1. TEXT Twitter USER
Its 8PM...dou knowwhere the nursesare?..at#IVchat!!Good evening&
welcome everyone!!#IVchat IVchat
Let's start withintroductions.Please telluswho/where urfrom.
Welcome toIVchat#IVchat IVchat
Hi,Michelle here..glad tojointonight!#IVchat VascularAccess
Hi Michelle,gladtosee u..thinkitsgonnabe asmall cozygroup
tonight...lurkers - welcome too!#IVchat IVchat
Firsttopicis a followuptothe tweetspostedby@infusionnurse afew
daysago..can u postthose?#IVchat IVchat
T1 I finditdisturbingthatan RN wouldkeepre-usingasyringe to
reconstitute medsb/cthe office iscuttingbackonexpenses!!#IVchat InfusionNurse
T1- saw that and notbeinga nurse,I finditdisgustinganurse would do
that..#IVchat MEDsyntrix
that RN tellsme,"Oh,Ireuse syringesbutnotonpts, justto mix their
meds....isthereaproblemwiththat?"#IVchat InfusionNurse
T1 - awful thingisthe nurse didnt seemtothinkthere'sevensomething
wrongw/ whatshe is doing..thatisbadonall levels#IVchat VascularAccess
I agree and that isbad RT @VascularAccess:T1 - awful thingisthe nurse
didntseemtothinktheresevensomethingwrong#IVchat InfusionNurse
T2 whoeverthisnurse is,Idontwantto go to her hospital...ewww.
#IVchat MEDsyntrix
LOL..RT @MEDsyntrix:T2 whoeverthisnurse is,Idontwantto go to her
hospital...ewww.#IVchat IVchat
T1 - those syringesare labeled"single use" only...sonoreasontoreuse
evenif savingmoney..#IVchat InfusionNurse
T1 - savingmoney..pfft..if pts.getcontaminatedorinfected,itsgonna
cost themmore money#IVchat VascularAccess
RT @VascularAccess:T1 - savingmoney..pfft..if pts.getcontaminatedor
infected,itsgonnacostthemmore money#IVchat IVchat
T1 - wrote blogonthis...http://infusionnurse.org/2010/02/05/single-
use-only/#IVchat InfusionNurse
T1 - notacceptable tore-use evenif forsame ptsor same meds...that RN
was justclueless..#IVchat InfusionNurse
T1 @InfusionNurse ..cantell thisisone of youhotbuttons...LOL#IVchat VascularAccess

2. Spreadthe word..RT@InfusionNurse:T1- wrote blogon
this...http://infusionnurse.org/2010/02/05/single-use-only/#IVchat IVchat
LOL, justneedto use goodpractice/judgement..RT@VascularAccess:T1
..can tell thisisone of youhot buttons...LOL#IVchat InfusionNurse
so true...RT@VascularAccess:T1- savingmoney..pfft..if pts.get
contaminatedorinfected,its gonnacostthemmore money#IVchat InfusionNurse
T1 - one more thing- thisnurse isalsoa "trainer"for her
workplace...imaginewhatotherthingsanew RN wouldlearn...yikes..
#IVchat InfusionNurse
T1 - repliesontwitter- mostwere disgustedanurse woulddothis.Ijust
hope the message comesacross..#IVchat InfusionNurse
T1 - I wouldthinkthis"re-use"nurse isalone exception...#IVchat VascularAccess
RT @InfusionNurse:T1-- this nurse isalsoa "trainer"for her
workplace...imaginewhat otherthingsanew RN wouldlearn...yikes..
#IVchat IVchat
@IVchatthe thoughtof reusinga syringe hasneverevencrossedmy
mind#ivchat thenerdynurse
@IVchatthe thoughtof reusinga syringe hasneverevencrossedmy
mind#ivchat thenerdynurse
I know – wishall RNswouldn’tthinksoalsoRT@thenerdynurse @IVchat
the thoughtof reusingasyringe hasneverevencrossedmymind#ivchat InfusionNurse
Nexttopiccomingup...#IVchat IVchat
T1 - shouldsomeone reportthem?#IVchat MEDsyntrix
u meanto theirboss?In thiscase,itsmgt whotoldRN to reuse to cut
cost..RT@MEDsyntrix:T1 - shouldsomeone reportthem?#IVchat InfusionNurse
T2 - patientswhohopfromhosp2hospinorderto gettheir"fix"..what
do thinknursesshlddowiththese pts.#IVchat IVchat
@InfusionNurse ..yesortothe authorities..#IVchat MEDsyntrix
#IVchat T1 yea someone isreallynotthinkingaheadintermsof cost
saving.Infectionsare prettypriceyandsoare lawsuits. thenerdynurse
Unfortunatelyuntil badhappens,noone 2 report2 RT @medsyntrix
@InfusionNurse ..yesortothe authorities..#IVchat InfusionNurse
@thenerdynurse..welcome,thanksforjoiningus...#IVchat IVchat

3. @thenerdynurse,sometimes,peopledont thinklikethatuntil
somethingbadhappens.#IVchat InfusionNurse
#IVchat T2 you treatthemthe same as any otherpatient.Youenforce
policiesanddon'tbendrules.If theygosmoke they've leftAMA. thenerdynurse
T1 - I thinkthatnurse shouldhave stoodupto mgt and saidno..notjust
followblindly..#IVchat VascularAccess
RT @IVchat: T2 - patientswhohopfromhosp2hospinorder to gettheir
"fix"..whatdothinknursesshlddowiththese pts.#IVchat IVchat
#IVchat youalsohave to make sure your MDs are aware of the repeat
offenderssothatone isn'tjustgivingthema dilaudidPCA! thenerdynurse
@VascularAccessT1 - yup,but prob isnurse didntthinkanythingwrong
w/it...double whammy...LOL#IVchat InfusionNurse
T2 - ahhhh,the frequentfliersforIV painmeds..#IVchat VascularAccess
RT @thenerdynurse:#IVchatT2you treatthemthe same as anyother
patient.enforce policiesdontbendrules.If theysmokeleftAMA.#IVchat IVchat
RT @thenerdynurse:#IVchat make sure yourMDs are aware of the
repeatoffenderssothatone isntjust givingthemadilaudidPCA!
#IVchat IVchat
T2 - i rememberthose,theyevencome withanIV access...#IVchat InfusionNurse
LOL yesRT @VascularAccess:T2- ahhhh,the frequent fliersforIV pain
meds..#IVchat#IVchat InfusionNurse
#IVchat hada pt,formernurse,once a monthcome infor a dilaudidfix
and narc refills.For8 monthsstraight! thenerdynurse
@thenerdynurse..what if uknowtheyr deliberatelygoingfromone
place to another...wouldustill give?#IVchat IVchat
@thenerdynurse..didsomeonefinallycatchupwiththat pt/nurse?
#IVchat InfusionNurse
T1 @thenerdynurse..once amonth?Surelyshe'sgoingelsewherein
between..#IVchat VascularAccess
RT @IVchat: RT @thenerdynurse:#IVchatmake sure yourMDs are
aware of the repeatoffenderssothatone isntjust givingthemadilaudid
... shegeekxdesign

4. if addicted,theyneedmore freq,RT@VascularAccess:@thenerdynurse
..once a month?Surelyshesgoingelsewhere inbetween..#IVchat
#IVchat InfusionNurse
RT @IVchat: RT @thenerdynurse:#IVchatT2 youtreat themthe same as
any otherpatient.enforce policiesdontbendrules.If theysmoke l ... shegeekxdesign
T2 - hard to deal w/ptslike these.We shldntbe policingthembutat
same time,drainingthe systemsince mostare onwelfare.#IVchat InfusionNurse
@InfusionNurse me.Andwhenwe offeredherthe optionof goingto
drug rehabor beingdc withoutRXstookout herownIV andleft#IVchat thenerdynurse
T2 - have nurse friendswhoknowthese "frequentfliers"andwhenthe
pts seesherworkingthere,theytake off...#IVchat VascularAccess
@InfusionNurse #Ivchatnotsure.Shedgeta monthsworthof all her
narc RXs the dilaudidwasjusta bonusI think thenerdynurse
onlyto showupelsewhere..RT@thenerdynurse:offeredoptionof going
to drug rehabor dc withoutRXs tookout her ownIV and left#IVchat InfusionNurse
RT @VascularAccess:T2 - have nurse friendswhoknow these "frequent
fliers"andwhenthe ptsseesthem,theytake off...#IVchat#IVchat IVchat
Sad RT @thenerdynurse:@InfusionNursenotsure.Shedgeta months
worthof all hernarc RXsthe dilaudidwasjustabonusI think#IVchat InfusionNurse
@shegeekxdesign..welcome,thanksforRTs#IVchat IVchat
theygo elsewhere 2RT @VascularAccess:have nurse friendswhoknow
these "frequentfliers"the pts sees,theytake off...#IVchat#IVchat InfusionNurse
@InfusionNurse #IVchatsame ptalsodemandedaPICCon admitand
got one everytime.Notthatitmattersbut alsono insurance. thenerdynurse
T2 whatcan nursesdo?RT @InfusionNurse:theygoelsewhere 2 #IVchat IVchat
T2 nursescan’tnot give themmedsbutcertainlywe shldhelptowards
gettingtx or rehab#IVchat VascularAccess
@InfusionNurse so'we'were payingforheraddiction#IVchat thenerdynurse
cleanline,we rpayingfor thisRT @thenerdynurse:same ptalso
demandedaPICCon admitand got one everytime.alsonoinsurance.
#IVchat InfusionNurse

5. Definitely,&there r lotsaround...RT@thenerdynurse:@InfusionNurse
so we were payingforheraddiction#IVchat IVchat
@thenerdynurseT2- i hope thatpt. is off andon rehabnow..sadshe's
an RN too!#IVchat InfusionNurse
Ok,havingtweetsnotshowingagain...happenedlastchat#IVchat VascularAccess
RT @VascularAccess:Ok,havingtweetsnotshowingagain...happened
lastchat #IVchat IVchat
LOL, we see it..RT@VascularAccess:Ok,havingtweetsnotshowing
again...happenedlastchat#IVchat IVchat
T2 - I agree that we shldhelpthese ptsbutif theydontwanthelp,it
wouldbe difficult#IVchat InfusionNurse
T2 - havingnoinsurance makesitevendifficult...#IVchat InfusionNurse
@VascularAccess.sotrue..#IVchat InfusionNurse
Our houris almostup...anywordsof wisdomorpartingthoughts??
#IVchat IVchat
@IVchat..thankyouso much for the chat..others are missingoutbynot
beinghere...thanks!#IVChat VascularAccess
Single use onlyiswhatitis...single use only..donotreuse!!#IVchat InfusionNurse
Thanksso much! RT @VascularAccess:@IVchat..thankyousomuch for
the chat..others are missingoutbynot beinghere...thanks!#IVchat IVchat
Thinkthere r otherchats goingon thanks4 joiningRT
@VascularAccess:@IVchat..thankyou,othersare missingoutbynot
beinghere #IVchat InfusionNurse
Thanksall,nextIV chat will be on Nov.10 9pm ET!! #IVchat IVchat
Thanksto everyone forjoiningustonight.We hope tosee youall again
nexttime.Goodnight!#IVchat InfusionNurse

6. ooops,itsNov.10 at 8pm ET nextIV chat #IVchat IVchat
RT @IVchat: ooops,itsNov.10 at 8pm ET next IV chat #IVchat InfusionNurse
bye..goodjob@IVchatand@infusionnurse thanks#IVchat MEDsyntrix
Thanksto @medsyntrix @vascularaccess@infusionnurse
@thenerdynurse@shegeekxdesignandothersforagreat chat!! G'night
#IVchat IVchat
RT @InfusionNurse: Single use onlyiswhatitis...singleuse only..donot
reuse!!#IVchat IVchat
RT @InfusionNurse:RT@IVchat:ooops,itsNov.10 at 8pm ET nextIV
chat #IVchat podmedic
@NurseNatersthiswasatopic at last#IVChat..toughone..will post
summarysoon(runningbehind:) IVchat