ABSTRACT
ANNA's Administration SPN created this proposal as a clinical practice project to re-evaluate how training and education are provided to individuals working in the dialysis setting. This article describes an education initiative based on the escape room methodology to provide a fresh approach on dialysis curriculum.
Subject(s)
Nephrology Nursing , Patient Safety , Renal Dialysis , Humans , Nephrology Nursing/education , Curriculum , United StatesABSTRACT
Historically, nephrology nurses have assumed various roles in the workplace, including staff nurse, educator, advanced practice nurse, and transplant coordinator. However, there is an emerging role that may be new and different to some nephrology nurses: the legal nurse consultant. With an increase in the number of lawsuits, it is imperative to have experienced and knowledgeable nephrology nurses working with attorneys on cases that involve our unique specialty. This article will define legal nurse consulting, differentiate the various types of consultants, and explain the roles and responsibilities of the legal nurse consultant.
Subject(s)
Consultants/legislation & jurisprudence , Expert Testimony , Malpractice/legislation & jurisprudence , Nephrology , Nurse Clinicians/organization & administration , Nurse's Role , Certification , Expert Testimony/legislation & jurisprudence , Expert Testimony/methods , Guideline Adherence , Humans , Medical Records , Nurse Clinicians/education , Practice Guidelines as Topic , United States , WorkplaceABSTRACT
Nurses rarely think they will be named as defendants in malpractice suits, and when they are named, they almost never envision the emotional impact that will occur regardless of the outcome of the suit. This article explores the lived experience of a nurse named as a defendant in a malpractice lawsuit and the use of strategies for emotional and professional survival.
Subject(s)
Adaptation, Psychological , Attitude of Health Personnel , Malpractice , Nurse Practitioners/psychology , Advanced Practice Nursing/legislation & jurisprudence , Humans , Malpractice/legislation & jurisprudence , Nurse Practitioners/legislation & jurisprudence , Nurse's Role/psychology , Renal Dialysis/nursing , Risk Management , Stress, Psychological/psychology , United StatesABSTRACT
Malpractice and disciplinary actions against nurses, physicians, and other healthcare providers demonstrate a gradual escalation in the number of cases involving both non-specialized registered nurses and advanced practice nurses. In advocating for the nephrology nursing community, nurses must understand the process and impact of malpractice. This education begins with a familiarization of legal terms, demystifying the steps of litigation, and exploring the emotional aftermath of a lawsuit.
Subject(s)
Malpractice , Nephrology , Nurses , Costs and Cost Analysis , Malpractice/economics , WorkforceABSTRACT
One of the challenges encountered by the nephrology nursing community is how to appropriately stabilize hemoglobin (Hb) levels. Recently, this issue has taken center stage in the anemia management environment, stemming from reports that the majority of patients on hemodialysis are not routinely maintained in an Hb target range of 11 to 12 g/dL and that Hb variability is associated with adverse outcomes. This article will help nephrology nurses better understand the balance between intravenous iron and erythropoiesis-stimulating agents to stabilize Hib levels.
Subject(s)
Anemia/prevention & control , Hematinics/administration & dosage , Hemoglobins/metabolism , Iron/administration & dosage , Renal Insufficiency, Chronic/drug therapy , Hematinics/adverse effects , Humans , Infusions, Intravenous , Practice Guidelines as Topic , Renal Insufficiency, Chronic/complications , Renal Insufficiency, Chronic/nursingABSTRACT
Anemia management practices in patients on hemodialysis that incorporate a balanced approach to erythropoiesis-stimulating agent (ESA) and intravenous (IV) iron therapy, use the lowest effective dose of ESA, and provide IV iron therapy in patients with higher serum ferritin levels have become important treatment considerations. This case study, followed by an indepth discussion, addresses these issues and helps to identify safe and effective treatment strategies to assist nurses in improving patient outcomes.
