Pulse of PAPAN. PAPAN s 30th ANNIVERSARY PRESIDENT S MESSAGE. Now Is The Time To Make Your Professional Resolutions

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1 PENNSYLVANIA ASSN. OF PERIANESTHESIA NURSES INC. FOUNDED 1983 Pulse of PAPAN The official newsletter of the Pennsylvania Association of PeriAnesthesia Nurses Copyright: All rights reserved and reproductions by any means without expressed permission of PAPAN is prohibited Volume 14 Issue 1 Winter 2014 PAPAN s 30th ANNIVERSARY CONTENTS Page1 President s Message Mission Statement Page 2 BOD Report Page 3 Education Update Page 4/5 Memorium-Theresa Lingafelt Page 6&7 PRIDE Reports Page 7 President Message continued Page 8 PACU Spotlight, Member Check List, Letters Page 9 Spotlights, FYI, Updates, Web information Page 10 PANAW Events Page 11 Governor s PANAW Proclamation Page 12 GA Update Pages 13 Research Corner Page 14 Clinical Corner Page 15 On Call Article, Spotlights, FYI, Updates continued Page 16 Editor s Page Page 17/18 Pictures Page 19 Region 4 Update Page 20 ASPAN Update, ASPAN Development Page 21 Certification Corner Page 22 New members, Recruiters, Recent Certifications Page 23 PAPAN Contact information, Willing to Participate Form Page 24 Coming Attractions Kandi Koon PAPAN President PRESIDENT S MESSAGE Happy New Year! This is the time of year for making our New Year s Resolutions. Some of the more popular resolutions are health related like losing weight, stop smoking and starting an exercise program. These resolutions are important but difficult to maintain. Now Is The Time To Make Your Professional Resolutions Now is the time to make and commit to a professional resolution. You can start small by committing to attend an educational opportunity or learning a new skill. Or, you can jump in feet first and join a committee or run for a board position in PAPAN. Any of these goals will satisfy your need to improve and grow. We celebrate PeriAnesthesia Nurses Awareness Week (PANAW) the first week of February. The theme this year is Caring Every Step of the Way. There are many ways to celebrate. Units have had luncheons, educational offerings or food drives. Let us know how you celebrated. Send the information to the newsletter editor. ASPAN s 33 rd National Conference, Dealing with Challenges Winning with Power, Practice and Purpose, is being held in Las Vegas, Nevada on April 27 through May 1, Attending this conference would be a great way to motivate and renew your passion for your profession. I will be attending this conference and so will several other members of PAPAN. If you commit to this, you would be with many PAPAN friends and will never feel alone. Component Night occurs on Sunday, April 27 giving you an opportunity to meet with the Pennsylvania group. Winner of ASPAN S 2006 Newsletter Contest PAPAN: 2009 Gold Leaf Component of the Year Continued on page 5 PAPAN MISSION STATEMENT The Association exists to promote excellence in patient care by supporting perianesthesia nurses through education, the exchange of knowledge, research, caring and the respect for dignity and unique needs of the individual. Deadline to submit articles for the summer 2014 issue is June 30, 2014

2 Board of Directors/Commi ee Repo s The Board of Directors Meeting was held October 4, Minutes of the spring meeting were corrected and approved. PRESIDENT S REPORT: Represented PAPAN at the ASPAN Representative Assembly Sent congratulatory letters and membership coupons to newly certified nurses Provided information to members/attendees at PRIDE regarding benefits available from PAPAN/ASPAN Submitted President s message and articles for the newsletter Proofread the newsletter Obtained and distributed a PANAW proclamation from PA Governor Corbett Submitted the Gold Leaf application for PAPAN Attended the PAPAN summer retreat and Leadership Development Institute Held a conference call for Policy/Procedure issues Recognized 30 year members with BOD approval to purchase a gift of a charm Kandi Koon-PAPAN President VPPE REPORT: I attended Leadership Institute to prepare for presidential duties. Roberta Wywiorski-VPPE PAST PRESIDENT REPORT: Stephanie Peterson notified of non compliance with the duties of Secretary of PAPAN. There was no response from Stephanie. COMMITTEE REPORTS: BYLAWS: There are no Bylaw changes at this time. Roberta Wywiorski-Chair Bylaws Committee TREASURER/FINANCE: PAPAN remains solvent. Jeff Zabielski-Chair Finance Committee/Treasurer NOMINATING: Chair duties will be assumed by Renee Smith. Lynn Sekeres-Chair Nominating Committee POLICY/PROCEDURE: Thumb drives were updated with approved P/P revisions. Kim Noble-Chair P/P committee NEWSLETTER: Motion regarding policy for awarding a $25 honorarium for articles submitted to newsletter by members is being reviewed and will be presented in spring Evelyn Medycki-Chair Newsletter Committee/Editor EDUCATION: There is a need for more ASPAN Seminars throughout the state. Past PRIDE Coordinators will have free conference 2 registration. Joyce MeGhee will coordinate the 2014 PRIDE in the Gettysburg area.. Bev Kantz will coordinate the 2015 PRIDE in Meadville/Cambridge Springs, PA. Roberta Wyworski will coordinate the 2016 PRIDE. Other education programs are listed on the PAPAN web site. Nancy Glass-Chair Education Committee MEMBERSHIP: There is a need to have more people on this committee. We need to continue to focus on lapsed membership. Letter of welcome sent to new members Nominees for awards are needed. Need to work with ASPAN to keep our data base updated in a timely manner. Fran Blatchley-Chair Membership Committee WEBMASTER: The website is a work in process. Links to SCAPAN and MEAPAN. Pictures of Board and Committee Chairs needed. Wanda Scheeler-Webmaster RESEARCH: Committee seeking applications for research grant money. Marlene King-Chair Research Committee GOVERNMENT AFFAIRS: Updates are listed on the website for pending legislation. Tammy Waner-Chair Government Affairs Committee HISTORIAN: PAPAN material is being reviewed for relevance. Mary Betz-Historian OLD BUSINESS: Gold Leaf application submitted Hospital liaison list sent to BOD PAPAN will supply funds to ASPAN for highlighters at National Conference in Chicago. PANAW Coupon discontinued-replaced with drawing at PRIDE BUSINESS DISCUSSIONS Develop blasts to members-chimp Mail End of term certificates developed by Marge Jackson Research Pay Pal Account Awarding of Contact Hours at PRIDE for each day Nancy Phillip s Certification Award-seek candidates SWT to develop policy for PANAW random drawing policy which replaces the PAPAW coupon Celebration at PRIDE for PAPAN 30th anniversary celebration resolved. Continue ASPAN/PAPAN membership drive at PRIDE and review on a year to year assessment Purchase projector will be researched for cost and universal cord Finance and budget discussion: split budget to include dues, scholarships and PRIDE Next BOD Meeting: April 5, 2014-Lewisburg, PA

3 Education Update Are you looking for an exciting challenge? PAPAN is looking for a new Education Chair! I have been the PAPAN's Education Chair since At this time, I would like to step down but stay on the committee as a consultant. I feel that we need "new blood" in this role for different ideas to serve PAPAN in the best way possible. I have thoroughly enjoyed this role working with the great friends I've made in PAPAN and hope to continue to be a part of this awesome group. The Education Chair position is very rewarding. The expectations are outlined in the PAPAN Policies & Procedures. I've also developed a Primer of timelines and contact lists to help define the duties of this position. Please me with any questions: castle2016@aol.com. Willingness to Participate forms can be found on the PAPAN Thank you to everyone who helped me over the years in this position and especially to the ones who encouraged me to "step out of the box As the saying goes, If I could do this, so can you. It Is All About Education! Nancy Glass-Education Chair We are always planning to be proactive for perianesthesia education in Pennsylvania. It is very exciting to be a part of it all! PAPAN is very fortunate to have ambitious people who are willing to volunteer their time to plan our yearly PRIDE conference. It is held each fall when it is a beautiful time of year to do a "road trip". The weekend offers a day & a half of conference with vendors (both professional & personal) and often a social time is planned for Saturday night. This year the PRIDE conference is being held in Gettysburg, PA at the Eisenhower Hotel & Convention Center, September 27-28, Brochures will be sent out to all PAPAN members.. Plan to attend! I always enjoy the road trips to attend a conference.i look forward to seeing old friends & making new ones, obtaining knowledge about our specialty, having fun and networking. It is amazing how we often share the same issues: Is it OK to give an LPN report or does it have to be an RN? Do we have to accompany every patient back to their room post-op or just certain ones? Should we document a monitor strip on every patient? How long should we keep an outpatient with a history of OSA? What is a non-licensed personnel's role in PACU? 3 Check out the following websites for contact hour information specific for Perianesthesia. (click on "Education" and see the many different methods that ASPAN has to offer) Our web site is in the process of being updated but keep checking back as there are many different offerings through PAPAN, SCPAPAN & MEAPAN (all perianesthesia groups in PA) There are many ways to get perianesthesia education and/or the contact hours for certification. ASPAN publishes the Journal of Perianethesia Nurses with many educational articles. ASPAN also provides FREE Contact Hours during PANAW. Breathline and the Pulse of PAPAN list the calendar of many educational offering. ASPAN has an OnDemand Library- Education on the Web which provides webinar modules for purchase. Host or attend an ASPAN Seminar. This will provide the host with free contact hours. The responsibility and motivation is found within yourself. No matter how experienced you are or how many years you have worked, there is always something new to learn. It is difficult to find the time, money and energy to accomplish your goals but, take some time to realize how important your goals are and find the ways to obtain them.

4 By Nancy Glass In Memorium-Theresa Lingafelt Theresa A. Lingafelt, passed away unexpectedly on January 7, 2014, at her home. She was born in Lilly, PA on October 19, Surviving is a son, Patrick and his wife Linda (Locust Grove, GA), 3 grandsons: Patrick, Zachary and Jackson, 3 brothers, 4 sisters and numerous nieces and nephews. Theresa was a 1968 graduate of Conemaugh Valley Memorial Hospital School of Nursing. She worked in critical care at Altoona Hospital before transferring into the Recovery Room around Theresa seemed to find her niche there as so many of us do. She stayed in the perianesthesia arena until she retired in She was a good friend and coworker. She always encouraged us to achieve more. Tweesa, as we fondly called her, can be described as being fun, stubborn and generous. Education as well as certification in perianesthesia was very important to Theresa. Louise, her sister, who is also a nurse at UPMC Altoona recently found Theresa s CPAN certificate dated PAPAN was also high on her list of favorite people and activities. T had spoken frequently in the beginning of 2002 about holding a PAPAN PRIDE conference in Altoona. We can do this!!!! she d insist. After a few health problems between us, in 2005, we finally got to co-chair conference together. She took care of contact hours and I worked on the hotel, social events, and door prizes. Our co-workers assisted with much needed help. Theresa was very persistent with the speakers about getting their information returned to us in a timely manner. After PRIDE, Theresa got involved in PAPAN and served on the Board of Directors. She went to every PRIDE Conference that she could and several national conferences. She even played an absent-minded anesthesiologist in a Kim Noble skit (and she was perfect for that role). Tweesa made many friends in this realm and enjoyed every time she got together with them. Theresa made us laugh A LOT! She d be the one to make sure we had cheese, crackers, other snacks and tasty beverages on our road trips. Theresa had a way to make us feel loved with her food especially her famous chicken. Whether it was because of the loss of a loved one or a celebration at the PACU Christmas party, we always found comfort in Theresa s delicious chicken. There are so many stories about her, ranging from: puka beads, Go-Go boots, getting caught with carving knives in her luggage at the airport after 911(innocently). She would always sing They Call the Wind Mariah. Our nurse manager had to practically drag her to the ED when she had symptoms of a CVA at work. She had many friends at home and at work. She was close to her family especially her son, Patrick and his wife and their 3 boys. She enjoyed the visits she made to see them. She will be missed by all who knew her she made a difference!

5 Theresa Lingafelt Theresa holding the PAPAN Gold Leaf Award. She was sp proud to be a certified perianesthesia nurse and a member of PAPAN The traveling threesome attending ASPAN National Conference 2009 in Washington, DC (L -Nancy Glass, (C- Dianna Shriner, ( R- Theresa) Theresa in the center of a group picture at an ASPAN National Conference. She enjoyed the networking and seeing old friends Theresa played an absent minded Anesthesiologist in a skit presented at ASPAN National Conference and at PRIDE conference. She was a STAR! Smiles, laughter and good cheer was what Theresa was all about so the red nose she got at a Humor in the Workplace lecture fit her to a tee! Theresa as a Board of Director attending a PAPAN meeting Work mates: (L) Nancy Glass, (C) Rosey McCoy, (R) Theresa 5

6 PERIANESTHESIA PRIDE CONFERENCE XXII REPORT The PRIDE Conference was held October 5&6, 2014 in Williamsport, PA at the Genetti Hotel and Conference Center. The 30th anniversary of PAPAN was also celebrated. Williamsport was the location of the first PeriAnesthesia PRIDE Conference. Nurses from across the state enjoyed the camaraderie and networking. Lectures included a variety of accomplished speakers on assessments and care of perianesthesia patients. Myrna Mamaril, past president of ASPAN, was a guest speaker. She presented information regarding her experiences regarding trauma in a combat environment when deployed to Afghanistan. On Saturday evening a dinner and dance celebrated the anniversary. To mark the event a special cake was provided by Dorothy Phillips. Peggy Ellison-Coordinator 2013 PeriAnesthesia PRIDE Conference Did you miss the 2013 PRIDE? Do not miss the opportunity to: Receive Contact Hours Network with peers Plan an escape weekend SAVE THE DATE: September 27-28, 2014 Gettysburg, PA Eisenhower Conference Center See you at the PRIDE *The PRIDE brochure will be available at papanonline.org and your registration will be sent directly to the PRIDE coordinator. There will be a link to PayPal to pay for registration. Go to papanonline.org for information regarding the Student Nurse Scholarship. *Contact hours will be awarded for the entire conference or on a daily attendance Certification Award A drawing will be held at the PeriAnesthesia PRIDE Conference. All certified PAPAN members present at the PRIDE will be entered in a drawing to receive $100. One CPAN and one CAPA name will be drawn. 6

7 Plan to Attend the 2014 PeriAnesthesia PRIDE XXIII You are invited to beautiful historic Gettysburg for our next PAPAN PRIDE conference. Gettysburg is located in South Central, PA just north of the Mason Dixon Line. You'll delight in the rolling hills and pleasant atmosphere. Here is where the North and South met in a horrific battle that was a turning point in our Civil War. We will be hosting the conference for the first time and we want it to be memorable. You will have opportunity to tour the battlefield, perhaps walk Picketts Charge, take a ghost tour, visit any number of places of interest such as the Jenny Wade museum, the visitors center or walk through the National Cemetery and stand where President Lincoln gave his brief yet meaningful address, (one that many of us had to learn in grade school). Our 2014 PAPAN PRIDE will be held at the Eisenhower Conference Center located near the battlefield and just 2 miles from downtown. Parking is free and they will have a shuttle to take you into town. We plan to have some interesting and informative speakers to keep our practice current. Mark your calendars now for September 27 and 28, 2014! The 2014 PRIDE Planning Committee: Gloria Slaybaugh, RN, Mary Green, RN, BSN, Rhoda Hawk, RN, BSN, CPAN, Barbara Hade RN, CPAN, Brenda Rotz RN, Barbara Kyler RN, Joyce McGhee, RN, BSN, CCRN, CPAN President s message continued from page 1 Maybe Las Vegas is a little far for you to travel this year. Our annual fall conference, PeriAnesthesia PRIDE, will be held in Gettysburg September 27-28, This is a wonderful way to network, expand and update your knowledge or just enjoy what this area of the state has to offer. If learning a new skill is your professional goal, there are many opportunities for that in PAPAN. One suggestion is to write an article for the newsletter. Our Pulse of PAPAN newsletter editor is always looking for someone to write a clinical article. She would work with you to develop the article. PAPAN has many committees that are always looking for new members to get involved. A Willing to Participate application is available on our website papanonline.org or in the newsletter. Think about joining the Newsletter, Government Affairs, Education, Membership or Research Committee. We would welcome your participation and it might be the way for you to reach your professional goal. If you really want to jump in feet first, fill out a Willing to Participate Form and run for a Board of Director position. PAPAN is always looking for members to run for a board position and bring fresh perspectives and new talents. Unlike other New Year s Resolutions that you usually try to accomplish alone and often fail, making a professional resolution is so much easier. When you get involved with PAPAN the leaders of PAPAN want you to succeed and will work side by side with you. This is your year! Reach your goals! Let PAPAN help you get more involved with your profession. You will find it very rewarding and fulfilling. A special thank you to Lynn Sekeres I have had family issues this year and needed assistance with the duties of presidential obligations. Lynn has been a tremendous help as a resource, confidant and a very special friend. 7

8 PACU Spotlights, F Y I and Updates Member check list: *Visit papanonline.org for up to date member information and Government Affairs Alerts *Get involved and submit a Willing to Participate form *Nominate a peer for a PAPAN award *Check the available grants and scholarships *Recruit new members *Check the education programs available *Coordinate an ASPAN seminar in your area *Become a certified perianesthesia nurse *Attend the annual PRIDE Conference *Vote for your PAPAN leaders Le"ers Hi Girl friends, Great newsletter. I really enjoyed it. I remember, in the beginning, when PAPAN meetings were held in a motel room. We have come a long way. It sort of reminded me of two TV shows who are celebrating 30 years too: Jeopardy and Wheel of Fortune. When we started the organization it was sort of like Jeopardy; will it succeed? should we join ASPAN?, will nurses participate?, will it last? Now it is like a fine Wheel of Fortune; A beautiful wheel of many colors and finely tuned working organization. Congratulations on thirty wonderful and challenging years. Have a great conference and at least 30 more years. I can't wait to see what happens next with PAPAN. Miss you all. Love, Joyce Myers ( PAPAN President ) Thanks to Peggy Ellison Thanks for hosting such a great party, I mean conference. It was well organized and had a great venue and speakers. The social event was a blast! I am still dancing. Diane Marino 8 PAPAN celebratesthirty years Thirty Years seems like a long time but in a blink of an eye, here we are. I remember when the Western Association joined with the Eastern Association to form the Pennsylvania Association of PeriAnesthesia Nurses (PAPAN). I have met wonderful colleagues that have been a joy in my life on both a personal and professional level. I will be completing my term as Region 4 Director in April. I hope to continue serving PAPAN in some capacity. Laura Kling PAPAN has a lot to celebrate Many thanks to the founders who started the organization and to the leaders who keep it going. Only they know how difficult it was in the beginning and how far we have come. Nancy Glass Good wishes to PAPAN I wish all of us from the beginning phase could be present at the celebration of PAPAN S 30 years of success. Mary Betz Continued on page 9

9 Spotlights, FYI, and Updates continued from page 8 PAPAN Election Update The spring elections will be continued online. The ballot and candidate information will be posted. Prior to the election, members will receive a postcard with instructions and the time frame for the election. The ballot will be mass ed to members with a link to cast your vote. There will be a second sent as a reminder halfway through the voting period. This is a cost-saving process as well as an eco-friendly measure. Remember that election of PAPAN leaders is a benefit of membership. PAPAN Hosts needed for ASPAN Seminars: a Win/Win situation for PAPAN and the Host As a seminar host you receive free registration and contact hours. ASPAN does all the work! All you have to do is contact ASPAN and indicate your interest in a seminar in your area, pick a topic and the date. On the date of the seminar you only have to check registration, introduce the speaker, collect evaluations and hand out certificates. ASPAN Seminars are a great benefit to PAPAN. The education needs of members in all areas of the component can be met at no cost to PAPAN. Contact: Nancy Glass at castle2016@aol.com for information. PAPAN Recruiter of the Year Award This award is presented at the fall PAPAN PeriAnesthesia PRIDE Conference to the member that recruits the most new members. Encourage your peers to join ASPAN/PAPAN. Remember to have your name on their application to receive credit for your recruiting efforts. As the leading recruiter you will receive a $25 coupon for your next year s PAPAN dues. PAPAN Contributions to Charities PAPAN supports the Pennsylvania Breast Cancer Coalition and the Ovarian Cancer Coalition with financial support and participating in fund raising events. These efforts by members contribute to the funds needed to continue research to find the cure for life threatening diseases. To help, go online and find events in your area. At the PRIDE Conference, soda can tabs are collected for Ronald McDonald House and Yoplait lids for Breast Cancer research. PAPAN Certification Update CAPA: 189 CPAN: 362 DUAL: 18 COACHES: Nancy Glass, Philleppa Ratcliffe, Renee Smith Continued on page 10 Visit us at papanonline.org for-up-to-date PAPAN information Government Affairs hot topics President s message Pulsette November and April Education offerings Bylaw changes (review and make suggestions) Link to ASPAN Member spotlights contacts for questions and answers Election information (dates and candidate profiles) for voting online Newsletter Member benefits Forms, deadlines and contact person: (forms can be printed from the website) Grant to attend ASPAN National Conference Willing to Participate Form for committees, officers and board positions CV (used for candidates for elections) Patient Advocacy Award nomination form Student nurse Scholarship for PRIDE Conference Outstanding Achievement Award nomination form Nurse in Washington Intern Scholarship (NIWI) Research Grant Nancy Phillips Memorial Certification Scholarship Wanda Scheeler-Web Master 9

10 Spotlights, FYI and Updates continued from page 9 PANAW CELEBRATIONS Williamsport Regional Hospital To celebrate PANAW a Winter Nursing Education Symposium was held to recognize the educational needs of the perianesthesia nurses. Peggy Ellison UPMC Montefiore/Presbyterian campus for the PAPAN PANAW food drive. UPMC St. Margaret A PeriAnesthesia Education Program was coordinated by Denis Krall and Tamara Waner to celebrate PANAW. There were speakers presenting topics that included: Review of Anesthetic Medications, Airway Control in PACU and Malignant Hyperthermia Management. Laura Kling, ASPAN Director Region 4. spoke about ASPAN/PAPAN membership benefits and certification. Attendees were awarded 4 Contact Hours. During the week a lunch was provided to the nurses. PANAW at UPMC Altoona Despite the stress of strike issues, the PACU had a cake and lunch delivered to the unit. The staff bought it themselves because they felt the need to celebrate their specialty. Nancy Glass WHAT DID YOU DO TO CELEBRATE PANAW? PANAW is a week each February for all perianesthesia nurses to celebrate our commitment to our patients and our specialty. Hospitals and departments celebrate this event in many unique ways. We have heard of pizza parties, breakfasts, poster presentations, lectures and dinners. For several years PAPAN has celebrated this event by coordinating food drives throughout the state. This year we are suggesting perianesthesia units coordinate service projects such as: food drives, collecting gloves for the homeless or pop/soda tabs for Ronald McDonald Houses. Be creative in your service project but please let us know what you did by sending a picture and description of your project to newsletter editor, Evelyn erm1136@verizon.net and PAPAN president, Kandi katdilee@aol.com. New PANAW award to members starting 2014 All current ASPAN/PAPAN members will be entered into a drawing for a one year PAPAN membership. Two names will be drawn and announced during PANAW. Board members and committee chairs are excluded. This award will replace the PANAW coupon for PRIDE. Lori A. Young-contact the editor and receive a prize Continued on page 15 10

11 COMMONWEALTH OF PENNSYLVANIA OFFICE OF THE GOVERNOR GREETINGS: It is my pleasure to join with the Pennsylvania Association of PeriAnesthesia Nurses (PAPAN) to support February 3-9, 2014 as PeriAnesthesia Nurse Awareness Week. Our nation s PeriAnesthesia nurses deserve to be recognized for their contributions to the healthcare industry. PeriAnesthesia nurses have extensive education and training and they practice in all phases of preanesthesia and postanesthesia care, ambulatory surgery and pain management. PeriAnesthesia nurses play an important role in the quality of patient care and I thank the PAPAN, and those the organization represents, for maintaining high professional standards and advancing this specialty through education and research. As Governor, and on behalf of all Pennsylvanians, I am pleased to support February 3-9, 2014 as PeriAnesthesia Nurse Awareness Week. I commend the dedicated PeriAnesthesia nurses in our Commonwealth, and throughout the nation, for their commitment to the health and welfare of patients. TOM CORBETT Governor February 3-9, Main Capitol Building Harrisburg, PA Fax

12 Government Affairs Update Pennsylvania State Nurses Association (PSNA) has wide range of issues that our legislators need to address this new year. The most pressing issues are: House Bill 1603 ( Administration of Anesthesia) and 1631 ( Safe Staffing). PSNA is opposed to HB1603 because they did not have a public hearing and they question the language the use of "under supervision. At a time when other states are looking for innovative ways to respond to health care reform, PA needs to realize and utilize the full economic value of the nursing profession. House Bill 1631 (Safe Staffing) awaits a vote by the House Health Committee. This Legislation allows nurse a voice in designing a staffing plan that best fits their particular hospital unit and patient care needs. We as nurses need to be in tune of what is going on in the new year regarding issues in the health field. Please go on Harrisburg web sites to learn more about what is happening on the Hill. Find out who your State and National Representative are and get involve by , letter, or making a phone call. Some of Representative have their own website or even Facebook. Let them know nurses do care and we want our voices heard. Go to psna.org for information about Legislative Day March 31, 2014 Legislative Alerts Look for blasts to members regarding pertinent and pending legislative issues. Check the PAPAN website papanonline.org for legislative issues that need your attention. Nurses Make a Difference: Speak up Be a patient advocate and keep informed regarding nursing and healthcare issues. The legislators are not healthcare professionals. We are the experts and can make a difference! Contact your legislative representative to voice your concerns! *The role of the 211,000 nurses and as a citizen is to vote. ATTENTION: Legislative Day will be held March 31, 2014 in Harrisburg, Pa. Go to panurses.org for further information. 12

13 Research Corner Why use systematic literature reviews? Kim A. Noble, PhD, RN, CPAN ASPAN Director for Research Patient care delivery is currently undergoing a fundamental philosophical transformation: moving from an expert-based patient care foundation to a paradigm that is now evidence-based. We are moving from the bedside care focused on intuition, tradition and clinical expertise to the incorporation of empirical evidence to guide care.(1) This transformation has taken place across the working careers of a generation of working nurses and has created an acute need for a new way to appraise and value scientific knowledge. I believe this is an opportunity for nursing to define its own practice and provide the evidence to support nursing roles in our patient s safe care and positive outcomes. ASPAN has embraced the Joanna Briggs Institute (JBI) as a travel guide for this transformation. The ASPAN Representative Assembly voted to increase its membership dues in 2012 for access to the JBI database and materials. The Research Committee has developed newly revised ASPAN JBI evidencebased practice (EBP) review tools for the critique of literature. Barbara Krumbach and Kathy Daley, the EBP Strategic Work Team (SWT) Coordinators, are currently revising the Journal Club page on the ASPAN Web site to facilitate member practice and mastery of literature review and ranking using these tools. During the post-conference ASPAN Board of Directors (BOD) meeting at the 32nd ASPAN National Conference in Chicago, funding was appropriated to support the development of the JBI Training Grant Program to support ASPAN Research Committee and EBP SWT members in obtaining JBI Comprehensive Systematic Literature Review (CSLR) training. Finally, a JBI workshop was held at the Leadership Development Institute in September in Kansas City, and one was held at the Standard & Guidelines face-to- face meeting in October of this year. The goal of these ASPAN activities is to facilitate the provision of perianesthesia bedside care that is based in quality evidence. of review requires two individuals with expertise in both the critique of literature as well as the field of study to independently complete the evidence search and review to minimize bias.1 But why go to all of this trouble? Aren t there ways of completing literature reviews without all of this control? The Institute of Medicine, at the request of the Congress of the United States, has established standards for systematic reviews in their 2011 document Finding What Works in Healthcare: Standards for Systematic Reviews.(2) This document sets the standard for SLR and the development of evidence-based practice guidelines. The Unwanted Sedation Practice Recommendation (US-PR) will be a work of many ASPAN hands using the JBI CSLR protocol and processes for evidence review. As a pilot test of this new process, the US-PR will help to determine ASPAN s research vision for evidence-based documents and recommendations. REFERENCES 1. Holly C, Salmond SW, Saimbert MK. Comprehensive Sys- tematic Review for Advanced Nursing Practice. New York, NY: Springer Publishing Company; Institute of Medicine. Finding What Works in Healthcare: Standards for Systematic Reviews. Available at: edu/catalog.php?record_id= Accessed July 4, 2013 Reprinted with permission from the American Society of PeriAnesthesia Nurses (ASPAN): Why Use Systematic Literature Reviews? by Kim Noble, PhD, RN, CPAN 2013, Breathline,33:5:10. Copyright 2013 by ASPAN. All rights reserved. What then is a comprehensive systematic literature review? Why move in this direction? Systematic literatures reviews (SLR) incorporate a rigorous, explicit and systematic approach to the critical appraisal of current evidence. A SLR is considered to be secondary research as it provides the highest level of evidence based on the systematic, transparent, and reproducible strategy used to search, critique, evaluate and report evidence. This form Kim Noble PhD, RN, CPAN ASPAN Director for Research 13

14 Clinical Corner Making a Difference at Pennsylvania Hospital, Philadelphia, Pennsylvania As the trend in healthcare focuses on greater preventive care, registered nurses at Pennsylvania Hospital in Philadelphia, instituted a proactive approach that ultimately improved the postoperative recovery of their patients. Erin Hellyer and Stefanie McConomy, staff nurses in the postanesthesia care unit, took notice of an increasing number of preoperative diabetic patients arriving to preadmission testing with elevated glucose levels. The problem was not isolated to any one particular type of diabetic patient. Upon inquiry, there became a growing concern that many of these patients were uncertain what medications were appropriate to take preoperatively. Hellyer and McConomy began to track the glucose levels of the presurgical patients. It wasn t that everyone was noncompliant with their medications, said McConomy. The approach was more of a safety tool for patients to have greater awareness of managing their diabetes and to be informed on the signs and symptoms related to their condition. Knowing that today s patients are presenting with greater comorbidities, these nurses were looking to diminish the likelihood of post surgical complications and the risk for readmission to the hospital. reexamined to arrive at a consensus appropriate for the management of all diabetic patients. Guidelines were established with the priority set for knowing the A1c level of all diabetic surgical patients. A suitable candidate would qualify for surgery with an A1c of 8.5 or less. This test measures the glucose in hemoglobin known as glycosalated hemoglobin. The preoperative patient must present with a glucose of 180 mg/dl or less, the day of surgery. An unacceptable glucose was treated and reexamined, while those greater than 300 mg/dl were ordered a consult with endocrinology. By revising the standards at preadmission testing for today s consumer, the significance of having an acceptable A1C level has led to healthier and informed patients being discharged from the hospital with greater concern for monitoring and maintaining their own well-being. Hellyer and McConomy received a hospital safety award for their hard work by improving preoperative patient screening and subsequently impacting the recovery and healing of their diabetic patient. The duo studied evidence based data of preoperative patients along with tracking their own diabetic patient population. Forming a multidisplinary team the nurses not only worked with preadmission testing, but also with the Chief of Endocrinology, Dr. Stephen G. Rosen. Other members included the diabetic nurse educator and those from pharmacy, anesthesia, surgery, the PACU and floor nurses. Together, preadmission guidelines were Angela Henry, RN, BA, CPAN What are you or your unit doing about Evidence Based Practice? Information needed for future newsletter articles. Share your projects with PAPAN peers. Assistance will be available for developing the articles. Contact: Angela Henry at anghenry65@hotmail.com 14

15 Dianne Marino, CPAN, RN While attending a perianesthesia conference last year, a question was asked of the group of 140 nurses from across PA, "How many of you work call alone? This year in response to the same question there were less than last year. If there was just one, it would be one too many. I would like to encourage those of you working call alone by telling our story. In our 177 bed hospital, we had been doing call alone. We were doing call only on weekends. As our case volumes increased there was tralk of starting call seven days a week. This elicited a very dramatic emotional response from the PACU staff. The concerns were of safety for the patients and staff. I suggested we do something about it. I contacted our CEO to request a meeting. In preparation for the meeting we reviewed the on call policy which was last updated in We then printed out the ASPAN standards for staffing in the PACU. These standards are law in our neighboring state of NJ. In PA., not so We then formulated a policy the way we thought it should look. Are You Still Working Alone On Call? The CEO agreed to a meeting. In attendance were three PACU nurses, an anesthesiologist, the lead CRNA, the CEO and CNO. I had the old policy, new proposed policy and ASPAN staffing standards with copies for all in attendance. We presented our concerns, answered questions and told them the results of our survey we had taken. The result of the meeting was a writing of a new policy following ASPAN standards. During the care of a patient in the PACU there will be two or more professional staff members (at least one who is proficient in the care of the post anesthesia patient in Phase One). present physically in the room at all times. We were all very pleased with the outcome of our meeting. Because of our relatively small number of PACU nurses, our Phase Two nurses do call with us so that each of us usually do no more than one call per week. This has worked out very well. We also called every PACU in every hospital in our area to take an informal "mini survey". Some examples of the questions were: "What is the average number of cases your PACU cares for in an average day?" "How many bays do you have in your PACU?", "What is your staffing like?", "Do you do call alone?", "Does your on call anesthesiologist stay during the recovery period until discharge?", "Who decides whether you get called in for a case?", "Is your anesthesiologist in house at all times?". Answers were very interesting with varied results. About one half of the nurses did call alone. Schedules varied from 20 to 50 or more cases a day. The number of bays were This all happened in I spoke to Laura Kling and she suggested I write the story to encourage others. When I hear of PACU nurses still working alone, I am saddened and frightened for them. I would like to encourage you to take action in a peaceful professional way. Dianne Marino, CPAN, RN Spotlights, FYI, Updates continued from page 10 Leadership Development Institute In September, four members on the PAPAN board, Marge Jackson, Ursula Mellinger, Roberta Wywiorski and Kandi Koon, attended the Leadership Development Institute in Kansas City, Missouri to learn to better serve the members of PAPAN. The ASPAN sponsored conference dealt with learning about our leadership strengths and weaknesses. Included in the conference was information on planning a conference, establishing a good budget and succession planning. We were able to meet with ASPAN and component leaders to discuss ways to meet member s needs and use the ideas obtained to continually improve our component. Awards presented at the 2013 PRIDE Conference Recruiter of the Year Barbara Reed Honorary Member Renee Smith President s Award Lynn Sekeres Outstanding Achievement Marge Jackson NIWI Award Angela Henry 15

16 New to members: $25 Honorarium for articles for newsletter The Pulse of PAPAN, your newsletter, is seeking clinical or research articles for publication. There is an author in all of us. Articles should be at least 500 words and have references for material. There will be a peer review before article is published. Peer reviewers are need. E$tor s Note PAPAN MISSION STATEMENT The Association exists to promote excellence in patient care by supporting perianesthesia nurses through education, the exchange of knowledge, research, caring and the respect for dignity and unique needs of the individual. Let us take a look at the Mission Statement and see how PAPAN supports the intent of the statement. Education The Education Committee Chair, Nancy Glass, works tirelessly to present education programs throughout the geographic area of PAPAN. She seeks members to help coordinate the programs and is available to assist in the program development. Topics are presented from member suggestions. Exchange of knowledge The annual PRIDE and the availability of ASPAN Seminars provides up to date trends and information to deliver quality patient care. The information for these programs are listed on the PAPAN website and in the newsletter.the networking at these programs allows individuals to share concerns and solutions of common issues. The Pulse of PAPAN, your newsletter, is also a means to share and learn. Research The Research Committee Chair, Marlene King, has grant money available to assist members with research projects. The EBP concept is a work in progress and has endless possibilities to promote quality patient care. Unique Needs of individuals The Board of Directors work tirelessly to develop Bylaws, Policies/Procedures, Budget projections and a Long Range Plan to move PAPAN into the future. Their goal is to provide members with scholarships and grants to assist with the education opportunities available, attend National Conference and achieve certification. The impact of government decisions are addressed by posting the issues and response needed on the website papanonline.org. Also posted are member benefits, applications, education programs, PAPAN Board of Director contact information, yearly election candidate information and the link to vote for your choice and the newsletter. The Board is aware of the financial concerns of members and does all that is necessary to keep cost to a minimum. 16

17 October PRIDE planning committee at registration Front left-right Sandy Brown, Celeste Caroway Back Left - right Patty Quiggle, Katy Moser PRIDE CONFERENCE PAPAN President, Kandi Koon (L) and VPPE, Roberta Wywiorski, (R) at the fall Board of Directors meeting PRIDE coordinator, Peggy Ellison, welcomes attendees to the conference. PAPAN President, Kandi Koon, addresses the attendees and shares PAPAN information Linda Lakdawala shares important information about ABPANC and certification. Myrna Mamaril, guest speaker, sharing her experiences in combat Doctor Kim Noble presenting current research information Lunch and networking: (L-R) Evelyn Medycki, Mary Betz, Fran Blatchley, Kim Noble, Myrna Mamaril, Dianne Marino and Kathy Hoffman Laura Kling, MSN, RN, CSN,CPAN, CAPA ASPAN Director Region 4 Kim Noble, PhD, RN, CPAN ASPAN Director of Research 17

18 PAPAN President, Kandi Koon, presents the Outstanding Achievement Award to Marge Jackson The NIWI Scholarship is presented by (L) PAPAN President, Kandi Koon, and (R) Fran Blatchley to (C) Angela Henry Renee Smith accepts the Honorar y Member Award from PAPAN President, Kandi Koon Lynn Sekeres accepts the 2013 President s Award (L-R) Mary Betz, Fran Blatchley, Rosey McCoy and Evelyn Medycki receive recognition for 30 years of continuous membership in PAPAN Joyce McGhee and Gloria Slaybaugh will be planning the PRIDE Conference 2014 in Gettysburg,PA At your service PAPAN Historian, Mary Betz, displays memorabilia from thirty years as an ASPAN Component PAPAN 30th anniversary celebration cake See you all in Gettysburg, PA for the 2014 PRIDE Conference Saturday evening social event had all dancing and singing to celebrate PAPAN s 30 year as an ASPAN Component 18

19 Region IV Repo% Laura Kling, MSN, RN, CNS, CPAN, CAPA Region IV Director ( ). January 2014-New Intentions and Resolution January is a time we all think of new intentions and resolutions; some personal and some professional. Intentions are defined as a course of action that one intends to follow; an objective!. Resolutions are the act of answering, solving, and the act of determining". ASPAN President, Twilla Shrout, has selected Dealing with Challenges: Winning with Power, Practice and Purpose as her Presidential theme. I would suggest that we also consider at the beginning of this New Year, we add Promise in the context of intentions and resolutions. Explicitly written in our organizational Envisioned Future Statement, ASPAN will be recognized as the leading association for perianesthesia education, nursing practice, standards and research. As such, ASPAN continues to provide resources, forums and opportunities in these key areas. Over 16,000 members strong, we need to individually and collectively contribute to these efforts, by lending our voices, energy, experience and expertise validated with certification. So I am asking you: What challenges have you identified? What are your intentions for 2014? What subsequent resolutions will you make? How will you actualize those promises? Do you intend to be a more active member? Perhaps increase your presence by contributing to your component or to the national organization. As professionals, we constantly assess needs and identify gaps in plans and actions. Is there one thing that we can do to meet a need? Opportunities can also present as a desire to increase your own knowledge in an area you are less sure of or are an expert in. The Specialty Practice Groups (SPGs) serve as a means to exchange knowledge and new ideas. Committee work, whether on the component or national level, is a network of partners who share the group work. Join a committee to learn from others and expand your knowledge. Membership is fluid, so new members bring great creativity. opinions as members of a professional organization, are not only sought, but expected. In April at our national conference, we will be having our national elections. The Representative Assembly will vote upon the new ASPAN Standards, Practice Recommendations and Interpretive Statements. The organizational strategic plan is discussed and vetted by your elected national officers and committee chairs. ASPAN can only be successful and responsive when you add your voice, either individually or through your representatives. Silence and apathy are not an option for professionals. It is our responsibility to contribute. So for 2014, I strongly recommend we think about our professional organizational intentions. We must purposefully determine how we wish to approach those intentions. Resolve to be ready to actively offer your opinion. Make a promise, to follow-through. Begin with small steps; garner success through positive outcomes and partnership with your perianesthesia colleagues. We must approach these challenges, as President Shrout states with power, practice and purpose. Only then, can we realize the promise of the ASPAN organizational vision. Happy 2014! References:! Intentions. Definition. The Free Dictionary. Online resource: freedictionary.com/intentions. Accessed January 4, " Resolutions. Definition. The Merriam-Webster Dictionary. Online resource: disctionary/resolutions. Accessed Janury 4, 2014 Resolve to strengthen our unique specialty through your active contribution. Moving an organization forward happens when members are informed and respond with their opinions. Your 19

20 ASPAN UPDATE *Clinical questions and answers are just a click away at aspan.org. Go to the ASPAN home page, log on and click on the Clinical Practice section and follow the instructions. Posted questions are collected every Thursday. You will receive an answer within two weeks. *Member Benefit ASPAN is pleased to announce that all members now have online access to the extensive database of the Joanna Briggs Institute (JBI) including systematic reviews, evidence summaries and best practices. The database provides a remarkable resource for healthcare professionals in environments that emphasize evidence-based practice as well as research. ASPAN is the only nursing organization in the country that offers its members this remarkable benefit. To access the JBI portal you must be an ASPAN member and log on to the ASPAN website. *Online Education now Available to members You can now obtain contact hours online through the new Education On Demand Program. Significant discounts are available to ASPAN members. For additional information visit ASPAN s Education On- Demand Center and follow instructions carefully. *Safety Tool Kit The premise of the Safety Tool Kit is to serve as a resource for patient safety. You can find the kit under the Clinical Practice tab on the ASPAN website. *A Competency-Based Orientation and Credentialing Program for the Unlicensed Assistive Personnel in the Perianesthesia Setting is available. Contact the ASPAN National Office at aspan.org or call toll free *LEGACY for LIFE PROGRAM The mission of the program supports the future of perianesthesia nursing through significant enduring contributions that are applied to perianesthesia education, research, practice and standards. For additional information contact Doug Hanish- ASPAN Marketing and Communications Manager at dhanish@aspan.org or (ext. 215). * ASPAN Scholarship to attend National Conference was awarded to PAPAN member Rosemary McCoy. ASPAN Development It is not too early to think about: Silent Auction donations Gathering pledges for the Dream Walk Recognize someone by donating to the Hail, Honor, Salute program All contributions are tax deductible and provide funding for scholarships for degree programs and registration for National Conference 20

21 Ce%ification Corner ABPANC website Visit cpancapa.org or for up-todate certification information. The new site is user friendly and easy to navigate. Some of the new features are: The ability to download CPAN/CAPA Certification/ Recertification Handbooks such as a twelve week study plan and a list of text books as a baseline study guide Online exam applications Recertification applications The electronic file cabinet by which CPANs and CAPAs may update their contact hours CPAN/CAPA practice exams List of available coaches in your area Certification Dates and Deadlines Spring 2014 Registration window online January 13-March 10 Registration deadline online-30 days before scheduled date Time period for scheduling examination appointment with Prometric is upon receipt of ATT letter through May 15, 2014 Examination window April 7-May 31, 2014 Cancellation or deadline is 31 days prior to scheduled test date. Contact Prometric.com/abpanc for up to date certification information and exam locations Certification Coaches Wanted ABPANC offers a presentation on their website called Coaching the Coaches to assist you in becoming a coach. To learn more about becoming a coach or if you need a coach, contact Zelda Williams at Zelda@proexam.org. Volunteer coaches can earn up to three contact hours for each coached and up to sixty contact hours during one s recertification period. ABPANC at ASPAN National Conference ABPANC booth in registration and exhibit area will have ribbons, FYI material and you can have your questions answered. CPAN/CAPA lectures of interest: Monday, 2:30-3:30pm Benefits of Being CPAN/ CAPA Certified Monday, 3:45-4:45pm Test Taking Strategies for Certification Certification Celebration Lunch PAPAN First Time Certification Award Pennsylvania nurses that certify for the first time are eligible for this award. The Pennsylvania residents who certify for the first time as a CAPA or CPAN will receive a $25 coupon, the amount of the yearly PAPAN dues, to be presented with an ASPAN/PAPAN membership application. Monica Monkoski contact editor and receive a prize 21

22 December Diane Anthony Melissa Joo November Heather Brooks Linda Dudas Tenley Dulaney Bethany Kathleen Gallager Tamra Ann Goldschmidt Elizabeth Ann Mekosh Carrie Quinn Helyn Louise Rothwell Patricia Thomas October Maureen E Durso Maribeth Endress Nita Jean Folkenroth Francine Fregghi Rita C. Jacobs Kazuko Klena Pamela Sue Mausteller Joanie Pfahl New Members Monica Monkoski Leslie O. Plona Kathleen Pruznick Donna Kay Robbins Catherine Sassani Mary Ann Sipple Rhonda Smith Valerie Staub September Andrea Marie Blust Margie K. Kline Sandra Kohler Francis Robert Rinault Brenda Kay Swope Melissa Anne Wicken Karen Lee Yerges August Christine M Funk Jennifer Hodges Tiffanie Crystal Jett Deena K Love Allison McGuire Leslie Susan McHugh Ellie Miller Yetta Renee Morton-Young Sean Murphy Stephan R Oddo Mary Priggemeier Christine Roach Jennifer J Rollins Laurie A Zumpano July Anne Harkins Virginia Ann Harman Kristen Kline Gloria Jane Slaybaugh Recent Recruiters 1 - Allison Marie Polinski, RN, BSN, CPAN 1 - Amanda Baldridge, RN, ADN 2 - Barbara A. Reed, RN, CAPA 1 - Barbara J. Hade, RN 1 - Beth Hall, BSN, RN, CPAN 1 - Carla Dawn Lehman, BSN, RN, CEN 1 - Catherine A. Terry, BSN, RN, CAPA 1 - Denise Faraone Diaz, MSN, RN, CPAN 1 - Dianna L. Shriner, RN, CPAN, CAPA 1 - Elizabeth Ann Ricke, RN, CPAN 1 - James M. Gentile, MS, RN, CPAN, CAPA 1 - Jay Wright, MSN, RN 1 - Karen M. Dykstra, BS, RN, CPAN 1 - Kim A. Noble, PhD, RN, CPAN 1 - Linda Lakdawala, DNP, RN, CPAN 1 - Lynn A. Sekeres, MSN, RN, CCRN, CPAN 1 - Margie K. Kline, RN 1 - Maria E. Lis, BN, CCRN, RN, CPAN 1 - Marilyn A. Brandon, RN, CAPA 1 - Maryanne Fidler, RN 1 - Nancy Jane E. Pyle, CCRN, RN, CPAN 1 - Nancy L. Michaelian, BSN, RN, CPAN 1 - Nancy S. Glass, BSN, RN, CPAN 1 - Patricia A. Swanson, RN, CPAN 1 - Renee A. Smith, BSN, MS, RN, CPAN, CAPA 1 - Roberta A. Wywiorski, MSN, RN, CPAN, CAPA 1 - Sandra J. Parks, MSN, RN, CPAN 1 - Stephanie Peterson, RN, CAPA 1 - Susan Ann Alexander, BSN, MSN, RN, CPAN! Recent Ce%ifications CPAN Ashley Barge Dmitry Isaev Patricia Thompson Melissa Hanczyc CAPA Maryanne Fidler Janet Carol Drumn Dawn M. Shirey Elizabeth Maurice Arlene Bracamonte Darlene Jill Faust Laurie Grace Vercoe Susan Kaufmann 22

23 PAPAN Board of Directors and Commi"ee Chairs OFFICERS PRESIDENT Kandi Koon BSN, RN, CPAN (H) VICE PRESIDENT/ PRESIDENT ELECT Roberta Wywiorski MSN, RN, CPAN, CAPA PAST PRESIDENT Renee Smith RN, MSN, BSN, CPAN, CAPA (W) SECRETARY Wanda Scheelerr RN,CPAN (C) TREASURER Jeff Zabielski BSN, RN.CAPA (C) DIRECTORS Cindy Bird BSN, RN (H) (W) Ursula Mellinger RN, BSN, CAPA (C) Peg Ellison RN health.org Becky Hartley RN, MSN, CPAN Marge Jackson BSN, RN, CPAN (H) ASPAN REPRESENTATIVE ASSEMBLY DELEGATES Renee Smith Kandi Koon COMMITTEE CHAIRS EDUCATION Nancy Glass BSN, RN, CPAN (C) BYLAWS Roberta Wywiorski (see VPPE) FINANCE Jeff Zabielski (see Treasurer) POLICY/PROCEDURE Kim Noble PhD, RN, CPAN (C) NOMINATIONS Renee Smith (see Past President) MEMBERSHIP Fran Blatchley, RN (H) RESEARCH Marlene King BSN, RN (C) GOVERNMENT AFFAIRS Tamara Waner BSN, RN (C) (H) HISTORIAN Mary Betz RN, BSHA (H) NEWSLETTER EDITOR Evelyn Medycki RN (H) WEB MASTER Wanda Scheeler PRIDE COORDINATOR/ CONSULTANT Lynn Sekeres RN, BS, MSN, CCRN, CPAN (H) REGION 4 DIRECTOR Laura Kling MSN, RN, CNS, CPAN, CAPA lkling@aspan.org PAPAN Willing to Participate Form NAME (please print) credentials STREET ADDRESS CITY STATE ZIP CODE TELEPHONE NUMBER (H) (W) CELL MAKE COMMITTEE SELECTIONS EDUCATION NOMINATION NEWSLETTER FINANCE GOVERNMENT AFFAIRS MEMBERSHIP BYLAWS RESEARCH POLICY/PROCEDURE PEER REVIEWER FOR NEWSLETTER ARTICLES MAKE OFFICER/DIRECTOR SELECTION BOARD OF DIRECTOR VICE PRESIDENT-PRESIDENT ELECT SECRETARY TREASURER SEND TO: Nominations Chair (name listed above) or go to papanonline.org to download form. 23

24 2014 ASPAN National Conference April 27-May1, 2014 Los Vegas, Nevada Coming A"ractions MEAPAN CONFERENCE March 29, 2014 Allentown PA Lehigh Valley Hospital Contact: Karen Griffith at 2014 PeriAnesthesia PRIDE XXIII September 27&28, 2014 Gettysburg, PA Contact:Joyce McGhee at PeriAnesthesia Certification Review CPAN/CAPA Attend live or via Web Cast August 2, 2014 Philadelphia, PA Speakers: Linda Wilson PhD, RN, CPAN, CAPA,BC,CNE Lynn Kane MSN, MBA, RN, CCRN Contact: drexel.edu/cne CH provided by Drexel University Evelyn Medycki 169 Frog Hollow Rd. Churchville, PA Deadline for submitting articles for summer issue is June 30, 2014 Visit us at papanonline.org for up-to-date information Find your name in a box in this issue, contact the Editor and receive a prize