10th Annual Delaware Emergency Nurses Association SymposiumWednesday, November 7, 2012Dover Downs Hotel and Conference Center1131 North DuPont Highway, Dover, DE 19901

COURSE OBJECTIVES Melanie Chichester, BSN, RNC-OB1. Describe normal physiological changes of pregnancy.2. Summarize presentation/management of the pregnant woman with selected complaints of bleeding in pregnancy.3. Differentiate between stable and potentially unstable pregnant patients who present with vaginal bleeding.

Paula Dominique, BSN, RN, CCRN1. Discuss methods of nurses passing knowledge on to the next generation. 2. Describe the differences between various generations of nurses and the challenges created in the workplace.

Deena Brecher, MSN, RN, APRN, ACNS-BC, CEN, CPEN1. Describe two red flags for trauma in patients who present to the ED with medical complaints.2. Identify signs of a surgical emergency in a neonate.3. Identify two potentially life threatening medical conditions of fussiness in a neonate.4. Differentiate between a truly ill neonate and one who is well.

Joseph P. Hopple, NREMT-P1. Explain the actual hazards and myths of motor vehicle crashes involving hybrid vehicles. 2. Review potential injuries seen by patients involved in motor vehicle collisions involving hybrid vehicles.3. State the advantages of using high fidelity simulation for teaching assessment, psychomotor skills and teamwork.4. Discuss techniques to use high fidelity simulation to challenge learners and collect data on performance.

Praveen Mital, MD1. Describe the common mistakes when signing out a patient Against Medical Advice.2. Discuss common misconceptions of patients with a DNR status.

Dawn Culp, MSN, RN, SANE-A/P, FNEDV Specialist and Gang Consultant1. Define Forensic Nurse Examiner (FNE)2. Review DE’s pre and post development of SANE/FNE hospital programs.3. State two methods to identify gang members that present to the ED.4. Describe the nursing role and safety measures while caring for a gang member in the ED.

Kathy Sokola, EdD, RN CNE1. Identify assessment and management strategies for the febrile patient with cancer.2. Delineate the acute care management of a patient with tumor lysis syndrome.3. Design a plan of care for the patient with DIC.

Janice McKay, RN, CEN, CFRN1. Discuss “helicopter shopping” as defined by the FAA and its consequences it has on the air medical industry.2. Differentiate between air medical services and FAA regulations involving weather limitations.

Brian Levine, MD, FACEP, FAAEM1. Discuss the epidemiology of the drug problem in the U.S.2. Review the effects of cocaine, opiates, methamphetamine and bath salts.

Program Purpose: To provide current information and evidence-based

clinical updates to healthcare providers caring for patients in the emer-

gency setting.

In accordance with the Americans with Disabilities Act, DENA will

accommodate individual needs upon request. For assistance, please

contact susan_ebaugh@bayhealth.org by October 31, 2012. Speak-

ers are subject to change at the discretion of the conference planning

committee.

Bayhealth is approved as a provider of continuing education by the

Delaware Nurses Association, an accredited approver by the Ameri-

can Nurses Credentialing Center’s Commission on Accreditation.

6.25 Nursing Contact Hours are offered for this program. Attendance

is required for the entire program to receive continuing education

credit.

This program is co-provided with The Delaware Emergency Nurses Association

SYMPOSIUM AGENDA

7:00 – 7:45 a.m. Registration 7:45 – 8:00 a.m. Welcome 8:00 – 9:00 a.m. There Will Be Blood: Bleeding in Pregnancy Melanie Chichester, BSN, RNC-OB Pregnancy and bleeding-what you really need to know! Through case presentation, selected complaints of bleeding in pregnancy will be presented to help you differentiate between stable and unstable patients.

9:00 – 10:00 a.m. You Can’t Take It With You, So PASS IT ON! Paula Dominique, BSN, RN, CCRN The nursing workforce is more age diverse than ever. Each generation has a distinct set of characteristics, values, beliefs and preferences. Learn how to utilize these differences and blend them in the workplace to benefit both patients and staff.

10:00 – 10:30 a.m. Break and Vendors

FAST BREAKOUT SESSIONS

10:30 – 11:00 a.m. Babies Behaving Badly - Part 1! Deena Brecher, MSN, RN, APRN, ACNS-BC, CEN, CPEN “My baby won’t wake up!” This speaker will use case presentations to help you identify red flags for pediat- ric patients presenting with medical complaints and/ or surgical emergencies. (Part 1 and 2 are independent lectures!)

10:30 – 11:00 a.m. The Shocking Truth about Hybrids Joseph P. Hopple, NREMT-P Hybrids are becoming commonplace on roads today. Learn how to respond to these motor vehicle colli - sions, understand the myths and unique hazards while providing patient care.

11:05 – 11:35 a.m. Babies Behaving Badly-Part 2! Deena Brecher, MSN, RN, APRN, ACNS-BC, CEN, CPEN Fussy baby or really sick? Missed assessments can lead to devastating consequences! Through case presentation, the speaker will help you to identify potentially life threatening pediatric medical emergencies. (Part 1 and 2 are independent lectures!)

11:05 – 11:35 a.m. Stimulating Learning with Simulation Joseph P. Hopple, NREMT-P Familiar with high fidelity simulation? Learn the advantages and challenges when using all simulating types of teaching for healthcare providers. Identify how to effectively achieve learning objectives for yourself and your staff.

11:40 – 12:40 p.m. DNR and AMA: Getting It Right! Praveen Mital, MD Whether you are pre-hospital or in the ED, you have probably experienced challenges with patients and families over the DNR order or patients leaving AMA. What are your legal and ethical obligations? Lively discussion and audience participation will assist your next encounter.

12:40 – 1:40 p.m. Lunch and Vendors

FAST BREAKOUT SESSIONS1:40 – 2:10 p.m. Forensic Nursing is Everywhere Dawn Culp, MSN, RN, SANE-A/P, FNE DV Specialist and Gang Consultant Understand the evolving specialty of forensic nursing. Discover how nursing science is applied to the scientific investigation of victims of violence and perpetrators and what this means to legal proceedings.

1:40 – 2:10 p.m. Oncologic Emergencies in the ED Kathy Sokola, EdD, RN, CNE Oncology patients can present to the ED with a multi tude of complications. Quick identification of specific life threatening conditions will enhance your knowledge for this special population.

2:15 – 2:45 p.m. Nursing Gang Members Back to Health Dawn Culp, MSN, RN, SANE-A/P, FNE, DV Specialist and Gang Consultant How do you know you are caring for a gang member? Learn various methods of identification of gang members and how to keep yourself and coworkers safe in the process.

2:15 – 2:45 p.m. Helicopter Shopping is a Dangerous Practice: What You Need to Know! Janice McKay, RN, CEN, CFRN Helicopter services play an important role to transport ing critically ill or injured patients. Learn about the practice of “Helicopter Shopping”, factors that could lead to accidents and how you can prevent a fatal consequence with air medical programs in your area.

2:30 – 2:45 p.m. Break and Vendors 2:45 – 3:45 p.m. Illicit Drug Use 2012: What’s the Word on the Street? Brian Levine, MD, FACEP, FAAEM The epidemic of illicit drug use is having a significant effect on society. The speaker will discuss the physi- ologic effects and treatments of patients who have used cocaine, opiates, methamphetamines, prescrip- tion abuse and the ever challenging bath salts.

3:45 – 4:00 p.m. Evaluations

DELAWARE ENA 2010 SYMPOSIUMAGENDA W E D N E S D A Y

7:00 – 7:45 a.m. Registration

7:45 – 8:00 a.m. Welcome

8:00 – 9:00 a.m. Real Life, Not Reality TV – Hoarders in the Emergency Department Anita Symonds, MS, BSN, RN, SANE-A, SANE-P Regina Janney, MS, BA, RN, BC

This presentation will introduce emergency department nurses to the world of hoarding. With a better understanding of hoarding, participants can identify as well as intervene with hoarders and their families. The dimensions of hoarding behaviors and how its detrimental effects present in the ED patients and their children will be explored

9:00 – 10:00 a.m. The World is Pushing in on Me – An Overview of Trench and Collapse Rescue for E.M.S. Joseph P. Hopple, NREMT-P

A low frequency, high risk event can be a challenge for even the most experienced emergency responder. This program focuses on responder safety and awareness of potential patient injuries caused by these technical rescues.

10:00 – 10:30 a.m. Break and Vendors

10:30 – 11:30 a.m. Diagnosis of Systolic Heart Failure Anthony Clay, DO, FACC

This presentation will take the audience on a systematic tour of the diagnosis of systolic heart failure, from exam to treatment modalities, as illustrated by case studies.

REGISTRATION FORMDelaware ENA 2011 SymposiumWednesday, November 2, 2011Registration Deadline: October 26, 2011

Target audience is emergency nurses and prehospital providers Please select:

RN Prehospital Student

Name:

Credentials:

Email:

Address:

City: State: Zip:

Employer:

ENA membership #:

Lunch options, select one: Vegetable Wellington Parmesan Chicken Salad Triad

Conference Registration Fee:Full payment required at time of registration. Confirmations will be sent by email only. Make checks payable to DENA

_______$89 ENA member or Prehospital personnel

_______$99 non ENA member

Breakfast, lunch and snack breaks are included in the registration fee.

A limited number of rooms are available at a discounted rate. Please mention DENA when making your reservation.

Mail completed registration form and check to: Susan Ebaugh 172 Continental Drive Dover, DE 19904 Email questions should go to susan_ebaugh@bayhealth.org

Conference Location Information: Dover Downs Convention Center and Casino 1131 North DuPont Highway Dover, DE 19901

Brochure supported by Nemours/Alfred I. duPont Hospital for Children

11:30 – 12:30 p.m. Malpractice is a Dirty Word: A Case Study of a Patient, Family and Their ED Nurses Karen Rollo, MSN, RN, EdD(c)

Does the busy ED environment sometimes prevent the RN from completing timely assessments and documentation? Learn how missed opportunities can result in devastating consequences for both the patient and the nurse! Illustrated through an actual case, the speaker will assist ED nurses in identifying potential “failures” in nursing practice and simple ways to avoid them.

12:30 – 1:30 p.m. Lunch and Vendors

1:30 – 2:30 p.m. Badly Behaving Babies! Amy Thompson, MD

Utilizing an audience response system, this presentation will review cases of infant patients presenting to the emergency department.

2:30 – 2:45 p.m. Break and Vendors

2:45 – 3:45 p.m. X-ray Reading Made Simple! Brian Levine, MD, FACEP, FAAEM

This presentation will illustrate how, by following a few simple rules, clinicians can comfortably evaluate X-rays in order to rule out the “can’t miss” diagnoses.

3:45 – 4:00 p.m. Evaluations

In accordance with the Americans with Disabilities Act, DENA will accommodate individual needs upon request. For assistance, please contact susan_ebaugh@bayhealth.org by October 20, 2011. Speakers are subject to change at the discretion of the conference planning committee.

Bayhealth Medical Center is approved as a provider of continuing education by the Delaware Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

The provision of continuing education by Bayhealth Medical Center does not imply endorsement of any commercial products that may have been used in this presentation.

N O V E M B E R 2 , 2 0 1 1 REGISTRATION FORM Delaware ENA 2012 Symposium Wednesday, November 7, 2012 Registration Deadline: October 31, 2012

Vegetable Wellington Flank Steak Salad Chicken Normandy