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         IVchat:           Two hours till the #IVchat today...May 21 at 1100amET! Come join us!
                           5/21/2010 09:00


         IVchat:           One hour till #IVchat...hope you can join us at 1100am ET #IVchat
                           5/21/2010 10:08


         IVchat:           I'm searching for #IVchat live on TweetGrid Search - http://tweetgrid.com
                           /search?q=%23IVchat
                           5/21/2010 10:50


         IVchat:           @VascularAccess ..thanks, looking forward to meeting you on #IVchat
                           5/21/2010 10:55


         VascularAccess:   I'm Michelle, I insert PICCs and give infusions #IVchat. Nervous but excited to be her
                           5/21/2010 11:03


         IVchat:           Hi all! I'm Cora, infusion nurse and will be moderating the IV chat. Welcome! #IVchat
                           5/21/2010 11:04


         ONSmark:          Happy Friday all. I'm Mark, who has never done any type of IV insertion himself but oddly
                           enough is familiar with IV literature :) #ivchat
                           5/21/2010 11:05


         IVchat:           1st topic coming up..please put T1 or T2 before ur replies..#IVchat
                           5/21/2010 11:08


         IVchat:           T1 - INS & ONS mtgs just finished. During exhibits hrs, did the lack of "tschotkes" affect ur
                           time w/ vendors/industry?#IVchat
                           5/21/2010 11:10


         VascularAccess:   T1 - went to INS not ONS but can say that maybe it did a little. Most r giving reference
                           books now - I like that better #IVchat
                           5/21/2010 11:12


         InfusionNurse:    @VascularAccess ..I agree, I rather have books then pens altho pens never influenced me
                           to use their product #IVchat
                           5/21/2010 11:14


         IVchat:           Next topic coming up... #IVchat
                           5/21/2010 11:18


         ONSmark:          T1 Sorry if it's slightly off topic, but let me know the titles of any good new books you
                           received at the conferences, thanks. #ivchat
                           5/21/2010 11:18


         InfusionNurse:    @ONSmark T1 - the one I got was an IV drug reference manual and one raffled off an IV
                           therapy textbook #IVchat
                           5/21/2010 11:20


         VascularAccess:   T1 - handbook on IV meds by Lippincott. Didn't win the textbook tho #IVchat
                           5/21/2010 11:21


         ONSmark:          Somebody was lucky if they were raffling the great 3rd ed. of the 600+ page INS Infusion
                           Nursing: an Evidence-Based Approach! #ivchat
                           5/21/2010 11:22


         IVchat:           T2 - thoughts on the frequent/immediate use of tPA for CVADs when unable to obtain a
                           blood return. #IVchat
                           5/21/2010 11:22




1 of 3                                                                                                                     5/21/2010 4:06 PM
http://www.printyourtwitter.com/tweets.html



         ONSmark:          @VascularAccess Thanks for specifying a Lippincott handbook. #ivchat
                           5/21/2010 11:23


         InfusionNurse:    @ONSmark ..actually they did...some lucky infusion nurses got several! #IVchat
                           5/21/2010 11:23


         VascularAccess:   T1 - what I liked the best was the simulation labs esp the IO cadaver lab...#IVchat
                           5/21/2010 11:24


         VascularAccess:   T1 - FA Davis also released IV flash card and the INS president's new book..#IVchat
                           @ONSmark
                           5/21/2010 11:26


         InfusionNurse:    RT @IVchat: T2 - thoughts on the frequent/immediate use of tPA for CVADs when unable
                           to obtain a blood return. #IVchat
                           5/21/2010 11:26


         InfusionNurse:    T2 - tPA is very effective no doubt, my concern is immediate use w/o assessing why the
                           CVAD has no blood return, could b other probs #IVchat
                           5/21/2010 11:28


         VascularAccess:   T2 - u mean cathflo, right? #IVchat
                           5/21/2010 11:31


         IVchat:           Yes, that's the trade name..RT @VascularAccess: T2 - u mean cathflo, right? #IVchat
                           5/21/2010 11:32


         ONSmark:          Alteplase is Cathflo. #ivchat
                           5/21/2010 11:33


         ONSmark:          RT @ONSmark: T2 Alteplase is Cathflo (I added the "T2" this time!) #ivchat
                           5/21/2010 11:34


         InfusionNurse:    @ONSmark..T2 - any literature on possible excessive use that u know of? #IVchat
                           5/21/2010 11:34


         ONSmark:          @InfusionNurse T2 Good timing: I'm looking at a bunch of refs I had saved on
                           Alteplase/Cathflo right now and (cont.)... #ivchat
                           5/21/2010 11:35


         VascularAccess:   T2 - we use it a lot. Not sure if all nurses are only after making sure no other probs r
                           present. #IVchat
                           5/21/2010 11:37


         ONSmark:          T2 (cont.)...ones like "Alteplase for the Management of Occluded Central Venous Access
                           Devices: Safety Considerations" don't address #ivchat
                           5/21/2010 11:37


         ONSmark:          @InfusionNurse T2 You said excessive *use*: http://bit.ly/at8w1N states "Excessive
                           pressure should be avoided when alteplase is..." #ivchat
                           5/21/2010 11:39


         InfusionNurse:    @VascularAccess ..it is important to assess 1st before using it but in reality, most r using
                           it right away cuz its available #IVchat
                           5/21/2010 11:40


         InfusionNurse:    @ONSmark T2 - excessive - meaning using a lot w/o even assessing cause of lack of
                           blood return. #IVchat
                           5/21/2010 11:43




2 of 3                                                                                                                    5/21/2010 4:06 PM
http://www.printyourtwitter.com/tweets.html



         InfusionNurse:    T2 @ONSmark..some CVAD def need it, while others may not but still get cathflo..#IVchat
                           5/21/2010 11:45


         ONSmark:          T2 2008 article @ http://bit.ly/al2qCI has info like "If blood return is not obtained after 30
                           min of dwell time, alteplase should.. #ivchat
                           5/21/2010 11:46


         IVchat:           We only have 2 topics today..15 minutes left... #IVchat
                           5/21/2010 11:48


         VascularAccess:   T2 @infusionnurse...I agree..nurses need need to take the time to assess 1st for other
                           causes b4 cathflo. #IVchat
                           5/21/2010 11:50


         ONSmark:          @IVchat I just realized we overlapped with #RNchat today! So many chats, not enough
                           time :) #ivchat
                           5/21/2010 11:50


         InfusionNurse:    @ONSmark ..T2 that's if ur already using. I think b4 using, need to r/o other causes b4
                           instilling alteplase. #IVchat
                           5/21/2010 11:52


         IVchat:           ik, will not do that again.RT @ONSmark: @IVchat I just realized we overlapped with
                           #RNchat today! So many chats, not enough time :) #IVchat
                           5/21/2010 11:53


         InfusionNurse:    @ONSmark ..thanks for joining us, I know #RNchat is going on 2.. will try not to overlap
                           again next time w/ #RNchat #IVchat
                           5/21/2010 11:55


         ONSmark:          @InfusionNurse T2 Thanks, now I get it, determine other causes even before instillation.
                           #ivchat
                           5/21/2010 11:55


         IVchat:           Out of respect for #RNchat, we will wrap up our #IVchat today. Thanks everyone for
                           joining. Next #IVchat June 1 at 1200 ET. #IVchat
                           5/21/2010 11:56


         rnchat:           @IVchat Oh dear!! I had no idea!! No, we wont compete for times again!! Yikes~ Its also
                           #ivchat #RNchat
                           5/21/2010 11:57


         ONSmark:          Thanks all! And please forgive my "plug" but the new ed. of the #ONS Access Device
                           Guidelines is supposed to publish late fall 2010 #ivchat
                           5/21/2010 11:58


         IVchat:           @vascularaccess @ONSmark and all others lurking..thanks! See u next time. Please join
                           #RNChat now in progress.. #IVchat
                           5/21/2010 11:59


         InfusionNurse:    @ONSmark ..Yippee..been waiting for that..happy to disclose I was privileged to have
                           reviewed the draft. #IVchat
                           5/21/2010 12:01




3 of 3                                                                                                                      5/21/2010 4:06 PM

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  • 1. http://www.printyourtwitter.com/tweets.html IVchat: Two hours till the #IVchat today...May 21 at 1100amET! Come join us! 5/21/2010 09:00 IVchat: One hour till #IVchat...hope you can join us at 1100am ET #IVchat 5/21/2010 10:08 IVchat: I'm searching for #IVchat live on TweetGrid Search - http://tweetgrid.com /search?q=%23IVchat 5/21/2010 10:50 IVchat: @VascularAccess ..thanks, looking forward to meeting you on #IVchat 5/21/2010 10:55 VascularAccess: I'm Michelle, I insert PICCs and give infusions #IVchat. Nervous but excited to be her 5/21/2010 11:03 IVchat: Hi all! I'm Cora, infusion nurse and will be moderating the IV chat. Welcome! #IVchat 5/21/2010 11:04 ONSmark: Happy Friday all. I'm Mark, who has never done any type of IV insertion himself but oddly enough is familiar with IV literature :) #ivchat 5/21/2010 11:05 IVchat: 1st topic coming up..please put T1 or T2 before ur replies..#IVchat 5/21/2010 11:08 IVchat: T1 - INS & ONS mtgs just finished. During exhibits hrs, did the lack of "tschotkes" affect ur time w/ vendors/industry?#IVchat 5/21/2010 11:10 VascularAccess: T1 - went to INS not ONS but can say that maybe it did a little. Most r giving reference books now - I like that better #IVchat 5/21/2010 11:12 InfusionNurse: @VascularAccess ..I agree, I rather have books then pens altho pens never influenced me to use their product #IVchat 5/21/2010 11:14 IVchat: Next topic coming up... #IVchat 5/21/2010 11:18 ONSmark: T1 Sorry if it's slightly off topic, but let me know the titles of any good new books you received at the conferences, thanks. #ivchat 5/21/2010 11:18 InfusionNurse: @ONSmark T1 - the one I got was an IV drug reference manual and one raffled off an IV therapy textbook #IVchat 5/21/2010 11:20 VascularAccess: T1 - handbook on IV meds by Lippincott. Didn't win the textbook tho #IVchat 5/21/2010 11:21 ONSmark: Somebody was lucky if they were raffling the great 3rd ed. of the 600+ page INS Infusion Nursing: an Evidence-Based Approach! #ivchat 5/21/2010 11:22 IVchat: T2 - thoughts on the frequent/immediate use of tPA for CVADs when unable to obtain a blood return. #IVchat 5/21/2010 11:22 1 of 3 5/21/2010 4:06 PM
  • 2. http://www.printyourtwitter.com/tweets.html ONSmark: @VascularAccess Thanks for specifying a Lippincott handbook. #ivchat 5/21/2010 11:23 InfusionNurse: @ONSmark ..actually they did...some lucky infusion nurses got several! #IVchat 5/21/2010 11:23 VascularAccess: T1 - what I liked the best was the simulation labs esp the IO cadaver lab...#IVchat 5/21/2010 11:24 VascularAccess: T1 - FA Davis also released IV flash card and the INS president's new book..#IVchat @ONSmark 5/21/2010 11:26 InfusionNurse: RT @IVchat: T2 - thoughts on the frequent/immediate use of tPA for CVADs when unable to obtain a blood return. #IVchat 5/21/2010 11:26 InfusionNurse: T2 - tPA is very effective no doubt, my concern is immediate use w/o assessing why the CVAD has no blood return, could b other probs #IVchat 5/21/2010 11:28 VascularAccess: T2 - u mean cathflo, right? #IVchat 5/21/2010 11:31 IVchat: Yes, that's the trade name..RT @VascularAccess: T2 - u mean cathflo, right? #IVchat 5/21/2010 11:32 ONSmark: Alteplase is Cathflo. #ivchat 5/21/2010 11:33 ONSmark: RT @ONSmark: T2 Alteplase is Cathflo (I added the "T2" this time!) #ivchat 5/21/2010 11:34 InfusionNurse: @ONSmark..T2 - any literature on possible excessive use that u know of? #IVchat 5/21/2010 11:34 ONSmark: @InfusionNurse T2 Good timing: I'm looking at a bunch of refs I had saved on Alteplase/Cathflo right now and (cont.)... #ivchat 5/21/2010 11:35 VascularAccess: T2 - we use it a lot. Not sure if all nurses are only after making sure no other probs r present. #IVchat 5/21/2010 11:37 ONSmark: T2 (cont.)...ones like "Alteplase for the Management of Occluded Central Venous Access Devices: Safety Considerations" don't address #ivchat 5/21/2010 11:37 ONSmark: @InfusionNurse T2 You said excessive *use*: http://bit.ly/at8w1N states "Excessive pressure should be avoided when alteplase is..." #ivchat 5/21/2010 11:39 InfusionNurse: @VascularAccess ..it is important to assess 1st before using it but in reality, most r using it right away cuz its available #IVchat 5/21/2010 11:40 InfusionNurse: @ONSmark T2 - excessive - meaning using a lot w/o even assessing cause of lack of blood return. #IVchat 5/21/2010 11:43 2 of 3 5/21/2010 4:06 PM
  • 3. http://www.printyourtwitter.com/tweets.html InfusionNurse: T2 @ONSmark..some CVAD def need it, while others may not but still get cathflo..#IVchat 5/21/2010 11:45 ONSmark: T2 2008 article @ http://bit.ly/al2qCI has info like "If blood return is not obtained after 30 min of dwell time, alteplase should.. #ivchat 5/21/2010 11:46 IVchat: We only have 2 topics today..15 minutes left... #IVchat 5/21/2010 11:48 VascularAccess: T2 @infusionnurse...I agree..nurses need need to take the time to assess 1st for other causes b4 cathflo. #IVchat 5/21/2010 11:50 ONSmark: @IVchat I just realized we overlapped with #RNchat today! So many chats, not enough time :) #ivchat 5/21/2010 11:50 InfusionNurse: @ONSmark ..T2 that's if ur already using. I think b4 using, need to r/o other causes b4 instilling alteplase. #IVchat 5/21/2010 11:52 IVchat: ik, will not do that again.RT @ONSmark: @IVchat I just realized we overlapped with #RNchat today! So many chats, not enough time :) #IVchat 5/21/2010 11:53 InfusionNurse: @ONSmark ..thanks for joining us, I know #RNchat is going on 2.. will try not to overlap again next time w/ #RNchat #IVchat 5/21/2010 11:55 ONSmark: @InfusionNurse T2 Thanks, now I get it, determine other causes even before instillation. #ivchat 5/21/2010 11:55 IVchat: Out of respect for #RNchat, we will wrap up our #IVchat today. Thanks everyone for joining. Next #IVchat June 1 at 1200 ET. #IVchat 5/21/2010 11:56 rnchat: @IVchat Oh dear!! I had no idea!! No, we wont compete for times again!! Yikes~ Its also #ivchat #RNchat 5/21/2010 11:57 ONSmark: Thanks all! And please forgive my "plug" but the new ed. of the #ONS Access Device Guidelines is supposed to publish late fall 2010 #ivchat 5/21/2010 11:58 IVchat: @vascularaccess @ONSmark and all others lurking..thanks! See u next time. Please join #RNChat now in progress.. #IVchat 5/21/2010 11:59 InfusionNurse: @ONSmark ..Yippee..been waiting for that..happy to disclose I was privileged to have reviewed the draft. #IVchat 5/21/2010 12:01 3 of 3 5/21/2010 4:06 PM