Delegate registration, AORN Foundation, airline information, Pre-Congress, general sessions, education sessions

OCTOBER 1998, VOL 68, NO 4 1999 C O N G R E S S

Delegate registration, AORN Foundation, airline information, Pre-Congress, general sessions, education sessions Sunday, March 28, to Thursday, April 1, 1999 he 46th annual AORN Congress, “Bridging the Centuries,” will be held March 28 to April 1 at the Moscone Center, San Francisco. The Congress registration brochure was mailed to all AORN members early this month. This article contains the same information as the registration brochure but does not include Congress registration forms. To receive a registration brochure, contact AORN customer service at (800)755-2676 x 1. Here are some important dates to keep in mind. Feb 13, 1999:Last day to register at discounted rates. March 8,1999: Deadline for Congress cancellations. All cancellations must be in writing.

T

SCHEDULE INFORMATION he dates and times of Opening and Closing Sessions, Delegates’ Forums, and the House of Delegates follow. The 46th annual Congress Opening Session will take place from 9 to 11 AM Sunday, March 28. Closing Session will take place from 5:15 to 7:30 PM Thursday, April 1. The Delegates’ Forums will be held Monday, March 29, from 3 to 4:30 PM and Wednesday, March 3 1, from 3:30 to 5 PM. The House of Delegates will be held Tuesday, March 30, from 3:30 to 5 PM and Thursday, April 1, from 1:30 to 3 PM.

T

DELEGATE REGISTRATION ndividual delegates and alternates are responsible for their own Congress and delegate registrations. The Congress registration form provides an area for individuals to designate their status as

I

chair, delegate, or alternate for their chapters. Chapter leaders should encourage delegates and alternates to register for Congress by the early registration deadline (ie, Feb 12, 1999)to save money on the registration fee. Chapters should register alternate delegates before the “Meet the Candidates” session so they will be adequately informed to fulfill their roles as potential delegates. Alternates may be added or moved to delegate status at Congress before the first session of the House of Delegates. At the San Francisco Congress, 15 member-atlarge delegates will be seated. These delegate seats are reserved for AORN members who do not belong to chapters. If you are interested in serving as a member-at-large delegate, send a copy of your membership card and a brief letter of interest to Lonie Briggs, AORN chapter relations 543

AORN JOURNAL

OCTOBER 1998, VOL 68, NO 4 1999 CONGRESS

OR NURSE WEEK POSTER CONTEST

coordinator, at AORN Headquarters, 2170 S Parker Rd, Suite 300, Denver, CO 80231-5711; call (800) 755-2676 x 8367; send e-mail to [email protected]; or send a fax to (303) 750-3212.

Ian now to participate in the annual OR Nurse P Week Poster Contest during the 1999 Congress. The theme for OR Nurse Week, Nov 8 to 14,1998, is “OR Nurses-The Spirit of Caring.” For more information or to reserve display space, contact the OR Nurse Week coordinator at AORN Headquarters, x 8235.

FOUNDATION CONGRESS ACTIVITIES he Foundation is pleased to announce special T events planned for Congress. The Foundation again will host a Black Tie Gala, Tuesday, March

CONTINUING EDUCATION CONTACT HOURS

30, 1999, to recognize 1997-1998 contributors who donated $1,000 or more to the Foundation. Chuprer chullenge. All chapters and state councils that have contributed to the Foundation since July 1, 1998, through Congress will be recognized at the Foundation booth. Giveuwuys. The Foundation will hold daily drawings for anyone who contributes to the Foundation during Congress week. Membership for life. For every 1,000 members who contribute a minimum of $25 to the Foundation, their names will be entered into a drawing for their national dues paid for life. Drawings will take place at Congress, and you need not be present to win. Scholurship lunch. Wednesday, March 3 1, 1999, the Foundation will host a lunch for the 1998-1999 scholarship recipients and corporate donors. This will give the recipients an opportunity to personally meet and thank their corporate donor. 5K run. The Foundation will sponsor the second annual 5K run fund-raising event for all Congress attendees Thursday, April 1. For more information on any of these events, contact the AORN Foundation at (800) 755-2676 x 8229 or [email protected].

CONGRESS ORIENTATION help those who are attending Congress for T the first time, the AORN Membership Committee will present a Congress orientation Saturday, o

March 27, 1999, from 4:45 to 6 PM. The session will provide the “who, what, when, where, why, and how” of Congress and help first-timers learn the “lingo.” Attendees can meet other first-time attendees and learn about the resources available at Congress. Space is limited, so those who wish to attend should plan to arrive early and indicate their first-time status on the Congress registration form.

A ORN

will award contact hours for attending education sessions and Delegates’ Forums, completing NetCafe modules, and studying research poster displays containing nursing continuing education content. By attending education sessions only, delegates may earn 3 1.8 contact hours, and nondelegates may earn 39 contact hours. Delegates may earn an additional 1.8 contact hours by attending both Delegates’ Forums. Delegates and nondelegates may earn 1.8 contact hours by reviewing a minimum of seven research posters; a maximum of 2.4 contact hours are available for completing education modules in the NetCafe. Contact hours also will be available on the exhibit floor through Education Design, Inc.

ACCREDITATION STATEMENT ORN is accredited as a provider of continuing A education in nursing by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation. AORN recognizes this activity as continuing education for registered nurses. This recognition does not imply that AORN or the ANCC Commission on Accreditation approves or endorses any product included in the activity. AORN maintains the following State Board of Nursing provider numbers: Alabama ABNP0075, California BRNW0667, Florida 27F0177, and Kansas LTOl140316. Check with your state board of nursing for applicability of activities for relicensure.

NURSEWXHIBITORS ACTIVITIES ~

following are the planned Nurses/Exhibitors TTheheactivities for Congress in San Francisco. kickoff.Nurses/Exhibitors activities will begin Tuesday, March 30, with a continental breakfast from 6:30 to 7:45 AM in Rooms 105/106 outside Hall C of the Moscone Center. Peers f ecfureship. Immediately after the

546 AORN JOURNAL

OCTOBER 1998, VOL 68. NO 4 I999 CONGRESS

continental breakfast Tuesday, March 30, Sheila Murray Bethel will present the Jerry G. Peers lectureship on “Making a Difference: Qualities that Make You a Leader.” €Xlr/bits. The ribbon-cutting ceremony begins at 10 AM Tuesday, March. Be sure to join the AORN Board of Directors and Exhibitors’ Advisory Committee for the opening of the 1999 exhibits. Eduwflon sessions. Kare Anderson will speak in two sessions Tuesday afternoon on the “Seven Traits of the New Synthesizer-Style Leader.” Conflnenful bfeukfusfs. Continental breakfasts will be held in Rooms 105/106 Wednesday, March 3 1 , and Thursday, April 1, from 6:30 to 7:45 AM. Please stop by and enjoy breakfast with your colleagues and vendors.

AIRLINE INFORMATION elta Air Lines, Inc, United Airlines, and TG Worldwide, in cooperation with AORN, are offering special rates that afford a 5% discount off unrestricted coach fares. All rules and regulations of the airfare musl be met to receive the discounts. Purchase your tickets at least 60 days in advance of travel on Delta or United and receive an additional 5% discount. For United: Call United, or have your travel agent call, at (800)521-4041, Monday through Sunday, 7:OO AM to 10:00 PM eastern time and refer to file #569JY. For Delta: Call Delta, or have your travel agent call, at (800) 241-6760 weekdays 7 3 0 AM to 1O:OO PM eastern time and refer to file #I 1 1247A. If neither of these options meets your needs, call TG Worldwide at (800)62 1-2593 inside the United States, or (303) 799-41 12 outside the US, Monday through Friday, 7:30 AM to 5:30 PM mountain time. Win lour Delfa couch cluss tickets. Delta Air Lines, Inc, and AORN are giving away four coach class, domestic airline tickets. To be eligible for the drawing you must call Delta or have your travel agent call (800) 24 1-6760 and refer to file #I 11247A before Feb 12, 1999; preregister for the AORN Congress before Feb 12, 1999; and attend the 1999 San Francisco Congress. The drawing will be held at Congress and winners will be announced in the Wednesday Congress News.

D

CONGRESS FORMS scan sheet will be sent with your registration confirmation for selection of sessions you prefer to attend at Congress. The data collected will be used to assist Headquarters staff members with planning.

A

MEETING ROOMS

M

eeting rooms are available in the Moscone Center, the San Francisco Marriott Hotel, and the ANA Hotel for state councils, chapters, committees, and other ancillary groups affiliated with AORN. AORN will not restrict when meetings can be held; however, they should be limited in length to one and one-half hours. Generally, room rental will not be charged for rooms used in the Moscone Center. An administrative fee of $50 will be collected by AORN. Charges for catering, audiovisual services, and room rental will be the responsibility of the group using the meeting space. Information about acquiring a meeting room in San Francisco will be available in the registration brochure.

HOUSING nternational Travel Service (ITS) will handle housing for the San Francisco Congress. They will begin taking nurse reservations Oct 12, 1998. There are three options available to you in making your reservations. Mail: ITS/AORN San Francisco, PO Box 825. 108 Wilmot Rd, Suite 400, Deerfield, IL 600152100. Fax (credit cards only): (800) 521-6017 or (847) 940-2386 outside the United States and Canada. Telephone (credit card only): (800) 424-5249 or (847) 940-2 155 outside the United States and Canada, 8 AM to 5 PM, central standard time. Please remember a deposit is required for ITS to make your reservation. If you need housing information mailed or faxed to you, please contact AORN customer service at (800)755-2676 x 1.

I

NETWORKING GROUPS

M

ake contacts and exchange ideas at the networking groups informal meetings from 7 to 7:45 AM March 30 and April 1 during the 1999 Congress. More than 20 groups, including trauma, 547

AORN JOURNAL

OCTOBER 1998, VOL 68, NO 4 1999 CONGRESS

case management, plastic/reconstructive, quality improvement/quality assurance/total quality management, otorhinolaryngology, and international nursing, will meet. Check the Congress registration brochure for a complete list, dates, and times.

Hers is a fiercely honest, hilarious, and moving tale of how one of comedy’s greatest stars survived the worst that life could throw at her, how she hit bottom, and then made it back to the top. The tale is as inspiring as it is entertaining.

CALIFORNIA VOLUNTEERS

GENERAL SESSION SUNDAY, MARCH 28, 1999,3:30 TO 5 PM 1413: The Trauma of Transformation-Leah L. Curtin, RN, MS, MA, DSc, FAAN Leah Curtin will provide you with a comprehensive perspective on the changing nature of work, newly evolving opportunities for nursing, lessons to be drawn from the sea of change in the health care industry, and alternatives to consider as you make or adjust your career plans.

ylvia Durrance, RN, BSN, CNOR, the 1999 Congress volunteer coordinator, and AORN members from California will welcome Congress participants to the Bay Area. These volunteers will be on-site to direct members to education sessions; serve as session assistants; provide information about dining, recreation, and shopping; and help everyone feel at home in the beautiful city of San Francisco.

S

EXHIBIT HOURS

E

xhibits will be open three days during Congress week. 10 AM to 3 PM Tuesday, March 30 Wednesday, March 3 1 10 AM to 3 PM Thursday, April 1 10 AM to 1 PM

SPECIALTY ASSEMBLIES

S

pecialty assembly business meetings are open to all who attend Congress. The groups include Advanced Technology; Ambulatory Surgery; Cardiothoracic; Management; Nurse Educator/Clinical Nurse Specialist; Nurses in Business, Industry & Consulting; Nurses in Informatics; Neurosurgery; Orthopedic; Pediatrics; RN First Assistant; and Rural/Small Hospital. The governing councils of each group will address specific issues and goals. Meeting dates and times will be on AORN Online, in the Journal, and in specialty assembly quarterly newsletters.

GENERAL SESSIONS OPENING SESSION SUNDAY, MARCH 28,1999,9 TO 11 AM 1401: Bouncing Back: I’ve Survived Everything. . and I Mean Everything. . . and You Can Too!Joan Rivers Joan Rivers is one of the hardest working women in the business . . . comedienne, author, actress, playwright, screen writer, motion picture director, nightclub headliner, television talk show hostess, business woman, and most importantly, mother to Melissa.

GENERAL SESSION MONDAY, MARCH 29, 1999,8 TO 9:30 AM Opportunities & Challenges Facing Health Care Professionals in the New Century-Leland R. Kaiser, Phl) Leland R. Kaiser, PhD, is a health futurist who has been responsible for sparking the imagination of audiences worldwide to change obsolete mindsets and welcome new opportunities to design a healthier society. Dr Kaiser is also a pioneer in the development of electronic teaching technologies in universities without walls. JERRY G. PEERS LECTURESHIP TUESDAY, MARCH 3 0 , 1 9 9 9 , 8 TO 9:30 AM Making a Difference: Qualities That Make You A Leader-Sheila Murray Bethel Sheila Murray Bethel is host of the new public television special “Making A Difference,” and author of the best selling book, Making A Difference-I2 Qualities That Make You A Leader. Sheila began her business career in the health care field. She was coordinator of an institute rehabilitating brain-injured children and has a special affinity to our issues and opportunities. Her message is timely and global. Sponsored by the Exhibitors’ Advisory Committee. GENERAL SESSION THURSDAY, APRIL 1,1999,3:30 TO 5 PM Cross Generational Motivators-Marilyn MoatsKennedy, MSJ This session will look at fundamental workplace 548

AORN JOURNAL

OCTOBER 1998, VOL 68, NO 4 1399 CONGRESS

value changes, cross-cohort management styles, and cross-generational motivation.

sion that will give you in-depth information on a critical topic.

CLOSING SESSION THURSDAY, APRIL 1, 1999, 5:15 to 7:15 PM Live Your Dreams!-Les Brown Les Brown has risen to prominence by delivering a message that tells people how to shake off mediocrity and live up to their greatness-a message Les learned from his own life and one he helps others apply to theirs. He will share bits and pieces of his personal journey, from a hip-talking morning deejay to broadcast manager, from community activist to community leader, from political commentator to three-tern legislator, and from a banquet and nightclub emcee to world-renowned keynote speaker.

8 AM to 4:30 PM

EDUCATION TRACKS ducation sessions are organized by tracks to help you identify activities that match your continuing education needs and interests. The tracks are identified as follows: A Advanced Management B BudgetFinance C Clinical E Educator I Informatics L Legalmisk Issues M Management P Professional Issuesnrends/Development R Research * Georgetown University Program

E

8 t o 11 AM

+ These sessions qualify for AORN Risk Management Credit. Earning four contact hours of AORN Risk Management Credit annually qualifies you for a 10% insurance premium credit. For details, call AORN’s endorsed insurance administrator, Maginnis & Associates, at (800) 621-3008. Note: “R’ after a session number denotes a repeat session.

PRE-CONGRESS re-Congress activities will take place on Saturday, March 27, 1999, at the Moscone Center in Francisco. The Pre-Congress program has been designed to give you the opportunity to select a ses-

P San

1350 B M m Essential Skills f o r Surgical Services ManagersBonnie Barndt-Maglio, RN, MS, PhD(c) This day-long seminar will cover pricing and reimbursement, program planning, using information for decision making, and outsourcing. Developing a pricing system for products and services is key to success in today’s health care market. It is vital for the perioperative manager to understand the basis for health care reimbursement and to use this information to create a pricing structure that works. Planning tools, such as Pert and Gantt, can be used to effectively plan and implement successful programs. Information systems make data available that could make a world of difference in any decision. As a perioperative manager, you need to know the capabilities of the new technologies, how to gain access, and how to use this information to make sound business decisions. Deciding to use outside services and vendors is a central issue in cost containment and quality in today’s surgical services. Learn how to evaluate outsourcing options and make the best choice for your organization.

1351 E Super Learning, Comprehension & MemoryBruce C. Lee Learn how to remember everything-anywhere, anytime! This session will begin with a look at how the brain and memory work and provide you with techniques to put your full memory/recall capacity to work. The second part of the seminar combines the best of super learning (accelerated learning) with previewing and right and left brain thinking. You will come away with the skills to retain more of the information that you read or hear. 1352ABM OR Benchmarking: Statistical Tracking & Reporting-U. David Crone, MBA, CPA, FHFMA; and Irene M. Fox, RN, MS, CPHQ AORN developed the perioperative data elements to include interventions, diagnoses, outcomes, and structure elements. The structure data elements were

551 AORN JOURNAL

OCTOBER 1998, VOL 68, NO 4 1999 CONGRESS

refined to define benchmarks for surgical services. The benchmarks were shared with AORN managers, who ranked the benchmarks according to their importance and ease of collection. This session will describe the process of benchmark development and provide participants with the AORN benchmarks. In addition, data collected from sites utilizing the benchmarks will be shared. OR managers and directors who are interested in accurate comparison data should plan to attend.

1353 C SedationlAnalgesia: Meeting the Standards of Care-Donna S . Watson, RN, MSN, CNOR; and Janet L. Odom, RN, MS, CPAN This session will provide a guide for a safe standard of care for the patient receiving conscious sedation/analgesia to ensure positive patient outcomes. Topics that will be discussed are monitoring parameters, pharmacology, management of complications, patient discharge, competence in patient management, and personal and professional liabilities. Endorsed by the Ambulatory Surgery Specialty Assembly. 1354 P Career Advancement: Making the Transition Work for You-Jan Boller, RN, MSN; Gregory L. Crow, RN, EdD; and Louise Pasaka, RN, BSN, CNOR Transitioning to a new role is exciting and sometimes unnerving. Have I made the right choice? Do I have what it takes? How can I make it work for me? This interactive workshop, designed for RNFAs and other nurses advancing their careers, will help participants answer these questions for their own careers. They will develop practical action strategies based on the effective use of power, leadership, education, and entrepreneurial thinking. Presented in collaboration with the International Leadership Institute, Sigma Theta Tau International. 1 :30 to 4:30 PM 1355 E M P Getting Beyond & Getting Your Point Across-Jim Ryerson As the health care arena continues its rapid evolution, the ability to be creative, focused, and productive is essential to a successful, healthy, and balanced life. Since getting your point across is essential in a changing world, the first half of this session

will focus on 10 key elements of successful presentations. You will learn how to effectively communicate your ideas, plans, and outcomes to others. The second half of the session teaches several time-honored principles to help you move beyond the ordinary and leverage the constant changes in life.

1356 E C Take the Pressure Off!-Dana McDermott, RN, SSN, CNOR Participants in this session will experience the nursing research process while participating in a hands-on research project relating to positioning patients to relieve pressure areas. 1357 I M Informatics: Complying with JCAHO Requirements f o r Management of Information, Qualio & Patient Outcomes-Richard E. Gilder, RN, BSN, CNOR; Jan Lee Kwai, RN, MSN, CNOR; and Susan McBride, RN, MSN You will come away from this session knowing how to solve some of your most puzzling and pressing problems in informatics, You will learn how to get staff members up to speed on the use of computers by establishing a network of “superusers” (preceptors) through a preceptorship program that builds an informatics skill set in a safe and nurturing environment. You will learn how you can get into compliance with the JCAHO Management of Information requirements, including creation of control charts, as quality measures will be addressed. How to get a handle on the critical indicators that will give you a scientific basis for both risk management and improvement of patient outcomes also will be discussed. Answers to your questions and dilemmas in the problem-solving clinic will be an important part of the seminar. If you are in informatics management, this session is a must. Endorsed by the Informatics Specialty Assembly. 1358 C Current Concepts in Arthroscopic Shoulder & Knee Surgery-John Altamura, MD This clinical session will describe the advantages of Osteochondral Autogenous Transplant for Surgery (OATS F’rocedure) and identify the functional anatomy of the shoulder and knee. Next, an update of new technologies used in arthroscopic surgery will be presented. You will be introduced to advances in shoulder and knee procedures. This 552

AORN JOURNAL

OCTOBER 1998, VOL 68, NO 4 1999 CONGRESS

imaging tool to guide them during surgical procedures. The use of magnetic resonance imaging (MRI) has revolutionized the way surgical procedures are performed. This new image guidance system allows the surgeon 3-D MR continuous intraoperative visualization of the entire surgical site. This session will give an explanation of MRI; the types of procedures being performed in the open MR system; the advantages and limitations of the open MR system; the development of surgical instrumentation; the use of adjunctive therapies, and program costs.

seminar is a “must” for nurses involved with shoulder and knee procedures! Endorsed by the Orthopedic Specialty Assembly.

EDUCATION SESSIONS SUNDAY, MARCH 28,1999,11:30 AM TO 1 PM 1402 A B M P = Determining Staff Mix and Personnel CostsBonnie Barndt-Maglio, RN, MS, PhD(c) The personnel expenditures in health care comprise up to 60% of the operating budget. This session gives you the tools to construct a man-hour budget that meets both operational and budgetary objectives.

1407 C P Planning a Surgical Suite in a Space StationLinda Plush, RN, MSN, APN; and Patricia Santy, MD This session will outline some of the challenges being encountered in the preparation for possible surgery in a space station. Medical, nursing, and NASA perspectives will be presented.

1403 A M The Six Secrets of People Empower~ent-Briun C. Lee Unlock the mystery to human motivation and achieve greater productivity, less staff turnover, and fewer complaints! Renew your thinking on hiring and training through empowerment techniques and motivation. Know customer expectations so you can empower managers to manage moments of truth and help your people perform as winners. This session provides solutions to difficult situations and shares the three T’s of empowerment that replace rules and are critical to leadership.

1:30 to 3 PM

1404 C Sterilization Recall: A Decision Tree for Questionable Sterilizer Loads-Susan Dolan, RN, MS, CIC; and Rose Seavey, RN, BS, CNOR As part of the quality control parameters for the sterilization process, sterilizer efficacy should be monitored at regular intervals with biological indicators. Although sterilization failure should not occur, in rare instances it may. In such cases, a “recall” of the items may be necessary. This session explains a sterilization recall process sequential tasks, through the use of a decision tree (flow chart). The process involved decision-making responsibilities from a multidisciplinary group of health care workers. 1405 C MR Guided Surgery: Part I-Elizabeth L. Gasson, RN, MSN, CNOR; Angela R. Kanan, RN, BSN; Gail Riener-French, RN, BSN; and Diane Asselin, RN, ME Beginning in 1997, surgeons began using a new

1408 I M = Innovation: Making the Most of Information Technology-TBA The technological systems of the future are likely to change how health care is given and received. Use this session to learn about the new frontiers in technology, as well as new and exciting opportunities for nurse professionals. 1409R A M The Six Secrets of People Empowerment See 1403. 1410R C Sterilization Recall: A Decision Tree for Questionable Sterilizer Loads See 1404. 1411 C MR Guided Surgery: Part II-Elizabeth L. Gasson, RN, MSN, CNOR; Angela R. Kanan, RN, BSN; Gail Riener-French, RN, BSN; and Diane Asselin, RN, ME The introduction of magnetic resonance imaging (MRI) into the OR has changed the delivery of perioperative patient care. Due to the ever-present magnetic field, education of patients and staff is critical to provide a safe environment for all people entering

554 AORN JOURNAL

OCTOBER 1998, VOL 68, NO 4 1999 CONGRESS

1416 + C M Fire Prevention and Safety During Operative and Invasive Procedures-Mark L. Phippen, RN, BSN, MN, CNOR; Brenda C. Ulmer, RN, BS, MN; and Susan K. Banschbach, RN, CNOR During operative and invasive procedures, elec1412 C trosurgery and lasers are used to achieve hemostaThoracoscopic Spinal S u r g e v J o a n Reichner, sis and dissect tissue, and light sources are used to RN, BScN, CNOR; and Kimberly A. McEvoy, RN, illuminate tissue. One of the hazards associated CNOR with this technology is the ever-present risk of an This session will share the clinical expertise ignition incident, which may result in serious required to assist with thoracoscopic spinal surgery patient or staff injury. This session focuses on the in the pediatric population. A review of systems, common causes of fires and strategies on how to clinical indications for surgery, and anesthesia and reduce the risk of a fire during an operative or invasurgical setup will be discussed. A diagrammatic comparison will be presented highlighting the advan- sive procedure. Information about the fire triangle and strategies for preventing and managing fires tages of thoracoscopic versus open spinal fusion utiwill be shared. Real life examples of fires will be lizing return to activities of daily living, pain, and cost as measurable outcomes. discussed. the OR. Screening and education of patients and staff, safety, monitoring patient challenges,patient positioning, and equipment modifications will be discussed.

1477 P New Centuries New Roles Endless Possibilities-Janet A. Lewis, RN, MA, CNOR; and Karna Kruckenberg,RN, MSN, PhD This session will explore key nursing roles for the future. The speakers will share experiences related to transitioning into those new roles, building on existing knowledge and expertise. Participants will be invited to identify potential roles for the practice of nursing in the year 2000 and beyond, discuss strategies necessary to transition nurses into new and expanded role opportunities, explore designing roles of the future, and design their “ideal” role.

5 3 0 to 7 PM

...

1414 C M P A Story of Healing: Reconstructive Plastic Surgev in Developing Countries-Linda M. Lambert, RN, BSN, CNOR; and Sandra G. Lea, RN, CNOR The film documentary of this story won an Oscar in 1998 for Best Short Subject! Interplast sends teams of medical volunteers to developing countries to provide free reconstructive surgery to children. In January 1997, a film crew followed the team to Vietnam to document their experiences treating children born with life-debilitating deformities. The result was, “A Story of Healing.” The documentary will be shown during the session.

...

MONDAY, MARCH 29,1999,lO TO 11:30 AM 1415 C M Flash Sterilization: Making It Safe and Proving It-Victoria M. Steelman, RN, MA, PhD, CNOR “Flash” sterilizatioxin the OR has long been considered less safe than wrapped sterilization in central sterilizing. Hospitals have received warning citations from the JCAHO for this practice. However, the impact of sterilization in the OR on patient outcomes has been unknown. Eliminating this practicing requires a costly inventory of instruments and is questioned by OR managers in these times of tightening budgets. Utilizing advances in technology can minimize the risks associated with sterilization in an open tray. Scientific evidence can be used to demonstrate the safety of sterilization practices.

1418 A B Y = Using Outcomes Data to Measure Success-Bonnie B a d - M a g l b , RN, MS, PhD(c) Learn how to use benchmarking and best practice data to improve your department’s operations and outcomes. 1419AMP Survivor of the Managed Care 90s-Sharon Weir Lowry, RN, BSN, CNOR This session will identify successful perioperative survival techniques to be employed in a managed health care environment. Nursing, education, and management practices for survival in these difficult times will be discussed. Methodologieson

556 AORN JOURNAL

OCTOBER 1998, VOL 68, NO 4 1999 CONGRESS

Wisdom of Perioperative Nurses-Patricia Benner, RN, PhD, FAAN Dr Benner will present strategies for restoring morale and a shared vision for excellent caring practices in a market-driven health care system. Findings from her current research on clinical wisdom and interventions of critical care nurses will illustrate the stages of skill acquisition from beginning to expert practice. Participants will learn strategies for improving ethical and clinical reasoning and thinking-inaction at the individual, unit, and organizational levels. Also explored will be ways of enhancing experiential learning to improve local clinical knowledge and expertise. Findings from research on developing quality outcomes and managing breakdown as a central function of expert nursing practice and clinical leadership will be presented.

cross-training, creative staffing, decreased turnover times, pathways, changes in scrub attire, anesthesia practices, use of an automated medication dispensing system, and cost-based accounting methods will be presented and discussed.

1420R + C M Fire Prevention & Safety During Operative & lnvasive Procedures See 1416. 1421 C An Enhanced Technique for Identification of Sentinel Lymph Nodes-Dona Martin Laing, RN, MSN A brief review of basal cell and squamous cell carcinoma risk factors, diagnosis, treatment, and repair will be presented. The session will go on to acquaint perioperative nurses the identification of sentinel lymph node(s), following the diagnosis of basal cell or squamous cell carcinoma. 1422 C R Barrier Issues in Non-Latex Gloves-Denise Korniewicz, RN, DNS, FAAN In this session, the latest multicenter research on the use of nonlatex gloves will be presented. The barrier issues important to know when using nonlatex gloves and how these affect the current standards and recommendations will be discussed. Finally, the impact nonlatex gloves have on health care will be examined. 1423R C M P A Story of Healing: Reconstructive Plastic Surgery in Developing Countries See 1407. 1 to 2:30 PM 1424 A C E 1 M = Ethical Dilemmas in Perioperative Care-Pahicia Cloonan, PhD As health care organizations and perioperative nurses respond to market forces, change in mission, goals, and culture is inevitable. Ethical reasoning principles enable individuals experiencing these changes to make decisions and take actions that are congruent with personal values and beliefs. 1425 + A C E M P From Novice to Expert: Discovering the Clinical -

1426RA M P Survivor of the Managed Care 90s See 1419. 1427R C An Enhanced Techniquefor Identification of Sentinel Lymph Nodes See 1421. 14281C R Barrier Issues in Non-Latex Gloves See 1422. 1429R C M Flash Sterilization: Making It Safe and i See 1415.

jving It

3 to 4:30 PM 1431RAC E 1 M = Ethical Dilemmas in Perioperative Care See 1424. 1432R+ACEMP From Novice to Expert: Discovering the Clinical Wisdom of Perioperative Nurses See 1425. 1433 C R Latex Allergy: Latest Insights on Diagnosis and Management-Kenneth T. Kim, MD; and Peter B. Graves, RN, BSN, CNOR Dr Kim will address the various clinical 558

AORN JOURNAL

OCTOBER 1998, VOL 68, NO 4 1999 CONGRESS

manifestations of latex allergy, diagnostic methods currently available and in clinical trials, along with management recommendations of latex allergy patients. Mr Graves will address the management strategy of caring for the latex allergic individual in the OR, as well as in the perioperative areas. This session will give the practitioner some baseline information on which to build a better understanding of the problems encountered in managing a latex allergy patient and give them advice on how to find resources and information on the topic.

1434 + C 1 M Root Cause Analysis: A Pathway to Improve Patient Care-Dennis Parker The JCAHO Sentinel Event Policy has changed the way health care facilities review and report an unexpected occurrence involving death or serious physical or psychological injury, or risk thereof. This session will explore the process of root-cause analysis and the impact the process can have on quality patient care. 1435 P Less Than Perfect Control-Donna Stn’ckland, RN, MS, CS Control: The capacity to manage, master, dominate, exercise power over, regulate, influence, curb, or restrain. This session has everything to do with 21st century careers. So much of who we are and how we relate to our self, our career, and each other is colored by our struggles over control: over wanting it and taking it, loving it and fearing it, and figuring out when the time has come to surrender it. Control is self-control. It means being responsible for the way we live. It means being our own leader. It means finding out our best balance between power and surrender, victory and victimhood, and potency and impotence. 5 to 6:30 PM 1436 E Earning a Degree Through Distance Education: Is I t For You?-Kathleen B. Gaberson, RN, PhD; and Louise M. Pasaka, RN, BSN, CNOR, CRNFA Distance education is an alternative for busy perioperative nurses who may not have access to a college campus. This session will explore the variety of distance learning options and compare traditional classroom and distance learning programs.

You will learn what skills are required for success, how to find a program that matches your learning style, and what questions to ask when evaluating distance education programs.

1437R + C 1 M Root Cause Analysis: A Pathway to Improve Patient Care See 1434. 1438R P Less Than Perfect Control See 1435. TUESDAY, MARCH 30,1999,3:30 TO 5 PM 1440ABM Seven Traits of the New Synthesizer-Style LeaderKare Anderson Today’s most effective leaders are “synthesizers” who get more done through others. While Stephen Covey, Warren Bennis, and others offer valuable insights into what leadership should look like, Anderson describes the actual behaviors today’s leaders share, regardless of age, sex, ethnicity, or education level. Be prepared to literally see and practice what it takes to motivate, mold teams, and inspire individuals to excel beyond their past experiences. 1441 P R Work Related Psychological Trauma in Perioperative Nurses: An Integrated Model-Rene Michael, RN, BSc, PGDip, MAS, PhD Perioperative nurses can be described as a high risk group with respect to the likelihood of their experiencing stressful and traumatic events as a result of fulfilling their professional role. The often emotional, demanding, and sometimes threatening nature of perioperative nursing practice exposes them to the risk of chronic and traumatic stress reactions. If organizations fail to address these issues, perioperative nurses may manifest mental health and performance problems because of their direct or indirect involvement in such events. 1442 C Aortic Stent Graft-Phyllis A. Cox, RN, CNOR; Edward V. Kinney, MD With the growing trend toward less invasive procedures, vascular surgery is following the footsteps 561

AORN JOURNAL

OCTOBER 1998, VOL 68, NO 4 1999 CONGRESS

of general surgery. This session will focus on the development of the aortic stent graft, the latest research results, and the perioperative care of the stent graft patient.

test for perioperative nurses. This session is research based, cutting edge, and has new information!

WEDNESDAY, MARCH 31,1999,8 TO 9:30 AM 1443 A M P Extinguish that Fire: Defusing HostilitylViolence in the Workplace-Stanley R. Gilliland, RN, BSN, MBA This session will be a wake-up call to all nurses. We live in a world where violence is everywhere. Concepts of diffusing violence in the workplace and in the home and also diffusing violence inside themselves will be discussed. This session will assist health care providers in the approach and use of tactics in handling anger in the patient, coworker, and in the nurse themselves as people.

1448ABMm Marketing f o r Managers: Selling the “Experience” of Surgery in Your Center-TBA Service marketing has evolved into a new generation of selling the experience. This session will focus on effective marketing of services and selling your department’s experience.

1444 A M P = Managing the Contemporary Workplace-Bonnie Barndt-Maglio, RN, MS, PhD(c) Effective human resource management means cultivating and leading a diverse knowledge based workforce. Learn how successful managers today meet this challenge by creating a work environment that cultivates staff development and productivity. 5:30 to 7 PM 14451 A B M Seven Traits of the New Synthesizer-Style LeaderKare Anderson See 1440. 14461 A M P Extinguish that Fire: Defusing HostilitylViolence in the Workplace See 1443. 1447 E C Stop Latex Sensitization-Joan N. Martellotto, RN, PhD, CS; and Susan V . M. Kleinbeck, RN, PhD, CNOR There is an urgent need for every health care facility to implement latex allergy protocols to protect health care workers and patients. This session will describe the progressively disabling experiences of health care workers who are allergic to natural latex, the latest prevention techniques for minimizing the risk of developing a latex allergy, and a newly developed latex allergy competency

1449 C E Treating the Whole Person: Two Women’s Surgical Experiences-Kristen R. Ball and Eileen Ullmann, RN, MHS, CNOR The surgical experience can be, at the very least, a frightening one. This session will look at two women’s surgical experiences and why treating the whole patient is paramount in nursing care. 1450 + 1 The Anatomy of a Lawsuit-William Duffy, RN, BSN, MJ, CNOR This session focuses on the different processes, reasons, and issues behind each stage of a malpractice suit. We will explore the types of lawsuits that could affect a nurse with an explanation of the elements involved with the three main torts used by attorneys to state their case. The progression of a lawsuit will be examined from the “filing” to the “appeal.” The session will conclude with prevention strategies, tactics, and deposition tips to aid the perioperative professional. 1451 E Politics: The Art of the Possible-David Hebert, JD; and Candace Romig, MA In 1998, AORN members mobilized to respond to HCFA proposals to remove the requirement of a RN in the OR. In addition, AORN also worked with its federal representatives to introduce legislation in the US Congress on RNFA Medicare reimbursement. Members in California, Idaho, Illinois, Missouri, Rhode Island, and Washington worked on state legislation on RNFA reimbursement, regulation of surgical technologists, and nurse staffing issues. Whether working on national or state issues, AORN’s success in the legislature depends upon a

562 AORN JOURNAL

OCTOBER 1998, VOL 68, NO 3 1999 CONGRESS

strong grassroots network. This session will provide members a hands-on experience with the continuing development of the AORN National Legislative Grassroots Network. Be a citizen lobbyist for AORN. Communicate more effectively with elected officials. Learn how Congress and the state legislatures directly affect your work. You are the expert on perioperative nursing and health policy. Use that expertise to turn obstacles into possibilities.

Cannot Answer the Question-Suzanne C. Beyea, RN, PhD, CS; Dorothy M. Fogg, RN, BSN, MA; and Leslie H. Nicoll, RN, MS, MBA, PhD Clinicians are confronting many difficult practice issues and problems. Questions such as whether or not to use hospital laundered scrubs or reprocess single-use items have become controversial. These are examples of just two of the many questions that are not easily answered by research. This session will focus on decision making for perioperative nursing practice when the research findings are not clear or do not exist.

14521 P R Work Related Psychological Trauma in Perioperative Nurses: An Integrated Model See 1441. 1453 C Trauma and Its Implications in the Perioperative Environment-Dona Martin Laing, RN, MSN This session will reacquaint perioperative nurses with trauma and its implications for the perioperative environment. The session will review the biomechanics and mechanisms of traumatic injury, emphasize specific populations at risk for trauma, describe the initial assessment of a traumatically injured patient, and review strategies for expeditious care of the perioperative trauma patient. 3:30 to 5 PM 1454R c Aortic Stent Graft See 1442.

1457 C 1 Assessing f o r Domestic Violence in the Health Care Setting-Theresa O’Sullivan, M A “Domestic violence” is defined as the actual or threatened physical, sexual, psychological, or economic abuse of an individual by someone with whom they have or have had an intimate relationship. It is the number one health risk to women in the United States. General information about the dynamics of abuse, signs and symptoms of abuse, interviewing and screening questions, and file documentation will be covered. 14581C E Treating the Whole Person: Two Women’s Surgical Experiences See 1449. 5:30 to 7 PM

1455 P Knock ’em Alive: Powerful Communication Skills-Scott Halford Communicating effectively is rated as either first or second in a survey of every Fortune 500 CEO who was asked what the most important skill for career advancement is. Medical professionals who hone their skills so they may effectively inform, educate, and persuade will find that they open LIPnew avenues in their jobs. In this session, you will learn to communicate powerfully, precisely, and persuasively: build rapport with doctors, patients, and colleagues; and understand how people listen more to what you do than to what you say. 1456 C M Decision Analysis: When Research Does Not or

1459R C Trauma and Its Implications in the Perioperative Environment See 1453. 1460R P Knock ’em Alive: Powerful Communication Skills See 1455. 1461R E Earning a Degree Through Distance Education: Is It For You? See 1436. 1478 M P Morale: The Good, Bad, and Ugly-Shirley Ann Norris, RN, BA, MEd, CNOR, CNA; and Vivian C. Watson,RN, CNOR 564

AORN JOURNAL

OCTOBER 1998, VOL 65, NO 4 1999 CONGRESS

Morale is an issue in all ORs. Who is accountable for maintaining morale? Is it always higher management? Does the employee have a responsibility in morale issues? Most of the time we see employees looking to management to “fix” the morale issue. When you put someone else in charge of employee morale, the employee is disempowered. Low morale drains away precious energy and destroys self-confidence. In this age of change, it behooves us to have a good attitude, welcome change, remain upbeat, and maintain an active part in keeping morale high.

THURSDAY, AUGUST 1,1999,8 TO 9:30 AM 1462 C R Preventing Pressure Ulcers: Demystifying Clinical Research-Alyce A . Schultz, RN, PhD The incidence of pressure ulcers as the result of an OR experience has been reported as high as 66%. Two years of data at one hospital suggested a strong correlation between an OR experience and having a pressure ulcer. The findings provide an opportune time to conduct research in the perioperative area. The challenges, barriers, cooperation, and collaboration that evolved as they created a research environment that examined the incidence of pressure ulcers from the OR will be discussed. 1463 C P Bloodless Medicine and Surgery-Carol J. Ratcliffe, RN, MSN, CNOR, and Deborah Lane Tooke Arceneaux For centuries, medical care has utilized blood, in whole or in part, as an essential element in quality medical treatment. Since the early 1980s, the potential health risks for blood treatment sent virtual panic throughout the medical community. Diseases such as AIDS and hepatitis became topics for discussion with medical professionals and with the public at large. Alternatives became necessary to satisfy the fear of contracting deadly diseases as a result of accepting a blood transfusion. Balancing the issues, and possible religious conscience of patients, the ethical responsibility of the medical and legal professional became the primary focus for many worldwide. This session will include a discussion of the “conscientious objector” to blood treatment, the advent of “bloodless medicine” programs across the nation, and the mutual advantages for the patient and the practitioner in considering bloodless medicine as a viable alternative.

1464R + 1 The Anatomy of a Lawsuit See 1450. 1465 M P Motivation and Morale: Beyond a Quick FixSharon H . Cox, MSN, CNAA This session is for those in leadership positions who struggle with issues of low morale and a demotivated work group. The emphasis is on shifting from a “waiting to be told-going through the motions” type of work climate to a self-motivated work group with the ability to sustain that spark of commitment over time. Understanding what really motivates staff and how to reduce demotivators is the crux of this session. Making work more fun is also a focal point, as well as practical suggestions on how the organization can support this effort. Remotivation on a personal level concludes the session with the intent of offering approaches for next-day use. 1466 P Senseless Acts of Beauty-Scott Halford Work takes up most of our waking hours. Research shows the majority of employees think the “grass is greener” elsewhere. In this funny, moving session, you will discover the things you can do to make work a place you want to be, how to create a serious environment of learning and fun, the “silent” gifts you give patients, how doing the unexpected creates productivity, and what “team” means. 1467 A C M CDC Guidelines on Infection Control-James T. Lee, Jr, MD, PhD, FACS The Hospital Infection Control Advisory Committee of the Centers for Disease Control and Prevention has revised the comprehensive guidelines for preventing surgical site infections. The recently released guidelines provide an update to those published in 1984. During this session, the speaker will provide an analysis of the areas in which the new guidelines differ from the earlier publication. Participants will have an opportunity to ask questions related to the implications of the guidelines to their daily practice. 1:30 to 3 PM 14681C R Preventing Pressure Ulcers: Demystifying 567

AORN JOURNAL

OCTOBER 1998, VOL 68, NO 4 1999 CONGRESS

1472 C R Hot Topics in Perioperative Nursing: Clinical Research Presentations-Mary Jane Costa, RN, PhD; Aileen R . Killen, RN, PhD, CNOR; and Victoria M. Steelman, RN, MA, PhD, CNOR Research findings help perioperative nurses guide practice and improve clinical outcomes. This session highlights three research projects of significance to perioperative nursing practice. The first presentation will explore morality in perioperative nurses; the second will examine the prevalence and risk factors for adverse reactions to natural rubber products; and the final presentation will discuss the lived perioperative experience of ambulatory surgical patients. A

Clinical Research See 1462. 14698 P Senseless Acts of Beauty See 1466. 14788 M P Motivation and Morale: Beyond a Quick Fix See 1465. 1471RAC M CDC Guidelines on Infection Control See 1467.

Growing Popularity Aside, Cigars Still Considered Dangerous According to a July 15, 1998, press release from the American Cancer Society (ACS), the scientific knowledge on the health risks of cigar smoking indicates that cigar smoking causes cancer and is a serious risk to public health. In a recent ACS conference on cigar smoking, experts on the medical and behavior aspects of cigar smoking recommended that the laws and regulations that limit access by children and teens to cigarettes be applied to cigars and all other tobacco products. The experts at the June 15 to 16, 1998, conference also agreed the glamorization of cigar smoking by celebrities appears to be contributing to the rising cigar use among adolescents. Other findings revealed at the conference include the following. Cigar smoke causes cancers of the lip, tongue, mouth, throat, larynx, esophagus, and lung. Cigar smoking is not a safe substitute for cigarette smoking. One does not need to inhale cigar smoke to become addicted to nicotine-oral membranes directly absorb the nicotine in cigars whether the cigar is smoked or just held in the mouth. Cigar smoking is not only an adult problem.

According to the release, as many as 30% of adolescents reported smoking a cigar in the previous 30 days. The smoke produced by cigars is a major source of indoor air pollution and can be hazardous for people who work in establishments where cigar smoking is encouraged (eg, cigar bars). Current marketing practices used for cigars parallel strategies used in the past to market smokeless tobacco, low-yield cigarettes, and other tobacco products. The growing acceptance of cigars may open the door to the use of other tobacco products. The ACS recommends health care professionals, government officials, and the public health community discourage cigar smoking and better control advertising and promotion that appeals to children. Health Risks of Cigar Smoking Documented at American Cancer Society State-of-the-Science Conference (press release, Washington, DC: American Cancer Society) Available from www.cancer.org/boflomjoining.html. Accessed 12 Aug 1998.

568 AORN JOURNAL