AORN CHAPTER NEWS
CENTRAL OKLAHOMA CHAPTER #3701
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NOVEMBER 1999
EDITOR: JANISE NEPVEUX
THE NOVEMBER MEETING TO BE HELD AT INTEGRIS BAPTIST MEDICAL CENTER
BUILDING D, LEVEL C, ROOMS K & L
(The website contains a map to the meeting place)
MEETING OF THE BOARD OF DIRECTORS AT 6:30/CONTACT MARY HURT IF YOU CAN NOT ATTEND!!!
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AORN is proud to honor perioperative registered nurses during OR Nurse Week, November 14-20, 1999. The theme for 1999’s OR Nurse Week observance is OR Nurses Make a World of Difference.
Over the years, surgical patients have relied on the skills, knowledge, and expertise of perioperative registered nurses. As technologies have advanced, the tools perioperative nurses use to care for their patients have changed, but the fundamentals of perioperative nursing care - - those that demand the knowledge, skill, and judgment of a perioperative registered nurse - - are timeless. These fundamentals of nursing create the quality care patients have relied on in the past and expect in the future.
The single most pervasive factor affecting the quality of patient care is the competency of the operating room staff. Better preparation and training increases staff competency. The perioperative registered nurse brings a broad scope of knowledge, skill, and judgment to the OR. The perioperative registered nurse exercises insight in assessing and caring for their patients, anticipating their needs, and managing their surgical experience.
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CNOR CERTIFICATION
DEFINITION
CNOR certification is defined as: “The documented validation of the professional achievement of identified standards of practice by an individual registered nurse providing care for patients before, during and after surgery.
OBJECTIVE
To recognize the individual registered nurse who is proficient in practice; to enhance professional growth through continued learning that results in broader knowledge and expanded skills.
PURPOSE
To demonstrate concern for accountability to the general public for nursing practice; to enhance quality patient care; to identify registered nurses who have demonstrated professional achievement of an individual perioperative nurse; to provide personal satisfaction for practitioners.
Another major purpose of the certification process is to identify professional nurses who have demonstrated professional achievement in providing care for patients during surgical intervention.
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WIN ONE YEAR NATIONAL AND LOCAL DUES
Name the newsletter. The person submitting the best name for our Central Oklahoma Chapter Newsletter will be the lucky winner of ONE YEAR NATIONAL AND LOCAL AORN MEMBERSHIP DUES! If you need ideas check out the websites of our sister chapters through the AORN website and look at their newsletters. Entries will be collected by Mary Hurt and will not be accepted after the November meeting. Look for the winner in the December newsletter!
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MEMBERS WHO WILL LAPSE
11/30/99
CATHERINE ALEXANDER STEVEN RAWLINGS
DANA BERRY BONNIE ROBERSON
HELEN DUCKETT CAROL SANDBO
CONSTANCE HARPER H SMITH
KELLY HENSON CAROL HUGHES
CHERYL SWEATT TIMOTHY KERSEY
SUSAN MC CLURG SHERILYN NASHERT
MARGARET SCHABEN
IT IS AS EASY AS ONE - TWO - THREE!!!!
You can renew your membership or join AORN online using E-Shop@AORN: current members watch for your access code on your membership renewal notice.
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WOMEN'S HEALTH
: A NEW MESSAGE IN BREAST BIOPSIESA benign breast biopsy is a mixed blessing. Although it determines that the lesion isn’t malignant, it can also yield findings that signify an increased risk of developing breast cancer in years to come.
For example, a biopsy indicating a nonproliferative condition (no overgrowth of cells), such as a cyst, does not significantly increase the risk of breast cancer. However, evidence of benign proliferative disease (an abnormally high number of normal cells) can increase risk as much as twofold, and a finding of atypical hyperplasia (an abnormal number of abnormal cells) by fourfold.
A recent report from the Nurses’ Health Study has indicated that the presence of another abnormality, known as a radial scar, adds to the risk conferred by other benign conditions. Radial scars consist of ducts and lobules radiating from a core of fibroelastic tissue. Although radical scars resemble tissue that forms after injury or surgery, they are not caused be either. Nor do they result from earlier biopsies. Because features that resemble radial scars are found in malignant tissue, there is some speculation that the scars, which are more commonly found in biopsies from postmenopausal women, may be precursors of cancer.
Researchers with the Nurses’ Health Study, an ongoing observational study of more than 120,000 women, studied benign biopsy specimens for 1,396 women — 255 who subsequently developed breast cancer and 1,141 who did not. They found that women who had benign proliferative disease had 1.5 times the risk and that those with atypical hyperplasia had 3.8 times the risk of those with nonproliferative conditions.
They also examined the specimens for evidence of radial scars and correlated the results with the women’s subsequent medical histories. They found that women who had benign proliferative disease with radial scars had 3.0 times the risk and that women who had atypical hyperplasia and radial scars had 5.8 times the risk of those with nonproliferative conditions.
The report carries a message for women who have had a breast biopsy: Even when the results are negative, they merit further discussion with your doctor.The pathologist’s findings may determine how closely you should be monitored in the future.
The report was published in the February 11, 1999 issue of The New England Journal of Medicine.
(Source: Harvard Women’s Health Watch)
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CONGRESS 2000 NEWS
AORN FOUNDATION 5K RUN WALK
The 3rd annual 5K run/walk sponsored by the AORN Foundation will be held Wednesday, April 5th, at 6:00 a.m. in New Orleans’ beautiful Audubon Park. The individual entry fee is $20 that includes an official race tee shirt. To guarantee a tee shirt you must pre-register. For a corporate sponsorship form or more information please contact the Foundation office at (303) 755-6300, extension 229
Help us Celebrate AORN’s 50th
We’re building a house with Habitat for Humanity during Congress week in New Orleans (April 1-5, 2000). Your dollars will help us fund this project! A $20 donation will buy a 50lb. box of nails, $35 will buy a window, $50 will help buy one interior door. Please make your tax deductible check payable to:
New Orleans Habitat for Humanity and mail to
P.O. Box 15052
New Orleans, LA
70175
Be sure to write on your check that it’s for the AORN House. For more information about this project, please contact AORN at 800-755-2676, ext. 359. You can get a form online or by calling the above number.
AORN CONGRESS 2000 INFORMATION ONLINE
The following information can be obtained online at the AORN Web site: www.aorn.org
GENERAL INFORMATION SPECIAL EVENTS
REGISTRATION SCHEDULE
TRAVEL/HOTELS TOURS
DELEGATES THE CENTER
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WELCOME NEW, RENEWED, &
REJOINED MEMBERS
SUSAN NICKEL JULIE MCGOWEN
DEBRA HOVARTER TERESA AVERY
PAMELA BOWERMAN PEGGY PREMO
TERRITA COOK CATHLEEN SEIDEMAN
NOLA DUNCAN LOUISE HAAG
BONNIE BELLER-WILLIAMS
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SURFING NEWS
ORGANIZATIONAL SITES
Nearly every medical organization now offers its own site, with information on upcoming conferences, career opportunities and clinical topics. Many have search
engines for journal articles or their own on-line magazines. If you are stuck on how to find the organization, keep in mind that the last three letters in their URL address are usually .org, not .comAmerican Nurses’ Association
(www.ana.org) Also includes links to the Online Journal of Issues in Nursing, the American Nurses Credentialing Center, American Academy of Nurses and the American Nurses Foundation. Other organizational sites include:
National League for Nursing
Association of Operative Registered Nurses (AORN)
Emergency Nurses Association
Association of Women’s Health, Obstetrics and Neonatal Nurses
National Association of Neonatal Nurses
American Medical Association
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REFRESHMENTS
FOR THE NOVEMBER MEETING
WILL BE PROVIDED BY
SURGERY CENTER OF EDMOND
CHILDREN'S HOSPITAL
NORMAN REGIONAL HOSPITAL
SURGICARE-MIDTOWN
(Also please bring the drinks)
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DELEGATES TO THE 2000 CONGRESS
MARY HURT
LORETTA CATES
KATHY BISCHEL
GENEVIEVE HATLEY
PAT DARNELL
JANE PICKELSIMER
ROSIE DUPUS
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“RECOGNIZING LETHAL DYSRHYTHMIA’S
IN THE OR”
BY NANCY PATTERSONCOMING DECEMBER 14, 1999
(SECOND TUESDAY DUE TO X-MAS SEASON)
INTEGRIS BAPTIST MEDICAL CENTER
BUILDING D, LEVEL C, ROOMS K & L
7:00 PM
DINNER PROVIDED BY SGT. SMITH USAF 6:30p.m.
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LEGISLATIVE ALERT!!!!!!!!
AORN has been working for three years or more to get OSHA to release the document last titled ”Information for Health Care Workers Exposed to Laser and Electrosurgery Smoke.”
These guidelines on the use of electosurgical smoke units (ESUs) were supposed to be made public in March. Mr. Steve Witt, the Director of the Technical Support Directorate under the Assistant Secretary for Occupational Safety and Health Administration (ASOSHA), informed AORN recently that the report should be released in three weeks. AORN needs to show Mr. Witt that these guidelines are important to perioperative nursing and surgical patients. Please write to him today at:
Frances Perkins Building, North 3653
200 Constitution Avenue, N.W.
Washington, D.C. 20210
and ask that OSHA release the “Information for Health Care Workers Exposed to Laser and Electrosurgery Smoke” as soon as possible. If you’d rather call Mr. Witt by telephone, his number is 202-693-1978.
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OCTOBER LEGISLATIVE MEETING GREAT SUCCESS!!!
Congratulations to the legislative committee for a successful and very stimulating program.
A great big thank you to Vickie White-Rankin for the fabulous reception.
A very special thank you to Representative Bill Paulk for his continued support of our
nursing organization.
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SEPTEMBER MEETING MINUTES
Call to Order September 21, 1999. The Central Oklahoma Chapter meeting was called to order by President Mary Hurt at 8:18p.m.
Minutes The minutes from the May meeting were approved as printed in the September newsletter.
Treasure's Report The Chapter finances are now being maintained at the Oklahoma Health Services Federal Credit Union. Currently the amount in savings is $1,373.84 and the checking account balance is $5271.55.
Committee Reports Education: Debra Hovarter. The brochures for the November meeting have been mailed out. Legislative: Dorothy Paulk. The October meeting will be held at the State Capitol in the Senate Chambers. Membership: Rosie Dupus. Volunteers are needed to be hospital Liaisons and contact person to spread chapter news to employees. Newsletter: Janise Nepveux. Suggestions are being accepted for the name the newsletter contest. Ideas can be faxed to Janise and will be voted on in November. Publicity: Jane Pickelsimer. OR Nurse Week is in November. We need to get the information to the media for advertisement. Program: Dan Burke. The November meeting will discuss “Fire in the OR” and the December meeting will cover “Recognizing Lethal Dysrhythmia’s in the OR”. Policy and Bylaws: Loretta Cates. The Board will vote as needed on issues to bring the chapter into line with the National Bylaws. Nominating: Jane Pickelsimer. Applications are being accepted for the members interested in attending the Congress 2000 in New Orleans.
New Business In the Report from the State Council by Jane, each Chapter President is on the Nominating Committee for State Council officers. If you are interested, give your name to Mary Hurt.
*The door prize was a very nice picture frame, and the winner was Pat Darnell.
Adjournment The meeting was adjourned at 8:39p.m.
Submitted by Katherine Bischel - Secreatry.
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Central Oklahoma AORN
“FIRE IN THE OR”
presented by
Marlis Haglin RN, Clinical Specialist Valleylab
November 16, 1999
7:00 PM
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Integris Baptist Medical Center
Bldg. D, Rooms K & L
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HABITAT FOR HUMANITY CHALLENGE
AORN of Lower Eastern Shore Chapter 2105 and Shellcoast of Florida Chapter 1010 challenge all AORN chapters to donate $1 per chapter member to the Habitat for Humanity House that AORN is building during Congress (April 1-5, 2000) in New Orleans.
I donate monthly to Habitat for Humanity and I encourage each of you to accept this challenge!!!!!!
Janise
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GERMAN NURSES INTERESTED IN FORMING
SISTER CHAPTER
A group of operating room nurses in the Kaiserslautern area of Germany are interested in developing a sister chapter relationship with an AORN chapter in the United States. Members of the group, comprised of 80 percent active duty Army and Air Force nurses and the remainder civilians, work at the Landstuhl Regional Medical Center.
Let Mary Hurt know if you are interested in this opportunity to expand our knowledge and make new friends.
Mary Hurt email: rmchurt@worldnet.att.net
Home: 341-6801 Work: 752-3780
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October Newsletter highlights >>
CONGRESS INCENTIVE PROGRAM
DECEMBER 17, 1999
EARLY REGISTRATION
FEBRUARY 11, 1999
HOTEL RESERVATION REQUEST
MARCH 10, 2000
REGISTRATION CANCELLATION/TRANSFERS
MARCH 13, 2000
AWARDS DINNER REQUEST
MARCH 20, 2000
REGULAR REGISTRATION
MARCH 22, 2000
CLOSING DINNER REQUEST
APRIL 2, 2000
MORE INFORMATION ABOUT CONGRESS 2000 IN UPCOMING NEWSLETTERS
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CONTEST CONTEST CONTEST
Name the newsletter contest. The person submitting the best name for our Central Oklahoma Chapter Newsletter will be the lucky winner of ONE YEAR NATIONAL AND LOCAL AORN MEMBERSHIP DUES! If you need ideas check out the websites of our sister chapters through the AORN website and look at their newsletters. Entries will be collected by Mary Hurt and will not be accepted after the November meeting. Look for the winner in the December newsletter!
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EXTRA EXTRA READ ALL ABOUT IT
This is your opportunity to participate as a member of your local AORN Chapter. As editor of the newsletter, I am looking for articles you think the membership will be interested in reading. Please submit your article by fax, email, or snail mail to the following: Att: Janise Nepveux
1809 Yosemite Pl
Edmond, OK 73003
Fax: 405-330-1087
email: veux@msn.com
Deadline for submitting articles for each publication is the 20th of each month.
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WOMEN'S HEALTH
STDs: Causes, Consequences,
and Cures
Sexually transmitted diseases can be hard to detect, but most of them respond readily to treatment. A primer on America’s most common varieties, including what you can do if you’re infected:
Human Papilloma Virus (HPV): New Cases 5.5 mil. per year. Cause viral infection. Possible Consequences increased risk of genital and cervical cancer. Available treatment no cure; warts removed by surgery or medication.
Trichomoniasis: New Cases 5 mil per year. Cause parasitic infection. Possible Consequences complications during pregnancy, more risk of HIV infection. Available treatment antibiotics, taken by both partners simultaneously.
Chalmydia: New Cases 3 mil per year. Cause bacterial infection. Possible Consequences pelvic inflammatory disease (PID), infertility. Available treatment antibiotics, taken by both partners simultaneously.
Gential herpes (HSV-2): New Cases 1mil per year. Cause viral infection. Possible Consequences Recurrent sores, complications during pregnancy. Available treatment No cure; antiviral drugs can reduce lesions and shedding.
Gonorrhea: New cases 650,000. Cause bacterial infection. Possible Consequences PID, tubal pregnancy, infertility, added risk of HIV. Available treatment antibiotics, taken by both partners simultaneously.
Bacterial vaginosis (BV): New Cases not available. Cause bacterial infection. Possible Consequences
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OKLAHOMA STATE COUNCIL
OF PERIOPERATIVE NURSES
SECOND ANNUAL CONFERENCE!!!!!
“Tools, Tactics, and Techniques for the Millenium”
November 5, 6, and 7th, 1999 At the Westin Hotel
In the Heart of Downtown Oklahoma City, Within walking distance of the Bricktown Canal and Entertainment District.
Applications can be obtained from Janise Nepveux
call 405-340-2114 to get it faxed or emailed.
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FOUNDATION HIGHLIGHTS
AORN FOUNDATION SCHOLARSHIPS
The AORN Foundation was established in 1991 to promote quality patient care by providing scholarships, leadership training, education, and research grants. Throughout the year, funds are awarded to individuals and chapters wishing to enhance perioperative education.
Contributions to the AORN Foundation can be made through cash gifts, stocks, and pledges. For more information, please contact the AORN Foundation at (800) 755-2676,x366.
EXHIBITOR SPONSORSHIP PROGRAM
The AORN Foundation will administer the Exhibitor Sponsorship Program through a grant from the Exhibitors Advisory Committee (EAC). This program will distribute funds to five student nurses, six international nurses, 20 active members of AORN, and five nonmember nurses. The previous year’s winners (i.e,. 1999 Congress) are ineligible for the 2000 drawing. Applications are available by contacting the Foundation.
PATRICIA C. SEIFERT PERIOPERATIVE NURSING INTERNSHIP ENDOWMENT
AORN President Patricia C. Seifert, RN, MSN, CNOR, CRNFA, has established an endowment that will provide scholarships for individuals to attend perioperative nursing educational courses. Currently there is a decreasing number of nurses practicing in the perioperative setting. With a general lack of a perioperative component in generic nursing education, there is a great need to develop this type of scholarship fund.
This scholarship fund will be directed towards subsidizing expenses associated with completion of didactic and clinical components of academically based perioperative nursing courses. Guidelines identifying criteria for eligibility of applicants and the educational courses are presently under review.
With this endowment, the Foundation will be able to provide ongoing funds to support the education of nurses wishing to enter perioperative practice.
If you wish to make a gift or pledge designated to the Patricia C. Seifert Perioperative Nursing Internship Endowment, please mail your gift to:
The AORN Foundation
Patricia C. Seifert
Perioperative Internship Endowment
2170 S. Parker Rd. Suite 300
Denver, CO 80231-5711
AORN FOUNDATION 2000 BLACK TIE GALA
The annual Foundation Congress Black Tie Gala is set for Monday, April 3, 2000. The venue for this premiere event is the Fairmont Hotel. A general cocktail reception will be held prior to the dinner.
To make your reservation or for more information contact the Foundation office.
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SURFING NEWS
CLINICAL NURSING SITES
CliniWeb International
From the Oregon Health Sciences University, this site indexes approximately 10,000 clinically oriented Web pages. This site is organized by Medical Subject Headings (MeSH) disease and anatomy classifications. If you’re not familiar with MeSH, you can choose the “browsing” option to find out what you need. From the browsing option, you choose between “anatomy” or “diseases.” A 16-item anatomy tree is displayed; choices here range from “animal terms” to “urogenital system.” If you choose “endocrine system,” for example, you get another three choices, and on until your search area has been narrowed.
www.ohsu.edu/cliniweb
Online Atlas of Surgery
A concise description of surgical technique, including: instrumentation, positioning, room setup, anatomy, dissection and repair. A work in progress, this is one to keep your eye on
www.bgsm.edu/surg-sci/atlas.html
EDUCATIONAL NURSING SITES
Johnson & Johnson Medical, Division of Ethicon, Inc., offers educational opportunities on-line
www.jnjmedical.com
ceWEB
The American Nurses Association and American Health Consultants in partnership offers monthly CE offerings.
www.nursingworld.org/edcenter/ce-web.htm#top
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ALTERNATIVE THERAPY BASED ON NATURAL HEALING PROCESS
Kinesio-Therapy The Conclusion
In the last Newsletter you learned about Kinesio-taping. This newsletter will discuss the four major functions of Kinesio-taping and the conditions successfully treated using Kinesio-taping.
FOUR MAJOR FUNCTIONS OF KINESIO-TAPING
OBSERVED IN PRACTICE AND THE LABORATORY
Supports Muscle
Removes Congestion to the Flow of Body FluidsImproves muscle contraction in weakened muscles
Reduces muscle fatigue
Reduces cramping and possible injury to muscle
Increases range of motion
Relieves pain
Activates Endogenous Analgesic SystemImproves blood and lymphatic circulation
Reduces excess heat and chemical substances in tissue
Reduces inflammation
Reduces abnormal feeling and pain in skin and muscle
Corrects Joint ProblemsPossibly activates spinal inhibitory system
Possibly activates descending inhibitory system
Adjusts misalignment caused by spasm and shortened muscle
Normalizes muscle tone and abnormality of fascia in joints
Improves range of motion
Relieves pain
CONDITIONS SUCCESSFULLY TREATED USING
KINESIO-TAPING
HEADACHE
SPRAINED NECK
FORWARD SHOULDER/SUBLUXED SHOULDER
THORACIC OUTLET SYNDROME
IMPINGEMENT OF ROTATOR CUFF
PERITENDINITIS
MEDIAL AND LATERAL EPICONDYLITIS
DEQUERVAIN’S DISEASE
CARPAL TUNNEL
LYMPHEDEMA OF THE UPPER AND LOWER
EXTREMITY
FRACTURED RIBS
MYOFASCIAL LOW BACK PAIN
SACROILLIAC SPRAIN
LUMBAR DISC HERNIATION
SHIN SPLINTS
OSTEOARTHRITIS OF THE KNEE
SCIATICA
PLANTAR FASCITIS
FOOT DROP