Services We Provide

Nurse practitioners at the NIH work in versatile rolesin a variety of settings both autonomously and incollaboration with others. Services include managingthe care of inpatients and outpatients, serving as consultants, performing data analysis, and serving asprincipal and associate investigators of researchprotocols.

Where We Practice

Throughout 15 institutes and centers, in specialties such as:

• Cardiology Occupational Medicine• Clinical Cancer Genetics Oncology• Critical Care Medicine Oncology/Immunology• Endocrine Otolaryngology• Environmental Health Pediatrics• Gastroenterology Pediatric Diabetes • Hematology Pediatric Endocrinology• Pain and Palliative Care Pediatric Genetics • Infection Disease and Immunology Pediatric Oncology • Internal Medicine Pediatric Rheumatology • Medical Genetics Pulmonology • Nephrology Psychiatry• Neuroimmunology Radiology • Neurology Rheumatology• Neuro-Oncology Undiagnosed Diseases• Nursing Research Women’s Health

Our History The Pediatric Branch of the National Cancer Institute (NCI)

was the first to hire Nurse Practitioners (NPs) in the early 1980s. Several years later, the AIDS epidemic led to an expansion of the pediatric program, and the hiring of more NPs. Working in collaboration with a senior attending and a full-time pediatrician they provided medical care for children enrolled in human immunodeficiency virus (HIV) treatment protocols in both the clinic and inpatient setting.

In 1992, the NCI’s Medicine Branch integrated NPs into its clinical fellowship program. With downsizing of the fellowship program, more NPs were hired. Over the next few years, NPs were established in a variety of settings including: gynecology, rheumatology, endocrinology, pulmonology, cardiology, psychiatry, nuclear medicine, and infectious disease. Each new NP brings to the role a unique variation in his or her practice.

In 1996 there were approximately seven NPs at the NIH, currently there are over 100.

Professional Affiliations• American Academy of Nurse Practitioners • American College of Nurse Practitioners• American Medical Writers Association• American Association of Diabetes Educators• American Association of Critical Care Nurses• American Association of Neuroscience Nurses• Association of Military Surgeons of the United States• Association for Practitioners in Infection Control• Commissioned Officers Association of America• International Organization of MS Nurses• National Association of Pediatric Nurse Practitioners and Associates• Nurse Practitioner Association of Maryland• Oncology Nursing Society• Sigma Theta Tau• Society for Integrated Oncology• Society of Otorhinolaryngology, Head & Neck Nurses, Inc.

Nurse Practitioners at the NIH

Partners in Clinical Care and Biomedical Research

Publications/Presentations • Cochran E. U-500 Insulin: When more with less yields success. Diabetes

Spectrum 2009, in press.

• Yauger BJ, Gorden P, Park J, Cochran E., Stratton P. Effect of depot medroxyprogesterone acetate on glucose tolerance in generalized lipodystrophy. Obstet Gynecol 2008 Aug; 112(2 Pt2): 445-7.

• Fenton, K., Funkhouser-James, A. (2008) Keppra in Status Epilepticus. Presented at the Annual Meeting of the American Association of Neuroscience Nurses. Nashville, Tennessee.

• Goldstein, D.S., Sewell, L.S. Olfactory Dysfunction in Pure Autonomic Failure: Implications for the Pathogenesis of Lewy Body Diseases. Parkinson Related Disorders (in press).

• Henderson W.A., Taylor TJ, Shankar RS, Gill JM, Kleiner DE, & Youssef NN. Interleukin-6, Mast Cell, and 5-HT Correlation with Abdominal Pain Intensity in a Pediatric Cohort. Accepted to 2009 Digestive Diseases Week International Meeting, May- June, 2009. Chicago, Illinois.

• Konchan, C. "Liability Issues Related to Pediatric Immunizations," presented at the Dallas Area Infant Immunization Coalition Conference, April 2001, in Dallas, Texas.

• Lee, C. Cancer Complementary and Alternative Medicine: Principles & Practices of Common Modalities (May 2008, Oncology Nursing Society: Session Coordinator and Presenter, Oncology Nursing Society (Full Day).

• Loud J., Thie baut ACM, Abati A, Filie A, Nichols K, Danforth D, Giusti R, Prindiville S, Greene M. Ductal Lavage in Women from BRCA1/2 Families: Is there a future for ductal lavage in women at increased genetic risk of breast cancer? Cancer Epidemiol Biomarkers Prev first published on March 31, 2009 as doi:10.1158/1055-9965.EPI-08-0795.

• Munro, N. (2009). Hematologic complications of critical illness: Anemia, neutropenia, thrombocytopenia and more. AACN Advanced Critical Care. In press.

• Ohayon, J., Auh, S., McFarland, H., Cantor, F. Does disease activity as measured by contrast enhancing lesions in multiple sclerosis reflect a seasonal variation? American Academy of Neurology, Chicago. April 2008. Poster Presentation.

• Rudy, S.F. (2007). Of Specialty Interest: Working effectively with live language interpreters. ORL-Head and Neck Nursing, 25(4), 17-21.

• Rudy, S. (3/2008). Lessons Learned from an Endoscope Cross Contamination Sentinel Event. New Trends in ORL Nursing. Towson, MD: Maryland / D.C. Chapter of SOHN Spring Meeting.

• Rump, A. Use of Posaconazole for Airway Fungi in Pulmonary Nontuberculous Mycobacteria Patients. Abstract accepted by the American Thoracic Society. Presentation 5/2009, San Diego, CA.

Media Appearances

Joan Ohayon, CRNP, MSCN, NIH/NINDS/Neuroimmunology. Guest speaker on NBC's ViewPoint; Today's Health, Montgomery Municipal Cable 16; The Harris Group, Taking the Dis out of Disability, Fairfax Cable Access Talkshow.

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