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1 Pulseline
Inside this PulselineRonda’s Remarks . . . . . . . . . . . . . . . . . . . . . . .2
New Chapters Key to PANAC Success . . . . . . . . . .2
ASPAN District 1 Director’s Report . . . . . . . . .3
PANAC Announces Scholarship Recipients . . .3
Germ Warfare: The Battle Against SSI . . . . . . .3
PANAC Photos . . . . . . . . . . . . . . . . . . . . . . . . .4
Certification: Strategies for Success . . . . . . . .5
Pediatric Pearls: The Perils of Phenergan . . . . .5
PANAW 2014 . . . . . . . . . . . . . . . . . . . . . . . . . .5
Gold Leaf Award: What is It? . . . . . . . . . . . . . .6
Obamacare: The Impact on Your Practice, Pt . 1 .6
Director’s Corner . . . . . . . . . . . . . . . . . . . . . 6-7
Calendar of Events . . . . . . . . . . . . . . . . . . . . . .8
Newsletter of the PeriAnesthesia Nurses Association of California Spring 2014 Vol. 34 No. 1
Viva Las Vegas! Light up your Practice in the City of Lights
President’s Message: A Poster is Worth a Thousand Words Tess Mazloomian, MSN, RN, CPAN, CAPA, CCRN
Have you noticed? PANAC now has online registration, a Facebook page, an enhanced website (www.panac.org) with links to seminar details, an updated educational calendar, seminar photos, links to the Pulseline, scholarship information, and much more. As we continue to enhance our professional offerings, we
now accept research or best practice posters for presentation at PANAC seminars. I know that many nurses have not had formal training in research and are intimidated
by the concept of conducting and documenting a study. So, here’s a suggestion. In your place of work, find a new or current area of interest, practice change or an issue, the outcome of which you want to influence and conduct a survey or an audit. Write up your findings in an acceptable study format, then present your results as a poster. This is a good starting point and will help to develop your confidence. The ASPAN website, www.aspan.org, has an excellent resource, Creating an Effective Research Poster, written by ASPAN’s Director for Research, Jacqueline Ross, MSN, RN, CPAN.
By presenting your findings in the form of a poster presentation, you will be highlighting your work, your institution and your department as well as sharing best practice successes with other professionals. As a perk, you will receive a certificate and have your name and work published. Best of all, you will have the personal knowledge that you have contributed to perianesthesia nursing and have made your mark.
Catch up with Elvis and join the fun at ASPAN’s 33rd National Conference, DEALING with Challenge: WINNING with Power, Practice, Purpose, April 27 – May 1 at the Las Vegas Hotel & Casino in the most exciting entertainment city in the world!
The playbill is packed with headliners! Learn from renowned speakers on all the big ticket issues in perianesthesia practice today; trauma, pediatrics, legal documentation, and more. What happens in Vegas will NOT stay in Vegas. You will hit the jackpot with buckets of new information to share with colleagues back home. See the conference brochure on the ASPAN website at www.aspan.org. Cha-Ching
From the Las Vegas Hotel and Casino, or LVH as the locals call it, travel the Vegas strip by monorail from one end to the other, with seven stops in just 15 minutes. Unlimited ride tickets are the best value: $12 for a one-day pass or $55 for the week. On-line purchasers can save an additional 10%, Cha-Ching! The hotel is an unbeatable value and each room has a Keurig coffee maker, but since the hotel charges for coffee, you may choose to bring your own cup and your favorite variety of K-cups.
Viva Las Vegas! Las Vegas is
the entertainment capitol of the world and Component Night is all about glamour! Come d re s s ed up i n your Hollywood Glam, or as your favorite Las Vegas Headliner. Take a photo with Las Vegas celebrities or with your own entourage. Swing your way around the dance floor as famous crooners serenade us with their classic hits. Don't forget to stop by the California table to show us your "get up" and buy raffle tickets to support PANAC!
Las Vegas never sleeps, offering gaming, fine dining, unique entertainment, shopping, and 24- hour nightlife. For sightseeing, head for the Adventuredome, museums, aquarium, planetarium, zoo, or catch the circus acts. Off the strip adventures include Mt. Charleston, Red Rock Canyon, Valley of the Fire State Park, Lake Mead, Hoover Dam, and the Grand Canyon. Helicopter view anyone?
See you in Vegas!
Photo: Las Vegas News Bureau
PANAC members will meet Tuesday evening from 5:30-7:00. Watch for details in the PArtiCUlars on the
Communication Board.
By Lori Silva, RN, CCRN, CPAN, 2014 National Conference SWT Member, Host/Hostess Coordinator
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Ronda’s RemarksRonda Dyer, BSPA, RN, CPAN, CAPA
The American Nurses’ Association Code of Ethics states, “The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.”
As a nursing student almost thirty years ago, the need to continue learning was impressed upon me by my instructors and mentors. Every day, new studies are reported and best practice information is published. As a nurse, I feel I am not giving my patients the best possible care if I don’t make an effort to learn everything I can about my area of practice.
Preparing for the CPAN and CAPA exams enriched my practice and motivates me to maintain my certification through continuing education for years to come.
I became certified for my patients. Each one is a child, parent, grandparent, sibling or spouse. If someone I love needs surgery, I want them to receive care from knowledgeable professionals. I believe we owe the same to the patients entrusted to our care.
I’d love to hear your certification story, please e-mail me at [email protected].
Reference: ANA.Nursing: Scope and Standards of Practice, 2nd Edition. American Nurses Association;
August 2010.
PulselineA Publication of the
PeriAnesthesia NursesAssociation of California
Winner 2011, 2008 ASPANComponent Newsletter 1-8 Pages
ASPAN National ConferencePeople’s Choice Award
2012, 2011, 2010, 2007, 2002, 2000, & 1999
2013-2014 Executive Officers
PresidentTess Mazloomian, MS, RN, CCRN, CPAN, CAPA
Immediate Past-President Shay Glevy, BSN, RN, CPAN, CAPA
Secretary
Anatita Invina, BSN, RN, CPAN
TreasurerDenise DeFendis, BSN, RN, CAPA
Education ChairLori Silva, RN, CCRN, CPAN
Education Chair-ElectLaurel Baker, MSN, RN, CNS, CSRN
District DirectorsDistrict 1 – Angelique WeathersbyDistrict 2 – Kevin MacVaneDistrict 3 – Shideh FarahmandDistrict 4 – Helen Fong District 5 – Kathy Nichols
Pulseline Editorial StaffPublication Chairperson/EditorRonda Dyer, BSPA, RN, CPAN, CAPA
CONTRIBUTING EDITORSDebbie Bickford Helen BussSusan Carter Denise DeFendis Gina Dias Helen FongKaren Machado Sheryl MichelsonErnestine Nunes Lori SilvaSue O’Day Judy Ontiveros Denise Oxford Terry Trautloff
Send letters/comments to:Ronda Dyer
1906 West Tudor Lane Hanford, CA 93230
Email: [email protected]
The PANAC Web site is www.panac.orgWebmaster: Gloria Luu, BSN, RN, CPAN
Pulseline is published Quarterly.
Deadlines for inclusion in Pulseline:Deadline IssueFebruary 1 March/SpringMay 1 June/SummerAugust 1 September/FallNovember 1 December/Winter
PANAC P.O. Box 10841
Westminster, CA 92685-0842
Printed by Carmichael PrintingCarmichael, CA
© 2014 Pulseline All rights reserved.
New Chapters Key to PANAC Success
By Ernestine Nunes, RN, CNOR, Visalia Chapter Coordinator
Last year, PANAC boasted nine Chapters; now there are twelve. The newest are the East Bay Chapter, Contra Costa County, with Chapter Coordinator, Patti Crosby, and the North Coast Chapter with Heidi O’Neil in Eureka, Humbolt County.
This March, the Central Valley’s Visalia Chapter celebrates its first anniversary. From their first 2013 lunch meeting at Café 225, the nine Visalia Chapter founders have grown to 30 active members. It takes only one or two nurses to start a Chapter. Local nurses enthusiastically embrace regular meetings and educational programs. Like Visalia, East Bay first met at a restaurant for lunch, while the North Coast held an educational program attracting 21 founding members.
At new Chapter meetings, PANAC District Directors offer support. District 3 Director Shidah Farahmand attended East Bay’s founding lunch and Helen Fong, District 4 Director, flew to Eureka for North Coast’s first meeting. In District 5, Director Kathy Nichols, former Fresno Chapter Coordinator, regularly attends Visalia meetings.
Build it and they will come. Each chapter decides meeting format, preferred meeting times, and goals. The Visalia Chapter decided on monthly lunch meetings “to gain momentum.” It worked. Soon, more members joined to network and plan educational programs.
Host hospital’s support and use of their BRN provider number is essential to chapter educational offerings. For their first program last July, Adventist Medical Center-Hanford provided free CEs and PANAC provided a Sunday lunch attracting 30 nurses to hear Anesthetic Agents by Hanford CRNA, Richard McGrory. When Visalia’s Kaweah Delta Healthcare District hosts programs, Porterville’s Sierra District Hospital provides the contact hours, thanks to Surgical Services Director, Dee Piazza.
A primary Visalia Chapter goal, developing professionalism, had Certification Coach, Susan Morris, and Dual Certified, Ronda Dyer, leading Visalia and Hanford CPAN/CAPA study groups. In November, the Chapter met for lunch to celebrate our six new CPAN/CAPAs and Dual Certified nurses.
The key to any Chapter’s success is regular meetings (monthly, bimonthly, or quarterly) that involve local nurses and provide venues for networking, education and professional development. With the ongoing support, attendance, and positive encouragement of the Board of Directors, PANAC is one of the ASPAN Components developing upcoming leaders. These Chapter member leaders are the future of PANAC and ASPAN. As last year’s president Shay Glevy pointed out, we are growing our own.
It takes only one or two nurses to start a Chapter.
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ASPAN Region 1 Spring Update –See You in Vegas
By Debbie Bickford, BSN, RN, CPAN, ASPAN Region 1 Director
Here it comes. The Las Vegas National Conference is not only just around the corner—it is in our corner of the world, Region 1!
From all of us in Region 1, we send a special thank you with appreciation to the volunteers, the National Conference Strategic Work Team (NCSWT), Kevin Dill and the National Office
staff, and the NevPANA Board of Directors for an outstanding conference.
Congratulations to the NCSWT, headed by NevPANA and PANAC member, Susan O’Day, MSEd, RN, CPAN from Reno, NV, you all make Region 1 very proud. Deb Ebert, BSN, RN, CCRN, CNOR, CPAN, CAPA is planning something special for Component Night and Lori Silva, RN, CCRN, CPAN is VERY busy scheduling hostesses to make sure no one gets lost or has unanswered questions. Thank you just doesn’t seem to be enough!
Region 1 will be there in force! If anyone who is unable to attend the whole conference, please consider coming for a few days; you won’t regret it. If this is your first National Conference, plan to attend the First Timer’s Orientation on Sunday afternoon or Monday morning for a great overview to make the most of the conference so you don’t miss anything. This presentation is also available on the website at www.aspan.org. First timers or frequent flyers
Here are my top 10 Not to Be Missed Conference moments: Saturday evening• , stop in to meet your Candidate for ASPAN Board of Directors.Sunday mornin• g, come sit in the gallery at the Representative Assembly (RA) to hear the candidates speak and see ASPAN Board and delegates in action. You'll see the faces behind the names and hear about emerging hot topics.Sunday night• , dress up Vegas style for Component Night fun. Bring cash for raffle tickets to support our Components. Eat, drink, and have a blast! Remember, what happens in Vegas stays in Vegas. Monday • begins with the Opening Ceremonies. ABPANC hosts
the Certification Luncheon for CPAN and CAPA nurses. After the afternoon sessions, head for the Exhibit Hall to meet vendors, check out the poster presentations, and see the Silent Auction. Monday evening, plan to attend the ASPAN Development Reception at the Poolside, the premier fundraising event for member scholarships. Tuesday and Wednesday• take time between the educational sessions to view and listen to the poster presentations and Tuesday evening, don’t miss the President’s Reception to greet President Twilla Shrout and enjoy a classy, fun affair with food, drink, and lots of dancing. Thursday• , it’s rise and shine for an early breakfast and the Closing Ceremonies as our next ASPAN President, Jacque Crosson, Arizona, Region 1, shares her vision for the coming year.
Finally, each morning pick up the daily conference bulletin, PArtiCUlars to keep up with highlights and happenings; and check out the Conference Bulletin Board for announcements and postings for news and Component Get-togethers.
Hope to see you there; it’s going to be fabulous! You may even meet Elvis!
Germ Warfare: The Battle Against SSI
By Gina Dias, RN, CPAN, CAPAIn February 2013, The American Society of Health-System Pharmacists
(ASHP) published the 89 page Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery. This report is a collaboration of ASHP, the Infectious Diseases Society of America (IDSA), the Surgical Infection Society (SIS), and the Society for Healthcare Epidemiology of America (SHEA). These experts reviewed over one-thousand published studies focused on identifying the strongest evidence-based pharmaceutical measures for preventing surgical site infections (SSI). They made the following recommendations for the timing of antibiotic administration:
The recommended administration of the first dose of an antimicrobial is to begin within 60 minutes before the surgical incision. Administration of vancomycin and fluoroquinolones should begin within 120 minutes before surgical incision because of the prolonged infusion times required for these drugs. Intraoperative redosing is needed to ensure adequate serum and tissue concentrations of the antimicrobial if the duration of the procedure exceeds two half-lives of the antimicrobial or there is excessive blood loss (i.e., >1,500 mL). The redosing interval should be measured from the administration of the preoperative dose, not from the beginning of the procedure.
Quality-improvement initiatives and mandated performance reporting are subject to change, so readers of these guidelines are advised to consult their local or institutional quality-improvement departments for new developments in requirements for SSI measures and data reporting that apply to their practice. Watch for information on antibiotic dosing in the Summer Edition.References: Bratzler DW, Delllinger EP, Olsen KW et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health-Syst Pharm. 2013; 70:195-283.
PANAC Announces Scholarship Recipients
Each year, through the Alice Wise Memorial Fund, PANAC offers scholarships for perianesthesia nurses pursuing certification, advanced degrees, perianesthesia research or conference attendance. This year, eleven PANAC members will benefit.
With the ASPAN National Conference in nearby Las Vegas, there were many who applied for $500 scholarships to assist with the cost of registration. The following ten members hit the jackpot. Congratulations Ernestine Nunes, Visalia; Denise DeFendis, Fresno; Tita Invina, Cerritos; Sheryl Michelson, Cupertino; Monica Laurent, Santa Barbara; Gina Dias, Hanford; Kathy Sim, Rosamond; Esther Sang, Sunnyvale; John Kuykendall, Sunnyvale; and Shay Glevy, San Diego. Member Gloria Luu, San Bruno, received a $250 scholarship for CAPA certification.
The annual application period for the AWMF is October 1 to December 15. Information, applications, and point criteria are available on the PANAC website, www.panac.org.
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Visalia Chapter Coordinator Ernie Nunes, Dr. Kim Noble and Region 1 Director Debbie Bickford chat over a cup of coffee before Dr. Noble takes the stage at PANACs Winter Conference
Kevin MacVane helps Winter Conference attendees get the blood flowing on an afternoon exercise break.
Gregory Cotta and Andrea Moore enjoy the wonderful buffet breakfast provided to attendees at the Winter Conference.
Members Dolores Deteresi, Johan Ingels, Katarina Ingels and Annika Wiens enjoy coffee during a Winter Conference break.
Fresno area nurses, Eroshnie Singh and Redena Cheung-Mah enjoy catching up before the morning session begins at the Winter Conference.
Grace Durham, Clovis, discusses the benefits of aromatherapy with Soothing-Scents Representative, Kurt Waid.
WINNERS! Angelique Weathersby and Denise DeFendis claim raffle prizes.
Stung By Education Bug, Members Develop Spring Fever
5 Pulseline
By: Ronda Dyer BSPA, RN, CPAN, CAPA
While celebrating their success, PANAC members Kathy O’Byran, Susie Nunes, Gina Dias and Dora Faulk shared their thoughts about certification and offered advice to those preparing for CPAN and CAPA exams.
“Becoming certified as CAPA justifies what I do. Studying for CAPA really enhanced my practice and empowered me.” Susie Nunes went on to say, “I would recommend a study group for anyone planning to take the test.” All these nurses participated in small study groups and expressed their appreciation for the support, encouragement, motivation and accountability. All thought meeting at a consistent time and at a distraction-free site was critical. At the meetings, Gina Dias said, “we shared personal experiences which helped us to better apply and remember the material.”
Kathy O’Bryan suggested that each member “commit to studying one hour each day and write questions to generate group discussion.” Gina Dias found that creating flash cards was an effective study tool. Dora Faulk gathered abnormal rhythm strips and ABG results for group review. Others found it helpful to search YouTube for additional information on
Pediatric Pearls: The Perils of Phenergan
Dr. Julie Williamson, DO, FAAP, Clinical Assistant Professor of Anesthesia and Pediatics, Stanford, cautioned about the dangers of Phenergan.
Promethazine (PHENERGAN) possesses antihistamine, sedative, anti-motion sickness, and antiemetic effects. It causes sedation and is a known vesicant.
Respiratory Depression—Pediatrics: Promethazine injection should not be used in patients less than two years of age because of the potential for fatal respiratory depression. Severe Tissue Injury, Inc luding Gangrene: Promethazine inject ion c a n c au s e d a m age to tissues regardless of the route of administration. Th i s c a n r e s u l t f rom perivascular extravasation or unintent ional intra-arterial injection. Adverse reactions include burning, pain, phlebitis, necrosis, and gangrene. In some cases, surgical intervention, including fasciotomy, skin graft, and/or amputation have been required.Safe Practice Recommendations: The following strategies should
be considered to prevent or minimize tissue damage when giving IV promethazine:
Limit the dose.• ISMP recommends a starting IV dose of 6.25 to 12.5 mg.Dilute the drug• in 10-20 ml of normal saline to reduce vesicant effects and enable slow administration.Use large patent veins and • check patency of the access site before administration.Administer slowly • over 10-15 minutes.Educate patients• to let you know immediately if burning or pain occurs during or after the injection.
References:Daily Med. Phenergan (promethazine hydrochloride) injection. Available atwww.dailymed.nlm.nih.gov. Accessed March 1, 2014.Institute for Safe Medication Practices. Action Needed to Prevent Serious Tissue Injury with IV Promethazine. Available at: www.ismp.org. Accessed February 16, 2014
Gangrene after Phenergan injection. Image provided courtesy of ISMP.
Certification: Strategies for Success
conditions or procedures not seen in their practice. Each group selected a book to use with an established reading
schedule, adding one or two meetings at the end for final review. A list of suggested resources and a study plan is available at www.cpancapa.org, the website for ABPANC, the American Board of Perianesthesia Nursing Certification. Most of the nurses found the new ABPANC practice exams, with references for each question to be very helpful.
Added recommendations include: register early to allow more scheduling options and request the day off work. Relax and don’t try to cram. Take ear plugs if you are easily distracted. Finally, begin exam day with a nutritious breakfast, arrive early, then relax and believe in yourself.
PANAC Celebrates PANAW By Ernestine Nunes, RN, CNOR
Per iAnesthesia Nurse Awareness Week (PANAW) was celebrated across the nation February 3-9. Nurses at the PANAC's Winter Conference shared with Pulseline some of the celebrations enjoyed during the week set aside by ASPAN for recognition of our specialty.
Nurses at John Muir Medical Center in •Concord were treated to lunch by their director and Ernestine Hughes shared they enjoyed cake cake and special treats throughout the week.Susie Nunes• and pre-op and PACU nurses at Visalia’s Kaweah Delta District Hospital enjoyed PANAW cookies from their Visalia Chapter. Ernie Nunes, Chapter Coordinator delivered the cookie trays to perianesthesia units in Visalia, Hanford, Selma, Tulare, and Porterville.Arrowhead Regional Medical Center’s • Angelique Weathersby reports having enjoyed lunch provided by management to nurses on each shift.Denise DeFendis• shared that Children’s Hospital Central California celebrated throughout the week with snacks and drawings for prizes on two days and lunch provided by anesthesiologists on an additional two days.At Rady Children’s Hospital –San Diego, the staff got into the spirit •when the OR, anesthesia and SPD departments sponsored a pancake breakfast for PACU staff. Linda Sparks shared that the PACU leadership team sponsored a Panini luncheon as well.Denise Oxford• proudly shared that staff at Adventist Medical Center, Hanford formed a committee to use PANAW funds from management to celebrate each day with a new treat: breakfast sandwiches, salads, nacho bar, cake, and ice cream sundaes. At Porterville Sierra View District Hospital, Surgical Services Director •Dee Piazza and Manager Carie Carillo say they celebrate PANAW every year. This year they did pastries, pizza, an ice cream social, special gifts and on Friday, lunch from their anesthesiologists.
Pulseline would love to hear your PANAW story. Please e-mail Ronda at [email protected].
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District 1 Angelique Weathersby, MBA, [email protected] Counties of: Imperial, Orange, Riverside, San Bernardino, and San Diego
On January 15, 2014, the growing Inland Empire Chapter offered a Celine Peters’ presentation, From Idea to Product: The Role of Nursing in Industry. Various nursing roles in business as well as implications for patient
safety and product development were discussed over a dinner sponsored by CRISI Medical Systems, Inc.
The January 18 Orange County Chapter meeting was a huge success. Peter Fotinakes, MD lead a fully engaged audience in a lively conversation on the hot topic of Sleep Apnea in the Hospitalized Patient. President, Tess Mazloomian reported on PANAC activities and encouraged members to be involved. Coordinators Kathy Dureault and Marlene Jamieson did a fantastic job.
I'm so impressed with the San Diego Chapter. Barbara Demetros reports, “On January 4, 2014, our distinguished guest was ENT surgeon Dr. Brian Weeks who presented a fabulous and informative lecture reviewing surgical techniques from the 1800s through the latest techniques including balloon sinuplasty. Highlights included post-operative complications and key assessments to make.” This was followed by discussion and analysis of an article from a professional nursing journal. Thank you Shay Glevy and Linda Sparks for supporting Barbara in her new role.
District 1 will hold a Mid-Year Seminar on June 28, 2014 at Redlands Community Hospital. Planned topics are Caring for the Perplexing Pregnant Patient: ACLS Adaptations in Pregnancy and The Hospitalized Patient with Pain. Steven Potjer is doing an awesome job coordinating this event. You won't want to miss it!
Remember, “He who hesitates is lost.” I encourage each of you to get involved. Together, we can make a difference. See you in Vegas!
District 2 Kevin MacVane, BSN, RN, [email protected] counties of: Los Angeles, San Luis Obispo, Santa Barbara, and Ventura
Well color me red and call me proud! On January 25, forty-five nurses heard the call and joined us for our first 2014 mini-seminar, Down to the Bones. Our speakers covered topics from top to bottom: teeth, shoulders, backs, and all
the way down to the toes. They were a hit! This event could not have happened without the Valley Chapter’s awesome team of Anna Jackson, Linda Macdonald-Dominguez, and Amber Trudgeon. Their hard work produced incredible results.
We also talked about expanding our chapters and our venues. Low and behold we had two different hospitals express interest in hosting future seminars. Ready? Get Set. GO! SAVE THE DATE-- April 12, 2014-- more information to follow!
I would also like to celebrate our new CAPA's and CPAN's. Knowledge is power. It is power to give the best care and power to advocate. Congratulations on increasing your power and striving to be the best nurse you can be!
I look forward to seeing you in April at our mini-seminar and at the ASPAN Conference in Las Vegas.
Remember the power is yours, reach for it!
Obamacare: The Impact on Your Practice
Part one of a three-part series
By Beverly Edwardsen RN, Government Affairs Chair
What is “Obamacare?” The Patient Protection and Affordable Care Act (ACA), Obamacare, is a set of health care reforms signed by President Obama in March, 2010. Though the efforts to insure an additional 30 million Americans have dominated headlines, the ACA is a larger set of reforms. Examples of other elements include: elimination of annual or lifetime limits, inclusion of children on their parent’s policy to age 26, mandated preventative health and wellness coverage, and the expansion of Food and Drug Administration (FDA) power to more rapidly approve inexpensive generic drugs.
Nurses are asking, “How will the ACA affect my insurance?” “How will it affect my practice?” “What are the projections for nursing jobs?” “Will it bring an influx of patients to our facilities?” “Can we accommodate them?” “How will people learn the rules of accessing care when insured?” “Are we headed for socialized medicine?” The complications with the opening of the enrollment websites generated additional questions, such as, “If the enrollment went poorly, should we expect trouble with the rest of the program?” “Is this good, or bad for healthcare?”
In this issue, let’s answer where nursing fits in the early stages of implementation. Nurses will play a valuable role on the front lines of the ACA rollout as advocates for patients and their families. For some individuals, this will be the first time in their lives they will have health care coverage. They will need help understanding the choices available when selecting policies and help learning how to access care once they have coverage. Nurses will do what we do best; we will educate.
In the next edition we will explore provisions to meet the increased demand for health care services under the ACA.References: California HealthCare Foundation Center for Health Reporting. Nurses' Association Approaches Obamacare with Hope and Concerns. Available at: www.centerforhealthreporting.org. Accessed February 6, 2014.Nurse Zone. Nurses Step Out to Help with ACA Enrollment. Available at: www.nursezone.com/Nursing-NewsandEvents. Accessed February 6, 2014Mighty Nurse. Affordable Healthcare Act: Exploring Options and Sounding Off. Available at: www.mightynurse.com. Accessed February 7, 2014
PANAC Going for GoldBy Shay Glevy, BSN, RN, CPAN,
CAPA Immediate Past President
The Gold Leaf Component Award recognizes excellence in component leadership, member development, communication, education, and community service. It also recognizes, with distinction and visibility, the efforts
and results of meaningful activities that build a strong component. The coveted Gold Leaf Award is announced annually at the ASPAN National Conference.
PANAC succeeded in 2000 and 2004 and we need your help to receive it again! The application is based on a point system and looks at members’ activities on an annual basis between Jan. 1 and Dec. 31. How can you help? Keep us informed. Are you involved in a research or evidence-based project? Do you get together with other PANAC members and help at a shelter or race for a good cause? We need to know all the great things you are doing! Please email Shay Glevy at [email protected] so your contributions can be included in our 2014 application.
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Director’s CornerDistrict 3Shideh Farahmand, BSN, RN, [email protected] counties of Monterey, San Mateo, San Benito, Santa Clara, San Francisco, Santa Cruz, Alameda, and Contra Costa
My term as District 3 Director just started in October and already I have exciting news! On January 18, 2014, the East Bay Chapter had a successful inaugural meeting. I had the
pleasure of meeting nine inspired members who have already planned the next meeting for March 15, 2014 to include a possible talk on the electronic health record (EHR) and its impact on the PACU. More information will be shared as it develops. If you or your co-workers are interested in connecting with the East Bay Chapter, please let me know. I am looking forward to supporting Chapter Coordinator Patti Crosby as we spread the word among hospitals in East Bay area.
District 3 is excited to host an ASPAN seminar, Perianesthesia Pathophysiology and Assessment: A Systems Approach presented by Myrna Mamaril, MS, RN, CPAN, CAPA on Saturday May 31, 2014 in Santa Clara, California. More information and registration is available at www.aspan.org.
District 4 Helen Fong, MSN, [email protected] Counties of Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Lake, Lassen, Mendocino, Modoc, Napa, Nevada, Placer, Plumas, Sacramento, San Joaquin, Shasta, Sierra, Siskyou, Solano, Sonoma, Stanislaus, Sutter, Tehema, Trinity, Tuolumne, Yolo, and Yuba
The downpour of rain did not deter more than twenty nurses who came for the historic launching of the North Coast Chapter in Eureka. Dr. Eric McGoldrick’s education about shoulder surgeries and tips for preventing shoulder injuries generated much discussion.
I encourage all members in the area to join us May 10, 2014 for the next quarterly meeting and stay tuned for more chapter news. A big shout-out to Chapter Coordinator Heidi O’Neil whose hard work made the new chapter a reality.
After two years of excellent service, Marcy Wolfe is laying down the mantel of Sacramento Chapter Coordinator. Thank you, Marcie, for your dedicated service. Kate Mooney has been very active in planning for the chapter and has secured speakers for the May meeting. Watch for a flyer outlining more details.
The Modesto Chapter hosted education about oral anticoagulants by speaker Pam Lenhert, PharmD on February 20, 2014. Star Yager is planning more educational offerings in the near future, please watch for flyers and on-line postings.
At the March 8, 2014 seminar. Dr. Axelrod, Mary Frances Mullins, Peggy Holbrook, and Sonja Severso were the speakers for Exploring the PeriAnesthesia Practice: Novice to Expert. It was great to see so many of you there!
District 5Kathy Nichols, BSN, RN, [email protected] The counties of Kern, Tulare, Kings, Fresno, Madera, and Mariposa District 5 opened the year collaborating
with AORN to present A Breath of Fresh Air which was attended by more than fifty surgical and perianesthesia nurses. The speakers and their topics were all exceptional and very well
received. Congratulations to Denise DeFendis and Kris Scaffidi for organizing this event.
The Fresno Chapter began its monthly meetings Saturday, February 8, 2014 at Fresno's Phoenician Gardens Restaurant with new coordinator Fran Buchnoff. We celebrated PANAW week and planned events for the year.
The Visalia Chapter, led by Ernie Nunes, continues to have bi-monthly meetings, with every other meeting being an educational offering with free CEU's. In January, when the planned physician presenter was called into surgery, Susan Morris stepped up to present an excellent program on pediatric assessment. Dr. Varshney’s program, Caring for the Spinal Surgery Patient is rescheduled for May 18. Please watch for details.
District 5 was honored to host the PANAC Winter Seminar in Visalia February 22, 2014.
Charlene McCormick, FresnoNestor Medina, San FranciscoMarcelo Melendez, East Palo AltoEleanor Mowbray, West HollywoodKathie O’Bryan, VisaliaMaria Wendy Pangindian, TorrenceNichola Pew, ValenciaSuzanne Prak, HollisterLouise Radford, WalnutNormita Ribas, BurbankMario Roman, Los AngelesLeonid Romanov, San FranciscoKaren Saab, Rancho MirageSusan Violette, CoronaNancy Williams, TorranceVivian Yang, Los AngelesIsabelle Zhang, Moreno Valley
Krista Arce, Santa BarbaraYelena Artemenko, N. HollywoodMarivic Baes, Rancho Santa MargaritaMercedes Banzon, AzusaHolly Bettencourt, HilmarKathleen Boyadjian, Anaheim HillsBruce Cervelli, TuolumneMagdalena Chavez, AnaheimAileen Concepcion, BakersfieldKim Dibello, FresnoJames Emerton, San FranciscoRoland Flores, Long BeachMarlene Fomocod, CarsonMarianne Gardner, Los AltosAnn Gillen, San FranciscoPamela Guillen, Studio CityVivere Jabonillo, RedlandsJennifer Kinyon, Fremont
CongratulationsFall 2013 CPAN/CAPAs
Dual CertifiedChristine Aleman, Exeter Gina Brry-Dias, HanfordDorota Faulk, Hanford Christy Kennedy, Visalia
CPANs
CAPAsLeslie Barkley, San DiegoPatricia Bressler, Santa MonicaBecky Claypool, FresnoSusan Hagerty, Crescent CityElise Heckenlaible, LodiGreg Hoovler, San JoseMaria Celine Jimenez, AlamedaRebecca Miller, FullertonSusan Nunes, Visalia
Nancy Quintana, Walnut CreekYi Rong, FremontMarina Santana, Redondo BeachKaren Severson, ClovisSarah Stone, San AnselmoJulie Warner, Angels CampCatherine Yao-Tetteh, FremontNerissa Yuhico, Canyon CountryNina Zipken-Berry, Mountain View
Pulseline 8
First Class PresortUS Postage
PAIDPermit #1297
Sacramento, CA
PulselineP.O. Box 10841Westminster, CA 92685-0841
• C a l e n d a r o f e v e n t s •
Pulseline
PANAC’s Mission: In collaboration with ASPAN, we promote
the specialty of PeriAnesthesia
Nursing.
February 1 – April 30, 2014CPAN/CAPA Recertification Window
www.cpancapa.org
April 7 – May 17, 2014CPAN/CAPA SPRING Exam Administration
www.cpancapa.org
April 27 – May 1, 2014ASPAN’s 33rd National Conference
DEALING with Challenges WINNING with Power•Practice•Purpose
Las Vegas Hotel and CasinoLas Vegas, NVwww.aspan.org
April 30, 2014ASPAN Research Grant Deadline
www.aspan.org
May 31, 2014Perianesthesia Pathophysiology and Assessment:
A Systems ApproachSanta Clara, CA www.aspan.org
For local Chapter events,
please go to www.panac.org
June 7, 2014Foundations of Perianesthesia Practice
Sacramento, CAwww.aspan.org
July 1, 2014ASPAN Scholarship Application Deadline
www.aspan.org
July 15 – September 9, 2014CPAN/CAPA FALL Exam Registration
www.cpancapa.org
October 17-18, 2014PANAC 35th Annual Meeting and Seminar
Ontario Airport Hotel Ontario, CA
www.panac.org
October 7 – November 16, 2014CPAN/CAPA FALL Exam Administration
www.cpancapa.org
