12:58
onlinenursing: @tersenurse hope those who R ill enough 2 need hospital go there anywy.We R going 2B
short staffed frm aging pop more thanh/c reform #RNChat
3/23/2010 12:58
rnchat: Any tweets of wisdom about healthcare reform or anything for that matter? #RNchat
3/23/2010 12:59
NursingCenter: @rnchat great - I've missed so much too! Will definitely read this...great discussion
happening! #rnchat
3/23/2010 12:59
oncnurse66: @tersenurse mine does too but it is insignifigant compared to the cost of my BSN
#RNchat
3/23/2010 12:59

13. tersenurse: @onlinenursing good point #rnchat
3/23/2010 12:59
onlinenursing: @bthenextstep No money in researching anything but drugs and surgery. Interesting that
it all comes back 2 that. #RNChat
3/23/2010 12:59
EllenRichter: Good link! >> RT @RNconsult: Hey this Doctor has a Point~Check this out!
http://hbr.org/2010/04/turning-doctors-into-leaders/ar/pr #RNchat
3/23/2010 13:00
onlinenursing: RT @bthenextstep @oncnurse66 absolutely-higher ed should = higher pay #rnchat Baw
ha ha - each degree=less money 4 me :)Just love nursing!
3/23/2010 13:00
bthenextstep: @onlinenursing it has to. always about money. in the end we as RN's still have to prove
our worth on the cost/benefit curve. #rnchat
3/23/2010 13:00
EllenRichter: RT @onlinenursing:Hopefully the influx will be in primary care & out of the ER's &
hospitals where the uninsured have been coming #RNchat
3/23/2010 13:01
oncnurse66: @onlinenursing the pride of accomplishment is worth more than $$....Ha Ha #RNchat
3/23/2010 13:01
onlinenursing: #RNChat wisdom - GO NURSING! WE can do it. We can be the change health care
needs.
3/23/2010 13:02
cyclingwidow: Now how to staff the influx to primary care? I know I can't afford the pay cut to work in
primary care #rnchat
3/23/2010 13:02
lyall: Universal healthcare hasn't diminished my freedom in Australia. #RNChat
3/23/2010 13:02
ocdgirl2000: @onlinenursing EXACTLY! there will be no money for education,unless you R child of
Pharma CEO! #rnchat
3/23/2010 13:02
rnchat: Thank you all for coming! The transcript of this chat will be up in a bit. The next #RNchat
will be announced soon as well. Enjoy your day!!
3/23/2010 13:03
bthenextstep: @rnchat awesome chat as always Phil. Always. I missed this stuff! #rnchat
3/23/2010 13:04
EllenRichter: Yes our poor abused ERs...hopefully #hcr will reduce the ridiculous cycles of
inappropriate ER visits! No insurance will pay for BS #RNchat
3/23/2010 13:04
bthenextstep: thanks for the chatting fellow tweets! have a great day. #rnchat
3/23/2010 13:05
RNconsult: Assessment and analysis....Gone.... Too many check boxes . Not enough time at the

14. bedside : ( #RNchat
3/23/2010 13:05
EllenRichter: Geez, is it an hour already? Thanks so much for the delightful & stimulating break in our
Tuesday @philbaumann ~Great #RNchat today!
3/23/2010 13:06
rnchat: Great work everyone! Wow, that was amazing! #RNchat
3/23/2010 13:07
EllenRichter: @RNchat If you need help to moderate a 2nd chat later this week you are welcome to
holler! :) #RNchat
3/23/2010 13:07
JoeCascio: @cyclingwidow Hi, saw you on #rnchat. Your bio says RN wrkng in IT. Are you involved
in EMRs at all?
3/23/2010 13:07
EllenRichter: @RNconsult Gee I think the check boxes has streamlined documentation & allows us
MORE time at the bedside! No? :( #RNchat
3/23/2010 13:08
ocdgirl2000: @RNCHAT Thank you Phil,as always,EXCELLENT,busy tweeting,my twitter page
bottlenecking!LOL! great group! #rnchat c-yas next time!
3/23/2010 13:08
JoeCascio: Interesting and thought-provoking #rnchat again today.
3/23/2010 13:09
mkopp1: Hope so! RT @EllenRichter Yes our poor abused ERs...hopefully #hcr will reduce the
inapprop ER visits! No insurance will pay for BS #RNchat
3/23/2010 13:11
seejanenurse: RT @lyall: Universal healthcare hasn't diminished my freedom in Australia. #RNChat
3/23/2010 13:11
MatthewBrowning: Darn! missed another #RNChat I'll watch for the transcript ;-)
3/23/2010 13:12
nurseantonio: RT @onlinenursing: #RNChat wisdom - GO NURSING! WE can do it. We can be the
change health care needs.
3/23/2010 13:12
adamcoyne: RT @FutureofNursing: Health Reform Winner: Increased access to OB-GYN and Midwife
Care http://su.pr/2rDZTF #RNChat #hcr
3/23/2010 13:16