MOKAN PANA NEWS. President s Corner

Transcription

1 MOKAN PANA NEWS Jo Rhodes, BSN, RN, CPAN President MOKAN PANA I N S I D E T H I S I S S U E : Certification 2-3 Fall Seminar 4 Journal Club 5 Medical 6-7 Mission Franciscan 8 Volunteer Region Meet the 11- Board 13 EBP Article V O L U M E 4, I S S U E 3 President s Corner With our country in the midst of a Presidential election and both parties with their convention to showcase their own candidates, we at MOKAN PANA had an election of our own to elect Board of Director positions. It was not as elaborate as the national conventions and we were more fiscally responsible. Congratulations to Angel Petznick from VA Medical Center elected as our Vice President We welcome back Nancy Martin from KU Medical Center as our Secretary and Rebecca Doane from Truman Medical Center as the EBP, Research and Journal Club member at large. They will have a busy year to make a difference to our component. The Board of Directors recently had a productive transition meeting held July 9. Changes were made to our strategic plan, bylaws and the scholarship policy. Special thanks go to Cindy Ladner, our Representative Assembly member who was instrumental in the revisions made. Also kudos to Carol Cooper and Jan Lopez for their extra efforts to make changes to the scholarship policy. The changes made will give members greater opportunity to earn points to apply for the scholarship. We plan to focus on improved education to all members of the benefits of ASPAN membership. The Gold Leaf award is presented annually at the national conference to a component whose members have participated in exemplary work efforts including community service, newsletter, website, scholarship and education to members and promotion of Evidence Based Practices. Our committee is focused on submission and achievement of this award for We S U M M E R salute our members that had ASPAN involvement at the national level; Armi Holcomb CPAN ASPAN President Children s Mercy Hospital Twilla Shrout MBA CPAN CAPA ASPAN President VA Medical Center Melanie Simpson PhD, RN- BC, OCN, CHPN, CPE ASPAN representative to the Pain Action Alliance to Implement a National Strategy (PAINS) University of Kansas Medical Center Jan Lopez CPAN, CAPA ASPAN Clinical Practice Committee, Standards & Guidelines SWT, Evidence Based Practice SWT from St. Luke s Hospital Robbin Craddock CAPA Coordinator for the Preoperative Assessment Specialty Practice Group (SPG) University of Kansas Medical Center

2 P A G E 2 Certification Review Kim Kraft MSN RN CPAN CAPA On August 20 th, MOKAN PANA hosted a Certification Review Seminar at the Hilton in Kansas City, presented by Kim Kraft MSN, RN, CPAN & CAPA, and former ASPAN President from Topics covered included ASPAN Standards, Anesthetic Agents, care of special populations and test taking strategies. A total of 20 nurses attended in hopes of sitting for their certification within the next year. According to Kim Satariano from St. Luke s East, The information gained at the ASPAN PeriAnesthesia Certification Review course was a great review of various perianesthesia practices and standards, as well as providing information on the certification process itself. I would recommend it to any perianesthesia staff person, even if you aren't going to work on the certification. Lots of information given followed by multiple sample questions to review. The small group of attendees made for a comfortable environment to ask questions and interact with other peers. The presenter gets an A+!! By the end of the course, it gave me a little kick start to the certification process and more confidence about taking the exam. Well worth the time and money invested. Registration for Fall Exams Has Been Extended to September 19. CPAN and CAPA Exams will be administered October 3 November 25. The Fall 2016 Recertification window is open through October 31. \ M O K A N P A N A N E W S

3 V O L U M E 4, I S S U E 3 P A G E 3 Newly Certified Nurses Congratulations to the following nurses for getting their CPAN or CAPA certification. Way to go! Jeanne Bean CPAN Carey Cannell CAPA Lisa Donadio CPAN & CAPA Tracy Evans CAPA Carol Hallaher CAPA Margaret Leland CAPA Kelly Nadler CAPA Tammy Jo Patrick CPAN Diane Hinkamp CAPA Certification Scholarship If you are a current MOKAN PANA member and are interested in getting certified or are due for recertification we can help. Apply online for a scholarship to help cover the cost. Go to MOKAN PANA.com to apply.

4 P A G E 4 Fall Seminar October 8, 2016 Saturday PERIANESTHESIA TOPICS 2016 St. Joseph Medical Center Alex George Auditorium Bldg D 1000 Carondelet Drive, Kansas City Missouri ( Stateline & I 435 next to the Emergency Room Department) AGENDA AM Registration & Breakfast Buffet AM Welcome and Component Meeting AM Peripheral Nerve Blocks Jodi Myers BSN RN CAPA AM The World According To The Total Joint Patient Stacey Estes- Juve MSN RN ACNS-BC AM Break/Vendor AM Bariatric Surgery : Worth the Weight Dr. Vincent Narciso MD FACS PM Break/ Vendor PM ABPANC Representative on Certification PM PeriAnesthesia Nursing Risks & How to Avoid Them Maggie Neustadt JD PM PACU Nurses Are My Second Family: Behaviors That Impact Our Practice Julie Seefeldt MSN RN CAPA, Tara Fitzpatrick BSN RN CAPA, Stacey Wood MSN,RN,CPN PM Engaging Staff to Create a Blended & Efficient Staffing Matrix Jessie Brooks BSN RN, Kim Hinck BSN RN PM Closing Remarks \Upon successful completion, participants will receive 5 contact hours Menorah Medical Center is approved as a provider of continuing nursing education by the Kansas State Board of Nursing. This course offering approved for 5 contact hours for RN,LPN or LMHT relicensure. Kansas State Provider No.LT M O K A N P A N A N E W S

5 V O L U M E 4, I S S U E 3 P A G E 5 New Members MOKAN PANA would like to welcome the following new members to the organization. Sheryl Montford Gwendolyn Black Diane Wikoz Robin Barber Kathrin Caudle Lynne Close Regina Davis Debra Dixson Alicia Hanson Wanda Grubb Stacey Hardin Stephanie Look Shannon Henkel Amy Marouk Teresa Rosslein Natalie Roeder Maria Shade Journal Club In June, a Journal Club meeting was held at North Kansas City Hospital in which the topic of Antifibrinolytis was discussed. The article selected was Antifibrinolytic Use in the Perioperative Setting: Aminocaproic Acid and Tranexamic Acid (Golembiewski, 2015). The article debated if the use of Antifibrinolytics such as Aminocaproic Acid and Tranexamic Acid (TXA) would decrease the number of post-operative transfusions in patients undergoing spinal surgery or orthopedic surgeries such as knee and hip replacements. It then went on to evaluate the possible side effects of these medications including intravascular thrombosis and acute renal failure. Interestingly, the risk of thrombosis and renal failure did not appear to increase with the use of these meds (Golembiewski, 2015). One participant, Cari Vittorino, stated that very few surgeons use antifibrinolytics outside of TXA prior to surgery. They only use techniques that have been tried and true. It would be interesting to find out what type of training and information has been promoted by the manufacturer. According to Lori Ackley, another participant, those patients who have received TXA appear to have less pain and an easier rehabilita- tion time. What about your facility, do they utilize antifibrinolytic therapy prior to surgery? If you are interested in hosting a Journal club meeting at your facility please contact MOKAN PANA at mokanpana@gmail.com By: Teresa Cherrie Guevara, BSN, RN, CPAN Golembiewski, J. (2015). Antifibrinolytic Use in the Perioperative Setting: Aminocaproic Acid and Tranexamic Acid. Journal of PeriAnesthesia Nursing,

6 P A G E 6 Medical Missions Jennifer Yack and Nadesche, an orphan she sponsored. Short term medical service trips (MSTs) aim to address unmet health care needs of low and middle income countries. (Sykes, 2014) Each year there are several missions trips to countries such as Haiti, Guatemala, India and other third world countries supported and organized often by faith based organizations. Jennifer Yack of St. Mary s Medical Center has participated in medical missions for the last four years. Supported by Northwest Haiti Christian Missions, she travels to Haiti once a year in February to work with a team of physicians including Emergency Room physicians, Ophthalmologists and occasionally pediatricians, in addition to OR nurses and other various professionals to provide care. The team, which consists of 60 people or more, travels to St. Louis De- Nord in Haiti for approximately 10 days. Half of the team consists of people who have already participated in a missions trip and the other half is new to missions. Jen stated that during that time we see an estimated 800 people in the clinic and perform around 200 ophthalmic surgeries. The first five or six days is spent doing surgeries such as cataracts, glaucoma, strabismus and enucleations. When asked what the most exciting part of participating in missions trips, she stated that there is such a variety of things to do and it is rewarding. I love the cultural aspect of it. Local priests will pass out tickets to villagers and inform them of what day to come back to be seen. Due to the fact that there is not formal health care system provided, villagers line up days in advance to participate. There s always kiddos to snuggle PACU. We re lucky if we can get the patients to sit and stay for 10 minutes. M O K A N P A N A N E W S

7 V O L U M E 4, I S S U E 3 P A G E 7 When asked what was the hardest part of the trip, she responded with dealing with the poverty and the people you can t help. Often times there are people who have waited to be seen and you can t fit everyone in. Traveling to poverty stricken areas can be challenging. You don t always have the supplies you need so you learn to be resourceful especially in the OR and make due with what you have. Often times, supplies are shipped in advance or the team will utilize what is already there. This is where surgeries are performed, sometimes as many as three at the same time. Dr. Yi from Boston teaching a Haitian ophthalmologist how to do cataract surgery. If you are interested in participating in a medical missions trip or would like additional information, please MOKAN PANA at mokanpana@gmail.com and I will forward it to Jennifer. By: Angel Petznick Special Note: I wanted to say a personal thank you to Jennifer Yack for all her hard work and participating in medical missions. I appreciate you sharing with everyone. References: Sykes, K. (2014). Short-Term Medical Service Trips: A Systematic Review of the Evidence. American Journal of Public Health, e38-e48.

8 P A G E 8 Volunteering at the Franciscan Mission On June 18, from 9 am to 12, MOKAN PANA volunteered at the Franciscan Mission Warehouse in Independence, Mo. The Franciscan Mission works with local hospitals and Dr. s offices to collect excess medical supplies and materials. Much of the equipment is still in perfect working condition but is being replaced in favor or newer models of equipment. (Franciscan Mission Warehouse, 2016) Rather than throwing the supplies out or paying to have these items destroyed through medical waste companies, the mission offers local hospitals a place to donate equipment such as stretchers, beds, bed side tables and commodes. Volunteers from local medical schools, nursing schools and professional organizations come to the mission and assist with sorting and boxing supplies. We hope to volunteer our time here again. If you would like to join us, please look for future postings of volunteer hours on the website and Facebook. By: Angel Petznick Angel, Cindy, Janet and Carol packing supplies Cindy and Angel packing supplies Nancy and Carol sorting supplies Touring the warehouse M O K A N P A N A N E W S

9 V O L U M E 4, I S S U E 3 P A G E 9 Region 2 Report Greetings friends, Already, four months since ASPAN s 35 th national conference in Philadelphia, PA! Indeed, it was a rich opportunity to network, learn, laugh and love! Never before have our nursing units been occupied by four generations of nurses all at once. Think about it, we span from Traditionalist to Millennials and soon Generation Z s will be in the house! The key is to blend, merge and fully embrace the best attributes each generation has to contribute. ASPAN s President Katrina Bickerstaff has brought an element of excitement by promoting her platform, Energizing Generations: The Race to Distinction As time marches ASPAN remains effective in meeting expectations of multiple generations of perianesthesia nurses. ASPAN is utilizing cutting edge technology to remain the premier source for perianesthesia nursing in education, research and clinical practice. Here are highlights of ASPAN activities thus far. A special meeting of the 2016 Representative Assembly was convened via to review and vote on A Position Statement on Air Quality and Occupational Hazard Prevention in the Perianesthesia Environment, resolution passed June 2, 2016 ASPAN, along with 61 other professional nursing organizations have signed on in support to allow advance practice registered nurses (APRN) full practice authority within the Veterans Hospital Administration (VHA). The Competency Based Orientation and Credentialing Program for the Unlicensed Assistive Personnel in the Perianesthesia Setting Edition is being reviewed and updated by editor Jennifer Allen. The Joint Commission invited ASPAN to identify a representative who has the clinical and technical expertise to serve on a technical advisory panel (TAP) that will advise the Joint Commission on contemporary pain management topics. Terry Clifford was chosen to represent ASPAN. ASPAN receives a vast number of clinical practice questions from nurses throughout the nation on topics regarding patient safety, staffing and best practice. The National Office staff works diligently to disseminate questions weekly, through the Clinical Practice Committee (CPC) and responses are sent promptly to the nurse that submitted the question. Standard and Guidelines Strategic Work Team is appraising the systematic literature review for Practice Recommendation 10 Obstructive Sleep Apnea in the Adult Patient. ASPAN Education has taped 7 new On-Demand modules from the 2016 National Conference (NC) presenters, along with 3 new modules to add to the library.

10 Page 10 The Perianesthesia Certification Review education web based bundle on web site for purchase. All education modules/seminars are being continuously updated. Two new 2-hour education webcasts are available. IRB approved ASPAN Research- ASPAN Safety Focus Group Team survey entitled American Society of PeriAnesthesia Nurses (ASPAN) patient care acuity/complexity index for Phase I PACU. Survey sent out. Several PDF files of 2016 (NC) research posters available on website in addition to all abstracts Elizabeth Card participated in the American Association of Nurse Anesthetists Invita tion to Perioperative Nursing Care - Research Meeting Call for Joanna Briggs Institute training sent out. Completed Webinar on Evidence Based Practice, placed into the ASPAN library Planning for ASPAN s Leadership Development Institute Cincinnati, OH - September 2016 Preparing for ASPAN s 36 th National Conference Indianapolis, IN April 2017 As ASPAN engages a computer savvy generation with more opportunities on line and through web casts, I encourage you to take advantage of these amazing opportunities. Try them out, increase your knowledge and share with the nurses that you collaborate with daily. Take a few moments to check out our website, ASPAN.org, to discover all that is available to our members. In closing, I want to thank you for the opportunity to serve as Region Director, Region 2! It has been a bountiful opportunity! I encourage every single perianesthesia nurse reading this message to become active in your home component, give, serve in some capacity. There is a rewarding opportunity for everyone, just speak up and do it! With warmest regards, Jenny Kilgore BSN RN CPAN Region 2 Report M O K A N P A N A N E W S

11 V O L U M E 4, I S S U E 3 P A G E 1 1 Meet the Board Members I am Jo Rhodes, the current President of MOKAN PANA. I have been a nurse for 42 years. I worked in the ICU then the PACU at Menorah Medical Center Rock Hill until they closed in I am the Clinical Manager at Research Medical Center. I have been involved with MOKAN PANA since the 1980 s. I was the Treasurer for many years and involved in the education committee that plans seminars. I have met great friends that inspired me professionally since being involved with MOKAN PANA. Hi my name is Angel Petznick and am currently serving as your Vice President of MOKAN PANA. I have 20 years experience as an RN, including Critical Care and PACU where I have worked for the last 7 years. Currently, I am employed at the Kansas City VA Medical Center in addition to working PRN at St. Mary s Medical Center. I have been involved in MOKAN PANA since 2011 and have served on the Board as Evidence Based Practice Chair and Newsletter editor prior to being elected in my current position. I look forward to serving you. My name is Nancy Martin and I am Secretary of MOKAN PANA. I have been a nurse for 46 years initially in Peds/Med Surg and then a step down unit before coming to The University of Kansas Medical Center (KUMC) to the Surgical ICU. Since 1976, I have worked PACU and most recently Main Prepost (MPP) blending preop and postop. Currently I am employed with The University of Kansas Hospital. I have been a member of MOKAN PANA since its inception and prior to that the Recovery Room Association of the Greater Kansas City Area (RRAGKC) and The Metropolitan Kansas City Postanesthesia Nurses Association (Metro KC PANA). It has been an honor and privilege to serve on the Education Committee and as Secretary for many of those years. Thanks for the opportunity to meet so many of you and enrich my practice and my life.

12 P A G E 12 Meet the Board Members My name is Rebecca Doane. I am currently the chair for Evidence Based Practice and the Journal Club for MOKAN PANA. I am from the Kansas City area. I have been a nurse for 10 years. I have worked in Intensive Care and several PeriAnesthesia nursing units. I have been involved with MOKAN PANA since 2010, when I started PeriAnesthesia nursing. I work at University Health Surgery Center which just opened in April of I enjoy learning about all the new things that are happening in nursing and in health care. Hi, I am Carol Cooper, currently your MOKAN PANA Treasurer and Webmaster. I've been an RN for 39 years, a perianesthesia nurse since 1980, and am presently employed in PAT at St. Luke's East Hospital. I have been certified since 1994, first as a CPAN and more recently as a CAPA. I've been a member of MOKAN PANA since 1992 and have been involved with the Board of Directors since the mid 90 s in various roles, including education chair and president. Involvement with MOKAN PANA has enriched my career with knowledge, skills, and dedicated colleagues and I am honored to be a part of your leadership team. Hi my name is Cherri Guevara (Teresa Guevara) your Membership and Marketing board member. I've been a nurse for 40 years with both critical and perianesthesia nursing experience. I've been a member of ASPAN for 26 years. My passion for perianesthesia nursing education got me involved in MOKAN-PANA. Be a member and get involved in our organization! \ M O K A N P A N A N E W S

13 V O L U M E 4, I S S U E 3 P A G E 1 3 Meet the Board Members Hello, I m Cindy Ladner, MOKAN PANA Delegate to the Representative Assembly. I am passionate about PeriAnesthesia Nursing and have held various PeriAnesthesia Nursing positions over the last 30 years. I have been involved with the MOKAN PANA organization for over 15 years. I initially started as a Committee Member on the Education Committee. Since then I have served on the MOKAN PANA Board as President in 2009 and most recently as your Representative Assembly Delegate I am also a member of the ASPAN Membership and Marketing Strategic Work Team and previously served on the ASPAN Nominating Committee and Clinical Practice Committee. I am currently employed at The University of Kansas Hospital - Indian Creek Campus. It has been a privilege to serve you as a MOKAN PANA Committee and Board Member. Thank you for the opportunity. Mission Statement MO-KAN PANA exists to promote quality and cost effective care for patients undergoing all types of anesthesia in all settings, their families and the community, through public and professional education, research, and standards of practice.

14 P A G E 1 4 Recruiter of the Year Congratulations to Nancy Martin who received the recruiter of the year award. This award goes to the MOKAN PANA member who recruits the most nurses each year. Nancy recruited five new members last year. As recruiter of the year Nancy will get her ASPAN dues paid for next year. Way to go Nancy!!! Facebook Follow us on Facebook to get the latest information on upcoming events M O K A N P A N A N E W S

15 V O L U M E 4, I S S U E 3 P A G E 1 5 Evidence Based Practice Research in PeriAnesthesia Nursing Providing quality care is a perianesthesia nursing priority. Over the years, nursing care has progressively incorporated evidence-based research when defining the standards of patient care. Mallory (2010) discusses the knowledge that is gained through nursing research, and the many barriers to making changes to clinical practice. This is also true in perianesthesia nursing. Majid (2011) states that when clinical staff are involved in finding evidence to support a practice change they are more likely to support the change in practice. Incorporating evidence-based practice (EBP) changes must be supported by nursing leadership and encouraged at the unit level in order to overcome the natural barriers to any organizational change. One barrier that is often overwhelming is the translation of nursing research into practice. The evaluation of research findings is critical in locating the best research. An evidence hierarchy is valuable in finding the highest quality research (Polit & Beck, 2012). The systematic review offers the highest level of evidence, and utilizes the best methods of research. Established best practices come from this level of evidence. Randomized controlled trials and quasi-experimental studies help to establish appropriate interventions and they tend to incorporate methodical procedures. The lower down in the pyramid the study or research is located the less rigorous the results. It is important to consider new and emerging perianesthesia practices to stay up to date with new ideas and opinions within our specially.

16 V O L U M E 4, I S S U E 3 P A G E 16 It is very important for PeriAnesthesia nurses to understand research design. The design of a study can impact the validity of the results and failing to consider the validity of a research study could cause nurses to develop practices that are not truly reliable. I believe that PeriAnesthesia nurses should also ensure there is in-depth research out there to support any change in practice. An evidence hierarchy can be useful to all nurses who are interested in EBP. References Mallory, G. A. (2010). Professional nursing societies and evidence-based practice: Strategies to cross the quality chasm. Nursing Outlook, 58(6), Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins Majid,S., Foo, S., Luyt, B., Zhang, X., Theng, Y-L., Chang, Y-K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: Nurses' perceptions, knowledge, and barriers. Journal of the Medical Library Association, 99(3), MOKAN PANA Journal Club The next journal club meeting will be held at the University Health Surgery Center on Tuesday, November 15th at 6:30 pm. The topic is yet to be determined but will be posted on the MOKAN PANA website by November 1st.