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Newsletter of the Texas Association of PeriAnesthesia NursesNewsletter of the Texas Association of PeriAnesthesia Nurses

WINTER EDITION 2009 VOLUME 21, NUMBER 4

T erry Clifford, ASPAN’s President, has chosen

“Roots of Knowledge, Seeds of Transformation, as her theme for her year in office. In supporting this theme, TAPAN has taken on a full calendar of projects. We started our year of nur-turing our “Roots of Knowl-edge” with a very successful state conference in Houston. The presentations were excel-lent and attendance was the highest we have had in sev-eral years. The conference committee is to be com-mended for the wonderful job. The state conference was followed quickly by the an-nual Leadership Conference which was held in Austin on October 23rd. District lead-ers from all of our active dis-tricts as well as several other members attended sessions designed to provide funda-mental information on ways to promote local membership participation and opportuni-ties for growing in their lead-ership roles. Attendees left energized and motivated to

put their new knowledge into action. Upcoming opportunities for expanding your knowledge and growing in your profes-sion include ASPAN semi-nars scheduled in the new year. On February 27, 2010, Perianesthesia Certification Review will be presented in Kyle, TX (near Austin). On June 26, 2010, Surrounding Your Practice With Excellence: Legalities, Stan-dards & Advocacy will be pre-sented in San Antonio. Addi-tional information about these offerings can be found on the TAPAN and ASPAN websites. Plans are underway for a “TAPAN on the Road” seminar to be held in the Abi-lene area in March. Watch for further details on this pro-

“Roots of Knowledge, Seeds of Transformation” gram on the TAPAN web-site. Finally, plans are under-way for our 34th Annual TAPAN State Conference, “Seeds for Growth, Harvest-ing Knowledge”. This will be held

September 17-19, 2010 in

Grapevine, TX. Please plan on joining us for what prom-ises to be another great con-ference. Our “Seeds of Transforma-tion” were planted at the Leadership conference in October. During the after-noon session, preliminary plans for re-aligning the cur-rent district boundaries were introduced. TAPAN is one of the largest components within ASPAN. Geographi-cally, our current district lay-out results in each district covering several hundred square miles. Some of the districts while relatively equal in size, have vastly different populations. This creates challenges for some districts

Inside this issue:

TAPAN Challenged to Increase Membership

2

Spotlight Across Texas: District News

4, 5

Dysfunction of Sensory Integration: Impact on a Child’s Behavior in the Healthcare Setting

6

Climbing a Mountain Called Research

8

TAPAN on the Road: Redistricting Project

9

CPAN® and CAPA® Certification

12, 13

Seeds for Growth, Harvesting Knowledge

14

TAPAN Bylaws Revision; ASPAN Gold Leaf Award

16

PANAW: February 1-7, 2010; TAPAN on Facebook©

19

ASPAN 29th National Conference

20

Let Your Voice Be Heard: Nurses Have Influence

10

www.tapan.org

Susan Norris, RN, BScN, CAPA TAPAN President 2009-2010

continued on page 3

THE EYEOPENER

TAPAN Challenged to Increase Membership

A SPAN has over 13,500 members, but there are reported to be over 55,000 nurses working in Perianesthesia nursing. When I set up the ASPAN table

there were about 130 member-get-a member applications. I am happy to inform all of you that all of them have been picked up. I would like to thus see an increase of 130 TAPAN members for next year—this is a challenge that can happen. I also think it is important that members get to know another member. Please let this be a time to meet other TAPAN members to share ideas to help increase the knowl-edge of Perianesthesia nursing. Please check out the ASPAN Web site for the most current information. The clini-cal practice committee is very busy answering questions. 53% of the questions come from ASPAN members, while there are 47% of non-members posting ques-tions. ASPAN is working hard to try to capture these members. This is another area of growth for membership. Remember to go to the site for the most current Breathline which is available for viewing. They go back to 2004 which I have downloaded to my desktop for easy access. If you would be interested in Pam’s presidential address from 2006, it is right there a click away. The Willingness to Serve deadline was October 31, 2009. For instance, if you are a government affairs representative for your district, you would still need to complete a form to be on the ASPAN National Committee. There are many committees to join, if you did not submit your name this year—do consider taking the challenge next year. The next Component Development Institute will be September 10-12, 2010 with the location to be determined. This is an opportunity for any ASPAN member that may be interested in becoming more involved in the organization. There are many opportunities to be in a smaller group with close contact to component leaders as well as members of the ASPAN board of directors. The Friday night roundtable sessions in Portland was an opportunity for the attendees to come together to share ideas concerning planning for education, strategic planning, development resources, communication and membership. The results of the discussions were sent to the component president to share with their component members. Save the Date for the next National Conference to be held in New Orleans April 18-22, 2010. Region 2 members will have an opportunity to be a hostess or mod-erator for the sessions. There will be announcements on the ASPAN Web site as well as emails sent to the members. The next PeriAnesthesia Nursing Core Curriculum (ISBN 978-1-4160-5193-0) is now available. Lois Schick and Pam Windle are the co-editors of the book.

TAPAN Board of Directors

President Susan Norris RN, BScN,

CAPA Houston, TX

[email protected]

1st Vice President/President Elect

Herminia Robles RN, BSN, CPAN

Houston, TX [email protected]

2nd Vice President Prudence Nietupski, RN,

BSN, CAPA Richardson, TX

[email protected]

Treasurer Alison Watkins, RN, MS,

CPAN The Highlands, TX

alison.watkins @utsouthwestern.edu

Secretary Deborah Davis, RN, BSN,

CPAN Missouri City, TX

djdavis@texaschildrens hospital.org

Immediate Past President Linda Allyn RN, BSN,

CPAN,CAPA Elgin, TX

[email protected]

ASPAN Mission Statement

“The American Society of PeriAnesthesia Nurses advances nursing practice through education, r e s e a r c h , a n d standards.”

Twilla Shrout, RN, BSN, MBA, CAPA, Region 2 Director

mailto:[email protected]



VOLUME 21, NUMBER 4

TAPAN District Presidents

District 1: Houston Rosa Adibi RN, BSN,

CAPA, BCCVN II, CMSRN [email protected]

District 2: Fort Worth

Jill Booher, RN, BSN, CPAN [email protected]

District 3: Dallas

Prudence Nietupski, RN, BSN, CAPA

[email protected]

District 6: Austin/San Antonio Leonard Allen, RN, ADN

[email protected]

District 7: El Paso Aurelia Mata, RN

[email protected]

District 9: San Angelo Elena Abaquin, RN, BSN,

CPAN [email protected]

District 11: Lubbock Vern Pharr, RN, CCRN,

CPAN, CAPA [email protected]

TAPAN Mission Statement

“The Texas Association of PeriAnesthesia Nurses, as a component of the American Society of PeriAnesthesia Nurses, advances nursing practice through education, research, and standards.”

You can order online at elsevierhealth.com or visit aspan.org for information. I have already received the one that I ordered from your book vendor at the Texas component seminar. This book will be useful for those wanting to take the CPAN or CAPA test. I took the challenge of taking the CPAN online and so proud to announce that I am now dually certified. At the end of the test, the screen informed me that the preliminary results showed I passed. There are 26 sites in Texas to take the test, but sign up early and make your reservation right away to sit for the exam at a pro-metric testing center. There are 5484 CPAN, 3350 CAPA and 325 dually certified perianestheia nurses—be one of the next to take the test in the spring. There will not be a paper test at National Conference. The test is now strictly online. The recertification online is now very easy—you can even enter contact hours through-out the year. The CPAN/CAPA Web site has a new look—please check it out. I just wanted to add two articles of interest after hearing the speaker on blocks during the conference. The first is titled “Local Anesthetics” Journal of PeriAnes-thesia Nursing, Vol. 22, No 4 (August), 2007: pp285-288. The second article is “Lipid Emulsion as Rescue for Local Anesthetic-Related Cardiotoxicity” Journal of PeriAnesthesia Nursing, Vol. 23, No 2 (April), 2008: pp 111-121. I actually wit-nessed how the lipids worked for a patient that developed local anesthetic toxicity after a femoral nerve block. The patient did come back the following week for successful surgery. As always, please email or call me if any of you have any questions or concerns. Thank you for the opportunity to serve the great members of TAPAN these last three and a half years. Thank you for a great conference.

Twilla Shrout, BSN MBA RN CAPA 15400 J Hwy, Bunceton, MO 65237 Cell 660-888-3702; [email protected]

to find enough members to serve as officers as well as to attract members to meetings and seminars. By re-aligning the current districts into re-gions, we hope to combine resources in those areas that are struggling and increase membership participation. It was determined that we would divide the state into five regions. Everyone involved with the planning session was very enthusiastic about the plans.

President’s Message continued from page 1 Further work will be done over the next few months to refine the plans. Our hope is to have the re-alignment finalized by the State Conference in September. I’d like to challenge all TAPAN mem-bers to seek out opportunities for you to cultivate your “roots of knowl-edge” and plant your own “seeds of transformation”.


Spotlight Across Texas: District News District 1: Houston /

Gulf Coast Charito Espirtu, RN

District 1 members will volunteer on December 12th in PROJECT C.U.R.E. This is a charitable agency that relies on the generosity of people volunteering time and resources to help collect, sort, and deliver donated medical supplies and equipment to many of our world's most needy people. To date, sick and dying people in more than 120 countries have received hope in the form of badly needed medical supplies and equipment because of volunteers willing to partner with PROJECT C.U.R.E. Groups are des-perately needed to help prepare the massive amounts of supplies. Any group large or small, from teenagers to senior adults, can help. Schools, churches, civic groups and busi-nesses are all discovering the joy of “Delivering Health & Hope to the World”. Every year District 1 members give Christmas gifts in the form of goods or monies to charitable institutions. This year we are giving to St. Mat-thews Church, Houston. This effort is led by Thelma Duremdes and Charito Espiritu. We will be hosting our annual TAPAN Spring Seminar February 20, 2010 at Denton Cooley Audito-rium at St. Luke’s Hospital, Hous-ton. Marrianne Pham, 2nd VP, is very busy preparing for the pro-gram.

District 2: Fort Worth Kathleen McCauley, RN, BSN

District Two held it’s autumn meet-ing on Saturday, November 14, 2009 at JPS Diagnostic and Surgery Hospital of Arlington. The speaker, Dr. Gary Alexander, presented Colon and Rectal Cancer: What do I really need to know? Thank you to our host hos-pital. It was a wonderful meeting enjoyed by all who attended. Jill Booher, Dist. 2 President, and I attended the Austin TAPAN leader-ship seminar this past October in Austin. Good ideas for boosting participation in TAPAN and a plan to create regions were discussed.

District 3: Dallas

Karen Jensen, RN, BSN, CPAN District 3 has scheduled educational offerings for 2010 on the following dates: January 9th, February 13th, March 13th, and May 8th. Mark your calendars and plan to attend. At least 2 CEUs will be offered at each meeting, continental breakfast provided. Locations and topics pro-vided when available. Send inquires to Karen Jensen at [email protected].

District 6: Austin - San Antonio - Corpus Christi - South Texas

Debbie Bennett, RN, BSN, CAPA

District 6’s Cielito Ascio, BSN, RN, CPAN exemplifies the nursing pro-fession. Cielito, a University Hospi-tal PACU nurse, was presented with the DAISY Award in August. While working one evening, Cielito recognized EKG changes of an un-

conscious post op patient. Her quick assessment and action saved the patient from an extensive and massive MI. In September, Cielito was awarded Recruiter of the Year at the TAPAN State Conference. She also holds the position of histo-rian for the district and was instru-mental along with Suzanna Feliciano for bringing home the Blue Bonnet Award. Three awards for an out-standing nurse! It’s no wonder her colleagues agree, “she’s the most compassionate and vigilant nurse with the clinical expertise to provide the best care possible in the PACU”. We congratulate Suzanna Feliciano, BSN, RN, CCRN for two major accomplishments this quarter. Suz-anna has authored a chapter in “New Lives”, An Anthology of Nurses’ Experiences in Caring for Babies and Families. She has spent countless hours expressing the nurs-ing impact on patient care. Sec-ondly, Suzanna received the “Newsletter Award” presented at the state conference. Hats off to a job well done! Be sure to visit our website www.tapandistrict6.org . Thanks to our new webmaster Bill Woleben, the site has been updated. A calen-dar is featured for future events. On October 10th, one CEU was awarded for Sensory Integration Dys-function: Impact on a Child’s Behavior in the Health Care Setting, presented by Kim Wirth, RN, BSN in Austin. On October 17th, the ASPAN Seminar Complexities and Challenges of PeriAnes-thesia Nursing: Across the Ambulatory

PAGE 4 THE EYEOPENER

http://www.tapandistrict6.org

and PeriAnesthesia Continuum was pre-sented by Denise O’Brien in San Antonio. North Central Baptist Hospital in San Antonio will host the Jan. 9, 2010 education in-service and board meeting. Then, on Febru-ary 13th the CE offering will head south to Harlingen. For 2010, our annual certification review will be offered in the Austin/Kyle area dur-ing the month of February. District 6 has always been dedicated to providing assistance to a vast group of organizations. Plans are underway to support the USO (Operation Home Front), SAMMs Shelter, San Antonio Food Bank, Toys for Tots, St. Vincent de Paul, and Childress Memorial Church during the holiday season. All dis-trict members are encouraged to participate. Together we can make a difference!

District 7: El Paso

Gaby Tijerina, RN

District 7 says hello to everyone. We are planning to have a drive to col-lect toiletries and towels for a women’s transitional center called Villa Maria. A Rum cake sale will provide funds toward sponsoring memberships. Our priority is to find all our current members and invite them to a member reception in January. We will continue to keep you informed.

District 9: San Angelo/Abilene

Kimberly Malone, RN, BSN

First on our agenda, we are proud to announce our increasing CPAN achievements. Congratulations to each of you!

Our district is excited to give back to the many people around us. We each have a passion for reaching out to others. One of our first projects was a cell phone drive. We wrapped up the drive on Oct 24th and were able to collect over 20 cell phones for our military women and men overseas. Thank you to them all for their sacrifices and dedication to our country! Our treasurer, Ann Floyd, RN, CPAN lead District 9 to work in partnership with Martinez's Chil-dren's Academy of Abilene to col-lect and send 15 shoeboxes that in-cluded small toys and hygiene prod-ucts to The Global Samaritan Inc. for distribution to chil-dren for Christmas in South Ameri-can Countries. Ann also presented an invaluable speech in October to the young people of Cisco College on the H1N1 issues. She was able to ex-plain the issues that each individual faces and informative ways to han-dle prevention and seeking treat-ment, if necessary. We are also excited to participate with American State Bank in Abi-lene contributing to Mission Thanksgiving. This organization strives to help the homeless espe-cially during the winter months. We will be focused on collecting coats and blankets for donation to help these individuals. Last but not least, our next District meeting will be held December 13th at 1:00 pm. Please call 325-670-2275

PAGE 5 VOLUME 21, NUMBER 4

and speak to one of the TAPAN officers for location and directions. Come join us! We are also setting plans for the District Seminar to be held on February 6, 2010.

District 11: Lubbock

Margaret Rosson, RN

At our last district meeting, Cindy Hill presented an overview of the redistricting map proposal which met with overall approval. We had good representation at this year’s TAPAN State Conference, and look forward to information dissemina-tion to staff. Most of our members signed up for the 15th Annual Trauma and Criti-cal Care Symposium on November 14th here in Lubbock. This is an excellent offering and we look for-ward to the information that will be brought back to our individual de-partments. The officers of District 11 are cur-rently searching for information related to postoperative patient holding in the PACU during shift change. To date we have not dis-covered any literature that supports this as a best practice! Cindy Hill is calling nurses in her network seek-ing information, so if anyone has a policy that addresses “Protected Time” that requires patients be held in PACU for shift change, our dis-trict would appreciate an email; send to [email protected].

THE EYEOPENER

My name is Kim Wirth. I was born in New Orleans. I Graduated as a Ragin' Cajun from University of Louisiana in the heart of Cajun coun-try in Lafayette Louisiana ‘86 with a BSN. I’ve worked for nearly 20 years at Alton Ochsner Medical Center in New Orleans, Louisiana. While there I spent many years in the Transplant Department and was Kidney Pancreas Transplant Coordinator in the early 90's. Then moved to the PACU for 9 years. After our house was flooded in Hurricane Katrina, I relocated to Austin, Texas. The great nurses at Dell Children's Medical Center recruited me during my daughter’s and son's various surgeries that first year in Austin. My experience with Sensory Integration Dysfunction is personal. All three of my children have sensory issues.

W ho would have thought that my children could have taught me so much about nursing? After all, I was a seasoned nurse with 12 years experience, in the adult world, when my first child was born. Four years later, my third child was

born. Shortly after her birth, it was identified that she too suffered from Dysfunction of Sensory Integration. Having three children with sensory issues transformed our house into a sensory gym. Every activity became a therapeutic activity. My chil-dren taught me that behavior is a form of communication. Nursing assessment kicked in and soon I was identifying sensory behavior in other children.

With research, I learned that Dr. A. Jane Ayers, an Occupational Therapist, was working on her Post-doctoral work at UCLA Brain Research Institute in the mid 1970’s. While there she was the first to identify Dysfunction of Sensory Integration (DSI) and became the originator of Sensory Integration Theory. She described Sensory Integration as the body’s ability to perceive external stimuli and respond to the stimuli in an organized, purposeful, manner. It is a neurological process of organizing information received from outside the body

and integrating it into meaningful information. To integrate stimuli, the body must: Alert- attend or orient to stimuli Select- filter out non-essential information Protect- defend or protect itself if stimuli is overwhelming or dangerous. Organize- into meaningful information

As humans, we are bombarded with over 2 million sensory stimuli every second. Some stimuli we are aware of and some we are not. For example, as you read this article, you may not be aware of the temperature in the room, the pressure of the chair pushing against the back of your legs, the shirt touching your arms, the paper in your hands. They are all sensory stimuli and your body must process them in some way. DSI exists when the body is unable to perceive or respond to stimuli appropriately. It is a common, but misunderstood problem that can impact children greatly. DSI can affect children’s behavior, influence learning, impact movement and co-ordination, interfere with relationships, lower self esteem, and affect children in the health care setting. DSI is important to recognize and understand because it impacts the child’s behavior and understanding of the world around him. When a child does not respond to sensory information in an appropriate way, the child does not behave in a meaningful consistent way. It is recognized in a large number of disorders including: Autistic Spectrum/ PDD/Aspergers; Speech/ Language Disorders; Downs Syndrome; Cerebral Palsy; Learning Disabilities, developmental disabilities; ADHD; and many others. Health care workers should be aware of some behavioral symptoms associated with DSI. Children may exhibit one or more of the following behavior symptoms:

Unusually high or low level of activity Poor eye-hand coordination Impulsivity Resistance to new situations Distractibility Difficulty making transition High level of frustration Emotional problems Problems with muscle tone Self- regulation problems

Dysfunction of Sensory Integration: Impact on a Child’s Behavior in the Health Care Setting Kim Wirth, RN, BSN

VOLUME 21, NUMBER 4

Lack of definite hand preference Academic problems Problems with motor planning (the ability to create an idea, generate a plan and then perform a new motor task)

A child experiencing processing issues can respond either defensively or discriminatively to stimuli. Defensive – (over aroused) is an over-reactive response to stimuli. Children often exhibit a protective fight or

flight response to protect themselves from perceived harm. Discriminative- (under aroused) is an under-reactive response to stimuli. These children have difficulty perceiving

stimuli and often need more intense stimuli (i.e.: a louder sound, as stronger touch, etc). They often have a high pain tolerance because they do not perceive the pain.

Several systems are impacted by DSI. Some of the more common difficulties are experienced in the following systems.

Tactile - Having to do with touch. Auditory - Having to do with hearing and speech. Visual - Having to do with vision and tracking. Vestibular - Having to do with balance, posture, and gravity. Proprioception - Having to do with how joints work, and the body’s position in space.

Tactile Processing is the ability to discriminate different types of touch. Children with a Tactile Dysfunction can exhibit one or more of the following symptoms: Learning disabilities - touch is too distracting; Impaired social skills- they don’t like to be touched; Poor imagination- because of limited experiences; Difficulty with change- inflexible and rigid; Clothing and grooming problems- grooming is perceived as torture; Eating challenges - textures can be repulsive. Auditory Processing is the ability to receive, discriminate, and filter sound in order to understand it. Auditory Processing is an integral part of speech and hearing. Auditory processing difficulties can cause: Poor memory and sequencing skills; Trou-ble following directions - especially multiple task directions; Trouble paying attention – delayed responses; Speech and lan-guage disorders; Poor social skills and interpersonal relationships; Anxiety in loud environments. Visual Processing is the ability to identify and interpret visual stimuli. It is important in reading and other school work. Visual processing difficulties can cause: Trouble with visual tracking; Sensitivity to bright colors and lights, especially flashing lights; Difficulty discriminating foreground and background; Dyslexia and other learning disabilities are associated with vis-ual processing difficulties. Vestibular Processing is the ability to identify and interpret stimuli that impact our reaction to gravity, movement and bal-

ance. Children may have Seeking Behavior and seek out vestibular experiences such as swinging, bouncing, jumping or rolling and turning upside down. Or they may have Gravitational Insecurity and not tolerate their feet off of the ground. Vestibular processing difficulties can cause: Excessive movement; Restlessness and dis-tractibility; Risk taking activities; Being on the move any way they can; They just can’t seem to find the right spot; Speech/ language problems; Poor posture or muscle tone.

Proprioception Processing is the ability interprets stimuli that have to do with the joints and how they work. Propriocep-tion defines the body’s position in space, determines how we interact with the environment and determines how much force we use to use when performing activities. Proprioception processing difficulties can cause: A love to crash into others and things ; Risk taking activities; Clumsiness, falling, fatigue; Under responsive to painful stimuli; Chewing on inappropriate objects; Seek deep pressure input (to give them boundaries); Loose or tight hand grasp on objects; Often break things - (bull in china shop); Motor planning problems; Self esteem problems; Difficulty transferring learned behavior to a new situation; Seeking vibration for calming effect. Nursing assessment it the key to identifying children at risk. Some common parent reports & Red Flags during Assessments include: Dislikes certain clothes or tags; Distressed with diaper change; Easily distracted; Performs repetitive behaviors; Rest-less sleeper; Gets upset/ fearful when tickled or touched unexpectedly; Refuses to go barefoot or refuses to wear shoes; Avoids messy materials; Clumsy, accident prone; Hold hands over ears with loud sounds; Puts everything in mouth;

continued on page 17

THE EYEOPENER

T he term “evidence based practice” (EBP) was introduced into the nursing dialect approximately

twenty years ago. Evidence based nursing has been the goal of the profession ever since nursing decided it needed to validate itself in science (Holmes, Peron, and O'Byrne, 2006) ) to demonstrate that what we do is not based in myth (although that’s another discussion). What is evidence based practice and what does it mean at the point of care? According to Ritter and Title (2002) it is a synthesis of knowledge from vari-ous sources such as clinical exper-tise, quality improvement, bench-marking studies, patient satisfac-tion surveys, and yes research. Sackets and colleagues (1996) sum-marize this best in their evidence triad model. This model describes the relationship between the variables of clinical expertise, the patient’s values and expectations, and the best avail-able clinical practice. Together this triad forms the basis of what is considered the key elements to evi-dence based practice. Nursing’s evidence based practice origins were formed from evidence based medicine. In the early 70’s British epidemiologist Archie Cochrane determined that medi-cal decisions were made either through no formulaic interpretation of the literature or the individual practi-tioners’ clinical experience which was primarily trial and error. The development of systematic reviews of clini-cal trials to establish best evidence resulted in the for-mation of the Cochrane collaboration. Here physicians are able to read summaries of clinical trials written by colleague experts demonstrating the strongest evidence for treatment. Nursing adopted this model and formed the Joanna Briggs Institute. At Joanna Briggs, nurses can find a collection of summaries of research recom-mending again the strongest evidence for care.

When reviewing the literature to determine what the best evidence is, one must take the perspective that not all research is created equally. There are varying levels of strength that are tied to studies and nurses should take into consideration the type of study they are read-ing. Systematic reviews are determined to be the strongest level of evidence in support of a study whereas case studies and expert opinion are considered less reliable sources of evidence (Sackets, 1996). Other sources of evidence include chart review such as that required by The Joint Commission which results in

“outcomes” research. Benchmarking studies which establish standards based on a con-

glomeration of evidence and organizational standards such as those established by

ASPAN provide the nurse with guide-lines that are based in evidence.

Evidence based practice also has legal implica-tions in that it establishes the minimum standard by which nurses should be practicing either in relations to a particular aspect of care or in the individual’s disci-pline such as PeriAnesthesia care. Nurses should be utilizing policies, procedures & standards of care that reflect best-evidence. Next time will discuss models for developing evidence based practice in your unit and more. Reference 1. Holmes ,D., Peron, A., & O'Byrne, P. (2006). Evidence, virulence, and the disappearance of nursing knowledge: a critique of the evidence-based dogma. Worldviews on Evi dence-Based Nursing / Sigma Theta Tau International, Honor Society of Nursing, 3 3, 95-102. 2. Sackets, D.L, Rosenberg, M.C., Gray, J.A., Haynes, R.B., &

Richardson, W.S. (1996). Evidence based medicine: what it is and what it isn't. British Medical Journal, 312, 71- 72.

Climbing a Mountain Called Research Les Rodriguez, RN, MSN, MPH, ACNS-BC, CPAN, TAPAN Research Chair

VOLUME 21, NUMBER 4

J ust few months ago, I was over-whelmed with registration issues

and helping out to make our Annual State Conference a success here in Houston. With a sigh of relief, yet with a heavy heart, I handed over the Treasurer’s job to Alison Wat-kins last month. I stepped up to the big plate, taking the giant leap and becoming 1st Vice President/President Elect. Now I am wonder-ing, what will I do next? How can I serve TAPAN better in my new position? Where do I start? In an effort to raise funds and help with TAPAN treasury, as well as to reach out to membership at large, “TAPAN on the Road” was born. It has been two years since we launched the first stop in Houston. It was great success but I never had the luxury of time to pursue another one. Now is the best time to start a new project, to resurrect TAPAN on the Road. Susan Norris, our President started this year with a Bang! Hopefully, you heard about the Redistricting and Chapter formation project by

now. It has been a major topic of our board meetings along with pol-icy changes that were discussed and approved by the board. It was dis-cussed in the Leadership meeting and planned to be implemented soon. It will require a tremendous effort for successful transition. We need your District Leadership and every member’s support and under-standing. TAPAN on the Road project can serve as a venue for open discus-sion. We are in the planning stage of TAPAN heading to Abilene, TX for a half day seminar. I will be working closely with Ellen Abaquin, District 9’s President and their members to make it happen. We will encourage all TAPAN members to attend, especially the officers and members of districts that would be greatly affected by Redistricting and Chapter formation – Abilene, Mid-land, El Paso, Lubbock. We plan to schedule a Board meeting in the afternoon, open for everyone to attend. TAPAN Leadership will have the chance to personally reach out to our membership. We will be

TAPAN on the Road: Redistricting Project Hermie Robles, RN, BSN, CPAN, TAPAN President Elect

available to assist with any questions or concerns. This will be time for open dialogue, where questions can be answered, decisions can be clari-fied and smooth transition can be achieved. We will keep you posted. “TAPAN on the Road…All the Way to Abi-lene” may be held in March or June. We need to do it before election of officers, or perhaps even before we recruit for members to sign their “Willingness to Serve” forms. For Chapter formation to be successful, changes will have to happen within each District. Read new and revised policies which are posted on our website. Questions are always wel-come. It is very important for every member to be well informed. TAPAN needs you! This is the time to be active and to have voices loud enough to be heard.

T he OxiMax™ capnograph/pulse oximeter is a handheld device that delivers accurate SpO2 and end-tidal Co2 values. This portable monitor can be used for an emergency situation, bedside monitoring, or routine spot-checks. Use it on neonatal to adult pa-

tients. For use with intubated or nonintubated patients. For additional information call Nellcor Customer Service at 1-800-NELLCOR.

Reference Covidien’s Online. 2009. Nellcor Capnograph/Pulse Oximeter Information. 26 November 2009 <http://www.nellcor.com/prod/Product.aspx?S1=POX&S2=&id=309>. Commercial Endorsement Disclaimer. The use of trade, firm, or corporation names in this publication (or page) is for the information and convenience of the reader. Such use does not constitute an official endorsement or approval by TAPAN.

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THE EYEOPENER

O nce again, the holiday season seems to be approaching like

a herd of thundering wild mustangs! I know you have all been busy with your home life and work life, but I hope you take time to pay close at-tention to the legislation that is be-ing discussed and decided for all of us. Nurses have a great deal of influ-ence on the laws being passed in our nation. I urge you to voice your opinions to the Representatives and Senators in Washington, D.C. NATIONAL NEWS The following is a summary (a very short one, at that) of very recent news events. Health Reform Bill Passes The House approved H.R. 3962, The Affordable Health Care for America Act" on Nov. 7, during a rare Saturday session. The House Democratic leadership had released the 1,990-page bill, which was crafted out of versions that had been earlier approved by the Educa-tion and Labor, Energy and Com-merce, and Ways and Means Com-mittees, on Oct. 30. The Nov. 7 vote occurred after a full day of de-bate and included votes on just two amendments—an amendment to restrict abortion funding and one that would have replaced the entire bill with a Republican alternative. The House approved the bill by a vote of 220-215. A preliminary analysis of H.R. 3962

implemented. require the auto-enrollment of

newborns in Medicaid. include children in compara-

tive effectiveness efforts. strengthen the primary health

care workforce. establish different federal

Medicaid matching rates for children after 2013, depending on their eligibility status.

reduce Medicaid dispropor-tionate share hospital (DSH) payments by $10 billion over three years beginning in FY 2017.

amend the Public Health Ser-vice Act to permanently extend the federal 340B drug discount program to free-standing chil-dren's hospitals. Earlier lan-guage that extended the 340B drug discount program to the hospital inpatient setting was not included in the final bill.

House Republicans offered an al-ternative health reform proposal as a substitute amendment to H.R. 3962 during Saturday's floor de-bate. The amendment was not ap-proved on a party-line vote. All 176 Republicans voted for the substi-tute and 258 Democrats voted against.” Bill Barnes, Health Policy Network Let your Representative know how you feel! Call them at 1-877-264-4226. They need to hear from you!

by the Congressional Budget Of-fice estimated that the bill would cost $894 billion over ten years and provide affordable health coverage to 96 percent of all Americans. The bill would: require individuals, including

children, to have health insur-ance coverage and employers to provide coverage.

facilitate coverage for the unin-sured through a federal health insurance exchange.

require health insurance plans participating in the exchange to offer an essential benefits package with broad pediatric coverage that includes: reha-bilitation services; preventive services; durable medical equipment and prosthetics; behavioral health services; well-baby and well-child care; and oral health, vision and hearing services, equipment and sup-plies for children up to age 21.

expand Medicaid coverage to all individuals with income at or below 150 percent of the federal poverty level.

establish pilot programs to support the establishment of medical homes, including medical homes for medically-fragile children. Pediatric spe-cialists could serve as a pa-tient's medical home.

require states to maintain cur-rent eligibility standards for Medicaid and the Children's Health Insurance Program (CHIP) until the exchange is

Let Your Voice Be Heard: Nurses Have Influence Cindy Hill, RN, CPAN, CAPA , Governmental Affairs Chairperson

VOLUME 21, NUMBER 4

Timing of Senate Bill Remains in Flux as Leadership Continues to Negotiate for Votes “The Senate Democratic leadership has yet to release its final health reform bill. The hold-up rests with the Congressional Budget Office, which is analyzing several policy options under consideration by Senate Majority Leader Harry Reid (D-NV), who is spearheading the final crafting of the bill. Dissension within the Democratic caucus is also causing the delay. Reid has yet to get assurances from all Democ-rats that they will vote for the bill and he cannot lose a single mem-ber of the caucus if he hopes to move forward with the legislation. The final Senate bill will be a con-glomeration of the bills approved by the Finance and the Health, Education, Labor and Pensions Committees, and a variety of policy options geared toward securing support of moderate and conserva-tive Democrats.” “Floor debate could last as long as four weeks. That would mean that a vote before the end of the year may not be possible. Some Wash-ington insiders are viewing Jan. 20, the date of the president's State of the Union address, as the new tar-get for a final bill to reach the president's desk.” Bill Barnes, Health Policy Network Advocates urge restoration of 340B Expansion to Inpatient Services “The health reform bill that passed the House on Nov. 7 includes a provision to permanently extend the federal 340B drug discount

program to free-standing children's hospitals. However, language was eliminated in the final version of the bill that would have extended the discount program to the hospi-tal inpatient setting, as well. The inpatient extension was included in the legislation that passed the House Energy & Commerce Com-mittee in July and is in the bill that was approved by the Senate Health, Education, Labor and Pen-sions (HELP) Committee. An ex-tension of the 340B discount to the inpatient setting has the potential to save safety net hospitals millions of dollars. The Congressional Budget Office estimates that an inpatient extension would save the federal government $1.7 billion over the next 10 years.” Bill Barnes, Health Policy Network STATE NEWS The 81st Legislative Session for Texas 2009 was a good year for nursing. The Governor signed all the nursing bills including: SB 476 Safe Hospital Staffing Bill. Enhances nurses’ influence on staffing committee & prohibits mandatory overtime; TNA Initia-tive. SB 1415 Regulation of Nursing. Gives BON more options in ad-dressing minor violations including taking non-disciplinary corrective actions and pilot testing concept of deferred disciplinary action. HB 3961NPA Changes. Addresses regulation of nursing including confidentiality of per-

sonal information and physical/psychological evaluations. TNA initiative. HB 4355 Excelsior College. Mandates research study on alter-nate ways to assure clinical compe-tency of RN grads and permits Excelsior College graduates to be licensed pending study. TNA initia-tive. (Note: Passed as Amendment to HB 3961 Excelsior College is a NY-based program whose graduates complete an end-of-program clinical competency assessment but program has no supervised clinical experi-ence requirement like Texas programs.) HB 4471 Shortage Funding & Education. Amends Professional Nursing Shortage Reduction Pro-gram statute to facilitate distribu-tion of funding. HB 4353 Miscellaneous Regula-tion. Provides for a one-year pro-visional license for certain nurses with reduced English proficiency to practice in border counties. SB 532 APN Prescriptive Au-thority. Delegation of prescriptive authority to PAs or APNs; initia-tive of TMA and Pharmacy Con-venience Clinics.

HB 643Allied Health Providers.

Requires surgical techs meet certain

education & certification require-

ments to be employed. (Note: Bill

passed is an agreed bill by nursing,

hospitals and surgical techs.)

THE EYEOPENER

Susan Norris, RN, BScN, CAPA, TAPAN President

Certification Exam News

Now is the time to start planning to take the CPAN® or CAPA® Certification Exam in the Spring of 2010. The registration window is open from January 25, 2010 to March 8, 2010. Before you register online, you must read the CPAN® & CAPA® Certification Candidate Handbook for 2009 and 2010 thoroughly. In addition, when applying online you will need to have the following information available: (1) your ASPAN membership number if you wish to receive the ASPAN member fee discount; (2) your RN license number and expiration date; and (3) the name, credential(s), title, name of unit, name of institution, street address, city, state, zip code, day time phone number and email for two individuals who can verify your eligibility requirements.

Exams will not be given at the ASPAN National Conference any longer. All exams will be administered at Prometric test-ing centers located around the country. More information can be found on the ABPANC website: www.cpancapa.org

Recertifying?

Beginning with the Fall 2009 Recertification cycle, certificants must apply online. Please check ABPANC's website for up-dates on very important information concerning this process and the new Recertification Handbook (online too). In addi-tion, any CPAN® or CAPA® certified nurse can log on to the new Online Recertification System, and create an account. This enables them to enter their contact hours as they earn them into the Electronic File Cabinet Log form making it easier when they recertify and if they’ve been selected for audit, the information is already there. You still need to keep copies of your CE certificates. If you are audited you will need to submit copies of the actual certificates.

Certification Coaches

Do you support and promote CPAN® and/or CAPA® certification in your institution or “home base?” Do you want to help recruit more players to the CPAN®/CAPA® team? Can you talk with your not-yet-certified colleagues about the bene-fits of being certified? Would you “coach” them as they prepare to take the exam? Would you help them access study re-sources? Can you provide moral support? If you are interested in learning more, take a look at the Certification Coach “Coach the Coaches” training Power Point that is on the ABPANC website under “Latest News” section. If you decide to take the challenge to become a Coach, contact Zelda Williams at [email protected] for information so she can send the documents needed.

TAPAN Certification Coaches: Aleli G. Cabali, RN, CPAN; Karen Jensen, RN, CPAN; Susan Norris, RN, CAPA; Carolyn Prentice, RN, CPAN, CAPA; Agnes Sibayan, RN, CPAN; Pamela Windle, RN, CPAN, CAPA; Susan Russell, RN, CPAN, CAPA.

Who Writes the CPAN® and CAPA® Examinations? Both the CPAN® and CAPA® examinations are written by CPAN® and CAPA® certified nurses who are content ex-perts! Two volunteer groups of very talented individuals comprise the Exam Construction Committees.

The IWRC (Item Writer/Review Committee) writes and reviews all examination questions. The ERC (Exam Review Com-mittee) review and edits, as needed, drafts of all CPAN® and CAPA® examinations prior to their printing and administra-tions. If a member is already certified and is interested in Item Writing, please visit ABPANC’s website to find out how to get in-volved.

ABPANC has a new award to recognize those Certified Nurses who are Item Writers, “The Item Writer of the Year Award”. For more information about this, visit our website under awards.

CPAN® and CAPA® Certification Corner

http://www.cpancapa.org/cert/certificationHandbook.htm




http://www.cpancapa.org/


VOLUME 21, NUMBER 4

American Society of PeriAnesthesia Nurses Winter/Spring 2010 Seminar Series

PeriAnesthesia Certification Review

Presented by

Myrna Mamaril MS RN CPAN CAPA FAAN Date: Saturday, February 27, 2010 _______________________________________________________________________________________________________________

Time: 7:30 a.m. Registration A.M. Coffee service—Lunch on you own Program Time: 8:00 a.m.—4:55 p.m. _______________________________________________________________________________________________________________

Location: Austin, Texas area (TBA)

Topics include: Mechanics of the Exams Review of Anesthesia Special Populations: Pediatric, Examining the ASPAN Standards Geriatric and Pregnant Patients Critical Thinking in Clinical Practice and Certification Testing Test Taking Prep: Setting Yourself for Success Target Audience: PeriAnesthesia Nurses who are accessing their readiness for certification examination, or preparing for certification examinations, or those who want an overall review of their practice. Purpose/Goal: To provide the ambulatory and perianesthesia nurse with content to stimulate critical thinking to prepare for either the CPAN or CAPA certification examinations. Overall Program Objectives: 1. Review key topics essential for preparation for both perianesthesia certification examinations. 2. Discuss critical thinking and exam taking techniques

7.25 Contact Hours

Register online at www.aspan.org. Click on Education and then Seminars/Currently Available

American Society of PeriAnesthesia Nurses (ASPAN) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centers Commission on Accreditation (ANCC-CCA)

Accreditation does not imply that ASPAN or ANCC approves or endorses any product included in the activity. Provider numbers:

Alabama #ABNP0074, California #CEP5197, Florida #50-114

ASPAN the Leader in Perianesthesia Education

THE EYEOPENER

T he 2010 TAPAN State Conference will be held at the Hilton DFW Lakes Executive Conference Center. The hotel is north of

DFW and there is a complimentary shuttle to and from the airport. Parking (for those driving) is free. The Hilton DFW Lakes “provides a resort like setting that strikes a balance between pampering and productivity.” The state of the art facilities include a fitness center, on site horseback riding, walking trails, golf and more. Grapevine Mills Mall is in walking distance. Other attractions close by include the Great Wolf Lodge, The Gay-lord Texan and historic downtown Grapevine. We are planning a speaker program that will promote your Perianes-thesia practice, stimulate thought, and provide you with opportunity to connect with your fellow TAPAN members. So save the date, September 17 – 19, 2010. Consider bringing your family, there are a variety of activities that they could participate in!

TAPAN 2010 State Conference: Seeds for Growth, Harvesting Knowledge Prudence Nietupski, RN, BSN, CAPA, TAPAN 2nd Vice President

R ecently TAPAN conducted a Survey Monkey to find out how members preferred to be notified of information. The results are as follows:

1. Do you read the newsletter and conference information online? Yes: 51 Newsletter: 17 No: 13 Postcard: 8 E-mail: 53 Mail brochure: 14

Survey Monkey: Notification Preference

0 20 40 60

email

newsletter

postcard

mail brochure

HOW WOULD YOU LIKE TO BE NOTIFIED OF INFORMATION?

Series1

Linda Allyn, RN, BSN, CPAN, CAPA, Immediate Past President

2. Handouts sent online

Yes: 53

No: 6

Unsure: 6

VOLUME 21, NUMBER 4

Executive Board Meeting Highlights Deborah Davis, RN, BSN, CPAN, TAPAN Secretary

T he Executive Board met October 23-25 in Austin, Texas at the TAPAN Leadership Retreat.

TSA (Texas Society of Anesthesiologist): TSA has do-nated $500.00 to TAPAN to be used as an Educational Scholarship. Thank you to Susan Russell for spearhead-ing the contact with this organization.

Survey Monkey: Over the past few months, Linda Al-lyn has conducted an on-line membership survey via e-mail. At the state conference in Houston, one TAPAN member received a $25.00 gift certificate for being an early responder to the survey. As of October, approxi-mately 60 members participated in the survey. Results of the survey are being tabulated and will be available soon. Textbook Donation: A Perianesthesia Nursing: A Critical Care Approach (Drain) textbook was donated to the University of Texas at El Paso in honor of our 2008-2009 TAPAN President, Linda Allyn. Linda received her BSN from UTEP while serving as the TAPAN Presi-dent and working full time!! Way to go Linda!

Mentorship: Learn what TAPAN Leadership is all about! TAPAN encourages any active member to at-tend board meetings to see what being a TAPAN leader

involves. We are also planning an ‘Up and Comer’ pro-gram to help interested members prepare to move into leadership roles. Next board meeting: January 24th (teleconference or skype). State Redistricting and Chapter Formation: In or-der to better serve the membership of TAPAN, the board agreed to redistrict our state. Instead of districts (at present—7 are active), the state will be divided into 5 regions. There are presently a total of 918 members in TAPAN. There are some areas of the state where dis-tance impedes regular attendance of meetings. Chapter formation may empower members to participate and stay in contact with the region that it is a part of. The Chapter Formation Policy #D006 will be available on the TAPAN Website.

TAPAN account

balance: $20,315.33

TAPAN Executive Board and District Officers share thoughts, concerns and ideas for TAPAN’s continued change and growth.

Treasurer’s Report Alison Watkins, RN, MS, CPAN, TAPAN Treasurer

M embers can bring a critical eye to our state newsletter and are encouraged to contact the

editor with suggestions for improvement. Members are also encouraged to write articles pertaining to perianes-thesia nursing. Your experiences are the best resource! I look forward to hearing from you! Contact information: [email protected]

Editor’s Note Cyndi Mocek, RN, ADN, TAPAN Editor

Susan Russell, RN, JD, CPAN, CAPA, P&P Coordinator

PAGE 16 THE EYEOPENER

Center Stage: TAPAN Bylaws Revision Setting a Challenging Strategic Goal

ASPAN Gold Leaf Gold Leaf Gold Leaf Award Prudence Nietupski, RN, BSN, CAPA, TAPAN 2nd Vice President

A ccording to TAPAN Policy B-003, the TAPAN Bylaws, the P&P coordinator must review the As-

sociation Bylaws at least once every four years. President Susan Norris set a Strategic Goal for restructuring the organization during her term of office, so the Board lost no time in beginning a systematic review of the Bylaws at the October Board Meeting. District leaders from around the State contributed their thoughts and ideas to the strategy and the ultimate decision. With the support of district leaders, the TAPAN Board took the next step toward reorganizing the districts into five regions. In the coming months, all TAPAN Policies and Procedures will be reviewed to reflect the changes brought about by geo-graphic re-designation and revisions to the Bylaws. TAPAN will continue to operate under the current By-laws, Policies and Procedures until the Board formally adopts new Bylaws and establishes the date when the new Bylaws take effect. Please read through the proposed Bylaws. They are posted on TAPAN’s website, www.tapan.org. The struggle to recruit new leaders for the TAPAN Ex-ecutive Committee played a role in the proposal to

T he ASPAN Gold Leaf Award application for 2009 is due soon. This award is to recognize, with distinction and visibility, the efforts of meaningful activities that build a strong component.

How can TAPAN members help? As individuals we make up the whole of the TAPAN component. We all contribute to it’s success. Let’s show others how good we really are! Individual member achievements , accomplishments and ac-

tivities can be recognized. What has your district done this year? This can include newsletters, web-sites, community activities, promotion of our membership, participation in PANAW week. These are just a few ideas that we can include in our application for the 2009 Gold Leaf Award. The Gold Leaf entry application is available for viewing at www.aspan.org. (click on members, then awards).

change the terms of office for the President, 1st Vice President/President Elect and the Immediate Past Presi-dent. An added factor is the difficulty of formulating an effective Strategic Plan and putting that plan into action when the chief executive has a one year term. By length-ening the terms of key positions to two years, TAPAN will benefit through improved strategic planning to reach long-term organizational goals. During the Leadership Retreat in October, district leaders received tips on chapter formation. The proposed Bylaws also allow formation of local chapters. Groups planning to apply for chapter recognition should move forward. Chapter formation could be a critical factor in recruiting and retaining new members. A copy of the 2009-2010 TAPAN Policy and Procedure Manual was provided to each district president/designee at the TAPAN Annual Conference in September. In the coming months, each will be reconciled with the pro-posed Bylaws. In depth revisions will proceed on the es-tablished three year rotational schedule.

http://www.tapan.org/

VOLUME 21, NUMBER 4

Becomes fearful or anxious with unexpected touch; Respond to daily grooming (hair and tooth care) as if being tortured; Is unable to sit still - always on the go; Overreacts to minor cuts or scrapes; Ignores painful incisions; Infant does not like to be held or cuddled - may arch back, cry, and pull away; Wears long sleeves/pants year round to avoid having skin exposed. Developing a Plan of Care for a patient with DSI

Assessment: (1) Be aware of Red Flags during assessment and interaction with child/ family; (2) Identify con-cerning behavior; (3) Obtain parents help to identify behaviors. Planning: (1) Ask parents to identify strategies that help child at home; (2) Have parents bring favorite toy, vibrating toy, weighted pillow, music, chew toy, etc. to help child transition.

Intervention: (1) Utilize resources at hand; (2) Minimize sound level - TV, monitor, alarms, pumps, etc.; (3) Disconnect monitor and remove IV, etc. as soon as possible; (4) Turn lights down; (5) Speak slowly, clearly; (6) Minimize transitions and provide consistent caregivers; (7) Give two options if child has trouble answering question (Would you like jell-o or ice cream?); (8) Have child repeat request to assure understanding; (9) Weighted blanket or pillow to help calm and give boundaries (try a folded blanket or sandbag); (10) Back rub or massage; (11) Give child time to process information and re-spond; (12) Utilize deep pressure massage or vibration to help soothe and calm child. Pain Assessment: (1) Assess for traditional signs of pain; (2) Remember kids with DIS may exhibit differently; (3) Tantrums and screaming are common; (4) Aggression - biting, hitting, scratching, thrashing; (5) Withdrawal; (6) Perseveration( fixating on IV or incision, or performing repetitive behavior); (7) Pulling at everything, rubbing incision which is perceived as an irri-tant; (8) Inconsolable- may be due to overstimulation of noise, pain, alarms, IV’s etc. Pain Treatment: (1) Decrease sensory input – lights, leads, noise, visitors, etc.; (2) Utilize calming strategies – soothing mu-sic; (3) Slow, calm voice; (4) Weighted blanket or sand bag; (5) Deep pressure massage; (6) Rocking or swinging if possible; (7) Vibration if available ( small hand held vibrating balls or spinning lights work well) Support the Family: (1) Encourage verbalization; (2) Encourage parental input - They know from experience what works.; (3) Teach parents that Occupational Therapists evaluate and treat DSI and can help with their child; (4) Pre-op period key to screen surgical patient; (5) Have family bring comfort items to hospital if possible; (6) Educate family and provide resources both inpatient and outpatient Occupational Therapists; (7) Consider having a “Sensory Box” on the unit to house weighted pillow, vibration toys, soothing music, scented lotions, etc for easy access when needed. In conclusion, it is important to understand that inconsistency is a hallmark of DSI. As nurses, we must plan according to symptoms exhibited at the time. Remember:

A child with DSI does not necessarily exhibit every characteristic The child may demonstrate dysfunction one day, but not the next The child can demonstrate characteristics of a particular dysfunction, yet not have the dysfunction They child may be hyper and hypo sensitive (over or under aroused)

Everyone has some sensory integration problems now and then, because no one is regulated all the time. Our challenge as nurses is to recognize behaviors as a form of communication and to respond to that behavior /need. By meeting the needs of patients with sensory interventions we acknowledge individual needs and successfully close the loop of communication. Resources

1. American Occupational Therapy Association (AOTA) www.aota.org 2. Ayres, A. J., (April 1, 2005) Sensory Integration and the Child , 25th Anniversary Edition; Los Angeles: Western Psychological Services. 3. Kranowitz, C., (April 4, 2006) The Out of Sync Child: Recognizing and Coping with Sensory Processing Disorder, Revised Edition; New York, Penguin Group. 4. Sensory Integration Online www.out.of.sync-child.com

Dysfunction of Sensory Integration continued from page 7

http://www.aota.org/

http://www.out.of.sync-child.com/

THE EYEOPENER

HOST/HOSTESS VOLUNTEER FORM

2010 ASPAN NATIONAL CONFERENCE2010 ASPAN NATIONAL CONFERENCE

Name

Address:

City: State: Zip:

Home Phone: ( ) Work :( ) Fax:

E-Mail: ASPAN Member# ______

I AM WILLING TO HOST AT THE FOLLOWING TIMES: (Check all your preferences. Write in number for pre-ferred sessions for tracks. Refer to conference brochure for session numbers)

Friday April 16: Bag Stuffing _______ Saturday April 17: Pre-conference*: AM____ PM ____ PM Registration ______

Sunday April 18: Dream walk* ________ Registration: AM ________ PM __________ Representative Assembly _______ Orientation _____

Provider Direct Learner Paced Studies________ Component Night ________

Monday April 19: Registration _____________ CPAN/CAPA Breakfast* ________________

Opening Ceremonies _______ Orientation ______ 2 pm Session no. __________

3:30 pm Session no. ______ Exhibits _______ 7 pm Session no.________

8:15 pm Session no._________9:30 pm Session no. ____________ Tuesday April 20: Exhibits 7:00-9:00 am ______ Registration ______ 8:30-9:30 am Session no. _______

9:45-10:45 am Session no. ______11:00 am-12:00 pm Session no.__________

Exhibits 12-2:00 pm _______ 2:15-3:30 pm Session no. ________ 3:45-5:00 pm Session no. _________ Military Reception ______ 7:00pm CSP Oral Presentation ______ 8:30pm CSP Oral Presentation__________

Wed. April 21: Exhibits 7:00-8:30 am _____ Registration _______ 8:30-9:45 am Session no. ________ 10:00-11:15 am Session no. ________ Development Luncheon*____________ 2:30-3:45 pm Session no. _________ 4:00-5:15 pm Session no._______

President’s Reception__________ Thurs. April 22: Registration: _______ Closing Breakfast and Ceremonies ______

Post-Conference* ______ Miscellaneous: ASPAN Shoppe ________ Silent Auction _________ Hospitality Desk_______ (Days/times vary) Other duties, e.g., ‘Way Finders’ at escalators, for meeting rooms, etc. ____________

How many hours (4 hrs = $25.00) do you prefer to volunteer? (e.g., < 4; > 10, etc.) ______ * Requires that you have registered and paid the extra fee to attend ** Provider Directed Learner Paced Studies

Return to: Clara Boudreaux, RN, BSN, CAPA Host/Hostess Coordinator E-mail/ address: [email protected] or

909 Westgate Road, Lafayette, LA 70506 Questions: H: 337-984-2665 W: 337-769-4168

29th ASPAN National Conference: Host/Hostesses Needed ASPAN needs your help! The deadline for submitting the Host/Hostess Volunteer Form is February 12, 2010.

VOLUME 21, NUMBER 4

From the Editor

The Eyeopener is the official publication of the Texas Association of PeriAnesthesia Nurses (TAPAN).

All rights reserved. No part of The Eyeopener may be copied or reproduced in any form without prior written permission from TAPAN. Contact the editor for further information.

Eyeopener submissions:

Members are encouraged to write to the editor with comments, suggestions, and/or articles of interest to PeriAnesthesia Nursing. Submissions must be typed and double spaced. It is the responsibility of the author of items submitted for p u b l i c a t i o n i n T h e Eyeopener to verify the accuracy of information and provide appropriate refer-ences. The editor and the TAPAN Board reserve the right to edit or reject submitted material.

Submission Deadlines: February 15: Spring Edition May 15: Summer Edition August 15: Fall Edition November 15: Winter Edition Send comments, suggestions and/or submissions to: Cyndi Mocek, RN, ADN 4333 Willow Bend Drive Arlington, TX 76017 [email protected]

TAPAN on Facebook©: Members Invited!

T APAN has set up a group on Facebook© to provide members with a means of keeping up with current news and events in a timely manner. We have a

“discussion board” for those seeking information and support as they prepare for tak-ing the CPAN® & CAPA® certification exams. If you have a Facebook© account and would like to join, just do a search for Texas Association of PeriAnesthesia Nurses and click on “Join this group”.

Susan Norris, RN, BScN, CAPA, TAPAN President

ASPAN Region 2 Director Twilla Shrout, RN, BSN, MBA, CAPA [email protected]

Eyeopener Editor Cyndi Mocek, RN, ADN [email protected]

Policy & Procedure Coordinator Susan Russell, RN, JD, CPAN, CAPA [email protected]

Governmental Affairs Chair Cindy Hill, RN, BSOE, CPAN, CAPA [email protected]

Research Chair Les Rodriguez, RN, MSN, MPH, ACNS-BC, CPAN [email protected]

P erianesthesia Nursing focuses on the care of patients undergoing surgery and inva-sive procedures that require sedation, analgesia, and anesthesia. To practice Peri-

anesthesia nursing, specialty nurses must have comprehensive knowledge and compe-tencies that are grounded in Perianesthesia-specific scientific theory. Because of the expertise and dedication of the Perianesthesia nurse, each year during the first full week of February, Peri-Anesthesia Nurse Awareness Week (PANAW) is cele-brated. To order PANAW gifts and souvenirs go to www.panaw.com.

PANAW: February 1-7, 2010


VOLUME 21, NUMBER 4

Newsletter of the Texas Association of PeriAnesthesia Nurses · Newsletter of the Texas Association...

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