#TweetRN Transcript
Healthcare social media transcript of the #TweetRN hashtag.
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See #TweetRN Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Catherine Gegaris @cgegaris1 @from_bedside @TechNurseJon Catherine here. I met MASH start in Disney,was sitting on bench and he came up and sat down beside me. Star struck! #TweetRN |
 | Critically Caffeinated, RN @CritCaffeinated @from_bedside Q1: I feel critical thinking can be facilitated. The thinker needs to have a base knowledge of the topics while the facilitator can help guide thinking and their thought process. #tweetRN |
 | Nurse Savage @OnlyintheICU @from_bedside A1 I don't think it can be taught but it can be facilitated, if that makes sense. #TweetRN |
 | Jen Polo BSN,RN,OCN @jennpolo @CritCaffeinated @from_bedside I like the use of the word facilitated here. Agree #tweetrn |
| Jen Polo BSN,RN,OCN @jennpolo @CritCaffeinated @from_bedside A1. I think it can be taught if given right framework and person has ability to learn it w/guidance. However, some will just not be able to truly do it #tweetrn |
 | Kyle Pendragon, BSN, RN, CEN, CPEN @EDNerdKyle @from_bedside A1: When I was orienting to the ED, I made a mantra for myself to help myself to slow down and think when necessary: "there is always time to do the right thing" #tweetRN |
| Catherine Gegaris @cgegaris1 @from_bedside I think you can teach the basic steps,some people are just "Critical Thinkers" Some people need help and a script and some struggle with analysis of the https://t.co/abDS7auevi opinion. #TweetRN |
 | NurseBananahammock @ModerateFERN A1 #TweetRN It definitively can. But, it's like the old "how many psychiatrists does it take to change a lightbulb, only 1, but it has to REALLY WANT to change". You can't download critical thinking. One must be open to the work it requires if it isn't an innate ability. |
 | donwood.bsky @thatdonwood A1 #TweetRN I'm about to finish a BSN program, after a carpentry career, and I'm of two minds. A) Yes , critical thinking can be taught, even to children with the famous marshmallow test. B)No, when taught as a college class based on memorizing CT flow charts. |
| NurseBananahammock @ModerateFERN YES! This! |
| Jen Polo BSN,RN,OCN @jennpolo @from_bedside I also think the expectation of what level of critical thinking is expected needs to be tempered w/experience level. New grad? Not going to be able to think critically yet #tweetrn |
 | Meshack Wendo @meshwendo @from_bedside A1. The concepts and steps can be taught and its application, the student can then apply the steps during a scenario, the student can also reinforce the skill by case scenarios. #TweetRN |
 | Safe_Staffing_Saves_Lives @TakeNoShitNurse @from_bedside A1: I think that it can be taught as long as experience is paired with it, however, a person's personality and--lets admit--intelligence determines how quickly it is learned. An inquisitive and scientific person is much easier to teach. #TweetRN |
| Jen Polo BSN,RN,OCN @jennpolo @from_bedside A2. I think it depends on the person and the facility/orientation. With good, and long enough orientation and proper expectations/learning then yes #tweetrn |
| Catherine Gegaris @cgegaris1 @from_bedside Not a yes or no question. I was one of 2 new grads offered a position in a Cardiothoracic ICU. It was a 6 month intensive educational and learning experience. I did well and it was 80% of my career path.I was very aware of what i did not know,however,ready to learn.#TweetRN |
| Meshack Wendo @meshwendo @JessEllisConley @from_bedside I agree it can be reinforced by use of case scenarios, thus practice. #TweetRN |
| Catherine Gegaris @cgegaris1 @TakeNoShitNurse @from_bedside Sometimes they do help and sometimes the person just continues to falter and struggle.Respect your view point.#TweetRN |
| Kyle Pendragon, BSN, RN, CEN, CPEN @EDNerdKyle @from_bedside A2: Might as well learn in the environment you want to be in-- every care area is so specialized. Getting new grad preceptorship in the place you want to commit to is so helpful. #TweetRN |
| Jen Polo BSN,RN,OCN @jennpolo @from_bedside A2. It also depends on the nursing school. Precepted nursing students recently on my unit and am noticing vast differences in the groups depending on the school. So maybe some of it is the education quality teaching it too #tweetrn |
| Catherine Gegaris @cgegaris1 @from_bedside I am not sure if SA does,if you have demonstrated Critical thinking basics ,then yes. A lot of nurses I taught,precepted etc,learned better skills with SBAR.If a nurse does not recognize basic potential issues then I am concerned. #TweetRN |
| Catherine Gegaris @cgegaris1 @jen_love92 @from_bedside 100%#TweetRN |
| Meshack Wendo @meshwendo @from_bedside A2. Mentorship on speciality should start from school, some new grads are offered positions are offered their first posting in speciality areas e.g. ICU and it may beyond their control as this may be affected by job openings available, thus I think mentorship... 1/2 #TweetRN |
| Safe_Staffing_Saves_Lives @TakeNoShitNurse @from_bedside A2: I think it depends on their background and what you consider to be a new grad. If they have had no previous experience then I dont think its beneficial for the nurse or the patients. Six months of MedSurg does wonders for teaching basics like time management. #TweetRN |
| Critically Caffeinated, RN @CritCaffeinated @from_bedside A3: No! I think they are really great experiences that come from SIM, but the best experience comes from real team dynamics on the floor rather than other students playing roles #TweetRN |
| Kyle Pendragon, BSN, RN, CEN, CPEN @EDNerdKyle @from_bedside A3: nooooooooo lol-- not in the foreseeable future imo. Every simulation I had in nursing school was so stiff and artificial compared to genuine patient care and prioritization. If there is a substitute for it, we are decades away. #tweetRN |
| Jen Polo BSN,RN,OCN @jennpolo @from_bedside A3. No, just no #tweetrn |
| Meshack Wendo @meshwendo @from_bedside Should start in the Nursing school, so that when one gets into this speciality areas they are better placed. Strong mentorship and preceptorship can really contribute in this very well, so it beyond control, it's like demand supply matrix. 2/2 #TweetRN |
| Catherine Gegaris @cgegaris1 @from_bedside A3 Having taught some clinical groups in their ADN and BSN programs including SIM labs,it can not replace the clinical experience. It helps them with roles in tense situations,how to be in a team,how to lead a team and the steps in a process.#TweetRN |
| Kyle Pendragon, BSN, RN, CEN, CPEN @EDNerdKyle @from_bedside A3: #tweetRN https://t.co/QFvHXyzm32 |
| Critically Caffeinated, RN @CritCaffeinated @ccardyDNP @from_bedside I agree! Most of the time SIM is a couple of hours. That's a great point #TweetRN |
 | MEG @ThisIsM123 @from_bedside A3: Sim and use of standardized patients were helpful in school. I really understood nursing dynamics when I was on the floor as a student, and as a RN. The time of the floor is invaluable and builds interpersonal skills, leadership and the nursing skill sets. #TweetRN |
| Kyle Pendragon, BSN, RN, CEN, CPEN @EDNerdKyle @TechNurseJon I think it can be a helpful aide, but it should never replace true bedside experience. I'd hate for nursing programs to get complacent or lax in fighting for clinical hours by leaning too heavily on their sims. #tweetRN |
| Catherine Gegaris @cgegaris1 @TechNurseJon @Prof_SBar @from_bedside Yes.I use to do critical thinking exercises as a CNS,one involved the open-heart patient leaving OR to unit-most vulnerable time.We did a "plane take off and landing" https://t.co/J9pOaR5b0U worked very well. Did it with multiple clinical situations.Effective.#TweetRN A3 |
| Meshack Wendo @meshwendo @from_bedside A3. Replacing? No. SIMS are mainly in controlled scenarios where everything is constant you more or else have everything, the situations don't vary much, however in real inpatient situations, there are many dynamics e.g.few staff,dealing with different personalities 1/2 #TweetRN |
 | NICU RN @nicunurselife @from_bedside I think so. We do annual sims as part of our education and the routines became very obvious when our sim was an adult code and almost no one knew what the policy was. We do baby codes most days, that’s routine and we do it well. We don’t do big people. #tweetRN |
| Safe_Staffing_Saves_Lives @TakeNoShitNurse @from_bedside A3: Sims cannot replace actual human contact. Sims are great at exposing nurses to technical situations to develop muscle memory. However, other skills are too complicated to be taught by robots, like effective communication and other social skills. #TweetRN |
| Catherine Gegaris @cgegaris1 @Prof_SBar @TechNurseJon @from_bedside I had clinical leads on all shifts and once a year their competencies included clinical situations along with exam. As a CNO it was worth the $$$$$ because they were rock stars. I had a situation room and they were scheduled for their educational day.#TweetRN |
| Meshack Wendo @meshwendo @from_bedside therefore they can only compliment, as a nursing student, after skills lab sessions, when you go to clinical placements you realise that things are way different, so I think the conversation should move to HOW TO WE COMPLIMENT SIMS and clinical placements 2/2 #TweetRN |
| Jen Polo BSN,RN,OCN @jennpolo @from_bedside Q4. On the flip side, do we risk safety but going against continuity and routines that help with safe practice? #tweetrn |
| Meshack Wendo @meshwendo @from_bedside Actually research shows that a student with more clinical placements are better placed to master the Nursing skills, remember it is both a science and an art. Therefore we say PRACTICE, PRACTICE AND PRACTICE! #TweetRN |
| Catherine Gegaris @cgegaris1 @from_bedside A4 I think we have to be strategic ,create an overall plan and routine that can be altered or changed rapidly when needed.I think when we get comfortable with a routine we can "miss" things.#TweetRN |
| Catherine Gegaris @cgegaris1 @Prof_SBar @from_bedside @TechNurseJon Great point #TweetRN |
| NurseBananahammock @ModerateFERN @from_bedside A2 #TweetRN I've had good success with training new grads to ECC and Critical Care. It's very well planned and there is great support. We check in with them every week & have active mentorship after the end of orientation. Also had some who needed to go back to start @ M/S. |
| Meshack Wendo @meshwendo @from_bedside A4. I think we should look at 'environment fatigue' separately from routines and continuity of care however not losing the fact that they are interrelated, routines and continuity just as in military creates and build confidence which is key in care. 1/2 #TweetRN |
| Catherine Gegaris @cgegaris1 @from_bedside A5 It provides a safe landing.I believe in EBP protocols that provides a structure esp for new nurses. Example, during an open heart code,there is a process ( it is always for the most part opening the chest and stabilizing and transporting to OR) Protocol is critical. #TweetRN |
| Meshack Wendo @meshwendo @from_bedside However we should also be cognizant of the fact that environmental fatigue is real, therefore how do we prevent it and still make sure we have our routines and continuity of care. We should have debriefs and also incorporate mental health awareness programmes. 2/2 #TweetRN |
| Meshack Wendo @meshwendo @from_bedside The discourse should be moving to our how do we still maintain our routines and still prevent environmental fatigue. #TweetRN |
| Catherine Gegaris @cgegaris1 @from_bedside This was educational,thanks so much.#TweetRN |
| NICU RN @nicunurselife @from_bedside Tight policies can also help create order in an otherwise chaotic situation. It’s a double edged sword. Too much policy can hinder care, but so can too little. How do we find the perfect balance? And who decides what that perfect balance is? #tweetRN #a5 |
| Catherine Gegaris @cgegaris1 @jennpolo @from_bedside Good point,I think it has to be a balancing act.#TweetRN |
| Safe_Staffing_Saves_Lives @TakeNoShitNurse @from_bedside A4: Perhaps it is a necessary evil, however, something needs to be said about how much EHR charting requirements take the focus off of the patient and on to the screens. #TweetRN |
| NurseBananahammock @ModerateFERN Having a little injury related delay over here and trying to catch up -- am I missing question 3? #TweetRN |
| Catherine Gegaris @cgegaris1 @Prof_SBar @from_bedside @jennpolo It is clinical situation,some require a strict protocol,like managing sure it is safe to leave OR and transport patient,other situations have a "sliding scale" My thought.#TweetRN |
| Catherine Gegaris @cgegaris1 @TechNurseJon @from_bedside Yes, and unfortunately they can not be altered if you want a good survey.#TweetRN |
| NurseBananahammock @ModerateFERN @TechNurseJon Yeah. The foot is going to be a problem. But not one I need to deal with till morning when I'm going to the ER to work, anyway. So, I wanna catch up on #TweetRN!! Seriously, where's Q3? Heh... |
| Meshack Wendo @meshwendo @from_bedside I therefore strongly believe that for novice practitioners protocols are important to build competence which is key to Nursing. #TweetRN |
| NurseBananahammock @ModerateFERN @from_bedside A3 #TweetRN "replace" not effectively. Supplement? Sure. |
| Safe_Staffing_Saves_Lives @TakeNoShitNurse @from_bedside A5: This is why I think true novices should not start in specialty and should learn the basic nursing skills first. A new grad needs to be efficient in situational awareness before other tasks and screens and protocols are thrown into the mix. #TweetRN |
| Meshack Wendo @meshwendo @from_bedside @reepRN Thank you for the opportunity to have this discourse, it has been a learning experience and great meeting all of you. Let us continue with the conversation. #TweetRN |
| NurseBananahammock @ModerateFERN @from_bedside A4 #TweetRN Can you give me some background or evidence for the assertion that altering environment increases vigilance? |
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