primary care 2015 update for nurses - cleveland clinic … · portia reddy, rn shannon rives, msn...

Primary Care 2015 Update for Nurses

January 27 – 30, 2015 Grand Hyatt HotelBangkok, Thailand


> OverviewThis 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. Reviewissuesrelatedtoconflictresolution. 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 AudienceThis activity is designed for nurses and primary care physicians.

> Accreditation StatementThe Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Cleveland Clinic 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 CNENursing contact hours will be awarded.

Cleveland Clinic Enterprise is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

> DisclaimerThe information in this educational activity is provided for general medical education purposes only and is not meant to substitute fortheindependentmedicaljudgmentofaphysicianrelativetodiagnosticandtreatmentoptionsofaspecificpatient’smedicalcondition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by The Cleveland Clinic Foundation. In no event will The Cleveland Clinic Foundation be liable for any decision made or action taken in reliance upon the information provided through this CME activity.

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January 27 – 30, 2015 Grand Hyatt Hotel :: Bangkok, Thailand

> Activity DirectorJonathan Schaffer, MD, MBAManaging Director, eClevelandClinicInformation Technology DivisionOrthopaedic Research CenterCenter for Adult Reconstructive SurgeryDepartment of Orthopaedic SurgeryCleveland Clinic

> FacultyKarl AlbrechtExecutive DirectorTheOfficeofMedicalServicesThe Department of State

Andrea Anderson, RNManager, Travel Clinic ProgramTheOfficeofMedicalServicesThe Department of State

Stanley Bennett, RMMRegional Medical Manager for Africa RegionTheOfficeofMedicalServicesThe Department of State

Pam Combs, MSN, BC-ANP, CDECertifiedNursePractitionerEndocrinology, Diabetes and

Metabolism InstituteCleveland Clinic

Bruce W. Dayton, PhDAssociate DirectorMoynihan InstituteResearch Professor of Political Science Maxwell School of Citizenship and

Public Affairs Syracuse University

Christine Deigni, MLS (ASCP)cm

Regional Medical Laboratory ScientistU.S. Embassy Beijing Health UnitThe Department of State

Paula Dolan, RN, MPAHealth Systems Specialist,

Quality ImprovementTheOfficeofMedicalServicesThe Department of State

William Green, RMMRegional Medical Manager for

Western Hemisphere TheOfficeofMedicalServicesThe Department of State

Ermie Herring, RN, MSN, PMPChief, Medical InformaticsTheOfficeofMedicalServicesThe Department of State

George Johnston, MDDirector, Quality ImprovementTheOfficeofMedicalServicesThe Department of State

Meredith A. Lahl, MSN, RN, PCNS, PPCNP-BC, CPON

Senior Director, Advanced Practice Nursing, Cleveland Clinic Health System

Pediatric Clinical Nurse Specialist, Cleveland Clinic

Gregory Martin, MDChief, Infectious Diseases and

Tropical MedicineTheOfficeofMedicalServicesThe Department of State

Kathleen McCray, RMODirector, Emergency Medical PreparednessTheOfficeofMedicalServicesThe Department of State

Kristine McVey, MLS (ASCP)cm

Regional Medical Laboratory ScientistU.S. Embassy Jakarta Health UnitThe Department of State

Michael Nesemann, RMMRegional Medical Manager for Europe

and Eurasia TheOfficeofMedicalServicesThe Department of State

Kimberly Ottwell, RMMRegional Medical Manager for the Near East and South Central AsiaTheOfficeofMedicalServicesThe Department of State

Gary Penner, RMOMedical DirectorTheOfficeofMedicalServicesThe Department of State

Wayne Quillin, RMOClinical Director, Medical InformaticsTheOfficeofMedicalServicesThe Department of State

Portia Reddy, RNCoordinator, Obstetrics Medevac /

Foreign ProgramsTheOfficeofMedicalServicesThe Department of State

Shannon Rives, MSN, RN, ACNS-BC, CCRN

Clinical Nurse Specialist, Medical-Surgical Telemetry

Gastroenterology/Hepatology and Transplant Special Care

Cleveland Clinic

Dean Smith, RMODeputy Medical DirectorTheOfficeofMedicalServicesThe Department of State

Denise Smith-Hauser, RN, NPNurse Practitioner, Rheumatology InstituteCleveland Clinic

Anne Vanderbilt, MSN, CNS, CNPAdvanced Practice Nurse ManagerCleveland Clinic

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> Co-Activity DirectorsDeborah Klein, MSN, RN, ACNS-BC,

CCRN, CHFN, FAHAClinical Nurse SpecialistHeart and Vascular InstituteCleveland Clinic

Catherine Skowronsky, MSN, RN, ACNS, CMSRN

Clinical Nurse SpecialistMedicine InstituteCleveland Clinic

> Planning Committee MembersMark Cohen, RMOClinical DirectorTheOfficeofMedicalServicesThe Department of State

Assefa KidaneDeputy Executive DirectorTheOfficeofMedicalServicesThe Department of State

Jeri Lockman, ANPDirector, Medical Provider (NP/PA) and

CME ProgramsTheOfficeofMedicalServicesThe Department of State

Charles Rosenfarb, RMORegionalMedicalOfficerTheOfficeofMedicalServicesThe Department of State

Joanne Silva, FNPDeputy Director, Medical Provider

(NP/PA) ProgramsTheOfficeofMedicalServicesThe Department of State

Tammy Young, FNPMedical Provider (NP/PA) RoverTheOfficeofMedicalServicesThe Department of State


> Faculty Disclosure

In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME),TheClevelandClinicFoundationCenterforContinuingEducationrequiresresolutionofallfacultyconflictsofinteresttoensure 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 perceivedasapotentialconflictofinterest:

The following faculty have indicated they have no relationship which, in the context of their presentation(s), could be perceived as apotentialconflictofinterest:

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Karl AlbrechtAndrea Anderson, RNStanley Bennett, RMMMark Cohen, RMOPamela Combs, MSNBruce Dayton, PhDChristine Deigni, MLSPaula Dolan, RN

William Green, RMMErmie Herring, RNGeorge Johnston, MDAssefa KidaneDeborah Klein, MSNJeri Lockman, ANPGreg Martin, MDKathy McCray, RMO

Kristine McVey, MLSMichael Nesemann, RMMKimberly Ottwell, RMMGary Penner, RMOWayne Quillin, RMOPortia Reddy, RNShannon Rives, MSNCharles Rosenfarb, RMO

Jonathan Schaffer, MDJoanne Silva, FNPCatherine Skowronsky, MSNDean Smith, RMOAnne Vanderbilt, MSNTammy Young, FNP

> Evaluation Form and CME Certificate

TheevaluationandCMEcertificatesareavailableonline.InordertoreceiveAMA PRA Category 1 Credits™, please go to www.ccfcme.org/MyCMEtocompletethecourseevaluationandtoprintyourCMEcertificate.Onceyouenterthesite,pleaseenter02010455. The above code is active for 30 days following the symposium.

User Instructions:

Ifyouareafirst-timeuserof“MyCME,”youwillneedtocreateasix-digitpasswordcomprisedofanycombinationoflettersand/ornumbers. This will become your permanent log in for future Cleveland Clinic “MyCME” programs.

1. Log in to www.ccfcme.org/MyCME

2. Click on “New User?” located under the login box

3.Completeallthefieldsintheformandclickon“CreateAccount”

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 “02010455”

7.Completeallthefieldsandhit“submit”

8.YourofficialCMEcertificatewillappear.Pleaseprintandkeepwithyourpermanentfiles.

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.

Meredith Lahl, MSN Jazz Pharmaceuticals Teaching and Speaking

Denise Smith-Hauser, RN

AbbvieConsulting; Teaching and Speaking; Membership on Advisory Committee or Review Panel

Bristol-Myers Squibb Co.Consulting; Teaching and Speaking; Membership on Advisory Committee or Review Panel


> Nursing CNE Evaluation and CE Certificate

ToreceiveyourCNEcertificate,youwillneedtosigninattheconferenceregistrationdeskonthefirstday,attend100%oftheconference 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 www.ccfcme.org/myCMEtocompletethecourseevaluation,claimandprintyourCNECertificate.

2.Onceyouaccessthesite,Inthe“RegularlyScheduledSeries/LiveEvents”box,entertheCODEProvidedforthisprogram:

• For 1/27/15: CCE1503-01

• For 1/28/15: CCE1503-02

• For 1/29/15: CCE1503-03

• For 1/30/15: CCE1503-04

3.Completeallthefieldsontheevaluationformandhit“submit.”

4.YourANCCcertificatewillthenappear.Pleaseprintandkeepwithyourpermanentfiles.Noothercertificatewillbegenerated.

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 Cleveland Clinic “myCME” programs.

Follow the instructions below

1. Log in to www.ccfcme.org/myCME.

2. Click on “New User?” located under the login box.

3.Completeallthefieldsintheformandclickon“CreateAccount.”

4. Click on “Click Here To Login.”

5. Log in using the information you just provided in the registration form.

6.Inthe“RegularlyScheduledSeries/LiveEvents”box,entertheCODEprovidedbelowforthisprogram:

• For 1/27/15: CCE1503-01

• For 1/28/15: CCE1503-02

• For 1/29/15: CCE1503-03

• For 1/30/15: CCE1503-04

7.Completeallthefieldsontheevaluationformandhit“submit.”

8.YourANCCcertificatewillthenappear.Pleaseprintandkeepwithyourpermanentfiles.Noothercertificatewillbegenerated.

The code, ability to complete the evaluation and claim your CE certificate is active for 30 days following the course.

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> Program Agenda

Tuesday, January 27, 2015

SESSION 01

8:00am Pediatrics:NursingManagement and Clinical Pearls for Primary Care Meredith A. Lahl, MSN, RN, PCNS, PPCNP-BC, CPON

10:00am BREAK

SESSION 02

10:15am LiverDiseaseUpdate Shannon Rives, MSN, RN, ACNS-BC, CCRN

SESSION 03

11:15am MusculoskeletalUpdate Denise Smith-Hauser, RN, NP

12:15pm LUNCH

SESSION 04

1:15pm SkillsandDetails01: Personal Protective Equipment (PPE), Tuberculin Skin Test (TST), Anaphylaxis Andrea Anderson, RN Kathleen McCray, RMO

SESSION 05

2:30pm BreakoutGroupsA

3:15pm BREAK

SESSION 06

3:30pm BreakoutGroupsB

SESSION 07

4:15pm BreakoutGroupsC

5:00pm Conclude

BREAKOUT GROUPS A, B, AND CMust attend one of the PPE and one of the TST sessions.

•Option1:SkillsStations a. Personal Protective Equipment (PPE) Kathleen McCray, RMO

b. Tuberculin Skin Test (TST) Andrea Anderson, RN

•Option2:Case-BasedDiscussionGroups a. Musculoskeletal Cases Denise Smith-Hauser, RN, NP

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

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> Program Agenda

Wednesday, January 28, 2015

BREAKOUT GROUPS A, B, AND CMust attend one of the EKG 101 and one of the BP and Orthostatics Sessions (repeated on Thursday).

•Option1:SkillsStations

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, RN, NP

•Option2:Case-BasedDiscussionGroups

a. Mini Mental Assessment Anne Vanderbilt, MSN, CNS, CNP

b. Obstetric Cases Portia Reddy, 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

SESSIoN 08

8:00am QI&You– Credentials, ISO and Other Things Paula Dolan, RN, MPA

SESSIoN 09

9:30am ObstetricMedevacUpdates and Case Studies I Portia Reddy, RN

10:00am BREAK

SESSION 10

10:15am ObstetricMedevacUpdatesand Case Studies II Portia Reddy, RN

SESSION 11

11:15am AgingUpdate Anne Vanderbilt, MSN, CNS, CNP

12:15pm LUNCH

SESSION 12

1:15pm SkillsandDetails02:OfficeProcedures Deborah Klein, MSN, RN, ACNS-BC, CCRN, CHFN, FAHA

SESSION 13


3:15pm BREAK

SESSION 14


SESSION 15


5:00pm Conclude

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> Program Agenda

Thursday, January 29, 2015

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BREAKOUT GROUPS A, B, AND CMust attend one of the Laboratory Point of Care Testing Sessions.

•Option1:SkillsStations

a. Laboratory Point of Care Testing (POCT) Christine Deigni, MLS (ASCP)cm Kristine McVey, 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

•Option2:Case-BasedDiscussionGroups

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

SESSION 16

8:00am AcuteBacterialSkinInfections Animal Bites and Rabies Gregory Martin, MD

10:00am BREAK

SESSION 17

10:15am DiabetesUpdate Pam Combs, MSN, BC-ANP, CDE

SESSIoN 18

11:15am RegionalMedicalManagers(RMMs) Breakout Session Stanley Bennett, RMM William Green, RMM Michael Nesemann, RMM Kimberly Ottwell, RMM

12:15am LUNCH

SESSIoN 19

1:15pm SkillsandDetails03: Laboratory Point of Care Testing (POCT) Christine Deigni, MLS (ASCP)cm Kristine McVey, MLS (ASCP)cm

SESSION 20


3:15pm BREAK

SESSION 21


SESSION 22


5:00pm Conclude


> Program Agenda

Friday, January 30, 2015

DOS Management Day

SESSION 23

8:00am MEDAdministrationUpdate Karl Albrecht Gary Penner, RMO Dean Smith, RMO

SESSION 24

9:00am RiskManagement:MedicalClearances Mark Cohen, RMO

10:00am BREAK

SESSION 25

10:15am RiskManagement:HealthUnitStandard Assessment Survey George Johnston, MD

SESSION 26

10:45am OrganizationalandInterpersonalConflict Dynamics – General Session Overview Bruce W. Dayton, PhD

12:15pm LUNCH

SESSION 27

1:15pm ConflictResolution– ReflectiveListeningandAssertion Bruce W. Dayton, PhD

3:15pm BREAK

SESSIoN 28

3:30pm ConflictResolution– Interest-Based Problem Solving Bruce Dayton, PhD

5:00pm Conclude

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primary care 2015 update for nurses - cleveland clinic … · portia reddy, rn shannon rives, msn...

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