ivchat 02022011

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  • 1. #IVchatHealthcare Hashtag Twitter TranscriptFrom: Wed Feb 02 17:00:00 PST 2011To: Wed Feb 02 18:10:00 PST 2011Learn more about #IVchat at The Healthcare Hashtag ProjectIVchat Its IV chat time...good evening and welcome to another edition of IV chat! Lets start w/ introductions.... #IVchat Wed Feb 2 17:00:02 PST 2011InfusionNurse Hi all. Im Cora, infusion nurse and moderator of IVchat..welcome everyone.. #IVchat Wed Feb 2 17:00:35 PST 2011joyceharrellrn RT @IVchat: Its IV chat time...good evening and welcome to another edition of IV chat! Lets start w/ introductions.... #IVchat Wed Feb 2 17:01:22 PST 2011VascularAccess Hey @IVchat ..Michelle here....hope yall r staying warm #IVchat Wed Feb 2 17:02:06 PST 2011joyceharrellrn Im Joyce Harrell. Oncology Nurse, and Wellness Coach Educator. Hi everyone! #IVchat Wed Feb 2 17:02:26 PST 2011joyceharrellrn @VascularAccess @IVchat Hi Michelle! #IVchat Wed Feb 2 17:02:52 PST 2011IVchat @VascularAccess Hi and welcome!! #IVchat Wed Feb 2 17:02:55 PST 2011chemosabe hey yall glen downunda 1100hrs 3/02 #ivchat Wed Feb 2 17:03:03 PST 2011joyceharrellrn @chemosabe Hey chemosabe!!! #IVchat Wed Feb 2 17:03:31 PST 2011IVchat Hi Joyce and Michelle!! RT @joyceharrellrn: @VascularAccess Hi Michelle! #IVchat Wed Feb 2 17:03:32 PST 2011IVchat @chemosabe Hi Glen, welcome - hope ur weather is better!! #IVchat Wed Feb 2 17:03:55 PST 2011
  • 2. joyceharrellrn @chemosabe So how is the weather, Glen from downunda? #IVchat Wed Feb 2 17:04:14 PST 2011InfusionNurse Welcome to all, regulars and lurkers...glad to see you again!! #IVchat Wed Feb 2 17:04:25 PST 2011IVchat First topic coming up...pls use T1. T2 etc..b4 ur replies... #IVchat Wed Feb 2 17:05:43 PST 2011InfusionNurse @joyceharrellrn Hi JOyce, how are you? #IVchat Wed Feb 2 17:06:02 PST 2011joyceharrellrn @InfusionNurse Im good. Doing a little studying. :) #IVchat Wed Feb 2 17:06:39 PST 2011chemosabe hey back at you @joyceharrellrn #ivchat, wet but not windy this far south. humidity 90% T 31C Wed Feb 2 17:07:06 PST 2011joyceharrellrn @InfusionNurse Are you snowed in? #IVchat Wed Feb 2 17:07:13 PST 2011InfusionNurse @joyceharrellrn great...looks like as cozy group tonight... #IVchat Wed Feb 2 17:07:20 PST 2011IVchat T1 - do u routinely offer pts. or use local anesth prior to IV sticks or port access to decrease pain? #IVchat Wed Feb 2 17:07:21 PST 2011chemosabe snow front up there looks pretty impressive too #ivchat Wed Feb 2 17:07:35 PST 2011joyceharrellrn RT @IVchat: T1 - do u routinely offer pts. or use local anesth prior to IV sticks or port access to decrease pain? #IVchat Wed Feb 2 17:07:42 PST 2011InfusionNurse yup, RT @joyceharrellrn: @InfusionNurse Are you snowed in? #IVchat Wed Feb 2 17:08:00 PST 2011InfusionNurse RT @IVchat: T1 - do u routinely offer pts. or use local anesth prior to IV sticks or port access to decrease pain? #IVchat Wed Feb 2 17:08:26 PST 2011joyceharrellrn T1 - it is not in our policy to use it where I am now. I used to. When I ran cancer center, used Emla cream, or the freeze spray #IVchat Wed Feb 2 17:09:25 PST 2011chemosabe T1 no do not routinely offer, 1 of my staff does, and then pts expect it! #ivchat Wed Feb 2 17:09:29 PST 2011
  • 3. InfusionNurse T1 - pts w/ ports like the lmx cream...helps with needle access #IVchat Wed Feb 2 17:09:36 PST 2011joyceharrellrn T1- Since I cant use now, before port access, I tell them to take a deep breath and hold it. It seems to help. #IVchat Wed Feb 2 17:10:23 PST 2011chemosabe T1 had 1 pt that used 2 want sc lignocaine prior to Port stick. #ivchat Wed Feb 2 17:10:34 PST 2011InfusionNurse @joyceharrellrn ..T1- isnt it a TJC mandate to reduce pain prior to procedures like IV sticks? #IVchat Wed Feb 2 17:10:42 PST 2011InfusionNurse do the pts like ?RT @chemosabe: T1 no do not routinely offer, 1 of my staff does, and then pts expect it! #IVchat Wed Feb 2 17:11:00 PST 2011chemosabe T1 do offer emla to port pts if they are woosy enough to desire it, particularly tho, new ports #ivchat Wed Feb 2 17:11:18 PST 2011IVchat RT @joyceharrellrn: T1- Since I cant use now, before port access, I tell them to take a deep breath and hold it. It seems to help. #IVchat Wed Feb 2 17:11:30 PST 2011joyceharrellrn T1. Hummm. This would make a good research project at the hospital where I am.I will pass it on to them to investigate. #IVchat Wed Feb 2 17:11:57 PST 2011InfusionNurse @chemosabe no Joint commission mandate to reduce pain, so not routinely offered? #IVchat Wed Feb 2 17:12:03 PST 2011InfusionNurse @joyceharrellrn . u mean emla? now they have LMX cream... #IVchat Wed Feb 2 17:12:35 PST 2011IVchat RT @InfusionNurse: @joyceharrellrn ..T1- isnt it a TJC mandate to reduce pain prior to procedures like IV sticks? #IVchat Wed Feb 2 17:13:01 PST 2011chemosabe @InfusionNurse most of my staff do no offer local prior pivc, creates issues 4 them/us when pt expects it. Needle phobia, ? practice #ivchat Wed Feb 2 17:13:16 PST 2011InfusionNurse T1 - do u use lidocaine or bacteriostatic NS to numb b4 iv sticks? #IVchat Wed Feb 2 17:13:41 PST 2011chemosabe @InfusionNurse r: mandate - speakin foriegn language there! #ivchat Wed Feb 2 17:14:00 PST 2011
  • 4. joyceharrellrn T1 - We sometimes gave them RX for emla to use before they came to clinic. #IVchat Wed Feb 2 17:14:12 PST 2011chemosabe T1 argue that local injection is as painful if not more so than PIVC cannula #ivchat Wed Feb 2 17:14:45 PST 2011joyceharrellrn T1 - Whats that freeze spray, starts with a F.. Its been awhile since I used it. #IVchat Wed Feb 2 17:14:53 PST 2011InfusionNurse @chemosabe There is a mandate from the Joint commision here - they accredit hosps.. #IVchat Wed Feb 2 17:15:06 PST 2011joyceharrellrn T1 - how does bacteriostatic NS help to numb? #IVchat Wed Feb 2 17:15:33 PST 2011chemosabe T1 local lotions MAY distort palpation and vision of veins w/ localised blanching & relaxation of venous musculature #ivchat Wed Feb 2 17:15:56 PST 2011InfusionNurse true but there r topical ones RT @chemosabe: T1 argue that local injection is as painful if not more so than PIVC cannula #IVchat Wed Feb 2 17:15:59 PST 2011joyceharrellrn @chemosabe Arent you lucky not having to deal with TJC... :) #IVchat Wed Feb 2 17:16:24 PST 2011VascularAccess T1 - prob w/ topical is the wait time...#IVchat Wed Feb 2 17:16:30 PST 2011joyceharrellrn @VascularAccess We had them apply to port before coming to clinic... #IVchat Wed Feb 2 17:16:58 PST 2011IVchat RT @VascularAccess: T1 - prob w/ topical is the wait time...#IVchat #IVchat Wed Feb 2 17:16:59 PST 2011IVchat RT @chemosabe: T1 local lotions MAY distort palpation and vision of veins w/ localised blanching & relaxation of venous musculature #IVchat Wed Feb 2 17:17:03 PST 2011InfusionNurse @chemosabe is it not a concern if inserting a large bore cannula = painful #IVchat Wed Feb 2 17:17:45 PST 2011IVchat RT @joyceharrellrn: @VascularAccess We had them apply to port before coming to clinic... #IVchat Wed Feb 2 17:18:02 PST 2011chemosabe T1 have seen study that suggests wait time on local lotion could be placebo & therefore 5 mins may be sufficient #ivchat Wed Feb 2 17:18:44 PST 2011
  • 5. VascularAccess T1 - has any1 use NS to numb b4 sticking iV needle? its works for me...#IVChat Wed Feb 2 17:18:53 PST 2011InfusionNurse Yes I have..it does work!! RT @VascularAccess: T1 - has any1 use NS to numb b4 sticking iV needle? its works for me...#IVChat #IVchat Wed Feb 2 17:19:40 PST 2011chemosabe @InfusionNurse large bore ( = >20g ) only time I routinely use local Yes #ivchat Wed Feb 2 17:19:53 PST 2011joyceharrellrn @VascularAccess T1- how does NS work to numb? #IVchat Wed Feb 2 17:19:54 PST 2011InfusionNurse RT @chemosabe: T1 have seen study that suggests w