CBSPANNER Volume 10, Issue 4 Winter 2012 President s Message Diane Swintek, BSN, RN, CPAN This is the time of year when my mind turns to reflecting on the passage of time. My favorite holiday, Thanksgiving Day, is approaching as I write this. It is the time I reserve for giving thanks for my good fortune: I am thankful that I am employed in the nursing specialty that I love, that I am in good health, routine aches and pains aside, and that I have health insurance to cover any health related expenses; I am thankful that I have an employer In this issue: Page 1! President s Message Page 2! V President/Pres Elect s Message!! Board of Directors Page 3! ASPAN News Page 4! Mission Statement!! PANAW Week seminar!! CBSPANNER newsletter deadlines Page 5! Photos from CBSPAN Fall Seminar!! that recognizes the standards and practice recommendations put forth by ASPAN as being necessary to follow for safe patient care; and I am most thankful to have had an opportunity to serve the perianesthesia nurses of CBSPAN as your President for the last 2 years. The holidays are a particularly poignant time for nurses and their patients. Each of us has a family that we would much prefer to be spending that day with, but for those few hours we are together, as caregiver and patient, we are a family. Last year I was on-call for Thanksgiving and was called in to recover patients who had emergency surgery. The most memorable was an older lady who was going to her daughter s home for Thanksgiving dinner and tripped over a curb while getting into the car. Now she was in the hospital having a fractured hip repaired. The patient s daughter was giving instructions over the phone to her daughter, a high school senior, about when to remove the turkey from the oven and how to prepare the rest of the planned feast. The three of us, patient, daughter, and nurse, talked about previous Thanksgivings and how we all enjoyed that particular holiday. I told them I was thankful that I could be there to ensure that the patient recovered from anesthesia safely. The daughter was thankful that her mother was not more seriously injured. My patient was Continued on Page 4 Page 6! Articles from Members!!! Surgical Site Infections!!! Digital Age of Healthcare Page 7! ABPANC Certification Dates!! Dates to Remember!! ICPAN Conference Page 8 & 9! CBSPAN Scholarship Application Page 10! CBSPAN Willingness to Participate
Page 2 Vice President/President Elect Board of Directors President: Diane Swintek, BSN, RN, CPAN dinah613@verizon.net Vice President/President Elect: Nickcole Price, BSN, RN, CPAN, CAPA rn1nikki@hotmail.com Nickcole D Price, BSN, RN, CPAN, CAPA Beginning my term as Vice President/ President elect 2012-2013 has been exciting and informative. In September, my leadership journey included attending ASPAN's Component Development Institute 2012 held in St. Louis, Missouri. ASPAN sponsors CDI annually to assist components with membership growth and development. ASPAN s leaders discussed topics such as recruitment, budget planning, running a board meeting, understanding the Representative Assembly, applying for the Gold Leaf Award, and more. In addition, the use of electronic media for information sharing, including electronic newsletters, facebook pages, and websites was discussed. It was an insightful experience to listen to other components and have open discussion on similar triumphs and challenges. It was a time to exchange ideas and develop an open dialogue among colleagues and ASPAN leaders. In October, the DC District of CBSPAN and Medstar Georgetown University Hospital joined forces to host the annual 2012 Fall Seminar held at the Levy Center in Washington, DC. It was an all day seminar for registered nurses working in the pre- or post-anesthesia areas of hospitalbased perioperative units, ambulatory centers or procedural areas. This year s theme was Aspire to Make a Difference. The goal of the conference was to provide educational opportunities for nurses who practice in these specialty areas and enhance their knowledge for providing safe care and improving patient outcomes. Topics included Maximizing Surgical Outcomes, Regional Blocks, Legislative Affairs, Science of Pre-warming, Evidence Based Practive vs. Research, and Leadership Principles. There were nurses from the DC, Maryland, Delaware and Northern VA region networking and exchanging ideas. Finally, we had an opportunity to participate in the CBSPAN panel discussion on ASPAN, CBSPAN and ABPANC. This year I will be looking forward to working with all of you in different capacities. I will be mentored by our previous leaders, Diane Swintek our current president, and Tanya LaCompte, our Region 5 director, in my new role. I want to thank all of you for your support and guidance. I hope to see all of you at our PANAW celebration in Baltimore in February. Secretary: Kathy Steindl, RN, CAPA kathy_steindl@bayhealth.org Treasurer: Chris Skinner, MS, RN, CAPA eskinner@christianacare.org Immediate Past President & Region 5 Director: Tanya LeCompte, MSN, BSN, RN, CPAN tlspiering@hotmail.com Baltimore District President: Bea Hazzard, MS, RN, CPAN bhazzard@umm.edu District of Columbia President: Margaret Young, BSN, MDiv, RN, CPAN, CAPA mfy1@gunet.georgetown.edu Eastern Shore District President: Suellen Wilkins, MSN, CPAN, CCRN suellen_wilkins@bayhealth.org Governmental Affairs: Seema Hussain, MS, RN, CAPA seema_hussain4@yahoo.com Ways and Means: Badiyas Sudah Murphy, BSN, RN badiyas@aol.com Website Manager and Newsletter Editor: Connie Gull, MPS, BSN, RN, FCN jeeplady@thegulls.com
Page 3 ASPAN INFORMATION AND NEWS Hurricane Sandy ASPAN Member Relief ASPAN invites you to help fellow members who have been devastated by the effects of Hurricane Sandy. Every dollar you contribute will go directly to ASPAN members who have experienced a loss or have a critical need as a result of the storm. Additional information is available at www.aspan.org/ aboutus/hurricanesandyrelieffund Or contact Doug Hanisch at dhanisch@aspan.org or call 877.737.9696, x16 Contributions will be accepted until March 31, 2013 ASPAN has contributed $2000 to the fund as well as additional monies to the American Red Cross. ASPAN S 32 nd National Conference: Chicago, IL April 14-18, 2013 It will be time soon--plan to attend!! PANAW WEEK February 4-10, 2013 This is the time to demonstrate the importance of perianesthesia nursing in healthcare. Support your staff, colleagues and friends during this special week!! Call for Resolutions for the 2013 Representative Assembly Do you, as a member, have a suggestion regarding ASPAN s bylaws, policies, position statements or other issues related to perianesthesia nursing? If so, bringing it before the RA is the way to discuss and bring about change. Resolutions must be received no later than January 14, 2013. Go to aspan.org/aboutus/ governance/callforresolutions2013ra for more information.
Page 4 President s Report continued thankful that her daughter could be with her through this experience. It is a special duty to be a nurse working to care for patients on the day of a holiday and one that we all embrace when first we start the journey to becoming a nurse. Lastly, I am thankful for the leadership team at CBSPAN. We come from a wide variety of nursing experiences staff nurse, PCC, resource nurse, educator, manager, and supervisor. We work well as a team and always have the best interests of our members in mind when making decisions regarding CBSPAN activities. I could not be an effective leader without your wise counsel and participation. I often reflect on how I became so intimately involved in CBSPAN. The answer is that this group of nurses has always been most welcoming and inclusive of its members. The nurses are assertive, compassionate, confident, and accomplished. They freely share best practices and offer answers to questions. I know I have matured as a woman and as a nurse through my association with them. I hope you will one day choose to go on this same journey, becoming a leader of this fine society. CBSPAN has 596 members!! WANTED: Articles, news, pictures for the next issue of the CBSPANNER. This newsletter is for the benefit of the members of CBSPAN...so please consider sharing any news, articles about something that is working well in your unit, pictures of happenings at your hospital that you may be involved with... Thanks! Connie Gull, Newsletter Editor CBSPANNER is written for CBSPAN members. All rights are reserved. Copyright 2012 Mission Statement: The Chesapeake Bay Society of PeriAnesthesia Nurses promotes quality and cost effective care for patients, their families, and the community through public and professional education, research, and standards of care. Kick off PANAW week by attending the special seminar on February 2, 2013!! Keep Your License in Your Pocket: Legalities, Ethics and Advocacy Speaker: Dolly Ireland Past President, ASPAN Medstar Franklin Square Medical Center Details to come on cbspan.org CBSPANNER DEADLINES: January 15 May 15 August 15 Submit all articles by email to: Connie Gull Jeeplady@thegulls.com
Page 3 Page 5 CBSPAN FALL SEMINAR October 27, 2012 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL ASPIRE TO MAKE A DIFFERENCE
Page 6 From Our Members... Karen Hoskins, RN, CPAN The Role of Anesthesia in Preven2on of Surgical Site infec2ons. Each 2me I a;end ASPAN s Na2onal Conference, I come home energized and have a renewed dedica2on to my perianesthesia prac2ce. It is great to see old friends and meet new friends from all over the country. The speakers are mo2va2onal and present a wide range of topics including clinical, hot topics, research, Evidence Based Prac2ce and leadership. I par2cularly enjoy hearing new informa2on or hot topics. One of the sessions I a;ended was presented by J. Michael Verlander MD: The Role of Anesthesia in Preven2on of Surgical Site infec2ons With SSI (surgical site infec2ons) contribu2ng to 1-3% of pa2ents per year/or about 500,000 cases, preven2on is a hot topic. Sta2s2cs show that SSIs drive healthcare costs up $5-10 billion per year, increase hospitaliza2on up to a week, and double ICU admissions as well as mortality rates. Some of the measureable and controllable factors that influence risk of SSI: 1. An2bio2c Prophylaxis 2. Tissue Oxygena2on- normocarbia 3. Maintenance of normothermia 4. Glycemic control 5. Pain Control 6. Smoking Recommenda2ons: o Administer an2bio2cs before /as close to cut 2me as possible. Repeat dose if surgery >4 hours o Opera2ng Room use FIO2 of 80% and maintain EtCo2 levels within normal range. In PACU use O2 in at risk pa2ents. o Begin warming in pre- op and use warming prior to induc2on to maintain normothermia. o A;empt to maintain periop blood glucose in 150 mg/dl range o U2lize regional anesthesia for at risk pa2ents. o Use chlorhexidine/alcohol surgical scrub; clipping vs. shaving o Use hand washing, clean needleless ports o Minimize blood transfusions/use PRBC stored < 2 weeks o Insist pa2ents avoid smoking on day of surgery Diane Swintek, BSN, RN, CPAN Are You Prepared for the Digital Age of Healthcare? My facility is preparing to introduce the electronic health record (EHR) to the perioperative and perianesthesia care areas. Currently, only the Phase I and Phase II PACU areas have not been utilizing a digital record. However, now our entire facility, and the whole health system of which my Medical Center is a member, is instituting one system. In an effort to prepare myself for this initiative, I joined the Informatics Specialty Practice Group (SPG) at ASPAN. This year at National Conference I was able to attend the SPG meeting and educational session. Matthew Byrne, the chair of the Informatics SPG, wrote an article about the coming of the EHR. The article appeared in the February 2012 issue of JoPAN. In it, the question is asked if ASPAN has, or plans to create, a competency for Informatics. This issue was the burning question about which the SPG members brainstormed. How do we use the EHR in our practice and ensure that what is being documented meets the Standards and Practice Recommendations set forth by ASPAN? The group also dared to dream that ASPAN could create an application that perianesthesia nurses would be able to download to their phone, tablet, or ipad, that addresses clinical and organizational issues. Wouldn t it be terrific if you could access the Redi- Ref electronically and not have to search out the last person that used that reference? I know many of you are already using an EHR and I wonder if it meets all your documentation needs. Does the use of the computer in providing patient care rob you of one-on-one time with that patient? That is my pressing concern. Will I be able to use the coming technology and still continue to provide safe, high quality, competent patient care. Only time will tell, but I intend to prepare myself in the meantime and learn all I can about the functionality of the EHR chosen for my Medical Center. I also know that the other members of the Informatics SPG will be able to help me navigate through any problems I encounter once we have gone live!
Page 7 Certification Exam Registration & Administration Dates & Deadlines Spring 2013 Registration Window - Online January 14-March 11 Registration Deadline - Online March 11 by 11:59pm ET Time period for scheduling exam appt w/ Prometric Upon receipt of ATT letter through May 16 Examination Administration window April 8-May 18 Deadline for cancelling appt Postmark deadline for requesting withdrawal, refund, rollover vrom PES 3 business days before scheduled test date On or before last day of examination administration window Dates to Remember: December 16, 2012 3pm! GoToMeeting! Contact Diane Swintek for information: dinah613@gmail.com January 14, 2013! Resolutions for 2013 Representative Assembly due in ASPAN!! office January 31, 2013! Applications for Scholarship from CBSPAN for spring/summer!! postmark/email deadline! Chris Skinner: eskinner@christianacare.org February 1, 2013! Gold Leaf Component of the Year Submission Postmark Deadline February 2, 2013! PANAW Week Kickoff!!! Keep Your License in Your Pocket: Legalities, Ethics and Advocacy! Speaker: Dolly Ireland, ASPAN Past President! Medstar Franklin Square Medical Center! Contact Diane Swintek for registration information:!! dinah613@gmail.com February 16, 2013! Perianesthesia Certification Review! Speaker: Kim Noble, ASPAN Director for Research! Johns Hopkins Hospital! www.aspan.org for registration info March 2, 2013! Perianesthesai Pathophysiology and!! Assessment: A Systems Approach! Speaker: Myrna Mamaril, ASPAN Past President! Shady Grove Adventist Hospital! www.aspan.org for registration info March 15, 2013 CBSPANNER Newsletter Deadline April 14-18, 2013 ASPAN National Conference: Hilton Chicago! Chicago, IL! www.aspan.org June 1, 2013! Safety Begins With Us! Speaker: Meg Beturne, ASPAN Past President! Medstar Franklin Square Medical Center Registration is now open: www.icpanconference.com From the Editor: In an on-line mailing I receive from Wesley Seminary where I completed my Parish Nursing course, I read the words of one of the professors: What concentrated wisdom from your chosen field would you want to pass on? What a thought-provoking question!! After giving it a LOT of thought, for me it comes down to caring for the patient-- body, mind and spirit. If any one of those aspects of the patient are out of sync, then it becomes difficult for the patient to heal totally. So often we only focus on the physical and mental parts of healing the patient. We forget the soul, the spirit. If the patient is feeling overwhelmed, depressed, unable to cope with no where to turn, his/her recovery is going to be less than satisfactory. Perhaps my recognition of this phenomenon is what led me to Parish Nursing several years ago, and which I continue to do today even though I am retired from PACU nursing. Just a thought... Connie Gull MPP, RN, FCN
Page 8 Chesapeake Bay Society of PeriAnesthesia Nurses SCHOLARSHIP APPLICATION Nam e : M e m be rs hip # Date Address: (Please include city, state & zip code) Phone # Em ail: Scholarship Applied For: (Limited to 2 per calendar year) Certification Recertification National Conference Funding Professional Education Scholarship Requirem ents: 1. Active CBSPAN member for a full 2 consecutive years 2. Minim um of 8 scholarship points earned (see Point Tracker System) 3. Submit only points earned within 2 years of the application date with documentation of each point activity. 4. Accrued points may only be used once. SCHOLARSHIP CATEGORY #1 ADDITIONAL REQUIREM ENTS a) $185 for CPAN/CAPA Certification 1. Copy of CPAN/CAPA Certification b) $125 for CPAN/CAPA Recertification 1. Copy of CPAN/CAPA Recertification 2. Minimum of 8 points required for each certification c) $500 maximum for professional education program or national conference 1. Copy of program attended 2. Article forwarded to the editor of the Component newsletter, CBSPANNER, within 60 days of program/conference completion d) $500 Certified Nurse to National Conference 1. Copy of current CPAN/CAPA certification 2. Article for the CBSPANNER 3. Eligible once every three (3) years e) $1200 for Component Excellence in Clinical Practice winner to attend National Conference SCHOLARSHIP CATEGORY # 2 a) $1000 maximum per year for continuing nursing education in pursuit of a degree 1. Eligible once every three (3) years REQUIREM ENTS 1. Copy of course attended 2. Proof of course completion 3. Proof of payment SCHOLARSHIP POINTS / TRACKER Activity Point Value Points Earned Date/s Earned CBSPAN Board Member District Officer CPAN or CAPA Certified Publish article in JoPAN 3 points per year of service 3 points per year of service 3 points per certification 3 points per article Publish article (exclusive of 2.5 points per article in Committee reports or National CBSPANNER or Breathline Conf.) Seminar speaker for CBSPAN 2.5 points per seminar Certification Coach Host CBSPAN/District meeting Run for CBSPAN/District office 2.5 points per year 2 points per meeting 2 points per election
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Page 10 WILLINGNESS TO PARTICIPATE TAKING THE NEXT STEP TOWARDS BEING AN ACTIVE PART IN THE LEADERSHIP OF CBSPAN AT THE COMPONENT OR THE DISTRICT LEVEL NAME: (include credentials) ADDRESS: (Street/Town, City/State/ Zip code) PHONE wk: home: Fax: email: POSITION / TITLE: HOSPITAL/SURGICAL CENTER: ADDRESS: (Street/Town, City/ State/ Zip code)) MEMBER OF ASPAN? Y/N Membership # CERTIFIED: Y/N # I am willing to be considered for candidacy for CBSPAN: Vice President/President-elect Secretary Treasurer I am willing to serve on the following CBSPAN committee(s): (may circle more than one) Bylaws (includes policies and procedures) Research Education Marketing and Communications) Ways and Means Governmental Affairs I am willing to be considered for candidacy for my DISTRICT: (circle) Baltimore DC Eastern Shore Vice President/President-elect Secretary Treasurer I am willing to serve on the following DISTRICT committee(s): (may circle more than one) Bylaws Nominating Ways and Means Programs Newsletter/Website Governmental Affairs Scholarship Research Please send information for the duties, functions and time commitment of checked committees I am I am not at this time willing to be the Chairperson of the committee checked Submit the completed to form to the CBSPAN President or appropriate District President.