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Georgia Association of PeriAnesthesia Nurses
www.GA-PAN.org
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.