rnchat transcript july 30, 2010

8/9/2019 RNchat Transcript July 30, 2010

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One hour until #RNchat - 9pm ET. Consider using http://TweetChat.com during the chat.7/30/2010 20:00

rnchat:

Welcome my friends to #RNchat! If you're new, welcome! We'll get started momentarilybut first: introduce yourselves!7/30/2010 21:00

rnchat:

OK, our first topic will be up in a minute. Please add T1, T2, etc. when responding to atopic. #RNchat7/30/2010 21:04

rnchat:

Hi all. Teri, Travel Hospice Nurse now in DC. So glad to be able to join in again. #RNChat7/30/2010 21:04

TeriRN:

hi Phil, Pam and all - Vernon, critical care in New Orleans #rnchat7/30/2010 21:04

nursingpins:

T1 Personal Health Records: Do PHR solutions actually lie in open-source iPhone,Android, etc. apps versus proprietary platforms? #RNchat7/30/2010 21:05

rnchat:

Hey all. Traci from work at Level I center in Southwest Missouri #rnchat7/30/2010 21:05

nursechenene:

T1 Follow-up: that is, once most people have smart devices, will PHRs just be ascommon as, say, Contact info? #RNchat7/30/2010 21:08

rnchat:

Should be able to access PHR from any source? #rnchat7/30/2010 21:08

nursingpins:

T1 only if they are accessible & the data can be easily transferred across systems

#RNchat7/30/2010 21:09

pamsvulcan:

@nursingpins Yes - being able to access and share via open platforms (securely ofcourse). #rnchat7/30/2010 21:09

rnchat:

T1: For home health/hospice RN's and MD's it would be great to have instant access tothe info I'm acquiring so MD can make Dx or Tx #RNChat7/30/2010 21:11

TeriRN:

T1 right now those programs are online if they have smartphone interfaces that are easy

& secure #RNchat7/30/2010 21:11

pamsvulcan:

T1: Most EMR's I've worked with the nite staff & MD would have to wait till I could sync.Nite staff @ disadvantage if I can't sync #RNChat7/30/2010 21:13

TeriRN:

T1 I think security may be an issue with PHRs on mobile platforms. If (as RN) my devicegoes missing, is private data exposed? !fb #RNchat7/30/2010 21:14

jtknowles007:

T1: Ex: had pt in crisis, got new Rx, fam called nite staff, Had no clue what I had done &didn't believe fam Called MD 4 new RX #RNChat

TeriRN:


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7/30/2010 21:15

T1 I think it will imp all h. services to have remote access. Will be much easier to getmore done - will even encourage by conv. #rnchat7/30/2010 21:15

nursingpins:

@jtknowles007 That's why I always keep my passcoded and change it frequently.#RNChat7/30/2010 21:15

TeriRN:

U2 but what if the patient walked in said 'look here on my phone, here's my healthhistory' #RNchat7/30/2010 21:16

pamsvulcan:

@jtknowles007 Good point: there would need to be measures & protocols in place (eg:should remote deletion be enabled?) #RNchat7/30/2010 21:16

rnchat:

T1 the security will always be an issue - but will be worked out - same questions withearly e-commerce #rnchat7/30/2010 21:17

nursingpins:

@TeriRN Good point, but what about those who are "forced" to use new tech & aren'tcomfortable with it and don't follow protocol !fb #RNchat7/30/2010 21:18

jtknowles007:

RT @nursingpins: T1 the security will always be an issue - but will be worked out - samequestions with early e-commerce #RNchat7/30/2010 21:18

rnchat:

T1 can be made secure - when was the last time PayPal security was breached? (can bedone) #rnchat7/30/2010 21:18

nursingpins:

T1 Obviously playing devil's advocate here. I would LOVE to have access to PHRs, aswell as general med info electronically. #RNchat7/30/2010 21:21

jtknowles007:

@jtknowles007 Def prob. Last job RNs still using passcode IT gave them. IT will need toenforce PHR policies to maintain HIPAA Comp #RNChat7/30/2010 21:21

TeriRN:

T1 seems like authorized identification access may be problem? #rnchat7/30/2010 21:22

nursingpins:

@jtknowles007 That's how we learn and find the probs. Always good 2 have someoneplay devil's advocate. =) #RNChat7/30/2010 21:22

TeriRN:

Last job used tokens for auth access. Unfortunately sync was a pain and VERY SLOW.Not good if U need info quickly #RNChat7/30/2010 21:24

TeriRN:

@pamsvulcan T1 Now that would be a problem. If u only get half the picture from onesource, something important could be missed !fb #RNchat7/30/2010 21:25

jtknowles007:


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Next topic coming up in a moment! #RNchat7/30/2010 21:26

rnchat:

T1 having the data/PHR program linked in with a specific health system could link it inwhen a new chart/encounter is created #RNchat7/30/2010 21:26

pamsvulcan:

T1 records could be kept without names - then providers would have to have a code tomatch info with patient names? #rnchat7/30/2010 21:27

nursingpins:

T2 The Art of Dignity: Healthcare is Technology-intensive. But preserving human dignity isan Art. Tell us about your "artistry". #RNchat7/30/2010 21:28

rnchat:

T1: another prob we had was I could access hosp system, but hosp couldn't accesshospice system. Prob whem pt went 2 hosp for crisis #RNChat7/30/2010 21:28

TeriRN:

T1 my hospital has a myhealth website & EHR that is used for inpatient & ambulatory

visits idk if data can be txfr from PHR to EHR #RNchat7/30/2010 21:29

pamsvulcan:

T2: My latest was helping 13yo dying pt make her last wish 2 attend MS grad I went asher med support & 2take care of "just in case" #RNChat7/30/2010 21:30

TeriRN:

as an OR nurse I witness daily coworkers who will uncover a pt for whatever purpose andnot cover them back. Forget there's a person #rnchat7/30/2010 21:31

nursechenene:

T2: She looked gr8 & dignity upheld as her classmates greeted her & cheered when shereceived her diploma. Hilite of career so far #RNChat7/30/2010 21:31

TeriRN:

@nursechenene Oh one of my pet peeves. I also get irritated when I hear the pt called bydisease or rm # than their name. #RNChat7/30/2010 21:33

TeriRN:

T2 thankfully discretion has been part one of med. longest lasting culture - will cont tobased on tech prof integrity of provider. #rnchat7/30/2010 21:33

nursingpins:

@TeriRN I hear u - I evenhve to remind family members that patient has a name#RNchat7/30/2010 21:34

pamsvulcan:

@pamsvulcan Ouch. That's not good when family calls them by room or disease.#RNChat7/30/2010 21:35

TeriRN:

@TeriRN Wow. That would be heartbreaking to hear someone referred to that way. I'llavoid that mistake when clinicals start. !fb #RNchat7/30/2010 21:37

jtknowles007:

@TeriRN usually its 'my brother... in room 2 needs such & such' mind u these r 2 beddedrooms somebody's brother is in the next bed #RNchat7/30/2010 21:38

pamsvulcan:


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@jtknowles007 Had a gr8 instructor who instilled respect & dignity in us RNs I've evencorrected fellow RNs & LPNs Nicely of course #RNChat7/30/2010 21:39

TeriRN:

@TeriRN - You answered my next question...was going to ask if anyone "called out"someone who treated patients that way. !fb #RNchat7/30/2010 21:41

jtknowles007:

@pamsvulcan Had that happen lots. That's when I say "& UR brother is?" then I respondw/ I'll B in to see Mr. Jones as soon as I can #RNChat7/30/2010 21:41

TeriRN:

@jtknowles007 I usually will answer back Ms or Mr So&So needs... If they keep insistingwhat rm I will say Ms So&So in rm2 #RNChat7/30/2010 21:42

TeriRN:

@jtknowles007 I always try 2 give report by saying Ms So&So who has dementia..... Ithelps 2 remind other nurses that they R persons #RNChat7/30/2010 21:44

TeriRN:

Our final topic is coming up! #RNchat7/30/2010 21:46

rnchat:

Innuendo Alert: Our next topic is important, but I can see where it could go on a Fridaynight ;) Be good, OK? :- ) #RNchat7/30/2010 21:47

rnchat:

T3 Sexual Health: SH is as vital as all other kinds. Is Nursing involved in assessing &addressing SH matters as much as it could? #RNchat7/30/2010 21:48

rnchat:

Hi #RNChat folks! Can't join in but wishing you all a great weekend! Looks like greattopics as always. RT @RNchat: Our final topic...7/30/2010 21:48

holisticnurses:

T3: No where near enough. I have seen it totally deferred by nurses & MDs. includingmyself. #RNChat7/30/2010 21:49

TeriRN:

@TeriRN T2 - My prev career (photographer) always learned friends & family names, andused them. Always helped make connections !fb #RNchat7/30/2010 21:49

jtknowles007:

#RNchat following the tweets...interesting!

7/30/2010 21:50

dorameulman:

T3: My last 2 pts were in their 40's, sexual health should have been addressed even iftho they R on hospice. Still important. #RNChat7/30/2010 21:50

TeriRN:

@jtknowles007 Pts love it when a nurse remembers their name. Helps make their careseem personal & that someone cares about them #RNChat7/30/2010 21:51

TeriRN:

T3 altenately - we have to convince some pts that their sexual behavior is inappropriate atthis time & advances unwanted #RNchat7/30/2010 21:54

pamsvulcan:


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T3 SH is imp and nurses could/should be invo but due to present stafg ratios-what nurare able to do is VERY limited (priorities #rnchat7/30/2010 21:56

nursingpins:

T3 the closest I may get to adressing SH is on dc instructions for postop Gyn/GynOnc ptsdetailing vaginal rest #RNchat7/30/2010 21:56

pamsvulcan:

Time flies: We'll be wrapping up in a moment. #RNchat7/30/2010 21:57

rnchat:

Before wrapping up, give us your parting thoughts, Super Nurse advice, pearls of wisdomor your worst jokes. #RNchat7/30/2010 21:58

rnchat:

@rnchat Gr8 topics. So glad 2B able 2 join again. Will check out the transcript 4 newnursing friends. #RNChat7/30/2010 21:58

TeriRN:

T3 Does gender play a role in SH discussions? Are men able to council womeneffectively and vice versa? !fb #RNchat7/30/2010 21:59

jtknowles007:

Shit I missed #RNChat7/30/2010 21:59

DebErupts:

Nurses need to reclaim control of whats left of the profession before it is too late. #rnchat7/30/2010 22:00

nursingpins:

T3 though it did come up in convo with two of my new RNs re: postop TAH pts. Ireassured them sex was still possible & important #RNchat7/30/2010 22:00

pamsvulcan:

@jtknowles007 I think it will depend on the nurse & the pt. But it can be done. #RNChat7/30/2010 22:00

TeriRN:

AMEN! RT @nursingpins: Nurses need to reclaim control of whats left of the professionbefore it is too late. #RNChat7/30/2010 22:00

TeriRN:

#RNchat all we can do is our best for our pt's, some days we're better than othersbecause we're human!7/30/2010 22:02

dorameulman:

Gr8 thought! RT @dorameulman: #RNchat all we can do is our best for our pts, somedays were better than others because were human! #RNChat7/30/2010 22:02

TeriRN:

Gr8 chat every1. Looking forward to the next one. #RNChat7/30/2010 22:03

TeriRN:

Thanks Phil "GO NURSING" ---@onlinenursing #rnchat7/30/2010 22:03

nursingpins:

Thanks for the opportunity to share & learn from everyone! See you next time. !fb#RNchat

jtknowles007:


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7/30/2010 22:04

RT @dorameulman #RNchat all we can do is our best for our pt's, some days we'rebetter than others because we're human!7/30/2010 22:04

NursingCenter:

RT @NursingCenter: RT @dorameulman #RNchat all we can do is our best for our pts,some days were better than others bc we're human! #rnchat7/30/2010 22:06

nursingpins:

@RNchat looks like i missed a good #RNchat. sorry to have missed out. enjoying readingbits n pieces. happy friday my nsg friends!7/30/2010 22:28

eggy1024:

My thoughts and prayers are with the families and friends of LifeNet 12 Tucson AZ#RNChat #Nursing7/30/2010 23:10

dorameulman:

RT @NursingCenter: RT @dorameulman #RNchat all we can do is our best for our pt's,some days we're better than others because we're human!7/30/2010 23:22

TorontoEmerg:

rnchat transcript july 30, 2010

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