Supporting Documents
2008 Multispecialty Conference
Clinical Track
Saturday, Oct 4 - Sunday, Oct 5
This two-day track presents information and best practices you should be applying in your daily perioperative practice! The sessions have been designed to address the latest clinical updates and recommended practices to ensure optimal safe patient care.
Earn 1.5 CE per session
Saturday, Oct 4
| 6:30 am - 8:00 am | Registration and Continental Breakfast |
| 7:00 am - 7:50 am | Networking Sessions |
8:00 am - 8:15 am 8:15 am - 9:45 am |
Welcome Concurrent Sessions Session 4825 Internal Fixation in Trauma Kenneth A. Scott, MD You will learn the types of internal fixation devices appropriate for specific types of orthopedic trauma. Methods of internal fixation will be explored. Session 4826 Bariatric Surgery: A Personal Account Terry Aldama, RN, MSN, CNOR, CRNFA This presentation will cover the pros and cons of gastric bypass surgery as well as the criteria to consider when choosing a center of excellence and a surgeon. Factors to consider when starting a program or evaluating a site will be discussed along with the role of the RNFA as an assistant and team member. Session 4827 History of Endovascular Surgery Stephanie Lynn Kefer, RN, BSN, CNOR After attending this session, participants will be able to identify milestones in endovascular surgery and benefits of endovascular AAA repair over open AAA repairs. Besides learning the history of endovascular surgery, operating room nurses will come away with tips on participating in an endovascular case or learn more about the process about placing an endovascular AAA stent. Session 4828 The Risky Business of Nursing Althea Dunscombe, PhD, RN, CNOR In 2000, the Institute of Medicine (IOM) reported that preventable medical errors were the eighth leading cause of death in the United States. Identification of causal and contributory factors is essential in preventing and reducing medical errors. Increasing awareness of potential areas of risk in our nursing practice and practice setting and being proactive with positive change is critical to safeguarding the lives entrusted into our care and your ability to continue to practice your chosen profession. This presentation will provide you with tools to evaluate your practice/practice environment and ideas for implementing safer patient care. Session 4829 moved to 10:00 am Session 4849 Catch the Wave of the Future: RDIF and Inventory Control Elaine Palm, PhD In this engaging discussion you'll learn the latest about what some say is the future of tracking technologies. Starting with Radio Frequency Identification (RFID) 101 and proceeding through the growing list of RFID applications in the health care setting, the speaker will provide an entertaining look at what's available right now and what the future holds. There will be a case study using one inventory tracking tool to show the real-time, hands-free advantages of RFID over barcodes. But RFID is not the panacea for everything and this session will also address area where alternatives make more sense. |
| 9:45 am - 10:00 am | Break |
| 10:00 am - 11:30 am | Concurrent Sessions Session 4829 Managing Loaner Instrumentation Rose Seavey, RN, BS, MBA, CNOR, ACSP This presentation will help perioperative informatics professionals understand the importance of having written policies on managing loaner instrumentation for patient safety. It will cover recommended practices from AORN and AAMI as well as the ASHCSP/IAHCSMM Position Paper on Loaner instrumentation. In addition the presenter will show how bar coding technology can be used to document and track loaner sets of instruments. Session 4830 Disaster Ethics and Nursing: Dealing with Dilemmas Kathryn Schroeter, PhD, RN, CNOR As nurses are all too aware, there are ethical conflicts inherent to health care. These conflicts become even more evident during times of disaster. The principles of justice and utility are paramount during such situations. This causes conflict with the autonomy that is normally prevalent in our current health care environment. What principles should guide nurses and other health care providers? Ethical burdens, such as scarce resources, abound during disasters. Nurses need to be at the forefront of planning and preparation for such events. This presentation brings forth a discussion of bioethics during times of disaster and how nurses can be better prepared to deal with such occurrences. Session 4831 moved to Sunday at 8:00 am Session 4832 Rx for Endovascular Complications Jacqueline Thompson, RN, BSN, CNOR & Glenn Bertling, RN, CNOR, CRNFA With increasing numbers of vascular procedures being performed using endovascular techniques, it is paramount that perioperative nurses restructure their nursing care plans plan for the potential variety of new and different complications. Minimally invasive endovascular techniques can lead to the presumption that the complications are also minimal, causing the perioperative nurse to be caught off guard. Complications vary according to the endovascular procedure being performed. Commonly performed endovascular procedures include repair of aneurysmal disease of aorta, iliac, and popliteal arteries as well as occlusive or atherosclerotic lesions in the carotid and upper and lower extremities. Using a "Risk Assessment Tool" nurses can evaluate each endovascular patient for risk identifiers that predispose these patients to complications. These risk identifiers fall into three categories: physiological, procedural, and anatomical. The implications of these risk identifiers will be discussed and reviewed for relevance related to potential complications. Once the risk potential for complications has been completed, the perioperative nurse will use the "Complication Acuity Scale" to plan and intervene in the event of an endovascular complication. Discussion will include the complications that occur with endovascular procedures and their respective nursing interventions. Use of the "Risk Assessment Tool" and "Complication Acuity Scale" will enhance the perioperative nurse's ability to plan accordingly and improve the outcomes for patients undergoing endovascular procedures. Session 4833 Craniotomy: Tumors and Positioning Patricia Darnell, RN, BSN, MBA Many patients around the world receive the devastating news that they have a brain tumor. There are a wide variety of tumors in different areas of the brain that can be treated in numerous ways. The approaches are dependant on the location, as well as the type of tumor. Some patients' tumors are treated by chemotherapy or radiation while others are surgically removed. Each surgical patient requires specific positioning depending on the approach used in the operating room. Positioning devices appropriate for each patient will be necessary to provide and maintain the safe patient environment. Session 4834 Recommended Practice Update: Moderate Sedation Cecil A. King, RN, MS, CNOR This session will discuss the revisions to the AORN Recommended Practice for Managing the Patient Receiving Moderate Sedation. The basic competencies, knowledge, and skills necessary for the safe administration of moderate sedation during operative and other invasive procedures will be reviewed. Patient selection, assessment, pharmacological agents, and monitoring equipment will be discussed. |
| 11:30 am - 12:45 pm | Lunch on your own |
| 12:45 pm - 2:15 pm |
Concurrent Sessions Session 4835 moved to Sunday at 10:15 am Session 4836 (repeat) Managing Loaner Instrumentation Rose Seavey, RN, BS, MBA, CNOR, ACSP This presentation will help perioperative informatics professionals understand the importance of having written policies on managing loaner instrumentation for patient safety. It will cover recommended practices from AORN and AAMI as well as the ASHCSP/IAHCSMM Position Paper on Loaner instrumentation. In addition the presenter will show how bar coding technology can be used to document and track loaner sets of instruments. Session 4837 Recommended Practice Update: Positioning Bonnie Denholm, RN, MS, CNOR This session will provide an overview of the updated sections of the AORN Recommended Practices for Positioning the Patient in the Perioperative Practice Setting. The content will include a discussion on the potential complications from intraoperative positioning of surgical patients, patient assessment considerations that relate to potential risks of injury caused by intraoperative positioning, and ergonomic considerations for staff members who are involved in patient transfers and intraoperative positioning. Pressure ulcer classification and postoperative wound assessment will also be included. Session 4838 Management of Surgical Hemostasis: Topical Agents? Donna Watson, RN, MSN, CNOR, ARNP, FNP Topical hemostatic agents are widely used in surgery, despite limited clinical and level 1 research data on efficacy and safety. As a result, the mechanisms of action, risks, and benefits of these agents are not well known or considered. Utilization depends on factors such as cost, ease of use, availability, and personal preference and experience of the surgical team. Given the variety of topical hemostatic agents, the recent availability of new agents, and lack of evidence based guidelines regarding their use, this session will describe the mechanisms and use of different topical agents in various surgical settings. Session 4839 The Image of Nursing Kathryn Schroeter, PhD, RN, CNOR This presentation provides a historical review of the image of nursing as portrayed in 20th century American popular culture publications and other media, from pulp novels, to comic books to television. This entertaining and highly visual program describes the evolving perception and depiction of nursing, along a timeline, throughout the last century. Nurses make up the largest segment of health care providers in America and they need to understand how they are perceived and how they can influence this perception and enhance patient care activities. Implications of this review will be discussed with the spotlight on how nurses and nursing, as a profession, will be portrayed in the future and what nurses can do to influence that depiction. Session 4850 Anatomy of a Lawsuit Anne Roy, RN, JD, CASC With growing concern about lawsuits in the health care industry, this session will focus on the elements necessary for a lawsuit, what are the frequent episodes occurring in the operating room (OR) that may develop into a lawsuit, and how the OR staff can minimize their risk of being sued. |
| 2:15 pm - 2:30 pm | Break |
| 2:30 pm - 4:00 pm | Concurrent Sessions Session 4840 Robotics 101 Carol Mackin-Eecker Session 4841 (repeat) Recommended Practice Update: Moderate Sedation Cecil A. King, RN, MS, CNOR This session will discuss the revisions to the AORN Recommended Practice for Managing the Patient Receiving Moderate Sedation. The basic competencies, knowledge, and skills necessary for the safe administration of moderate sedation during operative and other invasive procedures will be reviewed. Patient selection, assessment, pharmacological agents, and monitoring equipment will be discussed. Session 4842 ENT Emergencies Edward Dickerson, MD Session 4843 Not All Surfaces Are Created Equal: Preventing Pressure Ulcers in the OR Wendy Valentine, RN, MSN, CNOR According to the "Preventing 5 Million Lives from Harm Campaign," surgical patients under anesthesia for extended periods of time often experience an increased risk of developing pressure ulcers. All surgical patients, in all three phases of perioperative care, should receive a skin assessment and a risk assessment. Perioperative nurses then need to implement prevention strategies for all surgical patients identified as being at risk. Relevant risk factors for surgical patients and examples of usage in an electronic patient record will be shared. Evidence related to the selection of appropriate redistribution surfaces will be discussed. Session 4844 (repeat) Craniotomy: Tumors and Positioning Patricia Darnell, RN, BSN, MBA Many patients around the world receive the devastating news that they have a brain tumor. There are a wide variety of tumors in different areas of the brain that can be treated in numerous ways. The approaches are dependant on the location, as well as the type of tumor. Some patients' tumors are treated by chemotherapy or radiation while others are surgically removed. Each surgical patient requires specific positioning depending on the approach used in the operating room. Positioning devices appropriate for each patient will be necessary to provide and maintain the safe patient environment. |
| 4:00 pm - 6:00 pm | Exhibit Hall Opening Reception Join your colleagues and surgical industry representatives at the opening of the exhibit hall. Welcome by AORN president Sue Banschbach, RN, MSN, CNOR. |
Sunday, Oct 5
| 6:30 am - 8:00 am | Registration and Continental Breakfast |
| 7:00 am - 7:50 am | Clinical Networking Sessions |
| 8:00 am - 9:30 am | Concurrent Sessions Session 4831 Hot Topic Speaker invited Session 4845 Red Alert: Incorrect Counts Janet Ashby, RN, CNOR & Wanda Marshall, RN, MSN, CNOR Sentinel events serve as a warning to clinicians that changes in clinical practice are needed. Even though perioperative nurses strive to provide the highest quality of patient care possible, errors do occur. When there were two sentinel events involving incorrect surgical counts, our operating room developed a proactive patient injury prevention strategy to educate the staff and prevent harm to our patients. Session 4846 moved to 1:00 pm Session 4847 (repeat) The Risky Business of Nursing Althea Dunscombe, PhD, RN, CNOR In 2000, the Institute of Medicine (IOM) reported that preventable medical errors were the eighth leading cause of death in the United States. Identification of causal and contributory factors is essential in preventing and reducing medical errors. Increasing awareness of potential areas of risk in our nursing practice and practice setting and being proactive with positive change is critical to safeguarding the lives entrusted into our care and your ability to continue to practice your chosen profession. This presentation will provide you with tools to evaluate your practice/practice environment and ideas for implementing safer patient care. Session 4848 (repeat) The Image of Nursing Kathryn Schroeter, PhD, RN, CNOR This presentation provides a historical review of the image of nursing as portrayed in 20th century American popular culture publications and other media, from pulp novels, to comic books to television. This entertaining and highly visual program describes the evolving perception and depiction of nursing, along a timeline, throughout the last century. Nurses make up the largest segment of health care providers in America and they need to understand how they are perceived and how they can influence this perception and enhance patient care activities. Implications of this review will be discussed with the spotlight on how nurses and nursing, as a profession, will be portrayed in the future and what nurses can do to influence that depiction. Session 4849 moved to Saturday at 8:00 am Session 4858 Facial Rejuvination: Cultural Differences Through the Ages Edward Dickerson, MD |
| 9:30 am - 10:15 am | Morning Coffee Break with Exhibitors |
| 10:15 am - 11:45 am | Concurrent Sessions Session 4835 Implantable Wireless Pressure Sensors in Endograft Repairs of an Abdominal Aortic Aneurism Alma Reber, RN, CNOR Implantable wireless pressure sensors have become a valuable tool in monitoring the successful exclusion of the aneurysmal sac during an endograft repair of an abdominal aortic aneurysm. As the physician becomes more comfortable with the reliability of the sensors, patient exposure to contrast media along with both patient and staff exposure to radiation will be reduced. Reduction of the amount of contrast media used is especially important in patients who have borderline or high creatinine levels. The implantable wireless pressure sensor offers an alternative to post procedure CT scans for endoleaks, again reducing the patient's exposure to both radiation and contrast media. Session 4850 moved to Saturday at 12:45 pm Session 4851 (repeat) Management of Surgical Hemostasis: Topical Agents? Donna Watson, RN, MSN, CNOR, ARNP, FNP Topical hemostatic agents are widely used in surgery, despite limited clinical and level 1 research data on efficacy and safety. As a result, the mechanisms of action, risks, and benefits of these agents are not well known or considered. Utilization depends on factors such as cost, ease of use, availability, and personal preference and experience of the surgical team. Given the variety of topical hemostatic agents, the recent availability of new agents, and lack of evidence based guidelines regarding their use, this session will describe the mechanisms and use of different topical agents in various surgical settings. Session 4852 Creating a Culture of Safety Sheila Allen, RN, BSN, CNOR, CRNFA(E) Session 4853 ACL Reconstruction: Preparing the Patellar Tendon Allograft Nancy Rove, RN, BA, CNOR, CRNFA This lecture will show the OR equipment and instrumentation necessary to perform an ACL reconstruction. Included is the fashioning of the patellar tendon allograft using saw, burr, rongeur, and drill; femoral fixation options (rigid fix vs femoral screw); and tibial fixation. The use of a hamstring autograft technique will be explored. Session 4854 Hot Topic Speaker Invited |
| 11:45 am - 1:00 pm | Lunch on your own |
| 1:00 pm - 2:30 pm | Concurrent Sessions Session 4846 (repeat) Recommended Practice Update: Positioning Bonnie Denholm, RN, MS, CNOR (Session 4858 Moved to 8:00 am) This session will provide an overview of the updated sections of the AORN Recommended Practices for Positioning the Patient in the Perioperative Practice Setting. The content will include a discussion on the potential complications from intraoperative positioning of surgical patients, patient assessment considerations that relate to potential risks of injury caused by intraoperative positioning, and ergonomic considerations for staff members who are involved in patient transfers and intraoperative positioning. Pressure ulcer classification and postoperative wound assessment will also be included. Session 4855 (repeat) Robotics 101 Carol Mackin-Uecker Session 4856 The RN First Assistant: From Novice to Beginner Ann E. Tyrrell, RN, BSN, MSN, ANP, CNOR, CRNFA Behavioral expectations for a RNFA in first time assistant roles. Expected behaviors for cases frequently performed (lap choles). Behavior expectations for complex cases, ie CABG, thoracic, vascular, ELG, neuro, ortho procedures, etc. Factors to promote professional growth, ie, publications, presentations to coworkers & professional meetings, advanced education, preceptorships, etc. Session 4857 What You Need to Know About Bone Cement Stephanie Davis Bone cement implantation syndrome (BCIS) is a rare but often deadly complication. It is caused by the seal of pressure that develops when the prosthesis is inserted after the cement has been placed, not by the cement itself. This presentation will discuss the theories and history of BCIS as well as the specific interventions that can be done by the physician, anesthesia, and the surgical team. Quick recognition of the signs and symptoms of BCIS, followed by prompt treatment, can greatly increase the survival rate. Session 4858 moved to Sunday at 8:00 am Session 4859 Surgical Options for Lung Cancer: A Case Study Approach Susan Collazo, RN, MSN, ARNP |
| 2:30 pm - 3:00 pm | Break with Exhibitors |
| 3:00 pm - 4:30 pm | Concurrent Sessions Session 4860 (repeat) The RN First Assistant: From Novice to Beginner Ann E. Tyrrell, RN, BSN, MSN, ANP, CNOR, CRNFA Behavioral expectations for a RNFA in first time assistant roles. Expected behaviors for cases frequently performed (lap choles). Behavior expectations for complex cases, ie CABG, thoracic, vascular, ELG, neuro, ortho procedures, etc. Factors to promote professional growth, ie, publications, presentations to coworkers & professional meetings, advanced education, preceptorships, etc. Session 4861 The ABC's of Breast Cancer Lauralee Krabill, RN, MBA, CNOR Session 4862 Retained Foreign Objects Sheila Allen, RN, BSN, CNOR, CRNFA(E) Session 4863 When Bad Things Happen to Good People - An Analysis of Factors Related to Adverse Intraoperative Events Rhonda Anders, RN, BSN, MSM, CNOR The presentation will provide an overview of the known causes of adverse intraoperative patient events and injuries including a review of available surgical claims data, human factors and system factors known to contribute to an increase risk of adverse intraoperative events. Risk reduction initiatives will also be discussed. |
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