SPECIAL interest groups in the ANA and NLA.
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The SIGs have grown from informal meetings of members to discuss clinical practice issues in their sub-specialties to a formalized committee to address the needs of the association and the nephrology community. A SIG Statement of Purpose was developed in October 2003 as an effort to clearly articulate the complementary and collaborative function of the group in concert with the mission of ANNA: The purpose of the SIGs is to provide complementary and collaborative influence on the continuum of nephrology nursing practice through the promotion of advocacy, scholarship and excellence. With this purpose as a guide, the SIGs will continue to evolve as needs of the association and nephrology nursing change.
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The issue of reimbursement for NP is not an issue in the VA system, although it can be a barrier for the private sector. How to make this cost-effective was discussed during the networking session and will continue to be explored. The nephrology nurse is in a key position to participate in CKD clinics/programs. By virtue of his/her nursing expertise in assessment, incorporation of psychosocial factors, and patient education, the nurse can play a pivotal role in successful management of persons with CKD.
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Posttransplant glucose management and paired donor exchange programs are important topics that require additional focus and development. Nurses who work with patients receiving transplants need to become familiar with both in order to make the necessary changes in nursing practice.
We may have a role but find it difficult to specifically define it. As various specialties have emerged, roles have developed based on patient or physician need or practitioner innovation. This article is an attempt to present an organized structure of the contribution that can be made by the masters prepared gastroenterology nurse.
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