This document summarizes an online chat about intravenous (IV) therapy. Participants discussed issues like reducing IV medication errors through improved systems and staffing practices in hospitals. They also talked about challenges from drug shortages, such as increased risk of errors when substitute medications must be used. Finally, attendees shared updates from a recent conference on topics like new technologies to help prevent central line-associated bloodstream infections.
Transcript of #RNchat, a Twitter chat for registered nurses, for March 16, 2010. Follow @RNchat for more or visit the blog http://RNchat.org
Topics:
T1 The Question Nursing Answers: "What is the effect of entire h/c process on the human being?" Discuss.
T2 RN-LPN Relations: How healthy, overall, is the relationship between RNs & LPNs?
T3 Nursing Startups: What businesses do you think nurses should build that could change the world?
Transcript for RNchat for Friday, April 16, 2010. RNchat is a Twitter chat for registered nurses.
Topics include:
T1 Health care professionals experience a level of grief when endearing patients die. How can our workplaces help us deal w/ this?
T2 Does the current educational system prepare new health care professionals to effectively manage grief at the workplace?
Follow @RNchat for more (http://Twitter.com/RNchat) or visit the blog http://RNchat.org
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript of #RNchat, a Twitter chat for registered nurses, for March 16, 2010. Follow @RNchat for more or visit the blog http://RNchat.org
Topics:
T1 The Question Nursing Answers: "What is the effect of entire h/c process on the human being?" Discuss.
T2 RN-LPN Relations: How healthy, overall, is the relationship between RNs & LPNs?
T3 Nursing Startups: What businesses do you think nurses should build that could change the world?
Transcript for RNchat for Friday, April 16, 2010. RNchat is a Twitter chat for registered nurses.
Topics include:
T1 Health care professionals experience a level of grief when endearing patients die. How can our workplaces help us deal w/ this?
T2 Does the current educational system prepare new health care professionals to effectively manage grief at the workplace?
Follow @RNchat for more (http://Twitter.com/RNchat) or visit the blog http://RNchat.org
Transcript for #RNchat, a Twitter chat for registered nurses and the public for March 23, 2010. Follow on Twitter for more: http://Twitter.com/RNcht or visit http://RNchat.org for full information.
Topic:
T1 Health Care Reform: What impact will the recent act's passage have on nursing? What reforms would you like to see take place?
Transcript of #RNchat - a Twitter chat for registered nurses - for Friday October 29, 2010.
Follow @RNchat - http://Twitter.com/RNchat - for regular updates. Visit RNchat.org for more.
Topics provided by @NAPH1981
Produced by @PhilBaumann
Transcript of #RNchat - a Twitter chat for registered nurses - for Thursday, November 4, 2010.
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Topics were provided by the kindness of Palo Alto Medical Foundation (@PaloAlto on Twitter) through Erin Macartney (@emacartney):
T1 Are your job responsibilities changing with the advent of health care reform? How?
T2 How do you personally maintain excellent standards of care in the face of budget cuts and pressures?
T3 What areas of health innovation do you think are most important to patient care?
Chat was moderated by Phil Baumann, RN (@PhilBaumann on Twitter)
Transcript of #RNchat - a Twitter chat for registered nurses - for Sunday, October 24, 2010.
Follow @RNchat on Twitter for updates.
Visit RNchat.org for more on the chat.
Topics include:
T1 - How are nurse - hospital relations where you are & have the hospitals slowed down hiring? If so, is it affecting staffing?
T2-Why R important nursing care areas missed (R we still 'holistic') & do patients perceive us as scolding, non- listeners?
T3 - what one change can each of us make to improve our practice/profession/units this week?
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Transcript of RNchat - a Twitter chat for registered nurses - for Friday, October 14, 2010.
Follow @RNchat for regular updates. RNchat.org for blog posts.
Topics included:
T1 If U had the OK to freely use Twitter in any aspect of patient care delivery, how would U use it? To reach pts? Family? MDs? RNs?
T2 Offer Topic Suggestions for Future Chats
Moderated by @EllenRichter
Transcript of #RNchat for March 19, 2010. RNchat is a Twitter chat for registered nurses. Follow @RNchat (http://Twitter.com/RNchat) or visit http://RNchat.org for more.
A featured presentation on the history of how people get healthcare information from the ePatient Connections Conference in October, 2009 - given by Rohit Bhargava. This was a "Pecha Kucha" session - 20 slides presented at 20 seconds per slide.
Transcript for #RNchat - a Twitter chat for registered nurses - for July 15, 2010.
TOPICS:
T1- How does lateral violence among RNs affect pt care? & how can we better prepare nurses & students to deal with lateral violence?
T2- Pharm:vast/quick changing/& can hurt pts.What areas do U need more pharm ed in & what should we teach nursing students?
T3 - Teaching better communication? how should we teach it & should scripting be used in Nursing?
Follow @RNchat - http://Twitter.com/RNchat for more!!
RNchat.org - http://RNchat.org
Transcript of #RNchat - a Twitter chat for registered nurses - for Friday October 29, 2010.
Follow @RNchat - http://Twitter.com/RNchat - for regular updates. Visit RNchat.org for more.
Topics provided by @NAPH1981
Produced by @PhilBaumann
Transcript of #RNchat - a Twitter chat for registered nurses - for Thursday, November 4, 2010.
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Topics were provided by the kindness of Palo Alto Medical Foundation (@PaloAlto on Twitter) through Erin Macartney (@emacartney):
T1 Are your job responsibilities changing with the advent of health care reform? How?
T2 How do you personally maintain excellent standards of care in the face of budget cuts and pressures?
T3 What areas of health innovation do you think are most important to patient care?
Chat was moderated by Phil Baumann, RN (@PhilBaumann on Twitter)
Transcript of #RNchat - a Twitter chat for registered nurses - for Sunday, October 24, 2010.
Follow @RNchat on Twitter for updates.
Visit RNchat.org for more on the chat.
Topics include:
T1 - How are nurse - hospital relations where you are & have the hospitals slowed down hiring? If so, is it affecting staffing?
T2-Why R important nursing care areas missed (R we still 'holistic') & do patients perceive us as scolding, non- listeners?
T3 - what one change can each of us make to improve our practice/profession/units this week?
Follow @RNchat - http://Twitter.com/RNchat for regular updates.
Transcript of RNchat - a Twitter chat for registered nurses - for Friday, October 14, 2010.
Follow @RNchat for regular updates. RNchat.org for blog posts.
Topics included:
T1 If U had the OK to freely use Twitter in any aspect of patient care delivery, how would U use it? To reach pts? Family? MDs? RNs?
T2 Offer Topic Suggestions for Future Chats
Moderated by @EllenRichter
Transcript of #RNchat for March 19, 2010. RNchat is a Twitter chat for registered nurses. Follow @RNchat (http://Twitter.com/RNchat) or visit http://RNchat.org for more.
A featured presentation on the history of how people get healthcare information from the ePatient Connections Conference in October, 2009 - given by Rohit Bhargava. This was a "Pecha Kucha" session - 20 slides presented at 20 seconds per slide.
Transcript for #RNchat - a Twitter chat for registered nurses - for July 15, 2010.
TOPICS:
T1- How does lateral violence among RNs affect pt care? & how can we better prepare nurses & students to deal with lateral violence?
T2- Pharm:vast/quick changing/& can hurt pts.What areas do U need more pharm ed in & what should we teach nursing students?
T3 - Teaching better communication? how should we teach it & should scripting be used in Nursing?
Follow @RNchat - http://Twitter.com/RNchat for more!!
RNchat.org - http://RNchat.org
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
1. Good morning! Join #IVChat tonight at
8pm ET. #nurses #health #nursing IVchat
RT @IVchat Good morning! Join
#IVChat tonight at 8pm ET. #nurses
#rnchat #mdchat PhilBaumann
RT @philbaumann @IVchat Good
morning! Join #IVChat tonight at 8pm
ET. #nurses #rnchat #mdchat onlinenursing
RT @philbaumann @IVchat Good
morning! Join #IVChat tonight at 8pm
ET. #nurses #rnchat #mdchat NUR3563
RT @onlinenursing: RT @philbaumann
@IVchat Good morning! Join #IVChat
tonight at 8pm ET. #nurses #rnchat
#mdchat nursingpins
RT @onlinenursing: RT @philbaumann
@IVchat Good morning! Join #IVChat
tonight at 8pm ET. #nurses #rnchat
#mdchat soupermom
RT @IVchat: Good morning! Join
#IVChat tonight at 8pm ET. #nurses
#health #nursing InfusionNurse
RT @IVchat: Good morning! Join
#IVChat tonight at 8pm ET. #nurses
#health #nursing mcvassociates
@onlinenursing @philbaumann
@NUR3563 @TBL_Renova ..thanks for
the RTs - would b honored if u can join
#IVchat tonight 8PM ET! IVchat
RT @InfusionNurse: The Good, The
Bad and Drug Shortages.:
http://wp.me/pC2pF-iR IVchat
2hours till #IVchat time..go grab dinner
and join us at 8pm ET! #nurses #nursing
#Health #healthcare IVchat
RT @IVchat: 2hours till #IVchat time..go
grab dinner and join us at 8pm ET!
#nurses #nursing #Health #healthcare VascularAccess
@nursingpins @soupermom ..thanks for
the RT..hope u can join #IVchat tonite!!
8PM ET! IVchat
1 hour away from #IVchat...come join us
tonite 8PMET..#nurses #nursing #health
#Healthcare IVchat
30 minutes till IVchat...get ur fav drink
and join us 8pm ET #nurses #nursing
#health #healthcare #IVchat IVchat
RT @IVchat: 30 minutes till IVchat...get
ur fav drink and join us 8pm ET #nurses
#nursing #health #healthcare #IVchat nursingpins
2. RT @IVchat: 30 minutes till IVchat...get
ur fav drink and join us 8pm ET #nurses
#nursing #health #healthcare #IVchat InfusionNurse
15 minutes...#IVchat at 8pm
ET...#nurses #nursing #health
#healthcare #infusion #therapy IVchat
5 minutes till #IVchat... #nurses #nursing
#health #healhcare #infusion #therapy IVchat
It's #IVchat time! Welcome all. IVchat is
a global online chat for RNs & HCPs on
topics related to infusion therapy &
vascular access..etc. IVchat
Let's start w/ intros..tell us about yourself
in < than 140.. #IVchat IVchat
Good evening to all! I'm Cora, infusion
nurse and moderator of IV chat.
Welcome!! #IVchat InfusionNurse
Hi all..glad to b here..I'm
Michelle..#IVchat VascularAccess
@IVchat Hi I am Chris from Orlando, FL,
IV Nurse for many years, now a Clinical
Specialist for a manufacturer ChrisCavRN
Hi Cora - Vernon, Crit Care in New
Orleans - thankful to be off tonight.
#IVChat nursingpins
Hi Michelle, good to see u, glad u can
join us!! Welcome back! #IVchat InfusionNurse
@nursingpins Hi Vernon, thanks for
joining us on ur nite off! Welcome!
#IVchat InfusionNurse
I'm jon - I'm not a nurse but this chat is
always interesting to me. Howdy!
#IVchat MEDsyntrix
Thanks - always useful information here.
#IVChat nursingpins
Great, welcome to all. Topics will be
listed as T1, T2, etc. Pl. prepend ur
replies w/ topic number #IVchat IVchat
I'm going to lurk and learn! Student
nurse here - third semester. Just getting
into IV medications. :) #IVChat Kat_SN
@MEDsyntrix ..Welcome jon! Glad u
can join us tonite! #IVchat InfusionNurse
@Kat_SN ..welcome, we're always
happy to see student nurses and any
lurkers out there! #IVchat InfusionNurse
T1 IV errors til a problem, do u think
mandatory public reporting will help
reduce med errors? #IVchat IVchat
3. T1 We cant place blame but need to
investigate making systems changes to
prevent errors, humans = errors #ivchat ChrisCavRN
T1 - u mean public reporting of "incident
reports" of IV med errors? hmmm..not
sure..#IVchat VascularAccess
Another student nurse here! First time
chatting with #IVchat NurseNaters
T1 - public reporting of IV med errors or
any errors might not be a great way to
reduce med errors...could be punitive
#IVchat InfusionNurse
Join me for a #ivchat TweetChat at:
http://tweetchat.com/room/ivchat ChrisCavRN
T! I think it will make the pub aware of
the # of errors - but will not red them
until hosps take them serious & enforce
reporting. #IVChat nursingpins
T1 - @nursingpins shared this
article..http://bit.ly/bXOtbB #IVchat IVchat
T1 Due to hospital culture - med errors
are a long way form being reported in
any reliable #'s #IVChat nursingpins
@ChrisCavRN ..I agree..also state
mandated reporting not always
completely followed... #IVchat InfusionNurse
Agree, who really wants to report own
mistakes? RT @nursingpins: T1 Due to
hospital culture - med errors are not
being reported #IVchat InfusionNurse
@ChrisCavRN Welcome to IV chat
Chris! #IVchat IVchat
@IVchat Thanks! This is a great idea,
and nice forum #ivchat ChrisCavRN
T1 - there are still IV errors and honestly
think public awareness might not be that
effective in reducing.. #IVchat InfusionNurse
Noticed that some tweets r not showing
up, pls. dont forget #IVchat so we can all
see u!! :) #IVchat IVchat
Think about the ATM machine it used to
keep our cards all the time because we
forgot them #ivchat ChrisCavRN
Now we swipe and the card never
leaves our hand-a system fix to a human
problem #ivchat ChrisCavRN
T1 I don't think you can reduce any kind
of med errors without better staffing
practices by hospitals. #IVChat Kat_SN
4. T1 -i'm a bit slow here but pls. share
how u think public awareness will reduce
med errors by nurses who r human
beings? #Ivchat VascularAccess
We need to find ways like that to reduce
med errors like using bar coded arm
bands and medication dispensers like
Pyxis #ivchat ChrisCavRN
good point RT @Kat_SN: T1 I dont think
you can reduce any kind of med errors
without better staffing practices by
hospitals. #IVchat IVchat
T1 @Kat_SN safe staffing could reduce
many errors - you are right. #IVChat Nursingpins
pressure admin to improve systems..RT
@VascularAccess: T1 - bit slow here but
how u think public awareness will reduce
med errors #IVchat InfusionNurse
T1 In a learning environment knowing
how mistakes happen could be
beneficial. Blame will only create better
excuses or loopholes. #IVchat NurseNaters
T2 coming up in a sec... #IVchat IVchat
T1 IV errors ARE taken more serious - if
no reaction etc - even they are not
reported #IVChat nursingpins
Agree RT @nursingpins: T1 @Kat_SN
safe staffing could reduce many errors -
you are right. #IVchat IVchat
RT @ChrisCavRN: We need to find
ways like that to reduce med errors like
using bar coded arm bands/medication
dispensers like Pyxis #IVchat IVchat
T1 - public awareness will help the
patients be informed enough to ask
questions - will save some lives. #IVChat nursingpins
T1 - aren't incident reports protected
from the public until subpoena? #ivchat VascularAccess
T1 - I have seen many drug errors
avoided by patient questions. #IVChat nursingpins
As a student, I've seen my share of IV
med errors... most of which were caused
by failing to label properly. #IVChat Kat_SN
Agree that educated consumer can help
but education and awareness raising
more effective than punitive advertising
of errors #ivchat ChrisCavRN
T1 esp "Is that a new med" and "I have
never taken that before" #IVChat nursingpins
5. Amen to that!! RT @nursingpins: T1 - I
have seen many drug errors avoided by
patient questions. #IVchat InfusionNurse
Distractions also increase the incidence
of med errors. A "no-interruption zone"
for medication preparation & admin can
help #IVChat #ivchat FreshRN
RT @ChrisCavRN: Agree that educated
consumer can help but education and
awareness more effective not punitive
advertising of errors #IVchat InfusionNurse
true..RT @Kat_SN: As a student, Ive
seen my share of IV med errors... most
of which were caused by failing to label
properly. #IVchat InfusionNurse
T2 - Drug shortages of many meds esp.
critical IV meds -what action plans do ur
org have to handle/manage? What is the
nurses role? #IVchat IVchat
RT @FreshRN: Distractions incre
aseincidence of med errors. A "no-
interruption zone" for medication prep &
admin can help #IVChat #IVchat InfusionNurse
Great example...RT @nursingpins: T1
esp "Is that a new med" and "I have
never taken that before" #IVchat IVchat
T2 - drug shortages is really becoming
an issue and accdg to ISMP may
contribute to increased med errors..
#IVchat InfusionNurse
RT @nursingpins: T1 Due to hospital
culture - med errors are a long way form
being reported in any reliable #'s
#IVChat Dlwdillon
@FreshRN ..welcome to IV chat...good
point! #IVchat IVchat
@FreshRN Would help-but nur now is a
const distrac-add mult. IVPB's new
orders- PRN staff- q. shift is a perfect
storm for errors. #IVChat nursingpins
RT @nursingpins: T1 esp "Is that a new
med" and "I have never taken that
before" #IVChat soupermom
T2 @InfusionNurse ..saw ur blog on
drug shortages..u r right, nurses should
be concerned as well #IVchat VascularAccess
RT @nursingpins: @FreshRN const
distrac-add mult. IVPBs new orders-
PRN staff- q. shift is a perfect storm for
errors. #IVchat IVchat
6. T1 Plus added pressure at the pyxis
mach. - nurses in line to get meds -
times should be stagged more. #IVChat nursingpins
T2 I am more concerned about patient
injury such as risk of using dilantin again
instead of fosphenetoyn #ivchat ChrisCavRN
RT @nursingpins: T1 Plus added
pressure at the pyxis mach. - nurses in
line to get meds - times should be
stagged more. #IVchat IVchat
@IVchat Yes that's very true. No-
interrupt. zones wouldn't completely
eliminate distractions but may help to
reduce them. Good point #ivchat FreshRN
T2 i think that nurses think drug
shortage is just a pharm prob. #IVchat InfusionNurse
room 4 errors again.RT @ChrisCavRN:
T2 concerned about patient injury such
as risk of using dilantin again instead of
fosphenetoyn #IVchat InfusionNurse
Many errors now from nurses unfamiliar
with pts - many PT nurses - most drug
errors now are multiple errors. #IVChat nursingpins
True RT @nursingpins: Many errors now
from nurses unfamiliar with pts - many
PT nurses - most drug errors now are
multiple errors. #IVchat IVchat
Disagree that PT RNs are a problem
even FT RNs make mistakes and have
unfamiliar new admissions again we
need a systems fix #ivchat ChrisCavRN
T2 - my fear w/ substitution of drug is
that it is never as good as the original
#IVchat VascularAccess
RT @VascularAccess: T2 - my fear w/
substitution of drug is that it is never as
good as the original #IVchat IVchat
T2- As a student my preceptor & I would
always check the fridge/etc @ start of
shift to ensure drips were in stock &
request if out #ivchat FreshRN
Sound alike drugs have always been a
prob-nur shld check tngs if the drug is
not avail. many errors are caught with
pyxis over-ride. #IVChat nursingpins
great! RT @FreshRN: T2- As a student
my preceptor & I always check @ start
of shift to ensure drips were in stock &
request if out #IVchat InfusionNurse
7. RT @nursingpins: Many errors now from
nurses unfamiliar with pts - many PT
nurses - most drug errors now are
multiple errors. #IVChat dlwdillon
RT @nursingpins: Sound alike drugs
been a prob-nur shld chk tngs if drug is
not avail. many errors r caught with pyxis
over-ride. #IVchat InfusionNurse
T3 - an update from the recent AVA
meeting - @chriscavRN attended -
anything to share? #IVchat IVchat
T2 - when other drugs r substituted,
make me nervous that I always
double/triple check b4 giving to pt.
#IVchat InfusionNurse
One hospital was printing a
reconciliation sheet from pharmacy (will
catch many errors) they quit - too many
discrepancy's #IVChat Nursingpins
AVA is the Association for Vascular
Access - @chriscavrn - pls. feel free to
share #IVchat IVchat
T3 Great information presented
regarding reducing CRBSI to Zero, risks
of thrombosis with PICCs, central line tip
location using EKG #ivchat ChrisCavRN
@nursingpins ..prob takes lots of time
and manpower... #IVchat InfusionNurse
T2 New antimicrobial PICC new caps
with antimicrobial properties and caps
for caps/valves with alcohol in them
#ivchat ChrisCavRN
@ChrisCavRN ..anything new on
reducing CRBSI to zero? #IVchat IVchat
@InfusionNurse Can be printed out with
pyxis program - will match all drugs
removed and times. #IVChat nursingpins
T3 45 posters presented the most ever
and great post conference on IJ
placement of central lines #ivchat ChrisCavRN
T3 - EKG for PICC tip placement - will
that replace the need for xray
verification? #Ivchat VascularAccess
T3 Yes-CRBSI to zero needs a systems
approach both insertion and care
bundles and technology #ivchat ChrisCavRN
@nursingpins ..why did they stop just
b/c of too many discrepancies? #IVchat InfusionNurse
8. RT @VascularAccess: T3 - EKG for
PICC tip placement - will that replace the
need for xray verification? #IVchat IVchat
T3 yes one company has FDA approval
to replace chest xray with their EKG
based system it is very easy to use
#ivchat ChrisCavRN
@VascularAccess T3 good question -
many more can identify PICC with x-ray
- many cannot read EKG's - including
physicians. #IVChat nursingpins
T3 no more waiting hours for xrays to be
read use the line as soon as it is placed
#ivchat ChrisCavRN
RT @ChrisCavRN: T3 New antimicrobial
PICC new caps with antimicrobial
properties and caps for caps/valves with
alcohol in them #IVchat IVchat
@InfusionNurse yes - too many errors -
was a nightmare. #IVChat nursingpins
T3 actually using x-ray is very inaccurate
and subjective also depends on
technique ECG verification is the same
for every patient #ivchat ChrisCavRN
RT @nursingpins: @VascularAccess T3
good question - many more can identify
PICC with x-ray - many cannot read
EKGs - include MDs #IVchat IVchat
T3 The RN learns to look for the change
in the p wave, does not have to "read"
an EKG #ivchat ChrisCavRN
@nursingpins @InfusionNurse We still
do drug reconciliations.... we just don't
trust the doctors to do them properly.
LOL #IVChat Kat_SN
@ChrisCavRN something I am not
familiar with thanks, will have to read
about EKG vitrifaction. #IVChat Nursingpins
LOL RT @Kat_SN:@nursingpins
@InfusionNurse We still do drug
reconciliations.... we just dont trust the
doctors to do properly. LOL #IVchat InfusionNurse
RT @ChrisCavRN: T3 The RN learns to
look for the change in the p wave, does
not have to "read" an EKG #IVchat IVchat
T3 - read p wave only upon insertion not
dwell? #IVchat VascularAccess
9. @Kat_SN I had the hardest time
deciphering what an MD had written on
the Med Rec once due to illegible
handwriting... #ivchat FreshRN
@chriscavrn ..caps w/ alcohol or CHG?
#ivchat VascularAccess
T3 compare an intercavitary EKG to
Surface EKG, the PICC becomes a lead
and causes changes in the p wave as it
gets closer to atrium #ivchat ChrisCavRN
T3 hard to explain in 140 #ivchat ChrisCavRN
@IVchat That is simple enough - had
plenty exp. with p's and swans - many
nurses will have to learn p act. - many
don't know? #IVChat Nursingpins
so true...LOL..RT @ChrisCavRN: T3
hard to explain in 140 #IVchat IVchat
@FreshRN Honestly, every med rec. I
have seen was prepared by nurse,
signed off on by MD, and then
CHECKED again by RN. #IVChat Kat_SN
T3 two companies make a cap with
alcohol that goes over any luer-end of
catheter, end of pt site, y sites, etc
#ivchat ChrisCavRN
@chriscavrn ..LOL, thanks always good
to know about EKG for picc placement!
#Ivchat VascularAccess
@Kat_SN Sounds like the way to go =)
#ivchat FreshRN
@FreshRN And seriously, do they teach
a "how to OD your patients with your
bad handwriting" class in Med School?
#IVChat Kat_SN
Wow, our hour is up....pls. continue to
chat if u wish... #IVchat IVchat
T3 change to p wave only during
placement so only PICC RNs will have
to learn very easy to learn, really #ivchat ChrisCavRN
LOL, maybe!RT @Kat_SN: @FreshRN
And seriously, do they teach a "how to
OD your patients with your bad
handwriting" class in Med Sch? #IVchat IVchat
@ChrisCavRN OH - ok that makes
sense - thanks #IVChat Nursingpins
T3 check out www.romedex.com #ivchat ChrisCavRN
10. RT @ChrisCavRN: T3 two companies
make a cap with alcohol that goes over
any luer-end of catheter, end of pt site, y
sites, etc #IVchat IVchat
Thanks for the discussion! :) I enjoyed it.
#IVChat Kat_SN
Continue to chat as long as u want, but
just remind everyone - next chat is Oct.
12 at 8pm ET!! #IVchat IVchat
@IVchat @ChrisCavRN @Kat_SN
@nursingpins @VascularAccess
@InfusionNurse Really enjoyed reading
your posts, awesome first #ivchat FreshRN
Glad u enjoyed it, thanks and hope to c
u again! RT @Kat_SN: Thanks for the
discussion! :) I enjoyed it. #IVchat IVchat
Thanks Cora - next chat is Oct. 12 at
8pm ET!! #IVChat Nursingpins
RT @FreshRN: @IVchat @ChrisCavRN
@Kat_SN @nursingpins
@VascularAccess @InfusionNurse
Really enjoyed reading your posts,
awesome first #ivchat Kat_SN
@FreshRN ..aww, thanks glad u
enjoyed ur 1st IV chat - plan to join us
again on Oct. 12! #IVchat IVchat
Glad to see the turnout - will be back.
#IVChat Nursingpins
Thanks to all..I too enjoyed iteven if I'm
one of the old ones..LOL..#IVchat VascularAccess
Thanks to @Kat_SN: RT @FreshRN:
@ChrisCavRN @Kat_SN @nursingpins
@VascularAccess @InfusionNurse and
lurker friends for chatting! #IVchat IVchat
Thanks everyone and hope to see you
all again at next IV chat Oct 12 at 8PM!
#IVchat InfusionNurse
@ChrisCavRN ..thanks Chris! Very
interesting info! Hope u can join us again
next chat! #IVchat InfusionNurse
The summary of tonight's IV chat will be
posted on ivchat.org. Will tweet when its
up. Good night, thanks again for joining
IVchat #IVchat IVchat
RT @IVchat: The summary of tonights
IV chat will be posted on ivchat.org. Will
tweet when its up. #ivchat FreshRN
Thanks Vernon, always a delight to see
u!! RT @nursingpins: Glad to see the
turnout - will be back. #IVchat IVchat
11. @IVchat Thanks - glad to see you too -
will be back - the chat was great! :) Nursingpins
@NurseNaters ..thanks for joining IV
chat tonite. Hope to see u again next
chat Oct. 12 8pm ET! IVchat
AAAAAAmen! ~>RT @nursingpins: T1
@Kat_SN safe staffing could reduce
many errors - you are right. #IVChat Findkarag
One more RN chatting in #ivchat for the
first time! Gotta love technology! TheToddRN