Announcements
Early-Bird Registration Deadline: January 26, 2009
Related Links
Daily Congress Schedule - Thrusday, March 19, 2009
7 - 10 am
Voting
7 am - 12 pm
Poster Sessions
Concurrent Education Sessions
8 – 9:30 am
“I Want to Teach Nursing!”
Sharon L. Chappy, PhD, RN, CNOR
Session 2451, 1.5 CH, Track: P
Many nurses decide to pursue an advanced degree so that they can teach nursing. Many wonder which educational track would best serve them as they consider a career in teaching. There can be challenges associated with breaking into the ivory tower of academia. Expectations and realities for new nurse educators will be explored. The importance of role models and mentors will be addressed. The current nursing faculty shortage makes this an excellent time to embrace the future of the profession and consider teaching as a career.
Don’t Have Time to Think Green? Think Again!
Lisa Hardesty, MA, CHCC, HEM; Mike Way, MBA, CPM
Connie Archer Sargent, RN, BC, BS, CNOR
Session 2452 (Will be repeated in Session 2469), 1.5 CH, Track: L/M
Learn how to improve your environmental footprint. The surgical services department is one of the largest generators of waste in a hospital. Perioperative nurses embracing waste minimization and energy conservation initiatives can have a considerable impact on an organization’s bottom line and improve a hospital’s environmental impact on its local communities. This session will support the AORN guidance statement on environmental responsibility by sharing Bronson Methodist Hospital’s success story of becoming a national leader in going green. Participants will leave with a better understanding of how to create or improve the green philosophy in their hospitals and how it affects the hospital’s viability.
Cross-Training in the ASC
Marilynn Christian RN, BSN, CNOR
Session 2453, 1.5 CH, Track: A +
Cross-training can be used to maximize resources and enhance quality patient care. Learn how to implement an effective crosstraining program that is motivating to your staff and opens the doors for opportunities for personal growth and development while increasing patient and physician satisfaction.
Gray Gorillas Revisited: Mentoring in Perioperative Nursing
Carol Dungan Applegeet, RN, MSN, CNOR, NEA-BC, FAAN; Mark L. Phippen, RN, MN, CNOR
Session 2454, 1.5 CH, Track: P +
In 1983, Pyles and Stern described the “Gray Gorilla Syndrome” and its relationship to mentoring in critical care nursing. In 1992, a program based on those fi ndings and describing the results of a survey conducted among AORN leaders was presented at the AORN Congress. For this session, the speakers have replicated that study and will present the updated findings. In addition, the dynamics of the mentor/mentee relationship will be discussed. Examples of how current and past AORN leaders were successfully mentored will be provided.
Educating the Newly Diagnosed Breast Cancer Patient
Lauralee S. Krabill, RN, MBA, CNOR
Session 2455, 1.5 CH, Track: C +
When a frozen section biospy is performed and the woman is told she has breast cancer, more needs to be done beyond sending her home with discharge instructions. This program will discuss the questions most frequently asked by breast cancer patients and resources they may select to help them cope with their diagnosis.
SCIP — Lessons Learned from High Performers
Gina Brennan, RN, BSN, CNOR; Stephanie Sfikas Davis, RN, MSHA, CNOR
Session 2456 (Repeat of Session 2407), 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.
Surgical Team Behaviors and Patient Outcomes
Suzanne Graham, PhD, RN; Karen R. Mazzocco, RN, JD, CPHRM
Session 2457 (Will be repeated in Session 2472), 1.5 CH, Track: P +
This study sought to demonstrate a quantitative link between observed team behaviors in the operating room and patient
outcomes using a standardized tool. The data provide empirical evidence that supports attention to developing teamwork in the operating room.
Jeopardy: Women’s Pelvic Health — Alternatives and Options
Vangie Dennis, RN, CNOR, CMLSO; Wendy K. Winer, RN, BSN, CNOR
Session 2458, 1.5 CH, Track: C +
The National Women’s Health Resource Center reports that at least one-third of all women (approximately 35 million) will be treated for pelvic health conditions before they are 60 years old. Many women do not report problems due to the lack of education and stigma associated with pelvic conditions. The more informed nurses are regarding urinary stress incontinence, prevalence of menorrhagia or dysfunctional urinary bleeding, uterine fi broids, pelvic floor prolapse, adhesions, and supracervical hysterectomy, the better equipped they are to provide patients with useful information regarding pelvic health. The presenters will focus on the alternatives and options for women who have these conditions.
NOTES: The Next Generation of Minimally Invasive Surgery?
Elizabeth Waterman-Hukari, RN, BSN, CNOR; Annette Wasielewski,
RN, BSN, CNOR
Session 2459, 1.5 CH, Track: C +
Natural Orifi ce Transluminal Endoscopic Surgery (NOTES) is an emerging technology that marries traditional gastrointestinal (GI) scopes with the techniques of laparoscopic surgery. Although NOTES is in its early growth stage, hybrid procedures are being done using natural orifi ces — stomach, vagina, and rectum — as access sites to enter the peritoneal cavity and perform no-scar surgery. This presentation will discuss the state of development, patient safety, informed consent, and procedure issues and concerns. There will be a video demonstrating an actual NOTES transgastric cholecystectomy.
Federal Legislative Update
Craig Jeffries
Session 2460, 1.5 CH, Track: P
Attend this session to get the latest information on what is happening at the federal level related to health care and nursing.
OR EMR Activation: Lessons Learned
Cheryle S. Davis, RN, BSN, CNOR
Session 2461, 1.5 CH, Track: I +
A brief description of the activation project completed in January 2008 will begin the presentation, including lessons learned during design, build, and activation of electronic perioperative record delivered in a concise fashion, easily related to universal perioperative practices. Suggested questions for the vendor during the “homework” phase of design and build will be identified and discussed. Discussion of naming conventions for database files, code sets, and field prompts will be included along with examples of naming convention guidelines. Clearly defi ned suggestions to avoid documentation “gaps” and duplication of effort during design and build of the electronic perioperative record will be offered. Examples of easy documentation gap analysis during design will be provided.
The Choice is Yours: Making a Difference
Jane Flowers, RN, MSN, CNOR
Session 2462, 1.5 CH, Track: P +
This program is designed to highlight how, as nurses that we make a difference not in only our workplace but in our personal lives. Through the choices that we make, we have the opportunity for self-improvement and to serve as role models in our communities. Our attitude shapes us as a person and guides our career paths toward success. At the end of the program, the participants will be able to state ways that they make a difference both professionally and personally.
8:30 - 10 am
Managers’ Exhibit Floor Hours
10 am - 1 pm
Exhibit Floor Open
1 - 3 pm
Second House of Delegates
Join us for a longer session again this year to allow more time for discussion and completion of the offi cial business of the Association. This will be n exciting session where election results will be shared, announcing the 2009-2010 AORN Board of Directors and Nominating Committee. Contact Hours may be awarded based on content.
Concurrent Education Sessions
1:30 – 3 pm
Balad, Iraq: Return to the Sandbox
Jade Anthony Alota, RN; Tara Constantine, RN, CNOR; Polly Dorber, RN, CNOR
Session 2463, 1.5 CH, Track: P
This presentation will follow the return of Air Force nurses to Balad, Iraq, for the second time. Through the eyes of these Air Force nurses, experience the joys, sorrows, and everyday life of being a perioperative nurse in the battlefield.
Multidrug-Resistant (MDR) Acinetobacter Infected Wounds
Shannon Cole, RN, MSN, CNOR; Jeremy Hawker, RN, MSN, CNOR; Denise A. Moultrie, RN, MSN, CNOR, MAJ, AN
Session 2464, 1.5 CH, Track: C +
A surge of multidrug-resistant (MDR) Acinetobacter infections are occurring at alarming rates in traumatic war injuries. Causative factors have not been specifi cally identifi ed. An integrated review of the literature guided by the Iowa Model and the Identifying, Organizing, and Synthesizing (IOS) Strategy was used to identify factors related to MDR Acinetobacter transmission. Six major themes of commonality were illuminated relating to transmission: (1) wound types, (2) modes of transmission, (3) risk factors, (4) contributing factors, (5) prevention strategies, and (6) studies recommended for replication. Sources of transmission and interventions to reduce/eliminate hospital-acquired or surgical site MDR Acinetobacter infections were identified.
Cross-Training in the ASC
Marilynn Christian RN, BSN, CNOR
Session Cancelled. Replaced by Session 2473 as seen below
Pressure Ulcers and the Operating Room
Robert B. Dybec, RN, MS, CPSN, CNOR
Session 2466, 1.5 CH, Track: C +
The prevalence of pressure ulcers in the United States is at epidemic proportions. Many statistics look at the supposed causes of pressure ulcers, but only recently have we realized that many postoperative pressure ulcers occur as a result of what we are doing — or not doing — to protect our surgical patients. This presentation will look at current statistics, recommended practices for reducing the risk of OR-acquired pressure ulcers (ORAPUs), product selection and use in the OR, and proper patient positioning. Sponsored by: Action Products Inc., Medical Products Group
Linking Navajo Philosophies of Healing with Western Medicine
Lori Arviso Alvord, MD
Session 2467, 1.5 CH, Track: P +
Dr. Alvord was the first Navajo woman to become board-certified in surgery. Upon completion of her surgical residency, she returned to New Mexico to administer health care to the people of the Navajo and Zuni tribes. While working in the Navajo community, Dr. Alvord realized that “although I was a good surgeon, I was not always a
good healer. I went back to the healers of my tribe to learn what a surgical residency could not teach me. From them I have heard a resounding message: everything in life is connected. Learn to understand the bonds between humans, spirit, and nature. Realize that our illness and our healing alike come from maintaining strong and healthy relationships in every aspect of our lives.” Linking the Navajo philosophies of healing with Western medicine, Dr. Alvord is able to deliver culturally competent care to reestablish harmony in the lives of patients under her care. Sessions endorsed by the
Multicultural Specialty Assembly.
Expectations of the Joint Commission’s New Transplant Safety Chapter…and Beyond
Scott Brubaker, CTBS
Session 2468 (Repeat of Session 2385), 1.5 CH, Track: L/M, C +
Don’t Have Time to Think Green? Think Again!
Lisa Hardesty, MA, CHCC, HEM; Connie Archer Sargent, RN, BC, BS, CNOR; Mike Way, MBA, CPM
Session 2469 (Repeat of Session 2452), 1.5 CH, Track: L/M, C
Sterilization Efficacy: Myth, Sacred Cow or Reality?
Charles Hughes, BS; Elizabeth (Betsy) Vane, RN, MSN, CNOR;
Linda Wanzer, RN, MSN, CNOR
Session 2470 (Repeat of Session 2434 on Wednesday), 1.5 CH, Track: C +
A Shared Governance Model Spawned By Searing Employee Surveys
Reuben J. DeKastle, RN, BN, MSHA, CNOR; Melanie Farnsworth, RN
Session 2471 (Repeat of Session 2420 on Thursday), 1.5 CH, Track: L/M
Surgical Team Behaviors and Patient Outcomes
Suzanne Graham, PhD, RN
Session 2472 (Repeat of Session 2457), 1.5 CH, Track: P +
Managed Care Contracting Primer: What All ASCs Should Know
Richard Bays, RN, MBA, CPHQ, CLNC
Session 2473, 1.5 CH, Track:A
Discover how to navigate the world of managed care contracting. Contracts for ASC’s determine more than just reimbursement. Don’t fall victim to hidden clauses and conditions that can undermine your facility’s bottom line. Learn how to avoid common pitfalls and succeed at the negotiation game of contracting in this session.
Ergonomic Surgical Instruments for Open Surgery
San Oei, MD, Phd
Session 2475
3:30 - 4:30 pm
Closing Education Session - Putting Fun to Work: The Power of Humor in Health Care
Session 2474, Speaker: Matt Weinstein, CPAB
5:30 - 6:30 pm
Candidates’ Reception
6:30 - 10 pm
Closing Celebration
Voting
7 am - 12 pm
Poster Sessions
Concurrent Education Sessions
8 – 9:30 am
“I Want to Teach Nursing!”
Sharon L. Chappy, PhD, RN, CNOR
Session 2451, 1.5 CH, Track: P
Many nurses decide to pursue an advanced degree so that they can teach nursing. Many wonder which educational track would best serve them as they consider a career in teaching. There can be challenges associated with breaking into the ivory tower of academia. Expectations and realities for new nurse educators will be explored. The importance of role models and mentors will be addressed. The current nursing faculty shortage makes this an excellent time to embrace the future of the profession and consider teaching as a career.
Don’t Have Time to Think Green? Think Again!
Lisa Hardesty, MA, CHCC, HEM; Mike Way, MBA, CPM
Connie Archer Sargent, RN, BC, BS, CNOR
Session 2452 (Will be repeated in Session 2469), 1.5 CH, Track: L/M
Learn how to improve your environmental footprint. The surgical services department is one of the largest generators of waste in a hospital. Perioperative nurses embracing waste minimization and energy conservation initiatives can have a considerable impact on an organization’s bottom line and improve a hospital’s environmental impact on its local communities. This session will support the AORN guidance statement on environmental responsibility by sharing Bronson Methodist Hospital’s success story of becoming a national leader in going green. Participants will leave with a better understanding of how to create or improve the green philosophy in their hospitals and how it affects the hospital’s viability.
Cross-Training in the ASC
Marilynn Christian RN, BSN, CNOR
Session 2453, 1.5 CH, Track: A +
Cross-training can be used to maximize resources and enhance quality patient care. Learn how to implement an effective crosstraining program that is motivating to your staff and opens the doors for opportunities for personal growth and development while increasing patient and physician satisfaction.
Gray Gorillas Revisited: Mentoring in Perioperative Nursing
Carol Dungan Applegeet, RN, MSN, CNOR, NEA-BC, FAAN; Mark L. Phippen, RN, MN, CNOR
Session 2454, 1.5 CH, Track: P +
In 1983, Pyles and Stern described the “Gray Gorilla Syndrome” and its relationship to mentoring in critical care nursing. In 1992, a program based on those fi ndings and describing the results of a survey conducted among AORN leaders was presented at the AORN Congress. For this session, the speakers have replicated that study and will present the updated findings. In addition, the dynamics of the mentor/mentee relationship will be discussed. Examples of how current and past AORN leaders were successfully mentored will be provided.
Educating the Newly Diagnosed Breast Cancer Patient
Lauralee S. Krabill, RN, MBA, CNOR
Session 2455, 1.5 CH, Track: C +
When a frozen section biospy is performed and the woman is told she has breast cancer, more needs to be done beyond sending her home with discharge instructions. This program will discuss the questions most frequently asked by breast cancer patients and resources they may select to help them cope with their diagnosis.
SCIP — Lessons Learned from High Performers
Gina Brennan, RN, BSN, CNOR; Stephanie Sfikas Davis, RN, MSHA, CNOR
Session 2456 (Repeat of Session 2407), 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.
Surgical Team Behaviors and Patient Outcomes
Suzanne Graham, PhD, RN; Karen R. Mazzocco, RN, JD, CPHRM
Session 2457 (Will be repeated in Session 2472), 1.5 CH, Track: P +
This study sought to demonstrate a quantitative link between observed team behaviors in the operating room and patient
outcomes using a standardized tool. The data provide empirical evidence that supports attention to developing teamwork in the operating room.
Jeopardy: Women’s Pelvic Health — Alternatives and Options
Vangie Dennis, RN, CNOR, CMLSO; Wendy K. Winer, RN, BSN, CNOR
Session 2458, 1.5 CH, Track: C +
The National Women’s Health Resource Center reports that at least one-third of all women (approximately 35 million) will be treated for pelvic health conditions before they are 60 years old. Many women do not report problems due to the lack of education and stigma associated with pelvic conditions. The more informed nurses are regarding urinary stress incontinence, prevalence of menorrhagia or dysfunctional urinary bleeding, uterine fi broids, pelvic floor prolapse, adhesions, and supracervical hysterectomy, the better equipped they are to provide patients with useful information regarding pelvic health. The presenters will focus on the alternatives and options for women who have these conditions.
NOTES: The Next Generation of Minimally Invasive Surgery?
Elizabeth Waterman-Hukari, RN, BSN, CNOR; Annette Wasielewski,
RN, BSN, CNOR
Session 2459, 1.5 CH, Track: C +
Natural Orifi ce Transluminal Endoscopic Surgery (NOTES) is an emerging technology that marries traditional gastrointestinal (GI) scopes with the techniques of laparoscopic surgery. Although NOTES is in its early growth stage, hybrid procedures are being done using natural orifi ces — stomach, vagina, and rectum — as access sites to enter the peritoneal cavity and perform no-scar surgery. This presentation will discuss the state of development, patient safety, informed consent, and procedure issues and concerns. There will be a video demonstrating an actual NOTES transgastric cholecystectomy.
Federal Legislative Update
Craig Jeffries
Session 2460, 1.5 CH, Track: P
Attend this session to get the latest information on what is happening at the federal level related to health care and nursing.
OR EMR Activation: Lessons Learned
Cheryle S. Davis, RN, BSN, CNOR
Session 2461, 1.5 CH, Track: I +
A brief description of the activation project completed in January 2008 will begin the presentation, including lessons learned during design, build, and activation of electronic perioperative record delivered in a concise fashion, easily related to universal perioperative practices. Suggested questions for the vendor during the “homework” phase of design and build will be identified and discussed. Discussion of naming conventions for database files, code sets, and field prompts will be included along with examples of naming convention guidelines. Clearly defi ned suggestions to avoid documentation “gaps” and duplication of effort during design and build of the electronic perioperative record will be offered. Examples of easy documentation gap analysis during design will be provided.
The Choice is Yours: Making a Difference
Jane Flowers, RN, MSN, CNOR
Session 2462, 1.5 CH, Track: P +
This program is designed to highlight how, as nurses that we make a difference not in only our workplace but in our personal lives. Through the choices that we make, we have the opportunity for self-improvement and to serve as role models in our communities. Our attitude shapes us as a person and guides our career paths toward success. At the end of the program, the participants will be able to state ways that they make a difference both professionally and personally.
8:30 - 10 am
Managers’ Exhibit Floor Hours
10 am - 1 pm
Exhibit Floor Open
1 - 3 pm
Second House of Delegates
Join us for a longer session again this year to allow more time for discussion and completion of the offi cial business of the Association. This will be n exciting session where election results will be shared, announcing the 2009-2010 AORN Board of Directors and Nominating Committee. Contact Hours may be awarded based on content.
Concurrent Education Sessions
1:30 – 3 pm
Balad, Iraq: Return to the Sandbox
Jade Anthony Alota, RN; Tara Constantine, RN, CNOR; Polly Dorber, RN, CNOR
Session 2463, 1.5 CH, Track: P
This presentation will follow the return of Air Force nurses to Balad, Iraq, for the second time. Through the eyes of these Air Force nurses, experience the joys, sorrows, and everyday life of being a perioperative nurse in the battlefield.
Multidrug-Resistant (MDR) Acinetobacter Infected Wounds
Shannon Cole, RN, MSN, CNOR; Jeremy Hawker, RN, MSN, CNOR; Denise A. Moultrie, RN, MSN, CNOR, MAJ, AN
Session 2464, 1.5 CH, Track: C +
A surge of multidrug-resistant (MDR) Acinetobacter infections are occurring at alarming rates in traumatic war injuries. Causative factors have not been specifi cally identifi ed. An integrated review of the literature guided by the Iowa Model and the Identifying, Organizing, and Synthesizing (IOS) Strategy was used to identify factors related to MDR Acinetobacter transmission. Six major themes of commonality were illuminated relating to transmission: (1) wound types, (2) modes of transmission, (3) risk factors, (4) contributing factors, (5) prevention strategies, and (6) studies recommended for replication. Sources of transmission and interventions to reduce/eliminate hospital-acquired or surgical site MDR Acinetobacter infections were identified.
Cross-Training in the ASC
Marilynn Christian RN, BSN, CNOR
Session Cancelled. Replaced by Session 2473 as seen below
Pressure Ulcers and the Operating Room
Robert B. Dybec, RN, MS, CPSN, CNOR
Session 2466, 1.5 CH, Track: C +
The prevalence of pressure ulcers in the United States is at epidemic proportions. Many statistics look at the supposed causes of pressure ulcers, but only recently have we realized that many postoperative pressure ulcers occur as a result of what we are doing — or not doing — to protect our surgical patients. This presentation will look at current statistics, recommended practices for reducing the risk of OR-acquired pressure ulcers (ORAPUs), product selection and use in the OR, and proper patient positioning. Sponsored by: Action Products Inc., Medical Products Group
Linking Navajo Philosophies of Healing with Western Medicine
Lori Arviso Alvord, MD
Session 2467, 1.5 CH, Track: P +
Dr. Alvord was the first Navajo woman to become board-certified in surgery. Upon completion of her surgical residency, she returned to New Mexico to administer health care to the people of the Navajo and Zuni tribes. While working in the Navajo community, Dr. Alvord realized that “although I was a good surgeon, I was not always a
good healer. I went back to the healers of my tribe to learn what a surgical residency could not teach me. From them I have heard a resounding message: everything in life is connected. Learn to understand the bonds between humans, spirit, and nature. Realize that our illness and our healing alike come from maintaining strong and healthy relationships in every aspect of our lives.” Linking the Navajo philosophies of healing with Western medicine, Dr. Alvord is able to deliver culturally competent care to reestablish harmony in the lives of patients under her care. Sessions endorsed by the
Multicultural Specialty Assembly.
Expectations of the Joint Commission’s New Transplant Safety Chapter…and Beyond
Scott Brubaker, CTBS
Session 2468 (Repeat of Session 2385), 1.5 CH, Track: L/M, C + Don’t Have Time to Think Green? Think Again!
Lisa Hardesty, MA, CHCC, HEM; Connie Archer Sargent, RN, BC, BS, CNOR; Mike Way, MBA, CPM
Session 2469 (Repeat of Session 2452), 1.5 CH, Track: L/M, C
Sterilization Efficacy: Myth, Sacred Cow or Reality?
Charles Hughes, BS; Elizabeth (Betsy) Vane, RN, MSN, CNOR;
Linda Wanzer, RN, MSN, CNOR
Session 2470 (Repeat of Session 2434 on Wednesday), 1.5 CH, Track: C +
A Shared Governance Model Spawned By Searing Employee Surveys
Reuben J. DeKastle, RN, BN, MSHA, CNOR; Melanie Farnsworth, RN
Session 2471 (Repeat of Session 2420 on Thursday), 1.5 CH, Track: L/M
Surgical Team Behaviors and Patient Outcomes
Suzanne Graham, PhD, RN
Session 2472 (Repeat of Session 2457), 1.5 CH, Track: P +
Managed Care Contracting Primer: What All ASCs Should Know
Richard Bays, RN, MBA, CPHQ, CLNC
Session 2473, 1.5 CH, Track:A
Discover how to navigate the world of managed care contracting. Contracts for ASC’s determine more than just reimbursement. Don’t fall victim to hidden clauses and conditions that can undermine your facility’s bottom line. Learn how to avoid common pitfalls and succeed at the negotiation game of contracting in this session.
Ergonomic Surgical Instruments for Open Surgery
San Oei, MD, Phd
Session 2475
3:30 - 4:30 pm
Closing Education Session - Putting Fun to Work: The Power of Humor in Health Care
Session 2474, Speaker: Matt Weinstein, CPAB
5:30 - 6:30 pm
Candidates’ Reception
6:30 - 10 pm
Closing Celebration