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2023 AAENP National Conference: EmergNP SpeakersMarch 31 - April 2, 2023 | Hempstead, NY
Delivering Care is a Team Sport – What It Means to Emerge TogetherEric Cruzen, MD - Senior Vice President & Executive Director of the Emergency Medicine Service Line, Northwell Health Board Certified in Emergency Medicine and Clinical Informatics AbstractMoral Injury: Reframing Distress and Creating ChangeWendy Dean, MD is a writer, speaker, podcast host, and the President and co-founder of The Moral Injury of Healthcare
AbstractThe long-standing narrative of clinician distress focuses on a mismatch between resources and demands. Absent in that framing are the relational ruptures of moral injury experienced by too many clinicians. Addressing both the transactional and relational drivers of distress will be most effective when all healthcare stakeholders join together to coproduce solutions. Learning ObjectivesAs a result of participating in this activity, the learner will be able to:
"Where Are We Going"Tiffany Andrews, MS, ACNP-BC, ENP-C, CCNS-BC - USACS National Director of APP Education, American Academy of Emergency Nurse Practitioners
From the ED to the ICU: Exploring the Psychosocial Effects of Providing Nursing Care to Patients from a School ShootingTravis McCall, PhD, APRN, AGACNP-BC, FNP-BC, CEN, CCEMT-P - Assistant Professor/Flight Nurse Practitioner, Vanderbilt University School of Nursing Dr. Travis McCall is board certified as an Adult-Gerontologic Acute Care and Family Nurse Practitioner. He obtained his Master of Science in Nursing from Vanderbilt University with a specialty education in Emergency Care. He earned his Doctor of Philosophy from the University of Tennessee College of Nursing and completed a graduate minor in Epidemiology in the Department of Public Health. His research focuses on secondary traumatic stress and the promotion of nurse welfare. He currently serves as an Assistant Professor in the Emergency Nurse Practitioner program at Vanderbilt University School of Nursing and practices as a Flight Nurse Practitioner with Vanderbilt LifeFlight. AbstractNurses who care for patients with traumatic injuries are at risk of developing secondary traumatic stress, compassion fatigue, and burnout. Research has identified the events that are most distressing for nurses involve sudden death, children, and adolescents. Therefore, caring for patients who are injured in a multi-casualty, school-associated shooting event would likely be particularly stressful for the involved healthcare clinicians. This research was performed to learn how nurses in an emergency department and inpatient trauma unit described their experiences with providing care to patients who were injured in a school shooting. Interviews with nurses from the emergency department led to the identification of themes and associated findings of 1) preparation and preparedness, 2) coping and support mechanisms and 3) reflections and closure. Among nurses from the trauma unit, qualitative data collection and analysis revealed themes of 1) innocence of the patients, 2) trajectories of increased emotions, and 3) processing emotional stressors. Supportive mechanisms, such as self-care routines, debriefing, and peer support activities, can combat secondary traumatic stress, compassion fatigue, and burnout. Learning Objectives
Single Dose Killers: Pediatric ToxicologyMichael Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C - Assistant Professor of Nursing & Emergency-Flight NP, Vanderbilt University & Vanderbilt University Medical Center Dr. Michael D. Gooch is board certified as an acute care, family, and emergency nurse practitioner. He has over 25 years of emergency and transport medicine experience. He is an Assistant Professor of Nursing with Vanderbilt University School of Nursing, as well as faculty with the Middle Tennessee School of Anesthesia. At Vanderbilt University Medical Center, he practices as an emergency and flight nurse practitioner. He has completed over 1,600 patient transports during his tenure with Vanderbilt LifeFlight. He is also employed by TeamHealth and practices in a community emergency department. AbstractToxicological emergencies are commonly encountered in emergency care. Some are more serious than others. In pediatric patients, there are a few substance known as the single dose killers as it only takes a small amount to cause toxicity. This presentation will review these agents, discuss their clinical manifestations, and management priorities to allow emergency NPs to manage these patients more competently. Learning Objectives
What Exactly Is An EMS Nurse Practitioner And What Do They Do? EMS Nurse PraWhat Exactly Is An EMS Nurse Practitioner And What Do They Do? EMS Nurse Practitioner Panel DiscussionJacob Miller, DNP, MBS, ACNP, ENP-C, CNS, NRP - Clinical Educator, UC Health Air Care & Mobile Care Jacob Miller is a Clinical Nurse Specialist, Nurse Practitioner, and Paramedic with a background in EMS and critical care transport. He completed his Acute Care NP and CNS education at the University of Maryland, advanced flight nursing education at Case Western Reserve University, and received his DNP from the University of Cincinnati. Chivas Guillote Dr. Chivas Guillote is a Paramedic and Nurse Practitioner from Houston, Texas. He completed his Baccalaureate and Master's degrees in Nursing at The University of Texas at Houston and his Doctor of Nursing Practice in Executive Leadership from The Johns Hopkins University. He is board-certified as a Nurse Practitioner in Emergency, Acute Care, & Family Practice. Chivas works clinically in EMS in Houston, and as a staff NP in the Emergency Department of a rural emergency hospital in East Texas. He is an instructor at the UT Houston Cizik School of Nursing’s Emergency NP program, one of the first ENP programs in the country. As VP of Clinical Services at Harris County Emergency Corps, a CAAS accredited 911 EMS system in North Houston, Chivas manages the practice of 150 EMS providers. Chivas has over 30 years of healthcare experience in various operational, clinical, and leadership roles in emergency medicine, ground EMS, rotor and fixed wing air medical transport, critical care nursing, special events medicine, and executive leadership. His clinical interests include implementation science, procedure safety, resuscitation, airway management, pre-hospital ultrasound, and critical care transport. Warren Shaulis, MSN, APRN, FNP-BC, AGACNP-BC, ENP-C, NR-Paramedic - Flight Nurse Practitioner, Trans Aero Medevac Warren is an experienced EMS and Emergency medicine provider, whose career in public safety and healthcare spans 30+ years. He has worked and volunteered in 6 states as a Paramedic, Fire Fighter, Educator, Flight Paramedic & Nurse, Supervisor, and most recently as Nurse Practitioner. Warren completed his BSN at the UNMC, his MSN at University of Mary and two post-master’s certificates from WVU and UPenn. He has gained experience in the provider role while working in the Emergency Depts. of Critical Access Hospitals in South Dakota and Wyoming. Last year Warren returned to air medical transport as Flight Nurse Practitioner, working for a community-based rotor and fixed wing program in SE New Mexico, while remaining active as a Critical Care Paramedic/NP with his local EMS agency and as a firefighter with his local volunteer fire department, both located in the Black Hills of South Dakota. Recently, Warren served as the chairperson of the AAENP task force that formulated the position statement on the role of the NP in EMS. AbstractThis rapid-fire presentation will explore the preparation of an Emergency Medical Services (EMS) Nurse Practitioner (NP) as well as examining the functions that EMS NP may perform within a given EMS agency or system. Emergency Medical Services is often a poorly understood, over-utilized and under-funded healthcare function in the United States. A growing number of healthcare and EMS organizations have begun to utilize advanced practice providers in varying roles to supplement and enhance the care being provided in diverse out of hospital settings. Recently, professional organizations representing various healthcare professions (including the AAENP) have published position statements designed to influence the preparation, function and deployment of nurse practitioners and other advanced practice providers in the EMS realm. Learning Objectives
The Well-Appearing Febrile Infant (8 to 60 days): A review of the 2021 AAP GuidelinesHaley Hays, DNP, APRN, FNP-BC, ENP-C, AGACNP-BC - Doctor of Nursing/Nurse Practitioner, Aligned Providers of Wyoming Haley Hays DNP, APRN, FNP-BC, ENP-C, AGACNP-BC, is a Clinical Assistant Professor in the Family Nurse Practitioner program at the University of Nebraska Medical Center College of Nursing and Partner for Aligned Providers of Wyoming. She is also adjunct faculty at Creighton University and faculty appointment at the University of Wyoming Faye Whitney School of Nursing. Dr. Hays obtained her Doctor of Nursing and Family Nurse Practitioner from the University of Wyoming in 2017, a post-graduate Emergency Nurse Practitioner certificate from University of Texas Health Science Center in 2019, and post-graduate Adult-Gerontology Acute Care Nurse Practitioner certificate through University of Nebraska Medical Center in 2020. AbstractWell-appearing infants (8 to 60 days old) presenting to the Emergency Department often creates a conundrum when searching for the “sick” needle in the “well” haystack. Over the last several decades, prediction models (e.g. Rochester, Mayo, PECARN) attempted to differeniate between low verses high-risk infants; however with new evidence the emphasis now relies on identifying invasive bacterial illness (ILI). It has become evident after a certain time threshold, not all infants are likely to benefit from lumbar puncture or blood cultures. Many of these risk stratification tools developed to help guide clinical practice lack the ability to reflect the present-day changes in bacteriology, advancement of diagnostic testing and emerging technologies. The purpose of this presentation is to critically evaluate the 2021 American Academy of Pediatrics (AAP) Guidelines for the Evaluation and Management of Febrile Infants for an evidence-based approach and implementation into clinical practice. This presentation will review key action statements by the AAP, exclusions to the 2021 guidelines, and standards of care for the evaluation and management of febrile infants in the following age groups: 8 to 21-days, 22 to 28-days, and 29 to 60-days of age. Learning Objectives
Operationalizing the EMS Nurse Practitioner Role on Maryland’s Eastern ShoreAaron Sebach, PhD, DNP, MBA, AGACNP-BC, FNP-BC, NP-C, CP-C, CEN, CPEN, CLNC, CGNC, CNE, CNEcl, SFHM - TidalHealth Peninsula Regional, EMS/MIH Nurse Practitioner Dr. Aaron Sebach is an Emergency Medical Services and Mobile Integrated Health Nurse Practitioner with the Salisbury-Wicomico Integrated FirstCare Team (SWIFT), a collaborative program with TidalHealth Peninsula Regional and the Salisbury Fire Department on Maryland’s Eastern Shore. In tandem with a paramedic, Dr. Sebach treats patients that engage 911 on scene to prevent inappropriate emergency department visits. He also serves as Dean of the College of Health Professions and Natural Sciences at Wilmington University. Blending his clinical and academic roles, Dr. Sebach leads a unique clinical rotation for family nurse practitioner students to experience expanded roles for nurse practitioners in Mobile Integrated Health and Emergency Medical Services. Tammy Walbert, DNP, FNP-BC, CP-C Speaker Bio Coming Soon. AbstractThis presentation will highlight the development, implementation, and evaluation of a nurse practitioner (NP)-led Minor Definitive Care Now (MDCN) program. MDCN is an optional protocol for Maryland Emergency Medical Services (EMS) jurisdictions to reduce inappropriate emergency department (ED) utilization. EMS NPs and paramedics respond to and handle low-acuity 911 calls in a dedicated unit, freeing ambulances for high-acuity medical emergencies. Treatment plans include point-of-care laboratory testing, medication administration, medication starter packs, wound care, suturing, and splinting, among others. Program evaluation metrics include the number of patients treated, healthcare savings from avoided ED visits, referrals to community resources, e-prescribing, and the number of patients seen in the ED 48 hours post-treatment. Learning Objectives
Baby Trauma Drama: Initial Evaluation of Minor Head Trauma in Infants & Young ChildrenAshton Glover, DNP, FNP-C, ENP-C, SANE-A - Assistant Professor of Nursing, University of North Alabama Dr. Ashton Glover received her Bachelors of Science in Nursing from the University of North Alabama in Florence, Alabama. She then went on to receive her Masters of Science in Nursing from the University of Alabama at Birmingham and her Doctor of Nursing Practice from Samford University in Birmingham, Alabama. Ashton is board-certified by the American Academy of Nurse Practitioners as a family and emergency nurse practitioner. She is also a certified sexual assault nurse examiner. Ashton currently practices at several rural emergency departments in the Southeastern United States. She also serves as Assistant Professor at the University of North Alabama where is she teaches in the graduate department. Ashton is a member of the International Association of Forensic Nurses and American Academy of Emergency Nurse Practitioners where she serves on the education committee. Ashton’s scholarly interests include issues related to social determinants of health. emergency care, and forensic nursing. Ashton enjoys spending quality time on her family farm with her husband, two children (Bo Taylor and John Maddax), and their animals. Amanda Hitt, MSN, FNP-BC - Lecturer, Nursing; Director of NAMC Scholars & Hilda B. Anderson Scholarships, University of North Alabama Mrs. Amanda Hitt is a board-certified Family Nurse Practitioner. She received her BSN from UNA in 2004 and later her MSN from UAB in 2012. She is currently in the DNP program at UAB. Her career has kept her in the emergency department both as a nurse and as a nurse practitioner. Mrs. Hitt is a published author and a peer reviewer. She recently commenced serving as an expert witness in her field. Additionally, Mrs. Hitt began teaching undergraduate nursing at the University of North Alabama in 2020 where she shares her passion for both emergency care and pediatrics. AbstractThe purpose of this presentation is to review current, evidence-based guidelines regarding the initial evaluation and management of infants and young children presenting to the emergency department with minor head trauma. Minor head trauma is one of the most common reasons for pediatric emergency department (ED) visits among infants and small children (Mastrangelo & Midulla, 2017). The majority of these injuries are mild in the absence of neurological abnormalities and can therefore be appropriately managed by close observation (Shiomi et al., 2016). The American College of Emergency Physicians (ACEP) (2017) does not recommend routine neuroimaging for mild traumatic brain injury (mTBI) in children; however, when treating infants and young children, clinical assessment is more difficult, and infants may present asymptomatically despite the presence of an intracranial injury (Shutzman, 2022). While most cases are not linked to significant brain injury or long-term complications; a small minority of infants with seemingly minor head trauma may have a clinically important traumatic brain injury (ciTBI), necessitating extended observation or acute intervention (Shutzman, 2022). Furthermore, infants can sustain skull fractures and ciTBIs in the setting of minor trauma (Kemp et al., 2016; Shutzman, 2022). Neuroimaging with computed tomography (CT) is fast, painless, and the gold standard for detecting intracranial abnormalities; however, it exposes patients to radiation and increases healthcare costs (Neil et al., 2022). The application of a clinical decision rule such as the Pediatric Emergency Care Applied Research Network (PERCARN) algorithm in conjunction with clinician judgment and parental consultation can assist clinicians in identifying infants at higher risk for TBI while minimizing overuse of CT (California ACEP, n.d.; Shutzman, 2022). Learning Objectives
Why so BRASH, bro? Identification and management of BRASH syndrome in the ERJacob Miller, DNP, MBA, ACNP, ENP-C, CNS, NRP - Clinical Educator, UC Health Air Care & Mobile Care Jacob Miller is a Clinical Nurse Specialist, Nurse Practitioner, and Paramedic with a background in EMS and critical care transport. He completed his Acute Care NP and CNS education at the University of Maryland, advanced flight nursing education at Case Western Reserve University, and received his DNP from the University of Cincinnati. AbstractThis presentation will present a patient scenario with a constellation of bradycardia, renal failure, AV nodal blockade, shock, and hyperkalemia (BRASH Syndrome) and highlight considerations in identifying and managing these patients in the emergency setting. Pharmacotherapeutic content will involve the role of pharmacologic agents as a contributing mechanism (i.e., AV nodal blocking agents) in addition to the pharmacotherapeutic management of BRASH Syndrome. Learning Objectives
The Heart of Emergency Practice; The 2021 updated Guidelines for the Evaluation and Diagnosis of Chest PainAdam Dobbins, APRN, FNP-C, ENP-C, PhD - Emergency Nurse Practitioner, Clarinda Regional Medical Center Adam began his career with an agriculture degree and master’s in Physiology, entering animal health in the dairy industry and transitioning to teaching agriculture and health sciences in Western New York. After moving to the Kansas City area, he entered nursing. His experience has been strongly focused on emergency care with experience at a large academic level one trauma center and small critical access rural care. He has been involved with AAENP education and currently serves on the EmergNP conference planning team. His current practice is in rural Iowa, providing single provider coverage in the emergency department and serving on faculty at the University of Central Missouri. AbstractThe Amercian Heart Association and American College of Cardiology among other published the 2021 Guideline for the Evaluation and Diagnosis of Chest Pain in November 2021 in the Journal of Circulation. This presentation will review the guideline updates that are pertinent to Emergency and Observation Medicine. Updates include timing on interpretation of high sensitivity troponins, guidelines on the admission of patients to observation for "chest pain rule-out", and follow up stress testing. It is important to disseminate this information so that the Emergency Medicine community can be following the most up to date guidelines. Learning Objectives
Disposition Decisions...How do I choose the best for my patient!Tiffany Andrews, MS, ACNP-BC, ENP-C, CCNS-BC - USACS National Director of APP Education, American Academy of Emergency Nurse Practitioners Passionate about educating and onboarding NPs and PAs in all aspects of emergency medicine, inpatient, critical care and more. I am a firm believer that we need to develop our APPs to the best of our ability to prepare our APPs for success both clinically and develop our future leaders in all service lines. AbstractBeing able to think patients through to their final disposition can be a challenging skill at the clerkship level. However, a good clinician should start thinking about a patient’s disposition as soon as they pick up the chart. Once you’ve made a decision regarding whether the patient is able to go home or should be admitted to hospital, there are still more factors to consider! This talk will focus on some things to consider when deciding disposition of your patient from the ED...whether that is home, observation, admission or even ICU! Learning Objectives
Bedside to BoardroomDonna Moravick, NP Speaker Bio Coming Soon. AbstractOH! So Glad It's YOU on Shift Today!LaMon Norton, NP Dr LaMon Norton is an emergency nurse practitioner who likes to make money and be disruptive in both innovative and irreverent ways. She is trained as both family and acute care. She does not possess accolades or awards of any professional substance. She is a Founding Member of the AAENP, and has served on the AAENP Board of Directors. She currently owns and operates an emergency medicine private contract and consulting group in the southeast US. She is also a conservation heritage breeder of Shire horses currently listed as critically endangered by the Livestock Conservancy. Having served in a variety of practice, administrative, and corporate roles and settings, her most valued title is "Grammy". AbstractThe emergency medicine workplace is fraught with stress. Shortages of people, things, and space to care for all the patients we are seeing in the midst of the post pandemic and great resignation intersection is overwhelming on many days, and almost insurmountable on other days. We are facing a difficult new normal right now, and having a culture of caring internally is as important as the external care we give to patients. This quick primer on how to nurture your crew and get yourself recharged at the same time is not rocket science, but may be just what you need to try. Be the one when they see you walk in that hears "Oh, I'm so glad it's you today". Learning ObjectivesI've Got 99 Problems, but the Gallbladder Isn't OneNneka Nweke, MHA, MPAS, PA-C - Physician Assistant, UT Southwestern Medical Center Nneka Nweke, MHA, MPAS, PA-C, is a board-certified Physician Assistant (PA) in the Department of Emergency Medicine at UT Southwestern Medical Center. Ms. Nweke completed her undergraduate degree from Texas Woman's University - Denton and then earned her Master of Healthcare Administration also from Texas Woman's University -Houston. She then went to obtain her Master of Physician Assistant Studies from UT Southwestern School of Health Professionals in 2021, where she was Class President and a recipient of the L. Ruth Guy, M.D., Student Leadership Award. She is currently an Emergency Medicine Advanced Practice Provider (APP) Fellow at UT Southwestern. She is a member of the American Academy of Physician Assistants and the Texas Academy of Physician Assistants. AbstractMany times we are faced with abdominal pain as a leading complaint in the ED. From there we hone in the location of the pain, most commonly on the right side. The gallbladder has a huge spectrum from simple inflammation to duct enlarging leading to septic shock. This rapid course will provide quick facts and information on the core content of cholelithiasis, cholecystitis, choledocholithiasis and cholangitis. Learning Objectives
Beware of Badness: OB EmergenciesLaMon Norton, NP Dr LaMon Norton is an emergency nurse practitioner who likes to make money and be disruptive in both innovative and irreverent ways. She is trained as both family and acute care. She does not possess accolades or awards of any professional substance. She is a Founding Member of the AAENP, and has served on the AAENP Board of Directors. She currently owns and operates an emergency medicine private contract and consulting group in the southeast US. She is also a conservation heritage breeder of Shire horses currently listed as critically endangered by the Livestock Conservancy. Having served in a variety of practice, administrative, and corporate roles and settings, her most valued title is "Grammy". AbstractThere is currently national attention on perinatal mortality, and good evidence that outside the specialty OB practice, clinical indicators can be missed that have deleterious impact to our perinatal patients, and by extension to our society. Vital signs, proximity of certain clinical complaints to a recent pregnancy, and bias are all features that will be reviewed. Several case based studies are included. Learning Objectives
EM Pharmacology ReviewMichael Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C - Assistant Professor of Nursing & Emergency-Flight NP, Vanderbilt University & Vanderbilt University Medical Center Dr. Michael D. Gooch is board certified as an acute care, family, and emergency nurse practitioner. He has over 25 years of emergency and transport medicine experience. He is an Assistant Professor of Nursing with Vanderbilt University School of Nursing, as well as faculty with the Middle Tennessee School of Anesthesia. At Vanderbilt University Medical Center, he practices as an emergency and flight nurse practitioner. He has completed over 1,600 patient transports during his tenure with Vanderbilt LifeFlight. He is also employed by TeamHealth and practices in a community emergency department. AbstractThis presentation will provide a review of common or newer medications used in emergency medicine. Using clinical case studies and vignettes, and a body system approach, common cardiovascular, respiratory, gastrointestinal, genitourinary, and central nervous system medications will be reviewed. This review will discuss the mechanisms of action, side effects, interactions, considerations, monitoring, and/or related guidelines and supporting evidence. At this end of this review, the emergency nurse practitioner will have a renewed knowledge of commonly used emergency medicine medications. Learning Objectives
Positioning the Emergency Nurse Practitioner for National Recognition & GrowthJen Wilbeck, DNP, APRN, FAANP, FAAN - Professor and Academic Director, Vanderbilt University School of Nursing Dr. Jennifer Wilbeck is a Professor of Nursing at Vanderbilt University School of Nursing and the Emergency NP Academic Director. Over the past two decades, her efforts have promoted the ENP role nationally and internationally through education, service, practice and advocacy. She has been involved in teh development of national practice standards, the creation of a national ENP specialty certification board examination, and most recently updated ENP Competencies. Wesley Davis, DNP, ENP-C, FNP-C, AGACNP-BC, CEN, FAANP, FAEN - President, American Academy of Emergency Nurse Practitioners /p> Dr. Wesley Davis is triple board-certified as an Emergency Nurse Practitioner, a Family Nurse Practitioner, and an Adult-Gerontology Acute Care Nurse Practitioner. Dr. Davis completed his Doctor of Nursing Practice degree in 2014 at the University of South Alabama. AbstractAs the emergency care workforce evolves and nursing educational standards are changing, the nurse practitioners working in emergency care have unique opportunities. To maximize recognition and bolster recognition within the emergency care landscape, it is essential that practicing NPs as well as leaders in emergency care consider how to best position the role of the Emergency Nurse Practitioner for increased national recognition & sustained professional viability. This session will explore the current state of the ENP specialty, focusing on the licensure, accreditation, certification, and education model for APRN regulation, as well as the potential outcomes if the ENP specialty was transitioned to a population within the Consensus Model of Regulation. The strengths, weakness, opportunities and threats of differing placements of the ENP within the context of current nursing regulation. Learning Objectives
Leave No Team Member BehindAndrew S. Rotjan, DNP, FNP-BC, AGACNP-BC, ENP-C, EMT-P, CHSE - Director -- ACP Clinical Training and Education / ACP Fellowships; Advanced Clinical Providers Administration, Northwell Health Speaker Bio Megan Wilder, MSPAS, PA-C - Director, Advanced Clinical Providers, Northwell Health Megan Wider has been a practicing Emergency Medicine PA for over 13 years. She is currently the Director of Advanced Clinical Providers for Emergency Medicine at Northwell Health. Megan holds a Doctorate of Medical Science with a certificate in Executive Leadership and Healthcare Administration. Additionally, Megan is a certified Sexual Assault Forensic Examiner and Adjunct Clinical Professor at Hofstra University. Megan is happily married with three young sons- ages 4 years, 2 years, and 6 months. AbstractSave Your Money! Maximize the MDMLaMon Norton, NP Dr LaMon Norton is an emergency nurse practitioner who likes to make money and be disruptive in both innovative and irreverent ways. She is trained as both family and acute care. She does not possess accolades or awards of any professional substance. She is a Founding Member of the AAENP, and has served on the AAENP Board of Directors. She currently owns and operates an emergency medicine private contract and consulting group in the southeast US. She is also a conservation heritage breeder of Shire horses currently listed as critically endangered by the Livestock Conservancy. Having served in a variety of practice, administrative, and corporate roles and settings, her most valued title is "Grammy". AbstractHelp your revenue survive the new rules on reimbursement. A primer on best practices using MDM thinking, phrases: and the communicating of those key elements to coders via the chart. A review of the impact to emergency medicine billing and practice since inception of the new billing method in Jan 2023, and where things might be headed. Learning Objectives
Approaches to Leadership: What works best for youKevin Walsh, PA-C - APP Director, US Acute Care Solutions Kevin Walsh has been a physician assistant leader with 8 years of leadership experience and 13 years of clinical experience. Kevin is currently the US Acute Care Solutions APP Director for the Northeast region. As an APP Director he manages APP’s across multiple services lines. He is focused on forging, engaging, and strengthening relations with hospital leaders, staff, and patients. Kevin is motivated to develop, cultivate, and retain high quality advanced practice providers through standardization, education, engagement, and advancement. Prior to his current profession he was a high school science teacher for 4 years. AbstractThe goal of this talk is to discuss how opportunities to lead are not always obvious. Sometimes leadership opportunities require making a leap or getting out of your comfort zone. Leadership comes in many forms. It isn’t always a grand title that makes you a leader. Leadership starts with a desire to help others recognize their greatness and inspire them to be the best they can be. Learning Objectives
When You're The Hostage Negotiator AND The Hostage: Applying FBI Techniques To Your Patient EncountersMichael Sharma, MPAS, PA-C - Emergency Medicine PA; Adjunct Professor of PA Studies, UT Southwestern Medical Center, Dallas, TX; Mercy College of Ohio, Toledo, OH Michael A. Sharma, MPAS, PA-C, practices emergency medicine and urgent care medicine in AbstractHave you ever had a hard time talking with a patient? Sometimes even encounters about minor upper respiratory infections can turn into major headaches. Critical discussions about things like admissions and palliative care present their own hurdles as well. During this talk, we'll go over lessons from modern negotiating theory and practice, with a focus on tactics taught by the FBI's former lead international kidnapping negotiator. The speaker, an experienced EM clinician, will demonstrate how these lessons can be easily brought into the exam room for your next encounter. Participants will also role-play as clinicians to practice these skills. Learning Objectives
Improving your Efficiency in the EDAaron Adler, PA-C - US Acute Care Solutions, Physician Assistant For 22 years I have served in the medical community. First as an EMT, then ED Technician and now as a Physician Assistant in the ED for 14 years. I have developed and interest and focus on efficiency within the ED over my career, taught a course known as Efficiency Academy within US Acute Care solutions, and I appreciate the opportunity to sharing my knowledge with you all here today.For 22 years I have served in the medical community. First as an EMT, then ED Technician and now as a Physician Assistant in the ED for 14 years. I have developed and interest and focus on efficiency within the ED over my career, taught a course known as Efficiency Academy within US Acute Care solutions, and I appreciate the opportunity to sharing my knowledge with you all here today. AbstractRecognizing that effectively managing the flow of an emergency department requires more than what is taught during medical training. Clinicians completing the course learn what it means to “work smarter...not harder” in order to improve productivity and enhance ED flow. Learning Objectives
Hospital at Home: A Change in the Course of CareGarrett Gaillard, DNP, FNP-C, ENP-C - Cleveland Clinic Garrett Gaillard DNP, FNP-C, ENP-C completed his undergraduate work and doctoral degree in nursing at Florida State University. He attended post-graduate training in emergency medicine at Brown University in Providence, Rhode Island. For the last eight years Garrett has worked in emergency and observational medicine, both in a traditional hospital setting, as well as “Hospital at Home” programs. His previous research centers on emergency department dispositions predictive measures analyzing bounce backs to the emergency department. Garrett currently works for the Hospital at Home program at the The Cleveland Clinic in Weston, FL . AbstractAcute care services in the United States are largely delivered in the hospital setting. Since the recent pandemic, acute care services in the hospital have become overwhelmed. An elderly population with co-morbidities and lack of hospital capacity is leading to a ‘hospital without walls’ approach to acute care. Hospital at Home (HaH) is a paradigm shift in the standard way to administer acute care. Learning Objectives
Opioid CDC Guideline UpdatesJolene Traum, FNP-C, ENP-C - Emergency Nurse Practitioner, TeamHealth Jolene Traum, ENP obtained her Bachelor of Science degree in Nursing from the University of Central Oklahoma. She obtained her Master of Nursing degree from Georgetown University. She has over 15 years of emergency medicine experience. She also holds a Master of Business Administration. She currently lives in Oklahoma with her husband and one son. AbstractOpioid prescribing updates as set forth by the CDC 2022 guidelines Learning Objectives
COVID-19 Remote Patient Monitoring ProgramMarisa Arky, DNP, CRNP - Associate Clinical Director Telehealth, MedStar Marisa Arky, DNP, FNP-C, AGACNP-BC is a dual certified Family and Adult-Gerontology Acute Care Nurse Practitioner with experience in Emergency Medicine, Telemedicine, Urgent Care, and Observation settings. She received her Doctor of Nursing Practice and Master of Science in Nursing Degrees from the University of South Alabama. She served as Clinical Lead for MedStar Health’s COVID19 Remote Patient Monitoring (RPM) Program, and recently embarked on a new role as Associate Clinical Director of Telehealth for MedStar Telehealth Innovation Center (MTIC). She is interested in healthcare innovation and strategic interdisciplinary collaborations and is committed to expanding care access and decreasing healthcare disparities. AbstractRemote patient monitoring (RPM) has evolved into a powerful tool for expanding care delivery. Here, we discuss lessons learned from implementing a large-scale COVID-19 RPM program. RPM filled an important care gap during COVID-19. With limited inpatient capacity and a need for population distancing to minimize infectious spread, it was critical to redistribute care from the ED and hospital setting to the community, while maintaining a high standard of quality. RPM was identified as a care option for select COVID-19 patients who were discharged from the Emergency Departments (EDs), monoclonal antibody infusion (mAb) sites, and certain inpatient settings to support their treatment and recovery outside a traditional health facility. For some, RPM served as a primary point of access to the health care system. It allowed for early detection of disease progression and provided additional reassurance to patients safely recovering at home. In the first two years of the pandemic, more than 10,600 patients enrolled in the program - the largest to-date to capture both physiologic and symptomatologic data. Most patients actively participating were able to safely recover in their homes. However, RPM remains vulnerable to the same disparities that affect healthcare as a whole: differences in health literacy, technologic literacy, and availability of services. Two populations that often experience limited access to RPM were included: participants without smartphones, and participants whose primary language is not English. These are the exact vulnerable populations for whom RPM may prove particularly valuable as a safety net. Of these, 120 did not own smartphones and 43 spoke a primary language other than English (including Spanish, Portuguese, and Thai). As of spring 2022, the number of COVID-19 community cases had down trended and demand for the COVID-19 RPM program had similarly declined, and it was decided to sunset the offering. However, the program is flexible and can be rapidly resumed if patient demand increases—especially with a connected care supporting workforce model in place. As the utilization of RPM and other telehealth modalities continues to grow, we should be cognizant of promoting equity. Inclusion criteria, platform selection, communication modality, and methods of data collection all significantly impact patient experience. If deployed conscientiously, RPM can be a powerful tool in the telehealth landscape to fill in existing holes in health care accessibility. Learning Objectives
Are you Prepped for PrEP?Michael Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C - Assistant Professor of Nursing & Emergency-Flight NP, Vanderbilt University & Vanderbilt University Medical Center Dr. Michael D. Gooch is board certified as an acute care, family, and emergency nurse practitioner. He has over 25 years of emergency and transport medicine experience. He is an Assistant Professor of Nursing with Vanderbilt University School of Nursing, as well as faculty with the Middle Tennessee School of Anesthesia. At Vanderbilt University Medical Center, he practices as an emergency and flight nurse practitioner. He has completed over 1,600 patient transports during his tenure with Vanderbilt LifeFlight. He is also employed by TeamHealth and practices in a community emergency department. AbstractAre you prepped for PrEP, wait, what is PrEP? What is its role in emergency care and who needs access? These are some of the areas that will be discussed as we discuss PrEP or pre-exposure prophylaxis for HIV. Not every emergency care NP will be in the position to initiate PrEP, but we all encounter patients at risk who would benefit from PrEP, and likely care for those who are already receiving this therapy. This presentation will provide NPs the needed knowledge to recognize the utility of PrEP, and either refer or initiate therapy in patients at risk for HIV infection. Learning Objectives
Alternatives to Opioids: Regional Anesthesia for Dental Pain ReliefErica May, DNP, ARNP, AG-ACNP-BC, FNP-BC, ENP-C - Instructor of Nursing, Vanderbilt University School of Nursing Erica May, DNP, APRN, is board certified as a Family, Adult Gerontology Acute Care, and Emergency Nurse Practitioner. She is an Instructor of Nursing at Vanderbilt University School of Nursing, where she teaches in the Emergency Nurse Practitioner program. Dr. May currently practices in the Emergency Department at StoneCrest Medical Center, in Smyrna, TN. Having seen the devastating effects of the opioid crisis, Dr. May is keenly interested in alternatives to opioid pain management in the emergency department. A love of the outdoors also drives an interest in wilderness and austere medicine, and Dr. May is an active member of the Wilderness Medical Society, as well as volunteering with the Tennessee Scenic Rivers Association to teach safety and rescue skills to recreational boaters. When she isn’t teaching or working in the ED, Dr. May enjoys spending time outdoors with her husband and two dogs. AbstractNon-traumatic dental pain is a common patient presentation in the Emergency Department. Historically, these patients are treated with antibiotics and pain medications, often opioids. Since the abuse of opioids was designated a public health crisis, clinicians have worked to find ways to effectively treat patient pain without using opioids. This procedural workshop will train providers to address non-traumatic dental pain using three types of regional anesthesia: Supraperiosteal, mental, and inferior alveolar dental blocks, empowering Emergency Nurse Practitioners to address pain without using opioids. Learning Objectives
Evaluation and Management of Rabies Exposures in the Emergency DepartmentPeter Costa, MPH, MCHES, AVES (Hon) - US Medical Affairs Regional Lead, Bavarian Nordic Peter Costa is the US Medical Affairs Regional Lead for Bavarian Nordic. Peter has a graduate degree in public health and is a honorary member of the American Veterinary Epidemiology Society. AbstractThis presentation will review key facts about rabies and rabies prevention. We'll then discuss how to determine if someone has been exposed to rabies, what to do, when and how and what the difference is between active and passive immunization. We'll end with some interactive case studies of real patients exposed to rabies virus to identify the appropriate course of clinical action to be taken by the practitioner. Learning Objectives
Common Procedure ComplicationsLisa Leonard Speaker Bio Coming Soon. AbstractHand emergencies/proceduresMichael Cassara, Dr - Northwell Health Speaker Bio Coming Soon. AbstractChest Xr InterpretationLisa Leonard Speaker Bio Coming Soon. AbstractECG interpretation…From Basics and BeyondTiffany Andrews, MS, ACNP-BC, ENP-C, CCNS-BC - USACS National Director of APP Education, American Academy of Emergency Nurse Practitioners Passionate about educating and onboarding NPs and PAs in all aspects of emergency medicine, inpatient, critical care and more. I am a firm believer that we need to develop our APPs to the best of our ability to prepare our APPs for success both clinically and develop our future leaders in all service lines. AbstractThis course is designed for beginner healthcare professional to begin to understand, analyzing and interpreting basic electrocardiogram (ECG) rhythms. The course includes an overview of the heart's anatomy, physiology and electrophysiology in relation to the ECG rhythm. This course aims to provide healthcare professionals with the knowledge and skills necessary to conduct systematic ECG analyses of basic cardiac rhythms, and understand the diagnosis and treatment of arrhythmias in order to give the correct and immediate treatment to patients with arrhythmias. Learning Objectives
Ultrasound WorkshopKelli Craven, DNP, ENP, FNP, NRP - Emergency Nurse Practitioner, Team Health Speaker Bio Coming Soon. Ron Gray Speaker Bio Coming Soon. AbstractUltrasonography has become an essential skill expected of emergency clinicians. In this course, you’ll learn how to use point-of care ultrasound (POCUS) to diagnose some of the most important problems seen in the emergency department or acute care setting. Ideal for anyone who is just starting to use POCUS. combined with the opportunity for intensive practice are the essential components in learning to be competent with ultrasonography in the emergency department.
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Wendy Dean, MD is a writer, speaker, podcast host, and the President and co-founder of The Moral Injury of Healthcare (fixmoralinjury.org), a nonprofit focused on alleviating distress in the workforce through training and consultation. She and her co-founder, Simon G. Talbot, MD, began the conversation about moral injury in healthcare with the publication of their seminal work in STATNews on July 26, 2018. Prior to founding the nonprofit, Dr. Dean had been a practicing physician, worked for the Department of Defense, and as an executive for a large international non-profit supporting military medical research. Dr. Dean graduated from Smith College and the University of Massachusetts Medical School. She did her residency training at Dartmouth Hitchcock Medical Center in Hanover, NH.
Passionate about educating and onboarding NPs and PAs in all aspects of emergency medicine, inpatient, critical care and more. I am a firm believer that we need to develop our APPs to the best of our ability to prepare our APPs for success both clinically and develop our future leaders in all service lines.