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It is with mixed emotion that I write this last President’s Message as my term comes to a close. It has been an honor to serve this organization over the past year as President, and to work with the leadership on its Board of Directors. Together we made 2014 a successful year for ILSPAN. As an all-volunteer organization, the challenges are great, but the rewards are, like a credit card commercial, “priceless”. During the recent holidays, I had time to spend with friends and family and count my blessings. There is no group of people for whom I am more grateful, than you, the ILSPAN members. You have given me your confidence and an opportunity to serve.
This time of year provides a chance to look forward to opportunities that lie ahead. As we are busy making resolutions to improve ourselves and our lives, we must not ignore the challenges and changes that we are facing in our area of nursing practice. ILSPAN’s greatest strength is in its members and the volunteers who devote much of their time to make ILSPAN the voice of perianesthesia nursing in Illinois and Eastern Missouri.
This past year ILSPAN has again experienced growth, changes, and received recognition for our com-ponent. A major accomplishment was receipt of the much-coveted Gold Leaf Award. This award recognized our component excellence in leadership, membership development, communication, education and community re-lations. ILSPAN was once again awarded the ABPANC Shining Star which recognizes our support of CPAN and CAPA certification. Our newsletter, Peri-Scope, has been recognized as an outstanding publication by ABPANC and is going to be used as an example for other components. I’d like to recognize Jane Reinschmidt and her committee of hard working individuals who devote many hours to publish this newsletter. As part of our “going green” initiative, the ILSPAN newsletter, Peri-Scope, is no longer printed and sent through the U.S. Post-al mail. In addition to the newsletter, an e-blast is sent three times each year to provide timely updates of infor-mation for members.
(Continued on page 3)
Illinois Society of PeriAnesthesia Nurses
Winter 2015 Volume 39 Issue 1
PERI-SCOPE
In
sid
e this issu
e:
President’s Message Maggie Colabuono BSN RN CPAN CAPA
ILSPAN
Board of Directors Standards Update 2 11
Treasurer Report ASPAN News & Notes 2 12-13
Scholarship Extension Education Article 3 14
Vice President Report Clinical Practice Corner 4 15
Scholarship Deadlines ICPAN 4 15
District Director Reports Membership Page 5 16
Research Corner PANAW 6 16
CPAN®/CAPA® News Membership Spotlight 7 17
Informatics Corner 8 Editor Comments 18
Regional Director Report 9 Willingness to Participate Form 19
Nominations/Voting 10 Looking Ahead 20
Report as of December, 2014 Checking account balance $44,565.81 Certificate of deposit $11,215.99 Pay Pal $0.00 Carla Silzer ILSPAN Treasurer
Treasurer’s Report
ILSPAN Board of Directors
President Maggie Colabuono
BSN RN CPAN CAPA 1358 Timberline Drive
Joliet IL 60431 815-725-6459
Vice President/President Elect Mary Higgins BSN RN CPAN
847-827-1899 [email protected]
Secretary
Sheri Tadlock BSN RN CAPA 618-539-5711
Treasurer Elena Vance RN CPAN
618-530-4553 [email protected]
Immediate Past President
Wanda Ellenburg MSN RN CPAN 217-787-6184
District I Director Rose Ziffra MSN RN CPAN CAPA
630-856-6657 [email protected]
District II Director
Appointment pending to fill unexpired term.
District III Director Jane E. Sieron MSN RN CAPA
618-398-3447 [email protected]
Education Chair (ex-officio) Alexis Nicpon MSN RN CPAN
630-605-4266 [email protected]
Membership Chair (ex-officio) Fe Castro BSN RN CPAN CAPA
847-622-9405 [email protected]
Newsletter Editor (ex-officio)
Jane Reinschmidt BS RN CAPA 847-394-4944
Research Chair (ex-officio) Linda Beagley MS BSN RN CPAN
630-817-6001 [email protected]
Web Editor (ex-officio)
Keith Schumacher BSN RN CPAN 217-482-3309
Page 2 PERI-SCOPE
ILSPAN
Website
www.ilspan.org
Board of Directors
and General
Membership Meeting
Minutes can be found
on the website
ASPAN
90 Frontage Road
Cherry Hill
NJ 08034-1424
Toll free phone at:
877-737-9696
www.aspan.org
Peri-Scope
Published 3 times a year
Deadlines to submit copy
Winter Issue…….. December 1
Spring/Summer…. Issue April 1
Fall Issue…………...August 15
Send copy to
Jane Reinschmidt
BS RN CAPA
2117 Lake Shore Circle
Arlington Heights IL 60004
In the past, ILSPAN has awarded multiple scholarships for the ASPAN National Con-ference. Due to the fact that only one ILSPAN member applied for this scholarship, the window for receipt of applications has been re-opened.
The deadline for the National Conference Scholarship was extended to March 4, 2015. The recipients of the scholarship will be chosen at the March 6, 2015 Board of Directors Meeting.
Application information can be found on the ILSPAN website www.ilspan.org and sub-mitted to Vice President/President Elect Mary Higgins. (contact information on page 2)
Page 3 VOLUME 39 ISSUE 1
President’s Message Maggie Colabuono BSN RN CPAN CAPA
(Continued from page 1)
For the first time, an ILSPAN scholarship is available for the International PeriAnesthesia Nursing Con-ference to be held in Copenhagen, Denmark this year. Conference information can be found on page 15 of this issue.
In 2014 appointments were made for two ex-officio board positions. The Research Chair, Linda Beagley, provides membership with information and available resources about conducting research. Alexis Nicpon is the new Education Chair. She is actively involved in ILSPAN Conference planning.
I look forward to seeing many of you at the ILSPAN Spring Conference in Rolling Meadows, Illinois and at the ASPAN National Conference in San Antonio, Texas. In the meantime, consider joining an ILSPAN Com-mittee, contribute to our newsletter, or even run for an office. You will find your participation in ILSPAN’s activi-ties professionally and personally rewarding as I have. While our organization has achieved much in the past year, there are still challenges ahead. Gandhi said, “Be the change you want to see.” It’s time to be become in-volved in ILSPAN and be part of that change.
Deadline Extended for National Conference
Scholarship
NEW DEADLINE: MARCH 4, 2015
As I look back at 2014, I am reminded of how much I have learned and experienced through ILSPAN. The opportunity to work with a wonderful board and serve our members has been a privilege that will continue through 2015. With this New Year, comes the annual ILSPAN election. The election is held at the general membership meeting March 7, 2015 in Rolling Mead-ows, Illinois in conjunction with the spring conference. The fol-lowing positions are to be filled this spring.
Vice President/President elect
Secretary
District One Director
District Three Director
If you are interested in running for any of these positions, please contact me at [email protected] as soon as possible to be added to the ballot. The Vice President/President elect is responsible for the scholarships and awards along with attending the ASPAN National Conference Repre-sentative Assembly. The secretary completes minutes from the quarterly board meeting and updates ILSPAN by-laws with the board every other year. District I and District III directors assist the members within their district and organize an educational conference based on an established schedule. Networking with your ILSPAN peers is one of the best resources available. Con-sider contacting anyone from the ILSPAN board of directors and be part of a dynamic committee that focuses on best prac-tice for our patients.
Remember to take a moment to review the scholarships/awards offered by ILSPAN. These scholarships/awards are for you our members. For more information, please review the website and encourage your colleagues to do the same.
ILSPAN Recertification
Scholarship
Maggie Colabuono BSN RN
CPAN CAPA
ASPAN National Conference
Scholarship
Maggie Colabuono BSN RN
CPAN CAPA
Vice-President’s Report
Mary Higgins BSN RN CAPA
Page 4 PERI-SCOPE
Deadlines for ILSPAN
Scholarships and Awards
2015 ASPAN National
Conference Scholarship
Deadline March 4, 2015
CPAN® CAPA® Certification & Recertification
Scholarships
Spring Test Certification &
Recertification Deadline is
July 1, 2015
Humanitarian Mission
Scholarship
July 1, 2015
Research Grant Application
Due July 1, 2015
Jan Ridder Excellence in Clinical Practice Award
Deadline November 15, 2015
Recruiter of the Year (ROA)
ROA timeframe is
January to December 2015
for the 2015 Award
All information is found on the ILSPAN Web site under awards,
scholarships or research tabs.
Send applications to:
ILSPAN Vice-President/
President-Elect
Contact information
is found on page 2.
ILSPAN SCHOLARSHIP WINNER
The 2015 ILSPAN Spring Conference is right around the corner. It will be held on Saturday, March 7, 2015 at Meridian Banquets, Rolling Meadows, Illinois. Maureen McLaughlin MS RN CPAN CAPA, a dynamic ASPAN speaker, will be presenting A Peri-anesthesia Potpourri. I am cordially inviting you all to attend and learn about the latest evidence-based practice in our specialty. This will be an excellent op-portunity to network with other nurses who work in perianesthesia. We experience the same challenges in different settings. The conference brochure was sent via e-mail to all ILSPAN members during the first week of January. Registration is also available on the
ILSPAN website, www.ilspan.org. This year, confer-ence attendees are going to have the opportunity to donate items for members of the U.S. Army through the Reserve Center in Arlington Heights.
Our membership numbers are increasing every month. I strongly encourage each of you to get involved, take advantage of the scholarships availa-ble, attend conferences and reach out to me (contact information on page 2) if you have any questions.
I wish each ILSPAN member a Happy and
Healthy New Year. I am looking forward to working
together with you to promote perianesthesia nursing.
District III has added two new members. I encourage those who are members to continue to promote ILSPAN to their co-workers. As District III Director I actively support membership and certifica-tion in perianesthesia services. Online resources for studying and taking the exam have made it more con-venient than ever to achieve certification.
In March of 2015 my term as Director will end. I am honored to have been chosen to serve. I encourage those in my district to consider this posi-tion. If you are interested in being an active part of our dynamic organization, just fill out and submit a willingness to serve form. The form can be found on the ILSPAN website.
District I Director Rose Ziffra MSN RN CPAN CAPA
District III Director Jane Sieron MSN RN CAPA
ILSPAN Fall Conference will be hosted
by District II
And held Saturday October 10, 2015
At the Carle Clinic in Urbana, IL
If you are willing to serve on the planning committee please contact
ILSPAN’s Education Chairperson, Alexis Nicpon BSN RN CPAN
630-605-4266
Page 5 VOLUME 39 ISSUE 1
A progressive PACU nurse questions ingrained practices while searching for best prac-tice. Recently in my PACU we were challenged after being informed that our current discharge scoring tool would be eliminated. This change would not only affect the PACU and Outpatient Surgery but anywhere procedural sedation was administered. Representatives from the emer-gency department, cath lab, endoscopy, and interventional radiology were assembled and available options were reviewed. I was given the task of performing a literature review.
My preliminary search found four other discharge scoring tools. This information was shared with the hospital librarian who continued the search. The search revealed a systematic review on discharge assessment tools from Jo-anna Briggs Institute (JBI). In a systematic re-view, someone has previously compared and evaluated a body of research. I was excited to have this review because it provided a more in-depth analysis and understanding of the strengths and weaknesses of each discharge scoring tool. What is The JBI?
The Joanna Briggs Institute is an inter-national not-for-profit, research and development branch of the School of Translational Science at
the University of Adelaide, South Australia. JBI collaborates with over 70 entities across the world. This joint collaboration promotes and supports the synthesis, transfer and utilization of evidence through identifying attainable, suita-ble, significant, and effective healthcare practic-es to assist in the improvement of healthcare outcomes globally.
1
To access JBI, begin your search by logging onto the ASPAN website using your personal log-in and password. Click onto the research tab, scroll down to Joanna Briggs Insti-tute and begin your search. To become familiar with the site, consider looking through the “user guidelines” and training videos that are availa-ble on the JBI site. An additional log-on and password specific for JBI is required. On a cold winter afternoon, explore and become acquaint-ed with the Joanna Briggs Institute. You’ll find a tremendous asset available to you, an ASPAN member. Reference 1. ASPAN. About JBI. Available at: www.aspan.org/Research/Joanna-Briggs-Institute. Accessed December 4, 2014.
ILSPAN RESEARCH GRANT
AWARDED
At the ILSPAN Board of Director’s meeting on January 10, 2015 the Research Grant was awarded to Memorial Hospital PACU, Spring-field, Illinois. The applicant of the new research project is Dorinda Jeffers RN BSN. This is the second time Memorial Hospital PACU has been the recipient of the ILSPAN Research Grant. The current project is titled, Sensitivity and Specificity of the At Risk Screening Tool for Emergency Events after Post Anesthesia Care Unit Discharge.
Apply for the ILSPAN Research
Grant by the next deadline:
July 1, 2015
Looking for ILSPAN
Researchers
ILSPAN is eager to hear about your research or
evidence-based projects on perianesthesia
nursing that are in progress or in the planning
stages. Drop an email to Linda Beagley,
ILSPAN Research Chair. Contact information
on page 2.
Linda Beagley MS BSN RN CPAN
Page 6 PERI-SCOPE
CPAN®
Marina Alimagno Cheryl Dann MaryAnn Dayon Teri Gigot Karen Halfen Kathryn Keenan Yingjie Zhang Kielb Angela Labadie Errol Manzano Lardizabal Susan Mahler Betty-Ann McGuckin Catherine Neary Elizabeth Smart Elena Vance
CAPA®
Lynda Burns Mariella Fortino Diana Hanson Renee Lewis Jyoti Naik Eva Trefonas
Page 7 VOLUME 39 ISSUE 1
CPAN® and CAPA® News Nursing Passion in Action®
ILSPAN Scholarship
If you are taking the test this spring or if you will recertify this spring be sure to ap-ply for the ILSPAN CPAN® or CAPA® Scholarship. View information and the pol-icy on the ILSPAN web site, www.ilspan.org > Scholarships > Certifica-tion Scholarships, or by sending an e-mail to any Board member. (Contact infor-mation on page 2.)
Congratulations New ILSPAN Congratulations New ILSPAN Congratulations New ILSPAN
Certified NursesCertified NursesCertified Nurses
IMPORTANT DATES
Spring 2015 CPAN® & CAPA® CERTIFICATION TESTS Registration window is January 12, 2015 to March 9, 2015
Early bird discount runs January 12, 2015 to February 22, 2015 Examination Window is April 6, 2015 to May 30, 2015
All registration is online. Information is on the ABPANC web site at www.cpancapa.org
Register early to get a preferred testing date. ASPAN members receive a $100 discount on the registration fee.
New Practice Exams include 50 multiple-choice questions with the correct answer and references included. A great way to study.
Buy One, Get One Free! Additional Study Guides and Reference Materials available at:
www.cpancapa.org > Certification > Exam Preparation
The ASPAN Perianesthesia Nursing Standards, Practice Recommendations and Interpretive Statements 2012-2014 will be used for this test.
Copies can be purchased from ASPAN .
Available at the web site www.aspan.org
For the perianesthesia nurse, the sound of monitor alarms and alerts are familiar sounds. The goal of an alarm in the clinical setting is to call attention to an event that is occurring in real time. This in turn gives the clinician the ability to treat a patient in a timely manner, allowing for quick recovery from ad-verse events such as a sudden drop in blood pressure or a life threatening cardiac arrhyth-mia. When alerts are repetitive, with little or no relevance to the care the nurse is providing, alert fatigue can occur. With the introduction of the electronic medical records (EMR), alerts have taken on a new look and feel. Alerts as Clinical Decision Support and a Safety Net
Alerts in the EMR are designed to sup-ply the health care provider with clinical deci-sion support and warnings that are intended to prevent errors. EMR alerts can be in the form of pop-ups, text boxes, soft stops and hard stops. These alerts are intended to give the clinician a moment to pause and determine if the action they are performing is appropriate for this particular patient. An example might be a medication being scanned for administration that has reached its maximum dose for a given period or identification of a potential drug inter-action. Alarms were designed as a safety net for nurses, monitoring specific pieces of clini-cal data and alerting the clinician when a de-fined variation of the norm occurs such as a rise or fall of the heart rate or blood pressure. These alarms are critical in assisting staff with providing safe care. So why is it that we do not view the EMR alerts in the same context? It has been determined that between 49 – 96% of the time alerts are bypassed.
1 An increase
in the number of alarms can desensitize clini-cians and correlates directly with the timeli-ness of responding to the alarms. Remember, these are audible alerts. In the EMR the alerts are visual and often look the same as all other pop-up or text boxes.
The Problem So why is it that we are still seeing
instances of harm and errors that should have been avoidable? According to Embi and Leonard, it is well recognized that when clini-cians are exposed to too many clinical deci-sion support (CDS) alerts they may eventually stop responding to them. This is often called alert fatigue.¹
EMR alerts are meant to provide the clinician with the opportunity to re-assess the appropriateness of the care being provided. In the preceding example of medication ad-ministration, when scanning a medication for dispensing, alert messages may be overrid-den for a particular patient due to specific clinical decisions. With repeated need to override alert messages, the clinician be-comes desensitized to the messaging sys-tem. When a similar alert does pop-up, it may be viewed as the same alert, not mean-ingful for this patient and therefore dismissed by the nurse. Improperly designed alerts may cause clinicians to overlook important alerts. The dismissal of alerts might mean the sys-tem generates too many alerts, there is too much extra information, or the alert does not apply to the patient.
2 Alert fatigue creates tan-
gible risks for patients. Keeping Alerts Relevant
How can we help ensure EMR alerts contain meaningful relevant information for nurses? Be an active participant in the EMR design and workflow. Alerts have an active role within the EMR but should not be used as a catch all for nursing behaviors. Alerts should be clear, concise and contain relevant, actionable information for the task being per-formed without creating an obstacle for care. As we learn how to use and display EMR alerts in meaningful ways clinicians on the front line need to be diligent and vocal when technology is not meeting the needs for which it was designed.
Electronic Medical Record Alert Fatigue
Page 8 PERI-SCOPE
Informatics CornerInformatics CornerInformatics Corner Jamie Danks BSN MSHI RN CNOR
(Continued on page 18)
ASPAN’s 34th National Conference is
April 26-30, 2015 in San Antonio, Texas. The theme of this year’s conference is Igniting Pro-fessionalism: Excellence in Practice, Leader-ship, and Collaboration. National Conference is one of the most positive, educational events a perianesthesia nurse will ever experience. The learning opportunities this year are incredible. There are topics ranging from pediatrics to geri-atrics, diabetes to heart disease, and legal con-siderations to medical marijuana. Representative Assembly On Sunday, the day before the confer-ence, the Representative Assembly meets. The Representative Assembly (RA) is the voting body of ASPAN. Each state component has two representatives. ASPAN practice recommenda-
tions form the framework for best perianesthesia
nursing practice. Before I was involved in ASPAN, I did not understand how the practice recommendations were developed. Throughout the year, the Research Committee and the Evi-dence Based Practice Committee assist in a systematic review done by a Joanna Briggs In-stitute (JBI) trained member. (Editor’s note: For more information on the JBI see page 6 of this issue.) The evidence obtained is used to author the practice recommendation. After the practice recommendation is presented to the RA, all members have a chance to participate in discus-sion. Following the discussion, the RA members vote. If the practice recommendation passes, it is put into practice. In 2010 the Obstructive Sleep Apnea practice recommendation was pre-sented to the RA. The RA determined that there was not enough evidence to support the practice recommendation and the vote did not pass at that time. Subsequent to much additional re-search a stronger practice recommendation was returned to the RA in 2012 and passed. This process is the way perianesthesia nurses shape their own practice.
Member Involve-ment ASPAN members can be involved in the development of practice recom-mendations in different ways. The Research, Evidence Based Practice, and Standards and Guidelines com-mittees are all involved in practice recommen-dation development. Members who are active in their state components can be the state repre-sentative in the representative assembly. All those attending the conference can participate in the practice recommendation discussions. There are social opportunities at the conference. Component night is a fun activity where attendees can network with other mem-bers. The exhibit hall gives members the oppor-tunity to see the most up-to-date products. The President’s reception is a wonderful night of fun and food to celebrate the out-going ASPAN President.
At National Conference members can
obtain an understanding of the important work
of ASPAN. You will find the leaders of ASPAN
friendly and approachable. They are committed
to making each attendee’s experience a posi-
tive one. Annually, ASPAN awards National
Conference scholarships. Information on schol-
arships can be found on the ASPAN website
www.aspan.org. Make plans now to join me in
San Antonio for a exhilarating week. You will
return home energized and better prepared for
the challenges of our perianesthesia nursing
practice.
ASPAN Region 3 Director
Tracy Underwood MSN CPAN FNP-BC
Page 9 VOLUME 39 ISSUE 1
Rose D. Ziffra is nurse manager of PeriAnesthesia Care Unit, Pre-Admission Testing, Same Day Surgery and Rapid In and Out Unit at Adventist Hinsdale Hospital, Hinsdale Illinois. She earned a Masters Degree in Nursing Administration from Elmhurst College after receiving a Koplin Scholarship Award.
Rose is currently the ILSPAN District I Director. At the 2012 ASPAN National Conference, Rose presented two best practice posters entitled “Optimizing Patient Flow in PACU” and “Family Visitation in PACU”. She received the ASPAN Above and Beyond award in 2013. Rose is editor of the Peri Op Voice, a newsletter for the perianesthesia complex at her organization. She recently presented her capstone project “Reducing Immedi-ate Use Steam Sterilization: Part of an Initiative to Eliminate Sur-gical Site Infection” at the 2014 OR Manager Conference in Long Beach, California. Rose says, “If elected ILSPAN Vice President/President Elect, I want to be an integral part of the team in leading and encouraging ILSPAN members to get in-volved in the advancement of our perianesthesia specialty through education, research and community service".
Nominations for ILSPAN Board 2015-2016
The ILSPAN Election for Vice-President/President Elect, Secretary, District I Director, and District III Director is to be held at the general membership meeting during the ILSPAN Spring Conference on March 7, 2015.
Absentee ballots are available starting February 5, 2015 to members unable to attend
the ILSPAN Spring Conference on March 7, 2015.
Request an absentee ballot from the Nominating Committee Chair, Vice President,
Mary Higgins at [email protected]
Absentee Ballots must be returned via e-mail to the Nomination Chair, Vice President,
Mary Higgins at [email protected] by February 28.
Page 10 PERI-SCOPE
Vice President/President-Elect Candidate
Secretary, District Director I, District Director III
No Candidates at time of publication
ILSPAN MAKES CHANGES TO ABSENTEE VOTING PROCESS
Every two years a team of dedicated ASPAN members work to review, revise and add to the Standards book. Each principle, standard, practice recommendation (PR) and position statement (PS) are analyzed to give all perianesthesia nurses guidance in their practice. Here is a synopsis of some of the changes approved by the ASPAN 2014 Rep-resentative Assembly.
Principles of Safe Perianesthesia Prac-tice: Verbiage was added recognizing the constant noise and multiple alarms in the PACU. These points, along with multiple oth-er factors, jeopardize the safety of the peri-anesthesia patient. ASPAN recognizes the Joint Commission’s Safety Goal on alarm fatigue. The 2015 Representative Assembly will discuss a position statement on alarm fatigue. If voted on and passed it will be add-ed to the Standards book.
Practice Recommendation 6: Safe Transfer of Care. The term “transfer” has been changed to “transition”. When patients are ready for discharge from phase I recovery, they are transitioned to the next level of care whether it is an inpatient unit or phase II re-covery.
Practice Recommendation 10: Obstructive Sleep Apnea in the Adult Patient. The main addition was substantial amount of research evidence to support what had been previous-ly written. The research was reviewed by the team, leveled or ranked for its quality of evi-dence.
Position Statement on the Care of the Perinatal Patient: This PS is new to the 2015-2017 Standards book and can be found on the ASPAN website. It advocates for the safety and well-being of both the fetus and mother-to-be while under anesthesia. Each
is unique due to the multiple changes that occur throughout pregnancy. The Association of Women’s Health, Obstetric and Neonatal Nurses and ASPAN collaborate to assure the safe delivery of care to the perinatal patient.
Position Statement on the Nurse of the Future: Minimum BSN Requirement for Practice: ASPAN endorses the Institute of Medicine decision that the education founda-tion for future nurses and requirement for all continued RN licensure should be a minimum of a baccalaureate degree in nursing (BSN). Benefits of a BSN include academic prepara-tion to shape the future of nursing and collab-orate with other disciplines. BSN prepared nurses have the skills to conduct and imple-ment nursing research and direct the scope of practice of the profession. This PS can be found on the ASPAN website.
Does your PACU have a Standards book? If so, is it kept in a convenient spot so every nurse in the department has access to it? The ASPAN Standards is a guide to your practice, it is a must read for all perianesthe-sia nurses.
Update on Perianesthesia Nursing Standards, Practice
Recommendations and Interpretive Statements
Page 11 VOLUME 39 ISSUE 1
Linda Beagley MS BSN RN CPAN
ASPAN On Demand
Can’t get out to a conference? Consider “attending” one of ASPAN’s modules On De-mand. There are nineteen different modules to choose from, ranging from Standards, anesthe-sia agents, capnography, obstetrics, geriatrics and medication reconciliation. Continuing edu-cation hour(s) is awarded after completing the module. To complete a module go to www.aspan.org; click on the Education/ASPAN Modules On Demand.
Page 12 PERI-SCOPE
2015 ASPAN Winter/Spring
Seminars and Webcasts
To register go to www.aspan.org ; click on Education/ASPAN Seminars and Webcasts
2015-2017 Perianesthesia Nursing Standards, Practice Recommenda-tions and Interpretive Statements
are available.
San Antonio, Texas River Walk
Boogie Back to Texas!
Sunday, April 26, 2015
w
ASPAN 34th National Conference
April 26 - 30, 2015
Grand Hyatt San Antonio, San Antonio, Texas
Early Bird Registration Open Until 03/21/15
More information on the ASPAN website at:
http://www.aspan.org/Events/2015-National-Conference
Registration brochures available on the ASPAN website. Save on your registration by doing the early bird registra-tion. There will be opportunities to volunteer at conference for host/hostess or to work in the ASPAN Shoppe.
Conference is always a fun time. You could earn 20 to 30 continuing education hours at this conference.
ASPAN Elections; ILSPAN needs your input by
February 28, 2015
Two ILSPAN members are running for national office
Your feedback will give direction to our voting members at the 2015 Representative Assembly.
Here’s what you do:
Go to www.aspan.org and log in Click on “About Us/Governance/Candidate Profiles”
Carefully read the bios for the candidates Follow the instructions on the Candidate Profile page to
submit your feedback
Your feedback must be submitted no later than February 28, 2015. Don’t delay!
Page 13 VOLUME 39 ISSUE 1
News & Notes
Boogie Back to Texas! Sunday, April 26, 2015
Celebrate Component Night to kick off the week.
Come to Component Night dressed as a
famous or infamous (think Bonnie and
Clyde) character out of the vast Texas
history.
ILSPAN Activities at Conference
ILSPAN will have a table at Component Night. Be sure
to stop by and join in the fun.
The ILSPAN Get Together will be Wednesday even-ing from 6:00pm to 8:00pm in Crockett C and D. Be sure to check the information board for any changes in room assignment.
Cardiac arrest is a concern for anes-thesia providers, surgeons, patients and fam-ilies during a surgical event requiring anes-thesia. A recent study reported the overall incidence of cardiac arrest occurred in 7.4 out of 10,000 anesthesia cases.
1 Patients
undergoing non-cardiac surgery experience stress on the heart from several avenues such as being NPO, hypothermia and pain. Some anesthetic agents increase oxygen demand and can precipitate myocardial is-chemia or infarction. The Joint Commission along with the Centers for Medicare and Medicaid Services (CMS) implemented Sur-gical Care Improvement Project (SCIP) in 2006, addressing best practices for optimal outcomes in surgical patients.
2
Core Measure Beta-Blocker therapy is one of the
core measures in preventing perioperative cardiac complications. Benefits include a re-duction in myocardial oxygen demand, in-crease in myocardial oxygen delivery due to prolongation of coronary diastolic filling time and protection against plaque rupture during increased sympathetic activity.
The American College of Cardiology/American Heart Association (ACC/AHA) de-veloped a guideline that identifies five clinical variables that predict cardiac complications. Putting patients at high cardiac risk are is-chemic heart disease, congestive heart fail-ure, cerebrovascular disease, diabetes melli-tus and renal insufficiency.
3 Patients may not
have had a cardiac work up prior to the surgi-cal event, so the anesthesia provider will con-sider the type of procedure, the ASA class and the above variables for risk during the surgical event. Several resources recom-mend that beta-blocker therapy start 30 days prior to surgery and continue seven days af-ter surgery for patients who are not chronical-ly using beta-blockers.
4
Role of the Perianesthesia Nurse Perianesthesia nurses play a key
role in protecting and educating patients and families at each stage of the surgical en-counter. During the pre-op phone call, nurs-es review the list of medication(s) obtained during the pre-surgical interview and identify which medication to take or hold. Beta-blockers are continued and not held. In the pre-op area, the nurse validates when the last date and time the beta-blocker was tak-en and communicates the information to the anesthesia provider. In the Phase 1 Recov-ery, the nurse continues to monitor the heart rate and blood pressure ensuring the heart rate is above 45 and systolic BP above 100. Hand-off communication to the inpatient unit includes the beta-blocker status of the pa-tient.
Perianesthesia nurses are passion-ate about the care they provide, working dili-gently in collaboration with surgeons and anesthesia providers for best patient out-comes. Currently, there are studies in pro-gress challenging the effectiveness of beta-blockers in surgical patients. As health care providers we continue to ask questions and seek only the best practices for our patient population.
References:
1. Ellis S, Newland M, Simonson J, Peters,
K. et al. Anesthesia-related cardiac arrest. Anesthesiology. 2014; 120(4):829-838.
2. Surgical Care Improvement Project.
Available at http://www.jointcommission.org/surgical_care_improvement_project/. Ac-cessed December 27, 2014. 3. Holt N. Perioperative cardiac risk reduc-
tion. American Family Physician. 2012;83(3):239-246.
4. Ashton J. Perioperative beta-blockade in
patients undergoing noncardiac surgery. Orthopedics. 2010;33(7):488-491.
Beta Blockers in the Perioperative Setting
Page 14 PERI-SCOPE
Education Article Mary Higgins BSN RN CAPA
Many questions come to ASPAN’s Clin-ical Practice Committee regarding poly-pharmacy. In this article we examine ASPAN’s position on poly narcotic dependent patients. Adequate pain relief is a serious concern for PACU nurses, so what is the best format for providing information to nursing staff?
ASPAN does not have any standards that specifically address poly-pharmacy. How-ever, Position Statement 6: A Position State-ment on Safe Medication Administration states that, “Patient safety is the highest priority; Peri-anesthesia RN’s are professionally accountable for having knowledge of medications adminis-tered to include indications, action, administra-tion, side effects and treatment of untoward re-actions. This includes maintaining core compe-tencies within the scope of perianesthesia nurs-ing practice.”
1
Available Resources This a timely topic, especially in light of
the fact that ASPAN is constantly assessing and evaluating our members’ needs when it comes to educational programs. This topic fre-quently presents itself on evaluation forms. A search through JoPAN articles finds several
articles to promote staff understanding. There is a wealth of information readily available to ASPAN members. A search using the search phrase “pain management” yielded 645 arti-cles. Performing an advanced search by using “pain management” and “multiple narcotics” narrowed the search down to ten articles. One way to encourage staff involvement is by cre-ating a journal club. A journal club is a great way to divide up the articles and to report find-ings to the whole group.
The hospital pain management depart-ment may be able to provide treatment recom-mendations. Many pain management groups provide resources, information and presenta-tions to support our patients with these needs. Another resource to access would be a clinical pharmacist who might be able and willing to guide you into best practice recommendations.
Reference 1. Perianesthesia Nursing Standards, Practice Recommendations and Interpretive State-ments. 2012-2014. Cherry Hill, NJ: American Society of PeriAnesthesia Nurses; 2012, 87.
Clinical Practice Sylvia Baker MSN RN CPAN
NEW from ILSPAN!! International Conference for
Perianesthesia Nurses (ICPAN) Scholarship
Applicant must be an active category member in
good standing to be eligible for scholarship.
For application information go to www.ilspan.org
and click on Scholarships
Send application to ILSPAN Vice President Mary Hig-gins by February 28th.
Page 15 VOLUME 39 ISSUE 1
ICPAN CONGRESS 2015 CONFERENCE
September 9th to 12th 2015
Copenhagen, Denmark
Find more information at www.icpan2015.dk/
District 1
Tiffany Adamson
Jessica Badalamenti
Brittany Buhl
Faith Bullman
Jennifer Durnas
Patricia Harris
Lisa Ivancso
Tammy Johnson
Karen Korzonas
Kelly Maderer
Christine Mizera
Leanne Neely
Kara Nevdal
Adriana Ollech
Mary Raspanti
Anne Segastume
Jane Shannon
Eileen Vukelick
Samantha Wagner
Patricia Weidner
Gina Wisniewski
District 2
Amy Harris
Becki Hendricks
Welcome New Members who Joined
October to December 2014
PeriAnesthesia Nurses Awareness
Week (PANAW) is February 2-8 2015.
As you celebrate PANAW in your institution, re-
member to submit an entry for a chance to win
ILSPAN’s PANAW Award.
This year’s theme is Dedicated Professionals
Passionate Care. Award criteria include Educa-
tion, Professionalism and Team Spirit of the unit.
Be sure to include an itinerary of all your events.
Submit your entry to Mary Higgins ILSPAN Vice
President at [email protected]
by the February 28 deadline.
Page 16 PERI-SCOPE
Kathryn Keenan
Erin Payne
Stephanie Steele
Charlotte Troyer
Michelle Van Blair
District 3
Kristin Atchison
Sharon Bartley
Lucinda Metheny
Carmen Yuengel
ILSPAN PANAW AWARD
Deadline to Submit Entry: February 28, 2015
For over a year Chris Pyburn has worked as a Clinical Coordinator in the Post Anesthesia Care Unit at Adventist Hinsdale Hospital. Previ-ously Chris was a Clini-cal Level III nurse in PACU. She is a Certified Post Anesthesia Nurse and a member of ILSPAN/ASPAN. Chris exemplifies a high level of specialty exper-
tise in her nursing practice. She works collabo-ratively with the manager and the PACU team to identify processes that need improvement, develop action plans, implement and measure outcomes. Chris has been instrumental in opti-mizing patient flow in PACU. She has worked with the peri-operative team to develop a proac-tive approach in the pain management of opiate tolerant patients. Working with the manager and utilizing ASPAN Post Op Nausea and Vomiting resources Chris has helped to decrease the rate of post op nausea in patients from 12% to 0.2%.
When Adventist Hinsdale Hospital im-plemented computerized physician order entry (CPOE), Chris took responsibility for training all the doctors and nurses. She created an easy process transition and continues to be the re-source person on this project. With Chris’ lead-ership, PACU has achieved an employee en-gagement survey participation of 100%, with scores demonstrating increased physician and patient satisfaction.
Chris is an innovative, dedicated nurse and always strives for excellence in patient care. Her knowledge and skill in the delivery of care is evident to her patients as well as her co-workers. Chris can be described as kind, atten-tive, caring, knowledgeable, and respectful; a role model for her peers.
Chris has a Bachelor of Arts Degree
and is currently enrolled at Purdue University,
pursuing her Bachelor of Science in Nursing.
Teresa Votrain BSN RN CAPA is a graduate of Kaskaskia Col-lege in Centralia, Illinois where she earned her asso-ciate degree in nursing. Teresa received her Bachelor of Sci-ence degree in nursing from McKendree Col-
lege in Lebanon, Illinois. Teresa’s first nursing experience
began with a short stay on an orthopedic nursing unit at Saint Elizabeth’s hospital in Belleville, Illinois. Later that same year, she accepted a staff nurse position on a medical surgical unit at Memorial Hospital in Belle-ville, Illinois.
In 2003, Teresa transferred to peri-operative services and began working as a staff nurse in outpatient surgery. She is now a relief charge nurse on the unit.
Teresa obtained her CAPA certifi-cation in 2008. She has been a member of ASPAN and ILSPAN since 2008. In both the fall of 2012 and 2014 Teresa served on the ILSPAN Fall Conference Committees.
Teresa and her husband live in Trenton, Illinois. They have two children and four grandchildren. In her spare time Teresa enjoys reading and shopping. She most enjoys spending time with family and friends and spoiling her grandchildren.
MEMBER SPOTLIGHT
Page 17 VOLUME 39 ISSUE 1
District I: Chris Pyburn District III: Teresa Votrain
Informatics Corner Jamie Danks BSN MSHI RN CNOR
(Continued from page 8)
References
1. The Journal of American Medical Informatics. Available at: http://jamia.bmj.com/content/early/2012/04/24/amiajnl-2011-000743.full Accessed August 12, 2014.
2. MedPage Today. Available at: http://www.medpagetoday.com/PracticeManagement/InformationTechnology/32006 Accessed August 14, 2014.
Editorial Comments Jane Reinschmidt BS RN CAPA
The beginning of the year can encour-age each of us to pursue opportunities to im-prove ourselves. Those of you who know me, or have read my articles in previous Peri-Scope issues, know of my passion for learning. Education and research are two primary path-ways to both personal and professional growth.
Throughout this issue of Peri-Scope you will find (or have already found) numerous education opportunities coming up in 2015. Get out your education map and plot your route for the year. ILSPAN Spring Conference is next month. ASPAN National Conference is coming up in April. Mark your calendar now for ILSPAN Fall Conference. Check out the ASPAN webinars. Form a study group to pre-pare for a certification exam.
We all are aware of the effects of the economy on healthcare. That same economy affects our resources for education. Each year some of the ILSPAN scholarship monies go unclaimed. Make this the year that you apply for one or more of those financial aids. Infor-
mation is available in this newsletter and can be found on the ILSPAN website www.ilspan.org. If you have questions about applying, contact me or any of the ILSPAN Board members.
On a personal learning note, I contin-ue to take Spanish classes. While I may never be able to function without an interpreter on mission trips to the Dominican Republic, my improved Spanish language skills are an asset in relationship building. My next trip will give me another opportunity to use what I’ve learned.
Closer to home, I continue to work at improving the quality of this publication. I look forward to hearing from ILSPAN members. What have you found helpful? What additional information would be useful to you in your perianesthesia nursing practice? Are you inter-ested in being a contributor? Get in touch with me at [email protected] and be sure to put Peri-Scope in the subject line so I do not inadvertently delete your email.
Page 18 PERI-SCOPE
ILSPAN
Willingness to Participate Form
Name__________________________________________________________________
Address________________________________________________________________
City, State, Zip___________________________________________________________
Home Phone ________________________Cell Phone___________________________
E:mail_________________________________________________________________
ASPAN Membership #____________________________________________________
Place of Employment_____________________________________________________
Please circle position of interest:
BOD position_________________________
Editor/publication committee
PR/Marketing
Computer networking
Previous experience that will help me: ________________________________________
My goals for this position:__________________________________________________
Questions I have:________________________________________________________
_______________________________________________________________________
Submit form on line at www.ilspan.org or mail to:
Mary Higgins BSN RN CAPA
536 N. 7th Avenue
Des Plaines, IL 60016 [email protected]
Page 19 VOLUME 39 ISSUE 1
Volunteer for ILSPAN
Cut out the form below and mail it to Vice President Mary
Higgins or log into the web site www.ilspan.org and fill it
out and submit on line.
ILSPAN Illinois Society of PeriAnesthesia Nurses
PANAW Award Submission Deadline……………………………....February 28, 2015
ASPAN Candidate Choices Deadline………………………………………………..……….February 28, 2015
Early Bird Registration Deadline for ASPAN National Conference……..……………..………March 1, 2015
ILSPAN Spring Board of Directors Meeting, Rolling Meadows IL…………...………….……..March 6, 2015
ILSPAN Spring Conference, Rolling Meadows IL…………………………………….…...…....March 7, 2015
ASPAN 34th National Conference San Antonio TX…………………………………….…….April 26-30, 2015
ILSPAN Scholarship Applications Deadline ………………………………………………………..July 1, 2015
ILSPAN Summer Board of Directors Meeting (Virtual)……………………………………...…...July 11, 2015
ILSPAN Fall Board of Directors Meeting, Champaign IL……………………………………..October 9, 2015
ILSPAN Fall Conference, Champaign IL………………………………………………...…...October 10, 2015
Jan Ridder Award Application Deadline……………………………………………………November 15, 2015
Additional details available on the web sites
www.ilspan.org or www.aspan.org
Looking Ahead…………………...
ILSPAN Core Purpose The Illinois Society of Perianesthesia Nurses advances nursing practice through education,
research, and standards of practice. The Society exists to serve needs of membership at the component level.
Copyright© 2015 Peri-Scope All rights reserved. Reproduction by any means without expressed
permission from ILSPAN is prohibited.
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