STN 14th Annual Conference


14th Annual Conference
Deep in the Heart of Trauma Care
March 30 – April 1, 2011   |   Grand Hyatt San Antonio
San Antonio, TX



Wednesday, March 30, 2011 - Pre-Conference Sessions


7:45 – 4:30 PM, Trauma Outcomes & Performance Improvement Course (TOPIC)

Heidi Hotz, RN
Trauma Program Manager, Cedars-Sinai Medical Center, Los Angeles, CA

Kathleen D. Martin, MSN, RN, CCRN
Trauma Program Nurse Director, Landstuhl Regional Medical Center, US Army Military Treatment Facility, Landstuhl, Germany

TOPIC was developed by a seasoned group of trauma leaders, to assist participants with the Performance Improvement (PI) process in trauma care. This one-day course focuses on skill development for trauma program staff who are involved in the ongoing evaluation of trauma care across the continuum. It offers concrete strategies for the monitoring of trauma care, loop closure, and patient outcomes. The course provides practical lessons for all levels of trauma centers, from entry level to those who have achieved a mature phase of program development. TOPIC consists of 12 modules in PI and outcomes assessment, and includes over 50 case study examples, sample documents, and templates.

Moderator – Connie Mattice, RN, MSN, CCRN, ANP

9.3 CE

8:00 – 4:00 PM, Optimal Trauma Center Organization & Management Course

Frank "Tres" Mitchell, III, MD, MHA, FAC
Medical Director, Trauma & Surgical Critical Care, Scottsdale Healthcare Osborn Medical Center, Scottsdale, Arizona

Amy Koestner, RN, MSN
Trauma Program Manager, Borgess Medical Center, Kalamazoo, Michigan

Judy Mikhail, RN, MSN, MBA
MI Trauma Quality Improvement Program, University of Michigan Health System, Ann Arbor, MI

The American College of Surgeons Committee on Trauma (ACS-COT) and the Society of Trauma Nurses (STN) have partnered to develop the Optimal Trauma Center Organization & Management Course.

  • Both physicians and nurses teach this collaborative course. Its goal is to enhance trauma center performance and to improve patient care through implementation of the ACS COT Trauma Center Standards.
  • Whether yours is a mature verified center or a hospital preparing for designation, this course is designed to help participants develop strategies, processes, and operations to support trauma systems based on their own unique environments. It is designed to help you take your trauma center to the next level, beyond verification or designation.
  • The nuances of implementing or improving upon trauma center criteria within the structure of your specific facility will be reviewed in an interactive forum.
  • The course is designed to assist Trauma Medical Directors, Trauma Program Managers/Coordinators, Administrators, Trauma Registrars, State/Region personnel and other disciplines involved in trauma.

 

Moderator – Amy Koestner, RN, MSN

8.1 CE

12:30 – 4:35 PM, Child Abuse: A Problem Bigger Than Texas

Karla Lawson, PhD, MPH
Dell Children's Medical Center of Central Texas • Austin, Texas

Jamye Coffman, MD
Cook Children's Hospital • Fort Worth, Texas

Sue Cox, RN, MSN, CEN, PHN
Rady Children's Hospital • San Diego, California

Nilda Garcia, MD
Dell Children's Medical Center of Central Texas • Austin, Texas

Rachel Berger, MD, MPH
Children's Hospital of Pittsburgh • Pittsburgh, Pennsylvania

Jamie Ferrell, RN
Forensic Nurse Specialist • Houston, Texas

Lt. Andrew Carian
San Antonio Police Department, Sex Crimes/Family Violence Unit • San Antonio, Texas

Catherine Babbitt
Prosecutor, Bexar County District Attorney's Office • San Antonio, Texas

Desmond Runyan, MD, DrPH
University of North Carolina • Chapel Hill, North Carolina

Violence against children presents trauma centers with one of their most serious and daunting challenges, regardless of geographiclocation. Affecting more than 12 children in a thousand, child abuse is responsible for the deaths of almost 1500 children per year—the majority occurring in children less than 4 years of age. STN's Pediatric Committee brings you this remarkable 4-hour pre-conference, which focuses on the screening, recognition, prosecution, treatment, and prevention of non-accidental injury against children. This program assembles national and regional experts to discuss topics from the epidemiology of abuse to successful prevention programs. This is essential information for trauma care providers who care for children of any age.

Topics

  • Epidemiology of Child Abuse • National Data/Incidence/Cause
  • Clinical • Child Abuse: Clinical Findings—What it is and what it isn't; Programmatic development/25-year experience/Lessons learned; Surgical findings in child abuse.
  • Child Abuse Research • Improving the evidence-base: Recent research in child physical abuse
  • Legal Aspects of Child Abuse • Forensic nursing; When your call becomes a crime scene; Prosecuting the alleged abuser; Panel discussion/Questions from the audience
  • Child Abuse Prevention • Evidence-based prevention programs for infants and toddlers

 

Moderators - Deb Brown, RN, BSN, MHA
Chris McKenna, MSN, RN, CRNP
Lynn Haas, RN, MSN, CPNP
Marie Campbell, RN, MSEd, MS, CPC
Diane Fendya, MSN, RN
Sue Rzucidlo, MSN, RN

4.6 CE

12:30 – 4:35 PM, Severe Brain Trauma: Guidelines & Emerging Science

Claudia Robertson, MD
Medical Director - Center for Neurosurgical Intensive Care, Ben Taub General Hospital/Baylor College of Medicine, Houston, Texas

Mary Kay Bader, RN, MSN, CCNS, FAHA
Neuro/Critical Care CNS, Mission Hospital, Mission Viejo, California

Severe TBI patients require complex and coordinated monitoring and interventions. In the best of circumstances, these efforts are based on evidence-based practice guidelines that work to minimize secondary brain injury while optimizing cerebral perfusion. This half-day course is designed for acute care trauma providers, to enhance their ability to promote optimal outcomes for severe neuro-trauma patients. Its purpose is to review the evidence for current monitoring techniques, treatment parameters, interventions, and goals in severe brain trauma. The speakers will also address emerging science in neuro critical care, including an overview of research in intentional hypothermia for this population.

Agenda

  • The Brain Trauma Foundation Guidelines: Evidence-Based Neuro Care
    Claudia Robertson, MD
  • Emerging Science in Neuro Critical Care
    Claudia Robertson, MD
  • Multi-Modality Monitoring in the Neuro Trauma Patient
    Mary Kay Bader, RN, MSN, CCNS, FAHA
  • Hypothermia in Brain Trauma—Is Cold Still Hot?
    Mary Kay Bader, RN, MSN, CCNS, FAHA

 

Moderators: Linda Reinhart, RN, MSN, CNS, CCRN
Deb Falkenberg, RN, MSN

4.5 CE



y, March 31, 2011 - Full Conference Sessions
6:30 AM – 6:30 PM - Conference & Exhibitor Registration Open
7:00 AM – 9:00 AM - Continental Breakfast
Full Conference
12.4 CE
7:30 – 8:30 AM: Opening Session & Welcome
Moderator – 2011 STN President-Elect

President's Address and Annual Meeting
Betsy Seislove, RN, MSN, CCRN, STN 2011 President
Trauma Program Manager, Lehigh Valley Medical Center, Allentown, Pennsylvania

Your journey to the heart of trauma care starts here, with the Annual Meeting and President's address. This session is open to all full conference attendees. Our incoming STN President, Betsy Seislove, will give an update of STN activities, introduce the Board of Directors, and discuss collaborative strategies for trauma nurses and for trauma centers within trauma systems. This session includes the presentation of STN Awards. Explore and learn more about STN and what it means to be an active member.


8:30 – 10:00 AM: PLENARY SESSION I: Trauma Systems & Disaster Management

A discussion of trauma systems often prompts more questions than answers: Do trauma systems really save lives? What do trauma systems in different states and regions have in common? In the case of natural disasters or terrorist events, are resources dispersed better when there is a functioning trauma system in place? Are trauma systems worth the effort and expense? And finally, are trauma systems at risk in the current era of anti-regulation and cost constraints. These are among the questions that this panel of experts will attempt to address.

8:30 – 8:55 AM: Trauma Systems: A Comprehensive Review of Where We are Today
Michael D. Pasquale, MD, FACS, FCCM
Chief, Division of Trauma and Surgical Critical Care; Senior Vice Chair, Department of Surgery, Lehigh Valley Medical CenterAllentown, Pennsylvania

8:55 – 9:20 AM: Trauma System Survival
Erik Barquist, MD, FACS, FCCM
2011 President, EAST (Eastern Association for the Surgery of Trauma), Jackson Health System, Miami, Florida

9:20 – 9:45 AM: Disaster Management: The Role of Trauma Systems
Jorie Klein, RN
Director, Trauma Program & Disaster Management, Parkland Health & Hospital System, Parkland, Dallas, Texas

9:45 – 10:00 AM: Panel Q & A


Concurrent Sessions I, 10:15 – 11:15 AM

PREVENTION
The Period of Purple Crying: A Statewide Prevention Program for Abusive Head Trauma
Desmond Runyan, MD, DrPH
University of North Carolina

Armed with the knowledge that infant crying behavior can lead to parent frustration and abusive head trauma, many centers now use prevention materials from the Period of Purple Crying program. A leading child abuse researcher shares information about this empirically tested program.

Moderator – Sally Snow, RN, BSN, CPEN, FAEN

ENVENOMATION
Snakebite! For Some Folks, It Is Trauma
Marilyn "Mac" McFarland, RN, MS
University Health Systems, San Antonio, TX

Snakebite presents challenges related to timeliness of care, availability of resources such as anti-venom, and skilled wound management. This talk provides an overview of the coordinated efforts required to save life and limb when the fangs strike.

Moderator – Tracy Cotner-Pouncy, RN

CLINICAL MANAGEMENT
Management of Multiple Rib Fractures


Erik Barquist MD, FACS, FCCM
2011 EAST President, Jackson Health System• Miami, FL
Michael D. Pasquale, MD, FACS, FCCM
Lehigh Valley Medical Center, Allentown, PA

Multiple rib fractures are a marker for underlying severe injury and are often associated with respiratory compromise, inadequate pain control, and prolonged ventilator care. In this session, two leading trauma surgeons discuss options for optimal treatment of this challenging and difficult to manage traumatic injury.

Moderator – Vicki Bennett, RN, MSN, CEN, CCRN

RESEARCH & PUBLICATION
Writing for Publication
Kathryn Schroeter, PhD, RN, CNOR
Editor, Journal of Trauma Nursing

Need help bringing your project findings from the analysis stage to publication? This session, presented by the Editor of JTN, will give you practical advice and writing tips designed to increase the chances of getting your work published.

Moderator – Marie Dieter, MSN, RN, PHRN, CEN

NEURO
Gizmos & Gadgets for Neuro ICU Care
Mary Kay Bader, RN, MSN, CCNS, FAHA
Mission Hospital, Mission Viejo, CA

Neuro ICU care has grown in complexity, and is compounded by the presence of devastating injury. Learn about the current state of multi-modality monitoring, including measurement of ICP, brain oxygen, cerebral blood flow, neurochemicals, pupil dynamics, and sedation levels, which enhance conventional neuro assessments.

Moderator – Holly Bair, RN, MSN, NP


11:30 – 12:30 PM - Lunch in the Exhibit Hall:

Grand opening of the Exhibit Hall

Posters available for viewing/Start your "Texas Hold 'em"/Exhibit Hall will remain open until 6:30 PM

Concurrent Sessions II, 1:00 – 2:00 PM

PEDIATRIC TRAUMA
Abusive Head Trauma in Children
Rachel Berger, MD, MPH
Children's Hospital of Pittsburgh, Pittsburgh, PA

Abusive head trauma among infants and young children is a leading cause of death from child abuse, and its incidence has risen dramatically in the U.S. over the past few years. A nationally recognized expert in the research and clinical care of children with abusive head trauma shares information about the factors influencing this phenomenon, including evaluation diagnosis.

Moderator – Chris McKenna, MSN, RN, CRNP

CLINICAL MANAGEMENT
Burns - Initial Burn Care for Non-Burn Centers
Wendi McNabb, RN
University Medical Center Health System, Lubbock, TX

Mass casualty events and multiple burn patients can exhaust surge capacity in a region, leaving non-burn centers to manage these patients for days instead of hours. In this session, learn from a burn program director about the key elements of early stabilization and management of burn patients.

Moderator – Holly Bair, RN, MSN, NP

LEGISLATION
Taking Trauma Legislation to the Finish Line


Paula Yuma, MPH, CHES
Dell Children's Medical Center of Central Texas, Austin, TX
Timothy L. Ohrum
The Hospital & Healthsystem Association of Pennsylvania

Whether it's a booster seat law or funding a trauma system, passing trauma legislation requires collaboration among trauma centers, legislators, lobbyists, and organizations that share similar goals. In this session, two speakers share lessons learned from their legislative efforts.

Moderator – Juliet Geiger, RN, MSN

ORAL PRESENTATIONS
ORAL ABSTRACT WINNERS
Evidence-Based Practice

Authors, TBA
The top three submissions in the Evidence-Based Practice (EBP) category are presented at this session. This is an opportunity to review EBP projects from a variety of trauma centers.

Moderator – Marie Dieter, MSN, RN, PHRN, CEN

NEURO
Gizmos & Gadgets for Neuro ICU Care (Repeat)
Mary Kay Bader, RN, MSN, CCNS, FAHA
Mission Hospital, Mission Viejo, CA

Neuro ICU care has grown in complexity, and is compounded by the presence of devastating injury. Learn about the current state of multi-modality monitoring, including measurement of ICP, brain oxygen, cerebral blood flow, neurochemicals, pupil dynamics, and sedation levels, which enhance conventional neuro assessments.

Moderator – Vicki Bennett, RN, MSN, CEN, CCRN


Concurrent Sessions III, 2:15 – 3:15 PM

PEDIATRIC TRAUMA
Non-Accidental Abdominal Trauma in Children
Nilda Garcia, MD
Dell Children's Medical Center of Central, Texas Austin, TX

Factors like late reporting and the lack of external signs of injury make inflicted abdominal trauma in children more likely to have associated complications that can lead to death. In this session, a leading pediatric surgeon describes characteristics and treatment of non-accidental abdominal trauma in children.

Moderator – Deb Brown, RN, BSN, MHA

CLINICAL MANAGEMENT
Burns - Initial Burn Care for Non-Burn Centers (Repeat)
Wendi McNabb, RN
University Medical Center Health System, Lubbock, TX

Mass casualty events and multiple burn patients can exhaust surge capacity in a region, leaving non-burn centers to manage these patients for days instead of hours. Learn about the key elements of early stabilization and management of burn patients in this session, from a burn program director.

Moderator – Rose Bolenbaucher, MSN, RN

ENVENOMATION
Snakebite! For Some Folks, It Is Trauma (Repeat)
Marilyn "Mac" McFarland, RN, MS
University Health Systems, San Antonio, TX

Snakebite presents challenges related to timeliness of care, availability of resources such as anti-venom, and skilled wound management. This talk provides an overview of the coordinated efforts required to save life and limb when the fangs strike.

Moderator – Tom Ellison, RN, MSN, CCRN

ORAL PRESENTATIONS
ORAL ABSTRACT WINNERS
Research

Authors, TBA
The top four submissions in the Research category are presented at this session. This is an opportunity to review trauma research projects from a variety of trauma centers.

Moderator – Marie Dieter, MSN, RN, PHRN, CEN

RESEARCH & PUBLICATION
Getting Started With Evidence-Based Practice at the Bedside
Mae Ann Pasquale, PhD, RN
Cedar Crest College, Allentown, PA

Tackling an Evidence-Based Practice (EBP) project for the first time can be daunting, especially if the research seems far-removed from the bedside. This talk will help you get started with your EBP idea by discussing the steps needed for a successful project.

Moderator – Betsy Seislove, RN, MSN, CCRN


4:00 – 6:30 PM - Brain Teasers & Palate Pleasers

Welcome Reception, Poster Judging & Optional CE:

Trauma Management Updates(exhibitor sponsored): 1.2 CE
Poster Review: 1.0 CE to 4.0 CE

Visit the exhibits to play Texas Hold 'em and win valuable prizes! (Prize drawing on Friday)



Friday, April 1, 2011 - Full Conference Sessions

6:30 AM – 4:30 PM - Conference Registration Open
7:00 AM – 9:00 AM - Continental Breakfast

7:30 – 8:40 AM: DAYBREAK PLENARY SESSION II: Data, Quality, and Outcomes
Moderator - Madonna Walters, MS, RN

To improve patient care for the injured, trauma centers are expected to benchmark their data and trend complications, 'never' events, mortality, and other outcomes. The goal of benchmarking is to identify opportunities for improvement that ultimately lead to better clinical practices and better trauma care. In this session, you can enhance your understanding of the "how to" of data trending with lessons from TQIP, the military's JTTR, and internal error analysis. This session is open to all who have registered for the full conference.

7:30 – 7:50 AM: TQIP (Trauma Quality Improvement Program): Do the Data Tell the Whole Story About Outcomes
Michael D. Pasquale, MD, FACS, FCCM
Chief, Division of Trauma and Surgical Critical Care,Senior Vice Chair, Department of Surgery, Lehigh Valley Medical Center • Allentown, Pennsylvania

7:50 – 8:10 AM: Performance Improvement & Battlefield Outcomes: Impact of the JTTR (Joint Theater Trauma Registry)
COL Brian J. Eastridge, MD, FACS
Director, Joint Trauma System Programs, US Army Institute of Surgical Research • Fort Sam Houston, TX
Mary Ann Spott, MPA, MSIS, MBA, RHIA, CPHQ
Deputy Director, JTTS–Programs and Operations , US Army Institute for Surgical Research • Fort Sam Houston, TX

8:10 – 8:30 AM: Trauma CSI: Using Error Analysis to Identify Opportunities for Improvement
Heidi Hotz, RN
Trauma Program Manager • Cedars-Sinai Medical Center • Los Angeles, CA

8:30 – 8:40 AM: Panel Q & A


8:50 AM – 10:00 AM: PLENARY SESSION III: Trauma Resuscitation
Moderator - Vicki Bennett, RN, MSN, CEN, CCRN

Effective trauma resuscitation is a keystone of trauma care, and requires a coordinated effort and communication from all team members. While the A-B-C's provide structure, the team must be ready, vigilant, and organized to achieve success—regardless of civilian or military settings. During this plenary session, three trauma leaders discuss common errors in resuscitation, challenges in hemorrhage control, and resuscitation of the elderly.

8:50 – 9:10 AM: Stop the Bleeding
COL Brian J. Eastridge, MD, FACS
Director, Joint Trauma System Programs, US Army Institute of Surgical Research, Fort Sam Houston, TX

9:10 – 9:30 AM: Common Errors in Resuscitation
Daniel L. Dent, MD, FACS
CDepartment of Surgery/Trauma, General Surgery Residency Program Director, University of Texas Health Science Center, San Antonio, Texas

9:30 – 9:50 AM: Trauma Resuscitation in the Elderly
Jorie Klein, RN, MSN
Director, Trauma Program & Disaster Management, Parkland Health & Hospital System, Dallas, Texas

9:50 – 10:00 AM: Panel Q & A


10:00 AM – 10:30 AM: BREAK—EXHIBITS OPEN
10:30 AM – 11:50 AM: PLENARY SESSION IV: Challenging Times, Compassion, and Transparency
Moderator - Melinda Case, RN

For some time now, family presence during resuscitation has been controversial, and families are sent to waiting rooms while the trauma team performs life-saving measures. These practices endure in spite of growing research that family presence is beneficial to patients and families. Some resistance stems from fear of malpractice lawsuits, though recent studies suggest that the opposite may be true: Family presence fosters appreciation for the trauma team's efforts to do "everything possible." These three speakers will explore the issues surrounding both family presence during resuscitation and the perceived versus actual malpractice risk associated with open discussion of errors.

10:30 – 10:50 AM: Family Presence During Resuscitation: Looking Back 10 Years
Jorie Klein, RN, MA
Director, Trauma Program & Disaster Management, Parkland Health & Hospital System, Dallas, Texas

10:50 – 11:20 AM: Are We Ready for Family Presence?
Mae Ann Pasquale, PhD, RN
Asst Professor of Nursing ,Cedar Crest College, Allentown, PA

11:20 – 11:40 AM: Open Discussion of Errors: Does it Increase Malpractice Risk?
Daniel L. Dent, MD, FACS
CDepartment of Surgery/Trauma, General Surgery Residency Program Director, University of Texas Health Science Center, San Antonio, Texas

11:40 – 11:50 AM: Panel Q & A


11:50 – 1:15 PM: LUNCHEON and DISTINGUISHED LECTURESHIP
"HEMOSTATIC RESUSCITATION: How Did We Get Here?"

Moderator – Sue Cox, RN, MSN, CEN, PHN—2010 President, STN

Donald Jenkins, MD, FACS
Senior Associate Consultant, Mayo Clinic Rochester, Minnesota

The Society of Trauma Nurses is pleased to announce Dr. Donald Jenkins as the recipient of the 2011 Distinguished Lectureship Award. Dr. Jenkins is the 2010 president of the Eastern Association for the Surgery of Trauma (EAST). In 2008, he retired from the U.S. Air Force after having served as the Trauma Medical Director at Lackland Air Force Base in Texas. For over a decade, Dr. Jenkins was responsible for all trauma medical care and administration at Wilford Hall USAF Medical Center in San Antonio, Texas, the USAF's only American College of Surgeons Verified Level 1 Trauma Center. He was also the Flight Commander and Chairman of General Surgery for 59MDW. How fitting that he should return to San Antonio for this award.

Currently, Dr. Jenkins is a Senior Associate Consultant for the Division of Trauma of Critical Care and Surgery for the Mayo Clinic in Rochester, Minnesota, as well as the Trauma Medical Director and Associate Professor of Surgery in the College of Medicine there. He is also an Assistant Professor of Surgery for the Uniformed Services University in Bethesda, Maryland.


1:15 – 2:15 PM - Poster-Viewing, Networking & Prize Drawing
2:15 PM – 3:15 PM : PLENARY SESSION V: Rapid Fire Countdown
Moderator - Betsy Seislove, RN, MSN, CCRN

We countdown to the end of this year's conference, and wrap up with four "rapid fire" trauma topics that should keep you thinking on your way home.

Marilyn "Mac" McFarland describes the top ten ways to avoid being fooled by patients at triage, including some lessons we tend to forget. Holly Bair offers sage advice about improving throughput time, to reduce waiting, frustration, and costs. Wendi McNabb distills the key elements of initial burn assessment to the top five that should be done in the first five minutes of care. And Paula Yuma offers three injury prevention strategies that can reap immediate positive results without the expenditure of any money.

Trauma Patient Triage: 10 Ways to be Schooled, Not Fooled
Marilyn "Mac" McFarland, RN, MS
Trauma Program Manager,University Health Systems, San Antonio, TX

Top Ways to Improve Your Throughput Time
Holly Bair, RN, MSN, NP
Trauma Program Manager,William Beaumont Hospital, Royal Oak, MI

Burn Assessment: Five Things in Five Minutes
Wendi McNabb, RN
Trauma and Burn Program Director, University Medical Center Health System, Lubbock, TX

Three for Free: Injury Prevention Strategies
Paula Yuma, MPH, CHES
Injury Prevention Program Manager, Dell Children's Medical Center of Central Texas, Austin, TX

Panel Q & A



3:15 PM - Closing remarks - Committee and SIG Information

3:15 PM – 4:30 PM: Special Interest Group (SIGs) & Committee Meetings
Special Interest Group (SIG) and Committee Meetings
The Society's SIGs have evolved to meet the needs of a membership with specialized interests, through targeted information and education. All STN members are welcome and encouraged to join with those who have similar interests, and attend any of the SIG meetings, even if this is your first time.

Committee Meetings
The STN Committees are dedicated to managing and advancing specific activities relevant to the needs of the membership. The committees and their members are focused on the development and implementation of a variety of initiatives that benefit all STN members: All committee members are encouraged to attend and participate in strategic planning for the upcoming year. Each SIG and Committee meets individually to provide an opportunity for the chairs to update members on activities and discuss strategies for developing projects, programs, and/or services that meet the needs of the specific group or committee. The meeting times are as follows:

Committee Meetings SIG Meetings
Education Committee/Compliance Disaster
Disaster Management Committee Neurotrauma
Pediatric Steering Committee Pediatrics
Journal of Trauma Nursing Committee Advanced Practice
Legislation & Public Affairs Committee Military
TOPIC Committee Rural
ATCN Executive Commitee/ATCN Open Forum Injury Prevention
Membership Committee Geriatrics