The celebration of IV Nurse Day every January 25 recognizes the work infusion nurses do with and for their patients. Infusion nurses are an essential part of the care team, acting to properly care for infusion needs and collaborating with other members of the health care team.
“Challenges in our ever-changing healthcare system combined with new, developing technologies and complex infusion therapies, afford the opportunity for the infusion nurse to use his/her expertise in infusion therapy to provide holistic patient care,” says Marlene Steinheiser, MSN, RN, CRNI®, director of nursing education of the Infusion Nurses Society (INS), Infusion Nurses Certification Corporation.
Of the primary responsibilities of an IV nurse, acting with the patient’s health and welfare in mind is primary. Celebrated since 1980, IV Nurse Day focuses attention on this essential care. “The infusion nurse acts as an advocate for patients receiving infusion therapy, ensuring that safe, quality infusion care is delivered,” says Steinheiser. “Patient assessment, with particular attention to the patient’s vasculature and prescribed therapy, is important so that the appropriate vascular access device (VAD) is selected to accommodate the treatment plan.”
Steinheiser also says that many infusion nurses also take on leadership roles where they provide education and guidance to other nurses while also continually monitoring for complications and setting in motion effective interventions when needed.
Student nurses interested in the career will find infusion nurses are not limited to specific settings. “Infusion nurses’ roles may vary depending upon the practice setting,” Steinheiser says. “Infusion nurses work in many settings, agencies, and organizations including, but not limited to, hospitals, nursing homes, ambulatory infusion clinicals, physician offices, and patient homes.”
According to Steinheiser, expert infusion nurses can help reduce complications by sharing their knowledge and educating patients, family members, and other healthcare team members and always assessing the patient. “Skilled VAD insertion, prevention of complications and early identification coupled with implementation of interventions, minimizes further damage that can result from infusion-related complications,” she says.
Like any nursing career, this branch of nursing requires continual education to stay current with best evidence-based practices that help prevent, reduce, and treat any complications or challenges. “Due to the invasive nature of infusion therapy, infusion nurses can encounter possible adverse events with any infusion, such as extravasation, catheter malposition, nerve damage, or infection,” Steinheiser says. “The infusion nurse is prepared with advanced knowledge and continuing education to promptly address these situations.”
The INS is an excellent resource for current and future infusion nurses. The organization offers free educational podcasts (available to members and nonmembers) where nurses can learn about and refresh their skills for safe infusion practices. And the learning center provides both virtual education and recorded educational sessions from prior conferences and webinars, and what Steinheiser calls a key resource for infusion nurses, the Infusion Therapy Standards of Practice.
As with other nursing practices, nurses with the desire to specialize in infusion therapy may study and take the certification exam offered twice a year, says Steinheiser. “To assist the nurse in preparing for this exam, INS has study material which covers the eight core components of infusion nursing,” she says. “Once nurses pass this exam, they are considered infusion nurse specialists and can begin using the credential CRNI®. The CRNI® is capable of an expanded role in directing evidence-based clinical practice, research, and quality improvement activities.”
Infusion nurses care for all patients, providing care that helps many other healthcare processes go more smoothly. “Infusion nurses provide for all patient populations, from the neonate to the elderly patient, and follow them along the continuum of care,” says Steinheiser. “Infusion nurses use their critical thinking skills, perform advanced procedures using state-of-the-art technology, and ensure safe infusion care.”
Certified Registered Nurse Anesthetists (CRNA) Week runs this week from January 21 to 27 and is an excellent opportunity for student nurses to find out more about this path in a nursing career.
With more than 52,000 nurse anesthetists and student nurse anesthetists, the career is thriving and attractive for several reasons. Many nurse anesthetists say the patient interaction they have is unsurpassed. They are with patients before, during, and after surgery, so there’s a necessary trust that is quickly established with the skill and care of the nurse.
Nursing students who are considering this as a career have many resources they can reference and various organizations that will help them succeed on this career path. The American Association of Nurse Anesthetists (AANA) is especially aware of promoting health and wellness among the student nurses who seek a career in this branch of nursing. The AANA’s 2017 report Wellness and Thriving in a Student Registered Nurse Anesthetist Population explored the significance of the relationship between student wellness and how well students do in their academic program.
To celebrate CRNA Week, Minority Nurse recently posed some questions to Michael Neft, DNP, MHA, CRNA, FNAP, FAAN, and assistant director of the Nurse Anesthesia Program University of Pittsburgh School of Nursing and nursing student Sara Wilkinson, BSN, RN, CCRN SRNA at University of Tennessee Health Sciences Center. The following are their answers.
Why is the AANA particularly aware of the health and wellness among student nurses looking to enter or actively studying in this field?
Student nurses are the future of the profession, and it is important to cultivate and prepare for a long and healthy career. Students who aspire to enter into nurse anesthesia programs must be healthy mentally and physically. They must have healthy outlets for stress relief, and healthy lifestyle habits that will support them throughout our educational programs.
Nurse anesthesia education programs are required by their accreditation standards to provide education content on wellness and substance use disorder. The AANA actively encourages members, students, as well as educational programs to engage whenever possible in healthy behaviors, whether that includes physical activity or simply reducing stress by encouraging individuals to take time for their loved ones or to engage in an activity they love.
The AANA is committed to providing resources and information about ways to become involved in establishing a healthy lifestyle and even offers fun runs, wellness tutorials and a massage therapy area at many of their conferences.
How does establishing good health and wellness practices now help a student nurse become better? And how will taking care of oneself now carry over once they graduate and are several years into a CRNA career?
Nursing has unique stressors like dealing with patient care situations that require critical thinking, fast decision making, and autonomy is tough. If the student nurse does not have the ability to cope with these situations autonomously, it is very difficult to care for patients. Maintaining both mental and physical health and wellness are at the foundation of successful practice.
Developing healthy lifestyle habits early, helps students handle stress more effectively, set clear goals, and develop a clear plan to achieve them. They also assist students with discipline, good study habits, prepare for clinical experiences properly, and self-evaluate objectively. It also helps to establish diet and exercise plans that can be adjusted as one transitions to practice, to avoid elimination of healthy habits out of inconvenience.
Maintaining a school-life balance is also important to develop a support system and find time for small, pleasant breaks to gives a fresh perspective and recharge. Establishing healthy behaviors and habits early is vital to long-term health, wellness, and maintenance of a successful career.
Do you have any advice for student nurses about considering this field and being aware of any challenges unique to this branch of nursing?
For student nurses considering the field of nurse anesthesia, awareness about the depth and breadth of study is valuable, but is important to be well, so that an individual will have the endurance to graduate. A strong support system and personal discipline are necessary to allow for healthy stress relief and appropriate professional conduct. Anesthesia remains the field with the highest incidence of drug abuse and unhealthy coping behaviors, due to high stress and access.
Think about what you do when stressed. Review your lifestyle habits: exercise, eating, alcohol use, and other substance use. Some prospective students may want to employ a lifestyle coach who can look at a person individually and help one to develop positive lifestyle habits that will set one up for success in graduate school and a stressful career. Good study habits, a healthy respect for one’s self and career, use of study resources, and strong, supportive relationships will be required to succeed and thrive in this field.
This week, the American Association of Nurse Practitioners is highlighting all the work nurse practitioners (NPs) do with National Nurse Practitioner Week.
The week kicks off today and runs through November 18 and honors the work NPs do both on the job and as ambassadors for the nursing profession.
Minority Nurse caught up with Dr. Scharmaine L. Baker, FNP, FAANP, FAAN, CEO at Advanced Clinical Consultants, to talk about the role of a nurse practitioner. After Hurricane Katrina, Baker’s New Orleans patient caseload swelled from 100 to 500 in three months. With a critical shortage of health care facilities and providers, Baker’s skills as an NP not only saved her patients, but also clearly showed how invaluable her thorough NP training is.
National Nurse Practitioner Week, says Baker, is a way to give nurse practitioners the recognition they often don’t receive. “National Nurse Practitioner Week gives us the positive spotlight that we deserve,” she says.
This kind of national attention to the nurse practitioner’s work shows the devotion nurses have to caring for a patient, and also helps clear up any misunderstandings about the role and how an NP works within a health care team. “Nurse practitioners don’t just prescribe a medicine and send you out of the door,” says Baker. “We take the time to listen to the patient stories about their children, spouses, pets, and job promotions. These stories often solve the complicated puzzle of making an accurate diagnosis. It’s called holistic care of the total man.”
When prospective nursing students are deciding on a career path, Baker urges them to consider a few things. Top in their minds should be the honest assessment of their commitment to making this career decision. Taking the time to complete the challenging NP studies isn’t easy, she says. “Once they have decided that this is indeed the right time to pursue an Advanced Practice Nursing degree,” she adds, “then the necessary preparations as far as letting family and friends know that they will be somewhat unavailable for the next three to four years because the schooling demands all of your time for successful completion.”
But when the degree completion and training are done, the potential for a lifelong career that challenges you, uses all your skills, and lets you connect with and help people is gratifying on many levels. As a nurse practitioner, you’ll be diagnosing, assessing, and treating medical conditions. You’ll also look at the whole patient. NPs take into account the interplay between a patient’s physical and emotional well-being as well as the environment they live in. By doing so, they can help treat every part of a patient’s condition.
“I get to hear the stories that make my patients happy or sad,” says Baker. “Then, I get to connect those stories to their physical state. They are always related. I enjoy providing health care on this advanced level. I get to take care of the whole patient.”
Baker also points out that while NPs continue to earn recognition and some states are allowing them to practice on their own, there is still work to be done. “The most challenging and frustrating part of advanced practice nursing is the many restrictive laws that prevent us from practicing to the full extent of our scope,” she says. “It’s downright ridiculous! I long for the day when all states will actively have full practice authority.”
Currently, nearly two dozen states allow nurses to have full practice authority where they practice without physician oversight. Baker continues to advocate for full practice authority among all nurse practitioners. She also urges NPs and the nursing profession to continue to honor the nurses who worked so hard to get all nurses where they are today.
“Many have fought for us to be where we are,” says Baker. “Every time we show up and provide stellar care, we make our founding nurses beam with joy. We must never forget their sacrifices.”
Celebrate National Nurse Practitioner Week this week and spread the word about these highly skilled professionals. Use #NPWeek to share photos and tags on your social media posts to help others see just what satisfaction a career as an NP can bring.
According to the HIMSS 2017 Nursing Informatics Workforce Survey, nursing informaticists are in a growing field that offers a rewarding career move and one that also helps to advance the field of nursing. Nursing informaticists use their nursing backgrounds, cutting-edge technology, and all the data, communication, and information that is produced in the field to make a healthier world.
According to the American Medical Informatics Association, nurse informaticists are challenged with a wide set of responsibilities, most of which focus on the systems and technologies in which patient information, healthcare results, and research findings are used, stored, and connected. Survey respondents classified their jobs into three main categories: systems implementation, utilization and optimization, and systems development.
Some informaticists tasks include building regional and nationally connected data and communication systems, determining the best ways to ensure that research findings are accessible through practice, promoting information presentation and retrieval in a manner that supports safe patient care, and even defining healthcare policies.
According to the survey, nearly half of the respondents reported great career satisfaction earning salaries of more than $100,000. Because the field is progressing so rapidly, given the technological developments, nursing informaticists receive both on-the-job training and additional training. Forty-one percent of the respondents said they are participating in some kind of degree program to get additional training—including a formal degree program or a non-degree degree program or coursework.
Many nursing informaticists are registered nurses and then go on to earn a bachelor’s or master’s in nursing to gain expertise in the field. Some nursing informaticists might earn an advanced degree in an information technology area like computer science. For those looking to earn an advanced degree, scholarships are available through the American Nursing Informatics Association.
If you are interested in nurse informatics, certification from the American Nurses Credentialing Center is also available and the survey results showed that about 51 percent of respondents indicated they would be pursuing some kind of certification and that they thought this additional education would have a positive impact on their careers.
If you’re a nurse who enjoys technology, check out this branch of nursing.
This week marks the 40th anniversary of Nursing Assistants Week and brings with it a great time for healthcare teams to reflect on how all the members of a team help it run smoothly.
This year’s theme for National Nursing Assistants Week is “Specialists in the Art of Caring,” and the theme is one that resonates with nursing assistants. Nursing assistants are essential members of the team and often work especially closely with patients who are disabled or elderly and live in long-term care facilities or are in rehabilitation facilities. They often spend their days caring for patients who may have very limited mobility or have severe dementia or other conditions that may prevent them from performing tasks for themselves. The hands-on care they provide helps people feel better and also provides the comfort of companionship.
Many nursing assistants are so devoted to the caregiving role that they will become certified in their field. The National Association for Health Care Assistants is also joining in the celebration by honoring certified nursing assistants who have taken the extra step toward professional development and education to become certified.
With nearly 1.5 million nursing assistants in the national workforce, the field is one that is growing and in need of additional professionals. With a high school diploma, prospective nursing assistants can gain additional training and certification through many local sources including community colleges and often the Red Cross. Nursing assistants have a physically demanding workload. They frequently move people all day long and so have to be especially careful about proper movement, getting help instead of hoping they can lift or move someone, and using available equipment to assist them in the physical tasks of the job.
Despite the rigor of the typical day, nursing assistants are especially devoted to the people in their care and strive to give them understanding and dignity at a time when they are especially vulnerable. The conversations they provide, even if they are one-sided at times, are an important and uplifting part of a patient’s day. Conversations about everything from the day’s weather to the political state of countries half a world away to comparing family traditions, all help take care of the whole patient, not just their physical needs.
This week is a time to call out the nursing assistants in your organization or on your team to thank them for the caring job they are doing. They are an essential part of making a team run, and because of what they do, the licensed nurses and physicians are able to take care of the pressing medical needs of the patient better, knowing the patient is comfortable and their needs have been met.
Honor this important direct care role by saying thank you to the nursing assistants in your organization and by holding events throughout the week to let them feel appreciated. Flowers, gift cards, a surprise coffee and cake or unexpected refreshments for them, and signs marking the week help make the week special, but can also start some important conversations about the essential teamwork and high-quality caregiving that goes on thanks to this important role.
May is a time to celebrate the work of neuroscience nurses across the country. The American Association of Neuroscience Nurses suggests several ways to highlight the work neuroscience nurses do with Neuroscience Nurses Week, but one of the best things is to find out what makes a neuroscience nurse love the job so much.
Shirley Ansari, BSN, RN, CNRN, and a nurse in The Johns Hopkins Hospital Neuroscience Acute Care Unit, says her journey to becoming a neuroscience nurse was not planned, but has given her professional challenges and personal satisfaction for her entire career.
“I became a registered nurse (RN) in 1984 and finished my nursing training in Mumbai, India,” Ansari says. “As a new RN, I was assigned to the neuroscience unit because the unit was short-staffed at the time. At the time, I had a limited knowledge of how to take care of neurological and neurosurgical patients.”
As a new nurse, Ansari says neuroscience nursing was challenging simply because the patients in her care had complex needs and were all quite varied. The pace was fast and care situations were changing constantly.
“Nevertheless,” she says, “with the help of senior nurses and their expertise, I was able to learn a lot and found it very motivating to deal with patients who suffered from a wide variety of brain and nervous system disorders.”
Because neuroscience nurses work with patients who are often in acute situations, they have to be highly resourceful both technically and emotionally. “As a neuroscience nurse, one should have the capability to deal with critical situations by being empathetic towards the patient as well as being simultaneously alert and attentive to the details,” Ansari says.
Because of their patients’ care needs, neuroscience nurses have to walk a fine line between motivating patients to do the work they might need to do and understanding what limitations they have at that moment. “My approach always involves a high level of calm and patience as many of these patients are not able to function normally due to their impaired cognitive function,” says Ansari.
The complex conditions and the rapidly changing environment means neuroscience nurses have to be ready to constantly take in new information and new developments but remain focused and steady. They will use all their nursing skills and develop strong communications skills that will work effectively within a team in a high pressure environment.
When thinking about advice to offer nurses considering this branch of nursing, she says well-rounded capabilities are essential. “They should have a high level of understanding to grasp what is happening with their patients and should be able to assess quickly and effectively in order to administer the proper type of care,” she says. “They should be able to communicate and delegate efficiently in order to deal with emergent situations. Lastly, they should be willing to work in a high stress situation by maintaining proficiency and composure.”
For Ansari, a career in neuroscience nursing brings many benefits, especially when she can see the progress of patients in her care. “Being able to facilitate and witness a patient’s recovery from initial treatment and rehab to having a more fruitful quality of life with their families is extremely rewarding,” she says.
As with many areas of nursing, Ansari says the constant change keeps her job fresh every day. “To this day, [the diverse work] is one of primary aspects of neuroscience nursing that I truly enjoy and find completely gratifying,” Ansari says. “The ability to learn something new amidst changing and challenging situations keeps me engaged, interested, and motivated in my work every single day.”