New York State Association of Nurse Anesthetists Fall 2017 Educational Meeting. Buffalo Hyatt September 29 - October 1, 2017

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Day and Time Friday 3:00pm 3:00pm 12:30pm- 3:30pm Event Exhibitor Set Up Registration Desk Opens Optional: Applied Clinical Pharmacology Core Module Presented by Inotrope Anesthesia This Core Module is recognized by the NBCRNA and will satisfy the Applied Clinical Pharmacology Core Module requirement for the CPC program. 5:00pm - 6:00pm Medical Mission Trip to Borongan, Philippines Speakers: Priscilla Aguirre SRNA, Cara Buchanan SRNA, Jon Harlow Flores SRNA Mentor: Cheryl Spulecki, DNAP, MS, RN, CRNA 1. Demonstrate the anesthetic practices utilizing limited resources while on a medical mission. 2. 2. Illustrate the application and preparation processes for going on a medical mission. Overview: We will be discussing the anesthetic techniques that were utilized on this medical mission with the limited resources that were available. Our presentation will include an overview of the preparation for the mission, organization of the operating rooms and perioperative processes implemented. Lastly, we will discuss the application process for attending a medical mission. 6:00pm - 7:00pm What s Happening in Washington DC, an AANA Federal Government Affairs Update Speaker: Ralph Kohl, BS, Senior Director of Federal Government, AANA DC Office 1. To allow attendees to understand what legislative and regulatory activity is happening in Washington DC that could impact the profession of Nurse Anesthesia. Attendees will also learn about the

actions they can take to effect change and support the ongoing efforts of the AANA. 2. The lecture will focus on current legislative and regulatory activity on the Federal level and AANAs current efforts to protect and advance the interests of the profession. The lecture will also focus on the importance of being and active and engaged advocate. 7:00pm - 8:00pm Saturday 7:00am 8:00am 8:00am 9:00am Overview: With a new administration and the start of the 115 th Congress, there is a strong commitment to repealing and replacing the affordable care act. There is a great deal of uncertainty surrounding the future of the health care delivery system. This lecture will focus on current activity by Congress and the new administration and how the AANA is working to position CRNAs as a key piece of meaningful reform efforts. The lecture will also focus on other key legislative and regulatory efforts of the AANA DC office and how AANA members can be effective advocates to help drive AANAs priorities on the Federal level. Welcome Reception for Attendees and Exhibitors Breakfast & Visit Exhibits Emotional Intelligence and its Role in the Profession of Nurse Anesthesia Speaker: Cheryl A. Spulecki, DNAP CRNA Assistant Clinical Professor- University at Buffalo, Nurse Anesthesia Program Objective: 1. At the conclusion of this presentation, the participant should be able to: Define Emotional Intelligence (EI)Understand the characteristics of EI, Identify and evaluate personal EI, Understand the significance of EI within our applicants of the nurse anesthesia program and current graduate nurse anesthesia students Overview: Emotional intelligence (EI) is an important skill for personal and professional success. As we continue to grow within our profession of Nurse Anesthesia, identifying factors associated with strong EI can influence the relationships we have with our colleagues, students, and clients. This presentation will explain the components of EI and how it affects our own practice and those interested in pursuing the profession.

9:00am 10:00am AANA Update Speaker: Region One Director TBD 1. The learner will be able to describe trends in AANA membership demographics, education, employment, and public relations. 2. The learner will be able to discuss current nurse anesthesia legislative initiatives and strategies, as well as issues affecting practice. 3. The learner will be able to discuss initiatives regarding CRNA Wellness, PAC, and research. Overview: The CRNA will receive information on the future demographics and workforce trends in our profession. Also, the value of being a member is stressed including all advocacy efforts according to divisions of AANA, current legislative initiatives and ways the member can engage, and the member advantage program which are discounts and benefits of membership. A Q & A time is included at the end of the update. 10:00am- 10:30am 10:30am 11:30am 11:30am 12:30pm Break and Visit Exhibits Lecture TBD Speaker: Region One Director TBD NYSANA Update Speaker: Barbara Capogna, CRNA, NYSANA President 1. Explain the pending and current legislation in the state and issues that are pertinent to CRNAs in New York 2. Discuss the current House and Senate bills that directly affect New York CRNA practices 3. Identify means by which they can participate in their state association Overview: The purpose of this lecture is to update the membership on NYSANA and AANA activities throughout the year. There will be a review of the current leadership of our association and affiliated supportive staff. There will be an overview of the national convention and then go over the outcome from the spring legislative agenda. The membership will be updated on NYSANA activities.

12:30am 2:30pm 2:30pm - 6:30pm Lunch and Business Meeting Optional ACLS/BLS/PALS Renewal Speaker: Giovanna Mahar, CRNA, MS BLS 1. AHA video Perform adult and pediatric (infant and child) one and tworescuer CPR. 2. Perform adult and pediatric (infant and child) foreign body airway obstruction techniques. 3. Proper AED usage ACLS with Megacode 1.AHA video Recognize and initiate early management of periarrest conditions that may result in cardiac arrest or complicate resuscitation outcome 2.Recognize and manage respiratory arrest 3.Recognize and manage cardiac arrest 4.Recognize and initiate early management of ACS 5. Recognize and initiate early management of stroke 6. Demonstrate effective communication a a member or leader of the resuscitation team. PALS with Megacode 1.AHA video Identify and treat problems that place the child at risk for cardiac arrest 2.Application of a systemic approach to pediatric assessment 3.Use of the evaluate-identify-intervene sequence

4.Use of PALS algorithms and flowcharts 5. Demonstration of effective resuscitation team dynamics. 5:00pm 7:00pm Sunday 7:00am 8:00am 8:00am 9:00am AHA Written Exam Requirement of the American Heart Association to pass a written exam in any/all of the above recertifications. PAC Fundraiser Event: Support the PAC and join us a marvelous ride on the Moondance Catamaran. Sail away with us! Your donation to the PAC includes a two hour cruise and a light dinner. Come see the beautiful Buffalo skyline while having fun with your fellow CRNA, SRNAs and event sponsors! Your donation amount is $75 for CRNAs, $40 for students. Children 12 and under ride free. Breakfast& Visit Exhibits Obstetrical Hemorrhage and the Anesthetic Management Speaker: Emily B. Baglione, BSN, CRNA, Chief Obstetrical Nurse Anesthetist Anesthesia Group of Albany Albany, New York 1. Define maternal hemorrhage and why it s important to know how the manage it. 2. Identify the causes of obstetrical hemorrhage and explain the pathology of each. 3. List maternal complications associated with obstetrical hemorrhage. 4. Describe the obstetrical management/treatment choices of each type of hemorrhage. 5. Discuss the anesthetic implications and management of the hemorrhaging patient. 6. Describe uteriotonics, their effects, indications, and side effects. 7. Discuss the use of r factor VIIa in obstetrical massive hemorrhage. 8. Discuss the role and benefit of Interventional Radiology and Embolotheropy in obstetrical massive hemorrhage. 9. Describe recommendation for blood product replacement in the hemorrhaging patient. 10. Discuss the role of the massive transfusion protocols in obstetrical anesthesia. Overview: For the anesthesia provider, obstetrical emergencies can be classified into hemorrhagic and non-hemorrhagic emergencies. Obstetrical hemorrhage is known as the most preventable cause of material mortality. The

purpose of this lecture is to present the most up to date recommendations for the prompt and efficient management of obstetrical hemorrhage. 9:00am 10:00am The Disease of Addiction and its Implication in Nurse Anesthesia Speaker: Richard James Boneberg RN, BSN, MSN, CRNA 1) At the conclusion of this activity, the participant will be acquainted with the neurobiology of the disease of addiction. 2) At the conclusion of this activity the participant will know the most common signs of addiction to look for. 3) At the conclusion of this activity, the participant will be familiar with treatment strategies, goals, and outcomes for Nurse Anesthetists with the disease of addiction. 10:00am 10:30am 10:30am 11:30am Overview: This Powerpoint lecture will discuss the pathology, etiology, and epidemiology of the disease of addiction specific to the field of Nurse Anesthesiology. The intention of this lecture is to describe the power and profound impact the disease of addiction can have on practitioners, as well as reduce the stigma associated with those who have the disease and those who employ Nurse Anesthetists in recovery. Lastly, a first person account of the progression, the symptoms, and the recovery from the disease of addiction will be discussed by a survivor of the disease. Break & Visit Exhibits "Understanding Legal Tools: The Keys to Lawsuit Prevention and Tax Reduction" Speaker: Leland McKay 1. Maintain the focus of their medical practice on improved patient care rather than malpractice defense. 2 Structure their practices for lawsuit protection and prevention, improving overall operations management of the practice. 3 Protect practice and professional assets from lawsuits through applied risk management techniques, improving and enhancing fiscal efficiency. Overview: Through this course attendees will truly understand exactly how, why, and where legal entities should be used for both lawsuit prevention and income tax reduction. Our course is both engaging and easy to

11:30am 12:30pm understand. When completed, attendees will have an understanding of the proper use of legal tools, and will have an organized approach to taking effective action. Tranexamic Acid Use During Spinal Surgery Associated with Decreased Blood Loss and Blood Transfusions Speaker: Andrea A. Zumpano, SRNA 1. Explore the safety and efficacy of TXA use during spinal surgery. 2. Explore TXA s ability in reducing allogenic blood product administration. 3. Explore safe and effective doses for TXA during spinal surgery. 4. Discuss future research goals in TXA use. Overview: Blood loss during spinal surgery can be significant, thus leading to the requirement of allogenic blood transfusions. These are not without risks for potential harm, therefore researchers have explored options for decreasing surgical blood loss. Tranexamic acid has been investigated for its safety and efficacy in reducing blood loss d