The document appears to be a transcript of a Twitter chat about intravenous (IV) therapy. [1] Nurses and other medical professionals discussed an FDA alert about potential issues with positive displacement needleless connectors increasing the risk of bloodstream infections. [2] They also discussed concerns about IV bags being primed with saline in the tubing before the actual medication is administered and how to address this issue. [3] The group agreed to continue their discussion on IV therapy topics at another Twitter chat in two weeks.

1. http://www.printyourtwitter.com/tweets.html
IVchat: IV chat today at 1pm ET....come join us #IVchat #hcsm #nursing
8/5/2010 09:41
IVchat: Join the IV chat today at 100pm ET..... #IVchat #hcsm #nursing
8/5/2010 11:13
IVchat: IV chat will start in an hour....1pm ET...hope you can join us!! #hcsm #nursing #IVchat
8/5/2010 12:02
IVchat: IV chat will start in 30 minutes... #IVchat
8/5/2010 12:30
IVchat: It's IV chat time...welcome to all!! #IVchat
8/5/2010 13:01
IVchat: Good afternoon, let's start with introductions...if ur shy w/ intros, it's ok but feel free to
chime in anytime... #IVchat
8/5/2010 13:02
InfusionNurse: Good afternoon, I'm Cora and moderator of IV chat. #IVchat
8/5/2010 13:03
MEDsyntrix: Hi, Jon here, just lurking and learning...#IVchat
8/5/2010 13:04
InfusionNurse: @MEDsyntrix ..welcome, glad you can join us!! #IVchat
8/5/2010 13:06
IVchat: T1 coming up. Use T1..T2 before ur replies to make easy to follow... #IVchat
8/5/2010 13:07
VascularAccess: Hey...hey...am having probs w/twitter....#IVchat
8/5/2010 13:08
IVchat: T1 - FDA alert on positive displacement needleless connectors - concerned about
increased BSI associated w/ use...any thoughts? #IVchat
8/5/2010 13:10
InfusionNurse: T1 - FYI, here's the FDA Alert..http://bit.ly/c3lIzN #IVchat
8/5/2010 13:12
VascularAccess: T1 - didn't know there's an alert - what r they saying? Not to use? #IVchat
8/5/2010 13:13
InfusionNurse: @VascularAccess T1 - no this is not a recall - it is just an alert to inform us that there is a
potential issue #IVchat
8/5/2010 13:15
InfusionNurse: T1 - FDA does not recommend to change or stop using but asking manuf to do post
market surveillance of their products. #IVchat
8/5/2010 13:17
IVchat: T1 - currently FDA is requiring 9 companies to do post market surveillance to answer 2
questions listed on the alert. #IVchat
8/5/2010 13:19
MEDsyntrix: T1 - just curious...where will the companies get the info/ answers #IVchat
8/5/2010 13:20
InfusionNurse: From users of device...RT @MEDsyntrix: T1 - just curious...where will the companies get
1 of 3 8/5/2010 3:56 PM

2. http://www.printyourtwitter.com/tweets.html
the info/ answers #IVchat
8/5/2010 13:22
VascularAccess: T1 - this gonna take a while and results can be skewed...just my opinion...RT
@InfusionNurse: From users of device.. #IVchat
8/5/2010 13:25
IVchat: T2 coming up in a bit... #IVchat
8/5/2010 13:26
IVchat: T2 - IV bags w/tubing primed w/ saline - the entire tubing has saline not the med. If
titrating, giving saline first few mins.. #IVchat
8/5/2010 13:31
MEDsyntrix: RT @VascularAccess: T1 - I'm just afraid the users will be blamed ...ie like nurses not
cleaning/disinfecting..etc...#IVchat
8/5/2010 13:32
InfusionNurse: @MEDsyntrix @vascularaccess - :( let's hope not... #IVchat
8/5/2010 13:33
MEDsyntrix: T2 - u mean when the pharmacy mixes the IV solution and spikes the bag w/ preprimed
tubing w/ saline? We see that w/ chemo #Ivchat
8/5/2010 13:34
IVchat: yes RT @MEDsyntrix: T2 - u mean when the pharmacy mixes the IV solution spikes the
bag w/ preprimed tubing w/ saline?not chemo #IVchat
8/5/2010 13:35
InfusionNurse: @MEDsyntrix ..T2 yes, for safety purposes w/ chemo.. ? is - if using a rate schedule, the
first few mLs infused will only be saline. #IVchat
8/5/2010 13:37
IVchat: T2 - ok, so is it a concern or not that only saline is infusing the first few mLs before pt.
receives actual meds? #IVchat
8/5/2010 13:38
VascularAccess: T2 - r u saying we need to rapid infuse the first few mls to get rid of the saline then go to
the regular rate? #IVchat
8/5/2010 13:40
InfusionNurse: @IVchat T2 - it is a concern esp. if potential infusion reactions are rate related and slowly
infused. #IVchat
8/5/2010 13:41
IVchat: I agree RT @InfusionNurse: @IVchat T2 - it is a concern esp. if potential infusion reactions
are rate related and slowly infused. #IVchat
8/5/2010 13:45
IVchat: RT @InfusionNurse: T2 - need to consider the amount of saline in the tubing - depends on
brand/length but anywhere from 15-25 mls... #IVchat
8/5/2010 13:45
VascularAccess: t2 - so we need to have a way to get rid of the saline before setting the ate...#IVchat
8/5/2010 13:46
MEDsyntrix: T2 - not being a nurse - dont understand why there's saline in the tubing to begin with??
sorry had to ask...#IVchat
8/5/2010 13:49
2 of 3 8/5/2010 3:56 PM

3. http://www.printyourtwitter.com/tweets.html
InfusionNurse: @MEDsyntrix LOL, this is often done w/ chemo when pharmacy mixes so nurses dont get
exposed to chemo prior to start. good ? #IVchat
8/5/2010 13:52
IVchat: T2 - a precaution for hazardous agents like chemo...but what about other meds, not
chemo? #IVchat
8/5/2010 13:53
IVchat: Five minutes left...any last thoughts?? #IVchat
8/5/2010 13:54
InfusionNurse: tubing spiked by nurses at bedside not by pharmacy RT @IVchat: T2 - a precaution for
hazardous agents like chemo but if not chemo? #IVchat
8/5/2010 13:56
VascularAccess: sorry having internet probs....ttyl.. thanks!! #IVchat..
8/5/2010 13:56
IVchat: The next IVchat will be on Aug 18 Thursday at 8pm ET... #IVchat
8/5/2010 14:00
InfusionNurse: Hope you all can join us!! RT @IVchat: The next IVchat will be on Aug 18 Thursday at 8pm
ET... #IVchat
8/5/2010 14:01
InfusionNurse: Thanks to all...have a great day!! #IVchat
8/5/2010 14:03
EnferEvidente: RT @InfusionNurse: Hope you all can join us!! RT @IVchat: The next IVchat will be on Aug
18 Thursday at 8pm ET... #IVchat
8/5/2010 14:25
3 of 3 8/5/2010 3:56 PM