Do all nurses need 20/20 vision?

Vision loss is a reality for some nurses. Does it mean the end of a career in nursing? First-person accounts reveal that technology, self-awareness, reasonable accommodations and colleague support are key factors in continued practice for nurses with vision loss.

Software that reads or magnifies the computer screen, lightweight portable magnifiers, electronic note takers, small hand-held recorders, special reading glasses, talking thermometers, scales and blood pressure monitors and Braille, talking or smartwatches are helping nurses with vision loss continue to practice.

Workplace accommodations are also helping nursing with vision loss. Adjustments to lighting, job sharing, and trading tasks with willing co-workers, moving into teaching or patient education are examples.

Nurses with vision loss are working in a wide range of areas from administration to education, telephone triage, labor & delivery, senior daycare, intensive care, and program services. Some have become entrepreneurs.

Leora Heifetz works as a registered nurse on a labor and delivery unit in a level three hospital in the Chicago Metropolitan area. She uses intense lighting to start IVs and reports, "when drawing up a medication, I hold the bottle and syringe close enough so that I can see. If I am ever unsure, I do not hesitate to ask a coworker for assistance or to double-check my work" (American Foundation for the Blind).

Detra Bannister, RN worked as a surgical, community and school nurse. She is now employed as a Career Connect employment specialist for the American Foundation for the Blind. In her role, she works with nurses and others with vision loss. The Career Connect program provides articles, mentors, career guidance and job seeking skills.

Barbara Sainitzer, RN progressively lost vision due to macular degeneration. She went on to get a master's degree in nursing and was later appointed to the governor of the state of Washington's Committee on Disability Issues and Employment. She also volunteers for the Washington Council of the Blind and serves on the environmental access committee. Barbara states, although people with vision loss many not be able to "see" the details of a perfect sunset, they do have "vision" and can continue to serve and contribute to society (Sainitzer, 2014 p.108).

Susan Nordemo, RN has vision loss from a congenital condition called coloboma. She had good corrected vision until she was diagnosed with cataracts as a result of 30 years of smoking. Her vision dramatically changed for the worse. Susan moved forward and worked with her state department of low vision. They provided her with a job coach, a zoom text program for her computer and large labels for her keyboard. Soon after, Susan landed a job as a nurse doing telephone triage. In addition, she continues to maintain her business "Monarch Health Coaching" providing hypnosis, Reiki and Emotional Freedom Technique (Nordemo, 2014).

Mary Tozzo, RN lost vision due to retinitis pigmentosis. She works as a clinical nurse educator and teaches orientation and continuing education classes. In addition, she is the designated certified diabetes educator and provides both inpatient and outpatient diabetes education (Tozzo, 2006).

Buttrell (2007) conducted a study of nurses who are blind for her master's thesis. She found that blind nurses are diversifying the nursing workforce and creating an opportunity to challenge those within nursing to focus on abilities and nurses as knowledge workers rather than categorizing or limiting people by their disability (p.33).

In summary, technology, reasonable accommodations, colleague support, self-advocacy and self-awareness are keys to success for nurses with vision loss to practice.

Please feel free to comment, share experiences, technology and resources related to this topic.

References

American Foundation for the Blind. Profile of Leora Heifetz, Labor and Delivery Nurse. Accessed on August 25, 2015 Career Profile of a Nurse with Low Vision - American Foundation for the Blind

Buttrell, S. (2007). Nurses with disabilities: A phenomenological study of nurses who are blind. Accessed on August 25, 2015 CiteSeerX - NURSES WITH DISABILITIES: A PHENOMENOLOGICAL STUDY OF NURSES WHO ARE BLIND Abstract

Nordemo, S. (2014). In D. Maheady (Ed.), The Exceptional Nurse: Tales from the trenches of truly resilient nurses working with disabilities. CreateSpace Independent Publishing Platform.

Sainitzer, B. (2014). In D. Maheady (Ed.), The Exceptional Nurse: Tales from the trenches of truly resilient nurses working with disabilities. CreateSpace Independent Publishing Platform.

Tozzo, M. (2006). In D. Maheady, Leave No Nurse Behind: Nurses working with disAbilities. Lincoln, NE: iUniverse, Inc.

Resources

  1. AFB CareerConnect: For Job Seekers Who Are Blind or Visually Impaired - American Foundation for the Blind
  2. Exceptional Nurse
  3. Accommodating Nurses with Disabilities
Specializes in Pediatrics, developmental disabilities.
I work in ophthalmology, highly specialized in retinal diseases =) We treat the problems mentioned in the article every single day!

Do you ever see nurses as patients?

Requiring 20/20 vision would exclude a good number of nurses already practising. However, patient safety is the first priority and if a nurse needs extra visual aids (apart from prescription glasses) to carry out her job she should not be in clinical practise.

Specializes in Pediatrics, developmental disabilities.
Thanks for writing this! I am not blind, but my vision has not been good. Though it may seem strange, even though I am thankful for the sight I have now, I have always thought that if I ever was blind, it would not be a disability, but a challenge.

I have already experienced difficulty during my clinical rotations at a hospital. It is so hard to see the computer screen and med labels as I am with my nurse. Another issue I deal with is during physical assessment, my eyes don't track well, so testing for PERRLA in someone else is a challenge!

It is very interesting to see the new technology that comes out to assist nurses with disabilities. I have also read of women in time past who were nurses, like Fanny Crosby (a blind music composer), who nursed without all of the technology we have today. That would have been a challenge!

Just writing to encourage all nurses who might have any eyesight issues: it can be overcome! I will still have to find options that I can work with, but I will find them nonetheless.

Thanks so much for commenting. Love your spirit!

Specializes in Pediatrics, developmental disabilities.
Requiring 20/20 vision would exclude a good number of nurses already practising. However, patient safety is the first priority and if a nurse needs extra visual aids (apart from prescription glasses) to carry out her job she should not be in clinical practise.

Patient safety has to always come first. But what about working in other areas of nursing practice?

Specializes in Pediatrics, developmental disabilities.
I did not say anything to HR. I guess I was scared silent. Also, I felt if they would never really trust me. I am working in home card, but would very much like to do acute care. Having a hard time getting another hospital job.

Hang in there! Could you try a per diem position?

I would like to see more articles on hearing loss and how difficult it is to adjust to the ridiculing comments and jokes and also how to find better instruments to help us do our job. I have been searching for stethoscopes for quite some time and finally am going to have to replace my hearing aides with blue tooth capability so I can use a $500. bluetooth scope.

Specializes in Pediatrics, developmental disabilities.

Have you connected with the Association of Medical Professionals with Hearing Loss?

Donna,

I love that one... 'scared silent'.

I was diagnosed with a malignant choroidal melanoma just after my first job orientation on the tele unit at a large hospital. I did not know if I should tell my employer or not so I did tell my preceptor and asked her advice. She immediately hugged me (knowing this was my first nursing job, and that I had a 6-year-old and 1-year-old at home), told me to tell the DON because "I would need all the help that they could give me to get through the months ahead." I believed her and told.

The DON expressed her sympathy, stating that they would do whatever they could to help me through. Then, I was called into HR, told that they would not be able to give me the time off for my illness and hold my job so it would reflect best for me if I quit...after all "It wouldn't look good if you were fired from your first nursing job." So much for being supportive and yes, I was too young, naive and scared for my health to even consider what they said and did to me. I was "scared silent" and quit.

I am referring to nurses working in clinical areas where they need to be able to read accurately medication labels, syringe amounts that type of thing. For nurses unable to do this, then there is nursing education, ptient education, occ health, management etc where skills can be utilised. It is probably no different to a nurse with a bad back or some other type of physical restriction which precludes her/him from 'hands on' patient care.