Vascular Nursing: Scope and Standards of Practice
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About this ebook
The vascular nurse focuses on the needs and care of individuals and their families with known or at risk for vascular disease. This includes patient education, health promotion, care management, assessment for alterations of function, and strategies to help patients maintain, regain, and improve function and prevent disability. Vascular nurses also engage in research, policy, emerging healthcare delivery issues and technologies, and promoting community awareness of vascular disease and dysfunction to encourage early detection and prevention. This book can guide all aspects of their practice.
A workgroup of vascular nurse experts, convened by SVN and ANA, completely updated and expanded the previous edition. With input from nurses nationwide, their revision addressed and incorporated ongoing and anticipated changes in vascular nursing as well as in nursing and health care in general.
The revised scope of vascular nursing practice – the who, what, where, when, why, and how of practice – sets the context for understanding and using the standards: the underlying assumptions, characteristics, environments and settings, education and training requirements, key issues and trends, and ethical and conceptual bases of vascular nursing.
The updated 16 standards frame any evaluation of the outcomes and goals of, and measure the accountabilities for, general and advanced practice vascular nurses. By meeting each standard’s competencies, the vascular nurse can demonstrate compliance with that standard.
A foundational volume primarily for those directly involved with vascular nursing practice, education, and research, other nurses and allied healthcare providers, researchers, and scholars will find value in its content.
About ANA's Specialty Nursing Standards
Since the late 1990s, ANA has partnered with other nursing organizations to establish a formal process for recognition of specialty areas of nursing practice. This includes the criteria for approving the specialty itself and the scope statement, and an acknowledgment by ANA of the standards of practice for that specialty. Because of the significant changes in the evolving nursing and healthcare environments, ANA's approval of specialty nursing scope statements and its acknowledgment of specialty standards of practice remain valid for five years, starting from the publication date of the documents.
The standards in this publication are based on language from ANA's Nursing: Scope and Standards of Practice, Second Edition, a helpful supplement to this specialty text, which in turn is of optimal use with two complementary ANA texts: Nursing's Social Policy Statement and Guide to the Code of Ethics for Nurses. Together, these three books help guide nursing practice, thinking, and decision-making. The set is proving useful as a professional reference, classroom textbook, in-service training guide, and credentialing exam resource.
American Nurses Association
The American Nurses Association (ANA) is the premier organization representing the interests of the nation's 4 million registered nurses. ANA is at the forefront of improving the quality of health care for all. Founded in 1896, and with members in all 50 states and U.S. territories, ANA is the strongest voice for the profession
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Vascular Nursing - American Nurses Association
The American Nurses Association (ANA) is a national professional association. This ANA publication, Vascular Nursing: Scope and Standards of Practice, reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Vascular Nursing: Scope and Standards of Practice guides nurses in the application of their professional knowledge, skills, and responsibilities.
The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.4 million registered nurses through its constituent member nurses associations and its organizational affiliates. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.
American Nurses Association
8515 Georgia Avenue, Suite 400
Silver Spring, MD 20910-3492
1-800-274-4ANA
http://www.Nursingworld.org
Cataloging-in-Publication Data on file with the Library of Congress.
Copyright ©2016 American Nurses Association and Society for Vascular Nursing. All rights reserved. Reproduction or transmission in any form is not permitted without written permission of the American Nurses Association (ANA). This publication may not be translated without written permission of ANA. For inquiries, or to report unauthorized use, email copyright@ana.org.
ISBN-13: 978-1-55810--647-5 SAN: 851-3481 03/2016
First printing: March 2016
Contents
Contributors
Introduction to Vascular Nursing Practice
Overview of the Content
Foundational Documents of Professional Nursing
Audience for This Publication
Vascular Nursing Practice and the Society for Vascular Nursing
Scope of Vascular Nursing Practice
Definition of Vascular Nursing
Vascular Disease Defined
Arterial Disease
Venous Disease
Lymphatic Disease
Characteristics of Vascular Nursing Practice
Promotion of Health
Assessment for Alterations in Function
Measures to Maintain, Regain, or Improve Function and Prevent Disability
Roles, Education, and Practice Settings in Vascular Nursing Practice
The Vascular Registered Nurse
The Advanced Practice Registered Nurse
Certification of Vascular Nurses
Ethics in Vascular Nursing Practice
Future Considerations for Vascular Nurses
Professional Organization Goals and Direction in Vascular Nursing Practice
Standards of Vascular Nursing Practice
Standards of Practice for Vascular Nursing
Standard 1. Assessment
Standard 2. Diagnosis
Standard 3. Outcomes Identification
Standard 4. Planning
Standard 5. Implementation
Standard 5A. Coordination of Care
Standard 5B. Health Teaching and Health Promotion
Standard 5C. Consultation
Standard 5D. Prescriptive Authority and Treatment
Standard 6. Evaluation
Standards of Professional Performance
Standard 7. Ethics
Standard 8. Education
Standard 9. Evidence-Based Practice and Research
Standard 10. Quality of Practice
Standard 11. Communication
Standard 12. Leadership
Standard 13. Collaboration
Standard 14. Professional Practice Evaluation
Standard 15. Resource Utilization
Standard 16. Environmental Health
Glossary
References and Bibliography
Appendix A. Society for Vascular Nursing Accomplishments
Appendix B. Guidelines for Vascular Disease
Appendix C. Scope and Standards of Vascular Nursing Practice (2004)
Index
Contributors
This document was developed by the Society for Vascular Nursing (SVN) Vascular Nursing Scope and Standards Task Force. The members of the Task Force gratefully acknowledge the work of others who initiated the original document and those who reviewed drafts of the document.
Vascular Nursing Scope and Standards Task Force
Mary Sieggreen, MSN, ACNS-BC, CVN, Chair
Jennifer Bromeland, MSN, APN, ACNP-BC, CVN, RNFA
Catherine M. Brown, MSN, RN-BC, NEA-BC, RVT, RDCS
Cynthia Rebik Christensen, MSN, CVN, APRNP
Michelle Tinkham, BSN, MS, RN, CNOR, RNFA, CLNC
Polly Willis, MSN, RN-BC, PCCN
ANA Committee on Nursing Practice Standards
Richard Henker, PhD, RN, CRNA, FAAN – Co-chair (03/2014–12/2015)
Tresha (Terry) L. Lucas, MSN, RN – Co-chair (07/2011–12/2014)
Danette Culver, MSN, APRN, ACNS-BC, CCRN
Deborah Finnell, DNS, PMHNP-BC, CARN-AP, FAAN
Renee Gecsedi, MS, RN
Deedra Harrington, DNP, MSN, APRN, ACNP-BC
Maria Jurlano, MS, BSN, RN, NEA-BC, CCRN
Carla A. B. Lee, PhD, APRN-BC, CNAA, FAAN, FIBA
Verna Sitzer, PhD, RN, CNS
American Nurses Association Staff
Carol J. Bickford, PhD, RN-BC, CPHIMS, FAAN—Content editor
Maureen Cones, JD—Legal counsel
Yvonne Humes, MSA—Project coordinator
Eric Wurzbacher—Project editor
About the Society for Vascular Nursing
Founded in 1982, the Society for Vascular Nursing (SVN) is a not-for-profit international association dedicated to promoting excellence in the compassionate and comprehensive management of persons with vascular disease. SVN’s mission is to provide a professional community for nurses focused on advancing the care of persons living with vascular disease through excellence in evidence based practice and education.
About the American Nurses Association
The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.4 million registered nurses through its constituent member nurses associations and its organizational affiliates. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.
Introduction to Vascular Nursing Practice
Overview of the Content
Foundational Documents of Professional Nursing
Registered nurses (RNs) practicing in the United States have three professional resources that inform their thinking and decision-making and guide their practice. First, Guide to the Code of Ethics for Nurses: Interpretation and Application (Fowler, 2008) lists the succinct provisions that establish the ethical framework for RNs across all roles, levels, and settings. Second, Nursing’s Social Policy Statement: The Essence of the Profession (ANA, 2010b) conceptualizes nursing practice, describes the social context of nursing, and provides the definition of nursing. Nursing: Scope and Standards of Practice, Second Edition (ANA, 2010a) outlines the expectations of the professional role of the RN, includes the scope of practice statement for nursing, and identifies the Standards of Professional Nursing Practice and their accompanying competencies. Vascular Nursing: Scope and Standards of Practice builds on those professional resources, describes the scope of vascular nursing practice, and identifies the specialty’s Standards of Practice and