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IVchat
InfusionNurse
IVchat
InfusionNurse
IVchat
InfusionNurse
IVchat
IVchat
IVchat
IVchat
InfusionNurse
Hi all, I'm Michelle. Glad to be here....#ivchat VascularAccess
MEDsyntrix
IVchat
nurseeducator
IVchat
IVchat
InfusionNurse
#IVchat 8PM EST tonight...come join us #nurses. #infusion
RT @IVchat: #IVchat 8PM EST tonight...come join us #nurses. #infusion
#IVchat in two hours...8pm ET, everyone is welcome, come join us...#nurses #infusion
RT @IVchat: #IVchat in two hours...8pm ET, everyone is welcome, come join us...#nurses #infusion
#IVchat in 55 minutes...hope u can join us..#nurses #infusion
RT @IVchat: #IVchat in 55 minutes...hope u can join us..#nurses #infusion
15 minutes to #IVchat....come join us....#nurses #infusion #IVchat
Five minutes to #IVchat time....grab ur after dinner drink and join us... #nurses #infusion #IVchat
It's IV chat time....welcome to all!! IVchat is a global online chat for RNs & HCPs in infusion therapy/vascular access. #IVchat
Let's start w/ intros...pls. tell us about urself... #IVchat
Greetings to all! I'm Cora, infusion nurse & moderator of IV chat. #IVchat
I'm just lurking - not a nurse but always glad to learn from your chat!! #IVchat
Welcome Michelle, glad you can join us tonight! #IVchat
Just in! Hi I'm Teresa...happy to join in...been mired this past week with many projects! #IVchat #IVchat
@MEDsyntrix ..thank you...pls post anytime u want... #IVchat
@nurseeducator ..Welcome Teresa, so glad you can take a break and join us! #IVchat
@nurseeducator - Hi teresa, good to see you here! Welcome! #IVchat
IVchat
InfusionNurse
@InfusionNurse nice to be here! #IVchat nurseeducator
InfusionNurse
VascularAccess
nursingpins
nurseeducator
InfusionNurse
nurseeducator
InfusionNurse
nursingpins
InfusionNurse
nurseeducator
InfusionNurse
InfusionNurse
VascularAccess
We will start the chat with some updates before our topics - @infusionnurse will get us started here... #IVchat
Hello to our regulars - Michelle and Jon! Welcome back! #IVchat
One update is re: FDA recall of huber needles - affects lots of us acessing ports - here's the link >>> http://bit.ly/b9qhuF #IVchat
@infusionnurse - I read ur blog about that...very concerned about it and glad we dont use those brands..#IVchat
Hi - Vernon in New Orleans - Crit.Care - here to listen and learn. #ivchat
We use the Gripper by SmithMedical. Good information....will check out your blog #IVchat
The FDA recommends using an alternative product if using the brands... #IVchat
@nursingpins Hey Vernon! Happy to see you! #IVchat
Hi Vernon, glad to see u! Welcome..RT @nursingpins: Hi - Vernon in New Orleans - Crit.Care - here to listen and learn. #IVchat
@nurseeducator good to see you too. thanks. #ivchat
@nurseeducator - that brand is not on the list of recalls, w/c is good...LOL.. #IVchat
@InfusionNurse mostly Boston Scientific from what I read #IVchat
@nurseeducator ..yes, that is correct...now they're called Navilyst Medical... #IVchat
Next update: Nice article on preventing errors...http://bit.ly/daeZgx #IVchat
Wow..talk about "reality check"...listening to patients who were affected by errors...#ivchat
nurseeducator
InfusionNurse
InfusionNurse
nurseeducator
VascularAccess
nursingpins
nurseeducator
IVchat
InfusionNurse
InfusionNurseReady for topic 1? #IVchat IVchat
InfusionNurse@IVchat ..yes, please LOL... #IVchat InfusionNurse
nurseeducator
nurseeducator
Does your institution have a "no interruption zone" as per article? #IVchat
Not really.. do u? I work in outpt infusion RT @nurseeducator: Does your institution have a "no interruption zone" as per article? #IVchat
read this: "We’re not aware many errors are preventable. errors occur by negligent or uncaring health professionals,that is not me.†#IVchat�
No we don't...I wish the article went into more detail on this point. Certainly a good idea! Nurse have enough distractions #IVchat
@InfusionNurse ..some nurses do think that way... that they dont make mistakes..#IVchat
@InfusionNurse Great article http://bit.ly/daeZgx , thanks. "42% of RNs said their manager would not back them up" still a prob. #ivchat
@InfusionNurse where in the article is this quote? Scanning it quickly! #IVchat
There's one topic for discussion submitted - will post shortly. #IVchat
@VascularAccess ..may not be good - they might skip some precautions ie checks/double checks.. #IVchat
@nurseeducator ..second paragraph...before the culture of safety.. #IVchat
@nursingpins ..safety is still everyone's responsibility not just us RNs! #IVchat
"The general myth is still pervasive"...now the sentence makes sense! #IVchat
Completely agree! RT @InfusionNurse @nursingpins ..safety is still everyone's responsibility not just us RNs! #IVchat #IVchat
IVchat
nursingpins
VascularAccess
nurseeducator
InfusionNurse
InfusionNurse
IVchat
VascularAccess
InfusionNurse
VascularAccess
IVchat
VascularAccess
nursingpins
shannynlee
T1 - Manuf has specific infusion rate recommendation 4 a drug. MD ordered a diff infusion rate. Which should you follow? #IVchat
@InfusionNurse agree but leadership is one of the 4 components of "Culture of Safety" nurses need strong clinical leaders #ivchat
@IVchat ..happens all the time - I usually refer and discuss w/ pharmacy bfore I do anything....#IVchat
T1 Discussion first with doc and pharmacy... #IVchat
@nursingpins ..it is.. but they usually are the barriers...not much buy in from them.. #IVchat
@nurseeducator @vascularaccess - totally agree... #IVchat
T1 ff-up: RN asking If MD still insist on his orders, even w/ pharm input - would you follow? #IVchat
T1 - knowing that there's a manuf recommendation and orders are against that, I won't... #IVchat
@VascularAccess ..I wish all nurses would stand up and do that...there are still a few who would get intimidated... #IVchat
Do we only have one topic tonight? Can I ask a question? #IVchat
Sure, post ur ? and others feel free to post ? too. RT @VascularAccess: Do we only have one topic tonight? Can I ask a question? #IVchat
Has anyone used those new chlorhexidine connectors/caps? #IVchat
T1 Many of the new hosp pharm progs print the rates for many drugs on the MAR - But I I would have to question it too. #ivchat
RT @nursingpins: @InfusionNurse Great article http://bit.ly/daeZgx , thanks. "42% of RNs said their manager would not back them up" still a prob. #ivchat
nurseeducator
shannynlee
IVchat
InfusionNurse
nurseeducator
InfusionNurse
nursingpins
VascularAccess
nurseeducator
InfusionNurse
nursingpins
grimalkinrn
nurseeducator
InfusionNurse
@VascularAccess No... but we did an extensive trial on the CHG Tegaderm dsg #IVchat
RT @InfusionNurse: @nursingpins ..safety is still everyone's responsibility not just us RNs! #IVchat
@nursingpins @nurseeducator - I think this was a monoclonal AB w/ potential rate related infusion reactions. #IVchat
Not yet RT @VascularAccess: Has anyone used those new chlorhexidine connectors/caps? #IVchat
T1 @nursingpins we have acceptable infusion rates on the drug list programmed on our infusion pumps #IVchat
@nurseeducator ..what do u think of those drsgs? #IVchat
It has been my experience that anytime a pharm questions an order - It is best to look into things further. #ivchat
One more ? - if u noted an extravasation while pt in ICU - what would you do? #IVchat
We had very good outcomes. We were able to match our near zero CRBSI rate (when using Biopatch) in the ICU. Learning curve #IVchat
@nursingpins ..always safe to be cautious than have probs later... #IVchat
@nurseeducator some hosps have them here ( programmed infusion pumps) they are wonderful - but whole new safety concerns #ivchat
RT @nursingpins: It has been my experience that anytime a pharm questions an order - It is best to look into things further. #ivchat
@InfusionNurse Agree re: Better to be cautious #IVchat
@nurseeducator ..was it biopatch or tegaderm w/chlorhexidine? #IVchat
InfusionNurse
InfusionNurse
nurseeducator
VascularAccess
nurseeducator
IVchat
InfusionNurse
InfusionNurse
IVchat
nurseeducator
InfusionNurse
nurseeducator
InfusionNurseGood night all! #IVchat nurseeducator
as long as not bypasssed RT @nursingpins: @nurseeducator programmed infusion pumps are wonderful - but whole new safety concerns #IVchat
good ? for our ICU nurses ...RT @VascularAccess: One more ? - if u noted an extravasation while pt in ICU - what would you do? #IVchat
@InfusionNurse we had used biopatch for years with very low CRBSI...did a 6 month trial with CHG Tegaderm..matched the rate. #IVchat
I asked only cuz of a case where extravasation was ignored in order to save pt's life in ICU....#IVchat
@InfusionNurse True! We are aware of the bypass option that some RNs use...and periodically address #IVchat
Wow, we're on our hour mark - great discussion - please continue but wanted to thank everyone who joined us (or lurked). #IVchat
@VascularAccess re: extravastation - imo - it shld still be managed appropriately #IVchat
@nurseeducator ..some r monitoring who and freq of bypassing rate progs.. #IVchat
pls. continue discussions - next IV chat will be Sept. 16 at 8PM ET. We welcome topics or questions #IVchat
@InfusionNurse pharmacy is doing this monitoring with the uploads #IVchat
@nurseeducator ..which did you continue with biopatch after the CHG Tegaderm trial? #IVchat
@IVchat Thank-you for moderating the discussion tonight #IVchat
@nurseeducator ..thank you for joining, hope to see you again next time. We have IVchat every other week ! #IVchat
InfusionNurse
IVchat
nursingpins
nursingpins
InfusionNurse
InfusionNurse
InfusionNurse
napernurse
jangeortz
Thank you @nursingpins for joining tonight. Thanks for the RTs @grimalkinrn @shannynlee #IVchat
Good night, thanks again! RT @nurseeducator: Good night all! #IVchat
@InfusionNurse have study of 9 bed ICU with 20% reduction of IV infections after 6mos. (Biopatch) Had assorted dsgs. prior #ivchat
@InfusionNurse Thanks for hosting - will be in touch. #ivchat
@nursingpins ..biopatch is very effective too... #IVchat
Welcome - hope to see u next chat! RT @nursingpins: Thanks for hosting - will be in touch. #IVchat
Good night everyone - hope you all enjoyed IV chat tonight. Don't forget to join next chat on Thursday Sept. 16 at 8pm ET! #IVchat
RT @nursingpins: It has been my experience that anytime a pharm questions an order - It is best to look into things further. #ivchat
RT @InfusionNurse: One update is re: FDA recall of huber needles - affects lots of us acessing ports - here's the link >>> http://bit.ly/b9qhuF #IVchat
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