NO CE available
Slowing the Flow: Dietary, Fluid & Medication Management of the Patient with a High Output Stoma
Preview Available
Identification: O401
Managing the high output stoma is a challenge for the patient, the family and the nurse. If the stoma is poorly managed it can lead to local and systemic complications. This session will review the causes and consequences of a high output stoma, then discuss a six step method for a WOC nurse, physician colleague and patient to implement with the goal of achieving stomal output of 1200 mL daily.
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Where is WOC Nursing going? Advocacy, Policy and Political Updates
Preview Available
Identification: PP403
In this session Kate Lawrence WOCN Society Public Policy and Advocacy Coordinator and Chris Rorick WOCN Director of Government Relations will discuss how the Legislative and Regulatory processes works, and how the WOC nurse can influence change. There will also be an update of current Advocacy and Policy activities and a discussion of Public Policy and Advocacy issues important to each member.
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Deep Tissue Injury: The Future is in Your Hands
Preview Available
Identification: W400
At this 620 bed level 1 trauma center, we found that although we had a robust Pressure ulcer/injury prevention program we continued to have reportable pressure ulcer/injuries. Within this session we will share the data that was collected and analyzed over 5 years, in order to find the patient related risk factors in the development of Deep Tissue Injuries in the ICU and how these risk factors compare to the average ICU patient within this facility.
We will further show how we are building on this science while staying focused on Nursing Quality Indicators.
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Continence Abstract Presentations
Preview Available
Identification: C406
This session will provide an opportunity for you to hear the latest research findings in WOC nursing. Research-based abstracts are selected by a rigorous, two-step peer review process. Clinical investigators will present their findings in a moderated session.
Speaker(s):Identification: O405
There is a shortage of nurse practitioner-staffed ostomy clinics that serve patients who had their surgery at another facility or years previously. This lecture will describe an inclusive model for outpatient ostomy care to serve this population. As length of stay decreases, ostomy patients are being discharged home with complex ostomy needs. Most are cancer survivors. This forgotten and underserved community is entitled to care and counseling from a certified ostomy practitioner. Nurse practitioners are uniquely positioned to evaluate ostomy-related medical conditions, educate patients and their caregivers, and prescribe appropriate products and treatments in the outpatient setting.
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Protecting Your Present and Future: Legal Issues, Being a Witness, EMR Documentation
Preview Available
Identification: PP407
Errors and omissions in medical documentation can lead to problems in the delivery of medical care, but they can also lead to problems in defending subsequent litigation even when the care itself was properly rendered. This presentation will identify common documentation errors and omissions that are commonly seized upon by plaintiffs attorneys in litigation, strategies to avoid them, and how to deal with any documentation problems in deposition.
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Necrotizing Soft Tissue Infection
Preview Available
Identification: W404
Necrotizing soft tissue infections produce a significant amount of morbidity and mortality. These severe infections can be challenging to diagnose and surgical treatment can result in large wounds, while under treatment can result in death. We will review newer techniques that allow for reduced wound size, adequate debridement, and increased wound closure. This talk will also include a discussion of earlier implementation of range of motion, therapy, and long term outcomes in these patients.
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An Algorithm for Prevention, Management and Treatment of Urinary and Fecal Incontinence
Preview Available
Identification: C410
Incontinence-associated dermatitis [IAD] prevention, identification and management are challenging areas for the clinical, bedside nurse. Nurses in both specialty and non-specialty fields have difficulty distinguishing IAD from stage 1 and stage 2 pressure injuries. IAD can occur in any setting with patients who are incontinent of urine or feces. Since the number one risk factor for the development of IAD fecal and urinary incontinence, clinical nursing staff needs an evidence-based tool to drive incontinence management. At Roper Hospital, no policy or nursing guideline currently exists to guide the clinical registered nurse in the management of urinary or fecal incontinence. This session will provide an overview of the development of an algorithm to serve as a guide for the clinical registered nurse to make proper product selection to manage both fecal and urinary incontinence and to identify incontinence associated dermatitis.
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Complex Pediatric Pouching Problems
Preview Available
Identification: O409
Often a consult on a complex neonatal or pediatric ostomy patient can challenge our practice. Using a case scenario approach, this session will outline creative strategies for successful management of difficult ostomies in the neonatal and pediatric population. A brief review of pathophysiology of congenital anomalies of the GI and GU systems will be presented. Pouching techniques as well as pharmacologic interventions to manage high output ostomies in patients with short intestinal length will be discussed. Inventive use and adaptation of products to meet the needs of our littlest patients will also be included.
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Identification: PP411
Do you struggle with not having enough WOC nurses to meet the patient needs in your facility or practice area? The Wound Treatment Associate (WTA) and Ostomy Care Associate (OCA) programs can be a game changer. By training your front level clinicians in the basics of evidence-based wound and ostomy care, the reach of the WOC nursing staff can be extended. WTA and OCA trained clinicians can be your eyes on the ground to help identify issues when they first appear and provide early evidence-based interventions as well as give accurate first-hand information to the rest of the WOC nurse team and providers. This session will show two approaches to integrating the WTA and OCA programs into your practice, whether you’re in the hospital, nursing facility or home health space. Come and learn the value of the WTA and OCA programs for yourself!
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