Welcome to #RNchat! We'll get started in a moment. Let's begin with introductions. Tellus about yourself in < 140!3/5/2010 20:30

rnchat:

Good evening! I am happy to stop work for a quick break with my #RNchat friendstonight!! TGIF even if I'm working!! :)3/5/2010 20:32

EllenRichter:

Hi, glad we are a little early tonight. Need to leave at 9 - Correctional Nurse educator andadvocate. Howdy All #rnchat3/5/2010 20:33

lorryschoenly:

Hi everyone! I'm happy to be back tonight after having to miss the last 2 #RNChat I'm aNurse Recruiter within Kaiser Permanente in Cali3/5/2010 20:33

KPNurseRecruit:

I'm from unseasonably freezing south Florida! I'm a critical care nurse & legal nurseconsultant. :) #RNchat3/5/2010 20:34

EllenRichter:

Howdy to all!! Infusion nurse and nurse educator. Happy to be here!! #rnchat3/5/2010 20:34

InfusionNurse:

Howdy Phil, Lorry, Louetta & "Infusion"! #RNchat3/5/2010 20:35

EllenRichter:

OK, first topic coming up! #RNchat Please prepend replies to topics with T1, T2, etc.3/5/2010 20:36

rnchat:

@EllenRichter ..LOL...Ido have a name....its Cora!! LOL Hi back to you all!! #rnchat3/5/2010 20:36

InfusionNurse:

@EllenRichter @infusionnurse @kpnurserecruit @lorryshoenly Howdy! #RNchat3/5/2010 20:37

rnchat:

Missing my nurse peeps tonight at #rnchat. Am at 5yr olds Upward awards3/5/2010 20:37

cyclingwidow:

@InfusionNurse Cora!! Well, finally! LMAO~ Welcome Cora! :) #RNchat3/5/2010 20:37

EllenRichter:

T1 Nursing Salaries: What are average salaries for different kinds of nursing? How canwe demonstrate value & raise pay? #RNchat3/5/2010 20:37

rnchat:

#rnchat OMG didn't know it was tonight! T13/5/2010 20:38

ocdgirl2000:

T1: varies with geographic location, experience and length of service... #rnchat3/5/2010 20:39

InfusionNurse:

@ocdgirl2000 Sorry - I didn't promote it too heavily. ...Welcome! #RNchat3/5/2010 20:40

rnchat:

@RNchat Wow T1 is an excellent question! How can we demonstrate value & raise pay?#RNchat3/5/2010 20:41

EllenRichter:

T1 I watch all my colleagues in other disciplines ie: PT, RT, nutrition--they all bill forEllenRichter:

services rendered. Where did we go wrong? #RNchat3/5/2010 20:42

RT @rnchat: T1 Nursing Salaries: What are average salaries for different kinds ofnursing? How can we demonstrate value & raise pay? #RNchat3/5/2010 20:42

KPNurseRecruit:

@ocdgirl2000 T1 Yes, good benefits really can be an important salary adjuster!! #RNchat3/5/2010 20:42

EllenRichter:

T1 I really think nurses need to restructure how we get paid & what we get paid for#RNchat3/5/2010 20:43

EllenRichter:

@EllenRichter "Your backside is clean and dry. That'll be $35 please. We take Visa,Mastercard, Medicare, Medicaid" ;) #RNchat3/5/2010 20:44

philbaumann:

#rnchat T1yep, and accumulated leave, sick leave benefits, retirement benefits, matchedretirement contributions, etc.3/5/2010 20:44

ocdgirl2000:

T1LMAO @philbaumann almost kinda!! #RNchat3/5/2010 20:44

EllenRichter:

#rnchat T1 my "leave" accumulates at a faster rate after 5,10, 15 years..3/5/2010 20:45

ocdgirl2000:

@EllenRichter Actually, I left a zero out. $35 is way too low. Gotta go for the gusto.That's what docs have done ;) #RNchat3/5/2010 20:46

philbaumann:

@philbaumann ..T1 wish it's that way, often nursing is free...part of room charge..sad#rnchat3/5/2010 20:46

InfusionNurse:

T1 I really do believe our "worth" would increase if everyone saw our task lists per hourand divided that by our hourly wages! #RNchat3/5/2010 20:49

EllenRichter:

#rnchat T1 I know they enacted the Lilly Ledbetter act in 2009,in MD so that if you areperforming the exact same job as a peer,same salary!3/5/2010 20:49

ocdgirl2000:

Nurses could take on cases - would not have to be there all the time - ordinate the care -(a true nursing practice) #Rnchat T13/5/2010 20:49

nursingpins:

Ahhhh I 'm late to #RNChat3/5/2010 20:50

onlinenursing:

T1 If I perform 15 high level patient-care interventions in 1 hour & make $30/hr, each taskis worth only $2 bucks? C'mon its insane #RNchat3/5/2010 20:50

EllenRichter:

@nursingpins T1 I always thought that was a great idea & think with electronicsimproving, we will see better use of RNs #RNchat3/5/2010 20:51

EllenRichter:

@nursingpins Hi, Vernon! #RNchatrnchat:

3/5/2010 20:52

And hi Vernon, Terri & Lynne!! :) #RNchat3/5/2010 20:52

EllenRichter:

@EllenRichter it's about fair market value within the HC system #rnchat :0)3/5/2010 20:52

meducate:

Charge for Assmts - care plans - complex procedures - be there for questions andeducation - fee for service #rnchat T13/5/2010 20:52

nursingpins:

@meducate Hi there! T1 But nurses really never SET fair market value before! I think itshigh time! :) #RNchat3/5/2010 20:53

EllenRichter:

T1 - interesting conversation. Here in SWMo, salaries are some of the lowest in nation forRN, NP, and academia. Great ideas guys #RNChat3/5/2010 20:53

onlinenursing:

OK, next topic coming up in a moment. Pay is a huge issue - so many angles to discuss.We should do a whole chat on it, right? #RNchat3/5/2010 20:53

rnchat:

@meducate ..do u know what the FMV is for nurses? #rnchat3/5/2010 20:54

InfusionNurse:

As nurses - we do so little now - compared to what we could do - we do everything elseAND nursing #rnchat3/5/2010 20:55

nursingpins:

@onlinenursing Yes its really very disappointing to see the wide differences in RN salariesthroughout the country! #RNchat3/5/2010 20:55

EllenRichter:

RT @nursingpins: As nurses - we do so little now - compared to what we could do - wedo everything else AND nursing #RNchat3/5/2010 20:55

rnchat:

LOL how sad but true! How to get out from that rut?? >> RT @nursingpins: As nurseswe do everything else AND nursing #rnchat #RNchat3/5/2010 20:56

EllenRichter:

We do a tiny bit for everybody but not a lot for any one pt - as we should #rnchat3/5/2010 20:57

nursingpins:

T1 If there's any consolation, in my regional area, nurses r more highly compensated thanmost the rest of the multidisp team mbrs #RNChat3/5/2010 20:57

KPNurseRecruit:

@rnchat & @nursingpins - great points- imagine how much healthcare would improve ifnurses could just nurse and not everything else #RNChat3/5/2010 20:57

onlinenursing:

#rnchat T1 lets not go there!The gov is cutting services now! we have no cleaningservices any more!Guess who the maids are>?3/5/2010 20:57

ocdgirl2000:

T2 Second-career Nurses: What are your experiences with them? Do their backgroundsbring new perspective? #RNchat

rnchat:

3/5/2010 20:57

@nursingpins ..we've been so "giving" that we really don't think of getting paid for all thatwe do... #rnchat3/5/2010 20:58

InfusionNurse:

T1 My patient said "why do nurses have to empty the garbage & linen from the ICUrooms?" "There is no one else" I answered #RNchat3/5/2010 20:58

EllenRichter:

T2 Second-career usually connotates some increased level of maturity. I think 2nd careerRNs "critically think" better #RNchat3/5/2010 21:00

EllenRichter:

@ocdgirl2000 LOL, yes, lets not go there....maid service 101 #RNchat3/5/2010 21:00

EllenRichter:

T2- hmm-good question.Depends on the nurse.4some it is career they alwayswanted,4others they R just trying 2 find job security. #RNChat3/5/2010 21:01

onlinenursing:

I welcome (2nd. degree nurses) for so long - nurses had always been nurses - They havefresh perspectives and the maturity helps. #rnchat T23/5/2010 21:01

nursingpins:

@Cathy_Robinson Theres just not enough housekeeping help after hours! If we do aprocedure in an ICU room, we make a mess! #RNchat3/5/2010 21:01

EllenRichter:

T1 A quick salary comparison calculator tool in case u ever decide 2 move 2 anotherregion in US. http://www.bestplaces.net/COL/ #RNChat3/5/2010 21:02

KPNurseRecruit:

RT @nursingpins: I welcome (2nd. degree nurses) for so long - nurses had always beennurses - They have fresh perspectives and the maturity helps. #rnchat T23/5/2010 21:02

Cathy_Robinson:

#rnchat T2 Large BAGS of garbage down long halls..with a million little empty methadonedose bottles..with patients looking at us.."eyes.."3/5/2010 21:02

ocdgirl2000:

T2 I had an orientation programs for open heart RNs with no prior ICU experience...manywere firefighters who became RNs #RNchat3/5/2010 21:03

EllenRichter:

#rnchat T2 and no vacuum cleaner..had to ask where it was?one we had manager didn'tlike it in her office.now, it's gone!3/5/2010 21:04

ocdgirl2000:

I work with a guy who was an off-shore worker - wonderful nurse - married a nurse andgot interested - great leader #rnchat3/5/2010 21:04

nursingpins:

I'm second-career myself. I do think there's something about having a differentbackground & being older. Lots of positive feedback. #RNchat3/5/2010 21:04

philbaumann:

#rnchat T2 I'm a second career RN.3/5/2010 21:04

ocdgirl2000:

@EllenRichter @Cathy_Robinson #RNchat We do not staff housekeeping after hours inmy facility. It is all on us.3/5/2010 21:05

DianaCCRN:

T2 Those firefighter-to-RN staff were really great workers!! I loved them!! :) #RNchat3/5/2010 21:05

EllenRichter:

#rnchat T2 degree was in human ecology, textile marketing.3/5/2010 21:05

ocdgirl2000:

Checking over to #RNChat. Be back later.3/5/2010 21:05

jodyms:

@ocdgirl2000 @philbaumann....any regrets? #rnchat3/5/2010 21:05

InfusionNurse:

Of course, if you started nursing as a first career, you probably don't know how much workyer doing compared to office workers ;) #RNchat3/5/2010 21:06

philbaumann:

For Critical Care - takes years to be really effective - but there are so many opportunitiesin so many other areas (2nd career) #rnchat T23/5/2010 21:07

nursingpins:

@philbaumann Funny...I am a first-career RN and I still cannot believe how much work Ido! ;) #RNchat3/5/2010 21:07

EllenRichter:

I interviewed an RN 2day who was an archeaologist n his previous career. Took hisdegree and turned it into an accelerated MSN. #RNChat T23/5/2010 21:07

KPNurseRecruit:

@InfusionNurse No - but I do wish nursing got a LOT more support from the culture,facilities, (and nurses themselves) etc. #rnchat3/5/2010 21:07

philbaumann:

Ooohhh.Love paramedic to RN people. hey ROCK! the premed2RN though-repeatedlyremind me they were premed-like their smarter :) #RNChat3/5/2010 21:07

onlinenursing:

@EllenRichter LOL - but if you worked in an office before nursing, you'd proly go "Damn,THIS is work" ;) #RNchat3/5/2010 21:08

philbaumann:

@KPNurseRecruit Wow, thats a very unusual change in careers! There must be noopportunity for archeologists? :) #RNchat3/5/2010 21:08

EllenRichter:

@onlinenursing T2 #rnchat my thoughts excatly. Also some of the older generation haveissues respecting younger nurses w/ more experience.3/5/2010 21:08

DianaCCRN:

@InfusionNurse It has to be established or derived #rnchat3/5/2010 21:08

meducate:

RT @onlinenursing: Ooohhh.Love paramedic to RN people. hey ROCK! the premed2RNthough-repeatedly remind me they were premed-like their smarter :) #RNChat3/5/2010 21:09

Cathy_Robinson:

@EllenRichter I would agree. #RNchatlperk:

3/5/2010 21:10

@EllenRichter He is actually internal--but going for higher level mgmt position. U shouldsee him rock on the research n protocols #RNChat3/5/2010 21:10

KPNurseRecruit:

@lperk Thanks! I love when people agree with me!! ;) #RNchat3/5/2010 21:11

EllenRichter:

RT @DianaCCRN #RNChat Also some of older generation have issues respectingyounger nurses w/ more experience.Good point-back 2 lat. violence3/5/2010 21:11

onlinenursing:

#rnchat T2 was preggers with number 2 kid & was age 28 had job at Beltsvilleagricultural research center.. 18 credits away..3/5/2010 21:11

ocdgirl2000:

@meducate Derived value. Kinda like derivative markets. I like that. Nurses should usethat model. Worked for bailed-out banks. ;) #rnchat3/5/2010 21:11

rnchat:

#rnchat T2 then had him, he was born with Sturge Weber Syndrome3/5/2010 21:12

ocdgirl2000:

I think it was T1 I'd like to be on the "derived value" committee, thank you!! :) #RNchat3/5/2010 21:12

EllenRichter:

@ocdgirl2000 So did having the child with an illness help push you to nursing? #RNChat3/5/2010 21:13

onlinenursing:

#rnchat T2 my husband is currently in nursing school after working in Agriculture for 8years. It was necessary but NSG seems to fit him.3/5/2010 21:13

DianaCCRN:

I would rather have the rudest most expir'ed nurse that the sweetest one with little--respect for knowledge has never been a problem #rnchat3/5/2010 21:13

nursingpins:

@EllenRichter we would totally make you chair of the derived value committe :) #RNChat.3/5/2010 21:14

onlinenursing:

@onlinenursing @dianaCCRN I could see that happening. In my experience, though,respect for expertise has trumped age issues. #RNChat3/5/2010 21:14

philbaumann:

@PhilBaumann No hiding in the cubicle or restroom, that's for sure. #rnchat T23/5/2010 21:14

jodyms:

@nursechenene Makes sense. I'm interested in cancer survivorship, #RNChat3/5/2010 21:15

jodyms:

@DianaCCRN Many of those factory workers will not stay nurses for sure. Its not the kindof job you take JUST because you can #RNchat3/5/2010 21:15

EllenRichter:

#rnchat T2 well bad marriage ensued among all that with all those hospitalizations , Ifigured what the heck?I'm here all the time anyway?3/5/2010 21:16

ocdgirl2000:

@jodyms Yep. No long lunches (or any lunches) either. ;) #RNchatphilbaumann:

3/5/2010 21:16

@nursingpins ahhhh-great point! Love it-want experience-although barking orders/angryRN raises my B/P.Met 1 yest when GF had surg #RNChat3/5/2010 21:16

onlinenursing:

RT @ocdgirl2000: #rnchat T2 well bad marriage ensued among all that with all thosehospitalizations , I figured what the heck?I'm here all the time anyway?3/5/2010 21:16

Cathy_Robinson:

RT @EllenRichter: @DianaCCRN Many of those factory workers will not stay nurses forsure. Its not the kind of job you take JUST because you can #RNchat3/5/2010 21:16

rnchat:

Hi everyone! Just jumping in here ~ will try to catch up! #rnchat3/5/2010 21:17

NursingCenter:

@PhilBaumann I can imagine; having been a patient and worked in hospitals (pr/mktg)#RNchat Would do rounds w/Night Supervisor #RNchats3/5/2010 21:17

jodyms:

@ocdgirl2000 What a story! You are amazing! #RNchat3/5/2010 21:18

EllenRichter:

@onlinenursing #rnchat a child,both children, and both parents..I've been caring forpeople my whole life, really...lol, in retrospect..3/5/2010 21:18

ocdgirl2000:

@EllenRichter I couldn't agree more Ellen! #RNChat3/5/2010 21:18

PamelaKline:

RT @ocdgirl2000: @onlinenursing #rnchat a child,both children, and both parents..I'vebeen caring for people my whole life, really...lol, in retrospect..3/5/2010 21:18

Cathy_Robinson:

@NursingCenter Hi there GF, welcome! :) #RNchat3/5/2010 21:19

EllenRichter:

They can b/c they know they're good!! RT @EllenRichter: @nursingpins LOL yes, andwhy are some of the best ICU nurses rude?? #rnchat3/5/2010 21:19

InfusionNurse:

Nice conversation! Final topic coming up in a few minutes. #RNchat3/5/2010 21:19

rnchat:

@EllenRichter #RNChat3/5/2010 21:19

PamelaKline:

@NursingCenter Great to see you! #RNchat3/5/2010 21:19

rnchat:

@PamelaKline oops! Hit send & wasn't done! Thanks Ellen. Hi Phil:) Sorry I'm late#RNChat3/5/2010 21:20

PamelaKline:

@NursingCenter Glad you made it! #RNChat3/5/2010 21:20

KPNurseRecruit:

@nursingpins ...knowledge is power.... #rnchat3/5/2010 21:20

InfusionNurse:

#rnchat T2 I'm a second career RN, too, via accelerated MSN. Previous& current pt univprof in communic &new grad RN. Plan to continu both3/5/2010 21:20

lperk:

@PamelaKline Hi Pam! Thanks! I really do wish for that! Give $ value to our thousands ofpatient-related interventions! #RNchat3/5/2010 21:20

EllenRichter:

T2 I'm a second career RN as well...was a music major the first go round. Talk aboutchange! #RNchat3/5/2010 21:21

heathersebi98:

#rnchat T2 daughter ADHD bipolar, son Sturge Weber syndrome ,bilateral. congenitalglaucoma from 3 mos old, bilateral surgeries, 7 times!3/5/2010 21:21

ocdgirl2000:

I was mostly a waitress prior 2 nursing, trying 2 raise enough $ 2 put myself thru collegedrama training. #rnchat3/5/2010 21:21

nursesluck:

@EllenRichter @rnchat Thanks for the welcome! Glad to be here - sorry I'm late! #rnchat3/5/2010 21:21

NursingCenter:

RT @InfusionNurse: @nursingpins ...knowledge is power.... #rnchat3/5/2010 21:21

nursingpins:

@PamelaKline Hi, Pam! Glad you're hear! Ah, time's not important as long as it all worksout. :) #RNchat3/5/2010 21:22

rnchat:

@EllenRichter @nursingpins #RNchat I see us as more vocal patient advocates. We arepushy but those are the nurses I want on my side!3/5/2010 21:22

DianaCCRN:

I kind of disagree...ICU nurses have their niche, but have you ever seen a medsurg nursework? YO, that's some MAJOR skill! #RNchat3/5/2010 21:22

heathersebi98:

T2 Wow I think 2nd career RNs outnumber 1st career ones! Its great to know people flockto the profession. Are you all happy U did? #RNchat3/5/2010 21:23

EllenRichter:

@InfusionNurse I have been guilty of being rude to less expirenced nurses - trying tochange :) #rnchat3/5/2010 21:23

nursingpins:

@nursesluck wow - love to hear stories about how nurses got into nursing...so manydifferent paths! #rnchat3/5/2010 21:23

NursingCenter:

My mom's death in 82 changed all that: I wanted 2 save the world. Premed turned 2nursing after 5 C's threw my GPA! No regrets. #rnchat3/5/2010 21:23

nursesluck:

@heathersebi98 ABSOLUTELY! I think med/surg nurses---these days especially---needto get a medal of honor. High acuity, low staffing #RNchat3/5/2010 21:24

EllenRichter:

@nursingpins @InfusionNurse #rnchat the nature of nursing is for us to eat our young.DianaCCRN:

3/5/2010 21:24

@EllenRichter preach it sister! #RNchat3/5/2010 21:24

heathersebi98:

@nursesluck Wow, what an interesting, sad, yet happy (in the end) (hopefully) change ofcareers! #RNchat3/5/2010 21:24

EllenRichter:

@nursingpins ..rude or impatient? #rnchat3/5/2010 21:25

InfusionNurse:

Units need to maintain a mix- for many reasons - all need support #rnchat (each other)3/5/2010 21:25

nursingpins:

@nursingpins I've been there too - we all have our bad days! Or days when our patienceis not as it should be! #rnchat3/5/2010 21:25

NursingCenter:

Actually - you know what? The convo about T2 has turned out to be very interesting.#RNchat - Shall we skip 3 and just burn this one out?3/5/2010 21:25

rnchat:

#rnchat I taught my son how 2 have his eyes checked without anesthesia sitting ontelephone book 4 years old,applanation tonometer!pressure3/5/2010 21:25

ocdgirl2000:

RT @EllenRichter ABSOLUTELY! I think med/surg nurses--these days especially--needto get a medal of honor. High acuity, low staffing #rnchat3/5/2010 21:25

NursingCenter:

Actually....there really is no place for rudeness or an uppity attitude by any nurse,experienced or new. Come now... #RNchat3/5/2010 21:26

EllenRichter:

RT @nursingpins @InfusionNurse agree knowledge is power,still not excuse 4 rudew/fams or fellow RNs. Need 2 teach clear uncond com #RNChat3/5/2010 21:26

onlinenursing:

RT @EllenRichter: Actually....there really is no place for rudeness or an uppity attitude byany nurse, experienced or new. Come now... #RNchat3/5/2010 21:26

heathersebi98:

#rnchat my son could tell the techs or the Nurses which veins were the best to use, andwhen his IV's were bad..LOL!3/5/2010 21:27

ocdgirl2000:

@rnchat T2, I don't know about that 1.I have 2 male friends that r in nsg school now. 1was a Realtor & other worked @GM! #RNChat3/5/2010 21:27

PamelaKline:

Hart to remember how hard it was when you first started -then you learn so much - thenwith somebody right out of school you forget #rnchat3/5/2010 21:28

nursingpins:

T2- #RNchat funny how much comes back 2 education (pay, communication, secondcareer, attitude :)whew-lots of pressure for educators3/5/2010 21:28

onlinenursing:

@RNchat yup! #rnchatmeducate:

3/5/2010 21:28

Good 4 him RT @ocdgirl2000: my son could tell the techs or the Nurses which veinswere the best to use, and when his IVs were bad. #rnchat3/5/2010 21:29

InfusionNurse:

RT @EllenRichter: Actually..there really is no place for rudeness or an uppity attitude byany nurse, experienced or new. Come now #RNChat3/5/2010 21:29

PamelaKline:

It's imperative that we change our nursing education system to meet the needs of secondcareer nurses...and nurses in general. #RNchat3/5/2010 21:29

heathersebi98:

No longer can we scare the tar out of students...we need to empower them to be thefuture of our careers. #RNchat3/5/2010 21:30

heathersebi98:

@meducate You've inspired a new angle: Nursing should fund higher pay with derivatives& then proclaim itself Too Big To Fail. #RNchat3/5/2010 21:30

rnchat:

True but it happens.RT @EllenRichter: there really is no place for rudeness or an uppityattitude by any nurse, experienced or new. #rnchat3/5/2010 21:30

InfusionNurse:

RT @NursingCenter: RT @EllenRichter ABSOLUTELY! I think med/surg nurses--thesedays especially--need to get a medal of honor. High acuity, low staffing #rnchat3/5/2010 21:31

shawnta2231:

RT @onlinenursing: RT @DianaCCRN #RNChat Also some of older generation haveissues respecting younger nurses w/ more experience.Good point-back 2 lat. violence3/5/2010 21:31

shawnta2231:

RT @philbaumann: Of course, if you started nursing as a first career, you probably don'tknow how much work yer doing compared to office workers ;) #RNchat3/5/2010 21:31

shawnta2231:

RT @onlinenursing: T1 - interesting conversation. Here in SWMo, salaries are some ofthe lowest in nation for RN, NP, and academia. Great ideas guys #RNChat3/5/2010 21:31

shawnta2231:

RT @heathersebi98 It's imperative that we change R nursing education system 2 meetthe needs of second career nurses & nurses in gen #RNchat3/5/2010 21:32

onlinenursing:

RT @heathersebi98 It's imperative that we change R nursing education system 2 meetthe needs of second career nurses & nurses in gen #RNchat3/5/2010 21:32

NUR3563:

#rnchat T2 when you are the RN in the family,you are the advocate and the"defender".You R the one who chases down Doctors & hospital folks!3/5/2010 21:32

ocdgirl2000:

MS is hard - compared to any specialty - you are right #rnchat3/5/2010 21:32

nursingpins:

MS requires so much time management - just to do the paper work #rnchat3/5/2010 21:34

nursingpins:

LOL I got nervous there with the barrage of RTs :) #RNchat3/5/2010 21:34

EllenRichter:

@NUR3563 Agreed. I'm a second career nurse had to work 50 hrs/wk and do the ADN.Lucky I'm still sane. Or not #RNchat3/5/2010 21:34

RNMark:

Do u think part of the reason for rudeness from older RN's is because they're intimidatedby the newer RN? Power struggle maybe? #RNChat3/5/2010 21:34

PamelaKline:

@InfusionNurse @EllenRichter #rnchat A good preceptor program helps. Also Hate that ' Iam an RN so I am too good to do that' attitude.3/5/2010 21:35

DianaCCRN:

@wendymindy79 add your #rnchat hashtag and join us!!! follow @rnchat hey phil!3/5/2010 21:35

ocdgirl2000:

Thats why there are so many incidents that occur on med/surg floor. Its a series ofdisasters waiting to happen--bless med/surg RNs #RNchat3/5/2010 21:36

EllenRichter:

@PamelaKline One reason - they are so much more comfortable in the situation = makesit easy for them. #rnchat (but no excuse)3/5/2010 21:36

nursingpins:

@PamelaKline Pam I think many older nurses just have shorter fuses & little patience toteach. They just want to do their work. :( #RNchat3/5/2010 21:37

EllenRichter:

any thoughts on the opposite of T2 RN's seeking other degrees? #rnchat3/5/2010 21:37

InfusionNurse:

@RNMark Mark! Gload to see you here. Love your pic (own a dachsund). Yes,Accelerated BSN for 2nd career RNs is where we should head #RNchat3/5/2010 21:37

onlinenursing:

2 good to do that attitude-hate it: When I was a RN tech, 1 RN was too good to getbedpans, she'd get me even if I was busy! #RNChat3/5/2010 21:38

PamelaKline:

@EllenRichter MS is the catch-all! Students should have to learn organization from thererather than thrown to ICU at graduation! #RNchat3/5/2010 21:38

heathersebi98:

@InfusionNurse I know of RNs who go back for law degrees after many years in healthcare & are excellent health litigation attorneys #RNchat3/5/2010 21:39

EllenRichter:

@PamelaKline Nursing has evolved; older nurses haven't always accepted it. New nursesexpect equality.vs hierarchy. #RNChat3/5/2010 21:39

RNMark:

RT @heathersebi98: @EllenRichter MS is the catch-all! Students should have to learnorganization from there rather than thrown to ICU at graduation! #RNchat3/5/2010 21:39

nursingpins:

@EllenRichter maybe-1 place I worked,there was 1 RN that ALWAYS intimidated nsgstudents, new RN's. I think she wanted the POWER:) #RNChat3/5/2010 21:39

PamelaKline:

Funny: (Some) ICU nurses see Med/Surg nursing as a light-load, while Med/Surg nursesthink 2 patients in ICU is a breeze. :) #RNchat3/5/2010 21:39

rnchat:

@heathersebi98 I cant agree with you more. Every single RN should have to start theircareer on med/surg for at least 2 years! #RNchat3/5/2010 21:39

EllenRichter:

@PamelaKline I work CCU and we do our own pt care. I teach that first to precptees.#rnchat3/5/2010 21:40

DianaCCRN:

@NursingCenter me 2! I never did either. I hardly ever had a RN aide to anything 4 me. Ifelt 2 guilty LOL! #RNChat3/5/2010 21:40

PamelaKline:

I have to zip my son to Sadie Hawkins dance tonight now. Great chatting with you all!#RNChat3/5/2010 21:40

KPNurseRecruit:

@Kineticycle Good luck in your new place!! Wow, you moved today and still have time tochat? :) #RNchat3/5/2010 21:40

EllenRichter:

@DianaCCRN that's great! #RNChat3/5/2010 21:41

PamelaKline:

#rnchat I went back to school /divorcee with 2 kids,one disabled,2parents with cancer,&was in my 30's.I taught 15 aerobics classes a week.3/5/2010 21:41

ocdgirl2000:

Medicine requires a hierarchy in critical decisions - #rnchat3/5/2010 21:41

nursingpins:

@KPNurseRecruit Awww ~ fun! Have a good night! #rnchat3/5/2010 21:41

NursingCenter:

It's all about perspective. No kind of nursing is harder or easier than another. #RNchat3/5/2010 21:42

rnchat:

@onlinenursing Disagree. Accelerated BSN would require earnings disruption. Not living invan down by river. Need part time model #RNChat3/5/2010 21:42

RNMark:

@rnchat again-why can't we all just get along:)? R we so insecure that we feel we needto be 'better' than other nurses?lat.violence #RNchat3/5/2010 21:42

onlinenursing:

@rnchat Each nurse should have to switch for one week! Med surg go to ICU, ICU nursework on med surg floor! Then report back! :) #RNchat3/5/2010 21:42

EllenRichter:

#RNchat we all seem to think everyone else has it easier than we do. We all are busy +should be thankful we get to choose our area of work.3/5/2010 21:42

Kineticycle:

@ocdgirl2000 I'm exhausted just reading that! Wow - how did you manage? #rnchat3/5/2010 21:42

NursingCenter:

Rule number one. Provide care for the patient FIRST. All inclusive task. #rnchat3/5/2010 21:43

DianaCCRN:

@RNMark ahhhh excellent point about #RNchat. So, how would a full time weekendmodel work? 12 hours 2 days?3/5/2010 21:43

onlinenursing:

#rnchat that was the fastest way I could make a buck and get free babysitting.childsupport was unreliable..3/5/2010 21:44

ocdgirl2000:

@EllenRichter @onlinenursing When I was bedside, I got the living s&*^ pulled outta me,so I know everybody's got their load. :) #RNchat3/5/2010 21:44

philbaumann:

really want to teach my mom to use twitter bc i think she'd love this #RNchat3/5/2010 21:44

Susie:

RT @DianaCCRN: Rule number one. Provide care for the patient FIRST. All inclusivetask. #rnchat #RNChat3/5/2010 21:44

PamelaKline:

Nursing programs: adapt to the change in student population...offer weekend/nightclasses. Working adults could both work and learn! #RNchat3/5/2010 21:44

heathersebi98:

#rnchat finally out with friends for a change!! Med surg RN!!3/5/2010 21:44

grimalkinrn:

@DianaCCRN Diana, most days, after 12 hours, I still haven't gotten past rule numberone! #RNchat3/5/2010 21:44

EllenRichter:

RT @NursingCenter @KPNurseRecruit Awww ~ fun! Have a good night! #rnchat Thankyou! You too.3/5/2010 21:44

KPNurseRecruit:

@EllenRichter After 8 years in ICU, I was completely overwhelmed when pulled to med-surg! #rnchat3/5/2010 21:44

NursingCenter:

#RNchat Start Monday at Johns Hopkins in Balt, very excited! We all need more"exchange" programs to share perspectives + ideas.3/5/2010 21:44

Kineticycle:

RT @PamelaKline: RT @DianaCCRN: Rule number one. Provide care for the patientFIRST. All inclusive task. #rnchat #rnchat3/5/2010 21:45

NursingCenter:

@Susie We'd love to have her here! It's one of the reasons for it - to get more nursesinvolved. Show her slides @ http://RNchat.org #RNchat3/5/2010 21:45

rnchat:

@heathersebi98 Disagree. ICU vs MedSurg success may be more function of learningstyle, personality, and nurse cognition. Research? #RNChat3/5/2010 21:45

RNMark:

@ocdgirl2000 You really should write a book! I think everyone on Twitter who follow youwould buy it! Thats a good $ million! ;) #RNchat3/5/2010 21:45

EllenRichter:

@EllenRichter #RNchat it's a hard task but by far the most satisfying.3/5/2010 21:46

DianaCCRN:

@NursingCenter Oh I'll bet. Sometimes I transfer out SUCH a heavy patient to amed/surg floor & the nurse has 5 others like mine!! #RNchat3/5/2010 21:47

EllenRichter:

@NursingCenter #rnchat I'm getting a little teary eyed now..but I must have been veryblessed. Very Blessed indeed!Good health for years!3/5/2010 21:47

ocdgirl2000:

@RNMark I totally see your point. But what about basic nsg organization. Learning to takecare of 7 vs 2? BIG difference. Time mgt! #RNchat3/5/2010 21:47

heathersebi98:

@rnchat LOL you got to @susie before me! I was gonna say the same thing ;) #RNchat3/5/2010 21:48

EllenRichter:

@meducate Hey, are you calling us ODD? or just funny? ;) #RNchat3/5/2010 21:49

EllenRichter:

And, let's face facts:a MS pt is not going to get the pt care that a ICU pt gets.There's justno enough time or hands! #RNchat (sad)3/5/2010 21:49

heathersebi98:

OK folks, time to wrap it up. Any pearls of wisdom before we finish? #RNchat3/5/2010 21:49

rnchat:

@EllenRichter level of acuity of medsurg pts makes me concerned that we may beburning out our great med surg. Med surge need 4-5. #RNchat3/5/2010 21:50

onlinenursing:

@onlinenursing I was grad of Virginia Commonwealth Nursing Program (RIP) we did 2x8and 2x12 shifts for clinical. Huge value add! #RNChat3/5/2010 21:50

RNMark:

#rnchat I have had my butt kicked on multiple floors. We should never assume anyone'sload is light and stop looking down on one another.3/5/2010 21:50

grimalkinrn:

@Kineticycle #rnchat oh Hopkins is awesome!! my son gets all of his care there!SturgeWeber Center for Excellence in in Kennedy Kreiger.3/5/2010 21:50

ocdgirl2000:

@rnchat My pearl of wisdom is a great big "thanks Phil" for thinking this whole thing up,so nurses and others can meet like this! #RNchat3/5/2010 21:50

EllenRichter:

@onlinenursing Side point on pt census. As rehab nurse I carry 9 pt at night and amcharge RN. #RNChat3/5/2010 21:51

RNMark:

Great topics Phil! Thanks:) #RNChat3/5/2010 21:51

PamelaKline:

@rnchat ..Nurses rule!!! ...thanks for the great chat...have a great weekend! Till nextchat!! #rnchat3/5/2010 21:51

InfusionNurse:

@EllenRichter Aw, shucks. It's such a fun thing to run. Very proud of nursing and whatwe can do with #RNchat no matter how small. :)3/5/2010 21:52

philbaumann:

@RNMark Just out of curiosity, is your rehab staffing safe? I would imagine you havemore ancillary help too? #RNchat3/5/2010 21:52

EllenRichter:

#RNCHAT pearl of wisdom. make sure you study and KNOW the USA Federal andSTATE EMPLOYMENT LAWS. especially the EEOC rights that YOU have!3/5/2010 21:52

ocdgirl2000:

RT @rnchat: Funny: (Some) ICU nurses see Med/Surg nursing as a light-load, whileMed/Surg nurses think 2 patients in ICU is a breeze. :) #RNchat3/5/2010 21:52

Cathy_Robinson:

#RNChat @EllenRichter - agree... thanks to Phil. Also - I love nursing-always wanted 2 B1 & want 2 B 1 forever.We will fix h/c.GO NURSING!3/5/2010 21:53

onlinenursing:

@philbaumann Its really taken off nicely. Everyone knows to look for #RNchat every week& thats so important! :)3/5/2010 21:53

EllenRichter:

RT @onlinenursing: @rnchat again-why can't we all just get along:)? R we so insecurethat we feel we need to be 'better' than other nurses?lat.violence #RNchat3/5/2010 21:53

Cathy_Robinson:

RT @onlinenursing: #RNChat I love nursing-always wanted 2 B 1 & want 2 B 1forever.We will fix h/c.GO NURSING! #rnchat3/5/2010 21:54

NursingCenter:

RT @NursingCenter Treat other nurses as you would like and expect to be treated. Weare in this together - for the good of our pts. #rnchat3/5/2010 21:54

EllenRichter:

RT @philbaumann: @EllenRichter @onlinenursing When I was bedside, I got the livings&*^ pulled outta me, so I know everybody's got their load. :) #RNchat3/5/2010 21:54

Cathy_Robinson:

@heathersebi98 ICU pt requires more depth and system thinking. some folks better atdeep concentration with smaller span #RNChat3/5/2010 21:54

RNMark:

RT @InfusionNurse: @rnchat ..Nurses rule!!! ...thanks for the great chat...have a greatweekend! Till next chat!! #rnchat3/5/2010 21:54

NUR3563:

RT @InfusionNurse: @rnchat ..Nurses rule!!! ...thanks for the great chat...have a greatweekend! Till next chat!! #rnchat3/5/2010 21:54

onlinenursing:

RT @NursingCenter: @EllenRichter After 8 years in ICU, I was completely overwhelmedwhen pulled to med-surg! #rnchat3/5/2010 21:54

Cathy_Robinson:

RT @NursingCenter: Treat other nurses as u would like and expect 2 b treated. We arein this together - for the good of our pts. #RNChat3/5/2010 21:54

PamelaKline:

#RNchat Pearl of wisdon: avoid cranial / rectal inversion as much as possible, be nice,forgive often and smile more.3/5/2010 21:54

Kineticycle:

RT @ocdgirl2000: @NursingCenter #rnchat I'm getting a little teary eyed now..but I musthave been very blessed. Very Blessed indeed!Good health for years!3/5/2010 21:55

Cathy_Robinson:

nursingpins Don't forget to re-clamp the foley drainage tubes when you do your I's & O's -:) #rnchat3/5/2010 21:55

nursingpins:

Thanks Phil and RNchat friends! Have a great night everyone! #rnchat3/5/2010 21:55

NursingCenter:

@Kineticycle LOL, great advice!!! #RNChat3/5/2010 21:55

PamelaKline:

RT @Kineticycle: #RNchat Pearl of wisdon: avoid cranial / rectal inversion as much aspossible, be nice, forgive often & smile more. #RNchat3/5/2010 21:55

rnchat:

RT @EllenRichter: @rnchat My pearl of wisdom is a great big "thanks Phil" for thinkingthis whole thing up, so nurses and others can meet like this! #RNchat3/5/2010 21:55

Cathy_Robinson:

THANK YOU everybody!!! Another great chat. There are so many more topics that growout of the topics, it's amazing! #RNchat3/5/2010 21:56

rnchat:

@RNMark I agree whole heartedly...but is that what we want to train new nurses to do?Think narrowly? #RNChat (playing devils advocate)3/5/2010 21:56

heathersebi98:

Thanks to Phil and all - gn. #rnchat & nurses.3/5/2010 21:56

nursingpins:

@EllenRichter Rehab staffing assumes healthy patients. Co-morbids get you every time...no one expects heart block, repeat stroke :) #RNChat3/5/2010 21:56

RNMark:

RT @Kineticycle: #RNchat Pearl of wisdon: avoid cranial / rectal inversion as much aspossible, be nice, forgive often and smile more.3/5/2010 21:57

nursingpins:

TOUCHE! RT @Kineticycle #RNchat Pearl of wisdom~avoid cranial/rectal inversion asmuch as possible, be nice, forgive often and smile more.3/5/2010 21:57

EllenRichter:

RT @Kineticycle #RNchat Pearl of wisdom~avoid cranial/rectal inversion as much aspossible, be nice, forgive often and smile more.3/5/2010 21:58

NUR3563:

@heathersebi98 training new nurses is one thing.. every one starts as m/s +psych nurse,specialties have unique cognitive needs IMHO #RNChat3/5/2010 21:59

RNMark:

@EllenRichter #rnchat I was thinking if I retired early,would it be too late to go back toschool and get a law degree? 60yrs old?LOL!3/5/2010 21:59

ocdgirl2000:

@RNMark Yes, I'll bet comorbidities are a staffing killer. I havent had a patient lately thatdoesnt have 8 medical diagnoses! #RNchat3/5/2010 21:59

EllenRichter:

I'll post a transcript of this chat - it'll be up tomorrow. Cheers everybody! Enjoy yourweekend! #RNchat3/5/2010 22:00

rnchat: