november breathline.pub - north carolina association of
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november breathline.pub - north carolina association of
North Carolina Association of PeriAnesthesia Nurses November 2014 Volume 33 Number 3 CAROLINA BREATHS ASPAN National Newsletter Competition Winner 2000, 2004, 2009, 2012 TABLE of CONTENTS 2 Ebola Resource from ASPAN 4 LDI info 5 RN of theYear 5 ASPAN voting info 6 BOD information 7 National Conference 8 Spotlights 9 Treasurer report 9 Upcoming Events 10 Past Nurses of the Year 11 Scholarship Info 12 Welcome to Ireland 13 Certification Numbers 13 President’s Award 14-15 District Reports 16-17 LDI Pictures 16 Editor’s Note 18 ASPAN voting Info 19 Nurses Convention Pictures 20 Human Trafficking 21 NCNA Conference 21 ASPAN Savings 22 Human Trafficking, PANAW week 23 November Minutes BOD CONTACT ASPAN 90 Frontage Road Cherry Hill, NJ 08004 (877) 737-9696 FROM OUR PRESIDENT, ANGELA MCCLENDON Greetings North Carolina Perianesthesia Nurses, hope everyone is healthy and enjoying life. It has been a busy past four months for myself! After attending the Leadership conference in Nashville, TN Sept 5,6,7, our awesome State Conference on the 20th, 21st of September, and representing NCAPAN for the NCNA Conference October 8, 9,10; I cannot imagine why anyone would not want to be an ASPAN member to enjoy education at a discounted rate. The other advantages to obtaining education at seminars and conferences is listening to entertaining speakers, learning new things, taking ideas and knowledge back to our facilities and coworkers, and earning education hours that we need for your license and employment. There is also networking with others across the state and making many new friendships. We sometimes have RN's from TN, SC and FL in attendance, depending on which end of the State our meeting is located. NCAPAN usually rotates from North to South to East and West. I have not even gotten to the site seeing and delicious food to be had for some of the areas. This is all at the State level of ASPAN. As an ASPAN member, you are a member of the State level (NCAPAN) and local levels Foothills, Piedmont, Triad, Triangle, Southeast, Downeast, Coastal, and Mountain areas depending on where you live and work. Continued on page 2 C a r o l i naBreaths Carolina B r ea t h s Page 2 N ovembe r 2014 PRESIDENT’S MESSAGE CONTINUED Sarah M. I. Cartwright, BA, RN, CAPA Region V Director 2013 - 2015 American Society Of PeriAnesthesia Nurses (ASPAN) Phone: 706.231.8895 Email: [email protected] Address: 228 Cavalier Drive Martinez, GA, 30907 EBOLA RESOURCE PAGE Perianesthesia nurses frequently seek ASPAN's input on safety issues affecting the perianesthesia continuum. The situation surrounding the largest Ebola outbreak in history continues to evolve with new recommendations and developments emerging daily. As an organization that supports safe practice settings and safe care for healthcare members and patients, ASPAN is providing several current and credible resource links on our website regarding the impact of Ebola in practice. CONTINUED from Page 1 President’s Message I did notice that 53 attendees to the Asheville conference were not ASPAN members, which usually means that your employers paid for expenses. That is great. Maybe you could inquire about your facilities paying your ASPAN yearly dues, and then the employer would receive the discount for sending you to education offerings. As a Professional Organization, we provide educational offerings as well as Community Service. Sometimes at educational offerings, we find interesting speakers for other programs we attend. NCAPAN also had members (Laura Patterson BSN RN and Mike Fleckenstein BSN RN CPAN) represent us at the Anesthesia conference in Pinehurst during the same time our State Conference was in session. This is to make the Anesthesia providers aware of our Professional focus, and how important Certification is to our patient care. As a certification coach, I am planning a certification review with an ASPAN educator in March. Stay tuned for updates on our web site: http://www.ncapan.org Thank you for maintaining your ASPAN membership and joining us for education offerings. Angela McClendon RN BSN CPAN NCAPAN President As a leading authority on the status of Ebola, we urge all perianesthesia nurses to review resources provided by the Centers for Disease Control (CDC), including infectious disease guidelines and checklists to help understand the evolution of this disease, the means of transmission and infection with the disease and what protection is required to safeguard the public and healthcare providers. Three steps remain the most important keys to identify and prevent spread to other patients and staff: 1. Identification and isolation of suspected patients 2. Proper use of protective personal equipment (PPE) 3. Vigilant use of standard contact and droplet precautions including hand hygiene For additional information, please visit the Ebola Virus Resources page on ASPAN's website. (Printed with permission) CAROLINA BREATHS Pa g e 3 CAROLINA BREATHS NCAPAN COPYRIGHT INFORMATION All rights reserved. No part of Carolina Breaths may be copied or reproduced in any form without prior written permission from the editor. Permission may be granted to copy or reproduce part or parts of Carolina Breaths when use will further the mission of NCAPAN. NCAPAN MISSION STATEMENT To promote high standards of PeriAnesthesia and Ambulatory Surgery nursing care, to recognize our specialty and provide educational opportunities. ASPAN MISSION STATEMENT The American Society of PeriAnesthesia Nurses advances nursing practice through theory, education, research and standards. Carolina Breaths is the official publication of the North Carolina Association of PeriAnesthesia Nurses © November 2013 by NCAPAN All rights reserved. No part of Carolina Breaths may be copied or reproduced in any form without prior written permission from the editor. Permission may be granted to copy or reproduce part or parts of Carolina Breaths when use will further the mission of NCAPAN. Editor: Marcelene McLure RN CPAN 900 Navidad Bank Court New Bern, N.C. 28560 (252-633-2539) NCAPAN encourages articles and items of interest for publication in Carolina Breaths. It is the responsibility of the author to verify the accuracy of information submitted. Opinions expressed in Carolina Breaths are those of the author and may not reflect the opinion of ASPAN, the NCAPAN board of directors or the membership in general. Published three times per year by NCAPAN. Submission Deadlines February 7 for March Issue June 7 for July Issue October 7 for November Issue Membership Information/ Applications Willingness to Serve forms Scholarship Application forms Bylaws Officers and Committee Chair Names Can all be found by visiting our web site at: www.ncapan.org Carolina Breaths Page 6 LEADERSHIP DEVELOPMENT INSTITUTE Being new to the NCAPAN Board of Directors, I was invited to attend the ASPAN Leadership Development Institute in Nashville, Tennessee. I was delighted for the opportunity to learn more about my role as President of Mountain Area PeriAnesthesia Nurses Association (MAPAN). I have heard for many years about the Leadership Development Institute, but I really didn’t know what to expect. The information I walked away with from conference tied all the loose pieces together for me. NCAPAN Chapter Presidents Foothills Mary Killian marykill2112 @gmail.com Jacque Crossan and her ASPAN affiliates had an outstanding lineup that touched on many leadership issues including budget planning, Gold Leaf, conference planning, research, 2015-2017 Standards, strategic planning, social media and motivational lectures. Piedmont Jane Elkovich [email protected] The most beneficial to me, a novice leader, was the budget planning presented by Katrina Bickerstaff and Kevin Dill. This session really opened my eyes to what drives a component and districts financial stability. Discussions not only included how to create a budget, but also why to become incorporated, tax exempt status, as well as liability insurance. It was very evident that they are experts in their field and encouraged questions and continued support within our component. Triad Barbara Walls [email protected] Kim Noble and Elizabeth Card made learning about research fun and enjoyable. They were able to discuss research and EBP in the clinical setting and relate it to everyday practice. By using props and dynamic teaching techniques, they were able to discuss how to incorporate research in clinical practice. This conference was just what I needed to help me understand the structure and process of being a NCAPAN Board member. Concepts of teambuilding and leadership strategies streamed through the entire weekend. An added bonus of being able to network with leaders from all over the United States in the great city like Nashville, made it even more special. This was a fantastic learning experience and I am blessed to be a part of such an outstanding organization such as ASPAN and I can’t wait to attend another LDI. Triangle Debbie Marshall [email protected] debra.marshall@ rexhealth.com Southeast Cynthia Warren cwarren @sampsonrmc.org Downeast Marcelene McLure [email protected] Coastal Robin Davis [email protected] [email protected] Jennifer White RN, BSN, CPAN President MAPAN Mountain Jennifer White Jennifer.white @pardeehospital.org Carolina Breaths Page 7 NOMINATE SOMEONE NCAPAN NURSE OF THE YEAR CONGRATULATIONS KATHY DALEY NCAPAN NURSE OF THE YEAR ABPANC 475 Riverside Drive, 6th Floor New York, NY 10115 Phone - (800) 6ABPANC Fax - (212) 367-4256 E-mail - [email protected] ASPAN Awards Nomination Deadline Approaching! Deadline: Nomination forms MUST be postmarked or date-stamped by midnight on Sunday, November 30, 2014 for: 2015 Award for Outstanding Achievement - and 2015 Excellence in Clinical Practice Award Complete nomination information is available at: www.aspan.org and then click on the appropriate link on our homepage under "ASPAN Highlights." Don't delay, nominate a deserving colleague Kathy Daley was honored as our NURSE of the YEAR for 2014. Carolina Breaths Page 4 NCAPAN CONTACT INFO Director Research Sonia Huff [email protected] [email protected] Webmaster Kathy Daley [email protected] [email protected] Newsletter Marcelene McLure [email protected] NCAPAN’s Board of Directors President Angela McClendon [email protected] Public Relations Judy Schneider [email protected] [email protected] Members at Large: Vice-President Susan Knowles [email protected] Secretary Laura Haynes [email protected] Treasurer Chris Ford [email protected] [email protected] Immediate Past President Ronnie Pittman [email protected] Governmental Affairs Cynthia Warren [email protected] Director of Education Tamara Barnett [email protected] [email protected] Debra Marshall [email protected] [email protected] Ann Smith [email protected] Jane Davenport [email protected] [email protected] Pa g e 7 Carolina Breaths 2015 ASPAN NATIONAL CONFERENCE ASPAN's 34th National Conference San Antonio, Texas "Igniting Professionalism: Excellence in Practice, Leadership and Collaboration" April 26 - 30, 2015 Full Conference Registration Fees If you register before 3/1/15: $395.00 Member $580.00 Non-Member Postmarked after 3/1/15: $445.00 Member $620.00 Non-Member Note: Pre and post conference offerings are additional costs; above prices are for the full registration for National Conference held April 26-30, 2015 Hotel Reservations Grand Hyatt San Antonio 600 East Market Street San Antonio, TX 78205, US Call 888-421-1442 or 402-592-6464. $199 per night single/double. All rooms subject to availability. Early-bird rate cut-off 3/21/15. PLEASE REMEMBER TO ADD A DONATION TO ASPAN DEVELOPMENT WHEN YOU RENEW YOUR ASPAN MEMBERSHIP! AND PLEASE LET YOUR COMPONENT PRESIDENT KNOW SO WE CAN USE THE INFORMATION FOR OUR GOLD LEAF APPLICATION Carolina Breaths Page 8 SPOTLIGHTS SPOTLIGHTS: Congratulations to Debbie Marshall for completing 40 years of PACU service with Rex Health Care. Laura Patterson and Mike Fleckenstein were the ASPAN reps for the ASA conference. We are honoring them with a Hail Honor and Salute for their taking on this responsibility! Thank You! SCHOLARSHIPS AWARDED: Judy Schneider received an ASPAN Scholarship of $1250 to attend Nurse in Washington Internship (NIWI) 2015 and Jennifer White received $1,000 for her MSN Degree. I always look forward to exhibiting information at the ASA conference to enlighten Anesthesiologist about PREOP and PACU RNs, but I was unable to attend this year. I am extremely grateful and thankful to have Laura and Mike there to represent NCAPAN. I did hear from my doctors that they were happy to and see and talk with them. On September 19-21, NCAPAN participated in the North and South Carolina Anesthesiology 2014 Conference in Pinehurst, NC. The theme of this year's conference was "Anesthesia's Value Proposition". The goal was for Anesthesiologists to focus on their unique role and value in the overall healthcare system. Topics such as physician guided reform and its impact on improving quality, access and cost-effectiveness was discussed. The event was well attended by Anesthesiologists from North and South Carolina, and the breaks between the seminars on Friday and Saturday were lively and informative. The NCAPAN booth was well represented by Laura Patterson, BSN, RN and Mike Fleckenstein, RN, BSN, CPAN. Next year's conference will be held in Asheville, N.C. at the Grove Park Inn . Angela McClendon RN BSN CPAN NCAPAN President Carolina Breaths Page 9 UPCOMING EVENTS TREASURER REPORT Savings Balance: 28,279.75 Checking Balance: 56,385.94 3 CD Balance: 3,796.14 Member-get-a-Member Campaign and AWARDS! (Go to web site to view awards you can receive) Invite your colleagues to join ASPAN today and begin enjoying the many benefits of membership. To thank you for your valuable work, a variety of prizes are available for members who participate in the campaign. You can obtain ASPAN promotional materials and membership applications by contacting the National Office toll free at 877.737.9696 or emailing [email protected]. Request as many copies as you need! Thank you for your help promoting ASPAN and our vital practice. . Reported by: Christina Ford, Treasurer For period ending: November, 2014 UPCOMING EVENTS Jan 10, 2015 Deadline for Above and Beyond Recognition Triangle district is have a one day Seminar January 31, 2015 in Cary. Feb 2 Gold Leaf application deadline Feb 2-8 PANAW WEEK start planning! March 7, 2015 ASPAN Certification review at the Hilton in Raleigh. Carolina Breaths Page 10 PERIANESTHESIA NURSES OF THE YEAR 2005 Chris Ford, BSN, RN, CAPA, CPAN Black Mountain, N.C. 2014 Kathy Daley MSN<RN,ACNS-BC,CCRNCMC-CSC, CPAN Charles George VAMC in Asheville, NC 2013 Sheila Reagan MSN, RN, NE-BC CaroMont Regional Medical Center, Gastonia, NC 2012 Leanne LeClair RN, BSN, CPAN UNC Health Care- Rex 2011 Laura Haynes, RN, CPAN Rocky Mount, N.C. 2010 Deborah Waters RN, BS, CPAN Greenville, N.C. 2009 Ronnie Pittman, RN, CAPA, CPAN Dallas, N.C. 2008 Florence Ann Glover BSN, RN, CAPA Greenville, N.C. 2007 Angela McClendon BSN, RN, CPAN, CNIV Raleigh, N.C. 2004 Debra Marshall BSN, RN, CPAN Raleigh, NC. 2003 Hilda Nelson RN Jamestown, N.C. 2001 Vanessa Bibbs RN, CAPA Greenville, N.C. 2000 Karen Niven BSN, RN, CPAN Charlotte, N.C. 1999 Helen Keller RN CPAN Fletcher, N.C. 1998 Joyce Hillman BSN, RN, CPAN, CAPA Fletcher, N.C. 1997 Gena Near BSN, RN, CPAN Lewisville, N.C. 1996 Nita Grubbs ADN, RN, CPAN Julian, N.C. 1995 Janie Rowland RN, CPAN Fuquay-Varina, N.C. Carolina Breaths Page 11 NCAPAN SCHOLARSHIPS NCAPAN SCHOLARSHIPS • All Scholarships may not be awarded in every year. All decisions of the Memorial Scholarship Committee are final. Each year, in keeping with the Mission of the North Carolina Association of PeriAnesthesia Nurses, memorial scholarships will be awarded to DEADLINE FOR REQUESTING members of NCAPAN to help fund educational SCHOLARSHIPS: opportunities. A recipient must wait 3 years before Applications for Memorial Scholarships will be eligible for another scholarship. accepted at any time. CRITERIA FOR CONSIDERATION • Submission of a Memorial Scholarship Application • Active ASPAN/NCAPAN membership for at least 2 years as verified by your district president on the application. Print APPLICATION and mail with professional/community activities information to: Tamara Barnett • ASPAN/NCAPAN membership for at least one (1) year for CPAN/CAPA Certification or Re-certification Director of Education 2813 Bishopgate Drive Raleigh, NC 27613 • Active employment in some aspect of PeriAnesthesia Nursing as verified by your nurse manager on the Memorial Scholarship Application [email protected] or [email protected] • Submission of a copy of offering registration form • Submission of professional/community activities information with Memorial Scholarship Application. LIMITATIONS: • Recipients of a Memorial Scholarship must wait for a period of three (3) years before applying for another scholarship. • Scholarship funds may be used for funding registration, transportation, and housing only. If funding is also provided through another source, the scholarship amount will be limited to the balance unpaid by the other source. Carolina Breaths Page 12 A MESSAGE FROM IRELAND Failte go h’Eireann (Welcome to Ireland) nationally, and internationally. There are so many phases to perianesthesia care and each phase can benefit from shared ideas and processes. If you have an idea or project which could impact patient care during any portion of their experience, please consider designing and submitting a poster or podium presentation to your state, national, or international organization. By doing so you may be improving patient care, family dynamics, or just a “simple” thing such as reduction in wait time at registration on the day of surgery. Each one of these contributions helps patients and their families to feel as if they are receiving excellent care. We would like to thank NCAPAN state and Piedmont District for helping us achieve our dream. We would also encourage others to pursue this avenue of personal and professional development. This experience is one which will never be forgotten. It is a dream to attend an international conference. It is also a dream to have a presentation accepted by the society as important enough to be included in a presentation to international peers. Sheila Reagan, Director of PeriAnesthesia Services and Nancy Carter, Director of Surgical Services had that dream come true and were privileged to attend the 2nd International Conference for Perianesthesia Nurses in Dublin, Ireland September 19th thru September 22, 2013. This was an opportunity for colleagues and leaders from around the world to come together excited to share perianesthesia knowledge, expertise, contributions and innovative practices. This conference provided the forum for perianesthesia nurses to network and discuss old and new challenges that face our profession. In addition focus on ways in which we can look to the future and build on working together as colleagues to enSheila Reagan MSN, RN, NEA-BC, CENP hance the practice of perianesthesia nursing around the globe. Nurses from 20 different countries have now found a way to have life-long links in the perianesthesia domain. The dynamic program included presentations by world wide experts, interactive sessions and networking opportunities. We will be sharing the program information and best practices with our colleagues here. Our poster presentation was one of 40. It was an honor to share the accomplishments of the team that put many hours of work into the project to achieve a patient centered registration process. This team included Susan Padgett, RN CAPA, Ronnie Pittman, BSN, RN, CPAN, CAPA as well as members from anesthesia, perioperative services and organizational effectiveness. The poster (along with other posters) was also displayed at the November 2013 Piedmont District NCAPAN meeting at CaroMont Regional Medical Center. We encourage others to reach out to their professional organizations and share our perianesthesia achievements. Each facility (hospital, pain center, or ambulatory center) have many accomplishments that could impact patient care locally, Carolina Breaths Page 13 CERTIFICATION NUMBERS SURVEY PRESIDENT’S AWARD WINNER NCAPAN CERTIFICATION NUMBERS DUAL 14 CAPA 162 CPAN 258 TOTAL 434 2014-2015 ASPAN president Angela presents President's Award to Chris Ford SURVEY Please send the link to all perianesthesia nurses in your district that have not previously taken the survey. Please emphasize that this should not be repeated. The new deadline is 12/31/14. https://www.surveymonkey.com/ s/8XGRQ2N This is just the link info, will not lead you to the link. Carolina Breaths Page 14 DISTRICT REPORTS TAPAN (TRIANGLE) President: Debra Marshall [email protected] [email protected] COASTAL President Robin Davis [email protected] or [email protected] MOUNTAIN President: Jennifer White [email protected] The Triangle district collected items for the Durham Rescue Mission at our September meeting. We also enjoyed a light meal, heard a great talk on venous insufficiency, and discussed plans for our seminar on On September 21-22, NCAPAN held its State Conference in Asheville, NC, hosted by the Mountain Jan 31, 2015! Our district meeting is Monday Nov.10th at Rex Hospital. Marty Cooney our director Area PeriAnesthesia Nurses Association. There were Visit Our New Website over 140 attendees from NC, SC, and Tennessee. A of Infection Prevention will speak on Infection Pretotal of 11resources speakers vention Updates. Dinner will be provided. ABPANC has updated our website, making it easier to find such valuable as: presented topics including pain control, health care reform, LVAD update, WAG and • Certification and Recertification Handbooks anesthesia issues. A total of $9075.18 net profit was • Practice Exams generated for NCAPAN and attendees walked away • Schedule & Fee Information with 11.0 CEUs. • Award Applications On Friday Nov. 8th, Only Hope WNC had their • News & Events Sleep-Out to raise awareness for homeless youth. • Opportunities to Share Your Story Due to the collection at state conference this year, ...all with the goal of supporting CPAN® & CAPA® Certification: Nursing Passioneligible in Ac- to be a sponsor. Please NCAPAN became tion®. Check us out at cpancapa.org. look at the NCAPAN facebook page to see photos of the banner and t-shirts with our logo on them. On October 13, 2014, MAPAN celebrated with Beacons of Change... Joyce Hillman at Moe’s BBQ, as she stepped down as Focusing on the Future secretary/treasurer of MAPAN. Joyce is a founding member of MAPAN and has served on numerous poASPAN's National Conference is Apr. 15-19. sitions within MAPAN as well as with the NCAPAN Board. Joyce will be missed in the perianesthesia set• Earn contact hours for recertification. ting by her peers as well as her patients. • Learn about perianesthesia-related research • Receive information on new products and services for quality patient Oncare November 3, 2014 a MAPAN recruiting meet• Refer to their program for certification-related activities. ing was held at Tupelo Honey in Skyland NC, with hopes of generating interest from other area hospitals We’re looking forward to seeing you in Orlando. not currently involved in MAPAN. Invitations were Conference Details extended but no new potential members were able to This is Perianethesia Nurse Awareness Week - Feb. 6-12 attend. A very brief meeting was held and a delicious Visit Facebook and tell us how your unit will be recognizing CPAN CAPA nurses.by the 6 members that were able to meal &was enjoyed attend. Jennifer White, RN, BSN, CPAN March 19th is Certified Nurses Day President MAPAN Visit our online store for CPAN / CAPA gifts and free posters. SOUTHEAST ........................................................ President: Cynthia Warren [email protected] Encourage Nursing Passion in Action Online Like Us on Facebook PIEDMONT President: Jane Elkovich [email protected] Mountain District report on Page 19 Carolina Breaths Page 15 DISTRICT REPORTS TRIAD President: Barbara Walls [email protected] FOOTHILLS Mary Killian [email protected] The Triad Chapter hosted a meeting on September 9, 2014 at High Point Regional Hospital with 5 members present. We have two new members. The Triad Chapter hosted a Fall Seminar at Forsyth Medical Center Conference Center on Saturday, October 25, 2014. The conference had 37 nurse in attendance from all counties through out the state. The cost of the seminar included a continental breakfast, a bag lunch, and afternoon snack. The topics presented were "Mechanical Ventilation in the PACU" by Michael Nanney, RN, RRT, CPAN, CCRN, "Fecal Microbiota Therapy" by Daniel Murphy, MD, "The Role of the Breast Nurse Navigator" by Jo Thomas, BSN, RN, OCN, "SCIP-Past, Present, and Future" by Peggy Tesh, MHA, RN, BSN, and "Managing Acute Pain in the Chronic Pain Patient" by Laura Tunke, MD. The participants received 6.5 nursing education contact hours and many expressed that it was a great seminar. Canned goods were collected from the participants and will be donated to the Men's Rescue mission in Winston Salemith very informative and current topics. The next meeting is Tuesday, November 11, 2014. At this meeting, we will prepare for the 2015 State Conference. Meeting is scheduled at 7 pm at the women's classroom at High Point Regional Hospital. Foothills District met on September 16, 2014 at CVMC. Jim Decker CRNA presented a program entitled Perioperative Hypothermia Update 2014 at 6:00 p.m. in CVMC hospital classroom. Eight members attended and received one contact hour. Please mark your calendar for upcoming events. All programs are held at Catawba Valley Medical Center in Hickory. Organizational Learning Department provides contact hours to all who attend free of charge. The next district meeting will be on November 18, 2014. Gail Settlemyre RN BSN CPAN will present a program entitled Pre Anesthesia Testingassessment & Solutions to Ensure Safe Continuum of Care. Planning for Spring Update on April 4 , 2015 has begun. All members are asked to provide input for topics and potential speakers. Mary W. Killian, RN, BSN, CPAN DOWNEAST ( DEPAN ) President: Marcie McLure [email protected] DEPAN met in October at Carolina East Medical center. We had 7 in attendance but we had technical difficulty with the teleconferencing and others were not able to join in. There was no meeting in November. Be sure to check www.ncapan.org for updated BOD minutes and current information about NCAPAN Page 16 Carolina Breaths LEADERSHIP DEVELOPMENT EDITOR’S NOTE Our driver from the hotel in Nashville! I can’t believe it is almost December. It is almost time to make plans and reservations for National Conference in San Antonio! I have made it a personal quest to try to have nurses who have never been there before to make plans to attend this great conference. You have enough time if you START TODAY! Put in your request and ask for conference money! You won’t regret it. It is an experience you will never forget. Besides all the great new information you will learn, it is about networking and meeting new friends from all over the country. Last year I brought a first time attendee with me and she kept asking me “HOW DO YOU KNOW ALL OF THESE PEOPLE?” It made me realize that I do know MANY of the leaders, past and present, of ASPAN. One of my favorite things to do there is to work in the ASPAN SHOPPE! It is something I did as a M&M committee person. There you get to meet and talk to all of the attendees! NCAPAN has a little get together for our group during the evening one night. That helps us put faces with names! Again, I have met wonderful people in this local chapter, friends I will always remember. It is my hope that you will go to your manager TODAY and ask for the time and monetary assistance to attend this year. Don’t forget scholarships are available as well from NCAPAN! Hope to see you in SAN ANTONIO! Marcelene McLure Editor of Carolina Breaths EDITOR’S NOTE Carolina Breaths Page 17 LEADERSHIP DEVELOPMENT INSTITUTE There were eight NCAPAN leaders that attended the Institute, Cynthia Warren from Southeast, Marcie McLure from Downeast, Tamara Barnett from Triangle, Robin Davis from Coastal along with Laura Clark and Ellen Marlowe, and Jennifer White from Mountains and myself from Triangle. We met at the Maxwell House Hotel for an excellent education and networking experience. Our educational sessions included: Budget planning for districts, Planning for the Gold Leaf award and Planning Dynamic programs for Professional development. We were introduced to Research the "Kim Noble" way. She is an excellent teacher and promoter of Research. Susan Russell updated us about Standards and then Terry Clifford walked us through the ASPAN web site. We did have a delicious taste of Nashville and some visited the Grand ole Oprey, where Scottie M sang the Tuesday after we were there! Carolina Breaths LEADERSHIP DEVELOPMENT Being new to the NCAPAN Board of Directors, I was asked to attend ASPAN Leadership Development Institute in Nashville, Tennessee. I was delighted in the opportunity to learn more about my role as President of Mountain Area PeriAnesthesia Nurses Association (MAPAN). I have heard for many years about Leadership Development Institute, but I really didn’t know what to expect. The information I walked away with from conference tied all the loose pieces together for me. Jacque Crossan and her ASPAN affiliates had an outstanding lineup that touched on many leadership issues including budget planning, Gold Leaf, conference planning, research, 2015-2017 Standards, strategic planning, social media and motivational lectures. The most beneficial to me, a novice leader, was the budget planning presented by Katrina Bickerstaff and Kevin Dill. This session really opened my eyes to what drives a component and districts financial stability. Discussions not only included how to create a budget, but also why to become incorporated, tax exempt status, as well as liability insurance. It was very evident that they are experts in their field and encouraged questions and continued support within our component. Kim Noble and Elizabeth Card made learning about research fun and enjoyable. They were able to discuss research and EBP in the clinical setting and relate it to everyday practice. By using props and dynamic teaching techniques, they were able to discuss how to incorporate research in clinical practice. This conference was just what I needed to help me understand the structure and process of being a NCAPAN Board member. Concepts of teambuilding and leadership strategies streamed through the entire weekend. An added bonus of being able to Page 18 ASPAN BOD VOTING INSTRUCTIONS network with leaders from all over the United States in a great city like Nashville, made it even more special. This was a fantastic learning experience and I am blessed to be a part of such an outstanding organization such as ASPAN and I can’t wait to attend another LDI. Jennifer White RN, BSN, CPAN President MAPAN 2015-2016 ASPAN Candidate Profiles are now online . . your component needs your input! To review the 2015-2016 slate of candidates for positions on the ASPAN Board Directors, as well as candidates for Nominating Committee members, and submit a feedback form you must be logged in to the ASPAN Web site or, visit ASPAN's homepage: www.aspan.org. Log-in using your ASPAN username and password. Under "Highlights" on the home page, click the 20152016 Candidate Profiles link and carefully read the instructions. Your feedback form is received in confidence; identifiers are removed before your submission is forwarded to your component. Your input will assist component Representative Assembly (RA) representatives in casting votes for candidates during the April 2015 RA meeting in San Antonio, TX. Only one submission per current ASPAN Active or Retired Category member will be accepted. Submission feedback deadline: February 28, 2015. Don't delay! Page 19 Carolina Breaths DISTRICT REPORTS CON’T. NC NURSES ASSOCIATION CONVENTION Mountain On September 21-22, NCAPAN held its State Conference in Asheville, NC, hosted by the Mountain Area PeriAnesthesia Nurses Association. There were over 140 attendees from NC, SC, and Tennessee. A total of 11 speakers presented topics from including pain control, health care reform, LVAD update, WAG and anesthesia issues. A total of $9075.18 net profit was generated for NCAPAN and attendees walked away with 11.0 CEUs. On Friday Nov. 8th, Only Hope WNC had their Sleep-Out to raise awareness for homeless youth. Due to the collection at state conference this year, NCAPAN became eligible to be a sponsor. Please look at the NCAPAN facebook page to see photos of the banner and t-shirts with our logo on them. On October 13, 2014, MAPAN celebrated with Joyce Hillman at Moe’s BBQ, as she stepped down as secretary/treasurer of MAPAN. Joyce is a founding member of MAPAN and has served on numerous positions within MAPAN as well as with the NCAPAN Board. Joyce will be missed in the perianesthesia setting by her peers as well as her patients. On November 3, 2014 a MAPAN recruiting meeting was held at Tupelo Honey in Skyland NC with hopes of generating interest from other area hospitals not currently involved in MAPAN. Invitations were extended but no new potential members were able to attend. A very brief meeting was held and a delicious meal was enjoyed by the 6 members that were able to attend. Jennifer White, RN, BSN, CPAN President MAPAN Dr. Stuart Glassman got into the spirit of our conference theme in a CAMO-print t-shirt, and donated a beautiful ceramic platter he made for a raffle! Oh, he gave a great talk on peri-operative pain control, too! Angela McClendon and Judy Schneider representing NCAPAN at the NC Nurses' Association convention in Raleigh, October 8-10. Carolina Breaths Page 20 HUMAN TRAFFICKING Human Trafficking: Incidence in North Carolina and Identifying victims By Robin Davis MSN, RN-BC, CPAN Often human trafficking is not a crime that is publically displayed for others to see. It is often hidden and difficult to identify if you are not aware of the signs and symptoms of the disease. There are not any solid estimates as to how often it occurs at present. However, the Polaris Project publishes what they consider to be an accurate estimate that between 100,000 to 300,000 prostituted children in the US at any given time. North Carolina is in the top 10 states for human trafficking incidence, therefore, we may encounter victims of human trafficking in our healthcare settings and not even realize it. The purpose of this article is to increase your knowledge about the incidence of this disease and what to look for so that you can “look beneath the surface” (http:// www.acf.hhs.gov/programs/orr/resource/look-beneath-the -surface). It is to raise awareness that if something doesn’t seem right about what a patient is saying or doing; there may be more to the story. Most often victims of human trafficking are mislabeled as potential victims of domestic violence. There are two types of human trafficking. The first is labor trafficking which when victims are forced into labor through force, fraud and coercion. The second is sex trafficking in which the victim is forced into sexual servitude through force, fraud and coercion. The average age of entry into human sex trafficking for girls is 12-14 and the average age for boys is 11-13. There are approximately 17,500 victims who are brought into the United States annually. According to the National Center for Missing and Exploited Children, “1 in 7 endangered runaways reported to us in 2013 were likely sex trafficking victims”. Part of what makes North Carolina so appealing to traffickers is our location. We have major highways such as I -40, I-85, I-95 running from North to South and East to West making trafficking easy. We also have tourist areas such as the beach in the summer, Charlotte during football season, and the mountains all year. We have a lot of rural areas with farmland where migrant workers are bought in to harvest and work in the fields (labor trafficking). We also have military bases in North Carolina. In general, where there are higher concentrations of men (demand) there are more victims (supply) in the sex trafficking arena. Research regarding human trafficking incidence in the healthcare environment is just now beginning to surface in the United States. However, it has been documented in Europe that 28% of human trafficking victims will visit a hospital or other healthcare facility during their captivity. I spoke to a victim recently who said she was in the hospital twice with her pimp during her trafficked time. She reported that if we had only asked her more probing questions privately, she would have opened up about her situation. She wanted us to ask her but we didn’t. We are one of the few professionals who have the opportunity to come into contact with these victims and make a difference. It is our documentation that could be used in the prosecution of the pimp if their case went to trial. This is especially helpful if the victim is not comfortable testifying against the perpetrator in court. Use all of your senses and document, document, document. Pay careful attention to documenting psychosocial aspects and what you witness regarding this patient. Signs and symptoms include physical symptoms from abuse such as being kicked, forced sex, head and facial trauma and scars, multiple sexually transmitted diseases, signs of domestic violence. Additional physical indicators include strangulation, cigarette burns, gunshot wounds and stabbing. The other area to address with these victims is to look for are psychological symptoms such as depression, low self esteem, being scared to speak in front of trafficker and self harm. The psychological problems of these patients are often more damaging and scarring than the physical issues. Substance abuse is a major identifier as the trafficker often exposes them to drugs to keep control of the victims. There are also “branding” identifiers where the pimp will have a tattoo with the trafficker’s name. In general, victims of human trafficking move often. The will claim to “just be visiting” and will not be sure of where they are living. They may not even know what city they are presently residing. They have numerous inconsistencies in stories. Frequently, they have few personal possessions. They may or may not have possession of their driver’s license, passports or any other document that identifies them. You may question if they are the person on the card as they do not appear to be that person as the trafficker often loses this information and will use another person’s if needed for that victim. These victims often exhibit depression and other symptoms of declining mental health. They may be fearful of everyone including the trafficker, tense, nervous or paranoid while in the hospital. They may be depressed and submissive with a flat affect and often avoid eye contact. If law enforcement is mentioned, they often get anxious. The trafficker has often made them afraid of law enforcement and at times, law enforcement in some communities, is corrupt. Continued on page 22 Page 21 Carolina Breaths NCNA CONFERENCE The NCNA conference was held in Raleigh in October with a wide representation from Hospitals to schools. Presently there are about 4400 members in the NCNA. The conference began with the Impact of Nursing on Patient Outcomes. CMS payments are made according to Nursing performances with patient care. The hospital does not receive payment from medicare/medicaid if infections occur, falls with injury, poor glycemic control. It is noted by research that a 10% increase in BSN associated with a 5% decrease in mortality. North Carolina needs to have an increase in NP's for the Affordable Care Act. ASPAN SAVINGS ASPAN has partnered with some of the nation's leading companies to provide members significant savings on: such things as car rentals, car insurance, office supplies and many more. To learn more about the new benefits, visit the ASPAN Member Rewards Program page. You must create an online account and log in to access these benefits. Judy Schneider and I enjoyed networking with others from Hospitals and Schools during exhibitor time as we represented ASPAN. And then there were interesting education sessions. There was a Health Care Town Hall meeting with Wake Med CNO, Duke School of Nursg Dean, Duke's President, and Policy Analyst Health Access Coalition NC Justice Center. This meeting was a discussion of health care today, nurses being prepared, and avail health care in rural areas. The Board of Nursing offers an hour of Free education on line at their web site. We are the only State that elects the majority of the board. Highlights from the NCBON: There will be no change initiated from the original statement of Procedural Sedation. 2) Substance Use Disorder-abused and diversion with Dilaudid and Oxycondone. If drug screen are done, need to be specific for which drug. Ed, ICU,CCU, Medsurg, Longterm care facilities and Ambulatory surgery are the areas affected. 3)BON has Speakers available, 4) The NCBON is under no one's umbrella, they stand strong alone. Remain open to Innovation and Colaboration, and vigilance to uphold Standards in Education and Practice. Thanks, Angela McClendon RN BSN CPAN NCAPAN President Ann Smith in a 1963 Lotus at the state conference in Asheville, where the hotel was also hosting a Lotusowners convention! Page 22 HUMAN TRAFFICKING CONT. Traffickers often accompany victims so getting the victim alone should be of utmost importance. Also, never let family interpret for the patient. Building trust with your patient is the number one priority. Ask probing questions such as: Are you free to come and go as you please at your home? Are you paid for your work? Have you ever been hit, slapped, bit or kicked? Do you have control of your own money and identification papers? Have you been threatened by anyone if you don’t do something they want you to do? Has your family been threatened? Is anyone forcing you to do anything you don’t want to do? As you can see, asking the general “Are you being abused at home?” or something similar will likely not get you the answer you need to investigate the situation more fully. Probing questions may get you more of a response that will better allow you to assist the victim. If you do encounter a victim of trafficking who would like assistance, please call the human trafficking hotline first at 1-888-3737-888. If you are near the Wilmington area, they have their own hotline for A Safe Place at 1-855723-7529. The next part of this article is going to be identifying what North Carolina is doing to protect victims of human trafficking as well as what is being done nationwide. Please take an opportunity to visit some of the references below to gain additional information on this topic. Also, you local rape crisis center will likely have additional information regarding sex trafficking specifically related to your community. www.humantraffickinged.com http://www.protectionproject.org/ http://www.cnn.com/2010/WORLD/americas/01/13/ mexico.human.traffic.drug/index.html?iref=storysearch http://www.endhumantrafficking.org/ http://www.missingkids.com/en_US/documents/ Fact_Sheet_Parents_Guardians.pdf http://www.polarisproject.org/ Family Violence Prevention Fund, World Childhood Foundation. Turning Pain into Power: Trafficking Survivors’ Perspectives on Early Intervention Strategies. Available at: www.endabuse.org. Accessed on March 2010. PANAW WEEK http://www.acf.hhs.gov/programs/orr/resource/lookbeneath-the-surface Sabella, D., American Journal of Nursing. The Role of the Nurse in Combating Human Trafficking. February 2011, 111(2), pp. 28-37. PERIANESTHESIA NURSE AWARENESS WEEK February 2-8, 2015 Product brochure available through ASPAN Page 23 BOD MINUTES NOV 8, 2014 Members present: Angela McClendon, Susan Knowles, Laura Haynes, Chris Ford, Ronnie Pittman, Kathy Daley, Sonia Huff, Judy Schneider, Tamara Barnett, Debbie Marshall, Mary Killian, Donna Hutson, Barbara Walls, Jennifer White newsletter. A Nurse in Washington scholarship has been awarded to Judy. The conference is in March 2015. She will be representing perianesthesia nurses. Ronny made a motion and was seconded to provide the remainder of the funds needed for her trip to DC. Vote passed. Not present: Marcie McLure, Cindy Warren, Ann Smith, Jane Davenport, Jane Elkovich, Robin Davis Education: Contact information has been obtained from Meeting called to order 0933 multiple deans of nursing schools for our scholarship program. No requests for scholarships at this time. Donna Welcome: Instructions for arriving to Janeway Tower. Hutson has expressed interest in mentoring for this posiWith the security change at WFBU hospital, the easiest tion for next year. way to get to the meeting is to park on the orange level where there is a security guard. Old Business Leadership Conference: Report given. Instructions for conference call for January. The number for the conference call in January is 877-533- NCAPAN State Conference: Report given. Profit over $9000. Attendance 140. 11 CH awarded. Discussion of 6338 code 33397#. how monies are disbursed to NCAPAN. Motion made Minutes approved online via email that the district hosting the conference should receive 20% of the profits. The remainder of the profits will be Treasurer’s Report: Report given. Audit will be too distributed the same way half to the operating budget and expensive and requested to change language to review. A half to the education budget. The motion was seconded review is a sampling of our reports. We will need to and the BOD voted to approve. change the Bylaws to do that. Kathy will send a survey Southeast District: Sabre Thompson of the Southeast monkey link and the secretary will disburse the email to district (district 6) is interested in reviving the district. the NCAPAN membership. Sonia agreed to be her contact. Chris was contacted for financial questions. Discussed needing a tax ID number Web Site: No new items. Site updated as needed. for a non-profit organization. Motion to issue a check representing the monies received from members of that Newsletter: Items needed were discussed. district from ASPAN to Sabre to open a checking account. Seconded and vote passed. Governmental Affairs: No items to discuss. August meeting site: August 8th possible site at Oak Island. Mary will let Angela know availability. Research: Pending survey. 36 responses were reviewed. Gold Leaf: Discussed application process. See handout. Discussion about resending the survey. Plan to put results The BOD decided to split up the responsibilities based on in the newsletter in the future. No new items. your current role on the BOD. Debbie is going to send an email to the BOD concerning what part of the application Public Relations: Kathy Daley was honored as Perianes- each person will be responsible to complete. Please look thesia Nurse of the Year. over your section for the next BOD meeting. Laura Patterson and Mike Fleckenstein were present at the ASA conference and reported our table was well reNew Business ceived. The BOD voted to give a Hail, Honor, Salute Component Dues: BOD voted not to increase our state award of $25 each for their service. dues. ASA 2015 September 24-25 at The Grove Park Inn, 2015 State Conference: Triad District is considering sevAsheville. eral locations and dates. Angela and Judy attended the NCNA conference and af- Budget: Discussion of 2015 budget. Plan to approve the ter their review the BOD determined it is no benefit to new budget at the January BOD meeting. NCAPAN to join the NCNA. Judy has agreed to submit a member highlight to the See district reports separately pages 14-15
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