NEBRASKA ASSOCIATION OF PERIANESTHESIA NURSES Spring 2014 VOLUME 33, ISSUE 1 NAPPIN NEWS

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1 NAPPIN NEWS ASPAN 2014 COMPONENT Newsletter of the Year The official newsletter of NAPAN, all rights reserved. NAPAN PRESIDENT INSIDE THIS ISSUE 2 Message from ASPAN Greetings to all my fellow NAPAN members! It was also held at Nebraska Orthopedic Hospital from 0800 to It was a great Nebraska Association of Peri-Anesthesia Nurses Board Meeting I am writing this in hopes that the next issue it will be warm, 80 degrees or more. I am sure you are all tired of winter and ready for review for all perianesthesia nurses. I hope you all got a chance to celebrate at least a little for PANAW week. At Immanuel spring as I am. Hospital we were treated to breakfast, lunch, Surgical Corrections NAPAN has been busy this winter with and snacks during the week. It was a nice 3 Regional Blocks: From planning and holding Continuing Education week to be recognized for all the hard work Head to Toe Offerings. Nebraska Orthopedic Hospital we do during the year. has been gracious enough to offer us their Lastly, we are getting ready for Las Vegas Aromatherapy facilities. The board members of NAPAN for the ASPAN National Conference. Cindy would like to thank them for allowing us to Stehno and I will Represent NAPAN at Celebrating Perianesthethesia use them. What a great place on a Saturday the Representative Assembly or otherwise 4 Nurses Week 2014 to hold Continuing Education Offerings. known as the RA Meeting. We will vote on 5 The first was on January 25th on Surgical new Board Members for ASPAN and hear ASPAN Clinical Practice Correction of Skeletal & Soft Tissue about any changes being made. There is a Questions Deformities of the Face & Neck: Diagnosis, lot of discussion that goes on during this Treatment Planning, Surgical Correction, eight hour meeting and has always proved to Sample From Clinical Practice Question & Perioperative Care. What a great topic. be informative. When we get back there is a The hospital I work at, we do not see a lot lot of information to give to our co-workers Calendar of this type of surgeries, Wow, how exciting and NAPAN members. Not to mention all the things they can do for people old and the great speakers, classes, events that are Preop/Postop Essentials: young. It s a life change for some of them. held during the week. During my last four There s an App for That! In honor of PANAW week, we celebrated years in office I have had the pleasure to with free drawings of ASPAN totes, cups meet people from all over the United States. Willingness to Serve and coin pouches. We also gave everyone I am looking forward to seeing old and new 6 Form that attended a free ticket to attend another friends this year. If anyone is interested in Continuing Education Offering at a later going, please check the ASPAN website for 2014 Team date. We had a great turn out. all the information. 7 Contributor Information The second was held on February 22nd on Regional Blocks: From Head to Toe. We Editor s Edge do a lot of orthopedic surgeries and I know Bernie Larsen RN, CAPA I learned things that I didn t know and am NAPAN President able to use daily in my position. I think everyone did. The third was held on March 29th on Preop/ *Contact your NAPAN Board Members at Postop Essentials: There s an APP for that!. NAPAN MISSION STATEMENT NAPAN exists as a component of ASPAN to advance nursing practice through education, research and standards

2 Message From ASPAN Region 2 Director It seems to me, that winter has a grip on most of us, regardless of which part of the country we live. Here in Overland Park, we still have about 6 inches of snow on the ground and with the frigid temperatures hovering in the teens; it is not going to melt anytime soon. I love winter most days, mainly because the beauty of it is, that we are closer to spring. With spring comes ASPAN s 33rd National Conference in beautiful Las Vegas. I hope you are making plans to attend this annual conference! It is a time to renew friendships, make new ones, and increase your perianesthesia knowledge base by attending the wonderful concurrent educational sessions being offered. One very important event that occurs on Sunday April 27th is that President Twilla Shrout will convene ASPAN s Representative Assembly. The RA as it is called, is open to all ASPAN members who are curious or interested to know more about how ASPAN conducts its business. It is also where ASPAN will hold its annual election of Officers and Board members including Nominating Committee members. Your component leaders and delegates to the Representative Assembly need your input on who they will be voting for so it is imperative that all component members go online and send their feedback on the candidates (it s the way you vote). This feedback will be tallied at the national office and sent back to your RA delegates to guide them in their official vote during the RA convention. It is extra important for the participation of the Region 2 component members to send their feedback because this year, we are electing the Region 2 Director. We have 3 well qualified candidates for Regional Director so please take the time to read the bios on the ASPAN website and send in your feedback to the national office. It is important to remember that this elected position, once seated on the ASPAN Board, not only will vote for Region 2 issues, but also vote on issues that will affect the entire ASPAN membership. It has been an honor to serve as your Region 2 Director these past 4 years. 2 I have met more people around our Midwest Region and thus learned about best practices in our region. It has been a pleasure to present ASPAN to new and seasoned perianesthesia nurses as I traveled as far north in Nebraska and all the way south in Mississippi. I will continue my excellent journey in ASPAN as I make a run for Vice President/ President elect. I want to make sure that Region 2 is in good hands so use your feedback well. Please keep in touch. I am always at your service for anything related to ASPAN. On a personal note, I will cherish the friendships I have made these past 4 years as your Region 2 Director. Armi Holcomb RN, BSN, CPAN ASPAN Region 2 Director Nebraska Association of Peri-Anesthesia Nurses Board Meeting January 4th, 2014 at Panera Meeting Room located at132nd Maple, Omaha Present: Bernie Larson, Pat Stevens, Cindy Stehno, Gayle Kiviniemi, Pat Meyerink, Judy Mink, Phyliss Bolton, Kristy Iwanski, Carolyn Carr Absent: Becky Erickson President Bernie Larsen called the meeting to order at The minutes of the October 26th meeting were read and approved. Judy made motion to approve the minutes, Cindy Stehno seconded. Reviewed committee assignments with adjustment to Research Committee. RESEARCH: Pat Stevens (chair), Marge Devine EDUCATION: Kristy reported on January 25th, 2014 program. Title: Surgical Correction of Skeletal and Soft Tissue Deformities of the Face and Neck: Diagnosis, Treatment Planning, Surgical Correction, and Perioperative Care. Presented by Bruce S. Kuhn, MD. D.D.S. This will be at the Nebraska Orthopedic Medical Building Conference room from February Program set for Feb. 22nd at Orthopedics Medical Building. Title: Regional Blocks. Presenter Dr. Zatechka. Discussed ASPAN sponsored program. Pat S. made suggestion to have 3 hour program in March in celebration of PANAW Week. Title: Preop, PACU Essentials: There s an App for that. To include broad overview of pre-op assessment, airway maintenance, pain management, anesthetic agents, most recent interventions, Handoff reporting, SIRS, critical thinking skills and PACU vigilance for presentation. A coupon will be awarded to an attendee at the Feb program to attend the March program for free. Phyliss volunteered to make the coupon. Discussed having March 29th for this offering. National Conference is April 27th to May 1st. in Las Vegas. TREASURERS REPORT: Cindy reported the Financial Summary. Corrected ending balance January 3, 2014 of $1, to $10, See attached report. BY-LAWS: Gayle made four flash drives of the Blue Books. (Bylaws, Policies, Procedures and Guidelines for NAPAN). These were distributed to Bernie L, Pat S, Cindy S. and Carolyn C. Cost was $ Cindy made check to Gayle for this amount. MEMBERSHIP: Pat M.; no news PUBLICATIONS: Phyliss reported news for next issue of newsletter will be due by March 1st. GOVERNMENTAL AFFAIRS: check out link on unicameral site. NOMINATING: Judy; no news.

3 UNFINISHED BUSINESS: Gayle reported on sponsoring Homeless Vets. We will be donating personal and food items items to be sent for their use. These items will be collected at the Jan program and taken to the facility by Gayle. NEW BUSINSESS: Motion made by Bernie and Seconded by Carolyn to award Cindy and Phyliss funding for registration to the ASPAN National Conference in April. Motion made by Judy and seconded by Cindy to buy $50.00 in prizes for PANAW week to be distributed at the Jan 25th educational program. State Conference was discussed. Judy will contact National Speaker for conference. Gold Leaf was discussed. Gayle reviewed requirements. Carolyn will send information from Open Door Mission volunteer project to Gayle to be submitted. LDI-7 members were sent. Updated goals for Meeting adjourned at 1130 Surgical Corrections of Skeletal & Soft Tissue Deformities of the Face & Neck Diagnosis, Treatment, Planning, Surgical Correction, & Perioperative Care On Saturday January 25 NAPAN hosted an educational meeting at the Nebraska Orthopedic Medical Building. The topic was Surgical Correction of Skeletal & Soft Tissue Deformities of the Face & Neck: Diagnosis, Treatment Planning, Surgical Correction & Perioperative Care. The speaker was Dr Bruce S. Kuhn, MD, DDS. It was a very interesting and informative presentation. Dr Kuhn was very generous with his time and information. Also everyone who attended received a book that contained some of his patients before and after photos along with the corrections that were made. He was a very entertaining speaker, keeping us alert with his occasional inserts of humorous videos. Also at the meeting NAPAN President Bernie Larsen drew names for door prizes of PANAW week items, over half of the attendees won a prize. A breakfast of Egg Casserole, fruit, bagels, juice and coffee was also provided. Three CEU s were awarded for attendance. IMAGE Regional Blocks: From Head to Toe On Saturday February 22, NAPAN held an educational program at Nebraska Orthopedic Hospital on Regional Blocks: From Head to Toe. Our speaker was anesthesiologist Dr Robert Zatechka from Nebraska Orthopedic Hospital. Dr Zatechka was very informative and fun to listen to as well. We learned about the new trends in regional anesthesia. We had over fifty attendees. Three contact hours where awarded for this program. Nurses that attended where provided with breakfast of an egg casserole, fruit salad, bagels, juice and coffee. A $50 NAPAN scholarship was also awarded! Aromatherapy As I network with other PACU/Peri Op nurses around the state, I am finding that many effective antiemetics are missing from our pharmacies. This frustrates me so much as my co workers and I strive to treat our patients with the most effective medications to rescue them from nausea and vomiting. Using multimodal pain meds is one way to decrease the incidence of post op nausea and vomiting, but as science shows us, some patients are just prone to being nauseated after general anesthesia. The need for multimodal treatment of nausea and vomiting is clearly present. With this need in mind, I was pleased to read the article in the February 2014 edition of the Journal of Perianesthesia Nursing. The article is titled A Prospective Randomized Study of the Effectiveness of Aromatherapy for Relief of Postoperative Nausea and Vomiting. The authors Nancy S. Hodge, RN, MSN, BSN, ACNS- BC, Mary S. McCarthy, RN, PhD, MN, BSN and Roslyn M. Pierce, BA did a study using aromatherapy on 121 patients who were experiencing nausea and vomiting after surgery. It is encouraging to note that the conclusion of the study was positive for the use of aromatherapy as an effective treatment for postoperative nausea. As nurses continue to see needs and take the time and energy to conduct research, we will improve the care we extend to our patients. With careful study of research conducted by our nurses at the bedside, we will have more tools to extract evidence based treatments. I want to encourage all of my co nurses to look at the research and conduct a positive change in your work place. Judy Mink BSN, RN, CPAN Past President and Co-Editor 3

4 Celebrating Perianesthethesia Nurses Week 2014 February 3rd to 9th 2014 was a week Lakeside Procedure Center nurses at Alegent Creighton Lakeside Hospital in Omaha enjoyed celebrating. The activities started on Monday. When the nurses arrived at work they found thank-you flyers on their lockers from our director Barb Ricci and Team Leads Gina Semins and Pam Wilder. It was a special recognition and appreciation of our perianesthesia nurses for their knowledge, skills and vital role they bring to our specialty unit. We celebrated with cake that was shared with our entire unit including volunteers, surgeons, anesthesia, OR nurses and techs, housekeeping, lab and radiology. We continued the week with picture taking, games, prizes and ended with a delicious pot luck on Friday. The week inspired team spirit and camaraderie among our staff. The national theme of PANAW week Caring Every Step of the Way is a theme we all practice every day with our patients, families and coworkers. I hope everyone had a great week and best wishes for a great year! Carolyn Carr RN CPAN CAPA Secretary 4

5 ASPAN Clinical Practice Questions Each Friday all Clinical Practice questions that are received by ASPAN s National office are assigned to members of ASPAN s Clinical Practice Committee. I am one of the members of this committee. There are many members of this committee so the work load is spread out, so I receive about two questions per month. After I receive my questions, I research them, with the help of ASPAN s Perianesthesia Nursing: Standards, Practice Recommendations and Interpretive Statements and the internet. Then I the results of my research to the person who sent in the question along with Twilla Shrout, ASPAN s President, Jacque Crosson, ASPAN s Vice President, Susan Russell the Director of the Clinical Practice Committee and Kate Gatt, who is my team leader on the committee. It is very rewarding and increases your understanding of the ASPAN Standards. You too could be on this committee by submitting a Willingness-to-Participate form that is available on ASPAN s website. I am including a response that I sent out last year. Dear Cidalia, Phyliss Bolton RN, CPAN Editor-In-Chief Sample Clinical Practice Question My name is Phyliss Bolton and I am a member of the ASPAN Clinical Practice Committee. It is my privilege to respond to the question you submitted on 03/24/2013. I noticed that you are an ASPAN member and thank you for supporting your professional organization. What s inside this issue: Please define the staffing requirements for Phase I in regards to the critical elements. Does the nurse only have one patient for that critical elements portion? Please discuss the difference. Answer(s): According to The Standards of Perianesthesia Nursing, Practice Recommendation 1, New admissions should be assigned so that the nurse can devote his/ her attention to the care of that admission until critical elements are met. Critical elements can be defined as: Report has been received from the anesthesia care provider, questions answered and the transfer of care has taken place Patient has a stable/secure airway Initial assessment is complete Patient is hemodynamically stable Patient is free from agitation, restlessness, combative behaviors Yes, the nurse should only have that one patient during the critical elements portion, which might last only a short time. In the PACU where I work, we all work together to help get a new patient settled and help watch over another patient that nurse might have until she is able to devote attention to both patients. I hope that this information will assist you achieving and promoting safe patient care and evidence-based practice in your facility. Thank you for contacting the ASPAN Clinical Practice Committee. Let us know if we can assist you with other practice issues. Cordially, Phyliss Bolton RN CPAN ASPAN Clinical Practice Committee **Have a question? Send it in to Aspan.org MARK YOUR CALENDAR FOR 2014 APRIL 29-MAY 1 ASPAN National Conference in Las Vegas SEPTEMBER 13 NAPAN Annual State Conference at Immanuel Hospital Preop/Postop Essentials: There s an App for That! On Saturday, March 29th NAPAN held an educational offering at Nebraska Orthopedic Hospital, Preop/Postop Essentials: There s an App for That! The speaker was Nancy Exstrom, MSN RN CCRN CSC. Nancy gave a great presentation on the basics of perianesthesia nurses. It was a great review for new nurses and seasoned ones. We had a delicious breakfast of bagels, donuts, fruit, egg casserole, coffee and juice. There were 37 nurses in attendance. We earned three contact hours for the program. 5

6 No: Nebraska Association of Perianesthesia Nurses Willingness To Serve Form I am willing to serve as: ELECTED POSITION: Terms Vice President / President Elect, Two years (Followed by one year each President & Presidential Advisor) Secretary Two years Treasurer Two years Executive Member-at-Large (three needed) Two years NAPAN Committee Member: Bylaws/Policy & Procedure Committee One year Education Committee One year Finance Committee One year Governmental Affairs Committee One year Membership Committee One year Nominating Committee One year Publications Committee One year Nappin News Editor/ Publisher One year Research Committee One year Name: Address: City: State: Zip Code: Home Phone: Work Phone: Facility: City: I understand the duties and responsibilities of this position. Signature: Date: Return completed form to Nominating Committee Chairperson or President. Revised: 09,11

7 NAPAN Executive Board Bernie Larsen President Judy Mink Past President Co-Editor Pat Stevens Vice President Pat Meyerink Member-at-Large Membership Cindy Stehno Treasurer Becky Erickson Member-at-Large Finance alegent.org Caroyln Carr Secretary Gayle Kiviniemi Member-at-Large Government Affairs Contributor Information To contribute information or articles for publication in the Nappin News, please note the following publication schedule. Articles will be accepted at any time for publication at a future date, Correspondence should include author s full name, credentials, and references as needed. All material will be subject to editing prior to publication. Please send all material for inclusion in Nappin News via to Phyliss Bolton at phylissbolton@ cox.net. For Publication in: Send info by: Spring Issue April 1 Summer Issue July 1 Fall Issue October 1 Winter Issue January 1 Editor s Edge This year I ll be going to my tenth ASPAN National Conference. I ve gone to; Kansas City, MO, Albuquerque, NM, Chicago, IL, Grapevine, TX, Anaheim, CA, Philadelphia, PA, Washington, DC, New Orleans, LA, Seattle, WA, and now Las Vegas, NV. What a lot of great times, and memories I have had. Plus learning an enormous great wealth of information on perianesthesia nursing. I have met many ASPAN members and leaders from all over the country. It is probably too late to plan to attend this year s conference, but its never to early to start planning for next year s ASPAN National Conference in Philadelphia, PA. At the ASPAN National Conferences you see the ASPAN leaders and are amazed at how awesome the leaders and our organization is and also how much ASPAN is respected throughout the medical community. This year our ASPAN President is Twilla Shrout, who is a former Region 2 Director. She has been to our NAPAN State Conventions several times when she was director. Now, Armi Holcomb, our current Region 2 Director is running for ASPAN VP/President Elect, she has also been to our State Convention in the past. It s great that Region 2 is bringing this talent forward. You can start at the grassroots levels and work your way to the top! So please when you renew your ASPAN/ NAPAN membership, get involved. We need help on the local level with education, newsletters, membership, finance, government affairs, leadership, research and on the NAPAN board. Fill out the Willingness to Serve form that you will find in this newsletter. There are also many committees that you can serve on the national level at ASPAN, there is a Willingness to Participate form that you will find on line on the ASPAN web site. VOLUNTEER!!, you will receive so much more than you ll ever give. Phyliss Bolton RN, CPAN NAPAN Editor 7