Objectives. ASPAN Standards. Definitions. Discuss how ASPAN Standards are developed Review definitions of various portions of the

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1 How Easy Can Your Life Be? Using ASPAN Standards to Make it the Easiest! ASPAN Standards Definitions Objectives Discuss how ASPAN Standards are developed Review definitions of various portions of the ASPAN Standards Review the most commonly posed clinical practice questions and relate them to the appropriate standard, practice recommendation or position statement Scope of Practice ASPAN Principles Standard Practice Recommendation Resources Interpretive Statements

2 Standards I. Patient Rights II. Environment of Care III. Staffing and Personnel Management IV. Quality Improvement V. Research and Clinical Inquiry VI. Nursing Process 1. Patient Classification/Staffing Recommendations 2. Components of Assessment and Management for the Perianesthesia Patient 3. Equipment for Preanesthesia/Day of Surgery Phase, PACU Phase I, Phase II, Extended Care 4. Competencies for the Perianesthesia Registered Nurse 5. Competencies of Perianesthesia Support Staff 6. Safe Transfer of Care: Handoff and Transportation

3 7. The Role of the Registered Nurse in the Management of Patients Undergoing Sedation for Short-Term Therapeutic, Diagnostic or Surgical Procedures 9. Visitation in the Perianesthesia Care Unit 10. Obstructive Sleep Apnea in the Adult Patient 8. Fast Tracking the Ambulatory Surgery Patient 11. The Prevention of Unwanted Sedation in the Adult Patient 1. A Position Statement on the Perianesthesia Patient with a Do-Not-Resuscitate Advance Directive 2. A Position Statement on On Call/Work Schedule 3. A Position Statement on ICU Overflow Patients developed by ASPAN, AACN, and ASA s Committee on Surgical Awareness

4 4. A Position Statement for Medical-Surgical Overflow Patients in the Postanesthesia Care Unit and Ambulatory Surgery Unit 5. A Position Statement on Safe Medication Administration 6. A Position Statement on the Older Adult 7. A Position Statement on the Pediatric Patient 8. A Position Statement on Workplace Violence, Horizontal Hostility and Workplace Incivility in the Perianesthesia Settings 9. A Position Statement on Substance Abuse in Perianesthesia Practice 10. A Position Statement on Workflow Interruptions, Technology, Social Media and Perianesthesia Practice 11. A Position Statement on Care of the Perinatal Patient 12. A Position Statement on the Nurse of the Future: Minimum BSN Requirement for Practice 13. A Position Statement on Alarm Management 14. A Position Statement on Acuity Based Staffing for Phase I 15. A Position Statement on Air Quality and Occupational Hazard Exposure Prevention

5 Resources 1. Appraisal and Synthesis of Evidence Using Joanna Briggs Institute 2. American Society of Anesthesiologists (ASA) Standards 3. Association for Radiologic & Imaging Nursing (ARIN) Clinical Practice Guideline: Handoff Communication Concerning Patients Undergoing a Radiological Procedure with General Anesthesia 4. Perianesthesia Orientation Timeline 5. Clinical Practice Resources Questions dealing with pain management Multiple administrations of same drug from single vial Storage and wasting of unused portions of medications Questions dealing with pain management Starting PCA/PCEA in Phase I PACU Care of narcotic dependent patient postoperatively Questions dealing with Staffing RN/LPN (or LVN), RN/CNA staffing Staffing ratios for Pre-op LPNs in Pre-op testing

6 Questions dealing with Staffing Staffing and responsibilities during Conscious Sedation Blended units and transitioning of patients Questions dealing with the Environment Caring for different level patient(s) in the same area Blended units Questions dealing with the Environment New architecture: private rooms, etc. Questions dealing with Discharge Going home with responsible adult

7 Questions dealing with Discharge Safety of patient transport to home Use of Uber for transport to home vs. family transport Outcome Measurement Perianesthesia Standards provide a. A framework for the care of a diverse patient population in all perianesthesia settings b. Statements which best describe the desirable and achievable level of performance expected of the perianesthesia registered nurses as well as the perianesthesia environment of care. c. Recommendations for practice based on available evidence, expert consensus d. None of the above Outcome Measurement Patient Rights, Environment of Care, Staffing and Personnel Management and Quality Improvement are examples of a. b. ASPAN Standards c. d. Resources Outcome Measurement ASPAN Standards address not only licensed Perianesthesia Staff practices but also Unlicensed personnel a. True b. False

8 Outcome Measurement Interpretive Statements are statements in the sidebar format that provide clarification, definitions, examples and concrete directions for the perianesthesia nurse to follow a. True b. False Outcome Measurement are statements which best a. Describe the desirable and achievable level of performance expected of the perianesthesia registered nurse as well as the environment of care b. Direct the perianesthesia nurse in the practice of perianesthesia nursing c. Offer recommendations for practice based on available evidence, expert consensus and practice guidelines d. Champion ideal clinical practice, provide for optimal patient safety and offer support for the perianesthesia nurse in any setting Bibliography Questions? ASPAN (2016) Perianesthesia Nursing Standards, Practice Recommendations and Interpretive Statements. Cherry Hill, NJ:ASPAN Thank you!