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#IVchat Healthcare Hashtag Twitter Transcript From: Wed Feb 16 17:00:00 PST 2011 To: Wed Feb 16 18:10:00 PST 2011 Customize transcript dates and layout Learn more about #IVchat at The Healthcare Hashtag Project IVchat It's #IVchat time...good evening & welcome to all. Let's start with introductions... #IVchat Wed Feb 16 17:00:15 PST 2011 joyceharrel lrn Hey everyone, I'm Joyce! Oncology Nurse, IV Educator, and Wellness Coach... #IVchat Wed Feb 16 17:01:11 PST 2011 InfusionNu rse Howdy, good evening, I'm Cora, moderator of IV chat...welcome everyone! #ivchat Wed Feb 16 17:01:13 PST 2011 VascularA ccess Hi Michelle here....just lurking a bit...and multitasking too.. #ivchat Wed Feb 16 17:02:21 PST 2011 IVchat @joyceharrellrn Hey Joyce...how r u? #IVchat Wed Feb 16 17:02:44 PST 2011 joyceharrel lrn @VascularAccess We all multitask!!! I'm on a call right now... :) #IVchat Wed Feb 16 17:03:02 PST 2011 InfusionNu rse @VascularAccess @joyceharrellRN ...hi all. good to see you here... #ivchat Wed Feb 16 17:03:25 PST 2011 JoyceHarre llRN @IVchat I am great tonight. Getting ready to study after this...again and more. #IVchat Wed Feb 16 17:03:27 PST 2011 IVchat Gonna start in a few mins here.. see if we get more peeps...heard there's another chat going on same time #IVchat Wed Feb 16 17:04:34 PST 2011 InfusionNu rse working hard r u? RT @joyceharrellrn : @IVchat I am great tonight. Getting ready to study after this...again and more. #ivchat Wed Feb 16 17:05:08 PST 2011 VascularA ccess @joyceharrellrn LOL..true.. #ivchat Wed Feb 16 17:05:25 PST 2011

IVchat 02162011

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Page 1: IVchat 02162011

#IVchat

Healthcare Hashtag Twitter Transcript

From: Wed Feb 16 17:00:00 PST 2011

To: Wed Feb 16 18:10:00 PST 2011

Customize transcript dates and layout

Learn more about #IVchat at The Healthcare Hashtag Project

IVchat

It's #IVchat time...good evening & welcome to all. Let's start with

introductions... #IVchat

Wed Feb 16 17:00:15 PST 2011

joyceharrel

lrn

Hey everyone, I'm Joyce! Oncology Nurse, IV Educator, and Wellness

Coach... #IVchat

Wed Feb 16 17:01:11 PST 2011

InfusionNu

rse

Howdy, good evening, I'm Cora, moderator of IV chat...welcome everyone!

#ivchat

Wed Feb 16 17:01:13 PST 2011

VascularA

ccess

Hi Michelle here....just lurking a bit...and multitasking too.. #ivchat

Wed Feb 16 17:02:21 PST 2011

IVchat

@joyceharrellrn Hey Joyce...how r u? #IVchat

Wed Feb 16 17:02:44 PST 2011

joyceharrel

lrn

@VascularAccess We all multitask!!! I'm on a call right now... :) #IVchat

Wed Feb 16 17:03:02 PST 2011

InfusionNu

rse

@VascularAccess @joyceharrellRN...hi all. good to see you here... #ivchat

Wed Feb 16 17:03:25 PST 2011

JoyceHarre

llRN

@IVchat I am great tonight. Getting ready to study after this...again and more.

#IVchat

Wed Feb 16 17:03:27 PST 2011

IVchat

Gonna start in a few mins here.. see if we get more peeps...heard there's

another chat going on same time #IVchat

Wed Feb 16 17:04:34 PST 2011

InfusionNu

rse

working hard r u? RT @joyceharrellrn: @IVchat I am great tonight. Getting

ready to study after this...again and more. #ivchat

Wed Feb 16 17:05:08 PST 2011

VascularA

ccess

@joyceharrellrn LOL..true.. #ivchat

Wed Feb 16 17:05:25 PST 2011

Page 2: IVchat 02162011

Kat_SN

I'm going to follow along! Fourth Semester Nursing Student here. #IVchat

Wed Feb 16 17:06:19 PST 2011

IVchat

T1 - making every1 aware of recall on Synchromed pumps by

Medtronic...http://bit.ly/ezlspk #IVchat

Wed Feb 16 17:06:51 PST 2011

swan5675

Whew! Just made it! Deb, RN, here....from Indiana #IVchat

Wed Feb 16 17:07:16 PST 2011

IVchat

Welcome to IV chat..good to see u...RT @Kat_SN: Im going to follow along!

Fourth Semester Nursing Student here. #IVchat

Wed Feb 16 17:07:17 PST 2011

JoyceHarre

llRN

T1.. I need to get caught up on this info. #IVchat

Wed Feb 16 17:07:38 PST 2011

InfusionNu

rse

@Kat_SN ..Hi, welcome. please chime in anytime. #ivchat

Wed Feb 16 17:07:50 PST 2011

InfusionNu

rse

@swan5675 ..Hi Deb.. good to see you.. #ivchat

Wed Feb 16 17:08:05 PST 2011

JoyceHarre

llRN

@IVchat @Kat_SN Great to have you here tonight @Kat_SN #IVchat

Wed Feb 16 17:08:06 PST 2011

IVchat

Welcome...RT @swan5675: Whew! Just made it! Deb, RN, here....from

Indiana #IVchat

Wed Feb 16 17:08:24 PST 2011

JoyceHarre

llRN

@swan5675 What are you doing In Indiana? #IVchat

Wed Feb 16 17:08:31 PST 2011

swan5675

Great to see everyone..... am just being a homebody tonoc... off work! #IVchat

Wed Feb 16 17:09:21 PST 2011

IVchat

Reposting T1 - making every1 aware of recall on Synchromed pumps by

Medtronic...http://bit.ly/ezlspk #IVchat

Wed Feb 16 17:09:52 PST 2011

JoyceHarre

llRN

@InfusionNurse @joyceharrellrn @IVchat LOL. Working hard. Topic is

actually easy. Just a lot of it... #IVchat

Wed Feb 16 17:10:56 PST 2011

InfusionNu

rse

T1 - recall on this implantable pump - probs with pocket fills vs.fillimng pump

#ivchat

Wed Feb 16 17:11:00 PST 2011

swan5675

T1... no experience with that pump. Our facilities don't use. #IVchat

Wed Feb 16 17:11:15 PST 2011

Page 3: IVchat 02162011

VascularA

ccess

T1 - we see this on pts on baclofen and 5FU...didnt know about recall..thanks

#ivchat

Wed Feb 16 17:11:59 PST 2011

JoyceHarre

llRN

@InfusionNurse I just read that. How scary. A lot of drugs used in those type

of pumps are chemo..right? And morphine??? #IVchat

Wed Feb 16 17:12:00 PST 2011

IVchat

RT @VascularAccess: T1 - we see this on pts on baclofen and 5FU...didnt

know about recall..thanks #IVchat

Wed Feb 16 17:12:54 PST 2011

swan5675

T1 Very scary, it sounds. #IVchat

Wed Feb 16 17:12:59 PST 2011

JoyceHarre

llRN

RT @IVchat: RT @VascularAccess: T1 - we see this on pts on baclofen and

5FU...didnt know about recall..thanks #IVchat

Wed Feb 16 17:13:24 PST 2011

JoyceHarre

llRN

@swan5675 Hey Deb. Do you have time to connect tomorrow? #IVchat

Wed Feb 16 17:14:04 PST 2011

InfusionNu

rse

@joyceharrellrn @swan5675..yes and it is implanted so one needs to be

certified to refill the pump... #ivchat

Wed Feb 16 17:14:14 PST 2011

swan5675

T1 "Chain is as stong as it's weakest link" cliche certainly seems to apply

here.... #IVchat

Wed Feb 16 17:14:27 PST 2011

swan5675

@joyceharrellrn all day... just message me when u can ;) #IVchat

Wed Feb 16 17:15:04 PST 2011

InfusionNu

rse

@swan5675 ..Medtronic seem to be having lots of issues lately...this is just

one of them #ivchat

Wed Feb 16 17:15:34 PST 2011

IVchat

T2 - coming up... #IVchat

Wed Feb 16 17:15:48 PST 2011

swan5675

T1 cutbacks and shortcuts in the arena of healthcare is always a nasty thing,

eh? #IVchat

Wed Feb 16 17:16:29 PST 2011

VascularA

ccess

T1 - ur oncology units might be using these pumps - lots of chemo pts have

this for 5FU infusions. #ivchat

Wed Feb 16 17:16:31 PST 2011

InfusionNu

rse

yes, implantedRT @VascularAccess: T1 - ur oncology units might be using

these pumps - lots of chemo pts have this for 5FU infusions. #ivchat

Wed Feb 16 17:17:10 PST 2011

joyceharrel

lrn

@swan5675 OK. Looking forward. Can't wait to catch up with you! #IVchat

Wed Feb 16 17:17:16 PST 2011

Page 4: IVchat 02162011

IVchat

T2 - IV filters..do u routinely use? or when do you use? #IVchat

Wed Feb 16 17:17:42 PST 2011

JoyceHarre

llRN

RT @swan5675: T1 "Chain is as stong as its weakest link" cliche certainly

seems to apply here.... #IVchat

Wed Feb 16 17:17:44 PST 2011

IVchat

RT @swan5675: T1 cutbacks and shortcuts in the arena of healthcare is

always a nasty thing, eh? #IVchat

Wed Feb 16 17:18:03 PST 2011

InfusionNu

rse

RT @IVchat: T2 - IV filters..do u routinely use? or when do you use? #ivchat

Wed Feb 16 17:18:13 PST 2011

JoyceHarre

llRN

RT @IVchat: RT @swan5675: T1 cutbacks and shortcuts in the arena of

healthcare is always a nasty thing, eh? #IVchat

Wed Feb 16 17:18:27 PST 2011

swan5675

T2 Only for blood infusions, now... and TPN #IVchat

Wed Feb 16 17:18:43 PST 2011

JoyceHarre

llRN

RT @InfusionNurse: RT @IVchat: T2 - IV filters..do u routinely use? or

when do you use? #IVchat

Wed Feb 16 17:18:46 PST 2011

VascularA

ccess

T2 - only use for blood, and TPN w/. lipids..not on regular infusions... #ivchat

Wed Feb 16 17:19:00 PST 2011

JoyceHarre

llRN

T2: We use IV filters routinely. #IVchat

Wed Feb 16 17:19:06 PST 2011

IVchat

RT @swan5675: T2 Only for blood infusions, now... and TPN #IVchat

Wed Feb 16 17:19:13 PST 2011

InfusionNu

rse

for regular IV fluids? RT @joyceharrellrn: T2: We use IV filters routinely.

#ivchat

Wed Feb 16 17:19:38 PST 2011

joyceharrel

lrn

T2: IV filters actually go on every setup, unless lipids are going

through.Which we know lipids won't go through. #IVchat

Wed Feb 16 17:19:44 PST 2011

IVchat

RT @joyceharrellrn: T2: IV filters actually go on every setup, unless lipids are

going through.Which we know lipids wont go through. #IVchat

Wed Feb 16 17:20:23 PST 2011

JoyceHarre

llRN

@InfusionNurse T2: For some reason we use filters with everything. I have

always wondered why... #IVchat

Wed Feb 16 17:20:29 PST 2011

swan5675

T2 We have the special filters specifically for blood, TPN #IVchat

Wed Feb 16 17:20:38 PST 2011

Page 5: IVchat 02162011

VascularA

ccess

yes, 1.2 micron for TPN/Fats..RT @swan5675: T2 We have the special filters

specifically for blood, TPN #ivchat

Wed Feb 16 17:21:21 PST 2011

swan5675

T2 Stopped using routine filters a few years ago... don't know why #IVchat

Wed Feb 16 17:21:26 PST 2011

JoyceHarre

llRN

T2: Our blood sets come prepacked with filter intact. #IVchat

Wed Feb 16 17:22:27 PST 2011

InfusionNu

rse

T2 - still a recommendation for blood/TPN w/ lipids and intraspinal

infusions... #ivchat

Wed Feb 16 17:22:53 PST 2011

JoyceHarre

llRN

T2: All chemo. Well, we just use it with everything. (except the lipids)

#IVchat

Wed Feb 16 17:22:58 PST 2011

swan5675

I always question why,when they are all finding ways to cut back, they seem

to find ways to DC what used to be stressed as necessary #IVchat

Wed Feb 16 17:22:59 PST 2011

VascularA

ccess

@joyceharrellrn lipds can be filtered if mixed with TPN - use a larger filter...

#ivchat

Wed Feb 16 17:23:57 PST 2011

swan5675

T2 I don't know, but it seems like the "research findings" are awfully

convenient at a time they wish to reduce costs. #IVchat

Wed Feb 16 17:24:32 PST 2011

InfusionNu

rse

@swan5675 ..its the orgs P/P...but again still recommended for the infusions u

mentioned... #ivchat

Wed Feb 16 17:24:40 PST 2011

JoyceHarre

llRN

@swan5675 I agree. Stress the importance of things, then d/c with budget

cuts. #IVchat

Wed Feb 16 17:24:44 PST 2011

swan5675

RT @joyceharrellrn: @swan5675 I agree. Stress the importance of things,

then d/c with budget cuts. #IVchat

Wed Feb 16 17:25:15 PST 2011

VascularA

ccess

Bingo... so true..RT @InfusionNurse: @swan5675 ..its the orgs P/P...but again

still recommended for the infusions u mentioned... #ivchat

Wed Feb 16 17:25:21 PST 2011

IVchat

T3 coming up.... #IVchat

Wed Feb 16 17:26:06 PST 2011

swan5675

Yeah... Bard used to insist that doing blood draws via Groshong valve was

BAD, for many reasons... now, say it's "OK" #IVchat

Wed Feb 16 17:26:49 PST 2011

InfusionNu

rse

RT @swan5675: Yeah... Bard used to insist that doing blood draws via

Groshong valve was BAD, for many reasons... now, say its "OK" #ivchat

Page 6: IVchat 02162011

Wed Feb 16 17:27:26 PST 2011

IVchat

T3 - Routine IV tubing changes - when do u change? #IVchat

Wed Feb 16 17:27:37 PST 2011

swan5675

Thank God, our Infection Control docs will not allow blood draws through

PICCs #IVchat

Wed Feb 16 17:28:13 PST 2011

VascularA

ccess

@swan5675 what? always drew blood from it... #ivchat

Wed Feb 16 17:28:19 PST 2011

swan5675

T3 Used to be every 48 hours. After cutbacks: every 72 #IVchat

Wed Feb 16 17:28:43 PST 2011

VascularA

ccess

Why? RT @swan5675: Thank God, our Infection Control docs will not allow

blood draws through PICCs #ivchat

Wed Feb 16 17:29:00 PST 2011

IVchat

RT @swan5675: T3 Used to be every 48 hours. After cutbacks: every 72

#IVchat

Wed Feb 16 17:29:23 PST 2011

swan5675

@VascularAccess Our research at large hospital showed infections resulted,

despite proficient flushing techniques #IVchat

Wed Feb 16 17:29:35 PST 2011

JoyceHarre

llRN

T3: Every 4 days, unless having port access, then we do every 3 days. #IVchat

Wed Feb 16 17:29:39 PST 2011

JoyceHarre

llRN

@VascularAccess @swan5675 We have to do blood draws through picc and

ports. #IVchat

Wed Feb 16 17:30:01 PST 2011

InfusionNu

rse

now its 96...RT @swan5675: T3 Used to be every 48 hours. After cutbacks:

every 72 #ivchat

Wed Feb 16 17:30:20 PST 2011

swan5675

@VascularAccess 19 inches of catheter is hard to rid of fibrinogen.... #IVchat

Wed Feb 16 17:30:29 PST 2011

InfusionNu

rse

why the diff? RT @joyceharrellrn: T3: Every 4 days, unless having port

access, then we do every 3 days. #ivchat

Wed Feb 16 17:30:50 PST 2011

VascularA

ccess

@swan5675 I hear u..so even with a PICC they stick pt for bld draw? #ivchat

Wed Feb 16 17:31:37 PST 2011

IVchat

RT @swan5675: @VascularAccess 19 inches of catheter is hard to rid of

fibrinogen.... #IVchat

Wed Feb 16 17:31:49 PST 2011

JoyceHarre

llRN

T3: Port needles and central line dressing Q 6 days. change the tubing 1/2 way

in between. #IVchat

Page 7: IVchat 02162011

Wed Feb 16 17:31:53 PST 2011

IVchat

RT @InfusionNurse: now its 96...RT @swan5675: T3 Used to be every 48

hours. After cutbacks: every 72 #IVchat

Wed Feb 16 17:31:56 PST 2011

swan5675

It is now the standard at all facilities to draw blood through PICCs, backed by

the manufacturers that initially warned against it #IVchat

Wed Feb 16 17:32:01 PST 2011

JoyceHarre

llRN

@VascularAccess @swan5675 Our lab comes to us when they see a picc or

port, and we always have to pull from the line. #IVchat

Wed Feb 16 17:32:29 PST 2011

CuteNicuN

urse

Blood products RT @InfusionNurse: RT @IVchat: T2 - IV filters..do u

routinely use? or when do you use? #ivchat

Wed Feb 16 17:32:45 PST 2011

InfusionNu

rse

@swan5675 ..so ur PICCs are the groshong kind.... #ivchat

Wed Feb 16 17:32:55 PST 2011

swan5675

@VascularAccess yeah... the PICC is to protect venous damage from ATB,

viscous fluids. Still do blood sticks. #IVchat

Wed Feb 16 17:33:10 PST 2011

IVchat

RT @CuteNicuNurse: Blood products RT @InfusionNurse: RT @IVchat: T2

- IV filters..do u routinely use? or when do you use? #IVchat

Wed Feb 16 17:33:14 PST 2011

swan5675

@InfusionNurse yes... Groshong valves #IVchat

Wed Feb 16 17:33:45 PST 2011

IVchat

@CuteNicuNurse Hi Welcome to IVchat.. #IVchat

Wed Feb 16 17:34:09 PST 2011

CuteNicuN

urse

Not sure how i feel about this yet RT @JoyceHarrellRN: T2: All chemo. Well,

we just use it with everything. (except the lipids) #IVchat

Wed Feb 16 17:34:20 PST 2011

JoyceHarre

llRN

I always hate drawing blood when TPN is infusing. Always have to waste so

much blood to ensure clearing the TPN product. #IVchat

Wed Feb 16 17:34:28 PST 2011

swan5675

Years ago, chest inserted CVLs were done after all veins exhausted. PICCs

inserted to protect venous system... proactive #IVchat

Wed Feb 16 17:35:00 PST 2011

CuteNicuN

urse

RT @IVchat: RT @swan5675: T3 Used to be every 48 hours. After cutbacks:

every 72 #IVchat

Wed Feb 16 17:35:03 PST 2011

JoyceHarre

llRN

@CuteNicuNurse Good to see you here! #IVchat

Wed Feb 16 17:35:03 PST 2011

Page 8: IVchat 02162011

VascularA

ccess

@swan5675 dont pts complain about sticks when they have a PICC??? wow...

#ivchat

Wed Feb 16 17:35:13 PST 2011

swan5675

RT @joyceharrellrn: I always hate drawing blood when TPN is infusing.

Always have to waste so much blood to ensure clearing the TPN #IVchat

Wed Feb 16 17:35:17 PST 2011

IVchat

RT @swan5675: Years ago, chest inserted CVLs were done after all veins

exhausted. PICCs inserted to protect venous system proactive #IVchat

Wed Feb 16 17:35:59 PST 2011

JoyceHarre

llRN

@swan5675 PICCS are great. They need to let the nurses do them, though.The

radiologists do it, and hard to get on the weekends. #IVchat

Wed Feb 16 17:36:01 PST 2011

swan5675

@VascularAccess Nobody likes needles.... but infections lasted a lot longer.

Besides...our pts weren't promised freedom from sticks #IVchat

Wed Feb 16 17:37:19 PST 2011

VascularA

ccess

Lots of PICC teams now , nurses put those in RT @joyceharrellrn:

@swan5675 PICCS are great. They need to let the nurses do #ivchat

Wed Feb 16 17:37:31 PST 2011

swan5675

When I was on the IV Team, we inserted the PICCs. #IVchat

Wed Feb 16 17:37:51 PST 2011

VascularA

ccess

RT @swan5675: When I was on the IV Team, we inserted the PICCs. #ivchat

Wed Feb 16 17:38:12 PST 2011

JoyceHarre

llRN

@swan5675 @VascularAccess I know. They do need to let the nurses do. I

was trained one time how to do that. #IVchat

Wed Feb 16 17:38:41 PST 2011

VascularA

ccess

@swan5675 ..didn t u like being in the IV team? #ivchat

Wed Feb 16 17:38:50 PST 2011

JoyceHarre

llRN

RT @swan5675: When I was on the IV Team, we inserted the PICCs. (needs

to happen today in our hospital.) #IVchat

Wed Feb 16 17:39:02 PST 2011

swan5675

@VascularAccess LOVED it. They disbanded us... too expensive #IVchat

Wed Feb 16 17:39:39 PST 2011

VascularA

ccess

**dies** really?? oh no..RT @swan5675: @VascularAccess LOVED it. They

disbanded us... too expensive #ivchat

Wed Feb 16 17:40:36 PST 2011

InfusionNu

rse

sad, now same concept used to prevent CRBSI...RT @swan5675:

@VascularAccess LOVED it. They disbanded us... too expensive #ivchat

Wed Feb 16 17:41:14 PST 2011

swan5675

Infection rates increased after all nurses starting IVs and Rad. techs doing

PICCs... more money spent in the big pic.. poor pts #IVchat

Wed Feb 16 17:41:32 PST 2011

Page 9: IVchat 02162011

chemosabe

hey y'all glen downunda, checked in earlier but apparently I wasn't

credentialled for tweetchat, who knew! #ivchat

Wed Feb 16 17:41:50 PST 2011

JoyceHarre

llRN

@swan5675 @VascularAccess We still have an IV team. However, Oncology

does all their own. #IVchat

Wed Feb 16 17:42:06 PST 2011

swan5675

RT @chemosabe: hey yall glen downunda, checked in earlier but apparently I

wasnt credentialled for tweetchat, who knew! #IVchat

Wed Feb 16 17:42:11 PST 2011

InfusionNu

rse

cheaper too than radiology...RT @joyceharrellrn: I know. They do need to let

the nurses do. I was trained one time how to do that. #ivchat

Wed Feb 16 17:42:15 PST 2011

JoyceHarre

llRN

@chemosabe Hello Glen!!! #IVchat

Wed Feb 16 17:42:17 PST 2011

chemosabe

so also been inundated by pharma reps, 3 in 20 minutes! Wot I miss... cliff

notes pls #ivchat

Wed Feb 16 17:42:25 PST 2011

CuteNicuN

urse

@JoyceHarrellRN Agreed! We have a special nicu picc line insetion team.

Great resource. #IvChat

Wed Feb 16 17:42:33 PST 2011

IVchat

@chemosabe LOL. for real??? Good to see u !! #IVchat

Wed Feb 16 17:42:45 PST 2011

swan5675

RT @CuteNicuNurse: @JoyceHarrellRN Agreed! We have a special nicu picc

line insetion team. Great resource. #IVchat

Wed Feb 16 17:42:58 PST 2011

chemosabe

wonder what the CNE points for tweetchat credentialling are? #ivchat

Wed Feb 16 17:43:21 PST 2011

joyceharrel

lrn

@CuteNicuNurse That's awesome for the nicu picc line team! #IVchat

Wed Feb 16 17:43:28 PST 2011

swan5675

T3 Does everybody change out tubing Q 72 hrs? #IVchat

Wed Feb 16 17:43:34 PST 2011

InfusionNu

rse

@chemosabe Use of filters, routine IV tubg chge, synchromed recall.. #ivchat

Wed Feb 16 17:43:46 PST 2011

JoyceHarre

llRN

RT @chemosabe: wonder what the CNE points for tweetchat credentialling

are? (I am certified in TweetChat already...) #IVchat

Wed Feb 16 17:44:03 PST 2011

IVchat

LOL..nada for now...RT @chemosabe: wonder what the CNE points for

tweetchat credentialling are? #IVchat

Wed Feb 16 17:44:06 PST 2011

Page 10: IVchat 02162011

chemosabe

T2 our PICC's are placed by medical imaging or certain team registrars under

supervision of #nurses #ivchat

Wed Feb 16 17:44:19 PST 2011

InfusionNu

rse

@swan5675 ..new updated INS is 96hrs.. #ivchat

Wed Feb 16 17:44:27 PST 2011

JoyceHarre

llRN

@swan5675 Only on central lines and Piccs, and Ports. The peripherals are @

4 days. #IVchat

Wed Feb 16 17:44:38 PST 2011

IVchat

@chemosabe ..ur just in time for T4... :) #IVchat

Wed Feb 16 17:45:00 PST 2011

swan5675

T3 We change TPN tubing/filters with each new bag, blood filters/tubing after

2 units...or 8 hours, whichever comes first #IVchat

Wed Feb 16 17:45:03 PST 2011

JoyceHarre

llRN

@chemosabe Ours are all placed by medical imaging. Would love to get the

IV team to do it. #IVchat

Wed Feb 16 17:45:12 PST 2011

chemosabe

T1 filters, low tar u mean? #ivchat

Wed Feb 16 17:45:19 PST 2011

IVchat

RT @chemosabe: T2 our PICCs are placed by medical imaging or certain

team registrars under supervision of #nurses #IVchat

Wed Feb 16 17:45:35 PST 2011

InfusionNu

rse

think so, IV filters here..RT @chemosabe: T1 filters, low tar u mean? #ivchat

Wed Feb 16 17:46:08 PST 2011

IVchat

T4 - asked by a twitter colleague - could u use external jugular vein for PIV?

#IVchat

Wed Feb 16 17:46:34 PST 2011

swan5675

T3 Isn't it weird that some facilities have different reqs, depending if CVL or

PIV? The blood flows through the entire body #IVchat

Wed Feb 16 17:46:38 PST 2011

swan5675

@IVchat Our ER docs will do that, sometimes. #IVchat

Wed Feb 16 17:47:26 PST 2011

InfusionNu

rse

RT @swan5675: T3 Isnt it weird that some facilities have different reqs,

depending if CVL or PIV? The blood flows the entire body #ivchat

Wed Feb 16 17:47:27 PST 2011

InfusionNu

rse

RT @IVchat: T4 - asked by a twitter colleague - could u use external jugular

vein for PIV? #ivchat

Wed Feb 16 17:47:43 PST 2011

chemosabe

T2 line changes in fluid lines are every 24 hours if intermittent infusion and 72

hours, with cont inf #ivchat

Wed Feb 16 17:47:44 PST 2011

Page 11: IVchat 02162011

VascularA

ccess

T4 - boy, not EJ - not routinely, mayb for emergency #ivchat

Wed Feb 16 17:48:17 PST 2011

chemosabe

T4 don't see y not theoretically, but jeez, would u? #ivchat

Wed Feb 16 17:48:17 PST 2011

JoyceHarre

llRN

@CuteNicuNurse Make sure you are putting #IVChat with your posts so you

get included in the conversation!

Wed Feb 16 17:48:31 PST 2011

IVchat

Do ur nurses do? RT @swan5675: @IVchat Our ER docs will do that,

sometimes. #IVchat

Wed Feb 16 17:49:09 PST 2011

IVchat

RT @joyceharrellrn: @CuteNicuNurse Make sure you are putting #IVChat

with your posts so you get included in the conversation! #IVchat

Wed Feb 16 17:49:24 PST 2011

swan5675

T3 I've firmly believed that PIV site care/maint is just as important as CVL.

Could future heart valve probs B from bad PIV care? #IVchat

Wed Feb 16 17:49:37 PST 2011

InfusionNu

rse

similar hereRT @chemosabe: T2 line changes in fluid lines are every 24 hours

if intermittent infusion and 72 hours, with cont inf #ivchat

Wed Feb 16 17:49:53 PST 2011

joyceharrel

lrn

T4: We consider an external jugular as a PIV, but I don't think we put them in.

I think just the docs put them in. #IVchat

Wed Feb 16 17:50:22 PST 2011

IVchat

RT @swan5675: T3 Ive firmly believed that PIV site care/maint is just as

important as CVL. Cld future heart valve fr bad PIV care? #IVchat

Wed Feb 16 17:50:47 PST 2011

swan5675

T4 I feel that if doc is considering jugular, it's time to put in a darned CVL.....

#IVchat

Wed Feb 16 17:51:17 PST 2011

TriniRN

@IVchat I've used EJ's when all else fails and for IV fluids and blood

products. Not ideal for caustic agents ie K+ #IVchat.

Wed Feb 16 17:51:19 PST 2011

InfusionNu

rse

@joyceharrellrn ..goog point, EJ PIV...so shouldnt really stay in long...

#ivchat

Wed Feb 16 17:51:25 PST 2011

HowDoWe

Feel

RT @swan5675 T4 I feel that if doc is considering jugular, it's time to put in a

darned CVL..... #IVchat

Wed Feb 16 17:51:34 PST 2011

JoyceHarre

llRN

@TriniRN Hi @TiniRN #IVchat

Wed Feb 16 17:51:45 PST 2011

InfusionNu

rse

RT @TriniRN: Ive used EJs when all else fails and for IV fluids and blood

products. Not ideal for caustic agents ie K+ #IVchat. #ivchat

Page 12: IVchat 02162011

Wed Feb 16 17:51:47 PST 2011

chemosabe

?synchromed anyone help an aussie out? #ivchat

Wed Feb 16 17:51:52 PST 2011

JoyceHarre

llRN

RT @InfusionNurse: @joyceharrellrn ..goog point, EJ PIV...so shouldnt really

stay in long... #IVchat

Wed Feb 16 17:51:57 PST 2011

IVchat

Agree RT @swan5675: T4 I feel that if doc is considering jugular, its time to

put in a darned CVL..... #IVchat

Wed Feb 16 17:52:10 PST 2011

joyceharrel

lrn

@InfusionNurse I wouldn't want an EJ PIV to stay in long. #IVchat

Wed Feb 16 17:52:20 PST 2011

IVchat

Implanted pumps for chemo/ paininfusions RT @chemosabe: ?synchromed

anyone help an aussie out? #IVchat

Wed Feb 16 17:52:42 PST 2011

JoyceHarre

llRN

RT @IVchat: Agree RT @swan5675: T4 I feel that if doc is considering

jugular, its time to put in a darned CVL..... #IVchat

Wed Feb 16 17:52:42 PST 2011

IVchat

@chemosabe being recalled

here..http://www.fda.gov/MedicalDevices/Safety/RecallsCorrectionsRemovals

/ListofRecalls/ucm243634.htm #IVchat

Wed Feb 16 17:53:15 PST 2011

joyceharrel

lrn

@IVchat @swan5675 I am there with you on the EJ. It's time to put in a

CL.That cannula isn't long enough on the EJ's. Come out easy #IVchat

Wed Feb 16 17:53:28 PST 2011

CuteNicuN

urse

I've used EJs as well for fluids. It was a baby who was getting peritoneal

dialysis. #IVChat

Wed Feb 16 17:53:53 PST 2011

swan5675

@joyceharrellrn Yep....just askin' for trouble with those #IVchat

Wed Feb 16 17:54:13 PST 2011

chemosabe

we have em I think, diff name tho, haven't heard of recall, don't deal withem

much/at all #ivchat

Wed Feb 16 17:54:15 PST 2011

InfusionNu

rse

RT @CuteNicuNurse: Ive used EJs as well for fluids. It was a baby who was

getting peritoneal dialysis. #ivchat

Wed Feb 16 17:54:24 PST 2011

joyceharrel

lrn

@swan5675 When those EJ's come out, they bleed like a stuck pig. How

about when they come out and no one is in room to see it??? #IVchat

Wed Feb 16 17:55:11 PST 2011

VascularA

ccess

shld stay long..its a PIVRT @joyceharrellrn: @InfusionNurse I wouldnt want

an EJ PIV to stay in long. #ivchat

Wed Feb 16 17:55:18 PST 2011

Page 13: IVchat 02162011

IVchat

@chemosabe lots of chemo pts have it for continuous 5FU here #IVchat

Wed Feb 16 17:55:41 PST 2011

JoyceHarre

llRN

This has been fun all, I have a phone call I need to make, then some studying...

#IVchat

Wed Feb 16 17:55:55 PST 2011

swan5675

@joyceharrellrn We had sentinel event with ped pt when that happened

#IVchat

Wed Feb 16 17:56:21 PST 2011

MedicalNo

tice

RT @joyceharrellrn: T4: We consider an external jugular as a PIV, but I don't

think we put them in. I think just the docs put them in. #IVchat

Wed Feb 16 17:56:21 PST 2011

InfusionNu

rse

RT @joyceharrellrn: @swan5675 When those EJs come out, bleed like a

stuck pig. Howthey come out and no one is in room to see it??? #ivchat

Wed Feb 16 17:56:22 PST 2011

chemosabe

g'nite joyce #ivchat

Wed Feb 16 17:56:35 PST 2011

IVchat

Well, it is almost that time...any parting thoughts?? #IVchat

Wed Feb 16 17:56:43 PST 2011

VascularA

ccess

RT @swan5675: @joyceharrellrn We had sentinel event with ped pt when that

happened #ivchat

Wed Feb 16 17:57:10 PST 2011

chemosabe

@IVchat use elastomeric pumps or external electronic pump into PICC or

TIVAD mostly down here #ivchat

Wed Feb 16 17:57:31 PST 2011

IVchat

@joyceharrellrn Thanks Joyce.. #IVchat

Wed Feb 16 17:57:32 PST 2011

swan5675

@IVchat Just want to thank everyone for giving me food for thought. I adore

these chats! #IVchat

Wed Feb 16 17:57:33 PST 2011

JoyceHarre

llRN

@MedicalNotice Hey there! Great to see you. I am heading out for a phone

call... #IVchat

Wed Feb 16 17:57:43 PST 2011

JoyceHarre

llRN

@chemosabe Night! #IVchat

Wed Feb 16 17:57:54 PST 2011

JoyceHarre

llRN

@IVchat Good night! #IVchat

Wed Feb 16 17:58:01 PST 2011

swan5675

@joyceharrellrn message me.... #IVchat

Wed Feb 16 17:58:14 PST 2011

Page 14: IVchat 02162011

IVchat

Thank u too..appreciate it RT @swan5675: @IVchat Just want to thank

everyone for giving me food for thought. I adore these chats! #IVchat

Wed Feb 16 17:58:22 PST 2011

swan5675

@joyceharrellrn nite, Joyce! #IVchat

Wed Feb 16 17:58:43 PST 2011

InfusionNu

rse

Good night to all..thank you again for another great chat... #ivchat

Wed Feb 16 17:59:02 PST 2011

Kat_SN

Thanks for letting me listen in! Always a learning experience. #IVchat

#nursingschool

Wed Feb 16 17:59:16 PST 2011

IVchat

Next IV chat will be March 2 at 8PM ET...will post summary soon. #IVchat

Wed Feb 16 17:59:29 PST 2011

swan5675

Thank YOU. Nite, all..... #IVchat

Wed Feb 16 17:59:35 PST 2011

swan5675

RT @Kat_SN: Thanks for letting me listen in! Always a learning experience.

#IVchat #nursingschool #IVchat

Wed Feb 16 17:59:41 PST 2011

IVchat

Thank u, happy u can join tonite RT @Kat_SN: Thanks for letting me listen

in! Always a learning experience. #IVchat #nursingschool #IVchat

Wed Feb 16 17:59:52 PST 2011

chemosabe

G'nite Cora et all, sorry I was late #ivchat

Wed Feb 16 17:59:58 PST 2011

swan5675

@Kat_SN We were privileged to have you here.... come back! #IVchat

Wed Feb 16 18:00:11 PST 2011

IVchat

@swan5675 Good night Deb! See u again next time! #IVchat

Wed Feb 16 18:00:25 PST 2011

IVchat

Thanks Glen, always a pleasure to see u..RT @chemosabe: Gnite Cora et all,

sorry I was late #IVchat

Wed Feb 16 18:00:53 PST 2011

InfusionNu

rse

RT @IVchat: Next IV chat will be March 2 at 8PM ET...will post summary

soon. #ivchat

Wed Feb 16 18:00:59 PST 2011

InfusionNu

rse

@chemosabe hey, how was the other chat? #ivchat

Wed Feb 16 18:01:15 PST 2011

TriniRN

@IVchat thanks so much:) only caught the last 20 minutes but always helpful!

#IVchat

Wed Feb 16 18:01:57 PST 2011

Page 15: IVchat 02162011

IVchat

Good night to all...thanks for joining tonight. Till next IV chat!! #IVchat

Wed Feb 16 18:02:41 PST 2011

chemosabe

@InfusionNurse didn't look in seeing I had tweetchat issues, stayed here with

u wonderful tweeps #ivchat

Wed Feb 16 18:02:44 PST 2011

IVchat

@TriniRN Glad you can join, you're always welcome here! See u next time...

#IVchat

Wed Feb 16 18:03:15 PST 2011

InfusionNu

rse

aww, thanks! hope ur having a good day RT @chemosabe: didnt look in

seeing I had tweetchat issues, stayed with u wonderful tweeps #ivchat

Wed Feb 16 18:04:43 PST 2011

IVchat

@CuteNicuNurse ..thanks for joining us tonight...see u again next chat!

#IVchat

Wed Feb 16 18:05:03 PST 2011