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Transcript of #RNchat for November 4, 2010
Transcript of #RNchat for November 4, 2010
Follow @RNchat for Regular Updates
Follow @RNchat for Regular Updates

Twitter.com/RNchat

RNchat.org

Moderated by @PhilBaumann
Moderated by @PhilBaumann

rnchat

Welcome to #RNchat everyone! Today's topics will be from @paloaltomedical - Say Hi to them as we get started with introductions!

nursingpins

Thanks @paloaltomedical for your participation. #RNchat

PaloAltoMedical

Hi Everyone! Looking forward to the #RNchat!

FreshRN

Hello @PaloAltoMedical! Look forward to chatting with you =) #RNchat

pamressler

Hello @paloaltomedical #rnchat

PaloAltoMedical

@nursingpins Thank you! Glad to be here with you all! #RNchat

IVchat

Greetings to all, hello @paloaltomedical!! #RNchat

PaloAltoMedical

@pamressler Hello to you too. Thanks for joining today's #RNchat!

 

--& ;gt; (non-clinical) advocate for patient centered care, involved w/

renee_berry

@Y_A_H_A @hcsmSV

@KLXmedia ( @paloaltomedical patient) #rnchat

PaloAltoMedical

Thx! Looking fwd to chatting w/you too! RT @freshrn: Hello @PaloAltoMedical! Look forward to chatting with you =) #RNchat

PaloAltoMedical

Thanks - Greetings to you too! RT @ivchat: Greetings to all, hello @paloaltomedical!! #RNchat

rnchat

T1 Are your job responsibilities changing with the advent of health care reform? How? #RNchat

rnchat

(In case ya missed it :) RT @rnchat: T1 Are your job responsibilities changing with the advent of health care reform? How? #rnchat

renee_berry

Think community edu is super important but I may have to lurk on this question bc I wouldn't be able to provide clinical perspective #rnchat

NAPH1981

Great question - curious here, too RT @rnchat: T1 Are your job responsibilities changing with the advent of health care reform? How? #RNchat

nursingpins PerfectServeInc factnurse nursingpins renee_berry factnurse Gracetx visiting_nurse chemosabe
nursingpins PerfectServeInc factnurse nursingpins renee_berry factnurse Gracetx visiting_nurse chemosabe
nursingpins
PerfectServeInc
factnurse
nursingpins
renee_berry
factnurse
Gracetx
visiting_nurse
chemosabe
onlinenursing
Gracetx
FreshRN
NUR3563
factnurse
onlinenursing
IVchat
chemosabe
Gracetx
onlinenursing

T1 - As far as I can see NOTHING has changed - and getting worse with ratios and staffing. #RNchat

We are happy to be joining #RNchat today! RT @RNchat T1 Are your job responsibilities changing with the advent of health care reform? How?

T1 the only change I have seen is the initiation of & ;quot;swing beds& ; quot; and not sure that is r/t HCR #RNchat

Glad to see NAPH1981 #RNchat

RT @NAPH1981: Great question - curious here, too RT @rnchat: T1 Are your job responsibilities changing with the advent of health care reform? How? #RNchat

T1 - our ratios and staffing are getting worse as well #RNchat

Greetings to all, hello @paloaltomedical! RN in community mental Health FT Worth Tx #RNchat

T1 From an admin perspc mor regulatory focus

due 2 cuts in MCR reimbursemnt for home health #RNChat

Hey all lurking at the mo and making school lunches, T1 ur reform not relevant down under, our reform coming too, not sure how yet #rnchat

Ooooh I am late. Sorry - Hellow #RNChat - Terri here - just finished an elluminate class with students.

T1- nothing changed yet. But lots of planning and meetings with community stakeholders to see what it means for us #RNCHAT

T1 I'm from California where we have state-mandated nurse/staffing ratios,

so we don't have as much as a problem with it I think

also seeing changs in staffn

#RNchat

@nursingpins I am going to agree with Vernon - no changes yet, too many scared of not making $ - so decreased staffing. #RNChat

T1 what changes can I as a staff nurse expect to see? #RNchat

@chemosabe hey down under! Good to see you! Here in #RNChat

T1 - affecting outpt. services as well. #RNchat

@onlinenursing thanx Terri, 0550 Fri here #rnchat

RT @visiting_nurse T1 we haven't seen cuts yet but anticipate them 2 cuts in MCR reimbursemnt for Community MH #RNChat

RT @IVchat: T1 - affecting outpt. services as well. #RNchat (Yes - diabetic foot clinic closed at local hospital) #RNChat

@factnurse you can expect to see more patient navigators, team-based care,

NAPH1981

coordination, etc

#hcr #RNchat

RT @naph1981: @factnurse you can expect to see more patient navigators,

CGreaves

team-based care, coordination, etc

#hcr #RNchat

team-based care, coordination, etc #hcr #RNchat RT @NAPH1981: @factnurse you can expect to see more patient
team-based care, coordination, etc #hcr #RNchat RT @NAPH1981: @factnurse you can expect to see more patient

RT @NAPH1981: @factnurse you can expect to see more patient navigators,

FreshRN

team-based care, coordination, etc

#hcr #RNchat

renee_berry

awesome, so important RT @NAPH1981 @factnurse you can expect to see more patient navigators, team-based care, coordination #hcr #rnchat

PerfectServeInc

RT @NAPH1981 @factnurse you can expect to see more patient navigators,

team-based care, coordination, etc

#hcr #RNchat

FreshRN

@NAPH1981 Who is responsible for implementing those changes? #RNchat

factnurse

@NAPH1981 Okay, I guess that makes sense #RNchat

nursingpins

T1 You will see more patient advocates - which will will help improve patient care. #RNchat

renee_berry

@NAPH1981 were you involved in advocating for increased #RN patient navigators in #hcr ? #rnchat

@factnurse you can expect to see more patient navigators, team-based care, coordination, etc - sounds like a job for nursing! #RNChat

onlinenursing

renee_berry

RT @nursingpins T1 You will see more patient advocates w/ #hcr - which will will help improve patient care #rnchat

rnchat

Shoulder tap: Next topic coming up in a moment! #RNchat

rnchat

T2 How do you personally maintain excellent standards of care in the face of budget cuts and pressures? #RNchat

RT @Gracetx: same hre sum of the community benefit programs R in

visiting_nurse

jeopardy/cut services

staff nurses R having 2 make more visits #RNChat

T1 @FreshRN theyre delivery system reforms included in #hcr. some need additl regulations from HHS before they can be implemented #RNchat

NAPH1981

RT @nursingpins: T1 You will see more patient advocates - which will will help improve patient care. #RNchat

PaloAltoMedical

NAPH1981

T1 others are grant programs that states and/or other entities can apply for and implement #RNchat

chemosabe

T2 personally or within work unit? #rnchat

FreshRN

Good question! RT @rnchat: T2 How do you personally maintain excellent standards of care in the face of budget cuts and pressures? #RNchat

onlinenursing

T2 #RNChat - same as always: Look for evidence,/research, listen to

advocate for pt.

family, be innovate, be cost cutting.

advocate for pt. family, be innovate, be cost cutting. interesting q RT @rnchat T2 How do
advocate for pt. family, be innovate, be cost cutting. interesting q RT @rnchat T2 How do

interesting q RT @rnchat T2 How do you personally maintain excellent

renee_berry

standards of care in the face of budget cuts

pressures? #rnchat

nursingpins

T2 - It is very hard to maintain standards - unfortunately I have seen the integ. of nursing decline because of ridiculous staffing. #RNchat

 

RT @onlinenursing T2 same as always: Look for evidence/research, listen

renee_berry

to

advocate for pt.

family #innovate #rnchat

IVchat

T2 - difficult, only a few (conscientious ones) would care to keep up b/c of low staffing, increased pt. load. #RNchat

PerfectServeInc

@onlinenursing That can be tough to be innovative and cost cutting at the same time. #RNChat

Gracetx

T2-challenge have to figure out what might not get done when hv less staff. OR what can unskilled staff do if we have less nurses? #RNchat

NAPH1981

@renee_berry we have been lobbying to include everyone in care coordination - nurses, physicians, social workers, you name it! T1 #RNchat

nursingpins

T2 Many corners are being cut and many things are not being done. #RNchat

Gracetx

Exactly! RT @PerfectServeInc @onlinenursing That can be tough to be innovative and cost cutting at the same time. #RNChat

factnurse

@nursingpins I concur. We are lucky if we get to eat and go to the bathroom. 12hr days are usually 14hrs at least now. #RNchat

 

so true

RT @nursingpins: T2 Many corners are being cut and many things

IVchat

are not being done. #RNchat

nursingpins

T2 Hospitals will be the biggest obstacle to safe staffing and hc improvement. They will not allow it without mandate. #RNchat

chemosabe

@factnurse We are lucky if we get to eat and go to the bathroom. 12hr days are usually 14hrs at least now _ paid overtime? #rnchat

the documntatn declines 2 RT @IVchat: so tru

corners R being cut

RT @nursingpins: T2 Many

visiting_nurse

many things R not being done. #RNchat

@NAPH1981 awesome, I'd love to learn more abt your efforts! I've been

renee_berry

fascinated w/ @HospiceAction

community legislative action #rnchat

RT @IVchat: so true

RT @nursingpins: T2 Many corners are being cut and

FreshRN

many things are not being done. #RNchat

and FreshRN many things are not being done. #RNchat @visiting_nurse T1 #RNchat TX is going to
and FreshRN many things are not being done. #RNchat @visiting_nurse T1 #RNchat TX is going to

@visiting_nurse T1 #RNchat TX is going to cut 10-15-20% of community health programs bcuse state funds shortage. Myb #her will help?

Gracetx

so u dont kno if it is not getting done or not documentd T2 Many corners R

being cut

visiting_nurse

many things R not being done. #RNchat

chemosabe

@nursingpins T2 Hospitals will be the biggest obstacle to safe staffing and hc improvement _ industrial action by hcw? #rnchat

Gracetx

So true!!!! Scary! RT @nursingpins T2 Many corners are being cut and many things are not being done. #RNchat

nursingpins

T2 It is documented - but it is not done. #RNchat

FreshRN

Wow RT @nursingpins: T2 It is documented - but it is not done. #RNchat

Yikes! RT @Gracetx: T1 #RNchat TX is going to cut 10-15-20% of community health programs bcuse state funds shortage.

visiting_nurse

RT @PaloAltoMedical: RT @nursingpins: T1 You will see more patient advocates - which will will help improve patient care. #RNchat

HospitalFocus5

ExactlyRT @visiting_nurse so u dont kno if it is not getting done or not

documentd T2 Many corners R cut

Gracetx

things R not being done. #RNchat

PerfectServeInc

At fully staffed, or decreased staffing? RT @nursingpins T2 It is documented - but it is not done. #RNchat

IVchat

scary

RT

@nursingpins: T2 It is documented - but it is not done. #RNchat

 

I

find not doc

not done too often RT @nursingpins T2 It is documented -

Gracetx

but it is not done. #RNchat

chemosabe

T2 adage downunda is if it is documented it didn't happen! #rnchat

nursingpins

@PerfectServeInc short staffed. #RNchat

not sure HCR will help tho bcuz many nonprofits rely on Medicare to

subsidize Medicaid

#RNchat

community health programs RT @Gracetx: T1

visiting_nurse

factnurse

I

find doc

not done more often than I would like to admit #RNchat

FreshRN

T2 Nurses and patients are obviously both suffering done #RNchat

something

needs to be

nursingpins RT @FreshRN: T2 Nurses and patients are obviously both suffering something needs to be

nursingpins

RT @FreshRN: T2 Nurses and patients are obviously both suffering something needs to be done #RNchat

rnchat

Shoulder tap: Final topic coming up in a couple minutes! #RNchat

tap: Final topic coming up in a couple minutes! #RNchat @nursingpins I'm afraid advocates can advocate
tap: Final topic coming up in a couple minutes! #RNchat @nursingpins I'm afraid advocates can advocate

@nursingpins I'm afraid advocates can advocate - but will it do much good if there isn't enough staff to take care of pt #RNchat

factnurse

RT @dorameulman: #NYC health department shows EMR's help primary docs improve care. http://bit.ly/bnFI1H #health #MDChat #RNChat #hcsm

CernerPhysician

Gracetx

In Austin yest./dept state health sd plan on T1 #RNchat TX is gonna cut 10- 15-20% of community health programs bcuse state funds shortage.

rnchat

T3 What areas of health innovation do you think are most important to patient care? #RNchat

WillowRN

@rnchat T2 Denver RN here - my hospital had a major layoff this year, pt loads are too heavy. Too much goes undone. #RNchat

our

Many claims being denied due 2 vry issue w/ increase in noncompliance w/

accrd standrds @Gracetx: I find not doc

visiting_nurse

not done 2 oftn #RNchat

@factnurse Patient advocate groups will pressure hospitals to post their unsafe staffing and more #RNchat

nursingpins

RT @rnchat T3 What areas of health innovation do you think are most important to patient care? #RNchat

PerfectServeInc

FreshRN

RT @nursingpins: @factnurse Patient advocate groups will pressure hospitals to post their unsafe staffing and more #RNchat

renee_berry

RT @rnchat T3 What areas of health innovation do you think are most important to patient care? #rnchat

CGreaves

RT @rnchat: T3 What areas of health innovation do you think are most important to patient care? #RNchat

WillowRN

T3 I think before we innovate any further, we need to solve the problem of staffing hospitals. More nurses would be innovative #RNchat

2ndRT @factnurse: @nursingpins I'm afraid advocates cn advocate - but will it do much gd if thr isn't enough staff 2 take care of pt #RNchat

visiting_nurse

factnurse

@nursingpins thats good #RNchat

nursingpins

T3 The biggest inov. I've seen are touch pads that allow patients to see x- rays and all kinds of info at the bedside. #RNchat

renee_berry

I've been very impressed w/ e-patient movement, advocating patients to participate in their care http://ow.ly/34D5Y #rnchat

PaloAltoMedical

RT @nursingpins T3 The biggest inov. I've seen are touch pads that allow patients to see x-rays and all kinds of info at the bedside #RNchat

to see x-rays and all kinds of info at the bedside #RNchat T3- need to b
to see x-rays and all kinds of info at the bedside #RNchat T3- need to b

T3- need to b open 2 nontraditional collaboration w public health. Use promotoras etc. #RNchat

community

Gracetx

Do you think that will help patient care,or patient communication? RT

@nursingpins T3 The biggest inov. I've seen are touch pads

PerfectServeInc

#RNchat

renee_berry

T3 Also fascinated with the strength of the #hcsm community encouraging stronger sources for reliable online #health information #rnchat

nursingpins

T3 communication helps care in all areas #RNchat

 

agree RT @Gracetx T3- need to b open 2 nontraditional collaboration w/

renee_berry

#PublicHealth

community #rnchat

factnurse

I think anything that shortens the hospital stay will benefit the patient #RNchat

jodyms

RT @renee_berry: T3 Also fascinated with the strength of the #hcsm community encouraging stronger sources for reliable online #health information #rnchat

IVchat

T3 - patients are already innovative #RNchat

seeking

out info using social media

renee_berry

T3 think this is a great #innovative resource for #oncologists #communication skills http://ow.ly/34DcS #cancer #rnchat

T3- Are there issues with nurses spending too much time trying to reach physicians, etc? Improve coordination of care--& ;gt;more time? #RNchat

PerfectServeInc

nursingpins

T3 I've seen more informed patients in the last year than the prev. 10. #RNchat

WillowRN

T3 #RnChat what would be great is incorporating the pts TV into a demo system, so pt could view xrays, call RN, etc from the touch screen.

 

RT @renee_berry: T3 think this is a great #innovative resource for

CGreaves

#oncologists

#communication skills http://ow.ly/34DcS #cancer #rnchat

NAPH1981

same! RT @renee_berry: impressed w/ e-patient movement, advocating patients to participate in their care http://ow.ly/34D5Y #rnchat

renee_berry cool cc @epatientdave RT @nursingpins T3 Ive seen more informed patients in the last

renee_berry

cool cc @epatientdave RT @nursingpins T3 Ive seen more informed patients in the last year than the prev 10 #RN #rnchat

nursingpins

@PerfectServeInc reaching phys is only a minor problem - that I have seen. #RNchat

phys is only a minor problem - that I have seen. #RNchat @thesournurse I totes posted
phys is only a minor problem - that I have seen. #RNchat @thesournurse I totes posted

@thesournurse I totes posted that to the wrong account, but you should lurk on #RNchat when you get a chance, lots of good info.

grimalkinrn

Thanks! RT @nursingpins @PerfectServeInc reaching phys is only a minor problem - that I have seen. #RNchat

PerfectServeInc

#RnChat T3 Also, forget touchpads, could we just get more manageable beds and call lights?? THAT would be huge.

WillowRN

tech that allows more intensive services to be provided in home environment supportive of Hospital @ Home program by Hopkins T3 - #RNchat

visiting_nurse

hcsmSV

Yes! RT @nursingpins: T3 I've seen more informed patients in the last year than the prev. 10. #RNchat #hcsmSV

renee_berry

T3 experience as patient: & ;quot;buzzers& ;quot; for urgent care so you can go wait in your car, was awesome when I had migraine @paloaltomedical #rnchat

Wow Rt @renee_berry T3 & ;quot;buzzers& ;quot; for urgent care so you can go wait in your car, was awesome when I had migraine @paloaltomedical #rnchat

PerfectServeInc

jodyms

RT @hcsmSV: Yes! RT @nursingpins: T3 I've seen more informed patients in the last year than the prev. 10. #RNchat #hcsmSV

IVchat

lots of patients w/ blogs, twitter, FB RT @nursingpins: T3 Ive seen more informed patients in the last year than the prev. 10. #RNchat

FreshRN

@renee_berry T3 is it like those buzzers they give you when you're in line for a busy restaurant? #RNchat

 

@FreshRN exactly, I was in excruciating pain,

got to go sit in quiet

Talk

renee_berry

about patient-centered, can't express enough gratitude #rnchat

FreshRN

@renee_berry oh, that's awesome! I haven't seen that yet personally but I hope to soon #RNchat

jodyms

Five yrs ago you wouldn't have seen this RT@kevinmd RT @efalchuk: Five Tips 4 Diagnosing Yourself on the Web: http://bit.ly/cSgC9X #RNCHAT

nursingpins

T3 another nice innovation with touch pads - phys can see x-rays from anywhere. #RNchat

EKG's

factnurse

Innovation: 1st I've ever done this. #RNchat

IVchat

RT @FreshRN: @renee_berry T3 is it like those buzzers they give you when youre in line for a busy restaurant? #RNchat

chemosabe

T3 best innovation - transforming care at the bedside - good old fashioned pt focussed care!!! #rnchat

rnchat

Fast fast hour! We'll wrap up in a few moments. #RNchat

RT @chemosabe T3 best innovation - transforming care at the bedside - good old fashioned pt focussed care!!! #rnchat

PerfectServeInc

nursingpins

@chemosabe and innovation can be an extension of pt. centered care. #RNchat

rnchat

Before we leave, give us your parting thoughts or wishes. #RNchat

 

RT @renee_berry: T3 think this is a great #innovative resource for

erlanovation

#oncologists

#communication skills http://ow.ly/34DcS #cancer #rnchat

renee_berry

@PhilBaumann #IsCool T3 how about TweetChats for improving #health systems #AWESOME #innovation opening doors/spreading good ideas #rnchat

chemosabe

By all enjoy thursday nite, i'll try enjoy fri at the coal face! @nursing pins, of course tech is helping transforming care! #rnchat

IVchat

Nurses rule!! Thank you for the chat! Bye! #RNchat

factnurse

So glad I did this. How often is the chat? #RNchat

PerfectServeInc

Enjoyed our first #RNchat today. We will be sure to attend more!

Gracetx

Same RT@NAPH1981 @renee_berry: impressed w/ e-patient movement, advocating patients to participate in their care http://ow.ly/34D5Y #rnchat

FreshRN

Thanks for another opportunity to share ideas and discuss important topics! Together we can make a difference #RNchat

rnchat

THANK YOU, everybody! And thank you @paloaltomedical for the topics. Transcript will be up soon! Next chat TBA. #RNchat

Official End of Chat
Official End of Chat
will be up soon! Next chat TBA. #RNchat Official End of Chat Additional Remarks: nursingpins Thanks
will be up soon! Next chat TBA. #RNchat Official End of Chat Additional Remarks: nursingpins Thanks
Additional Remarks:
Additional Remarks:

nursingpins

Thanks to RNchat and all interested. - and what @FreshRN said. #RNchat

renee_berry

Don't forget it's National #Hospice Month this November http://ow. ly/34Bzs #myPassion Thanks for a great Chat! #rnchat

ly/34Bzs #myPassion Thanks for a great Chat! #rnchat Love it RT @WillowRN T3 #RnChat wd b
ly/34Bzs #myPassion Thanks for a great Chat! #rnchat Love it RT @WillowRN T3 #RnChat wd b

Love it RT @WillowRN T3 #RnChat wd b great incorporating pts TV into demo system, pt could view xrays, call RN, etc from the touch screen.

Gracetx

Final thoughts: Thanks to nurses for providing patient-centered care and advocacy! #RNchat

PaloAltoMedical

nursingpins

Thanks to @paloaltomedical #RNchat

PaloAltoMedical

TY too! RT @rnchat: THANK YOU, everybody! And thank you @paloaltomedical for the topics. Transcript will be up soon! Next chat TBA. #RNchat

Looking forward to next time! RT @rnchat THANK YOU, everybody! And thank you @paloaltomedical for the topics. #rnchat

renee_berry

WhatNursesDo

RT @renee_berry: Don't forget it's National #Hospice Month this November http://ow.ly/34Bzs #myPassion Thanks for a great Chat! #rnchat

RT @PaloAltoMedical: Final thoughts: Thanks to nurses for providing

renee_berry

patient-centered care

advocacy! #RN #nurse #rnchat

Gracetx

RT @nursingpins: Thanks to @paloaltomedical #RNchat

T3 #RNChat (late joining)-research team approach similar to onc. Will require hi tech to coordinate and communicate. doc, nurse,soc.ser

DrDeanBurke

Thanks to @RNchat for hosting and allowing us to join in today. We appreciate everyone who participated ( watched). Voices!! #RNchat

PaloAltoMedical

Thanks to you too. Enjoyed learning and sharing! RT @nursingpins:

Thanks to @paloaltomedical #RNchat

PaloAltoMedical

rnchat

@PaloAltoMedical Thank you! A great chat! #RNchat

Great to chat with @paloaltomedical today during #RNchat. One of our board members is on staff at @paloaltomedical --& ;gt;Dr. Aigen.

PerfectServeInc