Welcome to #RNchat! Please prepend your replies to topics with T1, T2, etc. ...OK, let'sstart with introductions!10/22/2009 20:32

rnchat:

Hi All! I am a RN, NP, Nurse Educator, & DNP student. Happy 2 B in a chat w/ fellownurses :) Luv, Ro #RNchat10/22/2009 20:32

RoRod101:

@lorryschoenly here - correctional nurse educator and advocator #rnchat10/22/2009 20:33

lorryschoenly:

Geriatric Care Manager & Legal Nurse Consultant here (so etiquette calls for namingtopics first as T1, etc.?) Where is list? #rnchat10/22/2009 20:35

BonnieRN:

T1 Nursing's Relationship w/Technology: How can Nursing improve how it relates totechnology? ie: are we "savvy" enough? o_O #RNchat10/22/2009 20:36

rnchat:

#RNchat Barbara Olson, RN patient and medication safety specialist. Happy 2 b here(had to get up from pre-Project Runway nap). Worth it.10/22/2009 20:36

SafetyNurse:

Hello @BonnieRN & @lorryschoenly! #RNchat10/22/2009 20:36

RoRod101:

LOL - Bonnie, that's after the intros ;-) #rnchat10/22/2009 20:37

lorryschoenly:

@SafetyNurse Hey there! :) #RNchat10/22/2009 20:38

RoRod101:

T1 - Starting in nursing school for the newbies is a start #rnchat10/22/2009 20:39

lorryschoenly:

#RNChat Hi @RoRod! Thx 4 RTs since last time10/22/2009 20:39

SafetyNurse:

OMG I am late!! Was on a conference call! :) #RNchat10/22/2009 20:39

EllenRichter:

@BonnieRN It makes it easier to track the conversation, so we know what you'rereferring to. Also: for search & transcripts. #RNchat10/22/2009 20:40

rnchat:

T1 You bet we are savvy enough! I know that nurses can do anything they set theirminds to...I talk from 34 years of it :) #RNchat10/22/2009 20:41

EllenRichter:

Thanks Phil, so, T1 is a statement or an answer (sorry I am new to this chat) Heh, Ellen,DF. #rnchat10/22/2009 20:42

BonnieRN:

T1 LOL I remember we would "dipstick" urine to test sugar & acetone for diabetics, nowlook at us with glucometry (just one example) #RNchat10/22/2009 20:42

EllenRichter:

#RNChat T1 I don't doubt nurses are smart enough. But I wonder if tech works for nursingin the way it works for other (non-healthcare)

SafetyNurse:

10/22/2009 20:42

#rnchat T1 I think students in nursing school are definitely ready to learn whatevertechnology in nursing curriculum is developed & taught.10/22/2009 20:42

AnthonyBurich:

T1 Perhaps some nursing CE on incorporating tech in the classroom #RNchat10/22/2009 20:43

RoRod101:

@BonnieRN ~GF, hi & welcome! Nice to have you here! #RNchat10/22/2009 20:43

EllenRichter:

Hi, nurses! I'm Hillary, new grad (August 09) working on orthopedic/med-surg floor.#RNchat10/22/2009 20:44

hillarygayle:

#RNChat @BonnieRN Almost like Jeopardy.... "What is, 'It's not accessible for 200, Alex'?"10/22/2009 20:44

SafetyNurse:

T1 - of course we are savvy enough for technology. What technology? Labs? Ho-hum. Ithought we were discussing social media tech. #rnchat10/22/2009 20:44

BonnieRN:

T1 I know that technology will help nursing. Once records are 100% electronic, medicalhistories will not be mysteries on admission #RNchat10/22/2009 20:45

EllenRichter:

@hillarygayle Hi Hillary #RNChat10/22/2009 20:46

SafetyNurse:

Oh, sorry...intro= Ellen, critical care nurse, South Florida, also legal nurse consultant formedical litigation ~Hello folks :) #RNchat10/22/2009 20:46

EllenRichter:

@BonnieRN We discuss a broad range of topics, not just social media, but you cananswer as far as that's concerned too. #RNchat10/22/2009 20:46

rnchat:

#RNchat T1 We are taught to critically think. Part of that is searching for pertinent info wemay not know. There are many apps to help.10/22/2009 20:47

AnthonyBurich:

@hillarygayle Welcome, glad you could make it! #RNchat10/22/2009 20:47

rnchat:

BTW, you may find this chat easier to follow if you sign in to http://TweetChat.com &enter: RNchat. #RNchat10/22/2009 20:48

rnchat:

@EllenRichter #RNChat. I agree with you for the far potential. But I hear nurses complainall of the time about the WAY tech serves them.10/22/2009 20:48

SafetyNurse:

@AnthonyBurich @hillarygayle Hello, please to meet you both. Ro #RNchat10/22/2009 20:48

RoRod101:

@AnthonyBurich: T1 yes, apps to help us by providing fast, current info will augment &improve care #RNchat10/22/2009 20:49

EllenRichter:

T1 We're currently switching our hospital over to Meditech charting software. Feels likeeveryone but me HATES it. #RNchat10/22/2009 20:49

hillarygayle:

#RNChat T1 So I'm wondering, do I encounter the 10% who will complain about anythingor is this legit?10/22/2009 20:49

SafetyNurse:

#RNchat My intro - Anthony Burich, 1st year nursing school student, Northern California,future RN. Loving the program!10/22/2009 20:49

AnthonyBurich:

@safetynurse T1 I bet if nurses had more input into programs & technological advancesthey use, there would be less complaining #RNchat10/22/2009 20:50

EllenRichter:

@hillarygayle hi Hillary - nice to have a new grad present. #rnchat10/22/2009 20:50

BonnieRN:

#RNchat T1 Any technology that can streamline the nursing process while maintainingsafety and privacy should be welcomed.10/22/2009 20:50

AnthonyBurich:

@AnthonyBurich #RNChat T1 So information "hunting and gathering" is part of whatnurses expect to do while OTJ?10/22/2009 20:51

SafetyNurse:

RT @EllenRichter T1 I bet if nurses had more input into programs & technologicaladvances they use, there would be less complaining #RNchat10/22/2009 20:51

RoRod101:

@RoRod101 Hi Ro, pleasure to meet you as well! #rnchat10/22/2009 20:51

AnthonyBurich:

@safetynurse T1 LOL, oh no, nurses love to complain & many hate change because inthe beginning, change interferes with care #RNchat10/22/2009 20:51

EllenRichter:

@EllenRichter absolutely does. esp in my hospital, where last night I had 7 patients, 5post-op. #rnchat10/22/2009 20:53

hillarygayle:

@EllenRichter T1 If the nurses will be users it makes sense to have their input #RNchat10/22/2009 20:54

RoRod101:

@EllenRichter But it's a been a long time, Ellen. Is it just vanilla change-hate? Or is theresomething missing in design/workflow? #RNChat10/22/2009 20:55

SafetyNurse:

T1 My dad had surgery last week & the OR nurse took our cell # & texted us whensurgeon was closing so we could go back 2 waiting rm #RNchat10/22/2009 20:55

EllenRichter:

@safetynurse Small town, small hospital. Change interferes with care b/c of high ratios onour floors. #rnchat10/22/2009 20:55

hillarygayle:

T1 So, texting was used as health care communication for families of patients in the OR#RNchat

EllenRichter:

10/22/2009 20:56

Next topic coming up in a few minutes. Feel free to discuss first topic or move on to next.It's all good. #RNchat10/22/2009 20:56

rnchat:

@safetynurse T1 good question! I think its a combo of both...hate change AND design fail#RNchat10/22/2009 20:57

EllenRichter:

@SafetyNurse Is it possible to be familiar with specifics for every drug, diagnosis, etc? Ithink we need to seek unfamiliar info. #rnchat10/22/2009 20:57

AnthonyBurich:

@EllenRichter That's a win! #RNChat10/22/2009 20:58

SafetyNurse:

T1 In almost ALL situations where big changes are happening, it cause major ripples; withhc technology we must endure it for now #RNchat10/22/2009 20:58

EllenRichter:

@AnthonyBurich T1 Oh, I agree, Anthony. I think the app suggestion is great. Just thinkits use should be part and parcel... #RNChat10/22/2009 20:59

SafetyNurse:

T2 Patient Safety: How well are we doing w/Pt safety? What grade would you give theprofession? What needs most improvement? #RNchat10/22/2009 20:59

rnchat:

@anthonyburich T1 I dont know a nurse who practices without Google or a PDA programat their fingertips, too much to memorize #RNchat10/22/2009 21:00

EllenRichter:

@AnthonyBurich T1 of what's considered a norm. Not just available to me (a patient) if Iget a "smart" nurse or a "dig native" nurse #RNChat10/22/2009 21:00

SafetyNurse:

@rnchat OMG Phil! Patient safety tonight, too??? Should I yell BINGO now??? #RNChat10/22/2009 21:00

SafetyNurse:

T2 - Fall prevention is always an issue. So many concerns really in safety. #rnchat10/22/2009 21:01

BonnieRN:

@EllenRichter Woohoo! That's a nice observation. #RNChat10/22/2009 21:01

SafetyNurse:

@SafetyNurse :) #RNchat10/22/2009 21:01

rnchat:

@EllenRichter @safetynurse T1 I think the design fail of past projects fosters the changehate of present. #rnchat10/22/2009 21:01

AnthonyBurich:

@SafetyNurse I figured they actually can dovetail, so if you want to add your pt safetyperspective, feel free. #RNchat10/22/2009 21:02

rnchat:

RT @AnthonyBurich: @EllenRichter @safetynurse T1 I think the design fail of pastprojects fosters the change hate of present. #rnchat ~YES!!10/22/2009 21:02

EllenRichter:

T2 I review medical records involved in litigation, so I see many glitches in patient safety.I see the fails~ They are still there. #RNchat10/22/2009 21:03

EllenRichter:

@rnchat Wonder how "schooled" nurses feel abt #ptsafety. When I went to school, it ws"side rails up x 4." Stuff now proven to kill. #RNChat10/22/2009 21:04

SafetyNurse:

T2 At least the organizations themselves & the regulating agencies are FOCUSED moreon patient safety this past decade #RNchat10/22/2009 21:04

EllenRichter:

@AnthonyBurich T1 Amen. #RNChat10/22/2009 21:05

SafetyNurse:

Beth Hawkes Staff Development here sorry I'm late #rnchat10/22/2009 21:06

bhawkesRN:

T2 Today's student nurses seem very cognizant of pt safety, pt identification, &precautions such as falls, isolation, allergies #RNchat10/22/2009 21:07

EllenRichter:

@hillarygayle T2 Ummm... wondering what "patient safety" looks like from urperspective.... what u were taught? What u c OTJ? #RNChat10/22/2009 21:07

SafetyNurse:

@bhawkesRN Hey there! Glad you could make it. #RNchat10/22/2009 21:07

RoRod101:

@bhawkesRN Hi Beth #RNChat10/22/2009 21:07

SafetyNurse:

@bhawkesRN You will be docked 30 minutes #RNchat10/22/2009 21:07

EllenRichter:

Hi Beth, perfect timing. Staff development specialist and reviewing T2 Safety Concerns orPt. Safety. #rnchat10/22/2009 21:08

BonnieRN:

Thanks all! #rnchat10/22/2009 21:08

bhawkesRN:

@bhawkesRN Welcome, Beth! #RNchat10/22/2009 21:09

rnchat:

T2 Focus on basic nsg care reduces risk. #rnchat10/22/2009 21:10

bhawkesRN:

T2 Medication safety is still a tough area because so many are involved: doctor,pharmacist, nurse, patient...fail can occur 4-fold #RNchat10/22/2009 21:10

EllenRichter:

@EllenRichter T2 Patient safety begins in while in nursing school. SimMan is used in thelab to simulate caring 4 a pt #RNchat10/22/2009 21:10

RoRod101:

#RNchat T2 Teachers are really drilling many different #ptsafety protocols into us. But Iread many students state X in reality Y for NCLEX10/22/2009 21:12

AnthonyBurich:

@bhawkesRN T2 Unfortunately basic nsg care is very complex! So there is potential riskfor error even with basics #RNchat10/22/2009 21:13

EllenRichter:

T2 @AnthonyBurich ? X in reality Y for NCLEX? afraid I don't follow #rnchat10/22/2009 21:13

bhawkesRN:

@EllenRichter Great % (I think >1/2) of harm-causing med errors originate in "admin"phase of med use, making nurses very vulnerable #RNChat10/22/2009 21:14

SafetyNurse:

T2 SimMan is used 2 teach in a safe environment but the opportunity is there to teach ifsomething goes wrong 2 prevent in real life #RNchat10/22/2009 21:14

RoRod101:

@BonnieRN ~I know, its tough. I miss so much. When I read the transcript afterward, Isee how many tweets passed me by! #RNchat10/22/2009 21:15

EllenRichter:

T2 For example, if we round q 1 hr to assist with voiding, we have fewer falls. If weambulate we have less pneumonia and DVT. #rnchat10/22/2009 21:15

bhawkesRN:

T2 - Nurses have always been the last line of defense. #rnchat10/22/2009 21:15

BonnieRN:

@RoRod101 T2 Do your students get to view real med products (boxes, labels) tobecoem aware of look-alike, sound-alike risk points? #RNChat10/22/2009 21:16

SafetyNurse:

@safetynurse T2 I do believe that student nurses struggle with med administration themost. So much info to know abt each drug #RNchat10/22/2009 21:17

EllenRichter:

@bhawkesRN Read student posts that teachers tell them things done certain way OTJbut differently if answering a question on NCLEX. #rnchat10/22/2009 21:18

AnthonyBurich:

RT @ReconChesty RT @BonnieRN T2 - Nurses have always been the last line ofdefense. #rnchat / Very True!!10/22/2009 21:19

vulturegirl:

@SafetyNurse T2 They must pass (pass/fail) a medication administration simulationbefore giving meds. #RNchat10/22/2009 21:20

RoRod101:

@anthonyBurich Oh, gotcha. thanks #rnchat10/22/2009 21:20

bhawkesRN:

@EllenRichter T2 ....and a med admin process that often doesn't support reliability.#RNChat10/22/2009 21:20

SafetyNurse:

T2 In general, nursing profession has aggressively moved towards creating a saferenvironmt in hospital care but we're not there yet #RNchat10/22/2009 21:23

EllenRichter:

T2 Wondering what you guys see when a nurse makes a mistake? #RNChat10/22/2009 21:24

SafetyNurse:

@safetynurse We laugh at work b/c our computerized medication system will not let usoverride tylenol but we can override dilaudid! #RNchat10/22/2009 21:24

EllenRichter:

T2 I would like to see peer review as a way to address some pt incidents. #rnchat10/22/2009 21:25

bhawkesRN:

@safetynurse T2 when a nurse errs, it is supposed to be opportunity for learning, but weall know fear & shame preside #RNchat10/22/2009 21:25

EllenRichter:

I have seen good things in clinicals. We had one RN give kayexalate v. kaopectate tosomeone who was low K c diarrhea. #rnchat10/22/2009 21:26

chuymatt:

@EllenRichter T2 I agree, the nursing profession has aggressively moved towardscreating a safer environment when providing care #RNchat10/22/2009 21:26

RoRod101:

RT @bhawkesRN: T2 I would like to see peer review as a way to address some ptincidents ~peer review=great way to learn! #RNchat10/22/2009 21:27

EllenRichter:

T2 - I am sorry but pear review reeks of discipline. We need learning opportunities andmentoring of trusted colleagues... #rnchat10/22/2009 21:27

BonnieRN:

by end of shift it was nailed down to pharm error with the handwritten order... after 2 daysof administration. #rnchat10/22/2009 21:27

chuymatt:

@EllenRichter T2 maybe I will shamelessly beg Phil to add "when things go awry" for afuture chat topic #RNChat10/22/2009 21:28

SafetyNurse:

@chuymatt Happens all the time, sorry to say. Welcome to LASA-related errors (look-alike, sound-alike drug names) #RNChat10/22/2009 21:29

SafetyNurse:

T2 I agree peer review must be approached professionally. Possibly like the medicalmodel which is not primairily disciplinary. #rnchat10/22/2009 21:29

bhawkesRN:

@chuymattT2 Those types of med errors happen all the time, & many take days beforesomeone spots the problem! #RNchat10/22/2009 21:29

EllenRichter:

We'll be wrapping up. Yes, time warps inside the #RNchat.10/22/2009 21:29

rnchat:

@BonnieRN ...and measures to prevent a recurrence with another practitioner aftermemory of the event fades... #RNChat10/22/2009 21:30

SafetyNurse:

Feel free to keep chatting if you'd like (just swipe your credit card). I'll post a fewadministrative details in a moment. #RNchat10/22/2009 21:31

rnchat:

@bhawkesRN Agree 100% #rnchatBonnieRN:

10/22/2009 21:31

@SafetyNurse I KNOW that there are systems to prevent that kind of contraindicated mederror with all inclusive EMRs. #rnchat10/22/2009 21:31

chuymatt:

@bonnieRN Dont be too hard on peer review! As long as there are no repercussions,nurses CAN learn from med errors & near-misses #RNchat10/22/2009 21:31

EllenRichter:

Transcript of tonight's #RNchat will be posted in a bit.10/22/2009 21:31

rnchat:

Where did the time go? Great chat! Enjoyed tweetin' with you all. #RNchat10/22/2009 21:31

RoRod101:

@EllenRichter the follow up of learning is key... #rnchat10/22/2009 21:32

BonnieRN:

Yes, as usual, thanks to @philbaumann for getting us nurses together on Twitter...itsworking out wonderfully! :) #RNchat10/22/2009 21:33

EllenRichter:

@chuymatt You are correct, there are higher level safeguards available. Matter of hard-wiring them into care. #RNChat10/22/2009 21:33

SafetyNurse:

@BonnieRn we have plans to implement peer review in 2010. I'm excited and want to bepart of the group. But then I'm a joiner :) #rnchat10/22/2009 21:33

bhawkesRN:

RT @BonnieRN: @EllenRichter the follow up of learning is key... #rnchat ~Cant agreemore! :)10/22/2009 21:33

EllenRichter:

Bye all, thanks for the great conversation(s)! #RNChat10/22/2009 21:33

SafetyNurse:

If you haven't tried tools such as http://TweetChat.com or http://TweetGrid.com orhttp://Twazzup.com give them a spin. #RNchat10/22/2009 21:34

rnchat: