2022 July/August INSider

INSIDER

JANUARY/FEBRUARY 2021

T H E O F F I C I A L M E M B E R S H I P N E W S P U B L I C AT I O N O F I N F U S I O N N U R S E S S O C I E T Y

The IV Push Checklist

Meet the New INS Board President

Read a Securement Case Study

J U LY / A U G U S T 2 0 2 2

Listen to a DEI Task Force Member VOLUME 6

INFUSION NURSES SOCIETY

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ISSUE 3

INS BOARD OF DIRECTORS 2022-2023 PRESIDENT

Max Holder, MSN, RN, CRNI®, NE-BC, VA-BC PRESIDENT-ELECT

Inez Nichols, DNP, FNP-BC, CRNI®, VA-BC

INSIDER

PRESIDENTIAL ADVISOR

Sue Weaver, PhD, RN, CRNI®, NEA-BC

T H E O F F I C I A L M E M B E R S H I P N E W S P U B L I C AT I O N

SECRETARY/TREASURER

OF INFUSION NURSES SOCIETY

Joan Couden, BSN, RN, CRNI® INSider encourages the submission

DIRECTORS-AT LARGE

Nancy Bowles, MHA, RN, OCN , CRNI , NEA-BC, CPC, CHONC

of articles, press releases, and other

Pamela McIntyre, MSN, RN, CRNI , IgCN, OCN

materials for editorial consideration,

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which are subject to editing and/or

CHIEF EXECUTIVE OFFICER

condensation. Such submissions do

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

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

I N S S TA F F Chief Executive Officer: Mary Alexander, MA, RN, CRNI®, CAE, FAAN Executive Vice President: Chris Hunt Director of Operations and Member Services: Maria Connors, CAE Director of Publications and Educational Design: Dawn Berndt, DNP, RN, CRNI® Marketing Manager: Whitney Wilkins Hall Editorial Production Coordinator: Rachel King Associate Managing Editor: Michael Miller

INFUSION NURSES SOCIETY

Director of Clinical Education: Marlene Steinheiser, PhD, RN, CRNI

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Senior Member Services & Conference Coordinator: Jill Cavanaugh

©2022 Infusion Nurses Society, Inc.

Meetings Manager: Meghan Trupiano, CMP

All rights reserved.

Certification Administrator: Darlene Leuschke

For information contact:

Senior Certification & Member Services Associate: Maureen Fertitta Member Services Associate: Susan Richberg Bookkeeper: Cheryl Sylvia

INS Publications Department One Edgewater Drive, Suite 209 Norwood, MA 02062 (781) 440-9408 rachel.king@ins1.org

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In this Issue

President’s Message: Infusion Nurses: A Voice to Lead, A Voice to Make a Difference

by Max Holder, MSN, RN, CRNI®, NE-BC, VA-BC

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Cover Story: On Creating the IV Push Checklist

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Guest Feature: An Answer from the Frontier: Securement, A Case Review

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INS 2023 Call for Abstracts

by Loretta K. Dorn, MSN, RN, CRNI® and Marlene Steinheiser, PhD, RN, CRNI®

by Amanda Saylor MSN, RN, CRNI®

Are you interested in speaking at a national conference?

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An Interview with Children’s Book Author

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Meet Members of the Standards of Practice Committee

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Education Award Winner

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C.P. Mitchell

Michelle DeVries, MPH, CIC, VA-BC and Amy Kyes, MSN, RN, CRNI®, CVRN-BC, APRN, AGCNS-BC

Jonathan Prendergast, BSN, RN, CEN, CCRN, CRNI®

Volunteer Committee Opportunity: 2022 Call for NCOE Applicants

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Member Spotlights

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The INS DEI Task Force Shares Their Stories

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INSide Scoop:

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Phyllis Morris, Colleen Ryan, Todd Burgess, and Luis Enrique Estevez Cruz

Larry Sisei, BSN, RN, CRNI®

A closer look at what’s going on within INS

Welcome New INS Members: Domestic and International

Welcome Max Holder, MSN, RN, CRNI®, NE-BC, VA-BC, President of the INS Board of Directors!

P R E S I D E N T ’ S

M E S S A G E

We also welcome Inez Nichols, DNP, FNPBC, CRNI®, VA-BC, President Elect, and Pamela McIntyre, MSN, RN, CRNI®, IgCN, OCN, Director-At-Large.

They join Sue Weaver, PhD, RN, CRNI®, NEA-BC, Presidential Advisor, Joan Couden, BSN, RN, CRNI®, Secretary/Treasurer, and Nancy Bowles, MHA, RN, OCN®, CRNI®, NEA-BC, CPC, CHONC, Director-At-Large.

Thanks and appreciation to Angie Sims, MSN, RN, CRNI®, OCN®, Presidential Advisor, Angela Skelton, BSN, RN, CRNI®, and John Garrett, MD, FACEP, public member, as they transition off of the Board of Directors.

Infusion Nurses: A Voice to Lead, A Voice to Make a Difference

by Max Holder, MSN, RN, CRNI , NE-BC, VA-BC ®

The International Council of Nurses (ICN) set the theme for International Nurses Day 2022 as Nurses: A Voice to Lead—Invest in Nursing and Respect Rights to Secure Global Health. ICN has played on the notion, the importance of nurse’s voices, in International Nurses Day themes since 2017. Each theme has supported the impact our voices have on achieving and sustaining goals associated with improving the health of all humans and for creating a vision for the future of nursing.1

Max Holder, MSN, RN, CRNI®, NE-BC, VA-BC, has 30 years of nursing experience in emergency nursing, corporate compliance, and infusion therapy/vascular access. He is the nurse manager of the Vascular Access Team and Acute Care Hemodialysis Unit at Baylor Scott and White Health (BSWH) University Medical Center in Dallas, Texas, a 900-bed quaternary teaching hospital, and serves as a clinical expert for the BSWH CLABSI Eradication Program and as the chairman of the BSWH Vascular Access System Council. Max served two terms as director-at-large on the Infusion Nurses Society board of directors from 2014 to 2019 and is the 2022 president. He received the Baylor University Medical Center Clinical Nurse Excellence Award in 2019, and was named a Dallas/Ft. Worth Great 100 Nurse in 2020. Max works as an expert witness in cases related to infusion therapy and vascular access. He has been involved in nursing continuing education throughout his career and continues to publish and present on vascular access and infusion therapy topics and advocate for the implementation of evidence-based best practices.

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You Make a Difference was selected as the American Nurses Association theme for Nurses Month 2022 to encourage the recognition of the contributions and positive impact US nurses have on our communities.2 Dr. Sue Weaver, INS presidential advisor, noted this theme in her article in the May/June 2022 issue of the INSider, highlighting the importance of nursing self-care, recognition, professional development, and community engagement.

We as infusion therapy and vascular access nurses make a difference every day by using our voices to lead. We serve as trusted advocates, ensuring individuals, families, and community populations receive safe and effective patient care and services. We use our voice to make a difference in the care provided in our specialty and in our organizations.

Each of you makes a difference by using your voice to influence and shape the practices in your organizations, developing new evidence-based best practices, and implementing the Infusion Therapy Standards of Practice when providing care for your patients.

I frequently see posts on social media where infusion therapy and vascular access nurses lament their frustration when they are not being listened to in relation to following evidence-based best practices outlined in the Standards. In the July/August 2022 Journal of Infusion Nursing in my presidential address, “Where Were You When Opportunity Came Knocking,” you will read my discussion about taking advantage of opportunities. I see this challenge, where you may not feel listened to, as an opportunity to ensure your voice is heard!

Sometimes the key is just making sure you are at the table when the conversations take place. Are you involved in professional practice councils in your organization? Within these councils, nurses have an opportunity to use their voice to share best practices and collaborate with other clinicians and leaders on topics related to patient outcomes, nursing quality, and clinical practice.

From my personal experience, getting involved in the Central Line-Associated Bloodstream Infection (CLABSI) Committee was the key to implementing best practices in a particular organization I worked at. In my position at that health care organization, I unfortunately had direct leadership who was not particularly interested in change. Becoming a member of the CLABSI Committee and subsequently the chair of the committee provided me the opportunity to make organizational change without having to rely on my direct leader support. This is a simple example of turning a challenge into an opportunity.

You have a voice to lead! You have a voice to make a difference!

Get involved. If you don’t have one, help develop a clinical practice council in your department. Staff-led clinical practice councils improve quality of care, enhance a healthy work environment, and support professional leadership growth.3 It is through these types of councils we can use our voice to address challenges where we may not feel our voice is heard.

Following the shared governance model, the nurses who are involved directly in patient care can use their voices to drive practice rather than practice guidance flowing downward from nursing administrators who may not have the intimate practice knowledge you do.4 Get involved within your professional nursing organization. Have a voice and make a difference in INS. There are many opportunities to be a part of INS whether it is at your local INS chapter or at the national level. Have you ever considered applying to be on the INS board of directors? To join an INS committee? To be a journal reviewer? These are great ways use your voice to lead and make a difference while supporting INS’s vision of being the global authority in infusion therapy and setting the standard of excellence in infusion nursing.

Get involved in your communities by joining an organizational board of directors. The Nurses on Boards Coalition met the goal of getting 10,000 nurses on corporate and nonprofit health-related boards of directors by the year 2020.5 The Nurses on Boards Coalition believes nurses can help improve the health of communities by offering their unique perspectives as nurses to help improve health and efficiencies within all levels of health care systems.6 One thing I have learned over my 30 years in nursing is that you should always promote and speak up for what you think is right. You may not win every battle but using your voice to lead sometimes comes down to doing it at the right time. Do not be discouraged when your recommendations are not acted upon and do not perceive that you are not being listened to during those moments. Every time you use your voice to lead, you are at a minimum planting seeds. If you continue to speak up when the opportunity arises, one time your recommendations may be implemented: your voice makes a difference.

If you attended the INS 2022 Annual Meeting, you had the opportunity to hear from many nurses and others who use their voices to lead and to make a difference. INS 2022 was jampacked with thought-provoking presentations on topics from infusion therapy to vascular access to implementing evidence-based best practice to diversity, equity, and inclusion to infection prevention—and more! I hope you were inspired by the speakers and gathered information you were able to take home with you that supported your voice to lead and make a difference.

You are amazing clinicians with so much to offer our specialty, your organizations, and your communities. Take all that you learned at INS 2022 and from the Infusion Therapy Standards of Practice and use your voice to lead and to make a difference!

References 1. International Nurses Day. International Council of Nurses. https://www.icn.ch/what-we-do/campaigns/international-nurses-day. Accessed May 15, 2022.

2. “You Make a Difference”: National Nurses Month May 2022. Great Plains Quality Innovation Network. https://greatplainsqin.org/blog/you-make-a-differencenational-nurses-month-i-may-2022/#:~:text=The%202022%20Nurses%20Month%20theme,positive%20impact%20of%20America’s%20nurses.

Accessed May 15, 2022.

3. Brody, Abraham Aizer, et al. Evidence-based practice councils: Potential path to staff nurse empowerment and leadership growth.

J Nursing Adm 2012;42.1:28-33.

4. Erickson, Sheila M., et al. Clinical nurses find a voice: How nursing practice councils succeeded at one hospital. Am. J. Nurs. Sci. 2008;8: 76-79.

5. Nurses on Boards. Texas Action Coalition. http://www.txactioncoalition.org/nursesonboard. Accessed May 15, 2022.

6. Our Story. Nurses on Boards Coalition. https://www.nursesonboardscoalition.org/about/. Accessed May 15, 2022.

July/August 2022

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C O V E R

S T O R Y

On Creating the IV Push Checklist

by Loretta K. Dorn, MSN, RN, CRNI and Marlene Steinheiser, PhD, RN, CRNI ®

The risk for injury related to intravenous (IV) medication errors is well documented. Errors include wrong route, wrong drug, wrong preparation, and incorrect administration procedures. Considering the complications that can occur in the practices of IV push administration, it is surprising that until recently there had not been a standardization of the procedure in nursing schools and within many health care organizations.

After conducting surveys between 2010 and 2014, the Institute of Safe Medication Practices (ISMP) realized that there was a gap in the standardization of IV therapy practice, and in 2015, after a summit was held, created the ISMP Safe Practice Guidelines for IV Push Medications.

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A 2018 ISMP survey of all the nursing school programs across the United States demonstrated only a slight change in practice. ISMP also used a gap analysis tool to survey 977 practitioners (mostly nurses) on adult IV push medication practices and compared these results to related ISMP surveys conducted between 2010 and 2014.

The gaps seen consistently included inappropriate dilution, incorrect concentration, incorrect administration, and lack of labeling and medication identification processes. The ISMP information was available for public use; however, a survey undertaken in Arizona nursing schools in 2019 demonstrated a lack of consistency in teaching IV push medication administration in prelicensure nursing programs.

As a result of the gap, the Quality and Safety Education for Nurses (QSEN) patient safety practice task force was formed, consisting of IV therapy experts dedicated to improving patient safety through the development of practice standards using evidenced-based guidelines.

QSEN is a recognized organization that pursues strategies to build and develop effective teaching approaches to assure that future nursing graduates develop competencies in patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.

In 2019, after Institutional Review Board review, the QSEN patient safety task force used the Commission on Collegiate Nursing Education (CCNE) and the Accreditation Commission for Education in Nursing (ACEN) distribution lists to send all nursing schools across the United States a similar survey as one sent in the Arizona. 380 nursing schools responded. The survey noted the same lack of consistency in all areas of IV push medication education.

As a response to the lack of standardization in education and competency assessment with IV push medications, the task force decided to create the IV push medication safety checklist. With input from task force members from various clinical practice settings and academia as well as by relying heavily on the INS 2021 Infusion Therapy Standards of Practice and the 2015 ISMP Safe Practice Guidelines for Adult IV Push Medications, the task force developed the IV push checklist to be used in nursing programs and hospitals for competency and policy standardization. The team determined the best place to create standardization was to start teaching the standard checklist in nursing school, then to broadcast the checklist into any area of practice where IV push occurs as part of the nursing process.

There are 3 sections in the checklist. The first includes key areas of practice to assess prior to beginning the preparation and administration of IV push medications.

The second area of the checklist focuses on IV push medication preparation and the third upon IV push medication administration. The competencies in this checklist, which focus on patient safety, were noted in the survey results as areas of inconsistent education and competency validation. The competencies include, but are not limited to, assessment of the appropriate vascular access device (VAD), the rights of medication administration, the principles of standard Aseptic Non Touch Technique (ANTT®), VAD patency, flushing and locking, proper IV push medication dilution and preparation, and rate of administration.

Once the checklist was finalized by the task force, it was peer-reviewed by experts in infusion therapy, then the task force submitted it to QSEN for approval.

After QSEN reviewed and approved it, the IV push medication checklist was published on their website.

You can find it here: IV Push Evidence-Based Practice Checklist The checklist is intended for use in all clinical practice settings with both student nurses and licensed nurses, and can be used to standardize practice between nursing schools and clinical practice sites.

We would like to thank members of the QSEN patient safety practice task force: • Loretta K. Dorn, MSN, RN, CRNI® Director of Clinical Liaisons, Fresenius Kabi USA • Marlene M. Steinheiser, PhD, RN, CRNI® Director of Clinical Education, INS • Susan Paparella, MSN, RN Vice President, ISMP • Michelle Mandrack, MSN, RN Director of Consulting Services, ISMP • Candy Cross, MSN-Ed, RN Adjunct Faculty, Chandler Gilbert Community College • Elizabeth (Liz) Campbell, MSN RN, CRNI® Vascular Access Team Specialist, Newton-Wellesley Hospital • Visnja Maria Masina, DNP, RN, AGCNS-BC Adult Clinical Nurse Specialist, Cleveland Clinic • Denise Dion, MSN, RN, CNE, PCCN Professor in the Nursing Program, Central Arizona College • Christina Colvin, MSN, APRN, AOCNS, CRNI® Clinical Nurse Specialist, Cleveland Clinic • Heather Witek, BSN, RN Senior Medical Affairs Specialist, ICU Medical

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An Answer from the Frontier: Securement, A Case Review

by Amanda Saylor, MSN, RN, CRNI

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Our vascular access team (VAT) had a well-known issue at our facility. As had happened many times before, a patient received multiple peripherally inserted central catheters (PICCs) and midline catheters only to have them migrate out over days to weeks. Whether this happens to a patient with a one-time order for six weeks of intravenous antibiotics or to patients with more chronic health issues, a migration or dislodgement of a vascular access device out of its intended tip location is an adverse patient event.1 The patient in this case review had received four PICCs and multiple midline catheters. Every PICC had migrated out of position or dislodged entirely during her infusion therapy.

As the goal of any VAT is to place the right line that will safely complete the course of therapy, our team had failed every time with this patient. The failure was not in not understanding current evidence for vein selection,

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catheter-to-vein ratio, or even care of the PICC to avoid the risks of infection. The VAT had well-developed policies and protocols and members with national certifications in infusion therapy and vascular access.2,3 The potential for migration and dislodgement occurred because securement became an afterthought of this well-placed device.

Securement is often a seemingly minor consideration, determined by what is provided in the insertion and dressing change kits. Physicians placing central venous access devices have, for more than 40 years, often used creative knotting of a wound closure device, also known as sutures.4-6 For VAT clinicians, they often use an adhesive securement device (ASD) conveniently located in the PICC and midline catheter insertion kits. But maybe we should put as much thought into what holds the catheter in place as we do the importance of the actual insertion.

It was evident to the team that securing the PICC as we always had for this patient would not work any better than it did the last four times. Fortunately, I had just returned from a traveling vascular access nurse assignment in Anchorage, Alaska. The VAT in Alaska had recently implemented securing PICCs with a subcutaneous anchor securement system (SASS).1,7 Switching from one ASD to another is usually as simple as finding which direction to place it and how it holds on to the manifold. However, the SASS was a completely different approach to securing the catheter, and I was skeptical at first. My first assessment was that the device was visually very different than an ASD, most likely challenging to insert, and probably very uncomfortable for the patient. Over the next 26 weeks on assignment, I moved from skeptic to believer.

As with any new securement device, I learned which direction to place it and how it holds on to the PICC. Unlike an ASD, I had very few opportunities to remove the SASS because it remains with the PICC for the duration of therapy.7 Through firsthand exposure to this alternative securement option, I learned that it secured the PICC. Rather than relying on manufacturer research on migration and dislodgement rates, I witnessed in person that the SASS prevented these adverse events.

Upon return from my assignment in Alaska, I hoped to share what I had learned about a different approach to vascular access device securement. The patient in this case review was not one who absorbs the clinician’s opinions as facts; on the contrary, she was also a VAT member and coworker, and said that the SASS would have to outperform the previous securement. After showing my friend/the patient the securement option, and saying that I believed it would solve the migration issues of the past, she was skeptical about the subcutaneous device. However, trusting that I would not advise this option without believing in its ability to secure her PICC, she consented to be the first to trial the SASS at our hospital.

After multiple weeks with the PICC in place, the patient completed her therapy without any visible catheter

migration or other complications that she had experienced previously. Although the patient had feared discomfort, she reported the subcutaneous device as “painless.” The patient also remarked that she had less adhesives attached to her skin, and therefore less irritation around the insertion site. This team member, who went from a skeptic to an advocate, is now encouraging our employer to review our securement data and seek options that lead to outcomes like this one.

In my temporary assignment on the frontier of Alaska, I did not strike gold, but I did manage to open my eyes to a new answer to an old problem. By honestly assessing my home facility’s issues with recurrent migrations and dislodgements, I saw the possibilities of a new approach to securement and positive outcomes for my patients. One never knows how a seemingly insignificant new piece of information may have a profound effect when applied to an old problem. Not every novel technology is an obvious solution. I had to be convinced that what I was being forced to use at a different facility was not only the latest shiny object but also an answer to a problem back home.

Amanda Saylor, MSN, RN, CRNI®, has worked for 17 years as a vascular access nurse in Washington state. She was recently a travel nurse in Alaska.

References 1. Gorski LA, Hadaway L, Hagle ME, et al. Infusion Therapy Standards of Practice, 8th Edition. J Infus Nurs. 2021;44(1S):S1-S224. doi:10.1097/NAN.0000000000000396 2. Infusion Nurses Certification Corporation. CRNI® Accreditations.

Accessed March 4, 2021. https://www.ins1.org/crni-certification/information/general-information/ 3. Vascular Access Certification Corporation. VA-BC™ Certification.

Accessed March 4, 2021. https://www.vacert.org/what-is-certification/ 4. Kalso E. A short history of central venous catheterization.

Anaesthesiologica Scandinavica. 1985:29(s81):7-10.

5. Struck MF, Friedrich L, Schlelfenbaum S, Kirsten H, Schummer W, Winkler BE. Effectiveness of different central venous catheter fixation suture techniques: An in vitro crossover study. PLOS Open Access. http://doi.org/10.1371/journal.pone.0222463 6. Ethicon, Inc. Ethilon Nylon Suture IFU. Ethicon Inc. a Johnson & Johnson Company. 2009. https://hostedvl106.quosavl.com/qb/ 7. SecurAcath, Interrad Medical Inc. SecurAcath, subcutaneous catheter securement system, instructions for use. SecurAcath.com. Retrieved July 8, 2021. https://securacath.com/wp content/uploads/2020/05/1386-002-rFIFU-SecurAcath-US.pdf

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Are you interested in speaking at a national conference?

Infusion Nurses Society (INS) is recognized as the global authority in infusion therapy and is dedicated to exceeding the public’s expectations of excellence by setting the standard for infusion care. INS is also dedicated to providing professional development opportunities and quality education, and to advancing best practice through evidence-based practice and research.

We are accepting abstract submissions for 50-minute podium presentations. Content must be evidence-based and reflect the current state of the science or be based upon research-driven results contributing to the science. Presentations must be free of commercial bias and adhere to the criteria set by the California Board of Nursing for awarding contact hours. According to the 2023 policy, INS will provide up to $500 in travel assistance.

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INS 2023 Boston, MA | April 1-4 2023 Annual Meeting abstract submissions are due by August 31, 2022 Virtual and/or webinar abstract submissions are continually accepted separate from this call

Session proposals/abstracts on the following infusion therapy–related topics may be submitted: • Vascular access device (VAD) technology – Products (eg, infusion control devices, dressings, vein visualization) – Use and management – Complications • Infection prevention • Patient education • Special populations—for example: – Pediatrics – Older adults – Pregnancy • Alternative care settings, including but not limited to: – Home care – Outpatient infusion centers – Skilled nursing facilities • Disease states

• Infusion therapies – Fluid and electrolyte balance – Pharmacology – Transfusion therapy – Parenteral nutrition – Antineoplastic and biologic therapy – Pain management • Quality improvement and patient safety • Nursing professional development • Clinician health and wellness • Current affairs, social science, and global concerns • Emerging evidence • Health care ethics • Professional liability and legal considerations • Topics on diversity, equity, and inclusion

Apply Now: http://ins1.org/call-for-abstracts Guidelines: • To be eligible, your abstract must be your original work; subsequent presentation of this content is acceptable, provided you have an original title with a different view, perspective, or focus.

• To submit your abstract, please be prepared to enter the following information: – Name and credentials—current employer, job title, and CV/resume – Paid consultant roles (title and company) – Proposed topic (including): 1. Original title 2. Session description/abstract 3. Brief session introduction for program agenda 4. Learning objectives 5. Content outline 6. References – Speaking experience

Important Dates and Information: August 31, 2022: Abstract submissions close October 1, 2022: Selected speakers will be notified October 31, 2022: Presentation date to be determined by the INS Education Department

Organizing Committee: Marlene Steinheiser, PhD, RN, CRNI®, INS Director of Clinical Education Dawn Berndt, DNP, RN, CRNI®, INS Director of Publications and Educational Design

Contact INS with any questions: marlene.steinheiser@ins1.org

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An Interview with Children’s Book Author C.P. Mitchell When INS discovered that one of our members, Cassandra (“C.P.”) Mitchell, had written and published the children’s book Nurses Are Superheroes Too, we asked her to discuss her journey. She shares her story in the interview below.

What inspired you to write this book?

Becoming a children’s book author was the last thing I imagined for myself. One Saturday morning during the pandemic, I sensed God was calling me to write. I wrote this book to encourage kids to think careers like nursing can be as fulfilling as that of professional athletes, actors, musicians, and supermodels. While all professions are needed, I highlighted how awesome it is to be a nurse and that nurses are real-life superheroes, saving lives every day. It was important for me to incorporate diversity throughout to encourage children of all nationalities and genders to see themselves and to know a career in nursing is possible.

What did you learn while writing the book?

In the process of writing Nurses Are Superheroes Too, I learned during every phase. Personally, I discovered I tend to listen to my inner guidance; to have a thought or inclination, then follow through. As with the nursing profession, writing a book is a process with many steps. It takes perseverance and consistency to accomplish your goals. And interestingly, after releasing the book and getting feedback, I also learned that many adults were also educated on the various types of nurses and their roles. Overall, this has been a rewarding experience.

Why did you pick these nurse specialties to focus on?

Since as early as I can remember, I knew I was going to be a nurse. I had a genuine interest in the profession but didn’t know there were different specialties within nursing, roles in both hospital and nonhospital settings. As I grew older, I had to do my own research to figure out what kind of nurse I wanted to be and where I wanted to serve.

It was important for me to highlight the different types of nurses in the book to educate young readers. I made it a point to bring awareness to specialties like mental health, ones not discussed nearly enough in the community. Some of the other specialty roles illustrated in the book are roles I’ve worked in during my career. I worked as an oncology/medical surgical nurse straight out of school and later branched into infection control in the hospital. Currently, I’m a nurse educator who emphasizes preventing infections with patients that have central lines. I now work in a nonhospital setting with minimal contact with patients. The importance of the infection control nurse has been on display in the last few years during the global pandemic. Lastly, I wanted to show leadership within the nursing field.

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How did you find the illustrator? What was your collaboration like — did you tell him what to draw or did he interpret your writing as he saw fit?

My illustrator was the best. Writing the book and going through the editing process was one thing, but once the illustrations came into play, the book became real to me. For me, a story for children is only as good if it can be told through illustrations. I knew I wanted realistic illustrations when I started writing my story.

I found my illustrator on a popular website. It was like an interview; I placed an ad for what I wanted, and fielded prospects. There were so many talented illustrators to choose from, but his artwork was mind-blowing and aligned with what I had envisioned.

There were specific things I wanted to show in my book such as diversity of gender and nationalities, but for the most part, I gave him room to freelance with minimal guidance. I allowed him to illustrate by capturing the essence of the story, and I was pleasantly surprised when I saw the illustrations.

How and/or why did you pick your publishing company?

I wanted to be more hands-on with the writing, printing, and distribution of my book, so I decided to be a self-published author.

I am big on family and have a close relationship with my family. The name ladybug is near and dear to the me because it’s what I’ve called my niece since she was born. My niece is now four years old, and she loves the name ladybug, so it just sticks with me.

I believe that reading is fundamental and should be fun, so I went with that Ladybuglove2read as my self-published business name.

What have you enjoyed most about getting the book out into the world?

I’ve most enjoyed reading time with kids. I never thought I’d be reading a book that I published to kids in school and daycares.

Yes, much of it has been virtual due to the recent pandemic, but I still enjoy it. Seeing the smiles on the kids’ faces, and hearing what they want to be when they grow up brings me so much joy. I am looking forward to going into more public settings like schools and libraries to read my book(s) to children. I also enjoy being an inspiration to my nieces and nephew, siblings, and friends. My 8-year-old nieces have written and illustrated many books since then and it makes me happy to be their role model. I have had conversations with friends who expressed that they have been thinking about writing a book. My sister is in the process of publishing her book/journal. It feels good to know that I am a positive influence on those around me.

Have you ever thought writing other books for either children or older prospective nursing students?

Yes, of course! I have several books written and saved on my computer. When I got the calling to write a children’s book, I had already written a story. But God had another plan. This was my second story but was published first. I remember taking a shower that same day I heard the voice telling me to write a story about nurses. I asked, “What I am going to say about it?” The voice said to write about different types of nursing.

It’s only a matter of time until I get my other stories published and out to the world. While my focus is to be a successful children’s author that leaves a positive impact on children’s lives, I have considered writing books for young adults and adults. I have a few ideas in my head, but nothing on paper yet. More work and brainstorming to do. More to come.

In a few sentences, what is your philosophy of nursing?

I love being a nurse. I am living my childhood dream right now. Being a nurse is more than pushing medications. We play a big role in the hospital setting. I’m truly passionate about helping and caring for people. I enjoy providing support, encouragement, and compassion.

What else do you like to do for fun besides write?

When I’m not taking care of patients, educating others in my work, or brainstorming ideas for my next book, I enjoy traveling, trying new and exciting cuisine, and spending time with family and friends. You might also find me reading a good book. I love to travel!

It reminds me of my favorite holiday, the most wonderful time of year, Christmas. Like Christmas, traveling allows you to be in a happy, joyful mood. It’s a peaceful place that increases positive thoughts and inspiration. It’s relaxing, and I get to explore my creative side. When traveling, my mind is open to run free and I leave all worries behind.

C.P. Mitchell is the fourth oldest out of her six siblings. She grew up in Long Beach, California, and is a proud aunt to five nieces and five nephews that bring her great joy every day. She earned a BS from Lamar University in Beaumont, Texas, and worked as a medical technologist (MLS, ASCP) for five years before branching back into nursing. She later obtained a BS in nursing from the University of Texas at Arlington. In her tenure of being a nurse, she has worked as an oncology nurse, a women's health nurse, and an infection control nurse, and she currently works as an industrial nurse, where she still focuses on preventing infections. Being a nurse has truly been a dream come true.

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INS 2022 took place from June 4-7 at the Rosen Shingle Creek Resort in Orlando, Florida.

We had 333 in-person attendees, 262 virtual attendees, 45 speakers, and 56 exhibitors. We had a wonderful time communing with and learning from one another, and hope to see you in Boston for INS 2023 next April!

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I N S 2 0 2 4 S TA N D A R D S O F P R A C T I C E C O M M I T T E E Chair: Barb Nickel, APRN-CNS, CRNI®, CCRN

Samantha Keogh, PhD, RN, BSc(Hons)

Co-Chair: Lisa Gorski, MS, RN, HHCNS-BC, CRNI®, FAAN

Tricia Kleidon, MNSc, BNSc, RN

Peter Carr, PhD, MMedSc, BSc, RN

Amy Kyes, MSN, RN, CRNI®, CVRN-BC, APRN, AGCNS-BC

Simon Clare, MRes, BA, RGN

Britt Meyer, PhD, RN, CRNI®, VA-BC, NE-BC

Rachael Crickman, DNP, ARNP-CNS, RN, AOCNS, OCN

Jennie Ong, PharmD

Michelle DeVries, MPH, CIC, VA-BC

Mary Jo Sarver, MSN, ARNP, AOCN, CRNI®, LNC, VA-BC

Meet Two Members for the 2024 Standards of Practice Committee!

Michelle DeVries, MPH, CIC, VA-BC Michelle DeVries has been involved in infection prevention and hospital epidemiology for more than 25 years, spanning community, university, and federal health care facilities as well as postacute settings. She is passionate about raising awareness around vascular access device complications and devotes her time to education on this topic. She was a reviewer for the 2016 and 2021 INS Infusion Therapy Standards of Practice, and is now serving on the committee for the 2024 Standards.

She is a senior adjunct research fellow with AVATAR (Alliance for Vascular Access Teaching and Research), the past director-at-large with VACC (Vascular Access Certification Corporation), the national secretary of the Association for Vascular Access (2022), and the copresident of her local network. She also serves as the senior infection control officer for Methodist Hospitals in Gary, Indiana.

Amy Kyes, MSN, RN, CRNI

, CVRN-BC, APRN, AGCNS-BC

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Amy Kyes has over thirty years of experience as an infusion nurse working in both home health and acute care settings. Amy currently works for Trinity Health in Grand Rapids, Michigan as a clinical nurse specialist/ advanced practice registered nurse. In this role, she is recognized for her ability to transform hospital systems of care and clinical outcomes through implementation and clinical oversight of registered nurse vascular access teams. She has received the Gardner Foundation Scholarship, been an INS conference speaker/presenter, and contributed several articles to the INSider as a member of the INS research committee. In her spare time, Amy enjoys gardening and competitive pickleball.

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View these webinars and more on-demand: www.learningcenter.ins1.org/webinars Managing Infusion Hypersensitivity Reactions with Intravenous Antihistamines

Safety Practices in Pediatric Infusion Therapy: It’s in the Nurse’s Control!

Igniting a Spirit of Inquiry

Listen to these podcasts and more on-demand: www.learningcenter.ins1.org/podcasts Plasma-Derived Medications – Donors MakeThem Possible 17

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Antimicrobial Stewardship

Safe IV Push Medication Administration Practice

Education Award Winner:

Jonathan Prendergast, BSN, RN, CEN, CCRN, CRNI

®

Sarah Christiana, BSN, RN, CLC, a DNP student and diagnostic imaging/infusion nurse at Rutland Regional Medical Center nominated Jonathan Prendergast, BSN, RN, CEN, CCRN, CRNI®, an infusion supervisor/nurse leader.

Jon graduated from St. Joseph’s College of Maine in 2013 and has worked in numerous clinical settings, most notably in the emergency department at Rutland Regional Medical Center (RRMC) in Rutland, Vermont for 6 years where he developed as an instructor for advanced cardiac life support and pediatric advanced life support in addition to precepting many new nurses. In 2019, Jon took on a new role in the diagnostic imaging department that provides a variety of services including interventional radiology, cardiac procedures, vascular access, and outpatient infusions.

Since receiving a promotion 2 years ago, Jon has been the supervisor for infusions and vascular access at RRMC. He has been dedicated to educating the staff about vascular access devices, using ultrasound guidance for obtaining access, and new medications and services in the infusion center.

He has been instrumental in implementing COVID monoclonal antibody infusions for outpatients, nurse-led PICC teams, and modernization of the front-end processes for infusions. Jon has also organized and instructed classes on central line care and maintenance for nurses at RRMC and for nurses at local skilled nursing facilities. He has implemented novel hands-on training aids for vascular access education including ultrasound, and can teach to multiple licensure levels.

Outside of RRMC, Jon is a first aid instructor for Killington ski patrol at Killington/Pico ski resorts, and volunteers for Killington Search and Rescue, a local backcountry search and rescue organization. He loves to help people and has a calm presence that puts people at ease even in crisis situations. He recently carried water up a trail to help contain a wildfire on the Long Trail/Appalachian Trail.

Sarah Christiana answered the following questions about Jonathan Prendergast.

How has the nominee advocated for INS/the infusion nursing specialty?

Jon is very active in INS, having attended multiple conferences out of state and always seeking out education opportunities. He is a huge advocate in our unit for continuing education. Jon encouraged me to become a CRNI®, and I will be sitting for the exam this coming September because of his encouragement. He has encouraged us all to become INS members, take online classes through INS, and sit for the CRNI® exam. He has taught many of us to start IVs, PICCs, and midline catheters using ultrasound.

How does the nominee serve as a mentor and role model and earn the respect from colleagues and new nurses?

Jon is a constant support to all of us pursuing higher education. He has been very supportive of my education and DNP project.

Together, we are working towards implementing PICC Guards in our intravenous drug use population so they are able to receive daily antibiotics on an outpatient basis without receiving a peripheral IV every day. We believe this will improve patient care, promote treatment adherence, and improve health outcomes in the community. Jon is a pillar of QI in our facility.

How has the nominee and their tutelage supported or changed you practice?

Jon has been a huge influence in my career. He helped me shape my DNP project. I became very passionate about caring for intravenous drug users during the past (almost) 2 years of working under Jon. He is a quiet but competent and passionate leader, leading not with authority, but gentle guidance and encouragement. Having spent years working in the emergency department, Jon is not easily dismayed or discouraged. He is persistent in the pursuit of patient care, improvement, and staff development.

Health care has been through historical challenges in the past few years.

How are the challenges addressed by the nominee in the ever-changing health care environment?

How have these challenges changed/influenced the nominee’s way of teaching?

In the past 2 years, Jon had to very quickly implement a plan to administer monoclonal antibody treatments (mAb) for COVID-19 patients. Seemingly overnight and under pressure, he created processes, flow sheets, care plans, and staff schedules, and organized the creation of a facility to administer these life-saving medications. He directly oversaw all mAb operations for nearly 2 years. It seemed like every week something changed, and Jon provided us with guidance and education to facilitate those changes.

Please comment on the nominee's professional experience and contributions to the infusion specialty.

At the young age of 31, Jon holds 3 nursing certifications. He frequently attends meetings with hospital administrators and leadership and champions positive changes in the infusion center. He mentors all new RNs with patience and competency, frequently checking in and asking how our experience could be improved. He is always available to meet with us and discuss any work or personal issues we may have, and help us in any way he can. He is so very deserving of this award.

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VOLUNTEER COMMITTEE OPPORTUNITY: 2022 Call for NCOE Applicants

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Are you interested in promoting the mission of INS by providing professional development opportunities and quality education? Read more about the INS National Council on Education (NCOE) to decide whether being a member of this council is your next career goal.

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What Are the Responsibilities of NCOE? The NCOE works with the INS Education Department to develop programs which address the latest methodology, current trends, most prevalent issues, and subjects of general interest to infusion nurses.

Council members: • Attend quarterly virtual meetings, including an annual conference planning meeting • Review submissions from the call for abstracts • Plan and contribute to the development of educational topics, learning objectives, and content outline for presentations • Collaborate with speakers to foster high quality and engaging educational content • Implement and evaluate educational sessions

Who Are the NCOE Members?

NCOE members are active members of INS with a minimum of two years of clinical experience in infusion nursing and experience in the development of educational programs. Council selection is based on, but not limited to, diverse geographical location, practice environment, educational program expertise, and clinical and educational credentials.

NCOE is comprised of content experts in the field of infusion nursing; council members are active practitioners in the specialty area and are well versed in the clinical aspect of the profession.

Members of NCOE, the INS Director of Clinical Education, the INS Director of Publications and Educational Design, and the INS Conference Education Coordinator are all part of the INS Education Team. Because the INS Education Team believes that educational content must continually evolve to reflect changes in the science of professional nursing, the Team works diligently to ensure that the latest evidence-based education is available to INS members and to the infusion community.

Education Team Goals 1. To provide educational programs that will improve the delivery of health care and the practice of infusion nursing.

2. To disseminate knowledge by providing educational opportunities for infusion nurse specialists and members of allied health care specialties and professions to exchange information and clinical practice expertise and to explore collaborative practice.

3. To promote high quality professional practice through education.

What do current NCOE members say about their volunteer role?

“Being part of this committee has been one of the most memorable experiences of my career. I have learned so much and have been very proud to let others know of my work with INS. Attending the conferences to actually hear a session that I helped to develop is well worth all the time involved. Seeing a published article in the Journal brings everything full circle.”

“Being on NCOE is something that I am most proud of in my long nursing career. Planning and working on this most impressive team to develop the learning content for the INS national conferences has been a true labor of love. It has been a privilege to serve on this council.”

We are grateful to our NCOE members for their dedication to the infusion nursing profession.

If you are interested in being considered for a position as a NCOE member, please apply by July 6, 2022.

If you have questions about the position, please email Marlene M. Steinheiser, PhD, RN, CRNI®, Director of Clinical Education at marlene.steinheiser@ins1.org.

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INS is seeking members to serve on its National Council on Education (NCOE) You will work with the Yo

Apply To Today!

INS Education T Te eam to determine professional practice gaps, plan educational sessions to address these gaps, recruit speakers, and develop and evaluate the educational sessions.

Applications must be received

by Wednesday, July 6, 2022

September/October July/August 2022 2021

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INS Member Spotlight 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.

Phyllis Morris

RN

What led you into the nursing profession? Several goals prompted me to enter the nursing profession. I was working in a blue-collar job that was hard labor, monotonous, and did not pay well. I wanted a profession that would be interesting, challenging, and enjoyable. I also needed a profession that would offer financial security and stability. Additionally, I wanted to make a difference, to help people and the community.

What made you decide to specialize in infusion therapy? I discovered while working at the bedside that I really enjoyed the more advanced practice components of patient care including starting IVs, placing central lines, giving IV medications and fluids, and managing central and arterial lines. Infusion therapy can elicit some pretty dramatic results. I enjoyed being able to provide fast, effective pain relief, fluid resuscitation, antiemetics, and the lifesaving results of chemotherapy.

How has INS Membership benefited you in your journey? INS has provided a wealth of education. The presentations provide education from nationally recognized experts in a variety of related fields, and the exhibits provide hands-on education concerning new products, procedures, and materials. The Journal provides evidence-based practice and research articles. The virtual and website education has been invaluable the last couple of years. The INS books have been an important resource in my practice.

Has there been a mentor, colleague, or INS member who has helped along the way? Being able to network with other INS members at the conferences has been very helpful.

Do you have a story from your practice that you would like to share with the infusion community? If yes, what is it? I first became aware of INS in 1993. I was hearing about this new IV line, a PICC, being utilized in larger hospitals. Another nurse who was working for a home health company had seen some of these lines. We decided to learn more, and attended our first INS conference in Denver. The next year we took the CRNI® exam. After taking more classes, some in which we actually placed lines, we proposed starting a PICC program in the little rural hospital in which we worked. We wrote the policies, did the staff education, and placed lines. A larger hospital in an adjacent town then requested that we provide the same service for them. After several years, I started my own business and contracted my services to several rural hospitals which could not afford to employ dedicated PICC nurses.

Providing PICCs for patients in very small, rural community hospitals who might have otherwise have had to travel via ambulance to larger hospitals at great cost and inconvenience was incredibly rewarding.

Although I no longer work at the bedside placing lines or doing infusions, I have been able to utilize my education and expertise in teaching others to care for IV lines, in placing PICCs and providing infusion therapy, and in providing legal consultation concerning infusion therapy. I am semiretired now, but I maintain my INS membership and CRNI® certification in order to take full advantage of the opportunities and education INS provides.

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Colleen Ryan What led you into the nursing profession? My mother, who was a nurse and certified registered nurse practitioner.

What made you decide to specialize in infusion therapy? My mom was on hospice services and in desperate need of IV hydration. We would have to take her to the ER just for normal saline solution.

It was eye-opening.

How has INS Membership benefited you in your journey? I am a new home health care agency owner (9 months) and it has been such a learning experience going from hospital RN to homecare RN/owner.

Has there been a mentor, colleague, or INS member who has helped along the way? Bonnie, my mother, and a former colleague, Terry, a RN.

Todd Burgess What made you decide to specialize in infusion therapy? I was handpicked when we started our PICC program in 2007 because I was good at starting PIVs. As the ICU charge nurse, I was called to start PIVs all over the hospital so they thought I would be good at placing PICCs. How has INS Membership benefited you in your journey? The knowledge of how to perform vascular access safely, instead of just performing. Also, the right device for the situation.

Has there been a mentor, colleague, or other INS member who has helped along the way? Absolutely. After our initial training, we were pretty much left to our own devices. I developed some bad practices. Then Abby Contreras, a BD rep, came along with the patience, and knowledge, to make me realize I didn’t know much about what I was doing, and pointed me in the right direction. I took it from there to where I am now. But none of that would have happened if our CNO, who had worked with Abby from a different facility, hadn’t asked for an All Points survey from BD, which really helped straighten out our vascular access program.

Luis Enrique Estevez Cruz

Answers translated from Spanish by Rachel Steinheiser

What led you into the nursing profession? In studying the science of care, already within the circle of health care professionals, nursing is the leading profession in the care of the person, healthy or sick.

What made you decide to specialize in infusion therapy? In analyzing health care institutions, it is calculated that 98% of patients that pay to receive attention require a vascular access device and infusion therapy for diagnostic or therapeutic purposes. Therefore, nursing staff, as the leaders in care, must have the abilities and competencies required to give quality, well-balanced care to patients that require infusion therapy.

How has INS Membership benefited you in your journey? It’s been very beneficial. Since becoming a member I have been able to access information, webinars, etc. with which I have strengthened my knowledge and improved my practices in infusion therapy. In short, due to the membership allowing access to the high level of education within INS, I am now able to be an agent of change in my institution and a resource for my other colleagues.

Has there been a mentor, colleague, or other INS member who has helped along the way? I have not had direct mentorship from one specific person, but without a doubt the authors of the Standards, webinars, etc. have been my mentors online for this wonderful journey in infusion therapy.

Do you have stories from your practice that you would like to share with the infusion community? I think that in my journey of more than a decade in care there is a before and an after in infusion therapy. Before, I saw infusion therapy as something routine, which made me fall into bad practices. After, when I made the decision to retrain myself by opening my mind to new technologies and the scientific evidence and recommendations of other colleagues who were already experts on the subject, my manner of thinking and acting in the care of infusion therapy changed. This change permitted me to be a cofounder of a nursing infusion team, to be a clinical educator, and, above all, to be an activist for the vascular preservation of patients who require vascular access devices and infusion therapy.

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The INS DEI Task Force Shares Their Stories In order to begin to fulfill the DEI Task Force mission of listening to the diverse voices within the infusion nursing community and looking for opportunities to address bias and intolerance in health care, the DEI Task Force members are searching for venues to share their stories. In this issue, we’re hearing all the way from Kenya, from Larry Sisei.

Larry Sisei, BSN, RN, CRNI

®

Larry Sisei is a Kenyan nurse who lives in Nairobi.

He is married to a nurse, and has one son who is 3.5 years old. He holds a BSN and CRNI®, and has 12 years of practice experience. He is currently pursuing a MS in international public health at the Liverpool John Moores University.

He is a member of the INS DEI Task Force and an international reviewer of the Infusion Therapy Standards of Practice. He has vast clinical, training, and sales experience, and currently works in BD as a senior clinical consultant, driving medication delivery and infusion therapy practice in East and West Africa by offering clinical capacity building, guidance, support, and leading scientific discussions.

INS DEI Task Force Members: Crystal Miller, cochair Felicia Schaps, cochair Jeanette Adams Ludy Aquino-Lasam Marcela Beatty Tracy Davis Melanie Eld Jennifer Helal Max Holder Danielle Jenkins Yvonnie Love Julio Santiago Larry Sisei

INS Convenes a Diversity, Equity, and Inclusion Task Force INS affirms our belief that all people deserve to be treated with dignity and respect.

Further, we acknowledge and embrace our obligation to advance equal and effective care for all people. Inclusiveness is one of INS’ core values. We are committed to listening to the diverse voices within the infusion nursing community and we look for opportunities to address bias and intolerance in health care.

To ensure that INS is supporting and promoting diversity and inclusion within the infusion community, we have established a standing Diversity, Equity, and Inclusion (DEI) Task Force. Our goal is to plan and execute meaningful actions.

Jannifer Stovall Debra Toney Sue Weaver

The DEI Task Force has identified what Diversity, Equity, and Inclusion means to INS:

Diversity:

Embracing and accepting our differences, respecting all people without prejudice, and practicing health care with reverence for each unique individual.

Equity:

Doing what is fair and just to achieve the best outcome for all people.

Inclusion: 23

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Ensuring that our organization honors the thoughts, ideas and perspectives of each person.

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.

Membership Services INS would like to thank all our INS chapter boards and members. It has been a tough past couple of years for chapters: due to the pandemic, many chapters were unable to meet in person. They learned quickly that Zoom meetings were going to be the way to go on a temporary basis and pivoted in that direction. But many nurses like to see one another face-to-face, so chapters are starting to meet in-person again. Our DFW Longhorn Texas chapter, and Kentucky, Lower Columbia Oregon, and Virginia chapters all have in-person meetings scheduled for this summer and fall. The Greater Houston chapter has sponsored meetings already scheduled out to 2023.

North Carolina has scheduled their annual meeting on a cruise ship. They are all very excited to move forward with their in-person meetings and are looking forward to seeing their peers. The INS staff enjoy interacting with our chapter board and members and are looking forward to hearing about all this year’s successful meetings.

INS chapters are listed on our website. Please consider joining or sponsoring a meeting.

Meetings Corporate Sponsorships Do you have a product, service, or educational opportunity that would interest the infusion therapy market?

INS has many ways to connect you with decision-makers and end-users who are looking for your expertise to make their job easier.

Exhibiting at the Annual Meeting: The Annual Meeting and Exhibition will get you directly in front of hundreds of infusion nurses. Between exhibiting and event sponsorship you’ll connect directly with nurses and clinicians passionate about infusion therapy. Reserve Space for INS 2023!

Media & Promotional Guide: From mailing list rentals for direct mail campaigns, to email marketing, membership surveys, print advertising, web advertising, and webinar and educational program sponsorships, we can help you connect with thousands of infusion nurses. For more information, download the INS Media & Promotional Guide

Executive Max Holder, INS president, Sue Weaver, INS presidential advisor, and Mary Alexander, INS CEO, attended the ANA Membership Assembly and Organizational Affiliates Meeting, on June 9-11, 2022, in Washington, DC. After the past 2 years dealing with the pandemic and virtual meetings, nursing representatives and ANA delegates were pleased to be together in-person. Several of the topics addressed included racial reckoning, the impact of climate change on health, nurse staffing, and advancing solutions to address verbal abuse and workplace violence across the continuum of care, to name a few. We’d like to recognize Deb Toney, PhD, RN, FAAN, advisor to INS’ DEI Task Force, who was a recipient of 1 of the President’s Awards as a colead of the National Commission to Address Racism, a nationwide effort to confront racism in the nursing profession and mitigate its impact on nurses, patients, communities, and health care systems.

Max Holder and Deb Toney

Max Holder and Sue Weaver

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Welcome New Members!

DOMESTIC MEMBERS

Jessica Antonio Megan Arsua Kelani-Kimberly Austin Stephanie Bayard Sydney Bean Amanda Bernard Lindsay Betts Stephanie Bingham Sasha Bird Jacqueline Blackwood Kelsey Blood Rafael Bokow Timiera Bolden Myka Bowen Stephanie Braatz Tanya Brabender Monica Brennan Carla Brevaldo Hannah Brooks Tiffany Brosius Hannah Browner Kam Bullard Sheri Burnett Lisa Buseth Maria Buxeda Violeta Caballero Moran Andreia Caldwell Fran Campbell Elba Cancel

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Jo Ann Cantriel

Lauren Gremillion

Leeta Christie

Kathy Guillen

Ruby Clark

Eric Hamre

Patricia Conlon

Alicia Harrison

Lori Covington

Lyndsay Henthorn

Keith Crawford

Michelle Herr

Esmeralda Da Costa

Amy Higinbotham

Daniel Deichert

Aria Hsu

Amy Demattio

Isabel Hsu

Patricia Deno

Seth Ilaoa

Michelle Detwiler

Celedonio IV Jamis

Lan Dinh

Jamie Jensen

Jordan Dohman

David Johnson

Kristy Domonter

Julie Kibbett

Cassidy Douthat

Paula Kopp

Natalie Duffy

Jo Ella Larsen

Lorna Dunn

Haylee Latta

Christa Duplantis-Prather

Amy Lee

David Durand

John Lee

Alicia Duvall

Darlene Leuschke

Sheila Eckert Macao

Victoria Linn

Austin Engel

Michelle Lombardo

Kathleen Filiaggi

Monique Lucas

Kimberly Foskey

Gina Lynn

Deidre Francis

Vincenza Maddox

Stacy Freel

Wendy Maring

Alicia Fulk

Robert Mart

Karen Garner

Jana Matney

Matthew Gerson

Brooke McCabe

Gwendolyn Goble

LaToyia McDonald

Mary Grear

Mark McKeon

Sandra McPherson-Gichie

Andi Preston

Sarah Weiner

Jayna McWhorter

Lina Prieto

Wayne Weiner

Tricia Meinel

Julia Proshwitz

Tammy Whetsel

Catrina Mero

Catherine Quill

Tamara Williams

Danielle Miles

Tracy Quinn

Amanda Wisell

Kelly Miller

Carla Quintana

Jessica Witzigreuter

Kristen Mills

Kathleen Raymond

Christine Wylie

Kayla Miner

Dedra Roberts

Sooin You

Melissa Monn

Lora Roberts

Cynthia Young

Sandra Morrow

Michelle Robinson

Lory Moyer

Betty Rubin

Zola Mugridge

Mercy Sagehorn

Martha Mulligan

Maryam Sarani

Patricia Nash

Darlene Sarkisian

Alija Ahmetovi – Slovenia

Laura Neal

Rebecca Schrader

Tracy Barilli – Canada

Mandy Nelson

Debra Shapert

Cheryl Nicponski

Jennifer Smith

Nikki Nothstein

Holly Sobczak

Lyndsay Nowak

Carole Spangler Vaughn

Kellie Huytoni – United Kingdom

Yarimar Objio De Jesus

Jolene Stackis

Kim Hyunjooi – South Korea

Elizabeth O’Brien

Mallory Stickler

Jennifer Par

Shannon Stoffel

Geraldine Parangue

Jill Strasser

Jeong Yun Park

Nicole Taiwo

Kerin Lubbei – Canada

Margaret Pascucci

Vincent Texon

Gwen Neizeri – Canada

Audrey Patterson

Theresa Torretti

Dayna Paul

Renae Unrein

Cassandra Pixler

Alexis VanEperen

Betty Poffenberger

Deena Wagner

Tonja Pool

David Waldhart

Jennifer Powers

Elizabeth Weathers

I N T E R N AT I O N A L M E M B E R S

Michelle Caseyi – New Zealand Kerri Fiddleri – Canada

Mai Laci – Canada Chelsea Langi – Canada

Demar Thompsoni – Bermuda Zuzana Tomaskovai – Czech Republic

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