Vol. 6, No. 2 • October - December 2012 www.ornap.org Manila, Philippines

ORN PQUARTERLY UPDATES OF THE OPERATING ROOM NURSES ASSOCIATION OF THE PHILIPPINES, INC. (ORNAP)

NEWSLETTERE-mail us:

mailornap@yahoo.com

2 | October - December 2012 ORN POPERATING ROOM NURSES ASSOCIATION OF THE PHILIPPINES, INC.

Analyn H. Salivio, RN, MANPresident, ORNAP (2012-2013)

President’s CornerOur loyalty in the practice of perioperative nursing has aided us in our drive

to improve our performance in delivering safe and giving quality patient care. We imagine our society as being an organization of competent and dynamic perioperative nurses committed to innovations and providing optimum services locally and internationally.

As we go along, ORNAP will be holding a Search for the Outstanding and Adoptable Research Studies (SOARS) in the Operating Room. The following are the objectives:

1. Display the various research studies conducted by different groups in the improvement of Operating Room Nursing.

2. Exhibit competency in using tools and procedures in solving problems encountered in the Operating Room scenario.

3. Provide means of recognition to outstanding research projects that addresses encountered in the Operating Room challenges.

This learning will encourage our perioperative nurses from different institutions to share their resources, take advantage of the rich academic environment and promote interdisciplinary, intra- and cross-institute collaborations. This research will serve to promote the acquisition of knowledge and the development of a critically analytic mind of our participants to which they could greatly use in performing their duties.

ORNAP is dedicated to actively promote its advocacy. We work towards a globally competitive environment in improving patient care by promoting safe surgery and an evidence-based best practice standard through research and education with the collaboration of our member organizations. In its commitment to actively partake in the evolution of the globally

competitive field of nursing, our organization has made a pioneer leap. And it is my firm belief that in promoting and enhancing nursing research programs, we as perioperative nurses would not only be competitive but moreso

empowered to make our own mark.In line with this, the ORNAP-PCS

had already launched and printed a book called manual for OPERATING ROOM Recommended Nursing Practices. This manual aims to help all perioperative nurses in the Philippines to provide excellent and quality service regardless of their status in life. It was not long ago that the ORNAP organized this research program however it was only early this year that it became part of my objective. The purpose of which is to help and sustain the ability of each operating room nurse to shine and become brilliant in their respective career.

You may visit www.ornap.org website for the layout of presentation and criteria for judging. For any inquiries or concerns, please do e-mail us at mailornap@yahoo.com.

ORNAP – Cagayan Chapter First Ever Regional Convention, A Success!

By Jhaycel Bernadette L. Espiritu, RN and Shella M. Balunsat, RN

With less than three months preparation, who would have thought that the first regional convention of ORNAP – Cagayan Chapter would be a success?

It was held last December 15, 2012 at Crown Pavillion, Tuguegarao City with the theme “Growing Together in Pursuit of Quality and Excellent Perioperative Nursing Practice.” Registration for the convention and membership started as early as 6:30 in the morning which accommodated a total of 313 participants, composed of 187 professionals and 126 students, coming from as far as Isabela and Kalinga. It was also attended by the ORNAP National Officers Ms. Analyn Salivio, RN, MAN (President) and Ms. Lydia de Castro, RN (Auditor).The latter was assigned to be the Chapter Coordinator.

The convention started with a Eucharistic Celebration officiated by Fr. Ferdinand Baculi, Chaplain of all hospitals in Tuguegarao. Ms. Salivio, then inducted the elected officers followed by the processional escorted by the Department of Military Science and Tactics of Cagayan State University-ROTC. This was ensued by the singing of Pambansang Awit and the ORNAP Hymn. The affair was formally opened by the first ever ORNAP - Cagayan Chapter President, Sr. Melanie S. Guzman, SPC, imparting her words of appreciation and encouragement to all delegates.

Speakers from different field of expertise had shared their knowledge related to issues and updates facing the dynamic

advancement in the perioperative nursing practice. This was initiated by a keynote speech conveyed by Dr. Edgar Peleo from the Department of Health- Region 2, followed by an inspirational message from Ms. Analyn Salivio. Among the event’s speakers were: Ms. Ma. Elizabeth Baua, Dean of the School of Health Sciences of St. Paul University Philippines (Enabling Care in Perioperative Nursing); Amira Camille Calata, Infection Control Nurse of St. Paul Hospital Tuguegarao (Infection Control and Its Significance in the Operating Room); Dr. Honorio Reyes, Medico-Legal Officer (Medico- Legal in Health Practice); Sr. Edith Christine Aguirre, SPC, Nursing Service Director of St. Paul Hospital Tuguagarao (Medico- Legal Issues in Perioperative Nursing Practice); and Ms. Analyn Salivio, ORNAP National President (Operating Room Standards: Recommended Practice).

An academic exchange was facilitated every after each topic which raised specific issues and concerns in the perioperative field, particularly on the different practices of each hospitals. In between speakers, representatives from the different hospitals in Tuguegarao had the chance to showcase their God – given talents, proving that the perioperative nurses have more to offer.

Since the organization has the goal of not only pursuing professional growth, but also promoting unity among the perioperative nurses, a Christmas Party then followed. It was a time to unwind with friends and create a new bond with colleagues from the different institutions. IT WAS TRULY A MOMENT TO REMEMBER AND A SUCCESS IN EVERY WAY.

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CARDIOVASCULAR NURSING...

THE NEXT LEVELCharles Wayne N. Andino, RN

The Philipine Heart Center, an global leader in provding the best quality care for cardiovascular patients, brings the practice of cardiovascular nursing into another step higher. The cardiovascular nurse practitioner nurse program aims to bring out the best in our nurses. The CVNP program is a 6 month didactic and hands on training offered to our senior nurses who have managed to finish its pre-requisite courses. Our participants in this course will undergo extensive training tackling the different cases in the field of cardiovascular practice. We are taught and trained to correlate extensive nursing assessment, management, prevention, and rehabilitation of different cases as a nurse practitioner. Gone are the bedside nurse roles for the participants of this course because a the nurse clinician role will now take effect. The Nurse Clinician will now manage the patients in a extensive holistic manner. The management will start upon admission involving the patient, the family, and all the members of the healthcare team.

The products of this program will then be given the title nurse clinicians, the next best level for practising nurses. The course is presently offered in-house and hopefully soon will be offered to all the institutions who provide the same quality care for our Filipino Cardivqscular patients.

Impact of Infection Control in Design and Construction of an Operating Room

PSUPT Michelle A. Arban, RN, MGN, MAN

Optimizing the operating room environment is necessary to minimize infection. The commitment of time and resources to design and construction of an Operating Room can provide value in creating larger and more aesthetically-pleasing facilities, which may help attract patients, retain employees and accommodate new equipment. One value that may be under-recognized is the ability of design and construction choices to influence infection control. Approximately five percent of all healthcare-acquired infections are due to construction within the healthcare facility, according to study.

Hospital institutions choose for

renovations, expansions or new buildings can significantly impact the organizations’ ability to prevent and control infections. For example, copper is safer than stainless steel because superbugs cannot live in any scratches, as they do with stainless steel, according to Mr. Lee, an architect. One recent study found antimicrobial copper surfaces in ICU reduced the amount of bacteria by 97 percent and resulted in a 41 percent reduction in hospital-acquired infection rates. Although copper is not appropriate for an operating room, it can be used as countertops, sink areas and other areas outside the OR.

We should consider materials designed to facilitate cleaning of electronics. For example, there are keyboards that can completely detach from equipment and

computers and that these keyboards can be put in an autoclave for sterilization. So many germs and bacteria are transmitted by hands, so for this reason, hospitals should be looking at these keyboards.

Design of an Operating Room can also aid infection control efforts by making infection control resources easily accessible. It is important that the architect and designer work together to plan medical space that supports and encourages frequent hand washing. Besides strategic placement of hand sanitizers, the location and number of sinks may affect infection control. Too often sinks are put back in corners and not where the surgeons want to go to wash their hands, so the location of sinks is extremely important.

Heal, Love, Live.Davao City – Conducted the much awaited 13th Annual Regional and Scientific Meeting with the theme of, “Perioperative Nurses: Heal, Love, Live” at Waterfront Hotel last November 24, 2012. The event started off with a Eucharistic Mass celebration to bring glory to our dearest God who made this event possible and for thanking Him for all the blessings this chapter has received. Followed with the opening ceremony where the processional of officers, advisers and guests paid its way.

Rean John Baldoza, RN, gave his welcoming speech and succeeded by Monina Editha Sayman, RN, giving recognition to the delegates from different parts of Mindanao.

We were very much privileged to have, Corazon B. Dela Peṅa, RN, PhD, our keynote speaker who gave her insightful speech.

There were also various guests and speakers who were present in this event to share their updates and knowledge to our perioperative nurses. To begin with our ORNAP National President, Analyn Salivio, RN, MAN, who shared her National President’s Report to update us of the national chapter’s activities and goals. Mrs. Victoria D. Villanueva, RN, talked about Infection Control in the Operating Room in which most of the attendees can relate to. While an inspiring and enlightening message was given by Rev. Fr. Pachomius Ma. San Juan, OSB, a Benedictine monk from the Monastery of the Transfiguration. On the other hand, our local renowned Hepatobiliary and Laparoscopic Surgeon, Walter S. Batucan, MD, DPBS, FPSGS, FPALES, shared his knowledge expertise about Minimal Invasive Techniques. And last but not the least, Linell G. Malimbag, RN, PhD, empowered us with her topic about Leadership in the Perioperative Setting.

Cristina Juarez, RN, ORNAP Davao’s Nomelec Chairman presented the nominees as well as presented the new set of Davao officers for the year 2013. Recognition and distribution of plaques to all the sponsors followed for aiding us in this endeavor.

Once again this event came to success with the support of our guests, speakers, sponsors and delegates. ORNAP Davao is very much grateful to all of you!

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Operating Room Nurses Association of the Philippines, Inc. (ORNAP)

Search for the Outstanding and Adoptable Research Studies (SOARS) in the Operating Room

The Operating Room Nurses Association of the Philippines, Inc. (ORNAP) is a non-stock, non-political, and non-sectarian organization which aims to promote the highest professional standard in the Operating Room. It envisions itself to be an organization of competent and dynamic operating room nurses committed to innovation and provision of optimum operating room services locally and internationally.

In lieu with ORNAP’s mission to cultivate the highest professional standard in the Operating Room, the organization encourages its members to conduct research activities in the Operating Room setting only. As such, this competition aims to award such endeavors through recognition of excellence.

Objectives:1. To display the various research studies conducted by different

groups in the improvement of Perioperative Nursing2. To exhibit competency in using tools and procedures in

solving problems encountered in the Operating Room scenario.

3. To provide means of recognition to outstanding research projects that addresses encountered perioperative challenges

4. To serve as a means of learning and critical-analysis for participants and audience alike which they could adopt in performing their duties in providing perioperative care.

Competition Guidelines:1. The competition is open to all members of the ORNAP.2. A participating hospital may only submit a single research

entry, which encompasses a particular challenge encountered by the OR unit and the scientific approach used in solving it.

3. Eligible research studies should be conducted from previous years to the present. Research entries must be submitted in (1) original plus (3) photocopies and must be submitted on May 31, 2013 deadline date to the address provided below:

c/o GABBRIEL F. NAIG, RN, MANUnit 915 Le Gran Condominium, Eisenhower St., Greenhills, San Juan, Metro Manila

4. All entries must comply with the following format:A. Project Layout

- Introduction; Brief History of the Circle or Team- Word Abstract (no more than 100 words)- Problem Identification and Prioritization- Understanding the Present System- Analysis of the Problem- Selection of Best Alternative Solution- Solution Implementation- Project Evaluation- Standardization/Institutionalization- Self-Evaluation and Future Planning

B. Written Copy Specifications- Text’s font size : Size 12, including graphs, tables,

charts and labels- Typewritten in 8 ½ x 11 bondpaper- Should not exceed 20 pages (including cover page)

- Entries should be written in English5. Each project entry should be accompanied by an Endorsement

Form with proper endorsement from the highest ranking officer of the hospital.

NOTE: All submitted entries will be screened based on compliance to the rules stated above and not on its contents (since judging of the contents is the domain of the board of judges).

6. JUDGING Submitted entries will be evaluated accordance to the written

output and presentation.

Criteria for Evaluation:- Problem Identification and Prioritization- Understanding the Present System- Analysis of the Root Causes- Selection of Best Alternative Solution- Solution Implementation- Evaluation- Standardization- Self- Evaluation and Future Planning- Oral and Written Presentations

7. PRESENTATIONA. Each circle or team is limited to five (5) minutes set up

time, twenty (20) minutes project presentation and ten (10) minutes for the Question and Answer portion. One (1) point will be deducted for every excess fraction of a minute for set up and preparation. On the 20th minute of the presentation, the group will be asked to stop whether they have finished or not.

B. Presentation equipment allowed will be a laptop, LCD and/or overhead projectors.

9. Details (Prizes, etc.) Gold Silver Bronze Awards Based on Bracket Scoring

For inquiries, contact: Analyn H. Salivio, RN, MAN mobile no.: 0921-723-09-02; Gabriel F. Naig, RN ,MAN mobile no.: O919-6087428 or Mail @ mailornap@yahoo.com or visit to our website www.ornap.org

“Solutions to challenges are not circumstantial, But are discovered through intensive investigations

Though one fails several times but endures in each trialsEventually, success will come to fruition”

5 | October - December 2012 ORN POPERATING ROOM NURSES ASSOCIATION OF THE PHILIPPINES, INC.

Moderate sedation is an exciting field for nurses. As newer, safer sedation medications become available, nurses will be asked to provide assistance for patients given moderate sedation on an increasingly frequent basis. Recognition of the goals and objectives of moderate sedation is the first step in providing safe care. Medication administration, knowledge of pharmacologic principles and providing patient safety should be the most important aspects of nursing care delivery. Recognition of the nuances of care delivery to specific patient populations must not be overlooked. If these aspects are adhered to throughout moderate sedation, the patient will be provided with safe care before, during and after sedation.

As nurses, we should check the following when preparing patient for

moderate sedation.1. Patient Identifier

• Patient’s complete name (First, Middle name and Surname)

• Patient’s complete Birthday (Month, day and year)

• Patient Pin number2. Patient’s informed consent must

be properly filled-up prior to administration of medicine.

3. Patient’s Physical history including:• Vital signs• Oxygen Saturation• Weight• Airway status• Appropriate fasting interval• Aspiration Risk factors• Cardiac, Pulmonary and

neurologic systems• Mental status and level of

consciousness• Appropriate LAB tests• ASA status

4. Completeness of needed medical equipmenta. Cardiac monitor with

defibrillatorb. Pulse Oximeterc. Suction Machined. Medication for sedation and

reversal of effect.e. Blood pressure determination

unit and stethoscope.f. Oxygen and administration

equipment.g. Resuscitator Bag.

5. Patient Condition before, during and after sedation.

The Nurses as a Member of Moderate Sedation Team

6 | October - December 2012 ORN POPERATING ROOM NURSES ASSOCIATION OF THE PHILIPPINES, INC.

ORNAP ILOILO: “Embracing the Culture of Excellence”A beautiful day was embellished for ORNAP ILOILO CHAPTER as it held its 2nd Annual Regional Convention last January 26, 2013 at Sarabia Manor Hotel and Convention Center with the theme “Perioperative Nursing: Embracing the Culture of Excellence”.

The Operating Room Nurses Association of the Philippines, Inc (ORNAP) Iloilo Chapter was revived on June 11, 2011. It has always been a goal of the Chapter to serve, to unite and to aim for excellence as we improve the quality of health care and professionalism as perioperative nurses of our region. It is now the 2nd year since the strong pillars of this Chapter has been built. As strong as the culture and legacy of the Dinagyang Festival we are celebrating as well. We keep our head up high and our feet on the ground as we embrace the culture and legacy of this organization.

The event started with a Eucharistic Celebration by Fr. Joel Eslabra. The program was opened by a processional of the ORNAP Iloilo Chapter officers headed by Mr. Alex Gatmaitan,RN( ILOILO President) and National representatives, attended by Mrs. Analyn Salivio,RN,MAN

(National President) and Mrs. Elesa Manahan,RN,MAN,(National Vice President). Mr. Miguel Labayen,RN (ILOILO Vice President) cordially welcomed all the guests and participants with his opening address.

The topics of the lectures include Continuing Professional Education and Trends in the Nursing Academe with speaker Ms. Ana Trazona,RN,MAN , Capturing Nursing in Minimally Invasive Surgeries with speaker Dr. Ryan Comuelo, Ethico-Legal and Moral Nursing with speaker Dr. Robert Villanueva and Leadership Management in Nursing with speaker Dr. Rosie De Leon, RN, MAN . There were a total of 167 participants from city proper hospitals and district hospitals of Western Visayas. Participants from nearby provinces of Aklan, Capiz, Bacolod graced the event as well.

New officers for the year 2013-2014 were inducted by Mrs. Analyn Salivio,RN,MAN headed by the new chapter president, Mr. Miguel Angelo Labayen,RN ( St. Paul’s Hospital Iloilo) with Ms. Chardene Desalit,RN (Vice President, Iloilo Doctors Hospital), Maria Amy Glyza Manzano,RN ( Secretary, St. Paul’s Hospital), Franky Muzones (Asst. Secretary, Iloilo Mission

Continuing Education on the Go...Gabriel F. Naig, RN, MAN

Norton (1998) defined learning as a process of understanding, clarifying, and applying the meaning of the knowledge acquired.To contribute to this process, the ORNAP continues to conduct a seminar that would help to maintain the excellence in peri-operative nursing practice. As a matter of fact, a lot of seminars were conducted by the organization and to emphasize one a seminar entitled “TRENDS ON INFECTION CONTROL IN PERI-OPERATIVE PRACTICE’’ was conducted last October 27, 2012 at Our Lady of Fatima University, Valenzuela City. This program is a series and to be conducted at regional as one of the strategies to reach out to all members. Furthermore, it is an effort to cascade the program of the association likewise updating the members with the programs, plans and on-going projects and activities that the association is undertaking. Moreover, this endeavor would be an instrument in order to give back to the members for their continuous support in the organization and also to address the issues and concerns of the peri-operative practitioners in

dealing with infection control and standard in the Operating Room. Indeed, this program helps to enhance and update the infection control practices of the peri-operative healthcare practitioners, thus promoting patient safety and to achieve quality healthcare.

As a contributor, to the learning process of the members all throughout the country, the ORNAP assures that the quality of the seminars are taken into consideration. This is evidenced by the accreditation of the Professional Regulation Commission (RRC) – Board of Nursing (BON) as Continuing Professional Education (CPE) provider.

To standardize the prestige accreditation status the national chapter encourages the local chapters to apply their seminars and convention for units accredited by the PRC-BON. Among the local chapters who were applied for CPE units were: Leyte -convention, Iloilo seminar update, Davao -convention and Cagayan Valley- convention.

For our seminars and updates kindly log on to www.ornap.org. and email your quarries to mailornap@yahoo.com

Hospital), Mrs. Demelen Gancero ( Treasurer, Western Visayas Medical Center), Jevy Celera,RN( Asst. Treasurer, St. Paul’s Hospital Iloilo), Mrs. Saluve Fortuna,RN(Auditor, Western Visayas Medical Center), Mr. Janus Baaya ( PRO,St.Therese Hospital,MTC) Mrs. Helen Banzuelo (BOD, Iloilo Doctors Hospital),Mr. Wilfredo Cerbas( BOD, Western Visayas State University Medical Center), Mrs.Lirio Baretto (BOD, west Visayas Medical Center), Mrs. Rhoda Gemarino ( Nomelec Chairman,Iloilo Mission Hospital), Mr. Terrence John Jalandoni (Nomelec Member, Iloilo Mission Hospital), and Mr. Ryan Suyo( Nomelec Member, Iloilo Doctors Hospital).

The assembly was concluded by the ORNAP Iloilo Chapter Foundress-Adviser, Sr. Marvelyn Aquino,SPC as she expressed her felicitations and salutations to a very successful 2nd Annual Regional Convention to all the Officers and participants. It is indeed a legacy that hand in hand all Operating Room Nurses of the region with the grace of Lord keep the fire burning. HALA BIRA ORNAP ILOILO CHAPTER! Viva Señor Sto. Niño!!