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SGNA'S 46TH ANNUAL COURSE

April 14–16, 2019 | Portland, Oregon

Section Editor(s): Baker, Kathy A. PhD, APRN, ACNS-BC, FAAN; Editor

doi: 10.1097/SGA.0000000000000441
Departments: Abstracts
Free

WE ARE PLEASED TO PRESENT THE ABSTRACTS FROM SGNA'S 46TH ANNUAL COURSE, EXPECTING GREATNESS, PURSUING EXCELLENCE. THE DIVERSITY OF THESE TOPICS CERTAINLY REFLECTS THE RICHNESS AND BREADTH OF OUR SPECIALTY. IN KEEPING WITH THE TRADITION OF THE ANNUAL COURSE, WE HOPE THE FOLLOWING ABSTRACTS WILL ENCOURAGE DISCUSSIONS FOR IMPROVING NURSING PRACTICE AND PATIENT CARE OUTCOMES.

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C-80

4/16/2019

1:30 PM - 2:30 PM

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C. DIFF & CURRENT TREATMENTS

1 contact hour(s)

Competent; Infection Prevention

C Gregory Albers, MD FACG AGAF

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CS-55

4/16/2019

7:00 AM - 8:00 AM

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SEDATION EMERGENCIES IN THE GI LAB/ANESTHESIA

1 contact hour(s)

Chloe Allen-Maycock, MD

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CS-37

4/15/2019

4:15 PM - 5:15 PM

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ENDOBARIATRIC PROCEDURES FOR THE GI NURSE AND TECHNICIAN: GAINING CONFIDENCE IN THE ENDO UNIT

1 contact hour(s)

Competent; Procedure Skills

Ayesha Angelito, BSN RN CGRN

Celina D. Silverio, BSN RN CGRN

Mary Steszewski, BSN RN CGRN

Comprehensive overview of endobariatric procedures, placing emphasis on GI nurse and tech responsibilities in pre, intra, and post procedure.

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CS-26

4/15/2019

2:30 PM - 4:00 PM

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GETTING FILTHY CLEAN: ONE CENTER'S JOURNEY TO IMPROVING INFECTION PREVENTION

1.5 contact hour(s)

Novice, Competent, Expert; Infection Prevention

Wendy Archer, MSN RN PCCN

Frank Daniels, CFER, CER, CMLSO

Kyle Holmes, BSN RN

Madison Hughes, BSN RN

Improving a center's outcomes takes all hands on deck. The panel will discuss infection prevention from different viewpoints on the unit including: nursing, endoscopy technicians, high level disinfection staff, nursing management as well as the hospital infection prevention staff. This unit's journey to turn around the Endoscopy Center will inspire others to embark on a similar improvement effort in their facility.

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CS-14

4/14/2019

3:30 PM - 4:30 PM

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DIGITAL TRANSFORMATION OF GASTROENTEROLOGY AND ENDOSCOPY: THE TIME IS NOW!!

1 contact hour(s)

Expert; Procedure Skills

Ashish Atreja, MD

Digital health has been defined as the convergence of the digital and genomic revolutions with health, health care, living, and society. With the changing healthcare landscape and push for value-based care, there is an urgent need for GI practices and Endoscopy practices to adopt digital health initiatives and decrease revenue leak. Nurses and Practice Managers play a central role in digital transformation by enabling engagement of patients through patient education, remote patient monitoring or periprocedural guidance. Evidence regarding the efficacy, effectiveness, economics, and clinical preferences of digital health is growing in many specialties, including GI.

Through this talk, SGNA membership will become aware of the urgent need for solutions to support value-based healthcare, review the challenges faced in digital medicine adoption and demonstrate how digital medicine prescriptions can support health care transformation for GI procedures and GI conditions.

Dr. Atreja will present an overview of existing applications that can impact Gastroenterology, including apps (for chronic disease management), analytics (for quality improvement), telemedicine (for patient access), augmented reality (for pain reduction) and Bots (for peri-procedural care). Using real-world examples, members will learn how they can implement these tools into their practices and have improvement in patient experiences and outcomes.

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CS-24

4/15/2019

10:30 AM - 11:30 AM

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PURSUING EXCELLENCE IN THE MANAGEMENT OF PULMONARY SPECIMENS IN THE GI LAB

1 contact hour(s)

Novice; Procedure Skills

Eileen R. Babb, BSN RN CGRN CFER

Aileen Laboriante, BSN RN

Accurate specimen collection is vital for the recovery of pathogenic organisms responsible for diagnosis and staging. This presentation was developed to equip the Endoscopy personnel with best practice information for the collection and preparation of specimens obtained during bronchoscopy, EBUS, and ENB. The presenters will provide perspectives from a community hospital and advanced tertiary setting. Thoracic anatomy, chemical safety, specimen preparation methods, tools, and sampling techniques will be discussed. A better understanding of this foundational knowledge will enhance multidisciplinary team relationship, creating a more cohesive and mutually respectful environment.

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OS-14

4/13/2019

8:30 AM - 11:30 AM

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BARIATRIC ENDOSCOPIC TREATMENTS

2.75 contact hour(s)

Novice, Competent; Disease

Dilhana Badurdeen, MD MBBS

This session will provide an overview of currently available endoscopic bariatric therapy, including indications, contraindications and an overview of the procedures.

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CS-16

4/14/2019

3:30 PM - 5:30 PM

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WRITING FOR PUBLICATION

2 contact hour(s)

Novice, Competent; Other

Kathy Baker, PhD APRN ACNS-BC FAAN

This presentation by the Gastroenterology Nursing Journal Editor will discuss the “how-to” of writing for publication including tips for increasing the success of being published. Gastroenterology nurse authors and members of the editorial board will be present to talk one-on-one with workshop attendees. Participants complete the workshop with the beginnings of a published manuscript.

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CS-05

4/14/2019

2:15 PM - 3:15 PM

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GI BLEED MANAGEMENT

1 contact hour(s)

Competent; Disease

Jodie Barkin, MD

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CS-09

4/14/2019

3:30 PM - 4:30 PM

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ACUTE PANCREATITIS

1 contact hour(s)

Competent; Disease

Jodie Barkin, MD

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LS-04

4/13/2019

1:00 PM - 4:00 PM

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LEADERSHIP IN ACTION

2.75 contact hour(s)

Novice, Competent, Expert; Other

Kristine Barman, BSN RN CGRN

Catherine Bauer, RN MSN MBA CGRN CFER

Michelle Day, MSN RN CGRN

Lisa Fonkalsrud, BSN RN CGRN

Lea Anne Myers, MSN RN CGRN

Learn from SGNA officers some of the leadership skills learned in Henry Givray's Leadership Institute and how they have been applied in their own practice settings both professional and personal. Energy management, crucial conversations, goal setting, mentoring, and building success in your region are some of the skills presented in this interactive presentation. This session is designed to “pay it forward” to the rising members in SGNA, to encourage and better equip them to take the next steps in SGNA involvement.

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CS-36

4/15/2019

4:15 PM - 5:15 PM

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DESCRIBING A PROFESSIONAL DEVELOPMENT MODEL FOR IMPROVING RECRUITMENT AND RETENTION IN GI-FOCUSED AMBULATORY CARE AND OUTPATIENT CENTERS

1 contact hour(s)

Competent; Operational Management

James Barnett, PhD MSN RN

Nursing literature is replete with conceptual articles focused on describing processes that define, design, and plot the various pathways posited to move the profession toward excellence - excellence in patient care, in implementation of evidence, in sustained professional development and engagement of staff, and in improvements in a variety of nurse-, patient-, and organization-sensitive outcomes. However, no model has been described that is specific to GI-Focused Ambulatory Care and Outpatient Centers. The aim of this presentation is to present findings from a meta-synthesis conducted on multiple professional development models that culminates into one, evidence-based recommendation that promises the greatest impact on recruitment and retention. The speaker will discuss the process of meta-synthesis, focusing on model selection and inclusion, defining key concepts, and describing the methods used to create the new model. Potential research questions and opportunities for application will be explored.

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OS-17

4/13/2019

1:00 PM - 4:00 PM

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SAFETY IN THE GI LAB

2.75 contact hour(s)

James Barnett, PhD MSN RN

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CS-61

4/16/2019

8:15 AM - 9:15 AM

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GASTROENTEROLOGY NURSING – DEVELOPMENT OF EFFECTIVE ORIENTATION AND STAFF EDUCATION

1 contact hour(s)

Novice, Competent; Operational Management

Ann Benco, MS BSN RN CNOR

Many gastroenterology suites do not have a dedicated Nursing Education Specialist to design orientation and staff education plans for annual competencies specifically for Endoscopy. This is an illustration of one method to develop a robust evidence-based plan for orientation and annual competencies. Initial competencies and annual competencies are designed based on the Donna Wright model. Annual competencies are based on current need eliminating repeating competencies every year. Unit specific competencies are limited to one or two per role. Using this methodology has created a dynamic plan for orientation and eliminated unnecessary repeats of skills annually.

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OS-12

4/13/2019

8:30 AM - 10:30 AM

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CLEANING UP OUR MESS: PREPARING FOR JOINT COMMISSION

2 contact hour(s)

Competent; Infection Prevention

Ann Benco, MS BSN RN CNOR

Rebecca Kazaonofski

Nicole Smith, BSN RN

The aim of this presentation is to discuss the development of partnerships among internal departments that perform high-level disinfection. Within this partnership, a comprehensive reprocessing oversight committee was used to guide standardization. It was difficult to effectively communicate and manage changes in process at an organizational level because our endoscopy lab's reprocessing area was isolated from central sterile processing and other areas performing high-level disinfection. The focus of this presentation will describe findings of the Joint Commission surveyors, action plan items, development and usage of the oversight committee, effects of collaboration and standardization, and continued measurements of process improvement.

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OS-09

4/12/2019

1:30 PM - 3:30 PM

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EPIPLOIC APPENDAGITIS

2 contact hour(s)

Competent; Disease

Sanjay Bhat, MD

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CS-57

4/16/2019

8:15 AM - 9:15 AM

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TICS AND OTHER UNUSUAL ANOMALIES OF THE ESOPHAGUS

1 contact hour(s)

Competent; Disease

Nikolai A. Bildzukewicz, MD FACS

The esophagus acts as a conduit for the transport of food from the oral cavity to the stomach. To carry out this task safely and effectively, the esophagus is constructed as an 18- to- 26 cm long hollow muscular tube with inner “skin-like” lining of stratified squamous epithelium. Between swallows, the esophagus is collapsed, but the lumen distends up to 2 cm anteroposteriorly and 3 cm laterally to accommodate a swallowed bolus. Structurally, the esophagus wall is composed of 4 layers and unlike the remainder of the GI tract, the esophagus has no serosa. Because this conduit is so special and performs such a vital function, it is subject to disease, injury and various anomalies. This lecture will cover in depth and with case studies the unusual and rare disorders specific to the esophagus. You will come away with a new understanding of diverticulum's, fistulas, atresia, rings, webs and inlet patches. You will also come away with a new understanding of why protecting this vital hollow tube from injury and disease is so important.

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CS-67

4/16/2019

11:15 AM - 12:15 PM

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ACHALASIA: A FRUSTRATING AND UNIQUE SWALLOWING DISORDER

1 contact hour(s)

Expert; Evidence-based Practice/Research

Nikolai A. Bildzukewicz, MD FACS

The esophagus is a muscular tube that connects the back of the throat to the stomach. When a person swallows, coordinated muscular contractions propel the food down into the stomach in a smooth rhythmic way. When these contractions become dis coordinated or absent, this condition is classified as a motility disorder. Achalasia is one of several sub types of motility disorders the characteristic absence of muscular contractions in the lower esophagus and failure of the LES to open with food of fluid bolus is one of the hallmarks of Achalasia. Early in the disease process, inflammation can be seen in the muscle layers of the distal esophagus and frequently patients seek help for their GERD. As the disease progresses, these nerves degenerate and ultimately disappear, which further impairs the function of the LES. This progresses to regurgitation of undigested food sometimes on a daily basis. It can take up to 10 years after the first symptoms appear to correctly diagnose Achalasia. At the time of diagnosis, patients have developed sophisticated and unique ways of eating and social interaction. There is no cure for Achalasia. This lecture will discuss in depth the latest research and treatment modalities for Achalasia.

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LS-03

4/13/2019

9:30 AM - 11:30 AM

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LEADERSHIP TOOLS

2 contact hour(s)

Novice, Competent, Expert; Other

Barbara Bonnice, DNP RN NE-BC

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CS-18

4/15/2019

10:30 AM - 11:30 AM

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INFLAMMATORY BOWEL DISEASE: WHAT YOU NEED TO KNOW

1 contact hour(s)

Competent; Disease

Peter Buch, MD AGAF FACP

The evaluation and treatment of Inflammatory Bowel Disease (IBD) is rapidly evolving. Yet basic questions still remain unanswered. Come explore the “Best Practices” in treating IBD and learn about the controversies in this very practical, interactive seminar.

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CS-34

4/15/2019

4:15 PM - 5:15 PM

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BOOTCAMP FOR ELEVATED LIVER FUNCTION TESTS

1 contact hour(s)

Competent; Disease

Peter Buch, MD AGAF FACP

The evaluation of elevated liver function tests can at times feel overwhelming. Through practical case examples, presented in a very interactive and fun format, we will explore how to develop a clinical tool box that will explore the common presentations of elevated liver function tests.

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CS-65

4/16/2019

11:15 AM - 12:15 PM

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CELIAC DISEASE OR SOMETHING ELSE?

1 contact hour(s)

Competent; Disease

Peter Buch, MD AGAF FACP

Celiac Disease affects approximately 3 million people in the US, but only 300,000 have a diagnosis. Non Celiac Gluten Sensitivity probably affects millions more.

How do we make a diagnosis of Celiac Disease especially on a patient who is already on a gluten free diet? How do we diagnose Non Celiac Gluten Sensitivity?

How do we differentiate these illnesses from Irritable Bowel Syndrome? Explore these issues in a case based, very interactive and FUN format.

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CS-32

4/15/2019

2:30 PM - 4:00 PM

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ABDOMINAL PRESSURES: LOOPING AND ERGONOMICS

1.5 contact hour(s)

Novice, Competent; Procedure Skills, Associate/Technician

Maureen Cain, MSN RN CGRN

Raymond Hucke, CHT OT

Providing abdominal pressure during colonoscopies can be helpful in the procedure being successful. It is important to provide comfortable and safe technique both for the patient and for the well-being of the GI Technician and RN. This session will provide information on providing safe abdominal pressure and information on some possible complications.

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OS-06

4/12/2019

8:30 AM - 11:30 AM

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IDENTIFYING AND MITIGATING YOUR INFECTION RISKS: PERFORMING AN IN-DEPTH INFECTION CONTROL RISK ASSESSMENT FOR YOUR GI LAB

2.75 contact hour(s)

Novice, Competent, Expert; Infection Prevention

Darlene Carey, MSN RN CIC NE-BC FAPIC

In this session, you will learn to assess and examine the infection risks within the endoscopy practice setting. A systematic auditing process will be presented for the endoscope reprocessing area, including a plan to sustain appropriate practice; keeping our patients safe and ensuring compliance with accreditation organizations.

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CS-60

4/16/2019

8:15 AM - 9:15 AM

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DEVELOPING A DIGESTIVE HEALTH SERVICE LINE: A PATHWAY TO EXCELLENCE

1 contact hour(s)

Competent; Operational Management

Brenda Carlson, MS RN

Nancy S. Schlossberg, BSN BA RN CGRN CER

Transitioning to value requires health systems to rethink and strategically redesign care delivery across service lines with growth potential to ensure provision of services needed in the community. This session examines establishing the John Muir Digestive Health Digestive Health Services program. Discussion moves from concept and development of a mission statement and business plan through implementation, measurement of outcomes and next steps.

The presentation identifies roles and responsibilities of multidisciplinary program team members, including the Medical, Service line and Program Directors, Endoscopy Nurse Manager, GI Hospitalists, GI nurse practitioner and Marketing. It also examines risks and benefits associated with starting, growing and incorporating a therapeutic endoscopy program into a digestive health program.

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CS-62

4/16/2019

8:15 AM - 9:15 AM

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IMPLEMENTING THE DIRECT ACCESS SCREENING COLONOSCOPY PROGRAM: DECREASING BARRIERS AND INCREASING PATIENT SATISFACTION

1 contact hour(s)

Novice; Operational Management

Julie Carpenter, BSN BA

Laurie Polakoff, MSN RN CGRN CFER

Advocate Good Samaritan Hospital, a Midwestern community hospital, has implemented the Direct Access Screening Colonoscopy (DASC) program in an effort to decrease barriers in obtaining a colonoscopy through streamlining scheduling and allowing patients with average health risks to schedule their colonoscopy over the phone. This benefits the patient in several ways. It is economically beneficial to the patient because it eliminates an extra office visit therefore reducing the cost to the patient. It is psychologically beneficial to the patient because it allows for a phone discussion with a nurse about the fears associated with the procedure and the colonoscopy preparation. A relationship is built between the nurse and the patient which not only decreases patient fears but it also increases patient satisfaction. This nurse is available to the patient throughout the process to discuss any questions that may arise which results in patients who are well prepared for their procedure. All of this benefits our ultimate goals of increasing our community's colon cancer screening rates and early detection of cancerous or precancerous polyps, which ultimately decreases the incidence of colon cancer in our population.

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OS-16

4/13/2019

1:00 PM - 5:00 PM

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PURSUING EXCELLENCE IN MOTILITY/PH PROCEDURES

3.75 contact hour(s)

Novice, Competent; Other

Rebecca A. Chandler, BSN RN CGRN

Nancy Denton, BSN CGRN CER

Janet R. King, BSN RN CGRN

This session provides an opportunity to expand your Nursing Practice to better understand the activities taking place in a Motility/pH Lab. It will include overview and discussion of the anatomy and physiology of the swallowing tract, Esophageal motility disorders and Gastro/Esophageal reflux disease. Esophageal motility disorders using the Chicago Classification will be reviewed including Achalasia. New research will be discussed regarding recommended treatments of Motility disorders. Hands on opportunities with demonstration and break out tables will be offered using the latest technology available for both Motility and pH testing.

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CS-02

4/14/2019

2:15 PM - 3:15 PM

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MANAGING THE PATIENT WITH CIRRHOSIS

1 contact hour(s)

Novice, Competent, Expert; Disease

Amanda Chaney, DNP APRN FNP-BC FAANP

The purpose of this presentation will be to review the background and current management of the patient with cirrhosis. In the United States, cirrhosis is the 12th most common cause of death. Nurse practitioners are frequently the first providers to see patients in the acute care setting for admission and should be knowledgeable of cirrhosis and its complications. Nurse practitioners in the primary care setting are seeing patients with cirrhosis much more often, as more patients have chronic diseases which cause liver fibrosis and cirrhosis, such as Laennec cirrhosis or hepatitis C related liver disease. Proper diagnosis and quick management is essential in both primary care and acute care settings to ensure patient improvement and a stable outcome.

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CS-53

4/16/2019

7:00 AM - 8:00 AM

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UNDERSTANDING FATTY LIVER DISEASE

1 contact hour(s)

Novice, Competent; Disease

Amanda Chaney, DNP APRN FNP-BC FAANP

Nonalcoholic fatty liver disease (NAFLD) is becoming more common in the United States and worldwide. There is a wide spectrum of disease progression when discussing NAFLD. The mainstay of treatment is lifestyle modification. There are ongoing research endeavors that are promising. This session will discuss important information for the primary care provider to offer best care for the patient with NAFLD.

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CS-23

4/15/2019

10:30 AM - 11:30 AM

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IMPROVING TRANSITIONAL COMMUNICATION

1 contact hour(s)

Novice, Competent; Operational Management

Shara Chess, MSN APRN FNP BCGRN

Transitional communication, that which occurs between nurses as patient's progress from one area in the GI Unit to another, is essential for the safety of our patients. Our skilled nursing assessment reveals vital information which contributes to safe quality care. However, even the very best assessment is futile unless these findings can be effectively communicated to others. Sadly, we sometimes fail at this essential activity, as stated by George Bernard Shaw, “The single biggest problem in communication is the illusion that is has taken place”. This presentation will describe the development and use of a communication tool, called the “Rainbow Sheet”, which is utilized in the GI Unit of Cedars-Sinai Medical Center to enhance transitional communication.

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OS-10

4/13/2019

7:30 AM - 12:00 PM

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TRAIN THE TRAINER: THE REPROCESSING COMPETENCY DEFINED

3.5 contact hour(s)

Novice; Infection Prevention

Jim Collins, BS RN CNOR

Alana Hernandez, BSN RN CGRN

Betty L. McGinty, MS HSA RN CGRN CER

Cathleen Shellnutt, DNP APRN AGCNS-BC CGRN

Christine Wahinehookae, BSN RN CGRN

This course is for the nurse or technician in the GI setting who is responsible for ensuring that the cleaning and disinfection of endoscopes is done safely and effectively. The session will offer hands-on opportunities to practice the reprocessing steps.

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OS-15

4/13/2019

1:00 PM - 5:30 PM

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TRAIN THE TRAINER: THE REPROCESSING COMPETENCY DEFINED

3.5 contact hour(s)

Novice; Infection Prevention

Jim Collins, BS RN CNOR

Alana Hernandez, BSN RN CGRN

Betty L. McGinty, MS HSA RN CGRN CER

Cathleen Shellnutt, DNP APRN AGCNS-BC CGRN

Christine Wahinehookae, BSN RN CGRN

This course is for the nurse or technician in the GI setting who is responsible for ensuring that the cleaning and disinfection of endoscopes is done safely and effectively. The session will offer hands-on opportunities to practice the reprocessing steps.

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CS-21

4/15/2019

10:30 AM - 11:30 AM

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VERIFYING ENDOSCOPE SAFETY USING POLYMERASE CHAIN REACTION AND DNA SEQUENCING

1 contact hour(s)

Novice, Competent, Expert; Infection Prevention

Glenda L. Daniels, PhD RN CNS CGRN

Marilee Schmelzer, PhD RN

Endoscopes are heavily contaminated during use, and therefore undergo a detailed series of reprocessing steps to avoid infection of subsequent patients. Recent outbreaks of antibiotic resistant infections traced to infected endoscopes highlight the importance of verifying reprocessing effectiveness and detecting failures in the system. ATP testing and microbiological cultures are used to verify reprocessing effectiveness, but a newer method based on DNA amplification and sequencing shows promise as a cheaper, faster, more reliable alternative. The presenters will describe the challenges of microbe detection, explain how microbes are identified by their DNA codes, and discuss future implications.

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OS-02

4/12/2019

8:00 AM - 12:00 PM

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NUTS AND BOLTS FOR HOSPITAL AND AMBULATORY MANAGERS

3.75 contact hour(s)

Competent, Expert; Operational Management and Ambulatory

Michelle Day, MSN RN CGRN

Cynthia M. Friis, MEd BSN RN-BC

Betty L. McGinty, MS HSA RN CGRN CER

Our session will focus on three of the most challenging areas of responsibility for the endoscopy unit nurse manager or director. First off, we will review how to prepare a budget, one of the most important tasks for someone in this role. We will review the three main categories of budgets that comprise operations: capital, operation, and productivity. We will then look at how nurse managers maintain effective work environments by discussing techniques and actions a manager can employ to coach the difficult co-worker in their unit. After looking at ways to coach the difficult co-worker, we will round out the session by exploring the conundrum of building strong and cohesive teams in an effort to maintain harmony across the unit.

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CS-07

4/14/2019

2:15 PM - 3:15 PM

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COLON POLYPECTOMY TECHNIQUES: THE NITTY GRITTY

1 contact hour(s)

Expert; Procedure Skills

Lino DeGuzman, MD AGAF FACG

Endoscopic mucosal resection (EMR) is a technique used to remove cancerous or other abnormal lesions found in the digestive tract. EMR has been advocated for early esophageal cancers (those that are superficial and confined to the mucosal layer only) and has shown to be a less invasive, safe and an effective non surgical therapy for these early squamous-cell carcinomas. It has also been shown to be safe and effective for early adenocarcinoma arising in Barrett's esophagus....and the prognosis after treatment with EMR is comparable to surgical resection. The most common modalities of EMR include strip biopsy, double snare polypectomy with the combined saline and epinephrine and resection using a cap. This lecture will include an depth discussion of the pros and cons of EMR and highlight several case studies.

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CS-17

4/15/2019

10:30 AM - 11:30 AM

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LIVER - EVERYTHING YOU THOUGHT YOU KNEW AND MORE: A COMPLICATED PUZZLE

1 contact hour(s)

Competent; Disease

Teri A. Derimanoczy, MSN FNP-BC RN CGRN

The liver is responsible for a multitude of complicated functions including but not limited to protein synthesis, detoxification and metabolic processes. We often take for granted just how important this one organ is to our health and well being until we develop symptoms. With over 500 complex functions, the liver is a very important organ to understand and protect from injury or disease. Too often, we see patients with end stage liver disease in our GI Labs and do we really understand how the liver progressed from health to disease to failure. Problems in the liver are often discovered incidentally through routine lab testing or screening for blood donation. How do we a clinicians know when to sound the alarm and become worried by these tests? Liver disease is like a complicated puzzle: you need to put the pieces together to see the whole picture and figure out what the liver is saying and sometimes “screaming” to you. An understanding of basic liver functions, histology and embryology is essential to understanding this dynamic and forgiving organ. This lecture will logically look at the functions of liver, implications for disease and briefly discuss the crisis of cancer and fatty liver disease.

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CS-06

4/14/2019

2:15 PM - 3:15 PM

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SEEING THE LIGHT: ILLUMINATING APPLICATIONS OF LASER IN THE SOFT TISSUES OF THE GI TRACT

1 contact hour(s)

Novice, Competent, Expert; Procedure Skills

Robert Edwards, RN

Chris Moreau, BSBME AASBMET

Sandeep Patel, DO

Michael Reyes, ST GTS

Applications of laser in gastroenterology have focused on laser lithotripsy, but uses in soft tissue are rarely reported. Our clinical team reviews 9 years of experience with Ho: YAG laser for cutting and ablation in the GI tract. Laser fundamentals are discussed, including room setup, safety, assistant and nursing concerns. Laser-tissue interaction is reviewed including original studies in porcine bile ducts and pancreas. Cases including re-canalization of biliary anastomoses, ablation of stent tumor ingrowth, pancreatic duct tumor resection, laser-assisted stent removal and laser-assisted esophageal dilatation are presented. Future applications are discussed including Laser Esophageal Submucosal Dissection and Pancreatic Tumor Ablation.

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CS-70

4/16/2019

11:15 AM - 12:15 PM

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TO INTERVENE OR NOT TO INTERVENE: UTILIZATION OF ADVANCED ENDOSCOPY IN PEDIATRICS

1 contact hour(s)

Competent, Expert; Sub-specialty

Robert Edwards, RN

Chris Moreau, BSBME AASBMET

Sandeep Patel, DO

Michael Reyes, ST GTS

Recent advances in diagnostics and imaging have facilitated improved understanding of pancreaticobiliary diseases in children, but intervention decisions are complicated by lack of tools and long-term outcome data. We present 10 years of pediatric advanced endoscopy experience, including EUS and ERCP cases from two academic tertiary referral centers and the nation's first dedicated pediatric advanced endoscopy training program. Nursing considerations, procedural setup, and assistant techniques are reviewed. Medical devices are discussed, including concerns about off-label and age-appropriate products. Patient selection and follow up, including indications and contraindications for intervention are discussed. Analysis of long-term interventional outcomes will be presented.

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CS-25

4/15/2019

2:30 PM - 4:00 PM

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IRRITABLE BOWEL SYNDROME (IBS) - SOMETIMES IT TAKES A VILLAGE! EVALUATION OF BOTH MEDICAL AND NATUROPATHIC MANAGEMENT OF IBS

1.5 contact hour(s)

Competent; Disease

Alison Egeland, ND

Kimberly Kearns, APRN, ANP-BC

Irritable bowel syndrome is a complex, multifactorial disease process; this in-depth educational session will review epidemiology, pathophysiology and diagnostics of irritable bowel syndrome. Attendees will also explore both conventional and naturopathic treatment options available for the management of irritable bowel syndrome.

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GS-04

4/16/2019

3:15 PM - 4:15 PM

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SGNA: UNSTOPPABLE EXCELLENCE!

1 contact hour(s)

Novice, Competent, Expert; Other

Stuart Ellis-Myers

How does any SGNA member or someone living with a rare, incurable and socially bizarre neurological disorder re-invent their life story? By becoming Unstoppable! Now more than ever SGNA members are looking for fresh ideas, new understandings and immediately usable actionable insights to turn great expectations into greater personal and professional excellence. Stuart Ellis-Myers aka ‘Twitchy’ is living proof that anyone who overcomes overwhelming circumstance tends to develop extraordinary approaches to every day challenges – often achieving extraordinary results. In this keynote learn how to learn, laugh and turn SGNA ‘great expectations into greater excellence’ while leveraging a new understanding on how to never give in and go from failure-to-failure with great enthusiasm!

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GS-03

4/15/2019

8:15 AM - 9:45 AM

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ADVANCES IN ENDOSCOPY

1.5 contact hour(s)

Novice, Competent, Expert; Procedure Skills

Tolga Erim, DO

Advanced endoscopy has expanded well beyond the tradition ERCP and EUS. This session will focus on intramural endoscopy techniques that are starting to replace traditional surgical techniques.

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CS-08

4/14/2019

2:15 PM - 3:15 PM

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HOW TO WRITE AN ABSTRACT FOR THE SGNA ANNUAL COURSE

1 contact hour(s)

Novice, Competent, Expert; Other

Teresita Foliacci, MSN RN CGRN

Jay S. Lardizabal, MAN BSN RN CGRN

Michele Tyring, BSN RN CGRN

This 1-hour panel discussion aims to provide information to participants who would like to learn more about formulating an abstract. This course will focus on the criteria used by SGNA and will provide tips from representatives of the program committee to become successful. A detailed instruction on how to submit the abstract using the SGNA portal will also be discussed.

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OS-07

4/12/2019

1:00 PM - 4:00 PM

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ADVANCED HANDS-ON EUS

2.75 contact hour(s)

Competent, Expert; Procedure Skills

Teresita Foliacci, MSN RN CGRN

Marilyn Johnston, RN CGRN

Jay S. Lardizabal, MAN BSN RN CGRN

Michele Tyring, BSN RN CGRN

At the end of this 3-hour intensive hands-on course, the participants will possess knowledge and skills related to the indications, set-up, and techniques of Endoscopic Ultrasound.

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CS-22

4/15/2019

10:30 AM - 11:30 AM

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UNRAVELLING THE MYSTERIES OF HIGH RESOLUTION ESOPHAGEAL MANOMETRY: DECODING THE CHICAGO CLASSIFICATION

1 contact hour(s)

Competent; Disease

Julie A. Forsberg, BSN RN CGRN

Karyn L. Pechinski, BSN RN CGRN

HREM is considered the best way to evaluate esophageal motility. The Chicago Classification is an algorithm that helps interpret esophageal pressures and distinguish abnormal motor function. Learning how to navigate these classification parameters will help identify minor and major motility disorders, such as achalasia, EGJ outflow obstruction, esophageal spasm, and absent contractility.

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CS-29

4/15/2019

2:30 PM - 4:00 PM

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SO YOU WANT TO BE A MENTOR...

1.5 contact hour(s)

Competent; Other

Cynthia M. Friis, MEd BSN RN-BC

Lisa Heard, MSN RN CGRN CPHQ

A mentor has been defined as a wise and trusted counselor or teacher. In healthcare, mentors play an important role in clinician development. Studies show that mentorship relationships have additional benefits such as decreasing medical errors, enhancing staff retention, improving recruitment and aiding in leadership development. Being a mentor carries the responsibility to help others to recognize and achieve their goals in their pathway to excellence. How can you perfect your skills at being a mentor? This session will help the mentor develop and manage the mentorship relationship. Interactive exercises will be utilized to enhance learning. Participants will take away tools for development and maintaining a successful mentorship relationship.

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CS-63

4/16/2019

8:15 AM - 9:15 AM

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MISSING THE SMALL CAN RESULT IN BIG PROBLEMS

1 contact hour(s)

Novice; Other

Cynthia M. Friis, MEd BSN RN-BC

We are challenged to think big, explore big data, and focus on the big picture in an attempt find success. No one ever tells us to think small and shrink our vision. We don't see motivational quotes that encourage us to do very little in order to achieve greatness.

Are we passing up opportunities by not acting upon the small? During this session we will examine ways that we can affect big changes through small actions. Participants will discover the impact of small whether tackling big projects at work or building high quality connections through lecture, discussion, and group exercises.

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CS-66

4/16/2019

11:15 AM - 12:15 PM

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COLORECTAL CANCER: THE ROLE OF FOOD

1 contact hour(s)

Competent; Disease

Paula Gallagher, MFN RD LD

Globally, colorectal cancer is a common and deadly disease. Dietary habits are considered to be easily changeable regarding the prevention of colorectal cancer. High calorie diets, red meat, and salt intake may increase the risk of developing this disease. What other evidence based strategies do we have for the prevention and treatment of colorectal cancer? Is intermittent fasting really a ‘thing’ when trying to prevent this disease? Is more fiber always better? Join us for this exploration of the association of diet and colorectal cancer.

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CS-73

4/16/2019

1:30 PM - 2:30 PM

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THE SLUGGISH GUT CHRONICLES: CHRONIC CONSTIPATION & DIET

1 contact hour(s)

Competent; Disease

Paula Gallagher, MFN RD LD

Chronic constipation is a massive clinical problem, occurring in about 1 in 5 people worldwide. The tried and true recommendations of drink more water, eat more fiber, and take a laxative are likely not enough for these patients. What other evidence based approaches do we have to manage constipation-predominant IBS and Chronic Idiopathic Constipation? Do probiotics really work? What type of fiber is best? What about fermentable carbohydrates? Join us for the ‘fast tract’ to ease constipation.

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CS-45

4/15/2019

5:30 PM - 6:30 PM

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VIDEO CAPSULE ENDOSCOPY INSIDE/OUT!

1 contact hour(s)

Novice; Sub-specialty

Tina Gaudet, RN

Video capsule endoscopy what are the steps and methods utilized in the GI practice. Respective roles of the participants. The equipment use in VCE, and various problems that could occur. What diagnosis warrant a video capsule. Different capsules on the market currently. Several case studies with videos.

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CS-56

4/16/2019

7:00 AM - 8:00 AM

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RADIATION SAFETY

1 contact hour(s)

Competent; Other

John Gratzle, MS CMLSO RRPT

Applied Radiation Safety

What Can I do to keep my radiation exposure low?

You must keep your exposure within regulatory limits but also as low as possible while performing necessary tasks involving radiation exposure in the workplace.

Precautions to be used near X-Ray machines?

General Best Practices and answers to common questions about X-ray machine generated radiation environments.

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OS-01

*TWO DAY COURSE

4/12/2019

8:00 AM - 5:00 PM

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GI/ENDOSCOPY NURSING REVIEW COURSE

14.25 contact hour(s)

Competent; Other

Mary Grealish, MSN RN CGRN CSRN

Kelly M. Osborne, MSN APRN, CNS-BC CGRN

The GI/Endoscopy Nursing Review Course will provide an overview of key areas related to GI/endoscopy nursing practice. Additionally, tips on how to prepare for the CGRN Certification exam will be presented.

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CS-69

4/16/2019

11:15 AM - 12:15 PM

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CHRONIC CANNABIS USE INCREASES SEDATION REQUIREMENTS FOR AN ELECTIVE COLONOSCOPY

1 contact hour(s)

Novice, Competent Expert; Disease

Julie Gregg, MSN

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CS-33

4/15/2019

4:15 PM - 5:15 PM

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THE SCOPE OF BARRETT'S ESOPHAGUS

1 contact hour(s)

Competent; Disease

Habiba Habib, BSN CGRN

An understanding of Barrett's Esophagus, its pathophysiology, and risk of the disease. A description of the diagnostic tools used and understanding guidelines for Barrett's screening. Discussing different treatment modalities to achieve the best result for the patient.

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OS-11

4/13/2019

8:00 AM - 2:00 PM

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HANDS-ON ERCP

5 contact hour(s)

Novice, Competent; Procedure Skills

Marilyn Johnston, RN CGRN

Jay S. Lardizabal, MAN BSN RN CGRN

Michelle Oilar, CST

Michele Tyring, BSN RN CGRN

Barbara A. Zuccala, MSN RN CGRN

At the end of this 6-hour intensive hands-on course, the participants will possess knowledge and skills necessary for ERCP.

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CS-48

4/15/2019

5:30 PM - 6:30 PM

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EXCEL YOUR SKILLS: ANALYZE & INTERPRET ESOPHAGEAL MANOMETRY

1 contact hour(s)

Novice, Competent; Procedure Skills

Simi J. Joseph, DNP RN APN NP-C

Gastroenterology specialty has many diagnostic tests to identify and treat different conditions of the GI tract. Gastroenterologists primarily focus on endoscopy and its interventions. To make a definite diagnosis in gastroenterology, there are additional testings' required to aid a physician to confirm the diagnosis. Some of them are Wireless capsule endoscopy, wireless PH study, Catheter based PH Impedance study, Esophageal manometry and Anorectal manometry. The diagnosis that can be made by esophageal manometry are: Achalasia, Nutcracker esophagus, Presbyesophagus, Diffuse esophageal spasm, Cricopharyngeal Achalasia, and Jackhammer esophagus. This diagnostic test is a non-sedated procedures done in a GI lab that can be easily done by a trained GI nurse or Nurse Practitioners. Earning a certification and performing esophageal manometry, it's analyze, and interpretation of results with gastroenterologists, makes a gastroenterology nurse practitioner valuable to the practice. This one hour session on esophageal manometry will be a great learning opportunity for all advanced practice nurses, on performing this procedure, its analysis and interpretation of the results based on patient presentation.

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CS-68

4/16/2019

11:15 AM - 12:15 PM

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PSYCHOLOGICAL STRESS AND PANCREATIC CANCER

1 contact hour(s)

Novice, Competent, Expert; Evidence-based Practice/Research

Simi J. Joseph, DNP RN APN NP-C

Ann Marie Mazzella-Ebstein, PhD RN CGRN

Among all cancers, pancreatic cancers are associated with poor prognosis and highest levels of stress. Improved treatment options have not greatly improved outcomes. Receiving a diagnosis pancreatic cancer, the patient may experience varying levels of stress knowing there is limited treatment options and resources. In providing patient-focused care, the stressful experiences reported by pancreatic patients would guide healthcare practitioners is providing the psychological and emotional support to potentially improve outcomes and the quality of care to the pancreatic cancer patient.

Drs. Ann M Mazzella Ebstein and Simi J Joseph are SGNA Scholars 2017-2018. We wish to recognize the Center for Translational Research: A JBI Center of Excellence at Texas Christian University, Fort Worth, Texas, USA for ongoing support of these scholarly activities.

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CS-77

4/16/2019

1:30 PM - 2:30 PM

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CAN ARTIFICIAL INTELLIGENCE HELP US PROTECT OUR PATIENTS FROM COLORECTAL CANCER AND REDUCE REDUNDANCY?

1 contact hour(s)

Competent; Operational Management

William Karnes, MD AGAF

Can artificial intelligence help us protect our patients from colorectal cancer and reduce redundancy?

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CS-42

4/15/2019

5:30 PM - 6:30 PM

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THE 411 OF THE PATIENT EXPERIENCE SURVEY: TIPS TO HELP YOU EXCEED THE EXPECTATION

1 contact hour(s)

Competent; Operational Management

Rebecca Kazanofski

Anyone that has been to a hotel, restaurant or bought an item online has likely received a survey asking them to rate and share their overall consumer experience. Hospitals are no different, and now nurses are being expected to not just pass meds, but to commit to delivering an overall “very good” experience which is rated and reported to the organization and benchmarked against other units and hospitals across the country. With all the other demands on their time, how can they also meet this demand? How do you get them to see the value and importance of this quality metric? How do you use key words at key times to show care to the patients that they can then relate to the survey questions? This presentation will show how the Endoscopy Lab at Vanderbilt Medical Center did a deep dive in their Press Ganey Survey data to educate and engage their team and raise their survey scores 26% in less than three month's time, plus create a positive and accountable team atmosphere where exceeding the patient expectation is the new standard of care.

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CS-31

4/15/2019

2:30 PM - 4:00 PM

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ESD, EMR, EFTR..... THIS IS THE NEW GI ALPHABET SOUP

1.5 contact hour(s)

Competent; Sub-specialty

Paul Korc, MD

Endoscopic resection techniques in GI have expanded tremendously in the last several years. Various mucosal resection techniques exist and will be discussed in detail, along with an introduction to the newer realm of full thickness resection.

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OS-04

4/12/2019

8:00 AM - 12:00 PM

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ENGAGING YOUR PATIENTS: SUREFIRE STRATEGIES TO RAISE SATISFACTION SCORES, DECREASE MISCOMMUNICATION, AND DRAMATICALLY ENHANCE COMPLIANCE

3.75 contact hour(s)

Competent; Other

Edward Leigh, MA

According to the Joint Commission, effective communication is a cornerstone of patient safety. This high-energy interactive session provides skills to dramatically improve your interactions with patients. Learn strategies to raise your patient satisfaction scores through the roof! The session covers: opening and closing patient interviews with impact, listening skills to gain patient trust, empathic responding to establish immediate rapport, questioning techniques to quickly and efficiently get the information you need, handling sensitive issues, dealing with angry patients and top tips to educate your patients! The evidence-based techniques will significantly enhance the patient experience (and decrease your stress!).

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CS-59

4/16/2019

8:15 AM - 9:15 AM

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GASTRIC CANCER: THE EVOLVING AND SILENT KILLER

1 contact hour(s)

Expert; Evidence-based Practice/Research

John Lipham, MD

Gastric cancer develops in the lining of your stomach from mucus secreting cells. Early symptoms may include GERD, abdominal pain, nausea and early satiety. The onset of symptoms is often attributed to other anomalies and often go undetected until the patient presents with extreme weigh loss or anemia. The most common cause in 60% of the cases is infection by the bacterium Helicobacter pylori. The second greatest cause is from chronic use of NSAIDS. As this is a silent, slow growing tumor, it may take years for the tumor to develop. In the early stages, there are no symptoms. Sadly, most symptoms that make the patients seek help reflect advanced disease. By the time the patient develops symptoms, it is almost invariably too advanced for a cure. Globally, gastric cancer is the fifth leading cause of cancer and the third leading cause of death, yet no one is championing this disease. Very little if any information is provided to the public on gastric cancer. This cancer remains difficult to cure in Western societies because to the use of OTC acid reducing medications. This lecture will cover the latest research, recommendations and treatments for this silent killer.

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CS-75

4/16/2019

1:30 PM - 2:30 PM

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GERD... THE PROGRESSION OF ESOPHAGEAL CANCER YOU CAN'T IGNORE ANYMORE!

1 contact hour(s)

Competent; Evidence-based Practice/Research

John Lipham, MD

What if all the advertising about “acid reducing meds” was incorrect and you only received the information the pharmaceutical companies wanted you to hear. What if these meds were unavailable? What if your information about GERD has been wrong and the approach to “acid reflux” has been proven incorrect. What is a patient to do? The long tern use of PPI's now carries a warning label is no longer recommended. What if you were to find out that “bile” is just as damaging to the sensitive lining of the esophagus as acid, but all the products on the market only block acid? Esophageal cancer is the sixth most common cause of death worldwide. It is estimated that more than 20,000 NEW cases in the US alone will be diagnosed. Esophageal cancer has seen a 600% increase in incidence despite the use of PPI's, yet there is no national screening being done. Esophageal cancer in the next decade will surpass colon cancer in estimated deaths. This watch and wait surveillance of GERD and Barrett's esophagus is simply not enough to prevent the rise in this cancer. This lecture will explore current research and treatment modalities for esophageal cancer.

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CS-35

4/15/2019

4:15 PM - 5:15 PM

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ENDOSCOPIC SURVEILLANCE IN HIGH RISK GENETIC GI CANCER SUSCEPTIBILITY

1 contact hour(s)

Competent; Procedure Skills

Patrick Lynch, JD MD

Specialized endoscopic approaches are or should be employed for patients with inherited risk of GI cancer. Guidelines for FAP, HNPCC, Hereditary Diffuse Gastric Cancer (HDGC) will be covered. Use of enhanced imaging techniques for mucosal detail as well as special considerations for sampling and polypectomy will be addressed

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CS-13

4/14/2019

3:30 PM - 4:30 PM

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PERSONAL GREATNESS AND TEAM EXCELLENCE

1 contact hour(s)

Novice; Operational Management

Teri Mallard, BSN RN

Bridget Parkhill Blanchard, CNA, MA, AGTS

We live in a dynamic healthcare climate of consistent change. These changes can develop and refine a team centered on achieving excellence. In this session we will explore the evolution of change in the Endoscopy World, and how to convey the message to our team that all great things start with an idea. Our ideas lead to implementation of evidence based investigation, and moves us towards best practice.

How can a team replace their anxiety and resistance to change with a foundation that embraces the positive effects and adapts? Experience has taught us the importance of fostering empowered team members to share their ideas. We will share our journey that has changed attitudes, enhanced communication, improved efficiency, quality, safety and patient experience.

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CS-15

4/14/2019

3:30 PM - 4:30 PM

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HCV UNKNOWN? CAPTURE THEM

1 contact hour(s)

Novice, Competent, Expert; Disease

Renee A. Martin, MN RN PHCNS-BC CGRN

Megan Scott, BSN RN

Hepatitis C (HCV) is a curable health threat-when it has been identified. It is especially prevalent in the Baby Boomer population-the same cohort that makes up the majority of Endoscopy patients. They are at your beck and call-ready to be asked and tested. Collaborate and establish a protocol for testing and you can be an HCV slayer.

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CS-11

4/14/2019

3:30 PM - 4:30 PM

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EMOTIONAL INTELLIGENCE: A FACTOR FOR NURSES COPING WITH OCCUPATIONAL STRESS

1 contact hour(s)

Novice, Competent, Expert; Evidence-based Practice/Research

Ann Marie Mazzella-Ebstein, PhD RN CGRN

Associations between levels of emotional intelligence in newly hired oncology nurses from a national cancer institute and their responses to stress and coping were examined, as well as whether emotional intelligence could moderate their choice of problem-focused or emotion-focused coping strategies. Using survey methodology data was collected between the eighth- and twelfth-weeks post-hire date. Though emotional intelligence did not moderate coping strategies in newly hired nurses, using more problem-focused coping to address occupational stress during the initial employment period may be a protective factor for coping with stress in the oncology workplace.

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CS-03

4/14/2019

2:15 PM - 3:15 PM

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REDUCING PRE-PROCEDURE ANXIETY IN THE PEDIATRIC POPULATION

1 contact hour(s)

Competent; Evidence-based Practice/Research

Christina McArdle, BSN RN PCCN

Oneida Wands, BSN RN

Purpose: The purpose of this evidence-based practice project was to decrease pre-procedure anxiety among the pediatric patients receiving treatment in a hospital endoscopy unit. A social story was developed as an intervention to explain the procedure to the patients to decrease their pre-procedure anxiety.

Relevance: Children are often unable to verbally express their fears. This can activate a cascade of events leading to poorer outcomes for children. Evidence supports that even the simplest pre-procedure education can assist in decreasing pediatric anxiety, and lead to better overall outcomes.

Implementation: The social story was read to the patients prior to the procedure with the parent(s) present. Equipment explained in the social story was available for exploration. A Children's Anxiety Meter-State (CAM-S) was used to assess anxiety before and after the endoscopy procedure.

Results: Twelve pediatric patients aged 8-15 years participated in the project. The pre- and post-procedure analysis demonstrated a 15% decrease in anxiety with use of the social story.

Practice Implications: The CAM-S scale results support the use of a social story to decrease pre-procedure anxiety among the pediatric patients in an endoscopy unit. Evidence demonstrated that implementation of this intervention will provide a decrease in both patient and parental anxiety.

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CS-47

4/15/2019

5:30 PM - 6:30 PM

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USING FUNCTIONAL NUTRITION TO IMPACT GASTROINTESTINAL HEALTH: APPLICATIONS FOR FREE-LIVING PATIENTS

1 contact hour(s)

Novice, Competent; Evidence-based Practice/Research

Brian McFarlin, PhD FACSM

In the first section of this session we will provide a detailed background linking gastrointestinal health and disease. This will include a mechanistic exploration of the underlying anatomy and physiology. We will also discuss targets and side effects of various pharmaceutical treatments that are currently on the market. In the second phase of this session we will discuss various functional nutrition treatments (i.e. probiotics, prebiotics, and other active components) that can be used to improve gastrointestinal health and reduce disease risk. We will focus on the mechanism of action for these treatments and how to monitor their effectiveness in free-living patients. The latest trends in functional nutritional will be explored using a combination of research from our laboratory and others. The key goal of this session is to empower the attendees with practical knowledge that they can use to implement functional nutrition into a larger outpatient treatment strategy.

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CS-12

4/14/2019

3:30 PM - 4:30 PM

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EXPECTING GREATNESS - PURSUING EXCELLENCE BY CHALLENGING BIOFILM: THE GOOD, THE BAD, AND THE UGLY

1 contact hour(s)

Competent; Infection Prevention

Betty L. McGinty, MS HSA RN CGRN CER

Lynn Sharrer, MSN RN CIC

This presentation highlights biofilms, both beneficial and harmful. An infection preventionist and high level disinfection safety and quality GI professional combine efforts to share examples of the “bad” and “ugly” biofilms. They will focus upon the dilemma posed regarding GI medical devices, offering both combative and preventive solutions.

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CS-43

4/15/2019

5:30 PM - 6:30 PM

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A GUIDE TO PATIENT SAFETY: INFECTION PREVENTION AND REPROCESSING

1 contact hour(s)

Competent; Infection Prevention

Betty L. McGinty, MS HSA RN CGRN CER

Nurses and associates who work in endoscopy share a vow to patients in their care to prevent infection. A major infection prevention focus area in endoscopy/reprocessing involves the preparation of patient-ready endoscopes and accessories. A successful program that supports such processes is one that is described as robust. I will share with the participants a vision of such a program and will include tools for success.

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CS-27

4/15/2019

2:30 PM - 4:00 PM

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ENDOSCOPY NURSE ORIENTATION: EXPECTING GREATNESS FROM YOUR TEAM

1.5 contact hour(s)

Novice, Competent, Expert; Operational Management

Charles E. McKeen, BSN RN CNOR

This lecture is intended to review the orientation process for new hires to the Endoscopy Unit as well as discuss how our orientation processes could be improved in the future. The review will include a look at the responsibilities of the Endoscopy nurse; Safety, Physiological responses, infection prevention, behavioral responses, and systemic requirements. It will also seek to include issues facing Endoscopic nursing and nursing in general.

The lecture will then focus on the orientation process itself. This section will focus on preceptors and how they precept (how do they qualify?), learning styles (can we actually assign you one), providing real constructive feedback, and making the new member feel team worthy. Within these elements we will discuss what does “a great team” look like and what realistic achievements can we expect from our team. We will also look at researched differences between experience vs. inexperience nurses, evidence based practices as they pertain to orientation and the expanding role of the registered nurse in the Endoscopic health arena.

Copyright 2018, Charles E. McKeen II, BSN, RN, CNOR

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CS-39

4/15/2019

4:15 PM - 5:15 PM

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HOW TO ACHIEVE GREATNESS IN YOUR SGNA REGION

1 contact hour(s)

Novice; Other

Candice Morton, BSN RN CGRN

Kelly M. Osborne, MSN APRN CNS-BC CGRN

SGNA Region 42 Eastern North Carolina will discuss how the regional board made a plan and worked through identified opportunities to turn a struggling region to SGNA Region of the Year.

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GS-02

4/14/2019

10:45 AM - 12:15 PM

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DIVERSITY, CHALLENGES, AND WHAT'S NEW IN THE PRACTICE OF GASTROENTEROLOGY

1.5 contact hour(s)

Novice, Competent, Expert; Other

Arif Nawaz, FACP FACG

The presentation will consist of two parts. The first part will review the practices of GI around the globe and highlight the challenges and opportunities for the audience. The second part will provide an update on the progress made in the field of gastroenterology and hepatology in the last few years

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CS-71

4/16/2019

11:15 AM - 12:15 PM

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BARIATRIC SURGERY

1 contact hour(s)

Novice; Disease

Ninh Nguyen, MD

The session provide state of the art update on the indications for bariatric surgery, common type of procedures, and common complications and its management as it relates to the gastrointestinal tract

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CS-78

4/16/2019

1:30 PM - 2:30 PM

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PURSUING EXCELLENCE: THE ENDOSCOPY ASSOCIATE PATHWAY TO ADVANCEMENT

1 contact hour(s)

Novice, Competent, Expert; Associate/Technician

Michelle Oilar, CST

This presentation is for the endoscopy associate or technician that wants to know what is available to them in the way of advancement in their field.

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CS-76

4/16/2019

1:30 PM - 2:30 PM

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THE ROLE OF A CLINICAL NURSE SPECIALIST IN A GASTROENTEROLOGY PROGRAM

1 contact hour(s)

Competent; Operational Management

Kelly M. Osborne, MSN APRN CNS-BC CGRN

A Clinical Nurse Specialist is one of the four advanced practice roles. Typically CNSs work with an in-patient population to improve patient outcomes and decrease readmission rates. This presentation will highlight the process improvements managed by the Clinical Nurse Specialist of a university based health care system that bridged the gap between the business and the practice of gastroenterology.

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OS-03

4/12/2019

8:00 AM - 10:00 AM

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EUS-THE BASICS

2 contact hour(s)

Novice; Procedure Skills

Jeanine Penberthy, MSN RN CGRN

This course will cover the EUS imaging of the digestive tract. The physics of Ultrasound will be reviewed. The anatomy will be described in the context of a live image. There will also be an interactive review of the anatomy. The procedures performed during EUS, such as: Fine Needle aspiration, Fine Needle Injection, Fiducial Placement, and Pseudocyst drainage will be reviewed. The role of the nurse/assistant during these procedures will be covered, along with the potential complication and how to avoid/treat.

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CS-20

4/15/2019

10:30 AM - 11:30 AM

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HOW STAFFING CAN CHANGE YOUR WORLD

1 contact hour(s)

Competent; Operational Management

Adam C. Poche, BSN

Creative staffing can have a huge impact on the daily activities within Endoscopy. Learn how we have standardized our staffing model at the University of Utah to maximize patient satisfaction, prevent burnout and decrease costs all while promoting a shared culture and vision of “We are Endoscopy!” Let's discuss staffing ratios, roles, scheduling, and responsibilities we have used to build a cohesive and happy team. Efficient and creative staffing has helped us achieve greatness and it can for you too!

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CS-46

4/15/2019

5:30 PM - 6:30 PM

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ENHANCING COLORECTAL CANCER PATIENT CARE: THE ROLE OF THE COLORECTAL/SURVIVORSHIP NURSE NAVIGATOR

1 contact hour(s)

Novice; Other

Shell Portner, BSN BA RN

The Colorectal/Survivorship Nurse Navigator plays a vital role in transitioning patients from diagnosis and treatment into extended post-treatment survivorship. Discussion focuses on implementation of a survivorship care plan established at diagnosis and updated as a patient progresses through the cancer care continuum. The need for management of long-term side effects, education, surveillance for disease progression and secondary cancers, and promotion of physical, psychological, and psychosocial well-being become priorities. Survivorship care provides the education and support needed for patients to adopt and adapt to positive lifestyle changes. Nurse navigators teach and give direction guiding patients on the path of prolonged survival.

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CS-58

4/16/2019

8:15 AM - 9:15 AM

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HEPATOCELLULAR CANCER-TREATABLE OR SURE DEMISE?

1 contact hour(s)

Novice, Competent, Expert; Disease

Janice A. Provenzano, MSN-ED RN CGRN

Hepatocellular carcinoma is on the rise in the United States. This is a diagnosis with limited treatment options and consequential poor prognosis. What, if anything can be done to minimize the risk of this disease? Etiology, risk factors, diagnosis, treatment options and prognosis will be discussed. Case studies will be presented. The knowledgeable gastrointestinal nurse can assist the patient and his family/significant others in education and supportive services, walking with the patient along this health care journey.

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CS-38

4/15/2019

4:15 PM - 5:15 PM

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NECROTIZING PANCREATITIS

1 contact hour(s)

Competent; Sub-specialty

Irene M. Rader, BSN CGRN

Necrotizing pancreatitis is a complication of acute pancreatitis. Patients with necrotizing pancreatitis require continuous assessment and care to prevent further complications.

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GS-01

4/14/2019

8:00 AM - 10:15 AM

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LEADERSHIP: IT STARTS WITH YOU

1.5 contact hour(s)

Novice, Competent, Expert; Other

Michelle Ray

We've often heard the adage “everyone can be a leader”, but what does this mean? The most practical answer is to think of leadership in terms of character, not position or title. A leader is someone at any level who has grasped the ability to take charge of their thoughts, and consequently their actions, in any situation.

We are often tested to be the best version of ourselves. When we take the initiative, we open our minds and lead ourselves with greater confidence. Michelle's energizing, informative and popular keynote presentation offers practical strategies to use long after the event ends.

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CS-01

4/14/2019

2:15 PM - 3:15 PM

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CYST ASSIST: PANCREATIC AND HEPATIC CYST EVALUATION AND MANAGEMENT

1 contact hour(s)

Competent, Expert; Disease

Patricia Raymond, MD FACG

Explore the clinical approach to cystic pancreatic lesions, and review recent guidelines directing observation, endoscopic evaluation, and surgical referral for patients with pancreatic cystic neoplasms. Much of our focus will be to understand the natural history and management of the four subtypes of pancreatic cystic neoplasms (PCNs): Serous cystic tumors, Mucinous cystic neoplasms (MCNs), Intraductal papillary mucinous neoplasms (IPMNs), and Solid pseudopapillary neoplasms (SPNs). Pseudocyst management, and cystic lesions of the liver will be included in this review of these increasingly frequent and often incidental and asymptomatic CT and MRI findings.

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CS-10

4/14/2019

3:30 PM - 4:30 PM

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FUN FUNCTIONAL GALLBLADDER DISORDERS: UPDATE ON HYPO AND HYPERKINETIC GALLBLADDER AND SPHINCTER OF ODDI DYSFUNCTION

1 contact hour(s)

Novice, Competent, Expert; Disease

Patricia Raymond, MD FACG

Functional gallbladder disorder is biliary pain from motility disturbance in the absence of gallstones, sludge, or microcrystal disease. In patients with biliary-type pain and a normal US, the prevalence is 8% men and 21% women. We will review the clinical manifestations, diagnosis, and management of patients with suspected functional gallbladder disorder, and also address current evaluation and management of sphincter of Oddi dysfunction and gallbladder polyps.

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CS-41

4/15/2019

5:30 PM - 6:30 PM

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KNOW GI INSIDE & OUT? RECOGNIZING SKIN LESIONS OF GI DISORDERS

1 contact hour(s)

Novice, Competent, Expert; Disease

Patricia Raymond, MD FACG

Skin lesions seen with disorders of the digestive tract are not rare; would you recognize and correctly correlate erythema nodosum, dermatitis herpetiformis, pyoderma gangrenosum? Those were easy– how about pyoderma vegetans, pyostomatitis vegetans, sweet's syndrome, xanthomas, tripe palms, palmoplantar keratoderma, or trichilemmomas? Stumped?

Join us and learn the art of GI diagnosis without resorting to our endoscopes.

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CS-44

4/15/2019

5:30 PM - 6:30 PM

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WHAT TYPE OF NURSING LEADER ARE YOU?

1 contact hour(s)

Competent; Operational Management

Emily J. Salisbury, BSN RN CGRN

Welcome Aboard to the USS Endoscopy !!!!!! Join us on an adventure to help you determine what type of captain is steering your endoscopy unit. Is your ship sinking ? Are you the one rowing the boat ? Are you the captain steering the crew into unknown waters. The journey may be long and at times hard but a good endoscopy crew provides exceptional care to patients and to each other.

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OS-13

4/13/2019

8:30 AM - 10:30 AM

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ENDOLUMINAL RESECTION: FROM DIFFICULT POLYPECTOMY TO EMR AND ESD... AND BEYOND!

2 contact hour(s)

Novice; Procedure Skills

Jason Samarasena, MD

This lecture will cover advanced techniques such as endoscopic mucosal resection, endoscopic submucosal dissection, and full thickness resection for removal of polyps and cancer in the GI tract.

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CS-72

4/16/2019

11:15 AM - 12:15 PM

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BUILDING QUALITY INTO ENDOSCOPE REPROCESSING: WOULD YOU BE SCOPED IN YOUR OWN UNIT?

1 contact hour(s)

Competent; Infection Prevention

Nancy S. Schlossberg, BSN BA RN CGRN CER

Currently, the complex design and features of endoscopes make it hard to evaluate and adequately clean and disinfect some part of the devices. Consequently, users may be unaware of potential hazards developing in the most intricate parts of this equipment that plays an integral part in patient care. Utilizing cleaning verification methods may help ensure patient safety and assist in the evaluation of staff competency in endoscope reprocessing. This presentation will update current evidence-based guidelines related to endoscope processing as well as discuss methods to engineer quality and endoscopy unit workflow into reprocessing, such as surveillance testing of flexible endoscopes and various methods of cleaning verification of endoscopes and automated endoscope reprocessors.

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CS-30

4/15/2019

2:30 PM - 4:00 PM

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PRESENTATION POWER

1.5 contact hour(s)

Novice, Competent, Expert; Other

Kristen L. Seay, MSN RN CGRN

Learn key steps in delivering a powerful presentation with the theme of Dedicate-Design-Delivery. Dedication of time spent on the preparation of your presentation is an essential beginning. Design your slides to visually enhance your information and tell your ‘story’. And finally, delivery. Use your passion of the topic and let the enthusiasm show! The most influential factor which separates the mediocre presenters from ‘world class’ presenters are those who are able to connect with the audience in an exciting and honest way.

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CS-64

4/16/2019

8:15 AM - 9:15 AM

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BEYOND ENGAGEMENT

1 contact hour(s)

Competent, Expert; Other

Kristen L. Seay, MSN RN CGRN

Leadership development is essential for building a successful team. Managers will find that when recognition is a priority, their job will be easier. Recognition that works well, can energize and revitalize a workplace. Discover the importance of staying in touch with your staff in order to retain your top employees.

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CS-19

4/15/2019

10:30 AM - 11:30 AM

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A STANDARDIZED CARE PATHWAY FOR THE MINIMALLY INVASIVE ESOPHAGECTOMY PATIENT

1 contact hour(s)

Competent, Expert; Disease

Cathleen Shellnutt, DNP APRN AGCNS-BC CGRN

The post-operative care of an esophagectomy patient is complex. This session will describe how one facility transitioned to minimally invasive esophagectomy surgery and utilized the literature to create a standardized care pathway. Pre- and post-implementation data will be discussed.

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CS-74

12:00:00 AM

1:30 PM - 2:30 PM

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COLORECTAL CANCER: FROM THE BEGINNING TO THE END

1 contact hour(s)

Novice, Competent, Expert; Disease

Cathleen Shellnutt, DNP APRN AGCNS-BC CGRN

Gwen A. Spector, BSN RN COCN

Colorectal cancer (CRC) is the #3 diagnosed cancer in men and women in the United States. Nurses working in a variety of inpatient and outpatient settings will care for patients with CRC. There is often a knowledge gap in the nurses' understanding of the colorectal cancer patient's continuum of care, leading to missed opportunities for patient education and follow through.

This session will explain colorectal cancer from screening exams to after treatment and how it relates to the nurse's care of these patients.

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OS-05

4/12/2019

8:30 AM - 10:30 AM

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UNDERSTANDING CONSTIPATION AND FECAL INCONTINENCE: A GUIDE FOR UNDERSTANDING TESTING AND TREATMENTS FOR NURSES AND THEIR PATIENTS

2 contact hour(s)

Novice, Competent, Expert; Disease

Kyle Staller, MD MPH

In this session, we will talk about how a gastroenterologist approaches a patient complaining of constipation or fecal incontinence including symptom assessment, testing (including anorectal manometry), and treatment options for patients. Additionally, we will talk about bloating and the role of irritable bowel syndrome (IBS) in this patient population with fun insights into your own and your patients' bowel health.

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OS-08

4/12/2019

1:00c PM - 3:00 PM

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BEYOND THE RE-PROCESSING CONTROVERSY: LEGAL ISSUES & PREVENTION STRATEGIES IN ENDOSCOPY PRACTICE

2 contact hour(s)

Competent; Other

Carol M. Stock, JD MN RN

Is your group following current infection prevention and sedation administration standards? Can you prove it? Do you staff properly for procedures? What is an “interruptible task”? Which regulations should you follow when they conflict? (Which regulations should you follow when they conflict among gastroenterology organizations?) How do you document “that”? From procedure room set up to follow-up, explore every day legal risks, discuss practice situations, and explore risk prevention strategies Perhaps it's time to re-evaluate and retool your practice! (Send questions/situations prior to session for possible discussion in the session to cstock@carolstock.com)

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CS-28

4/15/2019

2:30 PM - 4:00 PM

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ERCP 101

1.5 contact hour(s)

Novice; Procedure Skills

Kimberly F. Venturella, BSN RN CGRN

Are you new to GI Endoscopy? Is ERCP something you are ready to dive into? This course is for you if you answered yes to either of those questions. Anatomy, Procedure basics, equipment, risks and potential complications will be covered. By the time we are done you will think ERCP is Everybody's Really Cool Procedure!

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CS-40

4/15/2019

4:15 PM - 5:15 PM

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ESOPHAGEAL MANOMETRY BASICS

1 contact hour(s)

Competent; Procedure Skills

Kimberly F. Venturella, BSN RN CGRN

We are going to put that where? What are all those colors? Manometry/Motility what's the difference? These questions and more will be answered at this presentation. Manometry is the study of pressures, but what can it tell us about esophageal motility? Esophageal anatomy and physiology, Motility disorders and diagnosis via Esophageal manometry will be covered.

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CS-04

4/14/2019

2:15 PM - 3:15 PM

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PURSUING GREATNESS THROUGH THE INFECTION PREVENTION CHAMPIONS PROGRAM

1 contact hour(s)

Competent; Infection Prevention

Karen E. Wilson, MN RN CGRN

Karen A. Zervopoulos, RN CGRN CFER

Infection prevention is the number one issue facing GI labs today, and being non compliant places facilities at risk for litigation as well as regulatory censure. The Infection Prevention Champions program is one way that facilities can help to prevent an outbreak from occurring. This session will describe the program, discuss why facilities should participate as well as present pitfalls and pearls that facilities have experienced.

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CS-79

4/16/2019

1:30 PM - 2:30 PM

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INTRODUCTION TO BRONCHOSCOPY AND PLEURAL PROCEDURES

1 contact hour(s)

Novice; Sub-specialty

Nicholas Wysham, MD

An overview of the variety of diagnostic and interventional procedures encountered in pulmonary medicine including flexible bronchoscopy, bronchoalveolar lavage, forceps biopsy, endobronchial ultrasound, navigational bronchoscopy, rigid bronchoscopy, endobronchial stents, bronchial thermoplasty, endobronchial valve, thoracentesis, pleural catheters, and pleuroscopy. Special emphasis will be made on the role of the nurses and assistants in performing the procedures and recognizing and responding to potential complications.

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CS-49

4/16/2019

7:00 AM - 8:00 AM

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POSTER ORAL PRESENTATION 1

1 contact hour(s)

Novice, Competent, Expert; Other

The top scoring poster abstract authors will present their poster content and findings orally in 10-minute mini-sessions. Authors will share their topic expertise or research findings with attendees during this interactive offering. Abstract authors and topics will be determined by December 2018 and additional information will be available on the SGNA website.

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CS-50

4/16/2019

7:00 AM - 8:00 AM

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POSTER ORAL PRESENTATION 2

1 contact hour(s)

Novice, Competent, Expert; Other

The top scoring poster abstract authors will present their poster content and findings orally in 10-minute mini-sessions. Authors will share their topic expertise or research findings with attendees during this interactive offering. Abstract authors and topics will be determined by December 2018 and additional information will be available on the SGNA website.

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CS-51

4/16/2019

7:00 AM - 8:00 AM

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POSTER ORAL PRESENTATION 3

1 contact hour(s)

Novice, Competent, Expert; Other

The top scoring poster abstract authors will present their poster content and findings orally in 10-minute mini-sessions. Authors will share their topic expertise or research findings with attendees during this interactive offering. Abstract authors and topics will be determined by December 2018 and additional information will be available on the SGNA website.

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CS-52

4/16/2019

7:00 AM - 8:00 AM

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POSTER ORAL PRESENTATION 4

1 contact hour(s)

Novice, Competent, Expert; Other

The top scoring poster abstract authors will present their poster content and findings orally in 10-minute mini-sessions. Authors will share their topic expertise or research findings with attendees during this interactive offering. Abstract authors and topics will be determined by December 2018 and additional information will be available on the SGNA website.

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LS-01

4/12/2019

8:00 AM - 12:00 PM

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REGIONAL LEADERSHIP

3.75 contact hour(s)

Novice, Competent, Expert; Other

This condensed version of the SGNA Regional Leadership Conference summarizes expectations, responsibilities and resources available to local leaders. The meeting will provide abundant opportunities to network, learn and exchange information and ideas with local leaders. Anyone who is currently a SGNA Regional Leader or considering becoming a Regional Leader should attend.

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LS-02

4/12/2019

1:00 PM - 3:00 PM

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HOUSE OF DELEGATES WORKSHOP

2 contact hour(s)

Novice, Competent, Expert; Other

This workshop is designed to introduce Delegates and Alternates to the workings of a House of Delegates and its role in a professional society. Basics of parliamentary procedure will be reviewed and attendees will participate in mock sessions of both a House of Delegates and a Reference Hearing. Find out what happens and how you can participate.

© 2019 by the Society of Gastroenterology Nurses and Associates, Inc.