neph nursing about
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American Nephrology Nurses Associationwww.annanurse.org
Achieve your goalsMake a difference
Join a community of caring
Nephrology NursingDiscover
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The American
Nephrology NursesAssociation
www.annanurse.org
Mission StatementANNA will advance nephrology nursing practiceand positively influence outcomes for patients with kidney or other
disease processes requiring replacement therapies through
advocacy, scholarship, and excellence.
make a difference advocacy mentoring
long-term relationships compassionate care
higher level of practice professional growth
recruitment and retention collaboration rich with
opportunity networking ongoing challenges
professional commitment nursing leaders
make a difference diversity save lives daily
rewarding and challenging advocacy long-
term relationships compassionate care continuity
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
relationships compassionate care continuity of care
bonding with patients and families professional
resources leadership opportunities
diverse save lives daily long-term relationships
compassionate care bonding with patients and
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Nephrology Nursingis 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 nephrologynursing practice is what makes
the specialty both challenging and
rewarding.
ANNAsmission is to advance thenephrology nursing specialty and to
nurture every ANNA member. We
achieve these goals by providing thehighest quality educational products,
programs, and services. Our members
are leaders who advocate for patients,
mentor each other, and lobby
legislators, all to inspire excellence.
ANNA is here to help.
Your career is your choice...
Youre in great company.The teamwork, the sense of family andcamaraderie that can occur among dialysiscaregivers is phenomenally strong. I have seen thisspirit over and over again.
Sybil V. Tomlinson, Regional Quality ManagerBirmingham, AL
Nephrology nursing is so diversified. You canchoose from a variety of practice settings and roles;each has unique rewards and challenges.
Jenny Bell, Transplant CoordinatorScottsdale, AZ
What I find most exciting and interesting aboutthe speciality is that we are truly dealing with everyorgan system. Nephrology nurses must be able tounderstand and recognize the pathophysiology ofmany diseases.
Anne E. Harty, Nurse Practitioner, NephrologyOmaha, NE
Nephrology nurses save lives every day. That saysit all.
Caroline Counts, ANNA President, 2003-04Charleston, SC
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Definition.Nephrology nursing involvesboth preventing disease and assessing thehealth needs of patients and families.
Care spans the life cycle and involvespatients who are experiencing the realor threatened impact of acute or chronic
kidney failure. These patients need well-educated, highly skilled, motivatedregistered nurses.
Technological and educational advancesmake it a dynamic field, rich with a widevariety of career opportunities for a newgraduate or an experienced practitioner.
History.Nephrology has been recognizedas a specialty for over 35 years. In 1973,treatment for end stage kidney diseaseby hemodialysis, peritoneal dialysis, ortransplantation was funded by the federalgovernment and became more readilyavailable.
Since then, the role of the nephrologynurse has greatly expanded and practiceboundaries broadened.
Knowledge Base.Nephrology nursingpractice requires a common knowledge baseto care for pediatric, adult, and geriatricpatients with kidney disease.
To provide optimum care tailored toeach patients needs, specialized areas of
nephrology nursing have evolved, alongwith nurses knowledge and skills.
These skills primarily relate to modalities oftherapy. These include: Hemodialysis Peritoneal dialysis Transplantation Continuous renal replacement therapy Conservative management Other extracorporeal therapies
Nephrology nursing practice overlapsthe boundaries of other specialty areas.For example, transplant nurses now carefor patients who receive multi-organtransplants. This diversity is one of the mostappealing aspects to practitioners.
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 Practice
. . . nephrology nursing is perfect for you.
If you are a . . .
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Nurses practicing in all areas of nephrologyfind exceptional opportunities and rewards.
Constant improvements in technology, newand superior medications, and advances inpatient care challenge the mind. New careerpaths open continuously. Learning never
ends.
Roles of the Nephrology Nurse Staff nurse, hospital or outpatient settings
Hemodialysis/peritoneal dialysis nurse
Nurse manager
Transplant coordinator
Organ recovery coordinator
Office nurse
Nurse practitioner
Clinical nurse specialist Pharmaceutical representative
Nurse researcher
Quality management
Nurse educator
Corporate/sales
State or federal surveyor
OpportunitiesNephrology nursing positionsare available in dialysis clinics,hospitals, physician practices,transplant programs, and manyother settings.
Standards of PracticePractice is guided by theANNA Standards and Guidelines of ClinicalPracticeand ANNA Scope and Standards ofAdvanced Practice in Nephrology Nursing(www.annanurse.org, Publications).
ResourcesSources of knowledge to support the widevariety of nephrology nursing roles are foundin many ANNA publications including the Core
Curriculum for Nephrology NursingandContemporary Nephrology Nursing.
CertificationCertification in nephrology nursing recognizesan individuals expertise in the specialty.Certification can be achieved through theNephrology Nursing Certification Commission(www.nncc-exam.org).
Evolving and Expanding Roles
Uniqueto this specialty is thevarietyof practice settings and roles.
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Populations. The broad scope of
nephrology nursing practice reflects thediverse and challenging patient groupsnurses may encounter.
Patients include pediatric, adult, andgeriatric individuals from a variety of ethnicgroups. They have acute or chronic kidneyfailure, or are at risk for kidney disease.
Care may be extremely complex: patientsmay have cardiovascular disease, diabetes,
hypertension, infectious disease, bonedisease, or drug addiction. In addition,many face psychosocial issues. Patients learnto cope with these problems over time,especially with the help of an interested,knowledgeable, and compassionate healthcare team.
The nurses role is to help patients managetheir lives succeed at school or work,socialize, maintain relationships, or try a newhobby while effectively dealing with theirhealth issues.
Practice Areas. Nephrology nursingpractice occurs in primary, secondary, andtertiary care settings and in the home wherever individuals experiencing or at riskfor kidney disease receive health care.
Conservative Management. Not allpatients with kidney disease require dialysis.Some diseases that affect the kidneys aretreatable and potentially curable. In thesecases, one of the nephrology nurses primaryroles is to educate patients about theirdiseases, prognoses, and treatments.
Treatment often
spans a lifetime,making nephrology nursing
an art and science ofholistic care.
Inpatient Setting
Patients often critically ill Fast-paced practice
Challenging
Outpatient Setting Care of complex patients
Nurse is integral member of
a multidisciplinary team Long-term care of chronically
ill patients Nurse is advocate, educator,
consultant, direct caregiver
Nurses can have a positiveimpact on the quality of
patients lives
Patients and Settings
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ANNA members are
leadersin thenephrology health care
community.
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Opportunities in Nephrology NursingEducation. There are many optionsavailable for nurses pursuing a careerin nephrology education. In the worksetting, the educator is a valuable resource
as a coach for new staff or for nursesin other disciplines. In the academicsetting, educators may choose to teachbasic nursing, masters, or doctoral levelprograms.
Management. Strong leaders and skilledcommunicators are ideal for the manymanagement and administrative positionsnow available. Superior patient care skills
are needed, and most settings prefera BSN or advanced degree. The role ischallenging, evolving, and exciting.
Research. A data-driven society and thegoal of evidence-based quality care hasbroadened this area for nephrology nurses.To help improve nephrology treatmentsand support advances in practice, ANNAhas joined other corporations to make fundsavailable for nephrology nursing research.
Case Management. The nephrologynurse case manager oversees the quality,outcome, and cost of patient care. Patientadvocacy and continuity of care are twovital components of this role.
Advanced Practice Nursing.Advancedpractice nurses (APN) in nephrology includeclinical nurse specialists (CNS) and nursepractitioners (NP). The APN provides care
for patients along the continuum of kidneydisease and in all treatment modalities. Boththe CNS and NP roles are utilized in theinpatient and outpatient settings with thenurses working as clinicians, consultants,educators, and researchers.
Corporate/Government.There aremany opportunities for the nephrologynurse seeking a change from traditional
nursing roles. Corporate employers includenational and international manufacturersand distributors of dialysis and relatedequipment, as well as pharmaceuticalcompanies. In government settings, nursesmay find work at the local, state, or federallevels.
Pediatric Nephrology.This is a growingsubspecialty, with pediatric nephrologynurses practicing in all treatment modalities.Nurses in this area find tremendousfulfillment from working with children andtheir families.
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Visit www.annanurse.orgfor complete information on ANNA membership.
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ANNA Member Benefits Nephrology Nursing Journal
Nephrology nursing publications
Numerous education programs
Networking and mentoring
Volunteer leadership opportunities
Professional development
Special Interest Groups (SIGs)
Scholarships, grants, and awards
Discounts for programs and publica-
tions
Legislative representation
Local chapters
Advancing the PracticeofNephrology NursingAbout ANNA
Since it was established as a nonprofitorganization in 1969, the AmericanNephrology Nurses Association (ANNA)has been serving members who span thenephrology nursing spectrum.
ANNA has a membership of over 11,000registered nurses and other health careprofessionals at all levels of practice.Members work in such areas as conservativemanagement, peritoneal dialysis,
hemodialysis, continuous renal replacementtherapies, transplantation, industry, andgovernment/regulatory agencies.
Because ANNA offers programs to mentornewcomers and develop leaders, theassociation has been extremely successful inhelping members attain their goals.
ANNA serves its members through anational structure separated into fourregions. Within these regions are over 100local chapters. The association also offerstop quality education services, products,conferences, and programs. State-of-the-art technology provides networkingopportunities and supports a vast array ofmember services and resources on the Website, www.annanurse.org.
Educational Opportunities
Nephrology Nursing Journal (NNJ).ANNA membership includesNNJ, the associations officialpublication. This bimonthlypeer-reviewed journal containsoriginal articles, research, specialfeatures, and editorials. NNJpresents the latest advancesin practice and is an essentialclinical and academic resource.Members also receive ANNA
Update, ANNAs bimonthlynewsletter, and other special publications.
Programs.Education at all practice levelsis offered annually through the NationalSymposium and the Fall Meeting forNephrology Nurse Managers, AdvancedPractice Nurses, and Clinicians. There are alsolegislative and leadership workshops; audioconferences; distance learning courses; andnumerous chapter programs.
Networking.ANNA members identifynetworking within the association as oneof their most valued benefits. ANNA keeps
members connected through its publications,e-newsletter, Web site, and national/regional/local programs.
Become an Active MemberAny registered nurse licensed in the UnitedStates, Canada, or Mexico who is interestedin the care of nephrology patients is eligiblefor active membership. Annual dues are listedin the membership application (insert, nextpage). International membership is available toregistered nurses living outside of North America.
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American Nephrology Nurses Association
East Holly Avenue/Box 56Pitman, New Jersey 08071-0056
(888) 600-2662, (856) 256-2320Fax (856) 589-7463
E-mail: [email protected]
Advocacy. Scholarship. Excellence.www.annanurse.org
make a difference advocacy mentoring
long-term relationships compassionate care
higher level of practice professional growth
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
lives collaboration holistic care reach
new goals keeping pace with new technology
professional growth compassionate care
continuity support system mentoring
collaboration diverse saving lives collaboration
mentoring challenges and rewards
long-term relationships compassionate care
continuity of care bonding with patients and
families professional resources leadership
opportunities diverse save lives daily
Nephrology Nursing
Discovered