1 Pulseline

Inside this PulselineRonda’s Remarks . . . . . . . . . . . . . . . . . . . . 2

San Diego for Sun, Sand and Science . . . . . 2

ASPAN Region 1 Director's Update . . . . . . . 3

CPAN, Why Bother? . . . . . . . . . . . . . . . . . . 3

PANAC Needs a Few Good Nurses . . . . . . . 3

ASPAN's 35th Annual Conference . . . . . . . . 4

Members Appreciate Scholarships . . . . . . . 5

PANAC Celebrates Member Posters . . . . . . 5

PASS Phone Interview Project . . . . . . . . . . . 6

Director’s Corner . . . . . . . . . . . . . . . . . . . 6-7

California BRN on Social Media . . . . . . . . . 7

Calendar of Events . . . . . . . . . . . . . . . . . . . 8

Newsletter of the PeriAnesthesia Nurses Association of California Summer 2016 Vol. 36 No. 2

President’s Message: Put a Spark in Your PassionBy Lori Silva, RN, CCRN, CPAN

This year is flying by and a lot of exciting things are happening in PANAC and ASPAN. It was an honor to represent California nurses at the 35th ASPAN National Conference in Philadelphia.

The week was packed, starting with the Pre-Conference ASPAN Board of Directors Meeting on Saturday. Attending is a great way to learn what’s happening on the national level and gain ideas to improve our component leadership and involvement.

On Sunday, Kevin MacVane and I represented PANAC members at the annual Representative Assembly (RA) to elect candidates to the ASPAN Board, hear the ASPAN President review the year’s accomplishments, and the Treasurer present the Annual Finance Report. The RA reviews and

votes on Resolutions submitted to the Board prior to the conference. Resolutions approved this year are:

• PositionStatementonAcuityBasedStaffingforPhaseI.• 2017 – 2018 Perianesthesia Nursing Standards, Practice Recommendations, and

Interpretative Statements.• RevisionstoASPANStandardProceduresoftheRepresentativeAssembly.A Position Statement on Air Quality and Occupational Hazard Prevention in the

Perianesthesia Environment was presented and after a 30-day review will be voted on by the RA via email.

The April 1996 Position Statement on Air Quality was retired in 2003. ASPAN recognizes the need for additional investigation and research on air quality and waste anesthesia gas effects, on healthcare workers, patients, and visitors in the perianesthesia environment. It is exciting to see the ongoing research by ASPAN members across the country and ASPAN leadership’s commitment and support for perianesthesia nursing research.

TravelingtoPANACseminarsacrossthestate,onethingIheardfromseveralfirsttimeconference attendees is that they had not heard of our organization or what great programs we provide. PANAC is working to reach all perianesthesia nurses in California to share thebenefitsofmembershipinPANAC/ASPAN.

You can help. Share the ASPAN website, www.aspan.org, for membership information—you will Spark their Passion too.

ASPAN Selects Silva for 2018 ConferenceBy Ernie Nunes, RN

PANAC President Lori Silva is ASPAN’s Coordinator for the 2018 Anaheim National Conference Strategic Work Team (NCSWT). In Philadelphia, at the initial meeting of the 2017 Indianapolis NCSWT, Lori took notes explaining, “I’m the secretary this year to learn all I can for next year.”

The 2017 NCSWT meets mid-July in Indianapolis for an on-site visit and planning at the conference venue. Mentoring Lori is ASPAN Past President Kim Kraft, Coordinator for next year’s National Conference, April 30–May 4. Lori served as Hostess Coordinator on the 2013 ASPAN Las Vegas NCSWT.

As PANAC President, Lori knows how to prioritize and juggle time. She works full-time, takes call, serves on ASPAN and PANAC Committees, and with husband Kevin stays close to their three college-bound children. In May, they joined daughter Elizabeth touring Scotland when her Edinburgh foreign study ended.

Lori served as PANAC Education Chair before running for President-elect in 2014. She was PANAC Marketing Chair and District 4 Modesto Chapter co-founder and Coordinator (2008-2011).

Two prior PANAC Past Presidents led ASPAN National Conference teams, Sue Carter for Anaheim, 2007 and Helen Buss in San Diego, 2002.

Congratulations Lori Silva, ASPAN NCSWT Coordinator for Anaheim, April 29-May 3, 2018.

Lori Silva with 2017 National Conference Coordinator Kim Kraft

Lori accepts the ABPANC Shining Star Award for PANAC’s promotion of CPAN and CAPA certifications.

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Ronda’s RemarksRonda Dyer, BSPA, RN, CPAN, CAPA

Nudge to Achieve GreatnessRonald Reagan said, “We can’t help everyone, but everyone can help

someone.” I am so grateful for those who have helped me, Susan Morris who inspiredandencouragedmeonmyjourneytocertification,Ernie Nunes who has been a constant support as I learn how to be an editor, and Linda Berry who modelled the compassionate leadership I strive to emulate as a nurse manager. These are only a few of the many individuals who have helped me throughout my career. Some have intentionally set out to help and mold me, others have led by example, and all are appreciated.

Nobody makes it through life without the help of mentors, teachers, leaders, and coaches. Our debt to them is paid by helping another, by opening our hearts and minds to others beginning their journeys. Perhaps you do this by accepting a new nurse, precepting and encouraging them astheylearnandgrow.Maybeyouwillsupportacolleaguepursuingadegreeorcertification.Maybe you don’t know how you can help.

Ifyouarecertified,considerofferingtohelpotherstodothesame.Youcanfacilitateastudygroupatyoursite.Simplyaskyourcolleaguesiftheyareinterested.Whenyoufindagroupofthree or four, offer to help them get organized and form a group. Point them to www.cpancapa.org wheretheycanfindthecertificationhandbooksandalistofreferences.Helpthemdevelopastudyplan and schedule, and become their cheerleader. I recently had the privilege of celebrating six new certificationsfromourfive-memberstudygroup.Ifeellikeamomwhosekidshavegraduated.The joy and excitement I experienced when I received text after text saying, “I PASSED!” was incomparable. You too can experience the thrill.

Congratulations: Virginia Turner, CPAN and CAPA, Denise Oxford, CPAN, Micki Jones, CPAN, Patti Lyons, CPAN, and Susan Metz, CAPA! These amazing nurses inspired me as they encouraged and helped one another. Their new acronym is NAG—Nudge to Achieve Greatness.

We would love to hear your stories, contact me at rondad@panac.org.

PulselineA Publication of the

PeriAnesthesia NursesAssociation of California

ASPAN 1-8 Page Component Newsletter Award:

2014, 2011, 2008

ASPAN Component NewsletterPeople’s Choice Award:

2014, 2012, 2011, 2010, 2007, 2002, 2000, & 1999

2015-2016 PANAC Executive Board

President Lori Silva, RN, CCRN, CPAN

Immediate Past President Tess Mazloomian, MS, RN, CCRN, CPAN, CAPA

Secretary

Renita Bassett, BSN, RN

TreasurerKaren Woods RN, CPAN

Education ChairKevin MacVane BSN, RN, CAPA

District DirectorsDistrict 1 – Linda SparksDistrict 2 – Amber TrudgeonDistrict 3 – Shideh FarahmandDistrict 4 – Starlene Yager District 5 – Kathy Nichols

Pulseline Editorial Staff Publication Chairperson/Editor

Ronda DyerAssistant Editor

Helen Fong

Contributing EditorsGrace Balleza Kimberly BrownSusan Carter Abby ChilsonAnita Chowdhary Zahra Dabner Gina Dias Sue FossumConnie Hogg Wendy LeeJudith Lyncan Karen MachadoKathy Nichols Ernestine NunesSue O’Day Denise Oxford Lori Silva

Pulseline is published Quarterly. Deadlines for inclusion in Pulseline:Deadline IssueFebruary 1 SpringMay 1 SummerAugust 1 Fall

November 1 Winter

Send letters or comments to the Editor: Ronda Dyer Email: rondad@panac.org

The PANAC Website is www.panac.org Webmaster: Gloria Luu, MSN, RN, CPAN, CAPA

PANAC

P.O. Box 10841 Westminster, CA 92685-0842

Printed by Carmichael Printing, Carmichael, CA© 2016 Pulseline All rights reserved.

San Diego for Sun, Sand, and Science By Kevin MacVane, RN, BSN, CAPA

It’s June in California and the Education Committee is gearing up for PANAC’s 37th Annual Meeting and Seminar in San Diego, October 14-15. We are lining up speakers to ensure the 12-14 CE program will feature topics members requested.

Come on down to sunny San Diego for the fall seminar. Enjoy the weather, the zoo, historic Old Town or the great Gas Light District for evening fun. That's not all, our hotel, the San Diego Town and Country Resort, boasts a Mediterranean-style day spa, four unique restaurants, and live-entertainment Friday and Saturday nights.

Bring your friends or family, we look forward to seeing you there, basking in the San Diego sun, networking, and exploring the science and practice of nursing.

Downtown Skyline with Sail Boats -Courtesy Joanne DiBona SanDiego.org

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ASPAN Region 1 Director’s Update—A New Year: Anticipation and Reflection

By Regina Hoefner-Notz MS, RN, CPAN, CPN ASPAN Region 1 Director

It’s hard to believe, another National Conference has come and gone. So much preparation, learning, and of course, socializing. It was wonderful to see so many Region 1 members enjoying this amazing experience.

For those of you lucky enough to attend, I hope you took home new knowledge and great memories. Share your new information with peers

and encourage others to do the same. If you weren’t able to attend, I hope you will consider Indianapolis in 2017.

There are many things I love about conferences. The most important formeistheopportunitytobe“filledup”again.Ourdaysarelongandwe are a caring profession. We care for patients, families, older nurses, younger nurses, student nurses, and peers. Then, we go home and care for partners, children, parents, and friends. It’s easy to see our buckets continuallybeingemptiedwithlittletimeforrefilling.

Conferencefillsme.ItremindsmewhyIloveperianesthesianursing.Be reflective, think of the one major reason you entered our sacred profession. If it’s taking a few minutes to pinpoint this reason, you need yourbucketrefilled.

We had so many opportunities to do this at conference. Our Immediate Past President, Armi Holcombinspiredustofindpassioninour practice. Our new President, Katrina Bickerstaff, encouraged us to reach across all generations to discover the gifts we all have to share. Our newly revised strategic plan extends out to grow our professional organization, but it will require everyone’s participation to share this vision and actualize its message. Beyond all the amazing lectures on physiology, best practices and new processes, we were inspired to be better nurses, take better care of ourselves, and to recognize the super herowithin.Ifeelfilled.

Join us in Indianapolis next year. Go online this summer to apply for a scholarship to support making this a reality. But in the meantime, join in, share your gifts and reach your potential in PANAC and your local chapter. We need everyone.

PANAC Needs a Few Good NursesPositions open for election this year.By Ronda Dyer, BSPA, RN, CPAN, CAPA, Pulseline Editor

President-Elect:• Term1year/Commitment4years• Actively assists the President in preparation

to assume the duties and responsibilities of President the following two years; then one year as the Immediate Past President.

Treasurer:• Term2years• Receives, disburses, manages and accounts

for all funds and assets of the Association as directed by the Board of Directors.

Education Chair Elect:• Term1year/Commitment2years• Assists Education Chairperson in providing PANAC educational

programs. Serves the following year as Education Chair.

District 3 Director:• Term3years• Represents the Counties of Alameda, Contra Costa, Marin, Monterey,

San Benito, Santa Clara, Santa Cruz, San Francisco, and San Mateo on the PANAC Board of Directors. Provides District leadership, promotes PANAC membership and involvement.

District 5 Director:• Term3years• Represents the Counties of Fresno, Inyo, Kern, Kings, Madera, Mariposa,

Merced, Mono, and Tulare on the PANAC Board of Directors. Provides District leadership, promotes PANAC membership and involvement.

The PANAC membership votes on candidates at PANAC’s Annual Meeting and Seminar, October 15. For full job descriptions, eligibility requirements, or to declare your interest in running for one of these PANAC Board positions, please contact President, Lori Silva at loris@panac.org.

CPAN, Why Bother?By Denise Oxford, RN, BSN, CPAN

This is the question many of us, either silently or openly, ask ourselves and others. For me, I needed to know why I wanted to take this journey. Vanity? Hey, it looks kind of cool having extra letters after your name, but vanity alone was not enough to motivate me. Pride? Nah, too much like vanity and just not enough. Curiosity? Hmmm… getting closer. I did want to know if I could accomplish this goal. Camaraderie? Yes, I think being apartofsomethingsignificantappealedtome.Ibelieveitfinallycamedown to security tempered with a bit of risk. I wanted to feel secure and confidentthatIwasprovidingthebestcarethatIcouldtomypatients.

Nopieceofpaper,nomatterhowfancy,canprovidethatconfidence.The only route to gain the knowledge needed is hard work and much study. A disciplined, organized approach is what worked for me. I also had thegreat advantageof adedicatedcoach/cheerleader.Also,beinga team player by participating in a study group kept me accountable. I know some nurses reached this goal on their own and I tip my hat to thembecausethisseemsmuchmoredifficulttome.

As it turns out, the end really does justify the means and vice versa. I not onlyobtainedacertification,butmostimportantly, that requisite knowledge I craved. At the end of the exam, after anexcruciatingfiveminutes,IsawthatI had passed. I cried. Of course not sad tears, and not really even joyful. I felt immense relief and gratitude. I tested onthefirstdateavailable,whichwasApril 4, on April 11, I was privileged to attendtheCertifiedNursesLuncheonat the ASPAN National Conference in Philadelphia, and it was delightful! To be counted among these expert nurses was both humbling and immensely gratifying. Yep, this was a worthwhile endeavor, indeed.

Congratulations to my study buddies, Susan Metz, CAPA, Virginia Turner, CPAN, CAPA, Patti Lyons, CPAN, and Micki Jones, CPAN.

Time for a new challenge… CAPA! Will you join me?

Virginia Turner, CPAN, CAPA, Patti Lyons, CPAN, Micki Jones, CPAN, Denise Oxford, CPAN, and Susan Metz, CAPA celebrate the study group's 100% pass rate!

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Bundled up for the chill, Dreamwalkers Denise Oxford, Gina Dias, Ronda Dyer, and Renita Bassett pause at Independence Hall for a quick photo. Together, dozens of brave walkers raised at total of $5,159 toward ASPAN Scholarships.

PANAC President Lori Silva greets ASPAN Past President Armi Holcomb and President Kristina Bickerstaff at the Development Reception where $6,740 was raised for scholarships. Another $5,139 was raised at the Silent Auction.

More than 100 California nurses gathered in the City of Brotherly Love. Debbie Damazo, Ellen McCarville, Laura Herrman, and Andrea Mason enjoyed connecting with over 60 nurses at the PANAC Meet’n’Greet hosted by President Lori Silva.

PANAC's Denise Oxford and ASPAN Historian Esther Watson cut a rug at the President's Reception. Esther is one of ASPAN's Fab Five, a group of five nurses who have attended all 35 of ASPAN's National Conference.

'Lady Liberty', Sharon Boyles and PANAC Education Chair, Kevin 'Rocky' MacVane have a great time at the Philly themed Component Night kicking off National Conference.

Left: PANAC's Allen Crecensia, MSN, RN, CPN drew huge crowds at his classes on the care of pediatric perianesthesia patients.

Right: Debbie Marino and daughter Melissa Marino enjoy some special bonding time while expanding their nursing knowledge in Philadelphia.

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PANAC Celebrates Member Posters

By Helen C Fong, MSN, RN, PHN

Among hundreds of posters submitted for the Philadelphia National Conference, ASPAN accepted eight Celebrating Successful Practices from PANAC members for display presentations and evidenced-based practice. The investigative teams include:

• Cedars Sinai: Early Recovery Protocol for Total Joint Replacement Surgeries by Ann Deacon, MSN, RN, CPAN; Kyung Jun, MSN, RN, CNOR; Kapil Anand, MD

• St Joseph's Hospital: PASS Phone Interview Project: The Road to Success- Frontline Nurses Team Together to Drive Success by Heather Gilbert, MSN, RN, CNOR; Kathy Dureault, MSN, RN, CPAN

• Children's Hospital Los Angeles: Pediatric Sedation Specialty Unit-Enhancing Patient Care by Erin Lowerhouse, BSN, RN, CPN; Jessica Garcia, RN, CPN; Laurie Newton, BSN, RN, CPN; Ricardo Santacruz, BSN, RN; Valerie Bock Rinero, RN, Manager; Ashraf Abou-Zamzam, MD

• Saddleback Memorial: Visitation Without Limitation Facetime in the PACU by Maria Gutierrez, BSN, RN, CPAN; Lucille Dinh, MSN, MPH, RN, CNS; Amor Ebuna, RN, CCRN; Emily Azuaje, RN, CCRN

• UC San Diego: Improving Perioperative Nursing Practices in Hong Kong: An Innovative Project by Esther Lee, RN, MNP, MBA; Uriel Dualos, BSN, RN, CPAN; Kathy Kuttier, RN, CCRN, CPAN; Cresilda Newsom, MSN, DNP, RN, CPAN

• El Camino Hospital: Leading the Way for Obstructive Sleep Apnea (OSA): Guiding the Development and Implementation of a Clinical Protocol for Managing Patients by Jodi Moreno, RN, CPAN, RN-BC; Lori Story, BSN, RN, CPAN

• Cedars Sinai: Implementing a Regional Anesthesia Service in the Preoperative Area for Orthopedic Patients by Eleanor Mowbray, BSN, RN, CPAN; Ann Duran, BSN, RN, CPAN; Ann Deacon, MSN, RN, CPAN; Kyung Jun, MSN, RN, CNOR; Kapil Anand, MD

One entry in the Evidenced-Based Practice category, A Multidisciplinary Evidence-Based Practice Protocol to Reduce Postoperative Nausea in the Bariatric Surgery Patient tied for third place among 26 posters. Andrea Mason, MSN, RN, CNS led the Loma Linda University Medical Center team: Trisha Arellano, BSN, RN, Danya Egger, BSN, RN, Michelle Giralao, BSN, RN, Stephanie Keeth, MSN, RN, SNIP-BC, CNS, and Amelia Tiefenhater, BSN, RN.

Members Appreciate AWMSF Scholarships

By Ernie Nunes, RN

Each October 1 to December 15 members apply for PANAC’s Alice Wise Memorial Scholarship Fund (AWMSF) awards for National Conference, PANACseminars,nursingdegrees,certificationorrecertification,researchgrants, or money for medical missions.

PANAC renamed their Scholarship Assistance Fund in 1985 to honor Alice Wise, RN, District 7 Director for Alameda and Contra Costa Counties after losing her to cancer. 2015 Scholarship Awards

PACU nurse, Therese LaPlante-Dalton, BSN, RN, CPAN from San Diego Rady Children’s applied her $500 BSN scholarship to her student debt saying, “I pursued a BSN because I love being a nurse and wanted to be the best I could be.” Therese, active in San Diego Chapter’s community service programs, arranges speakers for programs and seminars, and “loves being involved and meeting and learning from other recovery room nurses.”

Active in PANAC Fresno Chapter for over 5 years, Kathy Nichols, BSN, RN, CPAN is District 5 Director. Her ASPAN National Conference (NC) award to Philadelphia enabled her “to bring back information to my Clovis Community Medical Center unit and to the local Fresno Chapter.” She promotes local seminars, monthly chapter meetings, and mentors new members and leaders. Attending NC gave her “a chance to learn and hear what nurses in other parts of the country are doing.”

Immediate Past President, Tess Mazloomian, MSN, RN, CPAN, CAPA, CCRN, Mission Viejo, applied for and received a Dual Re-certificationScholarshipAward.TesssatforbothCPANandCAPAatthe2009 ASPAN National Conference in Washington, DC and encouraged others to do the same in a Pulseline (Spring 2010) article.

Retired, Ernie Nunes, RN, Visalia Chapter Coordinator, is grateful for the $500 award for the 2016 ASPAN National Conference. “It was great to share learning experiences with my daughter, Susie Nunes, RN, CAPA, and enjoy special Philly moments like sitting at a bus stop, watching snow flurries, and sipping Starbucks!” Count Your Scholarship Points

We can show professionalism and earn points toward scholarship eligibility by being involved in Chapter and District activities, joining ASPAN and PANAC Committees, writing and editing Pulseline articles, obtainingcertification,andmore.Youneedtoaccumulateaminimumoften points over a two-year period. Obtain your scholarship application at www.panac.org and begin today.It is easy to apply—check out the list of points.

Andrea Mason presents her team's research project. The poster claimed 3rd place in the research competition.

Mother and Daughter Ernie and Susie Nunes share a love of perianesthesia nursing.

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District 1 Linda P. Sparks, BSN, MHA, RN, CPANlindas@panac.orgThe Counties of: Imperial, Orange, Riverside, San Bernardino, and San Diego

The San Diego Chapter is excited to host PANAC’s 37th Annual Meeting and Seminar in San Diego on October 14-15, 2016. District 1 members are committed to help make it an event to remember.

The June 4, District 1 Spring Seminar in San Diego, covered Alternative Therapies for You and Your Patients featuring Acupuncture, Stress Management, Aromatherapy, and Healing Touch. Thank you to all the excellent speakers and active members of the San Diego Chapter especially Zonna Rogers, Therese LaPlante, Leslie Barkley, and Meher Jamadar for making it a success.

At the Rady Children’s Hospital San Diego Nurses Week Celebrations, two outstanding PACU nurses and active PANAC members received awards; Toneya Jackson, BSN, RN, CPN, for Nurse Leader of Excellence and Meher Jamadar, MA, RN, CAPA, for Nurse of Excellence. I am proud to work alongside these two phenomenal nurses, making a difference every day. Nurses Week, May 9-12, celebrates the important role that nurses play in health care.

The annual Gallup poll ranks nurses as the most honest and ethical. It feels great to be a part of the most trusted profession 14 years in a row. We all should give ourselves a big pat on the back!

February 6, the San Diego Chapter hosted Current Infectious Diseases with Infection Control expert Chris Abe, RN on the Zika virus, MERS and Ebola.

Orange County Chapter met March 19 at UCI to learn about eye surgeries. Chapter Coordinator Kathy Dureault continues to lead bimonthly meetings. Check for upcoming meetings at www.panac.org.

As your District I Director, I am here to serve you. Please let me know how I can be of help to facilitate your growth in perianesthesia nursing.

District 2 Amber Trudgeon RN, CAPAambert@panac.orgThe counties of: Los Angeles, San Luis Obispo, Santa Barbara, and Ventura

Hello District 2! Summer has come quickly and it has been such a busy year for District 2 members. We’re planning our Half-Day Summer Seminar, Saturday, July 23 at 8:00

a.m. at Providence Saint Joseph Medical Center. Speakers will be announced shortly, so please watch for up-dates at www.panac.org. You know to expect dynamic and knowledgeable presenters from yourseminarplanningteam,LA/ValleyChapterCoordinatorAnna Jackson, Co-Coordinator Trish Crouch, and AORN member, Jinae Crouch.

Please join us at for a fantastic morning of education and networking. We always have nurses from many different hospitals in the Greater Los Angeles Area and beyond. It is a great opportunity to meet new people and learn best practices from colleagues.

Wewouldlovetohaveyoujoinusforthefirsttimeorthetenth!If you would like more information, please contact Amber Trudgeon at amber.trudgeon@providence.org.

Director’s CornerPASS Phone Interview Project: The Road to Success- Frontline Nurses

Team Together to Drive Success.St Joseph's Hospital: Heather Gilbert, MSN, RN, CNOR; Kathy Dureault, MSN, RN, CPAN

Summary By Kathy Dureault, MSN, RN, CPAN

Af ter a s t a f f r e d u c t i o n a n d a new EMR, the Pre-Admission for Surgical Services department (PASS) experienced a drop in completion of p r e - a d m i s s i o n patient interviews from 80% to an all-time low of 20%. L eader sh ip and frontline staff came together agreeing on a goal to regain the 80% level, and maintain or improve quality and safety.

With limited resources and long way to go to reach our goal, it was decided all changes had to focus on improvement items with team driven results. We would invest our efforts only on things in our circle of control. Opportunities identified included staffing, internal collaboration, andinternal processes.Gapanalysisidentifiedseveralthings:

1. Additional staff were needed to support the new EMR.2. Nurses were only trained to interview either inpatients or

outpatientscreatinginefficiencies.3. Roles, responsibilities and expectations of Pre-Op and PASS were

unclear due to the new EMR .Next the team implemented improvements to reach our goal.

1. The PASS Manager’s proposal for additional staff was approved. Frontline RNs were trained and participated in interviewing, candidate selection & onboarding.

2. In addition, all current RNs were cross trained to interview BOTH inpatients and outpatients.

3. By bringing together staff from PASS, Outpatient Pre-Op and InpatientPre-Op, responsibilities,definitionsandexpectationswere agreed upon and new communication tools built.

Although the team was moving in the right direction, the interviews plateaued short of 80%. The engaged team took another critical look, findingwaste in the interview process. Layers and layers of patientinstructions had been added over time resulting in an additional 20 minutes added to the interview. The interviews were now 45 minutes long and patients had poor retention of important information.

With our guiding principles of quality and safety, we rebuilt from the ground up. The new interview process has no waste or redundancies and includes only value-added instructions and HCAHPS verbiage. The result was a redesigned patient education script of 5 minutes, a decrease in interview time from 45 minutes to 30 minutes, and interview capture to OVER 80% for the past 8 of 9 months.

This project captured the importance of frontline staff engagement and process ownership to ensure success.

Kathy Dureault and Heather Gilbert with their Best Practice Poster at National Conference

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Director’s CornerDistrict 3Shideh Farahmand, BSN, RN, CPANshidehf@panac.orgThe counties of Monterey, San Mateo, San Benito, Santa Clara, San Francisco, Santa Cruz, Alameda, and Contra Costa

In San Francisco, August 27, ASPAN presents Foundations in PeriAnesthesia Practice with Lois Schick, MN, MBA, RN, CPAN,CAPA. The program covers everything from assessment,

anesthesia to ASPAN Standards for novice and expert nurses.I am excited to announce the upcoming District 3 Fall Symposium,

September 17 at John Muir Medical Center, Concord. Event planners include Linda Minnich, Ernie Hughes, and East Bay Chapter. Please save the date and plan to attend.

Thisspring,IhadachancetoshareASPAN/PANACinformationwith Stanford nurses at the Stanford Shared Leadership Council.

I am looking forward to the new South Bay Chapter forming now, we will keep you posted.

Have a wonderful summer.

District 4 Starlene Yager, RN, CCRNstary@panac.orgThe Counties of Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Lake, Lassen, Mendocino, Modoc, Napa, Nevada, Placer, Plumas, Sacramento, San Joaquin, Shasta, Sierra, Siskyou, Solano, Sonoma, Stanislaus, Sutter, Tehema, Trinity, Tuolumne, Yolo, and Yuba

The Sacramento Chapter with Chapter Coordinator Javier Sanchez hosted the March ASPAN Seminar, Foundations of Perianesthesia Practice presented by Linda Ziolkowski, MSN, RN, CPAN. It was a huge success! They had a full class and those attending enjoyed the information. Thank you to all of you who attended.

The Sacramento Chapter met June 11 with speakers Jeff Cherye, CRNA covering Extubation Failure in PACU and Lilia Salazar-Nigro, PhD sharing Stress Management Techniques. The team who made this possible were Javier Sanchez, Ludi Lapus, Sherry Gold, Rena Perez, Urszula Carpenter,Maria Landicho, and Helen Fong.

The North Coast Chapter led by Coordinator Heidi O' Neil had a productive PANAW week, celebrating perianesthesia staff, holding a potluck, and providing an informative class.

We are looking for a volunteer or volunteers to lead the Modesto Chapter. Please let Lori Silva or myself know if you are interested in this wonderful opportunity to meet and network with colleagues. Take a deep breath, and jump in, the water’s fine!

PANAC encourages members to give back to the community by doing community service. This could be a fund raiser for a local charity, collectingclothes/foodforahomelessshelter,orsupportingalocalornational organization event. If anyone is involved in these types of activities, please let us know—we want to join you in volunteering and to support and share your experience in giving.

District 5Kathy Nichols, BSN, RN, CPANkathyn@panac.org The Counties of Fresno, Inyo, Kern, Kings, Madera, Mariposa, Merced, Mono, and Tulare

Summer will soon be here and District 5 is ready for a short break.

The Visalia Chapter met June 4 for a Celebration Lunch at Olive Garden to

honor their new CPANs and CAPAs. Five Adventist Medical Center Hanford nurses met weekly to study, encouraged by Ronda Dyer. Congratulations to all five! Look for aDistrict 5VisaliaChapterSeminar on September 10.

In April, Fresno Chapter members volunteered for the Valley Children's Hospital Run with the Heroes for Autism. They worked registration andmanned the first aid stationprovidingwater andfortunately dispensing only one band-aid. PANAC volunteers were Bonnie Roe, Redena Cheung-Mah, Lorraine Jones, Linda Clawson, and Kristen Goodson. The 800 participants raised $20,000.

The District 5 Fresno May Seminar was a great success. Thank you to Inger Aliason M.D., Shelby Cody M.D., and Sheryl Michelson, MS, RN, BC, for speaking on Bugs, Blocks, and Beyond. The fabulous program was well received by more than 60 attendees. Kudos for a job well done to Bernice Algots, LeeAnne Bretz, Redena Cheung-Mah, Linda Clawson, Lorraine Jones, Kathyrn Loggains, Kathy Nichols, Ernie Nunes, Bonnie Roe, Karen Severson, Kelli Teare, Melanie Trujillo, Richard Wigginton, Diane Goularte, Chris McKinney, and Jackie Godbout. A Very Special thanks to Karen Machado,Oakland,forsettingupandmonitoringourveryfirstCVentonline registration. We raised $410 from raffles and donations to benefitourBigBrothersBigSistersofFresno.Anexcited Cathy Jones of Manteca won the Seminar Reimbursement Raffle. ENJOY YOUR SUMMER and come back refreshed and ready to handle whatever fall presents.

BRN Speaks Out on Social Media

By Ernestine Nunes, RN

In their 2015 BRN Winter Report, the California Board of Registered Nurses warned nurses of potential HIPAA (Health Insurance Portability and Accountability Act) violations related to use of Social Media stating, “Disclosing Patient information on Internet Social Media is a Violation of the NPA (Nurse Practice Act).” Facebook, Twitter, Instagram, and internet media are part of our culture. The American Nurses Association (ANA) website offers tips and principles for nurses to avoid violating patient privacy. Not showing patient’s face is not the only identifying criteria. Views insideanoperatingroom,apatient’sroom,identifiabletime,place,or patient information may put nurses at risk. Employers, public, families and friends, all have access to these seemingly mundane tweets and posts that once out there can jeopardize public trust, individual license and livelihood.In1994,aNewYorkEmergencyRoomnursewasfiredforpostinga picture of an empty cluttered trauma room with the hash tag, “Man vs. Train”after a man treated from a subway accident was transferred.HIPAA regulations are enforced in healthcare with costly penalties; fornursesitcanalsomeanpossibleBRNdisciplinaryaction,finestoa maximum of $2,500, civil or criminal penalties, law suits, and loss of employment. For more information, the BRN Report suggested the National Council of State Boards of Nursing publication, White Paper: A Nurse’s Guide to the Use of Social Media atwww.ncsbn.org.

http://www.nursingworld.org/FunctionalMenuCategories/AboutANA/Social-Media/Social-Networking-Principles-Toolkit

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