1. #IVchat
Healthcare Hashtag Twitter Transcript
From: Wed Jan 19 17:00:00 PST 2011
To: Wed Jan 19 18:10:00 PST 2011
Learn more about #IVchat at The Healthcare Hashtag Project
joyceharrellrn Hi! How is everyone doing tonight? #IVchat
Wed Jan 19 17:00:11 PST 2011
IVchat Let's start with introductions...tell us who u r, what u do...Welcome #IVchat
Wed Jan 19 17:00:17 PST 2011
InfusionNurse Howdy all! Cora here infusion nurse and moderator for IVchat. welcome #IVchat
Wed Jan 19 17:00:55 PST 2011
joyceharrellrn Joyce, Wellness Coach, and Oncology Nurse, and Moderator of Nursing Link!!! #IVchat
Wed Jan 19 17:01:13 PST 2011
IVchat @joyceharrellrn Hi Joyce, welcome glad to see u. Feeling better? #IVchat
Wed Jan 19 17:01:30 PST 2011
IVchat Awesome! RT @joyceharrellrn: Joyce, Wellness Coach, and Oncology Nurse, and Moderator of
Nursing Link!!! #IVchat
Wed Jan 19 17:01:53 PST 2011
InfusionNurse @joyceharrellrn good to see u Joyce! #IVchat
Wed Jan 19 17:02:16 PST 2011
joyceharrellrn I am still pretty sick, but really using the herbal teas and resting. Just what I needed. Kleenex box
at my side :) #IVchat
Wed Jan 19 17:02:24 PST 2011
MEDsyntrix Hi all, regular lurker here..Jon, not a nurse but always interested in ur chat #IVchat
Wed Jan 19 17:02:56 PST 2011
joyceharrellrn Good to see everyone here! I know you will come trickling in!!! #IVchat
Wed Jan 19 17:03:16 PST 2011
IVchat Hi Jon, welcome and good to see u again!! #IVchat
Wed Jan 19 17:03:35 PST 2011

2. joyceharrellrn @MEDsyntrix Great to have you here! #IVchat
Wed Jan 19 17:03:38 PST 2011
InfusionNurse Think its gonna be a cozy group tonight....many other chats going on and American Idol too..LOL
#IVchat
Wed Jan 19 17:04:39 PST 2011
NursingLink Urgent Care Fills a Niche Between #Doctor, #Hospital http://ow.ly/3GF29 #healthcare #mdchat
#ivchat
Wed Jan 19 17:05:02 PST 2011
IVchat Welcome to lurkers as well....just chime in anytime. Gonna begin with T1 in a bit. #IVchat
Wed Jan 19 17:05:16 PST 2011
joyceharrellrn @NursingLink Hi Crystal. Good to see you... #IVchat
Wed Jan 19 17:05:43 PST 2011
IVchat remember to post T1 before ur replies... #IVchat
Wed Jan 19 17:05:51 PST 2011
CherylHeppard All is well here Joyce! How are you? Feeling better? RT @joyceharrellrn: Hi! How is everyone
doing tonight? #IVchat
Wed Jan 19 17:06:05 PST 2011
IVchat Good to see u Crystal RT @joyceharrellrn: @NursingLink Hi Crystal. Good to see you... #IVchat
Wed Jan 19 17:06:29 PST 2011
joyceharrellrn @CherylHeppard Still pretty sick.Really using herbal teas and aromatherapy for healing... #IVchat
Wed Jan 19 17:06:55 PST 2011
joyceharrellrn Did I miss Q1? #IVchat
Wed Jan 19 17:07:22 PST 2011
InfusionNurse @CherylHeppard welcome to IV chat... #IVchat
Wed Jan 19 17:07:28 PST 2011
IVchat T1 - a question regarding use of nitro ointment on skin to dilate/help find veins...what r u thoughts
on this? #IVchat
Wed Jan 19 17:08:00 PST 2011
joyceharrellrn @CherylHeppard Is this your first time here? #IVchat
Wed Jan 19 17:08:02 PST 2011
VascularAccess Hey u all...been a while, I'm Michelle...#IVchat
Wed Jan 19 17:08:34 PST 2011
joyceharrellrn RT @IVchat: T1 - a question regarding use of nitro ointment on skin to dilate/help find veins...what
r u thoughts on this? #IVchat
Wed Jan 19 17:08:55 PST 2011

3. IVchat RT @IVchat: T1 - a question regarding use of nitro ointment on skin to dilate/help find veins...what
r u thoughts on this? #IVchat
Wed Jan 19 17:09:08 PST 2011
joyceharrellrn T1 ~ I read that article, and honestly it's the first time I had heard this. #IVchat
Wed Jan 19 17:09:16 PST 2011
maryannagordon @InfusionNurse Q - best practice for securing peripheral IV site? I'm teaching StatLock, our hosp
supplies, hope that's correct #IVchat
Wed Jan 19 17:09:18 PST 2011
joyceharrellrn @VascularAccess Hi Michelle! #IVchat
Wed Jan 19 17:09:26 PST 2011
IVchat Welcome back, good to see u..RT @VascularAccess: Hey u all...been a while, Im Michelle...
#IVchat #IVchat
Wed Jan 19 17:09:53 PST 2011
pjmachado RT @NursingLink: Urgent Care Fills a Niche Between #Doctor, #Hospital http://ow.ly/3GF29
#healthcare #mdchat #ivchat
Wed Jan 19 17:09:59 PST 2011
joyceharrellrn @maryannagordon @InfusionNurse We use StatLock at my hospital. #IVchat
Wed Jan 19 17:10:22 PST 2011
IVchat RT @maryannagordon: Q - best practice for securing peripheral IV site? Im teaching StatLock, our
hosp supplies, hope thats correct #IVchat
Wed Jan 19 17:10:28 PST 2011
IVchat RT @joyceharrellrn: T1 ~ I read that article, and honestly its the first time I had heard this. #IVchat
Wed Jan 19 17:10:44 PST 2011
InfusionNurse @joyceharrellrn @maryannagordon - make that T2 - yes it is best to use a securement device
such as statlock..welcome to IVchat. #IVchat
Wed Jan 19 17:11:44 PST 2011
PsychNurseinWI #IVchat I'm fabulous thanks! Got licensed today as an RN!
Wed Jan 19 17:12:25 PST 2011
MedicalNotice @joyceharrellrn Where is the article on that? #IVchat
Wed Jan 19 17:12:29 PST 2011
VascularAccess T1 - seems nitro is a bit overkill and maybe dangerous....would not think of using it! #IVchat
Wed Jan 19 17:12:44 PST 2011
IVchat @PsychNurseinWI Congrats to you!! #IVchat
Wed Jan 19 17:13:19 PST 2011

4. joyceharrellrn RT @MedicalNotice: @joyceharrellrn Where is the article on that? @IVChat, Cora, can you give her
the link to that? #IVchat
Wed Jan 19 17:13:19 PST 2011
NursingLink Sorry to interrupt! Won't be able to make it, but I hope it's a great chat tonight nonetheless :) #ivchat
Wed Jan 19 17:13:28 PST 2011
InfusionNurse @PsychNurseinWI Yay! Congrats and welcome to the club!!! #IVchat
Wed Jan 19 17:13:54 PST 2011
joyceharrellrn @NursingLink See you! I can't stay on the whole time... #IVchat
Wed Jan 19 17:14:34 PST 2011
InfusionNurse @joyceharrellrn @MedicalNotice..here's the link www.infusionnurse.org #IVchat
Wed Jan 19 17:14:41 PST 2011
IVchat @NursingLink we will miss u..thanks for stopping by!! #IVchat
Wed Jan 19 17:15:08 PST 2011
joyceharrellrn @InfusionNurse Thanks for that link for @medicalnotice #IVchat
Wed Jan 19 17:15:27 PST 2011
InfusionNurse RT @VascularAccess: T1 - seems nitro is a bit overkill and maybe dangerous....would not think of
using it! #IVchat
Wed Jan 19 17:15:49 PST 2011
InfusionNurse I have used nitro oint in the past, not a routine and pt c/o HA #IVchat
Wed Jan 19 17:16:48 PST 2011
VascularAccess T1 - there are other ways to dilate/find veins....dry heat is one I use most often..#IVchat
Wed Jan 19 17:17:21 PST 2011
InfusionNurse welcome..RT @joyceharrellrn: @InfusionNurse Thanks for that link for @medicalnotice #IVchat
Wed Jan 19 17:17:41 PST 2011
joyceharrellrn We have one of those "light" devices to help find veins. I can't imagine the hosp. would approve
nitro. #IVchat
Wed Jan 19 17:18:02 PST 2011
IVchat RT @VascularAccess: T1 - there are other ways to dilate/find veins....dry heat is one I use most
often..#IVchat #IVchat
Wed Jan 19 17:18:08 PST 2011
InfusionNurse @VascularAccess ..yes, dry heat works very well....i agree.. #IVchat
Wed Jan 19 17:18:37 PST 2011
MedicalNotice @InfusionNurse Wow, for some patients it seems that it might could be dangerous... I would nit
want it used on me! #IVchat
Wed Jan 19 17:18:46 PST 2011

5. IVchat RT @joyceharrellrn: We have one of those "light" devices to help find veins. I cant imagine the
hosp. would approve nitro. #IVchat
Wed Jan 19 17:18:49 PST 2011
InfusionNurse @joyceharrellrn ..agree, dont have nitro oint just sitting around for IV start... #IVchat
Wed Jan 19 17:19:28 PST 2011
chemosabe hey y'all Glen joining l8, bin interviewing and clinical. Statlock only used here for PICC's. #ivchat
Wed Jan 19 17:19:44 PST 2011
InfusionNurse @MedicalNotice ..it can be...so not really recommended for many pts.. #IVchat
Wed Jan 19 17:20:00 PST 2011
IVchat @chemosabe Hey Glen...welcome! #IVchat
Wed Jan 19 17:20:29 PST 2011
InfusionNurse RT @chemosabe: hey yall Glen joining l8, bin interviewing and clinical. Statlock only used here for
PICCs. #IVchat
Wed Jan 19 17:20:45 PST 2011
joyceharrellrn @chemosabe Hey there! Great to see you here. #IVchat
Wed Jan 19 17:21:14 PST 2011
IVchat T2 was a question from @maryannagordon on statlock for PIV... #IVchat
Wed Jan 19 17:21:51 PST 2011
chemosabe always happy to be here when I can @joyceharrellrn @ivchat #ivchat
Wed Jan 19 17:22:17 PST 2011
InfusionNurse T2 - securement device is recommended for both...to stabilize the catheter to prevent movement
in/out.. #IVchat
Wed Jan 19 17:22:49 PST 2011
joyceharrellrn I need to sign out. My daughter (new RN) has had a really bad day at the hospital Calling for moral
support... :) #IVchat
Wed Jan 19 17:22:58 PST 2011
chemosabe T2 PIVC secured only with occlusive dressing and tape in our practices. only fancy thing is 2 use or
not 2 use chevron taping method #ivchat
Wed Jan 19 17:23:18 PST 2011
IVchat @joyceharrellrn Thanks for stopping by Joyce...get well soon!! #IVchat
Wed Jan 19 17:23:42 PST 2011
joyceharrellrn @IVchat @joyceharrellrn Thanks! I am taking care of myself. I have learned to do that...Goon nite,
you all... #IVchat
Wed Jan 19 17:24:25 PST 2011

6. InfusionNurse @chemosabe ..not transparent dsg for piv? #IVchat
Wed Jan 19 17:24:47 PST 2011
VascularAccess T2 - transparent dsg - some have securement device attached...statlock is a brand..#IVchat
Wed Jan 19 17:26:01 PST 2011
InfusionNurse RT @VascularAccess: T2 - transparent dsg - some have securement device attached...statlock is a
brand..#IVchat #IVchat
Wed Jan 19 17:26:32 PST 2011
InfusionNurse T2 - still important is to secure the catheter so prevent the movement... #IVchat
Wed Jan 19 17:27:09 PST 2011
IVchat T3 coming up.... #IVchat
Wed Jan 19 17:27:34 PST 2011
PsychNurseinWI #IVchat Bye Joyce
Wed Jan 19 17:27:37 PST 2011
MEDsyntrix From a not a nurse, is there a diff securement vs. dressing? #IVchat
Wed Jan 19 17:28:02 PST 2011
InfusionNurse @MEDsyntrix dressing to protect IV site..securement - anchors IVcath in place.. #IVchat
Wed Jan 19 17:29:20 PST 2011
IVchat T3 - multi lumen central caths..if 1 lumen is clotted, would u continue to use the other that isnt
clotted? why? #IVchat
Wed Jan 19 17:30:30 PST 2011
MEDsyntrix Ah, thanks for the info....#IVchat
Wed Jan 19 17:31:01 PST 2011
InfusionNurse RT @IVchat: T3 - multi lumen central caths..if 1 lumen is clotted, would u continue to use the other
that isnt clotted? why? #IVchat
Wed Jan 19 17:31:35 PST 2011
visiting_nurse Gr8 #IVchat topics sorry I'm a lurker tonight. Interesting to read abt current practices esp nitro.
Wed Jan 19 17:31:39 PST 2011
VascularAccess T3 I would ..so not be a problem...#IVchat
Wed Jan 19 17:32:10 PST 2011
IVchat @visiting_nurse thank you for visiting...chime in anytime with ? or replies.. #IVchat
Wed Jan 19 17:32:47 PST 2011
InfusionNurse i agree but most impt is to take care of the clotted lumen...RT @VascularAccess: T3 I would ..so not
be a problem...#IVchat #IVchat
Wed Jan 19 17:33:26 PST 2011

7. VascularAccess @InfusionNurse ..agree but if pt. needs infusion, shld use the working lumen...#IVchat
Wed Jan 19 17:34:28 PST 2011
IVchat RT @VascularAccess: @InfusionNurse ..agree but if pt. needs infusion, shld use the working
lumen...#IVchat #IVchat
Wed Jan 19 17:34:50 PST 2011
InfusionNurse @VascularAccess right, but the clotted lumen needs attention ASAP - the clot can be a magnet for
infection #IVchat
Wed Jan 19 17:35:48 PST 2011
VascularAccess T#@InfusionNurse .u mean I cant label it "clotted, do not use" and forget about it? LOL....#IVchat
Wed Jan 19 17:36:28 PST 2011
IVchat RT @InfusionNurse: @VascularAccess right, but the clotted lumen needs attention ASAP - the clot
can be a magnet for infection #IVchat
Wed Jan 19 17:36:38 PST 2011
InfusionNurse @VascularAccess Nooooo...LOL, don't - if it is clotted, it needs to be declotted.... #IVchat
Wed Jan 19 17:37:33 PST 2011
FionaMBarr ? about PICC lines that have no bld return. They seem to be common on my floor. Noone seems to
fix them . I a new nurse new to PICC #IVchat
Wed Jan 19 17:38:48 PST 2011
VascularAccess @InfusionNurse ...was just kidding...but understand ur point on infection magnet...#IVchat
Wed Jan 19 17:38:50 PST 2011
IVchat @FionaMBarr will make ur ? T4...thanks #IVchat
Wed Jan 19 17:39:41 PST 2011
IVchat T4 RT @FionaMBarr: ? PICC lines no bld return. They seem to be common on my floor. Noone
seems to fix them new nurse new to PICC #IVchat
Wed Jan 19 17:40:15 PST 2011
FionaMBarr what SHOULD I be doing. No one seems to do anything. DOes this mean they are clotted? #IVchat
Wed Jan 19 17:40:40 PST 2011
InfusionNurse @FionaMBarr T4 - then ur PICCs have probs..PICCs are central lines and shld hav bld returns...
#IVchat
Wed Jan 19 17:40:54 PST 2011
InfusionNurse @FionaMBarr ..could be a lot of causes...does ur hosp have declotting policies? #IVchat
Wed Jan 19 17:41:44 PST 2011
VascularAccess @FionaMBarr ...r those PICC routinely flushed? #IVchat
Wed Jan 19 17:42:17 PST 2011

8. InfusionNurse @FionaMBarr look up policy, investigate tip placement, ask for orders to declot with cathflo...
#IVchat
Wed Jan 19 17:43:09 PST 2011
FionaMBarr I always flush b4 and after meds or infusions. #IVchat
Wed Jan 19 17:43:35 PST 2011
InfusionNurse @FionaMBarr ..one thing is dont infuse if you dont get a blood return...no bld return=problems..
#IVchat
Wed Jan 19 17:44:10 PST 2011
FionaMBarr Thank you. I Will be asking a LOT of questions. Only been there two months. #IVchat
Wed Jan 19 17:44:12 PST 2011
FionaMBarr Thank you for your advice and answers. Not happy about a lot of things there but this was really
bugging me. Goodnight, #IVchat
Wed Jan 19 17:45:21 PST 2011
VascularAccess @fionaMbarr ..do you flush w/o difficulty but no blg reuntr? could be a fibrin sheath at tip of picc...
#IVchat
Wed Jan 19 17:45:37 PST 2011
InfusionNurse @FionaMBarr ..ur welcome, join us again and let us know what happens.. #IVchat
Wed Jan 19 17:46:07 PST 2011
IVchat anymore on T3 - about clotted lumen? #IVchat
Wed Jan 19 17:46:33 PST 2011
InfusionNurse Back to T3 - IMO, use the ok lumen to infuse but pay attention to the clotted one ASAP... #IVchat
Wed Jan 19 17:47:46 PST 2011
VascularAccess T3 @InfusionNurse ..what she said...agreed #IVchat
Wed Jan 19 17:48:19 PST 2011
IVchat T5 - Standards of practice...does every nurse know or follow the infusion nursing standards of
practices... #IVchat
Wed Jan 19 17:49:21 PST 2011
InfusionNurse LOL. thanks and dont label "donot use"..LOL RT @VascularAccess: T3 @InfusionNurse ..what she
said...agreed #IVchat
Wed Jan 19 17:49:55 PST 2011
InfusionNurse RT @IVchat: T5 - Standards of practice...does every nurse know or follow the infusion nursing
standards of practices... #IVchat
Wed Jan 19 17:50:09 PST 2011
InfusionNurse Being an infusion nurse, this is my bible..but I dont think many otherRNS who does IVs think it
applies to them... #IVchat
Wed Jan 19 17:51:04 PST 2011

9. VascularAccess T5 - It applies to all who inserts PIV, central lines and manages them even if not a "infusion nurse or
IV nurse" #IVchat
Wed Jan 19 17:51:59 PST 2011
IVchat RT @VascularAccess: T5 - It applies to all even if not a "infusion nurse or IV nurse" #IVchat
Wed Jan 19 17:52:44 PST 2011
InfusionNurse @VascularAccess ..I wish everyone would see it that way, even if not an IV nurse, but inserting IVs
or caring 4 central lines, etc.. #IVchat
Wed Jan 19 17:53:46 PST 2011
InfusionNurse For those not familiar, heres a link to the
standards..http://www.ins1.org/i4a/pages/index.cfm?pageid=3310, consider reading.. #IVchat
Wed Jan 19 17:54:56 PST 2011
InfusionNurse Also, the new updated 2011 standards will be out
soon...http://www.ins1.org/i4a/pages/index.cfm?pageid=1..think about getting 1 #ivchat
Wed Jan 19 17:56:35 PST 2011
IVchat Parting thoughts tonight?? #IVchat
Wed Jan 19 17:56:51 PST 2011
VascularAccess @InfusionNurse ..wish they'd hurryup and mail it out...#IVchat
Wed Jan 19 17:57:21 PST 2011
InfusionNurse Want to share this posts with all..http://inqri.blogspot.com/2011/01/infusion-nurses-keep-patients-
safer.html?cid=xtw_humancap #ivchat
Wed Jan 19 17:57:55 PST 2011
VascularAccess @IVchat ..thanks again for the chat..nice cozy group here...#IVchat
Wed Jan 19 17:58:36 PST 2011
VascularAccess @infusionnurse....NICE..u go infusion nurses!! #IVchat
Wed Jan 19 17:59:00 PST 2011
chemosabe sorry bin doing clinical work, yes the occlusive dressings are transparent not island. #ivchat
Wed Jan 19 17:59:43 PST 2011
IVchat Thanks....RT @InfusionNurse: Want to share this posts with all..http://bit.ly/hGKTUX #IVchat
Wed Jan 19 17:59:45 PST 2011
IVchat Ok, that's a wrap but before we go...wishing all infusion/IV nurses a Happy IV nurse day on Jan 25!!!
YAY for infusion nurses!! #IVchat
Wed Jan 19 18:00:39 PST 2011
VascularAccess Happy IV nurse day to all nurses, not just infusion nurses!! :) #IVchat
Wed Jan 19 18:01:40 PST 2011

10. InfusionNurse @chemosabe ..occlusive here means can't see the IV site - usually gauze.. #ivchat
Wed Jan 19 18:01:50 PST 2011
IVchat Thanks to all for chatting tonight...next IV chat will b Feb. 3 - same time, same channel!!
good night!! #IVchat
Wed Jan 19 18:02:40 PST 2011
VascularAccess good night..bye...thanks to all!! #IVchat
Wed Jan 19 18:03:20 PST 2011