15th Annual Conference


15th Annual Conference
Going Coastal: Reset Your Trauma Compass
April 11-13, 2012 |   Hyatt Regency Savannah
Savannah, Georgia

2012 President's Address (Melissa A. Harte, RN, MS)




Wednesday, April 11, 2012 - Pre-Conference Sessions

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

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

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

Ronald I. Gross, MD, FACS
Chief, Division of Trauma and Emergency Surgery, Baystate Medical Center, Springfield, MA

TOPIC is a one-day course that was developed by a seasoned group of trauma leaders, to assist participants with the Performance Improvement (PI) process in trauma care. TOPIC 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. It consists of 12 modules in PI and outcomes assessment, and includes over 50 case study examples, sample documents, and templates. TOPIC is now co-taught by both nurse and physician faculty.

9.3 CE

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

Jeffrey Young, MD, MHA, FACS
Trauma Director, University of Virginia, Charlottesville, VA

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

Judy Mikhail, RN, MSN, MBA
Program Manager, Michigan Trauma Quality Improvement Program (MTQIP), 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 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 will assist Trauma Medical Directors, Trauma Program Managers/Coordinators, Administrators, Trauma Registrars, State/Region personnel and other disciplines involved in trauma.

8.1 CE

12:30 – 4:35 PM
Pediatric Trauma: Headed in the Right Direction

Danni Brown, RN, MS
Director of Neuroscience Research/Education, Phoenix Children's Hospital, Phoenix, AZ

Sally Jo Zuspan, RN, MSN
Director, Data Coordinating Center, Pediatric Emergency Care Applied Research Network (PECARN), University of Utah - Salt Lake City, UT

Greg Pereira, RN, BSN, MBA
Trauma Manager, Children's Healthcare of Atlanta, Atlanta, GA

Melissa C. Evans, MD
Medical University of South Carolina, Charleston, SC

The care of the pediatric neuro patient requires complex and coordinated monitoring and interventions. In the best of circumstances, these efforts are based on evidence-based practice guidelines that work to minimize disability. This half-day course is designed for acute care trauma providers, to enhance their ability to promote optimal outcomes for the pediatric neuro-trauma patient. Its purpose is to review the evidence for current monitoring techniques, treatment parameters, interventions, and goals. The speakers will address pearls in the assessment of the neuro trauma pediatric patient, as well as current evidence for patient management, controversies in the treatment of concussive injuries, challenges in resuscitation, and cases of interest.

Topics

  • Neuro Assessment: Pediatric Pearls
  • Implementing Research & Evidence at the Bedside
  • Concussion
  • Resuscitation Challenges
  • Case Presentations

 

4.0 CE

12:30 – 4:35 PM
Spine Trauma – The Top 10 Things You Should Know

Cindy Blank-Reid, RN, MSN, CEN
Trauma Clinical Nurse Specialist, Temple University Hospital, Philadelphia, PA

Joseph Haymore, RN, MS, CCRN, ACNP-BC
Chief Neurosurgery Nurse Practitioner, Walter Reed National Military Medical Center, Bethesda, MD and Critical Care Nurse Practitioner, Washington Adventist Hospital, Takoma Park, MD

Patients with spine and spinal cord injuries (SCI) are among the most challenging found in acute care and rehabilitation, particularly when it comes to reducing complications while optimizing function al outcomes. This 4-hour program will provide the trauma nurse with the knowledge and skills needed to provide high-quality care to these patients. It includes a review of spinal anatomy, physiology, and epidemiology, as well as the 10-most common reasons for emergent presentation of SCI and vertebral column injury. The course also covers clinical characteristics, common diagnostic evaluations, emergent therapy/surgery needs, and how to avoid complications.

Agenda

  • Overview of Spine Anatomy, Physiology, & Epidemiology
  • Types of Spinal Cord Injury & Associated Complications
  • Nursing Care Across the Continuum – From ICU to Rehab
  • Latest Innovations in Spinal Cord Injury (Botox, ReWalk, Hypothermia, Electro-Stimulation, etc)

 

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

4.0 CE


Thursday, April 12, 2012

Full Conference

10.92 CE

6:30 AM – 6:30 PM
Conference & Exhibitor Registration Open

6:30 AM – 8:30 AM
Continental Breakfast

7:30 – 8:30 AM
Opening Session & Welcome
Moderator – 2012 STN President-Elect

President's Address and Annual Meeting
Melissa Harte, RN, MS
STN 2012 President, Director of Trauma & Forensics, Phoenix Children's Hospital, Phoenix, AZ

Your coastal journey starts here, with the Annual Meeting and President's address. Our incoming STN President, Melissa Harte, will give an update of STN activities, introduce the Board of Directors, present the annual STN Awards, and discuss what it means to be an active member. She will also offer strategies for dealing with the effects of constant vigilance in a world of ongoing disasters.


8:30 AM – 9:45 AM
PLENARY SESSION I: Mass Casualties - Is This the New Normal?
The past 20 years have marked disasters of all types, from man-made to natural phenomenon. As disaster and mass-casualty activities have increased in recent years, many have asked, "Is this the new normal?" Whatever the event—hurricane, flooding, wildfire, bus crash, building collapse, explosion, or mudslide—lessons have been learned and re-learned. During this session three noted speakers discuss their experiences and lessons learned along the way from a variety of multiple patient incidents, coordinating care during the Haiti earthquake, and ending with the more recent tsunami and nuclear disaster in Japan.
Moderator: Betsy Seislove, RN, MSN, CCRN - STN 2011 President

8:30–8:50 AM Lessons Learned from Multiple Patient Incidents
Jeffrey P. Salomone, MD, FACS, NREMT-P
President, Eastern Association for the Surgery of Trauma (EAST), Grady Memorial Hospital, Atlanta, GA

8:50–9:10 AM Haiti Earthquake – Coordinating Care During Chaos
Kelly Nadeau, RN, MN, EMHP
Healthcare Community Preparedness Director, Georgia Department of Public Health, Atlanta, GA

9:10–9:30 AM Tsunami & Nuclear Disaster in Japan
Michele Ziglar, MSN, RN
Vice President of Trauma Services, Hospital Corporation of America (HCA), Gainesville, FL

9:30–9:45 AM Panel Q & A


10:00 – 11:00 AM
Concurrent Sessions

PEDS
Acute Traumatic Brain Injury in Children - Reviewing the Evidence
Danni Brown, RN, MS
Phoenix Children's Hospital, Phoenix, AZ
Traumatic Brain Injury (TBI) remains the most frequent cause of disability and death among children in the U.S. Rapid identification and stabilization of injured children is essential for survival and improved outcomes. Join this session to review current approaches to the evaluation and management of children with TBI.
Moderator: Diana Ropele, RN, MSN

RESEARCH
Research Projects that Come From Your Trauma Registry
Holly Bair, MSN, RN NP
William Beaumont Hospital – Royal Oak, MI
Have you ever wondered about how you could harness your trauma registry data for research? While trauma centers are accustomed to using their databases for quality monitoring, many hesitate to utilize the same data for research. In this session, Holly Bair reviews ten published research papers that arose from simple research questions and were completed with trauma registry data.
Moderator: Marie Dieter, MSN, RN, PHRN, CEN

CLINICAL
Trauma & Coagulopathy - Guidelines for Reversal
Cindy Blank-Reid, RN, MSN, CEN
Temple University Medical Center, Philadelphia, PA
The aging demographic, along with newer anti-thrombotic agents, has presented trauma centers with the challenge of rapid reversal of drugs like warfarin, various anti-platelet drugs, and the direct thrombin inhibitors. If your trauma center has been wondering how to implement a rapid reversal protocol, this session is for you! Learn about the options available, and the evidence to support them.
Moderator: Gina Solomon, RN, CCRN

CLINICAL
Controversies in Pre-Hospital Care
Jeffrey P. Salomone, MD, FACS, NREMT-P
President, EAST, Grady Memorial Hospital - Atlanta, GA
In recent years, the costs & benefits of many pre-hospital EMS practices have undergone scrutiny. This talk reviews current evidence regarding many common EMS interventions, including the use of lights & sirens, helicopters, endotracheal intubation, ACLS, and public access defibrillation.
Moderator: Debra Kitchens, RN, CEN, NREMT-P

NEURO/LEGISLATION
Sports-Related Concussion Injury
David Wright, MD, FACEP
Emory University, Atlanta, GA
Tom Buckley, ATC, EdD
Georgia Southern University, Statesboro, GA
Recent research has shed light on the long-term effects of concussions and other mild traumatic brain injuries, especially if these occur in succession. These speakers will provide an overview of current guidelines for evaluation and return to play after concussion, as well as legislative initiatives.
Moderator: Liz Atkins, RN, CCRN


11:10 AM– 12:10 PM
Concurrent Sessions

PEDS
Managing Peds Trauma When There's No Peds Trauma Center
Lisa Gray, RN, BSN, CPN
St. Mary's, Evansville, IL
Lynn Haas, RN, CNP
Cincinnati Children's Hospital, Cincinnati, OH
The geographic distribution of some trauma centers results in many children being treated in adult centers. Learn how one adult hospital has partnered with a pediatric center to optimize their management of the injured child when there is no pediatric trauma center in a reasonable distance.
Moderator: Sally Snow, RN, BSN, CPEN, FAEN

ORAL PRESENTATIONS
Oral Abstract Winners - Evidence-Based Practice
Authors, TBA
The top four submissions in the Evidence-Based Practice 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

RURAL TRAUMA
Rural Trauma Centers - Engagement & Telemedicine
Michele Ziglar, MSN, RN
Hospital Corporation of America (HCA)
Distance, time, and resources often define the challenges facing rural hospitals and the trauma centers closest to them. Telemedicine offers promising help for assessment, diagnostics, and in some cases even interventions. Michele Ziglar discusses related issues and telemedicine solutions in this session.
Moderator: Carol Immerman, RN, BSN

CLINICAL/MILITARY
The Mangled Extremity
MAJ Kenneth Wilson, MD, FACS
Grady/Morehouse, Atlanta, GA
Mangled extremities are difficult to manage in the best of circumstances. Limb salvage versus amputation remains controversial, and is made in the context of injury severity, age, health status, the presence of other injuries, and available resources. With reference to his civilian and military experiences, Dr. Wilson provides an overview of this complex topic.
Moderator: Kathy Martin, MSN, RN, CCRN

NEURO/LEGISLATION
Sports-Related Concussion Injury
David Wright, MD, FACEP
Emory University, Atlanta, GA
Tom Buckley, ATC, EdD
Georgia Southern University, Statesboro, GA
Recent research has shed light on the long-term effects of concussions and other mild traumatic brain injuries, especially if these occur in succession. These speakers will provide an overview of current guidelines for evaluation and return to play after concussion, as well as legislative initiatives.
Moderator: Kelly Vaughn, RN, MSN, CEN


12:00 PM– 1:15 PM
Lunch Served in the Exhibit Hall
Grand Opening of the Exhibit Hall

Posters available for viewing


1:30 PM– 2:30 PM
Concurrent Sessions

PEDS
To CT or Not to CT? That is the Question
Sally Jo Zuspan, RN, MSN
PECARN, University of Utah, Salt Lake City, UT
CT imaging of injured children poses risks of radiation-induced malignancy. But how much is too much? Join this nursing researcher from the Pediatric Emergency Care Applied Research Network (PECARN) to discuss the application of decision rules in identifying children for whom CT might be unnecessary.
Moderator: Kathy Haley, RN

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

CLINICAL
Trauma & Coagulopathy – Guidelines for Reversal
Cindy Blank-Reid, RN, MA
Temple University Medical Center, Philadelphia, PA
The aging demographic, along with newer anti-thrombotic agents, has presented trauma centers with the challenge of rapid reversal of drugs like warfarin, various anti-platelet drugs, and the direct thrombin inhibitors. If your trauma center has been wondering how to implement a rapid reversal protocol, this session is for you! Learn about the options available, and the evidence to support them.
Moderator: Elaine Frantz, RN, BSN, MA

DISASTER/CLINICAL
Disaster-Related Diseases & Complications
Kelly Nadeau, RN, MN, EMHP
Healthcare Community Preparedness Georgia Dept of Public Health – Atlanta, GA
After the euphoria of being rescued, there is a realization of a 'down-side' to living in a tent: Temporary living conditions following disasters are often population-dense and resource-limited. Learn about the challenges of managing dehydration, exposure (hot and cold), malnutrition, contagious diseases, maternal & infant mortality, and PTSD, to name a few.
Moderator: Greg Pereira, RN, BSN, MBA

CLINICAL/MILITARY
The Mangled Extremity
MAJ Kenneth Wilson, MD, FACS
Grady/Morehouse, Atlanta, GA
Mangled extremities are difficult to manage in the best of circumstances. Limb salvage versus amputation remains controversial, and is made in the context of injury severity, age, health status, the presence of other injuries, and available resources. With reference to his civilian and military experiences, Dr. Wilson provides an overview of this complex topic.
Moderator: Cheryl Brown, RN, BSN, MPH, CCRN


2:30 AM – 4:00 PM
Special Interest Groups (SIGs) and 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 and needs, 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:

SIG & Committee Meetings
2:30 – 3:15 PM 3:15 – 4:00 PM
Room 1 Advanced Practice SIG/Neuro SIG ATCN Open Forum
Room 2 Injury Prevention SIG
Room 3 Membership Committee
Room 4 Pediatric SIG
Room 5 Rural SIG
Room 6 TOPIC Committee


Friday, April 13, 2012

6:30 AM – 4:00 PM
Conference Registration Open

6:30 AM – 8:30 AM
Continental Breakfast

7:00 AM – 8:00 AM
PLENARY SESSION II: What's Happening With the New Green Book?
Michael Rotondo, MD, FACS, FCCM
Chair, American College of Surgeon – Committee on Trauma (ACS-COT) & Director, Center of Excellence for Trauma & Surgical Critical Care East Carolina University, Greenville, NC
Moderator: Amy Koestner, MSN, RN
For trauma programs, preparing for a site visit means knowing the rules and intricacies of the "Green Book," the current version of Resources for the Optimal Care of the Injured Patient (published by the American College of Surgeons). With each new version of this book—from blue to gold to green—the trauma center requirements for quality, resources, and monitoring often undergo major changes. In this session, Dr. Rotondo outlines what to expect in the latest re-engineering of the book, which promises to incorporate evidence-based standards of trauma care.

This session is open to all who have registered for the full conference.


8:10 AM – 9:35 AM
PLENARY SESSION III: Trauma Resuscitation
We all know that trauma resuscitation is the keystone of trauma care: What we do, how we do it, and how long it takes are recurring discussion points. In this session, three speakers focus on resuscitation issues, addressing specific injuries and populations. They discuss pulmonary contusions in all ages, damage control in the elderly, and end with a review of trauma resuscitation endpoints that indicate that tissue hypoxia is resolving and the patient is improving.
Moderator: Vicki Bennett, RN, MSN, CEN, CCRN

8:10–8:35 AM Pulmonary Contusions: Resuscitation Challenges in All Ages
M. Gage Ochsner, MD, FACS
Trauma Director, Memorial Health University Medical Center, Savannah, GA

8:35–9:00 AM Damage Control in the Elderly
Michael Rotondo, MD, FACS
Chair, ACS Committee on Trauma, East Carolina University, Greenville, NC

9:00–9:25 AM Trauma Resuscitation Endpoints: Are We There Yet?
Michele Ziglar, MSN, RN
Vice President of Trauma Services, Hospital Corporation of America (HCA), Gainesville, FL

9:25–9:35 AM Panel Q & A


9:35 AM– 10:15 AM
Break - Exhibits Open

Posters available for viewing


10:15 AM – 11:40 AM
PLENARY SESSION IV: Nagging Trauma Issues
We all have them, we can't get rid of them, and they keep coming back! What to do? This session will cover three nagging patient concerns that confront the trauma team. Complex and difficult, these issues require critical and sometimes "out of the box" thinking to resolve. The speakers will explore current evidence and best practices for clearing c-spines in the obtunded patient, venous thromboembolism (VTE) prophylaxis, and questions around accidental versus intentional hypothermia in trauma.
Moderator: Melinda Case, RN

10:15–10:40 AM Clearing C-Spines in the Obtunded Patient
Joseph Haymore, RN, MS, CCRN, ACNP-BC
Chief Neurosurgery Nurse Practitioner, Walter Reed National Military Medical Center, Bethesda, MD and Critical Care Nurse Practitioner, Washington Adventist Hospital, Takoma Park, MD

10:40- 11:05 AM VTE Prophylaxis: Current Best Practice
M. Gage Ochsner, MD, FACS
Trauma Director, Memorial Health University Medical Center, Savannah, GA

11:05- 11:30 AM Accidental Versus Intentional Hypothermia in Trauma
Danni Brown, RN, MS
Dir of Research/ Education, Phoenix Childrens Hospital, Phoenix, AZ


11:50 AM – 1:30 PM
Luncheon and Distinguished Lectureship
Mary Kate FitzPatrick, RN, MSN, CRNP-BC
Clinical Director, Nursing Operations & Women's Health, Department of Nursing Hospital of the University of Pennsylvania, Philadelphia, PA
Moderator: Sue Cox, RN, MSN, CPEN, PHN – 2010 President, STN
Kate is a past President of STN (2004), serving on the STN board for 6 years. In addition, Kate was a member of the editorial review board for the Journal of Trauma Nursing for over 10 years. Kate was one of the founding authors of the TOPIC course and has served as a chapter author and regional director for the Advanced Trauma Care for Nurses program. Kate has over 25 years of professional nursing experience including administrative leadership in patient safety, quality, nursing operations, trauma system development, and trauma center accreditation. From 1993-1996, she served as State Trauma System Coordinator for the Delaware Division of Public Health and was responsible for overseeing the establishment of a state wide trauma system. Kate currently serves on the Board of Trustees of the Eastern Association for the Surgery of Trauma Foundation Board and was recently appointed to the Board of Directors of the American Trauma Society. Kate earned her BSN from the University of Delaware and her MSN in Burn, Emergency, Trauma from Widener University. She earned a post Masters certificate from the University of Pennsylvania and is board certified as an Acute Care Nurse Practitioner. Kate is currently enrolled in the Doctor of Nursing Practice program at Vanderbilt University in Nashville, Tennessee and will graduate in May, 2012.

1:30 PM – 2:15 PM
Poster Viewing & Networking - Prize Drawing
Words With Friends

2:15 PM – 3:15 PM
PLENARY SESSION V: Rapid Fire Countdown
Our last session features four "rapid fire" speakers to keep your trauma compass pointed toward thought-provoking questions and final take-home lessons.

The 'final four' share information on challenging topics that include: Georgia's ATV injury experience, the implementation of a massive transfusion guideline, lessons learned from a mass-casualty event, and ethical questions around social-networking in the trauma center.
Moderator: Melissa Harte, RN, MS

Live Free or Die: ATV Injuries When Safety Legislation Expires
M. Gage Ochsner, MD, FACS
Memorial Health University Medical Center, Savannah, GA

Massive Transfusion – One Trauma Center's Experience
Linda Reinhart, MSN, RN, CNS, CCRN
Lehigh Valley Medical Center, Allentown, PA

Lessons Learned from a Sugar Refinery Blast
M. Gage Ochsner, MD, FACS
Memorial Health University Medical Center, Savannah, GA

Social Networking, Patient Photos, and Other Ethical Issues
Cindy Blank-Reid, RN, MSN, CEN
Temple University Hospital, Philadelphia, PA

Panel Q & A

3:15 PM
Closing Remarks from the President
Conference ends! Now you can grab your compass and look for the beach!