IVchat 02162011
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IVchat 02162011 Document Transcript

  • 1. #IVchatHealthcare Hashtag Twitter TranscriptFrom: Wed Feb 16 17:00:00 PST 2011To: Wed Feb 16 18:10:00 PST 2011 Customize transcript dates and layoutLearn more about #IVchat at The Healthcare Hashtag Project Its #IVchat time...good evening & welcome to all. Lets start withIVchat introductions... #IVchat Wed Feb 16 17:00:15 PST 2011 Hey everyone, Im Joyce! Oncology Nurse, IV Educator, and Wellnessjoyceharrel Coach... #IVchatlrn Wed Feb 16 17:01:11 PST 2011 Howdy, good evening, Im Cora, moderator of IV chat...welcome everyone!InfusionNu #ivchatrse Wed Feb 16 17:01:13 PST 2011VascularA Hi Michelle here....just lurking a bit...and multitasking too.. #ivchatccess Wed Feb 16 17:02:21 PST 2011 @joyceharrellrn Hey Joyce...how r u? #IVchatIVchat Wed Feb 16 17:02:44 PST 2011joyceharrel @VascularAccess We all multitask!!! Im on a call right now... :) #IVchatlrn Wed Feb 16 17:03:02 PST 2011InfusionNu @VascularAccess @joyceharrellRN...hi all. good to see you here... #ivchatrse Wed Feb 16 17:03:25 PST 2011 @IVchat I am great tonight. Getting ready to study after this...again and more.JoyceHarre #IVchatllRN Wed Feb 16 17:03:27 PST 2011 Gonna start in a few mins here.. see if we get more peeps...heard theresIVchat 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. GettingInfusionNu ready to study after this...again and more. #ivchatrse Wed Feb 16 17:05:08 PST 2011VascularA @joyceharrellrn LOL..true.. #ivchatccess Wed Feb 16 17:05:25 PST 2011
  • 2. Im going to follow along! Fourth Semester Nursing Student here. #IVchatKat_SN Wed Feb 16 17:06:19 PST 2011 T1 - making every1 aware of recall on Synchromed pumps byIVchat Medtronic...http://bit.ly/ezlspk #IVchat Wed Feb 16 17:06:51 PST 2011 Whew! Just made it! Deb, RN, here....from Indiana #IVchatswan5675 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 2011JoyceHarre T1.. I need to get caught up on this info. #IVchatllRN Wed Feb 16 17:07:38 PST 2011InfusionNu @Kat_SN ..Hi, welcome. please chime in anytime. #ivchatrse Wed Feb 16 17:07:50 PST 2011InfusionNu @swan5675 ..Hi Deb.. good to see you.. #ivchatrse Wed Feb 16 17:08:05 PST 2011JoyceHarre @IVchat @Kat_SN Great to have you here tonight @Kat_SN #IVchatllRN Wed Feb 16 17:08:06 PST 2011 Welcome...RT @swan5675: Whew! Just made it! Deb, RN, here....fromIVchat Indiana #IVchat Wed Feb 16 17:08:24 PST 2011JoyceHarre @swan5675 What are you doing In Indiana? #IVchatllRN Wed Feb 16 17:08:31 PST 2011 Great to see everyone..... am just being a homebody tonoc... off work! #IVchatswan5675 Wed Feb 16 17:09:21 PST 2011 Reposting T1 - making every1 aware of recall on Synchromed pumps byIVchat Medtronic...http://bit.ly/ezlspk #IVchat Wed Feb 16 17:09:52 PST 2011 @InfusionNurse @joyceharrellrn @IVchat LOL. Working hard. Topic isJoyceHarre actually easy. Just a lot of it... #IVchatllRN Wed Feb 16 17:10:56 PST 2011 T1 - recall on this implantable pump - probs with pocket fills vs.fillimng pumpInfusionNu #ivchatrse Wed Feb 16 17:11:00 PST 2011 T1... no experience with that pump. Our facilities dont use. #IVchatswan5675 Wed Feb 16 17:11:15 PST 2011
  • 3. T1 - we see this on pts on baclofen and 5FU...didnt know about recall..thanksVascularA #ivchatccess Wed Feb 16 17:11:59 PST 2011 @InfusionNurse I just read that. How scary. A lot of drugs used in those typeJoyceHarre of pumps are chemo..right? And morphine??? #IVchatllRN Wed Feb 16 17:12:00 PST 2011 RT @VascularAccess: T1 - we see this on pts on baclofen and 5FU...didntIVchat know about recall..thanks #IVchat Wed Feb 16 17:12:54 PST 2011 T1 Very scary, it sounds. #IVchatswan5675 Wed Feb 16 17:12:59 PST 2011 RT @IVchat: RT @VascularAccess: T1 - we see this on pts on baclofen andJoyceHarre 5FU...didnt know about recall..thanks #IVchatllRN Wed Feb 16 17:13:24 PST 2011JoyceHarre @swan5675 Hey Deb. Do you have time to connect tomorrow? #IVchatllRN Wed Feb 16 17:14:04 PST 2011 @joyceharrellrn @swan5675..yes and it is implanted so one needs to beInfusionNu certified to refill the pump... #ivchatrse Wed Feb 16 17:14:14 PST 2011 T1 "Chain is as stong as its weakest link" cliche certainly seems to applyswan5675 here.... #IVchat Wed Feb 16 17:14:27 PST 2011 @joyceharrellrn all day... just message me when u can ;) #IVchatswan5675 Wed Feb 16 17:15:04 PST 2011 @swan5675 ..Medtronic seem to be having lots of issues lately...this is justInfusionNu one of them #ivchatrse Wed Feb 16 17:15:34 PST 2011 T2 - coming up... #IVchatIVchat 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 haveVascularA this for 5FU infusions. #ivchatccess Wed Feb 16 17:16:31 PST 2011 yes, implantedRT @VascularAccess: T1 - ur oncology units might be usingInfusionNu these pumps - lots of chemo pts have this for 5FU infusions. #ivchatrse Wed Feb 16 17:17:10 PST 2011joyceharrel @swan5675 OK. Looking forward. Cant wait to catch up with you! #IVchatlrn Wed Feb 16 17:17:16 PST 2011
  • 4. T2 - IV filters..do u routinely use? or when do you use? #IVchatIVchat Wed Feb 16 17:17:42 PST 2011 RT @swan5675: T1 "Chain is as stong as its weakest link" cliche certainlyJoyceHarre seems to apply here.... #IVchatllRN Wed Feb 16 17:17:44 PST 2011 RT @swan5675: T1 cutbacks and shortcuts in the arena of healthcare isIVchat always a nasty thing, eh? #IVchat Wed Feb 16 17:18:03 PST 2011InfusionNu RT @IVchat: T2 - IV filters..do u routinely use? or when do you use? #ivchatrse Wed Feb 16 17:18:13 PST 2011 RT @IVchat: RT @swan5675: T1 cutbacks and shortcuts in the arena ofJoyceHarre healthcare is always a nasty thing, eh? #IVchatllRN Wed Feb 16 17:18:27 PST 2011 T2 Only for blood infusions, now... and TPN #IVchatswan5675 Wed Feb 16 17:18:43 PST 2011 RT @InfusionNurse: RT @IVchat: T2 - IV filters..do u routinely use? orJoyceHarre when do you use? #IVchatllRN Wed Feb 16 17:18:46 PST 2011VascularA T2 - only use for blood, and TPN w/. lipids..not on regular infusions... #ivchatccess Wed Feb 16 17:19:00 PST 2011JoyceHarre T2: We use IV filters routinely. #IVchatllRN Wed Feb 16 17:19:06 PST 2011 RT @swan5675: T2 Only for blood infusions, now... and TPN #IVchatIVchat Wed Feb 16 17:19:13 PST 2011 for regular IV fluids? RT @joyceharrellrn: T2: We use IV filters routinely.InfusionNu #ivchatrse Wed Feb 16 17:19:38 PST 2011 T2: IV filters actually go on every setup, unless lipids are goingjoyceharrel through.Which we know lipids wont go through. #IVchatlrn Wed Feb 16 17:19:44 PST 2011 RT @joyceharrellrn: T2: IV filters actually go on every setup, unless lipids areIVchat 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 haveJoyceHarre always wondered why... #IVchatllRN Wed Feb 16 17:20:29 PST 2011 T2 We have the special filters specifically for blood, TPN #IVchatswan5675 Wed Feb 16 17:20:38 PST 2011
  • 5. yes, 1.2 micron for TPN/Fats..RT @swan5675: T2 We have the special filtersVascularA specifically for blood, TPN #ivchatccess Wed Feb 16 17:21:21 PST 2011 T2 Stopped using routine filters a few years ago... dont know why #IVchatswan5675 Wed Feb 16 17:21:26 PST 2011JoyceHarre T2: Our blood sets come prepacked with filter intact. #IVchatllRN Wed Feb 16 17:22:27 PST 2011 T2 - still a recommendation for blood/TPN w/ lipids and intraspinalInfusionNu infusions... #ivchatrse Wed Feb 16 17:22:53 PST 2011 T2: All chemo. Well, we just use it with everything. (except the lipids)JoyceHarre #IVchatllRN Wed Feb 16 17:22:58 PST 2011 I always question why,when they are all finding ways to cut back, they seemswan5675 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 #ivchatccess Wed Feb 16 17:23:57 PST 2011 T2 I dont know, but it seems like the "research findings" are awfullyswan5675 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 uInfusionNu mentioned... #ivchatrse Wed Feb 16 17:24:40 PST 2011 @swan5675 I agree. Stress the importance of things, then d/c with budgetJoyceHarre cuts. #IVchatllRN 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 againVascularA still recommended for the infusions u mentioned... #ivchatccess Wed Feb 16 17:25:21 PST 2011 T3 coming up.... #IVchatIVchat Wed Feb 16 17:26:06 PST 2011 Yeah... Bard used to insist that doing blood draws via Groshong valve wasswan5675 BAD, for many reasons... now, say its "OK" #IVchat Wed Feb 16 17:26:49 PST 2011InfusionNu RT @swan5675: Yeah... Bard used to insist that doing blood draws viarse 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? #IVchatIVchat Wed Feb 16 17:27:37 PST 2011 Thank God, our Infection Control docs will not allow blood draws throughswan5675 PICCs #IVchat Wed Feb 16 17:28:13 PST 2011VascularA @swan5675 what? always drew blood from it... #ivchatccess Wed Feb 16 17:28:19 PST 2011 T3 Used to be every 48 hours. After cutbacks: every 72 #IVchatswan5675 Wed Feb 16 17:28:43 PST 2011 Why? RT @swan5675: Thank God, our Infection Control docs will not allowVascularA blood draws through PICCs #ivchatccess Wed Feb 16 17:29:00 PST 2011 RT @swan5675: T3 Used to be every 48 hours. After cutbacks: every 72IVchat #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 2011JoyceHarre T3: Every 4 days, unless having port access, then we do every 3 days. #IVchatllRN Wed Feb 16 17:29:39 PST 2011 @VascularAccess @swan5675 We have to do blood draws through picc andJoyceHarre ports. #IVchatllRN 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 #ivchatrse Wed Feb 16 17:30:20 PST 2011 @VascularAccess 19 inches of catheter is hard to rid of fibrinogen.... #IVchatswan5675 Wed Feb 16 17:30:29 PST 2011 why the diff? RT @joyceharrellrn: T3: Every 4 days, unless having portInfusionNu access, then we do every 3 days. #ivchatrse Wed Feb 16 17:30:50 PST 2011VascularA @swan5675 I hear u..so even with a PICC they stick pt for bld draw? #ivchatccess Wed Feb 16 17:31:37 PST 2011 RT @swan5675: @VascularAccess 19 inches of catheter is hard to rid ofIVchat fibrinogen.... #IVchat Wed Feb 16 17:31:49 PST 2011JoyceHarre T3: Port needles and central line dressing Q 6 days. change the tubing 1/2 wayllRN in between. #IVchat
  • 7. Wed Feb 16 17:31:53 PST 2011 RT @InfusionNurse: now its 96...RT @swan5675: T3 Used to be every 48IVchat 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 byswan5675 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 orJoyceHarre port, and we always have to pull from the line. #IVchatllRN Wed Feb 16 17:32:29 PST 2011 Blood products RT @InfusionNurse: RT @IVchat: T2 - IV filters..do uCuteNicuN routinely use? or when do you use? #ivchaturse Wed Feb 16 17:32:45 PST 2011InfusionNu @swan5675 ..so ur PICCs are the groshong kind.... #ivchatrse 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: T2IVchat - IV filters..do u routinely use? or when do you use? #IVchat Wed Feb 16 17:33:14 PST 2011 @InfusionNurse yes... Groshong valves #IVchatswan5675 Wed Feb 16 17:33:45 PST 2011 @CuteNicuNurse Hi Welcome to IVchat.. #IVchatIVchat 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) #IVchaturse Wed Feb 16 17:34:20 PST 2011 I always hate drawing blood when TPN is infusing. Always have to waste soJoyceHarre much blood to ensure clearing the TPN product. #IVchatllRN Wed Feb 16 17:34:28 PST 2011 Years ago, chest inserted CVLs were done after all veins exhausted. PICCsswan5675 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 #IVchaturse Wed Feb 16 17:35:03 PST 2011JoyceHarre @CuteNicuNurse Good to see you here! #IVchatllRN Wed Feb 16 17:35:03 PST 2011
  • 8. @swan5675 dont pts complain about sticks when they have a PICC??? wow...VascularA #ivchatccess 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 veinsIVchat 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.TheJoyceHarre radiologists do it, and hard to get on the weekends. #IVchatllRN Wed Feb 16 17:36:01 PST 2011 @VascularAccess Nobody likes needles.... but infections lasted a lot longer.swan5675 Besides...our pts werent 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 #ivchatccess Wed Feb 16 17:37:31 PST 2011 When I was on the IV Team, we inserted the PICCs. #IVchatswan5675 Wed Feb 16 17:37:51 PST 2011VascularA RT @swan5675: When I was on the IV Team, we inserted the PICCs. #ivchatccess Wed Feb 16 17:38:12 PST 2011 @swan5675 @VascularAccess I know. They do need to let the nurses do. IJoyceHarre was trained one time how to do that. #IVchatllRN Wed Feb 16 17:38:41 PST 2011VascularA @swan5675 ..didn t u like being in the IV team? #ivchatccess Wed Feb 16 17:38:50 PST 2011 RT @swan5675: When I was on the IV Team, we inserted the PICCs. (needsJoyceHarre to happen today in our hospital.) #IVchatllRN Wed Feb 16 17:39:02 PST 2011 @VascularAccess LOVED it. They disbanded us... too expensive #IVchatswan5675 Wed Feb 16 17:39:39 PST 2011 **dies** really?? oh no..RT @swan5675: @VascularAccess LOVED it. TheyVascularA disbanded us... too expensive #ivchatccess 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 #ivchatrse Wed Feb 16 17:41:14 PST 2011 Infection rates increased after all nurses starting IVs and Rad. techs doingswan5675 PICCs... more money spent in the big pic.. poor pts #IVchat Wed Feb 16 17:41:32 PST 2011
  • 9. hey yall glen downunda, checked in earlier but apparently I wasntchemosabe credentialled for tweetchat, who knew! #ivchat Wed Feb 16 17:41:50 PST 2011 @swan5675 @VascularAccess We still have an IV team. However, OncologyJoyceHarre does all their own. #IVchatllRN Wed Feb 16 17:42:06 PST 2011 RT @chemosabe: hey yall glen downunda, checked in earlier but apparently Iswan5675 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 letInfusionNu the nurses do. I was trained one time how to do that. #ivchatrse Wed Feb 16 17:42:15 PST 2011JoyceHarre @chemosabe Hello Glen!!! #IVchatllRN Wed Feb 16 17:42:17 PST 2011 so also been inundated by pharma reps, 3 in 20 minutes! Wot I miss... cliffchemosabe 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. #IvChaturse Wed Feb 16 17:42:33 PST 2011 @chemosabe LOL. for real??? Good to see u !! #IVchatIVchat Wed Feb 16 17:42:45 PST 2011 RT @CuteNicuNurse: @JoyceHarrellRN Agreed! We have a special nicu piccswan5675 line insetion team. Great resource. #IVchat Wed Feb 16 17:42:58 PST 2011 wonder what the CNE points for tweetchat credentialling are? #ivchatchemosabe Wed Feb 16 17:43:21 PST 2011joyceharrel @CuteNicuNurse Thats awesome for the nicu picc line team! #IVchatlrn Wed Feb 16 17:43:28 PST 2011 T3 Does everybody change out tubing Q 72 hrs? #IVchatswan5675 Wed Feb 16 17:43:34 PST 2011InfusionNu @chemosabe Use of filters, routine IV tubg chge, synchromed recall.. #ivchatrse Wed Feb 16 17:43:46 PST 2011 RT @chemosabe: wonder what the CNE points for tweetchat credentiallingJoyceHarre are? (I am certified in TweetChat already...) #IVchatllRN Wed Feb 16 17:44:03 PST 2011 LOL..nada for now...RT @chemosabe: wonder what the CNE points forIVchat tweetchat credentialling are? #IVchat Wed Feb 16 17:44:06 PST 2011
  • 10. T2 our PICCs are placed by medical imaging or certain team registrars underchemosabe supervision of #nurses #ivchat Wed Feb 16 17:44:19 PST 2011InfusionNu @swan5675 ..new updated INS is 96hrs.. #ivchatrse Wed Feb 16 17:44:27 PST 2011 @swan5675 Only on central lines and Piccs, and Ports. The peripherals are @JoyceHarre 4 days. #IVchatllRN Wed Feb 16 17:44:38 PST 2011 @chemosabe ..ur just in time for T4... :) #IVchatIVchat Wed Feb 16 17:45:00 PST 2011 T3 We change TPN tubing/filters with each new bag, blood filters/tubing afterswan5675 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 theJoyceHarre IV team to do it. #IVchatllRN Wed Feb 16 17:45:12 PST 2011 T1 filters, low tar u mean? #ivchatchemosabe Wed Feb 16 17:45:19 PST 2011 RT @chemosabe: T2 our PICCs are placed by medical imaging or certainIVchat team registrars under supervision of #nurses #IVchat Wed Feb 16 17:45:35 PST 2011InfusionNu think so, IV filters here..RT @chemosabe: T1 filters, low tar u mean? #ivchatrse 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 Isnt it weird that some facilities have different reqs, depending if CVL orswan5675 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. #IVchatswan5675 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 #ivchatrse Wed Feb 16 17:47:27 PST 2011 RT @IVchat: T4 - asked by a twitter colleague - could u use external jugularInfusionNu vein for PIV? #ivchatrse Wed Feb 16 17:47:43 PST 2011 T2 line changes in fluid lines are every 24 hours if intermittent infusion and 72chemosabe hours, with cont inf #ivchat Wed Feb 16 17:47:44 PST 2011
  • 11. VascularA T4 - boy, not EJ - not routinely, mayb for emergency #ivchatccess Wed Feb 16 17:48:17 PST 2011 T4 dont see y not theoretically, but jeez, would u? #ivchatchemosabe Wed Feb 16 17:48:17 PST 2011 @CuteNicuNurse Make sure you are putting #IVChat with your posts so youJoyceHarre 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 #IVChatIVchat with your posts so you get included in the conversation! #IVchat Wed Feb 16 17:49:24 PST 2011 T3 Ive 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 hoursInfusionNu if intermittent infusion and 72 hours, with cont inf #ivchatrse Wed Feb 16 17:49:53 PST 2011 T4: We consider an external jugular as a PIV, but I dont think we put them in.joyceharrel I think just the docs put them in. #IVchatlrn Wed Feb 16 17:50:22 PST 2011 RT @swan5675: T3 Ive firmly believed that PIV site care/maint is just asIVchat 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, its time to put in a darned CVL.....swan5675 #IVchat Wed Feb 16 17:51:17 PST 2011 @IVchat Ive used EJs when all else fails and for IV fluids and bloodTriniRN 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 #ivchatrse Wed Feb 16 17:51:25 PST 2011 RT @swan5675 T4 I feel that if doc is considering jugular, its time to put in aHowDoWe darned CVL..... #IVchatFeel Wed Feb 16 17:51:34 PST 2011JoyceHarre @TriniRN Hi @TiniRN #IVchatllRN Wed Feb 16 17:51:45 PST 2011InfusionNu RT @TriniRN: Ive used EJs when all else fails and for IV fluids and bloodrse 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? #ivchatchemosabe Wed Feb 16 17:51:52 PST 2011 RT @InfusionNurse: @joyceharrellrn ..goog point, EJ PIV...so shouldnt reallyJoyceHarre stay in long... #IVchatllRN Wed Feb 16 17:51:57 PST 2011 Agree RT @swan5675: T4 I feel that if doc is considering jugular, its time toIVchat put in a darned CVL..... #IVchat Wed Feb 16 17:52:10 PST 2011joyceharrel @InfusionNurse I wouldnt want an EJ PIV to stay in long. #IVchatlrn Wed Feb 16 17:52:20 PST 2011 Implanted pumps for chemo/ paininfusions RT @chemosabe: ?synchromedIVchat 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 consideringJoyceHarre jugular, its time to put in a darned CVL..... #IVchatllRN Wed Feb 16 17:52:42 PST 2011 @chemosabe being recalled here..http://www.fda.gov/MedicalDevices/Safety/RecallsCorrectionsRemovalsIVchat /ListofRecalls/ucm243634.htm #IVchat Wed Feb 16 17:53:15 PST 2011 @IVchat @swan5675 I am there with you on the EJ. Its time to put in ajoyceharrel CL.That cannula isnt long enough on the EJs. Come out easy #IVchatlrn Wed Feb 16 17:53:28 PST 2011 Ive used EJs as well for fluids. It was a baby who was getting peritonealCuteNicuN dialysis. #IVChaturse Wed Feb 16 17:53:53 PST 2011 @joyceharrellrn Yep....just askin for trouble with those #IVchatswan5675 Wed Feb 16 17:54:13 PST 2011 we have em I think, diff name tho, havent heard of recall, dont deal withemchemosabe 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 wasInfusionNu getting peritoneal dialysis. #ivchatrse Wed Feb 16 17:54:24 PST 2011 @swan5675 When those EJs come out, they bleed like a stuck pig. Howjoyceharrel about when they come out and no one is in room to see it??? #IVchatlrn Wed Feb 16 17:55:11 PST 2011 shld stay long..its a PIVRT @joyceharrellrn: @InfusionNurse I wouldnt wantVascularA an EJ PIV to stay in long. #ivchatccess Wed Feb 16 17:55:18 PST 2011
  • 13. @chemosabe lots of chemo pts have it for continuous 5FU here #IVchatIVchat 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 #IVchatllRN Wed Feb 16 17:55:55 PST 2011 @joyceharrellrn We had sentinel event with ped pt when that happenedswan5675 #IVchat Wed Feb 16 17:56:21 PST 2011 RT @joyceharrellrn: T4: We consider an external jugular as a PIV, but I dontMedicalNo think we put them in. I think just the docs put them in. #IVchattice Wed Feb 16 17:56:21 PST 2011 RT @joyceharrellrn: @swan5675 When those EJs come out, bleed like aInfusionNu stuck pig. Howthey come out and no one is in room to see it??? #ivchatrse Wed Feb 16 17:56:22 PST 2011 gnite joyce #ivchatchemosabe Wed Feb 16 17:56:35 PST 2011 Well, it is almost that time...any parting thoughts?? #IVchatIVchat Wed Feb 16 17:56:43 PST 2011 RT @swan5675: @joyceharrellrn We had sentinel event with ped pt when thatVascularA happened #ivchatccess Wed Feb 16 17:57:10 PST 2011 @IVchat use elastomeric pumps or external electronic pump into PICC orchemosabe TIVAD mostly down here #ivchat Wed Feb 16 17:57:31 PST 2011 @joyceharrellrn Thanks Joyce.. #IVchatIVchat Wed Feb 16 17:57:32 PST 2011 @IVchat Just want to thank everyone for giving me food for thought. I adoreswan5675 these chats! #IVchat Wed Feb 16 17:57:33 PST 2011 @MedicalNotice Hey there! Great to see you. I am heading out for a phoneJoyceHarre call... #IVchatllRN Wed Feb 16 17:57:43 PST 2011JoyceHarre @chemosabe Night! #IVchatllRN Wed Feb 16 17:57:54 PST 2011JoyceHarre @IVchat Good night! #IVchatllRN Wed Feb 16 17:58:01 PST 2011 @joyceharrellrn message me.... #IVchatswan5675 Wed Feb 16 17:58:14 PST 2011
  • 14. Thank u too..appreciate it RT @swan5675: @IVchat Just want to thankIVchat everyone for giving me food for thought. I adore these chats! #IVchat Wed Feb 16 17:58:22 PST 2011 @joyceharrellrn nite, Joyce! #IVchatswan5675 Wed Feb 16 17:58:43 PST 2011InfusionNu Good night to all..thank you again for another great chat... #ivchatrse Wed Feb 16 17:59:02 PST 2011 Thanks for letting me listen in! Always a learning experience. #IVchatKat_SN #nursingschool Wed Feb 16 17:59:16 PST 2011 Next IV chat will be March 2 at 8PM ET...will post summary soon. #IVchatIVchat Wed Feb 16 17:59:29 PST 2011 Thank YOU. Nite, all..... #IVchatswan5675 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 listenIVchat in! Always a learning experience. #IVchat #nursingschool #IVchat Wed Feb 16 17:59:52 PST 2011 Gnite Cora et all, sorry I was late #ivchatchemosabe Wed Feb 16 17:59:58 PST 2011 @Kat_SN We were privileged to have you here.... come back! #IVchatswan5675 Wed Feb 16 18:00:11 PST 2011 @swan5675 Good night Deb! See u again next time! #IVchatIVchat 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 summaryInfusionNu soon. #ivchatrse Wed Feb 16 18:00:59 PST 2011InfusionNu @chemosabe hey, how was the other chat? #ivchatrse 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!! #IVchatIVchat Wed Feb 16 18:02:41 PST 2011 @InfusionNurse didnt look in seeing I had tweetchat issues, stayed here withchemosabe u wonderful tweeps #ivchat Wed Feb 16 18:02:44 PST 2011 @TriniRN Glad you can join, youre 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 inInfusionNu seeing I had tweetchat issues, stayed with u wonderful tweeps #ivchatrse 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