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I vchat 09162010

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  • 1. IVchat: #IVchat in 2 hours - 8pm ET tonight..share ur thoughts about the Hopkins shooting & other topics...#nurses #health #healhcare #infusion IVchat: It's IV chat time! Good evening & welcome to IV chat, a global online chat for RNs & HCPs in infusion therapy, vascular access & HC #IVchat IVchat: Let's start with intros..pls. tell us about yourselves....welcome! #IVchat InfusionNurse: Hi all, I'm Cora-infusion nurse and moderator of IV chat. So glad you can join us. Welcome! #IVchat VascularAccess: Hi there!! Im Michelle, happy to #IVchat IVchat: @VascularAccess ..hi Michelle, glad u can join tonight! #IVchat InfusionNurse: @VascularAccess Hi Michelle, how r u? good to see u again! #IVchat IVchat: We have a cozy group tonight so we'll begin in a minute... #IVchat VascularAccess: @InfusionNurse ..good..thanks! Almost didnt get home in time but gals I did...#IVchat IVchat: Wanted to take a few minutes & discuss the "hopkins shooting" incident today. If u haven't heard,here info http://bit.ly/a4Y3RQ #IVchat InfusionNurse: @IVchat..that is so scary and sad. I could just imagine how the staff in that unit must have felt.. #IVchat VascularAccess: @IVchat ..wow, didn't know that...I would be terrified if that happened in my hospital...how's that doctor? #IVchat IVchat: Accdg to news, doc was in surgery, survived but not sure what his status is now.. #IVchat mcgaula: RT @IVchat: Accdg to news, doc was in surgery, survived but not sure what his status is now.. #IVchat InfusionNurse: Increasing violence against HCP...@nursingpins seems to think its gonna get worse..cant take comfort in thinking workplace is safe #IVchat VascularAccess: @IVchat What precautions do u think hosp will take now? security chks like at airports? #IVchat MEDsyntrix: @IVchat isn't hopkins an inner city hosp? May benefit from tight airport security, #IVchat
  • 2. IVchat: @VascularAccess ..maybe that's the way to go to avoid weapons brought in... #IVchat InfusionNurse: @MEDsyntrix ..yes, Hopkins is accdg to news report. #IVchat InfusionNurse: I hope other hospital will learn and reassess their emergency preparedness. Hope it doesn't happen again. #IVchat IVchat: Ok, next topic coming up in a few... #IVchat VascularAccess: I wondered what really triggered this guy? Poor doc..was in the wrong place...#IVchat IVchat: T1 - Does ur hosp have an infiltration & extravasation policy? Does it include non- chemo drugs? #IVchat VascularAccess: T1 - don't remember - think its only for chemo extravasation...#IVchat InfusionNurse: T1 - i work in outpt infusion, we do have 1 for chemo not for other vesicants like pressors, we dont give those oupt. #IVchat VascularAccess: T1 - r u asking about non-chemo like levophed, dopamine, etc?? #IVchat IVchat: Exactly..RT @VascularAccess: T1 - r u asking about non-chemo like levophed, dopamine, etc?? #IVchat IVchat: T1 - am finding that many don't have P/P thus extravasation not treated properly.. #IVchat VascularAccess: T1 - think hosp policy is to run those drips via central line only not peripheral..#IVchat InfusionNurse: resulting in bad outcomes..RT @IVchat: T1 - am finding that many dont have P/P thus extravasation not treated properly.. #IVchat IVchat: Lead in to next topic RT @VascularAccess: T1 - think hosp policy is to run those drips via central line only not peripheral. #IVchat IVchat: T2 - is ur hosp policy limit vesicants or vasopressors to b infused only via central line? #IVchat
  • 3. InfusionNurse: much better via CL RT @VascularAccess: T1 - think hosp policy is to run those drips via central line only not peripheral.. #IVchat VascularAccess: @InfusionNurse ..i agree..central line much better..but reality is..not all pts getting those drips have CL #IVchat InfusionNurse: even if hosp P/P states CL? RT @VascularAccess: reality is..not all pts getting those drips have CL #IVchat VascularAccess: @InfusionNurse ..docs always 4get to put in CL when pt. is critically ill - does only when PIV infiltrates --->extravasation. #ivchat IVchat: T1 - this is where probs come up - when P/P say 1 thing and staff do not follow. #IVchat InfusionNurse: then pt gets hurt = lawsuit!! RT @IVchat: T1 - this is where probs come up - when P/P say 1 thing and staff do not follow. #IVchat IVchat: T2 coming up in a few... #IVchat IVchat: oops I meant T3 #IVchat IVchat: T3 - NIOSH released 2010 list of hazardous drugs, r there drugs not on the list u r treating as hazadous? #IVchat InfusionNurse: ...LOL RT @IVchat: oops I meant T3 #IVchat VascularAccess: @IVchat ..hate to admit but where is the list? #IVchat IVchat: @vascularaccess T3 - here's the list...http://bit.ly/9VKvdV #IVchat nursingpins: I have not seen the list either RT@ VascularAccess @IVchat ..hate to admit but where is the list? #IVchat InfusionNurse: T3 - i know some chemo centers treat all their meds as hazardous(chemo) so no variation in handling practices #IVchat IVchat: Hi Vernon, here's the list...http://bit.ly/9VKvdV RT @nursingpins: I have not seen the list either #IVchat nursingpins: Hi all - thanks for the list #IVchat - running late. VascularAccess: @IVchat ..thanks, mostly chemo meds - don't know if we have meds thats not on the list #IVchat
  • 4. VascularAccess: @InfusionNurse ..is that practical - why treat all as hazardous? will that not cause some operational issues ? #IVchat InfusionNurse: better late than never, glad u can join! RT @nursingpins: Hi all - thanks for the list #IVchat - running late. #IVchat nursingpins: Hospitals are not posting a list of hazardous drugs (That I have seen ?) sample of 5. #IVchat InfusionNurse: @VascularAccess ..standardize handling procedure by all nurses - so they dont have to think if hazardous or not #IVchat InfusionNurse: @nursingpins ..u mean list on page 5? #IVchat IVchat: like training? RT @VascularAccess: is that practical - why treat all as hazardous? will that not cause some operational issues ? #IVchat nursingpins: standardize handling - makes sense - still good to know (hazardous drug list) Thanks #IVchat VascularAccess: @IVchat ..if all hazardous like chemo - wouldnt that be given only be chemo certified RNs #IVchat IVchat: @nursingpins - wonder why hospitals not posting - r they posting only in select units u think? #IVchat InfusionNurse: good point RT @VascularAccess: @IVchat ..if all hazardous like chemo - wouldnt that be given only be chemo certified RNs #IVchat InfusionNurse: T3 - also consider costs of supplies used for chemo - if used for all instead of regular IV supplies #IVchat IVchat: Hey, its almost an hour...let's wrap up..any parting thoughts? #IVchat nursingpins: List not posted in acute units ? (will ask) #IVchat VascularAccess: @InfusionNurse ..exactly what I was saying about operational issues ..more expensive protective supplies #IVchat IVchat: @nursingpins ...any thoughts about the Hopkins shooting incident before we end? #IVchat
  • 5. InfusionNurse: true RT @VascularAccess: @InfusionNurse ..exactly what I was saying about operational issues ..more expensive protective supplies #IVchat mcgaula: RT @InfusionNurse: true RT @VascularAccess: @InfusionNurse ..exactly what I was saying about operational issues ..more expensive protective supplies #IVchat VascularAccess: @IVchat ..that news about Hopkins made me sad...praying for everyone at Hopkins and the victims! #IVchat nursingpins: @IVchat A tragedy - unfortunately I'm afraid we will see more violence in hospitals before it gets better. #IVchat mcgaula: @VascularAccess I must have missed something here--what happened at Hopkins? #IVChat InfusionNurse: shooting incident, doc shot RT @mcgaula: @VascularAccess I must have missed something here--what happened at Hopkins? #IVchat InfusionNurse: hope not RT @nursingpins: @IVchat A tragedy - unfortunately Im afraid we will see more violence in hospitals before it gets better. #IVchat IVchat: Ok, everyone - next IV chat will be Sept. 29 Wed at 8PM ET. #IVchat nursingpins: Assault, rape and murder pose a growing threat to medical caregivers (MSNBC) http://tinyurl.com/29xa45x #IVchat (today MSNBC VascularAccess: @nursingpins ...OMG!! that is so scary...#IVchat IVchat: Thanks to all!! Hope to see again next chat!! Sept. 29 8PM ET! Good night! #IVchat nursingpins: @InfusionNurse thanks for #IVchat nursingpins: @mcgaula Physician also shot; man was upset over mother's care, police say (Hopkins) http://tinyurl.com/29g5uu2 #IVchat VascularAccess: bye all..very informative...thanks! Nite #IVchat IVchat: RT @nursingpins: Assault, rape and murder pose a growing threat to medical caregivers (MSNBC) http://tinyurl.com/29xa45x #IVchat IVchat: @mcgaula ..so glad u can join us, hope to see u again next chat! #IVchat
  • 6. mcgaula: RT @nursingpins: @mcgaula Physician also shot; man was upset over mother's care, police say (Hopkins) http://tinyurl.com/29g5uu2 #IVchat nursingpins: @InfusionNurse Thanks - sorry I missed the first part - will be back. #IVchat - (back to work :) EnferEvidente: Repito: Lista de medicamentos peligrosos del NIOSH http://bit.ly/9VKvdV via #IVchat Cuantos centros exponen la suya? ONSmark: Sorry I missed last night's #IVchat but I checked the "transcripts" today and I'm glad the NIOSH drug list http://bit.ly/9VKvdV was a topic.