Georgia Association of PeriAnesthesia Nurses www.GA-PAN.org
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Georgia Association of PeriAnesthesia Nurses
PeriAnesthesia Nurse of the Year Requirements
Format (for web design):
Item Number:
Points:
Activity:
Examples of how to meet activity:
Required documentation:
Item Number 1
Points: 10
Activity: Letter of recommendation from nurse manager, coworker or physician. (Cannot be submitted by a member
of GAPAN’s current Executive Board.)
Example: Letter must state how the applicant serves as a clinical expert and resource person.
Documentation: Typewritten letter.
Item Number 2
Points: 10 per activity
Activity: Unit specific perianesthesia clinical activity directed by nurse manager.
Example: Participates in performance improvement project, writes/revises clinical policies/procedures, active in
unit practice committee, etc.
Documentation: Document specific examples of perianesthesia clinical activities and your role. Must be
validated by your manager.
Item Number 3
Points: 10 per topic
Activity: Presentation of a clinical topic.
Example: Topic must be applicable to perianesthesia nursing, any format or venue. Excludes ACLS, PALS, and
BLS.
Documentation: Provide typed outline or lesson plan.
Item Number 4
Points: 10
Activity: Cross trained to another perianesthesia area of practice.
Example: Can work in more than one area: Phase I PACU, preadmission testing, pre-op, or Phase II PACU.
Documentation: Provide names of areas. Must be validated by your manager.
Item Number 5
Points: 10
Activity: Preceptor for new employees.
Example: Acts as preceptor/mentor for new employees.
Documentation: Must be validated by your manager.
Item Number 6
Points: 1 per CEU
Activity: Attends continuing education activities within the last year (August – July).
Example: Excludes college credits.
Documentation: Provide a copy of the CEU certificate(s).
Item Number 7
Points: 3 per specialty
Activity: Instructor of specialty certification course.
Example: ACLS, PALS, BLS instructor.
Documentation: Provide copy of current instructor card(s).
Item Number 8
Points: 3
Activity: Active member of local GAPAN district.
Example: Regular attendance and active participation in local district.
Documentation: Must be validated by a district officer.
Item Number 9
Points: 5
Activity: GAPAN district officer.
Example: President, Vice President/President Elect, Secretary or Treasurer of district.
Documentation: Include in CV.
Item Number 10
Points: 10
Activity: GAPAN state officer.
Example: Executive Board, Member at Large, Editor, or Historian.
Documentation: Include in CV.
Item Number 11
Points: 2
Activity: Pursuing Bachelors degree in nursing
Documentation: Provide copy of transcript.
Item Number 12
Points: 5
Activity: Bachelors degree in nursing
Documentation: Include in CV.
Item Number 13
Points: 3
Activity: Pursuing Masters degree in healthcare field.
Documentation: Provide copy of transcript.
Item Number 14
Points: 8
Activity: Masters degree in healthcare field.
Documentation: Include in CV.
Item Number 15
Points: 5
Activity: ASPAN committee member within the last 3 (three) years.
Example: Any ASPAN committee.
Documentation: Include in CV.
Item Number 16
Points: 5
Activity: GAPAN state committee member.
Example: State seminar committee, bylaws committee.
Documentation: Include in CV.
Item Number 17
Points: 7
Activity: Chair of GAPAN state committee.
Example: State seminar committee, bylaws committee.
Documentation: Include in CV.
Item Number 18
Points: 5
Activity: Published in state/national perianesthesia newsletter.
Example: ASPAN’s Breathline or GAPAN’s Awakener.
Documentation: Provide a copy of the article.
Item Number 19
Points: 10
Activity: Published in a national journal – must be perianesthesia related.
Example: JOPAN or other nursing journal.
Documentation: Provide a copy of the article.
Item Number 20
Points: 10 points each
Activity: CPAN and/or CAPA certified.
Documentation: Provide a copy of card(s).
GAPAN PERIANESTHESIA NURSE OF THE YEAR –
CONTRIBUTION TO PERIANESTHESIA NURSING
Points are earned for each activity met. You are NOT required to meet all activities.