Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

IV chat 11232010

359 views

Published on

Published in: Health & Medicine, Business
  • Be the first to comment

  • Be the first to like this

IV chat 11232010

  1. 1. Welcome everyone toIVchat!Let'sbeginwithintros,tell us abouturselvesin<140! #IVchat IVchat Morningall (my time) Glen,NUM- Day OncologyUnit, Brisbane,Downunda.Wed11 am here,working,fullclinic,may be in andout #ivchat chemosabe Good to see all - VernoninNewOrleans - Critical Care,Nursing Historyand Hospital Nightmare :) here itlearnfrom#IVchat nursingpins Hi all,I'm Cora,infusionnurse andmoderatorforIV chat! Welcome!!#IVchat InfusionNurse I'm Crystal - I do social mediaforthe NursingLinkcommunity! #ivchat NursingLink @chemosabe Hi Glen,thanku forjoiningurfirstIV chat. we're so happyu can jointoday!#IVchat IVchat Hi! I'm Teresa,fromLongIsland,NY anda staff development instructor#ivchat NurseEducator @NursingLinkWelcomeCrystal,thanksforjoining!Goodtosee u! #IVchat IVchat @IVchatthanks,have keptmissingitforpast 6 monthsor so... #ivchat chemosabe @nurseeducatorGoodtosee ya. #IVchat nursingpins as always,gladto be here #ivchat NursingLink @nurseeducatorHi Teresa,thanksforjoining!Welcome! #IVchat IVchat @nurseeducatorHi Teresa,goodto see utonite.#IVchat InfusionNurse @nursingpinsHeyVernon,howdy!#IVchat InfusionNurse Yay, so happyto see a lotof ourtwittercolleaguesontonite. Thank youfor joining.Firsttopiccomingupnext#IVchat IVchat @nursingpinsgoodtosee youtoo!#ivchat NurseEducator @InfusionNurse Happytobe here!Hopefullyadelayedvisit! #ivchat NurseEducator Topicswill be numbered,pls,prependw/topic# whenreplying #IVchat IVchat
  2. 2. T1 - Use of otoscope forfindingveins?Urthoughts?any experience?#IVchat IVchat T1 - honestly,Ihave notusedanotoscope to helpfind veins...notsure how touse it.#IVchat InfusionNurse T1 Have neverusedan otoscope - mayneedto? #IVchat nursingpins T1 neverdone it...butcan'tsee yit couldn'twork...tendtosend our diff accessesforu/sguidedcannulae #ivchat chemosabe T1 - of course,its not an approveduse foran otoscope.#IVchat InfusionNurse RT @IVchat: Welcome everyone toIVchat!Let'sbeginwith intros,tell usabouturselvesin<140! #IVchat "interestingchat to checkout" ctsinclair T1 but forthat matter,don't mostnursescarry a led torch/flashlightthese days?#ivchat chemosabe T1 - itsinterestingbutfoundthisarticle onotherusesof otoscope..http://bit.ly/gTTP3i #IVchat IVchat T1 Neverusedone eitherforfindingveinseither!Thinkinglight mighthelp#ivchat NurseEducator Nurses:goingonrightnow is#IVchat.Checkit out.#RNchat RNchat Yes,not forfindingveins.RT@InfusionNurse:T1- of course,its not an approveduse foran otoscope.#IVchat IVchat lightnotenoughto illuminate?RT@chemosabe:T1 butfor that matter,dontmost nursescarry a ledtorch/flashlightthese days?#IVchat InfusionNurse Nurses:there'sachat just foryou.starts NOW.findit at #ivchat infoployment T1 The beamof otoscope lightilluminatethe tissuesof the arms of younginfantsfacilitate the locationof veins,#IVchat IVchat T1 (cont) appearas dark linesaccessible for venipuncture...accdgtothe article..#IVchat IVchat RT @IVchat: T1 The beamof otoscope lightilluminate the tissuesof the arms of younginfantsfacilitatethe locationof veins,#IVchat InfusionNurse
  3. 3. @InfusionNurse probablynot...justtryingtobe creative, besides,don'tknowthatIhave an otoscope on myunit...or goodbatts #ivchat chemosabe @IVchatT1 The beamof otoscope lightilluminatethe tissuesof the arms of younginfant...onlyuseful ininfantsthenmaybe... #ivchat chemosabe Yes,accdg to thatarticle RT @nurseeducator:T1 Neverused one eitherforfindingveinseither! Thinkinglightmighthelp #IVchat IVchat RT @IVchat: T1 - its interestingbutfoundthisarticle onother usesof otoscope..http://bit.ly/gTTP3i #IVchat IVchat @chemosabe perhaps,accdgto thatarticle.I deal w/adults mainly#IVchat InfusionNurse @InfusionNurse perhaps,accdgto thatarticle.I deal w/adults mainly...likewise #ivchat chemosabe T1 I diduse a foot operatedX-rayviewinglightonce-samething I guess.:) Will try itnexttime I'mgraspingfor straws-otoscope #IVchat nursingpins T1 I'm concernedoff label use of otoscope here whenthere r approveddevicestofindveins..any1use those?#IVchat InfusionNurse T1 paedsandinfstendto have a more translucenttissue that wouldbe more suitedtouse of lightfor venousoutlining... #ivchat chemosabe @nursingpinstolightupthe veins...yes,maybe..#IVchat IVchat @InfusionNurse bardinOzpromote or sell small ussdevices #ivchat chemosabe goodpoint!T @chemosabe:T1 paedsand infs tendmore translucenttissue thatwouldbe more suited2use of light4 venousoutlining#IVchat IVchat T1 - have notseenone of those footoperatedlightsinyears - will have tosettle forthe otoscope.#IVchat nursingpins
  4. 4. @chemosabe Isthat usedtofindveinsforPICCinsertionor peripheral IV insertion?#IVchat InfusionNurse PlanB otoscope RT @nursingpins:T1- have not seen1 of those footoperatedlightsinyears - will have tosettle forthe otoscope.#IVchat IVchat @InfusionNurse promotedforPICCandMidline insertion,but do notsee y wouldnotbe suitable forexppractitionerwith PIVC#ivchat chemosabe T1 - Was goingto ask - any newtipsfor PICClinesthatflushw/o resistance butwill notdraw - many more PICClinesusednow. #IVchat nursingpins @nursingpinsasinnobld return?#IVchat InfusionNurse @chemosabe manyUS device rnot forPIV insertions,there r devicesavail here inthe Stated4PIV use.#IVchat IVchat T1 Yes- many nursesdrawingfromthemnow - seemslike alg# quitdrawing?#IVchat nursingpins @IVchatsure there are downhere too...costis the issue... #ivchat chemosabe @nursingpins..thenthere'saprobw/ the line,maybfibrin buidlup..mightneedtouse cathflo..#IVchat InfusionNurse @chemosabe Sotrue,cost of those devicesisaconcern, perhapshard tojustifyforPIV only#IVchat IVchat T1 some hospshave a policyfortpa (PICC) lines - some don't- nursesare takinga riskw/opolicy.#IVchat nursingpins @IVchatpreciselyyhave notinvestedinanytothispointin time...particularlywenourmedimagingdepartwill dothem4 us...#ivchat chemosabe @nursingpins...all PICC/central linesshldhave ablood return..#ivchat VascularAccess
  5. 5. @nursingpins..needanorderforcathflo - itis approvedfor clearinglines(nottpa) #IVchat InfusionNurse T2 - manyPICClineswill notdrawblood?still flushw/o resistance?#IVchat nursingpins RT @VascularAccess:@nursingpins...all PICC/central linesshld have a bloodreturn..#ivchat#IVchat IVchat Nexttopiccomingup...#IVchat IVchat @chemosabe nice thatu have that service,manyhosphere dontso nurseshave to be creative #IVchat IVchat we tendto go venogramor portogram to see whatpatencyor alterationof flowisif noflashingbackor bleeding.#ivchat chemosabe @IVchatyeswe are fortunate,butstill apainin a$$.. #ivchat chemosabe RT @nursingpins:T2- many PICClineswill notdraw blood?still flushw/oresistance?#IVchat IVchat nice RT @chemosabe:we tendtogo venogramor portogramto see whatpatencyor alterationof flowif noflashingbackor bleeding.#IVchat InfusionNurse maybrevisithowitiscared 4..RT @nursingpins:T2- many PICC lineswill notdrawblood?still flushw/oresistance?#IVchat InfusionNurse T3 - wouldhonestlysaythatyou follow the 15sec rule for scrubbinghubsw/alcohol?#IVchat IVchat T3 conjecture downhere thatdue to thisissue betteroff notto scrub hubsat all!?!?#ivchat chemosabe T3 - I mustadmitI do...:) #IVchat InfusionNurse T2 thanx for thistopicVernon,apartfromCathflo,whichneed to clarifyforozzie,wasthere anyothertips?#ivchat chemosabe
  6. 6. 15 secondsisrule for handwashing... withalcohol,isn'tonly until dry?#IVchat swan5675 T3 Centline care isnot consistenthere - one of the many things we needstandardpolicyfor.#IVchat nursingpins ReallynoscrubbingjustaccessRT@chemosabe:T3 conjecture downhere that due to this issue betteroff nottoscrub hubsat all!?!?#IVchat IVchat T3 personally,waitforglistentogooff hub/injectionport/bung whateverwe call it#ivchat chemosabe So sorry!familyoverfora quickvisit#ivchat NurseEducator @IVchatnot so muchwith piccs and portsbut withIMI injectionsandPIVCbungsyes...notinpolicyanywhere though...?#ivchat chemosabe RT @chemosabe:T3 personally,waitforglistentogooff hub/injectionport/bungwhateverwe call it#IVchat InfusionNurse DefinitelyRT@nursingpins:T3Centline care isnot consistent here - one of the many thingswe needstandardpolicyfor. #IVchat InfusionNurse Also4 hubs RT @swan5675: 15 secondsisrule for handwashing...withalcohol,isntonlyuntil dry?#IVchat InfusionNurse @nurseeducatornoprob,welcome back!#IVchat InfusionNurse T3 - a concernfor CR BSI..#IVchat IVchat We have IV teamat ourhospital toensure consistencywith central line care.Onchemofloorwe doour own.#IVChat JoyceHarrellRN @nursingpins,,there are standardsof practice youcan use as reference.egINSstandardof practice forinfusionnursing #IVchat IVchat
  7. 7. T3 - @chemosabe,soif notscrubbingat all,what'sur infection rate?#IVchat InfusionNurse RT @joyceharrellrn:We have IV teamat ourhospital toensure consistencywithcentral linecare.Onchemofloorwe doour own.#IVchat IVchat We have to obtaindye studybefore usingif nobloodreturn. #IVChat JoyceHarrellRN @InfusionNurse ahhthe beauty/dangerof having aninf control departthat doesnotmonitorIV site ratesor BSIrates??? #ivchat chemosabe Good policytohave,wishevery1will dothatRT @joyceharrellrn:We have toobtaindye studybefore usingif no bloodreturn.#IVchat InfusionNurse @joyceharrellrndoufollowsame procedureonCLas the IV team?#IVchat InfusionNurse @IVchatThanks - So many of NO proceduresstemfromthe (Watch one,Doone,Showone) fromThe oldCharityHosp. #IVchat nursingpins LOL..RT @chemosabe:ahhthe beauty/dangerof havinganinf control departthat doesnot monitorIV site ratesor BSI rates???#IVchat IVchat RT @InfusionNurse:Goodpolicytohave,wishevery1willdo that RT: We have to obtaindye studybefore usingif noblood return.#IVChat JoyceHarrellRN @InfusionNurse @joyceharrellrnone hospinBrisbane has nurse ledPICCteam,and have done since the earlynineties... #ivchat chemosabe RT @InfusionNurse:@joyceharrellrndoufollow same procedure onCL as the IV team?Yes,usingthe hosp.policies. #IVChat JoyceHarrellRN RT @chemosabe:@InfusionNurse@joyceharrellrnone hospin Brisbane hasnurse ledPICCteam,and have done since the earlynineties.#IVChat JoyceHarrellRN
  8. 8. I'm an oncologynurse,sowe mostlydeal withPicc's andPort's on our unit.#IVChat JoyceHarrellRN Impressive RT@chemosabe:@joyceharrellrnone hospin Brisbane hasnurse ledPICCteam,and have done since the earlynineties...#IVchat InfusionNurse T3 - back to hubscrubbing,dou thinknew deviceslike alcohol impregnatedconnectors(swabcaps) will helpwithCRBSI prevention?#IVchat IVchat anotherusesthe OncologyNursestodoall PICC andPort care... #ivchat chemosabe @nursingpinsgoodtime toshowthemthe "evidence"or standards!!LOL #IVchat IVchat T3 - back to hubscrubbing,dou thinknew deviceslike alcohol impregnatedconnectors(swabcaps) will helpwithCRBSI prevention?#IVChat JoyceHarrellRN RT @chemosabe:anotherusesthe OncologyNursestodoall PICCand Port care...Good Idea... #IVChat JoyceHarrellRN Yes ONSjustreleasedthe AccessDevice GuidelinesRT @chemosabe:anotherusesthe OncologyNursestodoall PICC and Portcare... #IVchat InfusionNurse RT @InfusionNurse:YesONSjustreleasedthe AccessDevice GuidelinesRT@chemosabe:anotherusesthe OncologyNurses #IVchat IVchat @IVchatYou are right- #IVchat nursingpins T3 beststickto the standardsand infectioncontrol policies... are injectionsites/hubs/bungsroutinelychangedupthere? #ivchat chemosabe I came ina little late.We don'tuse the impregnated connectors.#IVChat JoyceHarrellRN T3 - here'sinfoonswabcapshttp://bit.ly/eoEbKT(notan endorsement) there rothers#IVchat IVchat
  9. 9. @chemosabe.We have policiesonwhentochange needles, drsg changes,hubs.#IVChat JoyceHarrellRN @chemosabe Changedq7 days here (withbio-patch) butagain not standard.#IVchat nursingpins Yes RT @chemosabe:T3 are injectionsites/hubs/bungs routinelychangedupthere?#IVchat InfusionNurse RT @IVchat: T3 - heresinfoonswabcapshttp://bit.ly/eoEbKT (notan endorsement) there rothers(Thankyou) #IVChat JoyceHarrellRN RT @IVchat: T3 - heresinfoonswabcapshttp://bit.ly/eoEbKT (notan endorsement) there rothers#IVchat InfusionNurse We change port needlesq6 days,caps aftereveryblooddraw, or every3 days if no blooddraw.#IVChat JoyceHarrellRN RT @joyceharrellrn:We change portneedlesq6 days,caps aftereveryblooddraw,or every3 daysif no blooddraw. #IVchat InfusionNurse @joyceharrellrn6daysnot 7days?justcuriousmost r 7 days #IVchat IVchat Dont u downthere?RT @chemosabe:T3are injection sites/hubs/bungsroutinelychangedupthere?#IVchat IVchat T3 justreferredtolocpol...swabbedwithalco andallowedto dry...bungschangedpermanufacturersguidelines...copout... #ivchat chemosabe We doit 6 days.I thinkitwas originallyforkeepingaflow. Tubingchange on CL were every3 days.So,everythingisinsync #IVChat JoyceHarrellRN RT @chemosabe:T3 justreferredtoloc pol...swabbedw/alco, allowedtodry,bungschangedpermanufacturersguidelines, cop out #IVchat InfusionNurse Heythere @nursingpins...Funtopic.#IVChat JoyceHarrellRN @IVchatDont u downthere?anecdotallysome hospsinbris not changingbungsroutinelyonPICCs#ivchat chemosabe T3 @joyceharrellrnlike the ideaof 6 daysfor sync butsystem- wide we are 7 days#ivchat NurseEducator Wow,we're almostat an hour,wantedto wrap upa bitearlyto allowtime to switchto #MDchat. Any partingthoughts?#IVchat IVchat
  10. 10. Yes,do u insertPIVsbevel uporbevel down...LOL..justcurious! #IVchat InfusionNurse @joyceharrellrnHi - listening- :) andlearning.#IVchat nursingpins nothingmore to add,but,thanks,exactlysortof discussionsi was anticipating,thanksall #ivchat chemosabe @InfusionNurse bevupof course...doesn'teveryone...?#ivchat chemosabe @nurseeducatorItmakesitflow nice.Daythree tubingand caps change,day six,tubing,caps,needle.drsg,(unlessblood draws) #IVChat JoyceHarrellRN it ischangedregularlyperpolicyRT@chemosabe:Dontudown there?anecdotallysome hospsinbrisnotchangingbungs routinelyPICCs#IVchat InfusionNurse RT @nursingpins:@joyceharrellrnHi - listening- :) and learning. Alwaysfuntolearn.#IVChat JoyceHarrellRN @InfusionNurse afewdownugh...so traumatic...surprised theyare successful?#ivchat chemosabe RT @InfusionNurse: Mostlysaidup,afew downRT @chemosabe:@InfusionNurse bevupof course..(Bevupfor me alwaysfor anyneedle) #IVChat JoyceHarrellRN It's a wrap, thankyouso much everyone forjoiningtonight.It has beenfunandinteresting!!Goodnite all!!#IVchat IVchat Had neverheardof bevel down?thoughtImissedsomething.- #IVchat nursingpins goodmorningall.goodsleep#ivchat chemosabe ThanksCora and all present.#IVchat nursingpins Thanks,sorry I got onlate.#IVChat JoyceHarrellRN Yes,a fewsaid downRT @nursingpins:Hadneverheardof bevel down?thoughtImissedsomething.- #IVchat InfusionNurse Good night!Missedmostof a good chat! #ivchat NurseEducator ThanksGlennRT @chemosabe:goodmorningall.goodsleep #IVchat IVchat NextIV chat will be Dec.8 Wed 8PM! #IVchat IVchat
  11. 11. RT @chemosabe:goodmorningall.goodsleep(mydaysand nightsare alwaysmessedup.Oncnurse bynight,wellnesscoach by day..:) ) #IVChat JoyceHarrellRN We missedutoo,but summarywill be upina few RT @nurseeducator:Goodnight!Missedmostof a good chat! #IVchat IVchat Thankseveryone forjoining,thiswassofun!!Love that Glen couldjoinusfrom downunder.Till nextchat.#IVchat InfusionNurse will putitin mydiary...off to physical meetingnow!#ivchat chemosabe @joyceharrellrn@chemosabe @nursingpins@nurseeducator thankshave a wonderful week.HappyThanksgivingtothose in the states.#IVchat InfusionNurse @InfusionNurse@chemosabe@nursingpins@nurseeducator thankshave a wonderful week.HappyThanksgivingtothose in the states.#IVChat JoyceHarrellRN IV flusheswithsaline>IV flusheswithheparin.#ebp#IVchat #whatILearned Marcia_Lynn23 RT @joyceharrellrn:@InfusionNurse@chemosabe @nursingpinsthankshave awonderful week.Happy Thanksgivingtothose inthe states.#ivchat NurseEducator If u all have time,gooverto #MDchat now in progress#IVchat IVchat see mybloghttp://is.gd/hFPBsRT@nursingpins:Hadnever heardof bevel down?thoughtImissedsomething.- #IVchat InfusionNurse Saline preferredRT@Marcia_Lynn23: IV flusheswithsaline>IV flusheswithheparin.#ebp#IVchat#whatILearned#IVchat InfusionNurse Thanks,have a great day!!RT @chemosabe: willputitinmy diary...off tophysical meetingnow!#IVchat IVchat RT @IVchat: NextIV chat will be Dec.8 Wed8PM! #IVchat IVchat Sad I missed#IVchattoday!HopefullyI'll catchthe nextone. jennparsonage
  12. 12. @swan5675 ..oops,sorryjustsaw ur tweet,use tweetchat.com nexttime andenter#IVchat.www.ivchat.orghasthe summariesof pastchats. IVchat @nursinglink - Iknowitspast 5 ur time butthanksfor joining #IVchat. IVchat @IVchatjust sawthispost.I apparentlymissedit.#IVchat bthenextstep justtesting........#IVchat swan5675 kewl!Iknowhowto do this,now.Thanks!Amlookingforward to the nextchat (Whenisit?) #IVchat swan5675 I see nextchatis December8 (My birthday...easyto remember.) Itisat8PM....but,inwhat time zone?Ilive in Indiana.#IVchat swan5675

×