7:00 AM – 8:00 AM |
STN Annual Member Meeting Cynthia Blank-Reid, MSN, RN, CEN, STN President |
8:00 AM – 8:45 AM |
President's Address Presenter: Sean Elwell, MSN, RN, EMT, NE-BC, TCRN, STN President-Elect Moderator: Cynthia Blank-Reid MSN, RN, CEN, STN President |
8:45 AM – 9:45 AM |
Plenary Session #1: Opening Keynote
Christine Schulman, MS, RN, CNS, CCRN-K, AACN President Moderator: Sean Elwell, MSN, RN, EMT, NE-BC, TCRN |
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Christine Schulman is president of the American Association of Critical-Care Nurses (AACN). She is a critical care and trauma clinical nurse specialist at Legacy Health in Portland, Oregon. She was previously a trauma and critical care nursing consultant after working several years as a trauma and surgery clinical nurse specialist at Harborview Medical Center in Seattle. She obtained most of her bedside clinical experience as a staff nurse in the surgical ICU at Oregon Health & Science University, Portland, and earlier in her career she held critical care and emergency nursing positions in Wyoming and Colorado. Schulman has also been an adjunct clinical instructor at Oregon Health & Science University, Seattle University and University of Washington School of Nursing in Seattle. |
10:00 AM – 11:00 AM |
Concurrent Sessions Round 1
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Using the Trauma Quality Improvement Program (TQIP) Metrics Data to Change Clinical Practice Presenters: Pam Bourg, PhD, RN, TCRN, FAEN Moderator: Liz Atkins, MSN, RN, CCRN-K
View Recording [Members Only]
Reducing healthcare costs and maintaining quality are very important. The TQIP patient list provides specific data, in which further exploration can provide road maps to practice solutions. We will demonstrate a step by step process utilizing your TQIP data to identify trends, risk factors, and outliers in order to create your own individualized solutions. We will review three specific targeted examples: hip fractures with unplanned return to the ICU, pneumonia in TBI patients, and CAUTIs. At the end of this session, attendees should be able to:
- Explain the importance of creating, gathering and distributing metrics data to evaluate trends and implementation of practice change.
- Identify a problem in clinical outcomes and assess for areas where practice can be improved.
- Identify resources to help change clinical practice and understand how to validate the change through analysis of quality metrics data.
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“Tell Me What To Do!”: Understanding and Executing Controversial EAST Practice Management Guidelines from the Authors Presenters: Bryce Robinson, MD, MS, FACS, FCCM Arash Mahajerin, MD, MSCr Mayur Patel, MD, MPH Moderator: Joan Pirrung, MSN, RN, ACNS-BC
Understanding and executing recent EAST guidelines in the context of GRADE methodology can be a challenge for trauma centers. Dr. Bryce Robinson, Chair of the EAST PMG Committee, will lead a 1-hour panel discussion explaining a pragmatic approach to institutional implementation of EAST PMGs. Drs. Arash Mahajerin MD (pediatric VTE care) and Mayur Patel (cervical spine clearance in obtunded patients) will review the content and provide “real-world” guidance for the implementation of their PMGs. At the end of this session, attendees should be able to:
- Provide sound advice on how to convert an EAST PMG with GRADE into a real world, at the bedside protocol.
- Analyze and appraise the EAST PMG “Prophylaxis against venous thromboembolism in pediatric trauma” from the primary author, Arash Mahajerin MD.
- Analyze and appraise the EAST PMG “Cervical spine collar clearance in the obtunded adult blunt trauma patient” from the primary author, Mayur Patel MPH, MD.
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Dusk to Dawn: A Hospital-Based Youth Violence Prevention Program Presenter: Ashley Emmel, MSN, MBA, RN Moderator: Bobbie O’Connell
View Recording [Members Only]
As a Level One Trauma Center, how do you build a violence prevention program that is sustainable? Dusk to Dawn is a youth violence prevention program that partners with our local police department and gang unit, youth prevention partners like the Boys and Girls Club, and YouTurn, a street intervention program. This session covers the journey of creating a hospital based prevention program by obtaining major stakeholders, funding, target population, goals, and measurements of success. At the end of this session, attendees should be able to:
- Observe Dusk to Dawn in action.
- Explore each collaborator’s impetus for creating a hospital based violence prevention program.
- Describe steps involved in creating your own hospital based violence prevention program.
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When The Trauma Patient Becomes the Stroke Patient: Cervical Artery Dissection Presenter: Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN Moderator: Lynn Eastes, MSN, RN, ACNP-BC
View Recording [Members Only]
Victims of blunt trauma to the craniocervical region are at risk for associated vascular injury. Cervical artery dissections have been detected with increasing frequency due to improved imaging of the trauma patient. The challenge lays in readily identifying and treating these patients. This presentation will delve into the pathophysiology of traumatic dissections; signs, symptoms and evaluation of cervical artery dissections will be discussed. At the end of this session, attendees should be able to:
- Identify common mechanisms of injury as they relate to blunt trauma to the craniocervical region
- Understand the pathophysiology of cervical artery dissection
- Describe the signs and symptoms of cervical artery dissection
- Apply the findings to assist in formulating a treatment plan for the best possible outcome
- Discuss special circumstances, controversies and cutting edge therapies in the treatment of cervical artery dissection
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Don’t Get Burned in the Trauma Bay: The Trauma Nurse’s Handbook for (Pediatric) Burn Care Presenter: Debbie Harrell, MSN, RN, NE-BC Moderator: Lori Moss
View Recording [Members Only]
Members of the trauma team will be armed with new tools to accurately determine burn size, degree, fluid resuscitation needs, and evidence-based practices that can improve the outcome of pediatric burns of all sizes. Case studies and vivid PowerPoint images of burns, progression and healing are included. At the end of this session, attendees should be able to:
- Identify the immediate priorities of the initial stabilization following a thermal injury.
- Identify treatment interventions and their impact on the short-term and long-term patient outcomes.
- State three complexities of the burn injury and the American Burn Association criteria for referral to burn center.
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The Social Determinants of Trauma and Violence: Drivers of Trauma Disparities Presenter: Judy Mikhail, PhD, MBA, MSN, BSN Moderator: Carrie Chrismarich
View Recording [Members Only]
This session will explore the socioecological forces driving trauma and violence related injuries in American society today which contribute to trauma disparities. Drawing from trauma surgery, sociology, psychology, public health, and criminal justice literature, the environmental, economic, social, cultural and behavioral conditions that are known to increase the risk of injury and health disparities are examined along with suggested best practices for trauma centers to intervene. At the end of this session, attendees should be able to:
- Identify the social determinants of trauma and violence that drive trauma disparities
- Compare and contrast multilevel factors that contribute to trauma disparities
- Identify trauma center best practices to reduce trauma disparities
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11:10 AM – 12:10 PM |
Concurrent Sessions Round 2
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Oral Abstract Winners: Evidence Based Practice Moderator: Coleen Dever, AGCNS-BC, RN, CEN
- Preventing Hospital Acquired Pressure Ulcers: An Approach Towards Sustainable Change – Adel Elkbuli, MD, MPH
- Safety and Efficacy of CIWA in the Trauma Population – Douglas R. Oyler, PharmD
- Decreasing Readmission Rates: A Nurse Led Initiative – Rebecca L. Tyrrell, RN,CCCTM
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Gun Violence in the United States: It's (Not Just) About the Guns Presenter: Robert Winfield, MD, FACS Moderator: David Meysenburg, MSN, RN
View Recording [Members Only]
Gun violence is common in the United States, yet there is a great deal of misunderstanding regarding its epidemiology, known risk factors for becoming a victim, and the role of societal factors that perpetuate this devastating public health problem. This session will focus on defining gun violence as a public health issue, understanding the myriad factors that are associated with susceptibility, and understanding social constructs that make gun violence in the USA difficult to solve. At the end of this session, attendees should be able to:
- To provide objective data on the impact of gun violence in the United States.
- To share objective data from the medical literature on the topic of gun violence and its risk factors.
- To discuss structural violence in the United States and its role in the perpetuation of gun violence.
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The Not So Secret Compartments: Compartment Syndrome and Its Consequences Presenter: Jane McCormack, BSN, RN, TCRN Moderator: Terri Stewart, MS, MSM, RN
View Recording [Members Only]
Join in a case based discussion focusing on the recognition and treatment of compartment syndrome, an infrequent but serious complication after injury. The swelling of tissue within anatomic enclosures in the extremities or the torso can lead to increased, compromised blood flow and cell death. This discussion will focus on risk factors, anatomic structures of the compartments, recognition of the event and treatment. Case studies will concentrate on nursing assessment, intervention and care. At the end of this session, attendees should be able to:
- Define compartment syndrome and describe why it is a time sensitive complication
- Identify the patient factors, injury factors and treatment factors that increase the risk of developing torso or extremity compartment syndromes.
- Utilize case scenarios to identify patients at risk, recognize signs and symptoms of, describe early treatment of, and the long term care needs of the patient with extremity compartment syndrome.
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ECMO for the Trauma Patient: Challenges, Successes, and the Role of the Nurse Presenter: Jessica Hamiltion, BSN, RN, CCRN Moderator: Pam Bilyeau
View Recording [Members Only]
Advances in the technology behind ECMO have made application in the trauma population safer, faster and more simplified. We will look at how to apply this therapy to trauma patients in the ICU as well as applications in emergency departments. Trauma related indications include hypothermia, pulmonary embolus, blast injuries, burns, smoke inhalation, and ARDS related to pulmonary contusions, aspiration and ventilator associated infections. At the end of this session, attendees should be able to:
- Participants will understand extracorporeal membrane oxygenation and how this therapy is applied to trauma patients.
- Participants will understand the RN role in the initiation, daily management of patients receiving ECMO therapy.
- Participants will understand the necessities and potential complications when starting and maintaining and ECMO program in their facilities.
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Bridging the PI Gap: Turning “Criteria Deficiency 4-3” Into “Can Do 4-3” Presenter: Amy Koestner, MSN, RN Carol Immermann, BSN Moderator: Roy Ball, MS, RN, ACNP-BC, CCNS
The ACS verification process requires transferring trauma centers to have a process in place to review patient/system care (CD 4-3). The session will provide a variety of ways for initiating and hardwiring effective communication methods which address not only PI issues but also strengthen relationships between trauma centers. Recognition of the gaps that occur at all trauma levels and settings are critical in demonstrating compliance for trauma site visits. At the end of this session, attendees should be able to:
- State at least three methods for creating a PIPS communication process between trauma centers
- Describe how PIPS communication can strengthen relationships between trauma centers
- Describe how to demonstrate compliance with the referral process mandate during a trauma site visit
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A Moment of Silence: Dealing with the Aftermath of a Pediatric Trauma Code Presenter: LeAnne Young, MSN, RN, TCRN Moderator: Heather Timmons
View Recording [Members Only]
This case presentation format will review the impact of a structured debriefing process conducted within hours of a pediatric trauma code and death in the pediatric trauma bay. The presentation will cover the care of the “trauma family” (i.e. the resuscitation team), the importance of having a structured debriefing process, and the integration of crisis management during the immediate aftermath/debriefing for ongoing employee needs. At the end of this session, attendees should be able to:
- Explain the potential impact of pediatric trauma deaths on the trauma team
- Examine the utilization of debriefing activities at pediatric trauma centers
- Evaluate the benefit of participating in a structured debriefing process after a pediatric trauma death
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12:10 PM – 12:45 PM |
Lunch in Exhibit Hall
Exhibit Prize Drawing: 1:15pm – 1:30pm Posters displayed for review Photographer available for free headshots
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1:30 PM – 2:30 PM |
Concurrent Sessions Round 3
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Oral Abstract Winners: Research Moderator: Liz Atkins, MSN, RN, CCRN-K
- Broadening Gero-trauma Criteria Improves Outcomes: A Comparative Study – Lynn A. Wiles, MSN, PhD, RN, CEN
- Implementing a Call Back Program in the Trauma Population – Jennifer Bath,, MSN, RN, AGCNS-BC, CEN, TCRN
- How Well Can We Rise After Falling? The Factors Involved in the Undertriage of Falls. – Candice M. Thompson, MSN, RN, CEN
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A Classic Game With a New Twist- Concentration: Trauma Nurse Edition! Presenters: Diana Clapp, BSN, RN, CCRN, TCRN Lynn Gerber Smith, MS, RN, TCRN Moderator: Debra Kitchens, BSN, MBA, CEN, TCRN, NRP
View Recording [Members Only]
Who wants to learn and have some fun? Come play the classic game with a new twist—Concentration: Trauma Nurse Edition! Whether you’re new to the care of trauma patients or have years of experience, this session will give you a fun and interactive way to learn about best practices and newest innovations in trauma care! Just like the care of a critical patient, winning this game relies on you and your colleagues! At the end of this session, attendees should be able to:
- Evaluate possible diagnostic tests and select optimal exam techniques to identify the extent of injuries based on patient presentation.
- Demonstrate the value of participation in research and protocol development as it pertains to patient outcomes.
- Interpret diagnostic findings and anticipate the plan of care for a complex trauma patient.
- Appraise the trauma system and it’s effects on patient outcomes.
- Evaluate the use of trauma registry data as it pertains to prevention, outcomes, or outreach.
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TIPPI - Tech Ki-yay!: Free and Easy Tech Tools for TIPPI (Trauma Injury Prevention and Performance Improvement) Programs Presenter: Karla Klas, BSN, RN, CCRP Moderator: Cassondra Richard, RN, CEN, TCRN
View Recording [Members Only]
Ready to learn new strategies to make your work (and home!) life more efficient? With the rapid growth in technology over the past decade, there are numerous readily-available tools to assist you in your trauma program and outreach activities. Ms. Klas will share tips on free and easy tech tools she has creatively utilized in her many roles in trauma program performance improvement, injury prevention, project management, training, and research. Come network and share ideas in this interactive session. At the end of this session, attendees should be able to:
- Relate specific strategies for identifying and learning to use new TIPPI (Trauma Injury Prevention and Performance Improvement)-Tech tools.
- Describe a minimum of five technology tools that can be used to facilitate trauma program management, performance improvement, injury prevention or outreach activities.
- Incorporate (pilot test or try) at least one new tech tool into their work within two weeks of completing this session.
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Writing for the Journal of Trauma Nursing: How to Develop and Enhance Your Manuscript in the Digital Age Presenters: Kathryn Schroeter, PhD, RN, CNOR, CNE Kristen Chreiman, MSN, CCRN Moderator: Carolann VinZant, RN
View Recording [Members Only]
New technology and social media has impacted on the world of publication such that more adjunctive means are now available to use to promote current published information in health care. In this session nurses will be able to write succinctly for publication as well as being able to use other online media strategies to promote relevant information to the readers.
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Recognizing Victims of a Hidden Crime: Human Trafficking Victims in Your Pediatric Trauma Bay Presenter: Linda Roney, EdD, RN-BC, CPEN, CNE Moderator: Jackie Desilva, RN
Human trafficking is the third largest international crime industry and reportedly generates a profit of $32 billion every year. Of that number, $15.5 billion is made in industrialized countries like the United States. Because the average age a person enters the sex trade in the United States is between 12 to 14-years-old, nurses who care for children in our trauma centers across the country must be aware of the trends in the sex trafficking of minors as well as the clinical presentation of these victims. This presentation will provide related background, clinical, and legal information to empower participants to begin conversations with colleagues about this important topic when they return to work following TraumaCon 2018. At the end of this session, attendees should be able to:
- Recognize risk factors and indicators related to human trafficking among pediatric patients
- Explore trends in the sex trafficking of minors
- Describe the clinical presentation of human trafficking victims who are children in emergency departments and trauma bays across the United States
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Compassion Fatigue and You Moderator: Dan Kiff, MN, RN Presenter: Gina Berg, PhD, MBA
View Recording [Members Only]
Compassion fatigue has increased in the trauma and critical care nursing literature and is a concern as a patient safety issue as well as provider distress. This session will include a case study on a trauma team, learning how to become self (including self-assessment) and team aware of compassion fatigue, strategies for management and prevention. Group discussion will include personal strategies for preventing or managing compassion fatigue. At the end of this session, attendees should be able to:
- Become aware of compassion fatigue by: learning about Definitions, Incidence & prevalence, Triggers, Risk to profession, and Risk to patient
- Identify strategies for: Recognition (including a self-assessment), Resuscitation, Management, Prevention (Resiliency)
- Consider strategies for managing compassion fatigue on a trauma team
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2:45 PM – 4:00 PM |
Plenary Session II: Leadership Panel
Sarah Mattocks, MSN, RN, FNP-C, TCRN Amy Krichten, MSN, RN, CEN, TCRN Shawn Patton, RN, CEN, TCRN Jasmine Garces-King, DNP, RN, CCRN, TCRN, ACNP-BC |
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This session will describe the key components of how to be a successful leader in a complex trauma organization. Additionally, discussion of barriers to success and lessons learned from novice to expert leaders will be presented. The participants will acquire tools to utilize in their professional career and practice to make them successful.
- 2:45PM - 3:00 PM Introduction to leadership committee (past, present & future); How STN can help you succeed as a leader in your organization?: Sarah Mattocks, RN, MSN, FNP-C, TCRN
- 3:00 PM - 3:15 PM Leadership Journey, lessons learned and STN involvement (State designation): Amy Krichten, MSN, RN, CEN, TCRN
- 3:15 PM - 3:30 PM Leadership Journey, lessons learned and STN involvement (Level IV): Shawn Patton, RN, CEN, TCRN
- 3:30 PM - 3:45 PM Leadership Journey, lessons learned and STN involvement-(Level II & AP): Jasmine Garces-King, DNP, RN, CCRN, TCRN, ACNP-BC
- 3:45 PM - 3:50 PM Q&A
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4:00 PM |
Closing Roy Ball, MS, RN, ACNP-BC, CCNS |
4:00 PM - 6:30 PM |
Poster Session Poster Judging & Participant Viewing (Optional CE) |