Paper Presentations

Thursday, November 9, 2017, 1:10 – 2:00 pm

Readmissions (301)

MEWS in an Inpatient Rehabilitation Unit

Carissa Augustyn, CRRN

Learning Objectives:

  • Recognize changes in patient condition earlier.
  • Evaluate patient needs as a whole.
  • Decrease acute care transfer rate.
Decreasing Readmissions

Becky A. Kimble, RN CRRN CNO

Learning Objectives:

  • Learn why decreasing hospital readmission is a patient satisfier.
  • Lear why decreasing hospital readmission has a huge financial impact.
Managing Sepsis on the Inpatient Rehab Unit

Teri A. Reed, BSN RN CRRN

Learning Objectives:

  • Identify and treat sepsis earlier, leading to better outcomes for our patients.
  • Reduce number of readmissions to acute care.

Traumatic Brain Injury (302)

Preventing Rehospitalizations TBI: Early Intervention Matters?

Mary Pat Murphy, MSN RN CRRN

Learning Objectives:

  • Identify why TBI is considered a chronic condition and its impact on lifetime care.
  • Identify three diagnoses commonly resulting in re-hospitalization in TBI and early interventions to prevent this from occurring.
  • Identify the role of the rehab nurse as advocate across the lifetime of the individual with TBI and throughout the care continuum.
Implementing a Neurobehavior Program: Defining Rehabilitation Nursing Roles

Hilary Touchett, MSN RN CRRN CBIS

Learning Objectives:

  • Discuss rehabilitation nursing implications in implementing an inpatient neurobehavior program in a rehabilitation hospital with specific attention to different rehabilitation nursing roles that impact patient care.
  • Develop rehabilitation nursing roles in facilitating transition of care to post-rehabilitation settings and recommend program development processes for an inpatient neurobehavior program in a rehabilitation hospital.
Exposing Barriers to TBI Rehabilitation Through Art

Cinnamon Westbrook Porter, PsyD

Learning Objectives:

  • Highlight alternative integrative therapeutic techniques used in accordance with CARF wellness and integrative health standards to increase patient’s awareness and adjustment, particularly in populations with complex presentations (i.e. anosagnosia, military, severe impairment).
  • Address creative ways interdisciplinary teams may improve communication and teamwork between staff and patients with the goal of increasing trust between patients and providers, improving adherence to treatment, motivation in therapies and ultimately successful functional outcomes.

Safety (303)

Cultivating an Environment of Safety: A CUSP Initiative

Jaclyn Jandrisevits, BSN

Learning Objectives:

  • Implement initiatives to positively impact patient’s safety and that reduce hospital acquired conditions.
  • Define successful strategies to improve patient outcomes and patient and staff satisfaction.
Cultivating an Environment of Safety: A CUSP Initiative Enduring Patient Safety

Kasondra Kistner, MHA BSN RN

Learning Objectives:

  • Educate clinical leaders regarding the prevalence of medical errors in hospital and how they are a lead cause of preventable injury or death.
  • Discuss the impact of medical errors on hospital revenue, as well as compliance with regulatory bodies.
  • Discuss communication in the clinical setting with those who have the biggest impact on error prevention, honest analysis or mistakes, and how leaders can encourage a culture of safety communication in a non-punitive way.

Home Care/Discharge (304)

Challenges and Triumphs of Homecare Catastrophic Case Management

Cay Ambrose, RN CRRN

Learning Objectives:

  • Define catastrophic injury.
  • Identify challenges of catastrophic case management
  • Identify appropriate resources for client and family to work towards independence.
Peer Mentors: Connecting with Someone That’s Been There

Lesley-Anne Bandy, BSN RN CRRN

Learning Objectives:

  • Describe the process of creating a Peer Mentor Program, including the development of a mission statement and standard procedure for setting up peer mentor sessions.
  • Explain the process for identifying and on-boarding potential peer mentors.
  • Discuss the benefits of participating in a Peer Mentor Program.
Impact of Patient Perception of Discharge Readiness

Julia M. Libcke, DNP RN

Learning Objectives:

  • Identify essential elements of discharge planning and their relationship to patient centered care and inpatient rehabilitation facility priorities.
  • Describe a second cycle of a quality improvement initiative in which the Readiness for Hospital Discharge Scale (RHDS) can be used as an addition to an existing Graduation Day process to improve this discharge experience.
  • Describe the impact of the RHDS application in the areas of facilitating individualized care, and driving improvement in patient experience as measured in patient satisfaction.

Thursday, November 9, 2017, 5:10 – 6:00 pm

Discharge and Transition (401)

Developing an Interdisciplinary Care-Partner-Program: Enhancing Communication and Discharge

Daryl L. Blewett, RN BSN CRRN

Learning Objectives:

  • Describe the development of an interdisciplinary Care Partner Program and the challenges that were overcome and the successes that were achieved.
  • Discuss the value of interdisciplinary collaboration in developing an education program for patients and families to improve patient outcomes and transition back to the community.
Increasing the Number of Discharges to the Community

Elizabeth A. Clamp, CRRN MBA

Learning Objectives:

  • Offer formalized education to the patient and family regarding the patient’s disease process.
  • Implement family meetings to discuss the patient’s progress in therapy, individualized goal setting and identification of any barriers that would prevent a safe return home.
  • Offer hands-on training to the family early in the hospitalization.
Educational Needs of Disorders of Consciousness Patients

Kelsey Musachio, BSN RN CRRN

Learning Objectives:

  • Identify the need for an educational checklist for DOC patients.
  • Identify key areas of education for family members of DOC patients.

Spinal Cord/TBI (402)

Quality Improvement for Bladder Management of Veterans

Kaitlyn G. Renfro, BSN RN

Learning Objectives:

  • Apply recommended learning guidelines to ensure uniformity in catheter care for SCI patients.
  • Utilize NDNQI benchmark assessments to assess CAUTI rates.
  • Discuss different teaching methods to educate SCI health care providers on bladder management.
A Better Way! AD Algorithm and CSW

Lyn Sapp, MN RN CRRN

Learning Objectives:

  • Identify at least one area of the Autonomic Dysreflexia (AD) algorithm that assists nurses/clinicians in expediting clinical care and support for patients experiencing an AD episode.
  • Describe the Clinical Standard Work process (including evidence-based practice review of literature, metric analysis, algorithm, guideline of care and job aid development).
Spasticity Management: Nurse Role in Intrathecal Baclofen Therapy

Lalita R. Thompson, MSN RN CRRN

Learning Objectives:

  • Describe the benefits of intrathecal baclofen pump therapy.
  • Summarize the importance of communication and coordination by the rehabilitation nurse in the management of patients with intrathecal baclofen pump therapy.
  • Illustrate the impact and effectiveness of an intrathecal baclofen therapy program on patient spasticity.

Medical Complexity/Oncology (403)

Pulmonary Compromise

Vita Gorbun, RN BSN

Learning Objectives:

  • State the benefits of implementing a program to improve patient outcomes for patients with chronic breathing impairments.
  • Describe potential methods for incorporating rehabilitation nursing in the care planning and implementation of strategies to improve patient breathing patterns.
Multidisciplinary Approach to Successful Oncology Rehabilitation Certification

Christie Griffin-Jones, MBA-HCM BSN RN CPHQ

Learning Objectives:

  • Discuss the benefits of inpatient rehabilitation for the oncology patient.
  • Review Oncology Disease Specific Certification Criteria.
  • Discuss key strategies needed for a successful multidisciplinary approach to Oncology Certification.
Chest Pain In Rehabilitation Patients: Evidence Based Care

Nicole Hummel, BSN

Learning Objectives:

  • Identify Evidence Based Interventions in the management of chest pain.
  • Discuss potential outcomes of providing evidence based care in the management of chest pain in the rehabilitation setting.

Administration (404)

Daily Unit Huddle: Improving Safety, Satisfaction, and Quality

Stephanie D. Burnett, DNP

Learning Objectives:

  • Describe the process of developing daily huddling in a unit setting.
  • Discuss how the daily unit huddle can improve safety, quality, and satisfaction.
Daily Unit Huddle: Improving Safety, Satisfaction, and Quality Reaching Independence: A Team Approach

Wendy R. Worden, APRN CNS CRRN

Learning Objectives:

  • Outline the team process in discussing level of independence on the Rehabilitation Unit.
  • Discuss methods used to improve team communication regarding patient mobility to reduce falls.

Friday, November 10, 2017, 11:40 am – 12:30 pm

Quality Improvement/Productivity (601)

Rehabilitation Nurse and LPN Together: Extending the Reach

Jinia Drinkwater, BSN RN CRRN

Learning Objectives:

  • Create opportunities for the Rehabilitation nurse to affect care through engagement of patients, assisting in the re-identification of personal self and adaptation after change in health status.
  • Identify methods to augment nursing care through development of the Licensed Practical Nurse role as an extension of the Rehabilitation Nurse.
Creating Continuous Quality Improvement Using the 4E’s Model

Christie Griffin-Jones, MBN-HCM BSN RN CPHQ

Learning Objectives:

  • Discuss current trends in healthcare impacting the rehabilitation patient.
  • Review concepts of continuous quality improvement in the rehabilitation environment.
  • Discuss strategies implemented using the 4E’s Model to drive changes in safety and quality.
Culture of Productivity

Antwoin Smith, BSN RN NE-BC

Learning Objectives:

  • Explore the impact of a Pay for Performance and Transformational Leadership approach to Nurse Sensitive Quality Indicators.
  • Monitor falls per 1000 patient days and accuracy of Functional Independence Measurement Scoring.

Bowel/Bladder/Sexuality (602)

Good-bye Constipation! I Love You Peristalsis

Denise Bowers, BSN RN CRRN

Learning Objectives:

  • Identify the contributing factors to constipation in the inpatient rehabilitation setting.
  • Differentiate between pharmacological and non-pharmacological methods to relieving constipation.
  • Recognize the importance of incorporating complementary and integrative modalities in bowel management programs, presenting patients and caregivers with alternatives, and empowering with the confidence to manage their plan of care.
Incontinence in Stroke – Perspective of Patients and Treatment Team

Myrta Kohler, MSc RN

Learning Objectives:

  • Investigate the experiences of interdisciplinary rehabilitation teams treating patients with urinary incontinence after stroke in inpatient rehabilitation.
  • Understand stroke survivors’ lived experience of urinary incontinence and its treatment in an inpatient rehabilitation clinic.
Sexuality? Let’s Talk!

Mary Pat Laws, MSN RN CRRN

Learning Objectives:

  • Describe two sexual beliefs, barriers, and values that may interfere with initiating a sexual assessment.
  • Explain the four components of the PLISSIT Model.
  • List two psychological and two physical symptoms experienced by neurologically impaired patients, which may interfere with sexual function and/or desire.

The Rehabilitation Nurse (603)

Rehabilitation of Nursing Competencies: Changing Direction

Nancy D. Blume, RN

Learning Objectives:

  • Increase competency completion compliance.
  • Empower nurses to collaborate in the selection of the annual mandatory competency topics and methods.
  • Incorporate employee centered accountability into their professional practice.
Rehabilitation Nursing: One Diagnosis at a Time

Clayton J. Lippart, RN BSN

Learning Objectives:

  • Increase nursing proficiency within the domains of the ARN competency model as applied to specific diagnosis served by the inpatient rehabilitation hospital.
  • Increase staff retention rates at one year post hire, and CRRN credentialed nurses at 2 years of employment.
Strategies for Legal Nurse Consulting in Rehabilitation

Kristen L. Mauk, PhD DNP CRRN GCNS-BC FAAN

Learning Objectives:

  • Discuss the role of the legal nurse consultant in cases involving rehabilitation cases.
  • Identify three strategies for starting a legal nurse consulting practice.
  • Describe the process of case review for attorneys on both the plaintiff and defense sides.

The Role of the Caregiver (604)

Transitioning to Community: What Does it Entail?

Sylvia K. Abbeyquaye, RN MPA PhD(c)

Learning Objectives:

  • Education rehab nurses on how individuals with TBI and their families manage their transitions from a health care setting to the community and identify their unmet needs during their transitions to the community.
  • Discuss specific implications for rehabilitation nurses to facilitate successful transition for these patients and families and identify a unique role that rehab nurses in long term care facilities can play in fostering such transitions.
  • Identify gaps in the literature and make recommendations for future transition research.
Compassion Fatigue in the Healthcare Provider

Tyke Ingram, RN BSN

Learning Objectives:

  • Identify signs and symptoms of caregiver burnout.
  • Discuss ways to cope with caregiver burnout.
Male Caregivers’ Role Adaptation After Partners Survive Stroke

Linda L. Pierce, PhD RN CNS CRRN FAHA FAAN

Learning Objectives:

  • Describe male caregivers’ problems/successes (incongruence/congruence) in caring for their partner with stroke.
  • Identify themes to target interventions to help male caregivers balance incongruence/congruence in adapting to their new role.

Saturday, November 11, 2017, 10:20 – 11:10 am

Wheelchair/Dying/Discharge (901)

Statements About Dying: Rehabilitation Issue or Mental Disorder?

Mindi Miller, PhD RN CRRN

Learning Objectives:

  • Use case study examples to contrast different meanings and needs of patients who voice suicidal statements.
  • Explain better “best” practice in rehabilitation that expands care plan interventions to include linguistic evidence and mental health guidelines.
Systematic Process to Decrease Hospital Readmission After Discharge

Marla B. Porter, RN MSN CRRN

Learning Objectives:

  • Identify three strategies to decrease hospital readmissions following discharge.
  • Implement one new strategy to limit hospital readmission within the learner’s practice setting.
Rules of the Road for Wheelchairs

Elizabeth A. Yetzer, MA MS CRRN

Learning Objectives:

  • Demonstrate how to safely open and close the wheelchair.
  • Discuss how to cross streets safely.
  • Describe how to measure seat cushion for wheelchair.

Trach/Pressure Injury/Infection (902)

Don or Not Don That is the Question

Elaine R. Flynn, RN MSN CRRN CIC

Learning Objectives:

  • Discuss acute inpatient rehabilitation modification of work place practices designed to minimize the risk of healthcare workers’ occupational exposures to infectious diseases.
  • Describe the process used to create an education program demystifying infection control practices in acute rehabilitation settings.
  • Describe rehabilitation workplace practices to protect the patient from healthcare-associated infections.
Pressure Injury Risk: Don’t Forget the Mobile Patient

Karen M. Allabastro, MSN RN CRRN

Learning Objectives:

  • Describe the risk for pressure injury in terms of the differences between the mobile vs. the immobile patient.
  • Discuss the role of interprofessional processes in relation to identification, prevention, and management of pressure injury in the mobile patient.
Tracheostomy Rounds

Linda L. Morris, PhD APN CCNS FCCM

Learning Objectives:

  • Describe the purpose of tracheostomy rounds.
  • Discuss goals of care for patients with a tracheostomy.

Skilled Facilities/Nurse Practitioner (903)

Skilled Facilities: Thriving in a World of Change

Anne Ruggiero, BSN RN CRRN

Learning Objectives:

  • Balance the patient meeting skilled criteria based on CMS Chapter 8 and the MA insurance plan issuing a discharge notice as well as the CMS Chapter 8 and the physician group wanting a discharge to a LTCF though the patient is still making progress.
  • Possible prevention of rehospitalizations using the healthcare team and EBP programs as guidelines.
  • Support the SNF team when patient turnaround is significantly shortened.
Quality Measures: Antipsychotic Use in Skilled Facilities

Anne Ruggiero, BSN RN CRRN

Learning Objectives:

  • Identify the historical reasons residents have been prescribed antipsychotics and what the driving force behind reversing the use of these medications.
  • Discuss what resident-specific planning can be done to reduce the use of these medications in the skilled facility population and to better care for residents exhibiting “behaviors”.
Transition to a Nurse Practitioner-Led Rehabilitation Consult Service

Ann M. Summar, MSN

Learning Objectives:

  • Discuss the inclusion of specific medical management information in the preadmission screening.
  • Consider alternatives to improve patient and family satisfaction with the rehab preadmission process.
  • Discuss options for follow up recommendations for patients who do not qualify for inpatient rehab but could benefit from physiatry and rehabilitation services in other ways.