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2015 Celebrate Successful Practices Abstracts

ASPAN's 34th National Conference
April 26-30, 2015, San Antonio, Texas


USE OF EAR PLUGS AND EAR MUFFS TO REDUCE THE EFFECT OF NOISE IN THE POST ANESTHESIA CARE UNIT
Contact:  Elsy Puthenparampil MSN RN-BC CPAN
The University of Texas MD Anderson Cancer Center, Houston, Texas

THE IMPLEMENTATION OF AN ALARM MANAGEMENT PROGRAM IN THE POST ANESTHESIA CARE UNIT (PACU)
Contact:  Ma. Cecilia Lopez RN BSN CPAN
Newark Beth Israel Medical Center, Newark, New Jersey

A QUIET ENVIRONMENT IS A HEALING ENVIRONMENT
Contact:  Maura Ventura BSN RN CPAN
Cleveland Clinic, Cleveland, Ohio

SINGLE DOSE PREOPERATIVE GABAPENTIN AND ACETAMINOPHEN
Contact: Katrina Push RN  
Veterans Administration Healthcare System, Ann Arbor, Michigan

COMPLEMENTARY THERAPIES
Contact:  Jane C. Dierenfield RN BSN CPAN CAPA
North Hawaii Community Hospital, Waimea, Hawaii

OUCH!  INCREASING IV INSERTION SUCCESS RATE ON FIRST ATTEMPT IMPROVING THE PATIENT EXPERIENCE
Contact:  Jean Bivona BSN RN CAPA
Memorial Sloan Kettering Cancer Center, New York, New York

SAFE HANDLING AND DISPOSAL OF MITOMYCIN C IN THE POST ANESTHESIA CARE UNIT (PACU) FOLLOWING INTRAVESICAL AMINISTRATION IN THE OPERATING ROOM (OR)
Contact:  Gloria Luu MSN RN CPAN CAPA
Department of Veterans Affairs Medical Center of San Francisco, California

ISOLATION CLEARING INITIATIVE (I.C.I.) BEGINNING PRIOR TO ADMISSION
Contact:  Sally Sackett RN BSN CAPA
Rochester General Hospital (RGH), Rochester, New York

MEDICATION ADMINISTRATION AND PATIENT SATISFACTION: THE MISSING LINK
Contact:  Vineetha Sunil BSN CCRN
The University of Texas MD Anderson Cancer Center, Houston, Texas

IMPLEMENTING NON-INVASIVE POSITIVE PRESSURE VENTILATION FOR KNOWN AND AT RISK OBSTRUCTIVE SLEEP APNEA SURGICAL PATIENTS
Contact:  Kimberly Latham BSN RN CCRN
The Christ Hospital Health Network, Cincinnati, Ohio

SURVEILLANCE OF SKIN INTEGRITY IN THE PERIOPERATIVE SETTING
Contact:  Anna Mae Josue RN BSN CPAN
The University of Texas MD Anderson Cancer Center Houston, Texas

STANDARDIZING ADULT CRASH CARTS
Contact:  Lonnie Weekley RN BSN
Cleveland Clinic Lorain Institute Ambulatory Surgery Centers, Lorain, Ohio

POST OP URINARY RETENTION: EVALUATING AND REDEFINING A COLLABORATIVE PROTOCOL BASED ON EVIDENCE
Contact:  Nancy Parvana RN BSN CPAN
Saratoga Hospital, Saratoga Springs, New York

IMPLEMENTATION OF A PERI-OP PROCEDURAL SKIN ASSESSMENT TOOL
Contact:  Patricia Crosby RN BSN CCRN CPAN
Alta Bates Summit Medical Center, Summit Campus, Oakland, California

ADDING A PHARMACIST TO THE PERIANESTHESIA RESOURCE TEAM
Contact:  Victoria Sherry BSN RN
Brigham and Women’s Hospital, Boston, Massachusetts

“WE’RE HAVING A HEAT WAVE”: IMPROVING PATIENT OUTCOMES THRU PERIOPERATIVE WARMING
Contact:  Brittany Kauffman BSN RN CPAN
Nebraska Methodist Health System, Omaha, Nebraska

IMPLEMENTATION OF CLINICAL GUIDELINES FOR THE USE OF IV ACETAMINOPHEN IN PERIANESTHESIA PAIN MANAGEMENT
Contact:  Marianne McAuliffe MSN RN
Beth Israel Deaconess Medical Center, Boston, Massachusetts

THE 5 P’S:  THE POSTOPERATIVE PAIN PATIENT, A PREOPERATIVE PRIORITY
Contact:  Karen Belford RN MSN AOCN CPAN
Memorial Sloan Kettering Cancer Center, New York, New York

PAIN EXPERIENCE FOR ADULTS HAVING IV INSERTION WITH AND WITHOUT USE OF NEEDLESS LOCAL ANESTHETIC INJECTION SYSTEM 
Contact:  Suzette Schellenberger RN MSN CNOR
Norton Brownsboro Hospital, Louisville, Kentucky

UTILIZATION OF PREOPERATIVE RISK ASSESSMENT FOR MANAGEMENT OF POSTOPERATIVE NAUSEA AND VOMITING (PONV)
Contact:  Judith J. Kinnavy BSN RN CAPA
Advocate Good Samaritan Hospital, Downers Grove, Illinois

NEUROLOGICAL EMERGENCIES IN THE POST-OPERATIVE ANESTHESIA CARE UNIT:  IDENTIFICATION AND MANAGEMENT
Contact:  Katherine Simpson BS BES RN CNRN CVRN-II
The University of Texas MD Anderson Cancer Center Houston, Texas

PREPARATION FOR TOTAL JOINT SURGERY:  PATIENT EDUCATION AND DOCUMENTATION TOOLS FOR HOME
Contact:  Jo Lynn Cornish RN CAPA
Rochester General Hospital (RGH), Rochester, New York

IMPACT OF POSTSURGICAL PAIN MANAGEMENT MEDICATION INTERVENTIONS ON PERIANESTHETIC NURSES’ TIME AND WORKFLOW
Contact:  Amy Smalarz PhD, MHA
Strategic Market Insight, Acton, Massachusetts

WARM UP TO PATIENT SAFETY AND SATISFACTION
Contact:  Kim Sheffield BSN RN CPAN
UF Health, Gainesville, Florida 

DO YOU KNOW THE FLOW?  DEVELOPING AN ALGORITHM FOR POST OPERATIVE URINARY RETENTION
Contact:  Erica Stefanik BSN RN CPAN
Cleveland Clinic, Cleveland, Ohio

BREAK A HABIT AND SAVE SOME BANK!
Contact:  Maura Ventura BSN RN CPAN
Cleveland Clinic, Cleveland, Ohio

IMPACTING COLORECTAL SURGICAL PATIENT MORBIDITY THROUGH A DESIGNED PATIENT ENGAGEMENT PROCESS
Contact:  Donna Goyer RN BS CPAN CAPA
Carilion Clinic, Roanoke, Virginia

PROVIDING REGIONAL ANESTHESIA SERVICE IN PREOPERATIVE HOLDING
Contact:  Gail Davis CNM APRN
Barnes-Jewish Hospital, St. Louis, Missouri

TRACHEOSTOMY MANAGEMENT IN THE PERIOPERATIVE SETTING
Contact:  Elizabeth L’Hommedieu BSN RN CPAN
Barnes Jewish Hospital, St. Louis, Missouri

IMPLEMENTATION OF A “SENSORY FRIENDLY” PROTOCOL FOR CHILDREN WITH AUTISM SPECTRUM DISORDER IN THE PEDIATRIC PERIOPERATIVE ENVIRONMENT
Contact:  Jennifer M. Roth MS RN CPNP CPN
Charlotte Bloomberg Children’s Center, Johns Hopkins Hospital, Baltimore, Maryland

PRACTICAL IMPLEMENTATION OF STANDARDS OF CARE FOR THE PERIANESTHESIA PATIENT WITH KNOWN OR SUSPECTED OBSTRUCTIVE SLEEP APNEA (OSA)
Contact:  Barbara Audin BSN RN
Brigham and Women’s Hospital, Boston, Massachusetts

STROKE CENTER READINESS IN THE PACU
Contact:  Sandra Filla BSN RN CPAN
Barnes-Jewish Hospital, St. Louis, Missouri

PERIOPERATIVE PARTICIPATION IN OSA AWARENESS
Contact:  Gail Davis APRN CNS-BC
Barnes-Jewish Hospital, St. Louis, MO

NO LAUGHING MATTER: INSTITUTING AND SUSTAINING NURSE COMPETENCY IN NITROUS OXIDE ADMINISTRATION FOR THE PEDIATRIC POPULATION
Contact:  Maria Heinje MSN RN-BC
Providence Sacred Heart Medical Center & Children’s Hospital, Spokane, Washington

EDUCATING PERIANESTHESIA PATIENTS REGARDING SAFE PRESCRIPTION MEDICATION DISPOSAL
Contact:  Bethan Vaughan-Kamuca BSN RN CAPA
Paoli Hospital, Paoli, Pennsylvania

VOIDING ALGORITHM FOR MANAGING POSTOPERATIVE URINARY RETENTION IN PHASE II PATIENTS
Contact:  Raelyn Nicholson RN BSN PCCN
University of Colorado Hospital, Aurora, Colorado

IMPLEMENTING A “LIPID RESCUE” PROTOCOL FOR LOCAL ANESTHETIC TOXICITY IN A PERI-ANESTHESIA SETTING
Contact:  Karen A. Stannard RN CPAN CAPA  
Yale New Haven Hospital, New Haven, Connecticut

WEIGHT WATCHERS: WEIGHT VERIFICATION FOR PEDIATRIC SURGICAL PATIENTS
Contact:  Geraldine delos Santos MSN RN CPAN
Children's Memorial Hermann Hospital, Texas Medical Center, Houston, Texas

STANDARDIZING NURSING ASSESSMENTS OF DERMATOME LEVELS OF POSTOPERATIVE PATIENTS WITH SPINAL BLOCKS, EPIDURAL ANALGESIA
Contact:  Laura Marovich MSN RN CPAN
Northwestern Memorial Hospital, Chicago, Illinois

ETCO2 MONITORING IN HIGH RISK PATIENTS IN THE PACU: A QUALITY IMPROVEMENT PROJECT
Contact:  Helen Taylor RN BSN CPAN
Abbott Northwestern Hospital, Minneapolis, Minnesotate MD

A HEALTHY WAY TO VENT:  CAPNOGRAPHY MONITORING IN THE PACU
Contact:  Maria Gutierrez BSN RN CPAN
Saddleback Memorial Medical Center, Laguna Hills, California

CAPNOGRAPHY FOR THE PERIOPERATIVE NURSE
Contact:  Lauren Wolf RN CPN
Brigham and Women’s Hospital, Boston, Massachusetts

PREOPERATIVE SIGNS TO ENSURE PATIENT SAFETY AND JCAHO COMPLIANCE
Contact: Katrina Push RN  
Veterans Administration Healthcare System, Ann Arbor, Michigan

CREATING A CULTURE OF SAFETY
Contact:  Gregory Camacho RN MSN
New York-Presbyterian Hospital, New York, New York

PERIOPERATIVE TEAM IMPLEMENTATION OF A STANDARDIZED PRE-OP BEDSIDE REPORT TO ENSURE PATIENT SAFETY  
Contact:  Katherine Houle RN MSN CPAN  
Gillette Children's Specialty Healthcare, St. Paul, Minnesota

PERIANESTHESIA / PERIOPERATIVE HANDOFF
Contact:  Karen Mansfield RN MSN CNOR RNFA
Virtua Marlton, Marlton, New Jersey

IMPROVING THE QUALITY OF ANESTHESIA TO PACU HANDOFF COMMUNICATION
Contact:  Mark Templonuevo RN BSN
The University of Texas MD Anderson Cancer Center, Houston, Texas

IMPROVING OR EFFICENCIES BY FORMING INTER-PROFESSIONAL TEAM RELATIONSHIPS
Contact:  Linda Dudas RNC MSN CNL
Magee Womens Hospital of UPMC, Pittsburgh, Pennsylvania

THE PARTNER IN CARE INITIATIVE OUTCOME: INCREASED COMMUNICATION INCREASES PATIENT SATISFACTION
Contact:  Debbie K. Sandlin BSN RN CPAN
St. Elizabeth Healthcare, Edgewood, Kentucky

IMPLEMENTING A TRIGGER PROGRAM IN THE POST ANESTHESIA CARE UNIT
Contact:  Mary Grzybinski RN BSN
Beth Israel Deaconess Medical Center, Boston, Massachusetts

COMMUNICATION ACROSS THE SURGICAL CARE CONTINUUM
Contact:  Anita Norton MSN RN CPNP
Children’s Hospital of Wisconsin, Milwaukee, Wisconsin

WHAT TO KNOW BEFORE YOU GO: A PEDIATRIC SURGICAL GUIDE
Contact:  Donna Voldan BSN RN CAPA
Cleveland Clinic, Cleveland, Ohio

CREATIVE APPROACH TO CONSISTENT AND EQUITABLE ASSIGNMENTS OF UAP
Contact:  Nancy Strzyzewski MSN RN CPAN CAPA
University of Michigan, Ann Arbor, Michigan

IMPROVING PATIENT AND FAMILY SATISFACTION BY ADDRESSING PACU VISITATION AND EDUCATION
Contact:  Janelle Holthaus RN BSN
Barnes-Jewish Hospital, St. Louis, Missouri

HIGHWAY TO HANDOFF
Contact:  Heidi Childs BSN RN CPN
Children’s Hospital Colorado, Aurora, Colorado

THE NEW PRE-OPERATIVE PHONE CALL PROCESS: SOLVING PATIENT AND SYSTEM ISSUES BEFORE THE DAY OF SURGERY ONE PATIENT AT A TIME
Contact:  Mary Christina Joy Lazo MSN RN CPAN
Johns Hopkins Hospital, Baltimore, Maryland

O.R. TO PEDIATRIC PACU HANDOFF
Contact:  Michelle Whitney RN MSN/Ed CPN CLNC
Baystate Medical Center, Springfield, Massachusetts

A TEAM APPROACH TO IMPROVING CARE FOR PATIENTS AT RISK FOR OBSTRUCTIVE SLEEP APNEA
Contact:  Karen M. Robbins BSN RN CPAN CAPA
Texas Health Harris Methodist Hospital, Cleburne, Texas

THE VALUE OF THE VISIT STUDY QUANTIFYING THE VALUE OF THE PREOPERATIVE VISIT WITH A NURSE PRACTITIONER
Contact:  Donna DelloIacono NP PhD
BWH Weiner Center for Preoperative Evaluation, Boston, Massachusetts

USE OF THE PDSA MODEL WITH THE ERAS CHECKLIST
Contact:  Lauren Wolf RN CPN
Brigham and Women’s Hospital, Boston, Massachusetts

CONFUSION TO CREATION OF A COMPUTER CHARTING COUNCIL
Contact:  Amanda Thier BSN RN-BC
Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas

IMPROVING THE SUPPORT AND DEVELOPMENT OF CLINICAL STAFF IN THE PERIOPERATIVE SETTING THROUGH THE (CSL) CLINICAL STAFF LEADER MODEL
Contact:  Victoria Montei MMHC RN BSN CNOR
Vanderbilt University Medical Center, Nashville, Tennessee

MEETING THEM AT THE DOOR:  ENSURING A SAFE SURGICAL EXPERIENCE FOR THE COMPLEX PEDIATRIC PATIENT BY DESIGNING AND IMPLEMENTING THE ROLE OF THE PRE-OP CLINIC RESOURCE NURSE
Contact:  Mary E. Reak RN MSN CPAN  
Gillette Children’s Specialty Healthcare, St. Paul, Minnesota

INCREASING THE NUMBER OF CERTIFIED NURSES IN PACU
Contact:  Brenda Moore BSN RN CAPA
UF Health Shands, Gainesville, Florida

MATURE NURSE RETENTION SURVEY PROJECT
Contact:  Dawn Davison MSN RN CPAN
Advocate Good Samaritan Hospital, Downers Grove, Illinois

CONNECTING THE DOTS: PROFESSIONAL DEVELOPMENT FOR NOVICE PACU NURSES
Contact:  Staci Eguia MSN RN CCRN
University of Texas at MD Anderson Cancer Center, Houston, Texas

CREATING AN INNOVATIVE COMPETENCY MODEL FOR THE PEDIATRIC PACU: A NEW VALIDATION APPROACH
Contact:  Lisa Shoemaker BSN RN CPN
Charlotte Bloomberg Children’s Center, Johns Hopkins Hospital, Baltimore, Maryland

GRADUATE NURSE TO PACU NURSE RESIDENT: DEVELOPING AN IN-DEPTH ORIENTATION FOR THE GRADUATE NURSE
Contact:  Natalie Ray BSN RN
West Virginia University Hospital Morgantown, West Virginia

STANDARDIZATION OF PRE/POST ORIENTATION
Contact:  Toni Zito MSN RN CPAN
Cleveland Clinic, Cleveland, Ohio

IMPROVING RN JOB SATISFACTION IN THE PERIOPERATIVE NURSING UNITS
Contact:  Christine Foley-Brinza MSN RN
UF Health Shands Hospital, Gainesville, Florida

REDUCING OR HOLDS: HOW EMPLOYEE ENGAGEMENT SUCCESSFULLY IMPROVED PATIENT FLOW
Contact:  Stephanie Nolan RN MSN MBA CPAN
New York Presbyterian Weill Cornell Medical Center, New York, New York

THROUGHPUT AND CAPACITY INITIATIVE TO INCREASE AVAILABILITY OF PACU BEDS AND PROMOTE OR FLOW
Contact:  Joyce Burke BSN CPAN
The Christ Hospital, Cincinnati, Ohio

CAUSE AND EFFECT OF PATIENT’S DELAYED DISCHARGE FROM PACU IN RELATION TO CUSTOMER SAFETY AND SATISFACTION
Contact:  Crisanta Masilang BSN RN CPAN CCRN
Houston Methodist Hospital, Houston, Texas

IMPROVING PATIENT FLOW IN AN AMBULATORY PEDIATRIC PROCEDURE ROOM
Contact:  Amy Hendrix BSN RN II
Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

IMPLEMENTING AN OUTPATIENT ORTHOPEDIC PERIOPERATIVE SURGICAL HOME
Contact:  Diane Rigger RN BSN CPAN
University of California Irvine Medical Center, Orange, California

RN READY TIMES
Contact:  Karen Bradshaw BSN MBA RN
Barnes-Jewish Hospital, St. Louis, Missouri

IMPROVING SURGICAL INPATIENT READINESS
Contact:  Seema Hussain MS RN CAPA
Medstar Washington Hospital Center, Washington, D.C.

IMPLEMENTING SENIOR FRIENDLY STRATEGIES: DEVELOPING PREOPERATIVE EDUCATION AND PRACTICE THAT FOCUSES ON THE NEEDS OF THE ELDER PATIENT AT RISK
Contact:  Nancy Rudyk RN MN    
St. Michaels Hospital, Toronto, Ontario, Canada 

PROMOTING SUCCESSFUL TRANSITIONS FROM PACU TO INPATIENT UNITS 
Contact:  Stephanie Gingerich RN BSN B-C
University of Minnesota Medical Center and Masonic Children’s Hospital, Minneapolis, MN

LET’S GET DIGITAL: IMPROVING NURSE SATISFACTION WITH AN ONLINE CALL SYSTEM
Contact:  Miranda Bishop BSN RN
University of Colorado Hospital, Aurora, Colorado

UTILIZATION OF ACUITY MEASUREMENT TOOL TO PREOPERATIVELY PREDICT PATIENT ACUITY IN THE AMBULATORY SURGICAL UNIT
Contact:  Marilyn Kopp RN
Northwest Community Healthcare, Arlington Heights, Illinois

INNOVATION OF G31: ONE COHESIVE UNIT
Contact:  Donna Voldan BSN RN CAPA
Cleveland Clinic, Cleveland, Ohio

PROMOTING ROLE DIVERSITY AND MASTERY IN THE PERIANESTHESIA SETTING
Contact:  Nancy Strzyzewski MSN RN CPAN CAPA
University of Michigan, Ann Arbor, Michigan

CROSS TRAINING TO SURVIVE ECONOMIC IMPACT OF HEALTHCARE CHANGES
Contact:  Gail Davis CNM APRN CNS-BC
Barnes-Jewish Hospital St. Louis, Missouri

DOUBLE AGENTS: CROSS TRAINING PACU NURSES TO INPATIENT OPERATING ROOM CIRCULATORS
Contact:  Michelle Ballou RN MSN MBA CPAN
University of Colorado Hospital, Aurora, Colorado

WHO YA GONNA CALL……..CREATIVE STAFFING SOLUTIONS
Contact:  Michelle Ballou RN MSN MBA CPAN
University of Colorado Hospital, Aurora, Colorado