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         IVchat:           Good morning! Join the IVchat today at 12noon ET #IVchat Hope you can join us.
                           6/1/2010 07:35


         InfusionNurse:    RT @IVchat: Good morning! Join the IVchat today at 12noon ET #IVchat Hope you can
                           join us.
                           6/1/2010 09:17


         touch4healing:    RT @IVchat: Good morning! Join the IVchat today at 12noon ET #IVchat Hope you can
                           join us.
                           6/1/2010 09:23


         IVchat:           Today's IV chat will be at 12noon ET..come join us.. #IVchat
                           6/1/2010 10:18


         InfusionNurse:    RT @IVchat: Today's IV chat will be at 12noon ET..come join us.. #IVchat
                           6/1/2010 10:19


         VascularAccess:   I'm searching for #IVchat live on TweetGrid Search - http://tweetgrid.com
                           /search?q=%23IVchat
                           6/1/2010 11:03


         IVchat:           One hour till the next IV chat on Twitter - join us at 12noon ET #IVchat
                           6/1/2010 11:08


         VascularAccess:   #IVchat
                           6/1/2010 11:08


         VascularAccess:   RT @IVchat: One hour till the next IV chat on Twitter - join us at 12noon ET #IVchat
                           6/1/2010 11:09


         IVchat:           45 mins till the IV chat....come join us at 12noon ET #IVchat
                           6/1/2010 11:20


         IVchat:           Less than fifteen minutes till IVchat time...hope you can join us!! #IVchat
                           6/1/2010 11:44


         InfusionNurse:    RT @IVchat: Less than fifteen minutes till IVchat time...hope you can join us!! #IVchat
                           6/1/2010 11:45


         IVchat:           It's IV chat time...greetings to all!! #IVchat
                           6/1/2010 12:00


         IVchat:           Welcome to all!! Let's start with introductions... #IVchat
                           6/1/2010 12:00


         InfusionNurse:    Hi everyone! Welcome! I'm Cora, infusion nurse/educator and moderator of the IVchat
                           #IVchat
                           6/1/2010 12:04


         VascularAccess:   Hello...michelle, I'm an IV nurse #ivchat..
                           6/1/2010 12:05


         IVchat:           @VascularAccess ..welcome michelle..thanks for joining us. #IVchat
                           6/1/2010 12:06


         VascularAccess:   @IVchat #IVchat
                           6/1/2010 12:07




1 of 5                                                                                                                     6/1/2010 4:47 PM
http://www.printyourtwitter.com/tweets.html



         VascularAccess:   Ioops...'m still learning how this works but happy to be here... #IVchat
                           6/1/2010 12:08


         InfusionNurse:    No worries, we're all learning here..RT @VascularAccess: Ioops...m still learning how this
                           works but happy to be here... #IVchat
                           6/1/2010 12:09


         IVchat:           First topic (T1) coming up...pls. use T1, T2 before ur replies... #IVchat
                           6/1/2010 12:10


         ONSmark:          Hi all. Are there predetermined topics today? If not, I was asked a few IV questions last
                           week for which I can now ask your input. #ivchat
                           6/1/2010 12:10


         MEDsyntrix:       Hi, I'm John, not a nurse but in healthcare. #ivchat
                           6/1/2010 12:10


         IVchat:           Hi Mark, yes but would be glad to answer ur ? RT @ONSmark: Hi all. Are there
                           predetermined topics today? #IVchat
                           6/1/2010 12:11


         IVchat:           Welcome John..IVchat is open to all HCP!! RT @MEDsyntrix: Hi, Im John, not a nurse but
                           in healthcare. #IVchat
                           6/1/2010 12:12


         ONSmark:          @IVchat Thanks. I'll follow the official T1, T2 but see if my ?s "fit" in either. #ivchat
                           6/1/2010 12:12


         IVchat:           T1 - use of ultrasound in PICC insertion is almost standard - but what r ur thoughts in
                           ultrasound for peripheral IV insertions? #IVchat
                           6/1/2010 12:14


         InfusionNurse:    @ONSmark ..we'd be happy to answer ur ?.. #IVchat
                           6/1/2010 12:15


         VascularAccess:   T1 - think it might be a bit too much to use ultrasound for PIV...perhaps just one of those
                           vein finders, laser not ultrasound #IVchat
                           6/1/2010 12:16


         InfusionNurse:    @VascularAccess ..agree w/u plus the learning curve w/ US use is long for the avg nurse.
                           #IVchat
                           6/1/2010 12:18


         MEDsyntrix:       T1 aren't those vein finders ultrasound? #ivchat
                           6/1/2010 12:19


         ONSmark:          May 2010 Jrnl of Ultrasound in Medicine: "Comparison of infection rates among ultrasound-
                           guided vs traditionally placed peripheral.. #ivchat
                           6/1/2010 12:19


         InfusionNurse:    Peripheral IV's? RT @ONSmark: May 2010 JUM "Comparison of infection rates among
                           ultrasound-guided vs traditionally placed peripheral #IVchat
                           6/1/2010 12:21


         InfusionNurse:    No, some are laser tech or just illumination..RT @MEDsyntrix: T1 arent those vein finders
                           ultrasound? #IVchat
                           6/1/2010 12:22


         ONSmark:          Forgot to put T1 & study link www.jultrasoundmed.org/cgi/content/abstract/29/5/741 ("no
                           increased risk of infection w/ ultrasound") #ivchat


2 of 5                                                                                                                        6/1/2010 4:47 PM
http://www.printyourtwitter.com/tweets.html


                           6/1/2010 12:23


         MEDsyntrix:       OK thx #ivchat
                           6/1/2010 12:23


         VascularAccess:   T1 - I can just see nurses using US for PIV taking more insertion time... #IVchat
                           6/1/2010 12:23


         ONSmark:          @InfusionNurse T1 Final line in conclusion is "with ultrasound guidance for peripheral IV
                           lines." (I don't have full article) #ivchat
                           6/1/2010 12:24


         InfusionNurse:    Interesting..thanks will look it up! RT @ONSmark:T1 Final line in conclusion is "with
                           ultrasound guidance for peripheral IV lines." #IVchat
                           6/1/2010 12:25


         VascularAccess:   T1 - wouldn't cost be a factor? US machines as they r now r expensive for just PIV..
                           #IVchat
                           6/1/2010 12:26


         MEDsyntrix:       RT @VascularAccess: T1 - wouldn't cost be a factor? US machines as they r now r
                           expensive for just PIV.. #IVchat
                           6/1/2010 12:28


         InfusionNurse:    Yes, expensive for just PIV RT @VascularAccess: T1 - wouldnt cost be a factor? US
                           machines as they r now r expensive for just PIV.. #IVchat
                           6/1/2010 12:28


         ONSmark:          T1 Like u said b4, standard w/ PICC - I often cite study of "Infusion Therapy team inserted
                           2083 PICC lines per ultrasound guidance" #ivchat
                           6/1/2010 12:29


         InfusionNurse:    @ONSmark ..T1 yes, I think that's a given but with peripheral IV insertions (not PICC) -
                           not sure yet... #IVchat
                           6/1/2010 12:31


         IVchat:           One more topic then we can have @ONSmark share his ?? T2 why isn't infusion/vascular
                           access insertion included in nrsg curriculum #IVchat
                           6/1/2010 12:31


         ONSmark:          T2 Don't know, but think it could be done following INS Core Curriculum for Intravenous
                           Nursing & other outlines! #ivchat
                           6/1/2010 12:34


         VascularAccess:   T1 - PIV are known to have lower inf rates. I'd b more concerned w/success rate & US
                           might improve that...so can those vein finders #IVchat
                           6/1/2010 12:34


         InfusionNurse:    T2 - there are some nrsg schools that do but not all require it. So new grads don't even
                           know how to start PIV's or care 4 CVADs #IVchat
                           6/1/2010 12:35


         IVchat:           AMEN! RT @ONSmark: T2 Dont know, but think it could be done following INS Core
                           Curriculum for Intravenous Nursing & other outlines! #IVchat
                           6/1/2010 12:36


         MEDsyntrix:       RT ONSmark: T2 Don't know, but think it could be done following INS Core Curriculum for
                           Intravenous Nursing & other outlines! #ivchat
                           6/1/2010 12:36




3 of 5                                                                                                                    6/1/2010 4:47 PM
http://www.printyourtwitter.com/tweets.html



         VascularAccess:   T2 - oh I agree with @ONSmark...really wish they would include it in basic nursg
                           training...I didn't learn it when I was a student #IVchat
                           6/1/2010 12:37


         ONSmark:          T2 I saw something on using simulations for IV training, but probably within another course,
                           i.e., not a whole "IV access" course #ivchat
                           6/1/2010 12:38


         VascularAccess:   T2 - I didn't know how to even do CVAD drsg change when I was a new RN...I really had
                           poor technique until I was given training... #IVchat
                           6/1/2010 12:40


         InfusionNurse:    @VascularAccess ..T2 even current staff RNs still don't know how unless they r trained
                           and competency checked. #IVchat
                           6/1/2010 12:41


         IVchat:           @ONSmark ..pls. go ahead with your ?..hope we can help.. #IVchat
                           6/1/2010 12:42


         VascularAccess:   @infusionnurse T2 - all I can say is.....RESPECT ur IV lines, peripheral IV or central
                           lines!!! #IVchat
                           6/1/2010 12:43


         ONSmark:          T2 What I saw was Webcourse 4 physician & "nurses who assist w/ insertion & maintain
                           the central line" http://bit.ly/cS6SwE (cont.) #ivchat
                           6/1/2010 12:44


         MEDsyntrix:       RT @infusionnurse: T2 - all I can say is.....RESPECT ur IV lines, peripheral IV or central
                           lines!!! #IVchat
                           6/1/2010 12:44


         ONSmark:          T2 (cont.) "The central line insertion course uses Web-based didactic training and a
                           simulation center" http://bit.ly/cS6SwE #ivchat
                           6/1/2010 12:45


         IVchat:           RT @VascularAccess: T2 - all I can say is.....RESPECT ur IV lines, peripheral IV or
                           central lines!!! #IVchat
                           6/1/2010 12:45


         ONSmark:          One question I had asked about hospitals using a PERMCATH for chemotherapy, not
                           dialysis. #ivchat
                           6/1/2010 12:47


         InfusionNurse:    @ONSmark ..good one for MD's inserting chest placed CVADs..very impt to have the
                           hands on training. #IVchat
                           6/1/2010 12:47


         InfusionNurse:    @ONSmark ..if catheter tip is in cavo-atrial junction, it's a central line & w good blood
                           return - can b used for chemo - not ideal! #IVchat
                           6/1/2010 12:51


         ONSmark:          @InfusionNurse Thanks! The other question I had asked whether buretrols/burettes are
                           still used for peds in infusion centers. #ivchat
                           6/1/2010 12:52


         InfusionNurse:    @ONSmark ..in NICU's they r still used. for outpt infusion centers, not usually unless
                           volume is so small #IVchat
                           6/1/2010 12:56


         VascularAccess:   @ONSmark - some permcath tips are in the RA - would check first before using for


4 of 5                                                                                                                      6/1/2010 4:47 PM
http://www.printyourtwitter.com/tweets.html


                           chemo.. #IVchat
                           6/1/2010 12:57


         VascularAccess:   @ONSmark - for young peds pts. we use it just for safety reason (so as not giving entire
                           bag)... :) #IVchat
                           6/1/2010 12:59


         IVchat:           We're almost into one hour...any last thoughts..comments..questions? #IVchat
                           6/1/2010 13:00


         ONSmark:          @VascularAccess Thanks again. And I'm not sure if today's chat is ending now but I have
                           to sign off -- thanks again everybody! #ivchat
                           6/1/2010 13:00


         VascularAccess:   Thank you everyone...this is really fun!! Thanks @IVchat #IVchat
                           6/1/2010 13:01


         MEDsyntrix:       Thx! Learned a lot. Until next chat! #ivchat
                           6/1/2010 13:02


         InfusionNurse:    Thanks again to all for a great chat!! Have a good rest of the day! #IVchat
                           6/1/2010 13:03


         IVchat:           That concludes our IV chat for today...thanks to everyone who joined us! #IVchat
                           6/1/2010 13:03


         IVchat:           Next IV chat is June 10, 2010 at 12noon ET. See you then! #IVchat
                           6/1/2010 13:04


         IVchat:           @ONSmark ..thanks Mark! Have a great rest of the day...enjoy the short work week!!
                           #IVchat
                           6/1/2010 13:05


         InfusionNurse:    RT @IVchat: Next IV chat is June 10, 2010 at 12noon ET. See you then! #IVchat
                           6/1/2010 13:07


         VascularAccess:   RT @IVchat: Next IV chat is June 10, 2010 at 12noon ET. See you then! #IVchat
                           6/1/2010 13:08




5 of 5                                                                                                                   6/1/2010 4:47 PM

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  • 1. http://www.printyourtwitter.com/tweets.html IVchat: Good morning! Join the IVchat today at 12noon ET #IVchat Hope you can join us. 6/1/2010 07:35 InfusionNurse: RT @IVchat: Good morning! Join the IVchat today at 12noon ET #IVchat Hope you can join us. 6/1/2010 09:17 touch4healing: RT @IVchat: Good morning! Join the IVchat today at 12noon ET #IVchat Hope you can join us. 6/1/2010 09:23 IVchat: Today's IV chat will be at 12noon ET..come join us.. #IVchat 6/1/2010 10:18 InfusionNurse: RT @IVchat: Today's IV chat will be at 12noon ET..come join us.. #IVchat 6/1/2010 10:19 VascularAccess: I'm searching for #IVchat live on TweetGrid Search - http://tweetgrid.com /search?q=%23IVchat 6/1/2010 11:03 IVchat: One hour till the next IV chat on Twitter - join us at 12noon ET #IVchat 6/1/2010 11:08 VascularAccess: #IVchat 6/1/2010 11:08 VascularAccess: RT @IVchat: One hour till the next IV chat on Twitter - join us at 12noon ET #IVchat 6/1/2010 11:09 IVchat: 45 mins till the IV chat....come join us at 12noon ET #IVchat 6/1/2010 11:20 IVchat: Less than fifteen minutes till IVchat time...hope you can join us!! #IVchat 6/1/2010 11:44 InfusionNurse: RT @IVchat: Less than fifteen minutes till IVchat time...hope you can join us!! #IVchat 6/1/2010 11:45 IVchat: It's IV chat time...greetings to all!! #IVchat 6/1/2010 12:00 IVchat: Welcome to all!! Let's start with introductions... #IVchat 6/1/2010 12:00 InfusionNurse: Hi everyone! Welcome! I'm Cora, infusion nurse/educator and moderator of the IVchat #IVchat 6/1/2010 12:04 VascularAccess: Hello...michelle, I'm an IV nurse #ivchat.. 6/1/2010 12:05 IVchat: @VascularAccess ..welcome michelle..thanks for joining us. #IVchat 6/1/2010 12:06 VascularAccess: @IVchat #IVchat 6/1/2010 12:07 1 of 5 6/1/2010 4:47 PM
  • 2. http://www.printyourtwitter.com/tweets.html VascularAccess: Ioops...'m still learning how this works but happy to be here... #IVchat 6/1/2010 12:08 InfusionNurse: No worries, we're all learning here..RT @VascularAccess: Ioops...m still learning how this works but happy to be here... #IVchat 6/1/2010 12:09 IVchat: First topic (T1) coming up...pls. use T1, T2 before ur replies... #IVchat 6/1/2010 12:10 ONSmark: Hi all. Are there predetermined topics today? If not, I was asked a few IV questions last week for which I can now ask your input. #ivchat 6/1/2010 12:10 MEDsyntrix: Hi, I'm John, not a nurse but in healthcare. #ivchat 6/1/2010 12:10 IVchat: Hi Mark, yes but would be glad to answer ur ? RT @ONSmark: Hi all. Are there predetermined topics today? #IVchat 6/1/2010 12:11 IVchat: Welcome John..IVchat is open to all HCP!! RT @MEDsyntrix: Hi, Im John, not a nurse but in healthcare. #IVchat 6/1/2010 12:12 ONSmark: @IVchat Thanks. I'll follow the official T1, T2 but see if my ?s "fit" in either. #ivchat 6/1/2010 12:12 IVchat: T1 - use of ultrasound in PICC insertion is almost standard - but what r ur thoughts in ultrasound for peripheral IV insertions? #IVchat 6/1/2010 12:14 InfusionNurse: @ONSmark ..we'd be happy to answer ur ?.. #IVchat 6/1/2010 12:15 VascularAccess: T1 - think it might be a bit too much to use ultrasound for PIV...perhaps just one of those vein finders, laser not ultrasound #IVchat 6/1/2010 12:16 InfusionNurse: @VascularAccess ..agree w/u plus the learning curve w/ US use is long for the avg nurse. #IVchat 6/1/2010 12:18 MEDsyntrix: T1 aren't those vein finders ultrasound? #ivchat 6/1/2010 12:19 ONSmark: May 2010 Jrnl of Ultrasound in Medicine: "Comparison of infection rates among ultrasound- guided vs traditionally placed peripheral.. #ivchat 6/1/2010 12:19 InfusionNurse: Peripheral IV's? RT @ONSmark: May 2010 JUM "Comparison of infection rates among ultrasound-guided vs traditionally placed peripheral #IVchat 6/1/2010 12:21 InfusionNurse: No, some are laser tech or just illumination..RT @MEDsyntrix: T1 arent those vein finders ultrasound? #IVchat 6/1/2010 12:22 ONSmark: Forgot to put T1 & study link www.jultrasoundmed.org/cgi/content/abstract/29/5/741 ("no increased risk of infection w/ ultrasound") #ivchat 2 of 5 6/1/2010 4:47 PM
  • 3. http://www.printyourtwitter.com/tweets.html 6/1/2010 12:23 MEDsyntrix: OK thx #ivchat 6/1/2010 12:23 VascularAccess: T1 - I can just see nurses using US for PIV taking more insertion time... #IVchat 6/1/2010 12:23 ONSmark: @InfusionNurse T1 Final line in conclusion is "with ultrasound guidance for peripheral IV lines." (I don't have full article) #ivchat 6/1/2010 12:24 InfusionNurse: Interesting..thanks will look it up! RT @ONSmark:T1 Final line in conclusion is "with ultrasound guidance for peripheral IV lines." #IVchat 6/1/2010 12:25 VascularAccess: T1 - wouldn't cost be a factor? US machines as they r now r expensive for just PIV.. #IVchat 6/1/2010 12:26 MEDsyntrix: RT @VascularAccess: T1 - wouldn't cost be a factor? US machines as they r now r expensive for just PIV.. #IVchat 6/1/2010 12:28 InfusionNurse: Yes, expensive for just PIV RT @VascularAccess: T1 - wouldnt cost be a factor? US machines as they r now r expensive for just PIV.. #IVchat 6/1/2010 12:28 ONSmark: T1 Like u said b4, standard w/ PICC - I often cite study of "Infusion Therapy team inserted 2083 PICC lines per ultrasound guidance" #ivchat 6/1/2010 12:29 InfusionNurse: @ONSmark ..T1 yes, I think that's a given but with peripheral IV insertions (not PICC) - not sure yet... #IVchat 6/1/2010 12:31 IVchat: One more topic then we can have @ONSmark share his ?? T2 why isn't infusion/vascular access insertion included in nrsg curriculum #IVchat 6/1/2010 12:31 ONSmark: T2 Don't know, but think it could be done following INS Core Curriculum for Intravenous Nursing & other outlines! #ivchat 6/1/2010 12:34 VascularAccess: T1 - PIV are known to have lower inf rates. I'd b more concerned w/success rate & US might improve that...so can those vein finders #IVchat 6/1/2010 12:34 InfusionNurse: T2 - there are some nrsg schools that do but not all require it. So new grads don't even know how to start PIV's or care 4 CVADs #IVchat 6/1/2010 12:35 IVchat: AMEN! RT @ONSmark: T2 Dont know, but think it could be done following INS Core Curriculum for Intravenous Nursing & other outlines! #IVchat 6/1/2010 12:36 MEDsyntrix: RT ONSmark: T2 Don't know, but think it could be done following INS Core Curriculum for Intravenous Nursing & other outlines! #ivchat 6/1/2010 12:36 3 of 5 6/1/2010 4:47 PM
  • 4. http://www.printyourtwitter.com/tweets.html VascularAccess: T2 - oh I agree with @ONSmark...really wish they would include it in basic nursg training...I didn't learn it when I was a student #IVchat 6/1/2010 12:37 ONSmark: T2 I saw something on using simulations for IV training, but probably within another course, i.e., not a whole "IV access" course #ivchat 6/1/2010 12:38 VascularAccess: T2 - I didn't know how to even do CVAD drsg change when I was a new RN...I really had poor technique until I was given training... #IVchat 6/1/2010 12:40 InfusionNurse: @VascularAccess ..T2 even current staff RNs still don't know how unless they r trained and competency checked. #IVchat 6/1/2010 12:41 IVchat: @ONSmark ..pls. go ahead with your ?..hope we can help.. #IVchat 6/1/2010 12:42 VascularAccess: @infusionnurse T2 - all I can say is.....RESPECT ur IV lines, peripheral IV or central lines!!! #IVchat 6/1/2010 12:43 ONSmark: T2 What I saw was Webcourse 4 physician & "nurses who assist w/ insertion & maintain the central line" http://bit.ly/cS6SwE (cont.) #ivchat 6/1/2010 12:44 MEDsyntrix: RT @infusionnurse: T2 - all I can say is.....RESPECT ur IV lines, peripheral IV or central lines!!! #IVchat 6/1/2010 12:44 ONSmark: T2 (cont.) "The central line insertion course uses Web-based didactic training and a simulation center" http://bit.ly/cS6SwE #ivchat 6/1/2010 12:45 IVchat: RT @VascularAccess: T2 - all I can say is.....RESPECT ur IV lines, peripheral IV or central lines!!! #IVchat 6/1/2010 12:45 ONSmark: One question I had asked about hospitals using a PERMCATH for chemotherapy, not dialysis. #ivchat 6/1/2010 12:47 InfusionNurse: @ONSmark ..good one for MD's inserting chest placed CVADs..very impt to have the hands on training. #IVchat 6/1/2010 12:47 InfusionNurse: @ONSmark ..if catheter tip is in cavo-atrial junction, it's a central line & w good blood return - can b used for chemo - not ideal! #IVchat 6/1/2010 12:51 ONSmark: @InfusionNurse Thanks! The other question I had asked whether buretrols/burettes are still used for peds in infusion centers. #ivchat 6/1/2010 12:52 InfusionNurse: @ONSmark ..in NICU's they r still used. for outpt infusion centers, not usually unless volume is so small #IVchat 6/1/2010 12:56 VascularAccess: @ONSmark - some permcath tips are in the RA - would check first before using for 4 of 5 6/1/2010 4:47 PM
  • 5. http://www.printyourtwitter.com/tweets.html chemo.. #IVchat 6/1/2010 12:57 VascularAccess: @ONSmark - for young peds pts. we use it just for safety reason (so as not giving entire bag)... :) #IVchat 6/1/2010 12:59 IVchat: We're almost into one hour...any last thoughts..comments..questions? #IVchat 6/1/2010 13:00 ONSmark: @VascularAccess Thanks again. And I'm not sure if today's chat is ending now but I have to sign off -- thanks again everybody! #ivchat 6/1/2010 13:00 VascularAccess: Thank you everyone...this is really fun!! Thanks @IVchat #IVchat 6/1/2010 13:01 MEDsyntrix: Thx! Learned a lot. Until next chat! #ivchat 6/1/2010 13:02 InfusionNurse: Thanks again to all for a great chat!! Have a good rest of the day! #IVchat 6/1/2010 13:03 IVchat: That concludes our IV chat for today...thanks to everyone who joined us! #IVchat 6/1/2010 13:03 IVchat: Next IV chat is June 10, 2010 at 12noon ET. See you then! #IVchat 6/1/2010 13:04 IVchat: @ONSmark ..thanks Mark! Have a great rest of the day...enjoy the short work week!! #IVchat 6/1/2010 13:05 InfusionNurse: RT @IVchat: Next IV chat is June 10, 2010 at 12noon ET. See you then! #IVchat 6/1/2010 13:07 VascularAccess: RT @IVchat: Next IV chat is June 10, 2010 at 12noon ET. See you then! #IVchat 6/1/2010 13:08 5 of 5 6/1/2010 4:47 PM