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  1. 1. Achieve your goals Make a difference Join a community of caring Discover Nephrology Nursing American Nephrology Nurses’ Association www.annanurse.org
  2. 2. • make a difference • advocacy • mentoring • long-term relationships • compassionate care • higher level of practice • professional growth • recruitment and retention • collaboration • rich with The American opportunity • networking • professional commitment • • ongoing challenges nursing leaders Nephrology Nurses’ Association • make a difference • diversity • save lives daily • rewarding and challenging • advocacy • long- term relationships • compassionate care • continuity www.annanurse.org • fulfilling career • collaboration • professional goals • certification • ANNA • autonomy • professional growth • diverse career paths • save lives • make a difference • collaboration • holistic care • long-term relationships • high-tech • professional growth • compassionate care • continuity • support system • mentoring • collaboration • diverse • saving lives • collaboration • mentoring • challenges and rewards • long-term Mission Statement relationships • compassionate care • continuity of care ANNA will advance nephrology nursing practice and positively influence outcomes for patients with kidney or other • bonding with patients and families • professional disease processes requiring replacement therapies through resources • leadership opportunities • advocacy, scholarship, and excellence. diverse • save lives daily • long-term relationships • compassionate care • bonding with patients and
  3. 3. Your career is your choice... ANNA is here to help. N Nephrology Nursing is a dynamic, diverse, and holistic practice. For more than three decades, the specialty has grown in scope and numbers. Nephrology nurses use the nursing process to care for patients of all ages who are experiencing, or are at risk for, kidney disease. The broad scope of nephrology nursing practice is what makes the specialty both challenging and rewarding. ANNA’s mission is to advance the You’re in great company. nephrology nursing specialty and to “The teamwork, the sense of family and “What I find most exciting and interesting about camaraderie that can occur among dialysis the speciality is that we are truly dealing with every nurture every ANNA member. We caregivers is phenomenally strong. I have seen this organ system. Nephrology nurses must be able to achieve these goals by providing the spirit over and over again.” understand and recognize the pathophysiology of Sybil V. Tomlinson, Regional Quality Manager many diseases.” highest quality educational products, Birmingham, AL Anne E. Harty, Nurse Practitioner, Nephrology programs, and services. Our members “Nephrology nursing is so diversified. You can Omaha, NE are leaders who advocate for patients, choose from a variety of practice settings and roles; “Nephrology nurses save lives every day. That says each has unique rewards and challenges.” it all.” mentor each other, and lobby Jenny Bell, Transplant Coordinator Caroline Counts, ANNA President, 2003-04 legislators, all to inspire excellence. Scottsdale, AZ Charleston, SC www.annanurse.org 3
  4. 4. If you are a . . . ◆ Nursing student eager for a challenging and rewarding career ◆ Medical-surgical nurse who enjoys specialized patient care ◆ Nurse in another practice setting looking for a change . . . nephrology nursing is perfect for you. Nephrology Nursing Practice Definition. Nephrology nursing involves Knowledge Base. Nephrology nursing both preventing disease and assessing the practice requires a common knowledge base health needs of patients and families. to care for pediatric, adult, and geriatric patients with kidney disease. Care spans the life cycle and involves patients who are experiencing the real To provide optimum care tailored to or threatened impact of acute or chronic each patient’s needs, specialized areas of kidney failure. These patients need well- nephrology nursing have evolved, along educated, highly skilled, motivated with nurses’ knowledge and skills. registered nurses. These skills primarily relate to modalities of Technological and educational advances therapy. These include: make it a dynamic field, rich with a wide • Hemodialysis variety of career opportunities for a new • Peritoneal dialysis graduate or an experienced practitioner. • Transplantation • Continuous renal replacement therapy History. Nephrology has been recognized • Conservative management as a specialty for over 35 years. In 1973, • Other extracorporeal therapies treatment for end stage kidney disease by hemodialysis, peritoneal dialysis, or Nephrology nursing practice overlaps transplantation was funded by the federal the boundaries of other specialty areas. government and became more readily For example, transplant nurses now care available. for patients who receive multi-organ transplants. This diversity is one of the most Since then, the role of the nephrology appealing aspects to practitioners. nurse has greatly expanded and practice boundaries broadened. 4 www.annanurse.org
  5. 5. Unique to this specialty is the variety of practice settings and roles. Evolving and Expanding Roles Nurses practicing in all areas of nephrology Opportunities find exceptional opportunities and rewards. Nephrology nursing positions are available in dialysis clinics, Constant improvements in technology, new hospitals, physician practices, and superior medications, and advances in transplant programs, and many patient care challenge the mind. New career other settings. paths open continuously. Learning never ends. Standards of Practice Practice is guided by the Roles of the Nephrology Nurse ANNA Standards and Guidelines of Clinical • Staff nurse, hospital or outpatient settings Practice and ANNA Scope and Standards of • Hemodialysis/peritoneal dialysis nurse Advanced Practice in Nephrology Nursing • Nurse manager (www.annanurse.org, “Publications”). • Transplant coordinator Resources • Organ recovery coordinator Sources of knowledge to support the wide • Office nurse variety of nephrology nursing roles are found • Nurse practitioner in many ANNA publications including the Core Curriculum for Nephrology Nursing and • Clinical nurse specialist Contemporary Nephrology Nursing. • Pharmaceutical representative • Nurse researcher Certification • Quality management Certification in nephrology nursing recognizes an individual’s expertise in the specialty. • Nurse educator Certification can be achieved through the • Corporate/sales Nephrology Nursing Certification Commission • State or federal surveyor (www.nncc-exam.org). www.annanurse.org 5
  6. 6. Patient Data • Approximately 20 million • The direct economic cost for Americans have kidney disease. treating kidney failure is at least • More men than women, more $20 billion a year in the U.S. elderly than young, and more • The number of people diagnosed African Americans and Hispanics with kidney failure has doubled than Caucasians develop chronic each decade for the last 2 decades kidney disease. and will likely continue to do so. (Sources: National Kidney Disease Education Program, American Nephrology Nurses’ Association) Incidence People of all ages, socioeconomic groups, and races may develop some form of kidney Trends in Incident Rates disease. When this progresses and >85% of by Primary Diagnosis kidney function is lost, it is known as end stage renal disease (ESRD). In these patients, the 350 kidneys are no longer removing waste products ALL of metabolism and excess fluids, balancing 300 electrolytes, or regulating hormones. Rate per million population 250 When patients reach ESRD, they must receive replacement therapy either in the form of dialysis 200 Medicare Coverage or kidney transplant in order to survive. Diabetes One of the most significant At the end of 2000, over 450,000 patients were 150 factors influencing the growth of being treated for ESRD and 96,000 new patients nephrology nursing was the 1973 started kidney replacement therapy that year. 100 Hypertension (Source: United States Renal Data System 2002 extension of Medicare to cover Annual Data Report.) 50 Glomerulonephritis treatment of kidney failure. This helps pay the costs for dialysis Most patients receiving renal replacement Cystic Kidney therapy undergo dialysis. While kidney transplant 0 or transplantation, regardless of 1992 1994 1996 1998 2000 is a treatment option for many ESRD patients, the patient’s age. unfortunately, the need for donor organs U.S. Renal Data System, USRDS 2002 Annual Data Report: Atlas of End-Stage Renal Disease in the U.S., National Institutes of Health, exceeds the supply and results in long waiting National Institute of Diabetes and Digestive and Kidney Diseases, times for those who do not have a living donor. Bethesda, MD, 2002. 6 www.annanurse.org
  7. 7. Treatment often spans a lifetime, making nephrology nursing an art and science of holistic care. Patients and Settings Populations. The broad scope of The nurse’s role is to help patients manage Inpatient Setting nephrology nursing practice reflects the their lives – succeed at school or work, socialize, maintain relationships, or try a new • Patients often critically ill diverse and challenging patient groups nurses may encounter. hobby – while effectively dealing with their • Fast-paced practice health issues. • Challenging Patients include pediatric, adult, and geriatric individuals from a variety of ethnic Practice Areas. Nephrology nursing groups. They have acute or chronic kidney practice occurs in primary, secondary, and Outpatient Setting failure, or are at risk for kidney disease. tertiary care settings and in the home – • Care of complex patients wherever individuals experiencing or at risk • Nurse is integral member of Care may be extremely complex: patients a multidisciplinary team for kidney disease receive health care. may have cardiovascular disease, diabetes, • Long-term care of chronically hypertension, infectious disease, bone Conservative Management. Not all ill patients disease, or drug addiction. In addition, patients with kidney disease require dialysis. many face psychosocial issues. Patients learn • Nurse is advocate, educator, Some diseases that affect the kidneys are consultant, direct caregiver to cope with these problems over time, treatable and potentially curable. In these especially with the help of an interested, • Nurses can have a positive cases, one of the nephrology nurse’s primary knowledgeable, and compassionate health roles is to educate patients about their impact on the quality of care team. diseases, prognoses, and treatments. patients’ lives www.annanurse.org 7
  8. 8. Treatment Modalities Hemodialysis. Hemodialysis removes and the patient to manage clinical, accumulated metabolic waste products nutritional, and psychosocial needs. from the blood using an artificial kidney. • Analyzes monthly laboratory tests. Hemodialysis is considered a life-sustaining • Teaches patient and family to perform treatment for acute and chronic kidney PD at home. failure. • Must have good assessment skills to evaluate education needs and assess The hemodialysis nurse: response to dialysis therapy. • Works within a standardized protocol. • Uses a general knowledge base of Renal Transplant. Patients who meet medical-surgical, pediatric, geriatric, and the medical criteria may choose the option psychiatric nursing. of kidney transplantation. With the new • Cares for chronic kidney failure patients There is a wide variety immunosuppressive medications, transplant on a long-term basis. is now a very successful therapy. The • Functions as educator, direct caregiver, of career opportunities in and coordinator. problem continues to be the shortage of available organs for those who do not have every setting. • Must have technical knowledge an acceptable living donor. of dialysis equipment and good communication skills. The transplant nurse: • Has a varied and extensive role that Peritoneal Dialysis (PD). Like requires continuous education and hemodialysis, PD removes metabolic waste clinical training. from the blood. Primarily, a self-care option, • May function as a staff nurse, transplant PD patients manage their own treatment via or organ recovery coordinator. a flexible, permanent, indwelling catheter. • Uses the nursing process to meet the The peritoneum serves as the dialysis unique needs of transplant recipients and membrane. PD is used to treat both acute living donors. and chronic kidney failure. • Monitors patients for rejection, infection, and other complications. The PD nurse: • Performs physical assessments. • Collaborates with the medical team 8 www.annanurse.org
  9. 9. Opportunities in Nephrology Nursing Education. There are many options Advanced Practice Nursing. Advanced available for nurses pursuing a career practice nurses (APN) in nephrology include in nephrology education. In the work clinical nurse specialists (CNS) and nurse setting, the educator is a valuable resource practitioners (NP). The APN provides care as a coach for new staff or for nurses for patients along the continuum of kidney in other disciplines. In the academic disease and in all treatment modalities. Both setting, educators may choose to teach the CNS and NP roles are utilized in the basic nursing, master’s, or doctoral level inpatient and outpatient settings with the programs. nurses working as clinicians, consultants, educators, and researchers. Management. Strong leaders and skilled communicators are ideal for the many Corporate/Government. There are management and administrative positions many opportunities for the nephrology now available. Superior patient care skills nurse seeking a change from traditional are needed, and most settings prefer nursing roles. Corporate employers include a BSN or advanced degree. The role is national and international manufacturers challenging, evolving, and exciting. and distributors of dialysis and related equipment, as well as pharmaceutical Research. A data-driven society and the companies. In government settings, nurses goal of evidence-based quality care has may find work at the local, state, or federal broadened this area for nephrology nurses. levels. To help improve nephrology treatments and support advances in practice, ANNA Pediatric Nephrology. This is a growing has joined other corporations to make funds subspecialty, with pediatric nephrology available for nephrology nursing research. nurses practicing in all treatment modalities. Nurses in this area find tremendous ANNA members are Case Management. The nephrology fulfillment from working with children and nurse case manager oversees the quality, outcome, and cost of patient care. Patient their families. leaders in the advocacy and continuity of care are two nephrology health care vital components of this role. community. www.annanurse.org 9
  10. 10. Visit www.annanurse.org for complete information on ANNA membership. Advancing the Practice of Nephrology Nursing About ANNA Educational Opportunities Since it was established as a nonprofit ANNA Member Benefits Nephrology Nursing Journal (NNJ). organization in 1969, the American ANNA membership includes Nephrology Nurses’ Association (ANNA) • Nephrology Nursing Journal NNJ, the association’s official has been serving members who span the • Nephrology nursing publications publication. This bimonthly nephrology nursing spectrum. peer-reviewed journal contains • Numerous education programs original articles, research, special ANNA has a membership of over 11,000 • Networking and mentoring features, and editorials. NNJ registered nurses and other health care • Volunteer leadership opportunities presents the latest advances professionals at all levels of practice. in practice and is an essential Members work in such areas as conservative • Professional development clinical and academic resource. management, peritoneal dialysis, • Special Interest Groups (SIGs) Members also receive ANNA hemodialysis, continuous renal replacement Update, ANNA’s bimonthly therapies, transplantation, industry, and • Scholarships, grants, and awards newsletter, and other special publications. government/regulatory agencies. • Discounts for programs and publica- Programs. Education at all practice levels Because ANNA offers programs to mentor tions is offered annually through the National newcomers and develop leaders, the • Legislative representation Symposium and the Fall Meeting for association has been extremely successful in • Local chapters Nephrology Nurse Managers, Advanced helping members attain their goals. Practice Nurses, and Clinicians. There are also ANNA serves its members through a legislative and leadership workshops; audio national structure separated into four conferences; distance learning courses; and regions. Within these regions are over 100 Become an Active Member numerous chapter programs. local chapters. The association also offers Any registered nurse licensed in the United Networking. ANNA members identify top quality education services, products, States, Canada, or Mexico who is interested networking within the association as one conferences, and programs. State-of- in the care of nephrology patients is eligible of their most valued benefits. ANNA keeps the-art technology provides networking for active membership. Annual dues are listed members connected through its publications, opportunities and supports a vast array of in the membership application (insert, next page). International membership is available to e-newsletter, Web site, and national/regional/ member services and resources on the Web site, www.annanurse.org. registered nurses living outside of North America. local programs. 10 www.annanurse.org
  11. 11. Two Easy Ways to Join Complete the membership application. Visit us online at www.annanurse.org. Simply fill out the Join ANNA online today. application attached below. Return by mail or fax. OR It’s fast and easy! Questions? Call ANNA at (888) 600-2662 or (856) 256-2320. You may also e-mail us at anna@ajj.com Thank you! By reading this brochure and filling out the attached application, you have taken the first step to a fulfilling new career! If the membership application is missing, you may obtain one on our Web site, www.annanurse.org, or call our toll free number at (888) 600-2662.
  12. 12. • make a difference • advocacy • mentoring • long-term relationships • compassionate care • higher level of practice • professional growth Nephrology Nursing Discovered • recruitment and retention • collaboration • rich with opportunity • networking • rewarding and challenging • professional commitment • achieve goals • nursing leaders • make a difference • diversity • save lives daily • rewarding and challenging • advocacy • long-term relationships • compassionate care • continuity • fulfilling career • collaboration • professional goals • achieve certification • ANNA • autonomy• long-term relationships • advocacy • diverse career paths • collaboration • achieve goals • save Advocacy. Scholarship. Excellence. lives • collaboration holistic care • reach www.annanurse.org new goals • keeping pace with new technology • professional growth • compassionate care • American Nephrology Nurses’ Association continuity • support system • mentoring • East Holly Avenue/Box 56 collaboration • diverse • saving lives • collaboration Pitman, New Jersey 08071-0056 (888) 600-2662, (856) 256-2320 • mentoring • challenges and rewards Fax (856) 589-7463 • long-term relationships • compassionate care E-mail: anna@ajj.com • continuity of care • bonding with patients and families • professional resources • leadership opportunities • diverse • save lives daily •