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The President’s Message Vol 21, No. 4 – October | November | December 2014 In July of 2013, SVN received a request from a South African nurse, Ms. Jessica Kolberg, to collaborate on a vascular nursing education program in conjunction with the World Federation of Vascular Societies (WFVS). We had no concept of the amazing journey that would follow. Past President Debra Kohlman-Trigoboff started our process with an introduction to her research on the South African nursing demographics. Vascular nursing was not found to be a specialty that is recognized in nursing education or with a specialty certification. In her literature review it was evident that there was a high prevalence of peripheral artery disease in rural black South Africans 1 . Ms. Kolberg advised that nurses in these areas were the primary care givers in many clinics and rural hospitals, with physician visits infrequent. ey needed the skills to recognize early vascular disease. Descriptions of Ankle Brachial Index (ABI) technique varied throughout the literature reviewed, suggesting an opportunity to train nurses in consistent ABI technique both by sharing our PAD/ABI on-line course as well as expert demonstration. 1 Debra shared a 2007 research study on vascular risk factors from the Southern African Stroke Prevention Initiative (SASPI) showing a high incidence of hypertension and stroke in sub-Saharan Africa. is study predicted that the country would face an increased economic burden for non-communicable diseases such as stroke. 2 Vascular risk factor prevention is another opportunity to share our knowledge through lectures, but also provide the resources of our Core Curriculum and On-line courses. With our first conference call, we recognized the passion and dedication of Jessica Kolberg in her goal to support vascular nurses in South Africa by expanding their knowledge and skills. She had an extraordinary goal to design a two day nursing symposium, covering vascular disease from early detection, through treatment and follow up. Segments would include added topics of diabetes and vascular disease, as well as wound care. It was vitally important to identify the vascular nursing role in the continuum of care. For our society, this was an incredible opportunity to learn from another culture, develop an understanding of differences and similarities in our care and hopefully make us stronger. On September 28, 2014, I was honored to travel with Debra Kohlman- Trigoboff, Cindi Christensen, Marge Lovell and Karen Fitzgerald to beautiful Cape Town, South Africa. Arriving at night we had no idea what a beautiful vista to which we would awaken. We had given ourselves a couple of days to acclimate to the time change and review our program for the symposium. Our greeting by Jessica was warm and inviting. ere was no time to sit still as we had plans to explore this new environment and experience the local culture. During a tour of Groote Schuur Hospital in Cape Town, we were able to gain perspective on the nursing roles and responsibilities. It is always surprising to find that while there are many differences, we also share many similar practice 2014 - 2015 Board of Directors PRESIDENT Terry DeVeaux, RN, MS, ACNP, CV, CCRN Maryland Vascular Center Glen Burnie, MD PRESIDENT-ELECT Phyllis Gordon, MSN, ACNS, BC UT Health Science Center, San Antonio, TX SECRETARY Sharon Weinlein, ADN, RN e Vascular Group Albany, NY TREASURER Vickie Nimmer, RN Iowa Health System Cedar Rapids, IA IMMEDIATE PAST PRESIDENT Debra Kohlman-Trigoboff, RN, MS, ACNP-BC, CVN Duke Heart and Vascular Durham, NC DIRECTORS Patty Bozeman, APRN, CVN Hartford Healthcare Medical Group Hartford, CT Jill Knutson, RN, BSN Maine Medical Center, Portland, ME Kathleen Rich, PhD, RN, CCRN-CSC, CNN IU Health La Porte Hospital, LaPorte, IN Marie Rossi, BS, RN Vascular Group, Albany, NY Tiffany Street, RN, MSN, ACNP e Methodist Hospital, Houston, TX continued on page 2 WE’VE MOVED NATIONAL OFFICE SOCIETY FOR VASCULAR NURSING Leah Grunewald, Association Manager N83 W13410 Leon Rd. Menomonee Falls, WI 53051 Tel: (414) 376-0001 Fax: (414) 359-1671 email: [email protected] www.svnnet.org Terry DeVeaux THE PRESIDENT’S UPDATES ....... 2 RESEARCH CORNER .................... 4 CHAPTER CORNER ...................... 7 PUBLIC POLICY & ADVOCACY .... 8 VASCULAR VITALS .................... 10 ABI CERTIFICATION AND RECERTIFICATION ............ 10 CALL FOR ARTICLES FOR JVN 12 SVN Speakers-Marge Lovell, Karen Fitzgerald, Debra Kohlman- Trigoboff, Terry DeVeaux and Cindi Christensen surround Jessica Kolberg (middle) who was the South African (SA) nurse who organized the Vascular Nursing Symposium, along with two other SA nurse attendees

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The President’s MessageVol 21, No. 4 – October | November | December 2014

In July of 2013, SVN received a request from a South African nurse, Ms. Jessica Kolberg, to collaborate on a vascular nursing education program in conjunction with the World Federation of Vascular Societies (WFVS). We had no concept of the amazing journey that would follow.Past President Debra Kohlman-Trigoboff started our process with an introduction to her research on the South African nursing demographics. Vascular nursing was not found to be a specialty that is recognized in nursing education or with a specialty certification. In her literature review it was evident that there was a high prevalence of

peripheral artery disease in rural black South Africans1. Ms. Kolberg advised that nurses in these areas were the primary care givers in many clinics and rural hospitals, with physician visits infrequent. They needed the skills to recognize early vascular disease. Descriptions of Ankle Brachial Index (ABI) technique varied throughout the literature reviewed, suggesting an opportunity to train nurses in consistent ABI technique both by sharing our PAD/ABI on-line course as well as expert demonstration.1

Debra shared a 2007 research study on vascular risk factors from the Southern African Stroke Prevention Initiative (SASPI) showing a high incidence of hypertension and stroke in sub-Saharan Africa. This study predicted that the country would face an increased economic burden for non-communicable diseases such as stroke.2 Vascular risk factor prevention is another opportunity to share our knowledge through lectures, but also provide the resources of our Core Curriculum and On-line courses.With our first conference call, we recognized the passion and dedication of Jessica Kolberg in her goal to support vascular nurses in South Africa by expanding their knowledge and skills. She had an extraordinary goal to design a two day nursing symposium, covering vascular disease from early detection, through treatment and follow up. Segments would include added topics of diabetes and vascular disease, as well as wound care. It was vitally important to identify the vascular nursing role in the continuum of care. For our society, this was an incredible opportunity to learn from another culture, develop an understanding of differences and similarities in our care and hopefully make us stronger. On September 28, 2014, I was honored to travel with Debra Kohlman-Trigoboff, Cindi Christensen, Marge Lovell and Karen Fitzgerald to beautiful Cape Town, South Africa. Arriving at night we had no idea what a beautiful vista to which we would awaken. We had given ourselves a couple of days to acclimate to the time change and review our program for the symposium. Our greeting by Jessica was warm and inviting. There was no time to sit still as we had plans to explore this new environment and experience the local culture. During a tour of Groote Schuur Hospital in Cape Town, we were able to gain perspective on the nursing roles and responsibilities. It is always surprising to find that while there are many differences, we also share many similar practice

2014 - 2015 Board of DirectorsPRESIDENTTerry DeVeaux, RN, MS, ACNP, CV, CCRNMaryland Vascular CenterGlen Burnie, MD

PRESIDENT-ELECTPhyllis Gordon, MSN, ACNS, BC UT Health Science Center, San Antonio, TX

SECRETARYSharon Weinlein, ADN, RNThe Vascular GroupAlbany, NY

TREASURERVickie Nimmer, RNIowa Health SystemCedar Rapids, IA

IMMEDIATE PAST PRESIDENTDebra Kohlman-Trigoboff, RN, MS, ACNP-BC, CVNDuke Heart and VascularDurham, NC

DIRECTORSPatty Bozeman, APRN, CVNHartford Healthcare Medical GroupHartford, CT

Jill Knutson, RN, BSNMaine Medical Center, Portland, ME

Kathleen Rich, PhD, RN, CCRN-CSC, CNNIU Health La Porte Hospital, LaPorte, IN

Marie Rossi, BS, RNVascular Group, Albany, NY

Tiffany Street, RN, MSN, ACNP The Methodist Hospital, Houston, TX

continued on page 2

W E ’ V E M O V E DNATIONAL OFFICESOCIETY FOR VASCULAR NURSINGLeah Grunewald, Association ManagerN83 W13410 Leon Rd. Menomonee Falls, WI 53051Tel: (414) 376-0001Fax: (414) 359-1671email: [email protected]

Terry DeVeaux

THE PRESIDENT’S UPDATES ....... 2

RESEARCH CORNER .................... 4

CHAPTER CORNER ...................... 7

PUBLIC POLICY & ADVOCACY .... 8

VASCULAR VITALS .................... 10

ABI CERTIFICATION AND RECERTIFICATION ............ 10

CALL FOR ARTICLES FOR JVN 12

SVN Speakers-Marge Lovell, Karen Fitzgerald, Debra Kohlman-Trigoboff, Terry DeVeaux and Cindi Christensen surround Jessica Kolberg (middle) who was the South African (SA) nurse who organized the Vascular Nursing Symposium, along with two other SA nurse attendees

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concerns. Again, we were very openly welcomed and the passion for the care of their patients was clear. Although resources were more limited than in most of our experience, they utilized that nursing skill to ‘find a way’ to make things work.We would like to thank the Vascular Society of South Africa (VASSA). Not only was our travel supported, but nearly 100 local nurses were able to attend the meeting. In addition, various pharmaceutical companies and hospital groups dedicated time and financial resources to make this first Vascular Nursing Symposium in South Africa a real success. Local physicians participated with presentations and shared panel discussions. South African nursing delegates shared their expertise in various areas of care. Attendees were engaged and attentive, asked thought provoking questions. The discussions were lively and interactive. Nearly all stayed for our ABI workshop and participated with great enthusiasm. All of us were grateful to be included in social events with the physicians attending WFVS from around the world. This was a great opportunity for that famous SVN networking. Contacts made during this

continued from page 1... Pres. Message

• AUGUST 2014 - SVN Board approves to move to an Annual Dues Cycle effective January 1, 2015 (see page 8 for additional details).

• SEPTEMBER 2014 - electronic version of Core Curriculum available for purchase: 25% member discount code on member home page

• OCTOBER 2014 - SVN leaders presented Two Day Vascular Nursing Symposium in South Africa

- SVN members from Albany NY traveled to India and made valuable connections with nurses interested in forming new SVN chapter

- Board travels to new management office in Menomonee Falls, Wisconsin for Fall Board Meeting. Challenging meeting with leaders focused on ideas to support the mission and vision of the SVN.

• NOVEMBER 2014 - VIVA convention in Las Vegas, SVN members presenting topics for the VIVA (Vascular InterVentional Advances) Cardiovascular Healthcare Professionals Symposium where 4 SVN members presented. During the conference SVN advertised the 2015 Conventions at Bally’s Las Vegas.

ANNOUNCEMENTS: • You should have received your 2015 annual dues notice in November• Save the Date-Annual Convention at Bally’s Las Vegas: April 29-May 1, 2015• As the premier provider of state-of-the-art healthcare information on

vascular care, SVN offers you:

– Specialty specific continuing education units offered at our annual convention

– Membership discounts for the annual convention and other SVN products and services

– Subscription to the Journal of Vascular Nursing, the official journal

– Four electronic issues of SVN...prn, the official newsletter – Research grant opportunities – Annual awards program recognizing excellence in education, research,

practice and service – Valuable networking and educational opportunities through local and

regional chapters and SVN List Serve• DECEMBER 31, 2014 is deadline for nominations for SVN Awards

to be presented at the annual meeting in 2015. Do you have an amazing colleague? Consider nominating. Check out the online applications. There is nothing wrong with drawing attention to your own accomplishments. If you feel qualified, consider self-nomination.

• NEW MEMBERSHIP DATABASE SYSTEM: We are also transferring SVN member data to a new membership system, Wild Apricot. Don’t forget to login and update your membership information and change your password.

journey have already connected with us for membership, as well as to explore collaboration. The South African nurses hope to form their own local SVN chapter and we will work to assist them in this endeavor.This was a great opportunity for SVN leaders to share our mission and help the South African nurses to define their expertise and the value of their care in improving outcomes for the vascular patient. Our Founding President Jeanne Doyle so eloquently stated that “the evolution of our specialty and our Society is a dynamic journey. We must continue to chart the course.”3

References:1. Kohlman-Trigoboff,D. Globalizing Vascular

Nursing Education. SVN…prn. Vol 20, No 3-July/August/September 2013.

2. Paul, A., Mash, B., Rupesinghe, G. Peripheral Arterial Disease-high prevalence in rural black South Africans. South African Medical Journal Vol. 97 (2) 2007: pp. 285-288

3. Doyle, J. (2007) The Evolution of Vascular Nursing, Forward, Core Curriculum for Vascular Nursing (pp 1-3), Society for Vascular Nursing.

The President’s Updates…

South African nurses pick up SVN literature at the Vascular Nursing Symposium

ABI Training at South Africa Vascular Nursing Symposium

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Vol 21, No. 1 – January | February | March 2014

Core Curriculum for Vascular Nursing, Second EditionISBN: 978-1-4511-9232-2 • 554 pages • 7" x 10"

Cynthia Rebik Christensen and Patricia A. Lewis

Provide optimal care for your cardiovascular patients!An offi cial publication of the Society for Vascular Nursing, the Second Edition of the Core Curriculum for Vascular Nursing provides the core knowledge needed by the novice entering the specialty. It also serves as a manual for the nursing instructor, a study guide for cardiovascular certifi cation, and a reference for the experienced vascular clinician caring for the challenging vascular patient.

Topics include the evolution of vascular nursing, vascular assessment and diagnosis, vascular nursing research, and guideline-directed medical, endovascular and surgical therapy for the treatment of carotid artery stenosis, aortic aneurysm, renal artery stenosis, vascular access, venous disease, vascular trauma, amputations, and lymphedema.

To order: call 1-800-638-3030 and share your promotion code with your customer service representative

or go to lww.com/vascular and enter promotion code WEZ552WW in the Promotion Code box to receive your special 25% SVN Society discount.

SAVE 25%A special pre-publication offer for Society of Vascular Nursing members

Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103

© Wolters Kluwer Health 4-Z552

4CP/0 8-1/2" x 11"

BRAND NEWPerfect for preparation for

the Cardiac/Vascular Nurse Certifi cation Exam!

4-Z552 flyer 4C.indd 1 4/17/14 1:16 PM

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RESEARCH CORNER

Evidence-Based Nursing or EBN is an approach to making quality decisions and providing nursing care based upon personal clinical expertise in combination with the most current, relevant research available on the topic. EBN implements the most up to date methods of providing care, which have been proven through appraisal of high quality studies and statistically significant research findings. The goal of EBN is to improve the health and safety of patients while also providing care in a cost-effective manner to improve the outcomes for both the patient and the healthcare system. EBN is a process founded on the collection, interpretation, appraisal, and integration of valid, clinically significant, and applicable research. The evidence used to change practice or make a clinical decision can be separated into seven levels of evidence that differ in type of study and level of quality. To properly implement EBN, the knowledge of the nurse, the patient’s preferences, and multiple studies of evidence must all be collaborated and utilized in order to produce an appropriate solution to the task at hand. These skills are taught in modern nursing education and also as a part of professional training.[1]

The Steps of Evidence Based Nursing (EBN)Cultivate Spirit of Inquiry. A spirit of inquiry refers to an attitude in which questions are encouraged to be asked about existing practices. Cultivating a spirit of inquiry allows healthcare providers to feel comfortable with questioning current methods of practice and challenging these practices to create improvements and change. A culture that fosters this should have a philosophy that incorporates EBP, access to tools that can enhance EBP and administrative support and leadership that values EBP.

Ask Clinical QuestionPICOT formatted questions address the Patient population, Issue or intervention, Comparison group, Outcome, and Time frame. Asking questions in this format assists in generating a search that produces the most relevant, quality information related to a topic, while also decreasing the amount of time needed to produce these search results. An example of a quality PICOT question would be: In below knee amputation patients (Population), what is the effect of nerve blocks (Intervention) compared to opioid pain medication (Comparison) in controlling post-operative pain (Outcome) within the first 24 hours after surgery (Time)?

Search for and Collect Relevant Evidence To begin the search for evidence, use each keyword from the PICOT question that was formed. Once results have been found on the intervention or treatment, the research can be rated to determine which provides the strongest level of evidence. There are seven levels of evidence, with a level I being of the strongest quality and a level VII being of the weakest quality: Level I: Evidence from systematic reviews or meta-analysis of randomized control trials Level II: Evidence from well-designed randomized control trials Level III: Evidence from well-designed control trials that are not randomized Level IV: Evidence from case-control or cohort studies Level V: Evidence from systematic reviews of descriptive or qualitative studies Level VI: Evidence from a single descriptive or qualitative study Level VII: Evidence from expert opinions The strongest levels of evidence, systematic reviews and meta-analyses, summarize evidence related to a specific topic by finding and assessing studies that specifically relate to the question being asked. Meta-analyses are systematic reviews that also use quantitative measures such as statistics to summarize the results of the studies analyzed.Critically Appraise the Evidence To begin the critical appraisal process, three questions may be asked to determine the validity, reliability, and applicability of the evidence found. The three questions are: 1. Are the results of the study valid? In order to be valid, the results of the study must be as close to the truth as possible. Also, the study must be conducted using best available research methods. 2. What are the results? This question measures the reliability of the study. In an intervention study, reliability consists of: whether the intervention worked, how large the effect was, and whether a clinician could repeat the study with similar results. For a qualitative study, reliability would be measured by determining if the research accomplished the purpose of the study. 3. Will the results be applicable in caring for patients? The study may be used in practice when caring for patients if the subjects are similar to the patients being cared for, the benefit outweighs the harm, the study is feasible, and the patient desires the treatment. After asking these three questions, evidence appraisal continues by creating an evidence synthesis. This synthesis compares multiple studies to see if they are in agreement with each other.

What Are The Seven Steps Of Evidence Based Nursing?

continued on page 5

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Vol 21, No. 1 – January | February | March 2014

Articles of interest from evidence based practice. Because we are all too busy to read everything, some of the articles may be of interest to vascular nurses. They are evidence based articles. Some are systematic reviews and/or meta-analysis and others are well conducted clinical trials or long term studies.

Akbari Sari A, Janani L, Mohammady M, et al. Slow versus fast subcutaneous heparin injections for prevention of bruising and site-pain intensity. Cochrane Database Syst Rev. 2014 Jul 18;7:CD008077.Akl EA, Kahale L, Barba M, et al. Anticoagulation for the long-term treatment of venous thromboembolism in patients with cancer. Cochrane Database Syst Rev. 2014 Jul 8;7:CD006650.Allison MA, Aragaki A, Eaton C, et al. Effect of Dietary Modification on Incident Carotid Artery Disease in Postmenopausal Women: Results From the Women`s Health Initiative Dietary Modification Trial. Stroke. 2014 Apr 17.CADTH. Point-of-care testing of International Normalized Ratio for patients on oral anticoagulant therapy: Systemic review and economic analysis. Canadian Agency for Drugs and Technologies in Health (CADTH). 2014 Jul:1-161.

Chatterjee S, Chakraborty A, Weinberg I, et al. Thrombolysis for pulmonary embolism and risk of all-cause mortality, major bleeding, and intracranial hemorrhage: a meta-analysis. JAMA. 2014 Jun 18;311(23):2414-21.Chen C, Hou WH, Chan ES, et al. Phototherapy for treating pressure ulcers. Cochrane Database Syst Rev. 2014 Jul 11;7:CD009224.Filardo G, Lederle FA, Ballard DJ, et al. Effect of Age on Survival Between Open Repair and Surveillance for Small Abdominal Aortic Aneurysms. Am J Cardiol. 2014 Jul 30.Hancock AT, Mallen CD, Muller S, et al. Risk of vascular events in patients with polymyalgia rheumatica. CMAJ. 2014 Jul 28. pii: cmaj.140266.Lin JS, O`Connor E, Evans CV, et al. Behavioral Counseling to Promote a Healthy Lifestyle in Persons With Cardiovascular Risk Factors: A Systematic Review for the U.S. Preventive Services Task Force. Ann Intern Med. 2014 Aug 26.Mauck KF, Asi N, Undavalli C, et al. Systematic review and meta-analysis of surgical interventions versus conservative therapy for venous ulcers. J Vasc Surg. 2014 May 14

McManus RJ, Mant J, Haque MS, et al. Effect of self-monitoring and medication self-titration on systolic blood pressure in hypertensive patients at high risk of cardiovascular disease: the TASMIN-SR randomized clinical trial. JAMA. 2014 Aug 27; 312(8):799-808.Riaz IB, Husnain M, Riaz H, et al. Meta-analysis of Revascularization Versus Medical Therapy for Atherosclerotic Renal Artery Stenosis. Am J Cardiol. 2014 Jul 18.Rigotti NA, Regan S, Levy DE, et al. Sustained care intervention and postdischarge smoking cessation among hospitalized adults: a randomized clinical trial. JAMA. 2014 Aug 20;312(7):719-28.Sato S, Uehara T, Ohara T, et al. Factors associated with unfavorable outcome in minor ischemic stroke. Neurology. 2014 Jun 6.Wilkinson EA. Oral zinc for arterial and venous leg ulcers. Cochrane Database Syst Rev. 2014 Sep 9;9:CD001273

Compiled by Janice D. Nunnelee PhD RN, Practice & Research Committee

Integrate the Evidence After appraising the evidence; it is necessary to integrate it with the provider’s expertise and patient’s preferences. The patient is encouraged to practice autonomy and participate in the decision-making process. Therefore, even if the study had successful outcomes, the patient may refuse to receive a treatment. Assessment findings and patient history may reveal further contraindications to a certain evidence-based treatment. Lastly, availability of healthcare resources may limit the implementation of a treatment even if it is found to be effective in a study.Evaluate Outcomes The next step in the evidence-based practice process is to evaluate whether the treatment was effective in terms of patient outcomes. It is important to evaluate the outcomes in a real-world clinical setting

to determine the impact of the evidence-based change on healthcare quality.Disseminate Outcomes The last step is to share the information especially if positive outcomes are achieved. By sharing the results of evidence-based practice process, others may benefit. Some methods to disseminate the information include presentations at conferences, rounds within one’s own institution, and journal publications. [2]

Submitted by Karen R. Bruni-Fitzgerald, MSN, RN, NP, CVN, member Practice and Research Committee

References:1 Melnyk, B.M. (2011). Evidence-based practice in nursing & healthcare:

A guide to best practice. Philadelphia, PA: Lipincott Williams & Wilkins. pp. 3–7. ISBN 978-1-60547-778-7.

2 Melnyk, B.M. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia, PA: Lipincott Williams & Wilkins. pp. 11–17. ISBN 978-1-60547-778-7.

RESEARCH CORNERcontinued from page 4...

Articles of Interest

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Contact Leah Grunewald at [email protected] or 414.376.0001 ext. 1109 with questions.

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Vol 21, No. 1 – January | February | March 2014

CHAPTER CORNER

The Mid-Atlantic Society for Vascular Nursing (MASVN) is a new chapter located in northern Delaware with members from Delaware, Maryland, New Jersey and Pennsylvania. The nine founding members first met in July 2013 to discuss the creation of a new chapter. We were officially recognized as a chapter of the Society for Vascular Nursing (SVN) in January 2014. Since then, our membership has grown to 24 members, and we are actively recruiting. In March 2014 we participated in our first community event, the Annual Community Education and Health Fair held by the Colonial School District. MASVN members staffed a table at the fair and provided education on healthy diet choices

and smoking cessation. In April 2014, we presented at a local senior center about the warning signs of stroke, heart attack and PAD. This fall, we continued our community service efforts. In September, MASVN members had a table at a local farmers market to promote healthy diet choices. Additionally, our members provided education on smoking cessation and vascular health to In Her Shoes, Inc, a non-profit organization that helps previously incarcerated women who face challenges re-entering the community. Over the summer months we focused on fundraising and conference planning. We are excited to announce that “Improving the Flow – MASVN’s First Annual Vascular Conference” will be held April 18 2015.

Colleen McGhie, Eva Mwangi & Melissa Albanese present valuable information regarding stroke, MI and PAD to women at the Claymore Senior Center.

Janet Machulski, Colleen McGhie, & Shirley Gharbin represent the MASVN at the Community Education and Health Fair.

MASVN founding members. Top row, from left, Eva Mwangi, Janet Machulski, Daniel Strumbeck, Kathleen Booker, & Linda Lewis. Bottom row from left, Ellen Coyle, Colleen McGhie, Andrea Sweeny, & Barbara Vogel

Colleen McGhie & Janet Machulski at the Community Education & Health Fair

Our first customer at the Glasgow Park Farmer’s Market!

Amy Smythe, Barbara Vogel, and Ellen Coyle after delivering a presentation regarding smoking and vascular health for In Her Shoes, Inc.

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PUBLIC POLICY & ADVOCACY

“Are you a current or previous smoker” is a routine question in medical and surgical practices. There has been a strong emphasis on smoking cessation for each patient for good reason. According to the Smoking-Attributed Mortality estimates in the US for 2005-2009, there are 480,000 premature deaths annually, in which 160,600 are deaths from cardiovascular disease caused by smoking or exposure to secondhand smoke. (USDHHS, chapter 12, 659) Smoking continues to be the leading cause of preventable premature death in the United States.

Since the first Surgeon General’s report in 1964 to now there have been many studies done on the causes of noncommunicable diseases and identifying the risk factors associated with them including air pollution, tobacco smoking, second hand smoke, drug and alcohol use, dietary risk factors and physical inactivity, physiological risk factors, and occupational risk factors (many of which are preventable). It wasn’t until the Surgeon General’s report in 1979 where there was a causal association with smoking and coronary artery disease. The 2004 Surgeon General’s report found sufficient evidence to link abdominal aortic aneurysm, atherosclerosis and peripheral vascular disease, cerebrovascular disease, and coronary heart disease with smoking. It is clear that tobacco smoke is a major cause of cardiovascular morbidity and mortality, (USDHHS, Chapter 4).

The knowledge we have obtained throughout the past few decades has made an impact on the tobacco epidemic. Since the 1964 Surgeon General’s report to the present, we have seen a drastic decrease in the number of people smoking. Cigarette smoking went from 42% in 1963 to 19% in 2011(USDHHS, chapter 14, 814). This decrease is due to more efforts in smoking cessation programs, early education on the bad of effects smoking geared towards the youth, taxation, and smoke -free air laws. Nicotine replacement therapy has also

played some role in this decrease. Although there is no evidence that E-cigarettes should be used a primary cessation aid, there is a significant increase in its usage. According to the American Heart Association the use of e-cigarette does help reduce risk for harm only if current smokers are using the e-cigarettes as a substitute to cigarettes. The concern is that e-cigarettes will renormalize the smoking behavior, maintain nicotine addiction, and even be used in addition to smoking by some. AHA supports including e-cigarettes as a tobacco product and smoking and continued regulation is needed (Bhatnagar et al).

Although there is a decrease in smoking there still is a disparity in tobacco use between different race, ethnicity, and socioeconomic status. We still need public policies, regulations, campaigns, and education to continue to reduce smoking across America. Hopefully with advocacy and partnerships with different organizations we will be able to prevent deaths associated with smoking, decrease the amount of health care costs for diseases caused by smoking, and essentially eliminate health risk associated with smoking for the younger generations.

Submitted by Anita Puthuparampil-Suchdeve, BS, BSN, RN, member of the Public Policy and Advocacy Committee

References:Bhatnagar,A, Whitsel, L, Ribisi, K, Bulln,C,

Chaloupka, F et al.” Electronic cigarettes: A Policy Statement from the American Heart Association” Circulation. August 24, 2014. http://circ.ahajournals.org/content/early/2014/08/22/CIR.0000000000000107.citation

U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. Printed with corrections, January 2014.

SMOKING CESSATION

Do you “Like” SVN? Are you a “Fan”?

We are hoping to increase our Social Media visibility and need your help. As more people

“Like” us on Facebook, our web presence will increase and SVN will be ranked the #1

resource for Vascular Nursing.

Please go to the SVN home page and click on the Facebook Icon.

We have a NEW Facebook Page.

Transitioning to an Annual Dues Cycle

Thank you for your continued support of the Society for

Vascular Nursing (SVN) and your dedication to advancing the care of persons living with vascular disease. Below is an important update that will enhance your

membership service experience with SVN in the coming year.

To streamline the membership renewal process, we are moving to an annual calendar dues cycle effective January 1, 2015. More

information will be communicated soon. Contact Leah Grunewald with questions at lgrunewald@

svnnet.org or 414-376-0001.

CORE CURRICULUM FOR VASCULAR NURSING

2nd edition is now available.

The official publication of the Society for Vascular Nursing, the newly updated Core Curriculum for Vascular Nursing provides core vascular nursing information essential to new and experienced practitioners alike.

Purchase your copy online at www.svnnet.org under the Resources tab.

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Vol 21, No. 1 – January | February | March 2014

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VASCULAR VITALS

ABI CERTIFICATION AND RECERTIFICATION

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery (®) and the American Venous Forum. O’Donnell TF Jr, Passman MA, Marston WA, et al. J Vasc Surg. 2014 Aug;60(2 Suppl):3S-59S. doi: 10.1016/j.jvs.2014.04.049. Epub 2014 Jun 25. Published Online: June 25, 2014 http://www.jvascsurg.org/article/S0741-5214%2814%2900851-9/fulltextThese guidelines present a synthesis of evidence-based recommendations for the diagnosis and treatment of venous leg ulcers (VLU) and provides consistency among treatment protocols.

A Randomized Trial Comparing Treatments for Varicose VeinsBrittenden J, Cotton SC, Elders A, et al. N Engl J Med 2014; 371:1218-1227 September 25, 2014 DOI: 10.1056/NEJMoa1400781 http://www.nejm.org/toc/nejm/371/13/ The outcome of ultrasound-guided foam sclerotherapy and endovenous laser ablation was evaluated in 798 participants with primary varicose veins at 11 centers in the United Kingdom. Measures included quality-of-life and clinical efficacy.

Access to current publications focusing on care of the patient with vascular disease

The Post-thrombotic Syndrome: Evidence-Based Prevention, Diagnosis, and Treatment StrategiesA Scientific Statement from the American Heart Association. Kahn SR, et al.Published online before print September 22, 2014 http://circ.ahajournals.org/content/early/2014/09/22/CIR.0000000000000130The purpose of this scientific statement is to provide an up-to-date overview of the post-thrombotic syndrome (PTS) and to provide practical recommendations for its optimal prevention, diagnosis, and management.

Clinical and Safety Outcomes Associated With Treatment of Acute Venous Thromboembolism: A Systematic Review and Meta-analysisCastellucci LA, Cameron C, LeGal G, et al. JAMA. 2014;312(11):1122-1135. doi:10.1001/jama.2014.10538. http://jama.jamanetwork.com/article.aspx?articleid=1904827 This systematic review summarized and compared efficacy and safety outcomes associated with 8 anticoagulation options from 45 randomized trials of 44,989 patients.

Non-steroidal anti-inflammatory drugs and risk of venous thromboembolism: A systematic review and meta-analysisPatompong U, Srivali N, Wijarnpreecha K, & Knight EL, Rheumatology (2014)doi:10.1093/rheumatology/keu408First published online: September 24, 2014 http://rheumatology.oxfordjournals.org/content/early/2014/09/22/rheumatology.keu408.full This systematic review examined the association between NSAID use and venous thromboembolism (VTE). Six 6 studies of 21,401 VTE events were included and demonstrated a statistically significant increase risk of BTE among NSAID users.

Health Care Professionals: Help Your Patients Quit Smokinghttp://www.cdc.gov/tobacco/campaign/tips/partners/health/hcp/ The Centers for Disease Control and Prevention (CDC) has launched a campaign to encourage smoking cessation. Partnering with many nursing and healthcare associations, this campaign and site provides multiple resources for the care provider and the patient to increase a successful smoking cessation.

• If you are already on the ABI Registry and need ABI Re-certification (required every 2 years in order to participate on ABI Registry), you can do the recertification at this same session, but you do not have to take the online course.

• Requirement for New ABI Certification: Certificate of completion of the PAD/ABI Course offered through CoursePark (go to SVN website home page and click on SVN Learning Network to access the Courses at CoursePark)

You may sign up in advance of the Convention by emailing Leah Grunwald in the SVN Office at: [email protected] you have any questions about the ABI Registry, please contact Debra Kohlman-Trigoboff @ [email protected]

Would you like to be a part of SVN’s ABI Registry?The Ankle-Brachial Index (ABI) is the key to early detection and management of peripheral artery disease (PAD). SVN has established a Registry of Vascular Nurses with expertise in PAD to provide education and ABI training sessions to health care professionals. The ABI Registry consists of SVN members who have completed a comprehensive PAD education and ABI train-the-trainer course through CoursePark, who then demonstrate competency in performing ABIs. Additional information about the ABI Registry can be found on the SVN website: svnnet.org. Go to Resources Tab and explore the ABI Registry site.

• If you are interested in being on the ABI Registry, we will offer a breakout session at the upcoming SVN Convention at Ballys Las Vegas April 29-May 1, 2015 for you to demonstrate your competency in performing an ABI and to be on the ABI Registry. This session will be offered Wednesday, April 29, 2015 during a break out session at the convention.

October | November | December 2014The Society for Vascular Nursing

11

Vol 21, No. 1 – January | February | March 2014

Recognition for SVN Excellence!As you make your Holiday shopping lists, why not include one of your fellow SVN members? A nomination for our SVN Awards could be the perfect idea. (You can even gift yourself!). It is important to recognize our SVN members’ accomplishments and this would be a great way to show pride in our SVN organization. Just visit our SVN website @ www.svnnet.org, click on the Conventions tab and choose Awards + Grants on the dropdown. Applications can be downloaded and completed on-line. The deadline is December 31, 2014 for our 2015 Pre-Conference Awards. All we need is you! See the awards descriptions below.

Two (2) Clinical Excellence in Vascular Nursing Awards:Established in 2008 to recognize an RN for outstanding clinical skill and direct patient care delivery in the specialty area of Vascular Nursing.1. One for the Diploma, Associate or Bachelor’s Degree RN2. One for the Advanced Practice Nurse

Distinguished Service Award: Established in 1993 in recognition of members’ outstanding leadership, participation, and contributions toward achieving the goals of SVN.

Jeanne E. Doyle Award: The highest honor given by the SVN recognizes a member who demonstrates excellence in the area of vascular nursing research, education, or practice within his/her community, state, or nation.

Convention Travel Scholarship: Established to provide assistance to SVN members who wish to attend the annual convention but need financial assistance with travel expenses. Two (2) $500 Scholarships are available so get your application in now!

Chapter of the Year Award: The Chapter Award honors the chapter that best promotes the goals of SVN through their member relationships, community activities and promotion of community health issues. All chapters are encouraged to submit an application for this award.

Emeritus Membership Award: Recognizes a member’s long-term commitment and dedication to the Society for Vascular Nursing and its organizational goals and core values.

SVN Research Grant: Funding is available for project/research support in the field of vascular nursing through the SVN for a registered profession nurse who has been a member in good standing of the SVN for at least one year prior to the awarding of any funds. In addition to the application, a detailed research proposal of the project must be submitted.

For more information and to download the award applicationsvisit the SVN website: www.svnnet.org

CALL FOR AWARD APPLICANTS REGISTER NOWApril 29-May 1, 2015

Bally’s Las Vegas

33RD ANNUAL

CONVENTION

REGISTER NOWApril 29-May 1, 2015

Bally’s Las Vegas

33RD ANNUAL

CONVENTION

REGISTER NOWApril 29-May 1, 2015

Bally’s Las Vegas

33RD ANNUAL

CONVENTION

TUESDAY, APRIL 28, 20152:00 pm - 6:00 pm Exhibitor Set-Up5:00 pm - 6:00 pm New Member/First Time

Attendee ReceptionWEDNESDAY, APRIL 29, 20157:00 am - 8:00 am Continental Breakfast

(Exhibit Hall Opens)8:15 am - 9:15 am Keynote Speaker9:15 am - 10:15 am General Session10:15 am - 10:45 am Coffee Break/Visit Exhibits10:45 am - 11:45 am General Session11:45 am - 1:15 pm Member Business Lunch Meeting1:15 pm - 1:30 pm Coffee Break/Visit Exhibits1:30 pm - 3:00 pm General Session3:00 pm - 3:30 pm Coffee Break/Visit Exhibits3:30 pm - 5:00 pm Breakout sessions5:15 pm - 6:00 pm Committee, Task Force, Chapter Social6:00 pm - 7:30 pm Welcome Reception/Visit ExhibitsTHURSDAY, APRIL 30, 20157:00 am - 8:15 am Exhibit Hall Opens8:00 am - 9:00 am Invited Speaker9:00 am - 10:00 am General Session10:00 am - 10:30 am Coffee Break/Visit Exhibits10:30 am - 12:00 pm General Session12:00 pm - 1:30 pm President’s Luncheon1:45 pm - 2:30 pm Breakout Session3:15 pm - 3:45 pm Coffee Break/Visit Exhibits3:45 pm- 5:00 pm General SessionFRIDAY, MAY 1, 20157:00 am - 8:15 am Exhibit Hall Opens8:00 am - 9:00 am Invited Speaker9:00 am - 10:00 am General Session10:00 am - 10:30 am Coffee Break/Visit Exhibits10:30 am - 11:30 am Closing Session11:30 am - 12:00 pm Award Presentations12:00 pm AdjournPHARMACOLOGY FLY-INPharmacology credits available. Additional fee applies.12:00 pm - 1:00 pm Lunch/Registration1:00 pm - 3:00 pm Pharmacology Workshop3:00 pm - 3:30 pm Coffee Break/Visit Exhibits3:30 pm - 5:00 pm Pharmacology Workshop5:00 pm - 6:00 pm Closing reception

Early Bird registration now open*Members: $425 Non-members: $550

*Price for full convention registration. Additional registration options available online.Pharmacology Fly-In requires additional registration fee.

www.svnnet.org

TUESDAY, APRIL 28, 20152:00 pm - 6:00 pm Exhibitor Set-Up5:00 pm - 6:00 pm New Member/First Time

Attendee ReceptionWEDNESDAY, APRIL 29, 20157:00 am - 8:00 am Continental Breakfast

(Exhibit Hall Opens)8:15 am - 9:15 am Keynote Speaker9:15 am - 10:15 am General Session10:15 am - 10:45 am Coffee Break/Visit Exhibits10:45 am - 11:45 am General Session11:45 am - 1:15 pm Member Business Lunch Meeting1:15 pm - 1:30 pm Coffee Break/Visit Exhibits1:30 pm - 3:00 pm General Session3:00 pm - 3:30 pm Coffee Break/Visit Exhibits3:30 pm - 5:00 pm Breakout sessions5:15 pm - 6:00 pm Committee, Task Force, Chapter Social6:00 pm - 7:30 pm Welcome Reception/Visit ExhibitsTHURSDAY, APRIL 30, 20157:00 am - 8:15 am Exhibit Hall Opens8:00 am - 9:00 am Invited Speaker9:00 am - 10:00 am General Session10:00 am - 10:30 am Coffee Break/Visit Exhibits10:30 am - 12:00 pm General Session12:00 pm - 1:30 pm President’s Luncheon1:45 pm - 2:30 pm Breakout Session3:15 pm - 3:45 pm Coffee Break/Visit Exhibits3:45 pm- 5:00 pm General SessionFRIDAY, MAY 1, 20157:00 am - 8:15 am Exhibit Hall Opens8:00 am - 9:00 am Invited Speaker9:00 am - 10:00 am General Session10:00 am - 10:30 am Coffee Break/Visit Exhibits10:30 am - 11:30 am Closing Session11:30 am - 12:00 pm Award Presentations12:00 pm AdjournPHARMACOLOGY FLY-INPharmacology credits available. Additional fee applies.12:00 pm - 1:00 pm Lunch/Registration1:00 pm - 3:00 pm Pharmacology Workshop3:00 pm - 3:30 pm Coffee Break/Visit Exhibits3:30 pm - 5:00 pm Pharmacology Workshop5:00 pm - 6:00 pm Closing reception

Early Bird registration now open*Members: $425 Non-members: $550

*Price for full convention registration. Additional registration options available online.Pharmacology Fly-In requires additional registration fee.

www.svnnet.org

TUESDAY, APRIL 28, 20152:00 pm - 6:00 pm Exhibitor Set-Up5:00 pm - 6:00 pm New Member/First Time

Attendee ReceptionWEDNESDAY, APRIL 29, 20157:00 am - 8:00 am Continental Breakfast

(Exhibit Hall Opens)8:15 am - 9:15 am Keynote Speaker9:15 am - 10:15 am General Session10:15 am - 10:45 am Coffee Break/Visit Exhibits10:45 am - 11:45 am General Session11:45 am - 1:15 pm Member Business Lunch Meeting1:15 pm - 1:30 pm Coffee Break/Visit Exhibits1:30 pm - 3:00 pm General Session3:00 pm - 3:30 pm Coffee Break/Visit Exhibits3:30 pm - 5:00 pm Breakout sessions5:15 pm - 6:00 pm Committee, Task Force, Chapter Social6:00 pm - 7:30 pm Welcome Reception/Visit ExhibitsTHURSDAY, APRIL 30, 20157:00 am - 8:15 am Exhibit Hall Opens8:00 am - 9:00 am Invited Speaker9:00 am - 10:00 am General Session10:00 am - 10:30 am Coffee Break/Visit Exhibits10:30 am - 12:00 pm General Session12:00 pm - 1:30 pm President’s Luncheon1:45 pm - 2:30 pm Breakout Session3:15 pm - 3:45 pm Coffee Break/Visit Exhibits3:45 pm- 5:00 pm General SessionFRIDAY, MAY 1, 20157:00 am - 8:15 am Exhibit Hall Opens8:00 am - 9:00 am Invited Speaker9:00 am - 10:00 am General Session10:00 am - 10:30 am Coffee Break/Visit Exhibits10:30 am - 11:30 am Closing Session11:30 am - 12:00 pm Award Presentations12:00 pm AdjournPHARMACOLOGY FLY-INPharmacology credits available. Additional fee applies.12:00 pm - 1:00 pm Lunch/Registration1:00 pm - 3:00 pm Pharmacology Workshop3:00 pm - 3:30 pm Coffee Break/Visit Exhibits3:30 pm - 5:00 pm Pharmacology Workshop5:00 pm - 6:00 pm Closing reception

Early Bird registration now open*Members: $425 Non-members: $550

*Price for full convention registration. Additional registration options available online.Pharmacology Fly-In requires additional registration fee.

www.svnnet.org

12

www.svnnet.org

CALL FOR PAPERSjournal of

Issue planned for release early summer 2015

Description:

The Journal of Vascular Nursing provides nurses and other health care professionals with information to foster expert clinical practice in vascular nursing. This special issue on Venous Disease and Vascular Nursing will focus on common vascular disorders, new evidence-based guidelines and will include articles on the following: • DVT and VTE• Post thrombotic Syndromes• Compression Syndromes • Congenital Vascular Disorders• Pharmacologic agents and treatment options• Surgical and Non-surgical treatment options• Varicose Vein treatments• New Wound Care treatments

SPECIAL ISSUE 2015: VENOUS DISEASE AND VASCULAR NURSING

VASCULAR NURSING

Contact:

Editor: Cynthia Lewis MSN, RN, ACNS-BC welcomes any topic queries and can be reached at [email protected]

Submission deadline date: December 15, 2014