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Living in Illinois gives us the opportunity to experience all four seasons throughout the year even if some seasons are longer than others. Fall is a season that is all about change. We witness change in our environment with the temperature and foliage along with changes in our daily routine. As nurses, we anticipate and experience change con-stantly. We see changes in our patients’ conditions, changes in hospital policy, changes in nursing theory, changes in healthcare delivery and changes with the peers with whom we work. We often hear that change is good and inevitable, but working through change may not always feel so good initially. George Bernard Shaw is quoted saying “Progress is impossible without change, and those who cannot change their minds cannot change anything.”¹ One of the greatest tools we can use to address and adjust to change is educa-tion. ILSPAN Fall Conference was held this year in Urbana, IL on October 10. This year
we held a half day seminar for the first time. This power packed morning of education was enjoyed by 30 nurses. Time for networking was provided over a light lunch.
We challenge ourselves to seek best practices through evidence and research. Just as we commit to doing the best for our patients every day, we must commit to growing our professional practice through educa-tion. Nelson Mandela is quoted as saying “Education is the most powerful weapon you can use to change the world.”¹ Our world is comprised largely of our families and the patients for whom we care. As nurses, we have a great deal of power. ASPAN and ILSPAN are committed to constantly improving our practice within the perian-esthesia setting. I invite you to review their websites and identify which educational offerings can best enhance your nursing practice. Use these resources; they are designed for you. As Mahatma Gandhi said, “Be the change that you wish to see in the world.”¹
As we walk through the season of fall, embrace the opportunity for change. Each of us may experience the highs and lows with the challenges of change but within ourselves and our profession we have power.
(Continued on page 3)
Illinois Society of PeriAnesthesia Nurses
Fall 2015 Volume 39 Issue 3
PERI-SCOPE
In
sid
e this issu
e:
President’s Message Mary Higgins BSN RN CAPA
ILSPAN
Board of Directors Editorial Comment 2 11
Treasurer Report PANAW 2 12
Governmental Affairs ASPAN News & Notes 3 13
Vice President Report Education Article 4 14
Scholarship Deadlines Clinical Practice Corner 4 15
District Director Reports Membership Page/Recruiter 5 16
Research Corner Fall Conference 6 17
CPAN®/CAPA® News Spring Conference Save-the-Date 7 18
Informatics Corner 8 Willingness to Participate Form 19
ASPAN Regional Director 9 ILSPAN Core Purpose 20
Thank You Letters 10-11 Looking Ahead 20
Report as of September 1, 2015 Total $58,913.50
Checking $22,687.74 Audit information on page 15
Savings $25,000.00
Certificate of Deposit $11,225.76
Treasurer’s Report Elena Vance RN CPAN
ILSPAN Board of Directors
President Mary Higgins BSN RN CAPA
536 N. 7th Avenue
Des Plaines, IL 60016 847-827-1899
Vice President/President Elect Rose Ziffra MSN RN CPAN CAPA
630-856-6657 [email protected]
Secretary
Cheryl Gallet MSN RN CAPA 630-956-0453
Treasurer Elena Vance RN CPAN
618-530-4553 [email protected]
Immediate Past President
Maggie Colabuono BSN RN CPAN CAPA
815-725-6459 [email protected]
District I Director Larry Gnat BSN RN CAPA
773-620-8663 [email protected]
District II Director
District III Director Jamie Danks BSN MSHI RN
CNOR 618-830-6218
Education Chair (ex-officio) Alexis Nicpon MSN RN CPAN
630-605-4266 [email protected]
Membership Chair (ex-officio)
Laura Marovich MSN RN CPAN 812-201-5740
Newsletter Editor (ex-officio) Jane Reinschmidt BS RN CAPA
847-394-4944 [email protected]
Research Chair (ex-officio)
Linda Beagley MS BSN RN CPAN 630-817-6001
Web Editor (ex-officio) Keith Schumacher BSN RN CPAN
217-482-3309 [email protected]
Page 2 PERI-SCOPE
ILSPAN
Website
www.ilspan.org
Board of Directors and
General Membership
Meeting Minutes
can be found
on the website
ASPAN
90 Frontage Road
Cherry Hill
NJ 08034-1424
Toll free phone at:
877-737-9696
www.aspan.org
Peri-Scope
Published 3 times a year
Deadlines to submit copy
Winter Issue…….. December 1
Spring/Summer Issue… April 1
Fall Issue…………...August 15
Send copy to
Jane Reinschmidt
BS RN CAPA
2117 Lake Shore Circle
Arlington Heights IL 60004
President’s Message Mary Higgins BSN RN CAPA
Committee for the Evaluation of the Impact of the IOM Report The Future of Nursing: Leading Change, Advancing Health were held in Washing-ton D.C. Monday, July 27, featured panels on nurs-ing education, nurse residencies, workforce diversi-ty, workforce and education data collection and analysis, health system changes, health care deliv-ery, culture change in the health professions and health care delivery. On Tuesday, July 28, partici-pants were asked to focus on progress that has been made in implementing the recommendations of the IOM’s Future of Nursing report, and any suc-cesses and barriers to making the recommenda-tions reality. Nurse attendees were also asked to provide testimony about issues they felt the com-mittee should consider. Our ASPAN representative, Governmental Affairs Strategic Work Team chair-person, Seema Hussain MS RN CAPA participated in this workshop. We look forward to her upcoming report on this workshop.
References
1. H.R.2083 - Registered Nurse Safe Staffing Act of 2015. Retrieved from http://www.congress.gov/bill/114th-congress/house-bill/2083 Accessed July 25, 2015.
Websites:
1. The Future of Nursing Leading Change, Advanc-ing Health. http://www.iom.edu/Reports/2010/The-future-of-nursing-leading-change-advancing-health.aspx 2. Robert Wood Johnson Foundation: http://
www.rwjf.org
Capitol Hill has been very busy discussing and debating hot topics in nursing and health care. One such topic is The Registered Nurse Safe Staff-ing Act of 2015 (In the House, it is bill number H.R.2083, and in the Senate, S.1132). This bill is one of the most crucial pieces of legislation dis-cussed this year. To ensure that nurses have the staffing support they need to take care of patients, the bill addresses safe staffing levels. Ask yourself: How is your work day affected by “short-staffing”?
The Registered Nurse Safe Staffing Act would require each Medicare participating hospital to implement a hospital-wide staffing plan by estab-lishing a nursing committee primarily comprised of direct care nurses.
1 The staffing levels would ad-
dress patient acuity and the safe delivery of quality patient care consistent with national standards. These plans would establish minimum numbers of registered nurses by considering staffing levels rec-ommended by specialty nursing organizations such as ASPAN. They would take into account the level of education, training and experience of the regis-tered nurses providing care; ensuring that nurses are not forced to work in units where they are not trained or experienced. It also discusses other fac-tors impacting the delivery of care, including support staff, unit logistics and available technology. As nurses, we are called to advocate for our patients, but in addition we need to advocate for our profes-sion.
Nursing is key to quality patient outcomes and is essential to identify required improvements in the delivery of patient care. On July 27 and 28, 2015 workshops of the Institute of Medicine (IOM)
Page 3 VOLUME 39 ISSUE 3
Margret Mead stated “Never believe that a few caring people can’t change the world. For indeed, that’s all who ever have.”¹
Reference
1. Change Quotes. Retrieved from: http://www.brainyquote.com/quotes/topics/topic_change.html#t9Wph3alulfYXHmc.99 Accessed August 12, 2015.
Governmental Affairs
Maggie Colabuono BSN RN CPAN CAPA
Nursing is an art of caring that comes from the heart. With the evolution of health care and the changing needs of patients, our nursing profession is assuming an expanded role in the delivery of care. We are required to further our education, to become leaders of change and to elevate our care by using evidence-based practice in a cost effective way. Moving ones career ahead can be challenging due to time and financial constraints; there are job, family and per-sonal commitments or obligations. Yet we can be creative in achiev-ing these goals.
ILSPAN is committed to assisting us in advancing our edu-cation by offering scholarships and grants. We have scholarship offerings for state, national and international conferences, for certifi-cations and re-certifications, for clinical excellence and humanitarian mission trips. We recently awarded the Humanitarian Scholarship to an ILSPAN member who did mission work in Costa Rica and the Recertification Scholarship to one of our ILSPAN members. For those who are pressed for time or cannot travel to education events, web seminars are being offered by ASPAN. Find information at www.aspan.org.
ILSPAN is currently calling for nomination of the following board member positions: Vice President/President-Elect, Treasurer and District II Director. Being involved in our organization has been fulfilling for me. I have gained insight and perspective through net-working and have been mentored by colleagues who are experts in our specialty.
Last April, I had the opportunity to represent our Illinois component at the ASPAN National Conference in San Antonio, Tex-as. I was honored and privileged to attend the Representative As-sembly for the first time. I embraced the opportunity to be a part of the discussion on evidence-based research and best practices for our specialty. I encourage each of you to become involved. Please visit our website at www.ilspan.org or contact me with any ques-tions.
Call for Nominations
Spring Elections
ILSPAN is now accepting nominations for the 2016 ballot. Board positions to be elected are:
Vice-president/President Elect **Treasurer**
District II Director
Fill out a Willingness to Participate form from page 17 or on line at www.ilspan.org under the “Volunteer” tab. Job descriptions and committee descriptions can be found there. Contact any Board member for more information. (Information on page 2)
Vice-President’s Report
Rose Ziffra MSN RN CPAN CAPA
Page 4 PERI-SCOPE
Deadlines for ILSPAN Scholarships
2016 ASPAN National
Conference Scholarship Deadline January 1, 2016
CPAN® CAPA®
Certification & Recertification Scholarship
Spring Test Certification & Recertification Deadline is
January 1, 2016
Humanitarian Mission Scholarship
January 1, 2016
Deadlines for ILSPAN
Awards
Jan Ridder Excellence in Clinical Practice Award
Deadline November 15, 2015
Recruiter of the Year (ROA) ROA Timeframe is
January to December 2015 for the 2016 Award
Research Grant Application
Due January 1, 2016
All information is found on the ILSPAN Website under Awards, Scholarships or Research tabs. Send applications to: ILSPAN Vice-President/President-Elect Contact information is found on
page 2.
Chicago and the weather, the only predicta-ble thing is its unpredictability. With the advancement of computer charting, the predictable will be an in-creasing amount of definable data. This in turn will make unpredictability less of a reality. My nursing career has only been two decades but I remember taking an actual paper exam for nursing boards. Since taking the office of a district director, it has be-come apparent how difficult the job would be without a computer and internet access. The ability to com-municate with your peers, obtain education material, register for seminars (prepare a seminar) would seem impossible without this access. ASPAN and the individual state components, like our ILSPAN, pro-mote the continued advancement of computer based
nursing knowledge. National and statewide confer-ences disseminate knowledge through the hard work and dedication of nursing speakers and their healthcare peers.
Planning for the ILSPAN Spring 2016 confer-ence is underway. Please stay updated by using your computer or other electronic device to obtain registra-tion information. After every conference, the board reviews the information on the evaluation forms re-turned. This information is helpful in planning the ed-ucational needs of our members. If there are any special educational needs you think would be helpful to you in your workplace, please do not hesitate to send an email to me. (Contact information on page 2) Have a great fall, may the weather be with you.
I must admit that the old saying, where did the time go, really hit home this summer. Between work and family, I barely had time for much else. It is difficult to find time during the summer to interact with peers as our free time is often taken up with family vacations, sporting events and finding a moment to ourselves for reflection. I hope each of you have en-joyed your summer.
This fall brought two wonderful opportunities to learn and to interact with peers from around the state and the nation. The ILSPAN Fall Conference held on Saturday, October 10
th in Urbana Illinois was
an exciting half day enjoyed by all who attended. The ASPAN Leadership Development Institute (LDI) Sep-tember 18-20
th held in St Louis this year provided a
chance to learn more about our organization and
more about how to better serve and lead. I encourage each and every ILSPAN mem-
ber to seek opportunities to nominate co-workers or students for the scholarships available to ILSPAN members. Perianesthesia nursing is rapidly evolv-ing, and we need to foster the young nursing com-munity and provide them with opportunities that we know exist with an organization like ILSPAN. Sea-soned nurses are the leaders and experts when it comes to perianesthesia nursing. There are enor-mous opportunities for members to network and collaborate on projects effecting our scope of prac-tice. Encourage others to become involved in our professional organization for the tremendous bene-fits it offers.
District I Director Larry Gnat BSN RN CAPA
District III Director Jamie Danks BSN MSHI RN CNOR
District II Director
ILSPAN is in the need of a dedicated person who is passionate about perianesthesia nursing willing to fulfill the vacant District II Director position. The primary purpose of the job: The District Director serves as a resource person for dis-trict members and Chapter Coordinators and is responsible for planning educational opportunities in the district in which he/she is elected. Could that be you? Questions contact President Mary Higgins, contact information is found on page 2.
Page 5 VOLUME 39 ISSUE 3
When attending the national conference one activity I make sure I schedule time for is viewing
the Research and Celebrating Successful Practice (CSP) poster presentation. This past years’ ASPAN
gathering did not disappoint, with seventeen research posters and 82 CSP posters on display. I make it
a priority to read each poster and to talk with the author. Ideally, no one else is around to obstruct my
view of the poster, allowing me to linger and obtain ideas to take back to my unit.
ILSPAN was well represented in the CSP section with nine posters. Congratulations to the fol-lowing for their poster submissions:
Gail Davis, Amy Cooper (Barnes Jewish Hospital) Providing Regional Anesthesia Service in Preoperative Holding
Gail Davis, Amy Cooper (Barnes Jewish Hospital) Cross Training to Survive Economic Impact of Healthcare
Gail Davis, Amy Cooper, Sandra Filla (Barnes Jewish Hospital) Perioperative Participation in OSA Awareness
Dawn Davison (Advocate Good Samaritan Hospital) Mature Nurse Retention Survey Project
Sandra Filla, Gail Davis (Barnes Jewish Hospital) Stroke Center Readiness in the PACU
Sheila Haas, Laura Marovich (Northwestern Memorial Hospital) Standardization Nursing Assessments of Dermatome Levels of Postoperative Patients with Special Blocks and Epidural Analgesia
Judith Kinnavy (Advocate Good Samaritan Hospital) Utilization of Preoperative Risk Assessment for Management of Postoperative Nausea and Vomiting (PONV)
Marilyn Kopp, Gina Jablenski (Northwest Community Hospital) Utilization of Acuity Measurement Tool to Preoperatively Predict Patient Acuity in the Ambulatory Surgical Setting
Elizabeth L’Hommedien, Sandra Filla, Amy Cooper (Barnes Jewish Hospital) Tracheostomy Management in the Perioperative Setting
Many of your units are implementing exciting clinical practices. I hope you considered sharing
your practice initiatives and have submitted an abstract. If that didn’t happen for 2016, be thinking
ahead for 2017.
ILSPAN Research Grant Deadline January 1, 2016
Page 6 PERI-SCOPE
Linda Beagley MS BSN RN CPAN
CPAN Certification
Diane Janes Phyllis Ramos (Dual) Lisa Theis Michele Van Blair Samantha Wagner
CPAN & CAPA
Certification
Nona Acosta (Dual)
CAPA Certification
Sharon Brennan Karen Kraft (Dual) Ma Teresita Laus Verna Manivong Christine Mizera Mediatrix Nartia Reas Kara Marie Nevdal Korene Palazzo Aida Robles
Page 7 VOLUME 39 ISSUE 3
CPAN® and CAPA® News Nursing Passion in Action®
ILSPAN Scholarship
If you are taking the test this fall or if you will recertify this fall be sure to apply for the ILSPAN CPAN® or CAPA® Scholarship. View information and the policy on the ILSPAN web site, www.ilspan.org > Scholarships > Certi-fication Scholarships, or by sending an e-mail to any Board member. (Contact information on page 2.)
Congratulations to New CPAN and CAPA Certified Nurses
IMPORTANT DATES
Spring 2016 CPAN® & CAPA® CERTIFICATION TESTS Registration window is January 11, 2016 to March 7, 2016
Examination Window is April 4, 2016 to May 28, 2016 All registration is online. Information is on the ABPANC web site at
www.cpancapa.org Register early to get a preferred testing date.
ASPAN members receive a $100 discount on the registration fee. New Practice Exams include 50 multiple-choice questions with the correct
answer and references included. A great way to study. Buy One, Get One Free!
Additional Study Guides and Reference Materials available at: www.cpancapa.org > Certification > Exam Preparation
The ASPAN 2015-2017 Perianesthesia Nursing Standards, Practice
Recommendations and Interpretive Statements will be used for this test. Copies can be purchased from ASPAN .
Available at the web site www.aspan.org
Have you ever experienced an Elec-tronic Medical Record (EMR) unplanned down time? Many would compare unplanned down time to the sinking of the Titanic. Multiple fail-ures align to create the perfect storm. We pull out the life boats (also known as paper), we tighten up our life vests (also known as our support team) and we jump into the deep end to either sink or swim. There are sev-eral key points to address in order to mitigate this sinking feeling by you and your staff and help them swim to shore. Having a Plan in Place
A disruption of clini-cal documentation can have serious implications and cre-ate significant patient safety risks. Make an effort in ad-vance to prevent the devastating reaction as-sociated with a critical down (extended down time over several hours). A solid downtime pol-icy with clear and concise steps will help allevi-ate the concerns that arise with an unplanned down. Establishing a tried and tested method of communication with identification of leaders who will distribute communication is essential. Identifying and preparing a core group of per-
sonnel with boots on the ground to assist staff with questions and down time processes is essential. Sudden Return to Paper Documentation
EMR downtime policies must speak to the use and “how to” of paper documenta-
tion processes. Having ex-perts on hand will make the transition from the EMR to paper processes much easi-er. Employee orientation pro-grams should include thor-ough education on the use of paper processes and down time forms. Since many clini-cians have never used paper documentation this can be a particularly difficult transition for them. They have no his-torical point of reference from
which to proceed. The Aftermath of the Storm
As with any critical event, a post event assessment is important. A comprehen-sive and multidisciplinary review after any unplanned down will help identify process limitations and changes that may be needed in your downtime policies and processes.
Informatics Corner Jamie Danks BSN MSHI RN CNOR
Page 8 PERI-SCOPE
In this electronic world within which we practice, electronic documentation sys-tems are frequently being updated or being exchanged for entirely new systems. Chal-lenges face perianesthesia nurses who are charged with creating and designing the electronic record. Did you know that help is at your fingertips? As an ASPAN member you have access to information created for this specific purpose. A resource manual has been
created by the ASPAN Electronic Documen-tation Strategic Work Team (SWT). Perianes-thesia Data Elements identify specialty spe-cific elements to include when designing or updating the electronic record. Log on to www.aspan.org and click on Resources to find headings for both Elec-tronic Documentation and for Perianesthesia Data Elements. Take advantage of this benefit of ASPAN membership.
Unplanned Down Time
ASPAN RESOURCES for CLINICAL DOCUMENTATION
Why reinvent the wheel?
It is hard to believe that it’s already been four months since I was given this great opportunity! I was busy this past sum-mer recuperating from a total knee arthro-plasty. After having recovered thousands of post-anesthesia patients, I found myself on the receiving end of the care spectrum in early June. I am grateful that I had back-ground knowledge regarding anesthetics and delivery of those agents prior to my per-sonal experience.
During my recuperation, I made an effort to contact each of the component lead-ers in Region 3. Communication was rather sporadic. I would like to encourage you to contact me and let me know how the ASPAN Board of Directors can make your membership in this organization increasingly meaningful.
The September ASPAN Leadership Development Institute provided great learn-ing and networking in St. Louis. Each of the Regional Directors worked hard this past summer stimulating our creative juices to make a fun learning experience for all at-tendees. I would like to recommend that all those who attended continue to nurture the seeds that were planted so that your compo-nent will continue to grow and prosper.
The International Conference of Per-ianesthesia Nurses (ICPAN) was also a suc-cess with perianesthesia nurses from around the world meeting to network about patient care. ICPAN is a young organization we all want to support and encourage! Keep tuned to see how what you do in your local world is similar to or different from perianesthesia
care in other parts of the world.
This month I will be attending the ASPAN Stand-ards and Guide-lines meeting. This four day meeting involves hard work dis-cussing and up-dating our Stand-ards and Practice. Each time ASPAN updates our Standards, I gain a new sense of pride in the work that we do with our patients as well as the work we do as an influential organization.
ASPAN President Holcomb is doing a fine job leading your organization. Be-come active in ASPAN and re-ignite your passion for your profession, peers and pa-tients!
I hope you have read the latest edi-tion of the Breathline. This ASPAN publica-tion provides an opportunity to stay current with what is happening in your organization and practice. I invite your comments and sugges-tions. Let me know what’s on your mind. I am eager to bring your issues to the ASPAN Board. Lastly, I hope you can find time to enjoy this change of seasons while continu-ing to provide the constant vigilance of care and knowledge to those placed in your care.
ASPAN Region 3 Director
Sylvia Baker MSN RN CPAN
Page 9 VOLUME 39 ISSUE 3
The purpose of the Hands and Feet Mission was to provide medical care to the underprivileged in various regions of Costa Rica. This year the team included physicians, nurses, pre-med students and other youth. We served nearly 2500 patients in six different locations in the country. This mission was a great way to serve the needy, train students and watch them shine in the glow of service.
Many of those who were treated have little or no access to medical care. The youth participants were trained to assist physicians and helped obtain vital signs. All of the participants contributed time, talent and supplies.
I used my peri-anesthesia experience to train youth to triage patients, obtain medical histories and be the holistic face of the mission. I participated in this mission in 2013 with my daughter and was able to take my family this year. I strongly believe in service and in giving to others who are less fortu-nate. The Hands and Feet Mission is the perfect blend of health care providers and youth assistants. I hope to serve again.
I am grateful to ILSPAN for the Humanitarian Mission Schol-arship, which helped to make this second trip possible.
Hands and Feet Mission Trip Sonu Marchioretto Costa Rica 2015
Page 10
PERI-SCOPE
Each year during September ASPAN hosts a weekend educational event for compo-nent leaders and aspiring leaders. This year the ASPAN Leadership Development Institute (LDI) was held in Saint Louis, Missouri. ILSPAN is well represented on the ASPAN Board of Directors by Linda Beagley and Syl-via Baker. Both of these leaders participated in the planning and presentation of LDI 2015. Seriously consider attending ASPAN’s LDI in September 2016 as part of your involvement in our organization.
Help our ILSPAN effort to stay green
by keeping your email address current. Log on
to the ASPAN website at www.aspan.org to
update your information or contact me.
(Contact information on page 2) All ILSPAN
communications are sent by email. We don’t
want you to miss anything.
Since the last Peri-Scope was pub-lished I abandoned retirement for a few months and returned to the hospital depart-ment where I had worked in the perianesthesia arena the final 19 years of my career. The hospital was involved in an organization-wide computer system change. I was asked to as-sist with data update and transfer from the old system to the new. It was interesting to see from an observer’s standpoint the effect of rad-ical change within the nursing environment. For a brief period of time a group of experi-enced professionals suddenly transitioned backward from expert to novice in the area of computer documentation. This is the aspect of change which is most uncomfortable and yet is inevitable. It behooves each nurse to stay in-volved in the change, assure that it reflects best practice, absorb the change as quickly as possible and be ready for the next change on the horizon.
Grateful Member Sylvia Baker Thanks ILSPAN for Scholarship
achievement and the satisfaction of becoming certified and recertifying.
Thank you again Board Members (and indirectly ILSPAN members) for this award that has helped in reimbursing me for my certifica-tion. My patients and co-workers know that I have demonstrated this level of knowledge to improve my patients’ outcomes.
If I can do this: ANYONE can! I en-courage all ILSPAN members to accept the challenge to become certified and apply for the reimbursement scholarship for certification and recertification.
Thank you for awarding me the CPAN Recertification Scholarship. Certification is a personal and professional achievement for me; one that demonstrates to my patients and col-leagues that I truly care about their ability to metabolize the chemicals that we use to in-duce the necessary state of anesthesia and support the care that is delivered.
I have been a CPAN since 1991 and this is the first time I have applied for (and re-ceived) this support in funding for my certifica-tion and recertification. While specialty certifi-cation proves to be directly tied to profession-alism, I place more pride in the personal
Page 11 VOLUME 39 ISSUE 3
EDITORIAL COMMENT Jane Reinschmidt BS RN CAPA
Why was the ASPAN 2015 Leader-
ship Development Institute (LDI) invaluable
to me, a new ILSPAN board member? After
receiving an email blast sent out by the last
ILSPAN president, I volunteered to fill an un-
expired term for ILSPAN Treasurer without
knowing anything about ILSPAN, what it
does, who it represented, or how it even
worked. The LDI covered all of this plus a
multitude of other information. Sessions pro-
vided information about how the components
should hold their meetings, where the objec-
tives for our Strategic Plan are derived and
how we support our perianesthesia nurses.
During the three day event learning was ac-
complished in fun creative ways; we played
ASPAN Jeopardy and Family Feud. I was
able to network with other perianesthesia
nurses. I honestly cannot tell you which of
these events were the most help to me as a
new ILSPAN board member. As a new
treasurer my primary objective for the week-
end was originally to absorb all I could from
the Budget Planning session. Surprisingly, I
left inspired and motivated with a well-
rounded plethora of knowledge. I under-
stand my place in ILSPAN now, I under-
stand ILSPAN’s within ASPAN, and I am
armed with 15 pages of notes on how to
make our component the best it can be. I'm
excited to bring this information back to the
ILSPAN Board of Directors and I'm grateful
for this learning experience. Thank you IL-
SPAN for sending me and thank you
ASPAN for a terrific learning experience.
Board Member’s Perspective on ASPAN’s Leadership
Development Institute
ILSPAN PANAW AWARD
PeriAnesthesia Nurse Awareness Week
February 1-7, 2016
Have you thought about plans to celebrate PeriAnesthesia Nurse Awareness
Week (PANAW)? How does your unit celebrate; does it include yummy food? It is not
too early to begin plans for your department. ASPAN’s 2016 theme is Perianesthesia
Nurses Practice with Excellence. During PANAW perianesthesia nurses in hospitals,
clinics, and ambulatory surgery centers across the country celebrate their roles as
partners in caring. ILSPAN presents an award each year to the perianesthesia unit that
demonstrates Education, Professionalism, and Team Spirit of the perianesthesia unit
during PANAW. Submit photos and a short narrative about your unit celebration to be
considered for the ILSPAN PANAW Award. Entries must be submitted to ILSPAN Vice
-President Rose Ziffra by February 28th, 2016. (Contact info on page 2) The award is
presented at the general membership meeting at the ILSPAN Spring Conference.
Page 12 PERI-SCOPE
Elena Vance RN CPAN
PERIANESTHESIA NURSES
AWARENESS WEEK
FEBRUARY 1-7, 2016
Make plans now to celebrate the importance of
Perianesthesia Nursing in healthcare!
Plan now to attend ASPAN’s
35th
National Conference in
Philadelphia, Pennsylvania
April 10-14, 2016
The City of Brotherly Love is waiting to welcome
attendees to the 35th ASPAN National Conference.
President Armi Holcomb’s theme of “Renew Perianes-
thesia Passion: Inspire Excellence” will ignite everyone
to learn, network and be inspired. Philadelphia is the
largest city in Pennsylvania, offering a rich history in-
fused into a bustling metropolitan environment. Enjoy
wandering historic neighborhoods and cobblestone
streets, view the nation’s history up close—
Independence National Historical Park, the Liberty Bell,
Old City and Society Hill. Hope to see you in Philly!
Page 13 VOLUME 39 ISSUE 3
News & Notes
Lipid resuscitation therapy (LRT) is the clinical treatment for reducing the ad-verse symptoms of toxicity from excessive dosing of local anesthetics (LA) agents. This toxicity, when systemic, most often involves the cardiovascular and central nervous sys-tems. In turn, the symptoms, if not treated quickly and appropriately may lead to severe physical manifestations and possible death.
By order of incidence: accidental in-travenous injection, excessive dosing, and co-morbidities are the most common cause of a local agent to reach a toxic level (high blood plasma concentration) in a patient. Lidocaine is metabolized by the liver, and therefore a patient with liver dysfunction needs his or her dose reduced to prevent toxicity. High plas-ma levels of a LA directly correlates to the body mass index in children. However, in adults we see that the methods of admin-istration, nature of drug preparation, and the physiological status of the patient have a far
greater association.¹ Symptoms of local anesthetic toxicity
usually appear within 1 to 5 minutes after injection, longer for other routes such as a topical overdose. Central nervous system manifestations (excitation followed by de-pression then inhibition) typically appear first. Cardiovascular changes concurrently appear because sodium channels are blocked which affect impulse conduction through the heart.
Treatment for these symptoms fol-lows the established nursing guidelines of ACLS but with an adjustment in medication dosing when the caregiver is aware this is a case of local anesthetic overdose/toxicity. Accordingly, lipid emulsion therapy has be-come an accepted part of the resuscitation plan. American Society of Regional Anesthe-sia guidelines recommend considering the use of lipid emulsion therapy at the first signs of systemic toxicity from local anesthetics,
after airway management.² Lipid infusion cre-
ates a lipid phase that extracts the lipid solu-ble molecules of the local anesthetic from the
aqueous plasma phase (lipid sink hypothe-
sis).³ In other words, the circulating lipid will
bind with the local anesthetic and take it away from the tissue receptors.
Dosing regimens were compared us-ing the referenced literature – there was little variation between the articles reviewed. Rec-ommended dosing usually begins with a 20% lipid emulsion bolus of 1.5ml/kg over 1-3 minutes. According to the American College of Medical Toxicology, the bolus can be ac-complished by drawing the appropriate vol-ume of lipid emulsion into 50 ml syringes and administering intravenously. The bolus dose may be repeated if there is no initial response or a later re-emergence of hemodynamic and CNS instability is observed. An infusion rate of lipid emulsion is then started at 0.25 ml/kg/min for 30-60 minutes (average) or until clini-cal manifestations have dissipated, and sta-bility is restored. As with any resuscitative effort, quick response and implementation of treatment is paramount. Lipidrescue.org is an excellent instructional website for formulating a lipid rescue kit that will conform to your spe-cific institutions policy and procedures.
4
Lastly, educate the patient to avoid those specific agents in the future and to inform any future caregiver of their reaction.
References
1. Ciechanowicz S, Vinod P. Lipid Emulsion
for Local Anesthetic Systemic Toxicity. Anes-thesiology Research and Practice. 2012: 4-5.
2. Neal J, Mulroy M, Weinberg G. American
Society of Regional Anesthesia and Pain Medicine: checklist for managing local anes-thetic systemic toxicity. Regional Anesthesia Pain Medicine. 2012; 1:16-8.
3. Weinberg G. Lipid Infusion Therapy:
translation to clinical practice. Anesthesia &Analgesia. 106(5): 1340-2.
4. LipidRescueTM
Resuscitation. Retrieved from www.lipidrescue.org. Accessed April 20, 2015.
Education Article Larry Gnat BSN RN CAPA
Page 14 PERI-SCOPE
Lipid Resuscitation Therapy
Many questions are directed to the Clinical Practice Committee re-garding length of time to monitor patients who have had a procedure which did not require general or spi-nal anesthesia. You may want to consider what ASPAN recommends about these clinical situations.
ASPAN does not set time constraints or limits on how long PACU staff should re-cover a patient. A number of years ago, ASPAN made the decision to promote criteria for discharge readiness rather than prescrib-ing time frames. I refer you to Practice Rec-ommendation Two.¹ This Practice Recom-mendation discusses information regarding the "Components of Assessment for the Peri-Anesthesia Patient." Since anesthesia care is individualized to the patient's desires and outcomes, this Recommendation exists and supports the premise that time-frames NOT be placed on criteria. Patients metabolize medications at different rates and present with varying co-morbidities. This Recommen-dation states, "Discharge criteria should be developed in consultation with the anesthesia department using the above assessment pa-rameters. Discharge criteria must be ap-proved by the department of anesthesiology and the medical staff. The registered nurse will adhere to institutional policy for patient
reassessment following discharge."¹ The data that should be assessed and collected include (but are not limited to): 1) Airway and respirato-ry/ventilation status; 2) Cardiac and hemody-namic status; 3) Thermoregulation; 4) Level of consciousness; 5) Pain level; 6) Sedation level; 7) Comfort level; 8) Sensory/motor function; 9) Patency of tubes, catheters, drains, intravenous lines; 10) Skin color and condition; 11) Condi-tion of dressing and/or surgical site; 12) Intake and output; 13) Medication management; 14) Emotional status; 15) Child-parent/significant others interactions; 16) Postanesthesia scoring system if used.
1 In some institutions, the Cardi-
ac Catheter Lab falls under the jurisdiction of the Critical Care service. It is important to as-sess your organization’s policies governing specialty units. If you need to develop a new policy be sure to incorporate those individuals/departments into your document.
In many organizations, time frames are not used to determine discharge readiness. While one could plan on expected norms for Phase I patients' length of stay, actual times range from just minutes to an average of 1.5 hours. In summary, discharge/transfer deci-sions should be performed using previously agreed upon criteria--not a predetermined time frame. Reference:
1. Perianesthesia Nursing Standards, Practice Recommendations and Interpretive Statements. 2012-2014. Cherry Hill, NJ: American Society of PeriAnesthesia Nurses; 2012, 36-42.
Clinical Practice Sylvia Baker MSN RN CPAN
The annual audit of ILSPAN accounts was performed on Saturday August 22, 2015 in Joliet, Illinois.
ILSPAN's fiscal year was from July 1, 2014 to June 30, 2015. In attendance were board members:
Jane Reinschmidt BS RN CAPA, Mary Higgins BSN RN CAPA, Rose Ziffra MSN RN CAPA CPAN,
Laura Marovich MSN RN CPAN, and Elena Vance RN ADN CPAN. For questions regarding the
treasurer’s report or the annual audit contact Treasurer Elena Vance (contact information on page 2.)
Page 15 VOLUME 39 ISSUE 3
ILSPAN Annual Audit Elena Vance RN CPAN
District 1
Nimfa Abas-Millan
Charlie Mae Adams
Ann Aderrman
Linda K Bailey
Laurel Beckwith
Genelle L Cave
Mary Lyn Connolly
Elmer Diaz Aretano
Jennifer Domete
Lisa J Durkin
Morna Franklin
Paul Nathan Franklin
Jennifer R Fuchs
Cheryl L Gazouski
Jillian Hellmann
Rebecca Hipp
Sheri Ann Hoogstraat
Stacey Kearney
Gabriella C Kindlund-Stogsdill
Mary Cathy Larchey
Melissa LeCuyer
Demi Nicole Lenz
Sonu Marchioretto
Norma Menchaca
Sherita Monreal
Erol Pamay
Mary Pitstick
John Pittman
Tricia Ann Prinsen
Kathy Kenny Puffer
Camille N Ramah
Moriah S Rothacker
Sharon R Seaman
Margaret Sheerin
Sarah Schomer
Denise M Sweet
Debra Suzanne Townander
Welcome New Members who Joined
May to August 2015
ILSPAN Recruiter of the Year
This award recognizes and honors the member whose dedication to recruitment of new members has most benefited ILSPAN. The award is given to the ILSPAN member who recruits the highest number of new members between January 1st and December 31
st and is presented at the ILSPAN Spring Conference.
The minimum number of members recruited to be considered for the award is three. The official number recruited will be obtained from ASPAN's Member-Get-A-Member records.
The recipient of the award will receive one year ASPAN membership dues
and one year ILSPAN membership dues paid. It is not too late to recruit for your
professional organization.
Page 16 PERI-SCOPE
District 2
Karen S Becker
Danyll E Cox
Julie Dupuis
Valerie Fox
Carolene Hill
Kimberly K Taylor
Margaret Mary Tiltges
District 3
Angela Kay Boren
Caitlyn Byer
Mary Ann Cornwell
Karen Hardin
Brian K Pollo
Sally Leavitt Salmon
Christopher S Werner
Alexandra Lynn White
Angela Marie Winking
Fall Conference 2015 October 10, 2015
Urbana, IL
Page 17 VOLUME 39 ISSUE 3
Ph
oto
s b
y A
. N
icp
on
Alexis Nicpon introducing President Mary Higgins
Dawn Davison presented on her project Mature Nurse Retention
Attendees socializing during a break
Winners of the ILSPAN door prizes
Ph
oto
by E
. V
an
ce
SAVE-THE-DATE
SATURDAY, MARCH 5, 2016
ILSPAN SPRING CONFERENCE
LOCATION
Meridian Banquet & Conference Center
1701 Algonquin Road, Rolling Meadows, IL 60008
Outcome
To enable the perianesthesia nurse to implement proficiency in nursing practice in order to improve the qual-ity of patient care.
Target Audience
All perianesthesia nurses and other allied health care professionals interested in the specialty of perianes-thesia.
Overall Program Objective
Discuss key topics and essential skills for nurses in all phases of perianesthesia nursing.
Accreditation
This activity has been submitted to the American Society of Perianesthesia Nurses for approval to award contact hours. The American Society of Perianesthesia Nurses is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
For more information regarding contact hours, please contact the
Nurse Planner Alexis Nicpon MSN, RN, CPAN at [email protected]
Disclosure
All planners and presenters at nursing continuing education activities are required to disclose to the audi-ence any significant financial relationships with the manufacture(s) of any commercial products, goods, or services. Such disclosures will be made in writing in the course presentation materials.
For more information contact
Larry Gnat, BSN, RN, CAPA at [email protected] or 773-620-8663
Illinois Society of PeriAnesthesia Nurses
Page 18 PERI-SCOPE
ILSPAN
Willingness to Participate Form
Name__________________________________________________________________
Address________________________________________________________________
City, State, Zip___________________________________________________________
Home Phone ________________________Cell Phone___________________________
E:mail_________________________________________________________________
ASPAN Membership #____________________________________________________
Place of Employment_____________________________________________________
Please circle position of interest:
BOD position_________________________
Editor/publication committee
PR/Marketing
Computer networking
Previous experience that will help me: ________________________________________
My goals for this position:__________________________________________________
Questions I have:________________________________________________________
_______________________________________________________________________
Submit form on line at www.ilspan.org or mail to:
Rose Ziffra MSN RN CPAN CAPA
120 N. Oak St. Hinsdale, IL 60521
Page 19 VOLUME 39 ISSUE 3
Volunteer for ILSPAN
Cut out the form below and mail it to Vice President Rose
Ziffra or log into the web site www.ilspan.org and fill it
out and submit on line.
ILSPAN Illinois Society of PeriAnesthesia Nurses
ASPAN Seminar “Little Bodies, Big Differences,” Oak Lawn, IL………………………….. November 14, 2015
Jan Ridder in Clinical Excellence Practice Award…………………………………………...November 15, 2015
ILSPAN CPAN & CAPA Scholarship Deadline………………………………………………..…January 1, 2016
ILSPAN Humanitarian Mission Scholarship Deadline……………………………………….….January 1, 2016
ILSPAN Research Grant Application Deadline……………………………………………….….January 1, 2016
ILSPAN Winter Board of Directors Meeting (Virtual).……………………………………...……January 9, 2016
ILSPAN Spring Board of Directors Meeting, Rolling Meadows IL…………...…………………..March 4, 2016
ILSPAN Spring Conference, Rolling Meadows IL………………………………………………….March 5, 2016
ASPAN 35th National Conference Philadelphia, PA……… ……………………………..April 10-April 14, 2016
ILSPAN Summer Board of Director’s Meeting ………...………………………………….…….to be announced
ILSPAN Fall Board of Director’s Meeting …………...…………………………………….…….to be announced
ILSPAN Fall Conference. ……………………………………………………………...…….……to be announced
Looking Ahead………..
ILSPAN Core Purpose The Illinois Society of Perianesthesia Nurses advances nursing practice through education,
research, and standards of practice. The Society exists to serve needs of membership at the component level.
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permission from ILSPAN is prohibited.
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