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         IVchat:           Don't forget today's IV chat at 12noon ET. Hope to see you there!! #IVchat
                           6/10/2010 08:23


         InfusionNurse:    RT @IVchat: Don't forget today's IV chat at 12noon ET. Hope to see you there!! #IVchat
                           6/10/2010 08:48


         IVchat:           One hour till IVchat...join us at 12noon!
                           6/10/2010 11:03


         mcvassociates:    RT @IVchat: One hour till IVchat...join us at 12noon!
                           6/10/2010 11:04


         MEDsyntrix:       RT @IVchat: One hour till IVchat...join us at 12noon!
                           6/10/2010 11:05


         IVchat:           One hour till IVchat...join us at 12noon! #IVchat
                           6/10/2010 11:07


         IVchat:           RT @infectionCtrl: Infection Control Lacking at Surgical Centers - NewsPlurk http://bit.ly
                           /9qmmkb
                           6/10/2010 11:24


         IVchat:           Half hour till #IVchat... Topic today is about infusing irritants/vesicants via PIV/Midlines and
                           whose liable? #ivchat
                           6/10/2010 11:34


         IVchat:           Five minutes to start time...Join us the IVchat! #ivchat
                           6/10/2010 11:56


         IVchat:           Hello and welcome to today's IV chat!! let's start w/ introductions... #ivchat
                           6/10/2010 12:01


         InfusionNurse:    Hi all! Cora - infusion nurse/educator, moderator of IVchat! #IVchat
                           6/10/2010 12:02


         VascularAccess:   Hello...my name is Michelle , so glad to be here. Good chats here! thanks Cora and
                           #IVchat
                           6/10/2010 12:04


         VascularAccess:   never been to a chat...what do I do to join IVchat?
                           6/10/2010 12:05


         PICCNurse:        never been to a chat...what do I do to join IVchat?
                           6/10/2010 12:05


         IVchat:           @VascularAccess Hi Michelle, glad u can join us. #ivchat
                           6/10/2010 12:05


         VascularAccess:   john here..not a nurse but in healthcare...hello to all! #IVchat
                           6/10/2010 12:07


         PICCNurse:        john here..not a nurse but in healthcare...hello to all! #IVchat
                           6/10/2010 12:07


         MEDsyntrix:       john here..not a nurse but in healthcare...hello to all! #IVchat
                           6/10/2010 12:07




1 of 4                                                                                                                    6/14/2010 10:29 AM
http://www.printyourtwitter.com/tweets.html



         VascularAccess:   @PICCNurse ..use the #IVchat so we can see you chat...that's all u need and ur
                           comments of course.
                           6/10/2010 12:08


         IVchat:           @MEDsyntrix Welcome! We're all here to discuss and learn about infusion therapy...all is
                           welcome to join. #ivchat
                           6/10/2010 12:09


         IVchat:           We have one topic to discuss requested by an RN tweeter..coming up in a bit. #ivchat
                           6/10/2010 12:10


         VascularAccess:   Ok, like #IVchat?
                           6/10/2010 12:11


         PICCNurse:        Ok, like #IVchat?
                           6/10/2010 12:11


         IVchat:           @PICCNurse ..yes, depending on what ur using, always put #IVchat at the end. Welcome
                           #ivchat
                           6/10/2010 12:12


         PICCRN:           yes...just like that..RT @PICCNurse: Ok, like #IVchat?
                           6/10/2010 12:12


         IVchat:           T1 - MD orders midline specifically to infuse a known irritant. Will you insert the midline?
                           #ivchat
                           6/10/2010 12:14


         InfusionNurse:    @PICCRN ..hello, welcome to IVchat #IVchat
                           6/10/2010 12:14


         VascularAccess:   T1 - no, will not put in one...even knowing it will be used to infuse an irritating med. #IVchat
                           6/10/2010 12:16


         InfusionNurse:    T1 - midline is considered a peripheral line and should not be used to infuse a known
                           irritant. #IVchat
                           6/10/2010 12:17


         IVchat:           T1 - irritant - capable of producing discomfort or pain at IV site...per INS #IVchat
                           6/10/2010 12:19


         PICCNurse:        They should use a central line like or a PICC instead...#IVchat
                           6/10/2010 12:21


         InfusionNurse:    T1 - good to have a chat with the MD - perhaps not aware of ordered irritant... #IVchat
                           6/10/2010 12:23


         VascularAccess:   definitely!!! RT @PICCNurse: They should use a central line like or a PICC
                           instead...#IVchat
                           6/10/2010 12:24


         VascularAccess:   Yes, we shld explain why...RT @InfusionNurse: T1 - good to have a chat with the MD -
                           perhaps not aware of ordered irritant... #IVchat
                           6/10/2010 12:25


         IVchat:           T1 ffup: MD's insist u put midline - states he/she will take responsibility 4 ordering known
                           vesicant. Would u? #ivchat
                           6/10/2010 12:26


         VascularAccess:   T1 - I would still would not insert midline - its not his liability, its mine b/c I inserted the


2 of 4                                                                                                                        6/14/2010 10:29 AM
http://www.printyourtwitter.com/tweets.html


                           midline esp. if something happens #IVchat
                           6/10/2010 12:29


         InfusionNurse:    T1 ffup: that is why it is so important to have policies/procedures in place for these..so
                           nurse doesn't have to argue w/ MD #IVchat
                           6/10/2010 12:30


         IVchat:           Very true!! RT @VascularAccess:T1 - would not insert midline - its not his liability, its mine
                           b/c I inserted the midline #ivchat
                           6/10/2010 12:32


         mcvassociates:    RT @InfusionNurse: that is y it is so important to have policies/procedures in place for
                           these..so nurse doesn't have to argue w/ MD #IVchat
                           6/10/2010 12:33


         VascularAccess:   P/P are very helpful...but some are not even current or don't address issues w/ venous
                           access....imo...#IVchat
                           6/10/2010 12:34


         InfusionNurse:    I agree RT @VascularAccess: T1 - would not insert midline - its not his liability, its mine
                           b/c I inserted the midline #IVchat
                           6/10/2010 12:35


         MEDsyntrix:       It is my understanding that an MD cannot take responsibility for another professional's(lie
                           an RN) mistake? #IVchat
                           6/10/2010 12:36


         InfusionNurse:    Yes RT @MEDsyntrix: It is my understanding that an MD cannot take responsibility for
                           another professionals(lie an RN) mistake? #IVchat
                           6/10/2010 12:37


         InfusionNurse:    Professional RN's are responsibility for their own actions...even if following MD orders.
                           #IVchat
                           6/10/2010 12:38


         IVchat:           use the Infusion nursing standards of practice RT @VascularAccess: P/P are very
                           helpful...not even current or dont address...#IVchat #ivchat
                           6/10/2010 12:41


         IVchat:           T1 ffup: ok, so MD changes order to a PIV instead of ML, same medication to infuse, ur
                           thoughts? #ivchat
                           6/10/2010 12:43


         VascularAccess:   @IVchat - what?, something is wrong with this doc...LOL...#IVchat
                           6/10/2010 12:45


         InfusionNurse:    @IVchat - still not ideal..but potential to ID infiltration is better than ML, since nurse can
                           observe site #IVchat
                           6/10/2010 12:47


         VascularAccess:   @InfusionNurse ..what about the nurse giving the infusion? Often we put lines, then some1
                           else uses it. Who is liable? #IVchat
                           6/10/2010 12:48


         PICCNurse:        good ? RT @VascularAccess: what about the nurse giving the infusion? Often we put
                           lines, then some1 else uses it. Who is liable? #IVchat
                           6/10/2010 12:49


         InfusionNurse:    @PICCNurse @vascularaccess..yes, both will have liability... #IVchat
                           6/10/2010 12:52




3 of 4                                                                                                                      6/14/2010 10:29 AM
http://www.printyourtwitter.com/tweets.html



         VascularAccess:   Just stop & think of how many floor nurses would check if ordered meds is an irritant and
                           say..."I'm not giving this thru that PIV"? #IVchat
                           6/10/2010 12:54


         InfusionNurse:    @VascularAccess ..good point...many would just infuse esp. if there's a line and an
                           order..sad to think but its real! #IVchat
                           6/10/2010 12:56


         IVchat:           Five minutes left...let's wrap up...any final thoughts on this? #ivchat
                           6/10/2010 12:57


         VascularAccess:   Honestly, i think many nurses would benefit from a liability course related to infusion
                           therapy and how to not screw up!!! LOL..#IVchat
                           6/10/2010 12:59


         InfusionNurse:    Can't emphasis enough the need for P/P and knowing the infusion nursing standards of
                           practice to protect urselves & our pts. #IVchat
                           6/10/2010 13:00


         PICCNurse:        thanks all! now I can say I hav been to an IV chat on twitter! #IVchat
                           6/10/2010 13:01


         MEDsyntrix:       thanks..learn a lot just reading ur tweets! #IVchat
                           6/10/2010 13:02


         IVchat:           Thanks for chatting w/ us today! Great job everyone! Please join our next chat on June 23
                           at 12noon. #ivchat
                           6/10/2010 13:03


         PICCNurse:        Bye #IVchat..
                           6/10/2010 13:04


         InfusionNurse:    Thanks everyone! Have a great rest of the day! Till next chat!! #IVchat
                           6/10/2010 13:04




4 of 4                                                                                                                     6/14/2010 10:29 AM

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I vchat 610201

  • 1. http://www.printyourtwitter.com/tweets.html IVchat: Don't forget today's IV chat at 12noon ET. Hope to see you there!! #IVchat 6/10/2010 08:23 InfusionNurse: RT @IVchat: Don't forget today's IV chat at 12noon ET. Hope to see you there!! #IVchat 6/10/2010 08:48 IVchat: One hour till IVchat...join us at 12noon! 6/10/2010 11:03 mcvassociates: RT @IVchat: One hour till IVchat...join us at 12noon! 6/10/2010 11:04 MEDsyntrix: RT @IVchat: One hour till IVchat...join us at 12noon! 6/10/2010 11:05 IVchat: One hour till IVchat...join us at 12noon! #IVchat 6/10/2010 11:07 IVchat: RT @infectionCtrl: Infection Control Lacking at Surgical Centers - NewsPlurk http://bit.ly /9qmmkb 6/10/2010 11:24 IVchat: Half hour till #IVchat... Topic today is about infusing irritants/vesicants via PIV/Midlines and whose liable? #ivchat 6/10/2010 11:34 IVchat: Five minutes to start time...Join us the IVchat! #ivchat 6/10/2010 11:56 IVchat: Hello and welcome to today's IV chat!! let's start w/ introductions... #ivchat 6/10/2010 12:01 InfusionNurse: Hi all! Cora - infusion nurse/educator, moderator of IVchat! #IVchat 6/10/2010 12:02 VascularAccess: Hello...my name is Michelle , so glad to be here. Good chats here! thanks Cora and #IVchat 6/10/2010 12:04 VascularAccess: never been to a chat...what do I do to join IVchat? 6/10/2010 12:05 PICCNurse: never been to a chat...what do I do to join IVchat? 6/10/2010 12:05 IVchat: @VascularAccess Hi Michelle, glad u can join us. #ivchat 6/10/2010 12:05 VascularAccess: john here..not a nurse but in healthcare...hello to all! #IVchat 6/10/2010 12:07 PICCNurse: john here..not a nurse but in healthcare...hello to all! #IVchat 6/10/2010 12:07 MEDsyntrix: john here..not a nurse but in healthcare...hello to all! #IVchat 6/10/2010 12:07 1 of 4 6/14/2010 10:29 AM
  • 2. http://www.printyourtwitter.com/tweets.html VascularAccess: @PICCNurse ..use the #IVchat so we can see you chat...that's all u need and ur comments of course. 6/10/2010 12:08 IVchat: @MEDsyntrix Welcome! We're all here to discuss and learn about infusion therapy...all is welcome to join. #ivchat 6/10/2010 12:09 IVchat: We have one topic to discuss requested by an RN tweeter..coming up in a bit. #ivchat 6/10/2010 12:10 VascularAccess: Ok, like #IVchat? 6/10/2010 12:11 PICCNurse: Ok, like #IVchat? 6/10/2010 12:11 IVchat: @PICCNurse ..yes, depending on what ur using, always put #IVchat at the end. Welcome #ivchat 6/10/2010 12:12 PICCRN: yes...just like that..RT @PICCNurse: Ok, like #IVchat? 6/10/2010 12:12 IVchat: T1 - MD orders midline specifically to infuse a known irritant. Will you insert the midline? #ivchat 6/10/2010 12:14 InfusionNurse: @PICCRN ..hello, welcome to IVchat #IVchat 6/10/2010 12:14 VascularAccess: T1 - no, will not put in one...even knowing it will be used to infuse an irritating med. #IVchat 6/10/2010 12:16 InfusionNurse: T1 - midline is considered a peripheral line and should not be used to infuse a known irritant. #IVchat 6/10/2010 12:17 IVchat: T1 - irritant - capable of producing discomfort or pain at IV site...per INS #IVchat 6/10/2010 12:19 PICCNurse: They should use a central line like or a PICC instead...#IVchat 6/10/2010 12:21 InfusionNurse: T1 - good to have a chat with the MD - perhaps not aware of ordered irritant... #IVchat 6/10/2010 12:23 VascularAccess: definitely!!! RT @PICCNurse: They should use a central line like or a PICC instead...#IVchat 6/10/2010 12:24 VascularAccess: Yes, we shld explain why...RT @InfusionNurse: T1 - good to have a chat with the MD - perhaps not aware of ordered irritant... #IVchat 6/10/2010 12:25 IVchat: T1 ffup: MD's insist u put midline - states he/she will take responsibility 4 ordering known vesicant. Would u? #ivchat 6/10/2010 12:26 VascularAccess: T1 - I would still would not insert midline - its not his liability, its mine b/c I inserted the 2 of 4 6/14/2010 10:29 AM
  • 3. http://www.printyourtwitter.com/tweets.html midline esp. if something happens #IVchat 6/10/2010 12:29 InfusionNurse: T1 ffup: that is why it is so important to have policies/procedures in place for these..so nurse doesn't have to argue w/ MD #IVchat 6/10/2010 12:30 IVchat: Very true!! RT @VascularAccess:T1 - would not insert midline - its not his liability, its mine b/c I inserted the midline #ivchat 6/10/2010 12:32 mcvassociates: RT @InfusionNurse: that is y it is so important to have policies/procedures in place for these..so nurse doesn't have to argue w/ MD #IVchat 6/10/2010 12:33 VascularAccess: P/P are very helpful...but some are not even current or don't address issues w/ venous access....imo...#IVchat 6/10/2010 12:34 InfusionNurse: I agree RT @VascularAccess: T1 - would not insert midline - its not his liability, its mine b/c I inserted the midline #IVchat 6/10/2010 12:35 MEDsyntrix: It is my understanding that an MD cannot take responsibility for another professional's(lie an RN) mistake? #IVchat 6/10/2010 12:36 InfusionNurse: Yes RT @MEDsyntrix: It is my understanding that an MD cannot take responsibility for another professionals(lie an RN) mistake? #IVchat 6/10/2010 12:37 InfusionNurse: Professional RN's are responsibility for their own actions...even if following MD orders. #IVchat 6/10/2010 12:38 IVchat: use the Infusion nursing standards of practice RT @VascularAccess: P/P are very helpful...not even current or dont address...#IVchat #ivchat 6/10/2010 12:41 IVchat: T1 ffup: ok, so MD changes order to a PIV instead of ML, same medication to infuse, ur thoughts? #ivchat 6/10/2010 12:43 VascularAccess: @IVchat - what?, something is wrong with this doc...LOL...#IVchat 6/10/2010 12:45 InfusionNurse: @IVchat - still not ideal..but potential to ID infiltration is better than ML, since nurse can observe site #IVchat 6/10/2010 12:47 VascularAccess: @InfusionNurse ..what about the nurse giving the infusion? Often we put lines, then some1 else uses it. Who is liable? #IVchat 6/10/2010 12:48 PICCNurse: good ? RT @VascularAccess: what about the nurse giving the infusion? Often we put lines, then some1 else uses it. Who is liable? #IVchat 6/10/2010 12:49 InfusionNurse: @PICCNurse @vascularaccess..yes, both will have liability... #IVchat 6/10/2010 12:52 3 of 4 6/14/2010 10:29 AM
  • 4. http://www.printyourtwitter.com/tweets.html VascularAccess: Just stop & think of how many floor nurses would check if ordered meds is an irritant and say..."I'm not giving this thru that PIV"? #IVchat 6/10/2010 12:54 InfusionNurse: @VascularAccess ..good point...many would just infuse esp. if there's a line and an order..sad to think but its real! #IVchat 6/10/2010 12:56 IVchat: Five minutes left...let's wrap up...any final thoughts on this? #ivchat 6/10/2010 12:57 VascularAccess: Honestly, i think many nurses would benefit from a liability course related to infusion therapy and how to not screw up!!! LOL..#IVchat 6/10/2010 12:59 InfusionNurse: Can't emphasis enough the need for P/P and knowing the infusion nursing standards of practice to protect urselves & our pts. #IVchat 6/10/2010 13:00 PICCNurse: thanks all! now I can say I hav been to an IV chat on twitter! #IVchat 6/10/2010 13:01 MEDsyntrix: thanks..learn a lot just reading ur tweets! #IVchat 6/10/2010 13:02 IVchat: Thanks for chatting w/ us today! Great job everyone! Please join our next chat on June 23 at 12noon. #ivchat 6/10/2010 13:03 PICCNurse: Bye #IVchat.. 6/10/2010 13:04 InfusionNurse: Thanks everyone! Have a great rest of the day! Till next chat!! #IVchat 6/10/2010 13:04 4 of 4 6/14/2010 10:29 AM