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The Role of the Fertility Nurse Specialist
in Australia
Mrs. Denise Donati
(RN. BScN. MNurs. Co-Owner Fertility Solutions ...
INTRODUCTION
• Australasian fertility nurse specialists work in a variety of
settings with the majority functioning as a m...
Overview
•History of IVF
•Definitions
•Fertility nursing through out the ages

NFN January 2012

© The Role of the Fertili...
History of IVF:
•1978 Birth of Louise Brown

NFN January 2012

© The Role of the Fertility Nurse Specialist
in Australia D...
History of IVF:

Jean Purdy First
Fertility Nurse
Robert Edwards
Scientist

Patrick Steptoe
Gynaecologist

NFN January 201...
What are assisted reproductive
technologies (ART’s ) ?

NFN January 2012

© The Role of the Fertility Nurse Specialist
in ...
1. Intra Uterine Inseminations (IUI)
•

http://www.youtube.com/watch?list=ULqCdIiLLF0vw&feature=player_detailpage&v=qCdIiL...
2. In Vitro Fertilisation (IVF)

NFN January 2012

© The Role of the Fertility Nurse Specialist
in Australia Denise Donati...
IVF Video
•http://www.youtube.com/watch?feature=player_detailpage&v=GeigYib39Rs

NFN January 2012

© The Role of the Ferti...
Basic Steps to IVF:

NFN January 2012

1. Superovulation

© The Role of the Fertility Nurse Specialist
in Australia Denise...
2. Oocyte (egg) Retrieval

NFN January 2012

© The Role of the Fertility Nurse Specialist
in Australia Denise Donati

11
3. Fertilisation

NFN January 2012

© The Role of the Fertility Nurse Specialist
in Australia Denise Donati

12
4. Embryo Culture
Human Oocyte

NFN January 2012

Human Oocyte surrounded
by sperm

© The Role of the Fertility Nurse Spec...
4. Embryo Culture cont.
2 Pronuclear Stage

NFN January 2012

2 cell Stage

© The Role of the Fertility Nurse Specialist
i...
4. Embryo Culture cont.
4 Cell Embryo

NFN January 2012

Day 5 Blastocyst

© The Role of the Fertility Nurse Specialist
in...
5. Embryo Transfer

NFN January 2012

© The Role of the Fertility Nurse Specialist
in Australia Denise Donati

16
WHAT ABOUT THE NURSES?

NFN January 2012

© The Role of the Fertility Nurse Specialist
in Australia Denise Donati

18
History of the role of the fertility nurse:
•1970’S – Hospital based infertility clinics with Nurses
considered doctors “h...
Today roles and scope can include:
Performing inseminations
Performing ultrasound scans for follicle tracking
Managing & c...
Role of Fertility Nurses cont.,
•Counselling & Psychological Support
•General information & advice – preconception
•Practi...
Some Fertility Nurses work as independent
practitioners performing patient assessments
and education:
How long have the co...
Information on FNA

NFN January 2012

© The Role of the Fertility Nurse Specialist
in Australia Denise Donati

23
With education, training and peer support
Fertility nurses have the ability to extend and
expand their scope of practice. ...
Nurses who both extend and
expand their roles are not
becoming ‘mini-doctors’ but
rather ‘maxi-nurses’
(J. Salvage, 1998: ...
Conclusion
Fertility nursing is a relatively new specialty which offers
a diverse and challenging environment in which a n...
THANK YOU FOR
YOUR ATTENTION
14th World Congress
November 2011

© How critical is the timing of insemination
for IUI cycle...
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This presentation was made at a conference attended by Sunshine Coast IVF Nurse and co-owner of Fertility Solutions, Denise Donati.

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Nurses Webinar - Role of Fertility Nurse

  1. 1. The Role of the Fertility Nurse Specialist in Australia Mrs. Denise Donati (RN. BScN. MNurs. Co-Owner Fertility Solutions Sunshine Coast & Bundaberg) Email: denise@fssc.com.au NFN January 2012 © The Role of the Infertility Nurse in Australia Denise Donati 1
  2. 2. INTRODUCTION • Australasian fertility nurse specialists work in a variety of settings with the majority functioning as a member of a multidisciplinary team within an Assisted Reproductive Technology (ART) clinic. • Fertility nurse specialists provide care for individuals and couples before, during & after fertility treatment. • The following presentation is designed to provide an insight into the multifaceted scope of practice and responsibilities of the role. NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 2
  3. 3. Overview •History of IVF •Definitions •Fertility nursing through out the ages NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 3
  4. 4. History of IVF: •1978 Birth of Louise Brown NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 4
  5. 5. History of IVF: Jean Purdy First Fertility Nurse Robert Edwards Scientist Patrick Steptoe Gynaecologist NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 5
  6. 6. What are assisted reproductive technologies (ART’s ) ? NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 6
  7. 7. 1. Intra Uterine Inseminations (IUI) • http://www.youtube.com/watch?list=ULqCdIiLLF0vw&feature=player_detailpage&v=qCdIiLLF0vw#t=46s NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 7
  8. 8. 2. In Vitro Fertilisation (IVF) NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 8
  9. 9. IVF Video •http://www.youtube.com/watch?feature=player_detailpage&v=GeigYib39Rs NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 9
  10. 10. Basic Steps to IVF: NFN January 2012 1. Superovulation © The Role of the Fertility Nurse Specialist in Australia Denise Donati 10
  11. 11. 2. Oocyte (egg) Retrieval NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 11
  12. 12. 3. Fertilisation NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 12
  13. 13. 4. Embryo Culture Human Oocyte NFN January 2012 Human Oocyte surrounded by sperm © The Role of the Fertility Nurse Specialist in Australia Denise Donati 13
  14. 14. 4. Embryo Culture cont. 2 Pronuclear Stage NFN January 2012 2 cell Stage © The Role of the Fertility Nurse Specialist in Australia Denise Donati 14
  15. 15. 4. Embryo Culture cont. 4 Cell Embryo NFN January 2012 Day 5 Blastocyst © The Role of the Fertility Nurse Specialist in Australia Denise Donati 15
  16. 16. 5. Embryo Transfer NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 16
  17. 17. WHAT ABOUT THE NURSES? NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 18
  18. 18. History of the role of the fertility nurse: •1970’S – Hospital based infertility clinics with Nurses considered doctors “handmaidens” •1980’s to 90’s – IVF clinics appear within hospitals and Nurses became “coordinators” •Mid 90’s to 2000’s – Private IVF Clinics & Nurses start extending roles i.e. counselling, scanning NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 19
  19. 19. Today roles and scope can include: Performing inseminations Performing ultrasound scans for follicle tracking Managing & coordinating cycles Education of patients and colleagues Counselling Performing Embryo transfers NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 20
  20. 20. Role of Fertility Nurses cont., •Counselling & Psychological Support •General information & advice – preconception •Practitioner can often adopt an investigativeeducative role NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 21
  21. 21. Some Fertility Nurses work as independent practitioners performing patient assessments and education: How long have the couple been trying to conceive? Regularity of intercourse Age of the Female Menstrual cycle Semen Quality General Health and Wellbeing Lifestyle Issues NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 22
  22. 22. Information on FNA NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 23
  23. 23. With education, training and peer support Fertility nurses have the ability to extend and expand their scope of practice. In some clinics, Fertility nurses work in very autonomous roles NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 24
  24. 24. Nurses who both extend and expand their roles are not becoming ‘mini-doctors’ but rather ‘maxi-nurses’ (J. Salvage, 1998: 120). NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 25
  25. 25. Conclusion Fertility nursing is a relatively new specialty which offers a diverse and challenging environment in which a nurse can work. The scope of practice is continuing to expand to accommodate rapid developments in reproductive science, along with societal pressures and expectations which ensures exciting opportunities exist for nurses interested in, and committed to, the care of couples facing fertility issues. NFN January 2012 © The Role of the Fertility Nurse Specialist in Australia Denise Donati 26
  26. 26. THANK YOU FOR YOUR ATTENTION 14th World Congress November 2011 © How critical is the timing of insemination for IUI cycles? Denise Donati 27
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This presentation was made at a conference attended by Sunshine Coast IVF Nurse and co-owner of Fertility Solutions, Denise Donati.

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