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GREETINGS LAPAN MEMBERS! I became a Perianesthesia nurse in the 1990’s and was encouraged to attend the LAPAN state conference. Back then, it was a two-day seminar with two tracks and held in a major hotel in downtown New Orleans. About 200 people attended. On Friday night, there would be a social so we could meet and greet in an informal atmosphere.
It was because of these great memories and informative opportunities that I joined ASPAN. I became very involved on the local level (AAPAN) and I was hooked. Through the years I gained much knowledge and made great friendships across the country.
LOUISIANA ASSOCIATION OF PERIANESTHESIA NURSES
March, 2013 Volume 28, Issue 1
HERE’S THE SCORE
Table of Contents President’s Message 1 SEAPAN’s CAPA/CPAN Review 2
Michelle Simpson-Image of Excellence
4
Do It Anyway 5
The Happy Anesthesiologist- W.A.G.
6
National Convention 8
Celebrating PANAW 10
The Regional Director’s Corner 12
LAPAN Board of Directors 14
From the Editor—What is Excellence?
15
President’s Message
This year is LAPAN’s 30th anniversary. It has always been a strong organization because of its dedicated individuals serving on the board and loyal members in support. LAPAN state conference has always offered very informative educational classes to improve our care and commitment to our patients and profession. Many members may be unaware that besides offering an annual conference, LAPAN also offers two scholarships.
SCHOLARSHIP ELIGIBILITY CRITERIA:
1. Registered nurse working in perianesthesia setting 2. Active LAPAN member for previous two years 3. Funds will be used for ASPAN National Conference or LAPAN State Seminar
APPLYING FOR:
ASPAN National Conference Attendance LAPAN State Seminar Attendance
Did you know that our two districts, AAPAN and SEAPAN, try offering educational classes 4 times a year?
On the national level, there is a conference once a year, usually in April. It’s held in different parts of the country each year. Attend one conference and you are hooked! Let’s make LAPAN’s 30th anniversary one to remember. My vision for LAPAN is to have people involved throughout the state and to increase our membership. I challenge all active members to encourage their fellow perianesthesia nurses to take advantage of all of the benefits at national, state, and district levels. Clara Boudreaux
SEAPAN Hosts CAPA / CPAN Review
Baton Rouge members enjoy the day
Corinne M. Duplessis, center, sharing the day with friends.
Page 2 VOLUME 28, ISSUE 1
CAPA / CPAN Review
Debbie Wadsworth, one of our SEAPAN hosts
Chris Price, the current Immediate Past President of ASPAN, presented an excellent day of review for any perianesthesia nurse. It was geared to those nurses who are preparing to take the CAPA or CPAN test.
Page 3 HERE’S THE SCORE
Monica Bollich Sonnier and Tracy Buras Craft talk to Chris Price.
She’s been complimented on patient satisfaction surveys repeatedly. Time and time again, patients ask for the “nurse with the beautiful smile and curly hair.” That’s because Michelle Simpson, RN, has shown to give exceptional care to her patients at Lafayette General Surgical Hospital. Having worked within the Lafayette General Health System for 29 years, Michelle was one of the nurses originally recruited to Burdin Riehl Ambulatory Care Center because of her extraordinary nursing skills. When she transitioned to LGSH, she carried those skills over with her. Michelle is the epitome of a team player, working in Inpatient, Pre-Op, PACU or wherever she is needed. She often works odd shifts when a coworker cannot come in to work. Because of her excellent performance in meeting expected time frames, Michelle does her part in keeping the CMS Core Measure scores up. “She is a true asset to LGSH,” says one fellow nurse.
Reprinted with permission from Generally Speaking, December 2012. A newsletter for the employees of LGMC.
Michelle is a long-time member of ASPAN and an active member of AAPAN.
Lafayette General Surgical Hospital Recognizes Michelle Simpson Image of Excellence
Award
Fall, 2013
Become Certifiable
TAKE THE EXAM THIS FALL Registration Window — Online July 15 – Sept 9
Registration Deadline — Online September 9 by 11:59 p.m. ET
Time Period for Scheduling Examination Appt. with Prometric Upon receipt of your ATT letter through November 14
Examination Administration Window Oct 7 – Nov 16
Page 4 HERE’S THE SCORE
Current Available Coaches
Clothilde Richard-Gard, RN,CPAN, CAPA
Denham Springs, La
Karen Harson, RN, CPAN, CAPA
Lafayette General Medical Center PACU
work: 337.289.7784
Visit abpanc.com and tour their website. You can find practice exams (buy one, get one free) and free study guides. Like them on Facebook to encourage you and your co-workers. The program is accredited by The Accreditation Board for Specialty Nursing Certification.
People are often unreasonable, illogical, and self-centered; forgive them anyway.
If you are kind, people may accuse you of selfish, ulterior motives; be kind anyway.
If you are successful, you will win some false friends, and some true enemies; be successful anyway.
If you are honest and frank, people may cheat you; be honest and frank anyway.
What you spend years building, someone could destroy overnight; build anyway.
If you find serenity and happiness, others may be jealous; be happy anyway.
The good you do today, people will forget tomorrow; do good anyway.
Give the world the best you have, and it may never be enough; give your best anyway.
Posted at the Orphanage of The Saint of Calcutta, Mother Theresa
David Callecod’s Version
The biggest men and women with the biggest ideas for improving patient care can be shot down by the smallest men and women with the smallest minds. Think big anyway.
Doctors sometimes need help, but may attack you if you do help them. Help doctors anyway.
Patients and their loved ones are sometimes illogical, unreasonable and self-centered. Love them anyway.
Patients and families may be “unteachable” about their condition, due to what they have read on the Internet or heard from their neighbor. Teach them anyway.
If you do exceptional things for your patients, other employees may accuse you of selfish, ulterior motives. Do them anyway.
Give your patients the best you have and you may never hear a “thank you.” Give your patients the best you have anyway.
The patient’s condition that you spend hours improving may be destroyed overnight. Improve it anyway.
Your honesty and frankness may make your CEO develop high blood pressure. Be honest and frank to him anyway.
The care you give today may be forgotten tomorrow. Give it anyway.
If you achieve high patient satisfaction scores, you will put pressure on other departments to do the same. Achieve them anyway.
Page 5 VOLUME 28, ISSUE 1
As seen posted at the orphanage of The Saint of Calcutta, Mother Teresa © Dr. Kent M. Keith 1968, renewed 2001
President/CEO LGMC
David L. Callecod, FACHE - May 2008 Re-printed with permission
DO IT ANYWAY...
W.A.G or Waste Anesthesia Gases has been a recent discussion topic amongst perioperative nurses in one of your recent national publications. What? You’ve never heard of W.A.G.? Well I’m here to explain how this topic is not new, even though it’s been given a hip new name. Anesthesia gases have been floating around in the air of operating rooms since ether rags were employed. The only thing protecting health care workers from “knock out gas”, was the ether screen between the anesthesia provider and the surgeon. Exposure to potent inhalational anesthetics greatly decreased with the invention of the Copper Kettle in 1952. Now, with our computerized, closed circuit “fancy smancy” anesthesia machines that cost more than a Porche but less than a Ferrari, operating room exposure to waste anesthesia gases is very low. In fact, one of my all time favorite “Stump the Student” questions is “What is the recommended safe level of exposure to anesthetic gases to surgical personnel?” Ok, I admit, I do get some cruel satisfaction as the questioned mentee looks at me with a completely blank stare. Well here’s the answer: As defined by NIOSH – National Institute for Occupational Safety and Health, recommends limiting the room concentration of nitrous oxide to 25 ppm and halogenated agents to 2 ppm (0.5 ppm if nitrous oxide is also being used). In the operating room, these amounts of gases are reduced because of the effective scavenging system attached to the anesthesia machine that pumps these waste gases out of the operating room suites and dumps it into a back alley or off the roof of the hospital.
But what do you care about the operating room? You’re Peri-Anesthesia nurses! You care about the PACU!!! Every PACU nurse knows about “Sevo breath”. You know what these invisible gases smell like and can judge how deeply your patient sleeps by the potency of their breath. How much of these waste gases are floating out of the mouths and endotracheal tubes of your patients while they are still emerging from anesthesia? Truth is, nobody knows and every PACU is different. Older PACU’s and those whose practice is to extubate patients in the recovery room likely have more waste gases than newer facilities with patients who are awake on arrival.
W.A.G. in the PACU: HYPE OR HAZARD
...one of my all
time favorite
“Stump the
Student”
questions is
“What is the
recommended
safe level of
exposure to
anesthetic
gases to
surgical
personnel?”
Page 6 HERE’S THE SCORE
Page 7 HERE’S THE SCORE
The quality of a person’s life is in direct proportion to their commitment to
excellence, regardless of their chosen field of endeavor.
Vince Lombardi www.brainyquote.com/uotes/keywords/excellence
Just like in the OR, modern day PACUs have efficient ventilation systems where air is turned over several times every hour. Depending on the hospital, the air in your recovery room may be completely turned over as little as 6 times per hour, or as much as 20 times in an hour. This air flow and effective ventilation prevents the buildup of these waste gases.
But what about these new studies? Exposing the Invisible Risk: Waste Anesthesia Gases in the PACU, as referred to in the most recent ASPAN website, has been the topic of significant recent discussion. I encourage every periop employee who is interested to review this. I also encourage those same people to do a PubMed search and educate themselves on older evidence based studies and publications. Read the different methods (for example some use samples directly in line with the patient’s mouth, some sample over the nurse’s shoulder, some just sample the air in the room) and draw your own conclusions. This topic has been studied for years and the truth is, we don’t know how much real exposure PACU nurses have and what effects these waste gases have over long term exposure. We do know that heavy, short term exposure can cause headaches, fatigue, nausea and irritability (sound like every PACU nurse you know?). But as you know, these effects can also easily be attributed to the strenuous work conditions of the PACU nurse; long hours, high stress, poor diet and unpredictable bathroom breaks and meal schedules! Even periop nurses who take care of cataract patients all day and have no exposure to these gases have similar maladies.
I personally don’t worry at all about the daily extra exposure that I am getting from these waste anesthetics in the areas in which I work. I’m an anesthesiologist who is exposed on induction and emergence and again in the recovery room. I would recommend that anyone with any serious or concerning health conditions, or if they are pregnant, to avoid as much exposure as possible to these gases just as they would any other drug or chemical. Every career path comes with it’s own set of occupational risks. It is important that we are cognoscente of our environment, but not to let it scare us into being afraid of the profession we have chosen. To me, W.A.G. is more hype than hazard, but the jury is still out. Personally, I will go about my business without giving it much thought, because” Sevo Breath” means to me that my patient was deep asleep during surgery. This segues right into my next topic of Awareness in Anesthesia. To be continued…
…….to be continued
Dr. Julie G Broussard is currently the Medical Director of Anesthesia at Lafayette General Medical Center She obtained her undergraduate degree in Pharmacy at the University of Louisiana at Monroe. She attended medical school at Louisiana Health Sciences Center in Shreveport, Louisiana. She did her residency at the University of Texas Medical Branch in Galveston, where she was the Outstanding PGY2 Resident of 2004-2006. She also was an assistant professor at UTMB, and was named 2007 UTMB Outstanding Overall House Officer.
Here Comes National Conference!
SOME TOWERING OPPORTUNITIES
Page 8 HERE’S THE SCORE
Hilton Chicago 720 South Michigan Avenue Chicago, IL 60605
Consider attending the national conference, this year. As always, its main purpose is to enable you, the professional nurse, to practice with safety and competency in the periAnesthesia arena.
Don’t forget to check out the pre and post conference presenta ons.
Saturday, April 13 Effective PeriAnesthesia Care 7.25 contact hours
Sunday, April 14 PeriAnesthesia Certification Review 7.25 contact hours
Thursday, April 18 Pharmacology Topics 4 contact hours
Too late for you to go this year? Start planning. In April of 2014, the conference will be held in Las Vegas! Then, in April of 2015, it will be the drivable distance in San Antonio, Texas. Plan, save, and bombard your manager now. It is a wonderful experience you will never forget!
REGIONAL MEETINGS MONDAY, APRIL 15, 2013
6 PM TO 7 PM
REGION 1—-ROOM 4A
REGION 2—ROOM 4B REGION 3—ROOM 4C
REGION 4—ROOM 4D
CAPA CPAN Luncheon Monday,
April 15, 2013
The Developmental Luncheon Wednesday
April 17, 2013
18th Annual ASPAN Dream
Walk Sunday,
April 14, 2013
6:30 am
Meet the Candidates Saturday,
April 13, 2013
6:30 PM
REPRESENTATIVE ASSEMBLY
Sunday
April 14, 2013\
9 am to 5>30 om
At 7 pm on Sunday night, make your way down to COMPONENT NIGHT. What is Component Night? Let me try to fill you in.
First of all, it is a huge perianesthesia party. It is a great time for meeting and greeting...for dancing...for laughing...for enjoying!
This year, the theme is “Get Your Game On! Chicago has the Cubs, The Bulls, The Sox, and the Bears. These people really know how to
get their game on and throw a partyl Don’t be late. You won’t want to miss any of this adventure.
To help carry out the theme, show up in your favorite team’s jersey. Many of the components will have their own booth. LAPAN is planning to showcase the New Orleans’ Saints.
Show up at LAPAN’s table. Let us know you are there. We want to get to know you and help you make this conference an excellent 6 days for you.
Don’t forget to load your pockets with $1 bills! Every component with a booth will have raffles for you to participate in and win!
Don’t
forget to
load your
pockets
with dollar
bills
You are invited to a get-together for all those attending who belong to LAPAN. I would like to meet with y’all. Check the bulletin board near registration for all of the particulars. Please e-mail me at [email protected] to let me know you are there and coming. E-mail me regardless. I would love to have the opportunity to meet with you at some time during the week.
Component Night…..
LAPAN GET-TOGETHER
Show up
in your
SAINT’s
jersey
Page 9 VOLUME 28, ISSUE 1
The will to win, the desire to succeed, the urge to reach your full potential...these are the keys that will unlock the door to personal excellence. Confucious
Www.brainyquote.com/quotes/keywords/
GET YOUR GAME ON!!!!
LGMC celebrated with a cake made by hand for the peri-Anesthesia nurses by one of their wonderful secre-taries, Bonnie Adaire. It was presented to the nurses by their supervisor, Kim Dooley, RN,CAPA..
CELEBRATE!
The Ochsner Medical Center, Jefferson Highway, New Orleans, PeriAnesthesia Nurses were honored with lunch and a lunch bag from our leader-ship team for PeriAnesthesia Nurse Awareness Week.. An inservice was presented regarding their Quality Study on Inadvertent Perioperative Hy-pothermia.
PANAW WEEK FEBRUARY
4-10
2013
Page 10 HERE’S THE SCORE
Lafayette Surgical Specialty Hospital honor their perianesthesia nurses with cake and other festivities. Shown are Julie Dautreuil and Clara Boudreaux in front. Tracy Buras Craft and Monica Bollich Sonnier in back.
EXTRA! EXTRA! LET US READ ALL ABOUT IT!
CELEBRATE!
If you have anything you want to celebrate in Here’s the Score, don’t hesitate to let me know!
Pictures to share? Great! Make sure you identify all of the people in them and the story behind them.
Let us know if anyone has received an award, or experienced an accomplishment, or retired after years of wonderful service. It’s so encouraging to be recognized.
Do you have some good clinical information you think would help our practice? Write an article! (This would be a great boost for most clinical ladders.)
The next Here’s the Score will be coming out in June. Your submission should be in my in-box by May 15, 2013. Send it to
Debra Deslatte
E-mail: [email protected]
Subject Line: Submission for Here’s the Score
Page 11 VOLUME 28, ISSUE 1
We should not judge people by their peak of excellence, but by the distance they have traveled from the point where they started.
Henry Ward Beecher Www.brainyquote.com/quotes/keywords/excellence
Inside Story Headline
“Be a yardstick of quality. Some people aren’t used to an environment where excellence is expected.” Steve Jobs www.brainyquote.com/quotes/keywords/excellence.html#FyZ
Page 12 VOLUME 28, ISSUE 1
Regional Director’s Corner Armi Holcomb RN BSN CPAN Regional Director- Region 2 March madness is here! And I am not just talking about the NCAA tournament but am more interested on how everyone is preparing for the 32nd ASPAN National Conference in Chicago April 14-18th. The Regional directors have been busy updating the First timers’ orientation. If you login into the ASPAN website, it is on the homepage titled “Welcome first time at
tendees”. There are several activities that first timers and returnees may find interesting to attend. One of those activities is the pre-conference seminar. Another is the meet the candidates on Saturday evening- this year the nominating committee changed it up a little and there is a more formal Q&A with those candidates running for national office. The session is not limited to component leaders , it is for any ASPAN member that wants to meet the candidates prior to the more formal session when the Representative Assembly convenes on Sunday. Again, the Representative Assembly is open to all members. Long before I got involved at the national level, I used to sit in the gallery and watched the proceedings. It is a great way to learn how business of ASPAN is conducted.
I am excited to see everyone at conference. Component night this year celebrates your favorite sports team. Our Kansas Jayhawks just won their latest Big 12 Championship so you all know which team I will be honoring. I am sure that my other component members and leaders will come up with their own favorite teams. Component night is the one night where we can really network with each other and have fun with raffles etc. before our more formal educational sessions. I hope that when you all come to Chicago, you will also have made plans to see something of the city.
Our Region 2 meeting will be scheduled for Monday night April 15th at 6 pm . The meeting room will be posted in the pocket guide. I hope see most of you there.
I am your ASPAN Board liaison and always at your service. Please contact me at [email protected]
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Page 13 HERE’S THE SCORE
April 14-18, 2013…..…….………. ASPAN National Conference Chicago, Illinois May 18, 2013…………..………..… LAPAN Board Meeting Women’s Hospital Baton Rouge July 20, 2013……………………….CPAN CAPA Review Shreveport Chris Price, current ASPAN Immediate President September 19-27, 2013..…….…….International Conference for PeriAnesthesia Nurses Dublin, Ireland October 5, 2013……..……………..LAPAN’s Fall Conference Baton Rouge Location to be announced
2013 ICPAN Registra on Fee Scholarships from ASPAN
ASPAN is pleased to offer registra on fee scholarships to the 2013 Inter‐na onal Conference for PeriAnesthesia Nurses (ICPAN) being held Sep‐tember 19-22, 2013, in Dublin, Ireland. Postmark deadline for ICPAN scholarships is May 1, 2013. Instruc ons and required forms are now available on the ASPAN Web site. Please read instruc ons carefully for eligibility requirements.
Calendar of Events
President Clara Boudreaux BS BSN RN CAPA
cboud [email protected]
Vice President / President Elect Robin Steele
Secretary Debbie Wadsworth BSN RN CAPA
Treasurer LeeAnn Dooley RN CAPA [email protected]
SEAPAN Representative Margaret Pomerleau MSN RN CPAN
AAPAN Representative Theresa Lacombe RN CPAN [email protected]
Publications Chairman Debra “Debi” Deslatte, RN CAPA
LAPAN Board of Directors for 2012-2013
Education Chair Leslie Roy BSN RN CPAN
Historian Julie Dautreuil BSN RN
Governmental Affairs Karla Lucas BSN RN CPAN
Klucas@ ochsner.org
Membership Peggy Walton RN
Ways and Means Amanda Arthur BSN RN CAPA
Immediate Past President Cheryl Cotton RN CPAN [email protected]
Page 14 VOLUME 28, ISSUE 1
No
context.
Microsoft Publisher includes thousands of clip art images from which you can choose and import into your newsletter. There are also several tools you can use to draw shapes and symbols.
Once you have chosen an image, place it close to the article. Be sure to place the caption of the
This story can fit 75-125 words.
Selecting pictures or graphics is an important part of adding content to your newsletter.
Think about your article and ask yourself if the picture supports or enhances the message you’re trying to convey. Avoid selecting images that appear to be out of
image near the image.
From the editor…..
Page 15 VOLUME 28, ISSUE 1
What is excellence? We go to seminars. The theme is “Striving for Excellence” or some variation thereof. We pat ourselves on the back for just being there. (And we should!)
For me, that phrase is just out there. An ambiguous goal that everyone wants, but we don’t have a good grasp of what it really means. Is excellence when your boss or co-workers say “That is an excellent nurse!”? Is it when the doctors respect your judgment? Both may be true. Is excellence in perianesthesia nursing when you are CAPA and /or CPAN certified? (It sure is a good indication!)
Although I am not a subscriber of the post modern philosophy, (This makes it difficult to live in a post-modern world.) I think this is an instance in which you need to decide what your definition of excellence is based on your values.
To say this is not a new question is an understatement. Aristotle (384-322 BC) is often quoted by Shaquille O’Neal, as well as many other philosophers.
We are what we repeatedly do. Excellence, then, is not an act, but a habit.1 Solomon, who was seeking the meaning of life, in Ecclesiastes 9:10 says, “Whatever your hand finds to do, verily do it with all your might.” (KJV) Wikipedia defines excellence as ”surpassing ordinary standards”. I want to apply that to my profession. One source states that it takes 10 years to become excellent in your profession.2 With knowledge doubling itself every year, I just don’t have those 10 years. This just brings me back to my original question. What is excellence in nursing and how do you obtain it?
Well, in thinking this through, I have realized that there are attributes of excellence that I must adopt. They are not for the weak of heart.
Care Focus Passion Consistency Energy Vigilance Diligence Knowledge I read once that the US Treasury trains their agents to work with counterfeit money by mak
ing them study real bills. They learn by examining the real thing. So I want to study the real thing. I am lucky. I work with some excellent nurses. I appreciate them, and I enjoy being surrounded by their care, passion, energy, diligence, focus, consistency, vigilance and knowledge. And with all of this, I feel like I am just touching the surface.
I want to encourage you and be encouraged in your striving for excellence. Help LAPAN maintain a level of excellence in order to help you. E-mail me with your thoughts on the subject.
Enjoy HERE’S THE SCORE! Debi Deslatte
1. www.brainyquote.com/quotes/keywords/excellence.html
2. Karl Anders Ericsson (1996), the road to excellence: the acquisition of expert performance in the arts and sciences, sports, tacos, and games, ISBN978-0-8058-2231-1
Page 16
MISSION STATEMENT To unite and educate professionals in the competency based practice of perianesthesia nursing and to enhance public awareness of the specialty.
LOUISIANA ASSOCIATION OF PERIANESTHESIA NURSES
PO BX 10773 JEFFERSON, LA 70181-0773
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