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 Saturday, March 28, 2015
 
 
 

PROGRAM


 

Preliminary Program

Tuesday, April 28, 2015

2:00pm - 6:00pm Exhibitor Set-Up
5:00 pm - 6:00pm New Member/First Time attendee Orientation

Wednesday, April 29, 2015

7:00-8:00 am Registration and breakfast
8:00-8:15 am Welcome and opening comments from SVN President, Theresa DeVeaux, RN, MS, ACNP, CV, CCRN and Planning Committee Co-Chairs, Rita Clark, MS, BSN, RN, CVN and Dewey Moulton, RN, M.A.N.
8:15-9:15 am Keynote speaker-Nick Roumonada
9:15-10:15 am Vascular trauma: The Power of Omission: Bertha Hughes, NP-Adult, MN, RVT, CCN (c), CDE

Peripheral vascular traumas account for almost 80% of vascular injuries. The natural history of untreated vascular injuries will vary depending on the type and extent of the injury. A posterior knee dislocation is an important one to recognize as a missed vascular injury may lead to limb loss. Posterior dislocation of the knee can result in complete severing or disruption of the popliteal artery. The gaps in accuracy of assessment and in timely transfer to Vascular Surgery have increased awareness of the importance of consistency in the assessment process and of ongoing monitoring to improve outcomes for this patient population.

9:45-10:15 am
Physiological Amputation: Jeri Long, RN, MSN, ACNP-BC
Cryoamputation, or physiologic amputation, is used to stabilize a hemodynamically unstable patient resulting from acute limb ischemia.  This procedure is not limb salvaging but can be used as a lifesaving procedure.
10:15-10:45 am Break
10:45-11:15 am

Postoperative Groin Wound Complications: Tiffany Street, RN, MSN, ACNP

Groin complications after arterial reconstructive surgery are at risk for infectious or lymphatic wound complications. Lymphatic complications are a serious challenge for a vascular surgery team. These complications have a significant health care utilization burden and increase the hospitalization, morbidity, and mortality of our patients.
11:15-11:45 am
The Challenges of Providing Home Health Care for Vascular Patient: Dewey Moulton, RN, M.A.N.
As healthcare costs continue to rise, the vascular patient, with multiple comorbidities is faced with enduring an ever growing number of medical/surgical interventions which can now be performed as an outpatient or with a shortened length of hospitalization. In an effort to transition home, many of these patients will require assistance from their families, but also home health care services and equipment.  As health care providers, we must identify those patients who will benefit from home health care services, determine their needs, and develop an affordable care plan which will promote patient success. Frequently, Medicare (and other insurances), will assist with the cost of many of these services, when properly initiated.  Health care providers who understand eligibility requirements will have another option to effectively manage patients in their home. Options and benefits for home health care will be presented, as well as infusion therapy, durable medical equipment (including oxygen and negative pressure wound therapy), and hospice.
11:45 am-1:15 pm Member Business Lunch
1:15-1:30 pm
Break
1:30-2:00 pm
Measurement of Functional Status in Claudication: Diane Treat-Jacobson, PhD, RN, FAAN, FAHA. Co-authors Laura N. Kirk, PhD, RN; Rebecca Brown, MN, RN; Noah Dietsch;
Ruth Lindquist, PhD, RN; FAAN Ulf Bronas, PhD
Accurate and relevant measurement of functional ability in patients with claudication is essential for effective evaluation of disease limitations and intervention outcomes. There is currently debate as to the best measurement method for evaluation of this patient population. This presentation will describe the measurement of several commonly used objective and subjective measures of functional ability in patients with claudication. Relationships between measures will be reported and differences in these relationships by gender, age, or disease severity will be examined to provide insight as to the most relevant method of measurement of functional ability in patients with claudication.
2:00-2:30 pm
Understanding Ischemic Pain in PAD: Nicole Bohr, RN, MSN
This session will help bring better understanding to the complexity of ischemic pain in the PAD patient, from a cellular level to research and practice implications.
2:30-3:00 pm Hyperbaric Therapy in Hospitalized Vascular Patient: Kathleen Rich, PhD, RN, CCNS, CCRN-CSC, CNN
Hyperbaric therapy is defined as a treatment where the patient breathes 100% oxygen in a specialized chamber at pressures that are higher than sea level.  Breathing a high concentration of oxygen at a higher than normal pressure results in two effects: reduction in gas bubble size and increase in plasma oxygen solubility. Vascular indications for use include crush injury and other traumatic peripheral ischemia, necrotizing soft tissue infections and healing enhancement of hypoxic wounds. This presentation will provide an overview of hyperbaric therapy in the hospitalized vascular patient including mechanism of action, indications for use and associated nursing interventions.
3:00-3:30 pm
Break

 

Concurrent Sessions:

3:30-4:45 pm   
A: ABI Recertification:
Prerequisite of Peripheral Artery Disease and Performance of the Ankle-Brachial Index
3:30-4:00 pm

B: Perioperative Participation in OSA: Gail Davis, MSN, CNS, APRN-BC, CCRN and Amy Cooper BSN, RN

More than 12 million Americans could have OSA (Obstructive Sleep Apnea).  Symptoms are vague and develop slowly, patients frequently are unaware of their condition.  Our institution is a Level One transplant/trauma center and performs over 140 surgeries daily. The use of narcotics and sedatives in the perioperative environment is prevalent and places at ‘risk patients’ in a dangerous position. Our anesthesia department took a proactive approach and initiated a preoperative screening assessment to establish potential risk in surgical patients. Ensuring OSA protocols are tediously followed in the preoperative holding area and recovery room are key to the success of the program.

3:30-4:00 pm 

C: Applying a Conceptual Framework to Guide Advocacy: Patty Flanagan, MSN, RN-BC

Applying a conceptual framework to guide advocacy is a program that will take you through each step in applying a conceptual framework to guide advocacy. The educational program will utilize examples, as they move through the stages of advocacy to demonstrate tangibility of the conceptual framework. And will demonstrate, although the stages are conceptually sequential, in practice they are generally simultaneous.

4:15-4:45 pm

B: Preoperative Regional Anesthesia for Postoperative: Gail Davis, MSN, CNS, APRN-BC, CCRN and Amy Cooper, BSN, RN

Financial impact of health care has motivated hospitals to creatively train and staff divisions to facility higher acuity and flow of patient volume without increasing full time employee.  Divisions within perianesthesia care unit (PACU) previously trained staff to preop patients and others to recovery. Our unit spans over two floors and six divisions The computerized documentation system is different from the rest of the hospital. Asking for nursing support from the hospital when resources are stretched could not occur. They did not have access and are not familiar with our system. Economic changes motivated changes in staffing structure and training.

4:15-4:45 pm

C: Stroke Center Readiness in the PACU: Sandra Filla, BSN, CCRN, RN

Our institution is certified as the first Comprehensive Stroke Center in Missouri.  This recognizes the commitment of our hospital to deliver complex stroke care to patients in the hospital and the community. During certification there were opportunities noted for improvement. The PeriAnesthesia Care Unit (PACU) collaborated with the neurosciences department to ensure appropriate education for RNs was completed and patient education was completed to prepare for the next survey. Audits of charting were done to measure compliance.

5:00-6:00 pm Committee and Taskforce Social
During the member business luncheon attendees are given the opportunity to join an SVN Committee and Taskforce, this social provides the committees and task forces the opportunity to meet other members and discuss upcoming goals.
6:00-7:30 pm 
Welcome Reception

Thursday, April 30, 2015

7:00-8:00 am
Registration and breakfast
8:00-9:00 am Methods of Optimizing Limb Preservation in the Endovascular Era: A Balanced Approach
R. Clement Darling, III, MD, Vascular Surgeon and President of The Vascular Group
9:00-9:30 am
Applying Evidence based Guidelines to Prevent, Diagnose and treat Post Thrombotic
Syndrome: M. Eileen Walsh, PhD, APN, RN-BC, FAHA
Current evidence-based guidelines to prevent, diagnose and treat Post-thrombotic Syndrome will be described.  Evidence related to   primary prevention, anticoagulation, compression therapies, including pumps and stockings, thrombolysis, endovascular and surgical interventions, and the role of exercise interventions will be discussed.
9:30-10:00 am
Infectious Aortitis: A Case Study: Deidre Dennison, RN, BS
Infectious aortitis is a serious disease that often presents as an infected aneurysm.  This case study will examine the clinical presentation, findings, treatment, and outcome of a 79 year old woman with Salmonella-infected aneurysm.  A late-course finding of this case was that the patient had a confirmed case of Salmonella infection approximately two years prior to aneurysmal symptoms.  This begs the question - which came first, the infection or the aneurysm?
10:00-10:30 am Break
10:30 am-11:30 am Clinical issues forum
11:30 am-12:00 pm Anchors Away: Keeping the Endograft in place: Melody Heffline, MSN, RN, ACNS-BC, ACNP-BC
This session will discuss the use of the Endoanchor to reduce the risk of endograft migration and late endograft failure in patients who may not be ideal candidates for endograft repair but who are high risk for open repair. This technology has enabled endograft repair of AAA to be utilized in patients who may not otherwise be repaired by minimally invasive means.
12:00 pm-1:30 pm
President's Lunch

 

Concurrent Sessions:

1:45-2:30 pm 
A: A Personal Sentinel Event: The Nurse’s Role in Preventing Vascular Complications : Pam Mahaffrey
Vascular complications DVT and PE are seen as preventable vascular complications. Keys to preventing these types of complications are ardent assessment and the implementation of appropriate VTE prophylaxis. This presentation will inspire and motivate nurses to assure timely assessments and interventions to prevent vascular complications during hospitalization and after a major trauma.  A personal story regarding a traumatic ski accident resulting in multiple bone fractures and subsequent complications including stroke, brain surgery and DVT will be reviewed.
B: Standardized Wound Care Education Program: Craig Cardel, Master of Arts in Nursing
The Standardized Wound Care Education Program was developed in response to requests from RNs, therapists, and health care providers at affiliate medical centers throughout the Mayo Health System to provide standardized, evidence based education and resources for use in treating patients with vascular wounds.   Patients benefit from the additional education and resources provided in the education program by receiving quality health care utilizing standardized, evidence based practice at their affiliate medical centers. Patients also benefit by receiving care at their local medical center verses traveling to the Vascular Wound Center at Mayo Clinic to receive care for their vascular wounds.
C: Manuscript Writing and the Editorial Process: Cindy Lewis, MSN, RN, ACNS-BC
The interactive session will provide guidance on the preparation of manuscripts and guidelines for authors to journals and will use the case of the Journal of Vascular   Nursing. It will outline the use of the electronic management systems. It will also describe the editorial and review processes with advice on improving papers and increasing the probability of acceptance.
2:30-3:15 pm
A: Real World Experience: The role of the nurse informaticist: Megan Keenan, RN
This session will describe the real world experience of a private vascular surgery practice as it transitioned from a paper based chart system to an electronic medical record.  The Nurse Informaticist was an integral part of the project, interjecting clinical knowledge and information technology skills to manage and oversee a transfer of more than 35,000 paper charts.
B: A pilot study investigating the Utilization of Crest Pads: Monica Melo, MSN, RN, ACNS-BC, CWOCN, CFCN
This presentation summarizes this researcher’s Scholarly Project for a Doctor of Nursing Practice degree.  The presentation focuses on the use of Crest pads in patients with lesser-toe deformities to reduce callus or ulceration on the distal end of digits.  This simple but effective device is easily made and could potentially prevent amputation in patients with peripheral neuropathy and peripheral vascular disease.
C: Excertional Fatigue is associated with Functional impairment in patients: Rita de Cassia, RN, MSc, PhD and Leticia Batista, undergraduated student Caroline Assis, undergraduated student Nelson Wolosker, MD, PhD
This session will characterize fatigue and exertional fatigue in patients with intermittent claudication. These variables will be presented as possible contributors of noncompliance to non-pharmacological treatment, especially physical activity. Also, the association of fatigue and exertional fatigue with walking capacity and physical activity level will be discussed.
3:15-3:35 pm
Break
3:45-4:15 pm  
Nursing in South Africa: Challenges & Concerns, Jessica Kolberg
4:15-4:45 pm 
South Africa Experience: Cindi Christensen, MSN, CVN, ARNP-BC, Theresa DeVeaux, RN, MS, ACNP, CV, CCRN,  Debra Kohlman-Trigoboff, RN, MS, ACNP-BC, CVN, Karen Fitzgerald, MSN, RN, NP, CVN and Marge Lovell, RN, CCRC, CVN, BEd, Med
Five SVN vascular nurses were invited to Cape Town South Africa in October 2014 to provide a two-day vascular nursing conference in conjunction with the World Federation of Vascular Societies Congress (WFVSC) covering a variety of vascular topics utilizing didactic lectures. The nursing conference covered vascular disease from early detection, treatment, through rehabilitation, with segments on diabetes, wound care and venous thromboembolism. An interactive session demonstrating the performance of the Ankle Brachial Index was provided. A major objective of this conference was to identify the nurse’s role in preventative strategies throughout the continuum of care of the vascular patient. SVN’s partnership with WFVSC can narrow the divide between third and first world realities creating a program that is practical and relevant regardless of the nurse’s origin or education.
6:00 pm
Fun Night: Menaupause The Musical
$80 per person.

 

Friday, May 1, 2015

7:00-8:00 am
Registration and breakfast
8:00-9:00 am 
PCNA and SVN joint VTE presentation
9:00-9:30 am 
Mycotic Aneurysms: Early Diagnosis is the key to Treatment: Diana Estridge, MS, RN, CNP
The term mycotic aneurysm is generally used to describe any kind of infected aneurysm, regardless of its pathogenesis. Such aneurysms may result from a variety of infectious sources and though patients with this type of aneurysm are relatively rare, they are often extremely complicated with long-term hospitalizations and follow up. This session will discuss the management of patients with mycotic aneurysms and focus on the testing and clinical signs which are utilized to make this diagnosis as well as treatment options and the needed care after discharge from the acute care setting.
9:30-10:00 am
Long Term Impact of Differing Modes of Exercise in Individuals with PAD: Laura Kirk, PhD, RN and Diane Treat-Jacobson, PhD, RN, FAAN, FAHA
Studies have demonstrated that supervised exercise in individuals with life‐style limiting PAD leads to improved outcomes in the short‐term.  What is less well understood are outcomes in the long term. In follow-up to the NIH-funded clinical trial, EXERT, which enabled a head-to-head comparison of  treadmill walking to upper-body arm ergometry, the current study, the Long-term Impact of Differing Modes of Exercise in PAD, sought to examine the health, function and quality of life of individuals with PAD 1-4 years following their completion of EXERT.  A comparison of outcomes, overtime, will deepen our understanding of the long-term impact of exercise interventions
10:00-10:30 am
Break
10:30-11:30 am 
Closing Keynote Speaker: Jim Craig, 1980 USA Olympic Gold Medal Hockey Team
11:30-12:00 pm
Awards presentations and Closing Comments

FRIDAY, MAY 1, 2015-Post-Convention Pharmacology Fly-in
*Requires additional registration fee

12:00pm-1:00pm Lunch/Registration
1:00pm-3:00pm:

Update in Hypertension and Hyperlipidemia Management
H. Stephen Lee, BS (Honors), MSc, Pharm.D.
Associate Professor of Pharmacy Practice College of Pharmacy – Henderson Campus- Roseman University of Health Sciences

Neuropathic Pain Management
Renée Holder, Pharm.D., BCPS
Assistant Professor of Pharmacy Practice, Roseman University of Health Sciences College of Pharmacy

3:00pm-3:30pm 
Coffee Break/Exhibits Open
3:30pm-5:30pm  

Update in Anticoagulation and Antiplatelet Therapy
Krystal KC Riccio, PharmD, BCACP
Assistant Professor of Pharmacy Practice, Roseman University of Health Sciences
UMC Southern Nevada, Clinical Faculty

Update in the Management of Diabetes
Alana Whittaker, Pharm.D., BCPS
Assistant Professor of Pharmacy Practice,Roseman University of Health Sciences, College of Pharmacy
Clinical Faculty - Valley Hospital

5:30pm-6:30pm 
Closing reception