NYSANA 2017 Spring Educational Meeting Agenda. Date & Time Function Room Name 3/24/2017. Pass 5:00PM - 6:00PM

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NYSANA 2017 Spring Educational Meeting Agenda Date & Time Function Room Name 3/24/2017 4:00PM - Board Meeting Wright 8:00PM 4:00PM - 7:00PM Exhibitor Set Up 5:00PM - 6:00PM Early recovery after surgery (ERAS): An evidence-based paradigm shift in anesthesia Speakers: Jessica D. Szydlowski, MS, CRNA and Christian Cansino, MS, CRNA 1. Participants will be able to define ERAS and understand surgical cases it can be applied to 2. Participants will understand the cost-effectiveness of ERAS and improved patient outcomes 3. Participants will understand the pharmacology of anesthetic agents used in ERAS cases 4. Participants will understand clinical implications for practice and guidelines for using ERAS Enhanced Recovery After Surgery (ERAS) is a multimodal evidence-based care pathway designed to achieve early recovery for patients undergoing major surgery. The ERAS pathway improves the perioperative management in two ways. First, it re-examines traditional practices and replaces them with evidence-based practices. Second, it encompasses a comprehensive scope that revolutionizes the patient journey through the surgical process. 6:00PM- 7:00PM Review of Mechanical Ventilation for the Anesthetist Lynn G. Widrick MS, CRNA, RRT, Claxton-Hepburn Medical Center 1. Understand concepts of ventilation including: 2. Understand regional differences in lung ventilation and its impact on ventilation perfusion matching 3. Understand the phases that comprise a ventilator cycle 4. Understand key differences in volume and pressure cycled volume delivery This lecture will focus on basic tenets of ventilation. Concepts of minute s ventilation, tidal volume, and respiratory rate will

7:00PM- 9:00PM 3/25/2017 7:00AM 8:00AM 7:00AM- 4:00PM 8:00AM 9:00AM 9:00AM 10:00AM be discussed. The determination of alveolar ventilation and its relationship to PCO2 and ETCO2 will be discussed. The impact of ventilation/perfusion matching on gas exchange will be reviewed. Classification of ventilator modes and examples of flow patterns in spontaneously breathing and mechanically ventilated patients will be reviewed. The lecture will conclude with a comparison of volume and pressure ventilation and the clinical relevance to the anesthetized patient. Reception and/or Dinner for Attendees and Exhibitors Breakfast & Visit Exhibits Exhibits Hall Open Serotonin Syndrome and Anesthesia Interactions Cheryl L. Nimmo, CRNA, DNP, MSHSA, President AANA 1. Classify the neuropsychiatric drugs. 2. Discuss the demographics and incidence of the utilization of neuropsychiatric drugs. 3. Understand the syndrome, symptoms, and treatment for serotonin toxicity. The learner will be able to distinguish between serotonin syndrome and other syndromes in the diagnostic pathway. Drugs that interact with SSRIs and can cause the onset of the syndrome will be identified. Treatment of symptoms and the syndrome including outcomes is covered. Leadership and Mentoring Cheryl L. Nimmo, CRNA, DNP, MSHSA, President, AANA 1. The learner will be able to discuss the qualities of a leader. a. Who is a leader? 2. The learner will understand the process mentoring plays in leadership development. 3. The learner will be able to list the possibilities for CRNA advancement through leadership. 4. The learner will understand the role mentoring plays in leadership development. Sentinel Range Wright

10:00AM - 10:30AM 10:30AM - 11:30AM 1) The learner will be able to discuss the steps to becoming a mentor. The learner will discuss the characteristics and skills of a leader to assist him in becoming a leader in his career, in the state association, and the national association. Ways to advance as a leader in the state or national association will be introduced. Mentoring, which a key in leadership development will be discussed from both mentor and mentee perspectives. Break and Visit Exhibits AANA Update Cheryl L. Nimmo, CRNA, DNP, MSHSA, President, AANA 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. 11:30AM- 12:30PM 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. Q & A time is included at the end of the update. NYSANA Update Barbara Capogna, CRNA 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 The purpose of this lecture is to update the membership on NYSANA and AANA activities throughout the year. I will

12:30PM- 2:00PM 5:00PM- 7:00PM 3/26/2017 7:00AM- 8:00AM 8:00AM- 9:00AM review the current leadership of our association and affiliated supportive staff. I will then give an update on national issues from AANA Midyear and Fall Leadership Academy. I will update the membership on NYSANA activities. Lastly Diane Frazier, our lobbyist, will give an update on legislative items of importance for the remainder of the spring. Business Meeting and Lunch The purpose of this session is to conduct the formal business of our state association. During the lunch we will review all board of director and committee chairpersons' spring reports and present the state ballot. Lastly we will announce the winner of the Kathleen O'Donnell award. PAC Event TBD Breakfast Business Aspect of Medicine Michael McSweeney, Financial Advisor, IAR 1. Understand Personal Liability 2. Understand Malpractice 3. Eliminating Student Loans: 4. Business Planning Armstrong Basin Sentinel Range Wright The seminar is meant to discuss economic topics that pertain specifically to Nurse Anesthetists. The topics covered will give the attendees a better understanding of the different problems CRNA's face and the opportunities that exist specifically for their industry. 9:00AM- 10:00AM "Blood Conservation Kristie Hoch, APRN, CRNA, MS, Recruiter, Nurse Anesthesia of Maine

10:00AM- 10:30AM 10:30AM 11:30AM 11:30AM 12:30PM 10:00AM 2:00PM 1. List various parameters blood conservation is indicated 2. Identify blood conservation methods 3. Explain which blood conservation method is appropriate for the procedure 4. Know when blood conservation is not warranted Blood conservation is an important topic in today s operating rooms. By learning when to use blood conservation you are helping your patients recover faster. Understanding the various techniques of blood conservation will allow you to make the best decisions when deciding to use it. Break & Visit Exhibits Distractions in the OR" Kristie Hoch, APRN, CRNA, MS, Recruiter, Nurse Anesthesia of Maine At the end of the lecture the Learner will be able to: 1. List various distractions in the operating room 2. Know the types of distractions - manual, visual and cognitive 3. Explain consequences' of being distracted 4. Review possible legal and other ramifications of distractions There are multiple distractions in the operating room (OR) By reviewing the OR distractions and the consequences they may have, you can better understand the risk they place on you and your patients. Anesthetic Application of Ketamine for the Rapid-treatment of Depression Speaker: Zachery Feasel, SRNA 1. The learner will understand the profuse negative impacts of depression on post-operative patient outcomes. 2. The learner will review the pharmacology of ketamine and proposed theoretical anti-depressive mechanisms. 3. The learner will review select anesthesia literature implementing the use of ketamine for the rapid treatment depression. Board Meeting Cascade