1. TEXT FROM_USER
#IVchat 8PM EST tonight...come join us
#nurses. #infusion IVchat
RT @IVchat: #IVchat 8PM EST tonight...come
join us #nurses. #infusion InfusionNurse
#IVchat in two hours...8pm ET, everyone is
welcome, come join us...#nurses #infusion IVchat
RT @IVchat: #IVchat in two hours...8pm ET,
everyone is welcome, come join us...#nurses
#infusion InfusionNurse
#IVchat in 55 minutes...hope u can join
us..#nurses #infusion IVchat
RT @IVchat: #IVchat in 55 minutes...hope u
can join us..#nurses #infusion InfusionNurse
15 minutes to #IVchat....come join
us....#nurses #infusion #IVchat IVchat
Five minutes to #IVchat time....grab ur after
dinner drink and join us... #nurses #infusion
#IVchat IVchat
It's IV chat time....welcome to all!! IVchat is a
global online chat for RNs & HCPs in infusion
therapy/vascular access. #IVchat IVchat
Let's start w/ intros...pls. tell us about
urself... #IVchat IVchat
Greetings to all! I'm Cora, infusion nurse &
moderator of IV chat. #IVchat InfusionNurse
Hi all, I'm Michelle. Glad to be here....#ivchat VascularAccess
I'm just lurking - not a nurse but always glad
to learn from your chat!! #IVchat MEDsyntrix
Welcome Michelle, glad you can join us
tonight! #IVchat IVchat
Just in! Hi I'm Teresa...happy to join in...been
mired this past week with many projects!
#IVchat #IVchat nurseeducator
@MEDsyntrix ..thank you...pls post anytime
u want... #IVchat IVchat
@nurseeducator ..Welcome Teresa, so glad
you can take a break and join us! #IVchat IVchat

2. @nurseeducator - Hi teresa, good to see you
here! Welcome! #IVchat InfusionNurse
We will start the chat with some updates
before our topics - @infusionnurse will get
us started here... #IVchat IVchat
Hello to our regulars - Michelle and Jon!
Welcome back! #IVchat InfusionNurse
@InfusionNurse nice to be here! #IVchat nurseeducator
One update is re: FDA recall of huber
needles - affects lots of us acessing ports -
here's the link >>> http://bit.ly/b9qhuF
#IVchat InfusionNurse
@infusionnurse - I read ur blog about
that...very concerned about it and glad we
dont use those brands..#IVchat VascularAccess
Hi - Vernon in New Orleans - Crit.Care - here
to listen and learn. #ivchat nursingpins
We use the Gripper by SmithMedical. Good
information....will check out your blog
#IVchat nurseeducator
The FDA recommends using an alternative
product if using the brands... #IVchat InfusionNurse
@nursingpins Hey Vernon! Happy to see
you! #IVchat nurseeducator
Hi Vernon, glad to see u! Welcome..RT
@nursingpins: Hi - Vernon in New Orleans -
Crit.Care - here to listen and learn. #IVchat InfusionNurse
@nurseeducator good to see you too.
thanks. #ivchat nursingpins
@nurseeducator - that brand is not on the
list of recalls, w/c is good...LOL.. #IVchat InfusionNurse
@InfusionNurse mostly Boston Scientific
from what I read #IVchat nurseeducator
@nurseeducator ..yes, that is correct...now
they're called Navilyst Medical... #IVchat InfusionNurse
Next update: Nice article on preventing
errors...http://bit.ly/daeZgx #IVchat InfusionNurse

3. Wow..talk about "reality check"...listening to
patients who were affected by
errors...#ivchat VascularAccess
Does your institution have a "no interruption
zone" as per article? #IVchat nurseeducator
Not really.. do u? I work in outpt infusion RT
@nurseeducator: Does your institution have
a "no interruption zone" as per article?
#IVchat InfusionNurse
read this: "We’re not aware many errors
are preventable. errors occur by negligent or
uncaring health professionals,that is not
me.― #IVchat InfusionNurse
No we don't...I wish the article went into
more detail on this point. Certainly a good
idea! Nurse have enough distractions
#IVchat nurseeducator
@InfusionNurse ..some nurses do think that
way... that they dont make mistakes..#IVchat VascularAccess
@InfusionNurse Great article
http://bit.ly/daeZgx , thanks. "42% of RNs
said their manager would not back them up"
still a prob. #ivchat nursingpins
@InfusionNurse where in the article is this
quote? Scanning it quickly! #IVchat nurseeducator
There's one topic for discussion submitted -
will post shortly. #IVchat IVchat
@VascularAccess ..may not be good - they
might skip some precautions ie
checks/double checks.. #IVchat InfusionNurse
@nurseeducator ..second paragraph...before
the culture of safety.. #IVchat InfusionNurse
Ready for topic 1? #IVchat IVchat
@nursingpins ..safety is still everyone's
responsibility not just us RNs! #IVchat InfusionNurse
@IVchat ..yes, please LOL... #IVchat InfusionNurse
"The general myth is still pervasive"...now
the sentence makes sense! #IVchat nurseeducator

4. Completely agree! RT @InfusionNurse
@nursingpins ..safety is still everyone's
responsibility not just us RNs! #IVchat
#IVchat nurseeducator
T1 - Manuf has specific infusion rate
recommendation 4 a drug. MD ordered a diff
infusion rate. Which should you follow?
#IVchat IVchat
@InfusionNurse agree but leadership is one
of the 4 components of "Culture of Safety"
nurses need strong clinical leaders #ivchat nursingpins
@IVchat ..happens all the time - I usually
refer and discuss w/ pharmacy bfore I do
anything....#IVchat VascularAccess
T1 Discussion first with doc and pharmacy...
#IVchat nurseeducator
@nursingpins ..it is.. but they usually are the
barriers...not much buy in from them..
#IVchat InfusionNurse
@nurseeducator @vascularaccess - totally
agree... #IVchat InfusionNurse
T1 ff-up: RN asking If MD still insist on his
orders, even w/ pharm input - would you
follow? #IVchat IVchat
T1 - knowing that there's a manuf
recommendation and orders are against
that, I won't... #IVchat VascularAccess
@VascularAccess ..I wish all nurses would
stand up and do that...there are still a few
who would get intimidated... #IVchat InfusionNurse
Do we only have one topic tonight? Can I ask
a question? #IVchat VascularAccess
Sure, post ur ? and others feel free to post ?
too. RT @VascularAccess: Do we only have
one topic tonight? Can I ask a question?
#IVchat IVchat
Has anyone used those new chlorhexidine
connectors/caps? #IVchat VascularAccess

5. T1 Many of the new hosp pharm progs print
the rates for many drugs on the MAR - But I I
would have to question it too. #ivchat nursingpins
RT @nursingpins: @InfusionNurse Great
article http://bit.ly/daeZgx , thanks. "42% of
RNs said their manager would not back them
up" still a prob. #ivchat shannynlee
@VascularAccess No... but we did an
extensive trial on the CHG Tegaderm dsg
#IVchat nurseeducator
RT @InfusionNurse: @nursingpins ..safety is
still everyone's responsibility not just us RNs!
#IVchat shannynlee
@nursingpins @nurseeducator - I think this
was a monoclonal AB w/ potential rate
related infusion reactions. #IVchat IVchat
Not yet RT @VascularAccess: Has anyone
used those new chlorhexidine
connectors/caps? #IVchat InfusionNurse
T1 @nursingpins we have acceptable
infusion rates on the drug list programmed
on our infusion pumps #IVchat nurseeducator
@nurseeducator ..what do u think of those
drsgs? #IVchat InfusionNurse
It has been my experience that anytime a
pharm questions an order - It is best to look
into things further. #ivchat nursingpins
One more ? - if u noted an extravasation
while pt in ICU - what would you do? #IVchat VascularAccess
We had very good outcomes. We were able
to match our near zero CRBSI rate (when
using Biopatch) in the ICU. Learning curve
#IVchat nurseeducator
@nursingpins ..always safe to be cautious
than have probs later... #IVchat InfusionNurse

6. @nurseeducator some hosps have them
here ( programmed infusion pumps) they are
wonderful - but whole new safety concerns
#ivchat nursingpins
RT @nursingpins: It has been my experience
that anytime a pharm questions an order - It
is best to look into things further. #ivchat grimalkinrn
@InfusionNurse Agree re: Better to be
cautious #IVchat nurseeducator
@nurseeducator ..was it biopatch or
tegaderm w/chlorhexidine? #IVchat InfusionNurse
as long as not bypasssed RT @nursingpins:
@nurseeducator programmed infusion
pumps are wonderful - but whole new safety
concerns #IVchat InfusionNurse
good ? for our ICU nurses ...RT
@VascularAccess: One more ? - if u noted an
extravasation while pt in ICU - what would
you do? #IVchat InfusionNurse
@InfusionNurse we had used biopatch for
years with very low CRBSI...did a 6 month
trial with CHG Tegaderm..matched the rate.
#IVchat nurseeducator
I asked only cuz of a case where
extravasation was ignored in order to save
pt's life in ICU....#IVchat VascularAccess
@InfusionNurse True! We are aware of the
bypass option that some RNs use...and
periodically address #IVchat nurseeducator
Wow, we're on our hour mark - great
discussion - please continue but wanted to
thank everyone who joined us (or lurked).
#IVchat IVchat
@VascularAccess re: extravastation - imo - it
shld still be managed appropriately #IVchat InfusionNurse
@nurseeducator ..some r monitoring who
and freq of bypassing rate progs.. #IVchat InfusionNurse
pls. continue discussions - next IV chat will
be Sept. 16 at 8PM ET. We welcome topics
or questions #IVchat IVchat

7. @InfusionNurse pharmacy is doing this
monitoring with the uploads #IVchat nurseeducator
@nurseeducator ..which did you continue
with biopatch after the CHG Tegaderm trial?
#IVchat InfusionNurse
@IVchat Thank-you for moderating the
discussion tonight #IVchat nurseeducator
@nurseeducator ..thank you for joining,
hope to see you again next time. We have
IVchat every other week ! #IVchat InfusionNurse
Good night all! #IVchat nurseeducator
Thank you @nursingpins for joining tonight.
Thanks for the RTs @grimalkinrn
@shannynlee #IVchat InfusionNurse
Good night, thanks again! RT
@nurseeducator: Good night all! #IVchat IVchat
@InfusionNurse have study of 9 bed ICU
with 20% reduction of IV infections after
6mos. (Biopatch) Had assorted dsgs. prior
#ivchat nursingpins
@InfusionNurse Thanks for hosting - will be
in touch. #ivchat nursingpins
@nursingpins ..biopatch is very effective
too... #IVchat InfusionNurse
Welcome - hope to see u next chat! RT
@nursingpins: Thanks for hosting - will be in
touch. #IVchat InfusionNurse
Good night everyone - hope you all enjoyed
IV chat tonight. Don't forget to join next chat
on Thursday Sept. 16 at 8pm ET! #IVchat InfusionNurse
RT @nursingpins: It has been my experience
that anytime a pharm questions an order - It
is best to look into things further. #ivchat napernurse
RT @InfusionNurse: One update is re: FDA
recall of huber needles - affects lots of us
acessing ports - here's the link >>>
http://bit.ly/b9qhuF #IVchat jangeortz