Daily Program - Thursday, March 18, 2010

7–10am
Voting

7am-12pm
Poster Display Sessions
Research/Evidence-Based Practice and Clinical Improvement/Innovation posters will be on display daily during the week of Congress.

8am-5pm
AORN Headquarters Tour
Denver is the home of AORN. Optional tours of the Headquarters building will be offered throughout the day on Thursday. Advance registration is required at AORN Headquarters Tour web page. A limited number of tours will be available and filled on a first-come, first-served basis.

Concurrent Education Sessions
8–9:30am
Ambulatory Surgery Centers: Government Affairs Update Session Cancelled
Craig Jeffries, Esq.
Session 3807, 1.5 CH, Track: A, PS

Medicare ASC Infection Control Requirements
Marilyn Hanchett, RN, MA, CPQH,CIC
Session 3902, Track: A, IC/IP, PS

Clinical Simulation in the Surgical Setting
Michael R. Armacost, MA
Session 3808, 1.5 CH, Track: C, E
The use of clinical simulation to improve performance and enhance patient safety is quickly becoming recognized as a best practice. But its routine use in non-academic and rural hospitals continues to be uncommon. This session will provide an overview of and lessons learned of a non-profit hospital system’s experience in implementing clinical simulation in the operative and perioperative settings.

Developing Robotic Surgery in a Rural Hospital
John Douglas Zender, RN, BS, CNOR, CRCST
Christina Thell, RN
Session 3809, 1.5 CH, Track: C
Robotic surgery has become a standard in many large hospitals across the United States and the world. Advances in urology, gynecology, general and cardiac surgery have now become the norm. With many large hospitals and large cities saturated with surgical robots, the next progression for robotic surgery is moving to rural venues. For many rural hospitals the annual budget could be the price of one robot. To build a successful surgical robotic program in a rural setting many factors are involved. With the support and hard work of the administration and medical staff, a successful program can become a reality.

Punchlines, Pitfalls, & Powerful Programs
Scott Friedman
Session 3810, 1.5 CH, Track: P
Funny man Scott Friedman does it again! If you want to truly “connect” with your audience, your programs must entertain as well as educate. This program is full of practical, yet imaginative ideas of how to engage your audience to increase the value of your presentations. Participants learn how to play off the audience, develop original material, and uncover an organization’s “humor” hot buttons. The program provides insight about where to find clean and appropriate humor as well as who is safe to poke fun at in a meeting environment. As participants begin to bring more and more humor into their own presentations, they will reap the rewards of an entertained and engaged audience.

What Safety Concerns Are Lurking in Your Surgical Suite
Anthony P. Dawson, RN, MSN
Session 3811, 1.5 CH, Track: C, PS
In this session the speaker will discuss the importance of patient safety in the perioperative setting. He will define how a culture of safety founded on a systems approach can improve safety, efficiency and prevent adverse events. He will explore the National Patient Safety Goals and explain how real errors and close calls have changed practice and improved patient care. He will highlight common practices and workarounds which have caused patient harm and describe simple steps that can prevent errors in the future. Because people on the front lines are usually in the best position to identify issues and solutions, test, implement and measure outcomes, he will share results from OR teams who have taken patient safety to the next level. He will identify how you can transform your setting into a safer environment for patients, families and employees.

Writers Workshop Updates
Liz M Cowperthwaite
Rebecca L. Holm, RN, MSN, CNOR
Session 3812, 1.5 CH, Track: E, L/M
Writing and publishing are ways to articulate the value of the perioperative nurse. This session will cover the basics of writing and provide insights into the process of publishing a manuscript.

Wound Classification
Vangela Swofford, RN, BSN, SCNR
Jennifer Lee Zinn, RN, MSN, CNS-BC, CNOR
Session 3813, 1.5 CH, Track: IC/IP, PS
A much needed session - Wound Classification is based on what is seen in the surgical field at the time of surgery and helps predict postoperative wound infections. An opportunity for improvement in wound classification documentation was identified in our hospital system. The nurse may be unaware of acute inflammation, perforation or pus in the field; which could cause a change in classification. A Quality Improvement project was launched, with the goal to enhance communication among the surgical team and thereby increase accuracy of wound classification.

Reducing Surgical Waste by Going Green
Julie Conrardy, RN, MSN, CNOR,
COL George Nussbaum,
Mary Hillanbrand, RN, MSN, CNOR
Session 3814, 1.5 CH, Track: L/M, P
This study, conducted at two large medical centers, supports AORN’s recommendation to evaluate the “environmental impact of reusable, reposable, and disposable products” and provides an avenue for operating rooms to embrace “going green”. The findings of this study provide empirical evidence that supports the use of re-usable surgical basins, gowns, back table and mayo stand coverings, as an alternative approach to disposable products currently in use, to decrease regulated medical waste generated in the operating room. The results from the data collection yielded an average of 65% diversion of regulated medical waste from the waste stream.

The Autoclave is not a Microwave: Using Narratives in Perioperative Education
Kathryn Schroeter, PhD, RN, CNOR
Session 3815, 1.5 CH, Track: C, E, IC/IP
The focus of this presentation is on utilizing stories of learning and tales of compassion as a means of educating nurses to the perioperative practice environment. The use of humor, storytelling, and illustration provides a non-threatening method to promote education in an environment that is filled with stress and high level complexity. Orientation and education do not have to include “baptism by fire.” Use of personal narratives can be uplifting and can reinforce basic principles of perioperative practice. Storytelling as an educational tool allows nurses to promote positive practice behaviors while serving to illustrate caring and compassion for us all.

Healthcare Textile Laundering
Kathy Tinker, BA
Session 3738, 1.5 CH, Track: C, IC/IP, L/M, PS
With the growing concern for efficiency and reducing costs in operating rooms, home laundering of surgical scrubs has become a key concern. This session will provide you the much needed guidance regarding laundering of surgical attire (scrubs and surgical gowns) and surgical drapes. Proper processing of healthcare textiles such as scrubs, surgical gowns and drapes demand a specialized set of core competencies and protocols by a laundry provider.

"Oh My Aching Back"
Deborah Spratt, RN,MPA,CNOR,NEA-BC
Session 3904, 1.5 CH, Track: C,P
Musculoskeletal injuries are one of the most frequently occurring and costly occupational issues affecting nurses. Perioperative nurses are routinely faced with a wide range of ergonomic hazards that place them at risk for work related musculoskeletal injuries. This presentation will discuss AORN's guidance statement on "Safe Patient Handling and Movement in the Perioperative Setting"; the new tool kit that will help operationalize the guidance statement.

Concurrent Education Sessions
10–11:30am
The Pulse of Vascular Surgery
Michelle R. Tinkham, RN, BSN, PHN, MS, CNOR, CLNC
Stephanie Kefer,RN, BSN, CNOR
Jacqueline Thompson, RN, CNOR
Session 3817, 1.5 CH, Track: C, P
This session will cover numerous aspects of vascular and endovascular surgery.

Hybrid Procedures - Cardiac, GS, Orthopedics integration of specialty areas with combined procedures.
Understanding the Radiology side of Surgery.
Tools of the Trade (Will discuss various techniques for using wires and catheters, beds, and power injectors.)
Transition from Staff to Practitioner.
Ask the Experts (Round Table discussion with six experts to lead a discussion about “hot topics”).

Innovations in Total Knee Arthroplasty
Peter Lammens, MD, FRCS (c)
Session 3818, 1.5 CH, Track: A
Total knee replacement surgery has been around for over 50 years. In recent years new technology and innovative devices have significantly changed the new approaches to these procedures. Denver’s own new advances in knee procedure have led to new surgical approaches. Dr. Robert Greenhow will present the latest trends in total knee replacement surgery.

Design to Enhance Safe Patient Care
Kathleen A. Harder, Ph.D
Session 3903, 1.5 CH, Track: C, E, L/M
An introduction will be presented to using human factors systems design to enhance safe patient care in the perioperative setting. Human factors systems designers apply cognitive science—specifically with regard to the strengths and weaknesses of human information processing—to the design of processes and technology to facilitate improved human performance, minimize potential error, and enhance patient care. The impressive outcomes resulting from using human factors systems design to improve care delivery in preventing unintentionally retained foreign objects (in two major care systems) and developing a safe surgery process to prevent wrong-site surgery (in Minnesota hospitals) will be shown.

Legislation at Work: A Guide to Promoting Legislation in Your State
Claire R. Everson, RN, CNOR
Karen M. Knapp, RN, BSN, CNOR, CRNFA
Sarah L. Breckenridge, RN, BSN, CNOR
Pat Gussey, RN, MSN, LNC, CNOR
Belinda Jones, RN, CNOR, MBA
Claire Karas, RN, BSN, CRNFA, CMLSO
Session 3819, 1.5 CH, Track: P
The NLC and grassroots participants in target states will discuss the strategies used to promote the RN Circulator bill in their states. Strategies will include legislative efforts as well as seeking regulation within the state’s Department of Health. In addition, discussion of the teaching methods used in the education process of lobbying for the first time participant and the legislative representative through the use of storytelling, role playing and question and answer period. A segment will relate to public speaking before committees, meeting with the legislator and/or their aides, and developing relationships with the legislature will be discussed.

Laparascopic Assisted Pull Through for Hirshsprung’s Disease: An Alternative Surgical Approach
Dr. Charles "Jason" Smithers MD
Jeanette Diana RN
Stella Harrington, RN, BSN, CNOR
Session 3820, 1.5 CH, Track: C
Historically, the surgical repair for Hirschsprung’s Disease has been a two or three stage approach. Advancements in minimally invasive techniques have made the surgical management of Hirschsprungs’s a one stage pull through possible. Several pediatric centers throughout the United States, including Children’s Hospital, Boston, are using this approach. This session will describe the management of Hirschsprung’s Disease, including indications, the surgical procedure and perioperative nursing considerations. Working collaboratively with the nurses from the American Pediatric Surgical Nurses Association, the perioperative nurses from the AORN Pediatric Specialty Assembly will provide an overview of the nursing care involved in caring for the pediatric patient undergoing laparoscopic assisted pull through procedure.

The Best Way to Predict the Future is to Create It
Scott Friedman
Session 3829, 1.5 CH, Track: P
In these turbulent, globally competitive times, innovation and resourcefulness are essential to survival. This renowned program is fast-paced, humorous, and full of usable ideas on becoming a victor of change instead of a victim. Create a greater self-awareness as you learn to be driven by your values and purpose, rather than circumstances and emotions. Scott will provide the tools to create an environment that fosters creativity
and team spirit. As employees become more engaged, innovation, creativity and productivity rise.

Wrong Site Surgery: A Team Response
Elena Canacari, RN, CNOR
Charlotte Guglielmi, RN, BSN, MA, CNOR
Don Moorman, MD, FACS
Session 3822, 1.5 CH, Track: PS
Wrong Site Surgery has a far reaching impact on the patient, staff and the institution. This session will focus on one large academic teaching center’s experience with a wrong site surgery and its response. Concrete steps in refining a culture of safety that highlights patient safety through transparency, clinical staff empowerment and defined processes will be outlined. Steps to create a scripted “Time-out” and integration of the WHO Checklist will be presented. The process of creation of an environment in which “Buy-in” is the rule from surgeons, senior leadership, to point of care staff will be discussed.

Violence in the OR: Never Tolerated Events
Sharon McNamara RN, BSN, MSN, CNOR
Session 3824, 1.5 CH, Track: L/M, L/MO
Workplace violence behavior includes threats, physical/verbal attacks, property damage, and sexual harassment. The CSPS (Council on Surgical & Perioperative Safety) team is composed of surgeons, perioperative nurses, anesthesiologists, CRNAs, perianesthesia nurses, surgical technologists, and physician assistants. Their position is that “the responsibility to provide a violence free practice environment is shared throughout the organization, the perioperative team, and patients and families. This is reflective of AORN’s Guidance Statement on Creating a Patient Safety Culture, and provides the framework for this work. Through multimedia,discussion, and interactive exercise, CSPS will examine initiatives to facilitate and foster communication, team work, and essential dynamics to realize their mission of promoting a culture of patient and worker safety in the perioperative environment.

Employee Safety in the Perioperative Setting
Judy Pins, RN, BSN, MBA
Allynn Peterson, RN, MSA, CNOR
Session 3825, 1.5 CH, Track: P, PS
In this session Petersen who has responsibility for directing one of the busiest operating rooms in the nation, with over 60 OR’s and a staff of more than 700 people will discuss employee safety in the perioperative setting. American workers suffer over 4 million occupational injuries and illnesses each year and thousands die as a result of accidents at work. The operating room can be a very dangerous environment. Pins will share the importance of developing and implementing standards that prevent occupational injury, illness, and death. At this session you will learn the important steps perioperative nurses must take in order to protect themselves.

SUR G.I.Nurse: Integrating Endo in the OR
Jay Alan Redan, MD, FACS, ASCRS
Additional speakers invited.
Session 3737, 1.5 CH, Track: C
Have you been tasked to take on a GI lab case recently? This session will introduce you to the basics of endoscopic procedures performed in the GI lab that have migrated to the OR. Learn valuable insight from this group of GI nurses who will identify quick tips and troubleshooting advice to ease your discomfort when dealing with a GI procedure in the OR.

New Frontiers in Perioperative Education: Taking Periop 101 to the Caesarian Birth Room
Reuben Dekastle, RN, MSHA, CNOR
Katie Schimmelpfennig, RN
Susan Root, RN, MSN, CNOR
Session 3826, 1.5 CH, Track: E, L/M, P
This session identifies a collaboration between nurses sharing their varied roles and perspectives in the development of this new approach to teaching Labor and Delivery nurses perioperative nursing skills and the role of the circulator during childbirth. AORN developed a specific Periop 101 OB module that has brought measurable benefits to the Labor and Delivery nurses as circulators.

Second House of Delegates
12:30-2:30 pm
Join us for a longer session again this year to allow more time for discussion and completion of the official business of the Association. This will be an exciting session where election results will be shared, announcing the 2010-2011 AORN Board of Directors and Nominating Committee. Contact Hours may be awarded based on content.

Concurrent Education Sessions
1– 2:30pm
NurseSPEAK: A Program for the Development of a Perioperative Nurse
Debra Belgard, RN, MS, CNOR
Terry Leydon, RN, MSHCM, CPHQ
Session 3827, 1.5 CH, Track: E
As a Magnet™ initiative at The Methodist Hospital,we are providing opportunities to our nurses for presenting at conferences to represent our Magnet facility. The speakers will present how they organized a speaking group for their nurses called NurseSPEAK. Development of speaking skills is a reflection of personal and professional growth and a skill that empowers the nurse to effectively present and publicly speak. By participating in NurseSPEAK perioperative nurses expand communication skills in the perioperative setting. Speaking clearly and confidently is an empowering professional tool to effectively communicate.

Neuro-stimulation & the Treatment of Pain
Giancarlo Barolat, MD
Session 3828, 1.5 CH, Track: C
There are two main types of pain, nociceptive pain and neuropathic pain. Both types of pain can be acute, subacute or chronic. Neurostimulation is effective particularly in chronic neuropathic pain. A neurostimulator device is made of a pulse generator, one or more leads and intervening wires. All the parts are implanted under the skin. The leads can be implanted in the brain, in the spine and over a variety of nerves. Usually a one-week test trial is performed to see if the pain responds to stimulation. Patients with long-standing permanent pain conditions that have not responded to other more conservative modalities can be candidates for neurostimulation.

Lead Through Service Locally & Internationally- Delivering Health & Hope to the Needy Through
Project C.U.R.E
Douglas Jackson, PhD, JD
Session 3821, 1.5 CH, Track: E, P
This session will promote volunteerism amongst us all. Project C.U.R.E. is the world’s largest organization of its kind, delivering on an average two 40-ft. cargo containers of medical supplies for relief efforts every week. In the last 22 years, the organization has delivered medical relief to more than 120 countries worldwide. Founded in 1987 to help meet the endless need for medical supplies and services in developing countries, Project C.U.R.E. is headquartered in Centennial, Colo., outside of Denver. Project C.U.R.E. currently operates distribution and collection centers in fourteen U.S. cities. Project C.U.R.E.’s many volunteer nurses are from the local Denver Chapter of AORN.

Advances in Surgical Treatment of Non-Resectable Hepatic Tumors
David A. Iannitti, MD, FACS
Melissa S. Hunsinger, RN, CNOR,
Fabia Rosana De Oliveira Tlusty, RN, BSN, CNOR
Session 3830, 1.5 CH, Track: C
Globally the incidence of liver cancer is more than a million cases per year. Hepatic metastases continue to be the most common liver cancer in clinical practice. Hepatocellular carcinoma is the most common primary liver cancer. Recent technologies with promising results will be described - Intraoperative Microwave Ablation as an option for patients who are not candidates for surgical resection and 3D stereoscopic visualization and guidance for easier, faster and safer biopsies, and tumor ablations. This session will also discuss the OR nurses collaborative role for safe and successful patient outcomes.

Pushing the Ethical Limits: The Toronto Story
Genieve Dhani, RN, BScN
James Hornibrook, RN
Susanna Iammarino, RN, BScN
Session 3831, 1.5 CH, Track: E, P
Living related liver transplants, by their very nature, create unusual ethical issues. These types of surgeries will increase with chronic cadaveric donation shortages, causing hospitals to re-evaluate the current transplant patient list criteria. At Toronto General Hospital, we perform approximately 25% of all living related liver transplants in North America. Our patients, families, surgeons, front-line staff and hospital administrators face issues which push standard ethical limits. Speakers will discuss current guidelines and criteria, and explore new directions which push ethical boundaries.

Build a Bridge Between the OR & Supply Chain-What a Clinical Resource Manager/Value Analyst Can Do
Samantha Clague, RN, BSN
Nancy Wolfmeier, RN, MSN, CNOR
Session 3832, 1.5 CH, Track: L/M
Perioperative directors and managers, as well as specialty coordinators, are confronted with an ever-growing list of demands. High on that list of demands is the challenge to increase volume through quality outcomes and surgeon satisfaction, while also containing costs. This session will offer practical strategies to maximize the relationship between the perioperative staff and the CRM/VA to meet those demands. The specific benefits of the CRM/VA role to the OR and the facility will be reviewed.

Donation After Cardiac Death
Jennifer Prinz, RN, BSN, MPH, CPTC, CTBS
Session 3833 1.5 CH, Track: E/L
This presentation briefly outlines the donation after cardiac death process and focuses on the family’s presence at the time of extubation in the recovery suite. This session also discusses the challenges and solutions surrounding family presence within the recovery suite.

Electronic Medication Administration: The OR Solution
Stephanie Davis, RN, MSHA, CNOR
Amy Woods, RN, CNOR
Session 3835, 1.5 CH, Track: C, I, L/M, PS
This session will discuss the successful implementation of the medication administration bar coding technology in the OR at a 150-bed community hospital. Based on the finding of this pilot study, a national hospital corporation will initiate methods to implement throughout all their hospitals.

Sterilization Updates
Martha Young, MS, CSPOT
Session 3834, 1.5 CH, Track: A, C, E, IC/IP, PS
New updates will be discussed in regards to ST-79.

Closing General Education Session
3-4pm
Are You Infected?
Charles R. Denham MD
Session 3836, 1.0 CH, Track: P

Closing Session
4-5pm
Come celebrate the end of another successful Congress! See the highlights video from the events of the week. President Patrick Voight will pass the gavel to Charlotte Guglielmi and she will unveil the theme for the 2011 Congress in Philadelphia. The AORN Staff Award will also be presented at this session.

5-6pm
Candidates Reception Line

Evening Networking Opportunities (Optional)*

The below tours require advance registration at Convention Designs website. You may also contact Convention Designs directly at 303-650-8858. Tour cancellations received at Convention Designs offices by Wednesday, February 10, will receive a refund. Cancellations received after February 10 will not receive a refund.

Billiards and Brews ~ 6–9pm
Head to Denver’s Lower Downtown and experience the Wynkoop Brewing Company, Colorado’s oldest brew pub. The Morey Brown Room will be exclusively reserved for an evening of networking. Heavy appetizers, two cocktails, and pool included. Guests responsible for their own transportation. Venue within walking distance or short free ride on 16th Street shuttle.

Strike Up Some Fun ~ 6–9pm Canceled
With retro décor, upbeat music, gigantic video screens, upscale food, and an energetic staff, Lucky Strike Lanes will surely be a hit for a fun evening of networking. Heavy appetizers, two cocktails, and bowling equipment/ lanes included. Guests responsible for their own transportation. Venue within walking distance or short free ride on 16th Street shuttle.