Pediatric Nurses: Clinicians, Leaders, Innovators MONDAY, OCTOBER 20, 2014 THE CHASE CENTER

Pediatric Nurses: Clinicians, Leaders, Innovators
MONDAY, OCTOBER 20, 2014
THE CHASE CENTER
WILMINGTON, DE
2014 Conference Sponsors:
 BAYADA Home Health Care
 Drexel University – School of Nursing
 Good Shepherd Pediatrics
 Janet Weis Children’s Hospital Geisinger
 Johns Hopkins Children’s Center
 Nemours/Alfred I. duPont Hospital for Children
 Pediatric Specialty Care
 Preferred Home Health Care & Nursing Services
 PRO2 Respiratory
 PSA Healthcare
 St. Christopher's Hospital for Children
 The Children's Hospital of Philadelphia
 Weisman Children's Rehabilitation Hospital
CONFERENCE OVERVIEW
This is the 11th annual NCN Regional Pediatric Nursing Conference. This year’s theme is: Pediatric Nurses:
Clinicians, Leaders, Innovators. The planning occurred amongst the premier children's institutions in the
region. The target audience is staff nurses and advanced practice nurses from all settings including hospitals,
home care, ambulatory care, and school nursing. It will provide attendees with state-of- the- art information
on a variety of clinical topics and professional issues. Ample opportunity is provided for networking and
becoming involved in Nursing of Children Network and the Society of Pediatric Nurses organizations.
CONFERENCE OBJECTIVES
Conference participants will be able to:
1. Enhance their knowledge and skill related to a variety of clinical, psychosocial and professional topics.
2. Network with pediatric nursing colleagues from around the region.
3. Identify current health care issues that impact the health of children.
NURSING ACCREDITATION
This activity has been submitted to the Delaware Nurses Association for approval to award contact hours.
Delaware Nurses Association is accredited as an approver of continuing nursing education by the American
Nurses Credentialing Center’s Commission on Accreditation.
THE SOCIETY OF PEDIATRIC NURSES & THE NURSING OF CHILDREN NETWORK
The Nursing of Children Network (NCN) is the local chapter of the Society of Pediatric Nurses (SPN). SPN is the
only non-specialty professional nursing organization dedicated to pediatric patients and their families. The
local chapter, NCN, offers opportunities for mentoring, education programs, community outreach projects,
and other professional activities. Please visit our website at www.nursingofchildrennetwork.com for more
information. All NCN members must be members of the national organization, SPN. To download an SPN
application, visit the SPN website at www.pedsnurses.org
Online Registration:
www.micagroup.com/ncn
Email Address:
NCN@micagroup.com
Mailing Address:
NCN c/o MICA Group
9 Red Maple Drive
Lafayette Hill, PA 19444
2014 Conference Planning Committee
Tracy Patrick-Panchelli, MSN, RN, CPN
Nursing of Children Network Conference Chair / Coordinator of Continuing
Nursing Education, Nemours/Alfred I. duPont Hospital for Children
Virginia Conte, MSN, RN, CPN
Clinical Nurse, 2B/Cardiac Telemetry/PACU,
Nemours/ Alfred I duPont Hospital for Children
Kathy Cramsie, MSN, RN-BC
Senior Director of Critical Care, Department of Nursing
St. Christopher's Hospital for Children
Tara R DuLac RN, CCRN, CPN
Clinical Nurse Educator, Geisinger Medical Center
Diane E. Hein, BSN, RN, BLA
Nursing Education Fellow, Nurse Residency Program Coordinator, The Children's
Hospital of Philadelphia
Ramany John MSN, RN, CCRN
Nurse Clinician Level V, Pediatric Intensive Care Unit,
Nemours/Alfred I DuPont Hospital for Children
Sheri Johnson RN BSN CPN
CNIV Clinical Supervisor/Orientation Coordinator, Progressive Care Unit 7NE
The Children's Hospital of Philadelphia
Connie Koch, RN, BSN
Clinical Nurse Manager, Inpatient Pediatric Rehab
Good Shepherd Pediatric Rehabilitation Hospital
Kimberly Mciltrot, DNP, CPNP, CWOCN
Pediatric Surgery, Johns Hopkins Children's Center
AnneMarie Monachino, MSN, RN, CPN
Nursing of Children Network / Education Nurse Specialist,
The Children’s Hospital of Philadelphia
Kimberly A. Morris-Flores, BSN,RN
Pediatric Clinical Support Specialist ,Bayada Home Health Care
Mary Jo Pedicino, MSN, RN
Trauma Education Coordinator,The Children's Hospital of Philadelphia
Judith J. Stellar, MSN, CRNP, CWOCN
Wound, Ostomy Nurse Practitioner, The Children’s Hospital of Philadelphia
Marybeth Vidunas, MSN, RN
Pediatric Nurse Educator, Johns Hopkins Children's Center
Teri Wagner, BSN RN CPN
Clinical Nurse Educator, Geisinger Medical Center
Jeannine S. Winsness, MSN, CRNP, CPTC
Principal, Pediatric Palliative Consultants
Linda H. Youngstrom, PhD, RN
Nursing Practice and Safety Specialist, The Children’s Hospital of Philadelphia /
Nursing of Children Network
Nursing of Children Network Community Service Project
The Reach Out and Read Program at Nemours duPont Hospital for Children in Delaware has been selected by
the Board of the Nursing of Children Network Chapter as this year's conference community service project. At
the NCN information table, we will be collecting donations of new and gently used children's books for
children ages 6 months to 12 years. Reach Out and Read (ROR) is a national non-profit pediatric early literacy
program located in 5,000 primary care doctor's offices across our 50 states. Last year ROR provided nationally
over 6 million books to 4.1 million families.
ROR makes literacy promotion a standard part of pediatric primary care, so that children grow up with books
and a love of reading.
Nemours duPont Pediatrics has 5 primary clinics in their ROR program. These clinics rely on book donations
and funding support to maintain this valuable program. You can help providers and nurses make books part of
a healthy childhood by donating new or gently used books! Gently used books should be in good condition
(covers and pages intact, clean and readable) and appropriate for children 6 months to 12 years old. Out of
respect for families, ROR sites do not accept books with sensitive issues and/or illustrations (such as abuse,
death, divorce, holidays, religion, violence, weapons). If you choose to purchase new books, the greatest need
is for infants and toddlers. Donated money will be used to buy books in Spanish.
CONFERENCE AGENDA
7:00AM Registration Check-in / Visit Exhibitors / Continental Breakfast
7:45AM
Welcome
8:05AM Liz Jazwiec, Keynote Presentation:
Yippee, Another Day in Paradise!...driving negativity out of the workplace
Liz Jazwiec is a nationally renowned speaker, strategist and author who has shared her passion for
leadership, engagement and service with audiences across the country. She’s also been a longtime
hospital officer who helped raise service scores at Chicago, Illinois’ Holy Cross Hospital from the 5 th
to the 99th percentile in just a few years. Today, she uses that expertise to inspire other organizations
interested in building a culture where excellence is driven by strong leaders and engaged employees.
She is the author of the bestselling books, “Eat THAT Cookie! How Workplace Positivity Pays Off..For
Individuals, Teams and Organizations”, and “Hey Cupcake! We are ALL Leaders”. In 2010 “Eat THAT
Cookie!” was chosen as a one of the winners of the American Journal of Nursing Book of the Year.
9:15AM
Concurrent Session I – Tracks A-F
Track I-A
"Preserving" our Patients' Futures--Preserving Fertility in Pediatric
Oncology Patients
CLAIRE ALMINDE, MSN,RN,CPN
Nurse Manager- Oncology Transplant Unit
St. Christopher's Hospital for Children
The presentation will discuss pediatric cancers and the potential long-term effects of those treatments relative to infertility
as well as procedures used to maintain fertility options for those patients as they get older. We will focus on nursing's role in
educating /supporting the patients and families through the process.
Track I-B
Adolescent Bariatric Surgery
DANIELLE KARASKO, MSN, PNP-BC
Nurse Practitioner
Nemours/ Alfred I. duPont Hospital for Children
This presentation seeks to educate nurses about the different types of bariatric surgery. We will discuss co-morbidities
associated with obesity, indications for surgical treatment along with pre-operative, intra-operative and post-operative
management. We will also discuss complications associated with bariatric surgery and our experiences.
Track I-C
Pediatric Traumatic Brain Injury: The First Day of the Rest of Your Life *
FRANCES GILL-APPIOTT, MSN, RN, CPNP, AC, PC
Pediatric Nurse Practitioner General Surgery and Trauma
Nemours/Alfred I. duPont Hospital for Children
Evidence-based practice in the care of children and adolescents with traumatic brain injury will be discussed along with
specific risk factors.
Initial assessment and stabilization in the trauma bay will be reviewed including parameters for the
acute management of increased intracranial pressure. A holistic approach which includes screening for PTSD risk postinjury will be included.
Track I-D
Ambulatory Falls Prevention: A Journey Toward Creating
Evidence Based Practice
PATRICIA MOORE, RN, CPN
Lead Nurse
CHOP Care Network
West Chester
DIANA ANDERSON, BSN, RN, CPN
Lead Nurse
CHOP Care Network
Atlantic County Specialty Care Center
CHRIS MACAULAY, RN, MSN, CEN
Nursing Education Specialist
The Children's Hospital of Philadelphia
There is little published on fall prevention in ambulatory settings. RN leaders designed and piloted an interdisciplinary
Ambulatory Fall Prevention Program (AFPP) in 40 practices located in two states which has led to a reduction in preventable
falls from exam tables. Presenters will give background of development of the program and will discuss utilization of a
Rapid Cycle Improvement project to meet the identified goals.
Track I-E
Research v. Evidence Based Practice v. Quality Improvement: A Clinical
Scenario Approach
KATHERINE FINN DAVIS, PHD RN MEI LIN CHEN-LIM, MSN, RN, CCRC
Nurse Researcher
Senior Nurse Research Coordinator
The Children's Hospital of Philadelphia The Children's Hospital of Philadelphia
JENNIFER P. PATTEN, MSN, RNC-NIC
Patient Safety & Quality Coordinator
The Children's Hospital of Philadelphia
Nurses in clinical settings are often involved in research, evidence based practice, and quality improvement activities.
However, always knowing the best approach to address a clinical question can be challenging. This presentation will cover
definitions, similarities, differences, challenges, and illustrate each approach using a common clinical problem scenario.
Track I-F
Patient-and Family-Centered Care: Two Perspectives, One Focus
TAMARA PEGRAM, BSN, MS
PAMELA GRIFFIN, BA
Staff Nurse
Parent Advisor on Staff
Johns Hopkins Hospital
Johns Hopkins Hospital
Two views on the evolution of patient and family centered care will be presented through lecture and discussion. Specific
initiatives and their development, including involving families as educators and advisors, will be described.
10:15AM
Visit Exhibitors / View Posters
10:45AM
Concurrent Session II – Tracks A-F
Track II-A
Caring for your Patient Before and After Cardiac Catheterization
Lab Interventions
RACHEL KEASHEN, CRNP
Certified Pediatric Nurse Practitioner - Acute Care
The Children's Hospital of Philadelphia
This presentation will provide an overview of cardiac catheterization procedures, including clinical presentation, indications
for catheter-based intervention, and specialty and primary care follow up. Acute and long-term potential complications will
be reviewed for the following cardiac defects: 1) atrial septal defect; 2) tetralogy of fallot; 3) coarctation of the aorta.
Track II-B
"Tummy Troubles"
JUDITH GALTER, BSN, RN, MSN, CRNP
Neonatal Nurse Practitioner
St. Christopher's Hospital for Children
A visualization of GI development throughout the 9 month gestational period will be presented, followed by a discussion of
neonatal surgical conditions affecting the GI tract. Several GI anomalies will be reviewed along with management and
newer strategies and research.
Track II-C
So can you tell me what happened again?.....A Child Abuse Story*
SUSAN ZIEGFELD, CRNP
Lead Nurse Practitioner
Johns Hopkins Children's Center
This will be a presentation on child abuse based on case summaries. Children often present with stories that do not match
the injuries. This presentation will describe red flags in evaluating child abuse.
Track II-D
Identifying and Caring for the Medically Complex Orthopaedic Patient
JUDITH ADELIZZI-DELANY, MSN, CRNP
Nurse Practitioner
Nemours/Alfred I. duPont Hospital for Children
Medically complex children present challenges for the healthcare provider when surgery is planned. Pre-operative
evaluation and common post-operative complications will be discussed, and attention to preparing for safe transition to
home will be explored. A case presentation will highlight the importance of establishing a comprehensive program to
manage these special needs children.
Track II-E
A Quality Improvement Project to Improve Patient Satisfaction and
Enhance Patient/Family Education
ELENA BECKER, BSN, HIM CERT
Unit Based Quality &
Patient Safety Coordinator
ANNE GAHMAN, BSN, CPN, RN
Clinical Nurse IV – Expert
KAREN KOCHERSPERGER, BSN, CPN, RN
Clinical Nurse IV - Expert
The Children's Hospital of Philadelphia
The Children's Hospital of Philadelphia
The Children's Hospital of Philadelphia
A rapid cycle improvement project and its stages will be presented. The aim of the project was to improve nursing support
staff utilization, thus allowing the registered nurse to focus on specific patient care needs such as patient/family education,
medication safety, and support to the family and patient.
Track II-F
It’s No Skin off of My Back: Saving the Skin of Pediatric Patients
Undergoing Cardiac Surgery
LEIGH ANN DIFUSCO, MSN, RN, CNOR, PCNS, BC
Clinical Nurse Specialist
The Children's Hospital of Philadelphia
This presentation, focused on the pediatric perioperative population, sheds insight into the physiology behind HAPU
development with emphasis on the impact of underlying cardiovascular conditions, describes risk factors and patterns of
HAPU development that have been identified through a retrospective chart review, and shares evidence-based strategies for
HAPU prevention.
11:45AM Visit Exhibitors / View Posters
12:15PM Lunch / Raffle Drawing / Visit Exhibitors / View Posters
1:15PM
Concurrent Session III
– Tracks A-F
Track III-A
Do We Really Have to Sedate This Child for a CT Scan?
LORIE REILLY, MSN, CRNP, CPNP, AC
Sedation Nurse Practitioner
The Children's Hospital of Philadelphia
Often it is challenging for young children to cooperate and lie still for a CT scan. Sedation medications can put children at
risk for complications such as airway obstruction, apnea, emergence delirium and vomiting. Today’s CT technology is more
efficient, so scans are completed faster without sacrificing quality imaging. Nonpharmacologic methods enable children to
complete the scan without the use of sedation. This presentation will highlight alternative techniques to sedation and
identify profiles for patients who are at greatest risk for sedition complications.
Track III-B
Little Patients-Big Challenges! Trouble-Shooting Complicated Wound and
Ostomy Cases
JUDITH STELLAR, MSN, CRNP, CWOCN
Wound Ostomy Nurse Practitioner
The Children's Hospital of Philadelphia
Caring for infants and children with complicated wounds and /or ostomies can be very challenging for the health care team,
and in particular, for the nurse. This session will review the principles of wound and ostomy management and explore
creative troubleshooting strategies through complicated case scenarios.
Track III-C
Storytelling: Used to Validate Burn Patients’ Experience*
MARYANN GODSHALL, PHD
Good Shepherd Rehabilitation Hospital & Lehigh Valley Health Network
This session will present the results of my research study of pediatric burn patients. I examine the teaching tool,
the
methodology, the study, and discuss the results utilizing the pictures the children drew and how results were obtained. I will
also discuss nuances of working with pediatric trauma and burn patients.
Track III-D
Bag of Tricks: Developmental Considerations for the Pediatric Nurse
SUSAN BURKE, PHD, CPNP
Drexel University, School of Nursing
Whether at the bedside, ambulatory clinic or school based setting, pediatric nurses have the opportunity to effectively
assess and promote normal growth and development in the health care setting, the home and the community. Strategies to
encourage age appropriate activities during routine care will be explored. Current guidelines and evidence based practice
findings are provided.
Track III-E
What Really Matters About Mentoring in Nursing
LOUISE JAKUBIK, PHD, RN-BC
President
Nurse Mentoring Institute and Nurse Builders
This interactive session will explore what really matters in mentoring for nurses. Should mentoring be formal or informal?
Who needs mentoring? What does evidence-based mentoring look like and how is it implemented? When and where should
mentoring occur?
Why is mentoring important? Participants will leave this session with the answers to these burning
questions including information about the six evidence-based mentoring practices for building a mentoring culture in
nursing.
Track III-F
Neonatal Abstinence Syndrome in Pediatric Rehab Setting
MARIA ARLYN GONZALES, RN, BSN, CRRN
Rehabilitation Nurse Educator
Weisman Children's Rehabilitation Hospital
This activity is designed to expand the knowledge of health care practitioners on the current research and effective
strategies for caring for infants experiencing Neonatal Abstinence Syndrome (NAS).
2:25PM
Concurrent Session IV –
Tracks A-F
Track IV-A
Care of the Child with Prader-Willi Syndrome
MICHELE CIMINO, MSN, RN
Clinical Education Coordinator
Shriners Hospitals for Children
Prader-Willi Syndrome is a complex multisystem genetic disorder. This presentation will define what PWS is; describe the
major clinical findings, diagnostic criteria, genetics and healthcare issues along with common complications associated with
this patient population.
Track IV-B
Proton Therapy: Advances in Radiation Therapy
JOANNE QUILLEN, MSN, PNP, BC
Neuro Oncology Survivorship Nurse Practitioner
Nemours/Alfred I. duPont Hospital for Children
Proton therapy has great promise to reduce many serious late effects of cancer treatment and continues to improve the
Journey of Childhood Cancer Survivors. This presentation reviews Proton Therapy Radiation and why it is beneficial to the
pediatric patient and adult patient.
Track IV-C
Recognition and Treatment of Shock in Pediatrics*
CHERYL SMITH, BSN, CPEN
Johns Hopkins Hospital
This presentation will differentiate between the types of shock, how to recognize the signs and symptoms of early versus
late shock, and the treatment necessary for survival. Using selected case studies, we will show how to incorporate the 2012
Society of Critical Care Medicine Guidelines for the treatment of shock into practice.
Track IV-D
Fatal Risks, Few Nurses in Our Schools
LISA GARBER, BSN, RN
The Children’s Hospital of Philadelphia
Two school-aged Philadelphia children have suddenly died this year; one shortly after leaving school, and a second while
attending school. In both cases a school nurse was not present. An analysis of the disparity created by budget cuts will be
presented, and a bill introduced by congresswoman, Carolyn McCarthy to decrease this disparity will be discussed.
Track IV-E
Focusing on Pathway Outcomes Utilizing Quality Improvements and Rapid
Cycle Interventions
CHRISTINE ROPER, BSN, RN, CPEN
Emergency Department, CN II
The Children's Hospital of Philadelphia
Pathways help standardize patient care, assist in decision making and planning, reduce redundancies, and are based upon
current evidence and best practice standards. Plan, do, study, act (PDSA) cycles and rapid cycle improvements help guide a
multidisciplinary team through a quality improvement project on urinary tract infections.
Track IV-F
The New Opportunities for Verification of Enteral Tube Location
(NOVEL) Project
SHARON IRVING, PHD, RN, FCCM, CRNP
Assistant Professor
University of Pennsylvania
The number of nasogastric enteral access devices (NG-EADs) in hospitalized pediatric patients and the frequency of
misplaced or dislodged NG-EADs are unknown. Only eight studies from January 2004 through May 2013 related to NG-EAD
placement were pediatric specific. This session will provide a description of the NOVEL project, how it was conceived, and
describe best practice(s) for the safe and accurate placement of NG-EADs in children.
3:35PM
Concurrent Session V -
Tracks A, C, E only
Track V-A
Ethical Issues in Pediatric Palliative and End of Life Care
DYANE BUNNELL, MSN, RN-BC, CPON, AOCNS
Clinical Nurse Specialist
Nemours/Alfred I. duPont Hospital for Children
Nurses in pediatric palliative and end-of-life care settings often face ethical dilemmas in their role as patient and family
caregivers and advocates. Professional nursing standards, guidance from organizational ethics committees, and efforts to
improve interdisciplinary communication have the potential to reduce ethical and moral distress in pediatric nurses.
Track V-C
BEEP...BEEP.....Another Trauma Consult?
FRANCES GILL-APPIOTT, MSN, RN, CPNP, AC, PC
Pediatric Nurse Practitioner Pediatric General Surgery and Trauma
Nemours Alfred I. duPont Hospital for Children
In this presentation four specific case studies will be presented. These scenarios will challenge the participant to 'think on
their feet'.
Attendees will be able to evaluate a patient with multi-trauma (significant head, C spine, Chest, extremity
trauma), a Grade IV splenic laceration, a significant dog (pit bull) bite to the face and bilateral upper extremity artery and
nerve severing injury. The physiologic and psychological aspects will be presented. Challenges to the family dynamics will
also be included.
Track V-E
Global Scope as Your Avocation (2 presentations):
Medical Mission 101
REBECCA PARLOW, BSN, RN, CCRN
Direct Care Nurse Clinician IV
&
Nursing Care with a Global Twist
EILEEN BRIENING, MSN, RN
Advanced Practice Nurse, Pediatric Sedation Team
A new dimension of nursing will be revealed that will challenge you professionally and reward you personally. Stories about
caring for patients and their families representing a variety of different cultures within equally diverse political environments
will remind you of just why you became a nurse. This session will take you around the globe from Central America to South
America, to Africa, the Middle East, Russia, and Asia.
4:35PM
Wine & Cheese Reception
Join us at our wine and cheese reception!
Don’t miss out on the day’s final opportunity to network and learn more about
Nursing of Children Network (NCN) and Society of Pediatric Nurses (SPN).
Conference Venue
ve & Poster
Presentations
CHASE
CENTER
on the Riverfront
815 Justison Street, Wilmington, DE 19801
Enjoy the spacious conference rooms and generous common space as you visit
exhibitors, view poster presentations and enjoy networking opportunities.
Easy on/off access from I-95, FREE parking!
Visit the Chase Center online at www.centerontheriverfront.com.
Overnight Accommodations
ve &
PosterWILMINGTON
Presentations
THE
WESTIN
818 Shipyard Drive, Wilmington, DE 19801
Brand new hotel, steps from the Chase Center with free parking.
Westin Heavenly Bed®, and Heavenly Bath®
Indoor pool & WestinWORKOUT®Fitness with New Balance® Gear Lending.
Book Hotel Room
NCN Conference rate: $129
Rate Expires on: September 19. 2014
Nursing of Children Network
11th Annual Regional Pediatric Nursing Conference
“Pediatric Nurses: Clinicians, Leaders, Innovators”
MONDAY, OCTOBER 20, 2014
THE CHASE CENTER, WILMINGTON, DE
MAIL-IN REGISTRATION FORM
First Name:
Last Name:
Credentials: (RN, etc)
Title: (Staff Nurse, etc)
Institution:
Institution City :
Institution State:
(The information above will be printed on your badge-please verify correctness)
Your Mailing Address:
City:
State:
Day Phone:
Zip:
Evening Phone:
Email:
Are you presenting a poster?
Poster Name/Number:
(Confirmations are sent by email only. If you do not provide a legible email address you will not receive a
confirmation – please print carefully)
Early Registration: $150.00 - Postmarked by September 19
Regular Registration: $180.00 - Postmarked by October 10
Onsite Registration: $195.00 – based on availability – check payment only
We cannot accept mailed registrations postmarked after October 10
Please select one track choice per session. Circle your selection:
Session I:
Track I-A
Track I-B
Track I-C
Track I-D
Track I-E
Track I-F
Session II:
Track II-A
Track II-B
Track II-C
Track II-D
Track II-E
Track II-F
Session III:
Track III-A
Track III-B
Track III-C
Track III-D
Track III-E
Track III-F
Session IV:
Track IV-A
Track IV-B
Track IV-C
Track IV-D
Track IV-E
Track IV-F
Session I:
Track I-A
Track V-C
Track V-E
Will you be attending the complimentary wine and cheese reception?
NCN complies with the American with Disabilities Act.
Please specify here if you are in need of special assistance. YES
YES
NO
NO
If Yes, please indicate need:__________________________________________________________
Cancellations and Transfers: All cancellations and transfers must be received in writing. If received in writing prior to October 1,
2014, the full cost less a $25.00 administrative fee will be refunded. There will be no refunds after October 1, however, the
registration can be transferred, provided both transferring party names are provided via email to: NCN@MicaGroup.com
Mail this form and check payment to: NCN c/o MICA Group / 9 Red Maple Drive / Lafayette Hill, PA 19444