Good morning! Join #IVChat tonight at 8pm ET. #nurses #health #nursing IVchat RT @IVchat Good morning! Join #IVChat tonight at 8pm ET. #nurses #rnchat #mdchat PhilBaumann RT @philbaumann @IVchat Good morning! Join #IVChat tonight at 8pm ET. #nurses #rnchat #mdchat onlinenursing RT @philbaumann @IVchat Good morning! Join #IVChat tonight at 8pm ET. #nurses #rnchat #mdchat NUR3563

RT @onlinenursing: RT @philbaumann @IVchat Good morning! Join #IVChat tonight at 8pm ET. #nurses #rnchat #mdchat nursingpins

RT @onlinenursing: RT @philbaumann @IVchat Good morning! Join #IVChat tonight at 8pm ET. #nurses #rnchat #mdchat soupermom RT @IVchat: Good morning! Join #IVChat tonight at 8pm ET. #nurses #health #nursing InfusionNurse RT @IVchat: Good morning! Join #IVChat tonight at 8pm ET. #nurses #health #nursing mcvassociates

@onlinenursing @philbaumann @NUR3563 @TBL_Renova ..thanks for the RTs - would b honored if u can join #IVchat tonight 8PM ET! IVchat RT @InfusionNurse: The Good, The Bad and Drug Shortages.: http://wp.me/pC2pF-iR IVchat 2hours till #IVchat time..go grab dinner and join us at 8pm ET! #nurses #nursing #Health #healthcare IVchat RT @IVchat: 2hours till #IVchat time..go grab dinner and join us at 8pm ET! #nurses #nursing #Health #healthcare VascularAccess @nursingpins @soupermom ..thanks for the RT..hope u can join #IVchat tonite!! 8PM ET! IVchat 1 hour away from #IVchat...come join us tonite 8PMET..#nurses #nursing #health #Healthcare IVchat 30 minutes till IVchat...get ur fav drink and join us 8pm ET #nurses #nursing #health #healthcare #IVchat IVchat RT @IVchat: 30 minutes till IVchat...get ur fav drink and join us 8pm ET #nurses #nursing #health #healthcare #IVchat nursingpins

RT @IVchat: 30 minutes till IVchat...get ur fav drink and join us 8pm ET #nurses #nursing #health #healthcare #IVchat InfusionNurse 15 minutes...#IVchat at 8pm ET...#nurses #nursing #health #healthcare #infusion #therapy IVchat 5 minutes till #IVchat... #nurses #nursing #health #healhcare #infusion #therapy IVchat

It's #IVchat time! Welcome all. IVchat is a global online chat for RNs & HCPs on topics related to infusion therapy & vascular access..etc. IVchat Let's start w/ intros..tell us about yourself in < than 140.. #IVchat IVchat Good evening to all! I'm Cora, infusion nurse and moderator of IV chat. Welcome!! #IVchat InfusionNurse Hi all..glad to b here..I'm Michelle..#IVchat VascularAccess @IVchat Hi I am Chris from Orlando, FL, IV Nurse for many years, now a Clinical Specialist for a manufacturer ChrisCavRN Hi Cora - Vernon, Crit Care in New Orleans - thankful to be off tonight. #IVChat nursingpins Hi Michelle, good to see u, glad u can join us!! Welcome back! #IVchat InfusionNurse @nursingpins Hi Vernon, thanks for joining us on ur nite off! Welcome! #IVchat InfusionNurse I'm jon - I'm not a nurse but this chat is always interesting to me. Howdy! #IVchat MEDsyntrix Thanks - always useful information here. #IVChat nursingpins Great, welcome to all. Topics will be listed as T1, T2, etc. Pl. prepend ur replies w/ topic number #IVchat IVchat I'm going to lurk and learn! Student nurse here - third semester. Just getting into IV medications. :) #IVChat Kat_SN @MEDsyntrix ..Welcome jon! Glad u can join us tonite! #IVchat InfusionNurse @Kat_SN ..welcome, we're always happy to see student nurses and any lurkers out there! #IVchat InfusionNurse T1 IV errors til a problem, do u think mandatory public reporting will help reduce med errors? #IVchat IVchat

T1 We cant place blame but need to investigate making systems changes to prevent errors, humans = errors #ivchat ChrisCavRN T1 - u mean public reporting of "incident reports" of IV med errors? hmmm..not sure..#IVchat VascularAccess Another student nurse here! First time chatting with #IVchat NurseNaters

T1 - public reporting of IV med errors or any errors might not be a great way to reduce med errors...could be punitive #IVchat InfusionNurse Join me for a #ivchat TweetChat at: http://tweetchat.com/room/ivchat ChrisCavRN

T! I think it will make the pub aware of the # of errors - but will not red them until hosps take them serious & enforce reporting. #IVChat nursingpins T1 - @nursingpins shared this article..http://bit.ly/bXOtbB #IVchat IVchat T1 Due to hospital culture - med errors are a long way form being reported in any reliable #'s #IVChat nursingpins @ChrisCavRN ..I agree..also state mandated reporting not always completely followed... #IVchat InfusionNurse

Agree, who really wants to report own mistakes? RT @nursingpins: T1 Due to hospital culture - med errors are not being reported #IVchat InfusionNurse @ChrisCavRN Welcome to IV chat Chris! #IVchat IVchat @IVchat Thanks! This is a great idea, and nice forum #ivchat ChrisCavRN T1 - there are still IV errors and honestly think public awareness might not be that effective in reducing.. #IVchat InfusionNurse Noticed that some tweets r not showing up, pls. dont forget #IVchat so we can all see u!! :) #IVchat IVchat Think about the ATM machine it used to keep our cards all the time because we forgot them #ivchat ChrisCavRN Now we swipe and the card never leaves our hand-a system fix to a human problem #ivchat ChrisCavRN T1 I don't think you can reduce any kind of med errors without better staffing practices by hospitals. #IVChat Kat_SN

T1 -i'm a bit slow here but pls. share how u think public awareness will reduce med errors by nurses who r human beings? #Ivchat VascularAccess

We need to find ways like that to reduce med errors like using bar coded arm bands and medication dispensers like Pyxis #ivchat ChrisCavRN

good point RT @Kat_SN: T1 I dont think you can reduce any kind of med errors without better staffing practices by hospitals. #IVchat IVchat T1 @Kat_SN safe staffing could reduce many errors - you are right. #IVChat Nursingpins

pressure admin to improve systems..RT @VascularAccess: T1 - bit slow here but how u think public awareness will reduce med errors #IVchat InfusionNurse

T1 In a learning environment knowing how mistakes happen could be beneficial. Blame will only create better excuses or loopholes. #IVchat NurseNaters

T2 coming up in a sec... #IVchat IVchat T1 IV errors ARE taken more serious - if no reaction etc - even they are not reported #IVChat nursingpins Agree RT @nursingpins: T1 @Kat_SN safe staffing could reduce many errors - you are right. #IVchat IVchat

RT @ChrisCavRN: We need to find ways like that to reduce med errors like using bar coded arm bands/medication dispensers like Pyxis #IVchat IVchat T1 - public awareness will help the patients be informed enough to ask questions - will save some lives. #IVChat nursingpins T1 - aren't incident reports protected from the public until subpoena? #ivchat VascularAccess T1 - I have seen many drug errors avoided by patient questions. #IVChat nursingpins As a student, I've seen my share of IV med errors... most of which were caused by failing to label properly. #IVChat Kat_SN

Agree that educated consumer can help but education and awareness raising more effective than punitive advertising of errors #ivchat ChrisCavRN T1 esp "Is that a new med" and "I have never taken that before" #IVChat nursingpins

Amen to that!! RT @nursingpins: T1 - I have seen many drug errors avoided by patient questions. #IVchat InfusionNurse

Distractions also increase the incidence of med errors. A "no-interruption zone" for medication preparation & admin can help #IVChat #ivchat FreshRN

RT @ChrisCavRN: Agree that educated consumer can help but education and awareness more effective not punitive advertising of errors #IVchat InfusionNurse

true..RT @Kat_SN: As a student, Ive seen my share of IV med errors... most of which were caused by failing to label properly. #IVchat InfusionNurse

T2 - Drug shortages of many meds esp. critical IV meds -what action plans do ur org have to handle/manage? What is the nurses role? #IVchat IVchat

RT @FreshRN: Distractions incre aseincidence of med errors. A "no-interruption zone" for medication prep & admin can help #IVChat #IVchat InfusionNurse Great example...RT @nursingpins: T1 esp "Is that a new med" and "I have never taken that before" #IVchat IVchat T2 - drug shortages is really becoming an issue and accdg to ISMP may contribute to increased med errors.. #IVchat InfusionNurse RT @nursingpins: T1 Due to hospital culture - med errors are a long way form being reported in any reliable #'s #IVChat Dlwdillon @FreshRN ..welcome to IV chat...good point! #IVchat IVchat

@FreshRN Would help-but nur now is a const distrac-add mult. IVPB's new orders- PRN staff- q. shift is a perfect storm for errors. #IVChat nursingpins RT @nursingpins: T1 esp "Is that a new med" and "I have never taken that before" #IVChat soupermom T2 @InfusionNurse ..saw ur blog on drug shortages..u r right, nurses should be concerned as well #IVchat VascularAccess

RT @nursingpins: @FreshRN const distrac-add mult. IVPBs new orders- PRN staff- q. shift is a perfect storm for errors. #IVchat IVchat

T1 Plus added pressure at the pyxis mach. - nurses in line to get meds - times should be stagged more. #IVChat nursingpins T2 I am more concerned about patient injury such as risk of using dilantin again instead of fosphenetoyn #ivchat ChrisCavRN

RT @nursingpins: T1 Plus added pressure at the pyxis mach. - nurses in line to get meds - times should be stagged more. #IVchat IVchat

@IVchat Yes that's very true. No-interrupt. zones wouldn't completely eliminate distractions but may help to reduce them. Good point #ivchat FreshRN T2 i think that nurses think drug shortage is just a pharm prob. #IVchat InfusionNurse

room 4 errors again.RT @ChrisCavRN: T2 concerned about patient injury such as risk of using dilantin again instead of fosphenetoyn #IVchat InfusionNurse Many errors now from nurses unfamiliar with pts - many PT nurses - most drug errors now are multiple errors. #IVChat nursingpins

True RT @nursingpins: Many errors now from nurses unfamiliar with pts - many PT nurses - most drug errors now are multiple errors. #IVchat IVchat

Disagree that PT RNs are a problem even FT RNs make mistakes and have unfamiliar new admissions again we need a systems fix #ivchat ChrisCavRN T2 - my fear w/ substitution of drug is that it is never as good as the original #IVchat VascularAccess RT @VascularAccess: T2 - my fear w/ substitution of drug is that it is never as good as the original #IVchat IVchat

T2- As a student my preceptor & I would always check the fridge/etc @ start of shift to ensure drips were in stock & request if out #ivchat FreshRN

Sound alike drugs have always been a prob-nur shld check tngs if the drug is not avail. many errors are caught with pyxis over-ride. #IVChat nursingpins

great! RT @FreshRN: T2- As a student my preceptor & I always check @ start of shift to ensure drips were in stock & request if out #IVchat InfusionNurse

RT @nursingpins: Many errors now from nurses unfamiliar with pts - many PT nurses - most drug errors now are multiple errors. #IVChat dlwdillon

RT @nursingpins: Sound alike drugs been a prob-nur shld chk tngs if drug is not avail. many errors r caught with pyxis over-ride. #IVchat InfusionNurse T3 - an update from the recent AVA meeting - @chriscavRN attended - anything to share? #IVchat IVchat T2 - when other drugs r substituted, make me nervous that I always double/triple check b4 giving to pt. #IVchat InfusionNurse

One hospital was printing a reconciliation sheet from pharmacy (will catch many errors) they quit - too many discrepancy's #IVChat Nursingpins AVA is the Association for Vascular Access - @chriscavrn - pls. feel free to share #IVchat IVchat

T3 Great information presented regarding reducing CRBSI to Zero, risks of thrombosis with PICCs, central line tip location using EKG #ivchat ChrisCavRN @nursingpins ..prob takes lots of time and manpower... #IVchat InfusionNurse T2 New antimicrobial PICC new caps with antimicrobial properties and caps for caps/valves with alcohol in them #ivchat ChrisCavRN @ChrisCavRN ..anything new on reducing CRBSI to zero? #IVchat IVchat @InfusionNurse Can be printed out with pyxis program - will match all drugs removed and times. #IVChat nursingpins T3 45 posters presented the most ever and great post conference on IJ placement of central lines #ivchat ChrisCavRN T3 - EKG for PICC tip placement - will that replace the need for xray verification? #Ivchat VascularAccess T3 Yes-CRBSI to zero needs a systems approach both insertion and care bundles and technology #ivchat ChrisCavRN @nursingpins ..why did they stop just b/c of too many discrepancies? #IVchat InfusionNurse

RT @VascularAccess: T3 - EKG for PICC tip placement - will that replace the need for xray verification? #IVchat IVchat T3 yes one company has FDA approval to replace chest xray with their EKG based system it is very easy to use #ivchat ChrisCavRN

@VascularAccess T3 good question - many more can identify PICC with x-ray - many cannot read EKG's - including physicians. #IVChat nursingpins T3 no more waiting hours for xrays to be read use the line as soon as it is placed #ivchat ChrisCavRN

RT @ChrisCavRN: T3 New antimicrobial PICC new caps with antimicrobial properties and caps for caps/valves with alcohol in them #IVchat IVchat @InfusionNurse yes - too many errors - was a nightmare. #IVChat nursingpins

T3 actually using x-ray is very inaccurate and subjective also depends on technique ECG verification is the same for every patient #ivchat ChrisCavRN

RT @nursingpins: @VascularAccess T3 good question - many more can identify PICC with x-ray - many cannot read EKGs - include MDs #IVchat IVchat T3 The RN learns to look for the change in the p wave, does not have to "read" an EKG #ivchat ChrisCavRN

@nursingpins @InfusionNurse We still do drug reconciliations.... we just don't trust the doctors to do them properly. LOL #IVChat Kat_SN @ChrisCavRN something I am not familiar with thanks, will have to read about EKG vitrifaction. #IVChat Nursingpins

LOL RT @Kat_SN:@nursingpins @InfusionNurse We still do drug reconciliations.... we just dont trust the doctors to do properly. LOL #IVchat InfusionNurse RT @ChrisCavRN: T3 The RN learns to look for the change in the p wave, does not have to "read" an EKG #IVchat IVchat T3 - read p wave only upon insertion not dwell? #IVchat VascularAccess

@Kat_SN I had the hardest time deciphering what an MD had written on the Med Rec once due to illegible handwriting... #ivchat FreshRN @chriscavrn ..caps w/ alcohol or CHG? #ivchat VascularAccess

T3 compare an intercavitary EKG to Surface EKG, the PICC becomes a lead and causes changes in the p wave as it gets closer to atrium #ivchat ChrisCavRN

T3 hard to explain in 140 #ivchat ChrisCavRN

@IVchat That is simple enough - had plenty exp. with p's and swans - many nurses will have to learn p act. - many don't know? #IVChat Nursingpins so true...LOL..RT @ChrisCavRN: T3 hard to explain in 140 #IVchat IVchat

@FreshRN Honestly, every med rec. I have seen was prepared by nurse, signed off on by MD, and then CHECKED again by RN. #IVChat Kat_SN

T3 two companies make a cap with alcohol that goes over any luer-end of catheter, end of pt site, y sites, etc #ivchat ChrisCavRN @chriscavrn ..LOL, thanks always good to know about EKG for picc placement! #Ivchat VascularAccess @Kat_SN Sounds like the way to go =) #ivchat FreshRN

@FreshRN And seriously, do they teach a "how to OD your patients with your bad handwriting" class in Med School? #IVChat Kat_SN Wow, our hour is up....pls. continue to chat if u wish... #IVchat IVchat T3 change to p wave only during placement so only PICC RNs will have to learn very easy to learn, really #ivchat ChrisCavRN

LOL, maybe!RT @Kat_SN: @FreshRN And seriously, do they teach a "how to OD your patients with your bad handwriting" class in Med Sch? #IVchat IVchat @ChrisCavRN OH - ok that makes sense - thanks #IVChat Nursingpins

T3 check out www.romedex.com #ivchat ChrisCavRN

RT @ChrisCavRN: T3 two companies make a cap with alcohol that goes over any luer-end of catheter, end of pt site, y sites, etc #IVchat IVchat Thanks for the discussion! :) I enjoyed it. #IVChat Kat_SN Continue to chat as long as u want, but just remind everyone - next chat is Oct. 12 at 8pm ET!! #IVchat IVchat

@IVchat @ChrisCavRN @Kat_SN @nursingpins @VascularAccess @InfusionNurse Really enjoyed reading your posts, awesome first #ivchat FreshRN Glad u enjoyed it, thanks and hope to c u again! RT @Kat_SN: Thanks for the discussion! :) I enjoyed it. #IVchat IVchat Thanks Cora - next chat is Oct. 12 at 8pm ET!! #IVChat Nursingpins

RT @FreshRN: @IVchat @ChrisCavRN @Kat_SN @nursingpins @VascularAccess @InfusionNurse Really enjoyed reading your posts, awesome first #ivchat Kat_SN @FreshRN ..aww, thanks glad u enjoyed ur 1st IV chat - plan to join us again on Oct. 12! #IVchat IVchat Glad to see the turnout - will be back. #IVChat Nursingpins Thanks to all..I too enjoyed iteven if I'm one of the old ones..LOL..#IVchat VascularAccess

Thanks to @Kat_SN: RT @FreshRN: @ChrisCavRN @Kat_SN @nursingpins @VascularAccess @InfusionNurse and lurker friends for chatting! #IVchat IVchat Thanks everyone and hope to see you all again at next IV chat Oct 12 at 8PM! #IVchat InfusionNurse @ChrisCavRN ..thanks Chris! Very interesting info! Hope u can join us again next chat! #IVchat InfusionNurse

The summary of tonight's IV chat will be posted on ivchat.org. Will tweet when its up. Good night, thanks again for joining IVchat #IVchat IVchat RT @IVchat: The summary of tonights IV chat will be posted on ivchat.org. Will tweet when its up. #ivchat FreshRN Thanks Vernon, always a delight to see u!! RT @nursingpins: Glad to see the turnout - will be back. #IVchat IVchat

@IVchat Thanks - glad to see you too - will be back - the chat was great! :) Nursingpins @NurseNaters ..thanks for joining IV chat tonite. Hope to see u again next chat Oct. 12 8pm ET! IVchat AAAAAAmen! ~>RT @nursingpins: T1 @Kat_SN safe staffing could reduce many errors - you are right. #IVChat Findkarag One more RN chatting in #ivchat for the first time! Gotta love technology! TheToddRN