CBSPANNER. CBSPAN Officers. Secretary KATHY STEINDL RN, CAPA. Eastern Shore District. Governmental Affairs SEEMA HUSSEIN MS, RN, CAPA

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1 CBSPANNER Volume 11, Issue 3 CBSPAN Officers FALL 2013 President NICKCOLE PRICE BSN, RN, CPAN, CAPA D.C. District Secretary KATHY STEINDL RN, CAPA Eastern Shore District Treasurer E CHRISTINE SKINNER MSN, RN, CAPA Eastern Shore District Region Five Director SARAH CARTWRIGHT BA, RN, CAPA Governmental Affairs SEEMA HUSSEIN MS, RN, CAPA D.C.District Research/EBP Chair GRAZE BAUTISTA BSN, RN, CPAN, CAPA Baltimore District

2 Page 2 Baltimore District President BEATRICE HAZZARD MS,RN, CPAN D.C. District President MARGARET YOUNG BSN, MDIV, RN, CPAN, CAPA Eastern Shore District President SUSAN VOLK MSN, RN, CCRN, CPAN CBSPAN BOARD OF DIRECTORS President: Nickcole Price, BSN, RN, CPAN, CAPA nikkiprice4me@gmail.com Vice President: Vacant Secretary: Kathy Steindl, RN, CAPA kathysteindl@bayhealth.org Treasurer: E Chris Skinner, MSN, RN, CAPA eskinner@christianacare.org Immediate Past President: Diane Swintek, BSN, RN, CPAN dinah613@gmail.com Region Five Director: Sarah Cartwright BA, RN, CAPA scartwright@aspan.org Baltimore District President: Bea Hazzard, MS, RN, CPAN bhazzard@umm.edu District of Columbia President: Margaret Young, BSN, MDiv, RN, CPAN, CAPA mfy1@gunet.georgetown.edu Eastern Shore District President: Susan Volk, MSN, RN, CCRN, CPAN svolk@christianacare.edu Governmental Affairs: Seema Hussain, MS, RN, CAPA seema_hussain4@yahoo.com Research/EBP Chair Graze Bautista, BSN, RN, CPAN, CAPA grzbautista@gmail.com Ways and Means: Vacant Website Manager and Newsletter Editor: Connie Gull, MPP, BSN, RN, FCN jeeplady@thegulls.com

3 In this issue: Page 1& 2! Officers Page 2! Officers (continued)!! Board of Directors Page 3! Index!! Mission Statement!! CBSPAN News Page 4! CBSPAN Fall Conference Page 5 & 6! ASPAN News Page 7! New CBSPAN Members! Page 8 & 9! Perianesthesia Pathophysiology Seminar Page 10! Puzzle Page Page 11! Region 5 Director s Update Page 3 Page 12! Research-Diane Swintek Page 13! Baltimore District Report Page 14! Eastern Shore District Report Page 15! NYC Bus Trip Page 16! D.C. District Report Page 17! D.C. Heart Walkers Page 18 &19!ABPANC and New CPAN/CAPA RN s Page 20! Transition Meeting Photos Page 21! Dates to Remember!! Editor s Note Page 22 & 23!Scholarship Application Page 24! Willingness to Participate Mission Statement The Chesapeake Bay Society of Perianesthesia Nurses promotes quality and cost effective care for patients, their families, and the community through public and professional education, research, and standards of care. CBSPAN NEWS AND INFORMATION Perianesthesia Pathophysiology and Assessment: A Systems Approach September 7, am - 4:55pm Medstar Franklin Square Hospital Speaker: Myrna Mamaril MS, RN, CPAN, CAPA, FAAN Do you have something of interest to your colleagues, fellow CBSPAN members? Please send items along so they may be included in the CBSPANNER newsletter Connie Gull, Newsletter Editor Jeeplady@thegulls.com CBSPANNER DEADLINES: November 15 February 15 May 15 August 15 Submit all articles by to: Connie Gull Jeeplady@thegulls.com CBSPAN has 615 members!! Treasurer s Report August 15, 2013 Business Checking Balance: $ W. MD Savings: $ CD: $10, MulCple scholarships in the amount of $500 are available for the ASPAN NaConal Conference. CBSPAN would like to send 4 members from each of the three Districts in To apply, submit applicacons by January 31, The applicacon is available on the CBSPAN.org website. RespecRully submised, Chris Skinner, MSN, RN, CAPA Treasurer, CBSPAN

4 Page 4 For registration and program information, go to Calendar, Baltimore District. You will be able to register on-line.

5 Page 5 ASPAN INFORMATION AND NEWS PeriAnesthesia Nursing Standards, Practice Recommendations and Interpretive Statements is now available from ASPAN Full Conference Registration Fees: Note: Pre and post conference offerings are additional costs. Prices below are for the full registration for National Conference held April 27- May 1, If you register before 3/1/14: $ Member $ Non-Member Postmarked after 3/1/14: $ Member $ Non-Member Hotel Information: Las Vegas Hotel & Casino 3000 Paradise Road Las Vegas, NV Hotel Room Rate: Early Bird Room Rate -- must book by January 17, 2014: $85.00 per night plus tax Single/Double All Reservations booked after January 17, 2014: $ per night plus tax Single/Double Click here to make your hotel reservations now! Or, call All rooms subject to availability. Future ASPAN Conference Dates April 26-30, 2015 San Antonio, Texas April 10-14, 2016 Philadelphia, Pennsylvania ASPAN Webinars Education On-Demand Earn Contact Hours on-line and at your convenience ASPANEducationOnDemand/ tabid/13450/default.aspx Each webinar module must be purchased separately. You will have access to a module for 30 days from date of purchase. Fees: $25 per module for ASPAN members; $40 for non-members. Exam re-take fees: $10 for ASPAN members; $15 for nonmembers.

6 Page 6 Recruiter of the Year Award Encourage a colleague to join ASPAN today! Obtain membership applications by contacting the ASPAN National Office toll free at (877) Request as many copies as you'd like! Campaign Awards The Recruiter of the Year, the individual who has recruited the most new members during the course of the campaign, will win one free year of ASPAN membership, one free 5-day registration* to the 2014 ASPAN National Conference, and a commemorative plaque presented at the National Conference. Additional Awards Ten names will be randomly drawn from all 2013 participating recruiters at the 2014 National Conference. Winners of the drawing will each receive a $75 ASPAN gift certificate. There will be a monthly drawing from all recruiters during The winner each month will receive a copy of the 2010 Redi-Ref for Perianesthesia Practices. Recruit 4-9 new ASPAN members in 2013, and receive a $5 ASPAN gift certificate. Recruit 10 or more new ASPAN members in 2013, and receive a $10 ASPAN gift certificate. *The Recruiter of the Year is responsible for any other conference event that they wish to attend requiring an additional fee (Ex: Development Luncheon, CPAN/CAPA Luncheon, Dream Walk, etc.) Recruiter Standings--July 31, Beatrice M Hazzard, BSN, MS, RN, CPAN 1 - Beth A Garrity, RN, CPAN 2 - Celine Marie Pico, BSN, RN, CAPA 1 - Diane Swintek, BSN, RN, CPAN 1 - Elaine Matisko, BN, RN 2 - Elena S Lara, BSN, RN, CPAN 1 - Elizabeth Lada Morse, MSN, RN 2 - Ellen Rombach, BS, RN, CPAN 1 - Eugenia C Judge, BSN, RN, CPAN 1 - Exequiela Oller Sison, BSN, RN, CPAN 1 - Jane Deutsch, AAN 1 - Jennifer M Allen, MSQSM, RN, CPAN 1 - Jessica Pires, RN, BSN 1 - Joy E Reece, BSN, RN 1 - Judith A Townsley, RN, CPAN, MN 1 - Judith Pekasiewicz, BSN, RN, CAPA 1 - Maria Annette Morales, BSN, MSN, RN, CPAN 1 - Marie Graziela F Bautista, BSN, RN, CPAN, CAPA 1 - Mary G Johnson, RN, CPAN 1 - Michele Joynes, BSN, RN, CPAN 1 - Nickcole D Price, BSN, RN, CPAN, CAPA 1 - Patricia T Bodine, BSN, RN, CPAN 1 - Sandra McPherson, RN, CPAN 1 - Seema S Hussain, MS, RN, CAPA 1 - Susan G Dorsey, RN, CAPA 1 - Victoria Lynn Fisher, ADN ASPAN DEVELOPMENT Hail, Honor, Salute A wonderful way to recognize a coworker or colleague Levels of donation: Hail---$750 or above Honor--$250-$749 Salute--$25-$249 All gifts are tax deductible as allowed by law ASPAN 90 Frontage Road Cherry Hill, NJ Toll free CBSPANNER is written for CBSPAN members. All rights are reserved. Copyright 2013

7 Page 7 New CBSPAN Members Gwyneth Marie Bas-Fon - Randallstown, MD Sharon Bennett-McKnight - Delta, PA Marty Broyles - Elkton, MD Megan Lee Burris - Foxridge, MD Kendra Byard - Hagerstown, MD Dana Kathleen Carson - Abingdon, MD Merrill Chaus - Owings Mills, MD Molly Baylinson Chilcoat - Hollywood, MD Debra Chinnery - Indian Head, MD Jennifer Ciotola - Baltimore, MD Katherine Crean - Arlington, VA Vanessa Daubman - Alexandria, VA Robert Delaney - Landover, MD Sepi Gharanfoli - Cockeysville, MD Alia Sadira Gupta - Silver Spring, MD Phyllis Jones - Odenton, MD Kristen Josephs - Gaithersburg, MD Eileen Kavanagh - Baltimore, MD Jeannie Elizabeth Kenny - Bel Air, MD Jolaine Laccitello - Abingdon, MD Annette McGuire Lewis - Parkville, MD Gayle Lipella - Hagerstown, MD Kathleen Mell - Colesville, MD Aleta Narh - Bowie, MD Jackie Anne Overstreet - Boonsboro, MD Mary Petrosino - Baltimore, MD Catherine Phipps - Washington, D.C. Michelle Porter - Baltimore, MD Carol Reynolds-Rummel - Talleyville, DE Christine Rivera - Tall Timbers, MD Judith Ann Rodman - Leonardtown, MD Gena Marie Ryan - Eastport, MD Gale Schreiber - Pasadena, MD Amy Sherwood - Baltimore, MD Sandra Strait - Annandale, VA Barbara Swayne - Landover Hills, MD Evelyn Ruiz Taruc - Silver Spring, MD Deborah Thomas - Milford, DE Bridget Todd - Fairfield, CA Charmayne Tyler-Jackson - Upper Marlboro, MD Megan Vernon - Silver Spring, MD Lee Pauline Webb - Bear, DE Patricia Winik - Marriottsville, MD Welcome aboard! We at CBSPAN are happy to have you join our Component. CBSPAN was chartered with ASPAN in1982; last year we celebrated our 30th anniversary. Check for news and information on our website cbspan.org. Thank you for your support of our professional organization.

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10 Page 10 PUZZLE PAGE!! The first five individuals who correctly solve the puzzles will receive a $10 credit towards the CBSPAN Fall Conference registration! Send your completed puzzles to Connie Gull, jeeplady@thegulls.com Las Vegas, Here We Come!! Note!!! No one solved the puzzles in the last CBSPANNER--which means no one received a credit towards the Fall Conference... Here s your chance! Instructions: Unscramble the letters, spaces and punctuation marks with 3 characters in each box to spell out the phrase. Clue: Las Vegas

11 Back to School Sarah Cartwright BA, RN, CAPA Region Five Regional Director Page 11 September is upon us, and that means back to school for most of the childrenfrom Kindergarten to College. Perhaps that means back to school for you, too, as you may be taking classes to increase your professional presence. I congratulate you as you pass on the love for learning to the next generation. Speaking of the next generation, autumn is the time recent graduates are newly licensed and eager to make a difference. I challenge each of you to take up the torch of mentorship and assist the development of our future PeriAnesthesia nurses. Each one of us has something to share, and together we can do great things. Learning never stops! As this quarter ramps up most components in Region 5 offer fall conferences. I have been excited to see the brochures for these varied offerings. They cover direct patient care with timely topics to documentation issues and professional development. What an array of learning opportunities. On the ASPAN website there are links to those components that have websites. I encourage you to go out onto ASPAN.org and look at your close components page; you may be able to attend their conferences, too! Most are 1 or 2 day conferences, and all offer contact hours. If your component offers a fall workshop please attend it! ASPAN is the premier source for PeriAnesthesia education, and your components help ensure that mission is complete! The Leadership Development Institute will be taking place in Kansas City, Missouri on September 6 th through 8 th. It will be a time where ASPAN leaders assist the component leaders by empowering them to rise up and meet the challenges ahead. Topics on how we think and lead, effective board meetings, professionalism, strategic planning, and practice standards to just name a few, will be offered. It will also give Region 5 leaders an opportunity to meet face-toface with each other as we navigate what works and where we optimize our components. November will find the mid-year board of directors meeting taking place. This is an opportunity for your regional leaders to bring any requests from the component members to the board. We are developing agenda items now, so please share with me any concerns you may have, I am interested in answering your questions or moving them up if I cannot.

12 Page 12 Research Diane Swintek, BSN, RN, CPAN Immediate Past President, CBSPAN Baltimore District RESEARCH... GATHERING THE EVIDENCE Each of us in our practice is providing patient care based on knowledge gained during our preparation to become a nurse. We know that learning does not stop when you leave the formal educational environment. The Districts within the Chesapeake Bay Society of PeriAnesthesia Nurses (CBSPAN) regularly offer members educational programs with the clear vision of maintaining safe, high quality, patient care. It is about finding the evidence that supports a patient care practice. Within CBSPAN many facilities have achieved Magnet designation. The American Nurses Credentialing Center (ANCC) has changed the Magnet model and is now requiring that we show Empirical Outcomes. The way to meet this model of nursing practice is clear. Nurses must engage in clinical research with demonstrable positive outcomes for patients. It all starts with a question and is followed by unearthing the answer. ANCC is looking for the bedside nurse to participate in nursing research. During the initial Magnet journey at my hospital, I was one of those nurses with a question and I went about gathering evidence to support my premise concerning monitoring the adult patient in a Phase 1 PACU. My question involved using the Mean Arterial Pressure (MAP) as an important indicator of hemodynamic stability in the adult post carotid endarterectomy patient. In a search of the literature I found that there are not many studies focused on the perianesthesia arena. I did find several articles referencing the use of the MAP to determine hemodynamic stability in the adult ICU patient. I was then able to engage with a nurse researcher from Australia to discuss the means of designing a study and data gathering tool to support my premise. My premise was built on identifying the patient at risk for adverse events by monitoring the MAP, and then providing the needed intervention prior to reaching a crisis point. By being aware of the optimal MAP for perfusion, the nurse is able to intervene before the patient becomes symptomatic. My study hit stumbling blocks and in the end I withdrew the study before it reached a viable conclusion. However, the experience taught me the more I learn about doing research the more I am excited about being able to contribute to the evidence of our nursing practice. In 2012 at the Representative Assembly the body voted to purchase access to Joanna Briggs Institute (JBI) for all ASPAN members. JBI is an internationally recognized database of nursing literature and research. It is located in South Australia and is geared towards nurses and promoting evidence based recommendations, systematic reviews and best practices info sheets. This is exciting news! It has also meant an increase in member dues, but what we will gain and what our patients will gain from access to this service is tremendous. Our patients benefit when we enter the research arena because we are providing care based on the evidence. When we are asked why we use sequential compression devices (SCD) machines we respond that it is to promote the return of blood to the heart and help prevent blood clots. How do we know this information is true? Where is the evidence? Can we, the members of CBSPAN, gather and disseminate that evidence? Yes we can! That s what the regeneration of the CBSPAN Research committee is all about. We practice this way because we KNOW it is the best practice supported by the evidence. References: Magnet Model logo retrieved from the internet August 18, 2013 at ProgramOverview/New-Magnet-Model

13 Page 13 Baltimore District Beatrice Hazzard, MS, RN, CPAN President Baltimore District The start of our year is fast approaching. I am looking forward to the coming year and would like to encourage all of you to join us each month. The Baltimore district is planning many opportunities for our members from whole day conferences to monthly meetings in order to network with other perianesthesia nurses. Each month, with the exception of December and April, we will plan an educational offering hosted by local hospitals. Our first meeting will be hosted by Johns Hopkins Medical Center on Sept. 18 th. In October we will not hold a monthly meeting since we will be hosting the CBSPAN fall conference on October 26 th. Our theme this year will be Fill your Toolbox Today for the Challenges of Tomorrow. This year the conference will be held at Franklin Square Hospital. We have some great speakers planed and I hope you will join us for a great day of learning and networking. Hosting is a great way to assist CBSPAN in their mission and gather points for scholarships offered by our district and component. Please e- mail me if you are interested in hosting. This year will be my last as your president. I have enjoyed the opportunity to assist the component in their mission and goals as well as meeting and learning from each and every one of you. We are looking for interested members to step up into a board position this year. Joy Lazo will be assuming the president position in July 2014 and there are opportunities as treasurer, secretary and vise president/president elect. Fall Conference October 26, 2013 Medstar Franklin Square Hospital

14 Page 14 Eastern Shore District Susan Volk MSN, RN, CCRN, CPAN President Eastern Shore District The Eastern Shore District is preparing for a new year of perianesthesia knowledge and networking. A board meecng was held in August to plan the year s events. There will be six meecngs for the year with the first beginning in September. MeeCngs are also planned for November, January, March, May, and June. Members will have opportunices to take part in the Annual Fall Conference in BalCmore in October, an ASPAN seminar in BalCmore in February, and the ASPAN NaConal Conference in April. There has been a transicon in leadership for the ESD. Susan Volk is the new president, Ann Marie Stafford is the new vice president, Judy Pekasiewicz is the returning secretary, and Diz Brosmer is the new treasurer. Suellen Wilkins is the immediate past president and Kathy Jamison is the new chair for the EducaCon CommiSee. The blending of the new and past officers promises to be a fruirul endeavor for the district as we learn from one another. The Eastern Shore District of CBSPAN along with the local chapter of AORN is sponsoring their annual fundraising trip to New York on November 23. The cost of the trip is $40. Several buses leave from the Roxanna Cannon Arsht Surgicenter in Wilmington at 8:00 am and return around 8:30 pm. It is a wonderful opportunity to go to New York and see a show, go sightseeing, or shopping just before the holiday season. Maryann Sosnowski, nurse manager of the Wilmington Hospital PACU coordinates the event with Debbie Diebert from the ChrisCana OperaCng Room. The trip can always be counted on for a good Cme. InformaConal flyer is on the website.

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16 Page 16 Margaret Young, BSN, MDiv, RN, CPAN, CAPA D.C. District President D.C. District The DC District concluded the pre- summer break with a half day seminar on bloodless medicine and easy ABG interpretacon. The seminar was held at Medstar Georgetown University Hospital, and was asended by perianesthesia nurses throughout the DC Chapter. Dick Verstraete RN, MA, CCRN and Donna Stanczak RN, MS, CCRN were the workshop presenters and did an outstanding job relaying percnent informacon relevant to the successful praccce of perianesthesia nursing. The Bloodless Medicine and Surgery Program (BMSP) at Medstar Georgetown University Hospital is designed to provide care for pacents who refuse transfusion therapy for religious or personal reasons. This approach is also applicable to all pacents at MGUH. Mr Verstraete, the Nurse Coordinator and navigator for the BMSP, explained in detail that the use of blood transfusion as a treatment opcon was not discarded, but transfusion therapy is being used wisely in an asempt to achieve the desired pacent outcome. ABG interpretacon is very valuable in the recovery of the postoperacve pacent who has under gone anesthesia. Donna Stanczak, Nurse Educator for the Surgical Intensive Care unit at MGUH, took the fear out of ABG interpretacon. Her skilled approach to teaching the basic steps of interpretacon was as easy as 1, 2, 3! Her presentacon included hands on demonstracon, allowing the nurses to praccce various ABG analyses for interpretacon. At the end of the session, it was obvious; everyone had a beser understanding of the steps to ABG interpretacon. Coming on September 28, 2013, the DC District will have another half day seminar at Suburban Hospital in Bethesda, Maryland. Check your s for details and SAVE THE DATE!!!

17 Page 17 Tents Open & Festivities Begin: 11/9/2013 8:30 am - 9:30 am Stage Program and Awards: 11/9/2013 9:30 am - 10:00 am The Walk Steps Off: 11/9/ :00 am - 11:00 am The Walk is a 3 Mile Route. Walkers who can't be there on the day of the event can still be Sleep Walkers or Virtual Walkers Minutes from the CBSPAN Board Meetings, the Bylaws, Strategic Plan, Treasurer s Reports, upcoming meetings and seminars are available on the new CBSPAN website: Check it out!

18 Page 18 Certification Exam Registration & Administration Dates & Deadlines Fall 2013 Registration Window - Online July 15-September 9 Registration Deadline - Online September 9 by 11:59pm ET Time period for scheduling exam appt w/ Prometric Upon receipt of ATT letter through November 14 Examination Administration window October 7 through November 16 Deadline for cancelling or rescheduling appt Postmark deadline for requesting withdrawal, refund, rollover from PES 31 calendar days before scheduled test date no charge calendar days before scheduled test date $ Less than 3 days $ On or before last day of examination administration window ABPANC S The Buy One Get One Free Practice Exam program has been extended. Online Practice Exams ( > Certification) are available for CPAN and/or CAPA certification. There are virtually an unlimited number of 50 question practice exams available. Get two practice exam for $35. Contact hours may also be earned. FAQ's, found under the Certification section of the ABPANC website, answer questions concerning the taking an exam by computer. New Cyber Writer Program Help us write multiple-choice questions for possible use on the CPAN or CAPA exams. Earn free contact hours from home - Two contact hours per question submitted - Up to 60 hours in a 3-year period Learn valuable skills Contribute to the development of a national certification program Online training provided CHECK IT OUT!!! New 12-week Study Plan is Available Online is comprehensive 12-week study plan organizes subject matter into topics that can be reviewed in approximately four hours per week. is free guide is ideal for Coaches, small groups or your own personal study plan. Download your copy at: > Certification > Exam Preparation > CPAN/CAPA 12-Week Study Plan For information about finding a Certification Coach or forming study groups, contact zwilliams@proexam.org

19 NEWLY CERTIFIED PERIANESTHESIA NURSES Spring 2013 CPAN Maryland Katherine Kohler Richard Brocksmith Jerra Byrd Marian Muth Melanie Mallari Rachel Berge Miranda Cogswell Margaret Boratenski Page 19 Maryland Katherine Devan Emmelene Fernandez Diane Harris Dorothy Olfson CAPA Delaware Victoria Fisher Erin Johnson Kristin Papiro Carol Reynolds-Rummel Jane Seward Tammy Todd Judith Tozzoli Congratulations to these recently certified nurses. You have demonstrated your dedication, compassion and excellence for Perianesthesia Nursing!!

20 Page 20 CBSPAN TRANSITION MEETING July 19-21, 2013 Hanover, MD Verbal permission to publish granted by all individual isn photos.

21 Dates to Remember: Page 21 September 7, 2013 Perianesthesia Pathophysiology Seminar Myrna Mamaril MS, RN, CPAN, CAPA, FAAN Medstar Franklin Square Hospital To register: September 28, 2013 DC District half-day seminar at Suburban Hospital Medical Center October 25, 2013 CBSPAN Board of Director s Meeting October 26, 2013 CBSPAN Fall Conference Medstar Franklin Square Hospital See details elsewhere in this newsletter or on our website: November 9, 2013 Walk with the CBSPAN Heart Walkers for the Greater Washington Heart Walk November 23, 2013 NYC Bus trip sponsored by Eastern Shore District to support ASPAN and AORN February 3-9, 2014 PANAW Week February 8, 2014 PANAW Celebration Seminar with Kim Noble, PhD, RN, CPAN ASPAN Director for Research April 27-May 1, 2014 National Conference Editor s Note As I sit here in New Brunswick, Canada, working on the Fall issue of CBSPANNER, I m watching the soft rain, the birds visiting the feeders before they head south, the occasional leaf fall, my garden in it s last stages of production, and I hear the school bus stop nearby to gather up the children as they start their first day of school, I am reminded once again how quickly the seasons change. And once again, we are fortunate to have an abundance of activities to support our role of perianesthesia nurses: workshops, conferences, seminars. In addition there are fun activities, like the bus trip to NYC, as well as the chance to give back with the CBSPAN Heart Walk in D.C. Both of these activities offer the chance to make new friends and to network. And then I know some of our members are continuing and/or starting their school year as they journey on to further their education. I applaud you for that! All of these activites serve to make our organization stronger. Connie Gull, Editor

22 Page 22 Page 15 Chesapeake Bay Society of PeriAnesthesia Nurses SCHOLARSHIP APPLICATION Nam e : M e m be rs hip # Date Address: (Please include city, state & zip code) Phone # Em ail: Scholarship Applied For: (Limited to 2 per calendar year) Certification Recertification National Conference Funding Professional Education Scholarship Requirem ents: 1. Active CBSPAN member for a full 2 consecutive years 2. Minim um of 8 scholarship points earned (see Point Tracker System) 3. Submit only points earned within 2 years of the application date with documentation of each point activity. 4. Accrued points may only be used once. SCHOLARSHIP CATEGORY #1 ADDITIONAL REQUIREM ENTS a) $185 for CPAN/CAPA Certification 1. Copy of CPAN/CAPA Certification b) $125 for CPAN/CAPA Recertification 1. Copy of CPAN/CAPA Recertification 2. Minimum of 8 points required for each certification c) $500 maximum for professional education program or national conference 1. Copy of program attended 2. Article forwarded to the editor of the Component newsletter, CBSPANNER, within 60 days of program/conference completion d) $500 Certified Nurse to National Conference 1. Copy of current CPAN/CAPA certification 2. Article for the CBSPANNER 3. Eligible once every three (3) years e) $1200 for Component Excellence in Clinical Practice winner to attend National Conference SCHOLARSHIP CATEGORY # 2 a) $1000 maximum per year for continuing nursing education in pursuit of a degree 1. Eligible once every three (3) years REQUIREM ENTS 1. Copy of course attended 2. Proof of course completion 3. Proof of payment SCHOLARSHIP POINTS / TRACKER Activity Point Value Points Earned Date/s Earned CBSPAN Board Member District Officer CPAN or CAPA Certified Publish article in JoPAN 3 points per year of service 3 points per year of service 3 points per certification 3 points per article Publish article (exclusive of 2.5 points per article in Committee reports or National CBSPANNER or Breathline Conf.) Seminar speaker for CBSPAN 2.5 points per seminar Certification Coach Host CBSPAN/District meeting Run for CBSPAN/District office 2.5 points per year 2 points per meeting 2 points per election

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24 Page 24 WILLINGNESS TO PARTICIPATE TAKING THE NEXT STEP TOWARDS BEING AN ACTIVE PART IN THE LEADERSHIP OF CBSPAN AT THE COMPONENT OR THE DISTRICT LEVEL NAME: (include credentials) ADDRESS: (Street/Town, City/State/ Zip code) PHONE wk: home: Fax: POSITION / TITLE: HOSPITAL/SURGICAL CENTER: ADDRESS: (Street/Town, City/ State/ Zip code)) MEMBER OF ASPAN? Y/N Membership # CERTIFIED: Y/N # I am willing to be considered for candidacy for CBSPAN: Vice President/President-elect Secretary Treasurer I am willing to serve on the following CBSPAN committee(s): (may circle more than one) Bylaws (includes policies and procedures) Research Education Marketing and Communications) Ways and Means Governmental Affairs I am willing to be considered for candidacy for my DISTRICT: (circle) Baltimore DC Eastern Shore Vice President/President-elect Secretary Treasurer I am willing to serve on the following DISTRICT committee(s): (may circle more than one) Bylaws Nominating Ways and Means Programs Newsletter/Website Governmental Affairs Scholarship Research Please send information for the duties, functions and time commitment of checked committees I am I am not at this time willing to be the Chairperson of the committee checked Submit the completed to form to the CBSPAN President or appropriate District President.