Awakener Newsletter 2015 - nursingnetwork...

Volume: 2015 Issue: 1 December 2015

The Awakener was established in 1977, the Georgia Association of Perianesthesia Nurses (GAPAN) contributes to the advancement of our nursing specialty practice. Rooted in education, the mission of GAPAN is to establish an organization for networking and advancement of Perianesthesia Nursing with an emphasis on continuing education, community service, and research.

GAPAN MISSION To promote quality care and enhance excellent Perianesthesia nursing practice through education and leadership.

Table of Contents

Editor’sColumn..........................................................................................................................................2

FROMGAPAN’SNEWSTATEPRESIDENT ........................................................................................3

2015-6GAPANStateOfficersandBoardofDirectors....................................................................5

2015ACCOMPLISHEDGOALs.................................................................................................................6www.cpancapa.org/resources/awards/shining-star-award......................................................6

GAPANMEMBERSWHOHAVETHECAPACERTIFICATION ......................................................7

GAPANMEMBERSWHOHAVETHECPANCERTIFICATION ......................................................8

CPANandCAPACertificationCoaches:...............................................................................................9

ACCOMPLISHEDGOALSLETTERFROMTHE2014GAPANPRESIDENT-KeishaFranks..10GAPANDistrictsComponentLeadershipandContactInformation.......................................12

MEMBERSHIPINGAPAN......................................................................................................................13

Governmental/LegislativeAffairsTopicsofInterest.................................................................16REGION5UPDATE–NEWBEGINNINGS...........................................................................................17

ComponentDevelopmentInstitute(CDI).......................................................................................17NATIONALCONFERENCEPICTURES2015.......................................................................................18

2015GAPAN/GSAScholarshipAwardSpotlight...........................................................................19

2015MembersSpotlightawards.......................................................................................................202015-2016GAPANStateOfficersandBoardofDirectors.........................................................21

MemberArticle........................................................................................................................................22Picturesfromthe2015GAPANStateConference........................................................................26

SAVETHEDATESfor2016...................................................................................................................27

GAPANWEBSITESubmissionDEADLINESANDGUIDELINES...................................................28

Copyright 2015 AwakenerNewsletter.All rights reserved.Reproduction by any means without the expressed consent of GAPAN is prohibited.

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EDITOR’S COLUMN Welcome, from Ron and Janice Wilson the editors of “The Awakener,” GAPAN’s Newsletter and GAPAN’s website for all your GAPAN information. We want to encourage you to follow the links and obtain information that will help and encourage you as a GAPAN member. This is your GAPAN newsletter, website, and Facebook, so please share what is happening in your district with the other GAPAN members. We would appreciate any articles, pictures, or hospital recognitions or awards of our members. If any are involved in hospital research and evidence based practice or any clinical situations or process improvement projects please share this wisdom and expertise among our GAPAN membership. By working together as a team we can reach our goals and our GAPAN mission to promote quality care and enhance excellent Perianesthesia nursing practice through education and leadership. We look forward to hearing from you. Our contact information is [email protected] We also have a GAPAN Facebook maintained by GAPAN member Tammy Manning. [email protected]


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FROM GAPAN’S NEW STATE PRESIDENT

DANA NATIONS, RN, BSN Hello Everyone! My name is Dana Nation. I am honored to be elected as your GAPAN President for the 2015-16 term. Perianesthesia nursing is an exciting specialty that I’ve been a part of for about 15 years. I look forward to sharing my passion for our field during my tenure. First, I hope you will help me continue to educate our colleagues about ASPAN/ GAPAN and promote the organization as a leader among professional nursing organizations. Many perianeshesia nurses do not realize that ASPAN Standards often direct hospital policies for which they are held accountable. I would like to promote increased awareness in this area. I would like to see increased involvement among our members at the local, state and national levels. I am personally extending an open invitation to all GAPAN members to join us for our state board meetings. This is a great way to learn about how the organization functions and make decisions about how much and in what capacity you would like to be involved. We will schedule the meetings for the year as soon as possible and publish them on the GAPAN website. “Willingness to Serve” forms are available on the ASPAN website. I would also like to encourage each of you to explore how you might participate in our organization at the national level. The Leadership Development Institute (LDI) presented by ASPAN is also a great way to learn more about the organization. It will be held on the 3rd weekend of September 2016 and I encourage you to make plans to attend if you have interest in taking a leadership role in ASPAN/ GAPAN at any level. I promise that you will learn a great deal and have the opportunity to network with people from other components. You will also identify resources that you can call or email for any questions that you encounter. GAPAN state executive board members and district presidents will be invited to participate with some financial assistance from the GAPAN treasury. We are fortunate to have many experienced nurses as a part of our organization. Unfortunately, we have a deficit of younger nurses who


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are just beginning their careers. We need to continue to reach out to nursing schools and invite nursing students to attend GAPAN events. Perhaps we can facilitate interest in the art of perianesthesia nursing among those students and new graduates. I believe we are a part of a great professional nursing organization. I look forward to working with our other board members this year to continue to build our membership by reaching across multiple generations. Please do not hesitate to contact me at [email protected] if you have any questions, comments, or suggestions. STRATEGIC GOALS 2015-2016: 1. Recognition of ASPAN/ GAPAN as a leading nursing

organization among nurses 2. Increased involvement of members at district and state levels 3. Participation of members in LDI 2016 4. Recruitment of new members 5. Inclusion of nursing students in GAPAN district and state

events 6. Active engagement of district presidents in seeking the Gold

Leaf and Shining Star awards Sincerely, Dana Nation, RN, BSN GAPAN President 2015-2016 Email [email protected]


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2015-6 GAPAN STATE OFFICERS AND BOARD OF DIRECTORS

The Georgia Association of Perianesthesia Nurses Board is comprised of members serving in specific elected positions. The Board meets throughout the year

beginning and ending with the State conference. The terms of service are determined by the elected position. Please refer to the Bylaws for specific job duties and terms of office. President: Dana Nation, RN Northeast District [email protected] President Elect: Kewanda Lanham, RN, BSN Augusta District [email protected] Secretary: Betty Cantrell, RN, CAPA Northeast District [email protected] Treasurer: Leslie Edney, BSN, RN, CAPA, CNIV Augusta District [email protected]

Membership Chair: Sandra Klein MSN, RN, CAPA, CPAN Augusta District [email protected] APPOINTED COMMITTEE

LEADERS Website Editor: Janice Wilson, BSN, RN, CAPA, CNIV - Augusta District [email protected] Historian Brenda Splawn, MS, RN, CPAN, FNP [email protected] Governmental Affairs Chair: Tammy Cupp, RN, CAPA – Augusta District [email protected]


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2015 ACCOMPLISHED GOALS

3ND SHINING STAR AWARD FOR GAPAN

NOW WE HAVE THREE SHINING STAR AWARDS FOR GAPAN ABPANC’s Shining Star Award publicly recognizes ASPAN Components for supporting and encouraging CPAN® and CAPA® certification at the local level. All Components, meeting the criteria are awarded the Shining Star Award at the annual CPAN/CAPA Celebration Event, held in conjunction with the ASPAN National Conference. The award, a beautiful silver star, is engraved with the Component’s name and year of award. This star statue can be displayed proudly at Component meetings!

WWW.CPANCAPA.ORG/RESOURCES/AWARDS/SHINING-STAR-AWARD


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GAPAN MEMBERS WHO HAVE THE CAPA CERTIFICATION

For more information: www.cpancapa.org/news http://www.aspan.org/Members/Certification

CAPA Certified Newly Certified Re-Certified Dual-Certified

ABRAMS, MARY A. ADKINS, LISA F. ALLEY, KARA LEE ANADU, MONICA E. ANDREWS, SUSAN M. ASPINALL BARNHILL, LORNA

BAILEY, LINDA KATRINA BARRETT, BRIDGETTE B BATTEN, CINDY S. BEAR, PAMELA LUND BEARD-GATLING, LILLIAN W. BEAUVAIS, CYNTHIA T.

BELL GRAHAM, LAURIE ANN BERBIN, SHARON A. BOWEN, MARY CATHERINE BREWER, SANDRA E. BRITTON, HILLARY IRENE BRODNAX, LESLIE ANDERSON

BROOKS, LINDA R BROWN, GINGER DIANE BROWN, KIMBERLY DIANE BUTLER, IRMA CANTRELL, BETTY T. CARTWRIGHT, SARAH M.I.

CAVAZOS, MARIA CHANDLER-SMITH, PATRICIA A. COHEN, PATRICIA ANN

COLBORN, JENNIFER CONNER, RHEBA HALL CORADAZZI, DYMPHNA CRENSHAW, DEBORA CROWDER, DAWN LOUISE CROWLEY, MARY A. CUPP, TAMMY LYNN DAILEY, KAY LYNN DARLING, MAUREEN E. DENTON, SHELLEY B DOMAN, AARRON DUFFER, DELICA J. DYCKMAN, MARY S. EARLEY, REBECCA B. ELLIS, PAMELA G.

FERGUSON, MARY ANN FRANTZ, LAURA LEIGH GAZY, MARIA C. GILLESPIE, BARBARA GREEN, ARETHA M. GRINAM, MARJORIE M. GUINN, SARAH HOLLY HATHAWAY, WENDY HAYNIE, SHARON M. HEIGHTON, JULIANNE

ELIZABETH HENDERSON, DONNA P. HOLLIEFIELD, LESLIE D.

HUGHES, KATHRYN FRANCES HYBL, FELIZITAS MARIA JACKSON, CARRIE H. JAGLINSKI, VICTORIA LEE JOHANN, BARBARA JOINER, JACQUELYN

JONES, BERLENTHIA A. KARN, WENDY H. KELLEY, DEBORAH F. KENDRICK, KATHY KLEIN, SANDRA W. KUDELA, KELSEY

LARUSSA, KRISTA A. LONG, BARBARA LONG, CHERYL MANNING, TAMMY

MISCHELLE MARTIN-HOWELL, ANGELA J. MAYO, PATRICIA SANDERS

MCCANDLESS, MARGIE BRANDAN MICHAELS, LYNDA H. MORK, LUCY P.

MORTON, VIRGINIA NAGLICH, MYRA J. NELSON, PEGGIE TUCKER OGLES, KRISTEN LYNN PEAK, SHEILA MCREE PEARCE, ERIN KENNON

PERKINS, LU F. PHILLIPS, SHIRLEY REGA PLAZA, SUZANNE MARIE PRICE, CATHERINE M. PUKISH, JENNIFER C QUILES, MARIA

REFEC, CRISTINA ROCHELL, NETWASKI METEREL ROMEO, SUE ANNE

SAMPSON, JACQUELINE SAPP, JOY COUNTS SCHNEIDER, ELLEN W SCHWEER, MELINDA HELMEN SHERMAN, DIANE O'NEIL SISK, ANN

SKLANKA, KAREN SMITH, DONNA SMITH, JENNIFER B SMITH, LINDA T. SPRAGINS, LISA A STALLINGS, MARION AMELIA

STOWE, KATHRYNE STREET, KATHY SURRETTE, NECEFORA M.


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TERWILLEGER, PAMELA RUTH THOMPSON, DENISE WEAVER TINKER, LEIGH L. TOHOLSKY, KAREN MCCOY TYSON, KIM V. VICKERS, PATRICIA A

VINCENT, PATTI M. WALLACE, SARA WHITNEY WALTON, MARGARET WATSON, DONNA S. WEBB, SUSAN M. WHITE, ALISON A.

WILSON, JANICE ALLINE WITTLING, KATHERINE STANLEY WYATT, ELIZABETH

YACKEL, BONNIE

GAPAN MEMBERS WHO HAVE THE CPAN CERTIFICATION For more information: www.cpancapa.org/news

http://www.aspan.org/Members/Certification CPAN Certified Newly Certified Re-Certified Dual-Certified

ALLEY, KARA LEE AYANA, WOYNSHET A BAKER, CAROL J. BARNES, KELLY P. BAYARDELLE, GRETA BERMINGHAM, EUGENIA E.

BIHL, TAMI LYN SPURLOCK BRADSHAW, TERRI S. BRANSON, LAURA Q BRANTLEY, JEREMY QUOC

PHONG BREEDING, SUSAN H. BRUCE, MAXINE C.

BURKETT, DARLENE H CLINE, CATHERINE ANN CONWELL, STEPHEN EDWARD COOPER, BABETTE COOPER, TERRY H. COURTOIS, SANDRA M.

COX, RACHEL L. CULBRETH, SHARON P. DEGUIA, AGNES ABRIGO

DEVER, COLLEEN J. DICKSON-KENNY, DIANE RENE DOWNS, JANE E.

DUFFER, DELICA J. DUNAWAY, PAULA A.H. EDWARDS, CATHY ANN ELLIS, MARIA TERESA EMERICH, GLENDA DIANNE EUBANKS, TINA MCDONALD

EVANS, SHARON P. FISCHER, RICKY FLEENOR, MEREDITH FOLDEVI, MAUD CARIN FOLDS, DIANNE N FRANKS, KEISHA D.

GEBHART, MARGARET A. GOINS, SUZANNE G. GOOCH, ANGELA FAY GOTTSCHALK, TERILYN

MARIE GRAY, ANN E. HAMILTON, JANET F.

HARP, SUSAN R. HART, CHERYL REDDICK HAYES, ANN S. HEIGHTON, JULIANNE

ELIZABETH HINDMON, ANGELA D HUMPHREY, STEPHANIE L.

HURT, MARGARET BECK JACKSON, CYNTHIA NOELLE JAMES, DYLESHA JOHNSON, NORMA JO JOHNSON, TONI P JOHNSON, WESLEY DWAYNE

KENDRICK, KATHY KIES, JOSHUA MICHAEL KLEIN, SANDRA W. KNOX, PATRICIA L. LANG, JEANETTE F. LANIER, LORI ANN

LINGERFELT, DANA M. LIPFORD, MARY GEORGETTE LITTLE, JAN LUCAS, CAROLYN H. MAGUIRE, EVELYN MAGYAR, CAROL

MANLEY, SYLVIA N. MARKWALTER, KATHARINE H. MARTIN, PATRICIA ELIE

MATHEW, JECY P. MCBRIDE, PHOEBE MCCORMICK, SUSAN B. MCDANIEL, AMY MCLAIN, MICHELLE MEYER, BARBARA J. MILLS, JOYCE F. MILLS, SHEILA K MITCHELL, JANICE L. MOATS, CHERYL MONTAGUE, KIMBERLY D. MOORE, JOANNE MORGAN, LINDA MURPHY, DEBRA DEE MUSIC, CHERYL A.

NGUYEN, ROSANNE M. NORRIS, LAURA O'CONNOR, ESSIE VICTORIA


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O'NEAL, JOSEPHINE ODDO, JUREEN PARKS, LOIS OLIVIA PARRIS, GINA L. PAYNE, ANGELA B. PETERSON, BARBARA K.

POWELL, SHIRLEY J. POWER, CYNTHIA M PRINCE-WRIGHT, CHARLENE ELAINE

PRINCE, SHELLEY B. RAMOS, LINDY LOU REED, CELIA J. REGAN, PATRICIA R. RINALDI, KIM ROGERS, LAURA

RUSSELL, BRENDA F. RUSSELL, TONI OLIVIA TAYLOR SABA, PATRICIA

SANE, REBECCA LEROY SCOTT, BRENDA KAY SHUPE, SANDRA SITTON, KARLA W SKLANKA, KAREN SMITH, DAWN M. SMITH, JEANNE H. SMITH, THERESA SIVULICH SNYDER, SHERRY O.

SPAMER, DEBORAH K. SPENCE, DEBBIE L. SPLAWN, BRENDA J. SPRAGINS, LISA A STANDEN, JANET N. STEVENS, CHRISTIN CLAIRE

STEWART, KAREN SUZETTE STOREY, DONNA STOVALL, SUSANNE L.

STUPARITS, MELISSA SWANSON, KIMBERLY DEWAYNE SWEITZER, LYNN PERRY

TATUM, KATHRYN L. TAYLOR, VICKEY BASKIN THAYER, KRISTI L. THOMASON, SONYA C. THOMPSON, DENISE WEAVER TIGNER, TAMMIE

TOHOLSKY, KAREN MCCOY TOLBERT, KAREN TONEY, DEBORAH LYNN TORRES, MARIA VICTORIA TOWNSEND, BETTY L. TUCKER, CYNTHIA STEPHENS

TURNER, GLENDA D VALDES, M. BIANCA E. VICKERY, CHRISTIAN ANN

VINCENT, PATTI M. WAGNER, KRISTEN MICHELLE WARDEN, DEBORAH H.

WARNER, TRACEY WHITAKER, PAMELA CAYE WHITE-TWIGGS, LILA D WHITFIELD, DONA ANNE WILLIAMS, GIOVANNA R WILLIAMS, MANDY E.

WILLIAMS, SANDRA A. WILLIAMS, VICKIE L. WONG-TSE, NANCY WOOD, VICTORIA WOODS, GAYLA R. WRIGHT, LISA JOY

WYTTENBACH, TIFFANY LAGER

CPAN AND CAPA CERTIFICATION COACHES: Pamela Bear, CAPA Keisha Franks, CPAN Sandra Klein, CAPA, CPAN

Barbara Long, CAPA Lisa Spragins, CPAN Karen Sklanka, CAPA, CPAN


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ACCOMPLISHED GOALS LETTER FROM THE 2014 GAPAN PRESIDENT- KEISHA FRANKS

Hello to my fellow perianesthesia colleagues, As my second term comes to an end, I would like to take a moment to reflect on my Presidency. I would like to start by looking back on the Strategic Goals set or both years. Sept 2013-2014 (1) Improve Communication (2) Strengthen Component Viability (3) Mentor New Members. Sept 2014-2015 (1) Member retention and development (2)Component Revitalization (3) Social Media Development and Interaction. I feel GAPAN has done well with communication. The Awakener, our official newsletter and website was awarded the 2014 ASPAN Component Newsletter Award for 15 plus pages. Most of our local districts have either a Facebook or Twitter pages which are used to disseminate information to members and nonmembers. Districts have access to the ASPAN conference line for go-to meetings. Job well done GAPAN!!! My major concern and issues that I reluctantly pass to my successor are membership retention and component viability. These are issues that GAPAN and many other components have difficulty with. I will continue to work with the President and the Board to help strengthen and revitalize Georgia components. I have met with Doug Hanish (Marketing and Communications Manager, ASPAN) and fellow State Presidents. We all realize that there are several obstacles that our professional organizations are competing with. These issues cause the Perianesthesia nurse to choose where to devote their time and money. I will continue to encourage the perianesthesia nurse to embrace GAPAN’s mission: To establish an organization for the mentoring and advancement of Perianesthesia nursing with an emphasis on continuing education, community service and research. In order to uphold this mission we must continue to focus on our specialty. We must stay actively involved at all levels (district, state and national). We must maintain competencies that are specific


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to our area. Develop protocols and policies that will enhance our practice. Get involved in evidence based research and produce better practice guidelines for the perianesthesia nurse. It has been a rewarding two years and I have learned a lot about myself as your President. Thank you all for the support to me and GAPAN. Thanks to all of the Board members that have kept GAPAN as component of recognition and success. Thanks to the district leaders for your leadership and dedication. I will continue to work with Dana Nation and the Board to keep GAPAN a successful component. It has been a true pleasure to serve as your President. I am always available for mentoring and advice. Keisha Franks, RN, BSN, CPAN, CNIV


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GAPAN DISTRICTS COMPONENT LEADERSHIP AND CONTACT INFORMATION

The Georgia Association of Perianesthesia Nurses is comprised of five active districts throughout the state of Georgia. For more information on your district, concerning membership opportunities, district activities, meetings, and more please contact the District President. Please check the website: ga-pan.org/districts.html The districts and contact information of district Presidents 2015 - 2016 are: ATLANTA

President: Carol Atkins, RN [email protected]

AUGUSTA

President: Lutricia Jordan, RN [email protected]

COLUMBUS

President: Norma Johnson, RN, CPAN [email protected]

NORTHEAST

President:Lisa Spragins RN, CAPA/CPAN [email protected]

SOUTH METRO

Co-President: Angela Gooch, RN, CPAN [email protected] Co-President: Niki McLamb, RN [email protected]


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MEMBERSHIP IN GAPAN

Sandra Klein MSN, RN, CAPA, CPAN Augusta District

[email protected]

WHY BECOME A MEMBER? By joining and being an active member in the American Society of PeriAnesthesia Nurses (ASPAN) and Georgia Association of PeriAnesthesia Nurse (GAPAN) professional organization you contribute to the profession of specialty nursing through:

• Professional Practice and Excellence • Passion for the Profession • Knowledge and Research • Unification and Advancement of the profession • Workforce and Workplace Advocacy • Leadership opportunities • Career Building and Networking

WHAT DOES THE ASSOCIATION DO? • Set the standards of practice for the profession • Fosters personal and professional growth through Nursing

certifications • Promote the profession to the public through community

outreach • Educate their members on issues through continuing

education and publications • Provide opportunities for members to interact, discuss

trends and disseminate knowledge COMMITMENT Pledge to be involved through:

• Attending District, State and National meetings/conferences • Actively participate on committees at district, state and

national level • Become a leader by being an officer • Recruitment of new members • Become a certified nurse through the American Board of

Perianesthesia Nursing Certification (ABPANC)


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INVESTMENT Your membership fee for ASPAN/GAPAN is easily capitalized with discounts, publications, monetary awards, education, resources, research, and scholarships. Your membership entitles you to have: • Discounted rates on:

o Attending district, state and national educational seminars o Certification exam and renewal fees for CPAN/CAPA o Publications and merchandise

• Publications and access to websites include: o Subscription to JOPAN, the Journal of Perianesthesia Nursing o Subscription to Breathline, ASPAN's newsletter o ASPAN publications o www.ga-pan.org o www.aspan.org o www.cpancapa.org

• Scholarships and awards include: • GAPAN - Awarded at State Conference

o $1000 scholarship annually Georgia Society of Anesthesia (GSA) /GAPAN

o “Recruiter of the year” for GAPAN membership • ASPAN/ Scholarships and awards include:

o $1,000 tuition scholarships for Bachelor of Science in Nursing, Master of Science in Nursing or Doctorate in Nursing

o $500 scholarships to attend ASPAN’s National Conference held in 2017

o $299 scholarships for CPAN or CAPA Certification Exam fees in fall 2016 or spring 2017

o $500 Humanitarian Mission scholarships o Nurse in Washington Internship (NIWI) program – two

scholarships available (covers early bird registration fee plus some expenses

o Excellence in Clinical Practice Award o Award for Outstanding Achievement o Gold Leaf Award o Shining Star Award o ASPAN Above and Beyond Service Recognition Award o Member to Member Recruitment Awards Campaign

• ABPANC Awards include: www.cpancapa.org o Advocacy Award o Nursing Action in Passion


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• RECRUITMENT Recruitment is a positive process of searching for prospective members and stimulating them to join our organization.

o Essential to our growth, not only in numbers as an organization, but also in the never-ending desire to improve, evolve, and advance the Perianesthesia Nursing specialty.

How many new members will you recruit today? www.ASPAN.org look under the members dropdown for MCM Homepage, then Recruiter Standings


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GOVERNMENTAL/LEGISLATIVE AFFAIRS TOPICS OF INTEREST

Kewanda Lanham, RN, BSN Governmental Affairs Chair

[email protected]

Measles is an highly contagious acute viral respiratory illness. http://www.cdc.gov/features/measles/index.html It is characterized by:s

• fever (as high as 105°F) • malaise • cough • coryza • conjunctivitis • enanthema (Koplik spots) • maculopapular rash

The rash usually appears about 14 days after a person is exposed; however, the incubation period ranges from 7 to 21 days. The rash spreads from the head to the trunk to the lower extremities. Patients are considered to be contagious from 4 days before to 4 days after the rash appears. Sometimes immunocompromised patients do not develop the rash. Please take a moment to browse the links on this page to get the latest information on this topic and more. Advocacy begins with our own practice, extends through our healthcare organizations to our patients and the communities we live in. We must engage to change.


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REGION 5 UPDATE – NEW BEGINNINGS

COMPONENT DEVELOPMENT INSTITUTE (CDI)

Future leaders start making plans to attend the Component Development Institute (CDI). It is a one-of-a-kind weekend focused on providing innovative ideas, strategic planning, explore research opportunities, review leadership development tips, identify component best practices, learn how to manage a component, develop leadership and communication skills. At CDI, both

ASPAN and component leaders share strategies and skills to enhance your development of being a leader and provide you

with the knowledge and skills for success. Plan now to attend and watch for the upcoming listing of date, time, and place for ASPAN’s upcoming CDI!

Janice Wilson and Norma Johnson attended the Component Development Institute


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NATIONAL CONFERENCE PICTURES 2015


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2015 GAPAN/GSA SCHOLARSHIP AWARD SPOTLIGHT

2015 GAPAN/GSA Perianesthesia Nurse Scholarship

Sandra Klein, MSN, RN, CAPA, CPAN Senior Staff Nurse Educator for Perianesthesia

Department Georgia Regents Medical Center

Sandra Klein is a native of Augusta, GA. She has been employed at Georgia Regents Medical Center since November 2012 as Nurse Educator for Perioperative Services. She is responsible for 5 distinct areas in perioperative services including PACU, PAT, 8 West , PPC, ENDO, and patient holding. She has over 25 years of perianesthesia experience and has completed successfully her dual certification for perianesthesia nursing. On September 20, 2015 she was awarded the Georgia Association of Perianesthesia Nurses/Georgia Society of Anesthesiologists scholarship based on dedication in pursuit of continuing education and clinical excellence in perianesthesia nursing. She was the first in the August district of the Georgia Association of Perianesthesia Nursing (GAPAN) to receive dual certification as Certified Post Anesthesia Nurse (CPAN) and Certified Ambulatory Perianesthesia Nurse (CAPA). Sandra was nominated as CSRA Nurse Educator of the year in 2014 at GNA Showcase and won the Spirit of Nursing award from GAPAN in 2014. She is very active in GAPAN and is serving a third term as Vice president for the district and is newly elected to the State level as Membership Chair. She volunteers her time as ABPANC certification coach for nurses pursuing CAPA/CPAN certification. Sandra is a participant in the clinical ladder program and is currently a CNIV and a member of the American Association of Critical Care nurses (AACN). Additionally she is involved with many committees at Georgia Regents University (GRU). She is the facilitator for the Perioperative Shared Governance monthly meeting, and department joint commission readiness monthly committee. She is the co-chair for the hospital moderate sedation committee and attends several quality meetings weekly and monthly. Mrs. Klein has a BSN from the Medical College of Georgia and Master’s degree in nursing with a specialty in health education from the University of Phoenix. She is certified as a basic life support instructor (BLS) and advanced cardiac life support (ACLS) instructor for the American heart association. To date her most passionate professional accomplishments have been to mentor ten nursing staff to complete nursing certification and assist twelve nurses to successfully completing the clinical ladder program. She enjoys collaborating with the medical team to improve and implement changes in quality and safety concerns.


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2015 MEMBERS SPOTLIGHT AWARDS

Melinda Schweer receiving the Recruiter of the year award.

Sandra Klein receiving the 2015 GAPAN/GSA Perianesthesia Nurse Scholarship.

Kewanda Lanham received the Nursing Excellence Rising Nurse Leader Award from GRHealth in Augusta, Georgia.

Sandra Klein received the “Spirit of Nursing” award.


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2015-2016 GAPAN STATE OFFICERS AND BOARD OF DIRECTORS

President: Dana Nation, RN Northeast District [email protected] President Elect: Kewanda Lanham, RN, BSN Augusta District [email protected] Immediate Past President: Keisha Franks, RN, BSN, CPAN, CNIII Atlanta District [email protected] Secretary: Betty Cantrell, RN, CAPA – Northeast District Northeast District [email protected]

Treasurer: Leslie Edney, BSN, RN, CAPA, CNIV Augusta District [email protected] Website Editor: Janice Wilson, BSN, RN, CAPA, CNIV Augusta District [email protected] Membership Chair: Sandra Klein MSN, RN, CAPA, CPAN Augusta District [email protected] Governmental Affairs Chair: Tammy Cupp, RN, CAPA Augusta District [email protected]


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MEMBER ARTICLE

A Review of Charting: A Legal Document Janice A. Wilson RN, BSN, CAPA

The patient’s chart is a legal document. Your documentation is of extreme importance and must provide a complete and accurate accounting of the patient’s condition and the care you provided.2 Your documentation record should be complete, accurate, and legible in order to defend yourself against allegations of improper care. Your documentation can discourage a plaintiff from pursuing a legal claim or can provide the fuel for a lawsuit.3,4 The law defines negligence as:

Negligence is the failure to provide a patient with the standard of care that a reasonably prudent nurse would exercise under the same or similar circumstances. 5,6

Patient’s attorney must prove four elements to prove that the nurse was negligent:

1. Thenursehadadutytoprovidecaretothepatientandtofollowanacceptablestandardofcare.

2. Thenursefailedtoadheretothestandardofcare.3. Thenurse’sfailuretoadheretothestandardofcarecausedthepatient’s

injuries.4. Thepatientsuffereddamagesasaresultofthenurse’snegligentactions.5,6

By practicing in a nursing specialty area, American Society of PeriAnesthesia Nursing (ASPAN), we must be familiar with and demonstrate compliance with the Standards developed by our specialty organization, the Perianesthesia Nursing Standards, Practice, Recommendations and Interpretive Statements as published by the American Society of PeriAnesthesia Nurses, which serves nurses practicing in all phases of peranesthesia, postanesthesia care, ambulatory surgery and pain management. It is also important to be familiar with the standards developed by The Joint Commission, the National Council of State Boards of Nursing, and the American Nurses Association, 6,7,8 as well as following documentation policies established by your employing facility. The saying “If it wasn’t documented, it wasn’t done” is still valuable today. Your documentation should show that you continuously assessed your patient’s condition and monitored their progress. Documentation of hourly rounding improves the quality of patient care by showing frequent assessment and monitoring. All identified patient problems, nursing actions, and patient responses should be documented.11 Nursing documentation that contains misspelled words or grammatical errors can lead lawyers and jurors to conclude that the nurse is uneducated and/or careless.3 Your charting should be


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1. timely– documentcareasprovidedandchartonlywhatyousee,hear,smellorfeel

2. accurate– writespecific,accuratedescriptions3. truthful– documentonlywhatyouactuallyobserve4. appropriate–makedocumentationthatyouwouldallowthepublictosee

anddonotusejudgmentallanguage5. Safe- Documentsafetyprecautionsimplemented.

Examples of Illegal Tampering With Medical Records6

1. Addingtoanotherperson’snote2. Destroyingthepatient’schart3. Notrecordingimportantdetails4. Recordingfalseinformation5. Writinganinaccuratedateortime6. Addingtopreviousnoteswithoutindicatingthatthenoteisalateentry7. Chartinginadvancemedicationadministration,dressingchangesorother

treatmentsconstitutefalsificationofrecords.6 When Charting by exception (CBE) take extra precautions 6,9 CBE documentation does not give a clear, accurate description of the patient’s condition; therefore the nurse needs to write the patient’s condition out in a narrative note to allow the reconstruction of an accurate picture of the patient condition in the future. In addition anything out of the ordinary needs to be written in a narrative note. Describing a patient’s behavior as uncooperative, difficult, manipulative, or referring to the patient in a sarcastic manner alerts the patient’s lawyers that a nurse did not respect or value the patient,10 therefore make descriptions only by giving factual and impartial descriptions without additional commentary. Recognize and respond to complications. 11 Assess and monitor patients regularly and report a significant change in a patient’s condition to physician. Nurses should report situations in which a patient’s condition undergoes

1. rapidchange,especiallyaftersurgeryorlabor2. afterpatientsuffersinjuryinthehospitalfacility3. whenthepatienthaveself-destructivetendency.


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Documenting in Emergencies 6,7 Make sure your documentation addresses these issues: 1. Thepatient’sconditionbeforetheemergency2. Thepatient’sconditionwhentheemergencybegan3. Whentheemergencyoccurred4. Whenthephysicianwasnotified5. Whatinterventionswereusedandwhentheywerestarted6. Howthepatientrespondedtotheinterventions

If, in your professional judgment, you consider the physician orders placing the patient in jeopardy, you must intervene on the behalf of the patient and clarify the treatment plan or verify the medication with the physician. The nurse must be persistent in an attempt to notify and convince the physician of the seriousness of the situation. If a change in a patient’s status warrants notifying the physician and a potential change in the treatment or medication, the nurse must be able to communicate essential information in a clear and logical manner that expedites understanding and intervention.1.3.6 Organizing Your Reporting Data4

1. Patient’shistory:presentillnessorsurgery,medications,significantcomorbidities

2. Assessment:a. Completesetofvitalsignsb. Changeinlevelofconsciousnessc. Changesinperfusionasindicatedbyskincolor,oxygensaturationand

urineoutputd. Painoutofproportiontothediagnosisorproceduree. Unusualbehavior—irritability,hallucinations,agitation,senseof

impendingdoomf. Changeinawoundordrainagestatusg. Relevantdiagnostictestresults

Document each time you phone a physician.4 Chart the details of your message and the physician’s response.4,6 Specify the details you reported, the time you called, the new orders or no orders received and additional actions you take.4 Always note in the chart the specific change in the patient’s condition or diagnostic test result that prompted your call to the physician. Documentation that reflects the nursing process, including

1. competentassessment,2. frequentobservation,3. timelyandaccuratereporting,andthe4. useofthechainofcommand,ifnecessary,oftenwillprotectthenursefrom

accusationsofnegligence—evenwhenthereisapooroutcome.10 Legally credible documentation provides an accurate written record of the care your patient received and evidence that you met an acceptable standard of care. Let your charting tell others that you did all you were expected to do in providing your patient with quality nursing care.4,6


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Reference:

1. Ferrell KG. Documentation, part 2: the best evidence of care. Am J Nurse. 2007;107(7):61-64.

2. Austin S. Ladies and gentlemen of the jury: I present … the nursing documentation. Nursing. 2006; 36(1):56-63.

3. Hudson K. Legal documentation. 2nd ed. Dynamic Nursing Education.com Web site. http://dynamicnursingeducation.com/class.php?class_id=32&pid=17U. Updated September 28, 2009. Accessed July 16, 2014

4. Nursing Know-How: Charting Patient Care. Philadelphia, PA: Lippincott, Williams & Wilkins; 2009:67-70.

5. Showers JL. What you need to know about negligence lawsuits. Nursing. 2000;30(2):45-48. 6. Guido GW. Legal and Ethical Issues in Nursing. 6th ed. Upper Saddle River, NJ:

PearsonPrentice Hall; 2009. 7. Yokum RF. Documenting for quality patient care. Nursing. 2002;32(8):59-63. 8. Monarch KM. Documentation, Part 1: Principles for self-protection. Am J Nurse. 2007;

107(7):58-60. 9. Smith LS. How to chart by exception. Nursing. 2002;32(9):30. 10. Carelock J, Innerarity S. Critical incidents: effective communication and documentation.

CritCare Nurse Q. 2001;23 (4):59-66. 11. Odom-Forren, J. Drain’s Perianesthesia Nursing A Critical Care Approach. 6th ed. Saunders

2013. 12. Stannard, Daphine, PeriAnesthesia Nursing Care A Bedside Guide for Safe Recovery,

Jones and Bartlett Learning. 2012


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PICTURES FROM THE 2015 GAPAN STATE CONFERENCE


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SAVE THE DATES FOR 2016 Perianesthesia Nurse Awareness Week February 1 - 6 2016 Certified Nurses Day – a National Celebration! March 19, 2016 ????? GAPAN 2016 State Conference TBA ASPAN 35th Annual National Conference April 10-14 2016 ASPAN Leadership Development Institute (LDI) September 16-18, 2016 Sklanka


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GAPAN WEBSITE SUBMISSION DEADLINES AND GUIDELINES All submissions must be in Microsoft Word format. All images need to be in jpg form and not in Word document. Submissions are expected by the due date for submission in the desired update of the website. Due dates and publication dates are as follows:

1. February 1st for March 1st publication 2. April 1st for May 1st publication 3. June 1st for July 1st publication (State Seminar Flyer

publication issue) 4. August 1st for September 1st publication 5. October 1st for November 1st publication (State Seminar

report issue) 6. December 1st for January 1st publication

All submissions should be sent as ATTACHMENTS to your email with request/instructions. Please put GAPAN in the subject box. These should be sent to the Website Editor at the following address: [email protected]

AWAKENER EDITOR’S THANK YOU

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