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CPAN-CAPA Review

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CPAN-CAPA Review Susan Goodwin, APRN-CNS, CNS-BC, CPAN goodwin.susan_at_gmail.com Evolution of Perianesthetic Care In 1863, Florence Nightingale recommended separate ... – PowerPoint PPT presentation

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Title: CPAN-CAPA Review


1
CPAN-CAPA Review
  • Susan Goodwin, APRN-CNS, CNS-BC, CPAN
  • goodwin.susan_at_gmail.com

2
Evolution of Perianesthetic Care
  • In 1863, Florence Nightingale recommended
    separate rooms for pts to recover from immediate
    effects of anesthesia.
  • By the 1940s, recovery rooms were coming into
    existence.
  • By the 1970s, recovery rooms were common in
    hospitals.

3
Ambulatory Surgery
  • The first ambulatory surgery unit opened in 1961.
  • The first free-standing ASU opened in 1970.
  • ASCs have high patient satisfaction and on-time
    starts, and cost about 50 less per procedure
    than hospitals.

4
ASPAN
  • ASPAN was formed in 1980, and was called the
    American Society of Post Anesthesia Nurses.
  • The first CPAN test was offered in 1986.
  • The first CAPA test was offered in 1994.

5
  • In recognition of the expanding contribution in
    the care of pre- and postsurgical patients, ASPAN
    changed its name from Post to PeriAnesthesia in
    1996.

6
ABPANC
  • American Board of Perianesthesia Nursing
    Certification develops and administers the CPAN
    and CAPA tests, as well as oversees
    recertification.
  • cpancapa.org
  • Valuable website
  • http//www.cpancapa.org/certification-handbook.htm
    l

7
Registration Dates for 2012
  • SPRING 2012/ FALL 2012
  • Registration Window Online
  • January 9 March 5
  • July 9 September 10
  • Registration Deadline Online
  • March 5 by 1159 p.m. ET
  • September 10 by 1159 p.m. ET
  • Time Period for Scheduling Examination Upon
    receipt of your ATT Upon receipt of your ATT

8
Exam Fees
  • Member - 285
  • Non-member - 385

9
Test Blueprint
  • CPAN
  • Physiologic needs-50
  • Behavioral cognitive needs-20
  • Safety needs-20
  • Advocacy needs-10
  • CAPA
  • Physiologic needs-45
  • Behavioral cognitive needs-20
  • Safety needs-20
  • Advocacy needs-15

10
ASPAN Standards
  • Standard an authoritative statement by a
    profession by which the quality of practice,
    service, or education can be judged.
  • Standards of care
  • Standards of professional performance

11
Staffing and Personnel
  • Two licensed nurses, one of whom is an RN
    competent in Phase I post anesthesia nursing, are
    present whenever a patient is receiving Phase I
    care.
  • Two competent personnel, one of whom is an RN
    competent in Phase II post anesthesia nursing,
    are present whenever a patient is receiving Phase
    II care.
  • Staffing is based on patient acuity and nursing
    requirements, and as discharge criteria are met.

12
Pt Classification/Recommended Staffing Guidelines
  • Phase I
  • Class 12 One nurse to 2 pts
  • One unconscious, stable, with stable airway, over
    the age of 8 yo
  • Class 11 One nurse to 1 pt
  • At the time of admission
  • Unstable airway
  • Unconscious pt under 8 yo
  • On mechanical life support
  • Class 21 Two nurses to 1 pt

13
Pt Classification/Recommended Staffing Guidelines
  • Phase II
  • Class 13 One nurse to 3 pts
  • Over 8 yo
  • Under 8 yo with parents present
  • Class 12 One nurse to 2 pts
  • Under 8 yo without family
  • Initial admission after procedure
  • Class 11 One nurse to 1 pt
  • Unstable pt of any age requiring transfer

14
On Call/Work Schedule
  • Staffing is provided in accordance to ASPAN
    Standards, with minimum staffing ratios
    maintained.
  • A plan is in place
  • to relieve the on call nurse if there is a
    potential for compromised in the delivery of
    safe, competent care.
  • To augment on call staff based on pt census and
    acuity.

15
Study References
  • http//www.cpancapa.org/certification-examprep.htm
    l
  • 2010-2012 ASPAN standards
  • PeriAnesthesia Nursing Core Curriculum, 2nd
    edition

16
Study Strategies
  • Group vs. individual
  • Identify strengths/weaknesses
  • Review the last 3-4 years of JoPAN clinical
    articles
  • CPAN/CAPA practice exams
  • Review courses
  • Timelines

17
Items for Further Study
  • Research
  • Legal aspects
  • Normal anatomy and physiology
  • Growth and development
  • Lifespan considerations
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