History Timeline
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ASPAN's History Timeline
2000s 1900s 1980s  1970s  1960s 1950s  1940s  1923 1860s  The Beginning: 1751

2000s: Continued Achievement and a Silver Anniversary
ASPAN assumed self management in May 2000. That fall, the Volunteer Leadership Institute reemerged as an annual Component Development Institute with outreach intended to foster component leadership, education, research, clinical practice, and advocacy. In 2008, the Web site was redesigned to offered unprecedented member and public access to multiple ASPAN products. The organization becomes increasingly recognized as a national and international leader and voice for perianesthesia nursing practice.
Election process modified to include more comprehensive online curriculum vitae for all eligible candidates for election.
Funds were collected by ASPAN to support Hurricane Sandy Relief, These donations were presented to the American Red Cross with the restriction for Hurricane Sandy Relief only.
The 2nd International Conference for Perianesthesia Nurses (ICPAN) was held in Dublin Ireland in September 2013. Sue Fossum, ASPAN Past President, was nominated to serve on the Steering Committee to finalize the goals of ICPAN.
A Lifetime Member Donation Program entitled “Legacy for Life” debuted.
ASPAN Standards became available electronically to medical libraries
 • The former ‘Up and Comers’ initiative was renamed ASPAN’s ‘Emerging Leaders Program’.
 • Representative Assembly April 14, 2013:
   ~ A Position Statement: Social Media and Perianesthesia Practice was passed.
 • Education update:
   ~ A new seminar, Refreshing Your Practice was developed.
   ~ To date, 19 education modules were created and made available via the ASPAN website.
 • Research update:
   ~ A new edition of the EBP Online Journal Club became available to members.
   ~ Funding was approved to provide four ASPAN members access to the Joanna Briggs Institute Comprehensive Systematic Review (CSR) training program at UCSF, California.
ASPAN hit a milestone with membership at 15,000.
 • Representative Assembly April 15, 2012:
   ~ A Position Statement on Substance Abuse in the Perianesthesia Setting was approved.
   ~ ASPAN’s 2012-2014 Perianesthesia Nursing Standards, Practice Recommendations and Interpretive Statements were approved.
   ~  The Obstructive Sleep Apnea in the Adult Patient Practice Recommendation was passed.  It was endorsed by the American Society of Anesthesiologists and Dr. Frances Chung, an internationally recognized sleep apnea expert.
   ~ A membership dues increase was approved to allow members to access the Joanna Briggs Institute (through ASPAN’s Web site) for a range of evidence-based resources.
   ~ A resolution for transparency in the election process was approved and a strategic work team created to review the election process.
 • ASPAN introduced its first webinar entitled, Perianesthesia Care of the Geriatric Patient and a new seminar, Perianesthesia Pathophysiology and Assessment: a Systems Approach.
 • ASPAN Digital Media Strategic Work Team identified available technology and explored the impact on ASPAN's Strategic Plan to provide enhanced member customer services, educational opportunities and social networking possibilities.
 • The 2012 edition of the Competency Based Orientation and Credentialing Program for the Unlicensed Assistive Personnel in the Perianesthesia Setting was published.
 • ASPAN proudly supported a global campaign called “Make It Zero” which raised awareness of the pulse oximetry gap, and supplied pulse oximeters, training and support to anesthesia providers in low-resource countries.
 • Representative Assembly/Board of Directors Meeting::
   ~ Organizational chart was restructured resulting from bylaw changes approved at 2010 RA, which promotes a streamlined organization through restructured committees, liaison affiliations, strategic work teams and specialty practice groups
    ~ Newly designated Leadership Development, Finance and Advocacy Committees will work with membership to further address issues identified by component leaders and members
    ~ Data Element SWT dissolved
    ~ Advanced Perianesthesia Degree SWT was suspended and will be re-evaluated
 • Barbara Godden RN, CPAN, CAPA, MHS appointed editor of Breathline
 • JoPAN accepted for inclusion by Thomson Reuters and assigned an Impact Factor, making it one of the few specialty nursing journals to achieve this status and will increase our presence in the international perianesthesia community
 • International Conference for PeriAnesthesia Nurses held in Toronto Canada
 • ASPAN created a new logo for marketing impact and reorganization. The original logo encapsulated by ASPAN’S full name will be known as the Legacy Logo and will be the Official Seal of ASPAN and will continue to be used for “ceremonial” materials.
 • ASPAN celebrates 30 years of service to perianesthesia nurses
 • Strategic Plan: Policy and Procedure SWT implemented charters for each committee and SWT. These charters define the work of the individual entities and will be maintained on the ASPAN web site.
 • Representative Assembly approved:
   ~ Bylaws amendments to restructure committees and strategic work teams, allowing the society to be better prepared to meet the needs of members
   ~ Revisions to ASPAN’s Representative Assembly Standard Procedures
   ~ ASPAN’s Perianesthesia Nursing Standards and Practice Recommendations 2010-2012
 • Informatics Specialty Practice Group received its charter
 • International Conference Strategic Work Team was designated to develop international perianesthesia conferences in conjunction with the National Association of PeriAnesthesia Nurses – Canada (NAPAN-c), the British Anaesthetic & Recovery Nurses Association (BARNA) and the Irish Anaesthetic & Recovery Nurses Association (IARNA)
 • Changes made to the Recruiter of the Year Award to provide monthly recognition to recruiters with more prizes
 • The ASPAN Star Award was renamed the ASPAN Above and Beyond Award with a more structured review of nominees
 • Susan Fossum, APSF Liaison and Kim Kraft, ASPAN President participated in the 25th Anniversary Workshop for the Anesthesia Patient Safety Foundation
 • The ASPAN Board of Directors sent a letter of endorsement to the Canadian Nurses’ Association certification review committee to consider approval of NAPAN-c’s proposal for a certification examination in perianesthesia nursing
 • ASPAN and ABPANC completed the 2010 Environmental Scan, which generated a comprehensive list of issues and trends affecting healthcare, nursing, perianesthesia practice and the work of ASPAN and ABPANC
ASPAN purchases standalone building and property for National Office enabling ASPAN to consolidate its office and storage needs into one location. The additional functional work space permits ASPAN to serve its members more effectively.
ASPAN’s Evidence-Based Clinical Practice Guideline for the Promotion of Perioperative Normothermia is published
Competency Based Orientation and Credentialing Program for the Registered Nurse in the Perianesthesia Setting, 2009 edition published
Perianesthesia Data Elements are published
Informatics SPG formed!
 • Specialty Practice Groups (SPGs) grow in number to support member networking in specialized perianesthesia practice domains 
 • Representative Assembly approves Position Statement on the Geriatric Patient and Position Statement on Advocacy
 • ASPAN begins “Go Green” initiative
 • Educator SPG formed!
 • ASPAN achieves 6 years accreditation with the American Nurses Credentialing Center (ANCC)
 • ASPAN’s new and improved website is launched
 • ASPAN Foundation name changed to ASPAN Development
 • Position Statement on Perianesthesia Safety approved by Representative Assembly
 • Up and Comers initiative launched to mentor future leaders
•  ASPAN Evidence Based Practice Model developed
 • Breathline made available to members on-line 
 • ASPAN Pain and Comfort Clinical Guideline endorsed by the Representative Assembly
 • Past Presidents’ Council awarded first Distinguished Service Award
 • Convened Perianesthesia Pain and Comfort Conference
 • ASPAN Clinical Guideline for the Prevention of Unplanned Perioperative Hypothermia endorsed by ASPAN Representative Assembly, American Society of Anesthesiologists (ASA), American Association of Nurse Anesthetists (AANA), and in 2002 by American Association of Critical Care Nurses (AACN). Evidence-based guideline revision occurred in 2008

1990s: ASPAN Celebrates 10th Anniversary
During this time, the scope of practice was redefined to include ambulatory surgery nurses. Education programs were updated and research goals identified. Throughout the decade, ASPAN increasingly sought to establish important professional liaisons with other professional nursing organizations.
 • ASPAN Standards of Perianesthesia Nursing Practice adds pediatric standards, preadmission guidelines, Phase III, and ASPAN Position Statements regarding nursing issues for all phases of care
 • Representative Assembly meets for the first time at Philadelphia National Conference
 • Membership reaches 10,000 members across 40 components
 • ASPAN Board of Directors restructures and creates a Representative Assembly
 • JoPAN now available to members via on-line access
 • First annual ASPAN Component Newsletter Contest winners announced at National Conference
 • Organization name changed to American Society of PeriAnesthesia Nurses
 • Publication name changed to Journal of PeriAnesthesia Nursing (JoPAN) in June
 • Formation of the ASPAN Specialty Practice Group (SPG), Preoperative Assessment received first charter
 • Presented first Gold Leaf Component of the Year Award
 • First published National PArtiCUlArS daily National Conference newsletter
 • Launched the ASPAN Web site
 • ASPAN Scholarship Program awards first scholarships to members
 • First Volunteer Leadership Institute held in Richmond, VA to develop component leadership
 • Certified Ambulatory PeriAnesthesia Nurse (CAPA) certification exam administered for the first time in November
 • For the next three years, ASPAN reorganizes with a long-term transformation plan. It acquires a new management company, rebuilds resources and restructures the existing Board of Directors into a Representative Assembly concept
 • ASPAN Foundation established
 • Awards for Outstanding Achievement and Excellence in Clinical Practice established
 • ASPAN Core Curriculum first published, with multiple subsequent revisions to present day
 • Education Provider and Education Approver status granted by American Nurses Credentialing Center (ANCC)

1980s:  The Birth of ASPAN
In the mid-1980s, ASPAN members were encouraged to promote a name change in hospitals from “Recovery Room” to Post Anesthesia Care Unit (PACU) to better reflect the type of care provided. 
 • Presentation of the first President’s Award
 • Meanwhile, ambulatory surgery centers proliferate due to legislative action, economics, hospital bed shortages, growth of laparoscopic and fiber optic technology and improved anesthetic medications
 • CPAN Day established as an ASPAN National Conference annual event 
 • Standards of Postanesthesia Nursing Practice endorsed by ASA
 • Celebrated first PostAnesthesia Nurse Awareness Week (PANAW)
 • ASPAN Long Range Planning Committee visions a five year plan
 • First issue of the Journal of PostAnesthesia Nursing (JoPAN) published in February (Anne Allen and Marie Darcy, Editors)
 • First Certified PostAnesthesia Nurse (CPAN) certification exam administered in November
 • Standards of Postanesthesia Nursing Practice published
 • American Board of Post Anesthesia Nurses Certification (ABPANC) incorporated
 • Established ASPAN’s Council of Past Presidents
 • Released ASPAN Guidelines for Standards of Care
 • First ASPAN National Conference held in April, St. Louis, MO
 • First newsletter published in January (Marie Darcy, Editor). Newsletter re-titled Breathline in August (Anne Allen, Editor)
 • Founding meeting of the American Society of Post Anesthesia Nurses (ASPAN)

 • Care in Recovery Room available 24 hours daily
 • “On call” staffing by registered nurses implemented after regular hours
 • Aldrete Discharge Score introduced to document patient readiness for discharge from Recovery Room
 • Outpatient Surgery Units established
 • CPR, BLS and ACLS certification requirements initiated for Recovery Room staff
 • Nurses actively organized by geographic regions to educate Recovery Room Nurses
 • 1979 - nurses representing state/regional organizations met to discuss forming a national organization, sponsored by American Society of Anesthesiologists (ASA)

 • Modernization continued: anesthetic medications, technology, surgical techniques evolved
 • Nurses more involved in issues surrounding development and staffing of Postanesthesia Recovery areas
 • Increased ratio of RN staff to patients
 • Staff education was “On the Job Training”
 • 1961 - first ambulatory surgery program in Grand Rapids, Michigan

 • Knowledge of postanesthesia complications grew
 • Surgical ICU and postoperative respiratory support developed
 • Hospitals established and equipped Postanesthesia Recovery Areas to stabilize patients prior to transfer to other units      
 • Benefit of early postoperative ambulation accepted     
 • Specialized education of staff begun

 • Realization that a patient first recovered from anesthesia, not the surgery
 • Recognized need for postoperative care areas located near the operating room to reduce deaths from respiratory failure immediately after surgery
 • 1941 - WWII patients undergoing surgery are placed in wards to receive postoperative care
 • 1942 - first documented “Recovery Room” at Saint Mary’s Hospital, Rochester, MN
 • The anesthesiologist managed medical care of patients in the Post Anesthesia Room

 • A 3-bed neurosurgical recovery unit located at Johns Hopkins Hospital in Baltimore, MD

 • Florence Nightingale placed patients in separate rooms after administration of anesthesia

The Beginning: 1751
 • Early documentation of a recovery area in England


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