NAVAN 9th Annual Conference

Program Highlights

Thursday, September 7, 1995

Presentations

HNUpdate

Edward Septimus, MDACPE #680,204,95,062

Management of the HIY patient presents many corn,plex challenges. This presentation will explore thenatural history of HIY and current anti,retroviral drugtherapies. The participant willleam elements critical toobtaining an accurate history and assessing the HIY pa,tient. The presentation will include current treatmentmodalities and prophylaxis of the many opportunisticinfections encountered by the HIY patient. This ses,sion includes the latest developments in diagnosis andmanagement of the HIY,infected individual.

Chronic Venous Access: Role of InterventionalRadiology

lames Andrews, MDACPE #680,204,95,063

While the placement ofVADs has traditionally been thedomain of surgeons, interventional radiologists can playan important role in caring for these patients. Radiologicapplications will be discussed during this presentation,which includes evaluation of venous anatomy prior toVAD placement, evaluation of poorly functioning de,vices, intervention in malfunctioning VADs, and theprimary placement of VADs. This presentation will dis,cuss the many benefits of radiologic placement includingreduced complication rates.

The Performance-Based Accreditation Process

l. Scott Reid, PharmDACPE #680,204,95,064

This presentation will provide an update on the statusof various initiatives within the Joint Commission'sAgenda for Change, including the Performance,BasedAccreditation Process, the Indicator Measurement Sys,tern, and the new functionally oriented 1995 Accredi,tation Manual for Home Care (AMHC). An overviewof the new standards for 1995 and standards that remainfrom the 1993 AMHC will be presented, and the impli,cations for home care providers will be addressed.Changes and activities currently underway at the JointCommission in response to recent concerns expressedby the provider community and continuing changes inthe healthcare delivery system will be discussed.

Roundtables

Omaya InfusionsPatricia Murphy, NP, CNS

Ambulatory Infusion CentersMarcia Wise, RN

Pain Management in the Hospice PatientMarsha Standon, RN, MSN, CNS

Complex Chemotherapy in the HomeKarr Lynn Johnson, RN

I.~ Push MedicationsDenis Wormington, RPh

Pediatric PICC LinesAnne Marie Frey, RN, BSN, CRNI

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Breakout Sessions

Managing Implantable Pumps

Cheryl Rowley, MD

ACPE #680..204..95 ..051

Implantable pumps are used for the administration ofvarious continuous therapies including chemotherapyand 'pain control. This session will address the care andmanagement of patients receiving continuous infusionvia an implantable pump and will explore associatedcomplications.

NAVAN PICC Approved Program

Sue Masoorli, RNIn January 1995, the NAVAN Board of Directors ap..proved minimum curriculum requirements for PICeeducation programs. NAVAN believes this process willprovide the consumer with a higher level of nursingcare. This session will address the approval process. Theparticipant will understand the components of aNAVAN..approved course and the course approval pro..cess. Outcome measurement will also be discussed.

VAD Patency

Marijane Barbone, RNACPE #680..204..95 ..053

The NAVAN VAD Patency Study is a nationwide studyof peripheral lines, CVC catheters, PICC lines, and tun..neled catheters. The objective of the study was to deter..mine the appropriate flushing agent, the minimumflushing volume, and flushing frequency to maintain cath..eter patency. The results of the study will be reviewed.

The Team Approach to Outpatient AntibioticTherapy

Alan Tice, MD

ACPE #680..204..95 ..065

As intravenous therapies move from the hospital toclinics and the home, the value of teamwork in patientcare cannot be emphasized enough. A close working re..lationship between the nurse, physician, and pharma..cist is critical for safe and effective patient care. TheLV. therapist plays an important role in contributing to

the team effort through skills in clinical judgment, pa..tient education, and vascular access management. Thispresentation will discuss the team approach to the careand monitoring of patients receiving outpatient antibi..otic therapies. This session will explore the role of thenurse and pharmacist ~n the physician..directed I.V.therapy program.

Friday, September 8, 1995

Presentations

CRISIS: Antibiotic Resistance, Cause, andSolutions

Dennis Maki, MD

ACPE #680..204..95 ..066

There is a rapidly progressing international epidemic ofantibiotic resistance that will have enormous impact onpatient care practices. The reasons for this epidemicand methods of treatment and prevention will be dis..cussed. Following this presentation, the participant willunderstand the magnitude and extent of the problemsassociated with antibiotic resistance. The epidemiologyand pathogenesis of antibiotic resistance will be dis ..cussed along with solutions to the problem.

Catheter-Related Infections-AMultidisciplinary Perspective

Louise Collins, Moderator with Dennis Maki, MD; EdwardSeptimus, MD; Austin Lee, PharmD; Lucy Shoell, RN

The panel will explore the issues surrounding catheter..related infections, management, maintenance, and pre..vention. Specific issues such as catheter composition,dressing materials, catheter care, and treatment inter..ventions of catheter..related complications will be dis..cussed. This presentation includes and encouragesaudience participation.

Industry Sessions

Five industry sessions will be offered this afternoon. In..dustry sessions are company..sponsored programs andprovide information on the latest in research and tech..

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nology in the area of vascular access management. Con.,.tinuing education credit will be available for the indus'"try sessions.

Osmolality of SolutionslEffects on the VascularSystem

Austin Lee, PharmDACPE #680.,.204.,.95.,.067

The extrinsic factors related to medications and solu'"tions that have potential adverse consequences on thevascular system will be discussed. This session will re.,.view the important clinical implications of these fac.,.tors, including solution osmolality. Challenges andopportunities to optimize this aspect of care will be pre.,.sented.

Saturday, September 9, 1995

Presentations

Standards of Care Causation and Damages:Vascular Access Legal Issues

Kathleen V. Foley, RN, MSN, jDACPE #680.,.204.,.95.,.054

This session will address the legal issues involved in thesafe delivery of infusion therapy, including the elementsof a malpractice lawsuit. The participant will gain anunderstanding of the deposition process.

Mock Trial Presentation Central Line Sepsis:Who is to Blame?

This session will be a courtroom reenactment of an ac.,.tual malpractice case, where a triple.,.lumen centralcatheter was inserted into a patient. Six days later, thepatient developed catheter.,.related septicemia and died.The trial will attempt to identify who was negligent:the physician who inserted the catheter; the nurse whomaintained the catheter; the pharmacist who com.,.pounded the medications that were administeredthrough the catheter; or the manufacturing companythat produced the catheter. The audience will be in.,.volved in the final verdict. Following this session, the

participants will define the mechanism of the court.,.room, recognize the importance of clinical basis of prac.,.tice, and analyze the witness testimony.

Educational Objectives

The programs for the NAVAN 9th Annual Conferencewere developed to enhance the knowledge and skills ofhealth care professionals involved in vascular accessmanagement. The issues presented are relevant to nurs.,.ing and pharmacy practice. The educational goal of thismeeting is to provide current information and instruc.,.tion on a wide variety of topics that address vascularaccess management, which will in turn assist the prac.,.titioner in providing quality patient care.

Special Meetings and Activities

The journal committee for jVAD will meet on Thurs.,.day, September 7,1995, at 5:00 P.M. If you're interestedin participating in jVAD, please join us. Meeting loca.,.tion to be announced.

The PICC Committee will hold a breakfast meeting onThursday, September 7,1995, from 7:00 A.M. to 8:00 A.M.

The VAD Committee will hold a breakfast meeting onFriday, September 8, 1995, from 8:00 A.M. to 9:00 A.M.

The Annual Conference Committee will meet on Fri.,.day, September 8, 1995, from 5:00 P.M. to 6:00 P.M. Ifyou're interested in participating in the 10th AnnualConference, please join us.

The NAVAN Annual Business Meeting will take placeSaturday, September 9, 1995, from 8:30 A.M. to 9:30A.M. Breakfast will be served. Meet the 1996 Board ofDirectors. Come and lend your support and your ideasfor the future of NAVAN. Poster awards will be pre.,.sented at this meeting.

Poster Session

Posters will be displayed throughout the course of theconference for your review. Poster presenters will beavailable to answer your questions on Thursday, Septem.,.ber 7,1995, from 1:00 P.M. to 2:00 P.M. Poster awards willbe presented at the Annual Business Meeting.

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Recreation

NAVAN has planned a variety of tours for you and yourguests to discover the many wonders of Utah. While at,tending the 9th An.nual Conference, be sure to includeone of these exciting sightseeing tours in your plans.The cost of each tour is $20.00 per person. Space islimited, so sign up in advance. For information call(201)912,9500.

Tour 1

Wednesday, September 6 (12:30 p.M.-4:30 P.M.)

Great Salt Lake/Bingham Copper Mine Tour

Today will be an exciting day, full of contrasts. Beginyour tour by visiting the Great Salt Lake, known as"America's Dead Sea." The Great Salt Lake is manytimes saltier than the ocean, making it impossible tosink while swimming there. Hear tales of its origin, itsdiscovery, and of the many legends it has spawned. Alsosee the Saltair Pavilion, and have a chance to touch thesalty water. Continue on along the base of the OquirrhMountains as you make your way to Kennecott'sBingham Canyon Copper Mine. The largest mining op'eration ever undertaken, the pit is two,and,a,half milesfrom rim to rim and over a half...mile deep. You will havetime to visit the observation deck and see the workingsof the mine. Browse or shop for unique gift items at the"House of Copper" before returning to Salt Lake City.Tour includes motorcoach transportation, professionaltour guide services, and mine entrance fees.

Tour 2

Saturday, September 9 (2:00 p.M.-8:00 P.M.)

ttFrom Silver to Skis"-Park City Tour

Take a delightful tour of Utah's most famous resorttown, Park City. Learn about the fascinating history ofthis once,famous mining boomtown. Park City is now amecca for skiers, with three separate ski areas, includingUtah's newest and one of America's most prestigious re,sorts, Deer Valley. Enjoy wandering along the rustic

streets and visiting the many unique shops along his,toric Main Street. See locally made arts and crafts inthe award,winning Kimball Arts Center; then visit theshops where quilts are custom made, wander throughstores featuring hand,crafted jewelry and leather work,or visit one of the many art galleries in town. You'llhave time for a relaxing dinner (on your own) beforereturning to Salt Lake City. Tour includes motorcoachtransportation and professional tour guide services.

Tour 3

Sunday, September 10 (9:00 A.M.-1:00 P.M.)

ttCrossroads of the West" City Tour includingthe Monnon Tabernacle Choir Broadcast

No trip to Salt Lake City would be complete without atour of Temple Square and the opportunity to hear thebeautiful music of the Mormon Tabernacle Choir. Theworld,famous Tabernacle Choir will present its weeklybroadcast this morning, and you are invited. Specialseating for the broadcast will be arranged for you in theacoustically perfect Tabernacle. After the broadcast,enjoy a complete look at what makes Salt Lake City sounique. Visit the Utah State Capitol; drive through theresidential "Avenues" district to the University of Utah,past the much publicized University of Utah MedicalCenter (home of the world's first successful artificialheart), past old Fort Douglas; and stop at Pioneer TrailState Park, where Brigham Young said, "This is theplace...." You then will continue on to Trolley Squarefor a tour of the old trolley barns that today have beenconverted into an award,winning restoration housingmany unique shops, boutiques, and restaurants. (Orderof visits may vary.) Tour includes motorcoach transpor,tation, professional tour guide services, state park en,trance fees, and reserved seats at the MormonTabernacle Choir Broadcast.

Hotel and Transportation

The Red Lion Hotel is the official hotel of the NAVAN9th Annual Conference. All hotel reservations can bemade directly through Red Lion at (801)328,2000. Inorder to receive the reduced conference rates, notify theregistration agent that you are attending the NAVAN

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Conference.Single: $99.00

Double: $99.00

Triple: $117.00

Quad: $117.00

Suites: also available

A portion of the room charge will be used to offset theoperating costs of the conference, including meals.

Air Travel

Reduced...rat~ air transportation is available throughCorporate Travel at (800)575 ...4288. Notify the agentthat you are attending the NAVAN Conference in or...der to receive the transportation savings.

Hotel Transfers

The Red Lion Hotel offers a complimentary shuttle ser...vice to and from Salt Lake International Airport.

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