The document contains tweets from a Twitter chat about intravenous (IV) therapy. Participants included nurses, physicians, and other healthcare professionals discussing topics like the use of ultrasound for peripheral IV insertion and why IV skills are often not taught in nursing school curriculum. They also answered questions from participants about issues like using a peripherally inserted central catheter for chemotherapy or burettes for pediatric infusions. The chat concluded after an hour with announcements of the next scheduled Twitter chat.

1. http://www.printyourtwitter.com/tweets.html
IVchat: Good morning! Join the IVchat today at 12noon ET #IVchat Hope you can join us.
6/1/2010 07:35
InfusionNurse: RT @IVchat: Good morning! Join the IVchat today at 12noon ET #IVchat Hope you can
join us.
6/1/2010 09:17
touch4healing: RT @IVchat: Good morning! Join the IVchat today at 12noon ET #IVchat Hope you can
join us.
6/1/2010 09:23
IVchat: Today's IV chat will be at 12noon ET..come join us.. #IVchat
6/1/2010 10:18
InfusionNurse: RT @IVchat: Today's IV chat will be at 12noon ET..come join us.. #IVchat
6/1/2010 10:19
VascularAccess: I'm searching for #IVchat live on TweetGrid Search - http://tweetgrid.com
/search?q=%23IVchat
6/1/2010 11:03
IVchat: One hour till the next IV chat on Twitter - join us at 12noon ET #IVchat
6/1/2010 11:08
VascularAccess: #IVchat
6/1/2010 11:08
VascularAccess: RT @IVchat: One hour till the next IV chat on Twitter - join us at 12noon ET #IVchat
6/1/2010 11:09
IVchat: 45 mins till the IV chat....come join us at 12noon ET #IVchat
6/1/2010 11:20
IVchat: Less than fifteen minutes till IVchat time...hope you can join us!! #IVchat
6/1/2010 11:44
InfusionNurse: RT @IVchat: Less than fifteen minutes till IVchat time...hope you can join us!! #IVchat
6/1/2010 11:45
IVchat: It's IV chat time...greetings to all!! #IVchat
6/1/2010 12:00
IVchat: Welcome to all!! Let's start with introductions... #IVchat
6/1/2010 12:00
InfusionNurse: Hi everyone! Welcome! I'm Cora, infusion nurse/educator and moderator of the IVchat
#IVchat
6/1/2010 12:04
VascularAccess: Hello...michelle, I'm an IV nurse #ivchat..
6/1/2010 12:05
IVchat: @VascularAccess ..welcome michelle..thanks for joining us. #IVchat
6/1/2010 12:06
VascularAccess: @IVchat #IVchat
6/1/2010 12:07
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2. http://www.printyourtwitter.com/tweets.html
VascularAccess: Ioops...'m still learning how this works but happy to be here... #IVchat
6/1/2010 12:08
InfusionNurse: No worries, we're all learning here..RT @VascularAccess: Ioops...m still learning how this
works but happy to be here... #IVchat
6/1/2010 12:09
IVchat: First topic (T1) coming up...pls. use T1, T2 before ur replies... #IVchat
6/1/2010 12:10
ONSmark: Hi all. Are there predetermined topics today? If not, I was asked a few IV questions last
week for which I can now ask your input. #ivchat
6/1/2010 12:10
MEDsyntrix: Hi, I'm John, not a nurse but in healthcare. #ivchat
6/1/2010 12:10
IVchat: Hi Mark, yes but would be glad to answer ur ? RT @ONSmark: Hi all. Are there
predetermined topics today? #IVchat
6/1/2010 12:11
IVchat: Welcome John..IVchat is open to all HCP!! RT @MEDsyntrix: Hi, Im John, not a nurse but
in healthcare. #IVchat
6/1/2010 12:12
ONSmark: @IVchat Thanks. I'll follow the official T1, T2 but see if my ?s "fit" in either. #ivchat
6/1/2010 12:12
IVchat: T1 - use of ultrasound in PICC insertion is almost standard - but what r ur thoughts in
ultrasound for peripheral IV insertions? #IVchat
6/1/2010 12:14
InfusionNurse: @ONSmark ..we'd be happy to answer ur ?.. #IVchat
6/1/2010 12:15
VascularAccess: T1 - think it might be a bit too much to use ultrasound for PIV...perhaps just one of those
vein finders, laser not ultrasound #IVchat
6/1/2010 12:16
InfusionNurse: @VascularAccess ..agree w/u plus the learning curve w/ US use is long for the avg nurse.
#IVchat
6/1/2010 12:18
MEDsyntrix: T1 aren't those vein finders ultrasound? #ivchat
6/1/2010 12:19
ONSmark: May 2010 Jrnl of Ultrasound in Medicine: "Comparison of infection rates among ultrasound-
guided vs traditionally placed peripheral.. #ivchat
6/1/2010 12:19
InfusionNurse: Peripheral IV's? RT @ONSmark: May 2010 JUM "Comparison of infection rates among
ultrasound-guided vs traditionally placed peripheral #IVchat
6/1/2010 12:21
InfusionNurse: No, some are laser tech or just illumination..RT @MEDsyntrix: T1 arent those vein finders
ultrasound? #IVchat
6/1/2010 12:22
ONSmark: Forgot to put T1 & study link www.jultrasoundmed.org/cgi/content/abstract/29/5/741 ("no
increased risk of infection w/ ultrasound") #ivchat
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3. http://www.printyourtwitter.com/tweets.html
6/1/2010 12:23
MEDsyntrix: OK thx #ivchat
6/1/2010 12:23
VascularAccess: T1 - I can just see nurses using US for PIV taking more insertion time... #IVchat
6/1/2010 12:23
ONSmark: @InfusionNurse T1 Final line in conclusion is "with ultrasound guidance for peripheral IV
lines." (I don't have full article) #ivchat
6/1/2010 12:24
InfusionNurse: Interesting..thanks will look it up! RT @ONSmark:T1 Final line in conclusion is "with
ultrasound guidance for peripheral IV lines." #IVchat
6/1/2010 12:25
VascularAccess: T1 - wouldn't cost be a factor? US machines as they r now r expensive for just PIV..
#IVchat
6/1/2010 12:26
MEDsyntrix: RT @VascularAccess: T1 - wouldn't cost be a factor? US machines as they r now r
expensive for just PIV.. #IVchat
6/1/2010 12:28
InfusionNurse: Yes, expensive for just PIV RT @VascularAccess: T1 - wouldnt cost be a factor? US
machines as they r now r expensive for just PIV.. #IVchat
6/1/2010 12:28
ONSmark: T1 Like u said b4, standard w/ PICC - I often cite study of "Infusion Therapy team inserted
2083 PICC lines per ultrasound guidance" #ivchat
6/1/2010 12:29
InfusionNurse: @ONSmark ..T1 yes, I think that's a given but with peripheral IV insertions (not PICC) -
not sure yet... #IVchat
6/1/2010 12:31
IVchat: One more topic then we can have @ONSmark share his ?? T2 why isn't infusion/vascular
access insertion included in nrsg curriculum #IVchat
6/1/2010 12:31
ONSmark: T2 Don't know, but think it could be done following INS Core Curriculum for Intravenous
Nursing & other outlines! #ivchat
6/1/2010 12:34
VascularAccess: T1 - PIV are known to have lower inf rates. I'd b more concerned w/success rate & US
might improve that...so can those vein finders #IVchat
6/1/2010 12:34
InfusionNurse: T2 - there are some nrsg schools that do but not all require it. So new grads don't even
know how to start PIV's or care 4 CVADs #IVchat
6/1/2010 12:35
IVchat: AMEN! RT @ONSmark: T2 Dont know, but think it could be done following INS Core
Curriculum for Intravenous Nursing & other outlines! #IVchat
6/1/2010 12:36
MEDsyntrix: RT ONSmark: T2 Don't know, but think it could be done following INS Core Curriculum for
Intravenous Nursing & other outlines! #ivchat
6/1/2010 12:36
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4. http://www.printyourtwitter.com/tweets.html
VascularAccess: T2 - oh I agree with @ONSmark...really wish they would include it in basic nursg
training...I didn't learn it when I was a student #IVchat
6/1/2010 12:37
ONSmark: T2 I saw something on using simulations for IV training, but probably within another course,
i.e., not a whole "IV access" course #ivchat
6/1/2010 12:38
VascularAccess: T2 - I didn't know how to even do CVAD drsg change when I was a new RN...I really had
poor technique until I was given training... #IVchat
6/1/2010 12:40
InfusionNurse: @VascularAccess ..T2 even current staff RNs still don't know how unless they r trained
and competency checked. #IVchat
6/1/2010 12:41
IVchat: @ONSmark ..pls. go ahead with your ?..hope we can help.. #IVchat
6/1/2010 12:42
VascularAccess: @infusionnurse T2 - all I can say is.....RESPECT ur IV lines, peripheral IV or central
lines!!! #IVchat
6/1/2010 12:43
ONSmark: T2 What I saw was Webcourse 4 physician & "nurses who assist w/ insertion & maintain
the central line" http://bit.ly/cS6SwE (cont.) #ivchat
6/1/2010 12:44
MEDsyntrix: RT @infusionnurse: T2 - all I can say is.....RESPECT ur IV lines, peripheral IV or central
lines!!! #IVchat
6/1/2010 12:44
ONSmark: T2 (cont.) "The central line insertion course uses Web-based didactic training and a
simulation center" http://bit.ly/cS6SwE #ivchat
6/1/2010 12:45
IVchat: RT @VascularAccess: T2 - all I can say is.....RESPECT ur IV lines, peripheral IV or
central lines!!! #IVchat
6/1/2010 12:45
ONSmark: One question I had asked about hospitals using a PERMCATH for chemotherapy, not
dialysis. #ivchat
6/1/2010 12:47
InfusionNurse: @ONSmark ..good one for MD's inserting chest placed CVADs..very impt to have the
hands on training. #IVchat
6/1/2010 12:47
InfusionNurse: @ONSmark ..if catheter tip is in cavo-atrial junction, it's a central line & w good blood
return - can b used for chemo - not ideal! #IVchat
6/1/2010 12:51
ONSmark: @InfusionNurse Thanks! The other question I had asked whether buretrols/burettes are
still used for peds in infusion centers. #ivchat
6/1/2010 12:52
InfusionNurse: @ONSmark ..in NICU's they r still used. for outpt infusion centers, not usually unless
volume is so small #IVchat
6/1/2010 12:56
VascularAccess: @ONSmark - some permcath tips are in the RA - would check first before using for
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5. http://www.printyourtwitter.com/tweets.html
chemo.. #IVchat
6/1/2010 12:57
VascularAccess: @ONSmark - for young peds pts. we use it just for safety reason (so as not giving entire
bag)... :) #IVchat
6/1/2010 12:59
IVchat: We're almost into one hour...any last thoughts..comments..questions? #IVchat
6/1/2010 13:00
ONSmark: @VascularAccess Thanks again. And I'm not sure if today's chat is ending now but I have
to sign off -- thanks again everybody! #ivchat
6/1/2010 13:00
VascularAccess: Thank you everyone...this is really fun!! Thanks @IVchat #IVchat
6/1/2010 13:01
MEDsyntrix: Thx! Learned a lot. Until next chat! #ivchat
6/1/2010 13:02
InfusionNurse: Thanks again to all for a great chat!! Have a good rest of the day! #IVchat
6/1/2010 13:03
IVchat: That concludes our IV chat for today...thanks to everyone who joined us! #IVchat
6/1/2010 13:03
IVchat: Next IV chat is June 10, 2010 at 12noon ET. See you then! #IVchat
6/1/2010 13:04
IVchat: @ONSmark ..thanks Mark! Have a great rest of the day...enjoy the short work week!!
#IVchat
6/1/2010 13:05
InfusionNurse: RT @IVchat: Next IV chat is June 10, 2010 at 12noon ET. See you then! #IVchat
6/1/2010 13:07
VascularAccess: RT @IVchat: Next IV chat is June 10, 2010 at 12noon ET. See you then! #IVchat
6/1/2010 13:08
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