Presented by: Marni Panas, BHAdmn
This session will explore how to better work with, support and advocate for sexual and gender minority patients, their families and each other. Participants will hear personal experiences and stories, learn terminology and theory, and discuss what you can do as a health care provider
Presented by: Denise Robinson BSN RN SANE-A
Human trafficking generates 150 billion dollars globally. The sale of adults and children is on the rise. Often victims present to the hospital for treatment of various illnesses. The webinar will share information to raise awareness and offer information in assisting this patient population.
The field of Interventional Oncology is an emerging discipline that offers the patient with a cancer diagnosis, in particular those diagnosed with HCC, an option when one wasn’t previously available. Interventional Oncology offers therapeutic interventions such as TACE, DEB TACE, radioembolization, as well radiofequency ablation, microwave ablation, and cryoembolization. In addition, an extremely important part of the Interventional oncology discipline is the supportive aspect and procedures that are part of the overall process. The presentation will touch on the current treatments options available through Interventional Oncology, both therapeutic and supportive, as well as trends in the discipline. In addition, the role of the Radiology nurse in assessment, planning, education, and treatment will be addressed
Current treatment options for the oncologic patient have expanded based on the increased specificity of radiopharmaceuticals for the area of disease. This presentation will cover treatment options and discuss nursing considerations including patient preparation, dose administration, side effect management and patient education regarding radioactive therapies.
Creating a culture of evidence-based practice in a radiology/imaging department is often easier said than done. What’s clear, however, is that evidence should be used to define best practices rather than support existing, and perhaps outdated procedures. Evidence-based practice based on research is more likely to result in desired patient outcomes. It also provides opportunities for nursing care to be more individualized, effective, streamlined, and dynamic, while maximizing the effects of clinical judgment.
Lung cancer screening with low dose CT is often misunderstood amongst medical professionals. This webinar identifies the target audience and special ordering requirements for appropriate screening. LungRads, the reporting management system, will be discussed as well as how to interpret the results. Follow up testing schedules and recommendations will also be presented.
Course presented by Lori Reilly MSN, CRNP,CPNP-AC of the Children's Hospital of Philadelphia
Overview of Pediatric Sedation in Radiology- Part One
1. Review the historical aspects, goals and levels of pediatric sedation
2. Identify risk factors or red flags that may present in the prescreening of pediatric patients.
3. Define selected questions to ask to elicit appropriate history in prescreen for sedation.
4. Describe system-specific signs and symptoms that may cause complications with sedation.
Course presented by Lori Reilly MSN, CRNP,CPNP-AC of the Children's Hospital of Philadelphia
Overview of Pediatric Sedation in Radiology- Part Two
1. Discuss the classifications, actions, dosages and side effects of common medications used in pediatric sedation.
2. Identify common complications of pediatric sedation.
3. Differentiate between capnography and pulse oximetry.
4. Describe the components of a capnogram and recognize waveform changes.
Presented by: Lois S. Marshall, PhD, MSN, BSN, RN
Dr. Marshall is an expert on evidence-based nursing practice. She conducts webinars/presentations on EBN nationally and internationally. She provides expertise on evidence-based nursing across nursing platforms in her role as consultant for Elsevier. She is the Editor of Evidence-Based Nursing Monographs for Mosby's Nursing Consult. Dr. Marshall has had two White Papers on Evidence-Based Nursing disseminated by Elsevier most recently. Dr. Marshall is a consultant for the Honor Society of Nursing, Sigma Theta Tau International. She is involved in a variety of projects related to the advancement of research on national/international levels. She has had numerous abstracts accepted for national and international conferences. Dr. Marshall is an expert on abstract and small grant writing. She is a mentor to those seeking to write evidence-based abstracts and grants. Dr. Marshall is the Research Column Editor for the Journal of Radiology Nursing. She is also the Chair, Research SIG, FNA.
Nurses often are inhibited from participating in evidence-based research evaluation as there is a myth that one needs to be a statistician or have a PhD in research to be successful with this process. Contrary to that belief, nurses can and should learn and participate in evaluation and critical appraisal of evidence-based research. This presentation will put critical appraisal in a practical format that will allow all nurses to utilize it in their practices. Both nurse consumers (those that primarily use) and nurse generators (those that primarily create) evidence-based research have a stake in the evaluation of research that is used by nurses in their practices. Nurses use research to create comprehensive plans of care for diverse populations and as such rely on research that has been done to determine what might be most effective for their patients. This presentation will put critical appraisal and evaluation at the forefront and focus on the steps of the process, making it more applicable for nurses, of all educational levels, to use it as they practice in an evidence-based health care environment.
Presented by: Terri Cronbaugh MSN, RN, CCRN
Rheolytic therapy is often a mainstay of peripheral angiography. Since catheter directed thrombolysis is a relatively young treatment, minimal guidance related to tPA dosing exists. Potential complications can be quite debilitating for the patient and the prudent nurse will need to know how to recognize and intervene if any of them are encountered.
A presentation on a collaborative, patient-centered approach in caring for oncologic patients undergoing PET/CT interventions. This presentation will highlight nursing care related to PET/CT, radiation safety for the staff member, and benefits of PET/CT guided interventions.
Palliative care is an important aspect of the cancer management. The specialty of Interventional Radiology offers a variety of procedures to treat patients that are living with cancer. Radiology nurses play a significant role in the care of patients undergoing palliative care interventions by IR. Join fellow ARIN members for a webinar presentation by Dr. Ana M. Echenique, Associate Professor of Interventional Radiology, University of Miami on "Palliative Care: What IR Nurses Need to Know"
Ana Echenique, MD is an Associate Professor of Clinical Radiology in the Vascular and Interventional Radiology Department at the University of Miami Miller School of Medicine. She is Board certified in Diagnostic Radiology with a Certificate of Added Qualification (CAQ) in Interventional Radiology.
This activity has been submitted to Alabama State Nurses Association for approval to award contact hours. Alabama State Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
PURPOSE: The purpose of this activity is to enable the learner to discuss elements related to radiation, risks and reduction of those risks, especially in the pediatric population.
Written By: Donald P. Frush MD, FACR, FAAP
Professor of Radiology and Pediatrics; Department of Radiology; Duke Medical Center
This article is available for CEUs until 1/23/2019
Written by: Lorena Garza, MD, James G Caridi, MD, FSIR and Christian A. Fauria-Robinson, MD
The purpose of this activity is to enable the learner to discuss elements related to the use of carbon dioxide subtraction angiography.
This article is available for CEUs until 12/9/2018
The Purpose of the activity is to enable the learner to discuss elements related to the use of radioactive seed localization in breast abnormalities.
Esther Hwang, MD; Emily Sonnenblick, MD; Elisa Port, MD, FACS; Janet Szabo, MD; Jacob Kamen, PhD, CMLSO, CHP; Laurie Margolies, MD
This article is available for CEUs until 12/9/2018
CS1 Wealth Management: Planning Our Futures
Presented Monday, March 6, 9:15am-10:15am
By Lizzu Castaneda, JD
What’s the difference between those who live life confident in their decisions and achieve financial goals with ease and those who walk through life anxious and enter retirement unsure whether they will outlive their nest egg? Financial freedom is a choice. With the proper information and tools,
anyone can choose to create the life of their dreams. Come learn the secret that is helping many live each stage of their life fearlessly.
Lizzu Castaneda has 20 years of experience in the legal, business and financial industries. She has worked with individuals and businesses to identify and plan current and future financial goals. She holds a J.D., and securities licenses 6, 63 & 65 as well a sbeing a Certified Realty Investment
Associate. She has given presentations to law students and lawyers, to SIR in 2016 and physician groups at small hospitals, and now, in partnership with the Minnesota Medical Association, is providing a monthly financial lecture series.
CS2 Anesthesia in Your IR Suite
Presented Monday, March 6, 9:15am-10:15am
By Maureen McLaughlin, MS, RN, ACNS-BC
Anesthesia is an increasing presence in Interventional Radiology (IR) suites across the country, with increased patient co-morbidities, complexities of procedures and increases in procedures done using minimally invasive technique. The IR nurse’s role changes from being the patient’s primary nurse to that of a circulating nurse. This presentation will include a brief review of goals and limitations of moderate sedation and patient characteristics best cared for by an anesthesia provider. A review of anesthesia basics, including agents, indications for use, associated complications, airway emergencies, hemodynamic instability and a rare but potentially fatal event: malignant hyperthermia.
Maureen’s educational background is from Boston College, including a Baccalaureate, Master’s Degree and Master’s preparation as a Clinical Nurse Specialist in Adult Health. She holds dual certification as a CAPA and CPAN certified peri-anesthesia nurse and over 30 years of peri-anesthesia nursing experience. She has held a variety of clinical leadership and clinical educator roles in Anesthesia, Critical Care and Procedural Sedation. Currently, she is Quality Nurse, Department of Anesthesia. Maureen has spoken locally, nationally and internationally, on topics including medication safety, standards of care, care of the critical care patient and post anesthesia complications.
CS3 Presenting and Designing a Podium Presentation - Workshop
Monday, March 6, 9:15am-10:15am
Cathy Brown, BScN, RN, CRN
Giving an effective presentation is a basic skill all nurses must master. With little or no education in school or on the job on how to structure content, create visuals and deliver the lecture, many people avoid giving presentations. This workshop will lead individuals through the creation of a presentation in a stepwise manner and give attendees practical strategies for immediate use.
Cathy Brown earned her Bachelor of Science in Nursing degree with distinction from the University of Alberta. Since 2010 Cathy has been the Diagnostic Imaging Nurse Navigator, responsible for clinic consultations, patient education, and follow-up as well as organizing multidisciplinary rounds with gastroenterologists, urologists and thoracic surgeons. Cathy is the only Certified Radiology Nurse in Alberta and one of three in Canada.
GS10 Hot Topics
Monday, March 6, 10:30am-12:00pm
Christy Lee, RN, NP, CRN
Deb Romanie, RN, CRN
Lauren Miller, RN, MSN-L, CRN
Hot Topics is an interactive session in which the audience participates by asking questions and proposing “hot topics” for discussions. This is a great time to share with peers and ask questions from experts from experts in the growing and innovative field of Radiology nursing. A survey will be poster on the ARIN Convention page for you to enter questions and topics you would like to have discussed during this session.
This was the presentation given by each of the poster presenters. If you did not attend this session in the "Poster Hall" on Monday please do not fill out the evaluation.
GS12 ARIN/SIR Joint Session - Anticoagulation Update for the IR Team (Panel Discussion)
Presented Monday, March 6, 1:00 - 2:30
Dr. Ryan Hickey
Dr. Jon C. Davidson
Dr. Shiraz Rahim
Jim LaForge, MSN, BSN, RN, CRN
Piera Robson, MSN, CNS, NP, AOCNS, ANP-BC, OCN
GS13 ARIN/SIR Joint Session - Sedation in the IR Suite: SIR meets ARIN (Panel Discussion)
Presented Monday, March 6, 3:00pm - 4:30pm
By: Dr. Brian Funaki
Shawn Brast, MSN, RN, NRP
Michael Long, DNP, CRNA
GS9 Joanna Po Lecture Series: Care, Caring, Caregiver, What Nurses Do Best
Presented on March 6, 2017 - 8:00 -9:00
By Karen Green, MHA, RN, BSN, CRN
“Nurses possess a vast amount of knowledge, fueled by years of education and experience, in a variety of settings. But, what is our reason to be? Many nurses state they came into nursing because they ‘care about people’ and have a true ‘desire to help’. A large percentage of us are entering a new phase of life and nursing... caring for our families in a way very different from caring for our children. Parents and spouses who develop a chronic, debilitating illness require our love, understanding and care now more than ever.” This session will cover aspects such as growing into the nurse we have become, recognizing and improving our coping skills, and understanding the importance of caring for ourselves’.
Karen Green has been active in ARIN for the past 14 years serving in a variety of positions. She currently serves as Chairperson for the Capnography Task Force focused on educating nurses on the benefit and use of Capnography.
GS1 Gold Medal Lecture - The Art of Catheterization
Presented on March 5, 2017 8:00 am - 9:00 am
By Dr. John Fritz Angle
Dr. John Fritz Angle completed his Vascular and Interventional fellowship at University of Virginia,
where he is currently a Professor and serves as Director of Vascular and Interventional Radiology.
He is a reviewer for Journals of Vascular and Interventional Radiology, Catheterization and
Cardiovascular Interventions, the Journal of Endovascular Therapy and others. Dr. Angle served as
the Scientific Program Chair for SIR and was inducted as a Fellow of the Society of Interventional
Radiology in 2014.
Emergencies in Interventional Neuro Radiology - Including Acute Stroke
Presented: Sunday, March 5 2017, 9:00am-10:00am
By Dr. Kai Frerichs and Richard Foley, MS, RN
Dr. Frerichs graduated medical school at Ludwig Maximilian University of Munich in1988 and completed his residency at Brigham & Women’s Hospital and Children’s Hospital in Neurosurgery in 2000. He completed a Fellowship Brigham & Women’s in Interventional Neuroradiology in 2002.
He is certified in Neurological Surgery, is widely published and is actively involved in research.
Mr. Foley has been the Director of Nursing, responsible for leading and managing the nursing operations of the Department of Radiology of a 900-bed academic teaching facility for 10 years. He has co-authored text regarding management of IR clinic operations and is co-chair of a multidisciplinary, hospital-wide committee developing policy regarding management of procedural sedation and anesthesia resources outside the operative suite. He has given presentations at ARIN events, on both the national and the local chapter level.
GS3 Radiation Protection and Safety: Teamwork and Communication
Presented on March 5, 2017, 10:15 am - 11:15 am
By Dr. Raja Ramaswammy
Dr. Raja Ramaswamy received his medical education from Rosalind Franklin University of Medicine and Science in Chicago, IL. then attended the University of California, San Diego for his Diagnostic Radiology Residency and Vascular and Interventional Fellowship. He currently serves as an Assistant Professor and Director of Quality and Patient Safety with the Mallinckrodt Institute of Radiology at Washington University. Dr. Ramaswamy has served on the Board of Directors for the City of San Diego’s Health Services Advisory Board providing advice on county wide public health initiatives and has spent time as Chief Financial Officer for the San Diego House Staf Union.
Dr. Ramaswamy is a manuscript reviewer for Journal of Vascular and Interventional Radiology, European Radiology, and the Indian Journal of Radiology.
GS4 The Other Side of the Stethoscope: A Patient’s Perspective
Presented on March 5, 2017 at 11:15 am - 12:15 am
by Marcus Engle, MS, CSP, CPXP
Marcus Engel is a Certified Speaking Professional and author whose messages provide insight and strategies for excellence in patient care. As a college freshman, Marcus was blinded and nearly killed after being struck by a drunk driver. Through 2 years of rehab, over 350 hours of reconstructive facial surgery and adaptation through a multitude of life changes, he witnessed the good, the bad and the profound in patient care. He holds a BS in sociology from Missouri State University (2000) and a MS in Narrative Medicine from Columbia University in New York City (2012).
He has authored five books, the recent, “Beyond Patient Experience”, due out in early 2017. His keynote presentations, witnessed by tens of thousands of healthcare professionals, and his books are widely used to teach basic foundations of caregiving.
GS5 Moving the Needle
Presented Sunday, March 5, 2017, 1:15pm -2:15pm
By Dr. Stephen Ferrara
During multiple worldwide deployments to natural disaster, combat, and humanitarian assistance settings Dr. Ferrara introduced Interventional Radiology to these environments for the first time ever. An experienced Interventional Radiologist with over 20 years in clinical practice, he has fulfilled many leadership, policy, and economics roles. He recently spent a year on Capitol Hill as a National Academy of Sciences Congressional Health Policy Fellow on the Energy and Commerce Committee. He and his team oversaw multiple federal agencies including HHS, FDA, and the NIH. He was the principal author of a $ 150B piece of healthcare legislation that secures Medicare access for 50 million seniors, ensures that quality becomes
an integral part of healthcare delivery, and stabilizes payments for physicians. Following his tenure on the Hill, he was asked to serve as the Navy’s Chief Medical Officer and Deputy Chief of Medical Operations.
GS6 Percutaneous Ablation with Irreversible Electroporation (IRE)
Dr. Govindarajan Narayanan
Presented on March 5, 2017, 2:15 pm - 3:15 pm
Dr. Narayanan is a Professor of Interventional Radiology and Chairman of the Department of Interventional Radiology at the University of Miami Miller School of Medicine. He is Board Certified in Diagnostic Radiology with a Certificate of Added Qualification (CAQ) in Interventional Radiology. He is widely recognized for his published work in Interventional Oncology and Interventional Radiology. He has been an invited faculty member and speaker
at several national and international meets and is the founder of Synergy, A Multidisciplinary Approach to Interventional Oncology Conference, an annual event since 2011, in Miami, Florida. He is a reviewer for several journals and serves as the clinical editor of IO 360, a web portal dedicated to Interventional Oncology.
GS7 Pulmonary Embolism Response Team: Medical and Endovascular Perspective on Evolving Trend
Presented March 5, 2017 3:30 - 4:30
By Dr. Luke Wilkins and Dr. Aditya Sharma
Dr. Luke Wilkins received his medical degree from Tulane University School of Medicine in 2007 completed his Radiology Residency with University Hospitals Case Medical Center, and his Vascular and Interventional Fellowship with Medical University of South Carolina. Currently is Assistant
Professor of Radiology in the Division of Vascular and Interventional Radiology at the University of Virginia. He serves as Medical Director of the Charles J. Tegtmeyer School of Angiography for the University’s interventional technologist program. In 2014 he was a founding member of the SIR
Early Career Section and mentors residents and fellows as part of their IR training. Awarded the 2010 SIR Foundation Resident Research Grant, he served as a Principal investor on the evaluation of pharmacological agents modulating blood flow after thermal ablation.
Dr. Sharma attended NDMVP Samaj’s Medical College in Nashik, Maharashtra, India for his medical training. He completed an Internal Medicine residency at St. Joseph Mercy Hospital in Ann Arbor, MI and his Vascular Medicine Fellowship at Cleveland Clinic. Currently is an Associate Professor of Clinical Internal Medicine in the division of Cardiovascular Medicine and Emergency Medicine and Director of the University’s Vascular Medicine Fellowship Program. He is Director of UVA’s High Risk PE Program, evaluating patients with high risk of pulmonary embolism in a multi-disciplinary
manner to reduce death and long term complications. Dr. Sharma was a finalist (2015) for the Society of Vascular Medicine’s Jay D. Coffman Young Investigator award and authored the Editor’s Choice Article on Portal Vein Thrombosis, in the Journal of Vascular Medicine. He received UAV’s
Department of Medicine’s Award for Excellence in Clinical Care (2016).
GS8 Central Venous Access Devices: What, When and Why
Presented March 5, 2017, 4:30 - 5:30
By David Rosenthal, MHP, PA-C, DFAAPA
David Rosenthal is a graduate of Northeastern University Physician Assistant Program, with over 25 years of clinical experience in cardiothoracic, plastics and other surgical specialties, for the past 15 years as Chief PA at Brigham and Women’s Hospital Division of Angiography and
Interventional Radiology. He has performed over 4000 venous access procedures and largest number of tunneled peritoneal catheter placements in New England. David co-authored the Society of Interventional Radiology position statement on the role of PA in Interventional Radiology. He is a Clinical Associate member of SIR and coauthor of SIR’s Position Statement on The Role of PAs in IR.
CS10 Role of Nurse in Nuclear Medicine for PET
Tuesday, March 7, 3:00pm-4:00pm
Raina Ghai-Mehta, RN
The nuclear medicine nurse plays a vital role in preparation of patients for nuclear medicine diagnostic exams. The competent nurse must be nowledgeable of different radioactive isotopes, the addition of iodinated contrast for PET/CT, the various studies performed, the indication for each exam and the recommended time interval between follow-up exams. Clinical operations must be grounded in policy and procedure guidelines to assist the nurse in navigating common challenges encountered in this environment. Case studies will highlight important aspects of caring for the pediatric patient in the nuclear medicine environment and managing diabetic patients when fluorodeoxyglucose is utilized.
Raina Ghai-Mehta is a graduate of the University of Massachusetts, Amherst School of Nursing. This was an additional degree for Raina; her first being in Business Administration. She had
experience in cardiac, pulmonary and travel nursing prior to joining the Nuclear Medicine Department.
CS11 MRI Simulator and Its Impact on Sedation
Tuesday, March 7, 4:00pm-5:00pm
Diane Cancilla, MSN, RN
Diane Cancilla is here today to discuss the process of screening and evaluating children for an MRI scan. The MRI simulator is housed in its own room on the unit. The staff, APCT, PCT, RN, Sedation PA and MD, MRI technologist and Child Life Specialist, are all included in the challenge of assessing each child’s level of understanding of the day’s events. The overall goal is successful imaging and patient satisfaction based on a great patient experience which includes a possibility of doing the exam successfully without sedation.
Diane has 5 years’ experience as Unit Director of Nursing and Technical Services at Children’s Hospital of Pittsburgh of UPMC. Diane holds an MSN, is on the board of Pittsburgh Area Radiology Managers and of South Western Pennsylvania’s Organization of Nursing Leaders.She leads the nursing, technical services and Child Life for Radiology at Children’s Hospital of Pittsburgh.
CS4 Enhancing Patient Safety: Capnography, Sedation, Airway Management, Oh My!
Presented March 7, 9:15 - 11:15, 12:45pm-2:45pm, and 3:00 pm - 5:00 pm
This course is designed to fill the practice gaps in the management of procedural sedation and the troubleshooting of capnography waveforms in the context of patients requiring rescue airway management. Mid-fidelity patient simulators with PowerPoint for graphic and video support will be utilized to demonstrate bag-valve-mask with advanced airway adjuncts for patient populations with characteristics that are barriers to rescue airway management. It will include direction for assisting
advanced practice professionals responsible for airway management with insertion of advanced airway devices.
Shawn Brast is the Johns Hopkins Hospital Sedation/Analgesia Subcommittee Nursing Co-Chair and Team Educator for the Johns Hopkins LIFELINE Critical Care Transport Team. Mr. Brast has lectured and authored articles on procedural sedation and capnography monitoring.
Karen Green has been active in ARIN for the past 14 years serving in a variety of positions. She currently serves as the Chairperson for the Capnography Task Force focused on educating nurses on the benefit and use of Capnography.
Michael Long is a Nurse Anesthetist at a tertiary care center in a major metropolitan area. He graduated from the Nurse Anesthesia Program at Columbia University and completed a Doctorate of Nursing Practice at Barry University. He is an expert in airway management, including intubation, respiratory and pharmacological support and capnography. He holds a
certification in ACLS and BLS and has an active certification in the practice of nurse anesthesia in the states of New York and Washington.
CS5 Diagnosis and Management of Endo-leaks after “Abdominal Aortic Aneurysm Repair” (AAA)
Tuesday, March 7, 10:15am-11:15am
Howard Richard, MD
Endo-leaks can be diagnosed via CT angiography, ultrasound grayscale, color Doppler or contrast-enhance MRI/MRA following endovascular repair of abdominal aortic aneurysms. Surveillance is typically performed at one and twelve months following the endovascular repair. Evidence of endo-leak by identifying contrast in the aneurysm or continued aneurysm growth requires further evaluation and management.
Dr. Richard has been nominated a champion of IR nurses for several years. He has practiced at University of Maryland since 2001, where he has started a clinic for uterine fibroid embolization and pelvic pain. He is a favorite among the IR nurses for his compassion and caring of his patients. Dr. Richard was selected “Top Doctor” in Interventional Radiology for 2012 by Baltimore Magazine and “Top Doc” at Good Samaritan Hospital, Medstar of Baltimore.
CS6 Leveraging Technology for a Long-Distance Competency Assessment: From the Desert to the Great White North
Tuesday, March 7, 10:15am-11:15am
Michael LeGal, MS-Ed, RN, CRN, N-K
Most facilities have some type of skills validation or assessment of knowledge on a departmental or facility level. Using the Institute of Medicine’s (IOM) recommendation of adopting measures that promote lifelong learning, professional development, and improving safety and quality in patient care this
education team strategized the idea of using a video-conference as a cost-effective manner to provide long distance competency assessments. This was a pilot project.
Michael LeGal is currently a Clinical Development Professional for the Cardiac Catheterization Lab and Electrophysiology for Banner Health based in Phoenix, AZ. Michael is celebrating 25 years as an RN in 2017. He has completed his masters in nursing and is currently working on his doctorate in nursing practice (DNP), anticipating a graduation date in May 2018.
CS7 Myasthenia Gravis: A Rad Nurse’s Guide
Tuesday, March 7, 12:45pm-1:45pm
Carrie Furberg, BA, RN, CRN
This presentation will review pathophysiology of myasthenia gravis, its implications for medical imaging and image guided procedures, and nursing care considerations. Myasthenia gravis is a neuromuscular disorder, it can be exacerbated by physical and mental stressors as well as medications frequently used in imaging and procedural environments. Patients with myasthenia gravis will require additional screening measures and possible
alteration to usual protocols, medication orders, and nursing care. Carrie Furberg provides care of patients before, during, and after scans and procedures in all imaging modalities and VIR. She supports her department by serving as safety liaison and education committee chair. She has been a nurse for 10 years and a radiology nurse for 8 years. Prior to joining UNC, she was a MICU nurse in the Duke Health system.
CS8 Specialty Orientation for the Radiology Nurse
Tuesday, March 7, 12:45pm-1:45pm
Rebecca Vlach, RN, MSN
Nurses add value to a Radiology practice by incorporating assessment skills and evidence-based practice initiatives. Developing an effective orientation program that meets the needs of new radiology nurses has been a challenge. With many new hires being new RN graduates juggling facility orientation classes, staggered hire dates 2 weeks apart and rotation through multiple areas of imaging departments, an improvement was needed to meet the needs of these new employees.
Rebecca Vlach has 26 years of clinical nursing experience at Mayo Clinic Rochester including general Med-Surg, Trauma/Surgical ICU, Outpatient Procedural Unit, Adult Care Coordinator, Clinical and Faculty instructor, Simulation and Skills Lab Coordinator and Nursing Education Specialist.
CS9 Care of the Patient on Opioid Maintenance Therapy
Tuesday, March 7, 3:00pm-4:00pm
Ed Sredzienski, MSPharm
This session will present to the audience the perils and pit falls of caring for a patient on suboxone/methadone etc. Special detail will be outlined as to the complexities and clinical interventions necessary to ensure a safe but effective time in the procedural suite.
Ed is currently the Clinical Specialist in Critical Care at UNC Hospitals where he has a total of 26 years, the last 18 years in the trauma program. His prior critical care experience has been in Cardiothoracic, Neurosurgery and Burns. Ed received his BS and MS degrees from Northeastern University in Boston, MA. After graduation, Ed began his career at Massachusetts General Hospital, where he spent 10 years before moving to NC. He is married to a nurse who works in Interventional Radiology at UNC and has 3 boys.
GS14 Spectrum of Engagement: From Practice to Policy
Suzanne Miyamoto, PhD, RN, FAAN
Tuesday, March 7, 9:15am-10:15am
This presentation will discuss the spectrum of engagement for nurses who want to impact practice and policy. It will discuss how to advocate for the profession, patients, and the community. It will drive innovation and influence opportunities for the audience.
With over a decade of policy experience, Dr. Miyamoto serves on the senior leadership team while overseeing and providing strategic guidance for the programmatic areas of health policy, higher education policy, government affairs, leadership progression, diversity and inclusion, strategic outreach as well as research and analytics. She is the Convener for the Nursing Community, a coalition of 63 national nursing organizations that collaborate on a wide spectrum of health
policy issues. She is a Senior Associate Editor for the journal Policy, Politics & Nursing Practice. Dr. Miyamoto received her Bachelor of Science in Nursing, Bachelor of Arts in Psychology, Master of Science in Nursing, and Doctorate of Philosophy in Nursing from the University of Michigan, Ann Arbor. Dr. Miyamoto is adjunct assistant professor at Georgetown University, School of Nursing and Health Studies as well as a clinical adjunct professor at Marymount University, Malek School of Health Professions. Dr. Miyamoto’s areas of research, publications, and presentations focus on health policy, coalition building, and political advocacy. Her list of accomplishments, honors and positions held in the universe of nursing stretch across the nation.
GS15 Advanced Topics in Percutaneous Trans hepatic Biliary Drainage
Tuesday, March 7, 1:45pm-2:45pm
Piera Cote Robson, MSN, CNS, NP, ANP-BC, AOCNS
In this presentation, all biliary drainage procedures will be reviewed including: external catheters, internal-external catheters, and stents. Clinical presentations that are amenable to primary biliary stenting will be discussed. Essential management of the PTBD patient post procedure with treatment algorithms for common complications will be reviewed. Finally, the potential impact of catheter drainage on quality of life will be explored with consideration of the patient’s goals of care.
Piera M. Cote Robson is the clinical nurse specialist for radiology at Memorial Sloan Kettering Cancer Center. She has been content expert for nursing care of the radiology patient and is credentialed as an NP at MSKCC. She has been on the board of directors for the Association for Radiologic and Imaging Nurses (ARIN) as Director of Leadership since May, 2014 and has been the biliary drainage chapter author for the ARIN Core Curriculum for the past two editions. Piera’s research interests include quality of life after interventional radiology procedures and she has published on the subject in Annals of Surgical Oncology and in the text, “Blumgart’s Surgery of the Liver, Biliary Tract and Pancreas”.
CS13 Leading a Multigenerational Team: Lessons Learned from a 30something
Wednesday, March 8,10:15am-11:15am
Sarah Whitehead, BSN, RN, CRN
Sarah Whitehead is the Diagnostic and Therapeutic Imaging Service Nurse Manager at Central Arkansas Veterans ealthcare System in Little Rock, AR. She has over eleven years’ experience, and is a Certified Radiology Nurse. She received her BSN from UALR in Arkansas.
As Imaging departments grow, many young nurses find themselves unexpectedly in leadership positions. Transitioning from peer to leader amongst veteran nurses and millennials provides challenges to leading and engaging a team. This session is aimed at the new nurse manager, the seasoned informal leader and the novice nurse in radiology settings. Common leadership challenges and ways to overcome them will be identified. Fostering teamwork between nurses
and technologists, learning the art of conflict resolution, and working with difficult personalities isn’t routinely taught-yet these skills are imperative to effectively lead a team.
GS16 Medical Errors: The Day After
Wednesday, March 8, 8:00am-9:00am
By Dr. Robert Spillane
Dr. Spillane is a certified lecturer on High Reliability in Health Care as part of the program initiated and overseen by Hartford Hospital, and Connecticut Hospital Association, he began this role in October 2013. He is also a board-certified radiologist with a CAQ in Interventional Radiology. He has 17 years of private practice experience. Dr. Spillane currently serves as the Physician Chief Quality Office for Jefferson Radiology and is the Chair of the Medical Staf Quality Council at Hartford Hospital. He is a member of the National Ambulatory Care Advisory Board for the Joint Commission. and has lectured on high reliability and medical errors since October 2013.
GS17 Transgender 101: Fundamentals for Clinicians
Wednesday,, March 8, 9:00am-10:00am
Paula Neira, MSN, JD, RN, CEN
In the 21st century, clinicians must provide care to an increasingly diverse patient population. Due to a lack of education most clinicians cannot provide culturally competent care to this population. Historically, radiology personnel have had little training or exposure to this population. This presentation provides clinicians with an overview of the transgender population, their health concerns, and the negative impact discrimination has had on healthcare for this group. The presentation provides clinicians with fundamental information to better communicate respectfully with transgender patients and provides tools to better understand and support transgender colleagues or family members. The presentation provides information about respectful language, term definitions, pronoun usage, and appropriate clinical questioning. Gender theory is briefly reviewed, differences
between sex, gender identity, and gender expression will be discussed and the presenter will share ways to improve electronic medical record systems and facility engineering.
Paula M. Neira is a certified emergency nurse with over 22 years of varied nursing experience including the VA, a rural, critical-access hospital, and urban, academic trauma centers. For 8 years, she has been nurse educator in emergency medicine at Johns Hopkins Hospital. In January 2016, she was appointed as co-chair of Johns Hopkins Transgender Medicine. Executive Task Force. Beyond nursing, she graduated with distinction from United States Naval Academy and served as a naval officer. She belongs to the Maryland bar as a lawyer and veteran advocate, she assisted the efforts to repeal Don’t Ask, Don’t Tell. A leading expert on transgender military service, she was key in 2016 military policy ending the ban on transgender
military personnel. With military, legal, and nursing experience – as well as personal experience
as a patient – she is uniquely suited to speak on the transgender patient experience.
GS18 Deep Vein Thrombosis
Wednesday,, March 8 11:15am-12:15pm
Dr. Arturo D. Gonzalez
Dr. Gonzalez is the Medical Director of Interventional Radiology at University Hospital & Clinics in Lafayette, LA. He graduated National Autonomous University of Mexico School of Medicine in 1978 and completed his Radiology residency in 1983. He is Board Certified in radiology in Mexico and the United States, and maintains certification in Vascular Interpretation. Dr. Gonzalez is a member of the AMA, the Society of Interventional Radiology, and the American Registry for Diagnostic Medical Sonography.
Radiology nurses lead busy lives. The demands of balancing professional aspirations with volunteer opportunities can be an overwhelming task. Join Dr. Laukhuf, as he uses evidence based practice coupled with his years of leadership experience to help you navigate this path. In this exciting lecture, the attendee will learn how volunteer roles are important to their professional life. First hand examples will help the audience to understand how to take on and prepare for an effective leadership role in their daily work or professional organization. Finally, suggestions will be shared on how to mentor, motivate and recognize volunteers.
Purpose of Documentation: Communication and Continuity of Care, Accountability, Legal Record, Quality Improvement & Risk Management, Evidence -Based Practice and Reimbursement.
Using Standardized Language . Elements of "Smart Charting" Electronic Health Records and Computerized Orders. Identifying Legal "Red Flags"
The clock of future brain function starts ticking the moment it is realized that someone has the signs and symptoms of a stroke. Contemporary treatment options for the management of acute stroke have broadened beyond the traditional administration of intravenous thrombolytic therapy and now include consideration of endovascular mechanical thrombectomy/embolectomy for selected cases, either as part of a combination therapy, or as a stand-alone treatment. Interventional neuroradiology techniques are becoming pivotal in stopping the clock of neurological decline following acute ischaemic stroke, and in particular when there is a suspected large vessel occlusion.
This presentation is given from the perspective of a medical imaging Clinical Nurse consultant workingi n a metropolitan stroke referral center. Following a brief overview of acute ischaemic stroke, the patient journey and the treatments available will be discussed, including the role of stroke team members, emphasizing the importance of collaborative team work. Particular focus will be placed on the nurses in the INR Team, who work under immense pressure to optimize patient outcomes from this medical emergency by assisting the Interventional Neuroradiologist in the goal of restoring as much cerebral blood flow as possible.
Over the past three years, our Pediatric Interventional Radiology(PIR) service underwent various stages of transition, restructure and growth directly related to reductions in staffing at all levels due to multiple factors. This resulted in the need to devise creative alternatives in order to provide comprehensive, best practice, uninterrupted care, encompassing not only direct care to patients and their families, but also to consulting services in the in-patient, ambulatory and referral settings.
Nursing was reduced from 3 to 2 positions and the technologist staff was reduced from 5 to 3. Transient coverage was provided by in-house IRP and outside agency staff. Physician coverage abruptly changed from 3 pediatric trained IR physicians, supplemented with adult IR coverage, to no Pediatric IR physician and full-time adult IR/Neuroradiology coverage with minimal pediatric experience. Throughout these transitions, nursing became the needle and thread that quilted the various levels of available expertise to maintain consistency of the service and provide a high standard of PIR care.
Options for the service during this challenging time ranged from an immediate reduction of exams / procedures provided to the extreme option of eliminating the service completely. Many facilities, when confronted with similar circumstances, have selected these options. As a team, these were determined to not be viable options, therefore we created a transition plan of education, mentoring and realignment of team dynamics. The common thread throughout each phase of the transition was nursing, embellishing and creating new patterns of care in the PIR quilt.
With the number of autism and sensory processing disorder diagnoses on the rise, the number of patients being treated in radiology with these issues also increases. Those on the autism spectrum or with sensory processing disorder require additional and specialized care. This is an area, especially in pediatric radiology, needing to be addressed. While care in each instance, as with any patient, needs to be tailored specifically, certain general preemptive measures must be implemented.
This presentation would help destigmatize the care needed for this patient population. It would also provide radiology nurses with a broader range of care tactics.
Adverse reaction to iodine-based and gadolinium-based contrast agents are idiosyncratic events in the imaging environment. Prompt recognition with a coordinated treatment response is essential to achieving optimal patient outcomes. This lecture will review the pathophysiology of contrast reactions, differentiating between allergic reactions and exaggerated physiologic reactions. Management strategies that are in line with the 2015 American College of Radiology recommendations will be presented. This lecture will also present strategies for developing protocols and implementing the best practice.
Recommended practices include: Updating the medication boxes, Developing a first responder emergency supply box that is distinct from a code cart, Implementing the use of a standardized contrast reaction documentation form, Developing reference documents including a wall card, pocket card, and a medication table, Improving the patient education process, Establishing a common nomenclature for contrast reaction severity, Identifying and
communicating the need for future premedication, Case presentation of complex reaction presentations, At the conclusion of this program, the attendee will be updated on current recommended practices for management of contrast reaction.
The charge nurse plays a vital role in the preparation of patients for Interventional Radiology (IR) procedures and is essential to the safe coordination of care while navigating difficult clinical scenarios. In this tertiary care medical center, the charge nurse maintains the primary responsibility for triaging each IR patient referral with regards to nursing considerations. Effective and optimal communication with the primary nursing team is essential to the safe transition of care (handoff) and it is a Joint Commission National Patient Safety Goal.
To share our Seattle Children’s Hospital experiences in IR as we have evolved over time to a complete service line. To provide insight on some of the routine and interesting/unique procedures that are performed in pediatrics. To give the audience an understanding of some of the unique challenges that arise when performing IR procedures in the pediatric population. To provide a level of understanding on the specific products that are utilized in the pediatric population.
Dr. Dake is a graduate of Baylor College of Medicine in Houston, where he completed an internship, residency and chief residency year in internal medicine. Dr. Dake completed fellowship training in pulmonary diseases and a residency and chief residency in radiology at the University of California San Francisco, where he went on to complete subspecialty training in vascular and interventional radiology under the direction of Ernest J. Ring, MD, FSIR (the founder of SIR Foundation), and in 1988 moved to Miami to join Barry T. Katzen, MD, FSIR, at the newly founded Miami Vascular Institute. Dr. Dake is a major contributor to the development of vascular stentgrafting and image guided treatments for arterial and venous diseases. Dr. Dake is an author or co-author of more than 250 peer-reviewed articles and the holder of 25 U.S. patents.
1. Description of a busy Neuro-Interventional service, a review of the current stroke trials and consensus indications for Stroke interventions will be discussed followed by case examples.
2. An overview of past and current devices used for stroke interventions will be done with special emphasis on Stentrievers used increasingly in current practice. Examples in real clinical cases will be shown.
3. Discussion of JAHCO guidelines for Comprehensive Stroke centers, nursing perspective in the evolution and implementation of stroke codes, triaging, patient evaluations and description of key metrics used to improve practice will be discussed. Dr. Ghodke is director of Interventional Neuroradiology and a UW professor of radiology and neurological surgery. In addition to neuroradiology, he is an expert in cerebral and spinal interventional procedures and treatment of craniofacial vascular anomalies. Dr. Ghodke conducts research on treatment of various disease processes including brain aneurysms, arteriovenous malformations (AVMs) stroke, vascular anomalies, spinal vascular malformations, spinal fractures, etc. He is a senior member of the Society of NeuroInterventional Surgery. He is a proctor for various newer technologies used in the treatment of brain aneurysms and AVMs.
Presented on May 6 - 7,2017 at Manchester, NH
Faculty - Ellen Arslan
Imaging Nurse Review Cousre - New England Chapter - ARIN
The ARIN Imaging Nurse Review Course is a 2 day course designed to provide an overview of the skills required for the nurse working in the imaging, interventional, and therapeutic environment. This course can also be used to prepare for the radiologic nursing certification exam. It is not designed as a single study tool to prepare for this exam.
When: June 8-9, 2017
Time: 7:30 - 4:30
Where: Roper St Francis Office Park,
1st floor, Classroom A
8536 Palmetto Commerce Parkway
Ladson, South Carolina
Contact: Diana Caron