STN Annual Conference 2013

16th Annual Conference
High Stakes Challenges in Trauma Care
April 3 - 5, 2013
Caesars Palace – Las Vegas, Nevada

Conference Agenda

Oral and Poster Abstracts

CLICK ON THE NUMBER TO VIEW THE FULL ABSTRACT

Evidence-Based Practice
E131	Shelly Almroth, RN, BSN, CEN	Teen Seat Belt Challenge, Implementing in a Rural High School Setting
E133	Leslie Eldridge, MSN, FNP-C, CEN, EMT-P	Trauma Nurse Practitioner Tertiary Survey: Objectifying Criteria for Delay in Diagnosis
E135	Diana Clapp, BSN, RN, CCRN, CEN, NREMT-P	Improving Efficiency in Trauma Patients: Preventing repeated imaging, radiation exposure, and increasing practitioner satisfaction.
E136	Tracy McDonald, RN, MSN, CCRN, NEA-BC	Refining Our Geriatric Trauma Practice Management Guideline to Reduce Mortality
E144	Donna Mower-Wade, RN, ACNS-BC, CNRN	Early Aggressive Management of Geriatric Patients with Rib Fractures Improve Clinical Outcomes
E145	Stacy Helton, RN, BSN	Implementation of a Backboard Removal Policy in a High Volume Community Emergency Department
E150	Peggy Borton, MSN, RN, CEN	A Trauma Unit’s Interprofessional Approach to Reducing Catheter Associated Urinary Tract Infections
E151	Tracy McDonald, RN, MSN, CCRN, NEA-BC	Evaluation of an Electronic Medical Record to Trauma Registry Interface
E157	Alexis Frederick, RN, MSN, CEN, ACNP-BC	Permissive Hypotension in the Adult Trauma Patient: Does it Help or Hinder Patient Outcome?
E170	Paige Gesing, BS, RN	Trauma Pit Crew: The Race for Excellence!
E172	Cecile D'Huyvetter, MSN	Efficiencies Gained from the Trauma EMR
E173	Ben Hughes, RN, MSN, MS, CCRN	Education, Time, and Money - Investing in Trauma Data Specialists – Why Do It?
E175	Teresa Lienhop, MSN, MBA, RN, CCRN, NEA-BC, FACHE	Naming Conventions for Trauma Activation, Unidentified, and Mass Casualty Incident Patients
E176	Lisa Bergeron, MSN, RN	Reducing Feeding Tube Placement Complications Utilizing Electromagnetic Technology
E177	Leslie Cairns, DNP, RN CMSRN	Utilizing Bedside Shift Report to Improve the Effectiveness of Shift Handoff
E181	Teresa Hobt-Bingham, RN, BSN	A Stressful Work Environment Causes Distress on the Trauma Team
E182	Robin Goetz, MS, RN	Patient/Family Education for Patients with Traumatic Brain Injury
E184	Hay-tai Wong, MN, RN, FHKCEN (Fellow of Provisional Hong Kong Academy of Nursing, Emergency Nursing)	Implementation process of a Trauma Transfusion Protocol in a trauma centre in Hong Kong
E185	Allison Andersen, MSN, RN, CCNS)	Automobile versus Pedestrian Injuries: Matching Outreach Efforts to Changing Community Needs
E190	Ercele Reyes, MSN	Strategies to Maximize Every Organ Donation Opportunity
E191	Sarah Taylor, MSN, ACNS-BC	Evidence Based Practice: Tailored to Fit the Unique Needs of Trauma and Burn Patients
E194	Gina Berg, PhD	Structured Debriefings Improve Self-Perceptions Following Trauma Team Resuscitation
E196	Pamela Bourg, RN, MS, FAEN	A retrospective analysis of high risk trauma patients at a Level I trauma center
E197	Karen McQuillan, MS, RN, CNS-BC, CCRN, CNRN, FCCM	International Nursing Collaborative to Reduce Central Line Acquired Blood Stream Infections
E198	Karin Huster, RN, BSN	Implementation of a Quiet Time (QT) period in a busy Level I trauma center’s Trauma Intensive Care Unit
E202	Jane McCormack, RN, BSN, CSTR	Time Well Spent: Development of a Data Validation Dashboard for Trauma Registries
E203	Lynn Pilkinton, RN, BS	Evidenced-based Study Resulting in Rapidly Identifying Patients meeting Trauma Activation Criteria on Arrival by RNs
E205	Darleen Williams, MSN, CNS, CEN, CCNS, CNS-BC, EMT-P	Trauma Alert Response Project
E206	Debra Kitchens, RN, CEN, NRP	Integration of Screening and Brief Intervention into a Trauma Program
E211	Joan Pirrung, RN, ACNS-BC	Penetrating Mortalities with Low ISS: Really?
E213	Katherine Vann, RN, BSN	Hourly Rounding on an Acute Care Trauma Unit
Research
R125	Cathy Schell, RN, MSN, ACNP-BC	Evaluation of Early Transitional Care of the Severely Injured Patient from Trauma Intensive Care to an Acute Rehabilitation Center
R132	Suzanne Day, RN, BSN, MA	Use of Alias in Patient Records: A Corporate-wide and Trauma Services Process Improvement Initiative
R137	Jennifer Radtke, BSN, RN, CEN	Time to Transfer to Definitive Care: An Evaluation of the Rural Trauma Team Development Course
R147	Anna Bradford, PhD, MSW, LCSW	The Experience, Adaptation, and Coping of Orthopedic Trauma Family Caregivers
R149	Elizabeth NeSmith, PhD, ACNP-BC	Baseline Immunological Disparities in African American and Caucasian Trauma Patients
R161	Heidi Hotz, RN, BSN	Achieving Flow in the Trauma Process Using Human Factors Methodology
R163	Leslie Rozier, MSN, APRN, FNP-BC	Acclimatization Practices of High-Altitude Recreationalists
R165	Christopher O'Connell, RN MSN CEN CCRN CEN CTRN EMT-B	A Study of Endotracheal Intubation Utilization by a Helicopter Emergency Medical Service
R166	Cathy Maxwell, PhD, RN	Screening Hospitalized Injured Older Adults for Cognitive and Functional Impairment
R174	Michael Lloyd, MS, RN	Daily AM Wake Up Assessment Decreases Unplanned Extubation and Ventilator Associated Pneumonia (VAP) in the ICU
R186	Amy Koestner, RN, MSN	History and Evolution of the Trauma Program Manager/Coordinator
R187	Cathy Maxwell, PhD, RN	Prevalence of Geriatric Resources for Injured Older Adults in U.S. Hospitals
R189	Cynthia Mastropieri, RN, MSN, CCRN	Inter-Rater Reliability of ICD-9 and AIS Trauma Coding: A Reality Check
R195	Theresa Snavely, RN BSN	Impact of AIS 2005 on Trauma Program Data Management and Performance Improvement Monitoring
R199	Hendrika Ham, MSc, PhD candidate, RN, CEN	Cervical collar related Pressure Ulcers in Trauma Patients in Intensive Care: Risk Assessment and Prevention
R207	Kathy Haley, RN, BSN	Public Awareness of a Statewide Trauma System
R208	Anju Galer, MSN, ANP-BC, RN	Analysis of Pedestrian Injuries at a Level One Trauma Center in New York City
R210	Laurie McLevis, BSN, RN	Trauma Triage Geometry: Full Circle to Out of the Box

Wednesday, April 3

Kathleen D. Martin, MSN, RN, CCRN
TOPIC Committee Chair

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

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 with data driven evaluation 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 8 modules in PI and outcomes assessment, and will introduce taxonomy terminology and categories applications. The course also includes various case vignettes in interactive group forums for application of the PI process, sample documents, and templates. TOPIC can now be co-taught by both nurse and physician faculty.

Arthur L. Ney, MD
Trauma Director and Assistant Chief of Surgery Hennepin County Medical Center, Minneapolis, MN

Amy Koestner, RN, MSN
Trauma Program Manager, Spectrum Health, Grand Rapids, MI

Judy Mikhail, RN, MSN, MBA
Program Manager, Michigan TQIP, The University of Michigan, Ann Arbor, Michigan

Molly Lozada
Administrator, Trauma Verification Program, American College of Surgeons

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.

Angela M. Boy, DrPH
Program Manager, Children’s Healthcare of Atlanta, Atlanta, GA

Diana Kraus, RN, BSN
Trauma Program Manager, St. Louis Children’s Hospital, St. Louis, MO

Heidi Almodovar, MSN, RN, CPNP
Trauma Nurse Practitioner, Children’s Hospital Boston, MA

Lisa Reichter, BSN, RN, CCRN

Linda Roney, MSN, RN-BC, CPEN

This is a time of great concern about violent behavior and bullying among our youth. The care of these children can be complex and requires skill and coordination for best outcomes. The speakers will address issues in the assessment of the pediatric trauma patient who has experienced a violent situation, including those with penetrating trauma, bullying, and teen domestic violence. They will also address violence prevention and what programs seem to be working. The session will wrap up with a discussion of interesting cases.

Topics

Family Violence: Teen Domestic Violence & Bullying
Tips to Effectively Screen for Teen Abuse & Household Violence
Penetrating Trauma: When Your Pediatric Patient is Stabbed or Shot
Violence Prevention: What’s Working?
Challenging Cases

Moderators: Lisa Gray, RN, BSN

Don Jenkins, MD, FACS
St. Mary’s Hospital, Mayo Clinic, Rochester, MN

Carol Immerman, RN, BSN
St. Mary’s Hospital, Mayo Clinic, Rochester, MN

Deb Syverson, RN, BSN
Sanford Medical Center, Fargo, ND

Amy Eberle, BSN

Kirstie Bingham, RN

This is an essential course for regional trauma centers who support rural programs or those who work within rural trauma centers, where trauma volumes are low, distances long, and resources can be scare. Rural regions house only 25% of the U.S. population, but have 60% of the trauma deaths. This course has been designed to help rural facilities achieve optimal outcomes through improved performance improvement. These 3 speakers bring significant experience with rural trauma.

Agenda

Challenges for Rural Trauma Hospitals
Development/Maintenance of Rural Trauma Programs & Systems
P.I. for Rural Trauma
Getting Started
Regional/State P.I.
Resources for Rural Hospitals
Panel Discussion

Moderators: Carol Immermann, RN, BSN

Elizabeth NeSmith, PhD, ACNP
Georgia Health Sciences University, Augusta, GA

John Gallagher, RN, MSN, CNS
Hospital of the Univ. of Pennsylvania, Philadelphia, PA

Benjamin Laughton, RN, MSN, CRNP
Senior Director of Nursing Informatics and the EPIC Project, University of Maryland Medical Center

Thomas A. Geng, Jr., DO
The Reading Hospital & Trauma Center, Reading, PA

Adam Shiroff, MD, FACS

This pre-conference is designed to cover a broad array of clinical, research, and educational topics, and its scope reflects the growth in advanced practice trauma nursing over the past decade.

Agenda

From Bench to Bedside: APN Role in Translational Trauma Research
Abdominal Compartment Syndrome
Novice to Expert
Trauma Pharmacology Update
Mr. T. is back from the OR: What the Heck Happened in There?

Moderator: Amanda McNichols

Thursday, April 4

Moderator – Melissa Harte, MS, RN –STN 2012 President

President's Address and Annual Meeting
Karen Doyle, MBA, MS, RN, NEA-BC
STN 2013 President, VP Nursing & Operations, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD

Your challenge starts here, with the Annual Meeting and President’s Address. Our incoming STN President, Karen Doyle, 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 discuss how trauma nurses are responding to societal violence and give some take home strategies.

Trauma in general – and violent trauma in particular - is now recognized as a costly public health problem, but just 30 years ago the words “violence” and “health” were rarely used in the same sentence. Today, the public health approach to trauma and violence includes understanding background, frequencies, prevention, as well as the implementation of effective policies and programs. During this plenary session, two trauma experts explore the role of injury as a global health problem as well as society’s response to violence.

Moderator: Melissa Harte, MS, RN – STN 2012 President

8:30–9:00 AM The Global Burden of Disease: What is the Role of Injury?
John Fildes, MD, FACS, FCCM
Chief, Division of Trauma & Critical Care, Department of Surgery, University of Nevada School of Medicine, Las Vegas, NV

9:00–9:30 AM Societal Violence and Public Policy
Dan Judkins, RN, MS, MPH
Trauma Educator & Injury Epidemiologist, University of Arizona, Tuscon, AZ

9:30–9:45 AM Panel Q & A

10:00 – 11:00 AM Concurrent Sessions
PEDS Pediatric Concussion Sally Jo Zuspan, RN, MSN Director, Data Coordinating Center, Pediatric Emergency Care Applied Research Network (PECARN), University of Utah - Salt Lake City, Utah Despite decades of research, the current approach to care and prevention of pediatric sports concussion is still controversial. This session will review current clinical and preventative practices, legislative initiatives, and media perceptions as well as four major risks and relevant research findings associated with this crucial subject. Moderator: Lisa Gray, RN, BSN, CPN
RESEARCH & PUBLICATION Writing for Publication: From Data to Submission Kathryn Schroeter, PhD, RN, CNOR JTN Editor 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 about evaluating your study findings and will offer writing tips designed to increase the chances of getting your work published. Moderator: Elizabeth NeSmith, PhD, ACNP
CLINICAL Delirium & Trauma: Cases of Interest Beatrice Launius, MSN, ACNPC, CCRN Untreated delirium can have significant and longstanding consequences for patients. Learn about the prevalence, recognition, and treatment of this often under-diagnosed condition by reviewing compelling cases of delirium in the trauma population. Moderator: Melinda Case, RN
NEURO Plummet to Summit: TBI and the Ascent Toward Recovery Carla Wittenberg, RN, CRNP-BC, RNFA Although there has been increasing attention to concussions stemming from sports and military incidents TBI remains the #1 cause of death in persons ages 1-44. Listen to an overview of 2 complex processes - primary and secondary TBI and treatment modalities throughout the spectrum of their care. Moderator: Maria McMahon, CPNP-AC
PSYCHOSOCIAL Burnout, Compassion Fatigue, Secondary Traumatic Stress: Buzz Words or Real Deal? Kathryn Von Rueden, RN, MS, CNS-BC, FCCM University of Maryland, Baltimore, MD Whatever term you use to describe it - burnout, compassion fatigue, or secondary traumatic stress –it happens in high stress units. This lecture will review signs and symptoms, evidence-based risk assessment, and tools and strategies to help prevent and deal with a very “real” issue in the healthcare world. Moderator: Alexis Frederick, MSN, CEN, ACNP-BC
LEADERSHIP Top 10 Survival Tactics for New Trauma Program Managers Pat Manion, RN, MS Todd Nickoles, RN, BSN, CCRN, CEN Pediatric Trauma Nurse Clinician, Helen DeVos Children’s Hospital, Grand Rapids, MI While the role of Trauma Program Manager (TPM) attracts nurses who thrive on the complex, the early years in this position can be frustrating, as one learns to balance competing priorities. This session features both an experienced and a new TPM, who will share useful survival strategies for those just beginning the role. Moderator: Rita Cox, RN, BSN
CLINICAL Massive Transfusion Protocols: Impact on Outcomes? Donald Jenkins, MD, FACS Most trauma centers now have massive transfusion protocols (MTP) for use in uncontrolled traumatic hemorrhage, but questions remain about the cost-benefit of MTP and their impact on outcomes like mortality and transfusion-related complications. Dr. Jenkins examines these questions in this thought-provoking session. Moderator: Carol Immerman, RN, BSN

11:10 AM– 12:10 PM Concurrent Sessions
PEDS Family Violence: Across All Ages Angela M. Boy, DrPH Program Manager, Children’s Healthcare of Atlanta, Atlanta, GA Family violence is an everyday occurrence in all settings and with all ages, young to old. This lecture will review ways to identify patients experiencing family violence and what you as a healthcare team can do about it. Moderator: Karen Macauley, RN, MEd
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, MBA, RN, CEN
QUALITY Trauma Resuscitation and Video Review Jennifer Fritzeen, MSN, RN, PCNS-BC Hindsight is always 20/20, however the ability to watch and hear trauma resuscitations allows for an evaluation of team performance, communication, and treatment modalities that other PI methods and chart review cannot capture. This session provides a videotaping overview, from legal implications to your first resuscitation review. Moderator: Tom Ellison, RN, MSN, CCRN
Research & Publication Writing for Publication: From Data to Submission Kathryn Schroeter, PhD, RN, CNOR JTN Editior 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 about evaluating your study findings and will offer writing tips designed to increase the chances of getting your work published. Moderator: Regina Medeiros, DNP, RN
GERIATRICS The "Graying" of Trauma Care: Addressing Traumatic Injury in Older Adults Christine Cutugno, PhD, RN The “Baby Boomers” are getting older and are hospitalized for trauma at twice the general population rate. Their length of stay is longer and their use of resources such as critical care beds and diagnostic studies are higher. This topic will review the challenging issues related with a growing elder population. Moderator: Amber Kyle, RN
MILITARY Trauma Triad of Death & Damage Control Resuscitation: Lessons from the Military Sean Kennedy, BSN, RN, CEN Complications of uncontrolled bleeding include hypothermia, acidosis, and coagulopathy, known as the ‘trauma triad of death,’ a potentially preventable condition that accounts for 40% of trauma-related deaths. Learn about managing this ‘triad’ with lessons learned from the military in recent combat settings. Moderator: Greg Pereira, MBA, RN
INJURY PREVENTION Violence Prevention Programs That Work Dan Judkins, RN, MS, MPH Across the country, there is a growing demand for tested and effective violence, drug, and crime prevention programs. Injury prevention coordinators face choices among diverse programs that may promise reductions in violence-related injury without supporting evidence. This session reviews the choices available among violence prevention programs that work. Moderator: Kim Dokken, RN, BSN, MSN, MBA

12:00 PM– 1:15 PM Lunch Served in the Exhibit Hall
Grand Opening of the Exhibit Hall Posters available for review / Start your “Slot Machine” game & chance to win prizes / Exhibit Hall open till 6:30 PM

1:30 PM– 2:30 PM Concurrent Sessions
PEDS Pediatric Concussion Sally Jo Zuspan, RN, MSN PECARN, University of Utah, Salt Lake City, UT Despite decades of research, the current approach to care and prevention of pediatric sports concussion is still controversial. This session will review current clinical and preventative practices, legislative initiatives, and media perceptions as well as four major risks and relevant research findings associated with this crucial subject. Moderator: Diana Kraus, RN, BSN, TNS
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, MBA, RN, CEN
PSYCHOSOCIAL Stress RX for Trauma Nurses Ann White, JD, MSJS Trauma nurses often thrive on stress and perform better in stressful environments. But prolonged exposure to stress and trauma can result in compassion fatigue, secondary PTSD, burn-out, and job loss. This session will review tools to identify, analyze, minimize, and manage negative stressors so we can create balance in our lives, sleep better, have healthier relationships, and enjoy our work more. Moderator: Lou Ann Miller, RN, BSN, CEN
NEURO Plummet to Summit: TBI and the Ascent Toward Recovery Carla Wittenberg, RN, CRNP-BC, RNFA Although there has been increasing attention to concussions stemming from sports and military incidents TBI remains the #1 cause of death in persons ages 1-44. Listen to an overview of 2 complex processes - primary and secondary TBI and treatment modalities throughout the spectrum of their care. Moderator: Holly Bair, RN, MSN, NP
GERIATRICS The "Graying" of Trauma Care: Addressing Traumatic Injury in Older Adults Christine Cutugno, PhD, RN The “Baby Boomers” are getting older and are hospitalized for trauma at twice the general population rate. Their length of stay is longer and their use of resources such as critical care beds and diagnostic studies are higher. This topic will review the challenging issues related with a growing elder population. Moderator: Cynthia Blank-Reid, RN, MSN
LEADERSHIP Top 10 Survival Tactics for New Trauma Program Managers Pat Manion, RN, MS Trauma Program Educational Consultant, Fenton, Michigan Todd Nickoles, RN, BSN, CCRN, CEN While the role of Trauma Program Manager (TPM) attracts nurses who thrive on the complex, the early years in this position can be frustrating, as one learns to balance competing priorities. This session features both an experienced and a new TPM, who will share useful survival strategies for those just beginning the role. Moderator: Mike Glenn, RN
MILITARY Trauma Triad of Death & Damage Control Resuscitation: Lessons from the Military Sean Kennedy, BSN, RN, CEN Complications of uncontrolled bleeding include hypothermia, acidosis, and coagulopathy, known as the ‘trauma triad of death,’ a potentially preventable condition that accounts for 40% of trauma-related deaths. Learn about managing this ‘triad’ with lessons learned from the military in recent combat settings. Moderator: Kathleen D. Martin, RN, MSN, CCRN

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 members with an update 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.

2:30 – 3:15 PM	Injury Prevention SIG	TOPIC Committee	Pediatric SIG
Rural SIG
ATCN Open Forum

Please note times are subject change, consult the onsite conference program for final times and locations.

4:00 – 6:30 PM Welcome Reception
Make this your first stop before your “Night on the Town!” BRAIN TEASERS & PALATE PLEASERS Hearty appetizers Cash Bar Poster-Judging Earn Optional CE for reviewing poster abstracts (CE only available during this session, while authors present) Visit the Exhibits Collect winning slot machine combinations to win great prizes

Friday, April 5

Moderator – Judy Mikhail, RN, MSN, MBA

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

The Trauma Quality Improvement Program (TQIP) provides trauma centers with risk-adjusted benchmarking that allows them to track outcomes and improve care. TQIP is built on the backbone of the National Trauma Data Bank (NTDB), and it represents an investment in resources and time for trauma centers. Many trauma centers have asked, “Why should my trauma center invest in this information? Is it worth it?” Heidi Hotz answers these questions from the perspective of both a trauma program manager and a TQIP trainer. This session is open to all who have registered for the full conference.

Trauma resuscitation represents a keystone of trauma care: The how’s and why’s of what we do, and when we do it are ongoing areas of discussion and research. In this session, three speakers address controversial resuscitation issues, such as field hypotension and other trauma activation criteria, videotaping trauma resuscitations, and permissive hypotension.

Moderator: Marla Vanore, RN, MHA

8:10–8:35 AM Field Hypotension and Other Level 1 Activation Criteria: Do They Predict Severe Injury?
Scott G. Sagraves, MD, FACS
Trauma Medical Director, Saint Luke’s Hospital of Kansas City, Kansas City, MO

8:35–9:00 AM Videotaping Trauma Resuscitations: Is it Worth the Hassle?
Jennifer Fritzeen, MSN, RN, PCNS-BC
Trauma Educator & Injury Epidemiologist, Children’s National Trauma Center, Washington, DC

9:00–9:25 AM Permissive Hypotension - How Permissive Can You Be?
John Fildes, MD, FACS
Chief, Division of Trauma & Critical Care, University of Nevada School of Medicine, Las Vegas, NV

We all have these nagging trauma problems that continue to plague us, and are detrimental to our patients’ care and to our co-workers. How do we resolve them? This session covers three persistent issues familiar to all of us: Preserving the chain of evidence – how do you do this in the middle of saving a life? Delirium and the trauma patient – is the cause environmental, pharmaceutical, psychosocial, or some aspect of the injury itself? The value of debriefing after a emotionally wrenching event – why is this so important? These answers and more will be presented during this session.

Moderator: Pat Manion, RN, MS
Trauma Program Educational Consultant, Fenton, Michigan

10:15–10:40 AM CSI Las Vegas: Preserving the Chain of Evidence
Daniel Proietto
Senior Crime Scene Analyst, Las Vegas Metropolitan Police, Las Vegas, NV

10:40- 11:05 AM Delirium and the Trauma Patient: An Unholy Union
Beatrice Launius, MSN, ACNPC, CCRN
Louisiana State University Health – Shreveport Department of Surgery, Trauma and Critical Care Shreveport, LA

11:05–11:30 AM The Value of Debriefing
Ann White, JD, MSJS
Hospital Chaplain, Rabbi, Grief & Pastoral Counselor, Bayfront Medical Center, Saint Petersburg, FL

Dorrie K. Fontaine, RN, PhD, FAAN
Dean, School of Nursing, University of Virginia Medical Center, Charlottesville, VA The Society of Trauma Nurses is pleased to announce Dorrie K. Fontaine, RN, PhD, FAAN as the recipient of the 2013 Distinguished Lectureship Award. Dr. Fontaine’s contributions to trauma nursing and to nursing in general are vast and worthy of many commendations. She has her roots in trauma nursing and spent five years as a staff nurse at the R Adams Cowley Shock Trauma Center at the University of Maryland Medical Center. Dr. Fontaine has also been a Trauma Contributing Editor to Critical Care Nurse and she is the co-author of the grant that funded the Trauma/ Critical Care master’s program at the University of Maryland School of Nursing, which began in 1982. Dr. Fontaine’s leading research and seminal nursing work on sleep, “Sleep in the Critically Ill Patient,” was conducted in a trauma setting. She has also conducted research on family presence at the end of life, which many of us have implemented at our bedsides.

Dr. Fontaine received her BSN from Villanova University, a master’s degree from the University of Maryland, and her PhD from the Catholic University of America in Washington, DC. In 2006, she completed a Management and Leadership in Education Program at the Harvard Graduate Institute of Higher Education. Currently, Dr. Fontaine is the dean of the University of Virginia School of Nursing. Her primary focus has been in promoting healthy workplace environments, building more inter-professional collaborations, and increasing diversity in both the faculty and student populations.

Presentation of JTN Author Awards sponsored by Lippincott Williams & Wilkins

Moderator: Betsy Seislove, RN, MSN, CCRN – STN 2011 President

Our last session features four “rapid fire” speakers and topics to steer you to thought provoking questions and final take home lessons. The final four challenges include how to handle the media in high profile incidents, how to get the empathy back in the work area, managing surge capacity with a look at the Reno plane crash, and five ways to start a violence prevention program.

Moderator: Karen Doyle, RN, MBA, MS, RN, NEA-BC, 2013 STN President

Handling the Media in High-Profile Cases
Kim Dokken, RN and Sean Dort, MD
Trauma Program, St. Rose Dominican Hospitals, Henderson, NV

Getting the Empathy Back: Five Things You Can Do Right Now
Kathryn Von Rueden, RN, MS, CNS-BC, FCCM
University of Maryland, Baltimore, MD

Managing Surge Capacity: A Look at the Reno Plane Crash
Snow Morrison, RN
Trauma Coordinator, Renown Health, Reno, NV

Top Five Ways to Get Started with a Violence Prevention Program
Dan Judkins, RN, MS, MPH
Trauma Educator & Injury Epidemiologist, University of Arizona, Tuscon, AZ

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