APNA Washington Chapter Mission The Washington Chapter of the American Psychiatric Nurses Association seeks to engage in statewide initiatives to promote mental health; recovery from mental illness; and to reduce the stigma associated with mental illness. The American Psychiatric Nurses Association is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. 1

Conference Outcomes: 1) Participants will be able to identify new strategies for working with complex populations. 2) Participants will be able to describe new opportunities and trends for psychiatric nurses in the State of Washington. Registration Fees Pre-Conference Suicide Prevention April 27, 2018 APNA Member.. $85 Non-Member.. $145 Student*.. $35 Pre-Conference Psycho-pharmacology April 27, 2018 APNA Member. $60 Non-Member.$60 Student*.. $35 Saturday Conference April 28, 2018 APNA Member $85 Non-Member... $145 Student*.. $35 *Must be an APNA student to receive this rate Cancellation Policy: Cancellations must be received in writing on or before April 20, 2017 for a full refund. No refunds will be issued after April 20, 2017. Please send notifications to chaptersupport@apna.org. Airport Information: Nearest airport to fly into is the Spokane International Airport (GEG) Transportation: There are local taxi cab services, UBER, or LYFT. 2

Hotel Accommodations: There has been a block of rooms (very limited reserve early) at the: The Davenport Grand 333 W Spokane Falls Blvd Spokane WA 99201 509.458.3330 f: 509.598.4399 www.davenporthotelcollection.com This is the hotel where the conference is being held. American Psychiatric Nurses Association Room Block Start date: 4/24/18 End date: 5/1/18 Last day to book: 4/4/18 129.00 USD per night The Davenport created a special reservation link for attendees to use to make sure your reservations are inside of your block of rooms. Please see this link below. Please note that the link will stop working if all rooms are reserved or at the cut off date of 3/28. Book your group rate for American Psychiatric Nurses Association If you prefer to call rather than book online guests can make reservations by calling either Marriott at 1 800 228 9290 or the hotel directly at 1 509 458 3330 and asking for Grand reservations. Ask to book a room under the American Psychiatric block. The best time to contact the reservations office so that they will be able to assist you is Monday through Saturday between 7am and 6pm so you can speak to someone on sight at the hotel. Other Nearby Hotels: (the Chapter does not have a room block reserved at these hotels) Historic Davenport 10 S Post St Spokane WA 99201 Davenport Tower 111 S Post St Spokane WA 99201 Davenport Lusso 808 W Sprague Ave Spokane WA 99201 3

Conference Speakers Dr. Jeffery Ramirez PhD, PMHNP-BC, ARNP Associate Professor, Gonzaga University Mann-Grandstaff VA Medical Center, Substance Abuse Treatment Program Has over 20 years of experience in both psychiatric nursing and education. Teaches psychiatric nursing, monitoring the workforce issues. Remains in clinical practice at the VA Medical Center treating Veterans with traumatic experiences, substance abuse, and chronic mental illness. Dr. Pam Stover, DNP, MSN, PMHNP-BC, PMHCNS-BC, ARNP Clinical Assistant Professor, Washington State University, Peace Health Medical Group Behavioral Health DNP and MN degrees; certification as psych NP and CNS; post-master's certificate in gerontological nursing; experience in consultation-liaison service and integrated care; current experience working with older adults; over 35 years working in psych-mental health. Previously presented this content at the national APNA conference in Phoenix, October 2017. Dr. Carol Kottwitz, DNP, PMHCNS-BC, PMHNP-BC, ARNP Assistant Professor and Lead Faculty for PMHNP Program, Gonzaga University CK Therapeutics LLC, Owner Owner of CK Therapeutics LLC in which provides psychiatric care in Spokane via private practice. Teaches both graduate and undergraduate psychiatric nursing at Gonzaga University. Has been active in the community through NAMI. Research interest and activities include the pedagogy of suicide assessment in graduate psychiatric nursing, advanced health assessment in advanced psychiatric nursing. Donna Poole, MSN, PMHNCNS-BC, ARNP Commissioner for the Nursing Care Quality Assurance Commission Peninsula Community Health Services; Port Gamble S Klallam Tribe Expertise in this area comes as a gubernatorial appointed Commissioner for the Nursing Care Quality Assurance Commission. In that capacity, has been a Reviewing Commission Member for discipline cases over the last 10 years. Primarily reviews complaints against ARNPs. Dr. Mary Moller, DNP, PMHCNS-BC, CPRP, FAAN, ARNP Associate Professor and Coordinator PMHNP-DNP Program, Pacific Lutheran University Has lectured for over 30 years on mental health and psychopharmacology. Has written the chapters on neurobiology, psychopharmacology, and mental illness in several textbooks. Currently a prescribing ARNP and manages a full caseload of individuals with serious and persistent mental illnesses. Angie Naylor, MSN, RN Chief Nurse Executive, MultiCare Behavioral Health Psychiatric nurse leader with 15 years experience. Executive in charge of psychiatric nursing practice. 4

Pre Conference April 27, 2018 Registration Opens 8:00am Two Options: Conference Agenda A) Suicide Prevention (6.5 hours CE) 9:00am 5:00pm (one hour lunch on own) Carol Kottwitz and Jeffery Ramirez 1) Apply the concepts of suicide prevention. 2) Define suicide rates and trends in the State of Washington and the United States. 3) Describe risk and protective factors for suicide preventions. 4) Identify the critical components for an adequate suicide risk assessment. B) Psychopharmacology (3.25 CE) 1:30pm 5:00pm Mary Moller 1) Participants will be able to describe the concept of receptor pharmacology and the relationship of receptor function to presenting psychiatric symptoms. 2) Participants will be able to compare the neurophysiology of the physical, emotional, and cognitive symptom clusters associated with depression and anxiety. 3) Participants will be able to formulate a pharmacological treatment plan based on receptor pharmacology for individuals diagnosed with a mood and/or anxiety disorder. Janssen Product Theater, Includes Dinner (NO CE)* 6:00pm 7:30pm *There are certain restrictions regarding which government employees can eat meals when they attend. Veteran Affairs and Washington, Idaho and Oregon State employees can attend the Product Theaters. State employees can accept meals. Veteran Affairs employees cannot. 5

Conference April 28, 2018 (6 CE) Registration Opens 7:00am Neurocrine Product Theater, Includes Breakfast (NO CE)* *There are certain restrictions regarding which government employees can eat meals when they attend. Veteran Affairs and Washington, Idaho and Oregon State employees can attend the Product Theaters. State employees can accept meals. Veteran Affairs employees cannot. 8:30am 8:45am Opening Remarks, Dr. Jeffery Ramirez, APNA Washington Chapter President 8:45am 9:45am Delirium: Prevention and Treatment in the Integrated Primary Care Setting Pam Stover 1) Participants will be able to identify the risk factors for and the risks of delirium in older adults in the primary care setting. 2) Participants will be able to apply the available evidence to guide development for delirium prevention and care in the primary care setting and the role of the PMHNP. 9:45am 10:00am Break 10:00am 11:00am Borderline Personality Disorder and Applied Radical Acceptance Carol Kottwitz Course Objectives: 1) Participants will be able to identify DSM 5 criteria/symptoms for Borderline Personality Disorder 2) Participants will be able to apply Dialectical Behavioral Therapy concepts to maintaining a therapeutic relationship 11:00am 12:00pm Advance Practice Nurses and the Disciplinary Process: Avoiding Trouble in Your Practice Donna Poole 1) The participant will be able to explain the role and responsibility for discipline of the Washington State Nursing Care Quality Assurance Commission (NCQAC). 2) The participant will be able to relate practices that may be subject to disciple by the NCQAC. 12:00pm 1:00pm Catered Lunch 6

1:00pm 2:00pm Fear Not! Naming, Framing, Containing the Physiology of Fear Mary Moller Session Objectives 1) Describe the neurobiological processing of fear stimuli. 2) Discuss the bio psycho social spiritual consequences of fear on information processing and the development of trauma responses. 2:00pm 2:15pm Break 2:15pm 3:15pm Beyond Trauma: Exploring the Phenomena of Moral Soul Injuries Jeffery Ramirez 1) Describe the concept of moral injury. 2) Compare and contrast moral injury and post traumatic stress disorder. 3) Analyze the antecedents and consequences of moral injury. 3:15pm 4:15pm Panel Discussion: Psychiatric Nursing State of Discipline, Practice, Education and Policy Jeffery Ramirez, Mary Moller and Angie Naylor 1) Discuss trends in psychiatric nursing related to practice, education, and policy. 2) Identify issues that directly effect nursing at the bedside, in the classroom, and the legislature in WA State. 4:15pm 4:45pm 4:45pm 5:00pm 5:00pm Silent Auction Winners are Announced Conference Evaluations and Adjournment Social in the Davenport Grand Lounge 7

Thank You to our Board of Directors, Planning Committee, and Sponsors APNA Washington Chapter Board President: Jeffery Ramirez, PhD, PMHNNP BC Immediate Past President: Katie Schwarz, BSN, RN Treasurer: Marchell Rene Spielmann, FNP BC, PMHNP BC, ARNP Secretary: Carol Kottwitz, DNP, PMHCNS BC, PMHNP BC, ARNP Member at Large: Kayla Cross, MSN, MA, BSN, RN C Karen Lynch, RN Angela Naylor, MSN, RN Committee Member (Advisory): Mary Moller, DNP, PMHCNS BC, CPRP, FAAN, ARNP APNA Washington Chapter Conference Committee: Jenna Andersen, BSN, RN Chair Michael Schroeder, RN, BSN Chris Schanz, RN Sponsors Janssen Travis Harkin Friday Dinner Product Theater Neurocrine Ron Bezzant Saturday Breakfast Product Theater Otsuka Shawn Lee Alkermes Ray Caldron Alliance South Sound Health A New Behavioral Health Hospital Being built in Tacoma, WA a joint venture with CHI and Multicare 8