NPIAP 2020ANNUAL CONFERENCE

AGENDA

S H A R P E N I N G O U R V I E W O N

PRESSURE INJURY

The Westin Galleria HoustonHouston, TX | February 27-28, 2020

NPIAP Pre-Conference:Root Cause Analysis – Putting Tools in Your ToolboxFebruary 26, 2020 | MD Anderson Medical Center

PRE-CONFERENCE OBJECTIVES:Describe the basis of the steps of root cause analysisUse several systematic processes to conduct a root cause analysis on a given cases of pressure injury development

TIME SESSION SPEAKER OBJECTIVES

1300-1315 Welcome Dr Jacqueline Anderson

1315-1415Steps to Root Cause Analyses

Joyce Black PhD, RN, FAANMichelle Deppisch PT, CWS, FACCWS

• Describe the steps to determining if a wound is a facility acquired pressure injury

• Examine various methods to collect RCA data

1415-1430 Coffee Break

1430-1530 NPIAP RCA ToolJoyce Black PhD, RN, FAANMichelle Deppisch

• Use the NPIAP RCA tool to examine cases of facility acquired pressure injury

1530-1615Pitfalls in RCA processes

Joyce Black PhD, RN, FAANMichelle Deppisch PT, CWS, FACCWS

• Discuss issues that commonly arise doing RCAs on facility acquired pressure injury

1615-1630 Q&AJoyce Black PhD, RN, FAANMichelle Deppisch PT, CWS, FACCWS

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TIME SESSION SPEAKER OBJECTIVES

1030-1100

I can see clearly now… Overview of Pressure Injury Guideline Methodology

Janet Cuddigan, PhD, RN, FAAN

• Discuss the methodology used for the 2019 Guidelines• Identify best practices for implementation of guidelines

NPIAP 2020 Conference:Sharpening Our View on Pressure InjuryFebruary 27 & 28, 2020 | The Westin Galleria Houston

TIME SESSION SPEAKER OBJECTIVES

0630-1800

Registration

0700-0800

Industry Sponsored Breakfasts

0800-0820

Opening Remarks by NPIAP President

Janet Cuddigan, PhD, RN, FAAN

0820-0850

The Vision: 30 Years of Scientific Advances

Janet Cuddigan, PhD, RN, FAAN

• Identify the progress made over time with pressure injury guidelines

• Describe the significant changes to the 2019 Pressure Injury Guideline

0850-0930

Getting a Closer Look at Pressure injury Etiology

Amit Gefen, PhD

0930-1000

Sharpening the View of Public Policy in Pressure Injury

William Padula, PhD• Discuss current status of pressure injury in the US• Identify current public policy issues affecting pressure

injury in all settings

1000-1030

Coffee Break

plenary sessions

TRACK 1, DAY 1

DAY 1

Track 1 ObjectivesExamine significant changes to the 2019 guideline on prevention and treatment of pressure injuryDescribe methods to implement the guideline in various settings

Track 2 ObjectivesAnalyze the concept of skin failure Examine the concept of avoidable and unavoidable pressure injury, especially in the very high-risk patient

CONFERENCE OBJECTIVES:Compare and contrast new evidence in pressure injury preventionExplore the concepts of skin integrity impairment and avoidability of pressure injury

AGENDA

Page 3

TIME SESSION SPEAKER OBJECTIVES

1100-1130

Skin Assessment –What you don’t see could hurt you

Joyce Pitman, PhD, RN, ANP-BC, FNP-BC, CWOCN, FAAN

• Identify common pitfalls when diagnosing pressure injury• Describe noninvasive measures to assess skin and soft

tissue viability

1130-1200

Clear risk: Prevention of Medical Device-Related Pressure Injury

Barbara Delmore, PhD, RN, CWCN, MAPWCA, IIWCC-NYU

1200-1300

Sponsored Lunch Symposium and Poster Viewing

1300-1345

ER Prevention: Can ER see ways to prevent PI?

Rehab Prevention: Can you see the light at the end of the tunnel?

Ann Tescher, ARNP, CNP, CWOCN Sarah Holden Mount, PT, CWS, FACCWS

• Discuss best practices for engaging the Emergency Room staff on prevention of pressure injury (When their goal is triage and transfer, how does PIP occur?)

• Identify best practices for pressure injury prevention for patients in rehabilitation centers (How do you merge the requirements for attending rehab with PIP?

1345-1430

OR Prevention: Preventing what you can’t see

What’s the 20/20 vision for Post-Acute Care Prevention?

Susan Creehan, RN, CWCON Laurie McNichol, MSN, RN, CNS, GNP, CWOCN, CWON-AP, FAAN

• Identify the unique risk factors for PI in OR Discuss methods to reduce risk during surgery Describe methods to predict risk in during recovery from illness

• Identity methods to reduce risk of pressure injury in frail elders

1430-1500

Coffee Break

1500-1545

ICU Prevention: Looking through the magnifying glass

Homecare Prevention: Can you turn the lights on?

Virginia Capasso, PhD, ANP-BC, ACNS-BC, CWS Laurie McNichol, PhD, ANP-BC, ACNS-BC, CWS

• Identify techniques to refine risk assessment in the criti-cally ill patient

• Describe methods to reduce risk in the critically ill patient• Describe unique risks of the homebound patient• Discuss techniques to engage the patient and family in

pressure injury prevention (including caregiver burden)

1545-1630

Pediatric Prevention: Put on your glasses: Pressure Injury does occur in children and under medical devices

Hospice/EOL Prevention: Taking a Closer Look

Ann Marie Nie, ARNP, CNP, CWOCN Scott Bolhack, MD

• Identify high risk pressure injury situations in children• Describe unique risk factors in the patient at end of life• Identify techniques to reduce the risk for PI in hospice

settings

1730-1900

Reception with Exhibitors

additional split of the groupsTRACK 1, DAY 1

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TRACK 2, DAY 1 AGENDA

Page 5

TIME SESSION SPEAKER OBJECTIVES

1030-1035

Welcome from MD Anderson

1035-1100

Overview of Purpose for Track 2 End of Life Skin Impairments

Joyce Black, PhD, RN, FAAN

• Compare and contrast the 5 terms used to describe the changes in the skin near end of life Skin failure, KTU, SCALE, decubitus ominosus and TTI

• Audience survey: What is the pre-ferred term?

1100-1200

Skin Failure vs Pressure Injury: Concept Analysis

Janet Cuddigan, PhD, RN, FAAN Jeffrey Levine, MD, AGSF, CMD, CWS-P

• Identify attributes, antecedents and consequences of skin failure

• Describe a model case of skin fail-ure, a borderline case of skin failure and contrary case of skin failure

1200-1330

Sponsored Lunch Symposium and Poster Viewing

1330-1430

Skin Failure: A Part of Multiorgan System Failure or a Risk Factor for Pressure injury?

Barb Delmore, PhD, RN, CWCN, MAPWCA, IIWCC-NYU Jill Cox, PhD, RN, APN-c, CWOCN

• Discuss the term skin failure includ-ing how it may or may not fit in the nomenclature of multiorgan system failure

1430-1500

Studies of Skin Failure/Terminal ulcers from clinicians Presentations of data with analysis of group or cohort

Moderator Scott Bolhack, MD

• Examine cases of “skin failure” as presented using aspects of concept analysis

1500-1530

Coffee Break

1530-1600

Studies of Skin Failure/Terminal ulcers from clinicians Presentations of data with analysis of group or cohort

Moderator Lee Ruotsi, MD, ABWMS, CWS-P, UHM

• Examine cases of “skin failure” as presented using aspects of concept analysis

1600-1630

Discussion of clinical characteristics of skin changes with audience participation

Moderator: Joyce Black, PhD, RN, FAAN Jeffrey Levine, MD, AGSF, CMD, CWS-P Diane Langemo, PhD, RN, FAAN Karen Kennedy, RN, FNP, APRN-BC

• Compare presented cases to deter-mine defining attributes

1730-1900

Reception with Exhibitors

plenary sessionsTRACK 1, DAY 2

Page 6NPIAP 2020ANNUALCONFERENCE

TIME SESSION SPEAKER OBJECTIVES

0630-1600

Registration

0700-0830

Industry Sponsored Breakfasts

0830-0930

Sharing the Vision: System Based Implementation of Pressure Injury Prevention Guidelines

• Identify system-based approaches to reducing pressure injury• Describe methods to sustain the gains

0930-1000

Coffee Break with Exhibitors

1000-1045

X-ray vision: Finding Impediments to Wound Healing

Lee Ruotsi, MD, ABWMS, CWS-P, UHM

• Describe the impact of acute and chronic disease on wound healing potential

• Identify medications that impair wound healing

1045-1130

A closer look into how nutrition supports wound healing

Nancy Munoz, DCN, MHA, RDN, FAND

• Discuss the impact of sarcopenia on pressure injury healing• Identify methods for nutritional support to enhance recovery

of patients with pressure injury

1130-1200

Getting a Goldilocks view of Support Surfaces

Dave Brienza, PhD Sharon Sonenblum, PhD

• Describe how shear and friction can injure soft tissues• Compare and contrast the benefits of support surfaces con-

sidering their capacity for immersion and envelopment along with offloadingDiscuss the value of chair cushions for patients on progressive mobility protocols

1200-1330

Lunch with Exhibitors

1330-1400

Clear view: IAD or a stage 2 pressure injury?

Dimitri Beeckman, MSc, PhD

• Identify distinguishing characteristics of IAD versus stage 2 pressure injury

1400-1430

See how the puzzle fits --Treatment of Partial Thickness Pressure Injury

Dot Weir, RN, CWON, CWS

• Identify the evidence for offloading of partial thickness pres-sure injury

• Describe the principles of topical management of partial thick-ness pressure injury

1400-1500

A deep look into the Treatment of Full Thickness Pressure Injury

Joyce Black, PhD, RN, FAAN

• Discuss the role of debridement for management of full thick-ness pressure injury

• Identify precautions needed for patients who have flaps for reconstructionExamine the outcomes of wounds treated with physical agents to aid healing

plenary sessionsTRACK 1, DAY 2

TIME SESSION SPEAKER OBJECTIVES

0700-0830

Industry Sponsored Breakfasts

0930-1000

Coffee Break with Exhibitors

1000-1045

Visual Adjustment: A closer look at Avoidable and Unavoidable PI using Concept Analysis

Joyce Black, PhD, RN, FAAN

• Identify attributes, antecedents and consequences of avoidable and unavoidable pressure injury

• Describe a model case of avoidable and unavoidable pressure injury, a borderline case of avoidable and unavoidable pressure injury and contrary case of avoidable and unavoidable pressure injury

1045-1145

Conditions of high risk which render pressure injury prevention nearly impossible in Critical Care Units

Kathleen Vollman, MSN, RN, CCNS, FCCM, FAAN

• Examine treatment and comorbid factors that signifi-cantly hamper preventive efforts in the critically ill

• Identify methods to prevent pressure injury in pa-tients at high risk

1145-1230

Conditions of high risk which render pressure injury nearly impossible in patients in Critical Illness Recovery Hospitals

Jill Cox, PhD, RN, APN-c, CWOCN Joyce Black, PhD, RN, FAAN

• Examine treatment and comorbid factors that sig-nificantly hamper preventive efforts during stays in Critical Illness Recovery Hospitals

• Identify methods to prevent pressure injury in pa-tients at high risk

1230-1400

Lunch with Exhibitors

TRACK 2, DAY 2

AGENDA

Page 7

TIME SESSION SPEAKER OBJECTIVES

1500-1530

Coffee Break with Exhibitors

1530-1615

Looking through the Microscope: Biofilm and Wound Infection

Lee Ruotsi, MD, ABWMS, CWS-P, UHM

• Identify the usual organisms leading to biofilm and infection in pressure injury

• Describe topical methods to control biofilm

1615-1700

Hindsight is always 20/20: Nonadherence

Scott Bolhack, MD• Describe a process to understand the reasons for

nonadherence Explain approaches to aiding the nonadherent patient

TIME SESSION SPEAKER OBJECTIVES

1400-1500

Emerging evidence for prevention techniques in very high-risk patients

Moderator Jill Cox, PhD, RN, APN-c, CWOCN

• Examine evidence of improved pressure injury out-comes in critically ill patients

1500-1530

Coffee Break with Exhibitors

1530-1615

Emerging evidence for prevention techniques in very high-risk patients

Moderator Ann Tescher, APRN, CNS, PhD

• Examine evidence of improved pressure injury out-comes in post-acute care patients

1615-1700

Criteria to establish unavoidability – can we agree? Audience participation

Joyce Pittman, PhD, RN, ANP-BC, FNP-BC, CWOCN, FAAN

• Discuss aspects of clinical cases and determine if those situations would render pressure injury pre-vention impossible and therefore a pressure injury unavoidable

TRACK 2, DAY 2

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