Volume 19, Issue 3, January 2009
Coordinator's Message
Nurse Practitioners Authorized to Certify and Make a Difference

Barbara Biedrzycki, RN, MSN, AOCNP®, CRNP
Baltimore, MD

In Maryland, nurse practitioners (NPs) recently expanded our scope of practice. Through the lobbying and educational efforts of NPs within our state, the bill known as “Nurse Practitioners—Authority to Certify” was passed by the state legislation and later signed into law by our Governor. As of October 1, 2008, NPs in Maryland can sign many health-related documents that they couldn’t previously. This includes certificates for birth, death, and do not resuscitate (DNR); medical care orders; initial emergency voluntary commitments; pregnant minors to marry; and handicapped parking tags. The bill also included a couple of other items that granted NPs more authority, such as serving as witnesses to Advanced Directives and conducting the Insect Sting Emergency Treatment Program. My reason for sharing this with you is three-fold.

First, within Maryland law, a few of our expanded abilities are more pertinent to oncology NPs than others. For example, although I do not think I will ever certify a pregnant minor to marry, I am very pleased that NPs in Maryland now can do this. However, I am very pleased that now I can sign DNR orders. It definitely required a group effort, which was very important because NPs are a minority within the healthcare world and even within nursing. As a part of the even smaller group of oncology NPs, we need to be cognizant of the issues not only facing us but also those of our colleagues. Resolution of issues facing our NP colleagues not only brings recognition of the quality services NPs provide but also provides more unity within our profession.

The second point I would like to share is that our practices vary greatly among the states. Although I am so excited that Maryland NPs now have the authority to certify for many new conditions, I realize that some of you already had this authority and others have not yet begun work on that legislation. We can benefit from collaborating, and the NP SIG can help. Consider sharing your experiences of gaining or pursuing new authority within your state.

Third, as a novice NP, I enjoyed crossing out the “M.D.” on preprinted prescription pads. I thought we could sign for just about anything that MDs could as long as it was within the NPs scope of practice. How is a novice NP to know all of the boundaries? Wouldn’t it be okay to just put a line through the preprinted MD, and write NP on death and birth certificates and DNR forms like we do on preprinted scripts?

Seasoned NPs are probably gasping now. Recently, I shared my ignorance as a novice NP with my state NP group, and based on their gasps, I decided not to put the full disclosure in writing to make the point. But, you get my point, right?

Prescription pads should not be preprinted with MD! Advertisements should not say “Ask your doctor”! Write to your NP SIG and share your experiences with discriminatory language.

As mentioned earlier, we have strength in numbers. We need to advocate together for change. Do you consider it a hassle or an insult that you need to mark out “M.D.” on preprinted prescription pads or other preprinted documents? Write and tell us about your experiences. We would not put anything into the NP SIG Newsletter or disclose your information to anyone without your permission. Do you want to make a difference in discriminatory language? Let’s start a workgroup to focus on it now. Perhaps we can start by drafting a letter which NP SIG members could send to their administrators requesting a change in the preprinted prescription pads and other documents. Are you with me on this?

The Nurse Practitioner SIG Newsletter is produced by members of the
Nurse Practitioner SIG and ONS staff and is not a peer-reviewed publication.

Special Interest Group Newsletter  January 2009

Coordinator-Elect’s Message
Standardized Nurse Practitioner Protocols—What Are They? Do We Need Them?

Christa Braun-Inglis, APRN-BC, MS, FNP, AOCNP®
Honolulu, HI

Recently, I have been thinking a lot about protocols. Maybe this is because I’ve been asked to speak about them at a conference. Protocols have always perplexed me, or should I say “nurse practitioner (NP) standardized protocols” have always perplexed me. Technically, protocols are documents that guide our practice, but, if incorrect language is used they truly can limit your practice. Many states require that protocols be in place for NPs to practice.

Different types of protocols exist, but most protocols are diagnosis driven. I find these difficult to follow. Why, you may ask? Because so many different diagnoses and practice situations exist, it is almost impossible to follow standardized guidelines for each diagnosis. For example, when treating chemotherapy induced nausea and vomiting one would most likely approach an elderly man receiving a moderately emetogenic chemotherapy regimen differently than a young anxious woman. However, if a protocol is in place, technically speaking you are supposed to follow it. I believe such a document could be quite limiting to my practice.

As I was researching the subject, I came across a different type of protocol called a process protocol. Process protocols identify the process involved in practicing as an NP. The process allows for more freedom and adaptation in your practice. Process protocols establish only a general framework for your practice and then allow you to incorporate resources as you see fit. This type of protocol makes a lot of sense to me because we all follow some sort of process in our decision making, but we don’t all treat the same way. I believe process protocols give you more freedom to individualize care.

I think standardized diagnostic protocols can be very helpful to our practice especially if you are a novice NP or are dealing with an issue that isn’t common to your practice. However, I do believe that the “process protocol” can lead you to the same answers or give you more current updated information. As we all know, oncology practice is changing continually, and we all need to keep up to date.

So, the next time you have a spare moment at work, find out if you have or even need protocols. If you do have them in place, inquire if they are diagnostic/procedure or process driven. Remember that they can be a helpful tool if created in the right way and are updated regularly, but also, don’t forget they can limit your practice as well. If NP standardized protocols are required in your state, you need to be aware of this as you are obligated to follow them. I hope after reading this you may have some ideas on how to update and change your workplace protocols to your practice advantage.

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Special Interest Group Newsletter  January 2009

Editor’s Message
Now You Know—Now You Can

Annette W. Kuck, RN, MS, CNP, AOCN®
Minneapolis, MN

“Now you know. Now you can.” is the logo of the C-Change initiative, which is working to empower people to take charge of their health and reduce cancer risks. C-Change is an organization comprised of the nation's key cancer leaders from government, business, and nonprofit sectors. ONS is working with C-Change to help spread the message about healthy living and screening.

As nurse practitioners, we are often in a position to educate our patients and their families about healthy lifestyle changes and cancer screenings. As more and more cancers are cured, we cannot forget to screen for other malignancies. I am constantly amazed when I read patient histories to see that they often have had a prior history of cancer. It is also my belief that family members tend to be more motivated to change behavior when a loved one is diagnosed with cancer. This initiative helps give us materials that are simple and effective because the cancer diagnosis is overwhelming to the family.

Learn more about C-Change. Additional information also can be obtained from ONS Public Relations Manager Jeanette Kent at jkent@ons.org.

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Special Interest Group Newsletter  January 2009

Share Your Expertise by Writing a Newsletter Article

The ONS Nurse Practitioner SIG Newsletter, posted three times a year, needs your expertise. We would like to include a clinically-based article with each posting (one that is not written by the editor). Please let us know if you are interested in writing a brief article for the next newsletter. The deadlines for submissions are May 15 and September 12, 2009. Please send contact information and topic ideas to the new editor, Megan Wholey, RNC, AOCNP®, at megan.wholey@verizon.net.

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Special Interest Group Newsletter  January 2009

Co-Editor’s Message
Choices and Challenges—Reflecting on Stress and Nurse Practitioner Practice

Megan Wholey, RNC, AOCNP®
Arlington, VA

We are all faced with the difficulties of working in a high-stress environment with (literally) lives in the balance as well as our clients’ high anxiety. Lately, I’ve taken note of the way that professional associations and activities outside of my primary work site reduce stress by providing an alternate world view and a reminder of the way the rest of the world turns. Changes in the work environment can provide both increased challenges and reduced stress especially when adjusting to the incorporation of a new electronic medical record (EMR). Voluntary participation in projects can bring a sense of team membership, which becomes an essential “intangible reward” similar to the gratitude of the patients and families we give care to at work.

Our community hospital (next door to the physician office building where I practice) has embarked on a quest to attain Magnet status. One consequence was the formation of various nursing councils to allow for communication, operational, and visionary input within that environment. NPs practicing on the campus were invited to participate, and it’s been a great way to network with the other advanced practice nurse (APNs) on the campus and to work together to plan for educational opportunities for hospital nurses. Our latest plan is a Nursing Grand Rounds focusing on exemplars of APN contribution to complicated patient experiences. We hope to follow several patients through several inpatient and outpatient departments to illustrate our roles. At the same time, graduate nursing schools in the area will be available with material on programs available at their sites. Online programs may be included as well.

Our office began using an EMR last month, and the learning curve has been steep—at times frustrating and at times exhilarating. It does take more time, but we will continue to learn the processes needed for most effective use. The great thing, of course, is that more than one person can “have the chart” at a time. Up to date information is available to the on-call MD nights and weekends, without need to wait for transcription offsite (the dictation can be listened to as soon as it’s been recorded). Repetitive tasks can be accomplished with checkmarks or “cut and paste”, and a list of previous problems and diagnoses is obtainable with a few moves of the mouse.

Three years ago, our local ONS chapter requested Susan G. Komen for the Cure grant money through ONS to start a Breast Cancer Retreat day we called “Now What?” aimed at those who had finished active first-line treatment (though could still be receiving adjuvant trastuzumab). I accepted an invitation to speak on dealing with peri-menopausal symptoms and thoroughly enjoyed the experience. This past year I worked with 10–12 chapter members on the retreat planning committee. A full third of our 100+ member chapter turned out to lend assistance on the retreat day—it was an inspiring experience just begging to be replicated for all of our patients.

What activities keep you fresh and positive for your day-to-day work? We’d love to share them in future columns, so please let us know!

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Special Interest Group Newsletter  January 2009

Advocacy Corner
Speak Out For Oncology Nurse Practitioners

Debra Evans, MSN, AOCNP®
Hermitage, PA

Returning home from ONS Congress last May, I was physically exhausted yet professionally reenergized. Congress is always a wonderful opportunity to network with colleagues and glean new clinical knowledge from others’ experiences.

I attended excellent clinical presentations, some of which were given by fellow advanced practice nurses (APNs). That APNs comprise a smaller percentage of Congress attendance came as no surprise, but I made some other interesting observations too. First, in all the sessions I attended, not even one speaker used nurse practitioners (NPs) in their case studies (i.e., “Mrs. Jones is seen by the medical oncologist and reports…”, “at his last doctor visit, Mr. Smith complained of…”). Next, I failed to hear any mention of the NP’s role during treatment and management discussion. Nursing responsibilities always are given, but why is the NP’s role typically overlooked?

Some might argue that when the term “doctor” is used it generally implies and encompasses APNs. Unfortunately, we know that is absolutely not the case with state and federal laws and insurance regulations. If these do not specifically state “nurse practitioner or advanced practice nurse” in the language, our scope of practice can be severely limited and our reimbursement denied. Many APNs are working tirelessly at the state and national levels to expand these statutes and rules. Pharmaceutical companies are being petitioned to change language in their marketing advertisements from "doctor" to more APN-friendly terms such as "healthcare provider" or "prescriber." Why then are we not doing more to promote advanced practice nursing and the NP role within our own specialty?

When I joined an oncology group in a small community hospital outpatient center five years ago, I was the first NP in this clinical setting. My physician colleagues quickly valued and supported my role. It was the support and respect of the oncology nursing staff that I had to work hardest to receive. Not one of these experienced oncology nurses had ever worked with a NP before or were familiar with the role. Those practicing in large cancer centers and teaching facilities may find this hard to comprehend but certainly many other oncology nurses across the country do not have a good understanding of the NP role or benefit from having one in their practice.

So what can we do to shine a spotlight on NPs and our advanced practice role within oncology nursing? For starters, we must remember that we are the face of advanced practice nursing to our nursing colleagues. Each one of us must educate our immediate colleagues about our scope of practice, the valuable role nurse practitioners play, and how we fit into the healthcare delivery system.

Visiting your statehouse or Capital Hill may not be possible for everyone but having an awareness of current legislative initiatives effecting oncology nurse practitioners is vital. Join ONStat to stay well informed and take action when requested. Closer to home, offer to speak at your local ONS chapter meetings about the role of APNs in the oncology setting. When giving clinical presentations, both locally and nationally, use NPs in your clinical case studies and address the NP role in treatment and patient care. Consider serving on committees within your institution that effect NP practice.

As NPs, we understand the importance of advocating for our patients, but we also must embrace the concept of advocating for our profession with other healthcare disciplines, including oncology nurses. No one else can speak out for oncology nurse practitioners with a voice as articulate and passionate as ours.

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Special Interest Group Newsletter  January 2009

Update on the Doctorate of Nursing Practice

Wendy H. Vogel, RN, MSN, FNP, AOCNP®
Bristol, TN

As most oncology advanced practice nurses (APNs) now know, the Doctorate of Nursing Practice (DNP) is a practice doctorate, an alternative to the research-focused doctorate. The American Association of Colleges of Nursing (AACN) adopted the position to change the entry level for advanced nursing practice from the master's degree to the doctoral level by the year 2015 (AACN, 2004). This has sparked much dialogue and controversy throughout the field of nursing. According to the AACN, multiple routes and mechanisms for obtaining this degree will exist, ultimately decided by each educational institution (AACN, 2008).

Some concerns exist about how the implementation of the DNP will affect specialty practices, such as ours in oncology. The DNP curriculum is conceptualized as having two components—eight essential foundational outcome competencies for all graduates of the DNP program and specialty competencies/content that is focused in a particular specialty (AACN, 2008). However, each educational institution has varying curricula and requirements. It remains to be seen how implementation of the DNP as entry level into advanced practice will affect oncology advanced nursing practice.

A common question that currently-practicing APNs have is “What will happen to currently masters’ prepared APNs?” The AACN is not a regulatory or legislative agency and, therefore, cannot require APNs to earn their DNPs (Apold, 2008). Requirements for licensure are determined by each individual state. Your license, once obtained, is considered a property right under state and federal law and will be renewed even if, in the interim, regulations regarding initial educational requirements have changed (Klein, 2008). A state could opt to change its requirements for licensure renewal with a change in the state law but cannot make this change retroactive to currently licensed individuals. Each APN must keep up with the current requirements in his or her own state.

Because each state defines advanced practice differently and varies in the scope of practice, moving from one state to another could conceivably present difficulties. The state could legally require the recently transplanted APN to possess a DNP to practice. Likewise, if your license is allowed to lapse, the new requirements for licensure would apply. This also would hold true for your Medicare or Medicaid billing number; if expired, you may be asked to renew under the new requirements. It behooves APNs to stay updated on Medicare and Medicaid rule-making notices.

Additional education for certification may be required by national certifying bodies such as the American Nurses Credentialing Center (ANCC) or the National Certification Corporation (NCC). If requirements for certification change, the certifying bodies will usually notify those who are currently certified as to coming expectations. At this time, the ANCC and NCC allow currently-certified members to renew certification under their original licenses and degrees as long as your certification has not lapsed.

Each of us, as APNs, need to participate in this discussion about the future of our profession. Both benefits and challenges exist in changing the entry level of advanced nursing practice. We must consider the effects of change on the nursing profession as a whole but also carefully consider potential effects on oncology advanced practice nursing.


AACN. (2004). AACN position statement on the practice doctorate in nursing. Retrieved September 17, 2008, from http://www.aacn.nche.edu/DNP/DNPPositionStatement.htm

AACN. (2008). Frequently asked questions, position statement on the practice doctorate in nursing. Retrieved September 17, 2008, from http://www.aacn.nche.edu/DNP/pdf/faq.pdf

Apold, S. (2008). The doctor of nursing practice: Looking back, moving forward. Journal for Nurse Practitioners, 4(2), 101–107.

Klein, T. (2008). What will happen to current master's prepared nurse practitioners when the DNP is required? Retrieved September 17, 2008, from http://www.medscape.com/viewarticle/570734

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Special Interest Group Newsletter  January 2009

Virtual Community News

Jennifer Wulff, RN, MN, ARNP, AOCNP®
Lynwood, WA

In the coming weeks and months look for some changes to the Virtual Community (VC). I look forward to adding a space to post profiles of oncology nurse practitioners and to explore their practices. I would like to explore how different and similar our roles are in the United States and around the world.

I also am working on some job descriptions to re-post on the VC. We had a few on the VC a couple of years ago, but they have been misplaced so we are working to get a new group of those together. If you have a job description you would like to share, please forward a copy to me so I may compile them.

Remember to check in to the VC to see what is going on. The calendar has conferences across the country, and is available to everyone. So, if you know of a great conference that would appeal to other oncology advance practice nurses, please post the information. This is really easy to do, and as you know, great conferences can be hard to find.

While you are in the VC, do not forget to check out the discussion page. The VC is for you, so if there is something you would like to see changed, please let me know at jwulff@u.washington.edu.
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Special Interest Group Newsletter  January 2009

National Nursing Organizations Join Together to Commission a Study of the Impact of Advanced Practice Registered Nurses on Healthcare Quality, Safety, and Effectiveness

Washington, DC, September 24, 2008—The Tri-Council for Nursing is collaborating with a number of national nursing organizations to commission a study of the impact Advanced Practice Registered Nurses (APRNs) have on healthcare quality and patient outcomes. The first comprehensive study of its kind in 20 years, researchers will examine the evidence connected to care provided by nurses in the four APRN roles—Clinical Nurse Specialists, Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners. Following a competitive process, Robin Newhouse, PhD, RN, CNAA, BC, CNOR, with the University of Maryland School of Nursing, has been selected as the principal investigator for this project. The transdisciplinary team members (named below) are from the University of Maryland and Johns Hopkins University.

“A sweeping review of the scientific literature on the quality, safety, and effectiveness of care provided by APRNs is needed to inform educational, policy, and organizational decisions,” said Dr. Newhouse. “Our team will evaluate the evidence on the outcomes of care provided by APRNs since 1990 objectively, define the effectiveness and limitations of APRNs, and determine the overall strength of the evidence on this important topic. I am looking forward to working with my team to provide a qualitative and quantitative synthesis of the evidence.”

Though APRNs have been linked to improved access to healthcare services, enhanced patient safety, and cost-effective care, a contemporary systematic review is needed to gauge the overall impact these providers are having in today’s healthcare system. In 1987, the federal Office of Technology Assessment conducted a meta-analysis of the quality and safety of care delivered by nurse practitioners, physician’s assistants, and certified nurse midwives. The overwhelming conclusion of that analysis was that these clinicians are highly skilled, knowledgeable, and effective providers of care. This study also concluded that a significant portion of the care needs of this country could be delivered by these clinicians. Since this study was released, no other national analysis of the growing body of research on APRN practice has been conducted.

This new research effort, titled An Assessment of the Safety, Quality, and Effectiveness of Care Provided by Advanced Practice Nurses, will culminate in an expansive final report that will summarize the latest data on APRNs as well as an article for publication in a peer-reviewed journal. This work is expected to be completed by January 2009. The organizations supporting this work understand the essential role APRNs play in the healthcare delivery system and recognize the ability of these clinicians to provide effective, high quality interventions.

The Tri-Council for Nursing, a long-standing alliance whose members include the American Association of Colleges of Nursing, American Nurses Association, American Organization of Nurse Executives, and National League for Nursing initiated this analysis of current APRN practice and associated outcomes. To date, 18 additional nursing organization have endorsed this work and provided the financial contributions needed to fund this sizable study. Supporting organizations include the following.

Academy of Medical-Surgical Nurses
American Association of Colleges of Nursing
American Association of Critical Care Nurses
American Association of Nurse Anesthetists
American College of Nurse Midwives
American Nephrology Nurses’ Association
American Nurses Association
American Nurses Credentialing Center
American Organization of Nurse Executives
Association of periOperative Registered Nurses 
Association of Women’s Health, Obstetric, and Neonatal Nurses
Commission on Graduates of Foreign Nursing Schools
Hospice and Palliative Nurses Association
National Association of Pediatric Nurse Practitioners
National Board for Certification of Hospice and Palliative Nurses
National Council of State Boards of Nursing
National League for Nursing
National Student Nurses Association
Nursing Economics Foundation
Oncology Nursing Society
Sigma Theta Tau
Society of Trauma Nurses

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Special Interest Group Newsletter  January 2009

News From ONS National

ONS 10th National Conference on Cancer Nursing Research, February 12–14, 2009 • Orlando, FL
The ONS 10th National Conference on Cancer Nursing Research is the most comprehensive cancer nursing research event of its kind. Here, researchers, doctoral students, clinical trials nurses, advanced practice nurses, and others gather to learn about current and emerging research issues, methods, and findings. Discover how to apply these findings to practice, education, research, and policy.

ONS Continuing Nursing Education Central Catalog
Grab the latest Continuing Nursing Education (CNE) Central Catalog now available free at ONS. This issue offers over 275 hours of CNE credited content and provides great information on ONS conferences, webcourses, monographs, podcasts, webcasts, and certification preparation, among other diverse learning tools and topics. The catalog now has a new look and convenient size and will be available only as supplies last. Get yours today on the ONS Web site.

New ONS Putting Evidence Into Practice® Cards Now Available!
The latest volume in the popular ONS PEP card series, volume 4, provides evidence-based nursing interventions for anorexia, anxiety, diarrhea, and lymphedema. You can find it on the ONS Web site.

ONS Connect Launches New Blog to Continue the Conversation
Join the online conversation as ONS Connect’s new blog, RE:Connect, brings together a diverse group of oncology nurses talking about life at work and at home.

When ONS’s monthly news magazine, ONS Connect, was redesigned in 2007, some of the intent was to address the interests of those new to the field and provide quick news and information to busy professionals. RE:Connect offers an extension of these goals by establishing an online community for readers to talk about issues and share experiences that they deal with on a daily basis. The RE:Connect blog was launched in November in conjunction with ONS’s annual Institutes of Learning and Advanced Practice Nursing Conference.

Five ONS members have been tapped to initiate the dialogue by posting to the blog on a regular basis.

  • Erin Elphee, RN, MN, CON(C), primary clinic nurse for Lymphoma and Malignant Hematology Disease Site Groups at CancerCare Manitoba in Winnipeg, Canada
  • Kimberly George, MSN, RN, ACNS-BC, OCN®, adult health CNS in Wichita Falls, TX
  • Jeanine Gordon, RN, MSN, OCN®, clinical nurse specialist/nurse manager from Brooklyn, NY
  • Jennifer K. Mitchell, MSN, APN-BC, GNP-BC, nurse practitioner with the Hematology and Stem Cell Transplant service at Vanderbilt University Medical Center in Nashville, TN
  • Kari Wujcik, nursing student at Belmont University and a nurse extern in the pediatric intensive care and cardiology units at Monroe Carell Jr. Children’s Hospital at Vanderbilt University

These bloggers will share their thoughts about day-to-day challenges at work, juggling busy lives at home, and keeping up to date with the magnitude of information available for practicing nurses. Readers are encouraged to join in on the conversation and connect with other oncology nurse readers by posting their own stories, tips, ideas, and suggestions in the comments section at the end of each blog post.

Check out RE:Connect today, and share this link with your friends and colleagues.

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Special Interest Group Newsletter  January 2009

Article of Interest
Nurse Practitioner SIG Members May Enjoy This Recently Published Article

Check out the Oncology Nursing Forum (ONF) for an interesting article about leadership and professional development.

For access to the full-text version of this and other ONF articles, visit the Publications area of the ONS Web site.

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Special Interest Group Newsletter  January 2009

Membership Information

SIG Membership Benefits

  • Network with colleagues in an identified subspecialty area around the country.
  • Contribute articles for your SIG’s newsletter.
  • Participate in discussions with other SIG members.
  • Contribute to the future path of the SIG.
  • Share your expertise.
  • Support and/or mentor a colleague.
  • Receive information about the latest advancements in treatments, clinical trials, etc.
  • Participate in ONS leadership by running for SIG coordinator-elect or join SIG work groups.
  • Acquire information with a click of a mouse at http://ons.org/membership including
    • Educational opportunities for your subspecialty
    • Education material on practice
    • Calls to action
    • News impacting or affecting your specific SIG
    • Newsletters
    • Communiqués
    • Meeting minutes.

Join a Virtual Community

A great way to stay connected to your SIG is to join its Virtual Community. It’s easy to do so. All you will need to do is

  • Log on to the ONS Web site (http://www.ons.org/).
  • Select "Membership" from the tabs above.
  • Then, click on "ONS Chapters and Special Interest Groups."
  • Scroll down to "Visit the ONS Special Interest Groups (SIG) Virtual Community" and click.
  • Now, select "Find a SIG."
  • Locate and click on the name of your SIG from the list of all ONS SIGs displayed.
  • Once the front page of your SIG’s Virtual Community appears on screen, select "New User" from the top left. (This allows you to create log-in credentials.)
  • Type the required information into the text fields as prompted.
  • Click "Join Group" (at the bottom right of the text fields) when done.

    Special Notices

    • If you already have log-in credentials generated from the ONS Web site, use this information instead of attempting to generate new information.
    • If you created log-in credentials for the ONS Web site and wish to have different log-in information, you will not be able to use the same e-mail address to generate your new credentials. Instead, use an alternate e-mail address.

Subscribe to Your SIG’s Virtual Community Discussion Forum
Once you have your log-in credentials, you are ready to subscribe to your SIG’s Virtual Community discussion forum. To do so,

  • Select "Log In," located next to "New User," and enter your information.
  • Next, click on the "Discussion" tab on the top right of the title bar.
  • Locate and select "Subscribe to Discussion"
  • Enter e-mail address.
  • Click "Finish."
  • You are now ready to begin participating in your SIG’s discussion forum.

Participate in Your SIG’s Virtual Community Discussion Forum

  • First, log in. (This allows others to identify you and enables you to receive notification [via e-mail] each time a response or new topic is posted.)
  • Click on "Discussion" from the top title bar.
  • Click on any posted topic to view contents and post responses.

Sign Up to Receive Your SIG’s Virtual Community Announcements
As an added feature, members also are able to register to receive their SIG’s announcements by e-mail.

  • From your SIG’s Virtual Community page, locate the "Sign Up Here to Receive Your SIG’s Announcements" section.
  • Select the "Click Here" feature, which will take you to a link to subscribe.
  • Once the "For Announcement Subscription Only" page appears select how you wish to receive your announcements.
    • As individual e-mails each time a new announcement is posted
    • One e-mail per day comprised of all new daily announcements posted
    • Opt-out, indicating that you will frequently browse your SIG’s Virtual Community page for new postings
  • Enter your e-mail address.
  • Click on "Next Page."
  • Click "Finish"
  • You are now subscribed to receive announcements.
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Special Interest Group Newsletter  January 2009

Nurse Practitioner SIG Officers

Coordinator (2007-2009)
Barbara Biedrzycki, RN, MSN, AOCNP®, CRNP
Baltimore, MD

Coordinator-Elect (2008-2009)
Christa Braun-Inglis, APRN-BC, MS, FNP, AOCNP®
Honolulu, HI
Annette W. Kuck, RN, MS, CNP, AOCN®
Minneapolis, MN

Megan Wholey, RNC, AOCNP®
Arlington, VA


Web Page Administrator
Jennifer Wulff, RN, MN, ARNP, AOCNP®
Lynwood, WA
Legislative Issues
Wendy H. Vogel, RN, MSN, FNP, AOCNP®
Bristol, TN

Barbara Biedrzycki, RN, MSN, AOCNP®, CRNP
Baltimore, MD

ONS Copy Editor
Emily Nalevanko, BA
Pittsburgh, PA

Know someone who would like to receive a print copy of this newsletter?
To print a copy of this newsletter from your home or office computer, click here or on the printer icon located on the SIG Newsletter front page. Print copies of each online SIG newsletter also are available through the ONS National Office. To have a copy mailed to you or another SIG member, contact Membership/Leadership Specialist Carol DeMarco at cdemarco@ons.org or 866-257-4ONS, ext. 6230.

To view past newsletters, click here.

ONS Membership/Leadership Team Contact Information

Angie Stengel, MS, CAE, Director of Membership/Leadership

Diane Scheuring, MBA, CAE, CMP, Manager of Member Services

Carol DeMarco, Membership/Leadership Specialist

The Oncology Nursing Society (ONS) does not assume responsibility for the opinions expressed and information provided by authors or by Special Interest Groups (SIGs). Acceptance of advertising or corporate support does not indicate or imply endorsement of the company or its products by ONS or the SIG. Web sites listed in the SIG newsletters are provided for information only. Hosts are responsible for their own content and availability.

Oncology Nursing Society
125 Enterprise Dr.
Pittsburgh, PA 15275-1214

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