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You Make a Difference. Celebrating nurses’ unparalleled impact on health and health care.

Introducing New Board Members

Maximize your CRNI credential: How to Market Yourself ®

M AY / J U N E 2 0 2 1

Expanding Our Global Reach VOLUME 4



1 Ig


Prescribed for PI

Hizentra is an Ig* therapy that provides proven PI protection with the convenience of self-administration, so you can focus on everyday living *Ig=immunoglobulin

Important Safety Information Hizentra®, Immune Globulin Subcutaneous (Human), 20% Liquid, is a prescription medicine used to treat: • Primary immune deficiency (PI) in patients 2 years and older • Chronic inflammatory demyelinating polyneuropathy (CIDP) in adults WARNING: Thrombosis (blood clots) can occur with immune globulin products, including Hizentra. Risk factors can include: advanced age, prolonged immobilization, a history of blood clotting or hyperviscosity (blood thickness), use of estrogens, installed vascular catheters, and cardiovascular risk factors. If you are at high risk of blood clots, your doctor will prescribe Hizentra at the minimum dose and infusion rate practicable and will monitor for signs of clotting events and hyperviscosity. Always drink sufficient fluids before infusing Hizentra. See your doctor for a full explanation, and the full prescribing information for complete boxed warning.

Treatment with Hizentra might not be possible if your doctor determines you have hyperprolinemia (too much proline in the blood), or are IgA-deficient with antibodies to IgA and a history of hypersensitivity. Tell your doctor if you have previously had a severe allergic reaction (including anaphylaxis) to the administration of human immune globulin. Tell your doctor right away or go to the emergency room if you have hives, trouble breathing, wheezing, dizziness, or fainting. These could be signs of a bad allergic reaction. Inform your doctor of any medications you are taking, as well as any medical conditions you may have had, especially if you have a history of diseases related to the heart or blood vessels, or have been immobile for some time. Inform your physician if you are pregnant or nursing, or plan to become pregnant. Infuse Hizentra under your skin only ; do not inject into a blood vessel. Self-administer Hizentra only after having been taught to do so by your doctor or other healthcare professional, and having received dosing instructions for treating your condition.

Please see Brief Summary of full Prescribing Information on reverse.

Simplify your infusions with the first and only Ig prefilled syringes —only from Hizentra

Simple, convenient, and ready to use, so you can get back to everyday living

Choose when and where you infuse Self-administration with Hizentra means you and your doctor can decide when and where you infuse. Convenient dosing options (from daily to once every 2 weeks) mean you won’t have to adjust or cancel your plans due to IV infusion appointments.

No more IV infusions

Proven Safety

IV infusions can be challenging for people who have hard-to-find or damaged veins. Hizentra allows you to infuse just under the skin, not into a vein, after training from your doctor.

Hizentra has an established safety profile and demonstrated tolerability. In clinical trials, the most common side effects were redness, swelling, itching, and/or bruising at the infusion site; headache; chest, joint, or back pain; diarrhea; tiredness; cough; rash; itching; fever, nausea, and vomiting. These are not the only side effects possible.

Visit www.HizentraPFS.com or ask your doctor about Hizentra prefilled syringes. Immediately report to your physician any of the following symptoms, which could be signs of serious adverse reactions to Hizentra: • Reduced urination, sudden weight gain, or swelling in your legs (possible signs of a kidney problem). • Pain and/or swelling or discoloration of an arm or leg, unexplained shortness of breath, chest pain or discomfort that worsens on deep breathing, unexplained rapid pulse, or numbness/weakness on one side of the body (possible signs of a blood clot). • Bad headache with nausea; vomiting; stiff neck; fever; and sensitivity to light (possible signs of meningitis). • Brown or red urine; rapid heart rate; yellowing of the skin or eyes; chest pains or breathing trouble; fever over 100°F (possible symptoms of other conditions that require prompt treatment). Hizentra is made from human blood. The risk of transmission of infectious agents, including viruses and, theoretically, the Creutzfeldt-Jakob disease (CJD) agent and its variant (vCJD), cannot be completely eliminated.

The most common side effects in the clinical trials for Hizentra include redness, swelling, itching, and/or bruising at the infusion site; headache; chest, joint or back pain; diarrhea; tiredness; cough; rash; itching; fever, nausea, and vomiting. These are not the only side effects possible. Tell your doctor about any side effect that bothers you or does not go away. Before receiving any vaccine, tell immunizing physician if you have had recent therapy with Hizentra, as effectiveness of the vaccine could be compromised. Please see full prescribing information for Hizentra, including boxed warning and the patient product information, available at Hizentra.com. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. You can also report side effects to CSL Behring’s Pharmacovigilance Department at 1-866-915-6958.

IgIQ®: Support Programs to Help You Get Started Call IgIQ to find out about programs such as:

One-month free trial of Hizentra with at-home nurse visits

Most patients with commercial insurance pay $0 out-of-pocket*

Protection if you lose insurance*

1-877-355-IGIQ (4447) *Other terms and conditions apply. Call IgIQ to learn more.

Hizentra®, Immune Globulin Subcutaneous (Human), 20% Liquid Initial US Approval: 2010 BRIEF SUMMARY OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use Hizentra safely and effectively. Please see full prescribing information for Hizentra, which has a section with information directed specifically to patients. What is HIZENTRA? HIZENTRA is a prescription medicine used to treat primary immune deficiency (PI) and chronic inflammatory demyelinating polyneuropathy (CIDP). Infuse HIZENTRA only after you have been trained by your doctor or healthcare professional. HIZENTRA is to be infused under your skin only. DO NOT inject HIZENTRA into a blood vessel (vein or artery). Who should NOT take HIZENTRA? Do not take HIZENTRA if you have too much proline in your blood (called “hyperprolinemia”) or if you have had reactions to polysorbate 80. Tell your doctor if you have had a serious reaction to other immune globulin medicines or have been told that you have a deficiency of the immunoglobulin called IgA. Tell your doctor if you have a history of heart or blood vessel disease or blood clots, have thick blood, or have been immobile for some time. These things may increase your risk of having a blood clot after using HIZENTRA. Also tell your doctor what drugs you are using, as some drugs, such as those that contain the hormone estrogen (for example, birth control pills), may increase your risk of developing a blood clot. What are possible side effects of HIZENTRA? The most common side effects with HIZENTRA are: • Redness, swelling, itching, and/or bruising at the infusion site • Headache/migraine • Nausea and/or vomiting • Pain (including pain in the chest, back, joints, arms, legs) • Fatigue • Diarrhea • Stomach ache/bloating • Cough, cold or flu symptoms • Rash (including hives)

• Itching • Fever and/or chills • Shortness of breath • Dizziness • Fall • Runny or stuffy nose Tell your doctor right away or go to the emergency room if you have hives, trouble breathing, wheezing, dizziness, or fainting. These could be signs of a bad allergic reaction. Tell your doctor right away if you have any of the following symptoms. They could be signs of a serious problem. • Reduced urination, sudden weight gain, or swelling in your legs. These could be signs of a kidney problem. • Pain and/or swelling of an arm or leg with warmth over the affected area, discoloration of an arm or leg, unexplained shortness of breath, chest pain or discomfort that worsens on deep breathing, unexplained rapid pulse, or numbness or weakness on one side of the body. These could be signs of a blood clot. • Bad headache with nausea, vomiting, stiff neck, fever, and sensitivity to light. These could be signs of a brain swelling called meningitis. • Brown or red urine, fast heart rate, yellow skin or eyes. These could be signs of a blood problem. • Chest pains or trouble breathing. • Fever over 100ºF. This could be a sign of an infection. Tell your doctor about any side effects that concern you. You can ask your doctor to give you more information that is available to healthcare professionals. Please see full prescribing information, including full boxed warning and FDAapproved patient product information. For more information, visit Hizentra.com. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. You can also report side effects to CSL Behring’s Pharmacovigilance Department at 1-866-915-6958.

Hizentra is manufactured by CSL Behring AG and distributed by CSL Behring LLC. Hizentra® is a registered trademark of CSL Behring AG. Biotherapies for Life® and IgIQ® are registered trademarks of CSL Behring LLC. Premier StartSM and CSL Behring AssuranceSM are service marks of CSL Behring LLC. ©2020 CSL Behring LLC 1020 First Avenue, PO Box 61501, King of Prussia, PA 19406-0901 USA www.CSLBehring.com www.Hizentra.com HIZ-1315-DEC20




Joan Couden, BSN, RN, CRNI®



Angelia Sims, MSN, RN, CRNI®, OCN® INSider encourages the submission DIRECTORS-AT LARGE

Nancy Bowles, MHA, RN, OCN®, CRNI®, NEA-BE, CPC-A Angela Skelton, BSN, RN, CRNI®

of articles, press releases, and other materials for editorial consideration, which are subject to editing and/or


condensation. Such submissions do

John S. Garrett, MD, FACEP

not guarantee publication. If you are interested in contributing to INSider,


Mary Alexander, MA, RN, CRNI®, CAE, FAAN

please contact the INS Publications Department. Photos become the property of INSider; return requests must be in writing. INSider is an official bimonthly publication of the Infusion Nurses Society.


FUSION NURSES SOCIETY Chief Executive Officer: Mary Alexander, MA, RN, CRNI®, CAE, FAAN Executive Vice President: Chris Hunt

Director of Operations and Member Services: Maria Connors, CAE Clinical Education & Publications Manager: Dawn Berndt, DNP, RN, CRNI® Managing Editor: Leslie Nikou Director of Clinical Education: Marlene Steinheiser, PhD, RN, CRNI® Member Services Senior Associate: Jill Cavanaugh


Meetings Manager: Meghan Trupiano, CMP Conference Education Coordinator: Judy Clapp, CMP, DES Marketing Project Manager: Whitney Wilkins Hall Certification Manager: Adrienne Segundo, IOM

©2021 Infusion Nurses Society, Inc. All rights reserved. For information contact: INS Publications Department

Certification Administrator: Valerie Sanchez

One Edgewater Drive, Suite 209

Senior Certification & Member Services Associate: Maureen Fertitta

Norwood, MA 02062

Member Services Associate: Susan Richberg

(781) 440-9408

Bookkeeper: Cheryl Sylvia


In this Issue 6 8 10

President’s Message: Making a Difference With Gratitude

12 17 18 20 26 30

Cover Story: Recognizing Nurses in May


CRNI Connection: Maximize your CRNI credential: How to Market Yourself ®

Guest Feature: Poetry for Nurses by Jennifer Reich

INS Certification Award: Recognizing exceptional leadership in the infusion therapy specialty

INS Expands Its Global Reach Serving clinicians across the globe INS Board of Directors Introducing the 2021-2022 Members Member Spotlight: Our members share their experiences with the infusion community

INSide Scoop: A closer look at what’s going on within INS

P R E S I D E N T ’ S


Making a Difference With Gratitude 6


At times our own light goes out and is

Here are a just a few ideas that you can

rekindled by a spark from another person.

commit to changing on a daily basis to form

Each of us has cause to think with deep

the gratitude habit:

gratitude of those who have lighted the

• Not participating in gossip or criticism

flame within us.

of others.

~ Albert Schweitzer

• Find something positive or that you are

As I begin my final message as President, it has

thankful for when negative thoughts start

been one year since the pandemic made its impact on our lives, both at home and at work.

Angie Sims ®

to creep in. ®


This past year has posed many challenges for nurses and no doubt, some of our flames have

INS President, 2020-2021

• Be mindful when someone has done

been extinguished. So, it is with deep gratitude

something to help you out or made you smile and thank them.

that I think about you, the members of INS, who have allowed me this opportunity to serve as President for the past year and have kept my flame ignited with your stories and your dedication to the specialty of infusion nursing. Gratitude is a feeling of thanks or appreciation, and

• Write a personal note to a colleague • Use daily huddles to share gratitude and acknowledge the contributions of your colleagues. • Create opportunities for acknowledgments and awards.

considering the daily stresses that nurses face, we may forget what was good about the day/shift/work and instead focus on what was wrong, which can create an unhealthy work environment, poor relationships with co-workers, and cause our light to dim and/or go out. The language of gratitude can be expressed in acknowledgments, praise, compliments, recognition, awards, and words of encouragement.

Practicing gratitude is a form of self-care that will impact our relationships and overall well-being. The month of May is National Nurses Month, and the theme is “You Make a Difference”.3 Each week will focus on different activities and the first week (May 1-9) is self-care week. Self-care is taking control and attending to those things that bring you down. National Nurses Month is a time to recognize the contributions of nurses to promote excellence, inspire

There is a science around the practice of gratitude. The

innovation, and foster leadership. Make a commitment

release of serotonin and dopamine are activated with

to yourself and your colleagues to cultivate gratitude and

positive thinking that is focused on thankfulness. When

celebrate our shared purpose and interconnectedness.

these neurotransmitters are activated, they generate intrinsic motivation and optimism referred to as “the gratitude circuit”.1 Triggering the gratitude circuit inspires

Keep your flame ignited and continue to make a difference.

you to be more aware of positive experiences, rather than the negative details.1 In a study that examined the psychological well-being of nurses, gratitude was shown to be a consistent predictor of higher job satisfaction, more proactive behaviors, and less distress and exhaustion.2 The practice of gratitude has to be cultivated and nurtured from within to have a lasting positive impact and form those new connections in our brains. Forming new habits takes time and a commitment to change at least one thing you do on a daily basis.

References 1. Haryanto M. Nursing and the attitude of gratitude: keep the spark burning. Orthop Nurs. 2018;37(6):335-336. doi:10.1097/NOR.0000000000000505. PMID: 30451765 2. Cox S. The power of gratitude. Nurs Manage. 2018;49(4):56. oi: 10.1097/01.NUMA.0000531176.85470.42. PMID: 29596144 3. American Nurses Association. Year of the Nurse FAQ's: ANA Enterprise 2021 Initiatives. American Nurses Association; 2021. Accessed March 27, 2021. https://anayearofthenurse.org/year-of-the-nurse-faqs/

May/June 2021


Maximize your CRNI® credential: How to Market Yourself Earning the CRNI® credential offers you, your employer and your patients many benefits. To realize those benefits it is important to successfully market the fact that you are a qualified specialist having earned the right to practice as a CRNI®.

CRNI® Certi昀cation Bene昀ts • • • • •

Attaining the only credential available in the infusion profession that is built by infusion nurses for infusion nurses. Demonstration of your commitment to the infusion nursing specialty. Ability to keep up to date with the latest advances within the field through recertification. Documents your ability to practice infusion therapy in any clinical setting. Exposure to the newest advances and latest technologies within the infusion therapy specialty.

Earn Recognition as a CRNI® There are a number of ways that you can promote your CRNI® credential within your professional sphere.

Promote Your Achievement • • • •

Provide your employer with a copy of your CRNI® certificate for your personnel file. Ask your employer to publish the CRNI® Exam Passer Press Release in your organization’s newsletter.* Give your employer a copy of INCC’s An Employer’s Guide to the CRNI® Infusion Nursing Certification.* Introduce yourself as a CRNI® to patients and staff.

Display Your CRNI® Credential • Demonstrate your achievement by wearing your CRNI® pin while on the job. • Proudly display your CRNI® certificate. • If permitted, include your CRNI® credential on your name badge, business card, and other professional materials. The registration mark ® always follow the CRNI® credential to provide notice that the credential is covered by federal registration. • Digitally share your accomplishment with colleagues and peers using your CRNI® Digital Badge * *Download promotional materials at www.incc1.org under Resources or call (781) 440-9408.

CRNI® Professional Development Engaging in continuing education is the perfect way to stay informed about current trends and best practice.

As a good standing CRNI® you are an invaluable asset to your colleagues: • Use your experience to establish a study group for colleagues who are preparing for the CRNI® examination. • Share the information you learned while preparing for the examination with your colleagues. • Use the information in this document to develop a brief explanation of certification and share it with your colleagues.

As a good standing CRNI® you are an invaluable asset to your employer:


• Keep your employer informed of any developments or achievements and let him or her know how the organization can benefit from your participation as a CRNI®. • Use your knowledge to assist in the development or revision of your organization’s patient education information or policies and procedures manual. • Develop and teach infusion therapy-related education programs within your organization.

How the CRNI® Credential Made a Di昀erence for this Nurse “As nurses, it is our duty to continue to grow within our profession. That’s why, to me, as an infusion nurse it just makes sense that we should strive to be CRNI® certified. Having the CRNI® credential validates our level of expertise within the infusion nursing specialty. The CRNI® designation is hard earned by everyone that obtains it as the exam itself was one of the most difficult exams I have ever taken in my nursing career, but it should be as it assesses all areas within the infusion nursing specialty. It really is the ‘standard of excellence’ in infusion nursing. I am proud of myself, my team and my fellow nurses across the globe who have obtained and who work hard to maintain this credential.” -Kristina Fulton, BSN, RN, CRNI® Educational Nurse Coordinator for Ambulatory Care Infusion at the University of Michigan Health System-Michigan Medicine.

About CRNI® Certi昀cation The certified registered nurse infusion (CRNI®) credential is the only nationally recognized and accredited certification in infusion nursing. The CRNI® certification program is accredited by the Accreditation Board for Specialty Nursing Certification (ABSNC) and the National Commission for Certifying Agencies (NCCA). INCC’s dual accreditations assures the public, employers, and peers that the CRNI® credential is a credible and reliable method of validating a nurse’s experience in the infusion therapy specialty.

About INCC INCC was established in 1983 to develop a credentialing program to increase positive patient outcomes and to enhance the specialty of infusion nursing. INCC is committed to: • • • •

Providing a psychometrically sound, legally defensible certification program. Supporting the role of CRNI®s in promoting optimal health outcomes. Ensuring that our program is driven by the needs of the public. Providing and remaining dedicated to a process of continuous improvement.

For more information about INCC, the CRNI® credential and the CRNI® exam, please contact: Infusion Nurses Certi昀cation Corporation (INCC)  

1 Edgewater Drive, Suite 209 Norwood, MA 02062 (781) 440-9408


(781) 440-9409 incc@incc1.org www.incc1.org


Jennifer (Jen) Reich PhD, RN, NC-BC is a board-certified Nurse Coach, author, educator, and poet. Jen’s doctoral work focused on story and well-being in Registered Nurses. Jen is the author of seven books of poetry. She is also the author of When Miss Bluebird Died, a children’s book about celebrating life. Jen’s poems and stories are inspired by people, animals, nature, and all aspects of our shared human experience. She is a passionate explorer of the healing potential of the creative arts and facilitates workshops for healthcare professionals on creativity and wellbeing.

POETRY FOR NURSES On Days On days when we are aching In our bodies or our minds We can send love to our spirit And to our hearts be kindWe can cut ourselves a little slack When we can’t get something done Pausing for a few deep breaths Or some time for play and funNot feeling bad for resting And instead blessing the rest Accepting where we are right now Even if it’s not our best~ Jen Reich Phoenix, AZ 2-22-21



Support An inhale deep into your heart Then an exhale and release A phone call with a loved one Who offers you some peaceOr maybe it’s a counselor A meditation or a prayer Ask your heart and trust yourself And know that someone cares~

Jen Reich Phoenix, AZ 2-11-21

Her writing can be found at: https://www.facebook.com/Jenreichpoetry/ Instagram @jenreichpoetry Amazon Author page: amazon.com/author/jenreich Poetry-not-poverty.blogspot.com www.whenmissbluebirddied.com

For Now


It’s just before the evening

Maybe mountains hear the stories

When the birds are on the go

Of a life that has just ended

I watch them and I listen

Moving on to higher realms

To a language I don’t know-

As spirit now transcended-

Yet I feel a deep connection

Maybe grief roars in the streams below

Even though I have no wings

Filling rivers full of song

And I feel their music in me

Reminding us still on this Earth

Every time I hear them sing-

That our journeys are not long-

So perhaps one day I’ll join them

Maybe flowers bloom to teach us

From a higher place of sight

How to spend our time here well

But for now I’ll bow in gratitude

To make this world a kinder place

To the winged ones here in flight~

Where peace can truly dwell~

Jen Reich Phoenix, AZ 3-16-21

Jen Reich Phoenix, AZ 1-15-20

May/June 2021




Recognizing Nurses in May Since the pandemic, honoring our nation’s nurses is more profoundly significant, which makes this month of recognition in May even more important. Whether it is a national health emergency or routine daily care, nurses’ vital contributions impact the health and well-being of our communities, which is why ANA selected the theme for May as Nurses Make a Difference. To honor nurses and support the nursing profession, ANA will promote weekly themes and activities. While continued physical distancing may limit our face-to-face activities, we encourage everyone to think of creative ways to virtually engage.

Opportunities for Nurses:

Nurses Month Toolkit Nurses Month Webinar

MAY 1–9 Focus on the emotional and physical wellbeing of yourself and others by engaging in healthy activities that focus on both your body and mind.

 Participate in online seminars with experts speaking on key topics affecting the nursing community,

such as mental health awareness, managing stress, implementing self-care habits into your daily routine, and safety in the workplace.

 Watch for Healthy Nurse, Healthy Nation

communications and micro-challenges that aim to help you improve your health and well-being now and into the future. Follow this link for more details: https://www.healthynursehealthynation.org/

 Do a self-care assessment on yourself. What activities are you doing to benefit your health and reduce your stress? How do you care for your emotional well-being? Once you’ve defined these areas, plan a course of action or join the Healthy Nurse, Healthy Nation™ Grand Challenge, an initiative to help you improve health in five areas: physical activity, nutrition, rest, quality of life, and safety.



MAY 10 –16 Raise visibility of the critical work nurses do and foster greater understanding of the diversity of the nursing profession by honoring exemplary nurses and engaging with your community.

 Recognize one or more nurses who excel, lead, and innovate through their exemplary courage, community service, advocacy, research and innovation, and years of commitment to the profession.

 Request a proclamation from your mayor/governor declaring May 6 as National RN Recognition Day and/or May as Nurses Month. (A sample proclamation is available in this toolkit.)

 Take the opportunity to educate state legislators about the role and value of registered nurses in the health care system. Write a letter or share a video from nurses.

 Place an article or opinion piece in your state or local newspaper(s), or in a community blog, about Nurses Month and the contributions of nurses.

 Host a video news conference or informal virtual media roundtable and discuss nurses’ response to major

events and other important health care issues in your community. Honor a registered nurse for a heroic act or bestow an “honorary nurse” title on a deserving elected official or civic leader.

May/June 2021


MAY 17–23 Focus on how you can excel and lead in your nursing career or inspire and help others in their professional nursing journey.

 Commit to participating in professional webinars. Look for webinars on current topics and those that will expand your skills like communication, listening, empathy, teamwork, problem solving, and flexibility.

 Sign up for ANA’s free webinar,

“Redefining Nursing—Reaffirming Our Practice,” based on the 4th Edition of Nursing: Scope and Standards of Practice. It premieres on May 19 at 1:00 p.m. EDT.



1 CE

MAY 19, 2021 @ 1:00 P.M. (ET)

Redefining Nursing—

 Volunteer as a professional mentor in your organization or nursing college. Look for creative ways to share your nursing experience, such as through videos or social media, and motivate the next generation of nurses.

Supported by


Patty Bartzak, DNP, RN, CMSRN, TCRN

Katie Boston-Leary, PhD, MBA, MHA, NEA-BC

Kahlil Demonbreun, DNP, RNC-OB, ANP-BC, FAANP, FAAN

 Identify nurses from other specialties, nurse educators, nurse innovators, or a nurse leader in your community to share their professional development stories and advice.

MAY 24–31 Help promote nurses’ invaluable contributions by engaging with your community and educating them on what nurses do.

 Emphasize the importance of registered nurses in the nation’s health care system, pay tribute to a local nurse, or recognize all nurses who provide care every day, year-round.

 Partner with other nursing and health care organizations in your area to sponsor a joint Nurses Month event

for 2021, like a virtual fundraiser for local community organizations, a blood drive, or online workshops aimed at reducing stress and building resilience.

 Organize a candlelight vigil, if permitted, to honor the dedication and commitment of the nation’s registered nurses and those nurses who have fallen due to the COVID-19 virus.

 Discuss current and ongoing health care issues with elected officials at the local, state, or federal level.

Elected officials should be visible and accountable for their positions on health care. This also offers good media coverage potential.

©American Nurses Association, ©American Nurses Credentialing Center, ©American Nurses Foundation. All rights reserved.







We invite you to join us on August 14 -17, 2021 at the Paris Hotel in Las Vegas to reconnect live with members of the infusion community. We look forward to seeing you in Vegas!

May/June 2021

13 9

Coming Soon! Policies and r Procedures fo

Policies and r Procedures fo

py: Infusion Thera Acute Care

Policies and r Procedures fo

py: Infusion Thera Ambulatory ters Infusion Cen

py: Infusion Thera Older Adult

6th edition

2nd edition

4th edition

Policies and r Procedures fo

Policies and r Procedures fo

py: Infusion Thera n Home Infusio

py: Infusion Thera Neonate to Adolescent

2nd edition

3rd edition

INS’ revised Policies and Procedures family of resources offers comprehensive guidance to enhance your knowledge, understanding, and practice of infusion therapy. Be sure to visit INS1.org for updates.




INS Certification Award Winner

Martin Viegas, BSN, RN, CRNI®, CCRN® The Infusion Awards and Recognition Program recognizes leadership in categories most reflective of today’s infusion nurse and the infusion specialty. Certification is included as one of those categories. The award is presented to a CRNI® whose certification through INCC has advanced the welfare of his or her patients, organization, or the infusion specialty. Martin (Marty) Viegas exemplifies the tenets of this award. Marty is a second-career nurse having had a 14-year career as a NYC police officer where he was a first responder on 9/11. Marty began his nursing career as a staff nurse in the Pediatric Intensive Care Unit at The Morgan Stanley Children’s Hospital of NY Presbyterian in NYC. He held positions as Head Nurse, Clinical Coordinator, Nurse Educator and Director with a primary focus in pediatrics, pediatric intensive care, pediatric OR, and pediatric emergency medicine. Marty is currently Sr. Manager for the US Medical Solutions and Outcomes Team with Becton Dickinson. He holds national certifications in critical care (CCRN), pediatric emergency medicine (CPEN), and infusion nursing (CRNI®) as well as being a basic life support (BLS), pediatric advanced life support (PALS), and pediatric emergency nurse (ENPC) instructor. Judy Lajoie, DNP, RN,CRNI®, Chief Nurse, Medical Affairs for Medication Delivery Solutions at BD, nominated Marty.

She commented, “Marty is a shining example of what great looks like. As a clinical manager in our organization, he received his CRNI® a few years ago and consistently advocates for the Standards both at a company level and at a hospital/facility level, having both bedside practitioners and CNOs understand the importance of the Standards and their impact on care.” Judy added, “Marty has won several awards here at BD during his tenure. He was chosen to receive the company's highest award, the Jeffery Sherman Life Changer Award. Chosen from over 65,000 employees, Marty's dedication to the practice of infusion nursing, his willingness to help others and his volunteer work make him an incredible role model at BD for nursing.” Marty recently traveled to Haiti with Heart to Heart International on a volunteer service trip to train and educate staff at a local clinic. At the time, there were few clinics in the area and people would walk for days to get to one. In addition to helping build the clinic, educate the staff, and help establish processes, Marty used his carpentry skills to help build restroom facilities for a local open-air market. Whether it be collecting toys for local toy drives, food for local food banks, or running 5K road races to raise money for special causes, Marty inspires us all to want to be better versions of ourselves.

May/June 2021


INS Expands Its Global Reach

Mary Alexander, MA, RN CRNI®, CAE, FAAN

Infusion care is applied to all patient populations and all practice settings. As such, it is imperative that our content reflects a global perspective. For the revision of the 2021 Infusion Therapy Standards of Practice, several members of the Standards of Practice Committee were from outside the United States and one-third of the peer reviewers were experts from 16 other countries. The language in the Standards was carefully drafted to be inclusive and applicable globally. While the literature searches were mainly limited to English-language peer-reviewed journal articles, international references were cited as well as evidence from health care-related agencies in Ireland, United Kingdom, Australia, and Canada. Currently spanning 32 countries around the globe, INS membership has grown considerably. Members from any location have a myriad of ways to engage in infusion education and activities. While in-person learning is slowly getting back to normal, technology has afforded INS the tools to expand opportunities for members to attend a virtual meeting, present at a conference or webinar, serve on a committee, become a CRNI®, and peer-review or publish in the Journal of Infusion Nursing (JIN). To date, our 2,600+ CRNI®s include nurses from 9 different countries outside the United States and we are consistently receiving new applications from individuals interested in the exam. They recognize the importance of certification and its connection to public protection. Boosted by a diverse group of international peer reviewers, JIN has been regularly evaluating manuscripts from international studies and infusion- and vascular access-related research articles. During the last 5 years, JIN has published 25 articles from 27 different regions outside the US. 18


To further expand INS’ influence and expertise abroad, INS has established the International Affiliates (IAs) program in collaboration with international organizations and groups of nurses whose focus, mission, and values align with INS’ strategic mission and bylaws. Areas of common interest include application of standards to clinical practice, recognition of infusion nursing as a specialty, patient and health care worker safety, and the importance of infusion and vascular access teams. Currently, there are IAs in Argentina, Colombia, India, Malaysia, Mexico, New Zealand, and the Philippines. As part of the IA program, it was my privilege to present a webinar this past February to an audience in Japan: Infusion Therapy Standards of Practice: A Global Perspective to Clinical Practice. Sponsored by BD, the objectives addressed were to: • Discuss the specialty practice of infusion nursing • Describe INS’ role in advancing practice • Describe the methodology used in developing the Standards • Discuss the application of the Standards and in optimizing vascular access and infusion care. At the end of the webinar, I participated in a live Q&A session with the audience and discussed points of the Standards in greater detail. This webinar also re-aired in March 2021 as part of the programming of the 9th Annual Conference of INS India. Supported in part by BD, this annual conference offered

strategies and education to help reduce IV infusion errors and establish best practices in India. This year’s theme Advancing Infusion Standards – Beyond Excellence discussed topics with a focus on infusion safety: • Role of Professional Bodies in Healthcare Quality Monitoring • Infusion Practices During COVID-19: A Clinical Perspective • Future of Nursing - An Indian Perspective • Evolution of Nursing Leadership in a Pandemic

Since the release of the 2021 Standards, government recognition of infusion nursing as a specialty and national policy/regulation development has occurred in China and Mexico. INS has also granted a license for translation in Chinese so that it can be used in clinical practice on a wider scale. Despite the current travel restrictions, it has been a pleasure communicating with our international peers about the Standards and its impact to practice. I look forward to planning additional educational collaborations with our international colleagues in the coming months. ® Mary Alexander, MA, RN CRNI , CAE, FAAN with

Dr. Miyasaka (Japan) during webinar question and answer session.

INS’ Global Footprint

May/June 2021


Introducing INS Board of Directors 2021-2022 Sue Weaver, PhD, RN, CRNI®, NEA-BC President Sue Weaver, PhD, RN, CRNI®, NEA-BC, has been a nurse for more than 30 years. She has a PhD in nursing and a master’s degree in nursing with a focus in nursing administration. Currently, Sue is a nurse scientist at Hackensack Meridian Health (HMH), Ann May Center for Nursing and the New Jersey Collaborating Center for Nursing, with a program of research on the nursing workforce. She has published her work in multiple peer-reviewed nursing journals and presented at state and national conferences. At HMH, Sue is an active member of the Vascular Access Device Team. She has experience as an ICU nurse, evening nursing supervisor, and nurse educator, with responsibility for teaching the IV course. Sue has just completed her term on the INS National Council on Education. Sue has been a CRNI® since 2008 and also has nurse executive, advanced certification.

Max Holder, MSN, RN, CRNI®, NE-BC President Elect Max Holder MSN, RN, CRNI®, NE-BC, is the nurse manager of the Vascular Access Team and Inpatient Acute Hemodialysis Unit at Baylor University Medical Center (BUMC) in Dallas, Texas where he oversees the day-to-day operations of both units. In addition, Max is the chairperson of the BUMC CLABSI Executive Steering Committee and the co-chair of the Diversity, Equity, and Inclusion Council at BUMC. At a system level, Max serves as the subject matter expert for vascular access and infusion therapy and chairs the Vascular Access System Council. Max previously served two terms as Director-at-Large on the INS Board of Directors from 2014 to 2019. He has served on his local chapter’s leadership team, the DFW Longhorn INS Chapter, since 2010. In addition to serving on the INS board as President-Elect, he is currently serving on the INS Diversity, Equity, and Inclusion Taskforce.

Angelia Sims, MSN, RN, CRNI®, OCN® Presidential Advisor Angelia Sims, MSN, RN, CRNI®, OCN® is the manager of nursing services for Compass Oncology in the Portland, Oregon/Vancouver, Washington area, where she oversees infusion operations and activities across 3 states. Angie has experience in oncology and outpatient infusion service and has managed an IV team, dialysis unit, and outpatient infusion unit. She has served on the INCC RN exam council and on the INS board of directors as a director-at-large. Angie previously served as president of her local INS chapter and was named INS chapter president of the year in 2010. She had presented at numerous conferences, reviewed policy and procedure manuals, and contributed to the revised edition of IV Therapy Made Incredibly Easy. Angie has been a CRNI® since 1999 and an OCN® since 2000.

Joan Couden, BSN, RN, CRNI® Secretary/Treasurer Joan Couden, BSN, RN, CRNI® is currently the Vice President, Nursing, at Option Care Health; a position she has held since 2017. Prior to this role, Joan held multiple clinical and operational roles in infusion and home health services. She received her BSN from The Ohio State University and her CRNI® in 2019. In her more than 25 years in the home infusion industry, she leaned on the INS Standards of Practice and Policies and Procedures as the “North Star” for infusion nursing. Upon assuming the VP, Nursing role, she looked to INS and the credentials that come from obtaining a CRNI® for support in developing a career ladder for nursing with Option Care Health. She is passionate about the practice of nursing and once they developed the “Certified Infusion Nurse” role, decided she needed to “eat her own cooking” and prepare for and sit for the exam herself. She has now challenged all her direct reports to do the same as she firmly believes that the knowledge obtained through this certification can ensure that we guide through evidence-based principles and support patient safety and clinical excellence in all we do.



Nancy Bowles, MHA, RN, OCN®, CRNI®, NEA-BE, CPC-A Director-at-Large Nancy is a registered nurse with 40 years of experience and 33 years in leadership positions. Currently, Nancy serves as senior director of nursing at the Schar Cancer Institute (part of the Inova Health System) in Fairfax, Virginia. Nancy received a BSN from McKendree University in Lebanon, Illinois and an MHA from Webster University in Webster Groves, Missouri. She holds numerous certifications with experience in inpatient pediatric oncology, outpatient adult oncology, and infusion therapy. Nancy has been an INS member and a CRNI® since 2003.

Angela Skelton, BSN, RN, CRNI® Director-at-Large Angela has more than 20 years’ nursing experience, with a background in long-term care, critical care, ambulatory surgery, rheumatology, and infusion nursing. She is currently on staff with Dr. Dianne Cooper, Rheumatologist, in Wichita Falls, Texas. Angela’s past experience includes managing an outpatient infusion center, chairing committees for central line bloodstream improvement and value analysis teams and serving as clinical co-chair for a Commission on Cancer committee. She has been involved in community outreach through nursing and other infusionrelated programs. Angela has been actively involved with INS since 2010 and obtained her CRNI® certification in 2011. She is also an active member and leader in the DFW Longhorn Chapter, previously holding positions of President and Program Chair.

John S. Garrett MD, FACEP Public Member John S. Garrett, MD, FACEP, currently serves as the chief patient safety officer at Baylor University Medical Center and the vice chief quality officer for Integrative Emergency Services. After completing his training and fellowship in emergency medicine at Carolinas Medical Center, Dr. Garrett relocated to Baylor University Medical Center. Over the past decade, his research efforts have focused on patient safety and implementation science: bringing the newest developments in patient safety and resuscitation science to the Baylor Scott and White health system. His approach focuses on the development of care systems aimed at eradicating avoidable patient harms.

Mary Alexander, MA, RN, CRNI®, CAE, FAAN Chief Executive Officer Mary serves as chief executive officer of INS and INCC. As INS CEO, she is responsible for the management of an international, nonprofit specialty nursing organization of more than 6,000 members and for providing the consistent delivery of the highest-quality education and professional services. Mary’s role has taken her across the country and around the globe where she has delivered infusion education programs to clinicians in Armenia and China and established relationships with international colleagues from Europe to South America, Asia Pacific, and everywhere in between. As INCC CEO, Mary oversees the certified registered nurse infusion (CRNI® ) credentialing program, and she works with other nursing organizations in the U.S. and worldwide to further knowledge of and the practice of infusion therapy. Mary is also editor of the Journal of Infusion Nursing, INS’ scientific, research-based, peer-reviewed publication.

INS wants to recognize and thank retiring INS Board of Directors members, Lynn Deutsch, MSN, RN, CRNI®, VA-BC, who served as INS President and Presidential Advisor, and Inez Nichols, DNP, FNP-BC, CRNI®, VA-BC®, IgCN, who served as INS Secretary/Treasurer. May/June 2021


Welcome New Members! Kendall Ackner Leslie Acron John Chris Aguillon Pea Elma Alqueza Xochitl Alshaarawi Guada Ann Andaya Maryhazel Apiado Brooke Arey Lindsey Aucone Kristen Backofen Soonok Bae Jessica Baker Nate Ball Nicole Baltich Denise Banks Melissa Barcelos Masako Barrowes Donna Bartenfelter Robert Berger Frank Billick Joshellen Blackwell Justin Blough Celeste Bode Marlene Bokholdt Maria Francis Bolivar Bermudo Stacy Boyle Marcia Bradley Karen Brady Myrle Braithwaite Sheila Briner Rebecca Brooks Melissa Brown Mandee Brown Stuart Burgess Jason Burrow Cordelia Bushong Millie Calistri-Yeh Heather Cameron Brooke Campbell Jessica Carreiro Renee Castelli Dinae Cato Cary Catron Lucy Cawthon Michelle Ceravolo Christopher Cheatham Ramesh Chigurupati Christina Choi Joanne Ciesielski Micheal Coats Tiffany Coleman 22


Charles Collins Jessica Connell Molly Cordero Rebecca Corkery Tarah Cormack Laurel Corson Jennifer Cosenza-Towne Doris Cowell Hayley Craft Scott Croyle Sarah Daigle Regis Danon Leanne Deegenaars Gina Deitz Jinsook Delisle Nichole Dietzler Chrystal Disant Laurie Doerner Kelly Drake Mary Dregely Marci Dudley Lynn Dykes James Edwards Amanda Edwards Theresa Ellingsen Shelbie Elliott Kaci Elmore Alli Evert Melissa Falowski Nicole Fearon Michelle Fears Kate Feeback Wendee Flesher Donna Floyd Audra Flynn Teresa Fox Lynn Franks Crystal Fricke Ashlea Fugate Glenda Fulo Amy Fysh Anne Galbraith Aarika Garcia Amanda Gasich Rachel Gatliff Stacey Gelhaar Jennifer Gibson Caroline Gordon Sandra Goss Jennifer Graham Melissa Grathwol

Susan Greene Tina Gross John Gunderson Sarah Hagenbuch Lucy Hahn Nancy Haims Lindsay Hallowell Emily Hanley Megan Hansen Angel Harper-Clarke Jennifer Harris Carrie Hart John Hart Jillian Hartley Heidi Hauenstein Leonsa Hayden Eleanor Heavens Short Beth Heilman Joan Hendrickson Eric Henley Mildred Hennings Donna Hethcock Mary Kaine Hill Karen Hill Jan Hodgson Maria Horner Robert Houde David Huang Brad Huit Denise Jaffe Darlene Jobin Jessica Johnson Amanda Johnson Hazel Marlene Jones Jodi Jones Melanie Jones Louise Joseph Macey Jourdin Kathie Kaiser Holly Kalinin Lorraine Keating Erin Kelleher Patricia Kellen-Wales Patricia Kelley James Kent Suzanne Kirkwood Andrea Klussmann Kurt Knecht Karen Lachance Mary Lamar Angels Lehman

Laura Leisgang Wendi Liverman Marcia Loomis Tashema Love Susan Lundquist Hanni Lyon Cynthia Macalino Debbie Mack Debra Madison Donna Maher Darcy Main Michelle Malchow Kelly Manley Jennifer Maples Cerelina Maratas Sandra Marken-George Sarah Marlatt Kelsey Mattson Jude May James Mcafee Kristina Mcanally Joshua McClain Cara McCoy Samantha McKinney-Yoro Jean McKnight Pamela McLaughlin Mark McLaughlin Scott McNaughton Sally Merkel Kathy Miekley Rene Miles Scott Miller Karen Minard Deborah Mitchell Amy Mitchell Brett Mohney Emily Montes Shelley Moore Jenine Morgan Lonnie Morgan Tracey Morris Barbara Morrissey Jessica Morrow Hamadi Mwechiwa Jirina Myers Peggy Nester Ben Neuberg Stephen Newbern Jan Nguyen Rowena Nicolas Vicki Nordby


Dorothy Nunn Nicole Obarowski Kaitlynn Ochoa Joy Octaviano Ky Orison Sarah Paez Ryan Paslay Joseph Patsaricas Julie Patton Amanda Pauley Jee Paulien Cheris Pearson Yesica Peck Dawn Perez Stephanie Price Ashley Price Gregory Racela Rachel Radenkovic Eileen Raposa Shannon Reese Kari Remer Ann Remmey Tammy Richter Angie Riddle Patricia Ridgell Mary Ann Rios Tina Roberts Maria Rock-Risse Alicia Rodriguez Tracy Rongaus Maria Victoria Roque Edie Roser Maryquinn Rozkydal Brittany Sachs James Sakowski Amy Sarli Miriam Sarmiento Deborah Schaeffer Terri Schneider-Biehl Maureen Schofield Danette Schroeder Jill Schultz Karen Sergent Mariya Shavulskiy Joanna Sides Shalorene Smith Anita Smith Wes Smith James Smith Cindy Smith Diane Spadea

Lauren Spencer Ansley St John Kevin Stansbury Mary Steimer Hazel Steingasser Angela Steinkirchner Courtney Stempfer Sandra Stephens Tonya Stoltz Kaitlyn Stuart Macy Sun Ajla Sutkovic Thomas Sutton Jill Tabaka Michelle Taylor Kathy Thompson Alexander Toledo Kathleen Tolmie Janelle Trickler Marlow Tucker Debra Tucker Katie Tyminski Linda Underwood Shirene Urry Cherry Vanover Carlos Vascos Sarah Vaughan Joan Villnow Elizabeth Walker Kelly Walton Melissa Wastell Caryn Weeks Kathy Weiner Margaret White Pamela Whitehouse Julie Wiebe Susan Wietsma Jonelle Wilhelmsen Marissa Wilk Bridgett Williams Donna Williams Andrea Williams-Waterman Kathy Wilson William Wise Jacqueline Womack Adam Worthing Ren Yang Michelle Yearling Xiaoming Zhang Lindsey Zvacek

May/June 2021


Welcome New International Members! INFUSION NURSES SOCIETY

Kimberley Capoccitti – Canada

Bixia Li – China

Beverley Carter – United Kingdom

Celine Messier – Canada

Yue Cong – China

Alita Panachamnong – Thailand

Emilie Corgnet – New Zealand

Eun Park – South Korea

Richard Erlandez – Philippines

Mélissa Perron – Canada

Lorenza Harrowell – Australia

Steve Roy – Canada

Selena Hebig – Canada

Luciano Santos – Brazil

Seona Jeon – South Korea

Rebecca Sharp – Australia

Moon Jin Young – South Korea

Carli Shaw – Australia

Yumi Kim – South Korea

Thomas Walter – France

Patricia Lammers – Canada

Hyeonjeong Yang – South Korea

Soyoung Lee – South Korea



View these webinars and more on-demand: www.learningcenter.ins1.org/webinars Prevention and Early Recognition of Infiltration and Extravasation

Vesicant Identification and Appropriate Extravasation and Infiltration Treatment

Aseptic Non Touch Technique (ANTT®) Clinical Practice Framework

Listen to these podcasts and more on-demand: www.learningcenter.ins1.org/podcasts The Dirty Dozen: Contaminated Things

Vascular Access Device Complications

Employee Engagement for Remote Workers May/June 2021


INS Member Spotlight

Kathy Puglise, MSN, RN, CRNI


Clinical Manager Home Infusion & Pharmacy Services Smiths Medical What led you into the nursing profession? My inspiration was a diminutive red-headed nurse who wore her crisp, white uniform and a lab coat with nursing pins to career day at my high school. I told my parents that evening that I wanted to become a registered nurse. My mother was excited and supportive, but my father said that I should become a physician instead. Needless to say, my mother won that battle as I completed my application to nursing school and was accepted at the age of 18 to New Mexico State University (NMSU). What made you decide to specialize in infusion therapy? I chose the infusion specialty because of my role in home infusion. I quickly found out by researching the certification exam content, there was so much that I did not know. I took the extra step to obtain certification as I wanted to be the best not only for myself but for the patients I cared for. How has INS Membership benefited you in your journey? INS has offered me so many opportunities professionally and personally. As a nursing professional, I receive the credibility because of my CRNI®. Personally, it has provided me satisfaction as I believe being an expert allows me to provide better care for patients and allows me to mentor nurses to be the very best that they can be. Has there been a mentor, colleague or other INS member who has helped along the way? I have met so many people through INS who are my colleagues and have become dear friends. I must say that I learn something new every day from being part of the INS organization. I have served on the INS and the INCC Board which has brought me many opportunities. The overwhelming kindness that I have received from past and present INS members and board members makes me a better nursing professional. In addition, I pay forward all the learned knowledge to current nurses within my organization, nurses that I educate and nursing students that I mentor. Do you have stories from your practice that you would like to share with the infusion community? During my years as a CRNI®, I have been able to teach my home care coworkers and see them gain knowledge to help patients receive the best possible outcomes with infusion therapy. I love when they call me with questions or to tell me how they handled a situation. It has been very rewarding to be on the educational and support side of patient care, knowing our nurses are well-prepared for all that comes their way.



INS is honored to share our members’ stories with the infusion nursing community. Each nursing journey is unique and we can learn so much from each other. We will continue to share stories from our members who care for patients in a variety of care settings. We are proud of you all and commend you for your hard work, passion and dedication to patient care.

Sharon Zurbrugg, BSN, RN, CRNI


Nurse Professional Development Specialist Cleveland Clinic Home Care and Hospice What led you into the nursing profession? It was love. I was attending an out-of-state college and wanted to transfer to the same college my boyfriend was attending; my parents were not happy, to say the least. My mom and I were looking through the college catalogue when she mentioned what a good school of nursing they had. I had always leaned towards a medical career, so I said “yes, I would like to be a nurse!” Even though my decision to become a nurse was totally based on my desire to make my parents happy about my transfer plans, being a nurse is exactly what I am supposed to be, and looking back, it has been evident all my life. I was the one who wanted to help baby birds and lost animals, and the one my friends turned to for emotional support. The team "mom" who helped calm others' nerves. What made you decide to specialize in infusion therapy? When I started as a new RN, I was on a post-operative and chemotherapy floor. I was skilled at starting peripheral IVs and accessing ports. I always loved seeing our patients improve and be able to be discharged home. After several years, I changed my work location to home care. There, I learned how to become proficient at central line site care and started teaching patients and families how to administer home infusions. Then, about 10 years ago, my child was diagnosed with osteosarcoma--bone cancer. So, peripheral IV catheters became “up close and personal,” and I remembered how much I loved working with all things intravenous. Two years after that, when I was thinking it was time for a change, the home care agency I worked for created an Infusion Nurse Coordinator position. I applied and got the job. One of the job requirements was becoming IV certified...thus began my journey as a CRNI®. How has INS Membership benefited you in your journey? INS has been a valuable part of my development as an infusion specialist. I not only learn but validate what I already know by attending conferences and reviewing the INS Standards. I love the community dialogue where we can ask and have questions answered by experts, especially Lynn Hadaway. Has there been a mentor, colleague or other INS member who has helped along the way? Toni Neal, who has certification as a CRNI®, VA-BC, and in the area of parenteral/enteral nutrition. She has been my go-to since my early days as a CRNI.® Toni is a wealth of knowledge and has always been willing to share her wisdom with me. Not only is she a skilled nurse, but she is an amazing role model as well.

May/June 2021





Corrie Moreau, BSN, RN, CRNI , VA-BC ®

Infusion Research RN Medix What led you into the nursing profession? I grew up in a family where my mother and most of my aunts were nurses. I originally wanted to be a lawyer. However, after my mother was diagnosed with cancer, that changed. I saw how her doctor was so impersonal, whereas, her nurses were nurturing, compassionate, and understanding. That changed my view on the health care field. I knew I wanted to be a person that touched patients on a more personal level rather than the person that just saw them as a diagnosis.

What made you decide to specialize in infusion therapy? I have always loved the art of starting an IV. I say it is an art because there is a specific technique that goes into it. That, coupled with complexities of administering infusions fascinated me. My love for infusion therapy grew when I was trained to place PICCs and midlines as an LPN in Louisiana. At the time, we placed them using palpation instead of ultrasound. It was something that I wanted to get back to as an RN. I was more than excited for the opportunity to return to my love of placing intravascular devices, and to learn that ultrasound guidance was a new technique. I knew that I had found my niche in nursing and wanted to expand on that skill and love. How has INS Membership benefited you in your journey? I love being a member of INS. Being able to stay current on practices is important. I have always wanted to do nursing tasks correctly, but also in a way that is safe for patients. Evidencebased practice is becoming more and more popular. INS ensures that we are abreast of the latest information so that we can stay up to date as we provide care to the vulnerable population that are our patients. Being an INS member also shows that I am part of one of the most prestigious organizations related to infusion therapy as well as knowledgeable in my field. This is very advantageous for me in my role as legal nurse consultant . I need to have reliable and accurate resources when reviewing a case for merit and providing supporting documentation. Has there been a mentor, colleague or other INS member who has helped along the way? My first mentor and colleague was Tammy Tibbetts, RN. We met when I was an LPN assigned to work at the infusion clinic where she was employed. She took me under her wing and taught me how to place a PICC and midline catheter. She was very much like me in terms of being by the book and doing things the right way. She and I are still friends more than 17 years later. Next, the wonderful RNs at Bard were responsible for teaching me how to place PICC's and midlines using ultrasound. I loved how their techniques, products, and practices were all based on the evidence and Standards. Their names are Carrie Clairardin, Darcey Simmons, and Debbie Mitchell, and Shane Baumhardt. Do you have stories from your practice that you would like to share with the infusion community? I have many stories! All nurses have stories, but the story that comes to mind is how much I have learned from my patients. I worked for a St Joseph's Home for the Blind and realized vision is really internal! My patients saw more of the good in people and showed the power of resilience and that we can see more if we just close our eyes and listen. I learned more about living from a 9-year-old boy dying of leukemia then I can share in words… how he loved his parents but also his brother and sister who would jump in his bed and laugh with him. And how brave he thought his brother was for doing a bone marrow transplant for him! I'm still friends with his mom after more than 30 years. I have seen patients in the final stages of congestive heart failure, be told they found a donor heart, and their only concern was for the person who was the donor. I watched them cry that someone died to save them and realize that the greatest gift that can be given can only be given in death…and witnessed their promise to take care of that gift.






Lynn Lodge, RN Infusion Nurse OptionCare What led you into the nursing profession? My mom was a nurse’s aide and my dad always said, "Be a private duty nurse for a rich person and travel.” I became a nursing assistant out of necessity after I quit high school. I helped a woman find a few words after having a stroke and then got involved with all aspects of patient care. I went for my GED then attended a program to get my LPN. After graduating I realized I loved nursing and hanging IVs, which later led me to getting my RN. I discovered and learned about (Ok this will show my age) the CorMed pump for pain management (I loved the tiny screwdriver!) This was my first taste of infusion in home care! And I loved it. I became co-owner of my own home infusion nursing business Complexus Inc. Subcontracting our nursing services to infusion pharmacies in the Tri state area! I worked 24-7-365! It was the hardest I have ever worked the longest hours and in the most rewarding field. And I proud to say I still work in home infusion. What made you decide to specialize in infusion therapy? As a business owner, I felt that INS was the leader in infusion, so I joined INS and became a CRNI.® With the changes that were occurring after Lyme disease hit our state, the infusion industry was restructuring and as a sign of the times, we decided to close the doors with an exceptional reputation and many contacts in the infusion industry! I then worked as a home infusion nurse. Being a CRNI® is who I have been for most of my infusion career… it has opened many doors and provided me with many opportunities. All the educational programs and conferences available held my interest. The respect and opportunity I have gained from having my certification and knowing I was always "on top of the curve" in infusion therapy…. priceless. How has INS Membership benefited you in your journey? Being a CRNI® is who I have been for most of my career it has opened many doors and provided me with many opportunities. As an infusion nurse it has helped me increase my salary from a very low 5 figures to six figures and gave me the opportunity to work with the cardiac program at PromptCare Home infusion and Community Surgical Supply Infusion Co. Thank you, INS, for a very rewarding career as a CRNI®! I have always been and will always be a supporter for nurses to become certified and take ownership of a very rewarding career in infusion! No matter what station you hold in the medical fields we all work hard, we are all dedicated, and we all love what we do, or we would not do it as well! Thank you INS! Has there been a mentor, colleague or other INS member who has helped along the way? I worked as an LPN at St Frances Hospital with a fantastic group of nurses and after working there for 3 to4 years, one of the RNs encouraged me to go back to school and get my RN… I guess she saw potential in me. Thank you, Patricia! It pushed me to explore options and I did find a program that was just starting for LPNs to go back and get their RN at Bayonne School of Nursing in an 18-month program. I was working a full-time and also got a part-time job. I said to myself “Apply you can do anything for 18 months.” I kept both of my jobs and went to school full-time during the day and studied with a school mate, someone that I am still friends with today, Michela "aka" Micki, who was a true inspiration to me. She was the single mom of 2 beautiful children and we both studied twice a week together and motivated each other. We graduated with a 4.0 and passed our boards! Do you have stories from your practice that you would like to share with the infusion community? I currently work for Premier Infusion Care Pharmacy and as such we are the back up for several local Home Health Care companies. When their nurses are unable to start PIVs, I am the one they call for help and am almost always successful. It is for this reason I am still working at 73 years old. I love the challenge!

May/June 2021


INSide Scoop Our recurring feature, INSide Scoop, serves to keep you informed on things happening within INS, as well as upcoming events, items of interest, exciting new educational deliverables, certification news and additional, current information. Here, we will communicate directly with our membership, as well as the larger infusion nursing community, to keep you informed on important topics - in real time.

Education News In June 2021, INS will host a webinar with presenters Stephen Rowley, originator of the Aseptic Non Touch Technique (ANTT®) Clinical Practice Framework, and Simon Clare, the Research and Practice Development Director at The Association for Safe Aseptic Practice (ASAP). Defined by the National Institute for Health and Care Excellence (NICE), ANTT is a specific type of aseptic technique with a unique theory and Clinical Practice Framework. The ANTT Framework is used as a de facto international standard for aseptic technique in more than 30 countries. The ANTT Framework is designed for use with all invasive clinical procedures and management of indwelling medical devices in all patients. During this presentation, attendees will learn the fundamentals of the ANTT, the new INS Standard dedicated to ANTT, and how to implement ANTT into your daily practice and organization. We hope you will join us for this informative webinar.  Date: June 16, 2021  Time: 1:00 ET 

Meetings News INS’ Virtual Infusion Education Programming continues to blossom as we move into the summer. Join us June 29-30 for Promoting Vessel Health and Preservation Through Vein Visualization sponsored by AccuVein. The use of vascular visualization technology is recommended to increase insertion success of the most appropriate vessel while reducing insertion-related complications, thereby promoting vessel health, and preserving the patient’s vasculature. Based on the Infusion Therapy Standards of Practice, (2021), this 2-day virtual program will provide attendees with guidance on the use of vascular visualization technology. Expert-led sessions will include how to increase vascular access device insertion success, reduce insertion-related complications, develop structured education programs to promote clinician assuredness, and promote successful phlebotomy procedures.  Registration opens May 3, 2021: www.learningcenter.ins1.org/2021JuneVirtual Not sure if you can attend? Don’t worry. Like all INS Virtual Education, this program will be available on demand for 3 years in the INS LEARNING CENTER. There is plenty of time to sit back, relax, and enjoy an INS virtual meeting. Register Today!



Membership News Through INS’ Corporate Sponsorship Program, health care organizations are supporting their clinicians through INS membership, education, and certification to enhance their knowledge and skills. INS offers a variety of infusion-related educational tools, training, and resources for professional development and works with health care facilities to tailor these offerings to meet their needs. Through Corporate Sponsorships companies secure:  – Company memberships for free publications, access to education, and reduced pricing on educational resources   – Electronic licensing of Infusion Therapy Standards of Practice and/or the Policies and Procedures for Infusion Therapy which provides employees with 24/7 access   – Exclusive access to on-demand education in the INS LEARNING CENTER, offering continuing education credits  – Additional discounts off meetings/conferences, certification, and recertification   Other organizations have taken a more vested approach securing individual memberships, FIT licenses for Fundamentals of Infusion Therapy training, and CRNI® certification prerequisites as part of their onboarding program to set their new hires on  track for success.    We are excited to share learning opportunities with you.   

INCC News INCC is fully committed to supporting every CRNI® throughout their nursing journey. As a part of our commitment to you, our 2021 CRNI® graduating class, we’ve updated dynamic marketing materials to help you share the value of your certification.  The CRNI® Resource Information page can be found at: https://www.ins1.org/crni-resources/. The content on this page can be useful to promote and maintain your CRNI® credential. In this issue of INSider, refer to the CRNI® Connection column for the new How to Market Yourself guide. This article provides practical suggestions for how to convey the value of your certification to your employer, colleagues, and friends!  

May/June 2021


INSide Scoop Publication News In addition to bringing INS members the most relevant, up-to-date education, the INS team also been hard at work publishing new material in collaboration with nursing colleagues and organizations.

Congratulations to Mary Alexander, MA, RN, CRNI®, CAE, FAAN, on the release of her work in Anatomy of Writing for Publication for Nurses, 4th ed. Also contributor for the past 3 editions, Mary outlines the steps for writing an article that flows logically and develops content in a stepwise manner in Chapter 5, Organizing the Article.  Excerpt:   As you look to contribute to the body of nursing literature by publishing your research or sharing relevant clinical experiences, the articles that you write should be presented in a coherent and logical manner with evidence to support your conclusions. Organizing your content in a predictable manner allows the reader to follow your line of reasoning and makes understanding your message easier. Different types of articles lend themselves to different types of organization.   Alexander M. Organizing the article. In: Saver C, ed. Anatomy of Writing for Publication for Nurses. 4th ed. Sigma Theta Tau International; 2021. 

Congratulations to Dawn Berndt, DNP, RN, CRNI®, and Marlene Steinheiser, PhD, RN, CRNI®, on their article “Smart Pumps, Smart Management, Safe Patients”, published in the American Nurse Journal.  In this article, Berndt and Steinheiser convey the importance of dedicated, collaborative effort on behalf of each health care organization to ensure patient safety with the use of smart pump technology.   Excerpt:   Smart infusion pumps are sophisticated computer systems that communicate within a network, using software and hardware designed to send the exact amount of medication at a precise rate to each patient. At the interface between the infusion pump and the nurse, critical decisions are made, presumptive actions are performed, and successful or deleterious outcomes are initiated.  Berndt D, Steinheiser M. Smart pumps, smart management, safe patients. American Nurse Journal. 2021; 16(5).  



Congratulations to Marlene M. Steinheiser, PhD, RN, CRNI®, and her co-author Deborah Boyle, MSN, RN, AOCNS®, FAAN, on their article, “Emotional Hazards of Nurses' Work: A Macro Perspective for Change and a Micro Framework for Intervention Planning,” published in the March/April 2021 issue of the Journal of Infusion Nursing.   In this article, Boyle and Steinheiser address emotional distress that is inherent within the domain of nursing practice.   Abstract:   Stress in nurses is multifocal, pervasive, and persistent. They practice in a contemporary health care environment characterized by rapid change, the ongoing integration of novel technologies, and interpersonal challenges. Relationships with patients and families pose unique dilemmas related to witnessing anguish and trauma over time. Interventions are needed to counter the affective demands of nurse caregiving. To this end, national initiatives have been proposed to outline general work setting enhancements promoting well-being. Stressor-specific interventions have also been identified. The goal of this article is to provide an overview of the macro (organizational) recommendations for change and a micro (practice setting) blueprint of potential interventions to promote nurse well-being. 

March/April 2021 ISSN 1533-1458

Volume 44 • Number 2 www.journalofinfusionnursing.com

Journal of

Infusion Nursing The Official Publication of the Infusion Nurses Society IN THIS ISSUE Central Vascular Access Device Complications in Pediatric Home Care Patients Managed by Family Caregivers or Nurses

Michelle Curley, RN, CRNI® ● Josh Larson, MJ, CHC, RHIA, RRT-NPS ● William F. Pomputius III, MD ● Roy Maynard, MD, FAAP

Emotional Hazards of Nurses’ Work: A Macro Perspective for Change and a Micro Framework for Intervention Planning Deborah A. Boyle, MSN, RN, AOCNS®, FAAN ● Marlene M. Steinheiser, PhD, RN, CRNI®

Administration of 3% Sodium Chloride Via a Peripheral Vein: A Literature Review

The Art and Science of Infusion Nursing

Test Includes 7.5 ANCC Contact Hours 2.5 Pharmacology Hours

Norma A. Metheny, PhD, RN, FAAN ● Michael L. Moritz, MD

It Depends: Decision-Making for Insertion and Removal of Short Peripheral Catheters Annette M. Bourgault, PhD, RN, CNL, FAAN ● Daleen A. Penoyer, PhD, RN, CCRP, FCNS, FCCM ● Michele J. Upvall, PhD, RN, CNE, FAAN

Boyle DA, Steinheiser MM. Emotional hazards of nurses' work: a macro perspective for change and a micro framework for intervention planning. J Infus Nurs. 2021; 44(2):78-93. doi:10.1097/NAN.0000000000000419. 

May/June 2021
















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