CPAN-CAPA Review

1. CPAN-CAPA Review Susan Goodwin, APRN-CNS, CNS-BC, CPAN goodwin.susan@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 1940’s, 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.html

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 11:59 p.m. ET • September 10 by 11:59 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 1:2 One nurse to 2 pts • One unconscious, stable, with stable airway, over the age of 8 yo • Class 1:1 One nurse to 1 pt • At the time of admission • Unstable airway • Unconscious pt under 8 yo • On mechanical life support • Class 2:1 Two nurses to 1 pt

13. Pt Classification/Recommended Staffing Guidelines • Phase II • Class 1:3 One nurse to 3 pts • Over 8 yo • Under 8 yo with parents present • Class 1:2 One nurse to 2 pts • Under 8 yo without family • Initial admission after procedure • Class 1:1 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.html • 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