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Updating Practices in an Evolving IV Iron and Anemia Environment: Practical Solutions
(Vol 34/No. 5. On-line test expires: 10/20/2009)
To receive continuing education credit, you must read the information in this article and take an on-line post test and fill out an on-line program evaluation form. The certificate will then be generated for you as a .pdf file which you can print out locally on your computer.

CE Certification by ANNA requires a handling charge that must be paid by credit card. Pricing information is available by clicking on the "Post-Test Evaluation" link below.
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  AUTHOR
Richard Amerling, MD
Richard Amerling, MD, is Associate Professor of Clinical Medicine, Albert Einstein College of Medicine, New York, NY, and Director, Outpatient Dialysis and CRRT, Beth Israel Medical Center, New York, NY. He disclosed that he is on the Consultant Presenter Bureau for Amgen, Inc., Ortho Biotech, and Watson Pharma, Inc.
Andrea Easom, MA, MNSc, APN, BC, CNNNP
Andrea Easom, MA, MNSc, APN, BC, CNNNP, is an Instructor, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR. She is President and State Legislative Director of ANNA’s Arkansas Chapter. The author disclosed that she is on the Consultant Presenter Bureau for Amgen, Inc. and Watson Pharma, Inc.
Peter Juergensen, PA-C
Peter Juergensen, PA-C, is a Physician Assistant – Nephrology, Metabolism Associates, Yale University School of Medicine, New Haven, CT. The author has disclosed that he receives grant/research support from Watson Pharma, Inc.
  OUTLINE

The latest considerations in the management of iron-deficiency anemia in patients on hemodialysis have centered on the updated guidelines and recommendations issued by the National Kidney Foundation, with interest on appropriate hemoglobin and serum ferritin targets. With practices evolving in the anemia environment, it is necessary for nurses to stay informed of new evidence-based data and practical solutions to improve patient outcomes. This underscores the importance of a team approach to managing anemia and balanced therapy with intravenous iron and erythropoiesis-stimulating agents. A symposium held during the 2007 annual meeting of the American Nephrology Nurses’ Association addressed these issues. This article is based on the presentations and discussions from that symposium.

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  CE RELATED INFORMATION
This offering for 1.5 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA), which is accredited as a provider and approver of continuing education in nursing by the American Nurses’ Credentialing Center-Commission on Accreditation (ANCCCOA). This educational activity is approved by most states and specialty organizations that recognize the ANCC-COA accreditation process. ANNA is an approved provider of continuing education in nursing by the California Board of Registered Nursing, BRN Provider No. 00910; and the Kansas State Board of Nursing, Provider No. LT0148-0738. This offering is accepted for RN and LPN relicensure in Kansas

  EDUCATIONAL OBJECTIVES

Goal:
To update understanding of the guidelines and recommendations for management of iron-deficiency anemia in patients on hemodialysis.

Objectives:
1. Examine how a facility’s staff, including RNs, MDs, PAs, and dietitians, can take a collaborative approach to updating anemia management practices.
2. Identify strategies for implementing a maintenance IV iron protocol to improve patient outcomes.
3. Discuss emerging information on ESA and IV iron therapies and its impact on treating hemodialysis patients with anemia.

AUTHOR DISCLOSURE STATEMENT
Richard Amerling has no conflicts of interest to disclose.
Andrea Easom has no conflicts of interest to disclose.
Peter Juergensen has no conflicts of interest to disclose.

 ANNA and HDCN CE POLICY STATEMENTS

The CE policy and disclosure statements of the American Nephrology Nurses' Association are given in detail on the Symposium Home Page. The CE policy statements of HDCN are listed on this page.