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Vital Volumes

Indiana Society Of PeriAnesthesia Nurses

Inside this issue

INSPAN Officer info .................... 2

Clinical Practice ......................... 3

PANAW ..................................... 3

Research Corner ........................ 4

INSPAN Strategic Plan ................ 5

ABPANC News ........................... 6

Committee Reports ................... 7

ASPAN Conference…………………….8

President’s Message Mary Baird MSN, RN, CPAN

In this season of acknowledging others, I would like to thank the INSPAN

Board of Directors for their support and guidance in coordinating the 2013 Fall

Update. I would also like to thank the board for their flexibility with scheduling

due to my family health emergency.

As the INSPAN President, I would like to recognize the numerous competent

perianesthesia nurses who have faithfully administered care from preadmission

testing, preoperative arena, and phase one or phase two; whether for a few

months or several decades. Each perianesthesia nurse is an asset in their

setting!

This fall the INSPAN Board provided a half day offering. The evaluations

were positive regarding the program. However, the results were mixed on half

day compared to a full day offering. We are considering various options for the

Fall Update 2014. Please feel free to email your suggestions for Fall Update

2014. My email will be provided at the end of the message.

My goals for this presidency are to:

1. Involve more nurses in INSPAN.

2. Provide educational opportunities for the broad spectrum of peri-

anesthesia nurses.

3. Promote networking opportunities to share ideas and concerns

among perianesthesia nurses.

4. Mentor/encourage perianesthesia nurses to excel even further in

their respective areas of interest such as research.

5. Encourage every perianesthesia nurse to please continue to focus

on your patients/your purpose with passion and continued perse-

verance.

Healthcare has faced challenges in recent months. Additional opportunities

will present in the days ahead. I know each nurse is acutely aware of this fact.

However, I am not addressing the fainthearted. Recently, our family faced sev-

eral medical situations. We experienced “being on the other side”. Sometimes

this journey brought familiar faces and locations, other times we were in

“uncharted waters.”

As a seasoned nurse of thirty three years I would just like to share my heart

with each reader. I would like to admonish each nurse reading this to personally

rekindle your original passion for nursing. What was your motivation for wanting

(Continue on page 6)

December 2013 Volume 3, Issue 3

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Vital Volumes Deadlines

January 15th

April 15th

July 15th

October 15th

Please submit all articles by e-mail

to Charlotte West at

crwest@stvincent.org or

dwills@tds.net

Letter to the Editor

INSPAN loves to hear from YOU! Please

submit news from your district, hospital,

research projects and recognition of fel-

low associates to Charlotte West at

crwest@stvincent.org

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President Mary Baird MSN, RN, CPAN

mary.baird@porterhealth.com

Vice President/President Elect Ruth Boberg RN, CPAN

rrbberg@tds.net

Secretary Charlotte West BSN, RN, CPAN

crwest@stvincent.org

Treasure Carol Matthews BSN, RN, CPAN, CPN

Past President Kathy Jo Carter MSN, RN, CPAN

Indianapolis District Representative Grace Walke BSN, RN, CPAN

WINSPAN District Representative Lynn Pound RN

Northern District Representative Lorrie Dulla BSN, RN, CAPA

ASPAN Regional Director Tracy Underwood

Newsletter Editor Charlotte West BSN, RN, CPAN

19324 Hamilton Boone Road

Sheridan, IN 46069

crwest@stvincent.org

Phone: 317-582-73335 fax: 317-582-8008

Cell Phone: 317-225-0751

Www.inspan.org

Vital Volumes

Is written by and for INSPAN members.

All rights are reserved.

Copyright 2013

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Charlotte West BSN, RN, CPAN One of the common question submitted to the ASPAN Clinical Practice Committee, “Is there a minimal length of stay required for Phase I even if patient meets criteria for discharge? Ex: pa-

tient meets all criteria for discharge to Phase 2 in 20 minutes.” The criteria set up by the institution in collaboration with anesthesia department. The ASPAN Perianesthesia Nursing Standards and Practice Recommendations 2012-2014 state “Discharge criteria should be developed in consultation with the anesthesia department using the above assessment parameters. Discharge criteria must be approved by the department or anesthesi-ology and the medical staff. The registered nurse will adhere to institutional policy for patient re are the standard you would follow. When a patient meets discharge criteria the patient may move to the next level of care.” This relates to both Phase 1 and Phase 2 care and discharge.

The American Society of Anesthesiologists (ASA) has updated some of the practice guidelines.

The routine requirement for urination before discharge should not be part of a discharge protocol and may only be necessary for selected patients.

The requirement of drinking clear fluids should not be part of a discharge protocol and may only be necessary for selected patients, determined on a case-by-case basis (e.g., diabetic patients).

As part of a recovery room discharge protocol, all patients should be required to have a responsible individual accompany them home.

Patients should be observed until they are no longer at increased risk for cardiorespiratory depression.

A mandatory minimum stay should not be required.

Discharge criteria should be designed to minimize the risk of central nervous system or car-diorespiratory depression after discharge

(Practice Guidelines for Postanesthetic: An Care Updated Report by the American Society of Anesthesiologists Task Force on Postanesthetic Care, Anesthesiology, V 118 No 2, February 2013)

As healthcare changes it is important for nursing to use evidence-based research to qualify the care in the perianesthesia arena.

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Clinical Practice Question

Perianesthesia Nurse Awareness Week (PANAW)—what a wonderful week it is! As we celebrate this week,

February 3-9, our theme is PeriAnesthesia Nurses: Caring Every Step of the Way. I hope you take some time to

reflect on all this embodies. Through the entire continuum surrounding surgical, diagnostic and interventional

procedures requiring anesthesia, sedation and analgesia, the perianesthesia nurse is ever present. Further, our

steadfast commitment to honesty, integrity, and excellence has helped keep nursing ranked as the most trusted

profession in the country!1

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2013 INSPAN Fall Update

September 21, 3024 the

annual Fall Update was held

in Indianapolis at St Vincent

Hospital. This year INSPAN

chose to have a half day

seminar in accordance to

the suggestions from previ-

ous Update suggestions fro

the members in attendance.

This year the reviews were

mixed but supported the

half day seminar. The

speakers were very engag-

ing with the seminar 44

participants.

The General membership

meeting reported com-

mittee work and scholar-

ships awards. INSPAN has

287 members strong. The 3

districts of INSPAN are in

discussion on maintaining

districts or become on state

component.

Save the date for 2014 Fall

Update—September 20th.

Location and speakers to be

announce later.

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Research Corner Kathy Jo Carter MSN, RN, CPAN

Have you looked at the latest ASPAN Standards Book? Standards are re-

viewed in the odd years and published in the even years. The interpretive

statements, added as sidebars, clarify wording. For example, describing

what is meant by “critical elements”. Equipment as needed now includes

capnography. Visitation clarifies that “family” is whoever the patient desig-

nates, not just a blood relative. OSA in the Adult Patient is now Practice

Recommendation 10. One of our component members, Kyra Hiatt, partici-

pated on a work team, and is recognized in the credits.

Online, at the ASPAN website, you can access Practice Guidelines, print

them off and post in your work area. There is a fatigue checklist, and did I

mention the JBI website for gathering evidence? Initially, we had issues

with spelling. JBI is based in Australia and uses British spelling. Now, there is

a conversion to help you find what you are looking for. Please contact

ASPAN, or me, if you need assistance. Remember, the first step to making a

change is to gather the evidence.

A Position Statement on Social Media and Perianesthesia Practice has been

approved. Today’s technology makes it possible to stay connected through

the media. How many of us have our phone within reach, while we are

working? (Eye rolling is allowed, but only once.) Please be aware that, if you

are on your device, you are not available to assist a coworker. Law suits

happen, and phone / computer records are pulled to look at individual ac-

tivity. Follow your institutional policies and be professional. Protect your

personal information and avoid commenting negatively on the happenings

in your work place.

I learned something else, with regards to our practice. Did you know that,

from a safety standpoint, privacy is secondary, to the safety of the patient

in the PACU? We pull the curtains, and we receive a second patient. ASPAN

says the patient should be visible at all times in Phase I care. We need to be

inside the curtain, or have the curtains opened so we can view the patient

at all times. This can be a challenge for Ambulatory Centers who fast track.

Wow! We have raised the bar on safety and confidentiality. We are moving

on with Unwanted Sedation.

“Research is to see what

everybody else has seen, and to

think what nobody else has

thought”

-Albert Szent-Gyorgyi -

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Indiana Society of PeriAnesthesia Nurses Strategic Plan

2013-2018

1. Education/Exchange professional knowledge:

a. Provide Fall Update in central Indiana

b. Spring half day workshop provided in Northern or Southern areas of Indiana

c. Recognize a Indiana Nursing College/University with education material

d. Marketing of INSPAN educational opportunities i.e. Vital Volumes newslet-

ter, website, fliers, etc.

2. Standards of Practice/Research:

a. Review highlighted Perianesthesia Nursing Standards, Practice Recommen-

dations and Interpretive Statements of ASPAN in Vital Volumes newsletter

b. Highlight evidence based practice in each issue of the Vital Volumes

c. Expand participation in National Research Project (ASPAN)

3. Promote growth and interest in perianesthesia nursing:

a. Support ASPAN Foundation

i. INSPAN donates $100 minimum up to $1.00 per member to support

the ASPAN Foundation

ii. INSPAN donates $100 minimum up to $1.00 per member to support

National Conference

iii. Support the silent auction at National Conference with an item

iv. Encourage INSPAN members to participate in the Dream Walk at

National Conference

b. Membership Scholarship i.e. Recruiter of the Year, General Scholarship,

CPAN/CAPA, etc.

c. Support membership

i. Membership information for new members

ii. INSPAN president letter for new Certified Nurses (CPAN/CAPA)

d. PeriAnesthesia Nurses Awareness Week (PANAW)

i. Obtain Indiana Governor State Proclamations yearly

ii. Inform members about PANAW in Vital Volumes newsletter and

website

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to be a nurse? What made you desire to be a perianesthesia nurse? What do you enjoy about being a

perianesthesia nurse? Please recall your purpose is to care for your patients. Yes, the distractions to do

otherwise are real and very present. However, you are a committed professional, capable of focusing on

the task at hand. We are privileged to be caring for patients and their families at a very vulnerable time.

Please feel free to contact me at mary.baird@porterhealth.com for any assistance in meet your profes-

sional development.

For your ASPAN Component Newsletter ABPANC News to Share

CERTIFICATION NEWS CPAN® / CAPA® Examination Dates There’s never been a better time to get certified. Join more than 11,000 perianesthesia nurses who have become CPAN or CAPA certified. Increase your own personal knowledge and skills for patient care, while enhancing the awareness and respect of perianesthesia nursing. The Spring 2014 Examination schedule is set with the following dates:

Registration Window – Online January 13 – March 10 Examination Administration Window April 7 – May 17 Period for Scheduling Exam Appt. Upon receipt of ATT letter with Prometric through May 15 Deadline for Rescheduling or 31 calendar days before Cancelling Appt. with Prometric scheduled test date

Register early to get the testing date you want and have time to study. ASPAN members receive a $100 discount. Learn more about CPAN and CAPA Certification at www.cpancapa.org

New Practice Exams include 50 multiple-choice questions with the correct answer and references in-cluded. A great way to study - Buy One, Get One Free!

Additional Study Guides and Reference Materials available at:

www.cpancapa.org > Certification > Exam Preparation

Contact ABPANC 475 Riverside Drive, 6th Floor New York, NY 10115-0089 800-6ABPANC Fax: 212-367-4256 Email: abpanc@proexam.org

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Research Committee

Kathy Jo Carter MSN, RN, CPAN

INSPAN Past President

Networking with other INSPAN members on possible projects; Members are encour-

aged to contact Kathy with suggestions

Bylaws/Policy & Procedures

Grace Walke BSN, RN, CPAN

Committee members are reviewing bylaws and P&P

Finance Report

Carol Matthews BSN, RN, CPAN

Treasure/Education Chair

Stable accounts; Budget for 2013-2014 in progress

Education Committee

Carol Matthews BSN, RN, CPAN

Treasure/Education Chair

Scholarship funds will be available next fall. Encourage members to save receipts and

apply.

Publications/Website

Charlotte West BSN, RN, CPAN

Secretary/Membership/Publication Chair

Newsletters will be published 3 times a year. The website is updated monthly or when

information is required. www.inspan.org

District Information

WINSPAN: (Lynn Pound) Continue discussion on possible disbanding this district due

to lack of participation.

Indianapolis of INSPAN: (Grace Walke) Meeting for 2013 are being planned. July 9,

2013 will be a poster presentations of research, clinical practice. Members are

asked to bring posters to present.

Northern: (Mary Baird): Continue discussion on future meetings and district viability

Membership Memo

December membership = 275

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INSPAN Committee Reports

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ASPAN National Conference

ASPAN's 33rd National Conference

Dealing with Challenges:

Winning with Power, Practice & Purpose

Las Vegas Hotel & Casino

April 27 - May 1, 2014

Las Vegas, Nevada

An attendee could earn 25-30 Contact Hours at a VERY, VERY low cost per Contact Hour!

Full Conference Registration Fees: Note: Pre and post conference offerings are additional costs.

Prices below are for the full registration for National Conference held April 27- May 1, 2014.

If you register before 3/1/14: $395.00 Member

$580.00 Non-Member

Postmarked after 3/1/14: $445.00 Member

If you register before 3/1/14: $395.00 Member

$580.00 Non-Member

Postmarked after 3/1/14:

$445.00 Member

$620.00 Non-Member