February 28 – March 3, 2018Renaissance Austin HotelAustin, TX

www.nacns.orgwww.nacns.org/news-and-events/annual-conference/

Onsite Brochure

Dear friends and colleagues,

Welcome to Austin and to the National Association of Clinical Nurse Specialists 2018 Annual Conference, Putting the Pieces Together: CNSs Bridging the Gaps in Health Care! I hope you’ll take some time while we’re in Austin to enjoy the world class music and cultural scene. I know I’m looking forward to seeing some great live music while I’m here. This year’s conference is kicking off a half-day earlier, not to make more time for sightseeing, but to make room for all the fantastic workshops, clinical lectures, symposia and educational sessions, led by clinical nurse specialists and other leaders in nursing and health care.

Don’t worry, we’re still offering pharmacology pre-conference sessions; however, adding this half-day allowed us to include six, new, two-hour sessions on public policy; management of technology in the clinical setting; cutting-edge infection control updates; and writing for publication – all topics our members have been asking us to address more. David S. Nilasena MD, MSPH, MS the Chief Medical Officer of

Region VI of the Centers for Medicare & Medicaid Services, will present at two of these new workshops on Thursday, March 1 to discuss federal reimbursement and chronic care management. These in-depth workshop sessions will provide attendees with an intensive learning experience. If you like the challenge of case studies and want to interact directly with experts – these new workshop sessions are a must for you!

This year’s conference will feature nearly 50 traditional educational sessions and a dozen clinical lectures and symposia featuring more than 150 speakers! There are also more than 80 poster presentations, including 55 from CNS students, on a range of issues from practices and protocol assessments to quality improvement to intervention strategies and much more. Year after year, the most consistent feedback we hear and receive on our evaluations is how valuable our attendees find the ability to network and meet CNSs from around the country. I know you’ll take advantage of the wonderful Texas hospitality and make new connections here!

Another unique session I hope you’ll plan to attend are our forums. Each forum provides the opportunity for CNSs to directly interact with the members of NACNS task forces. Not only can you give real-time feedback on how ongoing NACNS work impacts your practice, but you can also earn CE credit. Member feedback is critical to the work of each task force, and if you’re interested in helping direct future initiatives and projects, you won’t want to miss this opportunity.

Another first for this year’s event is a luncheon sponsored by the CNS Institute on Friday. Listen to Joe Don Cavender, MSN, RN, CPNP-PC, Vice President and Associate Chief Nursing Officer at Children’s Health System of Texas - Children’s Medical Center Dallas, discuss on how clinical nurse specialists provide value to hospital systems, health policy and how nurses and make a positive impact on patient outcomes. If you haven’t pre-registered for the luncheon, a limited number of tickets will be available for purchase at the door. I hope you’ll join us for the first year of this fundraiser and support a great cause!

Please take a few minutes to review all the sessions and offerings noted in this year’s conference brochure. Select the sessions and workshops that will best support you as you grow in your professional role. To assist you in creating your own customized schedule, we are again using the Grupio app for smart phones that will allow you to create your own conference schedule and keep it handy.

At the close of this year’s conference, you will receive an email from Amedco that will direct you to log in and complete the session and conference evaluations. This system not only saves time and paper, but also allows you to generate your CE certificates! You can also access the system later if you need the certificates later.

Please don’t forget, this is your organization and your meeting! We encourage you take pictures and share them on Facebook, Twitter, Instagram or any other social media platforms you use. You can use and follow our conference hashtag #NACNS18 on Facebook and Twitter. Of course, we will be tweeting about the conference from @NACNS and also posting photos and updates on our Facebook page. If you haven’t already, follow us on these platforms and share your thoughts.

Warm Regards,

Vince Holly, MSN, RN, CCRN, CCNS, ACNS-BCPresident, NACNS

Welcome Letter from President

Table of ContentsSchedule at a Glance 1General Information 2Hotel Map 3Board of Directors/Conference Committee 4Award Winners 5

Full Conference Program 6 – 21Poster Listings 22 – 23Student Poster Listings 23 – 25 Exhibitor Information 26 – 27

Schedule at a Glance 1

Wednesday, February 28, 2018

Pharmacology Pre-Conference 7:30 am – 12:30 pm

Pharmacology Pre-Conference (dinner provided) 6:30 pm – 8:00 pm

Wednesday, February 28, 2018

Opening General Session 1:30 pm – 2:30 pm

Concurrent Session A / Workshops 2:45 pm – 4:45 pm

Concurrent Session B 5:00 pm – 6:15 pm

Thursday, March 1, 2018

Continental Breakfast and Student Breakfast with the President 7:30 am – 8:30 am

Awards Presentation 8:30 am – 9:00 am

Keynote Address 9:00 am – 10:00 am

Concurrent Session C 10:30 am – 11:45 am

Exhibit Hall Opening / Luncheon options 12:00 pm – 1:45 pm

Concurrent Session D 1:45 pm – 3:00 pm

Break in Exhibit Hall 3:00 pm – 3:30 pm

Concurrent Session E 3:30 pm – 4:45 pm

Task Force Forums 5:00 pm – 6:00 pm

Exhibitor Reception and Poster Presentations 6:00 pm – 7:00 pm

Friday, March 2, 2018

Continental Breakfast in Exhibit Hall 8:00 am – 9:00 am

Task Force Forum 8:00 am – 9:00 am

Awards and General Session Speaker 9:15 am – 10:15 am

Break in Exhibit Hall 10:15 am – 11:00 am

Concurrent Session F 11:00 am – 12:15 pm

CNS Institute Lunch (or lunch on your own) 12:15 pm – 1:45 pm

Concurrent Session G 2:00 pm – 3:15 pm

Break in Exhibit Hall 3:15 pm – 3:45 pm

Concurrent Session H 3:45 pm – 5:00 pm

Business Meeting 5:15 pm – 6:15 pm

Saturday, March 3, 2018

Affiliate Breakfast and NACNS Affiliate of the Year Award 7:45 am – 9:00 am

Continental Breakfast in Exhibit Hall 8:00 am – 9:00 am

Task Force Forum 8:00 am – 9:00 am

Concurrent Session J 9:15 am – 10:30 am

Student Poster Awards 10:45 am – 11:00 am

Closing General Session and NACNS Affiliate of the Year Award 11:00 am – 12:00 pm

General Information 2

Registration HoursThe registration desk will be located in the Renaissance Austin hotel in the Grand Ballroom Registration Desk area. The registration desk will be open during the following hours:

Wednesday, February 28, 2018 7:30 am – 6:00 pmThursday, March 1, 2018 7:00 am – 7:00 pmFriday, March 2, 2018 7:00 am – 5:00 pmSaturday, March 3, 2018 7:30 am – 11:30 am

Photo ReleaseFrom time to time we use photographs of conference participants in our promotional materials and website. By virtue of your attendance at the 2018 Annual Conference, NACNS reserves the right to use your likeness in such materials.

Exhibit Hall InformationExhibits will be located in Rio Grande Exhibit Hall - B. Please make time during the meeting to visit the exhibits during the open hours listed below. Exhibitor listings, descriptions and floor plan are located on pages 27-28.

Thursday, March 1, 2018 12:00 pm – 1:45 pm 3:00 pm – 3:30 pm 6:00 pm – 7:00 pm

Friday, March 2, 2018 8:00 am – 9:00 am 10:15 am – 11:00 am 3:15 pm – 3:45 pm

Saturday, March 3, 2018 8:00 am – 9:00 am

Task Force ForumsThroughout the conference program are sessions entitled Task Force Forums. These meetings are open to all attendees to discuss initiatives that the task force is working on.

The schedule for the task force forums is: Thursday, March 1, 5:00 pm – 6:00 pm Opioid/Pain Management: Discussion and Identification of CNS Needs Chronic Conditions: White Paper Recommendations and Discussion

Friday, March 2, 8:00 am – 9:00 am CNS Practice and Education: Statement Revision Progress Report and Discussion

Saturday, March 3, 8:00 am – 9:00 am Infection Control: Discussion and Identification of CNS Needs

Poster Session Information General posters will be presented on Thursday, March 1 and Friday, March 2. Poster listings are located on pages 22-23 of the program booklet.

Posters will be located in Rio Grande Exhibit Hall - B and authors will accompany their posters on Thursday, March 1 from 6:00 pm – 7:00 pm.

Student Poster InformationStudent posters will be presented alongside general posters. Poster listings are located on pages 23-25 of the program booklet. Students will accompany their posters from 6:00 pm – 7:00 pm on Thursday, March 1, 2018.

Student Poster Awards will be awarded on Saturday, March 3 at 11:00 am prior to the Closing Keynote Speaker.

General Information 3

Social MediaThis is your organization and your meeting! We encourage you take pictures and share them on Facebook, Twitter, Instagram or any other social media platforms you use. You can use our conference hashtag #NACNS18 on Facebook and Twitter. We encourage you to share photos and comments in any sessions that you think your followers might be interested in.

Of course, we will be tweeting about the conference from @NACNS and also posting photos on our Facebook page (facebook.com/clinicalnursespecialists), and we hope you’ll follow us on those platforms and share your thoughts.

HandoutsPresentation handouts are available on the NACNS website. It is not guaranteed that speakers will distribute handouts to all attendees onsite. To access available handouts, use the password: attendee2018 on the NACNS 2018 Conference website, nacns.org/news-and-events/annual-conference/.

Continuing Education CreditsAccreditation Statement - In support of improving patient care, this activity has been planned and implemented by Amedco and National Association of Clinical Nurse Specialists. Amedco is jointly accredited by the American Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation Statement - Amedco designates this live activity for a maximum of 24.50 contact hours; a maximum of 6 hours for the Pharmacology Pre-conference sessions (morning and evening) and a maximum of 18.5 credits for the full conference. Nurses should claim only the credit commensurate with the extent of their participation in the activity.

Attendees will record their attendance and complete session evaluations through our new online evaluation system. There will no longer be a paper form to complete. Upon completion of the online evaluation, a certificate will be created for you. An email will be sent to you at the end of the conference.

EndorsementsNACNS does not endorse any products advertised in the onsite program, in the convention tote bag or any products displayed in the exhibit hall.

Strategic Sponsor

Supporter Partner Session Sponsor

Thank you to our Sponsors!Premier Sponsor

Layout of the Hotel 4

Board of Directors/Committee Listing 5

NACNS 2018 Conference Planning Committee

Carol Lynn Delville, PhD, APRN, ACNS-BC

Glenda Joiner-Rogers, PhD, RN, CNS

Vincent W. Holly, MSN, RN, CCRN, CCNS, ACNS-BC

Sharon Horner, PhD, RN, FAAN

Diane Barkas, MSN, RN, ACNS-BC, CC

Martha J. Biddle, PhD, APRN, CCNS

Barbara Hill, MSN, CNS

Denise L. Lyons, DNP, APRN, AGCNS-BC

Melinda Mercer Ray, MSN, RN

CNS JOURNAL EDITOR & Ex-Officio Board Member

Janet S. Fulton, PhD, RN, ACNS-BC, FAAN

NACNS Staff

Melinda Mercer Ray, MSN, RN

Executive Director

Laura Huestis

Associate Director

Janice Sykes-Ross

Meeting Manager

PRESIDENTVincent W. Holly MSN, RN, CCRN, CCNS, ACNS-BC

SECRETARY/TREASURERSean Reed, PhD,

APN, ACNS_BC, ACHPN

BOARD MEMBERCarrie Doyle, DNP, APRN, ACNS-BC

IMMEDIATE PAST PRESIDENTSharon D. Horner, PhD, RN, FAAN

PRESIDENT-ELECTAnne Hysong, MSN, APRN,

CCNS, ACN

BOARD MEMBER Linda Hoke, PhD, RN,

AGCNS-BC,CCRN, WCC

BOARD MEMBER Linda Thurby-Hay,

DNP, RN, ACNS-BC

BOARD MEMBER JoEllen Rust,

MSN, RN, CNS

BOARD MEMBER Ginger S. Pierson,

MSN, CCRN, CCNS

BOARD MEMBER Anita J. White, MSN, APRN,

ACNS-BC, CCRN

2018 Award Winners 6Clinical Nurse Specialist of the Year - recognizes an NACNS member for outstanding professional achievement as a Clinical Nurse Specialist in the three spheres of CNS influence. The award acknowledges a nurse who demonstrates CNS competencies and exemplary practice in patient care, nursing and health care delivery systems.

2018 Recipient: Kathleen Vollman, MSN, RN, CCNS, FCCM, FAAN

Clinical Nurse Specialist Educator of the Year Award - recognizes an NACNS member for outstanding professional achievement as a Clinical Nurse Specialist educator. The award acknowledges a CNS educator’s commitment to excellence and innovation in preparing CNSs and in implementing the NACNS Statement on CNS Practice and Education.

2018 Recipient: Janet S. Fulton, PhD, RN, ACNS-BC, ANEF, FAAN

Clinical Nurse Specialist Preceptor of the Year Award - recognizes an NACNS member for outstanding professional achievement as a Clinical Nurse Specialist Preceptor. The award acknowledges a CNS preceptor who has demonstrated commitment to teach, coach and mentor CNS students and to achieve CNS competencies in the nurse, patient, and organizational spheres as reflected in the NACNS Statement on CNS Practice and Education.

2018 Recipient: Wayne Quashie, MSN, MPH, RN, CNS, ACNS-BC, AOCNS

Brenda Lyon Leadership Award This award recognizes an individual for extraordinary leadership in service to NACNS. It acknowledges the recipient as a national nursing leader, contributing to the advancement of nursing and advanced practice. It is named in honor of Dr. Brenda Lyon, a founding member, and second President.

2018 Recipient: Melissa Craft, PhD, ARPN-CNS, AOCN

Sue B. Davidson Service AwardThis award recognizes an individual for extraordinary service to NACNS. It was established in honor of Dr. Sue B. Davidson, a founding member who served two terms as President and, for many years, chaired the Research Committee.

2018 Recipient: Elissa Brown, MSN, RN, PMHCNS-BC

NACNS Affiliate of the Year Award - recognizes an affiliate, who has demonstrated sustained growth of the NACNS member component, has offered an innovative, creative continuing education class, conference or program, and develops leadership role of CNSs including advocating CNS recognition at the local, regional, and/or national level in a professional nursing group.

2018 Recipient: Oklahoma Association of Clinical Nurse Specialists

President’s Award - recognizes an individual or entity for extraordinary service to NACNS. It was established in 2013 to honor individuals or groups that make significant contributions toward the accomplishment of the NACNS mission. It is selected by the NACNS President.

2018 Recipient: Janet S. Fulton, PhD, RN, ACNS-BC, ANEF, FAAN

Program Schedule - Wednesday 7

Wednesday, February 28, 2018 7:30 am – 12:30 pm Pharmacology Pre-ConferenceSabine Opioid Management Anand Joshi, MD Pain Care Physicians

Drug Dosing for Patients with Renal Dysfunction J. Nile Barnes, EMT-P (LP), Pharm.D., BCPS Texas Pharmacy

1:30 pm – 2:30 pm Opening General Session Grand Ballroom A & B Putting the Pieces Together: CNSs Bridging the Gaps in Health Care 2017-2018 NACNS President Vince Holly, MSN, RN, CCRN, CCNS, ACNS-BC

2:45 pm – 4:45 pm Concurrent Session A

A1 – Workshop Sabine Writing for Publication Jan Fulton Indiana University School of Nursing, Editor of Clinical Nurse Specialist: The Journal for Advanced Nursing Practice

A2 – WorkshopWedgwood Infection Control Issues for the CNSBallroom Michelle Milly Miller1, Christine Shakula2, Monica Weber3

1Frederick Regional Health System, 2Franciscan Health Crown Point, 3Cleveland Clinic, Members of the Infection Control Task Force

A3 – Pressure Injury Trinity A Putting the Pieces Together: Leveraging CNS Influence to Prevent Pressure Injuries Brenda Artz WellSpan Health - York Hospital

Be Smooth Be Safe: A CNS Led Intervention To Decrease Patient Handling Injuries and Reduce Pressure Injuries Using Air Assisted Technology

Kelley Jo Weaver Carolinas Healthcare System

Pulling the Pieces Together: Leveraging CNS Influence to Prevent Pressure Injuries in the PICU Marti Michel Riley Hospital for Children at IUhealth.org

A4 – SymposiumTrinity B Feed Me! Evidence-Based Strategies for Hospitalized Adults to Prevent Patient Harm from Malnutrition Tracy Chamblee1, Susan Smith2, Melanie Shuster3, Hea Lan Yoon4, Mary Waldo5, Kelly Haight6

1Children’s Health; 2Baylor University Medical Center; 3Allegheny Health Network; 4VA Greater Los Angeles Healthcare System; 5Providence Health System; 6Cleveland Clinic, Members of the Malnutrition Task Force

5:00 pm – 6:15 pm Concurrent Session B

B1 – CAUTISabine Using all the Pieces of the Puzzle: A Comprehensive Approach to Reducing CAUTI in a Neuro ICU Amy Dunne UCSF Medical Center

The program schedule is subject to change. Please visit www.nacns.org/ news-and-events/annual-conference/ for session handouts using the password attendee2018. The schedule can also be viewed using Grupio. Download the app or visit: www.grupio.com/NACNS2018. The event code is NACNS2018 and conference password is: Gonacns2018.

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Program Schedule - Wednesday Continued 8

CAUTI Reduction via Teamwork Jo Tabler IU Health North

We are the Champions: Improving Sepsis Bundle Compliance Natalie Jones, Jennifer Chaiken RWJ Barnabas

B2 – OrientationSan Marcos Critical Care Graduate Nurse Orientation: New Model to Bridge the Clinical Practice Gap Linda Ozekcin St. Luke’s University Health Network

The CNS Role in Revising OR Orientation May Saulan, Marina Debanich Memorial Sloan Kettering Cancer Center

New Hire Skills Standardization: Putting the Pieces Together to Decrease Care Variation and Improve Clinical Nurse Specialist Role Efficiency

Jessica Margwarth, Shirley Ambutas, Barbara Gulczynski Rush University Medical Center

B3 – Have a HeartTrinity A LTACH – Providing A Vital Link in the Continuum of Care for Left Ventricular Assist Device (LVAD) Patients Pamela Schmidt Fairview/HealthEast - Bethesda Hospital

Implementation of Anticoagulation Nursing Education to Improve Patient and System Outcomes Gwen Pennington Aurora Healthcare

Clinical Nurse Specialist Bridging the Gaps in Healthcare: Moving Pulmonary Artery Catheters to the Progressive Cardiac Unit.

Linda Hoke Hospital of the University of Pennsylvania

B4 – RoundingWedge Wood Improving Patient Hand-Offs from the Emergency Department: Implementation of a Virtual Bedside ReportBallroom Alisyn Vander Wal, Douglas Dascenzo Trinity Health

The CNS-Leader Dyad: Providing Support to Clinical Nurses through Daily Rapid Rounds on a Medical-Surgical Unit

Amanda Murray Norton Healthcare

6:30 pm – 8:00 pm Pharmacology Pre-Conference (Ticket required - dinner included)Frio NAFLD/NASH and HCV Imtiaz Alam, MD, PA Austin Hepatitis Center

7:00 pm – 8:30 pm Leadership Reception (By invite only, RSVP required)Treehouse Kitchen & Knotty Deck

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Program Schedule - Thursday 9

Thursday, March 1, 2018 7:30 am – 8:30 am Continental BreakfastBallroom Foyer

7:30 am – 8:30 am Student Breakfast with the President (All students invited)Frio

8:30 am – 9:00 am Awards Presentation by 2017-2018 NACNS President Vince Holly, MSN, RN, CCRN, CCNS, ACNS-BCGrand Ballroom A & B

9:00 am – 10:00 am Keynote Address from J. Taylor Harden, PhD, RN, FGSA, FAANGrand Ballroom A & B How to Become the CNS That Others Will Follow in Research, Practice and Policy

10:30 am – 11:45 am Concurrent Session C

C1 – Falls, LTCTrinity A Characteristics of Patients with Dementia with Lewy Body Dementia Demonstrate High Alert Fall Risks Ann Mayo, Guerry Peavy University of California, San Diego

The Clinical Nurse Specialist Role in Leading Clinical Improvement Initiatives in the Post-Acute Care Setting Amy Tong CareChoice

Ecofriendly Possibilities Across Spheres of Influence: Influencing Systems to Improve Environmental Health Opportunities

Patti Rager Zuzelo Drexel University

C2 – PerioperativeTrinity B The Clinical Nurse Specialist’s Role in Implementing Enhanced Recovery After Surgery (ERAS) Protocols

in the Perianesthesia Setting Robina Kitzler, Jane Murphy, Anoushka M. Afonso Memorial Sloan Kettering Cancer Center

Enhanced Recovery After Surgery David Bradley, Stacey Brundrett U.S. Air Force

The Impact of the Clinical Nurse Specialist Throughout the Perioperative Continuum Kathleen Lombardo, Mary-May Saulan, Robina Kitzler, Jane Murphy, Piera Cote Robson Memorial Sloan Kettering Cancer Center

C3 – Health DisparitiesSan Antonio Preparing CNS Students to Address Population Health Disparities through Technology: An Innovative

Educational Approach Tina Haney, Pamela Sharp Old Dominion University

Operationalizing Bioethical Concepts through Storytelling Lisa Wall Memorial Sloan Kettering Cancer Center

Healthcare Experiences of Transgender Individuals: Practice Implications & Evidence-Based Standards Sherry Hendrickson1, Erika Sells2, Claire Contreras3, David Walsh4

1The University of Texas at Austin; 2Seton Shoal Creek Hospital; 3Dell Seton Medical Center; 4Dripping Springs Healthcare

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Program Schedule - Thursday Continued 10

C4 – Sounds in ICUSabine Stop Suspending the Sound, Smash Alarm Fatigue Shannon Page1, Staci Reynolds2, Tiffany Rader1

1Indiana University Health; 2Duke University Hospital and Duke University School of Nursing

Clinical Alarm Management-Stop the Nuisance Maria Carpenter, Laura Solano Penn Medicine

C5 – Cardiac CarePecos Rhythm of the Week Elsie Jolade1, Peggy Collins2

1Hunter College, City University of New York; 2New York Presbyterian Hospital

Harnessing the Influence of a Clinical Nurse Specialist: Crafting a Comprehensive Cardiac Care Model Julia Bayne, Kathy Farrell Reading Health System

Facing the Challenge: CNS Role in the Vascular Composite Allograft (VCA) Program Lisa Douglas, Jennifer Ferrier Mayo Clinic

C6 – Outcomes Wedgwood Dollars and Cents: Demonstrating the Value of the Clinical Nurse SpecialistBallroom Nora Love-Retinger Memorial Sloan Kettering Cancer Center

The Transformational CNS: Leveraging Data Science to Advance Health Care Outcomes Peggy Kalowes1, Linda Urden2

1Long Beach Memorial Miller Children’s & Women’s Hospital; 2University of San Diego

C7 – Clinical LectureBrazos The Vexing Variables of Vector Borne Illness: Differential Diagnosis, Treatment, Prevention and OutcomesAmphitheatre Susan Schedler Shawnee Mission Medical Center

C8 – SymposiumSan Marcos All Aboard! The CNS and Board Leadership Megan Greenman1, Sharon Horner2, Jennifer Kitchens3, Brandee Wornhoff4, Mitzi Saunders5, Angela Larson6

1Upstate University Hospital; 2The University of Texas at Austin; 3Eskenazi Health; 4Hendricks Regional Health; 5University of Detroit Mercy; 6University of Florida Health, Members of the Nominating Committee

12:00 pm – 1:45 pm Exhibit Hall Opening Luncheon (All members are encouraged to attend)Rio Grande Exhibit Hall - B

12:30 pm – 1:30 pm Affiliate Luncheon (for Members of NACNS Affiliates and NACNS Affiliate Committee Members)Frio

12:30 pm – 1:30 pm New Member Luncheon (for first-time attendees, new members, and members of the NACNS Arbor Membership Committee)

12:30 pm – 1:30 pm Editorial Board Luncheon (By invitation only)Presidents Suite - (Room 925)

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Program Schedule - Thursday Continued 11

1:45 pm – 3:00 pm Concurrent Session D

D1 – CLABSITrinity A CNS Driven Quality Initiative to Reduce Catheter-related Bloodstream Infections (CLABSIs) in Oncology

Patients: A Cross-Over Clinical Trial Comparing 3.15% Chlorhexidine/70% Isopropyl Alcohol (CHG) vs 70% Isopropyl Alcohol for Disinfection of Needleless Connectors (NC) with Central Lines

Peggy Kalowes Long Beach Memorial Miller Children’s Hospital

Decreasing Central Line Associated Blood Stream Infections Using High Reliability Strategies Stephanie Schuldt Henry Ford Health System

Reducing Central Line Blood Stream Infections in an Acute Care Hospital: The Tale of the Pink Basin Rosemary Timmerman, Carrie Doyle Providence Alaska Medical Center

D2 – AsthmaTrinity B Feasibility Study of a Lifestyle Health Promotion Intervention for School-aged Children Who Have Asthma Sharon Horner1, Bennie McWilliams2, Gayle Timmerman1

1The University of Texas at Austin; 2Austin Children’s Chest Associates

Improving Quality of Life and Health Outcomes in Children Who Have Asthma Sharon Horner The University of Texas at Austin

CNSs Bridging the Gap in Asthma Care: An Innovative Team Approach to Achieving The Joint Commission (TJC) Disease Specific Care Certification

Linda Tirabassi-Mathis Miller Children’s and Women’s Hospital Long Beach

D3 – Palliative CareSan Antonio Identifying “Triggers” for Prompt Palliative Care Consults in the Broad Spectrum Critical Care Setting Vicky Padilla1, Stacie Saldin2, Catherine J. Campbell2, Mary Lawanson-Nichols2, Jeannette (Jeannie) Meyer3

1Cedars Sinai Medical Center; 2UCLA Medical Center, Santa Monica; 3UCLA Medical Center Ronald Reagan & Santa Monica Campuses

Articulating the Value Proposition for Palliative Care Programs and Services through a Business Proposal Sean M. Reed1, Rachel Marko2

1University of Colorado; 2Lutheran Medical Center

End-of-Life Care Transitions in an Academic Medical Center: Changing Practice at the Bedside with the Implementation of a New Comfort Care Order Set

Susan Barbour UCSF Medical Center

D4 – SIMSabine Bridging the Gap Between Classroom and Bedside: Simulation in ECMO Training Cass Sandoval, David Orth UCSF Medical Center

Using Didactic and Simulation Training Methods to Enhance Nursing Performance During Cardiac Arrest Janice Marlett, Denise Rouse-Meekins, Denise Prudencio, Roselyn Sebastian Sinai Hospital of Baltimore

Bridging the Gap Between Nursing and Respiratory Care through Simulation Nancy Christiansen St Jude Medical Center

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Program Schedule - Thursday Continued 12

D5 – CNS ResearchWedgwood Putting the Pieces Together – Research Bridging CNSs Together Across Health SystemsBallroom Lianna Ansryan Cedars Sinai

CNSs Creating a Culture of Clinical Inquiry Jan Powers Parkview Health

2017 Clinical Research Relevant to the Three Spheres of Influence of CNS Practice Margaret McNeill, Beth Cipra, Sharon Chilton Frederick Regional Health System

D6 – Clinical LectureSan Marcos Bridging the Gap: Malnutrition in Hospitalized Adult Patients Melanie Shuster1, Kelly Haight2, Tracy Chamblee3, Susan Smith4, Mary Waldo5, Hea Lan Yoon6

1Allegheny Health Network; 2Cleveland Clinic; 3Children’s Health; 4Baylor University Medical Center; 5Providence Health System; 6VA Greater Los Angeles Healthcare System, Members of the Malnutrition Task Force

D7 – SymposiumBrazos A Breath of Fresh Air: How CNS Collaboration Took a Different Approach Linking Deterioration Across the

Spectrum Courtney Stellpflug, Tina Wangen, Jennifer Elmer Mayo Clinic Rochester

D8 – WorkshopPecos Navigating Public Policy During Time of Uncertainty in Health Care: The NACNS Public Policy Agenda Jennifer Colwill1, Susan Dresser2, Melanie Duffy3

1Cleveland Clinic; 2University of Oklahoma Fran & Earl Ziegler College; 3Geisinger Holy Spirit, Members of the Legislative/Regulatory Committee

WorkshopNueces CMS Update I: The Quality Payment Program David S. Nilasena, MD, MSPH, MS, Chief Medical Officer Region VI at the Centers for Medicare & Medicaid Services

3:00 pm – 3:30 pm Break in the Exhibit HallRio Grande Exhibit Hall - B

3:30 pm – 4:45 pm Concurrent Session E

E1 – New NurseTrinity A It Takes a Village to Successfully Transition a New Nurse Into Practice Lena Patterson Grady Health System

Make the Transition: A Critical Care Skills Program to Support Newly Hired Nurses Kathleen Short, Jennie Matays Memorial Sloan Kettering Cancer Center

Medical Surgical RN Residency: A CNS Success Peggy Hollis St. Vincent Evansville

E2 – Glycemic ControlTrinity B Glycemic Control in the ICU: AutoCal Bridging the Gap Elizabeth Scruth, Carolina Vandalen, Felica Green, Norbert Chien Kaiser Permanente

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Program Schedule - Thursday Continued 13

Inpatient Glycemic Control Heidemarie Macmaster UCSF Medical Center

The Effects of Patient Preferred Music Intervention on ICU Quality Outcomes Angela Larson, Lynn Westhoff, Lauren Ochoa, Tamara J. Boneta UF Health Shands Hospital

E3 – Improving NutritionSan Antonio The Value of a Trans-disciplinary Team in Planning the Intervention: Self-Management of Dietary Intake

Using Mindful Eating for Persons with Chronic Kidney Disease Gayle Timmerman The University of Texas at Austin, School of Nursing

A Clinical Nurse Specialist Led Initiative to Improve Nutritional Status in Hospitalized Patients Angie Malone Norton Healthcare

Eliminating the Routine Use of X-rays for Post Pyloric Feeding Tube Insertion in a PICU Karen Federici Dayton Children’s

E4 – CNS RoleWedgwood Effective Clinical Nurse Specialist Role IntegrationBallroom Jan Powers Parkview Health

Shared Governance Redesign Rhymes to Add Meaning and Sustainability Megan Greenman, Aimee Hillman Upstate University Hospital

Building a Renowned CNS Team Erica Fischer-Cartlidge, Nancy Houlihan, Kevin Browne Memorial Sloan Kettering Cancer Center

E5 – Grief & LossPecos Outcomes in Bereaved Dementia Caregivers: A Systematic Review Mitzi Saunders University of Detroit Mercy

Use of Simulation to Enhance Healthcare Providers’ Empathy and Understanding of Geriatric Loss Donna Prete1, Mary Bridgeman2, Nicole Rolston1, Linda Tamburri1 1Robert Wood Johnson University Hospital; 2Rutgers, Ernest Mario School of Pharmacy

Putting Purpose Into Policy: A Clinical Nurse Specialist-led Initiative to Reduce Variation in Chemotherapy Practice

Carrie Marvill Penn Medicine

E6 – Clinical LectureSan Marcos Minimizing Sedation with Enthusiasm! Julie Rogan Penn Presbyterian Medical Center

E7 – Symposium Sabine Creating a Catalyst for Change: A CNS with a Vision Inspired by NACNS Conference Megan Hoffman, Pamela Duncan Moffitt Cancer Center

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Program Schedule - Thursday Continued, Friday 14

E8 – WorkshopBrazos Strategies to Advocate for a CNS Legislative Initiative Jennifer Colwill1, Susan Dresser2, Melanie Duffy3

1Cleveland Clinic; 2University of Oklahoma Fran & Earl Ziegler College; 3Geisinger Holy Spirit, Members of the Legislative/Regulatory Committee

WorkshopNueces CMS Update II: Chronic Care Management David S. Nilasena, MD, MSPH, MS, Chief Medical Officer Region VI at the Centers for Medicare & Medicaid Services

5:00 pm – 6:00 pm Wedgwood Ballroom Forum 1: Opioid/Pain Management: Discussion and Identification of CNS Needs Opioid/Pain Management Task Force

Sabine Forum 2: Chronic Conditions: White Paper Recommendations and Discussion Chronic Conditions Task Force

6:00 pm – 7:00 pm Exhibitor Reception and Poster PresentationsRio Grande Exhibit Hall - B

Friday, March 2, 2018 8:00 am – 9:00 am Continental Breakfast in the Exhibit HallRio Grande Exhibit Hall - B

8:00 am – 9:00 am Sabine Forum 3: CNS Statement Revision Progress Report and Discussion Task Force for the Revision of the NACNS Statement on Education and Practice

9:15 am – 10:15 am The CNS - A Catalyst for ChangeGrand Ballroom A & B Incoming 2018-2019 NACNS President Anne Hysong, MSN, APRN, CCNS, ACNS-BC Awards Presentation

10:15 am – 11:00 am Break in the Exhibit HallRio Grande Exhibit Hall - B

11:00 am – 12:15 pm Concurrent Session F

F1 – Competency Trinity A How the Nurse for the Patient in Bed 8 Is Competent to Care for the Patient in Bed 8 – A CNS Led Initiative

for Practical Educational Techniques Elizabeth Duxbury Rochester Regional Health

Putting the Pieces Together: Matching the Skill and Knowledge Level of the Nurse with Patient Acuity Teresa Jahn St. Cloud Hospital

Restructuring Learning with Electronic Clinical Reference Systems (CRS) Mary Ann Francisco, Monica Gonzalez University of Chicago Medicine

F2 – Pediatric CareTrinity B Formation of a Multidisciplinary Group to Address Osteopenia in Pediatrics Heidi Shafland Children’s MN

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Program Schedule - Friday Continued 15

When Two Worlds Collide: Pain Mentors Meet Vaccine Champions Jane Hartman Cleveland Clinic Children’s

Build It and They Will Come (Quality Outcomes) Anita Shelley Indiana University Health

F3 – Stem Cell Management IssuesSan Antonio Self-efficacy for Symptom Management: Impact on Outcomes in Stem Cell Transplant Patients Lynn White1, Marlene Cohen2, Ann Berger2, Kevin Kupzyk2, Philip Bierman3

1Avera McKennan Hospital; 2University of Nebraska Medical Center College of Nursing; 3College of Medicine, University of Nebraska Medical Center

Self-efficacy for Symptom Management in Stem Cell Transplant: What Does it Mean? Lynn White1, Marlene Cohen2, Ann Berger2, Kevin Kupzyk2, Philip Bierman3

1Avera McKennan Hospital; 2University of Nebraska Medical Center College of Nursing; 3College of Medicine, University of Nebraska Medical Center

Bringing Fertility Preservation to the Bedside Nora Love-Retinger, Nicole Krist Memorial Sloan Kettering Cancer Center

F4 – Delirium Sabine Driving Practice Changes in Restraint Use in ICU: Project Inception to Publication Maureen Seckel, Dannette Mitchell Christiana Care Health Services

D-Day: A Prevalence Study for Delirium in Acute Care Hospitalized Patients Kimberly Salee St. Vincent Evansville

Delirium Assessment, Prevention and Treatment throughout the Spectrum of Care Paula Halcomb UK HealthCare

F5 – Outcomes Pecos Applying Predictive Analytics to Reduce Hospital Mortality and Improve Nurse/Provider Communication Amanda Shrout, Christine Sullivan, Janice Marlett, Andrea Earl Sinai Hospital of Baltimore

A Description of Work Processes Used by Clinical Nurse Specialists to Improve Patient Outcomes Janet Fulton1, Ann Mayo2, Jane Walker3, Linda Urden2

1Indiana University; 2University of San Diego; 3Purdue University Northwest

Falls Among Inpatients in Short-term, Acute Care Environments Ellen Munsterman1, Patricia Newcomb2, Ashley Hodo2

1Texas Health Harris Methodist Hospital Fort Worth; 2Texas Health Resources

F6 – Behavioral HealthSan Marcos Practice Implications for Clinical Nurse Specialists’ in a Behavioral Emergency Response Team Amy Heidenreich, Sara Arndt Froedtert Hospital

“We Can See YOU Now”, a CNS Lead Developed Tele-medicine Process for Emergency Department Behavioral Health Patients

Darleen Williams Orlando Regional Medical Center

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Program Schedule - Friday Continued 16

Implementation of Universal Suicide Screening Mary Bedell, Leah Korkis Huntington Hospital

F7 – SymposiumBrazos Clinical Nurse Specialists Offer a Compass to the Lay Public: Tips, Tools and Techniques to Bring YourAmphitheatre Idea to Publication Christina Canfield, Mary Beth Modic, Amanda Barney Cleveland Clinic

F8 – Symposium Wedgwood Solving the CAUTI Puzzle: CNS Impact through Innovation and Resource UtilizationBallroom Carmen Davis1, Terrie Beeson1, Kathleen Vollman2

1IU Health-University Hospital; 2Advancing Nursing LLC

12:15 pm – 1:45 pm CNS Institute Luncheon with guest speaker Joe Don Cavender, MSN, RN, CPNP-PC, Ballroom Vice President and Associate Chief Nursing Officer at Children’s Health System of Texas - Children’s

Medical Center Dallas (Note: Ticketed Event)

12:15 pm – 1:45 pm Lunch on Your Own

2:00 pm – 3:15 pm Concurrent Session G

G1 – Education & CollaborationTrinity A Bridging Knowledge Gaps: Collaborative ED Education in a Merging Hospital System Jennifer Chaiken1, Kathleen Nye2, Jean Straker-Darbeau3, Nellie Sun4

1RWJBarnabas Health; 2Community Medical Center; 3Monmouth Medical Center; 4RWJ Barnabas Health Somerset

CNS/NP Collaborative Practicum Experience: An Innovative Educational Approach Pamela Sharp, Tina Haney Old Dominion University

Development of a State-wide CNS Organization to Promote the CNS Role and Impact Healthcare Policy Chondra Butler, Tyler Sturdivant University of South Alabama

G2 – Surgery SafetyTrinity B Passing through Colon Camp, a Clinical Nurse Specialist Developed Program to Reduce Surgical Site

Infections in Colon Surgery Patients Susan Conley Bayhealth

Navigating the Complexities of Reducing Colon Surgical Site Infections Carla Thorson Univeristy of Colorado Health

Surgical Team Approach to Advanced Recovery for Lumbar Spine Surgery: The Back Up Plan Donna Mangruen Advocate Condell Medical Center

G3 – Pulmonary HealthSan Antonio Reducing Aspiration Pneumonia Using Quality Improvement Marybeth O’Malley Hospital of the University of Pennsylvania

Clinical Experiences With Blom Speaking Valve on Mechanically Ventilated Patients in a NeuroIntensive Care Unit

Angela Larson, Karen Perrin, Jeannette Hester UF Health Shands Hospital

10 min Pharm

Program Schedule - Friday Continued 17

A Nurse-Led Weaning Protocol Utilizing an ABCDE Bundle Racheal Wood1, Chondra Butler2

1Fort Belvoir Community Hospital; 2University of South Alabama College of Nursing

G4 – When Things Go WrongSabine Not Your “Average” ED: A CNS Led Project that Reduced Blood Culture Contaminations in One

Emergency Department to Below Expected Levels Michael Allain Crouse Hospital

Trending Medication Errors and Improving Patient Safety through Quick Wins Kimberly Barcus U.S. Army

Integrating Best Evidence to Solve the Puzzle of Managing Hypersensitivity Reactions Katrina Fetter LG Health/Penn Medicine

G5 – C. DifficilePecos Reducing Hospital Acquired C.Diff: Getting All Disciplines on Board to Achieve Success Siobhan Geary Sutter Medical Center, Sacramento

Reduction in C. Difficile Rates: Using a Bundled Approach Nancy Butters, Mary Holmes Roper Hospital

From the Ground Up: Building a Clinical Nurse Specialist Position to Influence Sepsis Outcomes Danette Culver Norton Women’s & Children’s Hospital

G6 – Clinical LectureSan Marcos Dementia Demystified: From Crisis Management to Therapeutic Connection Gaila Palo WhidbeyHealth

G7 – SymposiumWedgwood Establishing the Clinical Nurse Specialist Identity by Transforming Structures, Processes, and OutcomesBallroom Kathrine Winnie, Kimberly Sanchez, Natalie de Haas-Rowland Keck Hospital of USC

G8 – Workshop, Part IBrazos Complex Medical Technology: Strategies for Selection, Education, Implementation and Evaluation Part I JoAnne Phillips VirtuaNurse

3:15 pm – 3:45 pm Break in the Exhibit HallRio Grande Exhibit Hall - B

3:45 pm – 5:00 pm Concurrent Session H

H1 – Ambulatory Care ModelsTrinity A Our New Ambulatory Oncology CNS Model of Practice: Pouring a New Foundation to Fill Old Cracks Jayme Cotter, Denise Portz, Alexandra Verbeten, Theresa Rudnitzki, Kathleen Sweeney Froedtert & the Medical College of Wisconsin

15 min Pharm

Program Schedule - Friday Continued 18

The Clinical Nurse Specialist as a Leader and Facilitator for Patient Centered Care in an Urban Based Federally Qualified Clinic

Jamie Holland1, Tina Haney2

1Tidewater Community College; 2Old Dominion University

Enhancing Nurse’s Role with Emergency Response in the Ambulatory Clinic Setting Ronda Nading Mayo Clinic

H2 – Deterioration Alert!Trinity B Recognizing Functional Decline: CNS Design and Implementation of a Novel Screening Tool Nicole Bennett, Suzanne Purvis University of Wisconsin Hospital and Clinics

Leveraging the EMR to Optimize RRT Event Reporting & Data Collection Charlene Bugais Tran1, Jenny Buckles1, Ai Jin Lee2, Michael Beckett1

1Cedars-Sinai Medical Center; 2Cedars-Sinai Women’s Guild Simulation Center for Advanced Clinical Skills

Addressing the Gap: Early Recognition of Patient Deterioration Ai Jin Lee1, Charlene Bugais Tran2, Russell Metcalfe-Smith1

1Cedars-Sinai Women’s Guild Simulation Center for Advanced Skills; 2Cedars-Sinai Medical Center

H3 – HopeSan Antonio Hope Inspiring Strategies: Implications for the Clinical Nurse Specialist Susan Fowler Orlando Health

Psychological Distress: Transitioning Patients from Survivorship to New Normal Leslie Darmofal1, Sue Ellen Bell2 1Bemidji State University; 2Minnesota State University, Mankato

Pharmacologic Treatment of Erectile Dysfunction Jeffrey Albaugh NorthShore University HealthSystem

H4 – System ChangesWedgwood Adapting to the Changes in Acute Care: From Three Care Levels to TwoBallroom Molly Christians Spectrum Health

Filling the Gaps in Nursing Practice Leadership: What to Do When CNSs Are Not Available for Hire Kristin Negley1, Mary Ellen Cordes1, Laura Evenson2, Shauna Schad1

1Mayo Clinic in Rochester MN; 2Mayo Clinic Health System

Nursing Innovation Creating Lasting Change, Impacting Patient Outcomes Marian Altman American Association of Critical Care Nurses

H5 – Clinical LecturePecos A Complex Congenital Heart Disease Journey: A Review, What’s New, and Unique Challenges Across the

Lifespan Andrea Torzone Children’s Health System of Texas; Children’s Medical Center Dallas

H6 – Clinical LectureSan Marcos Providing Expert Analgesia: Case Studies Patricia Rosier Berkshire Medical Center

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Program Schedule - Friday Continued, Saturday 19

H7 – Clinical LectureBrazos Successful Management of Enteral and Parenteral Nutrition Therapy for Hospitalized AdultsAmphitheatre Melanie Horbal Shuster Allegheny Health Network

H8 – Workshop, Part IISabine Complex Medical Technology: Strategies for Selection, Education, Implementation and Evaluation Part II JoAnne Phillips VirtuaNurse

5:00 pm – 6:00 pm NACNS Business Meeting (Members are encouraged to attend)Grand Ballroom A & B

Saturday, March 3, 2018 7:45 am – 9:00 am Affiliate Breakfast (Note: Attendees will need to RSVP)Glass Oaks Ballroom

8:00 am – 9:00 am Continental Breakfast in the Exhibit HallRio Grande Exhibit Hall - B

8:00 am – 9:00 am San Marcos Forum 4: Infection Control: Discussion and Identification of CNS Needs Infection Control Task Force

9:15 am – 10:30 am Concurrent Session J

J1 – Falls PreventionTrinity A Technology to Optimize Resources and Promote Patient Safety Maryalyce McCormick PinnacleHealth System

The Langley 4-Step: The Missing Link to Inpatient Falls Cindy McCullough, Amina Tharpe U.S. Air Force

Fall Prevention on Medical-Surgical Unit Stacey Brundrett1, Arrah Bargmann2

1U.S. Air Force; 2U.S. Army

J2 – CLABSITrinity B Reducing CLABSIs through Strategic Partnership and Detailed Education Kristen Frost Shawnee Mission Medical Center

Standardization and Implementation of a Central Line Associated Blood Stream Infection (CLABSI) Prevention Bundle

Kristen Bink, Theresa Gorman Hospital of the University of Pennsylvania

Implementation of a Clinical Nurse Specialist Lead CLABSI Reduction Program in a Pediatric Magnet Hospital

Peggy Holub, Peggy Grimm, Cynthia Lewis, Casey Blalock Rady Children’s Hospital San Diego

30 min Pharm

Program Schedule - Saturday Continued 20

J3 – Standards; ProtocolsSan Antonio Optimizing Outcomes to Obtain a STS Three Star Ranking Kathy Tripepi-Bova Cleveland Clinic

Standardized Assessment of Dyspnea to Improve Patient Outcomes Kathy Baker Beth Israel Deaconess Medical Center

“Where We’re Going We Don’t Need Roads:” Defining the Future of Oncology Infusion Care Jayme Cotter, Denise Portz Froedtert & the Medical College of Wisconsin

J4 – Substance Use and MisuseSabine Using the Three Spheres of Influence to Bridge the Gap in the Care of Mothers and Newborns Affected by

Substance Use Disorder in Pregnancy Marianne Hiles Frederick Memorial Hospital

Comprehensive, Multi-Disciplinary Care for Maternal Substance Use Disorders and Neonatal Abstinence Syndrome

Rainey Martin Community Health Network

Pain Team of One? CNS Quest to Improve Pain Management in Acute Care Cynthia Klaess WakeMed Health & Hospitals

J5 – EBPWedgwood Measuring Nurses’ Beliefs and Confidence to Implement Evidence-based PracticesBallroom Mary Carol Racelis, Melissa Browning Rush University Medical Center

Bridging the Gap: Connecting the Pearls of Knowledge and Power of Influence to Implement Evidence-Based Practice to Improve Healthcare Quality

Bevra Brinkman, Sherri Harkless The Ohio State University Wexner Medical Center

The Data You Want Versus the Data You Can Get: Challenges Evaluating Clinical Practice Data in an Emergency Department

Monique Jesionowski U.S. Army

J6 – PotpourriSan Marcos A Study of Binge Drinking in College Students: Identifying Associated Factors, Consequences, and

Bridging the Gap in Knowledge and Interventions Pamela Adamshick1, Jill Stoltzfus2, Rosemary Norse2

1Moravian College; 2St. Luke’s University Health Network

Workplace Violence: Tackling It Head on through Interprofessional Collaboration MaryAnn Moon Froedtert Hospital & Clinics

Improving Pneumococcal Vaccine Guideline Adherence During Transition to a New Electronic Medical Record System

Cynthia Stermer Wellspan Health

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Program Schedule - Saturday Continued 21

J7 – Clinical LectureBrazos Bridging the Gap in Lymphedema (LE) Treatment and Management: The American Lymphedema

Framework Project Overview Marcia Beck1, Jane Armer2

1University Health/Truman Medical Centers; 2Sinclair School of Nursing, University of Missouri

J8 – SymposiumPecos Spanning Physiologic Monitoring Implementation Gaps: Capnography and Beyond Kristi Kimpel, Kimberly Elgin, Kathleen Rea University of Virginia Health System

10:30 am – 10:45 am BreakBallroom Foyer

10:45 am – 11:00 am Student Poster Awards PresentationGrand Ballroom A & B

11:00 am – 12:00 pm �Nurses:�The�Untapped�Influencers�of�PolicyGrand Ballroom A & B Closing Keynote Speaker Toni Inglis, MSN, RN, CNS, FAAN

Poster Presentations 22

1 - Inclusion of Energy Drink Usage in an AssessmentKaren Fitzgerald, Joseph CarboneGood Samaritan Hospital Medical Center

2 - Improving the Management of Comorbid Diabetes and DepressionRachel Winston, Chondra ButlerUniversity of North Alabama

3 - A Multi-modal Education Intervention Design to Improve Delirium Recognition by NursesCheri BlevinsUniversity of Virginia Health System

4 - Driving Best Practices and Quality in Multi-Clinic Healthcare System: Primary Care Clinical Nurse Specialist Practice Highlight, Implementation of Vaccine ProtocolsJody LeiseMayo Clinic Health System-Southeast Minnesota Region

5 - A CNS Initiative to Ensure Patient Safety and Compliance with Home PhototherapyCarol GiomusoLouis Stokes Cleveland VA Medical Center

6 - Hour of Power: Improving Response to Severe Hypertensive Disorders of PregnancyJennifer TurneySharp Grossmont Hospital

7 - Hospital Acquired Pressure Injury Prevalence Rates Decreased with a Turn and Position System.Jennifer BrinkmanCleveland Clinic

8 - Needleless Connector’s Effect on tPA Usage in Central Venous CathetersTodd OlrichCrouse Hospital

9 - CNS’s Utilizing Visual Management to Increase Staff EngagementDarshani Singh, Deborah BurnsNYP Columbia University Medical Center

10 - A Matter of Minutes - A Nursing Time StudyKelly KeenanCrouse Hospital

11 - Critical Labs Documentation - Importance in Patient Safety and OutcomesMegha Shah, Lorraine MackNorthwestern Medicine

12 - Sleep Promotion Bundle for Hospitalized Adult PatientsEileen SmithBanner Gateway Medical Center

13 - Identifying Gaps in Care of Hospitalized Older Adults to Achieve an Age-Friendly Health SystemNestor-Neil Peig, Cathy Ward, Renee Appleby, Tracy GuyUCLA Health

14 - An Evaluation of a Nurse-driven Heparin Anti-Xa Anticoagulation ProtocolTanya WilliamsLouis Stokes Cleveland Veterans Administration Hospital

15 - Transitions in Care: An Interdisciplinary Approach to the Discharge Process in a Spinal Cord Rehabilitation UnitAnisa YoungVA Puget Sound

16 - C-Diff Happens: How Involvement from a CNS Can be a Fresh Set of Eyes to Decrease C-Diff InfectionsSarah MenterCrouse Hospital

17 - Bridging the Gap in Maternal Outcomes: A CNS Lead Interprofessional Team Approach to Decreasing Postpartum Hemorrhage and Improving Maternal OutcomesLori Davies, Marianne HilesFrederick Memorial Hospital

18 - Delirium Prevention in Hospitalized Urology Cancer Patients 65 and Older: A Pilot ProjectCarolina Uranga, Leana ChienCity of Hope National Medical Center

19 - Advanced Practice Nursing and Addiction Treatment: Capturing the Undertreated Acutely Hospitalized Intravenous Drug UserSusan BergetAurora St. Luke’s Medical Center

20 - To Improve the Recognition and Treatment of Inpatients who Suffer a Stroke During Hospitalization Through Multidisciplinary Education - A Quality Improvement ProjectKaren SchaeferThe Miriam Hospital

21 - The Implementation of an Enhanced Recovery Program for Elective Colorectal Surgery Patient PopulationEmily Eastwick1, Autumn Gode2, Anastasia Johnson2

1East Region General Surgery, part of Allina Health; 2Abbott Northwestern, part of Allina Health

22 - Laying the Foundation for an Older Adult Model of Care Across the Healthcare SystemLindy ShermanParkview Health

23 - A Clinical Nurse Specialist Approach to Decreasing Hospital-acquired InfectionsKathrine Winnie, Kimberly Sanchez, Natalie de Haas-Rowland, Alden EganKeck Hospital of USC

24 - Putting the Pieces Together: Bridging a Wound & Ostomy Consultation Service into a ProgramElizabeth SavageNYU Langone Health

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Poster Presentations 23

25 - Bridging the Gap Between Disciplines: Preventing Sacral Pressure Injuries in the LVAD PopulationElizabeth SavageNYU Langone Health

26 - Geriatric Mobility and the Bed Mobility Assessment Tool (BMAT): A Pilot StudyLeana Chien, Carolina UrangaCity of Hope

27 - CNS and CDE Collaboration to Improve Patient Safety and Nursing Practice Surrounding Hypoglycemic EventsDaniella James, Mindy SchwartzMarin General Hospital

28 - Secondary Trauma in Nursing: Allowing the Collective Stories to EmergeSarah Knavel, Amanda FisherBayhealth

29 - Pajama Day: Improving Multi-Campus Education Using Online ConferencingJennifer Chaiken RWJBarnabas at Hamilton

29a - National Association of Clinical Nurse Specialists Malnutrition TaskforceTracy Chamblee, Joanne Evans, Karie Falder, Kelly Haight, Melanie Shuster, Susan Smith, Mary Waldo, Hea Lan Yoon Malnutrition Task Force

30 - Palliative Care Consults: Exploring Barriers and Filling the GapsCarrie Shahbahrami Johns Hopkins University School of Nursing

32 - Flushing Diarrhea with Evidence-Based CareJulie Henderson, Kim Pate East Carolina University

33 - Assessing Nurse Leaders Knowledge and Use of the Clinical Nurse Specialist (CNS) RoleTheresa Crowder Old Dominion University

34 - Implementation of In Situ High Fidelity Simulation (INHFS) Mock Codes in a Level IV Neonatal Intensive Care Unit (NICU)Holly O’Quinn, Lynn Mohr, Jerithea Tidwell Rush University College of Nursing

35 - Bridging the Gap Between Quality Performance Measures and Hospital Acquired Conditions, a Nursing Unit Quality Champion ModelKaren Good Widener University

36 - Using Evidence-Based Algorithms to Improve Key Performance Indicators in the Management of SepsisAlainna Crotty, Brenda Shelton, Mikaela Olsen, Bradley Burton, Gina Szymanski, Sharon Krumm Johns Hopkins School of Nursing

37 - Ventilator Length of Stay Reduction After Isolated Coronary Artery Bypass Grafting: Phase IMegan Eckleberry1, Raymond A. Dieter, III2, Craig M. Combs2, Krystal Boggess3, Rodney J. Williams3, Vickie Carver-Parker3, Tiffiany McCarty3, Landon Shields3, Natalie Freeman2, Suzanne Sawyer3

1University of South Alabama; 2University of Tennessee, 3University of Tennessee Medical Center

38 - A Multidisciplinary, CNS-led, Approach to Bridge the Gaps in Emergency Department (ED) Sepsis ManagementStephanie Ritter, Sara Seemann University of Nebraska Medical Center College of Nursing

39 - Postoperative Nausea and VomitingKathryn Martinez, Valerie Jiles University of the Incarnate Word

40 - Evaluation of the Egyptian Health Department (EHD) Women, Infants and Children (WIC) ProgramEmily York Rush University

41 - Centralizing Pulse Oximetry Monitoring Outside of the ICUAshley Perkins, Molly Christians Purdue University Northwest

42 - Education of the Nurse Resident in Relation to Health Literacy: Inform, Empower, EnableCarolee CzarneckiAlverno College

43 - Implementation of Patient-Centered Bedside Report to Increase Patient and Staff SatisfactionRachel Greve University of Maryland

45 - Secondary Alarm Notification: Improving Nurse Response Time to Lethal Cardiac RhythmsKathryn Delegard, Mary Gruber University of Minnesota

46 - Naloxone Distribution upon Hospital Discharge to Reduce Opiate Overdose MortalityStephanie Mullennix, Tracy Hosford Michigan State University

Student Poster Presentations

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Student Poster Presentations 24

47 - Lifting the Weight of Obesity; Comparing Weight Loss Outcomes of Patients Using Phentermine/Topiramate to Those Using Diet and ExerciseConstance Robinson, Isabel Hernandez University of The Incarnate Word

48 - Advanced Practice Registered Nurse Students’ Perceptions of the Three P’s in Preparation for Clinical PracticeMichael Moon, Chantil Minton University of the Incarnate Word/Ila Faye Miller School of Nursing and Health Professions

49 - DO and DIE: Delirium Outcomes and Delirium Identification EducationRachel Justice Michigan State University

51 - Heating Things Up: Developing a Multidisciplinary Team Simulation for Malignant Hyperthermia CrisisPatricia Sarov Lacy, May Saulan Hunter-Bellevue School of Nursing

52 - Variables Which Relate to Colon Cancer Screening Rates Among Male VeteransPatricia Dotson George Washington University

53 - Assessing Early Central Line Placement and Outcomes in Septic PatientsSamantha Medkiff, Tiffany Cross University of Incarnate Word

54 - Implementing Mobility Guidelines in the Cardiovascular Intensive Care Unit to Facilitate Progressive MobilitySally Witt Michigan State University, College of Nursing

55 - Guidelines for Providers and Nurses Prescribing and Administering ProbioticsStephanie Spahis1, Mayra Garcia2

1Texas Christian University; 2University of South Alabama

56 - Implementation of the Sleep Order Set (SOS) to Decrease the Prevalence of Intensive Care Unit (ICU) DeliriumGena Bergvall, Steve Risch University of Maryland Baltimore School of Nursing

57 - Use of an Electronic Health Record Decision Support Tool to Identify High Risk Patients with a Dementia DiagnosisNicholas O’Neel, Suzanne Purvis University of Wisconsin-Madison

58 - An Alternative to the Indwelling Foley Catheter in Incontinent Female PatientsChristine Tran, Debra Rodrigue Hunter-Bellevue School of Nursing

59 - Improving Clinical Nurse Specialist Student Involvement and Succession Planning: Introduction of the Student Liaison Board Member RoleNikkita Adams1, Kate Mills2

1Indiana University School of Nursing; 2University of Southern Indiana

60 - Postoperative Urinary Retention in Female Urogynecologic Postsurgical PatientsCaroline Maass Michigan State University, College of Nursing

61 - Implementing a Health Literacy Universal Toolkit at an Urban Trauma CenterTheresa Nowak, Rebecca Tyrrell University of Maryland, Baltimore

63 - Glycemic Control and Wound HealingDiane Walker University of the Incarnate Word

64 - Opioid Induced Constipation: Recommendations for a Rome IV Guideline UpdateNatasha Wegesa, Sara Esteban-Moore, Lisa Sumlin, Glenda Joiner-Rogers University of Texas at Austin School of Nursing

65 - Withdrawn

67 - The Development of a Clinical Practice Guideline for Purposeful Patient Rounding on a Medical Surgical Inpatient Unit with Scripted Messaging for Pain ManagementSharon Ballinger University of Maryland School of Nursing

68 - Outpatient Telephone Triage DocumentationBautista Catherine, Debra O’Shea Hunter College

70 - Pasero Opioid Induced Sedation Scale in a Pediatric Surgical Ward: A Quality Improvement ProjectMayra Garcia, Taralyn McMullan University of South Alabama

71 - Development of Pain Competency Education For Newly Hired NursesAmanda Phillips, Cindy Klaess East Carolina University

72 - Standardized Assessment in Polycystic Ovarian Syndrome: A Guideline GapKaitlin Steimer, Emma Edgar, Lisa Sumlin, Glenda Joiner-Rogers, Carol Delville The University of Texas at Austin, School of Nursing

73 - Implementation of a Diagnostic and Treatment Pathway for Acute Myelogenous Leukemia (AML) Patients in a Northeastern Oklahoma Cancer CenterStacy Newberry The University of South Alabama College of Nursing

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Student Poster Presentations 25

74 - Type 2 Diabetes Mellitus with Renal Impairment: Oral Hypoglycemic Therapy and Recommended State Guideline UpdatesCatherine Ward1, Tomoko Hattori2, Carol Delville1, Glenda Joiner-Rogers1, Lisa Sumlin1

1The University of Texas at Austin, School of Nursing; 2University of Texas at Austin

75 - Improving Chlorhexidine Bathing Practices Using a Standardized Evidence-based Protocol and Competency AssessmentMegan Lucciola, Ronald Piscotty, Michael Anne Preas University of Maryland School of Nursing

76 - Bridging the Gap with Newborn Antibiotic Stewardship Utilizing a Nurse-driven Risk Assessment Protocol for Early Onset SepsisKathy Shaffer, Mary Lou Bowers Old Dominion University

77 - Improving Hypertension in a Rural Free Clinic: A CNS Led Pilot ProjectCheryl Pullium, Gwendolyn Hooper University of Alabama Capstone College of Nursing

78 - Bridging the Knowledge Gap of Emergency Nurses by Mastering Acuity Settings at Triage: Getting it Right for PatientsSabrina Newsome1, Jason Newsome2, Denise Whew3

1East Carolina University; 2American Sentinel University; 3University of Greensboro at North Carolina

79 - Development of a Clinical Practice Guideline Aimed at Reducing CLABSI Using the Knowledge to Action FrameworkGeorge Bigalbal University of Maryland-Baltimore SON

80 - Meeting the Educational Needs of Night Shift NursesKalliopi Parginos, Jane Murphy Hunter College

81 - Self Management in Mexican Americans with ArthritisLauren Culp, Tracie Harrison The University of Texas at Austin

82 - Activity Cart Use with Older Adults in the Inpatient SettingAmanda Henderson, Pamela Sharp, Lori Hasty Old Dominion University

83 - Increasing Inpatient Palliative Care Consultations for End-Stage Heart Failure PatientsJamie Bowman University of Maryland School of Nursing

84 - Recommendation for an Atrial Fibrillation Bleeding Risk AssessmentBenjamin Oheim University of Texas at Austin

85 - Clinical Experiences in a Delta Region Adult-Gerontology Clinical Nurse Specialist ProgramJessica Camp Arkansas State University

86 - Case Study Quality Improvement in the Adult-Gerontology Clinical Nurse Specialist (AGCNS) Program: Putting Humpty Dumpty Back Together AgainJessica Camp Arkansas State University 87 - Evidenced Based Practice Program Development: CNS Transition to Practice Residency ProgramRosina Bloomingdale University of Wisconsin-Milwaukee

88 - Evidenced Based Clinical Nurse Specialist Preceptor ProtocolRosina Bloomingdale University of Wisconsin-Milwaukee

89 - Reduction of Urinary Catheter Utilization in an Adult Intensive Care: An ACCNS-AG Student Led Healthcare Systems ProjectShannon Brunt University of Detroit Mercy

90 - Healthcare Failure Modes and Effects Analysis and Cost Benefit Analysis of a Fecal Management System for the Adult Intensive CareShannon Brunt University of Detroit Mercy

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Exhibitor Information 26

Abbott Nutrition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1American Association of Critical-Care Nurses (AACN) . 13American Nurses Credentialing Center (ANCC) . . . . . . . 2Applied Medical Technology, Inc. (AMT) . . . . . . . . . . . . . 4Cheetah Medical, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . 10CNS Institute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25IPatient inTouch, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Johns Hopkins School of Nursing. . . . . . . . . . . . . . . . . . . 8Kaiser Permanente. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Kurin, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28Magnolia Medical Technologies, Inc. . . . . . . . . . . . . . . . 27Medtronic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29Memorial Sloan Kettering Cancer Center. . . . . . . . . . . . 17

Otto Trading Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Pieces of Bali . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Springer Publishing Company . . . . . . . . . . . . . . . . . . . . 18

TCU - Harris College of Nursing & Health Sciences . . . . 7

Tens Technologies Zero Gravity . . . . . . . . . . . . . . . . .23-24

Texas Clinical Nurse Specialists. . . . . . . . . . . . . . . . . . . 20

The University of Texas at Austin School of Nursing . . . 22

Tower Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

University of Oklahoma School of Nursing. . . . . . . . . . . 30

The University of South Alabama College of Nursing. . . 21

University of Wisconsin–Milwaukee College of Nursing. 11

Wolters Kluwer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Exhibitor Information 27Abbott Nutrition | Table #1Abbott is the market leader in providing solutions for im-proving the quality of nutrition care of your patients. As your nutrition partner, we invite you to explore our portfolio of products, including Ensure and Glucerna, and digital qual-ity improvement platform and other resources. Stop by our booth to learn more and sample our exciting products!

American Association of Critical-Care Nurses (AACN) | Table #13AACN Certification Corporation develops and administers certifications for APRNs educated at the graduate-level as clinical nurse specialists, wellness through acute care. The certifications offered cover Adult-Gerontology, Pediatric or Neonatal populations. All certifications are approved for APRN licensure by the National Council of State Boards of Nursing and in all 50 states.

American Nurses Credentialing Center (ANCC) | Table #2The ANCC Certification Program is the gold standard for health care professionals. Certification validates a health-care professional’s specialized knowledge and continuing competency. Achieving ANCC certification demonstrates confidence to the public and commitment to excellence that employers trust. ANCC is the only global certifying body to offer RN, APRN, and interprofessional healthcare certifica-tions in emerging specialties. It is the first to innovate a new credentialing process—the organization holds a U.S. patent for the certification through portfolio, an alternative assess-ment methodology inclusive of peer review with no exam required.

Applied Medical Technology, Inc. (AMT) | Table #4

Cheetah Medical, Inc. | Table #10

CNS Institute | Table #25The Clinical Nurse Specialist Institute (CNSI); founded in 2016 as an arm of the National Association of Clinical Nurse Specialists (NACNS), serves to develop and promote the charitable, educational, innovative clinical practice, and sci-entific purposes of the NACNS.

IPatient inTouch, Inc. | Table #6

Johns Hopkins School of Nursing | Table #8

Kaiser Permanente | Table #3

Kurin, Inc. | Table #28

Magnolia Medical Technologies, Inc. | Table #27

Medtronic | Table #29

Memorial Sloan Kettering Cancer Center | Table #17At Memorial Sloan Kettering Cancer Center we recognize

and champion the role of the Clinical Nurse Specialist and the value it adds to our organization in meeting the special-ized needs of our patients with cancer. Please stop by to hear about exciting career opportunities in New York City!

Otto Trading Inc. | Table #19

Pieces of Bali | Table #15A beautiful collection of sterling silver jewelry, all hand-made in Bali.

Springer Publishing Company | Table #18Springer Publishing Company serves the health care and medical industries in the professional and educational fields. Our books and journals provide vital information for prac-titioners, students, academics, and researchers in nursing, psychology, gerontology, social work & counseling, public health, and medical education.

TCU - Harris College of Nursing & Health Sciences | Table #7

Tens Technologies Zero Gravity | Table #23-24

Texas Clinical Nurse Specialists | Table #20

The University of Texas at Austin School of Nursing | Table #22

Tower Health | Table #9

The University of South Alabama School of Nursing | Table #21The University of South Alabama has one of the few remain-ing Clinical Nurse Specialist programs and has an excellent reputation for preparing outstanding professional nurses. The Doctor of Nursing Practice program affords CNS stu-dents the opportunity to learn in a supportive online environ-ment that recognizes the special needs of the adult learner.

University of Oklahoma School of Nursing | Table #30

University of Wisconsin–Milwaukee College of Nursing | Table #11The University of Wisconsin-Milwaukee College of Nursing is ranked in the top 15% of national graduate nursing pro-grams by US News & World Report and continues to lead through innovative research and academic programs includ-ing BS, MN, DNP, and PhD.

Wolters Kluwer | Table #5Wolters Kluwer is a leading publisher of medical, health and science publications including Clinical Nurse Specialist, offi-cial journal of the National Association of Clinical Nurse Spe-cialists. We offer an extensive selection of medical books, journals and electronic media for doctors, nurses, special-ized clinicians and students.