INSPAN Volume 1, Issue 2

July 2011

VITAL Volumes

Presidents Message Kyra Hiatt RN, CPAN

Hello INSPAN members,

We just finished the June 4, 2011 INSPAN Board

meeting in Indianapolis and it was awesome! It was

nice to revisit with everyone again and to celebrate

everyone’s hard work and dedication to advancing

the PeriAnesthesia Nursing practice! I am honored

to serve with such a great group of nurses. If you

have not already submitted your Wiliness to Par-

ticipate forms, please make sure you are getting

them in as soon as you can to Charlotte West,

(crwest@stvincent.org or dwills@tds.net) If you

have misplaced the form please look on the IN-

SPAN website (www.inspan.org) to download a

copy.

Keep your eyes open for your Fall update and An-

nual Board meeting on September 24th, 2011, Karen

Garten is wrapping up some final details and will be

sending out flyers to your email address and to the

hospitals, if you do not receive one please make

sure you email address is updated via ASPAN web-

site, check the INSPAN website (wwwinspan.org )

email Karen Garten (kgarten@clarian.org ). Look-

ing forward to seeing all of you there!

Hope everyone has a safe and fun filled summer!

INSPAN

MISSION STATEMENT

The Indiana Society of PeriAnesthe-sia Nurses exists to promote quality and cost effective care for patients, their families, and the community, through public and professional edu-cation, research, and standards of practice.

INSPAN Board of Directors Newsletter Deadlines

2

Editors Comments and News 3

Clinical Practice 4

Research Corner 5

Government Affairs News 6

Committee Reports 7

CPAN/CAPA Review information 8

Certification Recognition 9

National Conference Moments 10

Fall Update News 11

Inside this issue:

Certification Lunch

Kyra Hiatt & Brenda Ballard

Representative Assembly

Charlotte West & Kyra Hiatt

Vital Volumes Deadlines

October 15th

January 15th

April 15th

July 15th

Please submit all articles by e-mail to

Charlotte West at

crwest@stvincent.org or

dwills@tds.net

Letter to the Editor

INSPAN loves to hear from YOU! Please

submit news from your district, hospital,

research projects and recognition of fellow

associates to Charlotte West at

crwest@stvincent.org or dwills@tds.net

2

Vital Volumes

INSPAN Board of Directors President

Kyra Hiatt RN, CPAN

Vice President

Karen Garten RN, CAPA

Secretary

Carol Matthews BSN, RN, CAPA, CPN

Treasure

Tresa Hammon RN

Past President

Charlotte West BSN, RN, CPAN

INSPAN Indy Director

Grace Walke BSN, RN, CPAN

WINSPAN Director

Lynn Pound RN

Northern Director

Mary Baird RN

ASPAN Region 3 Director

Martha Clark MS, RN, CPAN

Newsletter Editor/Web Mistress

Charlotte West BSN, RN, CPAN 19324 Hamilton Boone Road

Sheridan, IN 46069 crwest@stvincent.org

Phone: 317-582-73335 fax: 317-582-8008 Cell Phone: 317-225-0751

Www.inspan.org

Vital Volumes

Is written by and for INSPAN members.

All rights are reserved.

Copyright 2011

Editors Comments Charlotte West BSN, RN, CPAN

The call for help as proofreaders had a wonderful

response. The Publication team now consist of

Melody Benson

Mike Knisely

Diane Davis

Thank you to everyone’s response to the new look

of the Vital Volume. The publication team will con-

tinue to make improvement with your suggestions.

Retraction: With my first issue of editing the IN-

SPAN newsletter I misnamed the title of the news-

letter as Vital Signs. The INSPAN newsletter is

officially named Vital Volume. This has been cor-

rected on the website and I apologize for the error.

Gold Leaf Results: This ASPAN Award recogniz-

ing a component for excellence in leadership, mem-

ber development, communication, education ser-

vices, and community relations. INSPAN has room

to grow but is hoping to improve over the next few

years to be recognized at the ASPAN National Con-

ference. This year we are working on community

service, publications, and financial assistance to

members from both state and district..

Recruiter of the Year: When a member get some-

one to join APSAN and the recruiter is listed on the

application their name is posted on the ASPAN site.

INSPAN also recognized the member that recruits

the most new member at the September General

Membership Meeting in September at the Fall Up-

date. INSPAN year is January to August. There is

still time to recruit members to our organization.

Present Recruiters:

1 - Charlotte West, BSN, RN, CPAN

1 - Gregory M May, MSN, RN

1 - Nancy Groves, RN

1 - Nancy Jane Call, RN, CAPA

1 - Rosa Linda B Adame, BSN, CAPA, MBA

1 - Sonja S Eaton, MSN, RN

Mission Project: INSPAN collected 17 blankets for

the Red Cross of Indianapolis. The supply was low

and the blankets were appreciated. Thank You!

AORN News Kelly Kelley BSN, RN, CAPA

"Gel" manicures Hi, evidently there is a new product that is on the

market in nail salons called ―gel‖ manicures. It is

billed as a shellac for nails. It is truly a false cover

and grows out as the nail grows out. According to

2011 AORN standards: ANY fingernail enhancement or resin bonding

product is considered artificial. Fingernail tips,

or extensions, GELS, acrylic overlays, resin

wraps, or acrylic fingernails constitute types of

artificial fingernails. Overtime gel or acrylic

fingernails can become chipped and lift from

the nail plate if moisture gets under the overlay.

Adding to the prospect of colonization of mi-

croorganisms on the fingernail. People with

manicures may also limit

hand hygiene to ―protect

their nails‖. This is also true of pre-op and

PACU. So sorry if you have gel

treatments but they are not al-

lowed per AORN standards.

INSPAN needs you!

There are many opportunities to advance Perianes-

thesia Nursing as a specialty organization. INSPAN

is looking for interested members who want to pur-

sue enhancing and expanding the educational needs

for perianesthesia nursing in all aspects which in-

cludes Preadmission Testing (PAT), Pre-admit Day

of Surgery, and PACU—Phase 1 and Phase 2. You

received a letter in the mail in May and we are ex-

tending the deadline to July 30, 2011. Please con-

sider this opportunity for organizational and per-

sonal growth in INSPAN. The form is available on

the web at www.inspan.org.

3

Vital Volumes

1 - Gregory M May, MSN, RN

1 - Nancy Groves, RN 1 - Nancy Jane Call, RN, CAPA

1 - Rosa Linda B Adame, BSN, CAPA, MBA 1 - Sonja S Eaton, MSN, RN

Clinical Practice Question Charlotte West BSN, RN, CPAN

What is the definition of a responsible adult for

discharge from OPS?

In outpatient surgery the staff is screening patient

preoperatively for their care when they go home

after discharge. According to the Perianesthesia

Nursing: Standards and Practice Recommendations

2010-2012, the discharge planning begins in the

preadmission phase. This phase is with a visit/call

to the Preadmission Testing (PAT) or Surgical

Evaluation Center (SEC). Discharge planning is to

ascertain the availability of responsible adult to as-

sist with home care, availability of safe transporta-

tion, preparation of the home, and postoperative/

post procedural physical limitations. The day of

surgery requires another check with the patient on

the availability of accompanying responsible adult

to assist with home care and availability of safe

transport home (p. 78).

There are some regulatory guidelines that may help

guide the department’s decision making process:

CMS writes: ―All patients are discharged in the

company of a responsible adult, except

those exempted by the attending physi-

cian.‖

ASA guideline upholds that ―patients who re-

ceive other than un-supplemented local

anesthesia must be discharged with a re-

sponsible adult.‖

Accrediting agencies, such as the Joint Com-

mission and the Accreditation Association

for Ambulatory Health Care, also indicate

that patients who have received general

anesthesia, regional anesthesia, or either

moderate or deep sedation/analgesia need

to be discharged in the company of a re-

sponsible adult.

Now what is the definition of a responsible adult?

Even with the education pre operatively to the pa-

tient there are times the patient will drive them-

selves and think they will drive home after anesthe-

sia. Sometimes the patient is not able to find anyone

to stay with them during the immediate recovery

period.

According to the PA-PSRS Patient Safety Advisory

(2007) explanation of the responsible adult as:

Responsible Person

To be deemed a responsible person, such a person

must be physically and mentally able to make deci-

sions for the patient’s welfare if necessary. More-

over, the responsible person must understand the

requirements for postanesthetic care and intend to

comply with these requirements, especially con-

cerning public safety. A taxi driver is not considered

a responsible person for a sedated patient. While a

taxi driver may get the patient to the patient’s home

address, someone needs to be available to get the

patient into the house, such as assisting a patient on

crutches to navigate the steps.

Role of Responsible Persons

Responsible persons can ensure that the patient ar-

rives home safely and assist the patient with postop-

erative complications such as nausea, vomiting,

dizziness, and pain. They can also request medical

assistance in the event of an emergency. Another

role of a responsible person may be reflected in the

Association of PeriOperative Registered Nurses

(AORN) Guidance Statement: Postoperative Patient

Care in the Ambulatory Surgery Setting: ―Discharge

instructions should be reviewed with the patient and

a responsible adult before discharge‖ (p. 2-3).

The Outpatient department should developed strate-

gies to address the challenges with discharging pa-

tients home with a responsible adult. Preoperatively

the patient should be instructed on why it is impor-

tant to have a responsible adult to escort and stay

with the patient. Proper documentation on patient/

family education, patient assessment and staff inter-

vention ensures patient safety and a caregiver is

available for the patient postoperatively.

References:

Pennsylvania Patient Safety Reporting System

(2007). Should patients be accompanied when dis-

charged from ambulatory surgery. Patient Safety

Advisory.

Perianesthesia Nursing: Standards and Practice Rec-

ommendations 2010-2012, (2010). ASPAN, Cherry

Hill, NJ.

4

Vital Volumes

Research Corner Kyra Hiatt RN, CPAN

COMPARISON OF BACTERIOSTATIC NOR-

MAL SALINE (BNS) AND 1% BUFFERED LI-

DOCAINE (LIDO) FOR THE RELIEF OF PAIN

DURING INTRAVENOUS INSERTION

Carol Kahre RN, MSN, CAPA; Vickie Fortune RN,

ADN, CAPA; Julie Hurley RN, BSN; Rebecca

Winsett APRN, PhD St. Mary’s Medical Center,

Evansville, IN

Interventions to reduce pain with peripheral IV in-

sertion are part of the caring process for nurses.

Evidence is inconclusive regarding the use of pre

analgesia. This study compares differences in the

pain level experienced during IV insertion with

BNS or Lido used as intradermal pre-analgesia. An

IRB approved study used a randomized, double

blinded, post test only intervention. Inclusion crite-

ria were healthy RNs ≥ 21 years, palpable veins and

no allergy to benzyl alcohol or lidocaine. After

written consent, subjects had two IV insertions fol-

lowing pre-analgesia. Two experienced RNs started

all IVs using the same technique. Pain was rated on

a 0–10 Likert Scale after each insertion. Subjects

were also asked to state IV preference. Paired t-

tests were used to evaluate overall pain scores and

preferred arm pain scores. The sample included 56

RNs. Mean years as RN: 18.6 ± 10.6; mean years

in direct care 7.5 ± 4.7: mean years inserting IVs 5.2

± 4.4. Differences were detected between overall

BNS and Lido pain scores (2.36 ± 1.45 vs. 0.93 ±

1.3; p < 0.05). 89% chose the arm pre-medicated

with Lido. Pain scores were statistically different.

Both score were very low. There may be other pa-

rameters that affected pain during IV insertion. The

study found statistical differences in perceived pain

but this may not be clinically significant. Lido will

remain the peripheral intravenous insertion analge-

sia.

What is PICO?

How many of you have participated in an Evidence

Based Practice Project (EBP)? Have you ever won-

dered how a PICO question is formed? Today is

your lucky day because we are going to give you

the basic information on how to start your very own

EBP PICO question.

It is important to understand the developing a ques-

tion before you begin searching the literature, oth-

erwise if you are anything like me, you can get

swept up in the great published information and

forget what you were looking for in the first place.

A good PICO question will help you remain fo-

cused.

P = Population

I = Intervention

C = Comparison

O = Outcomes

Here is a basic format that I have used in the past

(developed by Rebecca Winsett, RN, PhD)

In _________________ (population of interest),

how does________________ (intervention, type of

treatment, patient perception)

effect ______________(comparison group i.e. stan-

dard care or some type of alternate treatment group)

for _____________________ (outcome of interest)

Fill in the blanks and don’t worry, sometimes it

takes a few attempts to get the question sounding

normal, you can revise as your project goes on, but

having a basic question started will bring you suc-

cess in your EBP project.

In the last newsletter we included an abstract from

an EBP project I worked on, here is the PICO ques-

tion: What are the Monitoring Requirements for the

Adult Post-Operative / Post- Procedural patient

who has received Naloxone following opiate ad-

ministration?

P = Adult Postoperative Patient

I = Monitoring requirements

C = patients receiving opioid administration in the

Post-operative/post procedural area

O = Monitoring requirements of patients receiving

opioid administration and naloxone

Once you have the question, you can then identify

keywords that you will use in your literature search.

Make sure when you begin your literature search

you keep track of your keywords and the Number

of articles your search is revealing as well as where

you searched for your articles. For example you

established 5 keywords and you searched on Pub-

Med and revealed 50 articles that pulled these key-

words in the literature search, but only 5 articles are

pertinent to your PICO question.

If you have any questions or need some assistance

in developing a PICO question, please feel free to

contact me at kyrastewart@hotmail.com or call at

812-437-2567.

5

Vital Volumes

Government Affairs Carol Matthews BSN, RN, CAPA, CPN

As a member of ASPAN's 2011-2012 Governmen-

tal Affairs Committee and INSPAN's Governmental

Affairs Committee, it is my goal to share legislative

information with you. As nurses we need to be pro-

active in governmental issues, so I am asking you to

take time from your busy schedules to read this in-

formation and voice your opinions and concerns

with our U.S. Senators, Richard Lugar and Dan

Coats. Each Senator has a web site that allows you

to communicate with him very easily. Their ad-

dresses are: lugar.senate.gov and coats.senate.gov.

Here is information regarding Senate Bill 847--The

Safe Chemical Act of 2011, referred to the Senate

Committee on Environment and Public Works on

April 14, 2011. ANA and ASPAN support this revi-

sion.

The Toxic Substances Control Act (TSCA) was

enacted in 1976 to regulate the use of chemicals

based on their risk to human health or the environ-

ment. Unfortunately, it’s failed to protect us from

toxic chemicals almost from the start. In the 35

years since TSCA took effect, the Environmental

Protection Agency (EPA) has been able to require

testing on just 200 of the more than 80,000 new

chemicals produced and used in the U.S., and to

date just five chemicals have been regulated under

this law. Five.

Studies continue to demonstrate the links be-

tween these toxic chemicals and serious illnesses

that threaten public health, and because of the

many chemicals nurses and other health care

workers are exposed to in the workplace, they

are at even higher risk.

In response, Senator Frank Lautenberg (D-NJ) in-

troduced S. 847 "The Safe Chemicals Act of

2011." This landmark legislation would overhaul

the way the federal government protects the public

from toxic chemicals.

We need you to ask your Senators to co-sponsor this

important piece of legislation. By co-sponsoring the

bill, they can show their commitment to protecting

workers and the public from toxics.

Please take a minute to ask your Senator to become

a co-sponsor of the Safe Chemicals Act.

Thank you for your continued support on this and

other issues important to nursing—your voice

makes the difference for the nursing profession and

for patients.

To learn more about the impact of toxics on public

health and nursing visit gova@ana.org. Safe Chemi-

cals page.

Legislative and Regulatory Priori-

ties for the 112th Congress

Nursing Shortage

Title VII: Funding for Nursing Workforce

Development Programs Immigration and the Nursing Workforce Appropriate Staffing

Acute Care Staffing Mandatory Overtime

Advanced Practice Registered Nurses

Barriers to the Practice of Advanced Practice

Registered Nurses Home Health: Plan of Care Designation

Medicaid Coverage of Advanced Practice

Nursing Workplace Health and Safety

Safe Patient Handling

OSHA's Bloodborne Pathogens Standard

Patient Safety/Advocacy

The Affordable Care Act Health Care Coverage: Access/

Appropriations Mental Health Care Medical Malpractice Liability/Tort Reform Social Security

Protection of Medicare/Medicaid Health Care Quality Measures Gun Control

Environmental Health

Environmental and Chemical Reform Toxic Substances Control Act Reform

6

Vital Volumes

INSPAN Committee Reports

Finance Tresa Hammon RN Treasure

On line banking has been established. Continue to audit finance book from 2007 to 2010.

Research Committee Kyra Hiatt RN, CPAN President

See page % for information

Bylaws/Policy & Procedures Grace Walke BSN, RN, CPAN

Bylaws are post on INSPAN web site. Revisions of bylaws are in pro-gress to coordinate with APSAN’s new format.

Nominating Committee Charlotte West BSN, RN, CPAN Immediate Past President/Nominating Committee Chair

Letters sent in May for the Willingness to Participate for the 2011-2012 INSPAN year.

Education Committee Carol Matthews BSN, RN, CPAN Secretary/Education Chair

Scholarship instructions and applications are available at www.inspan.org. Please send application re-quest according to directions.

INSPAN Fall Update Karen Garten RN, CAPA Vice President/President Elect

Application/brochure found at www.inspan.org. See information on page 10

Publications/Web site Charlotte West BSN, RN, CPAN Immediate Past President

Web site is updated monthly. Check for education offerings and applications.

District Information WINSPAN: (Lynn Pound) Meeting will resume in September. Concern with membership and atten-

dance at district meetings.

INSPAN Indy: (Grace Walke) Need to fill position of Vice President. Janice Shipley resigned as Indy representative and Grace Walke has been appointed to complete the term.

Northern: (Charlotte West) Reactivated in May with new office being appointed. Kathy VanKlav-erin—President; Linda Young—Vice President; Tracy Estep—Sec/Tres; Mary Baird—Northern IN-SPAN Representative

Membership Memo

July membership = 234

7

Vital Volumes

Future Meetings General Membership Meet-ing: September 25th following lunch.

Board Meeting: September 25th immediately fol-lowing the seminar.

All are welcome!

ABPANC News

New online Practice Exams (access on AB-

PANC’s website under Certification tab) are avail-

able for perianesthesia nurses studying for the

CPAN® and/or CAPA® certification examina-

tions. Using a new methodology for constructing

the Practice Exams, there are virtually an unlim-

ited number of 50 question practice exams avail-

able to take! Please read the information on the

website about the practice exams. Each practice

exam costs $35, however, as a promotional, now

through December 31, 2011, buy one practice

exam and get another one free! Contact hours may

also be earned.

ABPANC is committed to preserving the envi-

ronment - being green! All ABPANC documents

including the Certification Candidate Handbook,

Recertification Handbook and the Certifica-

tioNOW Q&A Brochure are found online at

www.cpancapa.org. Please take the time to read

these very important documents where all of the

policies that affect candidates and certificants are

included.

ABPANC offers many CPAN® and CAPA® re-

lated products – Visit the ABPANC Store, found

under the Resources section of the website. A beau-

tiful plaque is available and can be engraved with

the names of the CPAN® and CAPA® certified

nurses in your unit. CPAN and CAPA pins are also

available for purchase. What better way to let the

patients and their families know that they are being

cared for by a certified nurse!

Recertification Information

The process for recertifying changed beginning with

those recertifying in the Fall 2009 and is now done

completely online. Those individuals due for recer-

tification must read the Recertification Handbook

(available on ABPANC’s website) under the Recer-

tification section. Instructions will be provided in

the first renewal notice, sent to certificants in July

(for the Fall recertification cycle) and December

(for the Spring recertification cycle).

Certification Review

In preparation to the Fall Examination date, IU

Health North will present a 2 day certification re-

view. Mark your Calendar—August 26 & 27, 2011.

Visit the INSPAN website for an application.

8

Vital Volumes

Registration Window – Online July 11 – September 5

Registration Deadline – Online September 5 by 11:59 p.m. ET

Time Period for Scheduling Examination Appt. with Prometric Upon receipt of your ATT letter through Novem-

ber 10

Examination Administration Window October 3 - November 12

Deadline for Cancelling Appt 3 business days before scheduled test date

Postmark deadline for requesting

Withdrawal, refund, rollover from PES

On or before last day of examination administra-

tion window

Examination Registration & Administration—Dates & Deadlines

FALL

NEWS FOR CERTIFICATION

9

Vital Volumes

Congratulation New CAPA/CPAN Nurses in Indiana

Spring 2011 Denotes INSPAN member

DUAL

Kimberly Hamon RN, CPAN, CAPA

Mindy Murray BSN,RN, CPAN, CAPA

Elizabeth Wooding RN, CPAN, CAPA

CAPA

Shannon Boyer RN, CAPA

Rachel Jones RN, CAPA

Pamela Kurtz RN, CAPA

Melinda Michel RN, CAPA

Sandra Pridemore RN, CAPA

Natalie Winegardner RN, CAPA

CPAN

Laura Eggert RN, CPAN

Sandra Evanoff RN, CPAN

Geraldine Mannion RN, CPAN

Gregory May MSN, RN, CPAN

Deborah Miller RN, CPAN

Laura Riehle BSN, RN, CPAN

Kelly Russell-Decker RN CPAN

Tracy Seree De Roch RN, CPAN

Julia Simmons RN, CPAN

Steven Smith RN, CPAN

Kathy Staley RN, CPAN

Cathy Ward RN, CPAN

DUAL

Mary Cummins RN, CPAN,CAPA

D. Jean Miller BSN, RN, CPAN, CAPA

Sherri Quinn RN, CPAN, CAPA

CAPA

Linda Bellamy RN, CAPA

Tamara Billings BS, RN, CAPA

Maurina Brown BS, RN, CAPA

Paula Calhoun BS, RN, CAPA

Nancy Call RN, CAPA

Tina Childress-Brown RN, CAPA

Donita Day RN, CAPA

Susan Goetz BSN, RN, CAPA

Ella Janssen RN, CAPA

Joy Knotts RN, CAPA

Maureen Palmer BSN, RN, CAPA

Carol Stanton BSN, RN, CAPA

Kathy Williams RN, CPAN

CPAN

Cynthia Breiva BSN, RN, CPAN

Misty Demark BSN, RN, CPAN

Jill Doering RN, CPAN

Yvonne Fillinger RN, CPAN

Martha Gilham BSN, RN, CPAN

Gertrude Grossi MSN, RN, CPAN

Karen May BSN, RN, CPAN

Alicia Trevino RN, CPAN

Ann Wellington RN, CPAN

Certification Renewals Great Achievement

Spring 2011 Denotes INSPAN member

Moments from the INSPAN Component!!!

ASPAN's 30th National Conference "Reinvest In Your Potential"

10

Vital Volumes

By Martha L. Clark MSN RN CPAN,

ASPAN Region 3 Director

Seattle, WA served as the host city for AS-PAN’s 30th National Conference where Presi-dent Kim Kraft’s theme, “Reinvest in Your Po-tential”, was realized by over 2100 perianesthe-sia nurses. Despite the rain, cold winds, and thunder snow during the week the conference was filled with multiple fun events, networking opportunities, and excellent educational pres-entations.

ASPAN’s Representative Assembly (RA) met on Sunday to conduct the business of ASPAN. The RA is composed of the ASPAN Board, Committee Chairs and two representatives from each component. Kyra Hiatt and Charlotte West were Indiana’s representatives. Items on the RA Agenda were review of the ASPAN year, examination of the fiscal statements, presentation of the new Organizational Struc-ture and the 2011 elections.

The ASPAN Above and Beyond Award was presented to ten members during the RA. Four Region 3 members received the awards. They are Marigrace Clarke and Wanda Ellenburg from ILSPAN and Raquel Evans and Susan Hardaway from WVSPAN. Grace Walke was nominated from Indiana. To nominate a col-league you feel has gone, Above and Beyond, please go to the ASPAN website www.aspan.org for more information and download a nomination form. Sunday ended with Component Night with the Emerald City

from the Wizard of Oz being represented by many of the characters.

The remaining days of conference were filled with many activities from the opening ceremo-nies on Monday to the closing breakfast and installation of officers on Thursday. With the educational presentations, participants had the opportunity of earning over 30 contact hours during the conference.

The ABPANC CPAN/CAPA luncheon cele-brated all the certified nurses. Region 3 compo-nents KSPAN and OPANA were presented with the ABPANC Shining Star Award.

I want to thank all the component leaders who attended the Region 3 meeting on Monday evening to share stories and achievements during the past year. Many thanks to everyone involved in creating an awesome conference.

It is now time to plan for the 31st ASPAN Na-tional Conference in Orlando, Florida, April 15-19, 2012, as President Chris Price’s theme encourages, “Beacons of Change, Focus on our Future”!

By Martha L. Clark MSN RN CPAN,

ASPAN Region 3 Director

INSPAN FALL UPDATE Karen Garten RN, CAPA

What an exciting educational experi-

ence coming your way this fall. Dr.

Kim Noble PhD, RN, CPAN will give

you an educational day to remember.

As ASPAN Director of Research she

is exited to present the following semi-

nar.

Perianesthesia Nursing: A Systems Review of

Pathophysiology

Topics Include:

Neurological System

Cardiovascular System

Respiratory System

Renal System

Endocrine System

Pain

Case Study Review

Target Audience:

All perianesthesia nurses

Purpose/Goal:

To provide perianesthesia nurses with a system

based review of pathophysiological content and

practice in its application to the care of patients

Overall Program Objectives:

1. Review normal pathophysiology for a variety

of systems and the importance for perianesthe-

sia nurses.

2. Discuss the potential mechanisms of injury that

may be exhibited in pre and post anesthesia

patients

As a member you should received the application

by e-mail. It is also available on INSPAN web-site

www.inspan.org—Education section.

Please post in your unit and invite others

to attend.

INSPAN has cut the cost of this seminar to encour-

age and make it possible to attend. Usual cost is

$150 for members.

Members = $90

Non-Members = $115

11

Vital Volumes

The American Society of PeriAnes-thesia Nurses (ASPAN) is the profes-sional specialty nursing organization representing the interests of more than 55,000 nurses practicing in all phases of preanesthesia and postanesthesia care, ambulatory sur-gery, and pain management.

ASPAN Core Values

Building integrity

Modeling Respect

Honoring Diversity

Promoting Stewardship

Providing Mentorship

Cultivation Passion

Supporting Community

ASPAN’S CORE IDEOLOGY

“It „s what you learn after you know it all

that counts”

John Wooden