2010 Fall ISPAN Nursing Conference, Saturday, October 16th, 2010 Mercy Medical Center, Cedar Rapids, IA

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1 ISPAN Iowa Society of PeriAnesthesia Nurses Volume 24, Issue 2 Summer 2010 President s Message: Hello, Cathy Tigges As the new fiscal year begins for ISPAN and we plan for our future it will serve us well to reflect for a few minutes on our recent successes. Many changes have occurred in just a few years and as a professional organization, we would do well to take stock not only of where we are, but how we got there. Hopefully, this shows our continued progress in quality patient care. Summer Greetings from the ISPAN Board ASPAN has been a leader in promoting positive changes in the perianesthesia arena. We are regarded as experts in our field. Many organizations who have included ASPAN members on their committees. Among these are the National Association of Clinical Nurse Specialists, American Society of Pain Management Nurses, American College of Surgeons, American Society of Anesthesiologists, American Association of Nurse Anesthetists, and Surgical Care Improvement Project. Collaboration among all of these groups is necessary for providing coordinated care for our patients. The National Priorities Partnership (NPP) is charged with developing what will become a world class, affordable health care system. The role for the frontline bedside perianesthesia nurse is not yet determined. However, as an organization, we are helping to draw the road map for this adventure. It will take all of us in health care to accomplish this. The NPP has established national goals, but as we all know, it must start locally. Keeping up to date on recent developments is vital. Through ASPAN s Journal of PeriAnesthesia Nursing (JoPAN), Breathline, ISPAN s newsletter, as well as other health care sites we are able to stay educated about current issues. As the saying goes If we do not move forward, we are falling behind. I find that so true in our profession. ASPAN does an excellent job of keeping us moving forward. Every JoPAN issue is filled with relevant research articles and hot topics. I encourage you to read them and share them with your co-worker (Better yet encourage them to join ASPAN). The ASPAN web site is also a good resource to find new information. If you have not already checked it out, please go see what it has to offer. Reminders! (continued page 4) Fall ISPAN Board Meeting will be held Friday, October 15th at Mercy Medical Center (same location as the 2010 Fall Conference). Call any board member for information if you would like to attend Fall ISPAN Nursing Conference, Saturday, October 16th, 2010 Mercy Medical Center, Cedar Rapids, IA ASPAN s 30th National Conference in Seattle, Washington. Please note that all ISPAN members are welcome to attend the Board meetings held quarterly. Please contact any member with any questions about time or locations. We welcome your input! The best way to find yourself is to lose yourself in the service of others. Mohandas (Mahatma) Gandhi is written by and for ISPAN members.

2 Page 2 ISPAN Leadership President: Cathy Tigges cathytigges@hotmail.com Vice President: Deb Mueller muelleda@mercyhealth.com Secretary: Beth Brown brownb@mercyhealth.com Treasurer: Sandy Hoctel hoctelss@msn.com Immediate Past President: Molly Schrader mschrader@southslope.net Governmental Affairs Representative: Helen Riedesel hlriedesel@aol.com Newsletter Editor: Sandra Gardner pacurn75@yahoo.com Region II Director Armi Holcomb BSN RN CPAN aholcomb@aspan.org Inside this issue ISPAN President s Address... Cover ISPAN Directory...2 Board Meeting Minutes / Spring ASPAN President s Message...4 Region II Director s Report...5 Kudos... 5 Governmental Affairs Report th ASPAN RA Reports...7 Committee Corner...8 Journal Club - How Doctors Think... 9 Component Development Institute Events Calender Certification Clips - ABPANC Fall Board Meeting ISPAN Fall Conference Registration Form ISPAN Fall Conference Agenda My 2 Worth - Editorial... Back Page ISPAN Mission Statement As a component of ASPAN, ISPAN formally recognizes the purpose and mission of ASPAN. The Society is committed to maintaining and upgrading the standards of the specialty, and to the promotion of professional growth of its members. What s New? News From ISPAN I am happy to announce that ISPAN has a Website! It was up and running as of May and hopefully, we can count on you the members to spread the word. So, if you have a moment, please give it a look. We are open to any suggestion and comments you may have. Sandy Gardner, Editor pacurn75@yahoo.com ISPAN has a Website!!

3 Page 3 BOD Minute Highlights Date: March 26, 2010 Location: Iowa City, Iowa I. Call to Order at 1915 by President Cathy Tigges. II. ISPAN members present: Deb Mueller, Sandy Hoctel, Helen Riedesel, Cathy Tigges, Molly Schrader, Marsha Sabotta, Linda Armstrong, Sandy Gardner, Beth Brown. Quorum met. Minutes from the January 26, 2010 meeting distributed and reviewed. III. Treasurer s Report: Sandy Hoctel. Copy submitted for the minutes. Younkers Community Day: Did not meet matching requirement. Membership list (at the time) 121 current members/59 renewals. IV. Newsletter Editor s Report: Sandy Gardner: Summer submission deadline is June 30th. Discussion and decision made to produce 3 instead of 4 issues annually. Ideas from other components: Have a new member packet and have one individual responsible for making and sending them out. Identify ISPAN contact persons for each hospital/ ambulatory center. Job shadowing for Board members with invitations to ISPAN members who may be interested in becoming active on the Board. V. Governmental Affairs Report: Helen Riedesel: M.S. & H.R. attended the Iowa Legislative Day in Des Moines on 2/18/2010. Were able to meet with multiple key legislators and committee persons to discuss Healthcare Bill. Year-by-year timeline of the Health Reform distributed. VI. Fall Conference Report: Molly Schrader: To be held Saturday, October 16th in Cedar Rapids, IA at Mercy Hospital Education Center. Five speakers confirmed with the suggestion of a speaker on generational Diversity. S.G. will design the brochure and Sandy Hoctel will arrange the printing through IMMC/ Des Moines. VII. National Conference: Dispersal of stipend checks to Officers/ Active Board & Ad Hoc Board members. Component Night. Discussion/ decision to donate Component night funds as follows- $200 to the Foundation. S.H. will send the check to the ASPAN Office in order to ASPAN's 30th National Conference Reinvest In Your Potential April 3-7, 2011 Sheraton Seattle Hotel, Seattle, Washington It s never too early to start planning for the National Conference. This year we will be joining ASPAN members from all over the country and international guests in the beautiful Northwest. Consider making it a priority to be able to attend the 30th annual event. Things you may not have thought of to help you find your way to Seattle. Can you apply for hospital scholarships, education grants, hold bake sales, or request sponsor support to help you fund your goal of attending? Stay on the lookout for new information as it comes out. We will keep you informed as new information gets to ISPAN. have ISPAN recognized on the Foundation Donor list. Iowa Night Out will be held on Tuesday evening at a location to be determined. Appetizers provided by ISPAN. VIII. New Business: Work session planned for update of the ISPAN bylaws and job descriptions. B.B. distributed drafts of documents with discussion points from material presented at the fall CDI. VIII. Next Meeting: Work session on Saturday, June 12th in Carroll, IA at the Carrollton Inn. President C.T. to reserve meeting room. (Ed. Note: Meeting was relocated to Iowa Lutheran, Des Moines) IX. Meeting adjourned at Respectfully submitted, Beth Brown, ISPAN Secretary

4 Page 4 ASPAN s New President ( ) Kim Kraft, BSN, RN, CPAN The American Society of PeriAnesthesia Nurses (ASPAN) at its 29th National Conference (April 18-22, 2010) in New Orleans, LA, welcomed Kim Kraft into her new role as national president. Ms. Kraft, BSN RN CPAN, will serve a one-year term, and her presidential theme is Reinvest in Your Potential. Kraft says, As the organization for perianesthesia nursing, ASPAN must reach out to all members and provide them with the programs and services needed to support their practice, assist them in reaching their professional potential, and position them as ambassadors for ASPAN s core purpose and values. Her goal involves implementing the operational and strategic plan already in place to guide the ASPAN Board to redefine the organizational infrastructure, thus insuring more robust opportunities for members to become engaged and involved, and maximizing their potential. Prior to her current office, Ms. Kraft served as Vice President/President-Elect, Regional Director, Chair of the Membership & Marketing Committee, and was a member of numerous committees serving to fill other vital roles throughout ASPAN. In 2007, she was the recipient of ASPAN s Excellence in Clinical Practice Award. Retrieved June 20th from ISPAN s President s Message: Have you seen ISPAN s new web site Please take a minute to look it up. We are so proud of the job Sandy Gardner has done to make this a reality. The web site will continue to evolve; your input will be helpful. In our green society communication has become so much easier and your ideas help us to grow. The web is a wonderful thing, it has made obtaining CEU s so much easier, and we can go to the web anytime to get our continuing education. But, I hope you do not dismiss the importance of attending conferences. Over the past year I have attended ISPAN Fall Conference, University of Iowa Perianesthesia Conference, as well as ASPAN s National Conference in New Orleans. Besides providing us with a wealth of information, we also are able to do some networking. When we sit down beside someone from another facility we find that some problems are universal. By talking with them you may find things that have worked for other facilities. Having the opportunity to ask questions of the presenter, we are able to better understand the topics. So please join us this fall in Cedar Rapids for ISPAN s Fall Conference. In closing, I want to thank all of you for being a member of your professional organization and encourage you -- if you haven t already -- to become certified. All of these accomplishments show our co-workers, facilities, and patients the dedication and commitment of their perianesthesia nurses. Hope to see you in October at the Fall Conference! Cathy Tigges ISPAN President

5 Page 5 Region II Report Hello ISPAN members, It is my honor to be your ASPAN Region 2 Director. It has been an amazing past few months. For most of you that don t know me, I have been a perianesthesia nurse since 1981 and an ASPAN member for over 25 years. I am currently a Preop/PACU/Postop RN IV staff nurse at Children s Mercy Hospital- South Campus. As your liaison to ASPAN, I hope to hear from all of you and please let me know what your needs/concerns are. What best practices are you all involved in that we can share nationally? I met some of you at the national conference in New Orleans. It is my goal to be available to you as much as you need me to be. The RD s are busy getting ready for the Component Development Institute (CDI) to be held in Louisville, Kentucky on September 10-12, The brochure should be available to the component officers now. As in the past, ASPAN will waive registration fees for two designated ISPAN members. It is customary to send members that are being groomed to assume leadership in the component. It is part and parcel of how succession planning for the state and ASPAN can be achieved. On a personal note, I have been busy planning my only daughter s wedding. She and I accomplished this under two months (that s right, just when I got home from conference) and the fruition of our efforts will culminate this Saturday June 26, I will be able to relax the next day I guess. Please keep in touch. I am only a phone call or away. I will keep you all updated with any ASPAN news as they come Best Regards, Armi Holcomb RN BSN CPAN ASPAN Region II Director 2010 Contact information can be found on p.2 of the Newsletter We re All Ears... The Board wants to be of the most service that we can be to you, the members. The only way we can continue to bring you the information you want is for you to voice your needs and requests. The names and addresses of all the Board members are listed in every newsletter (page 2 of this issue) and we are more than eager to answer any questions, consider any suggestions/comments, or correct any errors that you note for us. is published three times a year in the Winter, Spring/Summer, and Fall. Contributions and publication are always welcome. We encourage members to submit announcements or notices of interest to Perianesthesia nurses. Deadlines for each upcoming issue is listed in the calendar of events. Submissions are accepted either in computer (preferred) or written format. Please contact: Sandy Gardner, Editor, to make a submission or if you have any additional questions. Kudos! Our newest CAPA certified nurses! Linda Carr Cedar Rapids Marcia Ann Dusing Council Bluffs Lisa L Hughes Cedar Rapids Sandra Hughes Cedar Rapids If you know these nurses, please take the time to congratulate them for their hard work and dedication to the specialty. Way to go! If I inadvertently missed a member, please let me know so I can include you in the next newsletter. Ed.

6 Page 6 ISPAN Governmental Affairs Report The Iowa Legislature (adjourned on March 27, 2010). Governor Culver signed the Nursing Workforce Legislation on April 21. This legislation aims to address the state nursing shortage and seeks to understand the nursing work force needs. The law includes education initiatives and a nurse educator scholarship-in-exchange-for service program. The Centers for Medicare/Medicaid Services (CMS) has released a Proposed Rule for implementation of the Braley hospital payment provision, which was Section 1109, Payment for Qualifying Hospitals, in the House Reconciliation piece of Health Care Reform. This provision provides additional FY11 and FY12 funding to hospitals in counties that fall in the lowest quartile of Medicare spending. Under the Proposed Rule for FY11, Iowa will receive $12.52 million, which is the most per capita funding of any state, and the 3rd most funding based on actual dollars. This is significant step towards finally addressing geographic inequities in Medicare and the reimbursement to Iowa hospitals. This is one of a number of provisions related to Geographic Disparity and Value that Rep. Braley, secured, along with the help of Senator Harkin, Reps. Boswell and Loebsack, and other members of the Quality Care Coalition The future of health care is closely tied to the future of nursing. Advanced Practice Nurses represent a valuable resource in the national effort to provide timely, affordable health care and the demand for their services is expected to escalate due to the critical shortage of primary care physicians, an aging baby boomer population, continued efforts to improve quality and the introduction of medical homes. Iowa hospitals employ advanced practice nurses in a variety of roles, including certified clinical nurse specialists, certified nurse practitioners, certified nurse mid-wives and certified registered nurse anesthetists. Recently, specialty physician groups have attempted to restrict current nursing practice by declaring chronic interventional pain management the practice of medicine and not within the scope of practice of other health care professionals. These same groups have also attempted to block the supervision of fluoroscopic radiography by advanced practice nurses. Advanced nursing practice enhances patient access to effective, integrated and coordinated health care and provides a much needed link to the most vulnerable of our population, such as the elderly and those living in rural and underserved areas. Chronic pain can be debilitating and often becomes the defining factor in patient s lives. Without relief, or the hope of relief, many patients lose the ability to eat, sleep, work and function normally. Certified Registered Nurse Anesthetists have been safely and successfully treating chronic pain in Iowa hospitals for two decades. To date, the Iowa Board of Nursing cannot identify a single disciplinary action taken against a Certified Registered Nurse Anesthetist relevant to chronic interventional pain management. Any legislation that would limit the ability of Certified Registered Nurse Anesthetist to treat patients with chronic pain would have far reaching implications. For example, some Iowans would have to travel over 100 miles and contend with waiting times of six weeks to see a pain management physician both of which would be difficult for someone experiencing chronic pain. It is the belief that Nursing is the organization with the knowledge, expertise and legal authority for regulating and enforcing rules of nursing practice and opposes any attempt by medical specialties to regulate nursing practice in order to advance their own proprietary interests. (1) Federal: The Quality of Care Coalition has been formed to provide members of Congress a forum to transform the healthcare system to reward value in care and make evidence-based, quality care the standard, regardless of location. It will also continue to address geographic variation in Medicare reimbursement. The group has formally registered as a Congressional Caucus. 1. Retrieved online on August 7, 2010 at Helen Riedesel, BSN, RN Governmental Affairs Representative

7 Page 7 29th Annual National Conference Representative Report The thirteenth American Society of Perianesthesia Nursing Representative Assembly meeting was held April 18 th 2010 in New Orleans, LA. Representing the Iowa chapter of American Perianesthesia Nursing was the current president Cathy Tigges and the immediate past president Molly Schrader. The first item on the agenda was candidates for the National Offices made presentations to the assembly. Time was given for questions and answers. After a short break the vote for the officers occurred. My congratulations to our newly elected ASPAN Board of Directors : Vice President/President-Elect: Christine Price, MSN RN CPAN CAPA Secretary: Jacque Crosson, MSN RN CPAN Region 2 Director: Armi Holcomb, BSN RN CPAN Region 4 Director: Laura Kling, MSN RN CNS CPAN Director for Clinical Practice: Barbara Godden, MHS RN CPAN CAPA Director for Development: Candace Taylor, BSN RN CPAN Nominating Committee Members: Linda Beagley, BSN RN CPAN Nancy Fishman, RN CPAN Pamela Myrum, BSN RN CPAN Renee Smith, MS RN CPAN Raymond Young, BSN RN CPAN CAPA After the election there was discussion on: amendments to ASPAN bylaws; revisions to ASPAN s Representative Assembly Standard Procedures; and changes to the Perianesthesia Nursing Standards and Practice Recommendations edition. After the discussion the representative assembly voted to approve the amendments/revisions and/or changes. If you have any questions please refer to the ASPAN website for more information. Molly Schrader BSN RN ISPAN Immediate Past President "Don't say you don't have enough time. You have exactly the same number of hours per day that were given to Helen Keller, Pasteur, Michelangelo, Mother Teresa, Leonardo DaVinci, Thomas Jefferson, and Albert Einstein." H. Jackson Brown, Jr.

8 Page 8 Membership Communications We are entering period of time where professional activity tends to slow down. You don t see very many workshops or conferences, hospitals have had their awards banquets, and things haven t revved up for Fall as yet. As an ISPAN/ASPAN member, this is a great time to start encouraging your friends to become a member. Remind them about discounts on the Fall ISPAN conference, discounts for the ASPAN national conference, additional credit for career/professional ladders and for some additional benefits from magnet status. For you, the existing member, remember to have the new recruit write you name on the application sheet. For every member you recruit, you have a chance to win a full registration to the next year s ASPAN conference. I know times are tough and for many of us, finances are tight. Consider membership as a way to solidify your position and secure your future in perianesthesia nursing. Committee Corner ISPAN Website now a reality ISPAN is now officially on the web. Beginning June 1st, you can reach ISPAN by logging in to We are hoping to keep you up-to-date on a bi-weekly basis. The site offers us the opportunity to provide notices, announce change of locations or times, provide information about events that do not meet the newsletter deadline. Please go in and take a look. You will find copies of past Newsletters, bylaws, job descriptions, links to sites that are important to perianesthesia nurses. We also want it to be flexible enough that members can be a valuable resource to those of us working on the Board. You will also find us as a link in the ASPAN website. Please let us know how we can improve or build upon the site! Sandy Gardner, Web Host August 1, 2010: Our Financial Snapshot! Accounts Checking Basic Savings CD # CD # Total Thank you to Sandy Hoctel, ISPAN Treasurer, for providing Finance this information to our members each quarter. Save the Date! ISPAN Fall Conference October 16th, 2010 Mercy Medical Center Education

9 Page 9 How Doctors Think By Dr. Jerome Groopman Popular Author Readers may remember my 2004 review of Dr.Groopman s previous book, The Anatomy of Hope. I had enjoyed hearing him speak on radio and then at my local library at that time. In this latest book, Dr. Groopman continues his storytelling when relating case histories. Don t miss the introduction of this book, where he relates the years-long, complicated course of a patient s illness. When a physician starts fresh to hear her painful story, he hears clues that lead to the correct diagnosis for her. The patient is so relieved when a complete change in her treatment begins to make her feel better after such a long time being sick. Local Connection The author started his internship at Massachusetts General Hospital in July of 1976, just as I was finishing my first year as a nurse there. His tale of his first harrowing night as an intern reminds me of my first nights as a nurse: caring for 36 patients with my wonderful nurse s aide, Maddie. Dr. Groopman discusses the difference between learning medicine catch as catch can in the old days versus learning preset algorithms with a decision tree today. He feels today s method works as long as the patient s signs and symptoms are clear-cut but falls apart if the symptoms are vague and test results inexact. He further states that this method may discourage new doctors from thinking outside the box. However, he does acknowledge that it is risky to go on intuition alone. As Much Art as Science I often tell patients that medicine is as much art as science, even with all the technology available to us today. Dr. Groopman states that physicians really need information from patients and their families to help provide key clues to what is wrong. He actually learned this when he was the patient himself. Chapter 7 tells of his experience seeking treatment for a painful right hand. He consulted with SIX hand surgeons over a three year period and got four different opinions about what to do about it!!! It s most interesting that Dr. Groopman says that misdiagnoses are not necessarily medical mistakes. He further states that many doctors remember their misdiagnoses, analyze them, remember them and incorporate those memories into their thinking. How Do Nurses Think? When I did a brief search of How do nurses think, I only found one study done on this subject by Iain Graham at Southern Cross University. Mr. Graham s findings show that there is a dynamic nature of how nurses think and experience nursing. To conclude, I highly recommend How Doctors Think for its highly readable storytelling. I am interested in what you think of this book as well as any thoughts about how NURSES think! Feel free to me your thoughts. Anne Halliday, BSN, RN, CPAN Reprinted with permission from Spring 2009 Mayflower, Vol.20 No.2 When one door of happiness closes, another opens; But often we look so long at the closed door that we do not see the one that has been opened for us. Helen Keller

10 Page 10 National Conference Photos Molly S. & Cathy T. - ISPAN Reps at RA Assembly ISPAN members attend National Conference Helen R. at Component Night Many ISPAN members shared good times and great conference offerings while renewing friendships and enjoying New Orleans at ASPAN s 29th National Conference. Marsha S. - Morning meeting = coffee! ASPAN COMPONENT DEVELOPMENT INSTITUTE Turning Potential into Practice Louisville, KY September 10-12, 2010 Discover the power of networking with colleagues! The Component Development Institute (CDI) provides educational opportunities to meet your needs whether a seasoned component leader or the newest member of the board. Through dynamic presentations and interactive small group sessions, ASPAN leaders focus on key processes intended to help each component turn its potential into practice. ASPAN asked for program content ideas, and you responded! This year s topics include: Budget Development Strategic Planning Web-based Newsletters Conference Planning Running Effective Board Meetings Succession Planning/Mentorship Working with ASPAN Member Lists Leadership Strategies Come to the CDI and share strategies to enhance your component s potential while working closely with ASPAN mentors. Attendance is open to ASPAN members only. Contact hours will be provided. Please call to reserve your hotel accommodations at the Louisville Marriott Downtown, 280 West Jefferson, Louisville, KY 40202, (800) The hotel room rate is $119; room reservation cut-off date is Friday, August 13th. Visit the ASPAN Web site ( for complete details and online registration services. To request a program brochure call the National Office toll Ext. 17.

11 Page 11 Perianesthesia Events Calendar Fall Newsletter Deadline September 15th, 2010 CPAN/CAPA Registration Window August 1 until October 31 CPAN/CAPA Registration Deadline CDI Leadership Institute 34 th Annual TAPAN State Conference FLASPAN Pre-conference October 8-10, 2010 ISPAN Fall Board Meeting ISPAN Fall Conference 2010 October 31 by 11:59 p.m. ET September 10-12, 2010, Louisville, KY September 17-19, Seeds for Growth, Harvesting Knowledge, Grapevine, Texas, Contact Cyndi Mocek at mocek.rn@sbcglobal.net October 7, 2010 Regal Sun Resort, Lake Buena Vista, Florida. Contact Emma cordeliacr@aol.com for more information FLASPAN's 41st Annual Conference "Humanity & Technology in Harmony...The Future of Perianesthesia Nursing". Regal Sun Resort, Lake Buena Vista, Florida. October 15, 2010 at Mercy Medical Center, Cedar Rapids, IA Time: TBD October 16, 2010, Registration 7:30 am INA Convention October 17-19th, ASPAN Willingness to Serve October 31, 2010, deadline for submission 29th ASPAN National Conference April 3-7, 2011 Seattle, Washington Certification Clips - 6 Candidates Pass CAPA & CPAN Examination on Same Day ABPANC Publishes New Slide Show for Certification Coaches Revised Recertification Handbook Now Available. This is just a partial list of the resources and news articles that are available to individuals who wish to certify, recertify, or coach colleagues that are planning to certify. Please take the time to go to the ABPANC website and familiarize yourself with the information they offer. Web: Write: ABPANC, 475 Riverside Dr., 6th Floor, New York, NY, Phone: ABPANC š Fax: Information retrieved June 21st, 2010 at Fall Board Meeting ISPAN Board of Directors will meet Friday, October 15th, 2010 in Cedar Rapids at Mercy Medical Center. ISPAN President, Cathy Tigges will chair the meeting. Time will be announced closer to the event. All ISPAN members are welcome to attend. Call any board member for additional information. Items up for discussion include: 2010 Election Winter Mtg. Planning CDI Report Officer Transition Planning Strategic Plan Review Committee Reports

12 Page 12 ISPAN Fall Conference Registration ISPAN Fall Conference Registration ISPAN/ASPAN Non-Member Postmarked on or before 9/30 $55.00 $60.00 Postmarked after 9/30 $65.00 $70.00 ASPAN/ISPAN Membership number (required for member rate) # Name: Address: City: State: Zip: Phone: ( ) Home Work Cell Employer: Employer Address: ISPAN members, this ensures delivery of Newsletter and future Conference Announcements Signature: Make checks payable to ISPAN. Send Registration and Payment to: Molly Schrader, ISPAN Conference Chair P.O. Box 57, 590 G..Ave. W Walford, Iowa (w)

13 Page Fall ISPAN Conference Agenda NURSING CREDIT CEUs will be granted by Mercy Medical Center, IBN Approver Provider # 341. Participants must attend the entire program to receive full credit. For those applying contact hours to CPAN/CAPA recertification, this program will submit content to ABPANC to determine Direct and Indirect contact hours. 7:30-7:50 Registration and Continental Breakfast 7:50-8:00 Welcome and Introductions 8:00-9:00 Breast Surgeries / Sentinel Nodes Dr. J. Nielsen 9:00-10:00 Breast Reconstruction Dr. M. Emery 10:00-10:15 Break :15 Thyroid Surgery Dr. J. Krivit 11: Lunch 12: Blocks and Regional Anesthesia Dr. K. Leff 13:00-14:00 Management of Carotid Stenosis Dr. D. Lawrence 14:00-14:15 Dessert Break 14:15-15:15 Humor in the PeriAnesthesia Setting Marsha Sabotta, BSN, RN, CAPA 15:15-15:30 Evaluation and Adjournment At the completion of this program, the participant will be able to: Identify current trends in types of breast surgeries related to cancer treatment. Recognize breast reconstruction as an option after a breast mastectomy Identify current trends in thyroid surgery Objectives Describe different types of block/regional anesthesia that are currently being used for different surgical procedures Identify current management of carotid stenosis Identify how perianesthesia nurses need/use humor in the workplace

14 ISPAN Iowa Society of PeriAnesthesia Nurses Sandra Gardner - Editor 139 Alta Vista Avenue Waterloo, IA ISPAN now has a website! Visit us at : My 2 Worth Notes from the Editor Wow! It s August and I am wondering where the summer has gone. If you are like me and many of my colleagues, as we near Fall, we start thinking of school - for our children, grandchildren, and maybe even ourselves! I, for one, can t pass up the new school supplies aisle without checking it out. Those new crayons, pencils and notebooks always seem to epitomize new beginnings, hope and anticipation. It is this time of year that CEU offerings are starting to show up in your mailbox (ISPAN s included!) and you decide where you want to invest your time and money. I will hope that when you make those decisions, you consider what your workshop choices mean to you professionally. Will this offering help you professionally? Will you gain new knowledge or expend on the skills and/or education that you already possess? Will you just be getting enough CEU s to renew your license? Will you just put in the time, sitting quietly or doodling? Or will you be present and engaged open to what is being said or discussed? I know, not all speakers are created equal, but most have put in a great deal of time to create a presentation for you. I always hope that I can come from a workshop with one or two pearls that I can t wait to tell my colleagues. You know, that tip, fact, statistic, or means to do something different/better/faster the list goes on. If I have gotten a pearl from a conference, I consider it a good conference. Perhaps I am too idealistic, but after 30-some years of nursing, I still think gaining new ideas or skills is a positive thing. It shows that we are still capable of growth, evolution and development. I like to think that this is one of the special hallmarks of nurses. That, as we pass from novice to experienced, we become more and more adept at finding those pearls from the classes, situations, and life events that we share. The next time that you go to a conference, listen, engage, and find your pearl to amaze your colleagues, and yourself! Plus, take time to smell the new crayons! Well, that s my 2 -worth. Sandra Gardner, Editor