Daily Program - Monday, March 15, 2010
7am–5pm
Poster Display Sessions
Research/Evidence-Based Practice and Clinical Improvement/Innovation posters will be on display daily during the week of Congress.
8-9:30am
General Session
Safer Surgery: Reducing Complications and Disparities
Atul Gawande, MD
Session 3730, 1.5 CH, Track: P, PS
Concurrent Education
10-11:30 am
No Retaliation for Whistle Blowers
Cathy Klein, RN, JD
Session 3741, 1.5 CH, Track: E/L, PS
Attend this session and become aware of this issue affecting local area nurses in defining their voice when dealing with patient safety at the bedside.
MIS in Neonates
Stephen Rothenberg, MD, Aletta Harris, RN, BSN
Session 3743, 1.5 CH, Track: C, PS
This presentation will identify patient outcomes as well as intraoperative considerations for minimally invasive surgery in neonates. It will also focus on the challenges that are encountered with MIS in neonates. Recently, advances in video technology and instrumentation have made minimally invasive surgery possible in infants and small children. Prior to this many of the techniques for endoscopic procedures had not been available to use in small children due to size and safety issues.
Post-Op Acuity in the Ambulatory Surgery Center
Catherine M. Moses, RN, CNOR, CPHQ
Session 3736, 1.5 CH, Track: A, PS
Do you work in the Ambulatory Surgical setting? A great deal of information and guidance has been documented in the screening of ASC patients, but little has been written about the post-operative phase of care. Today, ASCs are doing more complex procedures and patients require a longer recovery time to facilitate lower complication rates, readmission rates and optimal outcomes, and increased patient satisfaction. An acuity system to assist in predicting longer stays, preparing the patient to expect a longer stay, and to establish appropriate staffing for the PACU, while keeping budgetary concerns in check, can be a great PI tool for staff and managers.
Finally-No Surgical Smoke in the OR
Kay Ball, PhD, RN, CNOR, FAAN
Evangeline Dennis, RN, CNOR, CMLSO
Brenda Ulmer, RN, MN, CNOR
Session 3744, 1.5 CH, Track: C, PS
Get the most up-to-date information regarding surgical smoke. When the AORN Surgical Smoke Evacuation Tool Kit was introduced in 2009, research demonstrated that practices to evacuate electrosurgical smoke were inconsistent and lacking. The most popular method to evacuate plume was to use the “suction only” method and not employ recommended smoke evacuators or inline filters. Throughout the years the multitude of lectures, articles, and communication on surgical smoke hazards have increased the passion to follow smoke evacuation recommendations and overcome the barriers that prevent compliance. This session will discuss the impact of the Tool Kit and provide innovative and effective tips on implementing and maintaining a comprehensive smoke evacuation program.
Influencing Quality Excellence through PNDS
Carol Applegeet RN,MSN,CNOR,NEA-BC
Carol Petersen, RN,BSN,MAOM,CNOR
Patricia Seifert, RN,MSN,CNOR,CRNFA,FAAN
Session 3900, 1.5 CH, Track I, PS
Magnet hospitals are known for excellence in the delivery of nursing services that promote quality outcomes in an environment that supports professional nursing practice. This program will demonstrate the utilization of PNDS to highlight perioperative nursing excellence to optimal patient outcomes.
The UK Perspective on Promoting a Culture of Safety through Collaboration
Diane Gilmour, RN
Tracy Coates, RN
Session 3747, 1.5 CH, Track: IC/IP, PS
This session will review the current practice related to the clothes worn within the perioperative environment such as scrub suits, footwear, hats, masks and gowns; particularly from a European perspective. Using evidence, policies, and European Standards, the presenter will demonstrate how practice has changed in light of such documents and how the evidence has allowed practitioners to challenge the myths and rituals of practice.
Are You in Compliance With Best Practices? A Guide to Auditing Your SPD
Rose Seavey, RN, BS, MBA, CNOR, ACSP
Session 3731, 1.5 CH, Track: C, PS
This presentation will discuss the latest recommended practices from AORN, AAMI and CDC on sterilization monitoring, cleaning and disinfection, packaging, sterilization, traffic control, and sterile storage. Take-aways include an audit tool that will ensure your Sterile Processing Department is in compliance with best evidence based practices.
Preventative Healthcare Teams: The Cleveland Clinic Model
Michelle Dumpe, PhD, RN
Session 3749, 1.5 CH, Track: P
The Cleveland Clinic has been recognized as a leader in innovative health care delivery. This executive nursing leader from the Cleveland Clinc will provide insight into how they have become a leading health care system in the U.S.
Fire Safety Program
Scott M. Aronson
Session 3757, 1.5 CH, Track: C, PS
Using case studies and interactive fire scenarios, you will learn how to incorporate practical prevention approaches for surgical fires, multiple methods for suppressing a fire, and evacuation “how-to’s” if the smoke/fire conditions force the surgical team from the suite. Using a simulator, teams will be given an opportunity to practice fire suppression and OR room evacuations. Exercises will last for 20 minutes, and there will be three sessions per hour. A sign up sheet will be posted in advance.
Impact of Integrative Health Approaches with Pediatric Patients
Jane M Murphy, RN, MS, PNP-BC, FCN
Stella Harrington, RN, BSN, CNOR
Marilyn Moonan, RN, BSN, CNP, CTTM
Session 3763, 1.5 CH, Track: P
Pediatric transplant nurses at a large urban hospital have embraced an integrative health approach with patients which spans the care continuum. Patients and families are encouraged to use non-pharmacological integrative health approaches beginning in the preoperative phase, and continued through discharge and maintained at home. This transplant multidisciplinary team supports the continuation and use of the integrative health interventions with the pediatric patients. Nurses have become skilled clinicians in integrative health modalities including therapeutic touch, guided imagery, Reiki and Relaxation massage. Embrace the power of touch and take away some great concepts and apply this insight to your own practice.
11:30am–1pm
Authors at Posters
Meet and talk with the many authors of the Congress Poster displays. Find out what inspired them and learn about their research, projects, and experiences. This is a great opportunity to gather interesting background information about the various poster displays.
11:30am - 3:30pm
Bonfils Blood Drive
Concurrent Education Sessions
1-2:30pm
Need More Space? 5S Your OR
Amanda Martin-Sanchez, RN, BSN, MEd, CNOR
Melissa Adams, RN, BS, CNOR, MHCA
Session 3751, 1.5 CH, Track: L/M
5S is a Lean tool that can help you “find” more space for essentials in your OR! Lean is a way of thinking, a philosophy, focusing on the customer and fostering teamwork. It is a never-ending process of building quality into every aspect of work to create a standardized, organized, disciplined workplace through the elimination of waste. This presentation will focus on the experiences of several hospital operating rooms within the Ochsner Health System, and the amazing results that have been realized. The focus will be best practice sharing and lessons learned with this process.
Transforming Change through Clinical Redesign of Perioperative Services Session Cancelled
Kent Haythorn, RN, MBA
Session 3752, 1.5 CH, Track: P, L/M
Recommended Practices Update (Part 1)
Cecil King, RN, MS, CNOR
Melanie Braswell, RN, MS, DNP, CNS, CNOR
Sandra Berger, RN, MSN, MBA, CNOR, CASC
George Allen, PhD, RN, MS, CNOR
Renae Battie, RN, MN, CNOR
Session 3753, 1.5 CH, Track: C, E, L/M, PS
This session will review and inform you of the latest
findings that support the new AORN Recommended Practices for 2010. This session includes the authors of the new RP’s who will answer your questions regarding the new changes and findings.
AORN Bylaws: What are they and why should I care?
Ellen K. Murphy, RN, MS, JD, FAAN
Session 3735, 1.5 CH, Track: C, E, L/M, P
Bylaws apply not only to the national AORN. They also apply to chapters, state councils and most health care associations and other organizations which are managed by a Board of Directors. This engaging and interactive session will make bylaws’ arcane connotation come alive and directly relevant to participants. Examples from the current and possible changes to AORN bylaws will be used to illustrate how bylaws define the interrelationship between organizations and members generally. Emphasis will be placed on the need to avoid binary decisions in today’s complex environments. The bylaws of all organizations must respond to more complex challenges, requiring more complex solutions.
The Impact of Certification on Perioperative Nurses
Kathryn Schroeter, PhD, RN, CNOR
Michelle Byrne, PhD, RN, CNOR
Session 3755, 1.5 CH, Track: E/L, L/M, PS
Expert knowledge, clinical judgment, communication skills, and performance are but a few of the aspects associated with professional certification. This session will present research that describes the perceptions of perioperative nurses related to the impact that certification has had on their professional practice as well as to them personally. A purposive sample was obtained from board certified perioperative specialty nurses who were attending the Association of periOperative Registered Nurses national Congress. A descriptive qualitative method was utilized for this research. Thematic analysis was used to explain the nurses’ perceptions. The findings of this study expand knowledge about the meaning of personal and professional experiences linked with certification.
Tissue Allograft Handling: Answers to Your Questions
Scott Brubaker, CTBS
Session 3756, 1.5 CH, Track: C, PS
This session will provide you with all the latest information regarding tissue handling and how to maintain your grafts and criteria necessary to ensure you uphold the recommended practices regarding storage and handling.
Financial Performance Improvement
Bev Kirchner, RN, BSN, CNOR, CASC
Jane Kusler-Jensen, RN, BSN, MBA, CNOR
Session 3772, 1.5 CH, Track:A
This presentation will provide a case study of a healthcare system’s approach to identifying ways and means to reduce expenses in surgical services.
Creativity in a Box
Michele Deck, RN, BSN, MEd, LCCE, FACC
Session 3732, 1.5 CH, Track: E
This session teaches everyone to become an innovative thinker in a variety of modes in order to address new ideas and solutions to current challenges. Attend this session and discover the hidden insight that will be unlocked and the multitude of ideas that will flourish.
Creating a Culture of Safety
Patricia Stein, RN, BSN, CNOR, MAOL
Barbara Bates, RN
Session 3745 1.5 CH, Track: L/M, PS
This session will provide a basis for developing safety habits that can be applied in the perioperative setting. By developing safety habits, the perioperative team will be encouraged to implement the necessary changes to build a culture of safety. The premise is that poor relationships affect patients’ outcome as they get caught in the crossfire of indirect, hostile, disrespectful or unclear communication. Take-aways for this session include "tools in the toolbox" for perioperative nurses to manage difficult relationships positively and re-focus on the patient for the sake of safety. Didactic methods along with videos and group interaction will be used to focus on safety.
Limb Preservation: “Parts is Parts”
Ross Wilkins, MD
Session 3760 1.5 CH, Track: C
Limb preservation is technically possible in almost any case of cancer, trauma or severe infection, but is it appropriate? This talk will review the criteria for limb preservation and illustrate the various surgical techniques. It will also discuss the results of these types of procedures as compared to new amputation options. In evaluating patients, it is important to prevent the
modern medicine phenomenon of “triumph of technique
over reason.”
Nurses & Social Media: There is a Connection
Zach Mueller, DNP, RN
Session 3754, 1.5 CH, Track: E,P
Social media has become the “super highway” to being informed about specific areas of interests. Social media is transforming how we view, communicate and identify with specialty groups. Participate in this innovative session that will identify the many ways of being informed and staying up to date with the latest information that affects you.
Concurrent Education
3-4:30pm
Accreditation & Compliance Challenges in the ASC
Virginia McCollum, RN, MSN
Session 3761, 1.5 CH Track: A
The presentation examines major accreditation issues and offers strategies and solutions leading to enhanced performance during a Joint Commission survey. The presenter will review the accreditation process and discuss the challenging standards for ambulatory surgery centers in 2010 and how to meet the requirements. The presenter will also discuss the 2010 National Patient Safety Goals and Universal Protocols. Attendees will learn how to interpret the standards through interactive participation.
Spellbinders: Stories that Create Magic, Inspire, Teach & Motivate
Michele Deck, RN, BSN ,MEd, LCCE, FACC, PS
Session 3762, 1.5 CH, Track: E
Do you currently use stories as teaching tools? If so, come to this session and learn how to improve your story telling abilities, making maximum learning impact. Discover the three voices in which stories can be told and learn which is most powerful in making a point. Learn ways to discover your own stories to make a point that no one can forget. Explore story secrets that allow you to get people’s attention and keep it throughout the learning experience. This is a great session to compliment our intensive on Digital Storytelling Workshop on Saturday and Sunday March 13-14.
Power Tools for Peak Leadership
Vivian Watson, RN, CNOR
Session 3748, 1.5 CH, Track: E, L/M
The Triumphant and Unsinkable Miss Vivian does it again! This program will offer suggestions for “power tools” for leaders that can be used to build trust between the leader, the staff, and their patients. These tools also provide a pathway to building a championship team. Enjoy this session as one of AORN’s beloved speakers shares some well sought-after advice. Peak performance in leadership requires leaders to build a championship team. Championship teams are built through continuous individual accountability, and by planning and creating a daily atmosphere that continuously connects with staff and patients. This leads to renewed growth, delivery of quality service, and daily excellence, thus providing positive outcomes for all partiesinvolved in safe patient care.
The Role of Collaboration in Striving for Peak Performance Session Cancelled
Sir Stephen Moss
Session 3746, 1.5 CH, Track: P
Lean Six Sigma in the Perioperative Setting
Carol Applegeet RN, MSN, CNOR, NEA-BC
Session 3764, 1.5 CH, Track: L/M
Lean Six Sigma is an improvement methodology that focuses on the elimination of waste (time, labor or materials that do not add value to a product or service) in the process of providing care to patients. During this interactive session, a Lean Six Sigma Sensei (master) will describe the application of Lean Six Sigma to health care. Two examples of the application of lean processes in the perioperative environment will be provided. Managers, educators, and staff who attend this session will be able to identify how the implementation of lean processes can enhance OR practices and improve patient care.
Transplanting Faces, Transforming Lives: Ethical & Technical Challenges of the 1st American Human Facial Transplant
Daniel Alam, MD
Session 3765, 1.5 CH, Track: C, E/L
Dr. Alam is the surgeon who wrote the protocol for the first American human facial transplant operation. Dr. Alam performed the donor harvest connecting the vessels in the recipient. This presentation encompasses a brief history of the concept of Face/Hand Allograft Tranplants and some of the early groundbreaking research by Lab Researchers like Maria Seimenionow. It also discusses the ethics of this type of surgery, and the implications it has in terms of our view of these patients. The presentation will also detail the planning and preparation of the first facial transplant surgery, with a visual set of images depicting how this surgery was performed and the short and long term results. The presentation tells an all-encompassing story of a long journey to an endpoint. Don’t miss this session on groundbreaking surgical interventions.
NoThing Left Behind: Prevention ofSurgical Items
Verna Gibbs, MD
Session 3766, 1.5 CH, Track: C, E, L/M, PS
It is every nurse’s nightmare-a retained foreign object. Don’t miss this session detailing the many instances where a retained foreign object was identified. Discover ways to ensure this does not happen to you. Identify the pitfalls that can lead to this. Be aware that this can happen to the most experienced registered nurse.
Drug Diversion
Donna Strickland, RN, MS, CS
Session 3767, 1.5 CH, Track: E, L/M, PS
Many people do not realize that addiction is a brain disease. A wide range of disfunctional behaviors result from drug abuse. Learn to recognize these behaviors, if someone is diverting drugs. Learn the diffrence in symptoms if someone is an opiod user versus alcohol, and learn what you can do to help.
Sterilization Efficacy: Verification, Standards, & Safety
Col (Retired) Linda Wanzer, RN, MSN, CNOR
Col Elizabeth Vane, RN, MSN, CNOR
Charles Hughes, BS
Ray Taurasi, MBA, CRCST, CHL, FCS, ACE
Session 3768, 1.5 CH, Track: IC/IP, PS
How much do you think you know about sterilization efficacy, verification, standards and safety? This presentation will be a journey of discovery as we test your knowledge related to sterilization efficacy and provide information regarding the “why” behind what we do. Using an audience response system to elicit interactive participation, information related to sterilization practices, AORN and AAMI updates, quality assurance programs, clinical improvement opportunities and patient safety issues will be shared. These are issues that require TEAM oversight (both managers and clinical staff) to ensure this aspect of perioperative nursing care is delivered without incident.
Connecting the Dots: EMR/EHR and ARRA Legislative Update
Kathleen A. Catalano, RN, JD, FHIMSS
Session 3769, 1.5 CH, Track: P, PS
The attendee will understand the evolution of the American Recovery and Reinvestment Act of 2009 (ARRA) and how it will impact healthcare on a global scale. The legal aspects of the electronic medical record (EMR) and electronic health record (EHR) will be explained. In addition, the key ARRA provisions will be reviewed and “Meaningful Use” defined. The latest from the HIT Policy and Standards Committee will be discussed as will the preparation required for the cumulative effect of innovations and reform changes in the long term for healthcare. The track is the same.
4:45-6pm
Jerry G. Peers Lectureship & Peers - Distinguished Service Award
Trends that will Reshape the US Health Systems
Paul Keckly, PhD
Session 3771, 1.2 CH, Track: PS
6-8:15pm
Exhibit Hall Opening Reception