APRN SPECIALTY CERTIFICATION EXAM FOR PERIOPERATIVE CNS S ADVISORY

APRN SPECIALTY CERTIFICATION EXAM FOR PERIOPERATIVE CNS’S ADVISORY COUNCIL 2013 -2014 2011

FACILITATOR • Julie Mower, MSN, RN, CNS, CNOR Credentialing and Education • Contact info: jmower@cc-institute. org 303 -368 -6723 2

JIM STOBINSKI, Ph. D, RN, CNOR DIRECTOR OF EDUCATION AND CREDENTIALING, CCI • Jim Stobinski is the Director of Credentialing and Education at the Competency and Credentialing Institute • Has in excess of 25 years experience in the operating room • Education includes a diploma of nursing from the Toledo Hospital School of Nursing, a BSN and MSN from East Carolina University and a Ph. D in International Health Research from Touro University International Has a serious coffee addiction Owner of Smokey the cat Retired/US Navy Grandfather of Neva (17 OCT 2012) • • 3

JULIE MOWER, MSN, RN, CNS, CNOR • APN advisor for CCI • “Almost” a CO native • Enjoys doing anything outdoors! 4

JULIE THOMPSON, Ph. D, RN, CNS, CIP, CNOR • Currently works in research administration & nursing education in Houston • MSN in Perioperative Nursing • Member, CCI Board of Directors • Enjoys world travel (proud military brat) • Relishes a witty sense of humor • Adores dog, Holly 5

PAULA GRALING, Dr. NP, RN, CNS, CNOR • Education: • BSN George Mason University • MSN George Mason University • DNP Johns Hopkins University • Work History: • Inova Fairfax Hospital- 883 beds, Level I Trauma and Transplant Center • CNS Perioperative Services • Family: • Husband- David , Tax Accountant • Daughter Ashley- Hair Stylist • Married to John • **Grandson Landon • Daughter Jessica- 6 th grade teacher • Married to Joey • Professional: • Current president of AORN Foundation • Past president AORN 2006 -2007 6

LINDA WANZER, DNP, RN, COL, AN (Ret), CNOR • Chair/Director: Perioperative Clinical Nurse Specialist program, Uniformed Services University of the Health Sciences • Family: Husband 2 young adult children (Noelle [30] and Kyle [26]) • Hobbies: Reading, traveling and maturing my palate for wine 7

LISA SPRUCE, DNP, RN, ACNP-BC, ACNSBC, CNOR • Director of Evidence-based Perioperative Practice and directs the Clinical Nursing Practice team for AORN. • Lives in Denver, CO. • Was the Clinical Manager for perioperative services for 25 hospitals in the Universal Health System prior to AORN. • Worked as a Perioperative CNS. • Married, 3 daughters ages 24, 22, and 18 (all of them in creative arts fields). • 4 pets: 3 dogs and 1 cat • Hobbies include reading (not medical stuff), hiking, cycling, movies, theater, music, art and is an avid Pure Barre enthusiast! • Last but not least, has a twin sister who works in marketing and also has 3 daughters! 8

MELANIE BRASWELL, DNP, RN, CNS, CNOR • • • Work in Baltimore, MD Live in Lafayette, IN Married for 31 years Daughter in Chicago, IL Like to spend time in sun and pool floating 9

DIANA WADLUND, MSN, RN, ACNP-C, CRNP, CNS, CRNFA • Work for a group of general surgeons and the trauma service • I have eight beautiful baby girls (they are dogs) • Professional accomplishments: • • • Article on perioperative pressure ulcer prevention Staff education on general surgery RNFA educator 10

WESLEE WELLS, MPH, MSN, RN, ACNS-BC, CNOR • I am currently enrolled in the DNP program at University of Alabama, Birmingham, expected graduation 12 -13 • My current position is a perioperative CNS in a 400 -bed level II trauma community hospital. 11

BRENDA LARKIN, MSN, RN, CNS, CNOR • CNS for Perioperative Services and GI at Aurora Lakeland Medical Center, Elkhorn, WI • CNS since 1996 • Published several articles in AORN Journal and NAON Journal • Hobbies include: • Cross-stitch • Knitting • Horseback riding • Hiking • Photography 12

KELLY NADER, MSN, RN, CNS, CNOR, Lt. Col/USAF • Job: Perioperative CNS, Operating Room Element Leader • Family: My husband, DJ, is retired military going back to school to be a Psychologist and between us we have 5 kids ranging in age from 15 -9. Good times!!!! • Hobbies: Running! It is a stress reliever for me especially since I am working on my DNP. I graduate in August 2013! • Pets: A golden retriever named Mason Charles who thinks he is the man of the house! • I look forward to working with you all!! 13

ADVISORY COUNCIL ROLE/RESPONSIBILITIES • Guide CCI in development of CNS exam • Make recommendations based on expert opinion/experience/EBP • Initiatives: • Draft eligibility criteria for test applicants • Recommend members for test development committees • Assist in dissemination of appropriate information to community 14

WHY A CNS EXAM? • APRN’s provide the same quality of care as physicians at less cost and with higher levels of patient satisfaction. 1, 2 • At this time there is no certification specifically for perioperative APRN’s. • Surveys conducted by both AORN and CCI show an interest in validating advanced practice for nurses in the perioperative setting. • CNS role is less well-recognized; certification may enhance visibility of this group. 15

PLAYERS WITH INPUT ON EXAM DEVELOPMENT • State boards of Nursing • Definition of APRN • Licensure • Accreditation bodies • CCI • Policies and procedures 16

ELIGIBILITY CRITERIA for CNS EXAM APPLICANTS • Must meet state, accrediting, and CCI regulations/guidelines • Community standards are included in link to resources • Look at long-term as well as immediate advanced practice needs e. g. Consensus Model, DNP, etc. 18

TEST DEVELOPMENT OVERVIEW • Test development committees • Job analysis • Item writers • Item reviewers • Item analysis/form review • Beta launch • Standard setting/cut score • Publish test 19

PROGRESS IN 2011 CCI convened two task forces who: • developed competency statements for perioperative APRN’s (based on AORN, NACNS, and Critical Care NP competency statements) • completed a gap analysis to ensure that CNS and NP competencies are accurately reflected in perioperative APRN competency statements • With our testing partner, Prometric, launched a Job Analysis survey in March 2011 to ensure that the competency statements were accurately represented in the workplace.

JOB ANALYSIS • Assures that the role of the APRN is accurately reflected in an exam. • Identified domains: • Clinical expert in delivery of advanced perioperative care • Consultant (intra- and multidisciplinary) • Education (nurse, other healthcare providers, patient, family, and community) • Clinical inquiry • Organizational/systems thinking • Professional accountability 21

RESULTS OF JA SURVEY • 145 people completed the survey 22

CLINICAL NURSE SPECIALIST CERTIFICATION 23

RESULTS OF KNOWLEDGE PORTION OF SURVEY 24

RESULTS OF TASK PORTION OF SURVEY 25

NICE CHARTS-BUT WHAT DO THEY MEAN? • If the subgroup means are above the critical importance value (mean ratings at or above 2. 50), then they are in agreement that the content is important. • An exam could be built with confidence using these task and knowledge statements. 26

ITEM WRITERS • Meet in Denver • 2 days • 10 -12 members 27

ITEM REVIEWERS • • Remote meeting Cannot have been on item writing committee (8) 2 -3 hour sessions 20 -25 volunteers 28

ITEM ANALYSIS/FORM REVIEW • • Remote meeting Mix of previous and new committee members 3 hour session 5 volunteers 29

BETA LAUNCH • Pilot test • Prometric sites • 100 test takers needed to provide valid and reliable data • Cannot have served on any of the previous committees 30

STANDARD SETTING/CUT SCORE • • Meet in Denver 1. 5 days 8 volunteers Cannot have served on any of the previous committees or taken the Beta test • Last step: Final version of the exam released 31

COMMITTEE MEMBER SELECTION • Members of committee must meet eligibility criteria as determined by CCI/recommendations of advisory council. • Advisory council members may serve on other test development committees as desired. 32

ASSIST IN DISSEMINATION OF APPROPRIATE INFORMATION TO COMMUNITY • Confidentiality • Congress • • • Pre-con March 3 APN SA meeting March 4 Consensus model presentation March 6 CCI booth Handouts • NACNS conference • March 6 -9 • Handouts 33

DID YOU KNOW YOU NOW HAVE YOUR OWN WEBSITE? IT’S TRUE! • “APRNsights” launched in Feb. 2011 • Includes • • Sample job descriptions Core curriculums with perioperative implications Resources References 34

References and resources • • 1 Nurse Practitioners: Promoting access to coordinated primary care. Fellow of the American Academy of Nurse Practitioners Invitational Think Tank: December 5, 2007. Available at http: //www. aanp. org/NR/rdonlyres/26598 BA 6 -A 2 DF-4902 -A 70064806 CE 083 B 9/0/Promoting. Accessto. Coordinated. Primary. Care 62008 with. L. pdf 2 A vision of the Future for Clinical Nurse Specialists. (2007, July). National Association of Clinical Nurse Specialists: July 2007. Available at http: //www. nacns. org/Link. Click. aspx? fileticket=7 AX 5 Ga 5 Rb. Tg%3 d&tabid=117 • 3 Perioperative • 4 • • CCI. APRNsights. Available at http: //www. cc-institute. org/aprn American Nurses Association. (2011). Advanced Practice Nurses. Available at http: //nursingworld. org/Especially. For. You/Advanced. Practice. Nurses National Association of Clinical Nurse Specialists (NACNS). Available at http: //nacns. org/ Advanced Practice Specialty Assembly. Available at www. aorn. org competencies, position descriptions, and evaluation tools. Denver: AORN, Inc; 2010. Consensus Model for APRN regulation: Licensure, Accreditation, Certification, and Education. Available at https: //www. ncsbn. org/7_23_08_Consensue_APRN_Final. pdf • •

Please know that the CCI staff is here to help you. If you have questions, please contact Julie Mower = jmower@cc-institute. org or 303 -368 -6723 Jim Stobinski = jstobinski@cc-institute. org or 303 -368 -6721