Are you joining #RNchat tonight 20:30 EDT? It's for nurses, but recruiter types andspammers are free to make fools of themselves.10/9/2009 18:37

rnchat:

RT @RNchat: Are you joining #RNchat tonight 20:30 EDT? It's for nurses, but recruitersand spammers are free to make fools of themselves.10/9/2009 18:41

bhawkesRN:

Welcome to another #RNchat! Let's get started with introductions.10/9/2009 20:25

rnchat:

T1 Virtual Health: How do-able is it? How far can we stretch the Web in health care?What roles must nurses play? #RNchat10/9/2009 20:28

rnchat:

Hi! So glad I was able to get out of the hospital in time to participate tonight!! :) #RNchat10/9/2009 20:29

EllenRichter:

I am a critical care nurse in south Florida & also work as a legal consultant on medicalcases :) #RNchat10/9/2009 20:30

EllenRichter:

@EllenRichter Glad you could make it. My Jedi senses tell me it may a low turnout, butthat's ok. #rnchat10/9/2009 20:30

rnchat:

LOL ok u ask the questions, I'll try and answer them all :) #RNchat10/9/2009 20:31

EllenRichter:

T1 as far as do-ability for the web as a health care conduit?? Its very do-able, but weneed explicit rules & they must be enforced #RNchat10/9/2009 20:32

EllenRichter:

@EllenRichter Here's T1 - http://twitter.com/rnchat/statuses/4749069000 (u can alwaysview @RNchat's timeline for the topics if lost #rnchat10/9/2009 20:32

rnchat:

Hi! Beth Hawkes here. StaffDevelopment, acute care. Glad to be here! #RNchat10/9/2009 20:33

bhawkesRN:

T1 Much of health care maintenance is reinforcement of education which can easily bedone web-based #RNchat10/9/2009 20:34

EllenRichter:

Hi Beth! :) #RNchat10/9/2009 20:34

EllenRichter:

@bhawkesRN Cool you're here - looks like a small group, which is nice. We can alwaysrepeat topics for larger ones. #rnchat10/9/2009 20:35

rnchat:

Hi there, Ellen! :) #RNchat10/9/2009 20:35

bhawkesRN:

@rnchat thank you! Every chat is different, glad you provide them #RNchat10/9/2009 20:36

bhawkesRN:

T1 Follow up: epatient movements, etc. are growing. But what might be missing in thesemovement? Any shining examples of V/health? #RNchat10/9/2009 20:38

rnchat:

T1 As the web becomes more available to patients who cant reach health care veryeasily, electronic communication will prevail #RNchat10/9/2009 20:38

EllenRichter:

T1 Agree e-communication is the future ? V/health..def..? #RNchat10/9/2009 20:39

bhawkesRN:

T1 Technology will drive patient centered care in an unheard of way. #RNchat10/9/2009 20:41

bhawkesRN:

T1 Hands-on physical assessment is an important missing part of web-based health care#RNchat10/9/2009 20:42

EllenRichter:

@bhawkesRN VH simple def - the provision of care (Assessment - Implementation) viathe Web (bearing in mind what's realistic) #RNchat10/9/2009 20:42

rnchat:

T1 yes, u lost me on v-health too....video?? #RNchat10/9/2009 20:42

EllenRichter:

@EllenRichter Very true. But what are cutoffs? As tech evolves, (certain) remote Dx maybe more possible #RNchat10/9/2009 20:44

rnchat:

T1 I have some issues with reliability of pure web-based assessments. This is an areawhere we need to carefully define our role #RNchat10/9/2009 20:44

EllenRichter:

T1 Our newly launched Burn Unit communicates with Grossman Burn in LA. Burns areviewed by technology. Remote consult. #RNchat10/9/2009 20:45

bhawkesRN:

T1 VH is a very broad term 4 sure. I'm getting at exploring what's possible - trying 2break thru any assumptions we may be making. #RNchat10/9/2009 20:46

rnchat:

T1 Yes but with your kind of remote, there are still health care professionals on bothends. What happens when its just the patient? #RNchat10/9/2009 20:46

EllenRichter:

T1 I am 100% all-for web based advances in health care! We just need to recognizecertain areas of limitation #RNchat10/9/2009 20:47

EllenRichter:

T1 For instance: as real-time multi-channel media evolve & refine & integrate, r limits canbe extended. How 2 safely exploit that? #RNchat10/9/2009 20:48

rnchat:

T1 Video is a big help in doing remote assessment & diagnosis, for sure. Its like doinglaparascopic surgery #RNchat10/9/2009 20:48

EllenRichter:

T1 @rnchat.. good point. Give example? #RNchat10/9/2009 20:49

bhawkesRN:

T1 #RNchat U're having a chat now? omg! i'm ready to pass out and go to bed!LOL!10/9/2009 20:49

ocdgirl2000:

T1 At a high level, policies always lag behind innovation #RNchat10/9/2009 20:50

bhawkesRN:

H! @ocdgirl2000! Don't pass out friend! #RNchat10/9/2009 20:51

bhawkesRN:

up at 4:30 it's time to roll over now!lol #RNchat10/9/2009 20:52

ocdgirl2000:

@ocdgirl2000 Yeah, stay up!!! LOL #RNchat10/9/2009 20:52

EllenRichter:

T1 Example: Live-chat video where primary can sufficiently assess if f2f needed. Risky?Yes. But what specifically r risks? #rnchat10/9/2009 20:54

rnchat:

tongue depressors used to keep eyes open.. #RNchat10/9/2009 20:54

ocdgirl2000:

Next topic coming up a few minutes. #rnchat10/9/2009 20:54

rnchat:

Hey friends how do you feel about rescheduling chat? Or maybe determining a quorum?#RNchat10/9/2009 20:55

bhawkesRN:

Jenny Grisso here, "RN at large" LOL I saw Ellen, ocdgirl and bhawkes and knew I had tojoin in #RNchat10/9/2009 20:55

JennyBizRN:

well the tues chat was very fast and busy...this is a nice slower pace #RNchat10/9/2009 20:56

JennyBizRN:

T1 think we have a quorum! hi @JennyBizRn! Ready for T2 #RNchat10/9/2009 20:56

bhawkesRN:

T1 Risks? Live video chat is great, as long as both parties understand the implications ofvideo diagnostics #RNchat10/9/2009 20:57

EllenRichter:

I do more "telehealth" which has been all web based applications; but can so relate torecent crit care experinees #RNchat10/9/2009 20:57

JennyBizRN:

@JennyBizRN Welcome! Topic 2 coming right up. #RNchat10/9/2009 20:57

rnchat:

@JennyBizRN yes well this is the Fri nite crowd :) This does interfere w/me me andhubby going to Wal Mart but..sigh #RNchat10/9/2009 20:58

bhawkesRN:

Welcome Jenny! :) Jenny does phone triage...thats primitive e-patient care!! #RNchat10/9/2009 20:58

EllenRichter:

T2 Radical Re-Think: What fundamental features of Nursing do you think need a total re-think? Go wild here. :) #RNchat10/9/2009 20:58

rnchat:

@JennyBizRN U have to stay. I have to stay up.probably need coffee..nah too late..#RNchat10/9/2009 20:58

ocdgirl2000:

RT @EllenRichter: T1 I am 100% all-for web based advances in health care! We justneed to recognize certain areas of limitation #RNchat10/9/2009 20:59

nacinovich:

T2 Whoa! I won't say "Gender" ! #RNchat10/9/2009 21:00

bhawkesRN:

RT@ocdgirl2000:@JennyBizRN U have to stay. Ihave 2stay up.probably need coffee. toolate.then you all must stay.so whats T2? coffee? #RNchat10/9/2009 21:00

JennyBizRN:

First love in Nursing was Home Health. did it for longest time. would have done itindefinitely if they had decent health insurance #RNchat10/9/2009 21:01

ocdgirl2000:

T2 Now THATS too loaded of a question to answer honestly on Twitter! LMAO~ :)EllenRichter:

T2 Now THATS too loaded of a question to answer honestly on Twitter! LMAO~ :)#RNchat10/9/2009 21:01

EllenRichter:

@bhawkesRN :) #rnchat10/9/2009 21:01

rnchat:

@RNchat hey my friends Hate I can't B w/y'all Just finishing up w/an awesome ChristianLeaders conference. Hope to join in next time #RNChat10/9/2009 21:01

TeriRN:

RT @bhawkesRN: T2 Whoa! I wont say "Gender" !But u did. Nursing wants to be aprofession,there's work to be done! #RNchat10/9/2009 21:01

JennyBizRN:

T2 Fundamentally- Nursing + Medicine + Patients; need to partner #RNchat10/9/2009 21:02

bhawkesRN:

like being eyes and ears for doc did labs, wound cultures, photos, IV's etc.. called thedoc,even on weekends! #RNchat10/9/2009 21:02

ocdgirl2000:

@TeriRN Sure. See you later. Enjoy your evening! #rnchat10/9/2009 21:02

rnchat:

hi! @TeriRn missed you here! #RNchat10/9/2009 21:02

bhawkesRN:

For me, my jobs R most interested in my web/typing/software skills once they see I'vebeen an RN forever. #RNchat10/9/2009 21:02

JennyBizRN:

yup the nurse does everything.then we get "seasoned" and in come...those who will liftand "they" think know the web better #RNchat10/9/2009 21:04

JennyBizRN:

RT @EllenRichter: T2 Now THATS too loaded of a question to answer honestly onTwitter! LMAO~ :) AGREE #RNchat10/9/2009 21:04

bhawkesRN:

the RN needs to form a strong group, as RNs should be key in decisions including EMRs#RNchat10/9/2009 21:05

JennyBizRN:

T2 so.. @rnchat did u just ask what needs to be reworked in Nursing? in 140 charactersor less..? #RNchat10/9/2009 21:06

bhawkesRN:

T2 The advent of advanced practice nursing has begun the turn of the profession toassume more independent & colleagueal role w/ MDs #RNchat10/9/2009 21:06

EllenRichter:

well, now I'm too old & heading for the senior's Nursing centers myself!lol! #RNchat10/9/2009 21:06

ocdgirl2000:

RT @EllenRichter: T2 advanced practice nursing (will) turn the profession to moreindependent & colleagueal role w/ MDs #RNchat10/9/2009 21:08

bhawkesRN:

RT@EllenRichter:advanced practice nursing has begun the turn of the profession toassume more independent&colleagueal rolew/ MDs-yes #RNchat10/9/2009 21:08

JennyBizRN:

@bhawkesRN Well, yes, I guess I did :) Sometimes traditions worm they way intoprofessions. What r some that need to be re-thought? #rnchat10/9/2009 21:08

rnchat:

T2 The future is BRIGHT for Nursing as a profession. #RNchat10/9/2009 21:08

bhawkesRN:

@bhawkesRN, yeah lets start w going back to Flo... #RNchat10/9/2009 21:09

JennyBizRN:

T2 Things that will bring change- Magnet designation, Shared governance, HC reform#RNchat10/9/2009 21:09

bhawkesRN:

T2 The role of nursing is so vastly more complex & amazing than just followingorders...we just need to break out of that mold 4ever #RNchat10/9/2009 21:09

EllenRichter:

RT @bhawkesRN: T2 The future is BRIGHT for Nursing as a profession. ~Absolutely!#RNchat10/9/2009 21:10

EllenRichter:

How about that if all the nurses over 45 were WILLING to do pt care, the shortage wouldbe much less! #RNchat10/9/2009 21:10

JennyBizRN:

T2 I am SO thrilled to see new nurses pursue grad degrees and advanced roles! #RNchat10/9/2009 21:11

bhawkesRN:

love working w docs, maybe different in the clinic setting, especially in gov.. in treatinghomeless, disadvantaged.. #RNchat10/9/2009 21:11

ocdgirl2000:

@JennyBizRN lol what age group r u in? Under or over 45? #RNchat10/9/2009 21:12

bhawkesRN:

What I am doing, since arthritis doens't like 300lb lifting;#telehealth is rapidly evolving andis a great role, as patients LOVE us #RNchat10/9/2009 21:12

JennyBizRN:

@JennyBizRN Actually most of my colleagues at the bedside ARE over 45!! And we stilllove it! #RNchat10/9/2009 21:12

EllenRichter:

RT @bhawkesRN: T2 I am SO thrilled to see new nurses pursue grad degrees andadvanced roles! Yes that is great! #RNchat10/9/2009 21:13

JennyBizRN:

@ocdgirl2000 Inspiring! thank you #RNchat10/9/2009 21:13

bhawkesRN:

RT @EllenRichter: @JennyBizRN Actually most of my colleagues at the bedside AREover 45!! And we still love it!-ok coming to FL #RNchat10/9/2009 21:13

JennyBizRN:

@JennyBizRN Is it only in nursing that there are SO many opportunities to effect change?Telenursing- great! #RNchat10/9/2009 21:15

bhawkesRN:

It varies so much state to state on care, and how nurses are treated and level ofsatisfaction #RNchat10/9/2009 21:15

JennyBizRN:

@ocdgirl2000: sounds like U have a very interesting place of work! #RNchat10/9/2009 21:15

EllenRichter:

worked w urologist assisting surgical procedures on my feet @ 53! #rnchat10/9/2009 21:15

ocdgirl2000:

#rnchat those 3 years make a BIG difference, let me tell you!!10/9/2009 21:16

ocdgirl2000:

T2 Seems like the diversity of the nursing profession may be its greatest asset & hope forchange. Agree? #rnchat10/9/2009 21:17

rnchat:

RT @rnchat: T2 Seems like the diversity of the nursing profession may be its greatestasset & hope for change. Agree? ~U bet! #RNchat10/9/2009 21:18

EllenRichter:

RT @rnchat: T2 Seems like the diversity of the nursing profession may be its greatestasset & hope for change. Agree?-yes best now #RNchat10/9/2009 21:18

JennyBizRN:

T2 The demand for HC will drive the value of what RNs can provide in partnership withmedicine #RNchat10/9/2009 21:19

bhawkesRN:

@EllenRichter #rnchat as I got older felt like I didn't want to miss out trying out all kindsof nursing experiences!last chance!10/9/2009 21:19

ocdgirl2000:

T2 I feel very lucky to be part of the change of medical care to electronics~It really is whatwe have needed #RNchat10/9/2009 21:20

EllenRichter:

#rnchat once you hit the last few miles, you pick a slower pace..10/9/2009 21:20

ocdgirl2000:

@ocdgirl2000 You're so 100% awesome! #rnchat10/9/2009 21:20

rnchat:

I'm am totally about HCreform. And RNs are the backbone of healthcare so need to beinvolved #RNchat10/9/2009 21:20

JennyBizRN:

RT @rnchat: @ocdgirl2000 Youre so 100% awesome! :) #RNchat10/9/2009 21:21

bhawkesRN:

Consulting w a few telehealth co's as this evolves, RN's give the best for the patient forthe $, one area we will dominate #RNchat10/9/2009 21:21

JennyBizRN:

Yowza! Even though it's a "small" chat 2night, any parting thoughts or catchy phrases b4we wrap up? #RNchat10/9/2009 21:23

rnchat:

T2 @JennyBizRN Very good point about value for the dollar utilizing RNs in e-health care#RNchat10/9/2009 21:23

EllenRichter:

@rnchat ty!! started late in Nursing! I had been a single Mom,newly divorced, in schoolalmost 3 credits shy of degree in Nutrition #rnchat10/9/2009 21:23

ocdgirl2000:

Well for a small chat I think we held up fairly nicely!! LOL :) #RNchat10/9/2009 21:24

EllenRichter:

I was RN before the shortage, left to do Med device sales, loved it, then that crashed andcame back to nursing. #RNchat10/9/2009 21:25

JennyBizRN:

It was a nice low key town hall mtg! :) #RNchat10/9/2009 21:26

bhawkesRN:

Wow! Nice chat. Small is nice! OK: Next #RNchat is Tuesday 10/13 12pm EDT. 2night'srnchat:

Wow! Nice chat. Small is nice! OK: Next #RNchat is Tuesday 10/13 12pm EDT. 2night'stranscript forthcoming. Thank you all!10/9/2009 21:26

rnchat:

#rnchat I only hope they get it together for the Nursing schools...10/9/2009 21:26

ocdgirl2000:

Lastly shortage of PCP's=NP run clinics, thats the future to really boost nursing! #RNchat10/9/2009 21:26

JennyBizRN:

@rnchat ~as far as time, I'm a fan of evening time like this...I saw you asked before, but Iwas too involed in T1 LOL #RNchat10/9/2009 21:26

EllenRichter:

@bhawkesRN @EllenRichter Yes, the small chats are always nice too. You just getdifferent results with different sizes. #rnchat10/9/2009 21:27

rnchat:

@nacinovich Thanks for the RT during #RNchat! :)10/9/2009 21:27

EllenRichter:

#rnchat yes, this was cozy and fun! very enjoyable, and it woke me up!lol!10/9/2009 21:27

ocdgirl2000:

thank you for coordinating! #RNchat10/9/2009 21:28

bhawkesRN: