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    Disclosures: Kori Dewing, DNP, ARNP Virginia Mason Medical Center October 29, 2013

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    Alexander Diaz Zuleta
    This document provides an overview of the history and scope of rheumatology nursing. It begins with the definitions of nursing from the American Nurses Association and a brief history of nursing from ancient times through the development of nursing as a modern profession. It then discusses the history and recent advances in rheumatology nursing and the roles and educational preparation of rheumatology nurses today. The scope of rheumatology nursing practice is described across various settings including outpatient, infusion suites, research facilities, and acute care.

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    Disclosures: Kori Dewing, DNP, ARNP Virginia Mason Medical Center October 29, 2013

    Uploaded by

    Alexander Diaz Zuleta
    29 views3 pages
    This document provides an overview of the history and scope of rheumatology nursing. It begins with the definitions of nursing from the American Nurses Association and a brief history of nursing from ancient times through the development of nursing as a modern profession. It then discusses the history and recent advances in rheumatology nursing and the roles and educational preparation of rheumatology nurses today. The scope of rheumatology nursing practice is described across various settings including outpatient, infusion suites, research facilities, and acute care.

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    Reumathology Nursing

    Original Title

    enfermeria en reumato

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    This document provides an overview of the history and scope of rheumatology nursing. It begins with the definitions of nursing from the American Nurses Association and a brief history of nursing from ancient times through the development of nursing as a modern profession. It then discusses the history and recent advances in rheumatology nursing and the roles and educational preparation of rheumatology nurses today. The scope of rheumatology nursing practice is described across various settings including outpatient, infusion suites, research facilities, and acute care.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views3 pages

    Disclosures: Kori Dewing, DNP, ARNP Virginia Mason Medical Center October 29, 2013

    Uploaded by

    Alexander Diaz Zuleta
    This document provides an overview of the history and scope of rheumatology nursing. It begins with the definitions of nursing from the American Nurses Association and a brief history of nursing from ancient times through the development of nursing as a modern profession. It then discusses the history and recent advances in rheumatology nursing and the roles and educational preparation of rheumatology nurses today. The scope of rheumatology nursing practice is described across various settings including outpatient, infusion suites, research facilities, and acute care.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    10/29/2013

    Disclosures

     I have no financial or other relationship to disclose

    Kori Dewing, DNP, ARNP


    Virginia Mason Medical Center
    October 29, 2013
    [email protected]

    References Objectives
     
     American Nurses Association and Rheumatology  Review the history of nursing
    Nurses Society (2013). Rheumatology Nursing: Scope  Describe the various roles of the rheumatology nurse
    and Standards of Practice. Silver Spring, MD: in the US
    Nursebooks.org.  Describe the scope and standards of practice for
     Kozier B, Erb G, Blais K, & Wilkinson JM. (1998). rheumatology nursing in the US
    Fundamentals of Nursing: Concepts, Process, and
    Practice. 5th ed. Menlo Park, CA: Addison Wesley
    Longman, Inc.

    What is Nursing? Nursing History


      Ancient civilization – midwives 
    The ANA definition:  Middle Ages – male and female religious, military and secular
    orders
     18th and 19th centuries – nursing within religious order provided as
    part of Christian charity
    Nursing is the protection, promotion, and optimization
     Florence Nightingale 1820-1910
    of health and abilities, prevention of illness and injury,  Born into wealthy and intellectual family
    alleviation of suffering through the diagnosis and  Nursing training Kaiserswerth, Germany
    treatment of human response, and advocacy in the care  Developed corps of nurses to provide care of wounded and sick
    during Crimea War, transformed military hospitals into places of
    of individuals, families, communities, and populations. healing
     Developed nursing school and changed status of nursing to a
    respectable profession for women
     In US, nursing and health services established during the American
    http://nursingworld.org/ Revolution
     Hospital programs transitioned to training in colleges and
    universities in the 1920’s Kozier et al. 1998

    1
    10/29/2013

    Rheumatology Nursing
    Scientific Discoveries
    Recent History
      1980’s and 1990’s

     Rheumatology nursing  The Beverly Hillbillies
    primarily inpatient “rheumatism medicine”  Advancements in immunology
    nursing  New therapies developed
     Rheumatology became much more
    advanced
     Nurses need help understanding
    immune system function, the
    complexity of the rheumatic diseases,
    and the treatments available

    The Rheumatology Nurse Educational Preparation


    Today for Rheumatology Nursing

     Understands the complex medications and protocols used to

    treat autoimmune diseases  Registered Nurses have initial education preparation
     Familiar with the use of multiple drug combinations and at the diploma, associate degree or baccalaureate
    protocols to treat rheumatic diseases, the expected outcomes, level
    the side effect profiles and monitoring measures, and the
    interactions with other prescribed medications and  APRNs have graduate education. Most are Master’s
    nutraceuticals prepared. DNP required for practice entry starting
     Educates the healthcare consumer about the safe use of these 2015.
    agents, the need for monitoring and observation, and the  On the job training
    need for regimen modification
     Administration of infusible medications requires the  CNE
    expertise of a rheumatology RN with competencies in IV  Texts
    infusion technique, specific drug infusion criteria and
    management of adverse and serious infusion reactions, as  Journal articles and newsletters
    well as to identify insufficient therapeutic effects
    Rheum Nursing Scope and Standards of Practice 2013

    I AM A Scope of Rheumatology
    RHEUMATOLOGY NURSE Nursing Practice

     November 2012, American Nurses

    Association Board of Directors recognized  Outpatient setting-RN
    rheumatology nursing as a nursing  Physical assessment
    specialty and approved the rheumatology  Patient education, injection teaching
    nursing scope of practice statement  Medication monitoring
     Rheumatology nursing is the specialty  Insurance
    practice devoted to the comprehensive care  Coordination of care
    of children and adults with rheumatic
    conditions  Psychosocial support and assistance
     Authoritative statements of the duties that  APRN
    all rheumatology registered nurses are  Scope of practice varies state to state
    expect to perform competently  Most NPs have some level of practice
    autonomy and prescriptive authority

    2
    10/29/2013

    Scope of Rheumatology Scope of Rheumatology


    Nursing Practice Nursing Practice
     
     Infusion Suite  Research Facilities
     Prepare medication for IV infusion  Trial coordinator
     Access IV site  Principal or sub investigator role
     Assess patients prior to infusion  Maintain records
    (infection, vitals, labs)  Administer medications, obtain blood tests or other
     Manage infusion site reactions measurements according to study protocols
     Patient education  Study recruitment
     Manage inventory  Assist in providing consent and educating study
     Develop infusion suite protocols participants

    Scope of Rheumatology Scope of Rheumatology


    Nursing Practice Nursing Practice
     
     Acute Care Setting  Other
     Consultant to other nurses and healthcare  Rehabilitation
    professionals regarding underlying rheumatic  Long term care
    condition  Home health
     Assist in clinical decisions regarding use of  Hospice
    medications, addressing concerns about exacerbation
    of rheumatic conditions and its impact on the acute  Palliative care
    problem  Faith community
     Identifying strategies that will benefit a patient in  School nurse
    rehab and post hospital care

    Rheumatology Nursing The Future: Nursing Core


    Standards of Practice Curriculum
     
     Core knowledge that must be in a
    nurse’s armamentarium in order to
    practice in a specialty
     Submitted, not yet available
     Basis on which certification exam
    will be written
     Expected to be available summer
    2015
     Initially one test, but will eventually
    separate into two tracks (RNs and
    APNs)

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