Primary Care 2015 Update for Nurses

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1 Primary Care 2015 Update for Nurses March 3 6, 2015 Four Seasons Hotel Lisbon, Portugal

2 Primary Care 2015 Update for Nurses > Overview This course is designed for the US Department of State (DOS) to provide an annual educational forum for their locally engaged staff nurses. These health care providers face a wide array of clinical issues, from the simple and routine health care visit to the complex and challenging care of acute and chronic symptoms and disease states. The content is collaboratively developed between the course provider and the continuing education team at the DOS and is based on real experiences and updates in medical knowledge. As the only course these nurses may attend during the year, the interaction between the faculty and the attendees is critical to the course s success and encompasses theatre style presentations to informal small group discussions and hands-on skills sessions. > Learning Objectives 1. Review the current status, challenges, and new initiatives of MED programs. 2. Discuss medical-ethical-legal dilemmas overseas. 3. Review the Health Unit Standard Assessment Survey. 4. Review issues related to conflict resolution. 5. Review late-breaking infectious disease outbreaks and lessons learned. 6. Discuss updates in screening recommendations for preventive care. 7. Review immunization recommendations and vaccine administration techniques. 8. Review infection control issues and protocols related to personal protective equipment (PPE). 9. Discuss wound assessment, cleansing, preparation, anesthetic techniques, suture closure techniques, and post-closure wound management. 10. Discuss techniques for performing clinical nursing procedures. 11. Review updates on diabetes. 12. Review updates on liver disease. 13. Discuss current guidelines, recognition, diagnosis, and treatment for common musculoskeletal issues. 14. Review updates on aging health issues. 15. Review clinical pearls for the pediatric patient in primary care. 16. Review point of care lab testing procedures. 17. Discuss quality improvement issues that relate to nurse licensing and competencies. 18. Review updates on obstetric medical evacuations. 19. Review regional medical issues and updates. > Target Audience This activity is designed for nurses and primary care physicians. > Accreditation Statement The Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Foundation Center for Continuing Education designates this live activity for a maximum of 30 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit. > Nursing CNE Nursing contact hours will be awarded. Enterprise is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. > Disclaimer The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient s medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by The Foundation. In no event will The Foundation be liable for any decision made or action taken in reliance upon the information provided through this CME activity. 1

3 March 3 6, 2015 Four Seasons Hotel :: Lisbon, Portugal > Activity Director Jonathan Schaffer, MD, MBA Managing Director, eclevelandclinic Information Technology Division Orthopaedic Research Center Center for Adult Reconstructive Surgery Department of Orthopaedic Surgery > Co-Activity Directors Deborah Klein, MSN, RN, ACNS-BC, CCRN, CHFN, FAHA Clinical Nurse Specialist Heart and Vascular Institute Catherine Skowronsky, MSN, RN, ACNS, CMSRN Clinical Nurse Specialist Medicine Institute > Faculty Karl Albrecht Executive Director Andrea Anderson, RN Manager, Travel Clinic Program Stanley Bennett, RMM Regional Medical Manager for Africa Region Kay Boyer, RN Coordinator, Obstetrics Medevac / Foreign Programs Pam Combs, MSN, BC-ANP, CDE Certified Nurse Practitioner Endocrinology, Diabetes and Metabolism Institute Bruce W. Dayton, PhD Associate Director Moynihan Institute Research Professor of Political Science Maxwell School of Citizenship and Public Affairs Syracuse University Paula Dolan, RN, MPA Health Systems Specialist, Quality Improvement 2 > Planning Committee Members Mark Cohen, RMO Clinical Director Assefa Kidane Deputy Executive Director Jeri Lockman, ANP Director, Medical Provider (NP/PA) and CME Programs William Green, RMM Regional Medical Manager for Western Hemisphere Ermie Herring, RN, MSN, PMP Chief, Medical Informatics George Johnston, MD Director, Quality Improvement Meredith A. Lahl, MSN, RN, PCNS, PPCNP-BC, CPON Senior Director, Advanced Practice Nursing, Health System Pediatric Clinical Nurse Specialist, Wilfred Lovelock, MLS (ASCP) cm Regional Medical Laboratory Scientist U.S. Embassy Dakar Health Unit Gregory Martin, MD Chief, Infectious Diseases and Tropical Medicine Kathleen McCray, RMO Director, Emergency Medical Preparedness Joanna Morrison, MLS (ASCP) cm Regional Medical Laboratory Scientist U.S. Embassy Moscow Health Unit Charles Rosenfarb, RMO Regional Medical Officer Joanne Silva, FNP Deputy Director, Medical Provider (NP/PA) Programs Tammy Young, FNP Medical Provider (NP/PA) Rover Michael Nesemann, RMM Regional Medical Manager for Europe and Eurasia Kimberly Ottwell, RMM Regional Medical Manager for the Near East and South Central Asia Gary Penner, RMO Medical Director Wayne Quillin, RMO Clinical Director, Medical Informatics Shannon Rives, MSN, RN, ACNS-BC, CCRN Clinical Nurse Specialist, Medical-Surgical Telemetry Gastroenterology/Hepatology and Transplant Special Care Dean Smith, RMO Deputy Medical Director Denise Smith-Hauser, MSN, CNP Nurse Practitioner, Rheumatology Institute Anne Vanderbilt, MSN, CNS, CNP Advanced Practice Nurse Manager

4 Primary Care 2015 Update for Nurses > Faculty Disclosure In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), The Foundation Center for Continuing Education requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias. The following faculty have indicated that they may have a relationship, which in the context of their presentation(s), could be perceived as a potential conflict of interest: Meredith Lahl, MSN Jazz Pharmaceuticals Teaching and Speaking Denise Smith-Hauser, MSN The following faculty have indicated they have no relationship which, in the context of their presentation(s), could be perceived as a potential conflict of interest: Karl Albrecht Andrea Anderson, RN Stanley Bennett, RMM Kay Boyer, RN Mark Cohen, RMO Pamela Combs, MSN Bruce Dayton, PhD Paula Dolan, RN Abbvie William Green, RMM Ermie Herring, RN George Johnston, MD Assefa Kidane Deborah Klein, MSN Jeri Lockman, ANP Wilfred Lovelock, MLS Greg Martin, MD Bristol-Myers Squibb Co. Kathy McCray, RMO Joanna Morrison, MLS Michael Nesemann, RMM Kimberly Ottwell, RMM Gary Penner, RMO Wayne Quillin, RMO Shannon Rives, MSN Charles Rosenfarb, RMO Consulting; Teaching and Speaking; Membership on Advisory Committee or Review Panel Consulting; Teaching and Speaking; Membership on Advisory Committee or Review Panel Jonathan Schaffer, MD Joanne Silva, FNP Catherine Skowronsky, MSN Dean Smith, RMO Anne Vanderbilt, MSN Tammy Young, FNP > Evaluation Form and CME Certificate The evaluation and CME certificates are available online. In order to receive AMA PRA Category 1 Credits, please go to to complete the course evaluation and to print your CME certificate. Once you enter the site, please enter The above code is active for 30 days following the symposium. User Instructions: If you are a first-time user of MyCME, you will need to create a six-digit password comprised of any combination of letters and/or numbers. This will become your permanent log in for future MyCME programs. 1. Log in to 2. Click on New User? located under the login box 3. Complete all the fields in the form and click on Create Account 4. Click on Click Here To Login 5. Login using the information you just provided in the registration form 6. In the Regularly Scheduled Series box, enter the code Complete all the fields and hit submit 8. Your official CME certificate will appear. Please print and keep with your permanent files. Please note: Be sure to print your CME certificate and keep for your files. This is your permanent record; no other certificate will be generated. 3

5 March 3 6, 2015 Four Seasons Hotel :: Lisbon, Portugal > Nursing CNE Evaluation and CE Certificate To receive your CNE certificate, you will need to sign in at the conference registration desk on the first day, attend 100% of the conference and complete the online evaluation from each day. > How to Complete the Evaluation and Obtain the Nursing CNE Credits Online If you already have an account in mycme : 1. Go to to complete the course evaluation, claim and print your CNE Certificate. 2. Once you access the site, In the Regularly Scheduled Series/Live Events box, enter the CODE Provided for this program: For 3/3/15: CCE For 3/4/15: CCE For 3/5/15: CCE For 3/6/15: CCE Complete all the fields on the evaluation form and hit submit. 4. Your ANCC certificate will then appear. Please print and keep with your permanent files. No other certificate will be generated. If you are a first-time user of mycme : You will need to create a six-digit password composed of any combination of letters and/or numbers. This will become your permanent login for future mycme programs. Follow the instructions below 1. Log in to 2. Click on New User? located under the login box. 3. Complete all the fields in the form and click on Create Account. 4. Click on Click Here To Login. 5. Log in using the information you just provided in the registration form. 6. In the Regularly Scheduled Series/Live Events box, enter the CODE provided below for this program: For 3/3/15: CCE For 3/4/15: CCE For 3/5/15: CCE For 3/6/15: CCE Complete all the fields on the evaluation form and hit submit. 8. Your ANCC certificate will then appear. Please print and keep with your permanent files. No other certificate will be generated. The code, ability to complete the evaluation and claim your CE certificate is active for 30 days following the course. 4

6 Primary Care 2015 Update for Nurses > Program Agenda Tuesday, March 3, 2015 Session 01 8:00 am Pediatrics: Nursing Management and Clinical Pearls for Primary Care Meredith A. Lahl, MSN, RN, PCNS, PPCNP-BC, CPON 10:00 am BREAK Session 02 10:15 am Liver Disease Update Shannon Rives, MSN, RN, ACNS-BC, CCRN Session 03 11:15 am Musculoskeletal Update Denise Smith-Hauser, MSN, CNP 12:15 pm LUNCH Session 04 1:15 pm Skills and Details 01: Personal Protective Equipment (PPE), Tuberculin Skin Test (TST), Anaphylaxis Andrea Anderson, RN Kathleen McCray, RMO Session 05 2:30 pm Breakout Groups A 3:15 pm BREAK Session 06 3:30 pm Breakout Groups B Session 07 4:15 pm Breakout Groups C 5:00 pm Conclude BREAKOUT GROUPS A, B, and C Must attend one of the PPE and one of the TST sessions. Option 1: Skills Stations a. Personal Protective Equipment (PPE) Kathleen McCray, RMO b. Tuberculin Skin Test (TST) Andrea Anderson, RN Option 2: Case-Based Discussion Groups a. Musculoskeletal Cases Denise Smith-Hauser, MSN, CNP b. Pediatrics Cases Meredith A. Lahl, MSN, RN, PCNS, PPCNP-BC, CPON c. Liver Cases Shannon Rives, MSN, RN, ACNS-BC, CCRN d. Diabetes Cases Pam Combs, MSN, BC-ANP, CDE e. Electronic Health Record (EHR) Demonstration Ermie Herring, RN, MSN, PMP Wayne Quillin, RMO 5

7 March 3 6, 2015 Four Seasons Hotel :: Lisbon, Portugal > Program Agenda Wednesday, March 4, 2015 Session 08 8:00 am QI & You Credentials, ISO and Other Things Paula Dolan, RN, MPA Session 09 9:30 am Obstetric Medevac Updates and Case Studies I Kay Boyer, RN Session 12 1:15 pm Skills and Details 02: Office Procedures Deborah Klein, MSN, RN, ACNS-BC, CCRN, CHFN, FAHA Session 13 2:30 pm Breakout Groups A 3:15 pm BREAK 10:00 am Break Session 10 10:15 am Obstetric Medevac Updates and Case Studies II Kay Boyer, RN Session 11 11:15 am Aging Update Anne Vanderbilt, MSN, CNS, CNP 12:15 pm Lunch Session 14 3:30 pm Breakout Groups B Session 15 4:15 pm Breakout Groups C 5:00 pm Conclude BREAKOUT GROUPS A, B, and C Must attend one of the EKG 101 and one of the BP and Orthostatics Sessions (repeated on Thursday). Option 1: Skills Stations Option 2: Case-Based Discussion Groups a. EKG 101 Deborah Klein, MSN, RN, ACNS-BC, CCRN, CHFN, FAHA b. Blood Pressure and Orthostatics Shannon Rives, MSN, RN, ACNS-BC, CCRN c. Respiratory Distress Catherine Skowronsky, MSN, RN, ACNS, CMSRN d. Diabetes Injections, Wounds, Skin Changes, Patient Education Pam Combs, MSN, BC-ANP, CDE e. Splinting and Immobilization Denise Smith-Hauser, MSN, CNP a. Mini Mental Assessment Anne Vanderbilt, MSN, CNS, CNP b. Obstetric Cases Kay Boyer, RN c. Pediatrics Cases Meredith A. Lahl, MSN, RN, PCNS, PPCNP-BC, CPON d. Using ISO to Improve Performance Immunizations Paula Dolan, RN, MPA e. Electronic Health Record (EHR) Demonstration Ermie Herring, RN, MSN, PMP Wayne Quillin, RMO 6

8 Primary Care 2015 Update for Nurses > Program Agenda Thursday, March 5, 2015 Session 16 8:00 am Acute Bacterial Skin Infections Animal Bites and Rabies Gregory Martin, MD 10:00 am BREAK Session 17 10:15 am Diabetes Update Pam Combs, MSN, BC-ANP, CDE Session 18 11:15 am Regional Medical Managers (RMMs) Breakout Session Stanley Bennett, RMM William Green, RMM Michael Nesemann, RMM Kimberly Ottwell, RMM 12:15 am LUNCH Session 19 1:15 pm Skills and Details 03: Laboratory Point of Care Testing (POCT) Wilfred Lovelock, MLS (ASCP) cm Joanna Morrison, MLS (ASCP) cm Session 20 2:30 pm Breakout Groups A 3:15 pm BREAK Session 21 3:30 pm Breakout Groups B Session 22 4:15 pm Breakout Groups C 5:00 pm Conclude BREAKOUT GROUPS A, B, and C Must attend one of the Laboratory Point of Care Testing Sessions. Option 1: Skills Stations a. Laboratory Point of Care Testing (POCT) Wilfred Lovelock, MLS (ASCP) cm Joanna Morrison, MLS (ASCP) cm b. EKG 101 Deborah Klein, MSN, RN, ACNS-BC, CCRN, CHFN, FAHA c. Blood Pressure and Orthostatics Shannon Rives, MSN, RN, ACNS-BC, CCRN Option 2: Case-Based Discussion Groups a. Pediatrics Cases Meredith A. Lahl, MSN, RN, PCNS, PPCNP-BC, CPON b. Infectious Disease Hot Topics Gregory Martin, MD c. Electronic Health Record (EHR) Demonstration Ermie Herring, RN, MSN, PMP Wayne Quillin, RMO 7

9 March 3 6, 2015 Four Seasons Hotel :: Lisbon, Portugal > Program Agenda Friday, March 6, 2015 DOS Management Day Session 23 8:00 am MED Administration Update Karl Albrecht Gary Penner, RMO Dean Smith, RMO SESSION 24 9:00 am Risk Management: Medical Clearances Mark Cohen, RMO 10:00 am BREAK Session 25 Session 27 1:15 pm Conflict Resolution Reflective Listening and Assertion Bruce W. Dayton, PhD 3:15 pm BREAK Session 28 3:30 pm Conflict Resolution Interest-Based Problem Solving Bruce Dayton, PhD 5:00 pm Conclude 10:15 am Risk Management: Health Unit Standard Assessment Survey George Johnston, MD Session 26 10:45 am Organizational and Interpersonal Conflict Dynamics General Session Overview Bruce W. Dayton, PhD 12:15 pm LUNCH 8

10 Primary Care 2015 Update for Nurses

11 March 3 6, 2015 Four Seasons Hotel :: Lisbon, Portugal

12 Copyright 2015 The Foundation. All Rights Reserved.

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