Earn valuable contact hours by attending Congress 2006 Education Sessions: Saturday, March 18, to Thursday, March 23, 2006

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Earn valuable contact hours by attending Congress 2006

Education Sessions Saturday, March 18, to Thursday, March 23, 2006

A

ORN’s 53rd annual Congress offers perioperative nurses an opportunity to gather in Washington, DC, to learn, have fun, and become re-energized. Attendees can earn valuable contact hours by attending education sessions on a wide variety of topics and viewing research/evidence-based practice and clinical innovation/improvement posters. This article provides information on education opportunities offered at this year’s Congress. Education tracks are specified for each education session. The tracks identify the broad content area for each session. Most sessions have content that applies to more than one track. To help make your selections, review the description of each session. The following definitions are used to identify broad content areas. A Ambulatory C Clinical I Informatics L/M Leadership/management L/MO Management with a focus on operations L/MWF Management with a focus on work force P Professional development/ issues Perioperative safety trends

The letter (R) after a session number denotes a repeat session. The letters CH denote contact hours. You must attend 90% of the education sessions to earn contact hours. Specific sessions that qualify for AORN risk management credit are

denoted by a +. Earning four contact hours of AORN risk management credit annually qualifies AORN members for a 10% insurance premium credit. For details, call AORN’s endorsed insurance administrator, Marsh Affinity Group Services, a service of Seabury and Smith, at (800) 503-9230. The number of contact hours you can earn at Congress will depend on your program selection. Individuals who attend the AORN Ambulatory Surgery Program from 8 AM to 4:30 PM on Monday will earn 8 contact hours. Individuals who attend either the “Mindset of Creative Leadership” session or two concurrent sessions during the same time frame will earn 3.6 contact hours. Individuals who attend two sessions from the AORN Management Program on Tuesday and Wednesday can earn an additional 3.6 contact hours each day. Individuals who attend the Faculty Program on Wednesday can earn an additional 3.6 contact hours. Nondelegates who attend traditional education sessions can earn 27.1 contact hours, and delegates who attend traditional education sessions can earn 14.5 contact hours. You also will have the opportunity to review Research/Evidence-Based Practice and Clinical Improvement/ Innovation posters from 7 AM to 5 PM, Sunday through Thursday. The number of posters of each type and the contact hours available for reviewing them will be determined by Feb 1. Visit the AORN web site at http://www.aorn.org/Congress /2006/attendees/program.asp for the most AORN JOURNAL •

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up-to-date information on Congress education sessions.

PRE-CONGRESS SESSIONS Pre-Congress education sessions will be held on Saturday, March 18, in the Washington Convention Center. More programs have been added this year to meet the diverse needs of the AORN membership. Pre-Congress sessions are in-depth programs that will provide you with tools and skills that you can implement immediately. Half-day sessions or two half-day sessions that follow a similar theme are available. Whether you are employed in a hospital, ambulatory surgery center, or a physician’s office, you will find information that you need.

SATURDAY, MARCH 18 8

TO

11 AM

(3.4 CH)

P 9577+ PNDS: Jumping into the Real World—Kathie Shea, RN, BSN, CNOR; Paula Morton, RN, MSN; Cecil King, RN, MS, CNOR; Mary Salreno, RN, MSN Integrating the Perioperative Nursing Data Set (PNDS) into everyday work practices can be a challenge. This workshop offers participants an opportunity to work in a small group with an expert facilitator to develop staff education; write policies, procedures, and competencies; build a novice nurse internship; or set up electronic perioperative record screens. Information about changes in the third edition of the PNDS textbook also will be shared. P 9585+ Patient Safety: Nurse Safety Summit, Part I—Donna Watson, RN, MSN, CNOR, ARNP, FNP Is your facility talking the talk of patient and staff member safety but not walking the walk? Then this session is for you. This exciting session will focus on strategies to reduce harm to surgical patients and surgical nurses, particularly in high-risk/high-impact areas of perioperative care. Sessions will concentrate on practical applications and topics that can influence culture change, improve care for surgical patients, and enhance environmental safety for surgical

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nurses. Participants will attend a general session and then select from concurrent education sessions related to either patient safety or workplace safety. You can attend this session as a half-day or full-day session. Part II of this session will be held in the afternoon. P 9586 Effective Public Policy Advocacy, Part I— Catherine Sparkman, JD; Additional speakers invited This session will provide comprehensive, hands-on education and training in public policy advocacy and lobbying, including the mechanics of state and federal representative government and the legislative and regulatory process; grassroots organization and training; public policy advocacy from the perspective of the professional lobbyist; an overview of the Nurse in Washington Internship (NIWI) program and experience; and nursing initiatives from the perspectives of local, state, and national elected officials. Speakers will include AORN members, NIWI participants, grassroots organization experts, elected officials, government and professional experts in public policy, and professional lobbyists. You can attend this session as a half-day or full-day session. Part II of this session will be held in the afternoon.

8:30

TO

11:30 AM

(3.4 CH)

AC 9573+ Moderate Sedation: Safe Sedation Strategies—Deborah Dlugose, RN, CCRN, CRNA Remember when we used to call it “conscious sedation”? Terminology has changed to “moderate sedation” or “procedural sedation,” reflecting the evolving roles and responsibilities of nurses. New definitions and standards are being promulgated by groups such as the Joint Commission on Accreditation of Healthcare Organizations and the American Society of Anesthesiologists. Medications such as propofol may be inching into nurses’ hands, and there are serious implications to consider. Is your practice ready for these challenges? This session is for perioperative nurses who work in any

Congress Education

type of facility (eg, hospital, ambulatory surgery center, office-based practice). P 9574 Powerful Presentation Skills—David S. Kaczmarek, FDPHM Are you as proficient at public speaking as you’d like to be? Does the thought of presenting a program make your knees shake? The ability to make good presentations can be critical to the success of today’s OR manager. Whether you are giving a presentation to a group of surgeons or a seminar at Congress, the skills you need are the same. This session will significantly improve participants’ presentation skills with proven concepts and practical tips. After attending, participants will be prepared to develop and deliver memorable and persuasive presentations. L/M 9575 More BANG! For the Buck: Why Measuring Productivity Is Important—Brenda K. Jeffers, RN, MS, CNOR; Patrick E. Voight, RN, BSN, MSA, CNOR This session is designed for managers who want to gain skills in measuring and managing productivity in the perioperative setting. It is based on information included in the AORN publication Perioperative Management Resources: Perioperative Productivity Measurement. Participants should bring a calculator and writing paper to this session. P 9576 Open Heart, Open Mind: Diversity at Work— Marcia S. Peterson, RN, BS, MBA This session will explore elements of diversity in today’s perioperative environment and explain how these elements affect perioperative health care professionals and patients. The session will include a workbook for personal indexing as well as “how-to” solutions to take home and implement. It also will offer the opportunity for follow-up after Congress to evaluate the program’s impact. L/M 9578 21st Century Approach for Patient Flow and Capacity Planning for OR and Perioperative

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Physical Environments—David Ferrin; Susan O’Hara, RN; Mark Sullivan This session will demonstrate the value of simulation modeling as a planning tool in the architectural design and clinical planning capacity of both existing and new construction projects. We will use the experience of a diverse professional team, including a surgeon, nurse, architect, and simulation engineer, and examine case studies to demonstrate how applied perioperative principles, clinical guidelines, operational management goals, architectural requirements, and the insights of the user group all contribute to a simulation model and evidence-based approaches to capacity planning and design. The resulting statistically valid “what-if” scenarios determined through the simulation model help clinical and administrative leaders in planning more than OR renovation or construction, however. The scenarios also offer tools for facility-wide system process changes that affect patient throughput from the emergency department and invasive cardiovascular laboratory to the OR and perioperative clinical areas.

1

TO

4 PM

(3.4 CH)

A 9579+ Developing Clinical Competencies for the Ambulatory Setting—Dawn Q. McLane-Kinzie, RN, MSA This session is for nursing professionals who are interested in learning about developing and managing clinical competencies for the ambulatory surgery setting. We will review the required competencies and consider how to assess the need for department and role-specific competencies. We also will address competency documentation for high-risk processes. Sample competencies and forms will be shared. An interactive question-and-answer period will be held at the end of the presentation. P 9580 + Clinical Faculty: New Practice Role—Sharon A. Vinten, RN, MSN The nursing faculty shortage has provided an excellent opportunity for nurses in clinical practice to develop skills as clinical educators. This workshop will introduce you to the basic AORN JOURNAL •

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educational principles of the clinical educator role (ie, assessment, teaching/learning, evaluation); discuss integration within your current role; and apply principles to typical student situations. You will learn how to develop your clinical role in a new direction, incorporate the basic skills of clinical education into practice, and explore education as a possible new clinical role. C 9581+ What’s New in Anesthesia?—Deborah Dlugose, RN, CCRN, CRNA The 21st century culture of health care safety is highly evident in anesthesia care, with new elements of patient care, techniques, medications, and monitoring being introduced almost continuously. In addition, the Joint Commission on Accreditation of Healthcare Organizations recently mandated staff education about management of awareness under anesthesia. The ever-present specter of the lost airway continues to receive attention even as the American Society of Anesthesiologists’ difficult airway algorithm is refined. This overview will update perioperative nurses on the latest news from the anesthesia world and explain how it affects nursing practice. L/M 9582 Breakthroughs in Perioperative Supply Management—Lana Smith, RN, MSN, CNOR; Gay Wayland, RN, MBA Many hospitals pay too much for perioperative supplies and services because of a lack of clear authority over contract management, incomplete contract and purchasing information, the inability to effectively engage surgeons, and other factors. Since 35% to 45% of an organization’s operating expenses are from materials, equipment, and related labor and management costs, this area is ripe for cost reduction through increased efficiency. This session will include examples and case studies of strategies that have been effective in lowering perioperative supply expenses and holding the gains. P 9583 Hurricane Katrina’s Effect on New Orleans and Lessons Learned—Jeanne La Fountain,

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Congress Education

RN, BS, CNOR, CRNFA; Sharon H. Guardina, RN, BSN, CNOR; Patricia Mews, RN, MHA, CNOR; Nathalie Walker, RN, BS, MBA, CNOR The year 2005 was a record-breaking season for hurricanes, and Hurricane Katrina—the eleventh named tropical storm in that year— was the deadliest and most expensive natural disaster in our nation’s history. Its impact was felt by the entire Gulf Coast region as homes, hospitals, and jobs were simply wiped out. Then the city of New Orleans was hit with yet another blow when the levees failed to hold the water from the Mississippi River and Lake Pontchartrain. This terrible natural disaster presented major challenges on local, state, and national levels, straining health care resources to their limit. In this session, you will hear the stories from individuals who experienced Hurricane Katrina and learn how it has changed their lives forever. You also will learn how you can play a part in helping your hospital and community prepare for a major disaster. P 9587+ Patient Safety: Nurse Safety Summit, Part II—Donna Watson, RN, MSN, CNOR, ARNP, FNP Is your facility talking the talk of patient and staff member safety but not walking the walk? Then this session is for you. This exciting session will focus on strategies to reduce harm to surgical patients and surgical nurses, particularly in high-risk/high-impact areas of perioperative care. Sessions will concentrate on practical applications and topics that can influence culture change, improve care for surgical patients, and enhance environmental safety for surgical nurses. Participants will attend a general session and then select from concurrent education sessions related to either patient safety or workplace safety. You can attend this session as a half-day or full-day session. Part I of this session will be held in the morning. P 9588 Effective Public Policy Advocacy, Part II— Catherine Sparkman, JD; Additional speakers invited This session will provide comprehensive,

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hands-on education and training in public policy advocacy and lobbying, including the mechanics of state and federal representative government and the legislative and regulatory process; grassroots organization and training; public policy advocacy from the perspective of the professional lobbyist; an overview of the Nurse in Washington Internship (NIWI) program and experience; and nursing initiatives from the perspectives of local, state, and national elected officials. Speakers will include AORN members, NIWI participants, grassroots organization experts, elected officials, government and professional experts in public policy, and professional lobbyists. You can attend this session as a half-day or full-day session. Part I of this session will be held in the morning.

1:30

TO

4:30 PM

(3.4 CH)

P 9584 Chapter Leadership Program—Speakers invited This session will give incoming leaders a solid foundation and tips for success on effectively managing local chapters, specialty assemblies, and state councils. Topics include planning programs that appeal to all your members, new ways to be an effective leader, motivating across the generations, and building a great leadership team. As a leader, you will be prepared to take your group to new heights of accomplishment and achievement. To register for this session, call (800) 755-2676 x 367.

EDUCATION SESSION OVERVIEWS SUNDAY, MARCH 19 8:30 TO 10:45 AM Opening Session

11 AM

TO

12:30 PM

(1.8 CH)

Concurrent Education Sessions C 9210+ Perioperative Nursing in Operation Iraqi Freedom—Patricia A. Fortner, RN, MSN, MEd, CNOR, MAJ, US Army

Military nurses often are on the cusp of the patient care environment on the battlefield. Perioperative nurses are part of the total team that helps save the lives and limbs of warinjured patients. P 9211+ To Count or NOT to Count? A Surgical Misadventure—Cecil A. King, RN, MS, CNOR, CNS This session will present ways that benchmarking, claims, risk management, and quality improvement data can be used to improve patient safety. The value of standards of practice will be emphasized. Actual stories of retained foreign bodies and inaccurate surgical counts will be presented, in addition to case analyses identifying problem-prone areas that may contribute to a patient’s experiencing a retained foreign body. The findings of this study will enlighten practitioners to systems and operational issues that can contribute to adverse outcomes. Practical and actual methods of quality improvement, case analysis, and benchmarking will be used to explicate surgical counts as a quality indicator. C 9212+ The Surgical Liaison Nurse: Keeping Families Connected—Lorraine Osborne, RN, BN, CPN(C) Historically, the families of surgical patients have not been viewed as having any place in the perioperative team; however, the actual time a patient spends in the OR undergoing a surgical procedure is only a fraction of the amount of time the family will be left to deal with the outcomes of the surgery. This presentation will discuss the waiting experience of family members and the role they play in a patient’s recovery. Face-to-face intraoperative communication with family members is crucial to reducing their stress levels and allowing them to prepare for the surgeon’s report and the potential changes to their family dynamic. C 9213+ Pediatric Medication Errors in the OR—Laura Elizabeth Newkirk, RN, BSN, CNOR, MAJ; AORN JOURNAL •

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Rodney W. Hicks, ARNP, MPA, MSN; Kelly C. Nader, RN, CNOR, MAJ This session presents an analysis and panel discussion of the MedMarx data for trends in medication errors across the perioperative continuum in the pediatric population. L/M 9214+ Tissue Banking: Diversity, Differentiation, Standardization—Judith A. Torgerson, RN, CTBS; Victoria Steelman, RN, PhD, CNOR The use of musculoskeletal allograft tissue for reconstructive orthopedic procedures has increased dramatically in the past five years. Tissue banking practices and procedures regarding donor criteria, screening, serologic testing, and processing is guided by the US Food and Drug Administration and the American Association of Tissue Banks but varies by recovery organization. At the completion of this presentation, attendees will have knowledge of infectious disease testing, donor acceptance versus rejection, and the impact of the final rule on eligibility determination for donors of human cells and tissues. P 9215 Good Grief—Eva Shaw, PhD Don’t fight it, deny it, or bury it. Learn to embrace grief and live again. This session provides tools to get up and going. L/M 9216+ We Need to Talk!—Laura Lee Wood, RN, MSN, CRCST Effective communication skills have never been more important to managers than they are today. The health care environment has evolved into a melting pot of cultural, gender, and age diversity. Daily interactions with surgeons, staff members, administrators, and peers require a specific skill set that includes the ability to share information in a clear and concise manner. In an age of increasing use of e-mail and decreasing face-to-face communication, the ability to be understood has become a major challenge. Understanding the nuances of communication and using win-win tech-

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niques will make a manager a stronger and more effective leader. L/M 9217+ Designing Safe and Effective OR Space—Diane M. Desmond, RN, BA; Theadoro Paar, RN This session will address the process of building consensus among competing interests in designing and building today’s technically advanced ORs. Contributing factors that influence this process include advancements in technology, information technology integration, patient safety, ergonomics, and cost management. Consideration also must be given to administrators, physicians, nurses, other supporting departments, vendors, architects, and engineers. The design process begins with broad goals, including space and budget allocations; a schedule; and a set of participants such as users, facilities personnel, consultants, and constructors. The end result must incorporate myriad complex needs and technologies and address functional requirements for efficient delivery of surgical services. This session will address planning process issues that include organization of design groups, communication with hospital constituencies, and how support service decisions affect the planning of the OR space. P 9218+ The Dark Side of Surgery: Mistake, Misconduct, Disaster—Keith Essen, RN, BSN, MSN, MSS, CNOR, COL, US Army This presentation will address concerns about order and disorder and their implications within the OR suite. Routine nonconformity significantly undermines the ability to achieve high-reliability performance. This presentation will highlight factors that contribute to the phenomenon of nonconformity and strategies to circumvent its continued eroding effect on patient safety efforts.

1

TO

2:30 PM

Concurrent Education Sessions P 9221(R) Good Grief—Eva Shaw, PhD

(1.8 CH)

Congress Education

L/M 9222(R)+ We Need to Talk!—Laura Lee Wood, RN, MSN, CRCST M/L 9223+ Mission OR: Teamwork at its Best—Nancy Gillard, RN A mission trip to Guatemala demonstrated teamwork at its finest. The entire hospital staff was brought in for a week of clinics and surgeries. The approach to health care in a thirdworld setting requires ingenuity, skilled professionals, and an attitude of extreme teamwork. Teamwork played a role in every situation, from the earliest planning stages to packing up and providing follow-up care for the many patients. More than 1,700 patients were seen, and 131 surgeries were performed during the eight-day stay. The collaboration of all team members made a difference in the lives of the patients we served.

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ing and has made great advances in decreasing the length of surgery and reducing patient recovery time. This has been accomplished using a thorough preoperative assessment with patient education, modification of surgical technique, enhanced intraoperative nursing interventions, and postoperative nursing care specific to each procedure. The objective of this lecture is to provide attendees with an overview of the aesthetic procedures that commonly are performed on a patient opting to have cosmetic plastic surgery. C 9228(R)+ Pediatric Medication Errors in the OR— Rodney W. Hicks, ARNP, MPA, MSN; Christopher H. Payne, RN, BSN, MPA, CNOR, MAJ; Christopher Rondoll Smith, RN, MHR, LCDR

3

TO

4:30 PM

(1.8 CH)

Concurrent Education Sessions L/M 9224(R)+ Designing Safe and Effective OR Space—Diane M. Desmond, RN, BA; Theadoro Paar, RN C 9225+ Magnetic Resonance Imaging and the Brain: Past, Present, and Future—Elizabeth Gasson, RN, MSN, CNOR; Angela Kanan, RN, BSN, CNOR Magnetic resonance imaging (MRI) was first used for diagnostic imaging of the brain in the mid-1980s. Advances in MRI technology have made it possible for MRI to be used to guide brain tumor resections; to create a map of the brain that indicates language, motor, and sensory areas (ie, functional MRI); and, most recently, to guide focused sound waves to destroy brain tumors without making an incision. P 9226+ To be announced—Scott Aronson C 9227+ Plastic Surgery Update—Tracey A. Hotta, RN, BScN, CPSN The plastic surgery field is continually evolv-

C 9232(R)+ Perioperative Nursing in Operation Iraqi Freedom—Patricia A. Fortner, RN, MSN, MEd, CNOR, MAJ P 9233(R)+ To Count or NOT to Count? A Surgical Misadventure—Cecil A. King, RN, MS, CNOR, CNS L/M 9234(R)+ Tissue Banking: Diversity, Differentiation, Standardization—Judith A. Torgerson, RN, CTBS; Victoria Steelman, RN, PhD, CNOR C 9235(R)+ The Surgical Liaison Nurse: Keeping Families Connected—Lorraine Osborne, RN, BN, CPN(C) C 9236(R)+ Magnetic Resonance Imaging and the Brain: Past, Present, and Future—Elizabeth Gasson, RN, MSN, CNOR; Angela Kanan, RN, BSN, CNOR AORN JOURNAL •

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M/L 9237(R)+ Mission OR: Teamwork at its Best—Nancy Gillard, RN C 9238(R)+ Plastic Surgery Update—Tracey A. Hotta, RN, BScN, CPSN P 9239(R)+ The Dark Side of Surgery: Mistake, Misconduct, Disaster—Keith Essen, RN, BSN, MSN, MSS, CNOR, COL P 9240(R)+ To be announced—Scott Aronson

MONDAY, MARCH 20 AMBULATORY SURGERY PROGRAM 8 AM TO 4:30 PM

(8 CH)

New this year: perioperative nurses working in various ambulatory settings can attend an allday program that will explore current issues critical to management and clinical personnel.

8

TO

9:30 AM

(1.8 CH)

A 9245 Infection Control: It Depends on All of Us—Ann Geier, RN, MS, CNOR, CASC Infection control in the ambulatory surgical center (ASC) is critical. Since there is no infection control department, no separate budget, and no designated monitor, everyone working in an ASC or office-based surgery practice must participate in minimizing the risk of infections. It is not good enough to practice good technique; centers must be diligent about tracking infections. This session will identify the organisms most commonly seen in ASCs, discuss risk management strategies to reduce infections, and offer tips on tracking infections after the patient has been discharged.

9:45

TO

10:55 AM

(1.4 CH)

A 9253 Body Contouring Following Successful Bariatric Surgery—Susan Chandler, RN, BSN, CPSN, CNOR, CRNFA Trading one deformity for another often is

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the unanticipated result of massive weight loss following bariatric surgery. This session addresses the current alternatives in body contouring, as well as perioperative nursing care, for bariatric surgery patients.

11 AM

TO

NOON

(1.2 CH)

A 9220 Removing the Fear of Ophthalmic Instrumentation—Linda J. Timmons, RN, CNOR You will leave the session with information for handling, caring for, and cleaning ophthalmic instruments. You will gain an understanding of how ophthalmic instruments are similar to and different from general surgical instruments. This is critical information for individuals using ophthalmic instrumentation occasionally, daily, or weekly.

NOON

TO

1:15 PM

Lunch on your own

1:15

TO

2:45 PM

(1.8 CH)

A 9230 Steam Sterilization: Issues and Recommendations—Charles A. Hughes, BS This program is designed to identify the parameters and recommendations for steam sterilization processes in the ambulatory setting. Industry standards are reviewed, along with sterilization issues, such as extended cycle requirements for heavy or complex instrument sets, not sterilizing wood products, not placing peel pouches inside instrument trays or rigid containers, causes and solutions for wet packs, and product recalls.

3

TO

4:30 PM

(1.8 CH)

A 9231 Legislative and Regulatory Update—Craig S. Jeffries, Esq Legislative and regulatory changes are occurring rapidly in the ambulatory setting. Learn the latest information regarding the legislative and regulatory agenda of ambulatory settings.

Congress Education

8

TO

11:30 AM

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(3.6 CH) including intimate/personal/public space, ver-

M/L 9256 The Mindset of Creative Leadership—Charles “Chic” Thompson

8

TO

9:30 AM

bal/nonverbal messages, positive/negative attitudes, and stress/tension cues. Illustrated with humorous personal stories, these principles will be relayed in an easy-to-remember format.

(1.8 CH)

Concurrent Education Sessions C 9247+ Orthopedic Surgery Update: What’s New in Joint Replacement—Edward Anthony Rankin, MD; Craig M. Thomas, MD Major areas of advances in orthopedic surgery will be presented by specialists. C 9248+ Through a Child’s Eyes—Joanne N. Stow, RN, BSN, CNOR; Susan Scully, RN, BSN, CNOR Pediatric patients present unique challenges. Once managed as small adults, children are now treated differently. The perioperative management of children has evolved into a highly specialized area of practice. This lecture will discuss normal growth and development and will compare this to the development of children with pervasive developmental disorders. We will describe nursing interventions addressing these unique needs. Important elements of pediatric anatomy and physiology will be reviewed. Although our mission is to provide safe care for children undergoing a surgical procedure, our ultimate goal is to adapt the surgical experience to the specific developmental needs of children and families. P 9249+ Communication . . . Or, Did I Say That Out Loud?—Maria “Easy” Stilson, RN, BSN, CNOR Ever told a story that went over well in one OR and flopped in the next? Worked with a surgeon you just can’t seem to talk to? Have a coworker you need to speak with but keep putting it off? Why does some communication work and some not work? Communication in the OR is unique. Space confinement, an increased tension level, and isolation are contributing factors. This presentation will discuss proven principles of effective communication,

P 9250+ Pressure and Positioning: Defining the Perioperative Nurse’s Competencies— Clare Williams, BSE; Susan Scott-Williams, RN, BSN, MSN, CWOCN Development of perioperative pressure ulcers and nerve injuries are patient safety issues and concerns for perioperative nurses. Competencies must include both knowledge and skills related to assessment, identification, and prevention of injuries through proper positioning and use of pressure reduction devices. This session will review best practices for patient assessment, identify contributing factors, and discuss pressure reduction practices and proper positioning skills. A new research-based risk assessment tool for predicting perioperative pressure ulcers will be described. Identification of high-risk patients and appropriate interventions based on clinical research studies will be explained. Evidence-based best practices should be incorporated into the perioperative nurse’s competencies to promote positive patient outcomes. L/M 9251 Successful Recruitment & Retention of Nurses Under 30—Frances Baldwin Davison, RN, BA The average age of an OR nurse is 45. The average age of an OR nurse at Georgetown University Hospital is 28. Is there a way to improve staffing numbers and improve the future of OR nursing? This presentation discusses shifting the focus of OR nurse recruitment and retention to under-30 RNs seeking to build a career. A robust new graduate program attracts the best and brightest in nursing schools today. In addition, after candidates are signed, they experience an intense but rewarding six-month internship and then another six months with an experienced OR resource nurse to strengthen basic skills and develop specialty skills. The group participates in didactic and AORN JOURNAL •

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clinical experiences during the six-month internship and meets regularly with the OR director and AVP for perioperative services to discuss issues and gain further insight. Each intern meets weekly with the OR educator and clinical manager to go over skills learned and areas for improvement for the next week. The support network encourages open communication and learning. A parallel effort involves development of initiatives geared toward retaining the interns after they complete the program. We have retained 13 of the last 15 interns for three years. How does this affect the over-30 RNs? An environment that supports growth and learning is a stimulating and rewarding environment for all staff members. The experienced OR nurses are a vital part of the success of retaining our interns.

10 TO 11:30 AM

(1.8 CH)

Concurrent Education Sessions 9257 Hot Topic—Surgical Care Improvement Project: Working Together to Achieve Results—Linda Groah, RN, MSN, CNOR, CNAA, FAAN AORN is an active partner in the Surgical Care Improvement Project (SCIP). This is a multifaceted project with the ultimate goal of reducing surgical complications by 25% within five years. In addition to continuing to reduce surgical site infections, the SCIP Partnership has broadened its scope by targeting additional adverse events to include cardiac, respiratory, and venous thromboembolic complications. The session will discuss the SCIP project and the vital role of perioperative nurses in the success of the project. P 9258 Discover the Leader Within—Thomas J. Macheski, RN, BSN, CNOR; Laurie Mitchell, RN, BSN, MS, EdD, CNOR; Darin Prescott, RN, CNOR, C, CASC; Liane Salmon, RN, BSN, MEd, CNOR; Rose Seavey, RN, MBA, CNOR, ACSP The AORN National Nominating Committee shows you how to reach your highest goals through leadership and mentoring. This pres-

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entation will take you through creative thoughts and ideas to help grow the leader within you. Take a step toward discovering your leadership characteristics. C 9259+ Recommended Practices Update—Alice Comish, RN, BSN, CNOR; Deborah Gering, RN, BSN, CNOR; Judith Goldberg, RN, BSN, CNOR; Diana McDowell, RN, MSN, CNOR; Victoria Steelman, RN, PhD, CNOR The AORN recommended practices (RPs) are an indispensable guide for perioperative nurses in clinical decision-making, but some nurses do not understand the process used to revise RPs or recognize their opportunity to provide input. This knowledge deficit may result in failure to recognize the value of the RPs and their use in clinical practice. This presentation will describe the process used to develop RPs and explain the rationale for changes in the RPs on surgical counts, maintaining a sterile field, standard precautions, specimen handling, and surgical tissue banking. Members of the Recommended Practices Committee will field a discussion with attendees and describe how members can give input. The purpose of this presentation is to increase awareness of the RPs, describe the rationale for changes, and inspire perioperative nurses to participate in the review process. P 9260 Diversity: What’s in It for Me?—Ellen K. Murphy, RN, MS, JD, FAAN; Carriette Weddle, RN, PhD Diversity can be perceived as a moral imperative or a matter of social justice. A diverse worldview also can bring many benefits to the individuals and organizations that embrace it. This session relates the influences of sameness and differences on ourselves, our organization, and our country, and explores the enriching benefits that accrue from interaction with diversity. AORN’s evolution of diversity in practice and an individual member’s experience with diversity and relationships with persons of color are used as specific examples. Research findings, historical references, and personal

Congress Education

anecdotes are used throughout to illustrate “what’s in it for me.” C 9261+ Workplace Safety—Creating an Ergonomically Safe OR—Deborah G. Spratt, RN, MPA, CNAA, CNOR; Audrey Nelson, RN, PhD, FAAN; Nancy Hughes, RN, MHA Using AORN’s 2006 position statement on ergonomically healthy workplace practices as background information, this presentation will include a discussion of the ways that OR managers and staff can make their workplaces safer. The emphasis will be on setting standards for the safe handling of patients, equipment, and instruments to reduce injury to perioperative practitioners. C 9262 RNFA Practice: Insurance Billing, Coding, and HIPAA—Melony Brinley, CCS-P, COO; Kathy R. Leslie, RN, BS, CNOR, CRNFA Get more of the money you earn in your practice. Learn how to code, what to code, and how to comply with the Health Insurance Portability and Accountability Act (HIPAA), and learn what to do when you don’t receive your money. L/M 9263 The Need for Diversity in the Performance Improvement Process—Catherine M. “Kate” Moses, RN, CNOR, CPHQ The diversity of customers, roles, and settings in perioperative nursing has become a fact of life. The key to performance improvement in any perioperative setting is to achieve “value entitlement,” or provide the safest, highestquality care and services to customers while achieving the best possible outcomes and fiscal excellence for the institution. Success in performance improvement must include diversity in the process. The mixture of expertise, experience, roles, and personalities can be used as a change agent rather than a bottleneck at the performance improvement table. The uniqueness and difference of each team member adds a certain flavor to the recipe and makes per-

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formance improvement, when funneled in the right direction, both challenging and satisfying at the same time. C 9264+ Orthopedic Surgery Sports Medicine Update— Edward Anthony Rankin, MD; Craig M. Thomas, MD Major areas of advances in orthopedic surgery will be presented by specialists. Learn the OR requirements of specific orthopedic procedures. The findings of the National Institutes of Health consensus development conference on total knee replacement will be discussed.

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2:30 PM

(1.8 CH)

Concurrent Education Sessions C 9270+ Cardiovascular Disease in Women: An Ongoing Threat—Altagracia M. Chavez, MD Cardiovascular disease is the number one cause of death and disability in the United States. Too often, cardiovascular disease is thought of as a man’s disease and is missed or misdiagnosed in women patients. Women often suffer atypical symptoms and have more severe consequences from their cardiovascular disease. Despite the fact that women account for more than half the population, they are underrepresented in cardiovascular disease research and are less often treated with appropriate modalites. This presentation will focus on heart disease as the most common and most studied form of cardiovascular disease. The discussion will include incidence of cardiovascular disease; the types of atypical presentations more common in women patients; the differences between men and women in results of major diagnostic studies; the differences in outcomes of major interventions, such as angioplasty and bypass surgery, between men and women; and the newer research efforts that help us understand some of these differences. P 9271(R)+ Communication … Or, Did I Say That Out Loud?—Maria “Easy” Stilson, RN, BSN, CNOR AORN JOURNAL •

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I 9272+ Web-Based Perioperative Orientation—Jim Smithers, RN, BSN, CNOR With the increasing complexity of surgical procedures and technology comes increased complexity in the orientation of perioperative nurses to ensure efficiency and effectiveness. Scheduling difficulties can further interfere with the educational continuum of staff members and leave them lacking in both professional preparedness and satisfaction. This presentation will exhibit a web-based training tool that will provide orientees with an easily accessible, informative, and interactive learning resource that can be used without the direct involvement of additional staff members. Discussion will center on the potential applications and effectiveness of web-assisted perioperative teaching and its potential adaptation to practices within health care institutions. L/M 9273(R) Successful Recruitment & Retention of Nurses Under 30—Frances Baldwin Davison, RN, BA P 9274(R)+ Pressure and Positioning: Defining the Perioperative Nurse’s Competencies— Clare Williams, BSE; Susan Scott-Williams, RN, BSN, MSN, CWOCN P 9275+ Respect Thy Elder: Preventing Medication Errors in the Older Adult Population—Rodney W. Hicks, ARNP, MPA, MSN; Gregory Lara, RN, BSN, CAPT; Stacey Freeman, RN, CAPT A review of medication errors reported that involve older adults will be presented with implications for research, practice, and administration in the perioperative setting. C 9276 Influenza: Seasonal, Avian, and Pandemic—David Henderson, MD

1

TO

4:30 PM

(3.6 CH)

L/M 9269(R) The Mindset of Creative Leadership—Charles “Chic” Thompson

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3

TO

4:30 PM

(1.8 CH)

Concurrent Education Sessions C 9281(R)+ Cardiovascular Disease in Women: An Ongoing Threat—Altagracia M. Chavez, MD P 9282 Demystifying the Lobbying Process— Catherine Sparkman, JD This session will explore and explain the legislative and regulatory processes at both the state and federal levels and will provide concrete examples of effective grassroots organization, development, and initiatives. The session will demonstrate effective public policy advocacy in both the legislative and regulatory arenas. C 9283(R) Influenza: Seasonal, Avian, and Pandemic— David Henderson, MD P 9284+ Stop Sticks Campaign—Pat Hickey, RN, BSN, MS, DrPh, CNOR; Ray Sinclair, PhD The “Stop Sticks Campaign” is a communitybased information and education project aimed at raising awareness among health care workers regarding their risk of exposure to bloodborne pathogens through occupational sharps injuries. The campaign provides information about topics such as bloodborne pathogens, postexposure prophylaxis, device evaluation, needle stick legislation, and sharps injury prevention. Information is disseminated through multiple channels of communication, including brochures, training sessions, a web site, newsletter articles, posters, safety fairs, and departmental safety blitzes. C 9286+ The Effects of Anesthesia on the Elderly Perioperative Patient: Implications for Perioperative Nursing—Patricia Sanger Stein, RN, BSN, MAOL, CNOR As the population ages, more and more surgical patients will be older than age of 75

Congress Education

and have comorbid conditions that affect their surgical experience. Elderly patients have specific physiological changes that affect their response to anesthetic agents. This presentation will define “elderly” as it pertains to the perioperative setting; detail specific physiologic changes that the elderly body undergoes; present an overview of commonly used anesthetic agents for the elderly patient; discuss anesthetic risk factors for the elderly surgical patient; and use case studies to illustrate mental status changes after anesthetic administration. Support for sessions 9286 and 9292(R) is provided by Nurse Competence in Aging, a five-year initiative funded by the Atlantic Philanthropies (USA), Inc, awarded to the American Nurses Association (ANA) through the American Nurses Foundation, and representing a strategic alliance between ANA; the American Nurses Credentialing Center; and the John A. Hartford Foundation Institute for Geriatric Nursing, New York University (Steinhardt School of Education, Division of Nursing). AORN is an ANASpecialty Nursing Association Partner in Geriatrics. For more information, visit http://www.GeroNurseOnline.org. I 9287(R)+ Web-Based Perioperative Orientation—Jim Smithers, RN, BSN, CNOR P 9288 A Humor Approach to a Constraining Force, or Don’t Choke the Daylights Out of Those Who Deserve It—Paula J. Watkins, RN, CNOR Think of the instances when you’d like to tie a rope around someone’s neck and choke him or her. There’s a better way, and that way is through laughter. Reap the benefits of my 24 years of serving in the OR and learn how to use laughter to build confidence, encourage teamwork, and bring people together. Give me your tired, your weary, and your disgusted, and I’ll give you back the wacky, the sanely insane, and a different perspective on a new approach to “constipated” situations. Using humor is a way of taking care of yourself, and a witty asset in

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the OR sure beats a stressful liability. I’ll discuss differing cultures and give you ways to get along with those who view the world in completely different ways. We’ll even discuss getting along with our moms and the opposite sex. P 9289+ Evidence-Based Practice: More Than a QuizBowl—Victoria M. Steelman, RN, PhD, CNOR; Marion Gerdus, RN, BSN, CNOR; Diana McLearen, RN, BSN, BA Evidence-based practice will be described, along with models and methods and applicability to perioperative nursing. Two captains of teams that competed in the Perioperative QuizBowl will describe sources of evidence and preparation for competing.

5

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6:30 PM

(1.8 CH)

Concurrent Education Sessions P 9290+ Epidemic of Horizontal Violence in the Health Care Workplace—Beverly Kirchner, RN, BSN, CNOR, CASC How can we fix the epidemic of horizontal violence that health care providers experience in the workplace? This program will describe a number of ways, from education to resocialization of the abuser and the victim. We also will discuss how to help your system stop workplace violence and thus retain nurses and other staff members who are vital to health care. C 9291+ Tsunami Relief Aboard the USNS Mercy— Coby Croft, BSN, LT This session provides a comprehensive overview of perioperative nurses’ experiences aboard the USNS Mercy in support of Operation Unified Assistance 1 and Operation Unified Assistance 2. The presentation will include experiences of both military and civilian volunteer perioperative nurses. Much exciting and instructive nursing information was gained in this ground-breaking relief effort. This was the first time the civilian volunteer groups and the military had joined forces. There were many cultural gaps between the US AORN JOURNAL •

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and Indonesian populations, which caused us to step out of our comfort zones and realize that our normally accepted “standard of care” cannot always be applied universally. C 9292(R)+ The Effects of Anesthesia on the Elderly Perioperative Patient: Implications for Perioperative Nursing—Patricia Sanger Stein, RN, BSN, MAOL, CNOR Support for sessions 9286 and 9292(R) is provided by Nurse Competence in Aging, a fiveyear initiative funded by the Atlantic Philanthropies (USA), Inc, awarded to the American Nurses Association (ANA) through the American Nurses Foundation, and representing a strategic alliance between ANA; the American Nurses Credentialing Center; and the John A. Hartford Foundation Institute for Geriatric Nursing, New York University (Steinhardt School of Education, Division of Nursing). AORN is an ANA–Specialty Nursing Association Partner in Geriatrics. For more information, visit http://www.Gero NurseOnline.org. C 9293+ Gremlins and Your Computerized Chart— Melissa B. Stephens, RN, BSN, CNOR More and more facilities have implemented in-room computer charting, and these numbers are growing. The accuracy of the data entered is critical to any reports retrieved from the system. This presentation will focus on how one facility has implemented a process to audit charts and the mechanisms used to assist perioperative nurses in making record corrections. C 9294 ASPAN/AORN Caring Partners—Susan V.M. Kleinbeck, RN, PhD, CNOR; Denise O’Brien, RN, MSN, APRN, BC, CPAN, CAPA, FAAN The professional organizations of perianesthesia nurses and perioperative nurses have agreed that continuity of care for patients before, during, and after surgery is essential to quality care. Ways for all nurses to work together to provide patient care following oper-

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ative or invasive procedures will be discussed. L/M 9295 The Orientation Journey: Successfully Integrating Culturally Diverse Nurses— Maureen Houstle, RN, BSN; Charlotte Guglielmi, RN, BSN, CNOR More and more facilities are using creative strategies to recruit nurses to alleviate the shortage of skilled professional perioperative nurses. One such initiative is to employ culturally diverse nurses from the international arena. The orientation process for these staff members must be uniquely tailored to individual needs. This session will demonstrate this experience and show how it has successfully led to increased satisfaction, timely orientation benchmarks, and retention of nurses who come to the facility from different countries. A 9246 Introduction to Joint Commission Accreditation for Freestanding ASCs—Michael Alcenius; Michael Kulczycki This session will be an introduction to accreditation in the freestanding ambulatory surgery center environment for those who are not familiar with the process. In addition, this presentation will be helpful for those who are new to the accreditation process at a facility that is undergoing resurvey. Attendees will learn of the need to demonstrate a track record of four months of compliance with the standards for first-time surveys. The presenters will discuss the onsite survey agenda, patient tracer methodology, the periodic performance review, and the accreditation decision. Attendees will learn about the benefits of accreditation, such as on-site education and improved patient safety and quality of care. P 9350(R)+ Respect Thy Elder: Preventing Medication Errors in the Older Adult Population—Rodney W. Hicks, ARNP, MPA, MSN; Mary Harvey, RN, BSN, MA, CNOR, MAJ; Robert Smith, RN, BSN, CNOR, CAPT

Congress Education

TUESDAY, MARCH 21 MANAGEMENT PROGRAM 10:30 AM TO 3 PM

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(3.6 CH)

Management-focused education sessions will be held on Tuesday and Wednesday. There are two tracks of advanced management content. The Workforce track will be designated by the letters L/MWF and the Operations track will be designated by the letters L/MO. You may design your own program by selecting sessions from either track to meet your specific needs.

10:30 AM

TO

NOON

rences. We have developed a comprehensive intervention program to support the efforts of inpatient and ambulatory units to address absenteeism. The presentation will provide a review of relevant literature, components of the intervention program, methods for identifying root causes, tips for success, and an opportunity to practice the intervention.

1:30

TO

3 PM

(1.8 CH)

L/MO 9300 Hot Topic—The Impact of Fatigue on Patient Safety—Speaker invited

(1.8 CH)

L/MO 9298 Perioperative CSI (Creating Savings Initiatives)—Laura Lee Wood, RN, MSN, CRCST “Do more with less” has become the modern health care administrator’s mantra. Unfortunately, that is generally as far as administrators go in identifying where and how to achieve a reduction in costs. All too often they target the most obvious expense area— staffing. Although it is true that this is the number one expense area in the hospital, cutting from the second largest expense area—supplies—offers a kinder, gentler way to reduce costs and improve efficiency. The diverse culture in the OR can offer significant challenges for standardizing products and improving utilization, but an OR manager must be able to identify, quantify, and implement creative supply saving initiatives that focus the administrative eye in a more positive direction.

L/MWF 9301 Values: Implications for Perioperative Managers—Kathryn Schroeter, RN, PhD, CNOR This presentation examines the values of perioperative nurse administrators and the implications of those values for the workforce. To employ competent, caring, and professional staff members, today’s nurse managers must use strategies that develop values into motivational and collaborative visions and goals. Values influence the relational and behavioral aspects of leadership, and a manager’s values are a barometer of success potential in the perioperative environment. Managers who understand how values influence recruitment and retention can provide staff enrichment and enhance multidisciplinary partnerships. Values also are integral to creating a magnet culture. Research data that reflects the current status of values among managers will be presented.

L/MWF 9299 Disease: Unknown; Symptom: Absenteeism— Rhonda J. Goode, RN, AA; Inez E. Tenzer, RN, MA, MS, CNAA, CNOR Absenteeism is at its highest level and results in dissatisfaction among staff members, managers, providers, and health care recipients, with the potential to affect quality of care, service, and cost. The literature suggests that it is more important to consider absenteeism as a symptom and focus on the root cause rather than the number of occur-

8

TO

WEDNESDAY, MARCH 22 9:30 AM (1.8 CH)

Concurrent Education Sessions C 9304+ Flash Dance: How to Monitor the Flash Sterilization Process to Be Prepared for JCAHO—Martha Young, BS, MS, CSPDT Confused about how to monitor the flash sterilization process? It’s probably due to the fact that use of the flash sterilization process has expanded beyond processing single dropped instruments to processing not only unwrapped AORN JOURNAL •

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items but also items contained in a single wrapper or in rigid, reusable sterilization containers. This presentation will discuss the most stringent recommended practices for flash sterilization, including the new recommended practice for steam sterilization and sterility assurance from the Association for the Advancement of Medical Instrumentation. The use of physical, chemical, and biological indicators (ie, with enzyme-based early readout or spore growth) and record keeping will be discussed so the participant can appropriately use these indicators to meet the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirement of providing care, treatment, and services in accordance with recommended practice guidelines and current scientific knowledge. P 9205 Nursing in Popular Culture: A Retrospective— Kathryn Schroeter, RN, PhD, CNOR This presentation provides a historical review of the image of nursing as portrayed in American popular culture and electronic media, from pulp novels to comic books to television. This entertaining and highly visual program describes the evolving perception and depiction of nursing along a timeline throughout the last century. This presentation will focus special attention on the image of perioperative nursing. Implications of this review will be discussed with the spotlight on how nursing, as a profession, will be portrayed in the future and what nurses can do to influence that development. L/M 9306+ When Disaster Strikes . . . Will Your OR Be Prepared?—Vivian M. Devine, RN, MBA-HCA, CNOR; Laura Elizabeth Newkirk, RN, BSN, CNOR Many OR suites conduct drills for potential disasters without having actually experienced one. After-action reports, or lessons learned, are crucial to share among fellow OR personnel to avoid unnecessary harm to staff members and patients. Knowing what resources are available during a disaster also is vital to

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ensuring safe delivery of perioperative care during a disaster. L/M 9307+ Professional Practice Working in the Perioperative Setting: A Practical Approach— Rebecca D. Hartley, RN, BSN, CEN, CNOR; Denise M. Keyser, RN; Tracey A. Ross, MEd, CST; Donna R. Straley, RN, CNOR The development of a professional practice model in the surgical services environment is challenging. Typically, a professional practice model directs individual nurses in their practice and guides the organization in its relationship with nursing. Within the surgical services environment, however, exists a diverse group of professionals, which represents a challenge when considering the integration of this group into a model that acknowledges what each entity offers to the surgical services team. The Lancaster General Hospital Surgical Services Professional Practice Model is a unique model that includes each of the varied roles represented in surgical services. Staff members from each specialty and/or job role in surgical services have the opportunity to participate in any of four councils: Clinical Practice Council, Performance Improvement Council, Education Council, and Professional Practice Council. Through management and education support, the councils have grown and have realized several successes. Sharing the successes we have encountered with the development and implementation of this structure, as well as our future goals, with other facilities gives insight into the potential benefits of a professional practice model in the surgical services environment. By sharing this information, we help support other facilities in improving their practice and represent the essence of a Magnet facility. C 9308+ Setting Up an Intraoperative MRI Suite— Elizabeth Gasson, RN, MSN, CNOR; Angela Kanan, RN, BSN, CNOR Medical centers across the nation and around the world are using intraoperative magnetic resonance imaging (IMRI) to guide surgery. AORN JOURNAL •

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Magnetic resonance imaging scanner configuration (ie, open vs closed scanner) and the associated field strength influence the type of surgery performed and determine whether the patient is moved or not. These factors need to be decided early in the planning process because they affect the design of the IMRI suite. Challenges that new IMRI users meet include how to maintain a sterile field, how to identify a process for testing instruments and equipment for safety and compatibility, and how to set up a training program for staff members working in the magnetic environment. This presentation will describe what is entailed in the planning and operation of an IMRI suite and the justification for its use. A 9309 Continuous Compliance: A New Strategy for Joint Commission-Accredited Organizations— Michael Alcenius; Michael Kulczycki This session is best suited to attendees who are experienced with Joint Commission accreditation. Attendees will learn about the unannounced survey process and the periodic performance review (eg, midcycle self-assessment). In addition, the presenters will discuss the 12month track record requirement and review challenging compliance issues in freestanding ambulatory surgery centers. Along with the accreditation process, this presentation will cover the changing role of the accreditation coordinator at the health care organization to engage all staff members in continuous compliance. C 9310+ C-Spine Injuries—John Charles France, MD This session will present advances in treating C-spine fractures. P 9311+ Team Talk: Working Towards Evidence-Based Practice for Team Communication in the OR— Sherry Espin, RN, BScN, MAEd; Georgia Smickle, RN, RM, BScN; Sarah Whyte, BSc, MA Effective team communication is critical to safe, high-quality patient care in the OR. Nurses have an important role in fostering strong perioperative communication; however,

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this can be challenging given the diversity of professions and individual perspectives represented on the OR team. This presentation will explore principles of team communication; common types of communication “failures”; the effects of interprofessional briefings, such as the “time out” and the preoperative team checklist; and the challenges of changing team communication routines. In particular, the presenters will focus on their experiences of implementing a new preoperative team communication routine at one hospital.

MANAGEMENT PROGRAM 9:45 AM TO 3 PM

(3.6 CH)

9:45

(1.8 CH)

TO

11:15 AM

L/MO 9312 Hot Topic—Moving From Blame and Shame to a Patient-Centric Safety Culture—Linda Groah, RN, MSN, CNOR, CNAA, FAAN; Aileen Killen, RN, PhD, CNOR; Elena Canacari, RN, CNOR; Cecil King, RN, MS, CNOR; Kate O’Toole, RN, BSN, CNOR Since the Institute of Medicine report, To Err is Human: Building a Safer Health System, was released in 1999, the vast majority of patient safety initiatives have focused on micro issues, such as medication errors and wrong-site surgery, with little emphasis on the macro issue of culture. This session will use the proposed AORN position and guidance statements on creating a patient safety culture to provide a framework for perioperative managers to develop a patient-centric safety culture in their organizations. Such a culture will provide an atmosphere in which all members of the perioperative team can openly discuss errors, near misses, process improvements, or system issues without fear of reprisal. This presentation will identify strategies for developing policies and procedures that will support a patient safety culture. L/MWF 9313 Future Leadership of the OR: When Does Succession Planning Begin?—Sue E. Smith, RN, BSN, MHSA, CNOR Successful leadership of surgical services in

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the future is contingent on identifying individuals with potential leadership attributes and encouraging and assisting them to develop the necessary skills and savvy to enable them to be successful leaders. Health care organizations and surgical services leaders should implement succession planning programs to ensure that competent leaders are ready and willing to assume the leadership challenges of the future.

1:30

TO

3 PM

(1.8 CH)

L/MO 9314 The Value Proposition of a Profitable Efficient/Effective OR: Revenue Enhancement, Not Just Cost Reduction—Julia Cooney, RN, BSN, MBA; Patrick E. Voight, RN, BSN, MSA, CNOR In today’s competitive surgical environment, most efforts to improve profitability have been focused on cost reduction strategies. Although reducing costs is one part of the profitability equation, understanding revenue enhancement strategies will ensure your hospital’s survival in the future. At the conclusion of the session, participants will understand strategies to enhance revenue by managing payer mix, selecting profitable service lines, and selecting “loss leaders” contributing to overall profit margins. L/MWF 9315 Finding the Hook to Effective Recruitment and Retention of the Next Generation: The Promise of a New Tomorrow—Patricia Bechtel Cady, RN, BSN, CNOR; Juanakee M. Ceol, RN, BSN; Callie S. Craig, RN, BSN, CNOR; Theresa Mary Jasset, RN, MSN, CNOR; Dolly N. Sullivan, RN, CNOR; Kay Ball, RN, BSN, MSA, CNOR, FAAN The art of recruiting and retaining members of the next generation in your surgical suite requires understanding the characteristics of the next generation, their needs, and their wants. This exciting session will reveal the secrets of attracting and adding members of this generation to your staff and tapping into their many talents. The “real story” told by the next generation will help you find the hook to

fulfill the promise of a new tomorrow.

FACULTY PROGRAM 10:15 AM TO 3 PM

(3.6 CH)

10:15

(1.8 CH)

TO

11:45 AM

P 9316+ Introducing Perioperative Nursing to Academia—Joy Don Baker, RN, PhD, CNOR, CNAA, BC, Susan Kleinbeck, RN, PhD, CNOR This session will illustrate how the Perioperative Nursing Data Set (PNDS) can facilitate teaching and learning about the specialty of perioperative nursing. Target audience members are nursing faculty members, staff educators, and novice nurses interested in applying the PNDS to their daily practice.

1:30

TO

3 PM

(1.8 CH)

P 9317+ Hot Topic—Opening the Doors to the OR— Debra L. Fawcett, RN, MS, PhD This session will provide an overview of the National League for Nursing think tank and a description of a pilot project using the OR as a medical-surgical clinical site. It also will provide examples of how concepts learned in an OR clinical rotation can be applied to the expected outcomes of a nursing program and meet leveled outcomes as well.

8

TO

THURSDAY, MARCH 23 9:30 AM (1.8 CH)

Concurrent Education Sessions 9320 Hot Topic—Nurse Your Environment— Cynthia Spry, RN, MSN, MA, CNOR; Jane Alcock, RN, BSN, CNOR; Lorrie Cappellino, RN, CNOR; Sylvia Durrance, RN, MSN, CNOR; Paula Morton, RN, MSN; Denise Reed, RN; Patricia Hercules, RN, BSN, MS; Susan Banschbach, RN, MSN, CNOR This program will reflect the work of the AORN Environmental Task Force as the new AORN position and guidance statements on environmental responsibility are introduced. The game-show format will include audience participation. Contestants will be quizzed on AORN JOURNAL •

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their knowledge of waste management, recycling, reprocessing, supply conservation, and resource management. Committee members will serve as resource and content experts and will share the knowledge gained during the preparation of the AORN documents. Perioperative nurses are positioned to manage the environment with accountable and prudent actions to conserve resources while providing patient care. This program will provide them with strategies to develop and implement environmentally responsible initiatives within their workplaces. P 9321+ Fire Safety and Prevention During Operative and Invasive Procedures— Cathy Smith, RN, CNOR Fire prevention and safety during operative and invasive procedures is a continuing concern for physicians, nurses, anesthesia care providers, and other members of the patient care team. The devastating effects of fires, such as documented patient deaths, in this practice area demand that all members of the team maintain skills related to the dangers of fire during an operative or invasive procedure. According to ECRI reports, two fires occur weekly in OR suites throughout the United States. Examples of fires reported by ECRI include bowel explosion during bowel surgery, fire in the incision site during lung resection, flash fire of the eyelid during excision of skin lesions on the eyelids and neck, tracheal tube fires during tracheostomy, throat fires during procedures in the back of the throat, drape fires during excision of skin lesions on the breast and laser cauterization of cervical polyps, gown fire during an abdominal procedure, and facial hair fire during a maxillofacial procedure. This program focuses on common causes of patient fires and strategies to reduce the risk of a fire during an operative or invasive procedure. C 9322+ Perioperative Management of the Bariatric Surgery Patient—Terrence M. Fullum, MD

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Learn how to improve patient satisfaction with the surgical outcomes of bariatric surgery. This session will describe preoperative work-ups, identify operative risks, and describe the pathophysiology of morbidly obese surgical patients. P 9323 We Are All One: An Alternative View of Diversity—Kathleen Gaberson, RN, PhD, CNOR; Wendelyn Anne Valentine, RN, MS(N), CNOR, CWCN A culturally diverse world can be perceived as a blessing—a creative, wonderful tapestry. Woven through this tapestry, however, are many differences that can lead to misunderstanding, stress, resistance, and pain. As nurses, we have a unique but challenging opportunity to learn from people of many backgrounds. The relationship between culture, religion, philosophy, and nationality will be explored through the perspective of unity. Health care practices from around the world offer gems of therapy that can be integrated into our lives and our work. Participants will learn practical skills to apply in their own practice settings to enhance their patients’ care and safety. C 9324 Music Therapy in the Perioperative Arena— Claire Everson, RN, CNOR, CCAP, LMT; Donalyn B. Richardson, MT-BC Music therapy is an evidence-based tool used in many health care settings, including perioperative services. It is not, as many suppose, a surgeon playing a compact disc in the room or a nurse choosing music at random for patient listening. Music therapists are degreed professionals with baccalaureatelevel preparation, and many are certified by the Certification Board of Music Therapists (CBMT). In this session, the impact of selected music on patient physiology will be discussed. The intake process begins with an assessment of the patient’s culture and the diversity of music preference. Goals are established, and outcomes such as pain level and anxiolysis are measured.

Congress Education

C 9325 A Perioperative Dilemma: Measuring the Difference a Nurse Makes—Meg Johantgen, RN, PhD; Robin P. Newhouse, RN, PhD, CNOR, CNA Organizational factors within the perioperative setting have a significant influence on patient outcomes. These include a variety of nursingspecific variables such as nurse certification, 24-hour staffing, the performance of multidisciplinary code drills, nurse staffing, and agency use. Identifying the best structures, processes, and outcomes to measure are necessary to improve the quality of health care. The Perioperative Nursing Data Set (PNDS) provides guidance in these relationships. L/M 9326 AORN Orientation Guidelines for Surgical Technologists—Michele Brunges, RN, BSN; Marilyn Sanderson, RN, BSN, CNOR Perioperative orientation for experienced and novice surgical technologists is a challenge. One of the benefits of a well-thought-out orientation program is an improved retention rate. Complex environmental issues in the perioperative setting require establishment of key content areas that must be addressed during orientation. This session will focus on these critical elements and the core content of an orientation program. The presenters will show how the information obtained from expert nurse educators and clinical nurse specialists was used by the 2005-2006 National Committee on Education in the development of this guideline. Other speakers may participate in this program. P 9327+ Chart Smart: Legal Implications of Charting—William J. Duffy, RN, BSN, MJ, CNOR Every perioperative nurse needs to understand the importance of documentation of care. This session will present important aspects of documentation to demonstrate the care you have provided your patients. You will leave with a better understanding of the legal aspects of charting, whether you are using a

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handwritten or computer-generated documentation system. L/M 9328 OR Schedules and Call in the Rural/Small Hospital—Speaker invited A discussion of how best to comply with AORN’s recommendations for a “normal” workday while covering call with limited human resources, managing the surgical schedule, maintaining revenues, and still preserving staff member and physician satisfaction. C 9329+ SIPP and Beyond: Perioperative Strategies— Callie Craig, RN, BSN, CNOR; Janet A. Lewis, RN, MA, CNOR The Surgical Infection Prevention Project (SIPP), coordinated by the Centers for Disease Control and Prevention, advocates using specific guidelines for the administration of antibiotics. Through participation in this collaborative activity, new medical and nursing practice guidelines were developed, resulting in significant improvement. Additional factors identified in the initial study included glucose monitoring, oxygen administration, and hypothermia prevention. This has led to additional measures being implemented to provide a safer environment for the surgical patient. Glucose screening and perioperative monitoring were implemented for cardiac and orthopedic total joint patients; oxygen administration protocols were initiated; and multiple strategies were adopted to prevent hypothermia.

1:30

TO

3 PM

(1.8 CH)

Concurrent Education Sessions 9331 Hot Topic—To be announced P 9332(R)+ Fire Safety and Prevention During Operative and Invasive Procedures— Cathy Smith, RN, CNOR AORN JOURNAL •

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Congress Education

JANUARY 2006, VOL 83, NO 1

C 9333(R)+ Perioperative Management of the Bariatric Surgery Patient—Terrence M. Fullum, MD C 9334+ Image-Guided Spine Surgery—Warren Roesch, Jr, RN, CNOR This session will provide perioperative nurses with a basic understanding of the history of image-guided spine surgery (IGSS). The past, present, and future of IGSS will be discussed, and an overview of procedure-based solutions for IGSS will be presented, along with the advantages of a dedicated built-in IGSS room. To be discussed also is the importance of a well-educated and knowledgeable team, with emphasis on how to train and evaluate the team for success. This session has been partially underwritten by a grant to the AORN Foundation from Medtronic Sofamor Danek. C 9335(R) Music Therapy in the Perioperative Arena— Donalyn B. Richardson, MT-BC C 9336(R) A Perioperative Dilemma: Measuring the Difference a Nurse Makes—Meg Johantgen, RN, PhD, Robin P. Newhouse, RN, PhD, CNOR, CNA P 9338(R)+ Team Talk: Working Toward Evidence-Based Practice for Team Communication in the OR—Sherry Espin, RN, BScN, MAEd; Georgia Smickle, RN, RM, BScN; Sarah Whyte, BSc, MA

GENERAL SESSIONS SUNDAY, MARCH 19, 8:30

TO

10:45 AM

P 9341 Opening Session (0.4 CH) Cinderella: Retold for AORN—Melodie Chenevert, RN, MN, MA, FAAN Nurses want to be treated royally. Like Cinderella, we sit on our ashes and dream that someday we will be princesses instead

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of scullery maids. Do we really have what it takes to be members of the ruling class? Come help us create a Health Care Kingdom in which nurses rule . . . or at least live happily every after. Note: you will not be awarded the partial contact hour (0.4) for attending this session until you have earned a minimum of one contact hour.

SUNDAY, MARCH 19, 5 TO 6 PM P 9243+ Keynote Session (1.2 CH) Tea and Toast for the Perioperative Nurse’s Spirit—Ellen K. Murphy, RN, MS, JD, FAAN; Jane Rothrock, RN, DNSc, CNOR, FAAN; Patricia Seifert, RN, MSN, CNOR, CRNFA, FAAN It’s tea time! Enjoy the company of good friends as they take you on a tour through stories and anecdotes that illustrate the power of comforting behaviors, “comfort food,” and comforted spirits. The presenters will show how Kolcaba’s Comfort Theory can be applied to the perioperative setting to enhance the physical, psychospiritual, sociocultural, and environmental experiences of both patients and the nurses caring for them.

TUESDAY, MARCH 21, 8

TO

9:50 AM

Lobby Day AORN will invite legislators to sit with constituents and be part of two exciting general sessions (ie, P 9296 and P 9297) addressing today’s health care issues.

TUESDAY, MARCH 21, 8

TO

8:50 AM

P 9296 General Session (1.0 CH) Leadership in Health Care and Society Counts; It Really Does—William (Bill) K. Atkinson, MPH, MPA, PhD We live in amazing times for health care. Advances in science, medicine, and technology, as well as the organization and delivery of health care around the world, are occurring at an unprecedented pace. It takes innovative leadership, however, especially as it relates to “connecting the dots,” for these and other advances to have an immediate and profound effect on access to care, patient care outcomes, and processes that actually matter in the end.

Congress Education

JANUARY 2006, VOL 83, NO 1

Workforce development and stability; resource availability and deployment; technology and education; quality, safety, and emergency response; leadership and responsibility—all of these are key pieces to a puzzle that must be connected for optimal care to be made available. Learn strategies for leadership and connecting the dots as they relate to these rapidly evolving times in health care.

have come up in the culture and you’ve had the opportunity of belonging to that unique fraternity, there is a certain way you see patients and you see care and you see life.” Dr Carmona is a Fellow of the American College of Surgeons and a fully qualified peace officer with expertise in special operations and emergency preparedness, including weapons of mass destruction.

TUESDAY, MARCH 21, 9

WEDNESDAY, MARCH 22, 3:30

TO

9:50 AM

TO

4:45 PM

P 9297 General Session (1.0 CH) Saving Lives and Saving Money: Transforming Health Care in the 21st Century—Newt Gingrich Based on his book Saving Lives and Saving Money, former Speaker of the House Newt Gingrich will discuss a modern health care system for the future, with the core values of being patient-centered, knowledge-intense, and innovation-rich. More than addressing the numerous ongoing debates—such as medical malpractice reform, rising costs in health care and prescription medications, and Medicare reform—Gingrich offers his audiences what every individual and company need to know about the future of health care. He will present a thorough road map using market principles and available technology to describe the transformation of health and health care into a 21st century system that will save lives and money.

P 9318+ General Session (1.5 CH) Perioperative QuizBowl: EvidenceBased Practice—Victoria M. Steelman, RN, PhD, CNOR Providing high-quality patient care requires that perioperative nurses understand the evidence available to make the best decisions possible. Using an innovative teaching style similar to a game show, teams of perioperative nurses will put their knowledge to the test and compete to be the winners of Perioperative QuizBowl 2006. Audience participants will have the opportunity to learn about more than 50 aspects of best perioperative practices while rooting for their favorite teams.

TUESDAY, MARCH 21, 4

P 9340 Closing Education Session (1.0 CH) Change Your Attitude—Change Your Life! Traci Lynn Dr Traci Lynn, entrepreneur and author, has inspired thousands to pursue their dreams and develop excellence in their lives. She believes people must feed their minds with motivation to reach past their comfort zones and live the lives they envision. As part of her audience, you will feel the energy of her words as she encourages you to expand your dreams and focus on the future. ❖

TO

5:30 PM

P 9302 Jerry G. Peers Lectureship (1.8 CH) Vice Admiral Richard H. Carmona, MD, MPH, FACS, Surgeon General As our nation’s chief health educator, Surgeon General Dr Richard Carmona offers a unique perspective on the US health care system. Among other professional roles, Dr Carmona has worked as a paramedic, RN, physician, chief medical officer, hospital chief executive officer, and professor of surgery. “Once a nurse, always a nurse,” he has stated. “If you

WEDNESDAY, MARCH 22, 5

TO

6 PM

P 9319+ General Session (1.2 CH) To be announced

THURSDAY, MARCH 23, 4:30

TO

5:20 PM

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