Oklahoma. Vital Signs Oklahoma. President s Message OSPAN. Inside this issue: By Alison Johnston. President s Message 1. Board Members 2 ASPAN/OSPAN 3

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1 Vital Signs Oklahoma Volume 2, Issue 1 January 2018 OSPAN Oklahoma Society of PeriAnesthesia Nurses Inside this issue: President s Message 1 Board Members 2 ASPAN/OSPAN 3 OSPAN Winter Conference ASPAN National Conference OSPAN Spring Conference CPAN/CAPA 7 Region 2 Director Comments ,9 President s Message By Alison Johnston Dear Current and Future OSPAN Members, Happy New Year! It is hard to believe the pace of life and how fast 2017 has flown by was a year filled with many changes, such as the US government and many heartaches around the globe with natural disasters and terrorism. As nurses, we recognize change on all fronts and how it affects the psyche of the human race. No matter our differing political views, cultural backgrounds, or religious belief; nurses come together for the common good. This is no exception in the realm of perianesthesia nursing. When one of our colleagues is in distress, we come to their aid and offer assistance. Always hoping for the best outcome. If the outcome is not what we desired, then we grieve together and support one another. To be a great perianesthesia nurse, we need the skills and support of our colleagues, as well as a specific knowledge and skill set of our profession. In order to build upon our perianesthesia skills, we must continue the journey of education. An excellent and highly esteemed way of learning vital skills and the "why" behind perianesthesia nursing is to become certified. There are two options: CAPA and CPAN certification. Another educational opportunity is the yearly ASPAN National Conference, which will be held April 28th-May 3rd, 2018, in Anaheim, California. The third option is to attend OSPAN conferences. The 2018 OSPAN Spring Conference will be held in Tulsa, March 24th, This conference will have speakers, such as ASPAN's Current President, Susan Russell, and the ABPANC Past President, Linda Lakdawala, Please go to and for further information about these conferences. The OSPAN Board of Directors are excited to organize and present opportunities to existing perianesthesia nurses and to encourage the future perianesthesia nurses. We hope you consider joining OSPAN and eventually joining the Board of Directors. We are continuously looking for ways to improve and provide the best opportunities for you. Once again, I wish you a very safe, prosperous, and blessed 2018; and thank you for allowing me to be the President of OSPAN. Alison Johnston Oklahoma Nurse Humor 10,11 Progress in Process 12,13 Willingness to Serve Oklahoma City Tulsa

2 Volume 2, Issue 1 Page 2 Meet your OSPAN Board Members Alison Johnston, RN, BSN, CPAN OSPAN President Tracy Gaylon, RN, BSN, CPAN OSPAN President Elect Cathy Tellone, MSN, RN, CAPA, OSPAN Treasurer, New Member Cathy has more than twenty years of experience in the perioperative setting and has been CAPA certified since Cathy currently works as a PACU nurse for INTEGRIS Health in her home town of Yukon, Oklahoma, and has served as preceptor, mentor, and as a member of the Unit Based Council, Peer Review, and Professional Standards committees. She recently completed her Master s Degree in nursing with an emphasis in nursing education and teaches one day per week, as an adjunct faculty member, in the RN-BSN program at Oklahoma City University. Outside of her professional career, Cathy enjoys being involved in activities with the Oklahoma City Philharmonic in programs such as The Society of Strings and The Instrument Playground. Cathy and her husband have two grown sons and four grand-children. Wilma Bouska, RN, BSN, CPAN, OSPAN Director at Large, New Member Wilma has more than 30 years experience in the medical field with 20 years focused in the PACU setting. Wilma has held her CPAN certification over 15 years and is now the Nurse Manager of the Perianesthesia department at the Oklahoma Spine Hospital. The love of nursing and helping others has been the driving force of her career. Her professional goals are to make a positive impact on other staff and encourage and mentor new nurses to enable them to have the critical thinking skills and knowledge to make a difference in the future of nursing and safety of their patients. Wilma is married with two daughters that are both RNs, one son, and six grandchildren. Her hobbies are training and showing miniature horses and Dexter cattle with her grandchildren and quilting. Jody Hacker, RN, BSN, CAPA OSPAN Webmaster Toni Strickland, RN, BSN, CPAN OSPAN Director at Large OSPAN Open Positions: OSPAN Secretary Director At. Large, open positions: 2 Janice Hamouz-Fultz, RN, BSN OSPAN Editor of Vital Signs If you are willing to serve on the OSPAN board, contact any board member or fill out the Willingness to Serve Form at the back of the newsletter or go to the OSPAN website: www. OSPAN.org

3 ASPAN/OSPAN HISTORY 1970 S Recovery Room nurses were Forming associations in many parts of the country to discuss patient care issues Need for post anesthesia education These visionary nurses united many small groups to form one national organization 1979 : at the 10th annual seminal for Recovery Room Nurses the initial planning began to form ASPAN 1980 s OSPAN MISSION The American Society of Anesthesiologists was held in Chicago with 19 nurses in attendance. These nurses drafted bylaws for the organization to be known as the American Society of Post Anesthesia Nurses. These 19 nursing leaders became the Board of Directors of the new organization. The logo and the leaf of ASPAN was created. OSPAN exists to promote quality and cost effective care for patients, their families, and the community, through public and professional education, research, and standards of practice for all perianesthesia nurses. Areas included are those in Phase 1, Phase 2 (PACU), Post Op, Same Day Surgery units, Endoscopy Labs, Cath Labs, and all other areas where IV sedation is administered. ASPAN s CoreIdeology CorePurpose To advancetheunique specialty of PeriAnesthesia nursing OSPAN Board Positions Core Values Building integrity Honoring diversity Cultivating passion Modeling respect Promoting stewardship Supporting Community Providing mentorship Value Discipline ASPAN will be branded for having an identity and image of leading edge programs and services. This brand will need to be supported by operational excellence, eminent influence and advocacy and membership focus. ASPAN s Five Regions Past President President President Elect Secretary Treasurer Director at Large (4) Vital Sign Editor Webmaster One Year Term One Year Term One Year Term Two Year Term Even years Two Year Term Odd years One Year Terms Appointed positions Appointed positions OSPAN Yearly Educational Offerings: ASPAN National Conference OSPAN Spring Conference (Tulsa) OSPAN Fall Conference (Oklahoma City) Miscellaneous Mini Educational Opportunities during the year Select Seminars through ASPAN

4 Volume 2, Issue 1 Page 4 OSPAN 2018 WINTER CONFERENCE Date: Saturday, February 10 th, 2018 Time: 9:00 a.m, - 12:00 p.m. Location: INTEGRIS Canadian Valley Hospital Cost: $ Health Center Parkway Yukon, OK Conference Rooms A & B Have you ever wanted to relax while painting and earn contact hours at the same time? Well now is your chance. We are mixing painting with education! Revamping the Protein RX Speaker: Karen Kay Massey RD/LD Why is protein so important? Learn about sarcopenia, nutrition recommendations for protein intake, and ways to incorporate it into your food choices. One Contact Hour Please go to to register. Paint and Palette with Lauren Huff! SAVE THE DATE: Summer Educational Program June 23rd, 2018

5 ~ Register for the 2018 ASPAN National Conference Visit ASPAN.org and click on the National Conference Picture ~ Visit Anaheim! HOTEL INFORMATION Anaheim Marriott 700 West Convention Way Anaheim, CA Reservation Toll Free: When calling identify yourself as attendees of the ASPAN 2018 National Conference Rate: $ per night ACCREDITATION INFORMATION National Conference ASPAN's 37th National Conference, Detecting Greatness: The Proof is in Our Practice, is planned and designed with you in mind! The national conference will provide you the opportunity to both network with peers, leaders and experts from diverse geographical and healthcare areas. You can also interact with leading industry vendor representatives to gain information and advice on new products and services for quality patient care. OUTCOME & OVERALL CONFERENCE OBJECTIVE To enable the nurse to increase knowledge on clinical practice, standards and research. Target audience is All professional nurses. Discuss current information on clinical practice, standards, evidence-based practice, research and new technologies that contribute to safe, quality patient care in the perianesthesia setting. Awaken your inner child at the happiest place on earth. Disneyland and California Adventure are a few minutes walk or shuttle ride. A short ride continues the adventure and thrills at other attractions including Knotts Berry Farm, Lego Land, zoos, and aquariums. Get your shopaholic fix at the historical center of commerce for Anaheim at the turn of the century Center Street in Downtown Anaheim. Quaintly curated shops, and artisan-inspired eateries are yours to discover unique treasures. Luxury shopping at South Coast Plaza and Fashion Island outlet shopping. Copyright All rights reserved by the American Society of PeriAnesthesia Nurses (ASPAN). Reprinted with permission. Visit

6 Volume 2, Issue 1 Page OSPAN Spring Conference OSPAN Spring Conference 2018 St. John s Medical Center 1923 S. Utica Tulsa, Oklahoma Saturday Purpose: To provide an educational conference for nurses and other healthcare professionals. March 24, :30 a.m. to 3:00 p.m. Target Audience: Nurses and other healthcare professionals who provide care for patients undergoing all types of anesthesia. Overall Program Objective: Discuss current topics important for PeriAnesthesia nurses. Agenda 7:30-8:00 Registration/Breakfast 8:00-8:15 Welcome from OSPAN President, Alison Johnston, RN, MSN, CPAN 8:15-9:15 Nuts and Bolts of Becoming CPAN/CAPA Certified Linda Lakdawala, DNP, RN, CPAN (ABPANC Past President) 9:15-10:15 Test Taking Strategies/Fear of Failure Linda Lakdawala, DNP, RN, CPAN 10:15-10:30 Break 10:30-11:30 Annual Meeting 11:30-12:30 Lunch 12:30-13:30 Nursing Ethics and Jurisprudence Susan Russell, BSN, RN, JD, CPAN, CAPA (ASPAN President) 13:30-14:30 Clinical Practice Hot Topics Susan Russell, BSN, RN, JD, CPAN, CAPA 14:30-14:45 Election Results 14:45-15:00 Evaluations/Certifications Register for this Spring Conference in Tulsa at:

7 Get Certified Take Your Career to the Next Level with CPAN/CAPA Certification! CPAN - Certified Post Anesthesia Nurse CAPA - Certified Ambulatory Perianesthesia Nurse Why get CPAN or CAPA Certified? Nurses who get this nationally recognized certification can validate their perianesthesia practice and become leaders who strive to improve their practice in the surgical setting. The ASPAN website ( offers information, weekly study questions, and tutorials to help you study for the exam. In the two years prior to applying for initial certification, you must have at least 1,800 hours of direct clinical experience obtained in the two years prior to applying for initial certification. You must also have an unrestricted nursing license. The cost for the exam is $314 for ASPAN members and $424 if you are not an ASPAN member. NEW OSPAN MEMBERS Deason, Deborah Ann, RN Drew, Julie A, RN, CAPA McCormick, William Zachary, RN Stoops, Kim, RN Archer, Raymond, RN, CPAN Milner, Alyssa, BN, RN Warner, Katherina Lou, BSN Atwell, Kelli, BSN, RN Gastineau, Maci, BSN, RN Gifford, Matt, BSN, RN Grant, Tyrra, BSN, RN Grizzle, Emily, BSN, RN, CPN, ACLS Hines, Shawn L, RN Nolan, Irene, RN O'Guin, Brittney, RN Payne, Vicki, RN Spencer, Lindsay Leigh, MSHA, BSN, RN, TNCC Tignor, Ralania, BSN, RN Walton-Ward, Connie, RN Wilson, Gayla, RN Mcafee, Tina Renee, BN, RN, ACLS Shaver Knowlton, Sueanne, BSN, RN, CPAN Valiant, Jill K, BSN, RN Gregg, Megan Cook, MSN, RN, CPAN Gruber, Kelli, BSN, RN Magerkurth, Kristen Corrine, RN Schmidt, Madeline I, RN, CPAN Stevenson, Lisa M, RN

8 Volume 2, Issue 1 Page 8 ASPAN Region 2 Director Greetings from our Region 2 Director, Jennifer Kilgore ASPAN Update Greetings OSPAN Thanks for the opportunity to write to this awesome group of perianesthesia nurses and to be a part of Oklahoma! I have given a great deal of thought on how to inspire this beautiful, brave group! I want to talk about belonging. America is in the midst of a spiritual crisis. I think it would be difficult to argue that we are not facing heated struggles that quite frankly are uncomfortable. Everyone has opinions, beliefs, ideas, passions and mix that with technology and media the flame ignites big time! According to research studies by social scientist Brene Brown from University of Houston - We are disconnected. Her research revealed that people today feel they are losing that sense of shared humanity. The world feels heartbroken. We ve sorted ourselves into factions based on our politics and ideas. We ve turned away.. from God and from one another. Many would attest that we are more isolated. We are quick to press toward blame and rage. Many are lonely and untethered and scared. With emotions running at an all time high many discussions on issues frankly are dominated by an Us vs Them mentality. Media is all forms fuels it. The very things that have brought us together are breaking - football games, concerts, corporate worship honoring the American flag - mass shootings in Las Vegas, churches, schools removing historical figures The very things we treasure and give joy and hope are under attack. Why? Where is this coming from? Politically, spiritually, economically, socially, culturally, linguistically even our words there is division. We feel anxious about saying the wrong thing, expressing the wrong opinion, and fear of being excluded. Really, what do we have to keep us, to bond us, to unify us? As a nation, as components, units, families. What happens if we are divided? We fall. Its time to recognize and make It our mission to come together. How can our society move past shame and hate toward empathy and connection? Let s face it everyone wants to be a part of something, but it has got to be real, not fake! Not conditional! As Americans, as ASPAN, I believe we must cultivate belonging! Recognizing that we are all inextricably connected to each other through nursing, our calling - through love and compassion! Brene Brown gives us four keys to true belonging. Make eye contact with people you disagree with get to know them. She says, people are hard to hate up close Much stealthier and easy online, behind a computer screen. Don t just agree to disagree go deeper. Share the reasons why the issue or topic is so important to you. When you want to run away or launch an attack, say Tell me more. Keep your eye on the future for outcomes you both hope for Share collective joy and pain there is a sense of true belonging spending time sharing emotional experiences with large, diverse groups (church, sporting events, concerts, services, seminars, conferences) Seek collective joy, show up for experiences of collective pain for real, in person not online, it more difficulty to deny our human connection. Sociologists observed that religious ceremonies, church create collective effervescence a sense of share emotion, connection, and sacredness. When we feel more similar to others, we feel more concern for them, we listen better, and we stick it out longer.

9 Jenny Kilgore Speak up (NICELY) when you disagree. People who feel a sense of belonging don t stay silent in these situations, but they do not attack either. They ask for clarification or evidence, they listen, they re respectful. Embrace the paradox Strong back, soft front. Which means on one hand they have principles and boundaries; they will speak up and show you their authentic self, even when it s uncomfortable. But they are also compassionate and vulnerable; they don t lash out or put up a wall in front of their emotions. True belonging involves the courage to stand alone. In closing, we should never allow differences be it cultural, social, political to be elevated above the message, above our collective purpose. These things can weasel their way quite stealthily into the group and divide. I encourage you to actively seek out ways to unify, communicate and love! Belonging, Jenny

10 Volume 2, Issue 1 Page 10 NURSE HUMOR Actual Hospital Charting: S he is numb from her toes down Exam of genitalia was completely negative except for the right foot. While in the emergency room, she was examined, x-rated, and sent home. Occasional, constant, infrequent headaches. Examination reveals a well-developed male lying in a bed with his family in no distress. Patient was sleeping and unresponsive. Patient has been depressed ever since she began seeing me in The patient refuses an autopsy.

11 A quick guide to medical terms: Artery.the study of paintings Barium...what s done if a patients dies Cauterize.made eye contact with her D & C.where Washington is Nitrates.better than day rates Outpatient...when a patient faints Post Operative...delivers the mail to the ward Secretion..hiding something Tablet.a small table Nurstoons reprinted with permission from Carl Elbing.

12 Volume 2, Issue 1 Page 12 Progress in Process...Nurse Notes This is your OSPAN Vital Signs, a newsletter letting you know what is happening with OSPAN! You can get more information about OSPAN from the website: or you can follow us on FACEBOOK. In subsequent newsletters, we d like to have members submit hospital experiences, observations about bedside nursing, or just want to say something about the surgical setting. You can observations or stories to: OSPANwebmaster@gmail.com. PROGRESS IN PROCESS..Nurse Notes Back to School Is it Time? While hospitals are seeking nurses with higher degrees, some of you may be wondering if you should return to school. As a recent graduate, I was asked how it was returning to school as a working registered nurse, and why I chose to do so. As a seasoned nurse in the perioperative setting, I have had many opportunities over the past three decades to serve as a preceptor or mentor to new nurses. Shortly after the new millennium, however, I began to meet new nurses who seemed to have great insight related to best practices and the future of the nursing profession. Best practice was an unfamiliar concept to me and not knowing where those ideas came from, or the processes involved, I began to feel outdated in a sense. I also began hearing that the healthcare industry wanted a higher percentage of nurses with a bachelor s degree but why now? I remembered hearing those exact words when I completed my associate s degree decades ago, but because of the unresolved nursing shortage it never seemed to be a concern to my career. This time, however, I sensed a change in the profession. It seemed the newer nurses were on the forefront of something bigger than simply having years of experience, and I began to feel my confidence slip. In 2011, I became nationally certified in my specialty thinking that would relieve my insecurities. Being nationally certified, however, came with exposure to the specialty s standards of care, position statements, and practice recommendations along with exposure to their quarterly journals. Consequently, the exposure raised more questions than answers. I was curious who decides best practice? Where do those ideas come from? I kept wondering - what are they teaching in nursing school today and what has changed since I was a student? It was clear that the curriculum had changed over the past decade regarding policy development and the influential role nurses play in their practice, so I finally decided, several years later, to return to school to obtain a bachelor s degree in nursing.

13 The thought made me cringe. Even though nursing school was decades ago, how could I ever forget the sleep deprivation, the care plans, and the long hours of studying? How much would it cost? Would my family understand? Do I really need another degree? I will admit, in the beginning, I was terrified. After all, it had been decades since I opened a textbook and was a working full-time registered nurse already having to juggle long hours and a demanding call schedule. Where would I find the time? At the same time, however, I felt motivated and excited that I had finally made the decision to go for it. So, what was it like? Surprisingly, I met many nurses in the classroom who were experiencing the same fears as myself and, much to my relief, the classes were small and there were no nursing care plans or examinations! Mostly, the program I chose consisted of writing papers, working on group projects with classmates, and learning how to create PowerPoint presentations. Of course, I had to re-arrange my lifestyle temporarily to study, had to burn a little midnight oil, and missed out on some social time with friends and family, but it was not long before I realized that I had made the right decision. Over those two semesters, I discovered more had changed than I originally thought. Of significance, I discovered the value of multi-disciplinary collaboration and the influential role nurses play in policy development and in the hospital boardroom. Although my job description did not change upon graduation, I changed. I continue to work as a bedside nurse in the perioperative setting, but now have the necessary knowledge to initiate changes in my practice and have great insight into what affects the care I provide to my patients. Additionally, I gained tools to better serve my profession and established life-long friendships in the process. Ironically, I also felt the calling to help other registered nurses, who may have the same fears that I had experienced, return to school to obtain their bachelor s degrees in nursing. Without hesitation, I applied to graduate school and upon graduation from that program, I accepted an adjunct position teaching in a RN-BSN program. I am excited that now I can help other registered nurses accomplish their goals with confidence. Today, there is a multi-disciplinary approach to caring for the hospitalized patient that includes physical and respiratory therapists, hospitalists, informatics specialists, and a variety of advanced practice nurses in addition to the bedside nurse and the patient s primary care physician. Not only do nurses have the potential to influence patient care, but the opportunities are here for nurses to play an active role in the hospital boardroom. Nurses are leaders, whether they are guiding a practice change, educating a patient, or directing a team of other nurses. I believe nurses do not realize their full potential to advocate for their patients and their profession, and that returning to school will certainly help them to do so. Returning to school was the best professional decision I have made, and the knowledge and friendships I gained in the process are invaluable. My only regret is that I wish I had returned sooner. There are a variety of nursing programs to fit the needs of those nurses pursuing an online degree, as well as programs that fit the needs of nurses who desire to learn in a classroom setting among other nurses. There are amazing nurses out there and I am excited to see where they take the profession. Cathy Tellone, MSN, RN, CAPA Please submit your nursing stories to: OSPANwebmaster@gmail.com References: All pictures n his newsletter are from Clip art from MS Office Publisher 2007

14 Volume 2, Issue 1 Page 14 OSPAN Position Responsibilities Board of Directors: The Board of Directors is made up of the elected officers, officers appointed by the President as described in the Bylaws and Policy and Procedures.. President: Term of Office (1) Year 1. Develops the agenda and presides over all meetings beginning with the yearly planning meeting with the Committee Chairpersons and Officers held after the Annual Conference. 2. Establishes an OSPAN timeline which is distributed to the Board of Directors at the post conference meeting. 3. Represents OSPAN at meetings essential to the functioning of the organization. 4. Submits a President s Message to each issue of Vital Signs. 5. Serves as liaison between ASPAN and OSPAN. 6. Serves as contact person for submitting news of OSPAN for ASPAN publication. 7. Submits copies of ASPAN Bylaws to OSPAN Board of Directors 8. Develops, with cooperation of the Board, and submits to ASPAN the application for the ASPAN Gold Leaf Award. 9. Develops and updates strategic plan in collaboration of the board. 10. Serves as liaison with the Oklahoma representative of the Oklahoma Society of Anesthesiologists. 11.Other duties outlined in policy and procedures Vice President/President Elect: Term of Office (1) Year 1. Assumes all duties assigned by the President. 3. In the absence of the President, assumes the duties of that office. 4. Automatically assumes the office of President upon completion of term, or in the event the President is unable to complete the term of office. 5. Serves as Chairperson of the Conference Committee. 6. Represents OSPAN and assists the membership in an advisory capacity concerning organizational affairs. 7. Works closely with President and Board of Directors to prepare for upcoming year as President. Secretary: Term of Office (2) Years 1. Assists the President in preparing the agenda for meetings. 2. Records minutes for Board of Directors meetings for the organization 3. Preserves the official files and records of the Association in a neat and orderly manner. 5. Serves as official correspondent to ASPAN. 6. Maintains a current roster of OSPAN members. 7. Assumes other responsibilities as directed by the President of Board of Directors. 8. Submits meeting minutes for board approval at each Board of Directors meeting. Treasurer: Term of Office (2) Years 1. Receives, disburses, manages, and accounts for funds, assets and securities of the Association as directed by the Board of Directors. 2. Compiles financial statistics (income/expenses) and submits to Board of Directors. This analysis will be used in planning of annual budget proposal for Board of Directors. 3. Maintains records of moneys received from the seminar, membership, exhibitors, and fund raising activities. 4. Institutes and follows through on all financial policies and procedures outlined in the Bylaws, approved by the Board of Directors, or as listed in the guidelines of the Policy and Procedure manual. 5. Reviews current balance sheet and income statement at all Board of Directors meetings. 6. Prepares annual budget report for Board of Directors. Newsletter Editor: appointed position 1. Responsible for editing and distribution of the OSPAN newsletter, Vital Signs to all members and appropriate organizational liaisons. 2. Recommended items for publication in each Vital Signs issue as deemed appropriate by the board. 3. Include items in Vital Signs as appropriate by the board. Director-at-Large: Term of Office (1) Year 1. Attends Board of Directors meetings. 2. Represents the general membership at Board of Directors meetings.

15 3. Communicates OSPAN activities to general membership. 4. Performs other duties as prescribed by the Board of Directors. 5. Serves on Conference Committee. 6. Serves as committee chairperson as appointed by the President. Webmaster/Public Relations: appointed position Governmental Affairs: appointed position Please Print OSPAN Willingness to Participate Form Name: First Name, Last Name, List your Credentials Here Home Address: Street City St Zip Primary Phone: ( ) - - Work Phone:( ) - - Employer s Name: Position: Work Address: Street City St Zip Preferred Number of years as ASPAN member: Number of years in nursing: Number of years in perianesthesia nursing: Areas of Perianesthesia experience: Ambulatory Surgery PACU Endo/Specials Clinical Education Administration Research Other Education ADN BSN MSN/DNP Other Certifications: CPAN CAPA CNOR Other Professional Involvement: Indicate involvement with professional associations/organizations (including ASPAN) Association #1 #2 #3 Position(s) Held I am willing/interested in serving on: Board of Directors Director at Large Governmental Affairs Newsletter Webmaster/Public Relations ocommunity Service *Job responsibilities are listed in the Policies and Procedures on the OSPAN website ** If interested, complete this form and return via mail, , or to any board member. ospanwebmaster@gmail.com