2014 Celebrate Successful Practices Abstracts
ASPAN's 33rd National Conference
April 27-May 1, 2014, Las Vegas, Nevada
HOW TO USE PROCESS IMPROVEMENT FOR OPTIMZING PACU FLOW
Contact: Caroline Ring, MSN, RN, CPAN
Spectrum Health Hospitals, Grand Rapids, Michigan
PRE-ANESTHESIA SCREENING IN THE ELECTRONIC MEDICAL RECORD: A JOURNEY TO DECREASE CANCELLATIONS AND DELAYS THE DAY OF SURGERY AND INCREASE PATIENT SATISFACTION
Contact: Donna Dolezal, RN, MSN, CPAN, CAPA
University of Iowa Hospital and Clinics, Iowa City, Iowa
THROUGHPUT FACILITATION FOR PATIENTS UNDERGOING SPINAL ANESTHESIA
Contact: Tracey Edwards, RN, CPAN, Clinical Nurse III
Mercy Medical Center Baltimore, Marylandia Associates
IMPROVED PERIOPERATIVE FLOW THROUGH USE OF ELECTRONIC TRACKING
Contact: Elizabeth L’Hommedieu, BSN, RN, CPAN
Barnes Jewish Hospital, St. Louis, Missouri
GASTROINTESTINAL (GI) OPTIMIZATION: “EVENTS” TRACKING WITH POST PROCEDURE “PASSPORT” FOR DISCHARGE
Contact: Vanessa Kahle, RN, MSN, CPAN/CAPA
Swedish Medical Center Ballard Campus, Seattle, Washington
REDUCING PACU LENGTH OF STAY
Contact: Diana Brody, RN, CPAN, CAPA
St. Joseph Hospital, Orange, California
ESTIMATED TIME OF SURGERY (E.T.S.)
Contact: Kimberly Magalski, BSN, RN, CAPA
Cleveland Clinic, Cleveland, Ohio
CREATING A SEPARATE INPATIENT AND OUTPATIENT PACU
Contact: Marlene Golabek, RN, MBA, BSN, CPAN
Beaumont Health System, Troy, Michigan
OR/PACU HOLD REDUCTION
Contact: Chris Pocta, RN, BSN-PHN
Abbott Northwestern Hospital, Minneapolis, Minnesota
CLOSING THE GAP FROM THE OFFICE TO THE OR
Contact: Shirley Raymond, RN, MSN, CPAN
The Christ Hospital Health Network, Cincinnati, OhioN
THE EYES HAVE IT: A “VISIONARY” NURSING PERFORMANCE IMPROVEMENT
Contact: Cynthia Ruddock, RN, CAPA
Lahey Medical Center, Peabody, Massachusetts
IMPROVING FIRST CASE ON TIME START
Contact: Sally W. Morgan, MS, RN, ANP-BC, GNP-BC
The Ohio State University Wexner Medical Center, Columbus, Ohio
IMPROVING PATIENT READINESS FOR THE OPERATING ROOM USING LEAN PRINCIPLES
Contact: Noreen Myers, MSN, RN
University of Michigan Hospitals and Health Centers, Ann Arbor, Michigan
PRE-PROCEDURAL CHECKLIST: IS YOUR PATIENT READY FOR SURGERY?
Contact: Michael R. Sanders, RN
Geisinger Medical Center, Danville, Pennsylvania
THE THREE (3) T’s OF A NEW PREADMISSION OPTIMIZATION DEPARTMENT: TIMELINE, TEAMWORK AND TRANSFORMATION
Contact: Diane Jamieson, BSN, RN;
Summa Akron City Hospital, Akron, Ohio
RESOURCE ALERT – EMPOWERING STAFF WITH METRICS
Contact: Jeff Wilcox, RN-BC, CPAN
Baylor Heart and Vascular Hospital, Dallas, Texas
PROCESS IMPROVEMENT: CREATING NEW ANESTHESIA GUIDELINES
Contact: Tiffany N. Fields, RN, BSN
Memorial Regional Medical Center, Mechanicsville, Virginia
PACU LIASION ROLE: KEEPING FAMILIES UPDATED
Contact: Joyce Burke, RN, BSN, CPAN
The Christ Hospital, Cincinnati, Ohio
THE PERIANESTHESIA LIAISON NURSE: BRIDGING COMMUNICATIONS… PATIENTS, FAMILY MEMBERS AND HEALTH CARE PROVIDERS
Contact: Sylva L. McClurkin, RN, MSN, CAPA
St. Luke’s Episcopal Hospital, Houston, Texas
THE ROLE OF THE NURSE LIAISON IN THE PERIOPERATIVE SETTING
Contact: Diane Carson, BSN, RN, CPAN, CAPA
SkyRidge Medical Center, Lonetree, Colorado
UTILIZATION OF THE NURSE LIAISON ROLE TO ENHANCE COMMUNICATION IN THE PERIOPERATIVE SETTING
Contact: Sandra Ryan, RN
WVU Healthcare, Morgantown, West Virginia
ENGAGING EMPLOYEES IN ROBOTIC SURGERY ACROSS THE PERIOPERATIVE CARE CONTINUUM
Contact: Amanda Knoll, RN, BSN
Lehigh Valley Health Network, Allentown, Pennsylvania
CREATING A PERIANETHESIA NURSING MODEL OF CARE FOR INTERVENTIONAL RADIOLOGY PATIENTS
Contact: Bonnie Shope, BSN, RN, CPAN
The Johns Hopkins Hospital, Baltimore, Maryland
ORGAN DONATION AFTER CARDIAC DEATH: AN INTERDISCIPLINARY APPROACH TO SIMULATION
Contact: Katherine Houle, RN, MSN, CPAN
Gillette Children's Specialty Healthcare, St. Paul, Minnesota
PERIOPERATIVE MANAGEMENT OF PATIENTS WITH ICDS AND PACEMAKERS
Contact: Francesca Levitt, MSN, RN-BC, ACNS-BC
St. Vincent Hospital, Indianapolis, Indiana
PACU/IR COLLABORATION
Contact: Wanda Rodriguez, RN, MA, CCRN, CPAN
Memorial Sloan-Kettering Cancer Center, New York, New York
EFFECTIVE COMMUNICATION IN THE PREOPERATIVE SETTING
Contact: Krystn Babij, RN, BSN
University of Michigan Hospitals and Health Centers, Ann Arbor, Michigan
COMMUNICATION AND SAFETY; IT’S ALL A MATTER OF KNOWING WHEN TO “STOP” AND WHEN TO “GO"
Contact: Kelly Cannizzaro, RN, CAPA
The URMC Surgery Center at Sawgrass, Rochester, New York
“PINK BOARDING PASS”: PERIANESTHESIA/PERIOPERATIVE TRANSFER OF CARE
Contact: Angela Coroso, RN, BSN
UPMC Passavant Hospital, Pittsburgh, Pennsylvania
PARTNER IN CARE: IMPROVING THE PATIENT EXPERIENCE THROUGH AIDET®
Contact: Debbie Sandlin, BSN, RN, CPAN
St. Elizabeth Healthcare, Edgewood, Kentucky
BUILDING AN ASPAN ELECTRONIC DOCUMENTATION RESOURCE TOOL
Contact: Dina A. Krenzischek, PhD, RN CPAN, FAAN
Mercy Medical Center, Baltimore, Maryland
USE OF THE EMR IN PREADMISSION TESTING TO IDENTIFY AND PLAN THE CARE FOR PATIENTS WITH SUSPECTED OBSTRUCTIVE SLEEP APNEA
Contact: Paula R. Fotta, RN, MSN
WVU Healthcare, Morgantown, West Virginia
BRINGING EVIDENCE-BASED PRACTICE TO THE BEDSIDE: WHAT WORKS?
Contact: Janet Keeler, BSN
St. Joseph’s Hospital and Medical Center, Phoenix, Arizona
HUMAN FACTOR APPROACH TO COMPUTER DOCUMENTATION DESIGN, IMPLEMENATATION, AND WORKPLACE ERGONOMICS
Contact: Cathy Lee, RN 4, BSN, CPAN, CAPA, CCRN
Vanderbilt University Medical Center and Children’s Hospital Nashville, Tennessee
THE PHRASE “NO NURSE AVAILABLE” SHOULD NEVER BE HEARD
Contact: Heather Livingston, RN, BSN, MBA
St. Jude Children’s Research Hospital, Memphis, Tennessee
DON’T BE A FOOL AND NOT USE YOUR TOOL
Contact: Kimberly Magalski BSN, RN, CAPA
Cleveland Clinic, Cleveland, Ohio
IMPROVING COMMUNICATION THROUGH SURGICAL SERVICES HUDDLES
Contact: Karen Mansfield, MSN, RN, CNOR
Virtua Marlton, Marlton, New Jersey
CLINCAL WITH ELECTRONIC DOCUMENTATION ORIENTATION IN THE PREP/PACU SETTING: HOW CAN WE MAKE IT WORK EFFICIENTLY TOGETHER?
Contact: Marie Graziela F. Bautista, BSN, RN, CPAN, CAPA
Johns Hopkins Hospital, Baltimore, Maryland
PACU CHECKLIST: AN ELECTRONIC REMINDER FOR DOCUMENTATION COMPLIANCE
Contact: Mary Rachel Romero, MSN, RN, CPAN, CAPA
University of Colorado Health System, Aurora, Colorado
EFFECT OF ELECTRONIC CHARTING ON PAIN DOCUMENTATION IN THE POST ANESTHESIA CARE UNIT
Contact: Melodie Richardson, BSN, RN
Hendricks Regional Health, Danville, Indiana
UTILIZING CHART AUDITS TO IMPROVE AIRWAY DOCUMENTATION
Contact: Melissa Sayers, BS, RN, CPAN
H. Lee Moffitt Cancer Center and Research Institute, Tampa, FloridaN
OBSTRUCTIVE SLEEP APNEA IN THE PERIOPERATIVE SETTING
Contact: Brenda Schwarzkopf, RN
Portland Veteran Medical Center, Portland, Oregon
ON YOUR MARK, GET SET, GO BLUE: LIT BOARD AND DAILY HUDDLES IN A HOSPITAL PREOP/PACU SETTING
Contact: Beverly Smith, BSN, RN, CPAN, CAPA
University of Michigan Hospitals and Health Centers, Ann Arbor, Michigan
IMPROVING PATIENT OUTCOMES: PERIANESTHESIA SKIN ASSESSMENT, INTERVENTIONS & DOCUMENTATION
Contact: Denise O’Brien, DNP, RN, CPAN, CAPA, FAAN
University of Michigan Hospitals and Health Centers, Ann Arbor, Michigan
DECREASING PATIENTS PAIN DURING NEEDLE STICK PROCEDURES
Contact: Mindy Bowen, RN, BSN, CAPA
University of Iowa Hospitals and Clinics, Iowa City, Iowa
USE OF PAIN SCALE FOR PRE-OPERATIVE PAIN EDUCATION
Contact: Angela Boren, RN-BSN
Barnes-Jewish Hospital, St. Louis, Missouri
EXCELLENCE IN PACU PAIN MANAGEMENT: HOW IS OUR PACU TEAM PERFORMING?
Contact: C.J. Marshak, RN, MN
Orange Coast Memorial Medical Center, Fountain Valley, California
EARLY IDENTIFICATION OF PATIENTS WITH CHRONIC PAIN IN PRE-OP CENTER LEADS TO BETTER OUTCOMES FOR PAIN CONTROL AFTER SURGERY
Contact: Susan Gazdick, RN
Cleveland Clinic, Cleveland, Ohio
PAIN CONTROL WITHOUT OVER-SEDATION IS POSS-ABLE. FROM PACU EBP QUESTION TO SYSTEM WIDE CHANGE: IMPLEMENTING THE POSS
Contact: Cristina Brooks, RN, BSN, CPAN
York Hospital, York, Pennsylvania
THE EVIDENCE SUPPORTS VISITATION IN THE PACU: LET’S DO IT!
Contact: C.J. Marshak, RN, MN
Orange Coast Memorial Medical Center, Fountain Valley, California
SUSTAINING POSITIVE PATIENT EXPERIENCES IN THE MIDST OF ORGANIZATIONAL AND CULTURAL CHANGE
Contact: Lucille Graboff, RN, BSN, CAPA
Yale-New Haven Hospital – Saint Raphael Campus, New Haven, Connecticut
ENGAGING STAFF TO CHANGE A CULTURE
Contact: Mary Kunkel, BSN, RN, CPN
Lehigh Valley Health Network, Bethlehem, Pennsylvania
THE CREATION OF A CONTINUAL READINESS COMMITTEE IN THE PACU
Contact: Jillian Fetzner, BSN, RN, CPAN
Cleveland Clinic, Cleveland, Ohio
12 DAYS OF GALLUP: A CREATIVE APPROACH TO INCREASE EMPLOYEE ENGAGEMENT
Contact: Jillian Fetzner, BSN, RN, CPAN
Cleveland Clinic, Cleveland, Ohio
CHANGING THE ROAD TO RECOVERY: A LESSON IN PEDIATRIC SURGERY EFFICIENCY
Contact: Cheryl Barr, BSN, RN, CPAN
Lehigh Valley Health Network, Allentown, Pennsylvania
IMPROVING THE EXPERIENCE FOR PEDIATRIC OPHTHALMOLOGY PATIENTS IN THE AMBULATORY SURGERY CENTER
Contact: Ann Gillen, RN, BSN
University of California San Francisco, San Francisco, California
IMPLEMENTATION OF PEDIATRIC ANESTHESIA EMERGENCE DELIRIUM SCALE
Contact: Donna Dituri, BSN, RN, CPN
Nemours A.I. Dupont Childrens Hospital, Wilmington, Delaware
THE HEART OF THE FUTURE: THE EVOLUTION OF A COMPREHENSIVE PEDIATRIC CARDIOVASCULAR PERIANESTHESIA UNIT
Contact: Lindsey Chapman, RN, CPN
Children’s of Alabama, Birmingham, Alabama
IMPLEMENTING POST-ANESTHESIA DISCHARGE CRITERIA IN A PEDIATRIC SURGICAL SETTING
Contact: Julie A. Martin, RN, BSN, MBA, CNOR
Children’s Hospital Colorado, Aurora, Colorado
THE DEVELOPMENT OF A MULTIDISCINEPLINARY PERIOPERATIVE COMMITTEE DEDICATED TO THE CARE OF PEDIATRIC PATIENTS ON THE SPECTRUM OF AUTISM
Contact: Danielle Perry, BSN, RN, CPAN
Boston Children’s Hospital, Boston, Massachusetts
DUAL CERTIFICATION: PREPARED TO MEET THE GROWING NEEDS OF THE “GRAYING OF AMERICA”
Contact: Lizabeth Delaney, MSN, RN, CAPA, BC
Middlesex Hospital, Surgical Center, Middletown, Connecticut
ADAPTATION & IMPLEMENTATION OF THE COPA MODEL
Contact: Kathleen Morgans-Perri, BS, RN, CPAN, CAPA
The Saratoga Hospital, Saratoga Springs, New York
ACHIEVING PERIANESTHESIA EXCELLENCE THROUGH EDUCATION AND CERTIFICATION
Contact: Susan Magnotti, RN, BSN, MA, CAPA
Memorial Sloan Kettering Cancer Center, New York, New York
LETTING THE NEWCOMERS IN: THE AGING WORKFORCE BRINGS INNOVATION
Contact: Betty Sue Minton, RN, MSN
Vanderbilt University Medical Center, Nashville, Tennessee
NURSES’ PERCEPTIONS ON THE ROLE OF CLINICAL LEADER IN A POST-ANESTHESIA CARE UNIT
Contact: Sharon Carson, RN, CPAN
MD Anderson Cancer Center, Houston, Texas
JOURNEY TO EXCELLENCE: USE OF “ELECTRONIC CLASSROOM” AND OTHER STRATEGIES TO ENHANCE PREPARATION FOR CPAN/CAPA SPECIALTY CERTIFICATION
Contact: Gloria Spencer, RN, MSPHN
University of Texas MD Anderson Cancer Center, Houston, Texas
IMPROVING THE PARTICIPATION AND PROCESSES OF THE VPNPP CLINICAL LADDER IN THE PERIANESTHESIA SETTING
Contact: Christine Tomes, RN
Vanderbilt University Medical Center, Nashville, Tennessee
PACU QUIET TIME
Contact: Joann Ellison, RN, CPAN
MUSC, Charleston, South Carolina
PERIANESTHESIA NURSES: MAKING A DIFFERENCE IN ONE UNIT, ONE HOSPITAL AND ONE COMMUNITY
Contact: Sara Shubert, RN
Cleveland Clinic, Cleveland, Ohio
INCREASING PATIENT SATISFACTION BY EMPOWERING STAFF TO MANAGE DELAYS
Contact: Sandra Price, BSN, RN, CAPA
University of Rochester Medical Center, Rochester, New York
EXTENDING BEYOND PACU CARE
Contact: Pamela E. Windle, MS, RN, CPAN, CAPA, FAAN
St. Luke’s Episcopal Hospital, Houston, Texas
PROMOTING & CONTINUING EMPLOYEE AND CUSTOMER SATISFACTION
Contact: Pamela E. Windle, MS, RN, CPAN, CAPA, FAAN
St. Luke’s Episcopal Hospital, Houston, Texas
ADAPTATION OF A SHORT SHIFT IN A FREE STANDING AMBULATORY SURGERY CENTER
Contact: Jane C. Dierenfield, RN, BSN, CPAN, CAPA
Kona Ambulatory Surgery Center, Kailua-Kona, Hawaii
IMPACTING NATIONAL PATIENT SAFETY GOAL NUMBER SEVEN TO ASSURE DOCUMENTATION OF SURGICAL SITE INFECTION PREVENTION TEACHING
Contact: Marie A. Evans, ADN, RN, CPAN
MedStar Georgetown University Hospital, Washington, D.C.
FROM PICU TO PACU: A SUCCESSFUL EDUCATIONAL PROGRAM TO SUPPORT ACQUISITION OF NEW KNOWLEDGE AND STANDARDIZATION OF CARE
Contact: Juleah Walsh, RN, MSN, CNS, CPN
Children’s Hospital of Orange County, Orange, California
UTILIZING HIGH SIGNAL SIMULATION TRAINING TO EDUCATE AND ENSURE COMPETENCY IN HIGH RISK/LOW FREQUENCY SKILLS IN A PEDIATRIC PACU
Contact: Rebecca Lekowski, RN
Boston Children’s Hospital, Boston, Massachusetts
POST ANESTHESIA CARE UNIT (PACU) CLOCK
Contact: Minerva R. Mendoza, BSN, RN, CCRN
Baylor University Medical Center, Dallas, Texas
MALIGNANT HYPERTHERMIA: AN EDUCATIONAL PROCESS
Contact: Stacy Ross, BSN, RN
WVU Healthcare, Morgantown, West Virginia
IMPLEMENTING MICROSTREAM END TIDAL CO2 IN THE PACU
Contact: Joyce Burke, RN, BSN, CPAN
The Christ Hospital, Cincinnati, Ohio
KNOW THE FLOW: AN ALGORITHM FOR POST OPERATIVE URINARY RETENTION
Contact: Jillian Fetzner, BSN, RN, CPAN
Cleveland Clinic, Cleveland, Ohio
DECREASING SURGICAL SITE INFECTIONS...ONE CLOTH AT A TIME
Contact: Susan Hardway, MSN, RN
WVU Healthcare, Morgantown, West Virginia
KEEPING OUR PATIENTS SAFE WHEN MOTHER NATURE RULES
Contact: Holly Hatfield, RN, BSN
Baptist Health Louisville, Louisville, Kentucky
TAKING MRSA TO THE BANK
Contact: Hope Herd, BSN, RN, CPAN
Mercy Medical Center, Baltimore, Maryland
WHAT A SHOCK! ANAPHYLAXIS RAPID RECOGNITION AND TREATMENT: A PERIANESTHESIA CASE REVIEW
Contact: Jane Shufro, BSN, RN, CPAN
Brigham and Women’s Faulkner Hospital, Jamaica Plain, Massachusetts
FREON DEGREASER, A NOVEL APPROACH TO DECREASE SKIN ABRASIONS DURING SKIN PREPARATION IN THE PRE-OPERATIVE DEPARTMENT
Contact: Laurel A. Baker, RN, MSN, CNS, CSRN
Sharp Grossmont Hospital, La Mesa, California
SCIP: IT’S NOT PEANUT BUTTER! A PROSPECTIVE REVIEW FOR CORRECT PROPHYLACTIC ANTIBIOTIC SELECTION, BY THE CLINICAL NURSE IN THE PRE-ADMISSION AND PRE-OPERATIVE DEPARTMENTS
Contact: Laurel A. Baker, RN, MSN, CNS, CSRN
Sharp Grossmont Hospital, La Mesa, California
BETA BLOCKER COMPLIANCE: MAKING IT HAPPEN
Contact: Linda Beagley, MS, BSN, RN, CPAN
Swedish Covenant Hospital, Chicago, Illinois
EVERYONE’S SAFETY IS IN YOUR HAND
Contact: Mary Christina Joy Lazo, MSN, RN, CPAN
Johns Hopkins Hospital, Baltimore, Maryland
IMPLEMENTING UNIQUE COMPREHENSIVE UNIT-BASED SAFETY PROGRAM (CUSP) INITIATIVE
Contact: Myrna Mamaril, RN, MS, CPAN, CAPA, FAAN
The Johns Hopkins Hospital, Baltimore, Maryland
A QUALITY IMPROVEMENT STUDY ON THE INCIDENCE OF URETHRAL CATHETERIZATION IN PATIENTS WITH SPINAL ANESTHESIA AFTER ORTHOPEDIC SURGERY
Contact: Pamela Luz B. Guarin, BSN, RN, CPAN
Suburban Hospital Johns Hopkins Medicine, Bethesda, Maryland
A COLLABORATIVE PROJECT TO DECREASE HYPOTHERMIA IN THE PERI-ANESTHESIA SETTING
Contact: Elizabeth Pearson, BSN, RN, CCRN
Moffitt Cancer Center, Tampa, Florida
A SUSTAINED PRACTICE CHANGE: NURSING DILIGENCE DECREASES CONSENT DISCREPANCIES AND INCREASES PATIENT SAFETY
Contact: Leslie O. Plona, PNP-BC
Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
IMPROVEMENT OF ISOLATION PRACTICES IN THE POST ANESTHESIA CARE UNIT
Contact: Mini Sabu, MSN, RN, CPAN, CAPA
The University of Texas MD Anderson Cancer Center, Houston, Texas
SCIP COMPLIANCE: CASHING IN FOR THE WIN
Contact: Melissa Thomas, BSN, RN, CAPA
Baptist Health Louisville, Louisville, Kentucky
SEROTONIN SYNDROME
Contact: Pamela Uhrich, RN, MSN, CPAN, CAPA
University of Iowa Hospitals and Clinics, Iowa
ASSESSMENT OF ACCURATE BLOOD PRESSURE CUFF SIZING IN THE PERIANESTHESIA SETTING
Contact: Valerie Gillis, RN, MN, CPAN
University of Washington, Seattle, Washington
EARLY ASSESSMENT AND PREVENTION OF SKIN BREAKDOWN IN THE POST ANESTHESIA CARE UNIT (PACU)
Contact: Ma Cecilia Lopez, RN, BSN
Organization: Newark Beth Israel Medical Center, Newark, New Jersey
EDUCATION FOR THE PREVENTION OF BLADDER DISTENTION AND POSTOPERATIVE URINARY RETENTION (POUR)
Contact: Maggie Colabuono, RN, BSN, CPAN, CAPA
Advocate Christ Medical Center, Oak Lawn, Illinois