Vital Volumes Indiana Society Of PeriAnesthesia Nurses

Inside this issue

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

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

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

President’s message ................... 5

ABPANC Info.………………….……......5

INSPAN News ............................. 6

Committee Reports……………….…..7

Region 3 Report>>>…………………..8

Invitation .................................... 9

Committee Formation…………….10

ASPAN Info……………………………...11

President’s Message Sandra Evanoff ASN, RN, CPAN

Greetings INSPAN members, There are now four generations of nurses in the Indiana workforce, and it is important to know that each generation approaches the nursing profession with slightly different expectations. Generational labels are important in the discussion of the changing work force of nurses. We need to understand who is pushing for change and who is criticizing change. We as a group need to learn how to effectively build bridges amongst the different age groups of nurses and create programs that grow the transferable skills of the new nurs-ing generation. By accomplishing these tasks we will ultimately engage their entrepreneurial spirit, allow them to grow and progress in their careers and assume positions of leadership. We want to let them lead; empower them in order to promote willingness and embrace the change in their field. The most recent generation to join our workforce is the Millennials; nurses born between 1980-2000’s. By 2020 this age group will make up almost half of the nursing workforce. In 2013 Time magazine released an editorial charac-terizing the Millennials as the “Me, Me, Me” generation. This age group was raised in a very structured environment that was evident within their play, school, work and home schedules. This group is also incredibly online in just about every aspect of their lives with their smart phones, tablets, twitter and facebook. They’re optimistic, confident, pragmatic, and desire their work to be meaningful. These characteristics are vital when approaching work with different generations. These nurses are also the Baby Boomers own children. The other half of the generational spectrum is made up of older nurses or the Baby Boomers; nurses born between 1946-1964. With the economic crisis and concomitant drop in value of homes, pensions and retirement accounts nursing retirement dates are often being pushed further into the future. Many articles and nurses will tell you that this generation is on its way out and retiring or that the Millennials are calling for them to get out of the way as they enter the field with a new approach and education. If we do not teach the reward and value of being a part of the nursing field we risk the profes-sion dying out all together or morphing into something we do not recognize. Health care has been drastically changing since the implementation of the 2012 Affordable Care Act. Many hospitals have started cutting programs and resources for nurses. That is why I truly believe in the mission of INSPAN/ASPAN for Perianesthesia Nurses. There are a variety of ways to promote nursing and advocate for nurses through our professional organization. You can find INSPAN/ASPAN everywhere in your community from the state house

(continue on page 5)

December 2015 Volume 5, Issue 4

Vital Volumes Deadlines

February 15th

June 15th

October 15th

Please submit all articles by e-mail to

Charlotte West at

crwest@stvincent.org

19324 Hamilton Boone County Road

Sheridan, IN 46069

Phone: 317-582-73335

fax: 317-582-8008

Cell Phone: 317-225-0751

Letter to the Editor

INSPAN loves to hear from YOU! Please

submit news from your district, hospital,

research projects and recognition of fel-

low associates to Charlotte West

2

President Sandra Evanoff RN, CPAN

sevanof1@gmail.com

317-403-6583

Vice President/President Elect Kelly Kelley MSN-Ed, RN, CAPA

kkelly@IUHealth.org

317-817-1142

Secretary Charlotte West BSN, RN, CPAN

crwest@stvincent.org

317-225-0751

Treasure Carol Matthews BSN, RN, CPAN, CPN

cannmatthew@aol.com

Past President Ruth Boberg BSN, RN, CPAN

rrbberg@tds.net

317-509-0769

Board Members at Large Susan Snyder RN, CCRN, CPAN

ssnyder@orthoindy.com

Brenda Toth MS, BSN, RN, CPAN, CAPA

toth1943@comcast.net

Elizabeth Scales BSN, RN,

lizscales3@sbcglobal.net

Annette Frette BSN, RN, CPAN

afette@dchosp.org

INSPAN Liaison Grace Walke BSN, RN, CPAN

ASPAN Regional Director Sylvia Baker MSN, RN, CPAN

Newsletter Co-Editor Charlotte West BSN, RN, CPAN

19324 Hamilton Boone County Road Sheridan, IN 46069 crwest@stvincent.org

Phone: 317-582-73335 fax: 317-582-8008 Cell Phone: 317-225-0751

www.inspan.org

Vital Volumes

Is written by and for INSPAN members.

All rights are reserved.

Copyright 2014

Kelley Kelly MSN-Ed, RN, CAPA

Medication Shortages Most of us have been impacted by the frequent medication shortages and back orders. There is evidence that these shortages are affecting patient safety and our standards of care. Larkin (2011) noted that the most common shortages are propofol, succinylcholine, epinephrine, hepa-rin, and morphine. In an effort to acquire these medications, healthcare providers are forced to order through alternative distributors. Nontraditional distributors are referred to as the “gray market.” The Institute for Safe Medication Practices (ISMP, 2011) stated that these distributors obtain and resell medications for significantly higher prices. Manufacturing difficulties and regulatory issues may halt production due to compliance, in-spection, contractor problems, and facility closings. Raw materials for the medications become compromised leading to quality or contamination issues. Healthcare providers create problems by over ordering, hoarding, and stockpiling which leads to unnecessary product demand. As nurses, we have seen this impact our facilities. Medications that we routinely use suddenly go on back order and we must substitute unfamiliar drugs to treat our patients. This practice could lead to safety hazards since we might not be aware of all of the side effects or potential dangerous interactions. Increased prices of medications have caused some to be deleted from our formularies. This is somewhat frustrating especially when we have experienced improved therapeutic effects for our Perianesthesia patients during their recovery. We need to remain diligent in our efforts to be patient advocates and voice our concerns. For more information on medication shortages, check these websites:

http://www.accessdata.fda.gov/scripts/drugshortages/default.cfm http://blogs.fda.gov/fdavoice/index.php/tag/drug-shortages/# References Gray market, black heart: Pharmaceutical gray market finds a disturbing niche during the drug

shortage crisis. (2011, August 25). Institute for Safe Medication Practices, 1-4. Larkin, H. (2011, February). Drug shortage may be worst in 30 years. Hospitals & Health Net-

works, 28-32. Retrieved from www.hhnmag.com.

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Clinical Practice Question

4

Research Corner Kathy Jo Carter MSN, MBA, RN, CPAN

What does it take to participate in research / evidence-based practice for ASPAN? Let’s dive into the ASPAN website links. Go to Research, then EBP, and select Journal Club. This is an excellent way to take in the basics, terminology, and how it relates to what we read in journal articles. You don’t have to be involved in a study, or work in a university healthcare setting, to keep current. The Journal Club link contains two sections, plus and sample article to review, you can use to advance your understanding. In this newsletter issue, we’ll look at the first section.

The ASPAN EBP Education Module This first section delivers the foundation to develop the skills to evaluate best practice and research. The overview section is a Q&A and addresses:

How and why nurses can benefit from this process. Describes the differences between two ways we can evaluate a clinical question. What skills a nurse needs to be part of this process. Choosing the appropriate tool to use for a particular study. Overview of the different type of study to be reviewed. ASPAN method of ranking the evidence. Guidelines and questions to help the nurse critique a study. Explanations of validity and reliability. Resources available through ASPAN.

After you review the information in this module, take the link to the Journal Club article and use the tools provided to complete a critique. Compare your completed critique to the one from the ASPAN team. How did you do? If this captured your interest, consider joining me on our INSPAN Research Committee. Just send me an email at kjcarter2009@frontier.com if you want more information. Next Research Corner will talk about Literature Reviews: value and purpose. Until then, keep learning.

Reference:

Research Primer for Perianesthesia Nurses • 2nd Edition • 2009

When I’m a bedside nurse, I can only impact one person at a time, but if I’m good at research,

I can impact countless numbers of people. Everything I do is still framed as a nurse.

Everything I do in the lab has clear clinical applicability.”

-- Sharon Kozachik, ‘The American Nurse’ Book Includes Profiles of 19 Inspirational Health-

Care Workers in Baltimore, Baltimore Sun, December 19, 2012

(continued from page 1) to the state fair. We can interact and engage across many mediums of promotion and communication. Through our membership you have an opportunity to be a voice and professional image of for Perianes-thesia Nursing. You also have the chance to participate in legislative initiatives or professional develop-ment activities that will enhance not only your practice but the profession as a whole. Membership in an organization specific to your practice area gives you a way to do such things as connect with col-leagues from around the country, learn best practices, keep up with changes in your specialty area, par-ticipate in development of practice standards or benchmarks, and advocate for state or federal legisla-tion that enhances your work. Over the course of the next year I want to increase membership in INSPAN/ASPAN. I want to mentor the Millennials in order for them to take over our leadership roles and be passionate about their field. I will continue to update the website that Ruth Boberg, former President of INSPAN, designed and incor-porate the use of Facebook and Twitter (with the help of Susan Snyder, committee member, and Kelley Kelly, Vice President of INSPAN) in order to have current and accessible information for all of our members and followers. Kelley Kelly is planning our fall update for 2016. She will expand the web site to handle registration, payment processing and CE’s from the site. Our charity for this year will be Dress for Success which will help Indiana’s men and women have professional outfits for interviews in 2016. You will see flyers and information on the web site starting in January 2016 of how to be involved. With the new year fast approaching it is ever more poignant that it is time to engage the minds and hearts of Millennials and help them help us create Nursing’s future. We must consider the Millennial’s love of technology and better incorporate it into nursing, or lose them to other, more progressive, disci-plines. The technology is there and adaptation into the average clinical setting awaits. Perhaps Millenni-als themselves will aid our profession in the better use of technology in every clinical setting in the fu-ture. References and Resources • ISNA -Indiana State Nurses Association Bulletin Jan 2014 • Finding the Passion: Inspiring Professionalism in the New Generation’ Katrina Bickerstaff BSN, RN, CA-PA CAPN, ASPAN Vice President/President Elect LDI, September 2015 • Time Magazine- “Millennials: The Me Me Me Generation” May 2

Spring Certification Testing

5

Examination Registration & Administration — Dates & Deadlines

Registration Window — Online* January 11 – March 7

Early Bird Discount Deadline February 22, 11:59pm ET

Examination Administration Window April 4 – May 28**

Deadline for Rescheduling or Cancelling Appt 31 calendar days before scheduled test date —

no charge. 3 – 30 calendar days before scheduled test date

— $62.50. Less than 3 days — $69.87

Copyright © American Board of PeriAnesthesia Nursing Certification (abpanc). Reprinted with permission.

February 1-7, 2016

PeriAnesthesia Nurses Awareness

Week is around the corner Feb-

ruary 1-72015. This is an oppor-

tunity for all the perianesthesia

units to promote and celebrate

our practice.

INSPAN will submit an application

to Governor Pence for a procla-

mation to honor Perianesthesia

Nurses throughout Indiana.

Nurses working in preanesthesia

and postanesthesia care, ambula-

tory surgery, and pain manage-

ment are dedicated to caring for

patients and their families. They

are passionate about what they

do as nurses. PANAW is an oppor-

tunity to educate nursing col-

leagues and the community

about the professionalism and

passionate care that is delivered

by perianesthesia nurses every

day. Plan to celebrate and recog-

nize your colleagues during PAN-

AW 2016!

Let INSPAN know of your ac-

tivities for the next newsletter.

Pictures would be great.

crwest@stvincent.org

6

PANAW INSPAN News

INSPAN Chapters

We have 2 chapters that have stepped up to meet and present an ed-

ucation offering for the members in the area. Would you like to have a

meeting a year or two and network with area hospitals. INSPAN would

like to help you form a Chapter in your area. Just contact one of the

officers for more information.

INSPAN Board Meetings

The INSPAN Board meetings are open to all INSPAN members and are

welcome to attend. The meeting will be hosted at Ortho Indy 86th

Street. Future meeting dates are:

March 12, 2016

June 11, 2016

PJ Mission

INSPAN’s service committee truly appreciated the dona-

tions our Perianesthesia Nurses and their Health Team Mem-

bers made to this statewide project. We collected 384 pajamas

which were distributed among three Indiana Homeless Shel-

ters:

1. Dayspring Center, Indianapolis

2. Caring Place Domestic Violence Shelter, Valparaiso

3. House of Bread and Peace, Evansville

Clients at these facilities were happy to receive the clothing

and for the committee personally delivering the articles. We

thank everyone for opening your

hearts!

Carol Matthews and Ruth Boburg

Congratulation to INSPAN Scholarship Recipients

National Conference Scholarship =$500 each:

Grace Walke; Beth Toth; Liz Scales; Charlotte West

Certification scholarship = $185:

Nancy Maggio

CPAN/CAPA education reimbursement =$25:

Jill Dillingham; Charlotte West

INSPAN Recruiter of the year receives a $25 education certificate:

Tamara A. Vukusich

Research Committee

Kathy Jo Carter MSN, RN, CPAN

INSPAN Past President

Working with ASPAN and members of INSPAN who are interested in Evidence based nursing

and research.

Bylaws/Policy & Procedures

Grace Walke BSN, RN, CPAN

Revised Bylaws are to be posted on the INSPAN website. Continue to update the Policies

Finance Report

Carol Matthews BSN, RN, CPAN

Treasure/Education Chair

Audit report completed September 25, 2015 with no discrepancies noted. Present balances at

the general member ship meeting are:

Checking Account $15,846.59

Money market $29,592.05

Total $45,438.64

Education Committee

Carol Matthews BSN, RN, CPAN

Treasure/Education Chair

Thank you for all the recipients that submitted application for scholarships.

Publications/Website

Charlotte West BSN, RN, CPAN and Susan Snyder BSN, RN, CPAN

New Website developed to improve communication. Please joint he Nursing Network to get

up to date news.

Did you know that INSPAN just started a new Twitter account? This is to

share information with followers about INSPAN activities and other health

news. Please follow us @INSPANnurses

Membership Memo

November membership = 223

Fall Update 2016

Kelly Kelley MSN-Ed, RN, CAPA

Look for a new look to the INSPAN educational offering in the fall. Save the date September

24, 2016. More news to come.

7

INSPAN Committee Reports

7

Region 3: Director’s Message

Sylvia Baker MSN, RN, CPAN

ASPAN Regional Director, Region 3

ASPAN CSP Coordinator

ASPAN Clinical Practice Team Leader

As of the publication of this newsletter, LDI is all wrapped up and great learning and networking

has been completed and extended. All of the Regional Directors worked hard this summer stimu-

lating our creative juices to make a fun learning experience for all attendees. I’d like to recom-

mend that all those who attended continue to nurture those seeds that were planted so that

your component will continue to grow and prosper.

ICPAN was also a success with many Perianesthesia Nurses meeting to network about patient

care during the Perianesthesia timeframe around the world. While this is a very young organiza-

tion, we all want to support and encourage its growth! Keep tuned to see how what you do in

your local world is like (or different) from Perianesthesia care in other parts of the world.

I will be attending a couple of Component Conferences as I continue to learn my role in support

of you, the grassroots member of this Region. Please let me know how I can assist you: whether

you are a member of your Component Board or a member providing that stellar care to the pa-

tients that need that loving touch as they emerge from their state of anesthesia.

In October, I will be (or have) attending/ed the Standards & Guidelines meeting. This four day

meeting is one where a great deal of hard work, updating and discussion of our Standards and

Practice takes place. Each time, we (as an organization) update our Standards, I gain a deep sense

of appreciation and pride of the work that we do with our patients (at the bedside) as well as the

work we do as an influential organization.

Please enjoy the upcoming changes of the seasons while continuing to provide the constant

vigilance of care and knowledge to those placed in your care!

8

INSPAN’s Holiday Gathering

You are invited to attend a night of social networking; come and meet current INSPAN members and

potential members. INSPAN members are encouraged to bring a colleague.

An optional Christmas ornament exchange (value $5.00 to $10.00) will take place. Wear your holiday

sweater. Refreshments will be served.

Growth and development are vital to INSPAN. Learn the benefits of ASPAN/INSPAN membership.

Education: discounted registration fees to educational conferences; scholarships.

Publications: Journal of Perianesthesia Nursing; newsletters.

Networking: State and National networking; Specialty Practice Groups

Advocacy: Governmental Affairs

Date: December 8, 2015

Time: 7:00 P.M. to 8:30 P.M.

Place: Community Health Network North Campus

7250 Clearvista Parkway (North Shadeland Ave. and East 82nd St.)

Professional Building; Riley Board Room—2nd Floor; Indianapolis, IN

For more information contact: Carol Matthews

317-610-6234

9

10

INSPAN Chapter Formation

INDIANA SOCIETY OF PERIANESTHESIA NURSES

GUIDELINES FOR CHAPTER FORMATION

1. Proposed chapter Coordinator submits application for chapter formation to INSPAN President.

a. The application shall include:

i. Proposed Chapter location and Perianesthesia facilities;

ii. Proposed Chapter Coordinator’s name and e-mail address

iii. Proposed Chapter Coordinator’s willingness-to-serve form.

b. INSPAN President shall submit a statement certifying that the proposed chapter meets the

Criteria for chapter formation:

i. At least five (5) INSPAN members living or working in the proposed chapter loca-

tion;

ii. purpose of the chapter is to meet the educational, research and leadership needs

of perianesthesia nurses living or working in the proposed location;

iii. INSPAN has the financial ability to assist the proposed chapter with expenses for

meetings, education, research, etc.

iv.

c. NSPAN President reviews application for completeness.

i. The INSPAN President may request that the INSPAN Treasurer verify that a mini-

mum of five (5) current members of INSPAN live or work in the proposed chapter

location.

ii. INSPAN President will propose chapter designee to correct application deficien-

cies, and resubmits application.

iii. INSPAN President places completed request for chapter formation on agenda for

next Board meeting.

iv. The INSPAN Board votes to grant or deny chapter status to the applicant.

v. The decision of the Board shall be communicated to the proposed chapter repre-

sentative.

vi. A formal announcement shall be made in the next issue of the Vital Volumes

d. Financial reimbursement criteria:

i. Speaker Fee

The Application will be posted on web site or e-mail crwest@stvincent.org

for an electronic copy sent to you e-mail.

ASPAN National Conference

11

Save the Date!

April 10–14, 2016

ASPAN's 35th National Conference

Philadelphia, PA

"Renew Perianesthesia Passion: Inspire Excellence"

More information coming soon.

More information coming soon.

Copyright © American Society of PeriAnesthesia Nurses (ASPAN). Reprinted with permission.