1. IVchat: #IVchat in 2 hours - 8pm ET tonight..share ur thoughts about the Hopkins shooting &
other topics...#nurses #health #healhcare #infusion
IVchat: It's IV chat time! Good evening & welcome to IV chat, a global online chat for RNs &
HCPs in infusion therapy, vascular access & HC #IVchat
IVchat: Let's start with intros..pls. tell us about yourselves....welcome! #IVchat
InfusionNurse: Hi all, I'm Cora-infusion nurse and moderator of IV chat. So glad you can join
us. Welcome! #IVchat
VascularAccess: Hi there!! Im Michelle, happy to #IVchat
IVchat: @VascularAccess ..hi Michelle, glad u can join tonight! #IVchat
InfusionNurse: @VascularAccess Hi Michelle, how r u? good to see u again! #IVchat
IVchat: We have a cozy group tonight so we'll begin in a minute... #IVchat
VascularAccess: @InfusionNurse ..good..thanks! Almost didnt get home in time but gals I
did...#IVchat
IVchat: Wanted to take a few minutes & discuss the "hopkins shooting" incident today. If u
haven't heard,here info http://bit.ly/a4Y3RQ #IVchat
InfusionNurse: @IVchat..that is so scary and sad. I could just imagine how the staff in that unit
must have felt.. #IVchat
VascularAccess: @IVchat ..wow, didn't know that...I would be terrified if that happened in my
hospital...how's that doctor? #IVchat
IVchat: Accdg to news, doc was in surgery, survived but not sure what his status is now..
#IVchat
mcgaula: RT @IVchat: Accdg to news, doc was in surgery, survived but not sure what his status
is now.. #IVchat
InfusionNurse: Increasing violence against HCP...@nursingpins seems to think its gonna get
worse..cant take comfort in thinking workplace is safe #IVchat
VascularAccess: @IVchat What precautions do u think hosp will take now? security chks like at
airports? #IVchat
MEDsyntrix: @IVchat isn't hopkins an inner city hosp? May benefit from tight airport security,
#IVchat

2. IVchat: @VascularAccess ..maybe that's the way to go to avoid weapons brought in... #IVchat
InfusionNurse: @MEDsyntrix ..yes, Hopkins is accdg to news report. #IVchat
InfusionNurse: I hope other hospital will learn and reassess their emergency preparedness. Hope
it doesn't happen again. #IVchat
IVchat: Ok, next topic coming up in a few... #IVchat
VascularAccess: I wondered what really triggered this guy? Poor doc..was in the wrong
place...#IVchat
IVchat: T1 - Does ur hosp have an infiltration & extravasation policy? Does it include non-
chemo drugs? #IVchat
VascularAccess: T1 - don't remember - think its only for chemo extravasation...#IVchat
InfusionNurse: T1 - i work in outpt infusion, we do have 1 for chemo not for other vesicants
like pressors, we dont give those oupt. #IVchat
VascularAccess: T1 - r u asking about non-chemo like levophed, dopamine, etc?? #IVchat
IVchat: Exactly..RT @VascularAccess: T1 - r u asking about non-chemo like levophed,
dopamine, etc?? #IVchat
IVchat: T1 - am finding that many don't have P/P thus extravasation not treated properly..
#IVchat
VascularAccess: T1 - think hosp policy is to run those drips via central line only not
peripheral..#IVchat
InfusionNurse: resulting in bad outcomes..RT @IVchat: T1 - am finding that many dont have
P/P thus extravasation not treated properly.. #IVchat
IVchat: Lead in to next topic RT @VascularAccess: T1 - think hosp policy is to run those drips
via central line only not peripheral. #IVchat
IVchat: T2 - is ur hosp policy limit vesicants or vasopressors to b infused only via central line?
#IVchat

3. InfusionNurse: much better via CL RT @VascularAccess: T1 - think hosp policy is to run those
drips via central line only not peripheral.. #IVchat
VascularAccess: @InfusionNurse ..i agree..central line much better..but reality is..not all pts
getting those drips have CL #IVchat
InfusionNurse: even if hosp P/P states CL? RT @VascularAccess: reality is..not all pts getting
those drips have CL #IVchat
VascularAccess: @InfusionNurse ..docs always 4get to put in CL when pt. is critically ill - does
only when PIV infiltrates --->extravasation. #ivchat
IVchat: T1 - this is where probs come up - when P/P say 1 thing and staff do not follow. #IVchat
InfusionNurse: then pt gets hurt = lawsuit!! RT @IVchat: T1 - this is where probs come up -
when P/P say 1 thing and staff do not follow. #IVchat
IVchat: T2 coming up in a few... #IVchat
IVchat: oops I meant T3 #IVchat
IVchat: T3 - NIOSH released 2010 list of hazardous drugs, r there drugs not on the list u r
treating as hazadous? #IVchat
InfusionNurse: ...LOL RT @IVchat: oops I meant T3 #IVchat
VascularAccess: @IVchat ..hate to admit but where is the list? #IVchat
IVchat: @vascularaccess T3 - here's the list...http://bit.ly/9VKvdV #IVchat
nursingpins: I have not seen the list either RT@ VascularAccess @IVchat ..hate to admit but
where is the list? #IVchat
InfusionNurse: T3 - i know some chemo centers treat all their meds as hazardous(chemo) so no
variation in handling practices #IVchat
IVchat: Hi Vernon, here's the list...http://bit.ly/9VKvdV RT @nursingpins: I have not seen the
list either #IVchat
nursingpins: Hi all - thanks for the list #IVchat - running late.
VascularAccess: @IVchat ..thanks, mostly chemo meds - don't know if we have meds thats not
on the list #IVchat

4. VascularAccess: @InfusionNurse ..is that practical - why treat all as hazardous? will that not
cause some operational issues ? #IVchat
InfusionNurse: better late than never, glad u can join! RT @nursingpins: Hi all - thanks for the
list #IVchat - running late. #IVchat
nursingpins: Hospitals are not posting a list of hazardous drugs (That I have seen ?) sample of 5.
#IVchat
InfusionNurse: @VascularAccess ..standardize handling procedure by all nurses - so they dont
have to think if hazardous or not #IVchat
InfusionNurse: @nursingpins ..u mean list on page 5? #IVchat
IVchat: like training? RT @VascularAccess: is that practical - why treat all as hazardous? will
that not cause some operational issues ? #IVchat
nursingpins: standardize handling - makes sense - still good to know (hazardous drug list)
Thanks #IVchat
VascularAccess: @IVchat ..if all hazardous like chemo - wouldnt that be given only be chemo
certified RNs #IVchat
IVchat: @nursingpins - wonder why hospitals not posting - r they posting only in select units u
think? #IVchat
InfusionNurse: good point RT @VascularAccess: @IVchat ..if all hazardous like chemo -
wouldnt that be given only be chemo certified RNs #IVchat
InfusionNurse: T3 - also consider costs of supplies used for chemo - if used for all instead of
regular IV supplies #IVchat
IVchat: Hey, its almost an hour...let's wrap up..any parting thoughts? #IVchat
nursingpins: List not posted in acute units ? (will ask) #IVchat
VascularAccess: @InfusionNurse ..exactly what I was saying about operational issues ..more
expensive protective supplies #IVchat
IVchat: @nursingpins ...any thoughts about the Hopkins shooting incident before we end?
#IVchat

5. InfusionNurse: true RT @VascularAccess: @InfusionNurse ..exactly what I was saying about
operational issues ..more expensive protective supplies #IVchat
mcgaula: RT @InfusionNurse: true RT @VascularAccess: @InfusionNurse ..exactly what I was
saying about operational issues ..more expensive protective supplies #IVchat
VascularAccess: @IVchat ..that news about Hopkins made me sad...praying for everyone at
Hopkins and the victims! #IVchat
nursingpins: @IVchat A tragedy - unfortunately I'm afraid we will see more violence in
hospitals before it gets better. #IVchat
mcgaula: @VascularAccess I must have missed something here--what happened at Hopkins?
#IVChat
InfusionNurse: shooting incident, doc shot RT @mcgaula: @VascularAccess I must have
missed something here--what happened at Hopkins? #IVchat
InfusionNurse: hope not RT @nursingpins: @IVchat A tragedy - unfortunately Im afraid we
will see more violence in hospitals before it gets better. #IVchat
IVchat: Ok, everyone - next IV chat will be Sept. 29 Wed at 8PM ET. #IVchat
nursingpins: Assault, rape and murder pose a growing threat to medical caregivers (MSNBC)
http://tinyurl.com/29xa45x #IVchat (today MSNBC
VascularAccess: @nursingpins ...OMG!! that is so scary...#IVchat
IVchat: Thanks to all!! Hope to see again next chat!! Sept. 29 8PM ET! Good night! #IVchat
nursingpins: @InfusionNurse thanks for #IVchat
nursingpins: @mcgaula Physician also shot; man was upset over mother's care, police say
(Hopkins) http://tinyurl.com/29g5uu2 #IVchat
VascularAccess: bye all..very informative...thanks! Nite #IVchat
IVchat: RT @nursingpins: Assault, rape and murder pose a growing threat to medical caregivers
(MSNBC) http://tinyurl.com/29xa45x #IVchat
IVchat: @mcgaula ..so glad u can join us, hope to see u again next chat! #IVchat

6. mcgaula: RT @nursingpins: @mcgaula Physician also shot; man was upset over mother's care,
police say (Hopkins) http://tinyurl.com/29g5uu2 #IVchat
nursingpins: @InfusionNurse Thanks - sorry I missed the first part - will be back. #IVchat -
(back to work :)
EnferEvidente: Repito: Lista de medicamentos peligrosos del NIOSH http://bit.ly/9VKvdV via
#IVchat Cuantos centros exponen la suya?
ONSmark: Sorry I missed last night's #IVchat but I checked the "transcripts" today and I'm glad
the NIOSH drug list http://bit.ly/9VKvdV was a topic.