Transcript of RNchat - a Twitter chat for registered nurses. Follow @RNchat for regular updates. Topics included: T1 Public Health Ramifications of #BP Spill: What are/can nurses do to mitigate damage to crews, populations, etc? T2 Present & Future of Digital Tech: From mobile apps to social media, what are nurses doing? How can we use them to their fullest? Visit http://RNchat.org for more.

1. ctsinclair: RT @emacartney: How a pediatrician makes a blog work: Seattle Children's 'Seattle
Mama Doc' explains http://ow.ly/29hdD #hcsm #RNchat
7/9/2010 14:58
cerner: Survey- Uptick in Health IT Use Will Help Doctors Take on More Patients:
http://bit.ly/9VZ1jC #HCSM #RNchat
7/9/2010 16:01
rnchat: Topics on tonight's #RNchat 9pm EST: #BP cleanup ramifications | What #nurses
are/could be doing with digital technology.
7/9/2010 16:44
rnchat: Welcome my friends to the Friday night edition of #RNchat! We'll get started in a moment
but first introduce yourselves. Welcome newcomers!
7/9/2010 21:00
rnchat: @EllenRichter OK - Might be a slow night anyhoo, but we'll see. #rnchat
7/9/2010 21:00
ocdgirl2000: #rnchat Lynne Siegel RN CHN II methadone dispensing RN HHS Montgomery County
GOV MD Outpt addiction services!
7/9/2010 21:02
InfusionNurse: Good Friday evening to all...Cora - infusion nurse - its been a while..glad to be here
tonite!! #RNchat
7/9/2010 21:03
ocdgirl2000: #rnchat and NEW pt .
7/9/2010 21:03
rnchat: OK, we'll start our first #RNchat topic in a minute. Note: When responding to a topic add
T1, T2, etc. to your tweet. Relax & enjoy!!
7/9/2010 21:04
jrobinsonRN: Hurry up Ellen. I'm multitasking to try to do this. #RNChat
7/9/2010 21:04
ocdgirl2000: #rnchat to a Cardiology practice, ughhh!same one I used to work for in Feb 1999!LOL!
7/9/2010 21:04
rnchat: T1 Public Health Ramifications of #BP Spill: What are/can nurses do to mitigate damage
to crews, populations, etc? #RNchat
7/9/2010 21:05
ocdgirl2000: #rnchat T1 #BP encourage them to move away. find family members in other states,link
resources for social services!
7/9/2010 21:07
ocdgirl2000: RT @rnchat: @NurseSallie @jrobinsonRN @ocdgirl2000 Welcome! #rnchat
7/9/2010 21:08
jrobinsonRN: T1 - Not sure if nurses are going to even have a say in anything going on down there.
#RNChat
7/9/2010 21:08
holisticnurses: Hi there! T1 The oil spill is a public health issue. Educate, advocate, and encourage ppl
to report symptoms ASAP. Call Congress too #Rnchat

2. 7/9/2010 21:11
ocdgirl2000: #rnchat T1 peeps lose income from jobs like fishing, restaurants, lose health
insurance..drug use goes up, relapses in "our industry".
7/9/2010 21:11
nursekama: @rnchat Hello! Sorry I'm late joining...looks like we have a good crowd out tonight. :)
#rnchat
7/9/2010 21:13
jrobinsonRN: T1 - Hmm, liver and renal probs from the oil dispersant - that's kinda scary. #RNChat
7/9/2010 21:14
rnchat: @nursekama Good to see here & @holisticnurses too! #rnchat
7/9/2010 21:14
rnchat: @jrobinsonRN Good point - and that's problem, huh? #rnchat
7/9/2010 21:15
holisticnurses: RT @jrobinsonRN: T1 - Hmm, liver and renal probs from the oil dispersant - thats kinda
scary. #Rnchat
7/9/2010 21:16
jrobinsonRN: T1-reading that CDC report abt dispersant makes me wonder if cure for the spill isn't
worse than the oil #RNChat
7/9/2010 21:19
holisticnurses: T1 So we know all these things are at risk or already happening...what now? Many
affected...How fast is BP paying out claims? #Rnchat
7/9/2010 21:19
ocdgirl2000: #rnchat T1 Our country & our clinic, in particular, had plans in effect, to take transfers
(patients/cases) from Hurricane Katrina.local gov
7/9/2010 21:19
holisticnurses: @jrobinsonRN And is the dispersant local to that area? Can weather patterns bring it
farther inland? #Rnchat
7/9/2010 21:20
EllenRichter: Hello everyone! Just got in! Whew, TGIF!! Going to read up on everyone's T1 answers!!
#RNchat
7/9/2010 21:23
jrobinsonRN: T1 @holisticnurses - Doesn't seem like the dispersant would be able to go far inland.
#RNChat
7/9/2010 21:24
ocdgirl2000: #rnchat T1 with the hurricane season, the oil will be spreading everywhere. up all the
coastlines. EVERYWHERE!BP is bad!
7/9/2010 21:24
EllenRichter: T1 I know from a public health perspective, the oil spill is serious, but my heart truly
breaks for the wildlife :( #RNchat
7/9/2010 21:25
ocdgirl2000: @EllenRichter #rnchat welcome! long time no see!
7/9/2010 21:25

3. jrobinsonRN: T1 - yes Ellen, it kills me to think about the animals that are helpless to get away from
this. #RNChat
7/9/2010 21:26
EllenRichter: @ocdgirl2000 I know!!! Where have you been, gf?? I miss you! :) #RNchat
7/9/2010 21:26
rnchat: Thar he blows: just had a Fail Whale citing. ;) #rnchat
7/9/2010 21:26
InfusionNurse: @EllenRichter ..hi ellen! #RNchat
7/9/2010 21:27
holisticnurses: Agreed! RT @EllenRichter: the oil spill is serious, but my heart truly breaks for the wildlife
:( #Rnchat
7/9/2010 21:27
nursekama: T1 Agree w/ @holisticnurses that its a public health concern. We know that the
environment impacts health. RNs can influence policy #rnchat
7/9/2010 21:28
EllenRichter: @jrobinsonRN I know. My heart just bleeds when I see videos or photos of the oil's
devastation of the coastal wildlife #RNchat
7/9/2010 21:28
holisticnurses: @nursekama Yes, affecting policy is a courageous effort for nurses. #Rnchat
7/9/2010 21:29
jrobinsonRN: T1 @nursekama - nurses can't stick together for their own issues - do you think they'll
stick together to influence policy on this? #RNChat
7/9/2010 21:30
KPNurseRecruit: RT @rnchat: Topics on tonight's #RNchat 9pm EST: #BP cleanup ramifications | What
#nurses are/could be doing with digital technology.
7/9/2010 21:30
EllenRichter: T1 I wonder if the coastal vacation town hospitals are slower than usual from less visitors.
That will affect nurses. #RNchat
7/9/2010 21:30
holisticnurses: T1 I would hope this serves as an example of how not to do business, but I fear not much
will change. Big Corps have to care! #Rnchat
7/9/2010 21:31
nursekama: T1 @jrobinsonRN Nurses not sticking together on issues? Hasn't been my experience -
most support our professional organization #RNAO #rnchat
7/9/2010 21:32
jrobinsonRN: T1 - @holisticnurses - I'm with you, things don't change when greed is involved. #RNChat
7/9/2010 21:32
ocdgirl2000: RT @rnchat: Thar he blows: just had a Fail Whale citing. ;) #rnchat
7/9/2010 21:32
rnchat: Heads up: Our next topic is coming up in a moment! #RNchat
7/9/2010 21:33

4. KPNurseRecruit: @RNchat Greetings, #RNChat! I'm able to join for the last half. Glad to be here!
7/9/2010 21:33
EllenRichter: @ocdgirl2000 Oh dear! Sorry to hear about your cardiac adventure! If you have
questions, you can always email me! #RNchat
7/9/2010 21:33
nursekama: T1 An example of our unified approach, we strategically lobby each year at Queen's Park
in Toronto. See http://tinyurl.com/28tbd2r #rnchat
7/9/2010 21:34
EllenRichter: ~~Waving to everyone @ #RNchat tonite! We have standing room only, eh? Too
numerous to count? ;)
7/9/2010 21:34
rnchat: T2 Present & Future of Digital Tech: From mobile apps to social media, what are nurses
doing? How can we use them to their fullest? #RNchat
7/9/2010 21:35
ocdgirl2000: @EllenRichter thanx! #rnchat I just might do that! been 10 years since I worked for this
same practice!LOL! hoodwinked!
7/9/2010 21:35
holisticnurses: T1 Oil isn't an industry about taking care of people or the earth. If we depend on it less...
#Rnchat
7/9/2010 21:35
InfusionNurse: LOL.. some of my tweets r not showing up here..RT @NurseSallie: T1 fail whale must
have encountered oil slick #RNchat
7/9/2010 21:35
EllenRichter: No fail whale citings in Florida so far! LOL~ #RNchat
7/9/2010 21:35
jrobinsonRN: T1 - @nursekama - aha, you're up in Canada - would love to experience more nurses
sticking together down here in the US #RNChat
7/9/2010 21:36
EllenRichter: SO WELL PUT! RT @holisticnurses: T1 Oil isn't an industry about taking care of people
or the earth. If we depend on it less... #RNchat
7/9/2010 21:36
holisticnurses: @EllenRichter ~ waving back to you and the rest of #RNChat. Amy here btw! I jumped in
w/o a hello! It's the topic that got me going. #Rnchat
7/9/2010 21:36
holisticnurses: @InfusionNurse Oh no! Yours can't be missed! #Rnchat
7/9/2010 21:37
KPNurseRecruit: I'm a Nurse Recruiter at Kaiser Permanente--but I think I keep the "recruitment" dialed
down pretty low on twitter! #RNchat (forgot hashtag)
7/9/2010 21:37
nursekama: T1 @jrobinsonRN You're welcome to come up here!!! :) #rnchat
7/9/2010 21:37
jrobinsonRN: T2 - have not gone mobile yet - haven't seen a need. #RNChat
7/9/2010 21:38

5. EllenRichter: @ocdgirl2000 I'll DM you my email address! #RNchat
7/9/2010 21:38
KPNurseRecruit: RT @rnchat: T2 Present & Future of Digital Tech: From mobile apps to social media,
what are nurses doing? How can we use them to their fullest? #RNchat
7/9/2010 21:38
jrobinsonRN: T1 @nursekama - don't tempt me, I'm ready to move farther north - too hot down here. :)
#RNChat
7/9/2010 21:39
DebErupts: Nurses protest this show! TV show Cali Nurse casting for young nurses or nursing
students - http://ping.fm/tr6lH #RNChat
7/9/2010 21:39
holisticnurses: @nursekama ha! we can't even agree on how to deliver our healthcare. ;) off topic! I dig
you, Canucks! #Rnchat
7/9/2010 21:39
InfusionNurse: aww. thanks. good to c u again..RT @holisticnurses: @InfusionNurse Oh no! Yours cant
be missed! #RNchat
7/9/2010 21:40
nursekama: @holisticnurses and @jrobinsonRN - You two just made my day! :) #rnchat
7/9/2010 21:41
holisticnurses: T2 Nurses should design credible apps. #Rnchat
7/9/2010 21:41
jrobinsonRN: LOL !! AMEN RT @holisticnurses: @nursekama ha! we cant even agree on how to
deliver our healthcare. ;) off topic! I dig you,Canucks! #RNChat
7/9/2010 21:42
ocdgirl2000: RT @DebErupts: Nurses protest this show! TV show Cali Nurse casting for young nurses
or nursing students - http://ping.fm/tr6lH #RNChat
7/9/2010 21:42
dorameulman: I would like to hear from other nurses about their experiences with Family Centered Care
and Open Visitation. #RNChat #nurses #nursing
7/9/2010 21:43
jrobinsonRN: @NurseSallie T2 - guess I'm an old fogie - I still prefer my drug book in my hand, not on
a computerized device #RNChat
7/9/2010 21:43
ocdgirl2000: @EllenRichter okies! #rnchat i am also getting ready to go to DD wedding San Diego!
flight takeoff 7/22-8/4!yay!
7/9/2010 21:44
holisticnurses: T2 or at the very least plug great apps: http://blogs.vnsny.org/2010/06/20/ten-iphone-
apps-for-creative-caregivers/ #plug #Rnchat
7/9/2010 21:44
InfusionNurse: T2 - some r still slow to adapt but they don't have a choice... #RNchat
7/9/2010 21:44

6. nursekama: T2 Would be nice if more of us could figure out how to utilize #opendata to address some
system issues. Ie. housing, environment... #rnchat
7/9/2010 21:45
EllenRichter: T2 I love the ease of web based medication programs like Micromedex to search drug
compatibilies, actions, warnings, etc #RNchat
7/9/2010 21:45
KPNurseRecruit: RT @holisticnurses: T2 or at the very least plug great apps:
http://blogs.vnsny.org/2010/06/20/ten-iphone-apps-for-creative-caregivers/ #plug #Rnchat
7/9/2010 21:46
EllenRichter: Uh....the fail whale reared its head in south Florida! Darn thing! Ate my tweets! ;) #RNchat
7/9/2010 21:47
nursekama: T2 Examples of #opendata - http://vantrash.ca/ and http://www.fixmystreet.com/ #rnchat
7/9/2010 21:47
jrobinsonRN: @EllenRichter T2 - did not like to have to "fight" for computer access at hospital - always
not enough terminals to go around #RNChat
7/9/2010 21:48
EllenRichter: T2 My facility is FINALLY going electronic medical records this September. I cannot wait!
I'm sure we'll have growing pains too! #RNchat
7/9/2010 21:48
EllenRichter: @jrobinsonRN T2 We've been getting more terminals each year. They finally realized they
get more out of us if we all have web access #RNchat
7/9/2010 21:49
jrobinsonRN: @EllenRichter T2 - ugg, give me handwritten records to review any day - don't like the
printed format of EMRs that I've seen so far #RNChat
7/9/2010 21:49
jrobinsonRN: @EllenRichter T2 - at least they have clued in, still too many places trying to get by on
scant number of computers #RNChat
7/9/2010 21:51
EllenRichter: @jrobinsonRN Oh I agree! To audit & review an EMR is a nightmare! Its so fragmented.
But at the bedside, it really cuts paperwork #RNchat
7/9/2010 21:51
jrobinsonRN: @EllenRichter T2 - way 2 easy to hide things in the EMR with the fragmentation - &
when they use chart by exception ARGGGGGGG!! #RNChat
7/9/2010 21:52
ScottGodes: @EllenRichter Has anyone in risk management there looked into cyberinsurance for the
switch? #RNchat
7/9/2010 21:53
EllenRichter: T2 We can make EMR pros & cons a whole 'nother chat topic next time, if everyone
likes!! Right Phil? :) #RNchat
7/9/2010 21:53
nursekama: T2 @EllenRichter Lucky! We're 1/2 electronic & 1/2 paper. I dread the thought of any of
my peers being called to court in this state #rnchat
7/9/2010 21:53

7. ocdgirl2000: #rnchat T2 biggest issue 4 us, I am only RN that is "growing" with this software program
that we use to dispense methadone.2 of us in COUNTY
7/9/2010 21:53
EllenRichter: T2 I'm very jealous of the cutting edge facilities that utilize products like iphones for
nurses in patient care areas #RNchat
7/9/2010 21:54
jrobinsonRN: T2 - What apps besides drug calcs & books would U need clinically? Most stuff is in my
head already from college & CEs. #RNChat
7/9/2010 21:55
rnchat: OK - we'll be wrapping up soon! Before we go: give us your follow recommendations
(nursing or otherwise)! #RNchat
7/9/2010 21:56
ocdgirl2000: #rnchat T2 training a new RN to use this program (I'm trying to do so NOW!) is time
consuming, NOT my job, and really takes months to learn!
7/9/2010 21:56
EllenRichter: @jrobinsonRN T2 Lab value app, heart sounds app, IV solution app, insulin sliding scale
app just to name a few! #RNchat
7/9/2010 21:57
EllenRichter: @ocdgirl2000 T2 But teaching technology to your colleagues IS a part of your job! Why
shouldn't it be? Train the trainer concept. #RNchat
7/9/2010 21:58
InfusionNurse: gonna say bye b4 the whale eats my tweets . So good to see familiar names. Thanks for
the great chat..have a great weekend to all!! #RNchat
7/9/2010 21:58
EllenRichter: @InfusionNurse Same to you! Hey, how has the IV chat worked out? #RNchat
7/9/2010 22:00
jrobinsonRN: @EllenRichter T2 - Guess that could help newer nurses that don't have everything
already crammed into their head #RNChat
7/9/2010 22:00
rnchat: Wow - hour is up! THANK YOU everybody for participating. Transcript will be up soon.
Like us on http://Facebook.com/RNchat #RNchat
7/9/2010 22:00
nursekama: RT @EllenRichter: ...teaching technology to your colleagues IS a part of your job! Why
shouldnt it be? Train the trainer concept. #rnchat
7/9/2010 22:00
nursekama: #ff @holisticnurses @jrobinsonRN @EllenRichter @rnchat @ocdgirl2000 Have a great
night everyone! #rnchat
7/9/2010 22:01
EllenRichter: @jrobinsonRN T2 LOL, believe me, I'm not a newer nurse & I rely on programs & apps to
help me every day. They improve our nursing! #RNchat
7/9/2010 22:02
rnchat: Excellent Show tonight!!! Hope you all had fun! I'll put the transcript up soon (may be
tomorrow). Cheers! :) #rnchat
7/9/2010 22:03

8. ocdgirl2000: @EllenRichter #rnchat T2 the "acting Nurse Manager "1.can't teach.2. doesn't understand
much of it herself.3.language barriers 4.vacations!
7/9/2010 22:03
InfusionNurse: Doing well, we have it every other week..join us sometime..RT @EllenRichter: Same to
you! Hey, how has the IV chat worked out? #RNchat
7/9/2010 22:03
EllenRichter: @jrobinsonRN T2 I just saw your EMR comment abt charting by exception! I miss reading
descriptions & individuality in pt responses #RNchat
7/9/2010 22:05
EllenRichter: @ocdgirl2000 Sounds like YOU should be the next nurse manager, then! :) #RNchat
7/9/2010 22:07
holisticnurses: Good night, everyone! Had to step away for a bit but enjoyed the chat and great info!
#Rnchat
7/9/2010 22:07
ocdgirl2000: #rnchat T2 I'll be out of town for 3 weeks, can't wait to see the methadone software
fiascos in our clinic when I'm gone!LOL!OMG!!hahaha!
7/9/2010 22:08
EllenRichter: @RNchat Great topics tonight! Sorry I blew in late! Day from hell @ the hospital. Enjoyed
the chat! Love the company of great RNs! #RNchat
7/9/2010 22:10
EllenRichter: @ocdgirl2000 LMAO Think word will get to the streets? Maybe they'll err in the patients'
favor!! #RNchat
7/9/2010 22:10
ocdgirl2000: @EllenRichter #rnchat no joke! when I get back,after I get through a possible procedure
or two? hmmm? maybe~ I might take a crack @ the job!
7/9/2010 22:10
holisticnurses: Huh uh! RT @jrobinsonRN: T1-@holisticnurses - have read some stuff that says bp
litigation will be slow 4 citizen claims #RNChat
7/9/2010 22:12
ocdgirl2000: RT @nursekama: #ff @holisticnurses @jrobinsonRN @EllenRichter @rnchat
@ocdgirl2000 Have a great night everyone! #rnchat
7/9/2010 22:14
EllenRichter: @ScottGodes Out of curiousity, what would cyberinsurance protect against during switch
from paper to electronic medical records? #RNchat
7/9/2010 22:14
EllenRichter: @ocdgirl2000 GF, I think you have been ready for that role for as long as I know you.
That job has your name written on it! It does! #RNchat
7/9/2010 22:15
ScottGodes: @EllenRichter Policies should be written to cover a data breach. Think about how much
data can be held electronically on a drive. #RNChat
7/9/2010 22:20
rnchat: @EllenRichter Thank you for coming! Great time! #rnchat

9. 7/9/2010 22:21
ScottGodes: @EllenRichter A tiny 8GB flash drive reportedly can hold 3809 photos.
http://www.flashbay.com/usb_drive_data_capacity.html #RNChat
7/9/2010 22:22
EllenRichter: @ScottGodes OMG I imagine policies re: data storage & breaches go hand in hand w/
transition to EMR, no? Are hosps that carefree? #RNchat
7/9/2010 22:24
EllenRichter: @ScottGodes Once the whole nation ends up using EMRs fully, imagine how a computer
glitch could ultimately cripple the system? #RNchat
7/9/2010 22:27
ScottGodes: @EllenRichter I hope that they are on top of it. Or know good coverage lawyers! #RNChat
7/9/2010 22:28
EllenRichter: @ScottGodes Is that your area of law? Do you work with cyberpolicies? I'll bet this is a
good time to specialize in that area :) #RNchat
7/9/2010 22:29
EllenRichter: @ocdgirl2000 It could be time for the next person to wear the "schmuck crown" in the
kingdom. Maybe you are ready to step down! ;) #RNchat
7/9/2010 22:31
EllenRichter: OK, my poor dogs are literally crying at the door!! I came home & went RIGHT to
#RNchat! I can use a nice walk too! Just to decompress! :)
7/9/2010 22:38
onlinenursing: @EllenRichter Darn - I missed #RNChat ! Good thing I will be able to read the transcript.
7/9/2010 23:32