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#RNchat Transcript for October 29, 2010
Follow @RNchat on Twitter for Regular Updates
RNchat.org
Twitter.com/RNchat
Moderated by @PhilBaumann
Topics by @NAPH1981
rnchat
Welcome to #RNchat and Happy Halloween! Our guest is @NAPH1981 who
is providing today's topics. We'll start in a moment.
rnchat
OK, let's get started with introductions! Tell us a little about yourself.
#RNchat
INQRIProgram
#RNChat - I'm Heather from the INQRI program. We fund interdisciplinary
teams researching link between #nursing & quality.
nursingpins Hey all, Vernon in N.O. - Critical care. #RNchat
NAPH1981
Hi all! happy to be here. We're an assoc for safety net US hospitals; ~
200members; we’ve got an advocacy arm, research & education
#RNchat
EllenRichter
Wow 2 days in a row for #RNchat ...this is a busy week! Hello folks! Happy to
be able to join in!
NAPH1981
Pls chk our list of members to see if you work at 1! You can get free webinars,
etc. Reach out to me if you do! http://ht.ly/31A6L #RNchat
EllenRichter
Ellen, a critical care nurse, nurse educator, & legal nurse
consultant in south Florida who loves #hcsm #RNchat
INQRIProgram
1 of our researchers is trying to start a convo re: being hospitalized on the
weekend: scary idea for Halloween http://bit.ly/cWvNis #RNChat
holisticnurses
Hi, Amy from NY. Telehealth RN for home care. I also dig holistic nursing!
#RNCHAT
EllenRichter
@NAPH1981 I see you have a few member hospitals from my area! (not mine
though) #RNchat
NAPH1981
@EllenRichter our FL members incld @browardhealth @mhshospital
@leememorial and more ... #RNchat
rnchat
We'll have 3 topics from @NAPH1981 today. Please prepend your responses
with T1, T2, etc. First topic coming up! #RNchat
nursekris99 Oncology nurse and lurker in the south #RNChat
EllenRichter
Hi Amy, Vernon, Phil, Heather & the tweeter from NAPH! :)
#RNchat
rnchat
T1 How do we boost # of nurses engaged in quality activities in all
areas/facilities where nurses contribute to the quality of care? #RNchat
NAPH1981
Chose topics to continue the convo on Natl Healthcare Quality Week! http:
//ht.ly/31D1s #RNchat
EllenRichter @nursekris99 Hey there lurker! :) #RNchat
nursingpins Hey Ellen and all - #RNchat
NAPH1981
We had guest blog posts for Natl HC Quality Wk frm @mhshospital @osumc
@HHCnyc & @cocohealth - ck them out! http://ht.ly/31Afh
#RNchat
holisticnurses
@EllenRichter Hi Ellen. Read some posts from past two #RNChats. Lots and
lots of great tweets and info. #RNCHAT
nursingpins We had a PHH in New Orleans - but it floated away. #RNchat
MosbysNursing
RT @rnchat: T1 How do we boost # of nurses engaged in activities in all
areas where nurses contribute to the quality of care? #RNchat
NAPH1981
RT @rnchat: T1 How do we boost # of nurses engaged in quality activities
where nurses contribute to the quality of care? #RNchat
nursekris99
T1: Find studies that show cost of readmission/problems in hospitals where
staffing low. Money is always bottom line. #RNChat
INQRIProgram
#RNChat T1 - we need to show that #nurses should be at forefront of
discussions on quality by illustrating all they do
EllenRichter
T1 Nurses want to deliver quality care but are limited by the # of tasks we can
actually complete each hour. We need manpower first #RNchat
INQRIProgram #RNChat T1: a @nurse's place is at the bedside AND the boardroom
MosbysNursing
I like this! RT @inqriprogram: #RNChat T1 - show that #nurses should be at
forefront of discussions on quality by illustrating all they do
EllenRichter
T1 #Nurses need to be on the committees that decide quality activities! That
is key! Staff nurses need to be part of the process #RNchat
FutureofNursing
RT @NAPH1981: RT @rnchat: T1 How do we boost # of nurses engaged in
quality activities where nurses contribute to the quality of care? #RNchat
MosbysNursing
Agreed. RT @ellenrichter: T1 Nurses want to deliver quality care but are
limited by what we can complete. We need manpower first #RNchat
MosbysNursing
So true! RT @inqriprogram: #RNChat T1: a @nurse's place is at the bedside
AND the boardroom
INQRIProgram
@nursekris99 T1: Re: readmission - info on what INQRI team found re:
nurses' participation http://bit.ly/a0ivt2 #RNChat
NAPH1981
@nursekris99 yeah - readmissions is a hot topic. we posted some free
resources to help hospitals reduce them http://ht.ly/31DcH #RNchat
holisticnurses
T1 Involve all tiers of nursing not just nursing mgmt/admins. Bedside RNs
are the best source of how best to achieve quality care. #RNCHAT
holisticnurses
RT @MosbysNursing: So true! RT @inqriprogram: #RNChat T1: a @nurses
place is at the bedside AND the boardroom #RNCHAT
NAPH1981
RT @INQRIProgram: T1: Re: readmission - info on what INQRI team found
re: nurses participation http://bit.ly/a0ivt2 #RNchat
EllenRichter
T1 Recognition is important when #nurses perform quality activities. Also
unit-based reports of quality care efforts to show results #RNchat
MosbysNursing
Like this! RT @holisticnurses: T1 Involve all tiers of nursing. Bedside RNs
are source of how to achieve quality care #RNCHAT
DebErupts Listening to #RNChat
INQRIProgram
#RNChat T1 - true interdisc collaboration is key for #nurses to be &
amp; feel empowered to speak up when quality issues arise
MosbysNursing
RT @ellenrichter: T1 Recognition is important. Also unit-based reports of
quality care efforts to show results #RNchat
EllenRichter
T1 If someone watches my patients, I will contribute an hour of great
suggestions on quality care & service to hosp admin ea month
#RNchat
holisticnurses
T1 Nurses aren't asked enough about process. We know ways to make more
efficient use of our time for quality but no one is asking. #RNCHAT
nursekris99
T1: I agree recognition helps. That can lead to retention and further quality
care. #RNChat
nursingpins
T1Hospitals must improve relationship with nurses and let them have more
input in admin. decisions. #RNchat
INQRIProgram
@holisticnurses - agree. #Nurses should be leading quality improvement
efforts - they know what works! #RNChat
DebErupts
Nurses needs to see how quality assurance and risk management programs
work together to achieve goals. #RNChat
EllenRichter
T1 We all know what quality care SHOULD include--its trying to deliver it
with distractions & poor staffing thats the challenge! #RNchat
NAPH1981
T1: seems common themes are recognize, involve, empower, track results
#RNchat
cyclingwidow
@EllenRichter AND not just in name. They must be allowed timw to get to
those meetings #RNChat
nursekris99
@holisticnurses So true! Our practice hired industrial efficiency experts to
try to improve us. Like we're an assembly line! #RNChat
holisticnurses
@EllenRichter So very true, Ellen! A Hospital Admin-Nurse Shadow
Program? #RNCHAT
EllenRichter
Great suggestion! RT @DebErupts #Nurses needs to see how quality
assurance & risk mgmt programs work together to achieve goals.
#RNChat
nursingpins
T1 Staffing is ruining the nursing profession - don't want to get started - :)
#RNchat
NAPH1981
Interesting concept! RT @holisticnurses: @EllenRichter So very true, Ellen!
A Hospital Admin-Nurse Shadow Program? #RNchat
jillvee
RT @holisticnurses: T1 Nurses aren't asked enough about process. We know
ways to make more efficient use of our time for quality but no one is asking.
#RNCHAT
EllenRichter
@nursingpins T1 But if unsafe staffing is the root of our problems, we
SHOULD mention it all the time. How can we give quality care? #RNchat
nursingpins
T1 Hospitals have redefined what nurses do - and it involves very little
nursing. #RNchat
INQRIProgram
@EllenRichter, agree - we should mention, document & provide
evidence of what happens to patients when #nurses are understaffed
#RNChat T1
EllenRichter
T1 As my colleagues mention over & over, very few hospital
admins ASK the bedside #nurse for their suggestions on improving quality
#RNchat
NAPH1981
RT @INQRIProgram: we should mention, document & provide
evidence of what happens to patients when #nurses are understaffed T1
#RNchat
holisticnurses
T1 Simple storytelling. Allow a panel of RNs from diverse depts tell their
stories together. Stats are important but lack holism. #RNCHAT
wantnews
RT @EllenRichter: @nursingpins T1 But if unsafe staffing is the root of our
problems, we SHOULD mention it all the time. How can we give quality
care? #RNchat
bthenextstep hello everyone! - just poking my head in. trying to catch up. #rnchat
nursingpins
T1 "When" - nearly all hospitals are understaffed -
there are plenty of studies showing what it does to pt care! #RNchat
wantnews
RT @NAPH1981: Interesting concept! RT @holisticnurses: @EllenRichter
So very true, Ellen! A Hospital Admin-Nurse Shadow Program? #RNchat
nursingpins T1 - I do mention it all the time ;) #RNchat
holisticnurses
RT @EllenRichter T1 As my colleagues mention over & over, very
few hospital admins ASK the bedside #nurse for suggestions on quality
#RNCHAT
EllenRichter
@INQRIProgram: T1 What kind of evidence? More med errors? Patient
deaths? Falls? Superinfections? Its all due to low RN numbers! #RNchat
holisticnurses @nursingpins You do and that's wonderful! #RNCHAT
INQRIProgram
Question may be "where" and/or "
who" and not "when" - maybe message
needs to get to different people #RNChat T1
holisticnurses
RT @nursingpins: T1 "When" - nearly all hospitals are
understaffed - there are plenty of studies showing what it does to pt care!
#RNCHAT
nursingpins
T1 The sad thing is - staffing has had a affect on the integrity of the nursing
profession. #RNchat
jillvee
RT @NAPH1981: RT @INQRIProgram: we should mention, document
& provide evidence of what happens to patients when #nurses are
understaffed T1 #RNchat
EllenRichter
Yes he does! RT @holisticnurses: @nursingpins You do and that's
wonderful! #RNchat
INQRIProgram
@EllenRichter, agree - think we need to frame it for the public in just that
way #RNChat
DebErupts
T1 Nurses got staffing ratio bill passed in California through Quality
Assurance Efforts #RNchat
bthenextstep
T1 employers need to start requiring inclusion of the bedside nurse. the one's
on the front lines. #rnchat
nursingpins T1 Nurses are cutting corners - lots of things are not being done. #RNchat
nursekris99
RT @nursingpins: T1 The sad thing is - staffing has had a affect on the
integrity of the nursing profession. #RNchat
EllenRichter
T1 Now that we have worked understaffed for so many years, its hard to
convince admin to raise the numbers. Thats our dilemma #RNchat
holisticnurses
RT @bthenextstep: T1 employers need to start requiring inclusion of the
bedside nurse. the ones on the front lines. #RNCHAT
rnchat Shoulder tap: Next topic coming up in a moment! #RNchat
bthenextstep wish I could stay folks. got to run. enjoy! #rnchat
nursingpins
T1 the way nurses are utilized must be changed - hospitals still have the
Training School Days mentality re: Nurses #RNchat
FreshRN
RT @INQRIProgram we should mention, document & provide
evidence of what happens to patients when #nurses are understaffed
#RNChat T1 #RNchat
EllenRichter @bthenextstep Take care, Sean! :) #RNchat
nursingpins RT @EllenRichter: @bthenextstep Take care, Sean! :) #RNchat
EllenRichter
T1 Bottom line, you need safe numbers of profess'l nursing staff if you are
demanding quality. Then we should be able to deliver it. #RNchat
rnchat
T2 What is your impression of the new report on nursing in the future just
released by the Institute of Medicine? #RNchat
NAPH1981
Just another quick plug - pls chk if you work at an NAPH member hospital!
would love to connect http://ht.ly/31A6L #RNchat
DebErupts
Quality is also about efficient and safe systems. Can have all the staffing in
the world, but if system is bad it doesn't matter. #RNChat
nursingpins
RT @EllenRichter: T1 Bottom line, you need safe numbers of professl
nursing staff if you are demanding quality. #RNchat
NAPH1981
RT @rnchat: T2 What's your impression of the new report on nursing's
future just released by the Institute of Medicine? #RNchat
holisticnurses
@EllenRichter T1 It's practically denial that staffing IS an issue by some orgs.
#RNCHAT
holisticnurses
RT @nursingpins: RT @EllenRichter: T1 Bottom line, you need safe
numbers of professl nursing staff if you are demanding quality. #RNCHAT
FreshRN
RT @EllenRichter: Bottom line, u need safe numbers of pro nrsg staff if u r
demanding quality. Then we should be able to deliver it. #RNchat
INQRIProgram
INQRI hosting next ed. of Health Wonk Review - hope you all will blog on
these topics & submit by Nov 10 http://bit.ly/caVvMX #RNChat
EllenRichter
T2 Well the IOM Report does show hope for the advancement of the
profession as a whole. I think its a positive document for nursing #RNchat
DebErupts
RT @EllenRichter: T1 Bottom line, you need safe numbers of profess'l
nursing staff if you are demanding quality. Then we should be able to deliver
it. #RNchat
holisticnurses
@DebErupts T1 I agree with you in that other process and safety issues are
just as crucial in quality. ie. training, education. #RNCHAT
nursingpins T2 -I thought it was positive too - (IOM report #RNchat
EllenRichter
Heres a link to a blurb on the report "The Future of Nursing:
Leading Change, Advancing Health" IOM http://j.mp/cRyIvZ
#RNchat
INQRIProgram
RT @rnchat: T2 What's your impression of the new report on nursing's
future just released by the Institute of Medicine? #RNchat #FutureRN
MatthewBrowning
YourNurseIsOn.com can help fix it !! RT @nursingpins: T1 Staffing is ruining
the nursing profession - don't want to get started - :) #RNchat
holisticnurses
RT @rnchat: T2 Whats your impression of the new report on nursings future
just released by the Institute of Medicine? #RNchat #RNCHAT
NAPH1981
RT @EllenRichter: Heres a blurb on the report "The Future of
Nursing: Leading Change, Advancing Health" IOM http://j.
mp/cRyIvZ #RNchat
DebErupts
The Future of Nursing: Leading Change, Advancing Health http://t.
co/UDQFVzu #RNChat
INQRIProgram
T2 INQRI commends @RWJF & IOM on #FutureRN report - very
bold #RNChat
INQRIProgram
We have featured several guest grantee bloggers for their take on #FutureRN
report. #RNChat T2
FreshRN
RT @EllenRichter: Link to a blurb on the report "The Future of
Nursing: Leading Change, Advancing Health" IOM http://j.
mp/cRyIvZ #RNchat
NAPH1981
T2 follow up: are staff at your hospitals discussing/mentioning the IOM
report? #RNchat
EllenRichter
T2 The Future of 3Nursing IOM report advocates higher education
requirements & improved relationships with #doctors #RNchat
NAPH1981
RT @INQRIProgram: T2 INQRI commends @RWJF & IOM on
#FutureRN report - very bold #RNchat
nursingpins
T2 The problem is that nurses that many reports refer to do not exist in
hospitals anymore - the role of nurses has changed. #RNchat
holisticnurses
T2 I appreciate it as well! RT @DebErupts: The Future of Nursing: Leading
Change, Advancing Health http://t.co/UDQFVzu #RNCHAT
INQRIProgram
Robin Newhouse re: rec to "expand opps for #nurses to lead
& diffuse collab improvement efforts.” http://bit.ly/apym66
#RNChat #FutureRN
DebErupts
RT @INQRIProgram: We have featured several guest grantee bloggers for
their take on #FutureRN report. #RNChat T2
holisticnurses
RT @EllenRichter: T2 The Future of Nursing IOM report advocates higher
education requirements & improved relationships w #doctors
#RNCHAT
nursekris99
T2 Great write up, but would love to see fine-tuned ideas on how to
implement and encourage. #RNChat
INQRIProgram
Susan Letvak re: needs of #nursing workforce http://bit.ly/aOY1Nm
#RNChat T2 #FutureRN
holisticnurses
T2 Report also highlights nurses' role in redesigning healthcare. I
particularly appreciate this from a holistic nursing standpoint. #RNCHAT
WillowRN Coming in from early voting to take part in the last part of #RNchat!
INQRIProgram
@nursekris99 - we're def excited about the #FutureRN implementation
phase, too. Should see lots of info after Nov30/Dec1 mtg #RNChat T2
FutureofNursing
@nursekris99 We're looking for help on implementation. Go to bit.
ly/FutureRN to sign up and fill out survey to add your voice. #RNChat
holisticnurses
T2 Nurses really can be the leaders of wellness/disease prevention education
which is one aim of #holistic nursing. #RNCHAT
EllenRichter
T2 The words in the report are dazzling w/ hope for our profession, but we
just need to see it actually happen! Will be fantastic! #RNchat
holisticnurses @WillowRN Welcome! #RNCHAT
NAPH1981
@WillowRN thanks for joining! we're discussing T2 - the IOM #FutureRN
report ... #RNchat
FutureofNursing
@INQRIProgram @nursekris99 - portions of Nov 30/Dec 1 Summit will be
webcast too! #RNChat
NAPH1981
RT @INQRIProgram: def excited about the #FutureRN implementation
phase, too. Should see lots of info after Nov30/Dec1 mtg T2 #RNchat
EllenRichter
Great link! TY! RT @INQRIProgram: T2 Susan Letvak re: needs of #nursing
workforce http://bit.ly/aOY1Nm #FutureRN #RNchat
bkwebber
RT @NAPH1981: RT @EllenRichter: Heres a blurb on the report &
quot;The Future of Nursing: Leading Change, Advancing Health"
IOM http://j.mp/cRyIvZ #RNchat
NAPH1981
RT @FutureofNursing: Were looking for help on implementation. Go to bit.
ly/FutureRN to sign up & fill out survey to add your voice #RNchat
bkwebber
RT @NAPH1981: RT @rnchat: T2 What's your impression of the new report
on nursing's future just released by the Institute of Medicine? #RNchat
nursingpins
T2 - Nurses have the ability to improve healthcare drastically if given the
numbers and opportunity. #RNchat
NAPH1981
@FutureofNursing great! would love to help publicize that webcast link to
our quality folks! #RNchat
INQRIProgram
This is fabulous! RT: @FutureofNursing - portions of Nov 30/Dec 1 Summit
will be webcast too! #RNChat #FutureRN
holisticnurses
RT @EllenRichter: T2 words in report are dazzling w/ hope for our
profession, we need to see it actually happen! Will be fantastic! #RNCHAT
ocamsrazor
the devil is in the details..i.e. implementation, how? as long as med/nursing
is a "business" profits will drive direction of change
#rnchat
holisticnurses
RT @FutureofNursing: Were looking for help on implementation. Go to bit.
ly/FutureRN to sign up & fill out survey to add your voice
#RNCHAT
FutureofNursing
@ocamsrazor implementation, how? Complete transformation of the health
care system by pushing the #FutureRN recommendations. #RNChat
EllenRichter
@ocamsrazor T2 Nurses are so creative. Given the opportunity to work with
budgets, I bet we could think of ways to still profit. #RNchat
holisticnurses
T2 Already seeing use of NPs in home care to facilitate transitional care from
hospital to home & chronic disease mgmt. #RNCHAT
rnchat
Last topic coming up! We'll probably go a few minutes over, but not by much.
#RNchat
EllenRichter
**JUST SAYIN'** This is a terrific chat & thanks to @NAPH1981
for supplying these great topics! :) #RNchat
rnchat
T3 How do we boost interest in young for nursing to get them to enjoy
providing care, making a difference, esp for underserved pops? #RNchat
holisticnurses
:) RT @EllenRichter: T2 Nurses are creative. Given the opportunity to work
w budgets, I bet we could think of ways to still profit. #RNCHAT
FutureofNursing
RT @EllenRichter **JUST SAYIN'** This is a terrific chat &
thanks to @NAPH1981 for supplying these great topics! :) AGREED!
#RNChat
NAPH1981
@EllenRichter Appreciate it, Ellen! Thanks to everyone for participating! My
name is Maya, by the way ... Reach out! #RNchat
nursingpins
T2 It will take a complete transformation of the system before nurses can be
effective. #RNchat
EllenRichter
T3 Well, this is the question of the decade! How do we do this? We ALL want
that answer! Its a difficult situation indeed. #RNchat
NAPH1981
RT @rnchat: T3 How do make young ppl more intrstd in nursing/get 'em to
enjoy providng care/makng a diffrnc, esp for undersrvd pops? #RNchat
holisticnurses
RT @rnchat: T3 How do we boost interest in youth for nursing to enjoy
providing care, making a diff, esp for underserved pops? #RNCHAT
INQRIProgram
We have to reach them where they are. Ex: @onlinenursing's classes for
informatics that get young #nurses involved in soc media T3 #RNChat
nursingpins
T3 There is no relation to what a nurse is taught to do and what hospitals
expect them to do - the shock is unreal #RNchat
FreshRN
RT @nursingpins: T3 There is no relation to what a nurse is taught to do and
what hospitals expect them to do - the shock is unreal #RNchat
NAPH1981
RT @INQRIProgram: reach them where they are Ex: @onlinenursings
classes for informatics that get young #nurses involved in #sm T3 #RNchat
EllenRichter
@nursingpins Exactly! T3 It will be a huge undertaking to bring our
profession to the point where young ppl really DESIRE to be RNs #RNchat
FutureofNursing
T3 Need to reach them earlier and then prepare them better (or differently-
residencies?) #RNChat
FreshRN
Agree! RT @FutureofNursing T3 Need to reach them earlier and then
prepare them better (or differently- residencies?) #RNchat
INQRIProgram
The parking meter waits for no one- not even #RNChat. I enjoyed it,
everyone.Take care & submit for Health Wonk Review! http://bit.
ly/caVvMX
WillowRN
#RNchat T3 Exposure. Volunteerism. So many ppl are drawn to nsg to have
a steady job. That's the wrong reason for this career.
EllenRichter
T3 Salary always boosts interest. Thats a given. We all need to start at BSN
level & get paid accordingly. Not $22/hr! #RNchat
nursingpins
T3 -Reality is - all those things taught in school do not happen in hospitals
#RNchat
FreshRN
@FutureofNursing There are around 5 residency programs in my area each
getting 500-1000+ applicants each..simply not enough 4 every1 #RNchat
EllenRichter @INQRIProgram Thanks for participating!! Take care! #RNchat
holisticnurses T3 Sounds as if this topic overlaps into education reform too. ;) #RNCHAT
WillowRN
#RNchat T3 Ultimately, this goes all the way back to how parents raise their
children. Do you nurture them to care, or not?
NAPH1981
Yes, thanks so much! RT @EllenRichter: @INQRIProgram Thanks for
participating!! Take care! #RNchat
ocdgirl2000
RT @EllenRichter: T3 Salary always boosts interest. Thats a given. We all
need to start at BSN level & get paid accordingly. Not $22/hr!
#RNchat
nursingpins Thanks @INQRIProgram @NAPH1981 and all present. #RNchat
WillowRN
@holisticnurses #RNCHAT T3 I completely agree. Ppl in ALL careers need to
be interested in serving the underserved.
EllenRichter
T3 I work side by side @ the bedside with phys therapists &
nutritionists with PhDs, and yet1/2 the RNs havent been to college. #RNchat
holisticnurses
T3 My high school had a Nursing Now club. Monthly meetings w/ speakers,
support for college apps, field trips. It inspired me! #RNCHAT
ocdgirl2000
@EllenRichter Some RN's start @ "unknown"
education level from outside educational facilities in other countries,R
accepted BOARDS!#RNCHAT
EllenRichter
@holisticnurses T3 Great point! Go to the middle & high schools to
promote the profession! I've done that too, yet very few want it! #RNchat
WillowRN
@EllenRichter T3 #RNchat More of the BSN grads I work with consider
basic nsg care to be beneath them, esp if it concerns "
distasteful" care
EllenRichter
@ocdgirl2000 T3 Actually most every other country on Earth starts RNs
with BSN! The USA is behind! #RNchat
grimalkinrn
@holisticnurses T3 #RNCHAT My high school had physiology w/a huge
medical focus. Lots of RNs and Docs from that class!
EllenRichter @WillowRN T3 That is very sad to hear. #RNchat
nursingpins
T3 I would not recommend hospital nursing as it is to any young person -
and without drastic changes the profession is doomed. #RNchat
NAPH1981
T3 Interesting common themes - get them while they're young and expand
educational opps #RNchat
ocdgirl2000
@EllenRichter #rnchat T3 State Boards R responsible 4 accepting out of
country residents with little known understanding of their ed level!
ocdgirl2000 @EllenRichter #rnchat T3 That depends on the Country.
EllenRichter
@NAPH1981 T3 Its so funny. We want to get them when they're young,
& once they start working, we eat them! How sick is that? #RNchat
WillowRN
@EllenRichter T3 #RNchat Here, the ppl from the poorer colleges are more
likely to be more caring. Lots of wealthy new grads in Colorado.
MyNurseJane
RT @nursingpins: T3 -Reality is - all those things taught in school do not
happen in hospitals #RNchat
FreshRN
RT @EllenRichter: @holisticnurses T3 Great point! Go to the middle &
amp; high schools to promote the profession! #RNchat
Ashleigh_RN
@rnchat I missed #RNChat but wanted 2 share that @desouzanurse &
amp; I are going around 2 schools of nursing in Ontario 2 talk re: #oncology
WillowRN
@EllenRichter @NAPH1981 #RNchat Well, unfortunately, young flesh is the
most tender.
NAPH1981
@EllenRichter hahhaa perhaps by the time today's youth enter nursing they
wont get eaten up?! I hope more discussion = more change #RNchat
holisticnurses
T3 Hospitals really need to have a phenomenal support system for nurses. I'll
bet nurses can design that program. :) #RNCHAT
EllenRichter
@WillowRN T3 You got that right! We must curtail that habit, too, if we are
going to attract young folks to nursing! #RNchat
EllenRichter
@NAPH1981 LOL and I hope you're right too. I want nothing more than to
positively promote the profession of #nursing #RNchat
rnchat OK, our hour is a bit over, so we'll wrap things up in a moment! #RNchat
NAPH1981
RT @holisticnurses: T3 Hospitals really need to have a phenomenal support
system for nurses. I bet nurses can design that program :) #RNchat
NAPH1981 Glad to be a part of this robust chat, thanks to all! #RNchat
EllenRichter
@holisticnurses T3 Yes, but a phenominal support system requires
additional positions. We are back at square one. :( #RNchat
rnchat Let's have your parting thoughts before closing up! #RNchat
NAPH1981
One last time - pls chk if you work at an NAPH member hospital! would love
to connect on or offline http://ht.ly/31A6L #RNchat
nursingpins
T3 I promote nursing too (Greatest Profession) - but hospitals have just
about done us in. #RNchat
holisticnurses @Ashleigh_RN Best of luck talking with students! #RNCHAT
EllenRichter
@NAPH1981 @RNchat Wow, great chat! This was a lot of fun! Got my
adrenalin pumping mid-day! Thanks to both of you! xoxo #RNchat
WillowRN
@rnchat #RNchat We can talk online all we want, but we have to walk the
talk on our hospital floor. Help a new nurse this week!
EllenRichter
Yes, ditto!! RT @holisticnurses: @Ashleigh_RN Best of luck talking with
students! #RNCHAT #RNchat
holisticnurses @EllenRichter LOL! The beginning is in the end! #RNCHAT
FreshRN
RT @WillowRN: @rnchat #RNchat We can talk online all we want, but we
have to walk the talk on our hospital floor. Help a new nurse this week!
EllenRichter
Awesome! RT @WillowRN We can talk online all we want but we have to
walk the talk on our hospital floor. Help a new nurse this week! #RNchat
NAPH1981
@WillowRN I like your style! Call to Action RT: Help a new nurse this week!
#RNchat
holisticnurses
@EllenRichter Or is that the end is in the beginning? :) Either way, it's all
there! Improved staffing makes nurses happier. #RNCHAT
EllenRichter
@holisticnurses Hey thanks for all the RTs! Its so hard to follow the chat
while retweeting & adjusting to 140 characters too! LOL #RNchat
holisticnurses
Will do. RT @WillowRN We can talk online all we want but we have to walk
the talk on our hospital floor. Help a new nurse this week! #RNCHAT
NAPH1981
Planning a blog post or something to sum this up/reflect on it nxt wk ... will
post with the hashtag ... thanks again to everyone! #RNchat
nursingpins Thanks all and (#RNchat) #RNchat
rnchat
THANK YOU everybody! Please thank @NAPH1981 for their topics today.
Transcript will be up later today! #RNchat
- Official End of Chat -
Continuation:
EllenRichter Every chat I have new people to follow. Its terrific! :) #RNchat
holisticnurses
@EllenRichter Well you have many great bits! And yes, I feel like the evil
editor. :) Take care, Ellen! #RNCHAT
FreshRN
Awesome! RT @rnchat: THANK YOU everybody! Please thank @NAPH1981
for their topics today. Transcript will be up later today! #RNchat
holisticnurses
take care @WillowRN & @nursingpins! Thanks fellow nurses
& moderators and #RNChat. Social media is getting the word out
abt nursing. #RNCHAT
EllenRichter
Take care Twitter #nurses & again thanks very much to
@NAPH1981 for providing a great hour for us! As I always say---Nurses
Rock! #RNchat
grimalkinrn Ok. #RNchat is over, it's time to start packing for Fort Collins!!
EllenRichter
@philbaumann Well that worked out just fine! Two chats in 2 days &
amp; they were both fast & furious! Great going! #RNchat
PamelaKline #RNchat, Pam kline, I've been lurking!
jtknowles007
RT @nursingpins: T3 -Reality is - all those things taught in school do not
happen in hospitals #RNchat
napernurse
RT @nursingpins: T3 There is no relation to what a nurse is taught to do and
what hospitals expect them to do - the shock is unreal #RNchat
timefornurses
#ff ! @nursingpins @kevinmd @nursingcenter @ThisNurse @Terri_gRN
@ATINursing @gethealthy @texashealth_jen @texashealth @ERNurseJoy
#RNchat
OnlineRNDegree
When is the next chat? We want to get involved! RT @nursingpins Thanks all
and (#RNchat) #RNchat
nursingpins
@OnlineRNDegree If you follow @RNchat - He will post times and dates.
#RNchat Hope to see you there.
jtknowles007 Looks like I missed a great #rnchat today. Bummer.
timefornurses
Study: Between 8% and 13% of ED nurses are victims of physical violence
each week in the US. http://bit.ly/9K4OCi #nurse #RNchat
nursingpins
Was thankful that @NAPH1981 attended #RNchat - but was pointed out by
several that they do not follow a single nurse?
FMDGirl
Thoughts from a FMDer: http://chanosthoughts.blogspot.com/ #MCCSM
#HCSM #MDChat #RNChat
NursingLink
Health Insurance Costs and Benefits to Climb. Has your hospital had to turn
away patients bc of expenses? http://ow.ly/31BB9 #rnchat
NAPH1981
.@nursingpins What about @philbaumann ?! We follow many nursing orgs
and nurses - now even more since #RNchat
CathrynHrudicka
RT @timefornurses: Study: Between 8% and 13% of ED nurses are victims of
physical violence each week in the US. http://bit.ly/9K4OCi #nurse #RNchat
Produced by Phil Baumann
PhilBaumann.com

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RNchat Transcript October 29, 2010

  • 1. #RNchat Transcript for October 29, 2010 Follow @RNchat on Twitter for Regular Updates RNchat.org Twitter.com/RNchat Moderated by @PhilBaumann Topics by @NAPH1981 rnchat Welcome to #RNchat and Happy Halloween! Our guest is @NAPH1981 who is providing today's topics. We'll start in a moment. rnchat OK, let's get started with introductions! Tell us a little about yourself. #RNchat INQRIProgram #RNChat - I'm Heather from the INQRI program. We fund interdisciplinary teams researching link between #nursing & quality. nursingpins Hey all, Vernon in N.O. - Critical care. #RNchat NAPH1981 Hi all! happy to be here. We're an assoc for safety net US hospitals; ~ 200members; we’ve got an advocacy arm, research & education #RNchat EllenRichter Wow 2 days in a row for #RNchat ...this is a busy week! Hello folks! Happy to be able to join in! NAPH1981 Pls chk our list of members to see if you work at 1! You can get free webinars, etc. Reach out to me if you do! http://ht.ly/31A6L #RNchat EllenRichter Ellen, a critical care nurse, nurse educator, & legal nurse consultant in south Florida who loves #hcsm #RNchat INQRIProgram 1 of our researchers is trying to start a convo re: being hospitalized on the weekend: scary idea for Halloween http://bit.ly/cWvNis #RNChat holisticnurses Hi, Amy from NY. Telehealth RN for home care. I also dig holistic nursing! #RNCHAT EllenRichter @NAPH1981 I see you have a few member hospitals from my area! (not mine though) #RNchat NAPH1981 @EllenRichter our FL members incld @browardhealth @mhshospital @leememorial and more ... #RNchat
  • 2. rnchat We'll have 3 topics from @NAPH1981 today. Please prepend your responses with T1, T2, etc. First topic coming up! #RNchat nursekris99 Oncology nurse and lurker in the south #RNChat EllenRichter Hi Amy, Vernon, Phil, Heather & the tweeter from NAPH! :) #RNchat rnchat T1 How do we boost # of nurses engaged in quality activities in all areas/facilities where nurses contribute to the quality of care? #RNchat NAPH1981 Chose topics to continue the convo on Natl Healthcare Quality Week! http: //ht.ly/31D1s #RNchat EllenRichter @nursekris99 Hey there lurker! :) #RNchat nursingpins Hey Ellen and all - #RNchat NAPH1981 We had guest blog posts for Natl HC Quality Wk frm @mhshospital @osumc @HHCnyc & @cocohealth - ck them out! http://ht.ly/31Afh #RNchat holisticnurses @EllenRichter Hi Ellen. Read some posts from past two #RNChats. Lots and lots of great tweets and info. #RNCHAT nursingpins We had a PHH in New Orleans - but it floated away. #RNchat MosbysNursing RT @rnchat: T1 How do we boost # of nurses engaged in activities in all areas where nurses contribute to the quality of care? #RNchat NAPH1981 RT @rnchat: T1 How do we boost # of nurses engaged in quality activities where nurses contribute to the quality of care? #RNchat nursekris99 T1: Find studies that show cost of readmission/problems in hospitals where staffing low. Money is always bottom line. #RNChat INQRIProgram #RNChat T1 - we need to show that #nurses should be at forefront of discussions on quality by illustrating all they do EllenRichter T1 Nurses want to deliver quality care but are limited by the # of tasks we can actually complete each hour. We need manpower first #RNchat INQRIProgram #RNChat T1: a @nurse's place is at the bedside AND the boardroom MosbysNursing I like this! RT @inqriprogram: #RNChat T1 - show that #nurses should be at forefront of discussions on quality by illustrating all they do EllenRichter T1 #Nurses need to be on the committees that decide quality activities! That is key! Staff nurses need to be part of the process #RNchat
  • 3. FutureofNursing RT @NAPH1981: RT @rnchat: T1 How do we boost # of nurses engaged in quality activities where nurses contribute to the quality of care? #RNchat MosbysNursing Agreed. RT @ellenrichter: T1 Nurses want to deliver quality care but are limited by what we can complete. We need manpower first #RNchat MosbysNursing So true! RT @inqriprogram: #RNChat T1: a @nurse's place is at the bedside AND the boardroom INQRIProgram @nursekris99 T1: Re: readmission - info on what INQRI team found re: nurses' participation http://bit.ly/a0ivt2 #RNChat NAPH1981 @nursekris99 yeah - readmissions is a hot topic. we posted some free resources to help hospitals reduce them http://ht.ly/31DcH #RNchat holisticnurses T1 Involve all tiers of nursing not just nursing mgmt/admins. Bedside RNs are the best source of how best to achieve quality care. #RNCHAT holisticnurses RT @MosbysNursing: So true! RT @inqriprogram: #RNChat T1: a @nurses place is at the bedside AND the boardroom #RNCHAT NAPH1981 RT @INQRIProgram: T1: Re: readmission - info on what INQRI team found re: nurses participation http://bit.ly/a0ivt2 #RNchat EllenRichter T1 Recognition is important when #nurses perform quality activities. Also unit-based reports of quality care efforts to show results #RNchat MosbysNursing Like this! RT @holisticnurses: T1 Involve all tiers of nursing. Bedside RNs are source of how to achieve quality care #RNCHAT DebErupts Listening to #RNChat INQRIProgram #RNChat T1 - true interdisc collaboration is key for #nurses to be & amp; feel empowered to speak up when quality issues arise MosbysNursing RT @ellenrichter: T1 Recognition is important. Also unit-based reports of quality care efforts to show results #RNchat EllenRichter T1 If someone watches my patients, I will contribute an hour of great suggestions on quality care & service to hosp admin ea month #RNchat holisticnurses T1 Nurses aren't asked enough about process. We know ways to make more efficient use of our time for quality but no one is asking. #RNCHAT nursekris99 T1: I agree recognition helps. That can lead to retention and further quality care. #RNChat
  • 4. nursingpins T1Hospitals must improve relationship with nurses and let them have more input in admin. decisions. #RNchat INQRIProgram @holisticnurses - agree. #Nurses should be leading quality improvement efforts - they know what works! #RNChat DebErupts Nurses needs to see how quality assurance and risk management programs work together to achieve goals. #RNChat EllenRichter T1 We all know what quality care SHOULD include--its trying to deliver it with distractions & poor staffing thats the challenge! #RNchat NAPH1981 T1: seems common themes are recognize, involve, empower, track results #RNchat cyclingwidow @EllenRichter AND not just in name. They must be allowed timw to get to those meetings #RNChat nursekris99 @holisticnurses So true! Our practice hired industrial efficiency experts to try to improve us. Like we're an assembly line! #RNChat holisticnurses @EllenRichter So very true, Ellen! A Hospital Admin-Nurse Shadow Program? #RNCHAT EllenRichter Great suggestion! RT @DebErupts #Nurses needs to see how quality assurance & risk mgmt programs work together to achieve goals. #RNChat nursingpins T1 Staffing is ruining the nursing profession - don't want to get started - :) #RNchat NAPH1981 Interesting concept! RT @holisticnurses: @EllenRichter So very true, Ellen! A Hospital Admin-Nurse Shadow Program? #RNchat jillvee RT @holisticnurses: T1 Nurses aren't asked enough about process. We know ways to make more efficient use of our time for quality but no one is asking. #RNCHAT EllenRichter @nursingpins T1 But if unsafe staffing is the root of our problems, we SHOULD mention it all the time. How can we give quality care? #RNchat nursingpins T1 Hospitals have redefined what nurses do - and it involves very little nursing. #RNchat INQRIProgram @EllenRichter, agree - we should mention, document & provide evidence of what happens to patients when #nurses are understaffed #RNChat T1
  • 5. EllenRichter T1 As my colleagues mention over & over, very few hospital admins ASK the bedside #nurse for their suggestions on improving quality #RNchat NAPH1981 RT @INQRIProgram: we should mention, document & provide evidence of what happens to patients when #nurses are understaffed T1 #RNchat holisticnurses T1 Simple storytelling. Allow a panel of RNs from diverse depts tell their stories together. Stats are important but lack holism. #RNCHAT wantnews RT @EllenRichter: @nursingpins T1 But if unsafe staffing is the root of our problems, we SHOULD mention it all the time. How can we give quality care? #RNchat bthenextstep hello everyone! - just poking my head in. trying to catch up. #rnchat nursingpins T1 "When" - nearly all hospitals are understaffed - there are plenty of studies showing what it does to pt care! #RNchat wantnews RT @NAPH1981: Interesting concept! RT @holisticnurses: @EllenRichter So very true, Ellen! A Hospital Admin-Nurse Shadow Program? #RNchat nursingpins T1 - I do mention it all the time ;) #RNchat holisticnurses RT @EllenRichter T1 As my colleagues mention over & over, very few hospital admins ASK the bedside #nurse for suggestions on quality #RNCHAT EllenRichter @INQRIProgram: T1 What kind of evidence? More med errors? Patient deaths? Falls? Superinfections? Its all due to low RN numbers! #RNchat holisticnurses @nursingpins You do and that's wonderful! #RNCHAT INQRIProgram Question may be "where" and/or " who" and not "when" - maybe message needs to get to different people #RNChat T1 holisticnurses RT @nursingpins: T1 "When" - nearly all hospitals are understaffed - there are plenty of studies showing what it does to pt care! #RNCHAT nursingpins T1 The sad thing is - staffing has had a affect on the integrity of the nursing profession. #RNchat
  • 6. jillvee RT @NAPH1981: RT @INQRIProgram: we should mention, document & provide evidence of what happens to patients when #nurses are understaffed T1 #RNchat EllenRichter Yes he does! RT @holisticnurses: @nursingpins You do and that's wonderful! #RNchat INQRIProgram @EllenRichter, agree - think we need to frame it for the public in just that way #RNChat DebErupts T1 Nurses got staffing ratio bill passed in California through Quality Assurance Efforts #RNchat bthenextstep T1 employers need to start requiring inclusion of the bedside nurse. the one's on the front lines. #rnchat nursingpins T1 Nurses are cutting corners - lots of things are not being done. #RNchat nursekris99 RT @nursingpins: T1 The sad thing is - staffing has had a affect on the integrity of the nursing profession. #RNchat EllenRichter T1 Now that we have worked understaffed for so many years, its hard to convince admin to raise the numbers. Thats our dilemma #RNchat holisticnurses RT @bthenextstep: T1 employers need to start requiring inclusion of the bedside nurse. the ones on the front lines. #RNCHAT rnchat Shoulder tap: Next topic coming up in a moment! #RNchat bthenextstep wish I could stay folks. got to run. enjoy! #rnchat nursingpins T1 the way nurses are utilized must be changed - hospitals still have the Training School Days mentality re: Nurses #RNchat FreshRN RT @INQRIProgram we should mention, document & provide evidence of what happens to patients when #nurses are understaffed #RNChat T1 #RNchat EllenRichter @bthenextstep Take care, Sean! :) #RNchat nursingpins RT @EllenRichter: @bthenextstep Take care, Sean! :) #RNchat EllenRichter T1 Bottom line, you need safe numbers of profess'l nursing staff if you are demanding quality. Then we should be able to deliver it. #RNchat rnchat T2 What is your impression of the new report on nursing in the future just released by the Institute of Medicine? #RNchat NAPH1981 Just another quick plug - pls chk if you work at an NAPH member hospital! would love to connect http://ht.ly/31A6L #RNchat
  • 7. DebErupts Quality is also about efficient and safe systems. Can have all the staffing in the world, but if system is bad it doesn't matter. #RNChat nursingpins RT @EllenRichter: T1 Bottom line, you need safe numbers of professl nursing staff if you are demanding quality. #RNchat NAPH1981 RT @rnchat: T2 What's your impression of the new report on nursing's future just released by the Institute of Medicine? #RNchat holisticnurses @EllenRichter T1 It's practically denial that staffing IS an issue by some orgs. #RNCHAT holisticnurses RT @nursingpins: RT @EllenRichter: T1 Bottom line, you need safe numbers of professl nursing staff if you are demanding quality. #RNCHAT FreshRN RT @EllenRichter: Bottom line, u need safe numbers of pro nrsg staff if u r demanding quality. Then we should be able to deliver it. #RNchat INQRIProgram INQRI hosting next ed. of Health Wonk Review - hope you all will blog on these topics & submit by Nov 10 http://bit.ly/caVvMX #RNChat EllenRichter T2 Well the IOM Report does show hope for the advancement of the profession as a whole. I think its a positive document for nursing #RNchat DebErupts RT @EllenRichter: T1 Bottom line, you need safe numbers of profess'l nursing staff if you are demanding quality. Then we should be able to deliver it. #RNchat holisticnurses @DebErupts T1 I agree with you in that other process and safety issues are just as crucial in quality. ie. training, education. #RNCHAT nursingpins T2 -I thought it was positive too - (IOM report #RNchat EllenRichter Heres a link to a blurb on the report "The Future of Nursing: Leading Change, Advancing Health" IOM http://j.mp/cRyIvZ #RNchat INQRIProgram RT @rnchat: T2 What's your impression of the new report on nursing's future just released by the Institute of Medicine? #RNchat #FutureRN MatthewBrowning YourNurseIsOn.com can help fix it !! RT @nursingpins: T1 Staffing is ruining the nursing profession - don't want to get started - :) #RNchat holisticnurses RT @rnchat: T2 Whats your impression of the new report on nursings future just released by the Institute of Medicine? #RNchat #RNCHAT
  • 8. NAPH1981 RT @EllenRichter: Heres a blurb on the report "The Future of Nursing: Leading Change, Advancing Health" IOM http://j. mp/cRyIvZ #RNchat DebErupts The Future of Nursing: Leading Change, Advancing Health http://t. co/UDQFVzu #RNChat INQRIProgram T2 INQRI commends @RWJF & IOM on #FutureRN report - very bold #RNChat INQRIProgram We have featured several guest grantee bloggers for their take on #FutureRN report. #RNChat T2 FreshRN RT @EllenRichter: Link to a blurb on the report "The Future of Nursing: Leading Change, Advancing Health" IOM http://j. mp/cRyIvZ #RNchat NAPH1981 T2 follow up: are staff at your hospitals discussing/mentioning the IOM report? #RNchat EllenRichter T2 The Future of 3Nursing IOM report advocates higher education requirements & improved relationships with #doctors #RNchat NAPH1981 RT @INQRIProgram: T2 INQRI commends @RWJF & IOM on #FutureRN report - very bold #RNchat nursingpins T2 The problem is that nurses that many reports refer to do not exist in hospitals anymore - the role of nurses has changed. #RNchat holisticnurses T2 I appreciate it as well! RT @DebErupts: The Future of Nursing: Leading Change, Advancing Health http://t.co/UDQFVzu #RNCHAT INQRIProgram Robin Newhouse re: rec to "expand opps for #nurses to lead & diffuse collab improvement efforts.” http://bit.ly/apym66 #RNChat #FutureRN DebErupts RT @INQRIProgram: We have featured several guest grantee bloggers for their take on #FutureRN report. #RNChat T2 holisticnurses RT @EllenRichter: T2 The Future of Nursing IOM report advocates higher education requirements & improved relationships w #doctors #RNCHAT nursekris99 T2 Great write up, but would love to see fine-tuned ideas on how to implement and encourage. #RNChat
  • 9. INQRIProgram Susan Letvak re: needs of #nursing workforce http://bit.ly/aOY1Nm #RNChat T2 #FutureRN holisticnurses T2 Report also highlights nurses' role in redesigning healthcare. I particularly appreciate this from a holistic nursing standpoint. #RNCHAT WillowRN Coming in from early voting to take part in the last part of #RNchat! INQRIProgram @nursekris99 - we're def excited about the #FutureRN implementation phase, too. Should see lots of info after Nov30/Dec1 mtg #RNChat T2 FutureofNursing @nursekris99 We're looking for help on implementation. Go to bit. ly/FutureRN to sign up and fill out survey to add your voice. #RNChat holisticnurses T2 Nurses really can be the leaders of wellness/disease prevention education which is one aim of #holistic nursing. #RNCHAT EllenRichter T2 The words in the report are dazzling w/ hope for our profession, but we just need to see it actually happen! Will be fantastic! #RNchat holisticnurses @WillowRN Welcome! #RNCHAT NAPH1981 @WillowRN thanks for joining! we're discussing T2 - the IOM #FutureRN report ... #RNchat FutureofNursing @INQRIProgram @nursekris99 - portions of Nov 30/Dec 1 Summit will be webcast too! #RNChat NAPH1981 RT @INQRIProgram: def excited about the #FutureRN implementation phase, too. Should see lots of info after Nov30/Dec1 mtg T2 #RNchat EllenRichter Great link! TY! RT @INQRIProgram: T2 Susan Letvak re: needs of #nursing workforce http://bit.ly/aOY1Nm #FutureRN #RNchat bkwebber RT @NAPH1981: RT @EllenRichter: Heres a blurb on the report & quot;The Future of Nursing: Leading Change, Advancing Health" IOM http://j.mp/cRyIvZ #RNchat NAPH1981 RT @FutureofNursing: Were looking for help on implementation. Go to bit. ly/FutureRN to sign up & fill out survey to add your voice #RNchat bkwebber RT @NAPH1981: RT @rnchat: T2 What's your impression of the new report on nursing's future just released by the Institute of Medicine? #RNchat nursingpins T2 - Nurses have the ability to improve healthcare drastically if given the numbers and opportunity. #RNchat NAPH1981 @FutureofNursing great! would love to help publicize that webcast link to our quality folks! #RNchat
  • 10. INQRIProgram This is fabulous! RT: @FutureofNursing - portions of Nov 30/Dec 1 Summit will be webcast too! #RNChat #FutureRN holisticnurses RT @EllenRichter: T2 words in report are dazzling w/ hope for our profession, we need to see it actually happen! Will be fantastic! #RNCHAT ocamsrazor the devil is in the details..i.e. implementation, how? as long as med/nursing is a "business" profits will drive direction of change #rnchat holisticnurses RT @FutureofNursing: Were looking for help on implementation. Go to bit. ly/FutureRN to sign up & fill out survey to add your voice #RNCHAT FutureofNursing @ocamsrazor implementation, how? Complete transformation of the health care system by pushing the #FutureRN recommendations. #RNChat EllenRichter @ocamsrazor T2 Nurses are so creative. Given the opportunity to work with budgets, I bet we could think of ways to still profit. #RNchat holisticnurses T2 Already seeing use of NPs in home care to facilitate transitional care from hospital to home & chronic disease mgmt. #RNCHAT rnchat Last topic coming up! We'll probably go a few minutes over, but not by much. #RNchat EllenRichter **JUST SAYIN'** This is a terrific chat & thanks to @NAPH1981 for supplying these great topics! :) #RNchat rnchat T3 How do we boost interest in young for nursing to get them to enjoy providing care, making a difference, esp for underserved pops? #RNchat holisticnurses :) RT @EllenRichter: T2 Nurses are creative. Given the opportunity to work w budgets, I bet we could think of ways to still profit. #RNCHAT FutureofNursing RT @EllenRichter **JUST SAYIN'** This is a terrific chat & thanks to @NAPH1981 for supplying these great topics! :) AGREED! #RNChat NAPH1981 @EllenRichter Appreciate it, Ellen! Thanks to everyone for participating! My name is Maya, by the way ... Reach out! #RNchat nursingpins T2 It will take a complete transformation of the system before nurses can be effective. #RNchat EllenRichter T3 Well, this is the question of the decade! How do we do this? We ALL want that answer! Its a difficult situation indeed. #RNchat
  • 11. NAPH1981 RT @rnchat: T3 How do make young ppl more intrstd in nursing/get 'em to enjoy providng care/makng a diffrnc, esp for undersrvd pops? #RNchat holisticnurses RT @rnchat: T3 How do we boost interest in youth for nursing to enjoy providing care, making a diff, esp for underserved pops? #RNCHAT INQRIProgram We have to reach them where they are. Ex: @onlinenursing's classes for informatics that get young #nurses involved in soc media T3 #RNChat nursingpins T3 There is no relation to what a nurse is taught to do and what hospitals expect them to do - the shock is unreal #RNchat FreshRN RT @nursingpins: T3 There is no relation to what a nurse is taught to do and what hospitals expect them to do - the shock is unreal #RNchat NAPH1981 RT @INQRIProgram: reach them where they are Ex: @onlinenursings classes for informatics that get young #nurses involved in #sm T3 #RNchat EllenRichter @nursingpins Exactly! T3 It will be a huge undertaking to bring our profession to the point where young ppl really DESIRE to be RNs #RNchat FutureofNursing T3 Need to reach them earlier and then prepare them better (or differently- residencies?) #RNChat FreshRN Agree! RT @FutureofNursing T3 Need to reach them earlier and then prepare them better (or differently- residencies?) #RNchat INQRIProgram The parking meter waits for no one- not even #RNChat. I enjoyed it, everyone.Take care & submit for Health Wonk Review! http://bit. ly/caVvMX WillowRN #RNchat T3 Exposure. Volunteerism. So many ppl are drawn to nsg to have a steady job. That's the wrong reason for this career. EllenRichter T3 Salary always boosts interest. Thats a given. We all need to start at BSN level & get paid accordingly. Not $22/hr! #RNchat nursingpins T3 -Reality is - all those things taught in school do not happen in hospitals #RNchat FreshRN @FutureofNursing There are around 5 residency programs in my area each getting 500-1000+ applicants each..simply not enough 4 every1 #RNchat EllenRichter @INQRIProgram Thanks for participating!! Take care! #RNchat holisticnurses T3 Sounds as if this topic overlaps into education reform too. ;) #RNCHAT WillowRN #RNchat T3 Ultimately, this goes all the way back to how parents raise their children. Do you nurture them to care, or not?
  • 12. NAPH1981 Yes, thanks so much! RT @EllenRichter: @INQRIProgram Thanks for participating!! Take care! #RNchat ocdgirl2000 RT @EllenRichter: T3 Salary always boosts interest. Thats a given. We all need to start at BSN level & get paid accordingly. Not $22/hr! #RNchat nursingpins Thanks @INQRIProgram @NAPH1981 and all present. #RNchat WillowRN @holisticnurses #RNCHAT T3 I completely agree. Ppl in ALL careers need to be interested in serving the underserved. EllenRichter T3 I work side by side @ the bedside with phys therapists & nutritionists with PhDs, and yet1/2 the RNs havent been to college. #RNchat holisticnurses T3 My high school had a Nursing Now club. Monthly meetings w/ speakers, support for college apps, field trips. It inspired me! #RNCHAT ocdgirl2000 @EllenRichter Some RN's start @ "unknown" education level from outside educational facilities in other countries,R accepted BOARDS!#RNCHAT EllenRichter @holisticnurses T3 Great point! Go to the middle & high schools to promote the profession! I've done that too, yet very few want it! #RNchat WillowRN @EllenRichter T3 #RNchat More of the BSN grads I work with consider basic nsg care to be beneath them, esp if it concerns " distasteful" care EllenRichter @ocdgirl2000 T3 Actually most every other country on Earth starts RNs with BSN! The USA is behind! #RNchat grimalkinrn @holisticnurses T3 #RNCHAT My high school had physiology w/a huge medical focus. Lots of RNs and Docs from that class! EllenRichter @WillowRN T3 That is very sad to hear. #RNchat nursingpins T3 I would not recommend hospital nursing as it is to any young person - and without drastic changes the profession is doomed. #RNchat NAPH1981 T3 Interesting common themes - get them while they're young and expand educational opps #RNchat ocdgirl2000 @EllenRichter #rnchat T3 State Boards R responsible 4 accepting out of country residents with little known understanding of their ed level! ocdgirl2000 @EllenRichter #rnchat T3 That depends on the Country.
  • 13. EllenRichter @NAPH1981 T3 Its so funny. We want to get them when they're young, & once they start working, we eat them! How sick is that? #RNchat WillowRN @EllenRichter T3 #RNchat Here, the ppl from the poorer colleges are more likely to be more caring. Lots of wealthy new grads in Colorado. MyNurseJane RT @nursingpins: T3 -Reality is - all those things taught in school do not happen in hospitals #RNchat FreshRN RT @EllenRichter: @holisticnurses T3 Great point! Go to the middle & amp; high schools to promote the profession! #RNchat Ashleigh_RN @rnchat I missed #RNChat but wanted 2 share that @desouzanurse & amp; I are going around 2 schools of nursing in Ontario 2 talk re: #oncology WillowRN @EllenRichter @NAPH1981 #RNchat Well, unfortunately, young flesh is the most tender. NAPH1981 @EllenRichter hahhaa perhaps by the time today's youth enter nursing they wont get eaten up?! I hope more discussion = more change #RNchat holisticnurses T3 Hospitals really need to have a phenomenal support system for nurses. I'll bet nurses can design that program. :) #RNCHAT EllenRichter @WillowRN T3 You got that right! We must curtail that habit, too, if we are going to attract young folks to nursing! #RNchat EllenRichter @NAPH1981 LOL and I hope you're right too. I want nothing more than to positively promote the profession of #nursing #RNchat rnchat OK, our hour is a bit over, so we'll wrap things up in a moment! #RNchat NAPH1981 RT @holisticnurses: T3 Hospitals really need to have a phenomenal support system for nurses. I bet nurses can design that program :) #RNchat NAPH1981 Glad to be a part of this robust chat, thanks to all! #RNchat EllenRichter @holisticnurses T3 Yes, but a phenominal support system requires additional positions. We are back at square one. :( #RNchat rnchat Let's have your parting thoughts before closing up! #RNchat NAPH1981 One last time - pls chk if you work at an NAPH member hospital! would love to connect on or offline http://ht.ly/31A6L #RNchat nursingpins T3 I promote nursing too (Greatest Profession) - but hospitals have just about done us in. #RNchat holisticnurses @Ashleigh_RN Best of luck talking with students! #RNCHAT
  • 14. EllenRichter @NAPH1981 @RNchat Wow, great chat! This was a lot of fun! Got my adrenalin pumping mid-day! Thanks to both of you! xoxo #RNchat WillowRN @rnchat #RNchat We can talk online all we want, but we have to walk the talk on our hospital floor. Help a new nurse this week! EllenRichter Yes, ditto!! RT @holisticnurses: @Ashleigh_RN Best of luck talking with students! #RNCHAT #RNchat holisticnurses @EllenRichter LOL! The beginning is in the end! #RNCHAT FreshRN RT @WillowRN: @rnchat #RNchat We can talk online all we want, but we have to walk the talk on our hospital floor. Help a new nurse this week! EllenRichter Awesome! RT @WillowRN We can talk online all we want but we have to walk the talk on our hospital floor. Help a new nurse this week! #RNchat NAPH1981 @WillowRN I like your style! Call to Action RT: Help a new nurse this week! #RNchat holisticnurses @EllenRichter Or is that the end is in the beginning? :) Either way, it's all there! Improved staffing makes nurses happier. #RNCHAT EllenRichter @holisticnurses Hey thanks for all the RTs! Its so hard to follow the chat while retweeting & adjusting to 140 characters too! LOL #RNchat holisticnurses Will do. RT @WillowRN We can talk online all we want but we have to walk the talk on our hospital floor. Help a new nurse this week! #RNCHAT NAPH1981 Planning a blog post or something to sum this up/reflect on it nxt wk ... will post with the hashtag ... thanks again to everyone! #RNchat nursingpins Thanks all and (#RNchat) #RNchat rnchat THANK YOU everybody! Please thank @NAPH1981 for their topics today. Transcript will be up later today! #RNchat - Official End of Chat - Continuation: EllenRichter Every chat I have new people to follow. Its terrific! :) #RNchat holisticnurses @EllenRichter Well you have many great bits! And yes, I feel like the evil editor. :) Take care, Ellen! #RNCHAT FreshRN Awesome! RT @rnchat: THANK YOU everybody! Please thank @NAPH1981 for their topics today. Transcript will be up later today! #RNchat
  • 15. holisticnurses take care @WillowRN & @nursingpins! Thanks fellow nurses & moderators and #RNChat. Social media is getting the word out abt nursing. #RNCHAT EllenRichter Take care Twitter #nurses & again thanks very much to @NAPH1981 for providing a great hour for us! As I always say---Nurses Rock! #RNchat grimalkinrn Ok. #RNchat is over, it's time to start packing for Fort Collins!! EllenRichter @philbaumann Well that worked out just fine! Two chats in 2 days & amp; they were both fast & furious! Great going! #RNchat PamelaKline #RNchat, Pam kline, I've been lurking! jtknowles007 RT @nursingpins: T3 -Reality is - all those things taught in school do not happen in hospitals #RNchat napernurse RT @nursingpins: T3 There is no relation to what a nurse is taught to do and what hospitals expect them to do - the shock is unreal #RNchat timefornurses #ff ! @nursingpins @kevinmd @nursingcenter @ThisNurse @Terri_gRN @ATINursing @gethealthy @texashealth_jen @texashealth @ERNurseJoy #RNchat OnlineRNDegree When is the next chat? We want to get involved! RT @nursingpins Thanks all and (#RNchat) #RNchat nursingpins @OnlineRNDegree If you follow @RNchat - He will post times and dates. #RNchat Hope to see you there. jtknowles007 Looks like I missed a great #rnchat today. Bummer. timefornurses Study: Between 8% and 13% of ED nurses are victims of physical violence each week in the US. http://bit.ly/9K4OCi #nurse #RNchat nursingpins Was thankful that @NAPH1981 attended #RNchat - but was pointed out by several that they do not follow a single nurse? FMDGirl Thoughts from a FMDer: http://chanosthoughts.blogspot.com/ #MCCSM #HCSM #MDChat #RNChat NursingLink Health Insurance Costs and Benefits to Climb. Has your hospital had to turn away patients bc of expenses? http://ow.ly/31BB9 #rnchat NAPH1981 .@nursingpins What about @philbaumann ?! We follow many nursing orgs and nurses - now even more since #RNchat
  • 16. CathrynHrudicka RT @timefornurses: Study: Between 8% and 13% of ED nurses are victims of physical violence each week in the US. http://bit.ly/9K4OCi #nurse #RNchat Produced by Phil Baumann PhilBaumann.com