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|Our History 1990's|
An inaugural breakfast session of Pediatric Surgery Nurses interested in the development of a collaborative association was held during the American Pediatric Surgical Association (APSA) Annual Meeting.
Diane Jakobowski founded the organization with Gail Garvin. Diane began by sending 100 questionnaires to Pediatric Surgical centers nationally. Forty nurses responded. A breakfast meeting was planned in conjunction with the APSA meeting. There were 31 nurses present at this meeting. These nurses divided geographically and each group became a committee: Goals (New England) - Julianne Nemes, Chair; Bylaws (Northeast) - Suzanne Borkowski, Chair; Program (Southern) - Melinda Klar, Chair; Newsletter (Midwest) - Renee Manworren, Chair; Membership (Southeast) - Pam Pieper, Chair; Organization (West) - Gail Garvin, Chair; Local Arrangements (Colorado) - Roberta Burrington, Chair. Each group agreed to develop its own goals and send reports to Gail Garvin who established a "clearinghouse" for ideas.
The overall goal of this coalition was to form an organization to develop and foster the highest standards of professional pediatric surgical nursing practice to promote optimal care to the pediatric surgical patient.
Diane and Gail are credited for having the vision and organizational skills to lead the concept of American Pediatric Surgical Nurses Association (APSNA) into reality. Their professional and clinical credentials lent a strong credibility to APSNA’s formative phase.
Colorado Springs, Colorado
This year the efforts continued with the first half-day program coordinated by Melinda Klar and Laura Jacobson. Over fifty nurses attended. A business meeting followed. Each chair reported on the early work of the group: bylaws, an application form, dues, policies, board of directors and contact educational units. The first Board of Directors was elected by the group present at this meeting with an official nominating process to follow after the adoption of the bylaws. The membership chose a name of this new organization: American Pediatric Surgical Nurses Association (APSNA). The fiscal year was established (May 1- April 30). The first dues cost $50/$40.
The first Board of Directors:
Hilton Head, South Carolina
The First Annual Meeting and Education/Research Conference of APSNA was held. A full day program was coordinated by Melinda Klar and Barb Wise. A business meeting was held on the second day. Forty-four nurses were present. Diane Jakobowski announced that APSA had agreed to officially recognize APSNA. This year brought an increase in the membership to 107. Committees continued to develop. Changes were made to the Bylaws (a process that continues each year). Three editions of Sutureline, the organizational newsletter, were produced and distributed to the membership and Renee Manworren obtained corporate sponsorship to control cost. The nomination process evolved.
Gail Garvin began her tenure as president. The officers’ terms of office were reviewed. Nancy Tkacz was elected Publication chair. An ethics task force was established and chaired by Carmel McComiskey. A development task force was established and chaired by Roberta Burrington. The president mandated quarterly committee reports. The secretary became the clearinghouse for reporting and recording.
The idea of a Resource Manual began its infancy. The founding members identified that members were creating educational materials for families and pediatric providers for their own institutions, and so could APSNA potentially create a compendium of knowledge to use for pediatric surgery nursing professionals but also patients and families?
The following were the second Board of Directors (1993-1994):
This year the APSNA program was a full TWELVE HOURS LONG including the first poster session! The board of directors met the evening before and the day after the meeting. The first wine and cheese reception was held. The treasurer (Chris McKenna) gained Federal Tax ID number. The Director At Large became the historian of the organization. The call for nominations for board positions was changed to the opening of the business meeting to allow time to meet candidates, publish information in the Sutureline. Quarterly reporting became part of the bylaws. The local arrangements chair was eliminated. A Ways and Means Committee was established, chaired by the treasurer to handle fund raising efforts as well as corporate sponsors. Committee terms were extended to two years (publication chair to three years). The membership chair developed a member packet. Four Suturelines were produced. The Ethics task force recommended continued education and discussion of pediatric ethical issues in the Sutureline and as part of the program. The membership voted on a logo. T-shirts with the APSNA logo were introduced this year. Our permanent address became the Treasurer’s address in Pittsburgh, PA.
The following officers were the third Board of Directors (1994-1995):
Boca Raton, Florida
During this meeting, APSNA continued to evolve. Dr. Gary Hartman was the first physician speaker invited to present to our group. Clinical abstracts as well as posters were presented. Barbara Wise discussed Ethics in pediatric surgery and Carmel McComiskey led a panel discussion with Diane Jakobowski and Barbara Wise to facilitate a group discussion of three difficult pediatric surgical cases. Renee Manworren delivered the first Presidential Address during the luncheon and the wine and cheese party was born. Sutureline continued to evolve under Nancy Tkacz’s direction into both a clinical tool and communication device that we still rely on today. The Legislative committee was disbanded. The other committees underwent "refinement" this year under the direction of the President.
The December 1994 issue of Nursing Clinics of North America featured pediatric surgical nursing, with Chris McKenna as the editor of this issue. APSNA members from the four corners of the nation contributed their expertise in topics such as solid tumors, pediatric trauma, solid organ transplant, ostomy care, hospitalization of the ill child, prenatal diagnosis and fetal surgery, adjustment to hospitalization, and pediatric laparoscopy.
The Resource Manual continued to be conceptualized. The resource manual included care maps, protocols, patient teaching materials, family resources and other pertinent information. There were coordinators assigned to different topics such as anorectal malformations, central venous catheters, antireflux procedures, appendectomy, preventable trauma, and post-operative pain.
The 1995-1996 Board of Directors:
San Diego, California
This year the conference expanded to ONE AND ONE HALF DAYS! APSNA grew to 150 members from the US, Canada, and Australia. A membership brochure was developed. The treasurer (Beth Zimmermann) computerized the treasury and with the help of the Development Chair developed an Audit Guideline. The Director At Large (Gail Garvin) developed a scholarship process for the institution of a nursing scholarship award. The Publications committee continued to grow under Nancy Tkacz's direction with development of the Resource Manual (Renee Manworren), Textbook (Chris McKenna, Barb Wise and Bethany Harmon), The Ways and Means Committee evolved into the Finance Committee and the Development Committee. Laura Phearman was appointed by the board to chair the committee until the election process in 1997. This was the formation of the first Development Chair.
The 1996-1997 Board of Directors:
A sincere effort to build our membership occurred this year and the organization grew to 183! APSNA submitted for the first time a 1996-1997 report of activities to the APSA Board of Governors. APSA was extremely complimentary of the work of APSNA, and continued to support the organization philosophically.
A phone number was obtained for APSNA calls and a new address for the organization was established in Boston, Massachusetts. Elections were changed from occurring at the annual conference to earlier in the year to allow board members time to prepare for their roles and responsibilities.
Ninety nurses attended the meeting. This year, the full two-day session provided an opportunity for networking and relaxation. Sutureline continued to produce great clinical articles as well as serve as a communication tool. The membership committee (Wendy Mackey, chair) formalized a directory that included e-mail addresses!
The Nursing Resource manual progressed and produced the first monograph "Pyloric Stenosis" by Kathy Leack. The purpose of the monographs, which will eventually result in the APSNA Resource Manual, is to disseminate the wealth of knowledge possessed by the members of APSNA. This will take years to complete. The goal is to provide better care to pediatric surgical patients by researching and compiling information about a wide range of pediatric surgical subjects. The monographs will try to give a complete overview of each subject. Where different options for surgical and nursing care are practiced across the country, we will try to do our best to present those. The monographs will include a Family Information Sheet to use for patient and family education (the genesis of the APSNA Teaching Sheets). Coordinators were assigned and addressed specific topics such as: tracheostomy, biliary atresia, Hirschsprung’s disease, intussusception, solid tumors, tracheoesophageal fistula, and malrotation. Attendees at the 1997 Annual Meeting received the APSNA Binder, a large, three-ring binder embossed with the APSNA logo designed to hold, what will eventually be a substantial number of monographs or hold all Suturelines or APSNA materials.
The APSNA store opened to offer products that would advertise APSNA: mugs, mouse pads, beach towels and post it notes. The Development Committee (Laura Phearman, Chair) contracted with vendors to attend the meeting as well as support the conference costs.
The 1997-1998 Board of Directors:
Hilton Head, South Carolina
In the year preceding this meeting, the membership grew to 205. The Publications committee (Laura Flanigan, chair) announced that Aspen Publications had agreed to publish "the textbook." Chris McKenna, Barb Wise and Bethany Harmon agreed to edit the textbook. Betty Kasson developed the APSNA WEB site as well as supported the efforts of Nancy Tkacz and Gail Garvin to develop a STRATEGIC PLAN for the organization. This work came directly from the organization through a questionnaire that asked the membership to prioritize the goals and direction of APSNA. For the first time, the membership had the opportunity to contribute to the architecture by their responses. The fiscal year end was changed to March 31. Each board member developed a Job Description to help operationalize the role and help the transition of board members. Scholarships continue to be awarded to two members.
Nurses attended the meeting, a vigorous two-day scientific session, which included the first multidisciplinary panel. Breakout sessions continued. Fourteen research or clinical practice posters were presented. Pediatric Trauma nurses met formally for the first time at this meeting during a luncheon. Corporate sponsors were formally acknowledged in Sutureline.
Twenty-one monographs are in various stages of production. Renee Manworren continues as the Resource Manual Editor. The artwork on all monographs is original, much of it done by Suzanne Borkowski's' daughter. Many have Renee’s initials hidden in the artwork!
The 1998-1999 Board of Directors:
Rancho Mirage, California
Once again the meeting took place over two full days and kept the minds of 98 attendees challenged. On day one the topics ranged from issues on procedural and post-operative pain management to websites. Invited guest speakers were Dr. LaMontagne and Sandy Sentivany-Collins, Pam Griffith, and Dakin Hart (our webmaster). Outgoing President, Nancy Tkacz, presented a moving address at the luncheon on collaborative practice and two scholarships were awarded again through a drawing at the Business Meeting.
The first Founder’s Award was presented to Gail Garvin and Diane Jakobowski and was accepted in their absence by Betty Kasson. Kathy Leack and her nominations committee team spearheaded this. The Award was envisioned to be the “Academy Awards” of Pediatric Surgical Nursing.
The textbook continued to progress and there were hopes that it would be in print by next year's meeting. The Program/Education Committee was split into two separate Committees and the Education Chair position was added to the Nominations for next year. Marti Fledderman agreed to take the Board appointment to Chair that Committee until then.
Day Two began with a great lesson in the advances of laparoscopic surgery by Dr. Keith Georgeson. Twelve three-minute abstracts were presented followed by several well-moderated round table discussions. To end the meeting a panel discussion was held on extracorporeal membrane oxygenation that included invited guest Dr. Erik Skarsgard and the Julian family. The Trauma Nurses met at the end of the regular meeting for the second year over a luncheon with invited guest Dr. Tres Sherer.
Of course, the most exciting part of this particular meeting was THE EARTHQUAKE! Many attendees awoke during the night before the meeting to find their beds and room furniture moving - others just thought that they had heard a very loud train go by - only to find that there were no train tracks near the resort! We all survived however and the locals got a good laugh, stating that a 5.0 earthquake was nothing new to them!
The 1999 - 2000 Board of Directors: