The document summarizes discussions from an online Twitter chat about intravenous (IV) therapy topics. Participants included nurses, nursing students, and IV educators who introduced themselves and discussed IV-related issues such as a recall on implantable pumps used to deliver chemotherapy, the use of IV filters, and the timing of routine IV tubing changes. Cost-cutting was noted as a factor in some facilities changing practices around these issues.

1. #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
It's #IVchat time...good evening & welcome to all. Let's start with
IVchat introductions... #IVchat
Wed Feb 16 17:00:15 PST 2011
Hey everyone, I'm Joyce! Oncology Nurse, IV Educator, and Wellness
joyceharrel
Coach... #IVchat
lrn
Wed Feb 16 17:01:11 PST 2011
Howdy, good evening, I'm Cora, moderator of IV chat...welcome everyone!
InfusionNu
#ivchat
rse
Wed Feb 16 17:01:13 PST 2011
VascularA Hi Michelle here....just lurking a bit...and multitasking too.. #ivchat
ccess Wed Feb 16 17:02:21 PST 2011
@joyceharrellrn Hey Joyce...how r u? #IVchat
IVchat
Wed Feb 16 17:02:44 PST 2011
joyceharrel @VascularAccess We all multitask!!! I'm on a call right now... :) #IVchat
lrn Wed Feb 16 17:03:02 PST 2011
InfusionNu @VascularAccess @joyceharrellRN...hi all. good to see you here... #ivchat
rse Wed Feb 16 17:03:25 PST 2011
@IVchat I am great tonight. Getting ready to study after this...again and more.
JoyceHarre
#IVchat
llRN
Wed Feb 16 17:03:27 PST 2011
Gonna start in a few mins here.. see if we get more peeps...heard there's
IVchat another chat going on same time #IVchat
Wed Feb 16 17:04:34 PST 2011
working hard r u? RT @joyceharrellrn: @IVchat I am great tonight. Getting
InfusionNu
ready to study after this...again and more. #ivchat
rse
Wed Feb 16 17:05:08 PST 2011
VascularA @joyceharrellrn LOL..true.. #ivchat
ccess Wed Feb 16 17:05:25 PST 2011

2. I'm going to follow along! Fourth Semester Nursing Student here. #IVchat
Kat_SN
Wed Feb 16 17:06:19 PST 2011
T1 - making every1 aware of recall on Synchromed pumps by
IVchat Medtronic...http://bit.ly/ezlspk #IVchat
Wed Feb 16 17:06:51 PST 2011
Whew! Just made it! Deb, RN, here....from Indiana #IVchat
swan5675
Wed Feb 16 17:07:16 PST 2011
Welcome to IV chat..good to see u...RT @Kat_SN: Im going to follow along!
IVchat Fourth Semester Nursing Student here. #IVchat
Wed Feb 16 17:07:17 PST 2011
JoyceHarre T1.. I need to get caught up on this info. #IVchat
llRN Wed Feb 16 17:07:38 PST 2011
InfusionNu @Kat_SN ..Hi, welcome. please chime in anytime. #ivchat
rse Wed Feb 16 17:07:50 PST 2011
InfusionNu @swan5675 ..Hi Deb.. good to see you.. #ivchat
rse Wed Feb 16 17:08:05 PST 2011
JoyceHarre @IVchat @Kat_SN Great to have you here tonight @Kat_SN #IVchat
llRN Wed Feb 16 17:08:06 PST 2011
Welcome...RT @swan5675: Whew! Just made it! Deb, RN, here....from
IVchat Indiana #IVchat
Wed Feb 16 17:08:24 PST 2011
JoyceHarre @swan5675 What are you doing In Indiana? #IVchat
llRN Wed Feb 16 17:08:31 PST 2011
Great to see everyone..... am just being a homebody tonoc... off work! #IVchat
swan5675
Wed Feb 16 17:09:21 PST 2011
Reposting T1 - making every1 aware of recall on Synchromed pumps by
IVchat Medtronic...http://bit.ly/ezlspk #IVchat
Wed Feb 16 17:09:52 PST 2011
@InfusionNurse @joyceharrellrn @IVchat LOL. Working hard. Topic is
JoyceHarre
actually easy. Just a lot of it... #IVchat
llRN
Wed Feb 16 17:10:56 PST 2011
T1 - recall on this implantable pump - probs with pocket fills vs.fillimng pump
InfusionNu
#ivchat
rse
Wed Feb 16 17:11:00 PST 2011
T1... no experience with that pump. Our facilities don't use. #IVchat
swan5675
Wed Feb 16 17:11:15 PST 2011

3. T1 - we see this on pts on baclofen and 5FU...didnt know about recall..thanks
VascularA
#ivchat
ccess
Wed Feb 16 17:11:59 PST 2011
@InfusionNurse I just read that. How scary. A lot of drugs used in those type
JoyceHarre
of pumps are chemo..right? And morphine??? #IVchat
llRN
Wed Feb 16 17:12:00 PST 2011
RT @VascularAccess: T1 - we see this on pts on baclofen and 5FU...didnt
IVchat know about recall..thanks #IVchat
Wed Feb 16 17:12:54 PST 2011
T1 Very scary, it sounds. #IVchat
swan5675
Wed Feb 16 17:12:59 PST 2011
RT @IVchat: RT @VascularAccess: T1 - we see this on pts on baclofen and
JoyceHarre
5FU...didnt know about recall..thanks #IVchat
llRN
Wed Feb 16 17:13:24 PST 2011
JoyceHarre @swan5675 Hey Deb. Do you have time to connect tomorrow? #IVchat
llRN Wed Feb 16 17:14:04 PST 2011
@joyceharrellrn @swan5675..yes and it is implanted so one needs to be
InfusionNu
certified to refill the pump... #ivchat
rse
Wed Feb 16 17:14:14 PST 2011
T1 "Chain is as stong as it's weakest link" cliche certainly seems to apply
swan5675 here.... #IVchat
Wed Feb 16 17:14:27 PST 2011
@joyceharrellrn all day... just message me when u can ;) #IVchat
swan5675
Wed Feb 16 17:15:04 PST 2011
@swan5675 ..Medtronic seem to be having lots of issues lately...this is just
InfusionNu
one of them #ivchat
rse
Wed Feb 16 17:15:34 PST 2011
T2 - coming up... #IVchat
IVchat
Wed Feb 16 17:15:48 PST 2011
T1 cutbacks and shortcuts in the arena of healthcare is always a nasty thing,
swan5675 eh? #IVchat
Wed Feb 16 17:16:29 PST 2011
T1 - ur oncology units might be using these pumps - lots of chemo pts have
VascularA
this for 5FU infusions. #ivchat
ccess
Wed Feb 16 17:16:31 PST 2011
yes, implantedRT @VascularAccess: T1 - ur oncology units might be using
InfusionNu
these pumps - lots of chemo pts have this for 5FU infusions. #ivchat
rse
Wed Feb 16 17:17:10 PST 2011
joyceharrel @swan5675 OK. Looking forward. Can't wait to catch up with you! #IVchat
lrn Wed Feb 16 17:17:16 PST 2011

4. T2 - IV filters..do u routinely use? or when do you use? #IVchat
IVchat
Wed Feb 16 17:17:42 PST 2011
RT @swan5675: T1 "Chain is as stong as its weakest link" cliche certainly
JoyceHarre
seems to apply here.... #IVchat
llRN
Wed Feb 16 17:17:44 PST 2011
RT @swan5675: T1 cutbacks and shortcuts in the arena of healthcare is
IVchat always a nasty thing, eh? #IVchat
Wed Feb 16 17:18:03 PST 2011
InfusionNu RT @IVchat: T2 - IV filters..do u routinely use? or when do you use? #ivchat
rse Wed Feb 16 17:18:13 PST 2011
RT @IVchat: RT @swan5675: T1 cutbacks and shortcuts in the arena of
JoyceHarre
healthcare is always a nasty thing, eh? #IVchat
llRN
Wed Feb 16 17:18:27 PST 2011
T2 Only for blood infusions, now... and TPN #IVchat
swan5675
Wed Feb 16 17:18:43 PST 2011
RT @InfusionNurse: RT @IVchat: T2 - IV filters..do u routinely use? or
JoyceHarre
when do you use? #IVchat
llRN
Wed Feb 16 17:18:46 PST 2011
VascularA T2 - only use for blood, and TPN w/. lipids..not on regular infusions... #ivchat
ccess Wed Feb 16 17:19:00 PST 2011
JoyceHarre T2: We use IV filters routinely. #IVchat
llRN Wed Feb 16 17:19:06 PST 2011
RT @swan5675: T2 Only for blood infusions, now... and TPN #IVchat
IVchat
Wed Feb 16 17:19:13 PST 2011
for regular IV fluids? RT @joyceharrellrn: T2: We use IV filters routinely.
InfusionNu
#ivchat
rse
Wed Feb 16 17:19:38 PST 2011
T2: IV filters actually go on every setup, unless lipids are going
joyceharrel
through.Which we know lipids won't go through. #IVchat
lrn
Wed Feb 16 17:19:44 PST 2011
RT @joyceharrellrn: T2: IV filters actually go on every setup, unless lipids are
IVchat going through.Which we know lipids wont go through. #IVchat
Wed Feb 16 17:20:23 PST 2011
@InfusionNurse T2: For some reason we use filters with everything. I have
JoyceHarre
always wondered why... #IVchat
llRN
Wed Feb 16 17:20:29 PST 2011
T2 We have the special filters specifically for blood, TPN #IVchat
swan5675
Wed Feb 16 17:20:38 PST 2011

5. yes, 1.2 micron for TPN/Fats..RT @swan5675: T2 We have the special filters
VascularA
specifically for blood, TPN #ivchat
ccess
Wed Feb 16 17:21:21 PST 2011
T2 Stopped using routine filters a few years ago... don't know why #IVchat
swan5675
Wed Feb 16 17:21:26 PST 2011
JoyceHarre T2: Our blood sets come prepacked with filter intact. #IVchat
llRN Wed Feb 16 17:22:27 PST 2011
T2 - still a recommendation for blood/TPN w/ lipids and intraspinal
InfusionNu
infusions... #ivchat
rse
Wed Feb 16 17:22:53 PST 2011
T2: All chemo. Well, we just use it with everything. (except the lipids)
JoyceHarre
#IVchat
llRN
Wed Feb 16 17:22:58 PST 2011
I always question why,when they are all finding ways to cut back, they seem
swan5675 to find ways to DC what used to be stressed as necessary #IVchat
Wed Feb 16 17:22:59 PST 2011
@joyceharrellrn lipds can be filtered if mixed with TPN - use a larger filter...
VascularA
#ivchat
ccess
Wed Feb 16 17:23:57 PST 2011
T2 I don't know, but it seems like the "research findings" are awfully
swan5675 convenient at a time they wish to reduce costs. #IVchat
Wed Feb 16 17:24:32 PST 2011
@swan5675 ..its the orgs P/P...but again still recommended for the infusions u
InfusionNu
mentioned... #ivchat
rse
Wed Feb 16 17:24:40 PST 2011
@swan5675 I agree. Stress the importance of things, then d/c with budget
JoyceHarre
cuts. #IVchat
llRN
Wed Feb 16 17:24:44 PST 2011
RT @joyceharrellrn: @swan5675 I agree. Stress the importance of things,
swan5675 then d/c with budget cuts. #IVchat
Wed Feb 16 17:25:15 PST 2011
Bingo... so true..RT @InfusionNurse: @swan5675 ..its the orgs P/P...but again
VascularA
still recommended for the infusions u mentioned... #ivchat
ccess
Wed Feb 16 17:25:21 PST 2011
T3 coming up.... #IVchat
IVchat
Wed Feb 16 17:26:06 PST 2011
Yeah... Bard used to insist that doing blood draws via Groshong valve was
swan5675 BAD, for many reasons... now, say it's "OK" #IVchat
Wed Feb 16 17:26:49 PST 2011
InfusionNu RT @swan5675: Yeah... Bard used to insist that doing blood draws via
rse Groshong valve was BAD, for many reasons... now, say its "OK" #ivchat

6. Wed Feb 16 17:27:26 PST 2011
T3 - Routine IV tubing changes - when do u change? #IVchat
IVchat
Wed Feb 16 17:27:37 PST 2011
Thank God, our Infection Control docs will not allow blood draws through
swan5675 PICCs #IVchat
Wed Feb 16 17:28:13 PST 2011
VascularA @swan5675 what? always drew blood from it... #ivchat
ccess Wed Feb 16 17:28:19 PST 2011
T3 Used to be every 48 hours. After cutbacks: every 72 #IVchat
swan5675
Wed Feb 16 17:28:43 PST 2011
Why? RT @swan5675: Thank God, our Infection Control docs will not allow
VascularA
blood draws through PICCs #ivchat
ccess
Wed Feb 16 17:29:00 PST 2011
RT @swan5675: T3 Used to be every 48 hours. After cutbacks: every 72
IVchat #IVchat
Wed Feb 16 17:29:23 PST 2011
@VascularAccess Our research at large hospital showed infections resulted,
swan5675 despite proficient flushing techniques #IVchat
Wed Feb 16 17:29:35 PST 2011
JoyceHarre T3: Every 4 days, unless having port access, then we do every 3 days. #IVchat
llRN Wed Feb 16 17:29:39 PST 2011
@VascularAccess @swan5675 We have to do blood draws through picc and
JoyceHarre
ports. #IVchat
llRN
Wed Feb 16 17:30:01 PST 2011
now its 96...RT @swan5675: T3 Used to be every 48 hours. After cutbacks:
InfusionNu
every 72 #ivchat
rse
Wed Feb 16 17:30:20 PST 2011
@VascularAccess 19 inches of catheter is hard to rid of fibrinogen.... #IVchat
swan5675
Wed Feb 16 17:30:29 PST 2011
why the diff? RT @joyceharrellrn: T3: Every 4 days, unless having port
InfusionNu
access, then we do every 3 days. #ivchat
rse
Wed Feb 16 17:30:50 PST 2011
VascularA @swan5675 I hear u..so even with a PICC they stick pt for bld draw? #ivchat
ccess Wed Feb 16 17:31:37 PST 2011
RT @swan5675: @VascularAccess 19 inches of catheter is hard to rid of
IVchat fibrinogen.... #IVchat
Wed Feb 16 17:31:49 PST 2011
JoyceHarre T3: Port needles and central line dressing Q 6 days. change the tubing 1/2 way
llRN in between. #IVchat

7. Wed Feb 16 17:31:53 PST 2011
RT @InfusionNurse: now its 96...RT @swan5675: T3 Used to be every 48
IVchat hours. After cutbacks: every 72 #IVchat
Wed Feb 16 17:31:56 PST 2011
It is now the standard at all facilities to draw blood through PICCs, backed by
swan5675 the manufacturers that initially warned against it #IVchat
Wed Feb 16 17:32:01 PST 2011
@VascularAccess @swan5675 Our lab comes to us when they see a picc or
JoyceHarre
port, and we always have to pull from the line. #IVchat
llRN
Wed Feb 16 17:32:29 PST 2011
Blood products RT @InfusionNurse: RT @IVchat: T2 - IV filters..do u
CuteNicuN
routinely use? or when do you use? #ivchat
urse
Wed Feb 16 17:32:45 PST 2011
InfusionNu @swan5675 ..so ur PICCs are the groshong kind.... #ivchat
rse Wed Feb 16 17:32:55 PST 2011
@VascularAccess yeah... the PICC is to protect venous damage from ATB,
swan5675 viscous fluids. Still do blood sticks. #IVchat
Wed Feb 16 17:33:10 PST 2011
RT @CuteNicuNurse: Blood products RT @InfusionNurse: RT @IVchat: T2
IVchat - IV filters..do u routinely use? or when do you use? #IVchat
Wed Feb 16 17:33:14 PST 2011
@InfusionNurse yes... Groshong valves #IVchat
swan5675
Wed Feb 16 17:33:45 PST 2011
@CuteNicuNurse Hi Welcome to IVchat.. #IVchat
IVchat
Wed Feb 16 17:34:09 PST 2011
Not sure how i feel about this yet RT @JoyceHarrellRN: T2: All chemo. Well,
CuteNicuN
we just use it with everything. (except the lipids) #IVchat
urse
Wed Feb 16 17:34:20 PST 2011
I always hate drawing blood when TPN is infusing. Always have to waste so
JoyceHarre
much blood to ensure clearing the TPN product. #IVchat
llRN
Wed Feb 16 17:34:28 PST 2011
Years ago, chest inserted CVLs were done after all veins exhausted. PICCs
swan5675 inserted to protect venous system... proactive #IVchat
Wed Feb 16 17:35:00 PST 2011
RT @IVchat: RT @swan5675: T3 Used to be every 48 hours. After cutbacks:
CuteNicuN
every 72 #IVchat
urse
Wed Feb 16 17:35:03 PST 2011
JoyceHarre @CuteNicuNurse Good to see you here! #IVchat
llRN Wed Feb 16 17:35:03 PST 2011

8. @swan5675 dont pts complain about sticks when they have a PICC??? wow...
VascularA
#ivchat
ccess
Wed Feb 16 17:35:13 PST 2011
RT @joyceharrellrn: I always hate drawing blood when TPN is infusing.
swan5675 Always have to waste so much blood to ensure clearing the TPN #IVchat
Wed Feb 16 17:35:17 PST 2011
RT @swan5675: Years ago, chest inserted CVLs were done after all veins
IVchat exhausted. PICCs inserted to protect venous system proactive #IVchat
Wed Feb 16 17:35:59 PST 2011
@swan5675 PICCS are great. They need to let the nurses do them, though.The
JoyceHarre
radiologists do it, and hard to get on the weekends. #IVchat
llRN
Wed Feb 16 17:36:01 PST 2011
@VascularAccess Nobody likes needles.... but infections lasted a lot longer.
swan5675 Besides...our pts weren't promised freedom from sticks #IVchat
Wed Feb 16 17:37:19 PST 2011
Lots of PICC teams now , nurses put those in RT @joyceharrellrn:
VascularA
@swan5675 PICCS are great. They need to let the nurses do #ivchat
ccess
Wed Feb 16 17:37:31 PST 2011
When I was on the IV Team, we inserted the PICCs. #IVchat
swan5675
Wed Feb 16 17:37:51 PST 2011
VascularA RT @swan5675: When I was on the IV Team, we inserted the PICCs. #ivchat
ccess Wed Feb 16 17:38:12 PST 2011
@swan5675 @VascularAccess I know. They do need to let the nurses do. I
JoyceHarre
was trained one time how to do that. #IVchat
llRN
Wed Feb 16 17:38:41 PST 2011
VascularA @swan5675 ..didn t u like being in the IV team? #ivchat
ccess Wed Feb 16 17:38:50 PST 2011
RT @swan5675: When I was on the IV Team, we inserted the PICCs. (needs
JoyceHarre
to happen today in our hospital.) #IVchat
llRN
Wed Feb 16 17:39:02 PST 2011
@VascularAccess LOVED it. They disbanded us... too expensive #IVchat
swan5675
Wed Feb 16 17:39:39 PST 2011
**dies** really?? oh no..RT @swan5675: @VascularAccess LOVED it. They
VascularA
disbanded us... too expensive #ivchat
ccess
Wed Feb 16 17:40:36 PST 2011
sad, now same concept used to prevent CRBSI...RT @swan5675:
InfusionNu
@VascularAccess LOVED it. They disbanded us... too expensive #ivchat
rse
Wed Feb 16 17:41:14 PST 2011
Infection rates increased after all nurses starting IVs and Rad. techs doing
swan5675 PICCs... more money spent in the big pic.. poor pts #IVchat
Wed Feb 16 17:41:32 PST 2011

9. hey y'all glen downunda, checked in earlier but apparently I wasn't
chemosabe credentialled for tweetchat, who knew! #ivchat
Wed Feb 16 17:41:50 PST 2011
@swan5675 @VascularAccess We still have an IV team. However, Oncology
JoyceHarre
does all their own. #IVchat
llRN
Wed Feb 16 17:42:06 PST 2011
RT @chemosabe: hey yall glen downunda, checked in earlier but apparently I
swan5675 wasnt credentialled for tweetchat, who knew! #IVchat
Wed Feb 16 17:42:11 PST 2011
cheaper too than radiology...RT @joyceharrellrn: I know. They do need to let
InfusionNu
the nurses do. I was trained one time how to do that. #ivchat
rse
Wed Feb 16 17:42:15 PST 2011
JoyceHarre @chemosabe Hello Glen!!! #IVchat
llRN Wed Feb 16 17:42:17 PST 2011
so also been inundated by pharma reps, 3 in 20 minutes! Wot I miss... cliff
chemosabe notes pls #ivchat
Wed Feb 16 17:42:25 PST 2011
@JoyceHarrellRN Agreed! We have a special nicu picc line insetion team.
CuteNicuN
Great resource. #IvChat
urse
Wed Feb 16 17:42:33 PST 2011
@chemosabe LOL. for real??? Good to see u !! #IVchat
IVchat
Wed Feb 16 17:42:45 PST 2011
RT @CuteNicuNurse: @JoyceHarrellRN Agreed! We have a special nicu picc
swan5675 line insetion team. Great resource. #IVchat
Wed Feb 16 17:42:58 PST 2011
wonder what the CNE points for tweetchat credentialling are? #ivchat
chemosabe
Wed Feb 16 17:43:21 PST 2011
joyceharrel @CuteNicuNurse That's awesome for the nicu picc line team! #IVchat
lrn Wed Feb 16 17:43:28 PST 2011
T3 Does everybody change out tubing Q 72 hrs? #IVchat
swan5675
Wed Feb 16 17:43:34 PST 2011
InfusionNu @chemosabe Use of filters, routine IV tubg chge, synchromed recall.. #ivchat
rse Wed Feb 16 17:43:46 PST 2011
RT @chemosabe: wonder what the CNE points for tweetchat credentialling
JoyceHarre
are? (I am certified in TweetChat already...) #IVchat
llRN
Wed Feb 16 17:44:03 PST 2011
LOL..nada for now...RT @chemosabe: wonder what the CNE points for
IVchat tweetchat credentialling are? #IVchat
Wed Feb 16 17:44:06 PST 2011

10. T2 our PICC's are placed by medical imaging or certain team registrars under
chemosabe supervision of #nurses #ivchat
Wed Feb 16 17:44:19 PST 2011
InfusionNu @swan5675 ..new updated INS is 96hrs.. #ivchat
rse Wed Feb 16 17:44:27 PST 2011
@swan5675 Only on central lines and Piccs, and Ports. The peripherals are @
JoyceHarre
4 days. #IVchat
llRN
Wed Feb 16 17:44:38 PST 2011
@chemosabe ..ur just in time for T4... :) #IVchat
IVchat
Wed Feb 16 17:45:00 PST 2011
T3 We change TPN tubing/filters with each new bag, blood filters/tubing after
swan5675 2 units...or 8 hours, whichever comes first #IVchat
Wed Feb 16 17:45:03 PST 2011
@chemosabe Ours are all placed by medical imaging. Would love to get the
JoyceHarre
IV team to do it. #IVchat
llRN
Wed Feb 16 17:45:12 PST 2011
T1 filters, low tar u mean? #ivchat
chemosabe
Wed Feb 16 17:45:19 PST 2011
RT @chemosabe: T2 our PICCs are placed by medical imaging or certain
IVchat team registrars under supervision of #nurses #IVchat
Wed Feb 16 17:45:35 PST 2011
InfusionNu think so, IV filters here..RT @chemosabe: T1 filters, low tar u mean? #ivchat
rse Wed Feb 16 17:46:08 PST 2011
T4 - asked by a twitter colleague - could u use external jugular vein for PIV?
IVchat #IVchat
Wed Feb 16 17:46:34 PST 2011
T3 Isn't it weird that some facilities have different reqs, depending if CVL or
swan5675 PIV? The blood flows through the entire body #IVchat
Wed Feb 16 17:46:38 PST 2011
@IVchat Our ER docs will do that, sometimes. #IVchat
swan5675
Wed Feb 16 17:47:26 PST 2011
RT @swan5675: T3 Isnt it weird that some facilities have different reqs,
InfusionNu
depending if CVL or PIV? The blood flows the entire body #ivchat
rse
Wed Feb 16 17:47:27 PST 2011
RT @IVchat: T4 - asked by a twitter colleague - could u use external jugular
InfusionNu
vein for PIV? #ivchat
rse
Wed Feb 16 17:47:43 PST 2011
T2 line changes in fluid lines are every 24 hours if intermittent infusion and 72
chemosabe hours, with cont inf #ivchat
Wed Feb 16 17:47:44 PST 2011

11. VascularA T4 - boy, not EJ - not routinely, mayb for emergency #ivchat
ccess Wed Feb 16 17:48:17 PST 2011
T4 don't see y not theoretically, but jeez, would u? #ivchat
chemosabe
Wed Feb 16 17:48:17 PST 2011
@CuteNicuNurse Make sure you are putting #IVChat with your posts so you
JoyceHarre
get included in the conversation!
llRN
Wed Feb 16 17:48:31 PST 2011
Do ur nurses do? RT @swan5675: @IVchat Our ER docs will do that,
IVchat sometimes. #IVchat
Wed Feb 16 17:49:09 PST 2011
RT @joyceharrellrn: @CuteNicuNurse Make sure you are putting #IVChat
IVchat with your posts so you get included in the conversation! #IVchat
Wed Feb 16 17:49:24 PST 2011
T3 I've firmly believed that PIV site care/maint is just as important as CVL.
swan5675 Could future heart valve probs B from bad PIV care? #IVchat
Wed Feb 16 17:49:37 PST 2011
similar hereRT @chemosabe: T2 line changes in fluid lines are every 24 hours
InfusionNu
if intermittent infusion and 72 hours, with cont inf #ivchat
rse
Wed Feb 16 17:49:53 PST 2011
T4: We consider an external jugular as a PIV, but I don't think we put them in.
joyceharrel
I think just the docs put them in. #IVchat
lrn
Wed Feb 16 17:50:22 PST 2011
RT @swan5675: T3 Ive firmly believed that PIV site care/maint is just as
IVchat important as CVL. Cld future heart valve fr bad PIV care? #IVchat
Wed Feb 16 17:50:47 PST 2011
T4 I feel that if doc is considering jugular, it's time to put in a darned CVL.....
swan5675 #IVchat
Wed Feb 16 17:51:17 PST 2011
@IVchat I've used EJ's when all else fails and for IV fluids and blood
TriniRN products. Not ideal for caustic agents ie K+ #IVchat.
Wed Feb 16 17:51:19 PST 2011
@joyceharrellrn ..goog point, EJ PIV...so shouldnt really stay in long...
InfusionNu
#ivchat
rse
Wed Feb 16 17:51:25 PST 2011
RT @swan5675 T4 I feel that if doc is considering jugular, it's time to put in a
HowDoWe
darned CVL..... #IVchat
Feel
Wed Feb 16 17:51:34 PST 2011
JoyceHarre @TriniRN Hi @TiniRN #IVchat
llRN Wed Feb 16 17:51:45 PST 2011
InfusionNu RT @TriniRN: Ive used EJs when all else fails and for IV fluids and blood
rse products. Not ideal for caustic agents ie K+ #IVchat. #ivchat

12. Wed Feb 16 17:51:47 PST 2011
?synchromed anyone help an aussie out? #ivchat
chemosabe
Wed Feb 16 17:51:52 PST 2011
RT @InfusionNurse: @joyceharrellrn ..goog point, EJ PIV...so shouldnt really
JoyceHarre
stay in long... #IVchat
llRN
Wed Feb 16 17:51:57 PST 2011
Agree RT @swan5675: T4 I feel that if doc is considering jugular, its time to
IVchat put in a darned CVL..... #IVchat
Wed Feb 16 17:52:10 PST 2011
joyceharrel @InfusionNurse I wouldn't want an EJ PIV to stay in long. #IVchat
lrn Wed Feb 16 17:52:20 PST 2011
Implanted pumps for chemo/ paininfusions RT @chemosabe: ?synchromed
IVchat anyone help an aussie out? #IVchat
Wed Feb 16 17:52:42 PST 2011
RT @IVchat: Agree RT @swan5675: T4 I feel that if doc is considering
JoyceHarre
jugular, its time to put in a darned CVL..... #IVchat
llRN
Wed Feb 16 17:52:42 PST 2011
@chemosabe being recalled
here..http://www.fda.gov/MedicalDevices/Safety/RecallsCorrectionsRemovals
IVchat
/ListofRecalls/ucm243634.htm #IVchat
Wed Feb 16 17:53:15 PST 2011
@IVchat @swan5675 I am there with you on the EJ. It's time to put in a
joyceharrel
CL.That cannula isn't long enough on the EJ's. Come out easy #IVchat
lrn
Wed Feb 16 17:53:28 PST 2011
I've used EJs as well for fluids. It was a baby who was getting peritoneal
CuteNicuN
dialysis. #IVChat
urse
Wed Feb 16 17:53:53 PST 2011
@joyceharrellrn Yep....just askin' for trouble with those #IVchat
swan5675
Wed Feb 16 17:54:13 PST 2011
we have em I think, diff name tho, haven't heard of recall, don't deal withem
chemosabe much/at all #ivchat
Wed Feb 16 17:54:15 PST 2011
RT @CuteNicuNurse: Ive used EJs as well for fluids. It was a baby who was
InfusionNu
getting peritoneal dialysis. #ivchat
rse
Wed Feb 16 17:54:24 PST 2011
@swan5675 When those EJ's come out, they bleed like a stuck pig. How
joyceharrel
about when they come out and no one is in room to see it??? #IVchat
lrn
Wed Feb 16 17:55:11 PST 2011
shld stay long..its a PIVRT @joyceharrellrn: @InfusionNurse I wouldnt want
VascularA
an EJ PIV to stay in long. #ivchat
ccess
Wed Feb 16 17:55:18 PST 2011

13. @chemosabe lots of chemo pts have it for continuous 5FU here #IVchat
IVchat
Wed Feb 16 17:55:41 PST 2011
This has been fun all, I have a phone call I need to make, then some studying...
JoyceHarre
#IVchat
llRN
Wed Feb 16 17:55:55 PST 2011
@joyceharrellrn We had sentinel event with ped pt when that happened
swan5675 #IVchat
Wed Feb 16 17:56:21 PST 2011
RT @joyceharrellrn: T4: We consider an external jugular as a PIV, but I don't
MedicalNo
think we put them in. I think just the docs put them in. #IVchat
tice
Wed Feb 16 17:56:21 PST 2011
RT @joyceharrellrn: @swan5675 When those EJs come out, bleed like a
InfusionNu
stuck pig. Howthey come out and no one is in room to see it??? #ivchat
rse
Wed Feb 16 17:56:22 PST 2011
g'nite joyce #ivchat
chemosabe
Wed Feb 16 17:56:35 PST 2011
Well, it is almost that time...any parting thoughts?? #IVchat
IVchat
Wed Feb 16 17:56:43 PST 2011
RT @swan5675: @joyceharrellrn We had sentinel event with ped pt when that
VascularA
happened #ivchat
ccess
Wed Feb 16 17:57:10 PST 2011
@IVchat use elastomeric pumps or external electronic pump into PICC or
chemosabe TIVAD mostly down here #ivchat
Wed Feb 16 17:57:31 PST 2011
@joyceharrellrn Thanks Joyce.. #IVchat
IVchat
Wed Feb 16 17:57:32 PST 2011
@IVchat Just want to thank everyone for giving me food for thought. I adore
swan5675 these chats! #IVchat
Wed Feb 16 17:57:33 PST 2011
@MedicalNotice Hey there! Great to see you. I am heading out for a phone
JoyceHarre
call... #IVchat
llRN
Wed Feb 16 17:57:43 PST 2011
JoyceHarre @chemosabe Night! #IVchat
llRN Wed Feb 16 17:57:54 PST 2011
JoyceHarre @IVchat Good night! #IVchat
llRN Wed Feb 16 17:58:01 PST 2011
@joyceharrellrn message me.... #IVchat
swan5675
Wed Feb 16 17:58:14 PST 2011

14. Thank u too..appreciate it RT @swan5675: @IVchat Just want to thank
IVchat everyone for giving me food for thought. I adore these chats! #IVchat
Wed Feb 16 17:58:22 PST 2011
@joyceharrellrn nite, Joyce! #IVchat
swan5675
Wed Feb 16 17:58:43 PST 2011
InfusionNu Good night to all..thank you again for another great chat... #ivchat
rse Wed Feb 16 17:59:02 PST 2011
Thanks for letting me listen in! Always a learning experience. #IVchat
Kat_SN #nursingschool
Wed Feb 16 17:59:16 PST 2011
Next IV chat will be March 2 at 8PM ET...will post summary soon. #IVchat
IVchat
Wed Feb 16 17:59:29 PST 2011
Thank YOU. Nite, all..... #IVchat
swan5675
Wed Feb 16 17:59:35 PST 2011
RT @Kat_SN: Thanks for letting me listen in! Always a learning experience.
swan5675 #IVchat #nursingschool #IVchat
Wed Feb 16 17:59:41 PST 2011
Thank u, happy u can join tonite RT @Kat_SN: Thanks for letting me listen
IVchat in! Always a learning experience. #IVchat #nursingschool #IVchat
Wed Feb 16 17:59:52 PST 2011
G'nite Cora et all, sorry I was late #ivchat
chemosabe
Wed Feb 16 17:59:58 PST 2011
@Kat_SN We were privileged to have you here.... come back! #IVchat
swan5675
Wed Feb 16 18:00:11 PST 2011
@swan5675 Good night Deb! See u again next time! #IVchat
IVchat
Wed Feb 16 18:00:25 PST 2011
Thanks Glen, always a pleasure to see u..RT @chemosabe: Gnite Cora et all,
IVchat sorry I was late #IVchat
Wed Feb 16 18:00:53 PST 2011
RT @IVchat: Next IV chat will be March 2 at 8PM ET...will post summary
InfusionNu
soon. #ivchat
rse
Wed Feb 16 18:00:59 PST 2011
InfusionNu @chemosabe hey, how was the other chat? #ivchat
rse Wed Feb 16 18:01:15 PST 2011
@IVchat thanks so much:) only caught the last 20 minutes but always helpful!
TriniRN #IVchat
Wed Feb 16 18:01:57 PST 2011

15. Good night to all...thanks for joining tonight. Till next IV chat!! #IVchat
IVchat
Wed Feb 16 18:02:41 PST 2011
@InfusionNurse didn't look in seeing I had tweetchat issues, stayed here with
chemosabe u wonderful tweeps #ivchat
Wed Feb 16 18:02:44 PST 2011
@TriniRN Glad you can join, you're always welcome here! See u next time...
IVchat #IVchat
Wed Feb 16 18:03:15 PST 2011
aww, thanks! hope ur having a good day RT @chemosabe: didnt look in
InfusionNu
seeing I had tweetchat issues, stayed with u wonderful tweeps #ivchat
rse
Wed Feb 16 18:04:43 PST 2011
@CuteNicuNurse ..thanks for joining us tonight...see u again next chat!
IVchat #IVchat
Wed Feb 16 18:05:03 PST 2011