Announcements
Early-Bird Registration Deadline: January 26, 2009
Related Links
Daily Congress Schedule - Monday, March 16, 2009
7 am – 5 pm
Poster Displays
Research/Evidence-Based Practice and Clinical Improvement/Innovation poster displays will be available for daily viewing during Congress week.
8 – 10:15 am
Opening Ceremony
Join thousands of your colleagues and friends to kickoff Congress in grand style! Experience what it feels like to be part of a sea of perioperative professionals coming together from all over the world and from all practice areas. Feel the excitement in the room and the electrifying emotions felt when the opening procession marches through the crowd. The feeling of immense joy and pride in your profession makes this a session like no other. Don’t miss this extraordinary experience!
10:30 – 11:30 am
Keynote Education Session - What If and Why Not?
Session 2380, Speaker: Mike Rayburn
11:30 am – 1 pm
Authors at Poster Displays
Meet and talk to 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.
Concurrent Education Sessions
1 – 2:30 pm
Influencer: The Power to Change Anything
Stacy Nelson, BA, M.Ed, Ed.D
Session 2381, 1.5 CH, Track: P
The most important talent you can have is the capability to influence behavior. In this fast-paced, inspiring presentation based on New York Times bestseller Infl uencer: The Power to Change Anything, you will learn to create rapid and sustainable change. You will fi nd out why some leaders have increased productivity repeatedly and signifi cantly while others have failed miserably. In short, you will discover how to motivate yourself and others to do things you don’t feel like doing. Once you tap into the power of infl uence, you can begin to solve the problems you care about most, from the simplest to the most persistent, resistant, and profound challenges you can imagine.
Clinical Pathways: Key to Improving Clinical Documentation
Katherine Halverson-Carpenter, RN, MBA, CNOR
Session 2382, 1.5 CH, Track: I +
This session will discuss the development of clinical pathways in perioperative nursing documentation, focusing on perioperative documentation. The speakers will share their experiences in clinical pathway development, including the incorporation of the Periopative Nursing Data Set (PNDS) into pathway development. Discussion of clinical pathways will include benefi ts of improved documentation quality, easier documentation for nursing staff — especially in ambulatory surgery settings — and standardization of documentation across care providers.
Legislation at Work: A Guide to Promoting Legislation Within Your State
Sarah Breckenridge, RN, BSN, CNOR; Pat Gussey, RN, MSN, CNOR; Claire Karas, RN, BSN, CNOR, CRNFA; Edgar Nelson, RN, BS, EDM, CNOR; Sharon Robinson, RN, MSN, CNOR
Session 2383, 1.5 CH, Track: P
The National Legislative Committee (NLC) and grassroots participants in target states will discuss the strategies used to
promote the RN circulator bill in their states. Strategies include legislative efforts and seeking regulation within the state’s
Department of Health. Other discussions will include 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 a question-and-answer period. A segment will relate to testifying before committees, meeting with legislators or their aides, and developing relationships with the legislature.
The Power of the Global Perioperative Nursing Voice
Jane Helen Reid, RGN, DPNS, BSc(Hons), PGCEA, MSc; Mary Jo Steiert, RN, BSN, CNOR
Session 2384, 1.5 CH, Track: P
During the past century, surgery has proved an essential component of health care worldwide, with an estimated 230
million major operations now performed across the globe on an annual basis. Nurses are at the heart of the perioperative team and the delivery of front-line surgical services. Nurses at every level — be they clinical, managerial, or academic — are central to securing change and quality improvements for patients. Perioperative nurses enjoy powerful networks that cross organizational boundaries and connect regions, states, and countries. We must recognize our true potential for bringing about change.
Expectations of the Joint Commission’s new Transplant Safety Chapter…and Beyond
Scott Brubaker, CTBS
Session 2385 (This session will be repeated in Session 2468 on Thursday), 1.5 CH, Track: C +
In early 2008, as part of its Standards Improvement Initiative (SII), the Joint Commission released information regarding
the development of a new transplant safety chapter. The Joint Commission’s standards are used increasingly by organizations as a management aid to drive improvements in operations and in the quality and safety of care. The increases experienced in transplantation of tissues and organs requires hospital management to continuously assess how these services can be optimized. This presentation will describe applicable federal regulations (the Organ Procurement and Transplantation Network [OPTN] policy and FDA rules and guidance) and Joint Commission standards to clarify compliance expectations for handling tissues and organs for transplantation.
TIGER Initiative
Diane Skiba, PhD, RN, FAAN, FACMI
Session 2386, 1.5 CH, Track: I +
The Technology Informatics Guiding Education Reform (TIGER) Initiative resulted from the 2006 invitational summit entitled “Evidence and Informatics Transforming Nursing.” The goal of this initiative is to enable practicing nurses and nursing students to fully engage in the unfolding digital era of health care. This session will provide an overview of the seven pillars of the TIGER Initiative, progress made so far, and the vision for the future.
All in Favor say EYE!
Edward Dickerson, MD
Session 2387, 1.5 CH, Track: C
Our eyes are our welcome to others. They allow us to communicate emotions without saying a word. They are also one
of the fi rst facial features to show signs of aging, and when they do, they may send a message we do not mean to send. The once refreshed face now has excess skin that touches the eyelashes or demonstrates a hooding effect. This presentation is geared toward those “aging eyes” and what options are available for anti-aging and rejuvenation.
Recommended Practices Update
Renae Battié, RN, MSN, CNOR; Judith Goldberg, RN, MSN, CNOR; Peter Graves, RN, BSN, CNOR
Session 2388, 1.5 CH, Track: P +
The AORN Recommended Practices (RPs) are an indispensable guide to perioperative nurses for clinical decision making. Attend this session and prevent a knowledge defi cit that may result in failure to recognize the value of the RPs and their use in clinical practice. The purpose of this presentation is to increase awareness of the RPs, describe the rationale for changes, and inspire perioperative nurses to participate in the review process.
Working Toward Zero Infection Rate
Maureen Spencer, RN, MEd, CIC
Session 2389, (1.5 CH), Track: C +
This informative session will describe the process that a facility pursued beginning in 2003 to reduce surgical site infections (SSIs), and hospital-acquired infections (HAIs). They formed an interdisciplinary team, identified the problems, and then developed action plans for each of the problems. You will learn about hospital cost related to health care-associated infections, the action plans to get to a zero infection rate, the outcomes, and the future steps.This is a plan that others can replicate.
Exploring the Keys to Preventing
Unintentionally Retained Objects: Teamwork & Collaboration
Charlotte Guglielmi, RN, BSN, MA, CNOR
Session 2390, 1.5 CH, Track: C +
The prevention of unintentionally retained objects is a team responsibility. This program will go far beyond how to count to five, demonstrating a comprehensive strategy based on teamwork, collaboration, effective communication, and evidence-based practice. Topics will include management of incorrect counts, policy development, documentation and skills assessment, steps to take when objects are intentionally retained or intentionally not retrieved, and development of a digital radiological library to support care.
Navigating the New Joint Commission Ambulatory Standards
Virginia McCollum, RN, MSN
Session 2391, 1.5 CH, Track: A
In the continuous effort to improve ambulatory surgery standards, the Joint Commission has launched a standards improvement initiative to clarify standards language, ensure that standards are program-specifi c, delete redundant or nonessential standards, and consolidate similar standards. This initiative included significant input by representatives of accredited freestanding ambulatory surgery center customers. Additional benefits to freestanding ambulatory surgery centers are the reorganization of standards manuals and the refi nement of the scoring and decision process. An overview of this standards improvement initiative and examples of standards improvement will be provided. Discussion will include changes to the standards the manual structure and standards changes, including movement of standards concepts within the chapter structure.
Leadership Academy Presentations
Members of the AORN/OMU Leadership Academy Program
Session 2392, (1.5 CH), Track: L/M
The members of the fi rst AORN/OMU Leadership Academy Program will present their leadership projects. The topics to be covered are using influence to lead across departments, having the difficult conversation, and leading challenging teams. Learn how these leaders made a positive impact.
3 - 4:30 pm
Just Who Will You Be? Defining Women’s Leadership and the Continuing Journey
Lillian H. Nicolette, RN, MSN, CNOR; Linda K. Groah, RN, MSN, CNOR, CNAA, FAAN
Session 2393, 1.5 CH, Track: P
Sometimes life happens to you! This session is the continuing journey of the highly successful program given at the 2008 AORN Congress. It will begin to ask the question, are you ready for a change? This session will explore issues of women standing at the crossroads in their career and how to decide where to go next. It will identify the differences and similarities in today’s diverse work environments. The speakers will explore the issues surrounding moving to the next level in an organization and the sacrifi ces that may be necessary to get there. Additionally, the speakers will identify and discuss real-life scenarios related to leadership and how to identify the right path for yourself as a professional.
ENT Emergencies: Preop, Intraop, and Postop
Edward Dickerson, MD
Session 2394, 1.5 CH, Track: C +
Emergencies of the head and neck may be diagnosed in the emergency department, but the safest place for critical management is in the OR. Notable preoperative emergencies include airway obstruction, head and neck infections, and trauma. Airway bleeding, pediatric emergencies, vision compromise, hearing loss, extubation crises, and swallowing difficulties are just a few of the postoperative concerns that the perioperative nurse must recognize and triage in a timely manner. This session will identify key critical elements of recognizing preoperative, intraoperative, and postoperative ENT emergencies.
The Geriatric Patient: Special Needs in the OR
Judith L. Clayton, RN, CNOR
Session 2395, 1.5 CH, Track: C +
Older adults are at higher risk than younger individuals for complications during and after surgery. Successful surgical
management of an older person’s health problems depends on the nurse’s understanding of the age-related factors that may affect the outcome of normal surgical procedures. Carefully planned, effective nursing care during the perioperative period will help reduce surgical morbidity in older adults. Age-specific nursing care techniques that are provided during the preoperative, intraoperative, and postoperative phases of the surgical experience are covered in this presentation, with focus on the assessment and preparation of the older patient for both planned and unplanned surgery.
Can You Hear Me Now? Noise in the Perioperative Setting
Bernadette Stringer, PhD, RN, MSc
Session 2396, 1.5 CH, Track: P +
Numerous studies carried out over the last decade have shown that perioperative noise is much higher than recommended. These noise levels can impair speech comprehension, lead to distraction or interruption of tasks, and result in occupational stress. Noise in the perioperative environment can be reduced relatively easily and inexpensively by intervening directly at the level of noise sources and on characteristics of the perioperative environment.
Embracing Health: Stamping Out Surgical Smoke in Our Lifetime
Kay Ball, RN, BSN, MSA, CNOR, FAAN; Vangie Dennis, RN, CNOR, CMLSO; Brenda Ulmer, RN, MN, CNOR; Wendy Winer, RN, BSN, CNOR
Session 2397, 1.5 CH, Track: P +
Surgical smoke has been conclusively shown to be hazardous to the health of the surgical team. Equipment and supplies are available to effectively and easily evacuate this plume, but compliance is still inconsistent. This session will describe research that documents unacceptable compliance, will highlight health problems nurses are having after years of inhaling surgical smoke, and will share strategies to ensure suffi cient compliance. The new AORN Surgical Smoke Tool Kit will be introduced, and the speaker will explain how it can be employed to guarantee compliance and the evacuation of all surgical smoke.
AORN Leaders: Embracing the Future
Barbara Jane Alcock, RN, BSN, CNOR; Callie S. Craig, RN, MS, BSN, CNOR; Donna A. Ford, RN-BC, MSN, CNOR; Kevin Metzing, RN, BS, CNOR; Karen White, RN, BSN, MBA, CNOR
Session 2398, 1.5 CH, Track: P
This presentation will review pathways to excellence in leadership and the many leadership opportunities available to AORN members. The presenters will examine the qualities possessed by excellent leaders and discuss various ways in which individuals can cultivate their own leadership skills through various activities in AORN. Various AORN leaders will provide testimonials of their own leadership experiences and provide examples of ways these experiences have enhanced their professional practice and improved their interpersonal skills. The pathway to leadership in AORN and other ways to develop leadership skills in AORN also will be discussed.
Hot Topic
Speaker invited
Session 2399, 1.5 CH, Track: P
Change occurs rapidly in health care. This session will be identified in early January and will explore a topic that you need to know as a result of change.
Using Evidence to Eliminate Flash Sterilization in an Ambulatory Setting
Linda Nimmo, RN, CNOR, ANM
Session 2400, 1.5 CH, Track: A +
Providing sterile surgical instrumentation is a key component in patient safety. Flash sterilization may be associated with an increased risk of infection to patients. It is important for PeriOperative staff to understand the importance of using flash sterilization only in selected clinical situations. A quality control program that measures fl ash sterilization and identifies high volume instrumentation will be presented.
Evidence-Based Design
Cheryl Herbert, RN, MBA, FACHE
Session 2402, 1.5 CH, Track: P
Participants will gain knowledge about evidence-based design and its application at Dublin Methodist Hospital, a new nonreplacement community hospital that opened in January 2008. Evidence-based design elements that can be utilized in renovation, expansion, or new construction projects will be presented. Results from the fi rst year of operation will be shared. With a promise made to the community to “redefi ne the way patient care is provided in Central Ohio,” Dublin Methodist has a unique building, culture, and process. Information and other technology play a key role in this almost paperless facility.
A “New” Twist on Pay-for-Performance: “Never Events” and CMS Quality Measures
Kathleen A. Catalano, RN, JD
Session 2403, 1.5 CH, Track: P
This session will provide an overview of the current pay-forperformance (P4P) and transparency climate in the United States and will include a discussion of P4P trends, key policy issues, “never events,” CMS quality measures, and challenges for implementing P4P. The quality and effi ciency derived from P4P also will be reviewed, along with the impact P4P will have on perioperative services and professionals.
No Bodies Left Behind: Eliminating RFB
Pamela Booker, RN, MSN, CNOR; Tori Howk, RN, MS, PPHQ
Session 2404, 1.5 CH, Track: L/M, C +
In October 2008, the Centers for Medicare and Medicaid Services (CMS) will implement a proposed rule under the hospital inpatient prospective payment system for fi scal year 2009. They are proposing to select nine categories of hospital-acquired conditions, greatly affecting the area of surgical services/obstetrics is the foreign object retained after surgery. This pay-for-performance environment is demanding that health care facilities prevent these occurrences from happening. In this session, opportunities for improvement will be shared, such as a strong recommendation that hospitals monitor compliance with or create a standard count policy in every procedure/operation, including obstetrical, in the
hospital ambulatory surgical division. Hear about one group’s journey from poor to great in the occurrence of retained
foreign bodies.
Legislative Mumbo Jumbo: Tips For Making Sense of It All
Denise Jackson, RN, MSN, CNS, CRNFA
Session 2406, 1.5 CH, Track: P
Perioperative nurses do not have to be professional lobbyists to read and understand legislative language. Now more than ever, it is imperative for perioperative nurses at the grassroots level to have a basic understanding of how to locate, dissect, and read a bill in order to determine the potential impact it will have on perioperative nursing practice. This session will provide attendees with tools to locate bills, break them down into key sections, and apply them to AORN’s Legislative Principles.
3:30 - 4:30 pm
International Attendee Town Hall Meeting
5 – 6:30 pm
Anesthesia Information System Adoption
Jon Correia, RN, BSN, BS, MBA, MHA, CNOR
Session 2401, 1.5 CH, Track: I +
Anesthesia represents the last barrier of acceptance to electronic information systems. This presentation explores the dynamic that exists between facilities that desire an anesthesia information system and the anesthesiologists who are resistant to such a system. Based on their experience with bringing other areas online with electronic documentation, facilities expect to see great fi nancial, reporting, and patient safety gains from bringing anesthesia online with a system. Anesthesiologists, however, have real concerns about losing control of their records and increasing their risk for litigation if they are forced to go live with an electronic system. The solutions explored will be based on real-life accounts of anesthesia system adoption and will leave viewers with strategies for successful adoption of anesthesia information systems.
Your Hospital Is Buying a Robot, Now What? What You Need to Know from Purchase to Proficiency
Annette Wasielewski, RN, BSN, CNOR
Session 2405, 1.5 CH, Track: P
Surgical robotic systems are being sold at a rate of one per day. These systems are expensive and complex and require dedicated, well-trained teams. This presentation will give the participant an understanding of what is necessary to establish an excellent multidisciplinary robotics program and how to accomplish this. It will describe common pitfalls, robotic advantages and disadvantages, direct and indirect costs, team training, and team member scope of practice and required competencies. It also will address the fi nancial implications and challenges of robotic surgery. The aim of this presentation is to help you establish a proficient, fiscally solid, energized, multidisciplinary robotic program.
SCIP-Lessons Learned from High Performers
Gina Brennan, RN, BSN, CNOR; Stephanie Sfikas Davis, RN, MSHA, CNOR
Session 2407 (Will be repeated in Session 2456 on Thursday), 1.5 CH, Track: L/M
The Surgical Care Improvement Project (SCIP) is one of four core measure sets required by the Centers for Medicare and Medicaid Services. Surgical site infections account for 14% to 16% of all hospital-acquired infections and are a common complication of care. A diverted surgical site infection avoids $3,152 in hospital costs and seven days of additional hospitalization. Postoperative complications dramatically increase length of stay, hospital costs, and mortality. The odds of dying within 60 days increases 3.4-fold in patients with complications. You will learn from a hospital corporation’s viewpoint and from a facility director’s viewpoint how to maximize your SCIP core measure performance by learning from the best of the best.
Hot Topic
Session 2408, 1.5 CH, Track: P
Change occurs rapidly in health care. This session will be identified in early January and will explore a topic that you need to know as a result of change.
Improving the Quality of Trauma Patient Care in the OR
Mary Ferraro, RN, BSN, MBA; Jeffrey Ward, RN
Session 2409, 1.5 CH, Track: C +
The “Trauma Basics for the OR” course began as a checklist developed to hardwire staff roles and responsibilities during a trauma in the OR. It has grown to be a Trauma Education Committee that has developed a course to improve OR staff understanding and knowledge. We believe this improves the quality of trauma patient care. This committee includes two education program managers, five OR RNs, three surgical tecnologists, and three trauma surgeons. The committee has developed the course to include team training and trauma simulations. Included in this talk will be lesson planning for trauma basics in the OR, the trauma checklist, hand-off forms for ED to OR and OR to surgical intensive
care unit (SICU), and trauma simulation scenarios.
TIGER Initiative
Diane Skiba, PhD, RN, FAAN, FACME
Session 2410 (Repeat of Session 2386), 1.5 CH, Track: I +
The Technology Informatics Guiding Education Reform (TIGER) Initiative resulted from the 2006 invitational summit entitled “Evidence and Informatics Transforming Nursing.” The goal of this initiative is to enable practicing nurses and nursing students to fully engage in the unfolding digital era of health care. This session will provide an overview of the seven pillars of the TIGER Initiative, progress made so far, and the vision for the future.
Surviving Waves of OR Automation
Myra Jo Beach, RN, BSN, MBA, NE-BC; Jacqueline A. Sions , RN, BSN, CNOR, NE-BC
Session 2411, 1.5 CH, Track: L/M +
OR nurses experience waves of technology in their work environment. Technological advances are moving ORs into new documentation arenas as states strive to implement electronic patient records. This presentation will share a Magnet™ Level I trauma center’s quest to go from a manual to an automated perioperative record while the whole health sciences campus is implementing a new system-wide health information system. Methodologies to design and build computerized intraoperative documentation screens, preoperative checklists, and preference cards will be overviewed. Equipment considerations of workstations on wheels and greaseboards, also will be shared.
The New Magnet™ Model and Your Perioperative Practice
Cynthia Sweeney, RN, MSN, CNOR
Session 2412, 1.5 CH, Track: P +
The Magnet Recognition™ program continues to evolve to reflect the changes in the health hcare environment. Organizations are challenged to do the same. In this session, participants will explore the new magnet™ model and its application to the perioperative practice environment. Components of the new Magnet™ model
and how each component is applied to the practice of periopertive care will be described and discussed along with the future of perioperative practice relative to Magnet™ recognition.
Qualitative Simulation for Health Care (QSH)
Lydia L. Forsythe, PhD, RN, MSN, MA, CNOR
Session 2413, 1.5 CH, Track: P +
Qualitative simulation offers a unique environment to build collaborative communication skills and experience new ways of relating. Four qualitative IRB-approved simulation studies with four separate OR teams were developed and implemented within the context of an action research framework. This type of simulation space provides a safe environment where the usually rushed environment can be slowed down. Each team was able to make definitive changes for improved task, process, and language. Importantly, this exploration gives the team time together to continue to develop collaborative relationships where professional assertion levels are increasingly equalized for improved team
care delivery.
Safe and Effective Nursing Care of the US Ambulatory Surgery Patient
Beverly Kirchner, RN, BSN, CNOR, CASC; Jane Kusler-Jensen, RN, BSN, MBA, CNOR
Session 2414, 1.5 CH, Track: A +
This session will discuss how ambulatory patients are cared for safely in the United States. Preoperative and postoperative patient education is critical to successfully discharging ambulatory surgery patients to home in a timely manner.
Conflict Resolution for Managers
Kalpana Murthy, MBA, MS, NCC, Certified Mediator
Session 2415, 1.5 CH, Track: L/M
Confl ict is an unavoidable part of life. Managing differences of opinion in a productive manner contributes to new ideas, operating efficiencies, organizational change, and growth. Yet we tend to avoid confl ict because we often come out of it feeling bad about ourselves or others. That’s because few of us learn how to manage differences of opinion for productive outcomes. Unproductive conflict drains team morale, compromises creativity, and ultimately can lead to the loss of employees, clients, and revenue.
6:30 - 7:30 pm
Next Generation Happy Hour
7:30 - 11 pm
Denim & Diamonds Event
Poster Displays
Research/Evidence-Based Practice and Clinical Improvement/Innovation poster displays will be available for daily viewing during Congress week.
8 – 10:15 am
Opening Ceremony
Join thousands of your colleagues and friends to kickoff Congress in grand style! Experience what it feels like to be part of a sea of perioperative professionals coming together from all over the world and from all practice areas. Feel the excitement in the room and the electrifying emotions felt when the opening procession marches through the crowd. The feeling of immense joy and pride in your profession makes this a session like no other. Don’t miss this extraordinary experience!
10:30 – 11:30 am
Keynote Education Session - What If and Why Not?
Session 2380, Speaker: Mike Rayburn
11:30 am – 1 pm
Authors at Poster Displays
Meet and talk to 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.
Concurrent Education Sessions
1 – 2:30 pm
Influencer: The Power to Change Anything
Stacy Nelson, BA, M.Ed, Ed.D
Session 2381, 1.5 CH, Track: P
The most important talent you can have is the capability to influence behavior. In this fast-paced, inspiring presentation based on New York Times bestseller Infl uencer: The Power to Change Anything, you will learn to create rapid and sustainable change. You will fi nd out why some leaders have increased productivity repeatedly and signifi cantly while others have failed miserably. In short, you will discover how to motivate yourself and others to do things you don’t feel like doing. Once you tap into the power of infl uence, you can begin to solve the problems you care about most, from the simplest to the most persistent, resistant, and profound challenges you can imagine.
Clinical Pathways: Key to Improving Clinical Documentation
Katherine Halverson-Carpenter, RN, MBA, CNOR
Session 2382, 1.5 CH, Track: I +
This session will discuss the development of clinical pathways in perioperative nursing documentation, focusing on perioperative documentation. The speakers will share their experiences in clinical pathway development, including the incorporation of the Periopative Nursing Data Set (PNDS) into pathway development. Discussion of clinical pathways will include benefi ts of improved documentation quality, easier documentation for nursing staff — especially in ambulatory surgery settings — and standardization of documentation across care providers.
Legislation at Work: A Guide to Promoting Legislation Within Your State
Sarah Breckenridge, RN, BSN, CNOR; Pat Gussey, RN, MSN, CNOR; Claire Karas, RN, BSN, CNOR, CRNFA; Edgar Nelson, RN, BS, EDM, CNOR; Sharon Robinson, RN, MSN, CNOR
Session 2383, 1.5 CH, Track: P
The National Legislative Committee (NLC) and grassroots participants in target states will discuss the strategies used to
promote the RN circulator bill in their states. Strategies include legislative efforts and seeking regulation within the state’s
Department of Health. Other discussions will include 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 a question-and-answer period. A segment will relate to testifying before committees, meeting with legislators or their aides, and developing relationships with the legislature.
The Power of the Global Perioperative Nursing Voice
Jane Helen Reid, RGN, DPNS, BSc(Hons), PGCEA, MSc; Mary Jo Steiert, RN, BSN, CNOR
Session 2384, 1.5 CH, Track: P
During the past century, surgery has proved an essential component of health care worldwide, with an estimated 230
million major operations now performed across the globe on an annual basis. Nurses are at the heart of the perioperative team and the delivery of front-line surgical services. Nurses at every level — be they clinical, managerial, or academic — are central to securing change and quality improvements for patients. Perioperative nurses enjoy powerful networks that cross organizational boundaries and connect regions, states, and countries. We must recognize our true potential for bringing about change.
Expectations of the Joint Commission’s new Transplant Safety Chapter…and Beyond
Scott Brubaker, CTBS
Session 2385 (This session will be repeated in Session 2468 on Thursday), 1.5 CH, Track: C +In early 2008, as part of its Standards Improvement Initiative (SII), the Joint Commission released information regarding
the development of a new transplant safety chapter. The Joint Commission’s standards are used increasingly by organizations as a management aid to drive improvements in operations and in the quality and safety of care. The increases experienced in transplantation of tissues and organs requires hospital management to continuously assess how these services can be optimized. This presentation will describe applicable federal regulations (the Organ Procurement and Transplantation Network [OPTN] policy and FDA rules and guidance) and Joint Commission standards to clarify compliance expectations for handling tissues and organs for transplantation.
TIGER Initiative
Diane Skiba, PhD, RN, FAAN, FACMI
Session 2386, 1.5 CH, Track: I +
The Technology Informatics Guiding Education Reform (TIGER) Initiative resulted from the 2006 invitational summit entitled “Evidence and Informatics Transforming Nursing.” The goal of this initiative is to enable practicing nurses and nursing students to fully engage in the unfolding digital era of health care. This session will provide an overview of the seven pillars of the TIGER Initiative, progress made so far, and the vision for the future.
All in Favor say EYE!
Edward Dickerson, MD
Session 2387, 1.5 CH, Track: C
Our eyes are our welcome to others. They allow us to communicate emotions without saying a word. They are also one
of the fi rst facial features to show signs of aging, and when they do, they may send a message we do not mean to send. The once refreshed face now has excess skin that touches the eyelashes or demonstrates a hooding effect. This presentation is geared toward those “aging eyes” and what options are available for anti-aging and rejuvenation.
Recommended Practices Update
Renae Battié, RN, MSN, CNOR; Judith Goldberg, RN, MSN, CNOR; Peter Graves, RN, BSN, CNOR
Session 2388, 1.5 CH, Track: P +The AORN Recommended Practices (RPs) are an indispensable guide to perioperative nurses for clinical decision making. Attend this session and prevent a knowledge defi cit that may result in failure to recognize the value of the RPs and their use in clinical practice. The purpose of this presentation is to increase awareness of the RPs, describe the rationale for changes, and inspire perioperative nurses to participate in the review process.
Working Toward Zero Infection Rate
Maureen Spencer, RN, MEd, CIC
Session 2389, (1.5 CH), Track: C + This informative session will describe the process that a facility pursued beginning in 2003 to reduce surgical site infections (SSIs), and hospital-acquired infections (HAIs). They formed an interdisciplinary team, identified the problems, and then developed action plans for each of the problems. You will learn about hospital cost related to health care-associated infections, the action plans to get to a zero infection rate, the outcomes, and the future steps.This is a plan that others can replicate.
Exploring the Keys to Preventing
Unintentionally Retained Objects: Teamwork & Collaboration
Charlotte Guglielmi, RN, BSN, MA, CNOR
Session 2390, 1.5 CH, Track: C +The prevention of unintentionally retained objects is a team responsibility. This program will go far beyond how to count to five, demonstrating a comprehensive strategy based on teamwork, collaboration, effective communication, and evidence-based practice. Topics will include management of incorrect counts, policy development, documentation and skills assessment, steps to take when objects are intentionally retained or intentionally not retrieved, and development of a digital radiological library to support care.
Navigating the New Joint Commission Ambulatory Standards
Virginia McCollum, RN, MSN
Session 2391, 1.5 CH, Track: A
In the continuous effort to improve ambulatory surgery standards, the Joint Commission has launched a standards improvement initiative to clarify standards language, ensure that standards are program-specifi c, delete redundant or nonessential standards, and consolidate similar standards. This initiative included significant input by representatives of accredited freestanding ambulatory surgery center customers. Additional benefits to freestanding ambulatory surgery centers are the reorganization of standards manuals and the refi nement of the scoring and decision process. An overview of this standards improvement initiative and examples of standards improvement will be provided. Discussion will include changes to the standards the manual structure and standards changes, including movement of standards concepts within the chapter structure.
Leadership Academy Presentations
Members of the AORN/OMU Leadership Academy Program
Session 2392, (1.5 CH), Track: L/M
The members of the fi rst AORN/OMU Leadership Academy Program will present their leadership projects. The topics to be covered are using influence to lead across departments, having the difficult conversation, and leading challenging teams. Learn how these leaders made a positive impact.
3 - 4:30 pm
Just Who Will You Be? Defining Women’s Leadership and the Continuing Journey
Lillian H. Nicolette, RN, MSN, CNOR; Linda K. Groah, RN, MSN, CNOR, CNAA, FAAN
Session 2393, 1.5 CH, Track: P
Sometimes life happens to you! This session is the continuing journey of the highly successful program given at the 2008 AORN Congress. It will begin to ask the question, are you ready for a change? This session will explore issues of women standing at the crossroads in their career and how to decide where to go next. It will identify the differences and similarities in today’s diverse work environments. The speakers will explore the issues surrounding moving to the next level in an organization and the sacrifi ces that may be necessary to get there. Additionally, the speakers will identify and discuss real-life scenarios related to leadership and how to identify the right path for yourself as a professional.
ENT Emergencies: Preop, Intraop, and Postop
Edward Dickerson, MD
Session 2394, 1.5 CH, Track: C +
Emergencies of the head and neck may be diagnosed in the emergency department, but the safest place for critical management is in the OR. Notable preoperative emergencies include airway obstruction, head and neck infections, and trauma. Airway bleeding, pediatric emergencies, vision compromise, hearing loss, extubation crises, and swallowing difficulties are just a few of the postoperative concerns that the perioperative nurse must recognize and triage in a timely manner. This session will identify key critical elements of recognizing preoperative, intraoperative, and postoperative ENT emergencies.
The Geriatric Patient: Special Needs in the OR
Judith L. Clayton, RN, CNOR
Session 2395, 1.5 CH, Track: C +
Older adults are at higher risk than younger individuals for complications during and after surgery. Successful surgical
management of an older person’s health problems depends on the nurse’s understanding of the age-related factors that may affect the outcome of normal surgical procedures. Carefully planned, effective nursing care during the perioperative period will help reduce surgical morbidity in older adults. Age-specific nursing care techniques that are provided during the preoperative, intraoperative, and postoperative phases of the surgical experience are covered in this presentation, with focus on the assessment and preparation of the older patient for both planned and unplanned surgery.
Can You Hear Me Now? Noise in the Perioperative Setting
Bernadette Stringer, PhD, RN, MSc
Session 2396, 1.5 CH, Track: P +Numerous studies carried out over the last decade have shown that perioperative noise is much higher than recommended. These noise levels can impair speech comprehension, lead to distraction or interruption of tasks, and result in occupational stress. Noise in the perioperative environment can be reduced relatively easily and inexpensively by intervening directly at the level of noise sources and on characteristics of the perioperative environment.
Embracing Health: Stamping Out Surgical Smoke in Our Lifetime
Kay Ball, RN, BSN, MSA, CNOR, FAAN; Vangie Dennis, RN, CNOR, CMLSO; Brenda Ulmer, RN, MN, CNOR; Wendy Winer, RN, BSN, CNOR
Session 2397, 1.5 CH, Track: P +
Surgical smoke has been conclusively shown to be hazardous to the health of the surgical team. Equipment and supplies are available to effectively and easily evacuate this plume, but compliance is still inconsistent. This session will describe research that documents unacceptable compliance, will highlight health problems nurses are having after years of inhaling surgical smoke, and will share strategies to ensure suffi cient compliance. The new AORN Surgical Smoke Tool Kit will be introduced, and the speaker will explain how it can be employed to guarantee compliance and the evacuation of all surgical smoke.
AORN Leaders: Embracing the Future
Barbara Jane Alcock, RN, BSN, CNOR; Callie S. Craig, RN, MS, BSN, CNOR; Donna A. Ford, RN-BC, MSN, CNOR; Kevin Metzing, RN, BS, CNOR; Karen White, RN, BSN, MBA, CNOR
Session 2398, 1.5 CH, Track: P
This presentation will review pathways to excellence in leadership and the many leadership opportunities available to AORN members. The presenters will examine the qualities possessed by excellent leaders and discuss various ways in which individuals can cultivate their own leadership skills through various activities in AORN. Various AORN leaders will provide testimonials of their own leadership experiences and provide examples of ways these experiences have enhanced their professional practice and improved their interpersonal skills. The pathway to leadership in AORN and other ways to develop leadership skills in AORN also will be discussed.
Hot Topic
Speaker invited
Session 2399, 1.5 CH, Track: P
Change occurs rapidly in health care. This session will be identified in early January and will explore a topic that you need to know as a result of change.
Using Evidence to Eliminate Flash Sterilization in an Ambulatory Setting
Linda Nimmo, RN, CNOR, ANM
Session 2400, 1.5 CH, Track: A +
Providing sterile surgical instrumentation is a key component in patient safety. Flash sterilization may be associated with an increased risk of infection to patients. It is important for PeriOperative staff to understand the importance of using flash sterilization only in selected clinical situations. A quality control program that measures fl ash sterilization and identifies high volume instrumentation will be presented.
Evidence-Based Design
Cheryl Herbert, RN, MBA, FACHE
Session 2402, 1.5 CH, Track: P
Participants will gain knowledge about evidence-based design and its application at Dublin Methodist Hospital, a new nonreplacement community hospital that opened in January 2008. Evidence-based design elements that can be utilized in renovation, expansion, or new construction projects will be presented. Results from the fi rst year of operation will be shared. With a promise made to the community to “redefi ne the way patient care is provided in Central Ohio,” Dublin Methodist has a unique building, culture, and process. Information and other technology play a key role in this almost paperless facility.
A “New” Twist on Pay-for-Performance: “Never Events” and CMS Quality Measures
Kathleen A. Catalano, RN, JD
Session 2403, 1.5 CH, Track: P
This session will provide an overview of the current pay-forperformance (P4P) and transparency climate in the United States and will include a discussion of P4P trends, key policy issues, “never events,” CMS quality measures, and challenges for implementing P4P. The quality and effi ciency derived from P4P also will be reviewed, along with the impact P4P will have on perioperative services and professionals.
No Bodies Left Behind: Eliminating RFB
Pamela Booker, RN, MSN, CNOR; Tori Howk, RN, MS, PPHQ
Session 2404, 1.5 CH, Track: L/M, C + In October 2008, the Centers for Medicare and Medicaid Services (CMS) will implement a proposed rule under the hospital inpatient prospective payment system for fi scal year 2009. They are proposing to select nine categories of hospital-acquired conditions, greatly affecting the area of surgical services/obstetrics is the foreign object retained after surgery. This pay-for-performance environment is demanding that health care facilities prevent these occurrences from happening. In this session, opportunities for improvement will be shared, such as a strong recommendation that hospitals monitor compliance with or create a standard count policy in every procedure/operation, including obstetrical, in the
hospital ambulatory surgical division. Hear about one group’s journey from poor to great in the occurrence of retained
foreign bodies.
Legislative Mumbo Jumbo: Tips For Making Sense of It All
Denise Jackson, RN, MSN, CNS, CRNFA
Session 2406, 1.5 CH, Track: P
Perioperative nurses do not have to be professional lobbyists to read and understand legislative language. Now more than ever, it is imperative for perioperative nurses at the grassroots level to have a basic understanding of how to locate, dissect, and read a bill in order to determine the potential impact it will have on perioperative nursing practice. This session will provide attendees with tools to locate bills, break them down into key sections, and apply them to AORN’s Legislative Principles.
3:30 - 4:30 pm
International Attendee Town Hall Meeting
5 – 6:30 pm
Anesthesia Information System Adoption
Jon Correia, RN, BSN, BS, MBA, MHA, CNOR
Session 2401, 1.5 CH, Track: I +
Anesthesia represents the last barrier of acceptance to electronic information systems. This presentation explores the dynamic that exists between facilities that desire an anesthesia information system and the anesthesiologists who are resistant to such a system. Based on their experience with bringing other areas online with electronic documentation, facilities expect to see great fi nancial, reporting, and patient safety gains from bringing anesthesia online with a system. Anesthesiologists, however, have real concerns about losing control of their records and increasing their risk for litigation if they are forced to go live with an electronic system. The solutions explored will be based on real-life accounts of anesthesia system adoption and will leave viewers with strategies for successful adoption of anesthesia information systems.
Your Hospital Is Buying a Robot, Now What? What You Need to Know from Purchase to Proficiency
Annette Wasielewski, RN, BSN, CNOR
Session 2405, 1.5 CH, Track: P
Surgical robotic systems are being sold at a rate of one per day. These systems are expensive and complex and require dedicated, well-trained teams. This presentation will give the participant an understanding of what is necessary to establish an excellent multidisciplinary robotics program and how to accomplish this. It will describe common pitfalls, robotic advantages and disadvantages, direct and indirect costs, team training, and team member scope of practice and required competencies. It also will address the fi nancial implications and challenges of robotic surgery. The aim of this presentation is to help you establish a proficient, fiscally solid, energized, multidisciplinary robotic program.
SCIP-Lessons Learned from High Performers
Gina Brennan, RN, BSN, CNOR; Stephanie Sfikas Davis, RN, MSHA, CNOR
Session 2407 (Will be repeated in Session 2456 on Thursday), 1.5 CH, Track: L/MThe Surgical Care Improvement Project (SCIP) is one of four core measure sets required by the Centers for Medicare and Medicaid Services. Surgical site infections account for 14% to 16% of all hospital-acquired infections and are a common complication of care. A diverted surgical site infection avoids $3,152 in hospital costs and seven days of additional hospitalization. Postoperative complications dramatically increase length of stay, hospital costs, and mortality. The odds of dying within 60 days increases 3.4-fold in patients with complications. You will learn from a hospital corporation’s viewpoint and from a facility director’s viewpoint how to maximize your SCIP core measure performance by learning from the best of the best.
Hot Topic
Session 2408, 1.5 CH, Track: P
Change occurs rapidly in health care. This session will be identified in early January and will explore a topic that you need to know as a result of change.
Improving the Quality of Trauma Patient Care in the OR
Mary Ferraro, RN, BSN, MBA; Jeffrey Ward, RN
Session 2409, 1.5 CH, Track: C +
The “Trauma Basics for the OR” course began as a checklist developed to hardwire staff roles and responsibilities during a trauma in the OR. It has grown to be a Trauma Education Committee that has developed a course to improve OR staff understanding and knowledge. We believe this improves the quality of trauma patient care. This committee includes two education program managers, five OR RNs, three surgical tecnologists, and three trauma surgeons. The committee has developed the course to include team training and trauma simulations. Included in this talk will be lesson planning for trauma basics in the OR, the trauma checklist, hand-off forms for ED to OR and OR to surgical intensive
care unit (SICU), and trauma simulation scenarios.
TIGER Initiative
Diane Skiba, PhD, RN, FAAN, FACME
Session 2410 (Repeat of Session 2386), 1.5 CH, Track: I +
The Technology Informatics Guiding Education Reform (TIGER) Initiative resulted from the 2006 invitational summit entitled “Evidence and Informatics Transforming Nursing.” The goal of this initiative is to enable practicing nurses and nursing students to fully engage in the unfolding digital era of health care. This session will provide an overview of the seven pillars of the TIGER Initiative, progress made so far, and the vision for the future.
Surviving Waves of OR Automation
Myra Jo Beach, RN, BSN, MBA, NE-BC; Jacqueline A. Sions , RN, BSN, CNOR, NE-BC
Session 2411, 1.5 CH, Track: L/M +
OR nurses experience waves of technology in their work environment. Technological advances are moving ORs into new documentation arenas as states strive to implement electronic patient records. This presentation will share a Magnet™ Level I trauma center’s quest to go from a manual to an automated perioperative record while the whole health sciences campus is implementing a new system-wide health information system. Methodologies to design and build computerized intraoperative documentation screens, preoperative checklists, and preference cards will be overviewed. Equipment considerations of workstations on wheels and greaseboards, also will be shared.
The New Magnet™ Model and Your Perioperative Practice
Cynthia Sweeney, RN, MSN, CNOR
Session 2412, 1.5 CH, Track: P +
The Magnet Recognition™ program continues to evolve to reflect the changes in the health hcare environment. Organizations are challenged to do the same. In this session, participants will explore the new magnet™ model and its application to the perioperative practice environment. Components of the new Magnet™ model
and how each component is applied to the practice of periopertive care will be described and discussed along with the future of perioperative practice relative to Magnet™ recognition.
Qualitative Simulation for Health Care (QSH)
Lydia L. Forsythe, PhD, RN, MSN, MA, CNOR
Session 2413, 1.5 CH, Track: P +Qualitative simulation offers a unique environment to build collaborative communication skills and experience new ways of relating. Four qualitative IRB-approved simulation studies with four separate OR teams were developed and implemented within the context of an action research framework. This type of simulation space provides a safe environment where the usually rushed environment can be slowed down. Each team was able to make definitive changes for improved task, process, and language. Importantly, this exploration gives the team time together to continue to develop collaborative relationships where professional assertion levels are increasingly equalized for improved team
care delivery.
Safe and Effective Nursing Care of the US Ambulatory Surgery Patient
Beverly Kirchner, RN, BSN, CNOR, CASC; Jane Kusler-Jensen, RN, BSN, MBA, CNOR
Session 2414, 1.5 CH, Track: A +
This session will discuss how ambulatory patients are cared for safely in the United States. Preoperative and postoperative patient education is critical to successfully discharging ambulatory surgery patients to home in a timely manner.
Conflict Resolution for Managers
Kalpana Murthy, MBA, MS, NCC, Certified Mediator
Session 2415, 1.5 CH, Track: L/M
Confl ict is an unavoidable part of life. Managing differences of opinion in a productive manner contributes to new ideas, operating efficiencies, organizational change, and growth. Yet we tend to avoid confl ict because we often come out of it feeling bad about ourselves or others. That’s because few of us learn how to manage differences of opinion for productive outcomes. Unproductive conflict drains team morale, compromises creativity, and ultimately can lead to the loss of employees, clients, and revenue.
6:30 - 7:30 pm
Next Generation Happy Hour
7:30 - 11 pm
Denim & Diamonds Event