March 2023 • Volume 17, No. #3

From the Editor

March is, among other things, Bleeding Disorders Awareness Month – as in genetic bleeding disorders that get in the way of clotting, like hemophilia and von Willebrand disease. Although bleeding disorders affect only about 1% of the population, the longer you work in this field, the greater the chances a past patient on your table has been or a future patient will be from that 1% minority.

Our Student in the Spotlight is Troy Frazier, FNP-BC, of Overland Park, KS.

And scroll down for jobs we’ve collected for you as well as NIFA’s favorite links.

Enjoy!


Julie Lancaster, Editor

Photo by Roger Brown on pexels.com

Bleeding Disorders

Here are a couple of links that will give you a general orientation to the topic of bleeding disorders:


Related News

New insight into the way blood vessels are made

Researchers from the Indiana Center for Regenerative Medicine and Engineering (ICRME) have identified a type of cell in the human and mouse body, called the vasculogenic fibroblast, that provides critical insight into how new blood vessels can be made when needed for treatment. . . .

When someone is injured, the body starts developing vasculogenic fibroblasts that make new blood vessels to heal tissue. But in some patients, such as those with diabetes, the ability to make these specialized cells is blunted. In lab models, the research team used their tissue nanotransfection (TNT) technology for tissue reprogramming to replenish vasculogenic fibroblasts in diabetic tissue. This led to improved blood flow and improved diabetic wound closure.

Read the news release from Indiana University School of Medicine…

Treating a mysterious illness

Two years after identifying VEXAS syndrome, a rare inflammatory condition due to a mutation in blood cells, researchers are studying a potential cure.
Read more…

McMaster University researchers study potential hemophilia treatment

A global study involving McMaster University researchers has trialled a potential new treatment that could be a game-changer for people living with hemophilia A, a life-threatening genetic blood disorder.
Read more…

Photo by National Cancer Institute on Unsplash

Journal Articles

How to manage bleeding disorders in aging patients needing surgery

With improvements in medical care, the life expectancy of patients with bleeding disorders is at risk of age-related comorbidities and in need of various elective and emergent age-related procedures. The increased risk of thrombosis and volume overload in older adults complicates perioperative hemostatic management. Article in the journal Hematology, Dec. 10, 2021.
Read more…

Surgery in patients with inherited bleeding disorders

Scientific article in the journal Anaesthesia, first published in Dec. 2014.
Read more…

Bleeding risk of surgery and its prevention in patients with inherited platelet disorders

Excessive bleeding at surgery is a feared complication in patients with inherited platelet disorders. However, very few studies have evaluated the frequency of surgical bleeding in these hemorrhagic disorders. The researchers performed a worldwide, multicentric, retrospective study to assess the bleeding complications of surgery, the preventive and therapeutic approaches adopted, and their efficacy in patients with inherited platelet disorders: the Surgery in Platelet disorders And Therapeutic Approach (SPATA) study. Published in Haematologica, July 2017.
Read more…


Videos

Managing Bleeding During Robotic Surgery.

Skills and techniques for managing bleeding during robotic surgery. From Society of American Gastrointestinal and Endoscopic Surgeons, a presentation from the SAGES Annual Meeting in August 2021.
Watch video . . .

 

Advancements in Treatment for Bleeding Disorders.

These are exciting times in bleeding disorders research, with new treatment options on the horizon. Learn about the latest results of various phases of clinical trials on gene therapies and innovative therapies, and other new treatment options to see what the future holds for the treatment of bleeding disorders. From the National Hemophilia Foundation.
Watch video . . .

 


Student Spotlight: Troy Frazier

Credentials
FNP-BC

Student Status
Current student in NIFA’s RNFA program

City & State
Overland Park, KS

Current Position
Ambulatory Orthopedic Clinic NP. I see acute orthopedic injuries, inspect, diagnose and prescribe treatment for patients.

Why did you choose nursing in the first place?
I was at an impasse in my personal journey. I wanted to have a career that would satisfy my desire to help people be a better version of themselves as well as be able to end my career knowing I contributed to that. Once I began nursing, I wanted to advance my education. I went back to school and received my MSN FNP. I look forward to continue learning and improving as an RN and an NP.

Where did you get your RN degree?
Midamerica Nazarene University, Olathe, KS.

How did you come to choose perioperative nursing?
As a new NP, my hospital encouraged me to take the course to assist in the OR.

What is one technique or RNFA trick you’ve learned from NIFA that you will use for life?
Two-hand tie.

How do you feel having your RNFA will impact your life/career?
It will make me a valuable asset to my team. Being able to first assist will also help the surgeon do his or her job well.


Jobs Front

Click here for the RNFA job postings we’ve collected for you this month.


NIFA – Office Hours

Monday-Thursday, 8:00am – 5:00pm
Friday, 8:00am – 4:00pm


Practice Resources

Here are several of the most-in-demand sites for our students, prospective students and grads:


MD Edge Surgery News: Specialty News and Commentaries, Videos and More
RNFA Scope of Practice by State (PDF)
ACS List of Cases that Require an Assistant at Surgery, 2020 (PDF)
Perioperative Nurse Links (state nursing boards & professional associations)
APRN Nurse Links

Disclaimer: The views expressed in this newsletter are strictly those of their respective authors and do not necessarily represent the views of NIFA. NIFA does not give any express or implied warranty as to the accuracy of statements made by our contributors and does not accept any liability for error or omission. It is the responsibility of all perioperative personnel to work within and adhere to their facility bylaws and individual scope of practice.