National Conference for
Nurse Practitioners in Acute Care (NPAC)

Message from the Conference Chair

Barkley & Associates, Inc. cordially invites you to attend the National Conference for Nurse Practitioners in Acute Care (NPAC) 2019! Join over 900 colleagues expected to attend from throughout the country as we celebrate with this year’s conference theme, Sailing to Our Best Success, at the Hyatt Regency Baltimore Inner Harbor.

From the great evaluations and requests after last year’s NPAC Conference, 6 Advanced Procedures Workshops (APWs) and 7 additional Pre-Conferences will kick off the conference on Wednesday and Thursday, October 2-3, 2019. The outstanding APWs are designed to be fully hands-on with individual faculty attention, while the 7 Pre-Conferences will be filled with valuable information for all nurse practitioners (NPs) who work with acutely ill adults.

Back by popular demand, the Emergency Neurological Life Support (ENLS) Course will be offered again as a Pre-Conference! This comprehensive course assists NPs in improving patient care outcomes during the first hours of a patient’s neurological emergency. The 8 full hours of instructor-led training will run Wednesday afternoon and Thursday morning. If attendees wish, this CE credit can be used as part of the requirement to obtain ENLS Certification.

As seats are limited, especially for the APWs, please be sure to register early to ensure your spot. As in past years, come early to sharpen your skills in several of NPAC’s offerings prior to the start of the main conference!

A final opportunity to expand advanced procedure skills will be offered on Sunday after the closing session as a Post-Conference. “Procedure Workshop: Advanced Suturing” will offer an in-depth, hands-on experience for those needing to further develop techniques in suturing beyond the basics.

Full conference registration is open all day on Thursday, October 3, 2019, and the main event commences at 5:30 p.m. Following opening remarks, the conference Keynote Address will be given by Gladys M. Campbell, MSN, RN, NC-BC, FAAN, a past president of the American Association of Critical-Care Nurses. She is currently the Executive Director of Harmony Hill Cancer Retreat Center, an independent health care consultant, leadership coach, and public speaker.

Her keynote, “Setting Your Intention: The Strategic Path to Professional Success and Personal Happiness,” is sure to energize the audience as attendees begin our three-day main conference! Immediately following, we will adjourn to what will be another remarkable Welcome Reception and Grand Opening of the Exhibits. Take advantage of all the exhibitors have to offer while networking, partaking in drinks, and enjoying hors d’oeuvres in the picturesque Baltimore Inner Harbor setting.

Unlike other conferences that feature numerous break-out sessions, the NPAC conference strives to bring all NPs who practice with acutely ill adults together as one to enjoy outstanding general sessions. A diverse program with topics relative to everyone continues all day Friday and Saturday. All NPAC sessions are presented by conference faculty with both national and international reputations. The conference speakers are all simply second to none!

While the day is long to capitalize on CE credit, there will not be a session to be missed. Attendees also have a chance to benefit from two peer-reviewed attendee Poster Sessions held on Friday and Saturday which will highlight the most recent research and scholarly projects and activities by NPs in acute care.

Late Saturday afternoon and Sunday morning, the conference focus shifts to the latest Pharmacology Updates in Acute Care, allowing attendees to maximize their pharmacology CE requirements.

In between a long weekend of learning and networking, I hope you also remember to explore all that Baltimore Inner Harbor and the city’s authentic vibe have to offer. The entire Conference Committee is excited to be able to host NPAC 2019 in such a beautiful city.

Take the time to come network, learn, re-charge, and enjoy. I look forward to seeing you on October 2-6, 2019 for what I know will be another amazing conference to celebrate the success of all nurse practitioners and advanced practice nurses working in acute care!

Sincerely,

Thomas W. Barkley, Jr., PhD, ACNP-BC, ANP, FAANP
NPAC Conference Chair
and
President
Barkley & Associates, Inc.

Diamond Sponsor

National Conference for Nurse Practitioners
in Acute Care (NPAC)

Conference Schedule

Sailing to our Best Success!Attendee Brochure
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6:00 a.m.

Conference Registration Open

7:30 a.m. – 11:00 a.m.
Pre-Conference 1

12 Lead EKG Workshop: From the Start to Competent in 3 Hours!

Joan King, PhD, ACNP-BC, ANP-BC, FAANP

This presentation is designed to increase the confidence and clinical proficiency of NPs at all levels of experience with 12-Lead EKG interpretation. Once we have reviewed the foundational principles of 12-Lead EKGs, we will elaborate on a variety of 12-Lead EKG patterns, including inferior, septal, anterior, lateral, and posterior infarctions. We will also discuss right ventricular infarction patterns, emphasizing these patterns’ clinical significance as well as their association with inferior and posterior infarctions.

In addition, the session will present the criteria for identifying reciprocal changes, left and right ventricular hypertrophy, strain, and left and right bundle branch blocks—and highlight important implications of these findings. Throughout the presentation, illustrative examples of each 12-Lead EKG finding will reinforce covered content. In the end, the participant should feel certain that they’ve gone from “I’m never quite sure” to “I’ve got it!” (Seats are limited; 3.0 contact hours; 0.5 hours of Advanced Pharmacology; 3.0 hours of Advanced Procedures)

Pre-Conference 2

Radiology Review: From the Beginning Novice to
Expert in 3 Hours!

Rita Dello Stritto, PhD, ACNP-BC, CNS, ENP, FAANP

Being able to review an x-ray is an important role for the nurse practitioner, yet many do not have a firm understanding of the basics in imaging interpretation. This session will take participants from the very basics of understanding the shades between black and white on an X-ray, to the more advanced techniques of identifying pneumonia, heart failure, cardiomegaly, pleural effusions, bowel obstructions, spinal injuries, Salter-Harris fractures, and much more. Within 3 hours, you will go from novice to expert in X-ray interpretation in the acute care setting! (Seats are limited; 3.0 contact hours; 0.25 hours of Advanced Pharmacology; 3.0 hours of Advanced Procedures)

7:30 a.m. – 9:30 a.m. & 10:00 a.m. – 12:00 p.m. & 12:30 p.m. – 2:30 p.m. & 3:00 p.m. – 5:00 p.m.
Pre-Conference A

Advanced Procedures Workshop: Landmark & Ultrasound-guided Central Line Placement & Vascular Access

Nichole Crenshaw, DNP, ARNP, AGACNP-BC, ANP-BC, CHSE

(EJ, IJ, Subclavian, Femoral Sites & Intraosseous Line Placement; Limited to ~ 16 attendees in two groups; 3.0 contact hours; 3.0 hours of Advanced Procedures)

Pre-Conference B

Advanced Procedures Workshop: Difficult Airway Management

Steven W. Branham, PhD, ACNP-BC, FNP-BC, ENP-C, FAANP

(Adjunct Airways [nasal trumpet, oral airway, LMA], Endotracheal Intubation, Use of Bougie, King Airway Tube Placement, Cricothyrotomy, & Other Strategies; Limited to ~ 10 attendees; 3.0 contact hours; 3.0 hours of Advanced Procedures)

Pre-Conference C

Advanced Procedures Workshop: Landmark & Ultrasound-guided Thoracentesis, Needle Decompression, & Chest Tube Insertion

Lisa Evans, DNP, ACNP-BC

(Seats are limited ~ 10 attendees; 3.0 contact hours; 3.0 hours of Advanced Procedures)

Pre-Conference D

Advanced Procedures Workshop: Landmark & Ultrasound-guided Lumbar Puncture, Paracentesis, & Extended Focused Assessment with Sonography in Trauma (EFAST)

Charles L. Schreiner, IV, MHA, MS, ACNP-BC, RNFA

(Seats are limited ~ 10 attendees; 3.0 contact hours; 3.0 hours of Advanced Procedures)

Pre-Conference E

Advanced Procedures Workshop: Managing Extremity Issues

Patricia Larrieu Briones, DNP, ARNP, FNP-BC, CHSE

(Digital Blocks, Regional Anesthesia, I & D of Abscesses, Nail Trephination, Simple Suturing; Limited to ~ 10 attendees; 3.0 contact hours; 3.0 hours of Advanced Procedures)

Pre-Conference F

Advanced Procedures Workshop: Emergency HEENT Procedures

Paula Tucker, DNP, FNP-BC, ENP-C

(Tonometry, Eye Exams with Surface Staining, Ocular Foreign Body Removal, Dental Emergencies including Dental Blocks, Nasal Packing, Nose & Ear Foreign Body Removal; Limited to ~ 10 attendees; 3.0 contact hours; 3.0 hours of Advanced Procedures)

12:30 p.m. – 4:00 p.m.
Pre-Conference 5

Cardiac Valvular Disease Workshop

Kristine Anne Scordo, PhD, ACNP-BC, FAANP

With the dramatic ageing of the American population over the past several decades, degenerative lesions of the mitral and aortic valves that result in mitral regurgitation, aortic stenosis, or aortic regurgitation are now the most prevalent valvular disorders that require intervention. This workshop will better prepare nurse practitioners to diagnose and treat patients with valvular heart disease, which remains a common cause of morbidity and mortality. The session focuses on the latest practice guidelines, along with advanced cardiac assessment, echocardiographic, and other diagnostics to improve patient management. Mitral valve prolapse syndrome, a common valvular disorder, and the differentiation of acute versus chronic mitral regurgitation are also discussed. (Seats are limited; 3.0 contact hours; 0.25 hours of Advanced Pharmacology; 3.0 hours of Advanced Procedures)

Pre-Conference 6

ADVANCED Imaging and Radiology Workshop: CTs, MRIs, PET, and More!

Rita Dello Stritto, PhD, ACNP-BC, CNS, ENP, FAANP

Knowing the difference between various radiology techniques and protocols is vital knowledge for all nurse practitioners. Beyond an understanding of basic X-ray interpretation, ADVANCED imaging and radiology provide a mechanism to more effectively diagnose complex patient conditions. This presentation will explore appropriate imaging technologies for NPs to consider when evaluating patients with both common and uncommon complaints. Case studies will be used to illustrate the latest evidence-based practices in ADVANCED patient imaging. (Seats are limited; 3.0 contact hours; 0.25 hours of Advanced Pharmacology; 3.0 hours of Advanced Procedures)

12:30 p.m. – 5:00 p.m.
Pre-Conference 7

Emergency Neurological Life Support (ENLS) Course – Part 1

Susan C. Yeager, MS, ACNP-BC, CCRN, FNCS
Sarah Livesay, DNP, ACNP-BC, ACNS-BC

Emergency neurological life support (ENLS) is an educational program designed to help healthcare professionals improve patient care and outcomes during the critical first hours of a patient’s neurological emergency. ENLS demonstrates a collaborative, multi-disciplinary approach and provides a consistent set of protocols, practical checklists, decision points, and suggested communication to use during patient management. This ENLS course is an instructor-led training session that offers a robust introduction to each course topic through instructor-led classroom training. If attendees wish, this CE credit can be used as part of the requirement to obtain ENLS certification. (Seats are limited; 4.0 contact hours; 1.25 hours of Advanced Pharmacology)

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6:00 a.m.

Conference Registration Open

7:30 a.m. – 12:00 p.m.
Pre-Conference 7 (continued)

Emergency Neurological Life Support (ENLS) Course – Part 2

Susan C. Yeager, MS, ACNP-BC, CCRN, FNCS
Sarah Livesay, DNP, ACNP-BC, ACNS-BC

Emergency neurological life support (ENLS) is an educational program designed to help healthcare professionals improve patient care and outcomes during the critical first hours of a patient’s neurological emergency. ENLS demonstrates a collaborative, multi-disciplinary approach and provides a consistent set of protocols, practical checklists, decision points, and suggested communication to use during patient management. This ENLS course is an instructor-led training session that offers a robust introduction to each course topic through instructor-led classroom training. If attendees wish, this CE credit can be used as part of the requirement to obtain ENLS certification. (Seats are limited; 4.0 contact hours; 1.25 hours of Advanced Pharmacology)

7:30 a.m. – 11:00 a.m.
Pre-Conference 10

ADVANCED 12-Lead EKG Workshop

Joan King, PhD, ACNP-BC, ANP-BC, FAANP

OK, so you’re comfortable with the foundational principles of 12-Lead EKG interpretation. What are some of the more nuanced interpretive standards to utilize while you implement this key assessment tool? When should you worry?

This ADVANCED 12-Lead EKG interpretation workshop will begin with a discussion of AV blocks, focusing on the guidelines that differentiate a Mobitz I second-degree AV block from a Mobitz II second-degree AV block. Key information about third-degree heart blocks, right and left bundle branch blocks, and hemiblocks will also be presented. In addition, we will focus on the salient features, causes, and management strategies of complex dysrhythmias. Other topics include complex tachycardias (e.g., Wolff-Parkinson-White syndrome and Long-Ganong-Levine syndrome) and the differentiation between sinus arrests and sinus blocks. Join us for an informative and detailed workshop that will strengthen your ability and confidence with the 12-Lead EKG. (Seats are limited; 3.0 contact hours; 0.5 hours of Advanced Pharmacology; 3.0 hours of Advanced Procedures)

7:30 a.m. – 9:30 a.m. & 10:00 a.m. – 12:00 p.m. & 12:30 p.m. – 2:30 p.m. & 3:00 p.m. – 5:00 p.m.
Pre-Conference A

Advanced Procedures Workshop: Landmark & Ultrasound-guided Central Line Placement & Vascular Access

Nichole Crenshaw, DNP, ARNP, AGACNP-BC, ANP-BC, CHSE

(EJ, IJ, Subclavian, Femoral Sites & Intraosseous Line Placement; Limited to ~ 16 attendees in two groups; 3.0 contact hours; 3.0 hours of Advanced Procedures)

Pre-Conference B

Advanced Procedures Workshop: Difficult Airway Management

Steven W. Branham, PhD, ACNP-BC, FNP-BC, ENP-C, FAANP

(Adjunct Airways [nasal trumpet, oral airway, LMA], Endotracheal Intubation, Use of Bougie, King Airway Tube Placement, Cricothyrotomy, & Other Strategies; Limited to ~ 10 attendees; 3.0 contact hours; 3.0 hours of Advanced Procedures)

Pre-Conference C

Advanced Procedures Workshop: Landmark & Ultrasound-guided Thoracentesis, Needle Decompression, & Chest Tube Insertion – including Pigtail Catheters

Lisa Evans, DNP, ACNP-BC

(Seats are limited ~ 10 attendees; 3.0 contact hours; 3.0 hours of Advanced Procedures)

Pre-Conference D

Advanced Procedures Workshop: Landmark & Ultrasound-guided Lumbar Puncture, Paracentesis, & Extended Focused Assessment with Sonography in Trauma (EFAST)

Charles L. Schreiner, IV, MHA, MS, ACNP-BC, RNFA

(Seats are limited ~ 10 attendees; 3.0 contact hours; 3.0 hours of Advanced Procedures)

Pre-Conference E

Advanced Procedures Workshop: Managing Extremity Issues

Patricia Larrieu Briones, DNP, ARNP, FNP-BC, CHSE

(Digital Blocks, Regional Anesthesia, I & D of Abscesses, Nail Trephination, Simple Suturing; Limited to ~ 10 attendees; 3.0 contact hours; 3.0 hours of Advanced Procedures)

Pre-Conference F

Advanced Procedures Workshop: Emergency HEENT Procedures

Paula Tucker, DNP, FNP-BC, ENP-C

(Tonometry, Eye Exams with Surface Staining, Ocular Foreign Body Removal, Dental Emergencies including Dental Blocks, Nasal Packing, Nose & Ear Foreign Body Removal; Limited to ~ 10 attendees; 3.0 contact hours; 3.0 hours of Advanced Procedures)

12:30 p.m. – 4:00 p.m.
Pre-Conference 13

Mechanical Ventilation Boot Camp

Thomas C. Corbridge, MD
James M. Walker, MD

The mechanical ventilator is the leading support device in critical care. It supports gas exchange, decreases work of breathing, and is an integral part of shock management. This comprehensive boot camp targets both entry-level and intermediate practitioners responsible for the care of mechanically ventilated patients. This session provides rationales for initial ventilator settings and adjustments based on blood gases, synchrony, and waveform analysis. By the end of this boot camp, nurse practitioners in acute care will have a better understanding of the interplay between the patient and the machine to optimize benefit and mitigate risk to their patients. (Seats are limited; 3.0 contact hours; 0.5 hours of Advanced Pharmacology; 3.0 hours of Advanced Procedures)

5:30 p.m. – 5:50 p.m.

Welcome and Introduction to the Conference

Thomas W. Barkley, Jr., PhD, ACNP-BC, ANP, FAANP

(0.33 contact hours)

5:50 p.m. – 7:00 p.m. 
Opening Keynote Address

Setting Your Intention: The Strategic Path to Professional Success and Personal Happiness

Gladys M. Campbell, MSN, RN, NC-BC, FAAN

A lack of relationship with patients, families, and our own coworkers is a studied source of dissatisfaction among many healthcare providers, including nurse practitioners who work with the acutely ill. The squeeze on relationship-based care due to productivity drivers, significantly reduces inpatient lengths of stay, and time restrictions on outpatient visits significantly alter the ability for clinicians to “know” their patients. Given this, can productivity and financially-driven models of care delivery be challenged or altered? Can nurse practitioners and other providers maintain their commitment to the caring aspect in their professions? Will acute care delivery devolve into disarticulated and mechanistic tasks or is there room for a resurgence of holism and health? Do we as nurses and nurse practitioners have the power to influence the direction of care delivery? These issues and more will be explored as we address our ability to find the strategic path to both professional success and personal happiness. (1.17 contact hours; 0.25 hours of Advanced Pharmacology)

7:00 p.m. – 9:00 p.m. 

Welcome Reception and
Grand Opening of Exhibits

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6:00 a.m.

Conference Registration Open

6:30 a.m. – 7:30 a.m.

Continental Breakfast with Exhibitors – Refereed Poster Session 1

7:30 a.m. – 8:45 a.m.

Fever, Infection, and Infectious Disease:
What’s in Your Differential?

Thomas W. Barkley, Jr., PhD, ACNP-BC, ANP, FAANP

This session discusses how the impact of fever, or lack thereof, is integral to sharpening the differential diagnosis in the acutely ill. Sepsis is at the forefront of concern in any patient presenting with fever. However, determining if your patient has an innocuous fever, infection, or an infectious disease can always be a clinical diagnostic challenge.

Various etiologies, predisposing factors, “red flags,” and atypical findings will be explored. Fever of unknown and unexplained origin, along with conditions that masquerade as infection will also be addressed. Highlighting the importance of the patient history and evaluation findings, evidence-based national data, treatment options, and clinical implications culminate to improve diagnostic skills for all nurse practitioners (1.25 contact hours; 0.75 hours of Advanced Pharmacology)

8:45 a.m. – 10:00 a.m.

When the “Guidelines” Aren’t Enough:
10 Pivotal Issues in Heart Failure Management

Beth Davidson, DNP, ACNP-BC, CCRN, CHFN

The prevalence of heart failure (HF) continues to escalate and currently affects over 6.5 million Americans. Despite advances in medical and device therapy, significant residual risk remains for morbidity and mortality. What can nurse practitioners (NPs) do to change this? How can NPs best navigate new developments and decide which therapies to implement with their own patients?

This session addresses 10 pivotal issues in the management of HF, while providing guidance for clinicians in areas where evidence is insufficient to inform decision making. Further, practical strategies will be presented so that by the end of this session, NPs will leave with greater confidence and knowledge to pursue the latest treatment options for their patients. (1.25 contact hours; 0.75 hours of Advanced Pharmacology)

10:00 a.m. – 10:30 a.m.

Break – Exhibits – Refereed Poster Session 1 (continued)

10:30 a.m. – 11:45 a.m.

Challenging Cases in Respiratory Failure and Mechanical Ventilation

Thomas C. Corbridge, MD, FCCP

Recognizing the determinants of blood oxygen and carbon dioxide is crucial to the diagnosis, assessment, and management of patients with acute hypoxemic respiratory failure and acute hypercapnic respiratory failure. This session will review the physiologic and pathophysiologic principles that govern the partial pressure of oxygen (PO2) and the partial pressure of carbon dioxide (PCO2), while applying strategies to patient cases requiring supplemental oxygen and assisted ventilation. Participants will leave this session with increased capability and competency in recognizing and treating respiratory failure in the acutely ill. (1.25 contact hours; 0.75 hours of Advanced Pharmacology; 1.25 hours of Advanced Procedures)

11:45 a.m. – 1:15 p.m.

Lunch on Own

1:15 p.m. – 2:30 p.m.

Hot Topics in Shock Trauma

Brooke Andersen, MSN, AGACNP-BC
Joseph Larivey, MSN, FNP-BC
Michelle J. Willis, MS, AGACNP-BC

Aggressive, evidence-based care of the shock trauma patient is essential for sustaining life in the critically ill. This session will address three novel innovations that offer additional strategies in the process of shock trauma patient resuscitation, which have broad implications for all nurse practitioners.

Resuscitative endovascular balloon occlusion of the aorta (REBOA), endovascular repair of penetrating and blunt vascular injuries, and molecular absorbent recirculating system (MARS) will each be discussed. Indications, underlying principles, advantages, and contrasts to previous treatment options will also be addressed. (1.25 contact hours; .75 hours of Advanced Pharmacology; 1 hour of Advanced Procedures)

2:30 p.m. – 3:00 p.m.

Break – Exhibits – Refereed Poster Session 1 (continued)

3:00 p.m. – 4:15 p.m.

Acute Care Management of Volume Loss:
Six Pillars of Resuscitation

Daria C. Ruffolo, DNP, ACNP-BC, CCRN

Fluid resuscitation is a vital element in acute care. Since the advent of early goal-directed therapy, there has been an emphasis on aggressive fluid resuscitation in patients with shock. However, there is great variability in practice regarding fluid challenges (FCs), leading to under- or over-hydration of the compromised patient. Such decisions can potentially have a detrimental impact on patient outcomes.

This session reviews the concepts of fluid responsiveness by utilizing six evidence-based principles to guide effective resuscitation. Included is a discussion of the use of chest x-ray, central venous pressure, and ultrasound as marginal indicators of fluid status. The session also discusses how passive leg raising and the use of noninvasive cardiac output monitoring can offer more accurate information.

The acute care provider requires knowledge that response to FC is short lived, and the response does not necessarily equate to the need for additional fluid. This session provides insight to the science of effective resuscitation in the acutely ill. (1.25 contact hours; 1.25 hours of Advanced Pharmacology)

4:15 p.m. – 5:30 p.m.

Compassion Fatigue: Implications for All NPs in Acute Care

Mohana B. Karlekar, MD, FACP, FAAHPM

Leaders of health care institutions and clinicians are increasingly recognizing compassion fatigue (CF) and burnout as important entities to both identify and proactively prevent. Nurse practitioners (NPs), especially those who work with the acutely ill, are at significant risk for developing both CF and burnout.

How can you help prevent the effects of CF and burnout in your practice to more successfully care for your own health and that of your patients? This session will elucidate the distinct features and risk factors of CF and burnout, respectively, as well as the similarities between the two. We will discuss the impacts on the professional and personal lives of NPs, and closely examine ripple-down effects on patients, institutions, and health care systems. The session will close with effective strategies that institutional leaders and individual NPs can use to help identify and prevent these issues. (1.25 contact hours; 0.25 hours of Advanced Pharmacology)

5:30 p.m.

Adjourn

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6:00 a.m.

Conference Registration Open

6:30 a.m. – 7:30 a.m.

Continental Breakfast with Exhibitors – Refereed Poster Session 2

7:30 a.m. – 8:45 a.m.

Telemedicine: A New Frontier of Opportunity for the Acute Care Provider

Troy Heidesch, DNP, FNP-C

With the current physician shortage and the increased demand for nurse practitioners to care for the aging baby boomer population, healthcare providers are looking for novel ways to provide the care needed without straining limited resources.

Telemedicine initiatives such as telepsychiatry, teleICU, teleneurology, and teleradiology have been shown as viable solutions to this problem. Telemedicine in rural and urban hospital systems has already been shown to improve mortality, decrease length of stay, and decrease time-to-treatment. As such, more than half of all hospital CEOs in rural, suburban, and urban locations report implementing telemedicine solutions in their hospitals.

This session will present current advancements in telemedicine utilization, outcomes, and statutory implications for nurse practitioners. Case studies in telemedicine, including emergency, acute care, and critical care, will be used to demonstrate new professional and business opportunities in this new frontier! (1.25 contact hours; 0.5 hours of Advanced Pharmacology)

8:45 a.m. – 10:00 a.m.

From AKI to RRT: Nephrology Update 2019

Michelle K. Shields, MSN, ACNP-BC

Acute kidney injury (AKI) is associated with considerable morbidity and mortality, requiring nurse practitioners (NPs) to have skill in prompt recognition, treatment, and the need for urgent referral, as needed. Through a case study approach, this session will provide the latest advances in patient management, including breaking news that can be directly integrated into clinical practice.

Providing a clinical framework, this presentation will include a brief overview of AKI, risk factors, and staging severity, along with potential short- and long-term outcomes. Updates in acute management of AKI, including more challenging cases such as those that involve cardiorenal, hepatorenal and cancer treatment will be addressed. A discussion of renal replacement therapies and other strategies such as renal dosing will also be included to heighten the NP’s knowledge of available therapies. (1.25 contact hours; .75 hours of Advanced Pharmacology)

10:00 a.m. – 10:30 a.m.

Break – Exhibits – Refereed Poster Session 2 (continued)

10:30 a.m. – 11:45 a.m.

Oncologic Emergencies in Acute Care: Are You Ready?

Charles L. Schreiner, IV, MHA, MS, ACNP-BC, RNFA

Think you don’t need to worry about your oncology patient? Think again! Cancer patients with episodes of serious illness often present in acute care with severe, sometimes life-threatening, complications.

Oncologic emergencies present across the acute care continuum as derangements of metabolic (e.g., tumor lysis syndrome, SIADH), hematologic (e.g., neutropenic fever, hyperviscocity syndrome, thrombocytopenias), structural (e.g., superior vena cava syndrome, epidural spinal cord compression, malignant pericardial effusion), or chemotherapy-related effects.

Recognition of these cancer-related conditions is imperative to preventing further morbidity and mortality. Practitioners should leave this session with thorough knowledge of the critical nature of such manifestations to expeditiously intervene as needed. (1.25 contact hours; 0.75 hours of Advanced Pharmacology)

11:45 a.m. – 1:15 p.m.

Lunch on Own

1:15 p.m. – 2:30 p.m.

ECMO in the Critically Ill Adult:
Staying on Top of What, When, How, and Why

Jane Guttendorf, DNP, ACNP-BC, CCRN

Extracorporeal membrane oxygenation therapy (ECMO) is a rescue strategy to support patients in severe acute respiratory or cardiac failure who don’t respond to traditional methods of treatment. Indications for ECMO continue to expand for both respiratory and cardiac failure.

This session will present an overview of ECMO support (WHAT) and indications for ECMO, helping to define appropriate patients for selection and triage for early ECMO cannulation (WHEN). We will review how ECMO works in both cardiac and respiratory failure, including cannulation strategies for each etiology of failure (HOW). Some technical aspects of ECMO support are necessarily included to serve as a basis for assessing adequacy of support, management of routine care, and identification of and response to emergencies (WHY). Presentation of several patient case scenarios will prompt application of the information, focusing on both identification and management of common and emergency situations (e.g., cannulation issues, oxygenation problems, hemodynamics, weaning, and urgent responses). (1.25 contact hours; 0.5 hours of Advanced Pharmacology; 1.25 of Advanced Procedures)

2:30 p.m. – 3:00 p.m.

Break – Exhibits – Refereed Poster Session 2 (continued)

3:00 p.m. – 4:15 p.m.

The Top 10 Diagnoses Not to Miss in Acute Care

Helen Brown, MS, ACNP-BC, FNP-BC, FAANP

Management of acutely ill patients from admission to discharge is a daily challenge for nurse practitioners (NPs) in acute care, whether practicing in emergency departments, as hospitalists, or in the intensive care unit. This session will address the diagnostic challenges of managing patients when there is a lack of response to treatment or new symptom clusters develop.

Such situations require reassessment of the data to confirm a missed or alternative diagnosis, a new problem, or a complication of an existing problem. This presentation will address 10 diagnoses which can be easily missed on either initial evaluation or can develop during the patient’s hospitalization to assist NPs in redirecting their patient approach. (1.25 contact hours; 0.5 hours of Advanced Pharmacology)

4:15 p.m. – 5:45 p.m.

Pharmacology Update in Acute Care – Part 1

Robert Fellin, Pharm D, BCPS
Elizabeth VandeWaa, PhD

The pace of approval of new drugs onto the market, variable efficacy, and potential toxicity create great complexity in selection and management of optimal medications for individual patients. Even as evidence-based treatment guidelines are available for many specific diseases, far too many patients continue to receive suboptimal treatment. Management of acutely ill patients is complex, potentially involving numerous different patient diagnoses, while encompassing a variety of NP clinical practice settings. The intent of these pharmacology sessions is to update practitioners on issues pertaining to acute care prescribing, thereby facilitating optimal care for patients in an efficient and cost-effective manner. (1.5 contact hours; 1.5 hours of Advanced Pharmacology)

5:45 p.m.

Adjourn

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6:00 a.m.

Conference Registration Open

6:30 a.m. – 7:30 a.m.

Continental Breakfast

7:30 a.m. – 9:30 a.m.

Pharmacology Update in Acute Care – Part 2

Robert Fellin, Pharm D, BCPS
Elizabeth VandeWaa, PhD

The pace of approval of new drugs onto the market, variable efficacy, and potential toxicity create great complexity in selection and management of optimal medications for individual patients. Even as evidence-based treatment guidelines are available for many specific diseases, far too many patients continue to receive suboptimal treatment. Management of acutely ill patients is complex, potentially involving numerous different patient diagnoses, while encompassing a variety of NP clinical practice settings. The intent of these pharmacology sessions is to update practitioners on issues pertaining to acute care prescribing, thereby facilitating optimal care for patients in an efficient and cost-effective manner. (2 contact hours; 2 hours of Advanced Pharmacology)

9:30 a.m. – 10:00 a.m.

Break

10:00 a.m. – 11:45 a.m.

Pharmacology Update in Acute Care – Part 3

Robert Fellin, Pharm D, BCPS
Elizabeth VandeWaa, PhD

The pace of approval of new drugs onto the market, variable efficacy, and potential toxicity create great complexity in selection and management of optimal medications for individual patients. Even as evidence-based treatment guidelines are available for many specific diseases, far too many patients continue to receive suboptimal treatment. Management of acutely ill patients is complex, potentially involving numerous different patient diagnoses, while encompassing a variety of NP clinical practice settings. The intent of these pharmacology sessions is to update practitioners on issues pertaining to acute care prescribing, thereby facilitating optimal care for patients in an efficient and cost-effective manner. (1.75 contact hours; 1.75 hours of Advanced Pharmacology)

11:45 a.m. – 12:00 p.m.

Conference Summary, Future Directives, and Evaluations

Thomas W. Barkley, Jr., PhD, ACNP-BC, ANP, FAANP

(0.25 contact hours)

12:00 p.m.

Adjourn

1:30 p.m. – 4:30 p.m.

Post-Conference

Advanced Procedures Workshop:
Advanced Suturing

Rita Dello Stritto, PhD, ACNP-BC, CNS, ENP, FAANP
Steven W. Branham, PhD, ACNP-BC, FNP-BC, ENP-C, FAANP

Multilayer Closure, Vertical and Horizontal Mattress, Stellate Lac repair, Aberdeen Knot, Running Simple Suture, Subcuticular Running Suture, Chest Tube Suture Technique, Figure 8, and others as time permits

(4.0 contact hours; 0.25 hours of Advanced Pharmacology; 4.0 hours of Advanced Procedures)

In rare circumstances beyond the control of the Planning Committee, conference faculty may be substituted in emergency situations.
Any changes will be immediately updated on the conference website.

Attendee Brochure
Click Here

Main Conference Faculty

Brooke Andersen, MSN, AGACNP-BC
University of Maryland Medical Center
R A Cowley Shock Trauma Center
Sr. Critical Care APP Clinical Program Manager
Coordinator of the NP Fellowship
Baltimore, MD

Thomas W. Barkley, Jr., PhD, ACNP-BC, ANP, FAANP
President
Barkley & Associates, Inc.
Los Angeles, CA
and
Professor Emeritus
California State University, Los Angeles
Patricia A. Chin School of Nursing
Los Angeles, CA

Helen Brown, MS, ACNP-BC, FNP-BC, FAANP
Acute Care Nurse Practitioner
Doctor’s Emergency Service
Anne Arundel Medical Center
Annapolis, MD
and
Adjunct Faculty
George Washington University
School of Nursing
Washington, DC

Gladys M. Campbell, MSN, RN, NC-BC, FAAN
Executive Director
Harmony Hill Cancer Retreat Center
and
Independent Health Care Consultant, Leadership Coach,
and Public Speaker
Seatle, WA

Thomas C. Corbridge, MD, FCCP
Emeritus Physician, Northwestern Memorial Hospital
Adjunct Professor of Pulmonary and
Critical Care Medicine
Northwestern University
Feinberg School of Medicine
Chicago, IL

Beth Davidson, DNP, ACNP-BC, CCRN, CHFN
Director, Heart Failure Disease Management
HCA TriStar Centennial Medical Center
Nashville, TN

Robert Fellin, Pharm D, BCPS
Clinical Pharmacist
Cedars-Sinai Medical Center Los Angeles, CA
and
Adjunct Professor
University of Southern California
and
Lecturer, Barkley & Associates, Inc.
Los Angeles, CA

Jane Guttendorf, DNP, ACNP-BC, CCRN
Assistant Professor
University of Pittsburgh
School of Nursing
Department of Acute/Tertiary Care
and
Acute Care Nurse Practitioner
UPMC Presbyterian
Surgical Intensive Care Unit and
Cardiothoracic Intensive Care Unit
Pittsburgh, PA

Troy Heidesch, DNP, FNP-C
Associate Professor
Richards Graduate Chair
Brenau University
Mary Inez Grindle School of Nursing
Gainesville, GA
and
Founder, President, and CEO
Smart House Calls, LLC
Athens, GA

Mohana B. Karlekar, MD, FACP, FAAHPM
Medical Director of Palliative Care
Assistant Professor
Department of General Internal Medicine
and Public Health
Vanderbilt University Medical Center
Nashville, TN

Joseph Larivey, MSN, FNP-BC
University of Maryland Medical Center
R A Cowley Shock Trauma Center
Orthopaedics Sr. APP Clinical Program Manager
Baltimore, MD

Daria C. Ruffolo, DNP, ACNP-BC, CCRN
Acute Care Nurse Practitioner
Department of Anesthesia
Loyola Medicine
Maywood, IL
and
Adjunct Faculty
Loyola University Chicago
Marcella Niehoff School of Nursing
Maywood, IL

Charles L. Schreiner, IV, MHA, MS, ACNP-BC, RNFA
Acute Care Nurse Practitioner
Clayman Thyroid Cancer Center
Tampa General Hospital
Tampa, FL

Michelle K. Shields, MSN, ACNP-BC
Acute Care Nurse Practitioner
Renal & Electrolyte Associates, Inc.
Greensburg, PA

Elizabeth VandeWaa, PhD
Professor
University of South Alabama
College of Nursing
Mobile, AL
and
Lecturer, Barkley & Associates, Inc.
Los Angeles, CA

Michelle J. Willis, MS, AGACNP-BC
University of Maryland Medical Center
R A Cowley Shock Trauma Center
Team, Emergency Surgery, and Soft Tissue
Sr. APP Clinical Program Manager
Baltimore, MD

Pre/Post-Conference Faculty

Steven W. Branham, PhD, ACNP-BC, FNP-BC, ENP-C, FAANP
Associate Professor
Texas Tech University Health Sciences Center
School of Nursing
Lubbock, TX

Patricia Larrieu Briones, DNP, ARNP, FNP-BC, CHSE
Assistant Professor of Clinical
University of Miami
School of Nursing and Health Studies
Miami, FL

Thomas C. Corbridge, MD, FCCP
Emeritus Physician, Northwestern Memorial Hospital
Adjunct Professor of Pulmonary and
Critical Care Medicine
Northwestern University
Feinberg School of Medicine
Chicago, IL

Nichole Crenshaw, DNP, ARNP, AGACNP-BC, ANP-BC, CHSE
Assistant Professor of Clinical
University of Miami
School of Nursing and Health Studies
Miami, FL

Rita Dello Stritto, PhD, CNS, ENP, ACNP-BC, FAANP
Associate Professor
Texas Woman’s University
College of Nursing
Houston, TX

Lisa Evans, DNP, ACNP-BC
Acute Care Nurse Practitioner
Integrated Critical Care & Pulmonary Specialists, Inc.
St. Joseph Hospital
Orange, CA

Joan King, PhD, ACNP-BC, ANP-BC, FAANP
Acute Care Nurse Practitioner
Vanderbilt University Medical Center
and
Professor Emerita
Vanderbilt University
School of Nursing
Nashville, TN

Sarah Livesay, DNP, ACNP-BC, ACNS-BC
Assistant Professor
Rush University
College of Nursing
Chicago, IL

Charles L. Schreiner, IV, MHA, MS, ACNP-BC, RNFA
Acute Care Nurse Practitioner
Clayman Thyroid Cancer Center
Tampa General Hospital
Tampa, FL

Kristine Anne Scordo, PhD, ACNP-BC, FAANP
Professor
Director, Adult-Gerontology Acute Care Nurse Practitioner Program
Practitioner Program
Wright State University
College of Nursing
Dayton, OH
and
Acute Care Nurse Pratitioner
Kettering Health Network Cardiology
Dayton, OH

Paula Tucker, DNP, FNP-BC, ENP-C
Assistant Professor
Emory University
Nell Hodgson Woodruff School of Nursing
Atlanta, GA

James M. Walter, MD
Assistant Professor of Pulmonary and
Critical Care Medicine
Northwestern University
Feinberg School of Medicine
Chicago, IL

Susan C. Yeager, MS, ACNP-BC, CCRN, FNCS
Lead Neurocritical Care Nurse Practitioner
The Ohio State University
Wexner Medical Center
Columbus, OH

Conference Planning Committee

Thank you to the NPAC 2019 Conference Planning Committee for their
commitment and expertise in planning this successful conference!

Thomas W. Barkley, Jr., PhD, ACNP-BC, ANP, FAANP
Los Angeles, CA

Susan J. Corbridge, PhD, ACNP-BC, FAANP, FAAN
Chicago, IL

Joan King, PhD, ACNP-BC, ANP-BC, FAANP
Nashville, TN

Kathy Magdic, DNP, ACNP-BC, FAANP
Pittsburgh, PA

Sheila Melander, PhD, ACNP-BC, FAANP, FCCM, FAAN
Lexington, KY

Kristine Anne Scordo, PhD, ACNP-BC, FAANP
Dayton, OH

Julie Stanik-Hutt, PhD, ACNP-BC, GNP-BC, CCNS, FAANP, FAAN
Iowa City, IA

Attendee Brochure
Click Here

Accreditation

CE CREDIT

The NPAC main conference will be approved for 23.75 contact hours of continuing education (which includes 13 hours of pharmacology, and 3.5 hours of emergency care procedural skills) by the American Association of Nurse Practitioners. Activity ID# 080518. This activity was planned in accordance with AANP Accreditation Standards and Policies.

A maximum of 48.75 contact hours of continuing education (which includes 13.25 hours of pharmacology, and up to 28.5 contact hours of emergency care procedural skills) may be obtained by attending pre-conferences and the post-conference.

Provider approved by the California Board of Registered Nursing, Provider Number CEP 15436. All NP state regulatory agencies (i.e., State Boards of Nursing) and all national certifying bodies (e.g., ANCC, AANP, AACN, PNCB, and NCC) recognize and accept AANP CE credit for recertification!

“Relax in your luxury room at the Hyatt Regency Baltimore Inner Harbor and attend conveniently-located sessions at your leisure!”

Hyatt Regency Baltimore Inner Harbor
300 Light St. 
Baltimore, MD 21202

Take advantage of our special discounted hotel rate!
Rooms are limited!

To make your reservations, please click here

Attendees booked under the Barkley & Associates room block will receive fifty percent (50%) discount on self parking = $15

If you need additional assistance, please contact the hotel at 877-803-7534. If the group rate is no longer available, prevailing rates may be offered for some or all of your dates.

Call for Poster Presentation Abstracts FINAL 3.6

Diamond Sponsor

#Company NameBooth #
(1) Barkley & Associates, inc.Booth # 12
(2) Barkley & Associates, inc.Booth # 13


Diamond Sponsor

Call for Poster Presentations
Click Here

Attendee Brochure
Click Here

Register Early for Best Savings!

Conference Registration:

Early Bird (until 04/08/19): $569

Standard (04/09/19 – 05/17/19): $609

Regular (05/18/19 – 07/26/19): $649

Final (07/27/19 – 09/17/19): $689

Last Minute (after 09/17/19): $719

Full time Nursing Students

(ID Required with Expiration Date): $449

Last Minute (after 09/17/19): $549

Retired Nurse Practitioner

(Must be Fully Retired from NP Practice): $449

Last Minute (after 09/17/19): $549

Main NPAC Conference Cancellation Policy & Fees:

Conference cancellations require email communication to Barkley & Associates, Inc. at Barkley@NPcourses.com.

Before May 6, 2019: $150 cancellation fee

May 6, 2019 until August 20, 2019: $250 cancellation fee

After August 20, 2019: No refunds (regardless of the reason)*

    *In addition, no refunds will be given to registrants who do not attend their scheduled workshop, regardless of the reason.

    *Attendees are strongly encouraged to consider trip insurance, similar to what is purchased for cruises or holiday packages.

The fee for transferring a conference registration to another attendee is $250

NPAC Pre- and Post-Conferences’ Cancellation Policy and Fees:

Pre- and Post-Conferences’ cancellations require email communication to Barkley & Associates, Inc. at Barkley@NPcourses.com

Until August 20, 2019: $49 cancellation fee

After August 20, 2019: No refunds (regardless of the reason)*

    *In addition, no refunds will be given to registrants who do not attend their scheduled Pre- or Post-Conference, regardless of the reason.

    *Attendees are strongly encouraged to consider trip insurance, similar to what is purchased for cruises or holiday packages.

Prior to August 20, 2019, the fee for transferring a Pre- or Post-Conference registration to another attendee is $49. After August, 20, 2019, transfers are not allowed.

NPAC Advanced Procedures Workshops (APWs) Cancellation Policy & Fees:

Due to high demand and the need to reserve seats to maintain small groups, no refunds are allowed once registered for an APW, regardless of the reason.

    *In addition, no refunds will be given to registrants who do not attend their scheduled workshop, regardless of the reason.

The fee for transferring any APW to another attendees is $49.

Until registered, all prices are subject to change without notice.

Sailing to our Best Success!

Pre- & Post-Conference Fees
Pre-ConferenceWith Main ConferenceWithout Main Conference or add-on
Advanced Procedures Workshop: Landmark & Ultrasound-guided Central Line Placement & Vascular Access (EJ, IJ, Subclavian, Femoral Sites & Intraosseous Line Placement)* (3.0 contact hours; 3.0 hours of Advanced Procedures) Seats are limited to ~ 16 attendees in two groups $129 $189
Advanced Procedures Workshop: Difficult Airway Management* (3.0 contact hours; 3.0 hours of Advanced Procedures) Seats are limited to ~ 10 attendees$129$189
Advanced Procedures Workshop: Landmark & Ultrasound-guided Thoracentesis, Needle Decompression, & Chest Tube Insertion – including Pigtail Catheters* (3.0 contact hours; 3.0 hours of Advanced Procedures) Seats are limited to ~ 10 attendees$129$189
Advanced Procedures Workshop: Landmark & Ultrasound-guided Lumbar Puncture, Paracentesis, & Extended Focused Assessment with Sonography in Trauma (EFAST) Exam* (3.0 contact hours; 3.0 hours of Advanced Procedures) Seats are limited to ~ 10 attendees$129$189
Advanced Procedures Workshop: Managing Extremity Issues* (3.0 contact hours; 3.0 hours of Advanced Procedures) Seats are limited to ~ 10 attendees$129$189
Advanced Procedures Workshop: Emergency HEENT Procedures* (3.0 contact hours; 3.0 hours of Advanced Procedures) Seats are limited to ~ 10 attendees$129$189
Emergency Neurological Life Support (ENLS) Course* (8.0 contact hours; 2.5 hours of Advanced Pharmacology)$199$259
Advanced 12 Lead EKG Workshop* (3.0 contact hours; .5 hours of Advanced Pharmacology; 3.0 Hours of Advanced Procedures)$129$189
Mechanical Ventilation Boot Camp* (3.0 contact hours; .5 hours of Advanced Pharmacology; 3.0 Hours of Advanced Procedures)$129$189
12 Lead EKG Workshop: From the Start to Competent in 3 Hours! (3.0 contact hours; 0.5 hours of Advanced Pharmacology; 3.0 hours of Advanced Procedures) $129$189
Radiology Review: From the Beginning Novice to Expert in 3 Hours! (3.0 contact hours; 0.25 hours of Advanced Pharmacology; 3.0 hours of Advanced Procedures) $129$189
Cardiav Valvular Disease Workshop: (3.0 contact hours; 0.25 hours of Advanced Pharmacology; 3.0 hours of Advanced Procedures) $129$189
Advanced Imaging and Radiology Workshop: CTs, MRIs, PET, and More! (3.0 contact hours; 0.25 hours of Advanced Pharmacology; 3.0 hours of Advanced Procedures) Seats are limited to 10 attendees$129$189
Post-Conference Procedures Workshop: Advanced Suturing (includes all supplies) (4.0 contact hours; 4.0 hours of Advanced Procedures)$169$229
Barkley & Associates reserves the right to reassign attendees to a different Advanced Procedures Workshop pre-conference time, if needed, to ensure optimal group learning and appropriate faculty to student ratios. In this case, attendees will be notified in advance of alternatives.

 

Daily or In Combination Registration Fees (excluding all pre-conferences & post-conferences)
 Thursday, Oct. 3, 2019Friday, Oct. 4, 2019Saturday, Oct. 5, 2019Sunday, Oct. 6, 2019
Regular Registered by Sep. 18, 2019$199 (Opening Session, Keynote Address & Welcome Reception)$359$359$179
Last Minute Registered after Sep. 18, 2019$229 (Opening Reception, Keynote Address & Welcome Reception)$399$399$229

 

*To obtain procedural CE, and to maximize a fully hands-on experience, this workshop requires attendees to review approximately one hour of material prior to the session. Instructions will be emailed for preparation approximately two weeks prior to the conference. All Advanced Procedures Workshops are approved to meet the AANPCB requirement of 30 hours in emergency care procedural skills to be eligible to sit for national ENP certification.