Quest. President s Message. In this Issue. Volume 28, Issue 1 May 2013

Transcription

1 Volume 28, Issue 1 May 2013 President s Message In this Issue President s 1 message Treasurer s letter Editor s Corner Mission Statement 2 3 On the Four Front 4 PONV Study Follow up Winners at Fall Conference 5 6 Certification Info 7 Report on the National Conference 8 I m going to share a secret with you that you may not know about. It happened many years ago, way before I became a nurse. I was a cheerleader in high school! There I said it. It wasn't like I had a passion for that sport but way back then there was no girls soccer team or a field hockey teams for Fall sports. So by default, cheerleading was it. I was definitely not going to run cross country for no reason. What does this have to do with peri anesthesia you ask? I surmise that there are many similarities to nursing. We are always encouraging others to believe in what we're selling whether it's a cheer or doing their incentive spirometry. Not every person has what it takes to be a cheerleader or to be a nurse. Both require hard work to achieve success as well as continued work to maintain a high level of ability. I also see myself as a cheerleader at the component level, always encouraging the Board of Directors to reach a new level of service to members and looking to identify future leaders among members. Are you a cheerleader? Are you a closet cheerleader at work? Do you encourage your patients or colleagues to shine? I hope you all will cheer for yourselves, your colleagues and patients to bring out the best in everyone everyday! Board of Directors 11 Willingness to 12 Participate Form Child Life Support 13 Important Dates 14 Amy Dooley, RN, MS, CPAN is President of VT/NH APAN

2 Page 2 Treasurer s Corner Treasurer Wanted Seven years ago I offered to take over as treasurer for VTNH APAN. My experience on the board has been rewarding, educational and fun as well. However, now is the time for someone else to step forward. My term expires in 2014 and I am retiring from the board at that time. I encourage you to seriously consider this opportunity. You are probably thinking that you don t know much about handling the treasurer s responsibilities. Don t worry. Many systems are in place, much is automated and the board will eagerly mentor you. Currently our finances are on an Excel spreadsheet, so a basic knowledge of Excel would be beneficial. The term of service is 2 years. Your responsibilities would include receiving our monthly membership dues, maintaining/ reconciling our checking and debit accounts, and updating our financial statements. We are a small component of ASPAN and as such, our finances are not complicated. Most of our board meetings are conducted via phone conference, so travel is minimal. If you can afford a few hours per month, are willing to help your professional organization and are interested in being part of a dynamic and fun loving group, please consider your willingness to participate. If you are interested, I would be glad to give you more information. You can reach me at dfmartel@comcast.net or via the VTNH APAN website. I m looking forward to talking with you. Denise Martel, RN, BSN, CAPA 2013 Scholarship Winners Congratulations to VT/NH APAN members Julie Gilston and Joanne Shomphe who received scholarships for the 2013 fiscal year. Both Julie and Joanne were awarded $400 to attend National Conference in Chicago. Julie is an RN in the Same Day Care Unit at Portsmouth Regional Hospital. She has written several articles for, and presented a Celebrate Successful Practices Poster at National conference. Joanne, also an RN in the SDC Unit at PRH, has supported VT/NH APAN by attending conferences regularly and was instrumental in helping to raise revenue at our most recent spring conference in Portsmouth. Scholarship funds are now available for the fiscal year The application deadline is January 31, Go to the website, for information on how to apply.

3 Page 3 The Editor s Corner Recently I read a Gallup poll survey that for 13 out of the last 14 years, nurses have been rated the most trusted and ethical profession by Americans. Firefighters were number one in It makes me proud to be part of such a respected group. Sometimes this is forgotten when we work as a team with different specialists. Always introduce yourself proudly as The Nurse! We have worked hard to deserve the designation of being most trusted. Observe how our patients put their trust in us every day and night. Stand up tall and proud and know that you are part of the best! Nancy Vatistas, RN, Editor, and To Join ASPAN and VT/NH APAN: The Association exists to promote quality and cost effective care for patients, their families, and the community, through public and professional education, research, and standards of practice.

4 Page 4 ON THE FOUR FRONT WITH REGION IV FROM: ASPAN REGION IV DIRECTOR: LAURA A. KLING, MSN, RN, CNS, CPAN, CAPA Springtime is here, and the season usually signals a renewal and an awareness of change. April, ASPAN had a very successful national conference in Chicago. Our new ASPAN President, Twilla Shrout has revealed her presidential theme: Dealing with Challenges: Winning with Power, Practice and Purpose. May brings National Nurses Week, and the theme: Delivering Quality and Innovation in Patient Care. The National Hospital Week follows with this theme: A Guiding Light for Changing Times. All of these central thoughts acknowledge the fact that each day we deal with challenges in our professional lives. Nurses, who continue to be the most trusted profession in the public s perception are designing strategies to succeed. In my humble opinion, we cannot be successful alone; it takes the home team and the work team, to help us be the best we can be. So during this time of renewal and new beginnings, I ask that we take a moment, to appreciate all of those key persons, who help us be successful and perhaps, give us the fortitude to deal with challenges we face. According to research conducted by the US Department of Labor, 64 percent of Americans who leave their jobs do so because they don t feel appreciated. ¹ What is also true, according to authors of The 5 Languages of Appreciation in the Workplace, Gary Chapman and Paul White, is that what makes one person feel appreciated, does not necessarily, make another feel appreciated. And so they have thoughtfully suggested some basic tenets. Words of Affirmation: What is it that says to you I am/ my work is valued and appreciated? For everyone, this could be different. How many of us have quietly said to each other how far a simple thank you would go, after a particularly difficult day? The perception becomes one of a lack of value and a lack of support from not only leaders, but peers. It becomes a potential tragedy for neglect. Consider this: praise is usually task-specific. What we really need to focus on is affirming positive character traits. Quality Time: I think of this as mindful engagement; in other words, giving someone your undivided time and attention. Multi-tasking has risen to a new level, but can be fraught with safety issues. Have that quality conversation, in a sharing, safe context. Coupled with this, is the art of listening; focused and attentive. This means listening for feelings as well as thoughts. Validate what you are hearing. This process opens the door for further communication about shared experiences, creating an understanding of what is valued. Acts of Service: Provide assistance to your colleagues and do so with a positive manner! Be encouraging, do it their way when offering assistance, and complete what you start. Great axioms and surely, that assistance you give will be reciprocated. My friend, Dr. Kim Noble, ASPAN Director for Research often says: many hands make light work. Tangible Gifts: Chapman and White suggest that two key elements are necessary for tangible gifts: 1.) give gifts primarily to those who appreciate them and 2.) Give a gift the person values. Gifts given in response to tradition and a feeling of obligation miss the mark. They potentially communicate a lack of personal investment in the action and so are perceived by the receiver in a negative way. Physical Touch: Physical touch during difficult times is human and instinctive. But in today s world, the question must be asked, is there a place for physical touch in the workplace? The authors believe the potential benefits of appropriate touch are significant, but individuals and workplaces must clearly define the boundaries. Certainly handshakes are part of our western culture. You must ascertain your own comfort level with your colleagues, and be sensitive and insightful when using this affirmation. (Cont Page5)

5 Page 5 Laura Kling cont. from page 4 So as our new season of ASPAN activities begins, within the national arena, your components, and your workplaces, think about the challenges you and your colleagues face. Appreciate your team members in the appropriate manner. The opportunity for success is elevated, when we feel appreciated, and when we appreciate others. Region IV has many great events coming up, so please check your component website, and those of neighboring components. Most importantly, I want to acknowledge and thank each and every one of YOU, for your time and your talent, which you share with your Component and ASPAN. I value YOU, and I look forward to our continued partnership and success in the coming year! Chapman, C. and White, P. The Five Languages of Appreciation in the Workplace: Empowering organizations by encouraging people Chicago: Northside Publishing. Above is Julie Gilston, RN with her poster at National Conference in Chicago. Julie is a member of VT/NH APAN. She and Denise Martel, RN, CAPA of Portsmouth Regional Hospital were recently published in Outpatient Surgery Magazine. Their article is titled How to Decrease Your PONV Rates. Denise is the treasurer for VT/NH APAN. Denise and Julie produced a beautifully informative poster for the National Conference in Chicago and Julie presented it there. Thank you for representing VT/NH APAN so well.

6 Page 6 Winners at Spring Conference Certification Bracelets: Maria O Connor and Dawn Mills, both from PRH Free Conference for Certified Nurses: Dawn Mills, PRH Evening Inspirations Basket from Elliott Hospital PACU: Kathy Bourgone, DHMC Cupcake Basket from Lahey Clinic: Linda Furlong, Exeter Hospital Spring Basket from PRH: Donna Verville, PRH Italian Dinner Basket from PRH: Maribeth Graham, PRH Italian Treats from Central Vermont Medical Center: Brenda Dufresne-Benda, CVMC Stonewall Kitchens Basket from WDH: Nancy Tompkins, PRH ASPAN Blanket and Reference Book from Laura Kling: Sandy Watts, CMC Congratulations to all the winners. Thank you for your support of the VT/NH APAN Scholarship program. Thank you to Portsmouth Anesthesia Associates for providing our breakfast at our March conference. Thank you to Portsmouth Regional Hospital for printing services. We couldn t have read it without you!

7 Page 7 Congratulations to Newly Certified Member: Anne Boland Exam Fees: ASPAN member $285 Non ASPAN member $385 Important Dates for Certification: Registration Window Online: July 15 - Sept 9 Registration Deadline: Sept 9 by 11:59 ET Time Period for Scheduling Examination upon receipt of your ATT letter through Nov 14 Appointment with Prometric Examination Administration Window Oct 7 Nov 16 Deadline for Cancelling Appt. with Prometric Postmark deadline for requesting Withdrawal 3 business days before scheduled test date on or before the last day of exam adm. window Refund-Rollover from PES For more information about certification: wwwcpancapa.org

8 Page 8 ASPAN s 32 nd National Conference Towering Opportunities, Endless Possibilities 2013 WOW! This was a great conference, with over 1990 attendees from all over the world: Ireland, Great Britain, Australia, Japan and those are the ones I was sure of. There were many first time attendees who were recognized at opening session. These participants have their own meeting to learn about national conference. The Perianesthesia Nurses who are serving in the military were recognized as well, including Myrna Mamaril, who you all contributed personal items, food and reading material to in the fall of The VTNH Board sent them a care package to their post in Afghanistan. As your Vermont /New Hampshire (VTNH) Component Vice-President/President elect, I represented you, the members, at the Representative Assembly on Friday April 14, The Representative Assembly is similar to your State Senators, where 2 members from each state have a vote on decisions, changes and suggestions on Practice Standards, Position Statements, and Guidelines made for the improvement and safety of our practice- Perianesthesia Nursing. We also vote for the officers and directors that conduct the business of ASPAN s organization. The election of officers and directors is split, so that not all officers and directors are new to the positions in any one year (odd and even year elections). Prior to this vote of officers and directors, the membership from VTNH APAN had an opportunity to also vote for these same candidates. The response we had was very low from our membership. If you were not aware or did not think you had a vote for these candidates, you do. Please let us know, this could be an area to improve communication to our members. Amy Dooley, the President of VTNH APAN Component, and I made the best possible decisions about each of the candidates based on their knowledge and work ethic, credentials, presentation, and goals for ASPAN. There were a few candidates seeking another term of 2 years. We were able to meet each one of them at a Candidates Reception on Saturday night, April 13 th. They each were asked to answer two questions as presented by the Immediate Past-President, Chris Price. The next day, Sunday, April 14 th, the candidates gave their speeches to present themselves to the 94 representatives from the United States and the ASPAN Board of Directors, who also vote on these candidates. Through their presentations they talked about their visions and goals for themselves and the ASPAN organization. We voted based on what we thought would be best for our component and the continued progress of the work done by the present officers and Board of Directors. Who governs ASPAN and makes effective change for you as a practicing Perianesthesia Nurse? President, Vice-President/President elect, Treasurer, Secretary, and the Immediate Past President, Director of Research, Director of Education, Director for Clinical Practice, ABPANC President, and Chief Executive Officer. The country is divided into five regions. Each region is overseen by a director (Regional Director) 1-5. Our region is Region 4 and includes Maine, New Hampshire, Vermont, Massachusetts (prayers and healing to Boston), Connecticut, Rhode Island, New York and Pennsylvania. Our Regional Director is Laura Kling from Pennsylvania. She is currently serving her second term and will retire her position next year. Laura has been supportive of our meetings and has helped us with succession planning, strategic planning and has advised us on ways to keep our component strong. We will have an opportunity to vote next year for a new Region Four Director. Our own president, Amy Dooley, is showing interest in running for Region Four Director next year. If you do not know Amy, I suggest you seek her out and get to know and understand her passion and goals for ASPAN and VTNH APAN Component. Karen Flanagan, our Immediate Past President, served as the ASPAN Resource Development Strategic Work Team Coordinator. She had multiple responsibilities throughout the conference, starting with the roll out of a new program for members and components to participate in Legacy for Life. This requires a donation from a member of $5,000 with the benefit of free membership to ASPAN for life. Components would reach the legacy level at $10,000. Another event organized by Karen was The Dream Walk. It started Sunday morning at 0630 sharp and those who

9 Page 9 participated enjoyed a walk of about 1 ½ miles around Chicago. The money collected from walkers is used for scholarships. Karen was in charge of the sponsors in the Exhibit hall who paid ASPAN to represent their corporation at the conference. She also organized a Silent Auction of items donated by members, I was highest bidder on the Cape Cod bracelet (Thank you Katrina and Laura), which I love. All proceeds from the Silent Auction are placed in the scholarship fund. Scholarships are available to members of ASPAN (another reason to become a member) for continued education for BSN, Master s and Doctorate programs, and to help pay for attendance to National Conference and International Conference. At Representative Assembly, there was a new position statement written to address the use of electronic and digital media for socializing during patient care/work hours. This position statement received a unanimous vote and passed. I invite you to review A Position Statement on Social Media and Perianesthesia Practice which can be viewed at the APAN web site: SOCIAL_MEDIA_POS_ST_ pdf. You should also check to see if your organization has a policy in place regarding use of electronic and digital media in the workplace. We were told that organizations have dismissed people for personal use of these devices and that any texting, phone calls, web surfing etc. are discoverable if you are named in a legal suit due to a safe patient care issue. BE AWARE! The educational offerings were many and interested new attendees and seasoned national conference attendees alike. Hot topics this year included Obstructed Sleep Apnea (OSA) in all age groups, Nurse Fatigue and Patient Safety, Care of the Bariatric Patients, Malignant Hyperthermia in Pediatrics, Emergence Delirium and Drugs, Quality and Standards, just to name a few. There is always something for everyone. Our practice never stops learning or improving processes to ensure safe patient practice. The vision of ASPAN for all Perianesthesia Nurses is Evidence Based Practice (EBP). Dr. Kim Noble and her research committee have been instrumental in securing a source for ASPAN members to be able to obtain research articles from the Joanna Briggs Institute (JBI). This benefit is still in the infancy phase but has been accessed over 2,000 times in the last 18 months by our members. To be able to access this search site, you must be an ASPAN member (good reason to join), go to the ASPAN website, under research, drop down to Joanna Briggs Institute and it will instruct you the rest of the way. Research grants are also available to those who are doing or would like to do EBP research. However, the deadline for this next year is April 30, They are really encouraging nurses to do their own research, it is not a dirty word and are available to help you with how to do research. For those of you who are struggling with identifying patients with undiagnosed OSA, there is tool on the internet: STOP BANG assessment tool. It helps anesthesia and nursing identify these highly at risk patients who some of you may have already encountered and had bad outcomes. Dr. Frances Chung-from Chicago presented on this topic and is looking for information from anyone who knows of a bad outcome with undiagnosed OSA. Perianesthesia Nurses are the gate keepers for identifying undiagnosed OSA before surgery. Nurse Fatigue-There is a Fatigue Checklist on the ASPAN website and a Position Statement for On-call/Work Schedule Web access is available for ASPAN Education on Demand-receive CEUs from modules on line. They are not free but the costs are in line with other CEUs in journal articles and seminars. You can complete these modules on your time and in your pajamas! Consider hosting an ASPAN seminar at your hospital. It is easy and cost effective for your staff. There are many pertinent topics available. Your staff does not have to travel anywhere. These modules can be found on the ASPAN website, just be aware there are deadlines for applying for these seminars. Certification should be encouraged and supported in your facility. It recognizes nurses for their expertise in the field and gives you a sense of professional accomplishment. Your component has scholarship money available to take the certification exam or recertify for your CAPA and CPAN. The application is on the VTNH APAN website. Deadline for applications is January 31, We also give scholarship money

10 Page 10 (National Conference cont from previous page) to go National Conference, same deadline. Next year the conference is in Las Vegas, Nevada, April 27 to May 1, Let the good times roll! National Conference should be attended by everyone at least once. It revitalizes and reconfirms the reasons you are a Perianesthesia Nurse. Your ASPAN organization is truly committed to the members in providing the most current safe practice and standards to the patient at the bedside. Your VTNH Component is an extension of ASPAN and is committed to making sure all the members get timely information and education. Susan Carter, 2012 to 2013 President was never more profound when she named this year s national conference Towering Opportunities and Endless Possibilities. You can get as much or as little out of the ASPAN and VTNH APAN membership as you want, but I guarantee that when you are actively involved in the decisions made on the Perianesthesia Nurses practice of today and the future, it is much more satisfying to be part of that change. The 2 nd Biannual International Conference for Perianesthesia Nurses is in Dublin, Ireland, September 19-22, The 1st International Conference was in Toronto, Ontario in 2011 and your President, Amy Dooley, presented a seminar on The Amazing Thyroid. The International Conference is another educational opportunity for you to broaden your professional horizons and I highly encourage you to attend. I encourage each one of you to attend at least one of the spring or fall conferences in Vermont or New Hampshire and bring a colleague who is not a member. There is power in numbers and we want our component to grow and be stronger in the voice of tomorrow. Brenda Dufresne-Benda, RN, CAPA,CPAN is Vice President/President-Elect of VT/NH APAN. From left; Brenda Dufresne-Benda and Amy Dooley at Representatve Assembly

11 Page 11 VT/NH APAN Board of Directors 2013 President Amy Dooley, RN, MS, CPAN Lahey Clinic, Burlington MA, Vice President/President Elect Brenda Dufresne-Benda, RN, BSN, CAPA, CPAN Central Vermont Medical Center, Berlin, VT Immediate Past President Karen Flanagan, RN, MSN, Veteran s Administration Hospital, Manchester, NH flanagan@vtnhapan.org Secretary/Government Affairs Paula Agrodnia, RN, MSN, CAPA Portsmouth Regional Hospital, Portsmouth NH agrodnia@vtnhapan.org Treasurer Denise Martel, RN, BSN, CAPA Portsmouth Regional Hospital, Portsmouth NH martel@vtnhapan.org Education Trish Clark, RN, CPAN, CAPA & Doreen Grenier,RN,CPAN Wentworth Douglass Hospital clark@vtnhapan.org, grenier@vtnhapan.org Communication -Website Communication-Newsletter Membership District 4 Director Nancy Vatistas, RN Portsmouth Regional Hospital, Portsmouth NH vatistas@vtnhapan.org Ruth Pack, RN, MSN, CNL Elliott Hospital, Manchester NH pack@vtnhapan.org Roseanna Newton, RN, CAPA Speare Memorial Hospital, Plymouth NH newton@vtnhapan.org Laura Kling, RN, MSN, CNS, CAPA, CPAN kling@vtnhapan.org

12 EDUCATION ACCOUNTABLITY Page 12 QUALITY VT / NH ASSOCIATION OF PERIANESTHESIA NURSES STANDARDS VT/NH APAN Willingness to Participate Form NAME: ADDRESS: HOME PHONE: CELL PHONE: FAX: EMPLOYER: PHONE: POSITION: SPECIALTY: # OFYEARS ASPAN MEMBERSHIP # # OF YEARS EDUCATION: Diploma AD BSN MSN Other: CPAN CAPA Other: Please Send To: Amy Dooley RN 39 Westgate Crossing Nashua NH 03062

13 Page 13 Child Life Support in Recovery The hospital environment contributes to increased stress for children with illness or disability and their families. The Post-Anesthesia Care Unit heightens these fears as they wake up from anesthesia in an unfamiliar and overwhelming environment. At Wentworth-Douglass Hospital (WDH) we care for families and child life services are highly utilized not only for pre-procedural preparation but also during recovery. While waking up from anesthesia a child life specialist is the one familiar face the pediatric patient sees before their loved one can be at bedside to provide further comfort. Child life supports patients in recovery through education, pain management, positive encouragement, and praise. As an advocate for family-centered-care the child life specialist ensures that family in waiting are updated frequently and encouraged to participate in recovery process. Families feel supported, valued, and empowered when encouraged by the interdisciplinary team to make decisions and be involved in the care of their child. The PACU staff at WDH recognizes this and provides quality care to pediatric patients and their families by working as a team. Child life services assist nursing while they manage medical necessities by tending to the smaller things that matter most to children. The child life specialist ensures they have their favorite stuffy and blanket as they wake up, provides soft touch for comfort, a slushy to sooth their throat, and distraction to dry their tears. Nursing appreciates the caring helping hand and it s evident through Wentworth-Douglass s Press Ganey scores that family s value child life services as well. The role of a Certified Child Life Specialist (CCLS) is essential in providing quality pediatric care in all stages of treatment. Submitted by Alison Leighton, CCLS at Wentworth-Douglass Hospital. PACU On Call Survey Recently an informal phone survey was done with 23 area hospitals by Clarice Girouard, RN, CCRN, CPAN about call practices in PACUs. These facilities varied in size from 2-28 OR rooms and 5-30 PACU bays. The following information was obtained: 76% of facilities required their staff to take call overnight on weekdays. 100% of facilities required weekend call hours ranging from 8-48 hours (Includes Friday evening and night shifts) 12 of 23 PACUs have 2 RNs on call at once 11 of 23 PACUs have 1 RN on call. Of the hospitals that have only 1 staff member on ICU is used as backup or the OR circulator. OB is used for C-section recovery in 2 hospitals. 15 Hospitals use PACU for recovery and 7 use ICU for recovery. All 23 Hospitals paid 1.5 time for being called in, one hospital paid double time if you were called in on a day that you had already worked a shift. Only 2 hospitals reported a compensation minimum of 2-3 hours. The compensation for being on call ranged from $2.50 to $5.00 per hour.

14 Page 14 Education Opportunities VT/NH APAN Perianesthesia Conference Oct 5, 2013 White River Junction, Vermont More info to follow: Perianesthesia Certification Review Terry Clifford, RN, MSN, CPAN The Year of the Gathering Dublin, Ireland Sept 19-22, Saturday, July 13, :30-4:55 PM Maine Medical Center Portland, ME Perianesthesia Nursing--Pathway to Excellence FLASPAN's 44th Annual Conference MASPN Certification Review with Maureen McLaughlin UMass Memorial Medical Center Worcester, MA October 25-27, 2013 Wyndham Lake Buena Vista Resort, 1850 Hotel Plaza Blvd, Lake Buena Vista, FL Contact tatabouffard@yahoo.com or Terri passig01@aol.com for more information or visit the FLASPAN June 8, Copyright 2013