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Clinical Presentations

Unit Cultures, Change, Self Development

System Change

 
 
 

ARDS/ALI: Bundling Care to Impact Outcomes

Content Description

The ARDS Network & numerous International Study Groups are accumulating a strong body of evidence. Results of large multi-centered trails on conventional and alternative ventilator strategies, type and amount of fluids and pharmacological management have provided the practitioner with more targeted care practices in order to build a roadmap to impact outcomes.

This session will begin with an exploration of the pathophysiologic processes seen in ARDS/ALI which helps lay the foundation for why various supportive care strategies have been successful Assessment cues for early identification will be discussed. An in-depth critical analysis of the evidence-based supportive modalities key to improved survival rates will be examined. The goal is to prevent further injury through reducing the patients risk of infection, utilize effective ventilator management (PEEP) while ensuring adequate volume for the heart to work at maximum efficiency to help deliver oxygen to the tissue. The critical care nurse plays a key role in minimizing oxygen demand through appropriate use of sedation, modulating care and the selection of appropriate positioning therapies to maximize oxygenation goals and potentially reduced lung injury. The session will conclude with a review of experimental therapies currently being tested. (1hr and 15 minutes)

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Power of the Pyramid :A Proven Sepsis Implementation Program for Saving Lives

The Surviving Sepsis Campaign finished in May of 2009 and the presented data showed a risk adjusted mortality reduction of 5.4% when the bundles were used. With over 15,000 patients worldwide receiving the bundle therapies, why was there only a compliance rate for complete usage of the bundles of approximately 20%. How many lives could be saved if the bundles could be effectively implemented and adhere to within the healthcare institution. A 4 tier pyramid program model designed for a stepwise institutional implementation has resulted in over a 50% compliance rate and an average absolute risk reduction in mortality of 10-15%. What role can the front line care practitioner play in helping to implement this type of program within their hospital

The session will introduce the 4 tier pyramid model including; obtaining organization commitment that severe sepsis must be treated aggressively, implementation of triggers and tools to help the nurse identify severe sepsis early and respond quickly, protocols for implementation of the bundles and lastly, process and outcome measurements. An in-depth-discussion of each level outlining the critical action/resource components necessary for success will be outlined. Review of new evidence regarding the science within the bundles will be presented and controversies discussed. Key implementation strategies for hard-wiring the clinical and process behaviors will be revealed. Barriers with reliable actions to reduce their impact will be described. The session will conclude with multiple institutional examples of successful application of the model. (1 hour and 15 min)

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Sepsis: Early Management Saves Lives

Program Description

Many consider severe sepsis & multiple organ system failure (MODS) to be the final common pathway to death in the ICU and the leading cause of mortality. However, organs systems just don't quit or cease to function. With repeated exposure to a "turned on" inflammatory & coagulation system, our organs experience fluctuating states of dysfunction before failure occurs. What role does the critical care nurse play in management of the patient with severe sepsis & MODS?

This session begins by defining the sepsis continuum and the path to multiple organ dysfunction syndrome (MODS). An examination of risk factors for the development and progression of severe sepsis will be discussed. A look at the proposed pathogenesis and pathophysiologic mechanisms of injury will be presented to enable the nurse to recognize and minimize the impact of uncontrolled inflammation, coagulation and reduced fibrinolysis on the critically ill patient. The session will conclude with an in-depth examination of the multidisciplinary approach to prevention and management of severe sepsis. Emphasis will be placed on presenting research-based interventions to optimize patient outcomes.

The session is intended for critical care nurses, educators and clinical specialists. Nurses who attend this session should possess basic knowledge of inflammation, coagulation and stress response. Participants should express an interest in learning advanced pathophysiologic concepts and research regarding the bedside care of patients with severe sepsis & multiple organ dysfunctions. (1 hour and 15 min, can be expanded to 2 hours)

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The Right Position at the Right Time: Mobility Makes A Difference

CONTENT DESCRIPTION:

What effect does positioning have on a critically ill patient's musculoskeletal, cardiovascular and pulmonary status? For a number of years, nurses have recognized that positioning prevents skin breakdown, mobilizes secretions and provides comfort without identifying the impact different types of positioning strategies have on pulmonary gas exchange, ventilator weaning outcomes and the prevention of de-conditioning in survivors of ICU care. The importance of positioning as a priority of practice is challenged in a high technology based environment. In a study looking at positioning of critically ill patients over an eight-hour time period only 2.70% achieved every 2-hour position change and 49.5% never moved during an eight-hour period. Critical care nursing has a problem and the solution rest in increasing awareness of the importance of positioning on short and long term patient outcomes. If we do not pay attention to this care activity it does not get done.

The session is designed to explore the science supporting the use of various positioning strategies including prone position, rotational therapy, unilateral positioning, head of bed elevation and adaptation to dangling and walking the ventilator patient. Strategies to assess patient adaptation and help facilitate progressive mobility will be outlined. Challenges to achieving the position and the barrier of hemodynamic instability will be brought into question. Mobility is a fundamental nursing activity that requires in-depth knowledge and skill to effectively apply to critically ill patients. When mobility is a core component of care it helps with secretion management, reducing feelings of powerlessness, preventing muscle wasting, improving gas exchanging and decreasing the incidence of atelectasis and ventilator associate pneumonia. Matching the right time of the illness to the right positioning strategy will help to achieve positive patient outcomes. (1 hour and 15 min, can be expanded to 2 hours)

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Progressive Mobility: A Program for Impacting Short and Long Term Patient Outcomes

Content Description:
A gathering body of evidence is building to support the importance of progressive mobility with critically ill patients to impact gas exchange, reduce ventilator-associated pneumonia (VAP), shorten ventilator time and prevent de-conditioning. A study looking at positioning of critically ill patients over a 2-day period in 40 ICUs, the average time between just manual turns was 4.85 hours with a standard deviation of 3.3. Acute and critical care nursing has a problem and the solution rest in working as a team to increase the awareness of the importance of progressive mobility using advance technology to help us achieve short and long term patient outcomes.

The session is designed to explore the science supporting progressive mobility; a series of planned movements in a sequential manner beginning at a patients current mobility status with a goal of returning to baseline. Progressive mobility encompasses a variety of positioning/mobility techniques including; head of bed, rotational therapy, Beach Chair Position© and dangling, out of bed chair and ambulation of the ventilator patient. Strategies to assess adaptation and facilitate a progressive mobility program will be outlined. Barriers to initiating and sustaining a program will be discussed. Mobility is a fundamental nursing activity that requires knowledge and skill to effectively apply to critically ill patients. When mobility is a core component of care it helps key patient outcomes including; improvement in gas exchanging, reduction of VAP, time on the ventilator as well as long term functional ability. Progressive mobility does make a difference. (1 hour and 15 min, can be expanded to 2 hours)

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To Prone or Not to Prone? Let the Evidence Make the Decision

Prone positioning has been utilized to recruit alveoli while preventing potential complications of atelectrauma, volutrauma and oxygen toxicity while improving oxygenation in patients with ARDS/ALI for over 30 years. The evidence supports benefits in oxygenation, improvement in ventilator- associated pneumonia but has yet to show an impact on overall mortality. A recent randomized trail comparing the prone position with supine in mechanically ventilated patients on 6 mL/per kg has been completed. The results of this definitive study continue to pose significant questions for the clinician.

An in-depth review of the literature and current controversies will be outline helping you to make the decision to prone or not to prone. Strategies for assessing effectiveness, and determining positioning schedules based on physiologic variables will be evaluated. A discussion of the indications and contraindications for use of the prone position, a step-by step procedure for safe prone positioning as well as various methods to achieve the position will occur. With greater knowledge and skill about how and when to utilize prone positioning, the nurse has the potential to influence patient oxygenation through a safe non-invasive positioning technique. (1hour and 15 min)

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The Power of One: Impacting Outcomes By Returning to the Basics

Content Description:

As a profession we are called to higher levels of safety and quality by government and professional organizations, by hospital administration, and most importantly, by patients to implement evidence based nursing care strategies to reduce error. Are you ready to assume ownership of basic nursing care activities with sufficient evidence to impact patient outcomes? This session will provide an in-depth look at basic nursing care practices that impact outcomes including; oral care on VAP/HAP, bathing for early detection of skin problems, condition of the skin and reducing the spread of microorganism, prevention practices for reducing the incidence of incontinence associated dermatitis and pressure ulcers and mobility mechanisms to impact VAP/HAP and prevent long term challenges of functional limitations. They will seek to dispel any myths and address the evidence base practice and provide suggestions for successful implementation leading to a change in care.

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Back to the Basics: Getting There With Science

Content Description:

Researched based practice is necessary to achieve cost effective, quality outcomes when caring for the critically ill patient. Which studies do we incorporate into our practice? How do we know whether the research is valid? Knowledge of the research utilization process is key to a successful change in practice at the bedside.

What are some nursing routine care practices based in tradition versus research that need to be updated? Oral care, bathing, invasive line care and incontinence management are just a few of the interventions critical care nurses perform on a daily basis. The positive and negative impact of these activities on ventilator pneumonia, O2 consumption, pressure ulcers and host defense has been the source of considerable research over the past 10 years. We must utilize the evidence in decisions regarding the type, timing and number of interventions to perform in order to maximize patients adaptation to routine stressors within the environment. Break the routines and traditions of your current work place. Be the change agent and bring the latest evidence to the bedside.
(1 hour and 15 up to 2 hours)

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Target Zero: Strategies for Lowering Ventilator-Associated Pneumonias (VAPs) & Blood Stream Infections (BSIs) in Your ICU

Content Description:

Ventilator associated pneumonias & blood stream infections are a considered to be medical errors and currently result in anywhere from zero to forty percent mortality rate. The estimate cost per pneumonia is $21,000.00 & up to $36,000.00 per blood stream infection. How can we prevent these? What evidence do we need to incorporate into our practice? Positioning, oral care, enteral feeding, suctioning, ventilator equipment, and line insertion techniques are just a few of the practices/interventions critical care practitioners perform on a daily basis that may positively or negatively impact whether the patients gets a ventilator associated pneumonia or a blood stream infection. Research over the last decade has focused on a number of care activities that have been shown to reduce the incidence of pneumonia while on a ventilator and blood stream infections related to central line placement in the critically ill patient.

We must utilize evidence-based information in decisions regarding the type, timing and number of interventions to perform in order to maximize the critically ill patients adaptation to routine stressors within the environment. Break the routines and traditions of your current work place. Take ownership of one of the major roles of a professional registered nurse: preventing complications. Be the change agent and bring the latest evidence to the bedside to ensure positive patient outcomes.
(1 hour and 15 minutes up to 2 hours)

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Target Zero: Strategies for Eliminating Central Line Associated Blood Stream Infections

Program Description:

You can make a difference. The leading medical errors in this country fall within nursings independent scope of practice. National quality and safety initiatives as well as reimbursement strategies are targeted to focus on fundamental nursing care practices to reduce medical error. Are you ready to assume ownership of basic nursing care activities with sufficient evidence to support the impact they have on patient outcomes? What nursing care strategies are key to reducing blood stream infections associated with invasive lines. Research over the last decade has focused on a number of care activities that have been shown to reduce the incidence of blood stream infections related to central line placement in the critically ill patient.

We have the ability to change the fundamentals of our work and significantly impact patient outcomes. The challenge to incorporating new evidence into practice lies in altering our routinized behavior and current unit nursing culture in order to support new care practices. Break the routines and traditions of your current work place. Take ownership of one of the major roles of a professional registered nurse: preventing complications. Be the change agent and bring the latest evidence to the bedside to ensure positive patient outcomes.

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Bugs Be Gone: Strategies for Source Control in Healthcare

Health-care acquired infections (HAI) are the sixth leading cause of the death in the United States and a preventable injury. HAIs are estimated to kill over 90,000 people per year while adding over five billion in excess cost to our health care system. As of October 2008, the Center for Medicare and Medicaid Services no longer reimburse hospitals for certain preventable injuries. The Institute for Health Care Improvements 5 million lives campaigned gives clear direction on how to prevent HAIs and the spread of resistant microorganisms. We often overlook the bodys first defense against invasion, the skin. We can make a difference in preventing the invasion or halting the spread of microorganisms by implementing care strategies that support the skin as a barrier & control or reduce the source of the infection. This session will explore modes of transmission in order to outline a strategy for source control. An in-depth focus on development of evidence-based care practices and protocols and the examination of resources and systems that support source control and reduce transmission will be discussed. Several case examples will be used to outline strategies for reducing the bacterial burden and infection rates within your own units. We need to take ownership of one of the major roles of a professional registered nurse: prevent the spread of resistant microorganisms and the development of health care acquired infections.

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It's Not Just About Pressure Anymore: Eliminating Health Care Acquired Skin Injuries

The skin is the first line of defense against invading organisms and the organ we often overlook when caring for our acutely ill patients in a high tech environment. The incidence of pressure ulcers in the inpatient arena ranges from 3 to 40%. In todays cost conscious environment, this type of preventable injury can no longer be place in a low care priority position. This session will review the new category/staging definitions for pressure ulcer and skin injuries caused by moisture. Methods for assessment of risk and early recognition of skin injury will be explored. An in-depth focus on prevention strategies (care bundles) starting with bathing to support healthy skin, followed by care practices to reduce injuries caused by pressure and moisture. The session will concluded with examples of successful skin prevention programs when the evidence has been implemented.

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The Forgotten Organ: A Team Approach for Skin Care of the Critically Ill Patient

Content Description:

The skin is the first line of defense against invading organisms and the organ we often overlook when caring for our critically ill patients in a high tech environment. The incidence of pressure ulcers in the critical care arena ranges from 15% to 40%. In today's cost conscious environment, this type of preventable injury can no longer be place in a low care priority position. Nursing can have a significant impact on reversing these negative outcomes. Mastery of the clinical knowledge and skills necessary to impact and create change in skin care practices is essential. This session will succeed in providing the critical care nurse with numerous examples, research based techniques and knowledge to make the change happen within his/her own environment.

This session will focus on a team approach to research based prevention and treatment of skin alterations created by pressure and incontinence, the two greatest skin risk factors facing the critically ill patient. A review of pressure ulcer classification and stages of wound healing will form the foundation. The session integrates successful patient and financial outcomes of a unit base model for prevention and treatment of the critically ill patient's skin.

The session is designed for critical care nurses, educators and clinical specialists. Participants recognize that care of the critically ill patient's skin belongs to the nurse and therefore, we are accountable for patient outcomes related to skin care. To attend, prerequisite knowledge is not essential, however, enthusiasm and a willingness to make a difference is a must.
(1 hour and 15 min)

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If Florence Knew&How & When Did We Get So Lost: Examining Nursing's Unique Contributions to HealthCare (Keynote address)

Content Description

More than 140 years ago, Florence Nightingale wrote It may seem a strange principal to enunciate as the very first requirement in a Hospital that it should do the sick no harm. We are doing harm. Recent data from the Health grades report suggests that 63% of all preventable errors are focused around skin injury, post-operative respiratory complications and failure to rescue. The leading medical errors in this country fall within nursings independent scope. As a profession we are called to higher levels of safety and quality standards by government and professional organizations, by hospital administration, and most importantly, by patients to implement evidence based nursing care strategies to reduce error.

In addition, evidence supports that we are in the midst of a significant nursing shortage and it is expected to worsen in the next ten years. One of the significant factors contributing to nurses exiting the profession is challenging work cultures leading to burnout and job dissatisfaction. The nurse together with their peers are in an excellent position to lead, participate and design the necessary cultural changes required in a unit to meet the goals of patient safety while create a fun, empowered and healthy work environment. As the largest group of professional within a unit environment, the RN must accept responsibility for the work cultures we create.

Unit culture can shape clinical practice and often determines whether we will be successful at creating a culture of safety. How do we create a value change and develop an environment that fosters professional growth and enthusiasm towards change, reduction of error and quality improvement?

This session will focus on front-line strategies developed and implemented in multiple settings to enhance the nurses feelings of personal power, confidence and a willing intent to demonstrate re-claiming of key care priorities, ownership in their own destiny and a solid team proactively changing their environment. A review of evidence-based strategies to create a healthy work culture will be outlined. Demonstrated outcomes of error reduction, low turnover rates and financial gains will be celebrated. The opportunity exists to positively influence change at the grass roots level and become a beacon of excellence. (1hour and 30 mins)

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Vitamins for Nurturing the Nursing Soul (Keynote Address)

Evidence supports that we are in the midst of a significant nursing shortage and it is expected to worsen in the next ten years. One of the significant factors contributing to nurses exiting the profession is burnout and job dissatisfaction. This session will focus on outlining the ingredients necessary for nurturing the person and the nurse. Skills regarding the ability to become an influencer to affect change within the work place will be outlined. Each participant at the conclusion of the session will start creating a vitamin recipe for personal and professional success. It is only when the caregivers needs are adequately addressed will they most effectively be able to help the patient and their families and feel good about being a nurse. Create your own recipe for personal and professional success. (1 hour or 1 hour & 30 )

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Creating an Environment for Change: Tools & Techniques to Impact Patient Outcomes at a Unit Level

Content Description

The Clinical Nurse Specialist, Unit Manager and bedside nurse are in an excellent position to lead and design the necessary changes required in acute care to meet the economic and legislative agendas to reshape health care delivery. The key to successful navigation of change is the ability to draw a map highlighting the barriers and facilitators to achievement of the clearest path to change. Although change is most often an opportunity for growth and expansion, it is frequently looked upon with great fear and uncertainty.

Organizational structure and unit culture will shape clinical practice and often determines the degree of difficulty experienced when change occurs. How do we create a value change and develop an environment that fosters professional growth and enthusiasm towards change and quality improvement? This session will focus on front-line strategies developed and implemented in a MICU to enhance the staffs feelings of personal power, ownership in their own destiny and a solid functioning team proactively changing their environment.

As we move toward the 21st century, the pace of health care reform is rapidly accelerating. The opportunity exists to positively influence change within your unit and organization.
(1 hour and 15 minutes)

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Changing Work Cultures to Improve Patient Safety

Content Description

The multidisciplinary unit team is in an excellent position to lead, participate and design the necessary changes required in acute care setting to meet the patient safety agenda healthcare is faced with today. The key to successful error reduction is the ability to change the current culture of blame and fear of punishment to a unit culture that sees mistakes as information that must be analyzed in order to change systems that support the employee. Although cultural change is most often an opportunity for growth and expansion, it is frequently looked upon with great fear and uncertainty.

Clearly, the organizational structure and unit culture will shape clinical practice and often determines how medical errors are reported and managed. How do we create a value change and develop an environment that fosters professional growth and enthusiasm towards change, self-review and continuous quality improvement? This session will focus on front-line strategies from the literature as well as developed and implemented in a MICU to enhance the staff's feelings of personal power, ownership in their own destiny and a solid functioning team proactively changing their environment and in the process reducing medical errors.

As we move toward the 21st century, the pace of health care reform is rapidly accelerating. The opportunity exists to positively influence change within your unit and organization. (1 hour or 1 and ½ hours)

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Mind, Body and Spirit: Making the Connection by Creating A Healing Environment

Content Description:

The critical care area is an extremely stressful environment where anxiety is prevalent, pain frequent, rest difficult and sleep almost impossible. The ICU with its flashing lights, alarms, hectic pace and numerous unfamiliar faces can heighten the pain experience and create agitation. Significant amounts of pharmacological agents are used in critical care to manage patient response to their illness & environment. Clearly, if we were to assess the percentage of time the caregivers spend with the patient versus the time the patient spent interfacing with the environment, we would recognize that the environment must be considered as a therapeutic caregiver.

This session will focus on a review of the literature on environmental factors which impact healing and examine strategies to overcome these barriers. A plan for changing a medical critical care environment to create a more healing atmosphere for patients and families will be introduced. The team believes noise level, color of the walls, type of art, exposure to nature, natural or artificial lights and interaction of the caregiver and family all impact healing and recovery. The team's goal is to provide a caring, comfortable and safe passage to wellness or death while minimizing the stress within the environment. A discussion of a three-phase plan for the introduction of music, complimentary therapies and structural alterations will be reviewed. Initial data regarding outcomes of the planned change will be presented.

This session is intended for all nurses. We have a unique opportunity to influence our patient's road to recovery and significantly impact their level of satisfaction by creating a more healing environment. Healing integrates both science and spirituality and assumes a strong connection between the body, mind and spirit.
(1:15 min)

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Completing the Circle: Grief Management for Families and Staff Through Development of a Unit-Based Bereavement Committee

Content Description

Grief is a normal emotion that accompanies death, not only for the loved ones of patients, but for caregivers as well. When engaged in a care-giving relationship for long periods of time, it is natural to develop a bond with the patient and family. However, if death should occur in the critical care environment, often the family quickly departs & little or no contact is maintained. We recognized an opportunity to impact the grieving process of our patients' families as well as for ourselves through the initiation of a bereavement program within a medical intensive care unit. This session will share strategies for the development and implementation of a unit-based bereavement committee to help facilitate adaptive movement through the stages of grief for families & staff. Information will be discussed regarding the barriers and facilitators to the change process. The session will conclude with a presentation of the impact this program has on the families who have lost a loved one as well as the on the caregivers who provided support during the dying process. This session is intended for all nurses. Death can be a frightening and emotionally draining experience for both the family and caregiver. Through the implementation of a bereavement program we have successfully begun to meet the emotional needs of our families upon the death of their loved one while anchoring a sense of fulfillment & completion of the grief process for the staff.
(1 hour & 15 minutes)

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Igniting the Flame: Mentoring the Staff Nurse in Evidence Based Practice & Conduct of Research

Content Description:

Conducting and moving evidence into practice is paramount in ensuring outcome driven patient care. With limited educational preparation and experience in the conduct of research, staff nurses often experience difficulty in conduct or utilization of research to find the answers for clinical questions at the bedside. Formation of a mentoring program between the staff nurse and clinical nurse specialist provides the necessary support and resources to learn the research process. This session will describe how a staff nurse is able to be involved in the research process through mentoring. Examples will be used to provide a step by step guideline for impacting patient care through the research process. A description of the role of a mentor in the clinical and professional development of the bedside nurse will be outlined. The focus on a team approach to research by balancing the expertise of all those involved will serve as the foundation for this session. Nurses who are willing to take charge of their clinical and professional growth should attend this session. It is time to break down the wall of fear and uncertainty related to participation in the research process. (1hr & 15min)

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Inventing: From Idea Development to Market

What is your product idea? How is it unique? Who would utilize your product and how large is the potential market? How much money will you need for start up expenses and where might you go to finance your project?

These questions and others will be addressed through examining the process from idea development to market reality of a patient prone positioner. Strategies for protecting your idea, outlining the patent process as well as suggestions for financing the development of a product will be discussed. The session will conclude with reviewing options for getting your product to market through a licensing agreement or self-manufacturing. The avenues for creativity and advancement are limitless. Don't wait to hear yourself say, "I thought about doing that", as you stand by and watch your idea being developed and marketed by someone else. The climate for creativity and change is ripe.

This session is designed for nurses who are tired of giving away their ideas and seek information and a plan to make their idea turn into a reality. To attend, prerequisite knowledge is not essential, but an entrepreneurial spirit is a must. The outcome of participating will be to stretch your comfort zone and provide the learner with new knowledge & skills to help engineer a dream.
(1 hour or 1 ½ hours)

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Seize the Opportunity: Nurse Entrepreneurship

Content Description:

Nurses... seize the opportunity!!!
With the current environment for significant health care reform, the nurse is presented with many unique opportunities for entrepreneurship. What is your business idea? How is it unique? Who would utilize your product and how extensive is the market? How much money will you need for start up expenses and where might you go to finance your project. Do I have what it takes to succeed? These questions and others will be addressed through examining the step-by-step process from idea development to market reality of a patient prone positioner. This session is designed for the nurse who has entrepreneurial thoughts and is looking for guidance on how to get started.

Strategies for protecting your ideas will be discussed, along with suggestions for financing the development of a product. The components of the business plan will be reviewed and a market analysis for the patient prone positioner will be presented. Suggestions for marketing yourself and the product will be provided through real life examples. Decisions regarding the organizational structure of your business will be reviewed as well as opportunities for linking business ventures.

The avenues for creativity and advancement are limitless. Don't wait to hear yourself say, "I thought about doing that", as you stand by and watch your idea being developed and marketed by someone else. Seize the moment... the climate for creativity and change is ripe.
(1 hour and 15 min)

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Taking the First Step: Discovering the Path to Success

What does it take to make a major change in life? How will I get myself ready? What are the skills and abilities I need to eliminate my fears and forge out into the unknown? This session will focus on highlights from the day of successful business and personal development strategies that will help lift us out of our routine. Audience interaction will be essential to help produce an outcome for each participant of at least one new direction to their career and a solid method to begin the journey.
(1 hour workshop)

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Nursing Intrapreneurship and Entrepreneurship: Creating Opportunities for a Life Adventure

With the current environment engaged in significant health care reform, the advanced practice nurse is presented with many unique opportunities for intrapreneurship and entrepreneurship adventures. What is your business idea? How is it unique? Who would utilize your product and how extensive is the market? How will it be funded or how much money will be needed for start up expenses? Where might you find internal or external funding sources for your project? Do I have what it takes to succeed? These questions and others will be addressed through examining one Clinical Nurse Specialist's parallel career path in developing intrapreneurial and entrepreneurial businesses.

Ideas for successful businesses usually arise from solution development surrounding problems that exist in our everyday work and personal life. Learn how to recognize the opportunity and seize on the potential business development. This session will outline the skills necessary to succeed in the business world as well as strategies for creating internal or external businesses out of projects you may be currently working on. Methods for protecting your idea will be outlined as well as components of a business plan. Suggestions for marketing yourself and your product will be provided through real life examples as well as opportunities for linking business ventures.

The avenues for creativity and advancement are limitless. Don't wait to hear yourself say, "I thought about doing that", as you stand by and watch your idea being developed and marketed by someone else. Seize the moment... the climate for creativity and change is ripe.
(1 hour to 1 hour & 30 minutes)

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Podium Power: Strategies for Strategies for Success as Public Speaking

Content Description:

The skills to communicate effectively to one person or an audience of one hundred provide the nurse with the essential tools for success at the bedside, within a multidisciplinary team and in front of an audience. Effective communication, a professional image and polished public speaking skills will help to facilitate advancement along any career ladder. The greater your fear, the more self-confidence you will gain by stepping out of your comfort zone and conquering the challenge.

This session will describe techniques to manage the anxiety produced when attempting to articulate your thoughts. Strategies for organizing and presenting your message in a clear and concise format will be outlined. Identifying mechanisms for enhancing your professional image as a visual aid will be discussed. Examples of captivating openings used to grab the audiences attention to create a great initial impression will be demonstrated. Call to action strategies for the closing as well as a formula for thriving during the question and answer period will conclude the presentation. Health care practitioners who must effectively articulate their thoughts and ideas in rounds or on stage to successfully impact patient care and advance the profession of nursing will find this session extremely helpful. (1hr & 15min)

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From Bedside Care To Entrepreneurship: Self Development

Content Description:

Will you be prepared for nursing in the 21st century? What skills and attributes are required to care for critically ill patients in the future? Nurses must develop themselves to be experts at the bedside as well as articulate savvy business minded experts. It is time to take advantage of the many opportunities for growth that exist in the current health care environment. Break the routines and traditions of your current work place. Be the change agent and bring the latest research to the bedside. Utilize the knowledge and skills of communication and idea development to shape your career. The first half of the day will focus on application to practice of current research in the areas of positioning, hemodynamic monitoring, activity/oxygen consumption, and pressure ulcer management. The second half of the workshop will concentrate on self development in the art of public speaking and starting a business.

The avenues for creativity and advancement are limitless. Don't wait to hear yourself say, "I thought about doing that", or "we need to do this a different way". Be the change agent by preparing yourself with the necessary knowledge and skills to be successful. Seize the moment... the climate for creativity and change is ripe.
(all day workshop or can be broken up into different segments)

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Implementation of Guidelines: Invasive Lines & Handwashing

Content Description:

How do we help ensure practitioners are "doing the right thing" for their patients? There is growing evidence within the healthcare profession that moving research into practice is the most difficult piece of the evidence based practice movement. The CNS is position well to be the designer & driver of the implementation process. In this session, practical approaches to the implementation of multidisciplinary evidence based guidelines for Invasive Catheters and Handwashing will be discussed. Strategies to overcome the barriers of routinization as well as methods to measure success will be outlined.
(1 hour)

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Measuring Outcomes Through CNS competencies: A Productivity Model

Content Description:

How do you justify a Clinical Nurse Specialist's existence within an organization in troubled economic times? As we move toward the 21st century, the pace of health care reform is rapidly accelerating. The opportunity exists to positively influence changes within your organization, but only if the CNS role remains viable. Therefore, it is essential that every CNS have a mechanism in which to document the outcomes of his/her practice.

The presentation will cover the development of a competency based CNS practice model and evaluation tools for outcome measurement. A CNS committee assumed the responsibility for defining the five roles of a CNS practice; expert practitioner, educator, consultant, researcher and leader. After operational definitions were formulated, brainstorming techniques were utilized to develop competency statements and critical behaviors for the five roles.

Upon completion of the model, a system for productivity documentation and outcome measurement was developed. The tools will be presented with case examples for clarification of the process. Outcome measures for CNS directed improvements will include patient, nursing staff, and organizational components.

Now is the time to take charge of your practice. The use of advance practice nurses within an organization is changing. The role of the CNS as a part of the organizational team may be in jeopardy unless we prove the impact of our actions in dollars and cents.
(1 hour and 15 min)

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Entrepreneurial Adventures: Expanding the Borders of CNS Practice

Content Description:

There are a large number of organizations that do not have access to a Clinical Nurse specialist (CNS) services to help guide in the application of evidence based practice change and professional development of the staff. Using a consultant model, the CNS can extend the impact of their skill set & influence beyond the walls of a single institution to offer their resources and expertise to staff nurses & health care organizations who want to make a difference at the frontline for patients and families but are unsure of how to make it happen.

This session will begin by focusing on strategies used to make the initial contact to initiate the consultation process. Methods for conducting the consultation from an onsite and virtual route will be outlined. Creative mechanism for financial compensation for the virtual follow through will be discussed. Multiple examples of evidence based practice improvement through the CNS consultant role including mobility programs, reducing infections and early recognition and treatment of sepsis will be delineated. In conclusion, strategies for demonstrating success through various sources including email updates, publications, phone calls, customer feedback and referrals will be discussed. The entrepreneurial CNS consultant stretches the traditional boundaries of improving clinical practice at the bedside in a single institution. This expanded consultant role provides the CNS with another strategy to empower the bedside practitioner while advancing the profession of nursing in an expanded sphere of influence. (1hour & 15 min)

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