INS Infusion Room

Host: Dawn Berndt, DNP, RN, CRNI® - Director of Publications and Educational Design Guest: Matt Gibson, RN, CRNI©, VA-BC, CPUI Listen in on this chat with Matt Gibson as he talks about the importance of hemodilution and measures that can be taken to improve successful completion of therapy and decrease vascular access device failure and complications.  Resources: INS LEARNING CENTER - https://www.learningcenter.ins1.org/ Infusion Nurses Society – www.ins1.org

Host: Dawn Berndt, DNP, RN, CRNI® - Clinical Education and Publications Manager Guest: Vlasta Hakes, Senior Director, Corporate Affairs - Grifols Plasma is a vital source material for a number of plasma-derived medications that treat and prevent life-threatening diseases, illnesses and conditions. Plasma can't be created in a laboratory or synthetically produced. Learn how plasma donation helps make therapies available for patients with bleeding disorders, Alpha-1antitrypsin deficiency, Guillain-Barre syndrome, infections and many other conditions.    Resources: ·       www.grifols.com (general information about Grifols) ·      www.grifolsplasma.com (general information about Grifols plasma donor centers, what you need when you donate, etc) ·      https://www.grifolsplasma.com/en/locations/find-a-donation-center (link to where to find a plasma donation center) ·      https://www.grifolsplasma.com/en/plasma-donor/why-donate

Host: Dawn Berndt, DNP, RN, CRNI® - Clinical Education and Publications Manager Guest: Loretta Dorn, RN MSN CRNI®, Director of Clinical Liaisons – Fresenius Kabi US LLC Does your health care organization standardize practice for IV push medication administration? Do you have ready-to-administer drugs available for patient care? Learn how ready-to-administer drugs can improve patient safety and nursing practice. Listen as Loretta Dorn discusses the importance of standardizing IV push medication administration utilizing INS Infusion Therapy Standards of Practice, and guidance provided by Institute for Safe Medical Practices (ISMP) and Quality and Safety Education for Nurses (QSEN). Resources: Home - Fresenius Kabi USA (fresenius-kabi.com) Ready-to-Administer Drugs - Fresenius Kabi USA (fresenius-kabi.com) Home | Institute For Safe Medication Practices (ismp.org) Safe Practice Guidelines for Adult IV Push Medications | Institute For Safe Medication Practices (ismp.org) QSEN Home – ·      IV Push Evidence-Based Practice Checklist - (qsen.org)

Host: Dawn Berndt, DNP, RN, CRNI® - Clinical Education and Publications Manager Guest: Becky S. Linn, Pharm.D., BCPS - Associate Clinical Professor, University of Wyoming School of Pharmacy Stewardship: The responsible overseeing and protection of something considered worth caring for and preserving. Antimicrobials are worth protecting to preserve their efficacy. Listen as Dr. Becky Linn discusses the antimicrobial stewardship, the drug development and resistance timeline, and educating patients regarding the effective use of antimicrobials. Resources: About Antibiotic Resistance | CDC 5 Things to Know | CDC Actions to Fight Antibiotic Resistance | CDC ANA-CDC-whitepaper.pdf – Redefining the Antibiotic Stewardship Team ANA white paper on antiobiotic stewardship - WSNA

Host: Dawn Berndt, DNP, RN, CRNI® - Clinical Education and Publications Manager Guests: Diane Wander, RN, BSN - Director of Clinical Programs, Moog® Medical Kathy Iacuone RN, BSN – Clinical Services Manager, Moog® Medical Craig Dice – Director of Sales – IV Sales, Moog®Medical When administering infusion therapy, the safety, accuracy, and precision of the infusion pump is essential. Learn about multi-therapy delivery options from clinical experts at Moog® Medical. Resources: CURLIN Infusion and Infinity Enteral Feeding Pumps - Moog Medical Infusion Therapy - CURLIN Infusion Pumps - Moog Medical Infusion Resource Center - Moog Medical  

Host: Dawn Berndt, DNP, RN, CRNI® – Clinical Education and Publications Manager Guests: Ahnalinn Prettyman, RN, CRNI® – Staff Nurse, Infusion Therapy Shirley Rodriguez, RN – Infusion Staff Nurse, Oncology    In celebration of  IV Nurse Day, listen in as two infusion nurses describe their clinical practice, the challenges they manage, and the rewards of their profession.   Resources: INS Strong – https://www.ins1.org/about-us/iv-nurse-day/ INSider – the official membership news publication of Infusion Nurses Society: https://issuu.com/infusionnursessociety/docs/insider_jan_feb_final

Host: Dawn Berndt, DNP, RN, CRNI® – Clinical Education and Publications Manager Guests: Emily Smith, BS, RDMS, RVT – CIVCO Medical Solutions Clinical Marketing Specialist Justin Reynolds – CIVCO Medical Solutions Product Line Manager Is it possible to use ultrasound technology for PIVC insertion without using ultrasound gel? Justin Reynolds and Emily Smith describe how to place vascular access devices using a 100% gel-free process. Resources: CIVCO Medical Solutions CIVCO - Envision™ Ultrasound Probe Covers & Scanning Pads EnvisionTMUltrasound Probe Cover Brochure 2018R-3063-REV-3.pdf (civco.com)

Host: Dawn Berndt, DNP, RN, CRNI® – Clinical Education and Publications Manager Guests: ·      Marcia Wise, RN, VA-BC – Consultant/Clinical Educator, Adhezion Biomedical ·      Bryan Davis – Vice President, Vascular Access, Adhezion Biomedical Can tissue adhesive play a role in improving vascular access outcomes? Listen as Marcia Wise and Bryan Davis describe the use of cyanoacrylate adhesive for securement of vascular access devices and the potential benefits of this new approach to vascular access device care and maintenance. Resources: ·      Kleidon et al. A pilot randomized controlled trial of novel dressing and securement techniques in 101 pediatric patients. J Vasc Interv Radiol. September 2017. ·      Ullman et al. Innovative dressing and securement of tunneled central venous access devices in pediatrics: a pilot randomized controlled trial. BMC Cancer. August 2017. ·      SecurePortIV® - Adhezion Biomedical

Host: Dawn Berndt, DNP, RN, CRNI® - INS Clinical Education and Publications Manager Guest: Mary McGoldrick, MS, RN, CRNI®, Home Health Systems, Inc. Is the approach to infection prevention and control in the home care setting different during the pandemic? Listen as Mary McGoldrick, home care and hospice consultant, discusses this important topic. Resources: Home Health Systems, Inc. Home Care and Hospice Infection Prevention and Consulting McGoldrick, M. (2021). Home Care Infection Prevention and Control Program, 16th ed. Naples, FL: Home Health Systems. McGoldrick, M. (2020). Personal protective equipment removal: Preventing self-contamination. Home Healthcare Now, 38(3), 170-171. McGoldrick, M. (2019). Electronic visit verification: Infection prevention breaches when capturing the patient's signature. Home Healthcare Now, 37(6), 260-261. McGoldrick, M. (2019). Personal protective equipment: Protecting the eyes. Home Healthcare Now, 37(4), 234-235. McGoldrick, M. (2017). Best practices for home care “bag technique” and the use of surface barriers. Home Healthcare Now, 35(9), 478-484.

Host: Dawn Berndt, DNP, RN, CRNI® - INS Clinical Education and Publications Manager Guest: Adele A. Webb, PhD, RN, FNAP, FAAN What can you do to address moral distress? Listen as Adele Webb describes how to recognize the signs and symptoms of moral distress and why support systems and self-care are essential. Resources: ·      Moral Distress in Nursing: What You Need to Know. Moral Distress - AACN ·      AACN Position Statement: Moral Distress in Times of Crisis. AACN Position Statement: Moral Distress in Times of Crisis - AACN

Host: Dawn Berndt, DNP, RN, CRNI® - INS Clinical Education and Publications Manager Guest: Matt Gibson, RN, CRNI©, VA-BC, CPUI In the United States, the estimated cost associated with poor short PIVC practices is $16.25 billion annually. Poor practices can lead to significant waste of supplies and clinician time, and more importantly, impact patient outcomes. Listen in on this chat with Matt Gibson as he talks about patients, practice, price, and responsibility.  Resources: INS LeaRNing Center - https://www.learningcenter.ins1.org/ Infusion Nurses Society – www.ins1.org

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education and Publications Manager Guest: Nancy Moureau, PhD, RN, CRNI®, CPUI, VA-BC - Chief Executive Officer and Educational Specialist at PICC Excellence, Inc.  Standardizing practice for ultrasound-guided peripheral intravenous catheter (USGPIV) insertion helps clinicians develop consistent clinical skills that protect the patient, save time, and reduce costs. Listen in as Dr. Nancy Moureau describes UltraDrape, an innovative dressing that helps facilitate Aseptic Non Touch Technique (ANTT®) and provides a dual-action barrier and securement in one. Resources: Parker Laboratories, INC. UltraDrape, UGPIV Barrier and Securement: Parker Laboratories, Inc. (parkerlabs.com) Ultrasound-Guided Peripheral Intravenous Access (USGPIV). UltraDrape-WhitePaper-2018.pdf (parkerlabs.com) UltraDrape Brochure MKT_34-15-4_REV_2-web (parkerlabs.com)

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education and Publications Manager Guest: Dan Degnan, PharmD, MS, CPPS, FASHP – Clinical Research Associate, Regenstrief Center for Healthcare Engineering; Clinical Assistant Professor of Pharmacy Practice, College of Pharmacy Purdue University Pump programming errors that occur when administering intravenous medication and fluid therapies often present grave consequences for the patient, which may result in the disruption of therapeutic regimen, over- or under-dosing leading to loss of intended therapeutic effect, debilitating injury, or even death. Many components are necessary for developing an organizational infrastructure that promotes safe patient care through the application of smart infusion pump technology and utilization of pump generated data. Listen as Dan Degnan and Dawn Berndt discuss what makes smart pumps so smart and the data that can save your patient's life.  Resources: Institute for Safe Medication Practices (ISMP). ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps; 2020.  Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps | Institute For Safe Medication Practices (ismp.org)

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education and Publications Manager Guests: ·      Evelyn Chan, MBBS, MSc, DCH ·      Thomas Sutton Interested in innovative technology that supports pediatric pain management and procedure phobia? In the 2021 Infusion Therapy Standards of Practice, Standard 32, Pain Management with Venipuncture and Vascular Access Procedures, notes: “Use distraction techniques. The use of ‘virtual reality' by use of a computer-simulated environment accessed through a head-mounted device was found to be effective in children in decreasing pain associated with venipuncture.” Listen in as Dr. Evelyn Chan and Thomas Sutton discuss Smileyscope, a virtual reality solution that “redefines fear through positive technology.” Resources: Chan, E., Hovenden, M., Ramage, E., et al. Virtual reality for pediatric needle procedural pain: two randomized clinical trials. J. Pediatr. 2019;209:160–167. https://doi.org/10.1016/j.jpeds.2019.02.034 http://www.smileyscope.com/

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests: Sue Weaver, PhD, RN, CRNI®, NEA-BC – President, INS Board of Directors Do you know the six standards of a healthy work environment? Is research part of your clinical practice? Are you ready to accept the Healthy Nurse Healthy NationTM grand challenge? Listen as Sue Weaver, President of the INS Board of Directors shares her passion for research, explores the standards of healthy work environments, and encourages you to join Healthy Nurse Healthy NationTM.  Resources: Hope, A, Munro C. Healthy work environment: resolutions for 2020. Am J Crit Care. 2020;29(1): 4–6. Healthy Work Environment: Resolutions for 2020 | American Journal of Critical Care | American Association of Critical-Care Nurses (aacnjournals.org) Healthy work environments. American Association of Critical-Care Nurses. Healthy Work Environments - AACN Healthy Nurse Healthy Nation. HNHN | Home (healthynursehealthynation.org)

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests: • Nancy L. Moureau PhD, RN, CRNI®, CPUI, VA-BC • Dennis J. Ernst, MT(ASCP), NCPT(NCCT) • Peter J. Carr PhD, MMedSc, BSc, RN 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. In this episode of INS Infusion Room, leading experts Nancy Moureau, Dennis Ernst, and Peter Carr discuss the significance of vessel preservation, vascular visualization, and practice and educational goals that will improve patient outcomes.  Resources: INS Virtual Infusion Education Promoting Vessel Health and Preservation Through Vein Visualization June 29 & 30, 2021             Register here: https://www.learningcenter.ins1.org/2021JuneVirtual Moureau NL. The VHP model. In: Moureau NL, ed. Vessel Health and Preservation: The Right Approach for Vascular Access[Open Access]. Springer, Cham; 2019. https://doi.org/10.1007/978-3-030-03149-7_1 Vessel Health and Preservation: The Right Approach for Vascular Access(available for Kindle through Amazon at no charge): https://amzn.to/37vTN8D

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guest: Kelsey Taylor (Recorded June, 2019) Sickle cell disease is a family of blood disorders that affects the hemoglobin molecule in red blood cells, and impacts approximately 80 000 individuals in the United States. It's the most common inherited blood disorder in this country, affecting 1 in 500 African Americans and 1 in 1000-1400 Hispanic Americans. In sickle cell disease, the hemoglobin molecules are atypical and change into a crescent—or sickle—shape. Those living with sickle cell disease often experience episodes of severe pain and suffer the effects of anemia, which causes extreme fatigue, shortness of breath and, in children, delayed growth and development. In adults, serious complications may include pulmonary hypertension, a form of high blood pressure that affects the blood vessels that supply the lung. In this session, Kelsey Taylor described her experiences living with the disease and explains how she worked to advocate for those who experience sickle cell and other chronic conditions.       Resources: https://www.sciencemag.org/new... https://sponsored.bostonglobe.com/pfizer/dear-scientist-sickle-cell-disease/ https://youtu.be/qbSX8WnLhLU https://www.gofundme.com/f/hel... Sickle Cell Disease Foundation: Sickle Cell Disease Foundation (scdfc.org)

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guest: Marlene M. Steinheiser, PhD, RN, CRNI® – INS Director of Clinical Education Abstract: Whether developing micro-learning capsules, traditional classroom lesson plans, or annual competency reviews, nursing education is designed to share specific information in its most accessible form. Learner engagement is essential to information retention; instruction design is essential to meaningful learning. In this podcast, Marlene Steinheiser and Dawn Berndt, the INS clinical education team shares practical tips for developing department- or organizational-based education programs.    Resources: Gorski LA, Hadaway L, Hagle ME, et al. Infusion therapy standards of practice. J Infus Nurs. 2021;44(suppl 1):S1-S224. doi:10.1097/NAN.0000000000000396 Wright D. The Ultimate Guide to Competency Assessment in Health Care. 3rd edition. Minneapolis: Creative Health Care Management; 2005. Donna Wright - Creative Heath Car–e Management (chcm.com)

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guest: Maureen Burger MSN, RN, CPHQ, FACHE Abstract: Infection prevention in infusion therapy is crucial for safeguarding patient safety. Application of Aseptic Non Touch Technique (ANTT®) is essential for all infusion-related procedures. Listen as Maureen Burger and Dawn Berndt discuss 12 potential breaches in aseptic technique and describe the actions that knowledgeable clinicians will take to keep their patients safe.  Resources: Gorski LA, Hadaway L, Hagle ME, et al. Infusion therapy standards of practice. J Infus Nurs. 2021;44(suppl 1):S1-S224. doi:10.1097/NAN.0000000000000396 National Coalition for IV Push Safety: National Coalition for IV Push Safety (ncivps.org)

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guest: Barb Nickel, APRN-CNS, CCRN, CRNI® Abstract: Nurses must be competent to recognize signs and symptoms of vascular access device (VAD)-related complications at any juncture in the life of the device and be prepared to intervene during insertion, management, and removal. All vascular access devices are subject to complications that may cause patient harm, impair patients' quality of life, or increase morbidity and mortality. Listen as Barb Nickel explains several VAD complications and discusses the role of the nurse in assessment and intervention.  Resources: Gorski LA, Hadaway L, Hagle ME, et al. Infusion therapy standards of practice. J Infus Nurs. 2021;44(suppl 1):S1-S224. doi:10.1097/NAN.0000000000000396 Ray-Barruel G, Xu H, Marsh N, Cooke M, Rickard CM. Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: a systematic review. Infect Dis Health. 2019;24(3):152-168. doi:10.1016/j.idh.2019.03.001 Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral iv catheter failure. J Infus Nurs. 2015;38(3):189-203. doi:10.1097/NAN.0000000000000100 Nickel B. Hiding in plain sight: the burden of peripheral intravenous catheter infections. Crit Care Nurse. 2020;40(5):57-66. doi:10.4037/ccn2020439 Nickel B. Peripheral intravenous administration of high-risk infusions in critical care: a risk-benefit analysis. Crit Care Nurse. 2019;39(6):16-28. doi:10.4037/ccn2019443 Berndt, D. & Steinheiser, M. (2019b). Central vascular access device complications: The nurse's role at each point of care. American Nurse Today,14(10), 6-13. myamericannurse.com Berndt, D. & Steinheiser, M. (2019a). Short peripheral and midline catheter complications: The nurse's role at each point of care. American Nurse Today,14(9), 5-10. www.myamericannurse.com

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guest:  Ashley Smith, RN, MSN, CRNI® Engaged employees are those who feel involved in the organization – those who are committed to their work, colleagues and workplace. When an employee feels isolated or out of the loop, it leads to disengagement. From a business standpoint, disengagement can negatively impact productivity, morale, and ultimately, business. A recent study showed that disengaged employees can cost the US economy up to $605 billion in lost productivity by being late to work, missing shifts, and disrupting others with negativity. Listen as Ashley Smith, who manages home care nurses, describes the importance of employee engagement, especially for those who work remotely. Resources: Remote workers care about employee engagement too | Slack 4 ways effective leadership inspires employee engagement | Slack 24 Unique Virtual Employee Engagement Ideas & Activities (teambuilding.com)

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests: ·      Chris Hunt, MBA, INS Executive Vice President ·       Valerie Sanchez, INCC Certification Administrator INCC wants to help you obtain the RUs that you will need for recertification, as we know that maintaining your CRNI® credential is instrumental for your infusion therapy practice. You are busy working on the front lines of a pandemic, but feeling confident, supported and equipped as a practicing CRNI®, is important to you. Assuming you are missing a significant number of RUs, or all 40, you are encouraged to look in the INS LEARNING CENTER for INS 2020 Virtual Conference Recordings Package. ·      This activity conveniently gives you access to every session from INS 2020, in one place. ·      As an INS member you can get access at a discounted rate of $695. ·      Watch your favorite 20 sessions on-demand and get the 40 RUs needed for recertification. It's that easy! Resources: ·      INS 2020 Virtual Conference Recordings Package – https://www.learningcenter.ins1.org/products/ins-2020-virtual-conference-recordings-package#tab-product_tab_overview ·      INS 2020 Virtual Conference Sessions - INS Learning Center: INS 2020 Virtual Conference Recordings Package (ins1.org) ·      CRNI® Recertification Basics - Recertification - INS (ins1.org) ·      Recertification Options - Recertification RU Options - INS (ins1.org)

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests: Ellen Marrs RN, CRNI®, VA-BC Lori M Brown BSN, RN, CRNI®, VA-BC  Join a conversation with CRNIs®, Ellen Marrs and Lori Brown from Northside Hospital, in Atlanta, GA. Ellen is the INS Innovation Award winner for 2020, having been nominated by Lori Brown. Listen as Ellen and Lori describe how innovation, clinical expertise, and strong organizational support have helped to successfully manage infusion-related patient care during the COVID-19 pandemic. Resources: The Infusion Excellence Award program recognizes leadership, education, research, innovation, and certification as categories most reflective of today's infusion nurse and the infusion specialty. Nominate an infusion nurse today: www.ins1.org/membership/awards-and-recognition/   Interested in CRNI Certification? Get information here: https://www.ins1.org/crni-certification/   INS 2020 Virtual Conference – On Demand. Get information here: https://www.learningcenter.ins1.org/products/ins-2020-virtual-conference-recordings-package#tab-product_tab_sessions

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests: Sean M Reed, PhD, APN, ACNS-BC, ACHPN Sarah Knudsvig, RN Judy Smith, MSN, RN, CRNI®, VA-BC Linda Grinnell Merrick, MS, NP-C Denise Harper, MSN, RN, ACNS-BC, CRNI® Ann Plohal, PhD, RN, ACNS-BC, CRNI®, VA-BC Julie DeLisle, BSN, MSN, RN Marlene Steinheiser, PhD, RN, CRNI® Meghan Trupiano, CMP Join us, as we highlight the many things to look forward to at INS 2020 Virtual! We will chat with Meaghan Trupiano, CMP, INS Meetings Manager, who will tell us what we need to know about this unique and engaging event. INS Director of Clinical Education, Marlene Steinheiser, PhD, RN, CRNI®, will get us ready for a fun and poignant presentation by the founder of our profession, Florence Nightingale, who will be channeled by Candy Campbell, DNP, RN, CNL, CEP, FNAP. We will also talk with several of our featured speakers, who will preview their upcoming sessions. Resources: Infusion Nurses Society: www.ins1.org INS 2020 Conference Agenda: https://fontevacustomer-1614e2ff498.force.com/s/lt-event?site=a0d3m00000INxmkAAD&id=a1U3m00000NTdgt#/Agenda   Register for INS 2020: https://fontevacustomer-1614e2ff498.force.com/s/lt-event?site=a0d3m00000INxmkAAD&id=a1U3m00000NTdgt#/loginReg   INS 2020 Speakers: https://fontevacustomer-1614e2ff498.force.com/s/lt-event?site=a0d3m00000INxmkAAD&id=a1U3m00000NTdgt#/Speakers

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests: ·      Elizabeth Morrell, DNP, RN, NEA-BC ·      Patti Ryan, MSN, RN ·       Marivic Guzman, BSN RN, VA-BC Abstract: In this podcast, vascular access team members discuss the challenges of practicing during the COVID-19 pandemic. Team members address changes in time management, personal protective equipment protocols, and vascular access device selection. Learn how these exceptional clinicians have worked to modify practice to accommodate changes needed during the pandemic. Explore how teamwork and collaboration across the organization has boosted morale for health care personnel.

Guests:  • Sara Keller, MD, MPH, MSHP – Moderator • Dawn Berndt, DNP, RN, CRNI®  Abstract:  We're all in this Together: COVID-19 Allies in Infection Prevention We've joined the Society for Healthcare Epidemiology of America (SHEA) for an episode of their Allies in Infection Prevention Podcast. This podcast series focuses on collaborative efforts, as well as opportunities for different disciplines to address and confront the COVID-19 pandemic. Take a listen to Working together to address COVID-19 Challenges. Resources: Society for Healthcare Epidemiology of America (SHEA). https://www.shea-online.org/  Infusion Nurses Society (INS). www.ins1.org 

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests: • Adrienne Segundo, INCC Certification Manager • Valerie Sanchez, INCC Certification Administrator Abstract:  Are you ready to be certified? Validating your experience by becoming a Certified Registered Nurse Infusion (CRNI®) is one of the most significant decisions you can make in your infusion nursing journey. The Infusion Nurses Certification Corporation, INCC, offers the only specialty certification for infusion nurses that is nationally recognized and accredited. Listen as Adrienne Segundo, INCC Certification Manager and Valerie Sanchez, INCC Certification Administrator describe the importance of certification and learn what INCC resources are available to help you attain your goal. INCC is ready to assist you in becoming a CRNI®! Resources: • Infusion Nurses Certification Corporation: https://www.ins1.org/crni-cert...  • CRNI Exam Study Handbook: https://www.ins1.org/wp-conten...  • CRNI Study Information: https://www.ins1.org/crni-cert...  • CRNI Exam Basics: https://www.ins1.org/crni-cert...  • Frequently Asked Questions: https://www.ins1.org/crni-cert... 

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests:  • Judy Thompson, MSNED, RN, VA-BC – AVA Director of Clinical Education • Marlene Steinheiser, PhD, RN, CRNI® – INS Director of Clinical Education INS and AVA come together to address an issue of profound importance to the infusion and vascular access communities. Healthcare workers are facing significant challenges in their professional and personal lives, due to COVID-19. These challenges may result in ongoing stress and evoke feelings of anxiety, sadness, hopelessness, defeat, guilt and anger. Join INS and AVA Directors of Clinical Education, Marlene Steinheiser and Judy Thompson as they discuss the psychological crisis of COVID-19, the impact on clinicians and their upcoming webinar on this topic. Resources: · American Nurse Association (ANA) - https://www.nursingworld.org/practice-policy/work-environment/health-safety/disaster-preparedness/coronavirus/what-you-need-to-know/mental-health-and-well-being/ Resource Categories:        o   Mental Health and Stress        o   Family Support        o   Fatigue        o   Financial Help        o   Grief & Bereavement        o   Support Groups        o   Hotlines such as National Suicide Prevention Lifeline · The Schwartz Center for Compassionate Healthcare - https://www.theschwartzcenter.org/covid-19?utm_source=website&utm_medium=banner&utm_campaign=covid19 The Schwartz Center is dedicated to strengthening the human connection at the heart of health care.

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests:  • Maureen Burger MSN, RN, CPHQ, FACHE  • Candy Cross, MSN-Ed, RN The National Coalition for IV Push Safety is working to achieve adoption of best practice guidelines for IV push medications. Variation in practices, especially manipulation of sterile injectable products and dilution, carries a significant risk of patient harm and adverse drug events. In this podcast, Maureen Burger and Candy Cross describe the problems associated with syringe preparation and injection practices that threaten patient safety.     Resources: ·      National Coalition for IV Push Safety website: www.ncivps.org ·      Take Action: https://www.ncivps.org/partners ·      Hertig JB, Degnan DD, Scott CR, Lenz JR, Li X, Anderson CM. A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational Study. J Patient Saf. 2018;14(1):60‐65. doi:10.1097/PTS.0000000000000419 ·      Hanrahan K, Wagner M, Matthews G, et al. Sacred cow gone to pasture: a systematic evaluation and integration of evidence-based practice. Worldviews Evid Based Nurs. 2015;12(1):3‐11. doi:10.1111/wvn.12072

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests:  Elizabeth Dow, MSN, CRNI®, IGCN, VA-BC • Randall E. Barnes, RN, VA-BC, CRNI®, - President and CEO of IV Solutions Want to get excited about Infusion Nursing? Listen to this encouraging, dynamic conversation with Elizabeth (Beth) Dow and Randall Barnes, who encourage all nurses to “own their practice, have command of knowledge, pursue certification and advance the nursing profession.” Beth Dow is the award recipient of the INS Award for Excellence in Certification. This award is presented to a CRNI® whose certification through INCC has advanced the welfare of their patients, organization or the infusion specialty. Resources: CRNI Certification: https://www.ins1.org/crni-certification/ Certification Frequently Asked Questions: https://www.ins1.org/crni-certification/information/frequently-asked-questions/ CRNI Certification: https://www.ins1.org/crni-certification/information/study-information/ CRNI Resource Information: https://www.ins1.org/crni-resources/

Title: Take a Moment for Your Mental Health – Understanding the Impact of COVID-19 Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guest: Sattaria 'Tari' Dilks, DNP, APRN, PMHNP-BC, FAANP The COVID-19 pandemic has impacted us in immeasurable ways. Clinicians are facing new stressors as never before. There is a profound sense of loss that has permeated our lives. Each stressor may produce any number of reactions including feelings of guilt, anxiety, hopelessness, anger, or fear. Physical symptoms from stress can arise as well; individuals may experience increased blood pressure, sleep disturbances, gastric distress, headaches and many other manifestations of illness. Tari Dilks, DNP, APRN, PMHNP-BC, FAANP, president of the American Psychiatric Nurses Association, addresses the importance of taking a moment for your mental health in the midst of the COVID-19 pandemic.  Resources: American Psychiatric Nurses Association: ·      Managing Stress & Self-Care During COVID-19: Information to Nurses. https://www.apna.org/i4a/pages/index.cfm?pageid=6685 ·      Mindfulness in the Workplace: Practical Application. https://e-learning.apna.org/products/4026-17-mindfulness-in-the-workplace-practical-application#tab-product_tab_overview ·      Motivational Interviewing course US Department of Health & Human Services – Substance Abuse and Mental Health Services Administration (SAMHSA). ·      COVID-19 Guidance and Resources. https://www.samhsa.gov/coronavirus

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guest: Michelle DeVries, BS, MPH, CIC, VA-BC Implementation of Antimicrobial PICCs – One Organization's Story  Michelle DeVries describes the impact of implementing antimicrobial PICCs in her health care organization.  Infection Control During COVID-19  • CLABSI Reporting Update – CMS announces relief for clinicians, providers, hospitals and facilities participating in quality reporting programs in response to COVID-19.  • Universal Source Control – CDC: Interim Infection Prevention and Control Recommendations • Summary of Change to the Guidance – Addressing asymptomatic and pre-symptomatic transmission. Implement source control for everyone entering a healthcare facility (e.g., healthcare personnel, patients, visitors), regardless of symptoms.  The Importance of Data Collection During the COVID-19 Pandemic  Changes in health care practice meant to save personal protective equipment (PPE) and limit health care professionals' exposure to COVID-19, such as placing infusion pumps and/or ventilators outside the patient's room, may cause concern among clinicians. At a time when practice modifications are necessary to manage current health care demands, meticulous data collection has never been more important. The data will supply necessary information to help understand the impact that these changes have on patient safety and quality outcomes. Resources: • Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. https://www.cdc.gov/coronaviru...  • Recommendation Regarding the Use of Cloth Face Coverings - CDC • Use of Cloth Face Coverings to Help Slow the Spread of COVID-19 - CDC • Centers for Medicare & Medicaid Services (CMS) CLABSI Reporting Announcement. https://www.cms.gov/newsroom/p... • INS Webinar - Normalization of Deviance: Antithesis of Safety by Maureen Berger https://www.learningcenter.ins...  • INS Webinar - Adding Antimicrobial PICCs: Making the Case and Measuring the Outcomes by Michelle DeVries. Commercial Support for this webinar was provided by Teleflex®.   https://www.learningcenter.ins...

Title: Straight Talk on COVID-19: INS Leaders Discuss the Path Forward Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests:  Christopher Hunt, INS Executive Vice President • Maria Connors, CAE, INS Director of Operations & Member Services • Meghan Trupiano, CMP, INS Meetings Manager • Abigail Zuehlke, BSN, CRNI® Message From INS: INS would like to express how proud we are of our nation's health care professionals. We are currently facing one of the most challenging periods in our collective practice. We understand that those in the medical field are working through exhaustion, frustration and personal loss, in a crisis that affects every aspect of our lives. Working through the COVID-19 pandemic will be perhaps the greatest challenge you have ever faced. INS wants you to know that our response regarding your work and dedication through this time is: “Well done!” We are thankful for and proud of each and every one of you!   Program:  INS Addresses COVID-19-Related Clinical QuestionsINS is fielding many clinical practice questions related to the COVID-19 pandemic. This segment addresses the top 4 questions and concerns, posed by clinicians who are managing scarcity or depletion of PPE and other health care supplies due to Covid-19. Topics include: 1) Moving infusion pumps outside the patient room, 2) CVAD dressing change interval in homecare settings, 3) Pump administration set change intervals, and 4) ability to use reusable masks for CVAD dressing changes.   COVID-19 FAQs INS Leadership – INS 2020 Conference Rescheduling, Working from Home, and the Path Forward In this segment, INS leaders discuss the rescheduling of INS 2020 national conference. Learn about what's next, including what registered attendees need to know.  INS employees are working remotely, staying connected, and working to address membership needs.    Assessing and Initiating Care for Patients with COVID-19 Listen in as Abigail Zuehlke, BSN, CRNI®, discusses working in an emergency department, managing initial assessments for those with respiratory illness, donning and doffing personal protective equipment, and supportive care for patient with COVID-19.    COVID-19 Resources: ANA COVID-19 Information Page: https://www.nursingworld.org/p...  ANA's Position on the Use of Cloth Masks: “Evidence does not support the notion that cloth masks are safe for health care professionals in providing care to patients with coronavirus. ANA continues to press for appropriate PPE, including N95 respirators and, if those are not available, medical/surgical masks. Nurses should not be wearing cloth masks, as they do not afford the wearer any significant protection.” LitCovid - curated literature hub for tracking up-to-date scientific information about the 2019 novel Coronavirus: https://www.ncbi.nlm.nih.gov/r... ONS: IS PPE Running Out? ONS Interim Guidelines during the COVID-19 Pandemic https://www.ons.org/covid-19-i... https://www.ons.org/

Title: 2021 Standards of Practice, Excellence in Infusion Education and the latest on Covid-19 Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guest: Velda Biddix, MSN, RN, CRNI®, VA-BC INSide INS – Highlighting the new Standards of Practice, examining self-care for nurses and a taking deep dive into IV medication safety  • Update: Infusion Therapy Standards of Practice and Policies and Procedures for Infusion Therapy • INSider:       o Examining and Improving Nurse Wellness: Healthy Nurse, Healthy Nation. Authors: Holly Carpenter, BSN, RN, Tanya Mulvey, MAPP, and Lois Gould, MS • Journal of Infusion Nursing:      o Compassionate Care of the Patient Who Uses Substances: Implications for the Nurse. Authors: Michelle Knapp, DNP, NP-P, PMHNP-BC and Selena Gilles, DNP, ANP-BC, CNEcl, CCRN      o Pharmacology Report: Biosimilar Basics. Author: Susan Kleppin, RPh, FASHP • INS Webinar:       o The Push for IV Medication Safety. March 11, 2020 presented live at 1:00pm ET. Presenter: Maureen Burger MSN, RN, CPHQ, FACHE INS Infusion Excellence Award for Education Award Recipient The Infusion Excellence Award for Education is presented to an infusion nurse educator, in either an academic or clinical setting, whose mentoring and teaching ability raises the standard of infusion practice education for students. INS is pleased to announce Velda Biddix, MSN, RN, CRNI®, VA-BC, as the first recipient of this award.  Velda's life work has been dedicated to improving the patient experience across all boundaries of infusion therapy and vascular access. She has been on both the front line and behind the scenes promoting best practices for infusion therapy, vascular access, and management and care of vascular access devices. She has maintained her certifications throughout all the various changes in health care during her career. Listen as Velda talks about infusion practice and some novel methods she uses to engage her learners.  Dear IVy In this episode, Dear IVy addresses your informational needs regarding Coronavirus Disease 2019.   Resources: • Healthy Nurse Healthy Nation - https://www.healthynursehealth...  • Coronavirus Disease 2019 - https://www.cdc.gov/coronaviru...  • INS Awards and Recognition - https://www.ins1.org/membershi...

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests:  Susan H. Weaver, PhD, RN, CRNI®, NEA-BC • Danielle IK Jenkins, BSN, RN Nurse Leaders at Night: Preparing Administrative Supervisors and Understanding the Role Today, Susan H. Weaver, PhD, RN, CRNI®, NEA-BC, shares important research conducted with administrative nurse supervisors who work evening, night and weekend shifts. These individuals, “do whatever is necessary to get the patients, staff, and hospital safely thought the shift, with key role responsibilities of staffing, patient flow, crisis management and hospital representative.” Learn more about the significance of this nursing role and the findings of Susan's research.   Year of the Infusion Nurse: Discussing our Founder's Principles  In this session, Danielle IK Jenkins, BSN, RN, reflects on Florence Nightingale's  principles of nursing care. Danielle encourages nurses to “Shine” as we celebrate the Year of the Nurse, 2020.    Dear IVy In this episode, Dear IVy addresses these two clinical questions:  1. What is the standard of practice for documentation of arm circumference with a PICC? 2. Is it necessary to place a new PICC when parenteral nutrition (PN) is ordered? If so, is there a time frame from when the PICC is placed that it can be used for PN (for example 24-48 hours)? Resources: • Weaver, S.H., Hessels, A., Paliwal, M., Marx, J., Hoffman, K., & Wurmser, T. (2019). Nurse Leaders at Night: Preparing Administrative Supervisors and understanding the role. Nurse Leader, 17(5), 420-426. • 4th Annual Administrative (Evening/Night) Supervisor Conference: http://www.cvent.com/events/4t...  • Year of the Nurse 2020. Excel. Lead. Innovate. ANA Enterprise: https://pages.nursingworld.org...  • Gorski L, Hadaway L, Hagle M, McGoldrick M, Orr M, Doellman D. Infusion therapy standards of practice. Journal of Infusion Nursing. 2016;39(1s):s84-s87.

Title: Understanding Thyroid Eye Disease and Treatment Options Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guests:  Sara Tullis Wester, MD - Assistant Clinical Professor, University of Miami, Bascom Palmer Eye Institute • Mary Alexander, MA, RN, CRNI®, CAE, FAAN – Infusion Nurses Society Chief Executive Officer Sponsor: Horizon Therapeutics is a bio pharmaceutical company that is driven to deliver breakthrough medicines to patients because Horizon understands the challenges they face. Thyroid Eye Disease and Treatment Options Dr. Sara Wester, MD, Assistant Clinical Professor, University of Miami, Bascom Palmer Eye Institute, shares her expertise in this discussion on thyroid eye disease. She describes the risk factors, incidence, signs and symptoms, as well as treatments for this disease.  Thyroid Eye Disease (TED) is a serious progressive, debilitating autoimmune disease with a limited window, of active disease during which it may respond to pharmacologic intervention. While TED often occurs in people living with hyperthyroidism or Graves' disease, it is a distinct disease that is caused by autoantibodies activating an IGF-1R-mediated signaling complex on cells within the orbit. This leads to a cascade of negative effects, which cause long-term, irreversible damage. Active TED lasts for up to three years and is characterized by inflammation and tissue expansion behind the eye. As TED progresses, it causes serious damage – including proptosis (eye bulging), strabismus (misalignment of the eyes), and diplopia (double vision) – and in some cases can lead to blindness. People living with TED often experience long-term functional, psychological and economic burdens, including inability to work and perform activities of daily living. (Horizon Therapeutics) INSide INS with Mary Alexander, INS CEO Join Mary Alexander, MA, RN, CRNI®, Chief Executive Officer of the Infusion Nurses Society, as she discusses INS member recognition and scholarship programs, upcoming opportunities for INS membership involvement, and the INS 2020 annual conference in Las Vegas, Nevada.   Dear IVy Answers Your Clinical Questions. This week, Dear IVy tackles this clinical question:  Dear IVy, Why do we have to cleanse the needleless connector between each separate syringe access, when administering medication in a PICC, using the SASH technique? My nurse colleagues and I hold the needleless connector in such a way that it does not touch anything as we pick up each syringe and attach and detach throughout the process. It seems so cumbersome to stop the process, re-cleanse the needleless connector (that we believe has been maintained in aseptic condition), before attaching the next syringe. Are you certain we must continue to cleanse the needleless connector between each access? Signed, Too many “scrub the hubs” for SASH Resources: • Horizon Therapeutics: https://www.horizontherapeutic...  • New infusion therapy approved for thyroid eye disease: https://ir.horizontherapeutics...  • INS Gardner Foundation Scholarship Application: https://images.magnetmail.net/...  • INS Awards and Recognition: https://www.ins1.org/membershi... 

Host: Dawn Berndt, DNP, RN, CRNI® – INS Clinical Education & Publications Manager Guest: Marlene Steinheiser, PhD, RN, CRNI® - INS Director of Clinical Education INSide Scoop • INS Podcast has NEW NAME! INS Infusion Room. All previous episodes of Talking in Vein will remain available in the INS LEARNING CENTER. • Celebrate IV Nurse Day – January 25! • Applications are now open for INS 2020 Roundtable Discussion Leaders. Submit by February 3, 2020. • Gardner Foundation Scholarship applications are due February 28, 2020. • CRNI Certification – This is your year! INS Fundamentals of Infusion Therapy INS is proud to announce our newest endeavor, the Fundamentals of Infusion Therapy (FIT) program. FIT is a web-based, interactive educational tool developed in alignment with INS' Infusion Therapy Standards of Practice. The FIT program consists of 8 modules with full motion graphics, videos, simulations, references, and critical thinking exercises that engage learners, while incorporating considerations for various health care settings and patient populations. This program is suited for nurses who are new to nursing practice, as well as experienced nurses wishing to advance their knowledge of infusion therapy best practices. Join Marlene Steinheiser and Dawn Berndt as they discuss the impetus, content, learner impact, applicability and availability of the INS FIT program. Dear IVy Answers Your Clinical QuestionsToday Dear IVy tackles this question: “Does INS recommend that a chest X-ray be performed, to verify tip location on any central lines present on hospital admission?”  Resources: • Fundamentals of Infusion Therapy: https://www.learningcenter.ins...  • IV Nurse Day Merchandise: https://www.jimcolemanstore.co... • Roundtable Discussion Leader: https://na.eventscloud.com/eho...  • Gardner Foundation Scholarship Application: https://images.magnetmail.net/...  • CRNI Certification: https://www.ins1.org/crni-cert...