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President’s Message ……………..ILSPAN Benefits Kelly Logli, BSN, RN, CPAN

I hope that you all had a great summer. ILSPAN has just had an-other outstanding fall conference for our nurses in St. Louis. This confer-ence had many excellent educational topics and allowed perianesthesia nurses to network with one another. On the heels of a great conference, I wanted to take a moment to remind our members of all that ILSPAN has to offer. EDUCATION BENEFITS

The benefits of ILSPAN have been said before, but then good things are always worth repeating. ILSPAN provides two educational seminars each year, one in spring and one in fall. In addition to these seminars, ILSPAN frequently hosts ASPAN seminars throughout the state. These are great opportunities to learn or refresh your perianesthe-sia knowledge. ILSPAN has three District Directors to take care of the three regions in the state. New ideas for conference topics are always wel-come. I encourage everyone to take a moment and contact the director in your area with ideas for conference topics. By doing this we can better serve your needs. SCHOLARSHIP BENEFITS

ILSPAN also offers many scholarships for educational events. There are ASPAN National Confer-ence scholarships available every year awarded on a point basis. At

each of the fall and spring con-ferences there is a drawing for a refund of the registra-tion fee for those in atten-dance. These are excellent ways to increase your perianesthesia education at minimal or no cost.

As a benefit to our mem-bers we offer certification and re-certification scholarships. There are scholarships available each year for first time CAPA or CPAN certification. ILSPAN also offers scholarships for recertification. Look through the pages of Peri-Scope to find more information on these scholarships. ILSPAN AWARDS

There are three different awards for membership: the PANAW Award, the Jan Ridder Excellence in Clinical Practice Award, and the Recruiter of the Year Award. Many times these awards and scholarships go unre-warded because no one applies for them.

I want every member to know and receive the full benefit of ILSPAN membership. There is information on all awards and scholarships on the website (www.ilspan.org).

Volume 32 Issue 3

Fall 2008

Vice President Report

3

Governmental Affairs

3

District Director Reports

5

Education/Research Article

9

Editorial Comment 8

ASPAN Director Report

11

Treasurer Report 2

BOD Minutes July 6

Education Article 8

Fall Conference News

10

Clinical Practice Corner

10

ASPAN National Conference News

12

New Members 4

CPAN/CAPA News

7

Willingness to Serve

13

PANAW 2009 4

Recruiter Award 4

Inside this issue:

Peri-Scope ILSPAN I l l inois Society of PeriAnesthesia Nurses

2006 ASPAN Component Newsletter Award Winner (9-14 page category)

The checking account balance is $13,655.34

Certificate of deposit $10,000.00.

An audit of the ILSPAN financials was completed on August 31, 2008

Treasurer’s Report April 2008 to September 2008 Wanda Ellenburg, BAN, RN, CPAN

Peri-Scope

ILSPAN PRESIDENT

Kelly Logli, BSN, RN, CPAN

12311 Empire Street

Loves Park IL 61111

815-885-1040

E-mail: [email protected]

IMMEDIATE PAST PRESIDENT

Beth Rieches, BSN, RN, CPAN

815-544-6858


ILSPAN VICE PRESIDENT

Keith Schumacher, BSN, RN

217-482-3309


ILSPAN SECRETARY

Linda Beagley MS, RN, CPAN

630-351-6001

E-mail: beagley@ameritech. net

ILSPAN TREASURER

Wanda Ellenburg, BAN, RN, CPAN

217-787-6184


DISTRICT I DIRECTOR

Karen Wessels, RN, CPAN

815-874-1634


DISTRICT II DIRECTOR

Debbie Walker, BS, RN, CPAN

309-875-3051


DISTRICT III DIRECTOR

Boni Hart, BSN, RN, MA

636-391-8476

[email protected]

ILSPAN WEBSITE www.ilspan.org

WEB EDITOR

Kim Kraft, BSN, RN, CPAN

636-394-1698


ASPAN

10 Melrose Ave, Suite 10

Cherry Hill, NJ 08003

877-737-9696 (toll free)

www.aspan.org

ILSPAN Board of Directors

Vice-President’s Report Keith Schumacher, BSN, RN

Volume 32 Issue 3

20 contact hours necessary for re-newing an Illinois nursing license. I attended the ASPAN Com-ponent Development Institute in September. It was a very informa-tive and exciting conference. Top-ics covered finances, attracting and keeping members, certifica-tion, and on-line meeting and sur-vey applications. I am ready to get to work in expanding member-ships in ILSPAN and working to-ward developing programs geared toward what our members want. Please help by e-mailing me ideas you would like to see at our confer-ences and at ASPAN seminars. With that in mind, I am again asking all members to consider becoming a member of the IL-SPAN Board of Directors. We have positions opening up next year for Vice-President/President Elect, Secretary, and District 1 and Dis-trict 3 Directors. If you are inter-ested, know someone who might be, or would like to nominate someone for a position because you think they would be good, fill out the Willingness to Serve form and e-mail/mail it to me at the address

on the form in this issue of Peri-Scope (see page 13). If you are nominating someone, e-mail me their name (contact information on page 2) and I will get in contact with them. If you would like the job de-scriptions for these positions to help you make up your mind, contact me and I will send you a copy. Dare to get more in-volved! Congratulations to every-one who passed the CPAN/CAPA exam! (see page 7)I know all of you studied hard and are more knowledgeable since taking the test. In 2009 in addition to a testing date at ASPAN National Conference these tests will be available as computer based tests with a choice of sites around the coun-try. Anyone who is interested in taking the CPAN/CAPA exam, visit the ABPANC web-site at www.cpancapa.org for more information.

Summer has gone, fall is upon us and winter is almost here. I was glad to see many of you joined us at the ILSPAN Fall Conference in St. Louis. I think it was a success. The topics pre-sented will be a definite aid in giving the excellent nursing care your patients have come to expect from all of you. If you missed this conference, there will be another in March 2009. The ILSPAN con-ferences also give you contact hours and are inexpensive com-pared to other conferences you can attend. These are some of your ILSPAN/ASPAN membership benefits. I hope to meet more of you at the spring conference and in the future. ILSPAN is scheduling AS-PAN seminars for next year in the various regions of the state. Look on the ILSPAN website for infor-mation about one coming to your district. These seminars are very informative covering topics rela-tive to perianesthesia practice. The seminars are worth 7.25 con-tact hours, so you will be more than 1/3 of the way to getting the

Governmental Affairs Beth Rieches, BSN, RN, CPAN As I reviewed the Illinois General Assembly web site in search of active legislation regard-ing nursing, again most of what I found had to do with the Nurse Practice Act and some of the verbi-age changes associated with it.

When Kelly Logli and I attended the ASPAN Representa-tive Assembly at the last National Conference we were very surprised to learn that Illinois is the only state that does not allow, by law, visitation in the Phase I PACU. When we returned home Kelly and I contacted our State Representa-

tive to bring this issue to his at-tention. We were asked to get in touch with the Illinois Hospital Association (IHA). The IHA was notified and I was told that they would begin looking into this issue for us. My contact at the IHA stated that this process would take quite some time. I had been hoping to have something to re-port for this newsletter, but as of yet I have not heard anything. As we get more information from the IHA I will keep you updated. As you know this is an elec-tion year. Please exercise your

vote, you count! The Presiden-tial elections increase the turn out at the poles. In actuality your voice has more impact on the state and local level. So, while the choice of the next President is extremely impor-tant, please take the time to learn about your state and lo-cal candidates so that you can make an informed decision. Your voice matters, use the power of your vote.

Welcome New Members who joined March to August, 2008

Peri-Scope

Members live in Illinois except for those indicated DISTRICT I Linda Bailey – Elgin Monica Bowman – Arlington Heights Fe Castro – Hoffman Estates Shirley Catalan – Tinley Park Yalanda Comeaux – Calumet City Kathy Curtis – Beecher Zenaida Deguzman – Glenview Jeneth Esquivel-Salinas – Aurora Annette Grau – Algonquin Janet Henry – Mendota Patricia Jackson – Flossmoor Diane Janes – Summit Beth Kohler – Mokena Emily Koller – St. Charles Mary Ann Larsen – Elburn Ma Teresita Laus – Chicago Marlene Leonard – Montgomery Kim Lewis – Orland Park Patricia Murray – Elmhurst Earl Paredes – Buffalo Grove Cherrie Tapia – Elgin Marjorie Ziegler – Schaumburg

DISTRICT II Amy Barnett - Hanna City Cynthia Bruketa – Dunlap Kelli Dwyer – Princeville Rene Garver – Decatur Theresa Harayda – Peoria Katherine Harland – Quincy Deborah Heine – Peoria Carolyn Hibbs-Applebee – Springfield Linda Howe – Mendon RoseAnn Hugenberg – Liberty Susan Hulin – Wyoming Wanda Kensil – Mackinaw Kathleen Landmark – Edwards Mary Perkins – Havana Donna Schutte – Quincy Cynthia Schwartz – Cedar Rapids IA Denise Tingley – Marshall DISTRICT III Teresa Black – Shiloh Barbara Cleveland – Dupo Stephanie Dremann – Troy Lisa James – Alton Brian Douglas Johnson – Belleville Elizabeth Lhommedieu – Des Peres MO Linda Mayberry – Marion Cathy Pryor – Pulaski Tracy Sharp – Waterloo Jane Sieron – Belleville Celeste Wiesner – Venedy

ILSPAN Recruiter Award

The ILSPAN Recruiter Award is given to the ILSPAN member who recruits the most members during the ASPAN Member-Get-A-Member Campaign. The campaign lasts from April 1, 2008 to March 31, 2009. A minimum of 4 members need to be recruited to be considered for the award which is one year paid dues for ASPAN & ILSPAN. By recruiting you also are entered in the ASPAN Recruiter of the year award.

ILSPAN PANAW Award 2009 This award is given to a perianesthesia unit for celebrating PANAW. Application deadline published in the Winter Peri-Scope February 2009. Contact Kim Kraft, ILSPAN Membership & Marketing Chair for more information. (Contact information on page 2.) Make your plans now for this weeklong celebration February 2-8, 2009

PANAW February 2-8, 2009

Celebrate !

Volume 32 Issue 3

“Me Time”…that is what the AS-PAN National Conference in Grapevine, Texas was all about last May. I took a week of vaca-tion time and spent it in Texas with other people who feel the same way about perianesthesia nursing that I do—INSPIRED! There were so many educational offerings presented, that it was hard to pick which ones to attend, but no matter what I attended, it was worthwhile and fulfilled all expectations. The conference was all about advocating for our pa-tients, our profession and our-selves. As you might guess, I left no stone unturned when it came to having fun and getting to know others when the day’s conference was over. There was time for com-mittee meetings, new experiences and enjoying the amazing facility; the Gaylord Texan Resort and

District I Report Karen Wessels, RN, CPAN

District III Report Bonita Hart, BSN, RN, MA

District II Report Debbie Walker, BS, RN, CPAN

Convention Center. And yes—it was a Texas size facility! I only bring this up in October because taking the time to attend this conference was one of the best things I could do for “me”. I got to participate in a great send off for our new ASPAN president, Lois Schick, MBA, MN, RN, CPAN, CAPA. Lois will promote the theme of “building on ASPAN’s dreams and adding to its legacy.” She has a story to tell, and you can read about her on ASPAN’s web site. But more than that….here it is October, and I am still inspired! I can only encourage all of you to think twice about all the right rea-sons for attending the educational opportunities provided by our wonderful organization. It should not only be because you are a member, or because it gets those contact hours, but should be be-

District I is in the midst of planning a Spring Conference that will be held Saturday, March 21, 2009 in Rockford, IL, at Rockford Memorial Hospital in the Funder-burg Auditorium. Topics so far in-clude Robotic Radical Prostatec-tomy and Supracervical Laparo-scopic Hysterectomy; additional topics will be added for this in-

I hope everyone had a nice summer! It is hard to believe fall is here and our thoughts turn to back to school for kids and a time for nurses to think about continu-ing education. The ILSPAN Fall Conference in St. Louis was great. Trinity Medical Center in Rock

Island will be sponsoring another half-day conference on Saturday, November 1, 2009. Topics include anesthesia awareness, AAA endo-grafts, and surgical site infections. The cost will be in the $20.00 range and 4.5 contact hours will be awarded. If you would like further

cause you care about the per-son you are, the nurse who loves what she does—the per-son who deserves to do these things for you! You deserve “ME Time”. You should start planning now for the ASPAN National Conference, April 2009 in Washington DC. Thanks to all who at-tended the ILSPAN Fall Con-ference. It was great to see you there. Locally District III will host the ASPAN “Safety Be-gins with Us” seminar at the Sheraton Clayton Plaza, 7730 Bonhomme Ave, St. Louis on Feb 7, 2009. We have a lot go-ing on. Treat yourself—take advantage of it all.

tended full day conference. On a personal note, BSN com-pletion is nearing and graduation is looming (May, 2009) and it’s been a fun journey! Being back in academia during the computer age has been easy and exciting and the extra education does make a differ-ence!

information you can email me at [email protected]. In July I attended my first ILSPAN BOD meeting as District II Director. If you have any items you would like the ILSPAN Board to discuss please let me know.

ILSPAN Spring Meeting Saturday, March 21, 2009

Funderburg Auditorium

Rockford Memorial Hospital, Rockford, IL

Board of Directors Meeting Minutes (Synopsis) July 12, 2008 (complete text on the web site @ www.ilspan.org) Bloomington IL

Peri-Scope

ATTENDANCE Keith Schumacher, Beth Rieches, Karen Wessels, Deb-bie Walker, Boni Hart, Wanda Ellenburg, Marigrace Clarke, Kim Kraft, Linda Beagley. Ab-sent: Kelly Logli Due to illness President Kelly Logli could not attend. Vice President Keith Schumacher conducted this meeting. UNFINISHED BUSINESS Finalize Fall Conference—ten registrations to date. St. John’s will update monthly. Baskets with an autumn theme from each district will be awarded along with a donated book. Ad-ditional brochures were mailed to surgical centers and hospi-tals in MO & IL. A spreadsheet listing surgicenters and hospi-tals from eastern MO and IL was developed for mailing of conference brochures. Spring Conference topics/speakers 2009— Spring confer-ence for 2009 is scheduled for March 21 or 28 in Rockford depending on room availabil-ity. Discussion was held about a possible tri-state spring con-ference: at least 12-18 months planning time would be needed. Year-end budget—Wanda pre-sented a budget for 07/01/09 thru 06/30/09. Newsletter—Fall issue deadline is 9/01/08. Education articles were assigned BOD meeting dates---dates set for future board meetings are 01/24/09 in Springfield; 03/20 or 27 in Rockford 07/11/09 in Springfield; 09/25 or 10/02/09 in Rock Island ASPAN Seminars-- District III will host an ASPAN conference in February and District II in May prior to Memorial Day.

Dates to be confirmed at Septem-ber meeting. Evaluate/Update strategic plan—ILSPAN’s strategic plan was re-viewed. The board is actively com-pleting each component. Goal A.2.B. eliminated due to lack of feasibility. Gold Leaf Award criteria plan-ning—Rocky Mountain component was the recipient for the Gold Leaf Award for 2008. Point total for ILSPAN continues to increase. Suggestions were made on how to improve. Areas of weakness were community service and research.

CPAN/CAPA scholarship win-ners—no applications received to date. Spring Conference 2008—a check mailed 04/18/08 to cover the re-maining costs from SwedishAmerican hospital was never received. A motion was made to stop payment on check 959 and issue a new check for the amount of $666.50 to SwedishAmerican by Wanda and seconded by Beth. Motioned passed. Hail, Honor & Salute outgoing officers—Ellie Carlberg, Sylvia Baker, Darlene Meyer, Vicki Par-son all officers from previous years along with outgoing 2007 board members Peggy McKillip and Jeanette McAllister were rec-ognized for their service with a Hail, Honor and Salute tribute. Editor position-- The search con-tinues for a new editor. Marigrace

will continue as editor for now. NEW BUSINESS Component Development Insti-tute—is set for September 5 -7, 2008 in Salt Lake City. ASPAN pays for two registrations from each component. Kim recommends that ILSPAN should send one per-son and pay for all or a portion of the hotel and travel costs. The CDI is a great networking oppor-tunity. The best person to repre-sent ILSPAN would probably be the new VP/President-elect. Ta-bled until after polices are re-viewed. Conference Call Meetings—due to increasing costs of gas and travel-ing some boards are using confer-ence calls for their meeting. AS-PAN would like other components to try a conference call for a meet-ing and is willing to subsidize a 30-minute conference call. ILSPAN Recruiter Award Win-ner—Marigrace Clarke is the win-ner. ASPAN Nominations—will be available at Fall Conference. Kim urges everyone to consider. Forms are on the ASPAN website. Open positions are Regional 3 Director, Treasurer, President-elect, and Nominating Committee. Review of Bylaws and Policies/Procedures—were reviewed and revisions were made. ADJOURNMENT Keith Schumacher, Vice-President/President-Elect, ad-journed the meeting at 6 pm. Respectfully submitted by Linda Beagley MS, RN, CPAN Secretary, Illinois Society of Perianesthesia Nurses

ILSPAN By-laws changes to be approved by members at the ILSPAN membership meeting

March 21, 2008

Volume 32 Issue 3

CPAN® and CAPA® News

Congratulations to those who certified in

April 2008 CPAN Carolyn Applebee Janet Becker Lori DeFreese Ana Jean DelaCruz Dennis Eberhardt Sandra Ericksen Brian Gilley Monica Gould Anne Huckins Karmela Swangchan Lori Ulrich Anthony White CAPA Joan Coleman Judy Corazza Pamela Falotico Melissa Gould Kathy Harris Mary Higgins Linnea Johnson Judith Kinnavy Susan Nolan Beth Rosenthal New CPAN/CAPA’s Remember you are eligible to apply for the ILSPAN CPAN/CAPA Scholarship for 2009. An applica-tion form can be requested from t h e I L S P A N S e c r e t a r y . (information on page 2) You can download the point sheet from the I L S P A N w e b s i t e a t www.ilspan.org. These awards will be presented in September, 2009. If you passed the CPAN/CAPA in April and ILSPAN did not print your name please notify the Peri-Scope Editor. (information on the back page)

ABPANC Awards ABPANC offers three awards: ♦ The ABPANC Advocacy

Award ♦ The ABPANC Shining Star

Award ♦ ABPANC Leadership Cir-

cle Nominations for these award are due by February 1st of each year. Find out more about these awards on the ABPANC web site

ILSPAN CPAN Recertification Scholarship Winner for 2007

Mary Cochran, RN, CPAN, CAPA, CGRN

Kelly Logli, ILSPAN Presi-dent and Kim Kraft, IL-SPAN Membership and Marketing Chair present Mary Cochran with her CPAN Recertification Scholarship of $100.00.

ILSPAN is investigating the possibility of e-mail based news information. If you have an e-mail address please be sure to put it on your ASPAN dues renewal. If you

did not put an e-mail address on your renewal or application please e-mail the Peri-Scope Editor at

[email protected]

ABPANC Web site is www.cpancapa.org

NEW in 2009 Computer-Based Testing (CBT) will begin with the 2009 CPAN/CAPA tests. During the months of April and November there will be a 6 week testing window for candi-dates to take the exam. Locations, times and dates will be available at various test sites across the country. Special test sites will not be used. For more information and online application visit the ABPANC web site. Once a year at the ASPAN National Conference a paper and pencil exam will be offered.

Mary, Kim and Kelly

Editorial Comment by Marigrace Clarke, RN, CAPA

Peri-Scope

The idea behind this op-eration is to create a small pouch in the upper part of the stomach with a controlled and adjustable stoma, without sta-pling. A gastric band device is introduced through tiny (1cm) incisions in the abdomen and placed around the upper part of the stomach. The band has a balloon from the upper part of the stomach that is adjustable and can reduce stoma size, thus prolonging the period of fullness.

The operation is per-formed under general anesthe-sia and can take between 30 minutes and 1 hour. You may be eligible for Lap Band sur-gery if: you are at least 18 years old, BMI > 40 or 100 lbs. more than ideal weight, if your BMI is >35 and you have one or more co-morbidities, you have been overweight for more than 5 years, your serious weight loss attempts have had only short term success, and if

you are prepared to make changes in your eating habits and lifestyle. Some of the advantages of a lap band are: 10 times safer than a gastric bypass, adjustable, cus-tomized per patient, least inva-sive, no stomach stapling, cutting or intestinal rerouting, is reversi-ble, lowest operative complication rate, no leaks, low malnutrition risk, OR time is 1 hour or less, and short overnight hospital stay in most cases. The disadvantages are: slower initial weight loss than a gastric bypass, and the need for regular follow-up ap-pointments are necessary. The contraindications include medical history of ulcers or Crohn’s disease, severe heart or lung disease, chronic or long term steroid treatment, if you or some-one in your family has Lupus or scleroderma, previous Laparo-scopic Nissen surgery, and if you are unable or unwilling to follow the dietary rules that come with the procedure.

The post-op care includes: pain relief with NSAIDS mainly, requiring very little opiates, checking the anatomy with a lim-ited Barium meal on day 1 to check patency, band position and pouch size, discharged on the same day or day 1 or 2. Patients are on clear liquids for 1-2 days, full liquids to puree for 1-4 weeks, and then can start on solids in 4-6 weeks. The initial band adjust-ment is 5-8 weeks post-op. A good weight loss is approximately 1.5 to 2 pounds per week. Reference: ♦ Dr. James Schrier’s Confer-

ence Outline

Education Article Debbie Walker, BS, RN, CPAN Lap Band Surgery, (Laparoscopic Adjustable Gastric Banding)

As a newsletter Peri-Scope has a copyright notice on the back page. Copyright is a form of protection. By putting a copyright notice on the Peri-Scope newsletter authors are protected from having their work copied and printed in other publications without per-mission from ILSPAN. What

this means to you the author is that no one should copy your work and put their name on it. If you submit an article to ILSPAN for publication and would like to pub-lish or expand it in another news-letter you can simply write to the ILSPAN president and get a letter of permission. Editors of newslet-ters and journals expect full dis-closure when articles are submit-ted for publication. When writing an article with other writers the primary author listed should be the person who contributed the most to the article or research.

There should only be one person who submits and talks with the editor.

What could be reasons for submitting an article to Peri-Scope? A few reasons include: CPAN/CAPA recertification points as a nurse author, points for your hospitals professional develop-ment program/clinical ladder or simply professional satisfaction. If you would like to try it contact me for more information. (Contact information on the back page)

Volume 32 Issue 3

In the last edition of Peri-Scope, we discussed the beginning stages of our research project. Our project began with the PICO (Population Intervention Compari-son Outcome) question-- “Is bacte-riostatic normal saline (BNS) as effective as intradermal buffered lidocaine (IBL) in reducing the pain of intravenous cannulation?” This question occurred after our pharmacy suggested we use BNS instead of IBL, saving them time and money. It was their position that BNS was as effective as IBL, but most of the nurses in the Same Day Surgery (SDS) unit felt that IBL would be more effective. We knew that our “gut feeling” had to be confirmed with evidence, so our Journal Club conducted an extensive literature review. We found 10 relevant articles and de-termined that current research did not clearly answer our ques-tion. We then realized this would be a good opportunity to do, what we thought would be a simple re-search project. Protocol There is no “simple” in re-search, but with the help of our research specialist we completed our study by replicating a pub-lished study. A common problem with research studies is insuffi-cient sample size. Replication studies provide a good way to in-crease the sample size on a topic that increases the generalizability of the results. We contacted the original researcher to gain permis-sion to replicate her work. Mem-bers of the research team were educated on the ethics of research involving human subjects and then we submitted a detailed pro-tocol to obtain approval from our hospital’s institutional review board. It can take several months to draft a protocol that meets the

Education/Research Article Moving Evidence to Practice by Sonia Vercler, RN, CGRN and P. Corinn Desmond, RN, CAPA

Part 2: The protocol/method and results of the research.

strict requirements of a review board. Method We wanted a large sample size, so we performed a power analysis to be sure we had the right number of subjects in our study. All patients in SDS have an IV started before surgery, so it was easy to obtain the required sample. One nurse inserted all the IV’s and ob-tained pain ratings from each sub-ject using a modified verbal nu-meric rating scale (VNRS). Our results clearly demonstrate that intradermal buffered lidocaine is more effective than bacteriostatic normal saline in reducing pain prior to IV cannulation in a pre-op setting. Results and Implications Evidence shows that the dis-comfort associated with IV inser-tion is a cause of patient anxiety and dissatisfaction. As a result of this study our SDS nurses feel con-fident they are using the best agent to ease the discomfort of the IV in-sertion. Our experience proved to be very positive and well worth all the effort we put forth. Nurses in our area are more willing to evalu-ate “why we do the things the way we do.” We now know that evidence based information can make a dif-ference in practice and bring forth excellent nursing practice. To share our information with colleagues outside our institution, we are sub-mitting our manuscript to a nurs-ing journal for possible publication. If you have any questions regard-ing our research project, please e-mail me –P. Corinn Desmond at [email protected]

Acknowledgements This work represents the ef-forts of the Peri-Operative Journal Club. Members- Sue Berry, RaNet” Bye, Jeanise Frank, Angela Fuller, Berna-dine Gsle and Yvonne Rees. Additional thanks goes to the Bromenn Pharmacy, espe-cially Steve Pinneke and Jen-nifer Woodward, and to Carol Dirks, Director of Peri-Operative Services for their ongoing support and to San-dra Burke, PhD, APRN, BC, research mentor for her assis-tance with journal club activi-ties. REFERENCES: 1. McKay W., Morris R and Mushlin P. (1987) . Anesthe-sia and Analgesia, 66, 572-574 2. Wilson L and Martin S ( 1999) Emergency Medicine, 33 (5), 495-499 3. Brown J and Larsonn M ( 1999). Clinical Nurse Spe-cialist, 13(6) 283-285 4. Fetzer, S. (2002) Nursing Research, 51,(2) 119-124 5. Brown J (2003) Medsurg Nursing, 12 (2), 95-100 6. Brown D. (2004) Journal of Infusion Nursing, 27 (2), 85-89 7. Windle, PE, Kwan MI., Warrick H, Sibaayan A, Espiritu C, and Vergara J (2006) Journal of Peri-Anesthesia Nursing, 14(2), 95-101 8. Fetzer S. (1999). Journal of PeriAnesthesia Nursing, 14(2), 95-101 9. Brown J. (2002) Pain Man-agement Nursing, 3, (2), 71-76 10. Hattula J, McGovern EK, and Neumann TL,(2002). Ap-plied Nursing Research, 15,(3), 189-193

Clinical Practice Corner by Sylvia Baker, BSN, RN, CPAN

Peri-Scope

Charting by Exception ASPAN does not have a position state-ment regarding documentation. I would recom-mend that one

consult the 2006-2008 Stan-dards of PeriAnesthesia Nurs-ing Practice, Standards VII (Planning and Implementation) and VIII (Evaluation), pages 18 and 19. Both of these Stan-dards address that documenta-tion reflect: interventions; re-sponses to interventions; con-sultations and collaborations; revisions to the plan of care; and use of established guide-lines. A second resource one

may want to investigate is Peri-Anesthesia Nursing Core Curricu-lum: Preoperative, Phase I and Phase II PACU Nursing (2004), pages 65 and 66. While this re-source, like the Standards, does not specifically address charting by exception, there are standard charting guidelines that should be addressed and monitored. There are multiple opinions on the use of charting by exception (and charting in general) that should be followed. Among the most important facts that staff should adhere to is that all blanks should be filled in or addressed in some way, and one’s documenta-tion needs to tell the complete story of the care given. One will not be able to recall individual pa-

tients and the care delivered, when and if one is ever called to defend the care provided. References: ♦ American Society of PeriAnes-

thesia Nurses: Standard VII: Planning and Implementation. Cherry Hill, NJ: ASPAN; 2006.

♦ American Society of PeriAnes-thesia Nurses: Standard VIII: Evaluation. Cherry Hill, NJ: ASPAN; 2006.

♦ DeFazio-Quinn, D. M., Schick, L. (Ed.). (2004). PeriAnesthe-sia Nursing Core Curriculum: Preoperative, phase I and phase II PACU nursing. St. Louis, MO. Saunders.

Fall Conference Scholarship Winner

ILSPAN President Kelly Logli & Treasurer Wanda

Ellenburg present Carloyn Killion with her

check for the Fall Conference

Scholarship

Kelly, Carolyn & Wanda

Fall Conference Attendance Prize

Winners

Thank You

ILSPAN and St. John’s Mercy Medical Center thank the vendors who supported this year’s fall conference.

Arizant Healthcare Jesse Kuziel

Elsevier Publishing Greg Russell

Silpada Jewelry Deb Biggs

District I Basket—Diane Forrest District II Basket—Mary Perkins District III Basket—Tracy Sharp Silpada Necklace—Joyce Brogan Silpada Gift Certificate— Maureen Woodward Elsevier Book Drawing—– Lori Lascelles-Fink & Sheri Tadlock

Volume 32 Issue 3

ASPAN Region 3 Director’s Report Kim Kraft, BSN, RN, CPAN

Over the past several months, I’ve had the privilege of attending several compo-nent conferences in Region 3. You would think that I would have heard some of the same information at some point but each program was unique and I was able to learn new infor-mation and skills. It was ob-vious that perianesthesia nurses were eager to increase their knowledge base because attendance at these confer-ences was impressive. Whether it’s the result of more facilities taking the magnet journey or a require-ment for licensure or certifica-tion, nurses are looking for opportunities to grow in their profession.

ASPAN membership offers many opportunities to enhance your practice. Mem-bers receive discounted rates at these component confer-ences and ASPAN seminars

as well as discounted rates on all ASPAN publications, such as the new standards. The 2008 – 2010 Standards of Perianesthesia Nursing Prac-tice are now available. They will become effective Decem-ber 26, 2008. Some of the changes are updated sections that were reviewed for evi-dence. These sections include the Resource on Safe Transfer of Care, A Position Statement on “On Call/Work Sched-ule” (with a newly designed fatigue checklist included as a resource) and A Position Statement on Visitation in Phase I Level of Care. Re-

source 2 (previously Re-source 3 on Patient Classifi-cation/Recommended Staff-ing Guidelines) offers addi-tional clarification related to emerging staffing and patient acuity issues. The Standards also include two new important position statements: one on Geriat-rics and one on Advocacy. Take advantage of all your ASPAN membership has to offer. For an average of $100, you can save al-most $500 in a year. A year’s subscription to JoPAN (free for members) costs $119. Members save $55 on ASPAN Seminars, $150 on the ASPAN Na-tional Conference, $100 on the CPAN or CAPA Certifi-cation Exam and $50 on the Standards. That’s money in your pocket!

ASPAN Willingness to Serve Postmark Deadline October 31, 2008

Did you know that ILSPAN gets points toward winning the ASPAN Gold Leaf Award for the number of members who serve on ASPAN Committees and Strategic Work Teams? Serving on an ASPAN Committee is a great way to be involved in the growth of ASPAN and have a say in the practice of perianes-thesia nursing. Appointments will be made in April 2009 for the 2009-2010 year. For a copy of the form go to the ASPAN web page, www.aspan.org and

select “Willingness to Serve” (WTS) under the Mem-bers drop down menu or call the National Office toll free at 877-737-9696 Ext 16 to request a copy. There are many exciting committees for you to join. A description of the committee can be found by scrolling down on the WTS. There are many inter-esting and exciting things for you to do with your national or-ganization.

The deadline for National Con-ference Abstract submission is November 1, 2008 for both the Research Abstract and Cele-brate Successful Practices. More information can be found on the ASPAN web page at www.aspan.org. Applicants will be notified by January 8, 2009 about acceptance for presentation at the National Conference in April 2009 in Washington DC.

ASPAN National Conference Abstract

Deadlines

ASPAN 28th National Conference April 19-23, 2008

Gaylord National Resort & Convention Center Washington, DC

Peri-Scope

Location! Cherry Blossoms!

Education! History! Kate Painter, BS, RN, CAPA

National Conference Strategic Work Team

Join ASPAN on the banks of the Potomac River overlooking our nation’s capital! ASPAN meets at the Gaylord National Resort and Conference Center from April 19-23, 2009 for its 28th National Conference. The theme, “Dreams Create Lasting Legacies,” promises to recharge our spirits and renew our com-mitment to excellence as we de-liver perianesthesia care. This East Coast conference features nationally known speakers, net-working opportunities, and valu-able education to enhance our knowledge of perianesthesia skills and Standards. Of course, this location al-lows everyone to fulfill the dream of touring our nation’s capital just as Spring arrives. Blue skies, spring blooms and moder-ate temperatures make April a wonderful time to see Washing-ton, DC. Component Night will be patriotic and fun. The theme, “Celebrating American Legends,” allows attendees to pay tribute to legendary characters. Compo-nents: gather together to choose a historical character from your region of the country, then decked in costume, participate in the “Parade of Legends. Attendance is expected to reach a record high, so take ad-vantage of early registration. Assure your spot to fulfill your dreams and create future lega-cies.

Make National Conference

the Best Yet! Tanya Spiering, BSN, RN, CPAN

National Conference Strategic Work Team

Imagine being able to partici-pate at a National Conference, col-lect contact hours and get paid a small stipend! You are invited to assist ASPAN at the 28h National Conference in Washington, DC from April 19-23, 2009. Serve as a host or hostess and play a critical role in the success of this conference at the Gaylord National Resort & Conven-tion Center. Duties include staffing the reg-istration booth, collecting tickets for events, assisting at Provider Di-rected Learner Paced Study ses-sions, providing directions within the conference area, facilitating seating in the sessions, distributing hand-outs, and collecting audience questions. Please consider this wonderful opportunity to network with your peers while supporting your professional organization. To volunteer or request more informa-tion please e-mail Tanya Spiering, ASPAN 2009 Host/Hostess Coordi-nator, at [email protected] or [email protected]

Watch the ASPAN website for brochure and

hotel information. www.aspan.org Register early!

ILSPAN National Conference

Scholarship ILSPAN offers funds for you to attend the ASPAN Na-tional Conference. Log on to the ILSPAN Web site at www.ilspan.org to find the scholarship area. There you can download the point sheet, fill it out and send it to the Vice President/President Elect. (Contact information page 2

Postmark deadline January 10, 2009

Call for ASPAN Shoppe Workers

Want a fun job? Sign up to work in the ASPAN Shoppe. A place where all conference attendees visit. The ASPAN Shoppe is the place to be and be seen. E-mail Marigrace Clarke, ASPAN Shoppe Worker Coordinator at [email protected]

Volume 32 Issue 3

ILSPAN Willingness to Serve

Form Name__________________________________________________________ Address________________________________________________________ City, State, Zip__________________________________________________ Home 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: Keith Schumacher, BSN, RN 217 W Arch Mason City IL 62664 E-mail: [email protected]

2009 Jan Ridder Excellence in

Clinical Practice Award

This award honors the perianesthesia nurse who exemplifies excel-lence in clinical practice. It is named after ILSPAN Past President,

Jan Ridder. Applications are now be-ing accepted for this award. Download the ap-plication packet from the ILSPAN web site.

Postmark deadline December 31, 2008

Call for Nominations Please submit a

Willingness-to-Serve Form

(found on this page or on the ILSPAN web site:

www.ilspan.org)

Offices to be elected in March 2009 are

Vice-president/President Elect, Secretary and

District I and III Directors

Names of nominees along with biographical

information will be in the Winter Peri-Scope published

in February.

Submit by January 10, 2009

Congratulations to the ILSPAN Recruiter of the Year

Kelly and Marigrace

Kelly Logli, ILSPAN President presents Marigrace Clarke with

this Award which includes ASPAN & ILSPAN dues for

one year

Looking Ahead…………….

ILSPAN

MISSION STATEMENT

ILSPAN EXISTS TO PROMOTE QUALITY & COST

EFFECTIVE CARE FOR PATIENTS , THEIR FAMI-

LIES, & THE COMMUNITY, THROUGH PUBLIC

& PROFESSIONAL EDUCATION, RESEARCH &

STANDARDS OF PRACTICE

Peri-Scope Published three times a year by the

Illinois Society of PeriAnesthesia Nurses Publication deadlines:

Winter Issue……...…....January 1 Spring/Summer Issue…...…May 1 Fall Issue……….…...September 1

Mail or e-mail copy to:

Marigrace Clarke, RN, CAPA 10635 Scotland Drive

St. Louis, MO 63114-1966 [email protected]

ILSPAN Illinois Society of PeriAnesthesia Nurses

ASPAN 2009-2010 Willingness to Serve Forms Due………………………………………...October 31, 2008 CPAN/CAPA Test date………………………………………………………………………………...November 1, 2008 ILSPAN Winter Board Meeting, Springfield, IL….…………………………………………….January 24, 2009 PeriAnesthesia Nurse Awareness Week………………………………………………………….February 2-8, 2009 ASPAN “Safety Begins with Us” Seminar at the Sheraton Clayton Plaza Hotel St. Louis, MO………………………………………………………….February 7, 2009 ILSPAN Spring Board Meeting, Rockford, IL…………………………………………………….March 20, 2009 ILSPAN Spring Membership Meeting, Rockford Memorial Hospital Rockford, IL……………………………………………………………..March 21, 2009 ASPAN 28th National Conference, Gaylord National Resort Washington, DC…………………………………………………….April 19-23, 2009

Check the ILSPAN website for additional dates and activities.

Copyright© 2008 Peri-Scope All rights reserved Reproduction by any means without expressed permission from ILSPAN is prohibited.

ILSPAN on the web at www.ilspan.org

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