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“Kindling Synergy in Pediatric Surgical Care: Professional and Clinical Collaborative Practice” “Kindling Synergy in Pediatric Surgical Care: Professional and Clinical Collaborative Practice”

APSNA 23rd Annual Scientific Meeting

May 26-29, 2014

Phoenix, AZ

Registration Brochure

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2014 Program Committee Table of Contents

Program Committee

Conference Objectives

President’s Letter

2-3

Exhibit and Poster

Schedule

Conference Goals

Paperless Conference

4-5

Pre-Conference

Workshop

6-7

Schedule At-A-Glance

Faculty

8-9

Conference Schedule

Poster Presentations

10-11

Conference Schedule

Invited Speakers

12-13

Registration

General Information

14-15

APSNA 23rd Annual Scientific

Meeting

May 26-29, 2014 Phoenix, AZ

Raquel Pasarón,

DNP, ARNP, FNP-BC

Program Chair

Miami Children’s Hospital Nancy T. Browne,

MS, PNP-BC, CBN

Falmouth, ME

Bela Dharia, MSN, CPNP

New Haven, CT

Carmen Duque,

MSN, ARNP, PNP-BC

Miami Children’s Hospital

Lynne D. Farber, MSN, CPNP

University of North Carolina—

Chapel Hill Nanita Lim-Sulit, MA, PNP

Mount Sinai Hospital—New York

Teri Martini, BSN, RN

Cincinnati Children’s Hospital

Medical Center

Laura Saksa, MSN, CPNP

Cleveland Clinic Foundation Tina Shapiro,

PhD, ARNP, CNS-BC

Summerlin Hospital Medical

Center

Lizabeth J. Wallace,

MS, CPNP, AC/PC

College of Medicine University of

Illinois Medical

Jeannette Zerpa,

MSN, ARNP, PNP-BC

Miami Children’s Hospital

Susan Ziegfeld, MSN, CRNP

John Hopkins Children’s Center

CONFERENCE OBJECTIVES 1. Discuss advances in theoretical and clinical knowledge impacting individuals affected by pediatric surgical care issues. 2. Exchange innovative ideas and experiences with professional colleagues from a variety of pediatric surgical health care settings. 3. Identify current evidence-based approaches for the diagnosis and management of multiple pediatric surgical health care issues. 4. Strengthen clinical and technical skills in a variety of practice settings. 5. Participate in networking opportunities and collaborations. 6. Recognize current issues, priorities, and implications for the pediatric surgical patient population and the associated professional

nursing roles within the new models of care emerging in our healthcare milieu. 7. Strengthen professional communication: writing for publication, poster development, and professional presentations.

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PRESIDENT’S LETTER

NEIL EAD, MSN, CPNP

Dear Colleagues: I am pleased to invite you to the

23rd Annual APSNA conference, Kin-dling Synergy in Pediatric Surgical Care: Professional and Clinical Collaborative Practice-Monday, May26-Thursday, May 29, 2014, at the J.W. Marriot Desert Ridge Resort and Spa in Phoenix, AZ. We have hosted our meeting at this resort in the past and I am sure you find that it is one of the most beautiful locations we have visited. Phoenix holds fond memories for me because it was there that I began my long history of leadership with APSNA and is a place where many professional relationships and friendships were kindled. The symbol of the Phoenix which is our conference logo this year is a metaphor for trans-formation. This has special meaning this year because APSNA has taken major steps in transforming itself over the past year and this is reflected in the content and the events we have planned for you.

Our Program Chair, Raquel Pasarón, and her planning committee have organized our first Pre-Session this year. The topic will be within the professional practice domain entitled “Publishing Posters and Presentations: Where to Start and How to Get to your Goal.” We hope that you will arrange your travel so that you won’t miss this premier event. APSNA has made great strides in our global initiatives and we have invited international pre-senters in addition to the nationally known speakers you have come to enjoy in the past.

We are repeating our speaker exchange with the National Associa-tion of Pediatric Nurse Practitioners (NAPNAP) and this year past NAPNAP

President Susan N. Van Cleeve DNP, CRNP, will present “Addressing the Mental Health Needs of the Hospital-ized Pediatric Patient.” We are ex-panding on our partnership with NAP-NAP by adding a joint session entitled Transition Challenges in Chronic Care: Examples from Children with Intestinal Failure,” which will be presented at both of our annual meetings by Stacee Lerret, PhD, CPNP-AC/PC, and I. We continue to focus on leadership devel-opment and continue to draw from the

initiatives of other organizations through or participation in the Nursing Organization Alliance and the Nursing Alliance Leadership Academy and through that collaboration we have planned sessions on membership en-gagement, which will be addressed by a series of round table focus groups. It has been a major concern for me as President that we focus more on meeting Member need. Each of you will have an opportunity to share your ideas about how to improve services to the diverse members of our organi-zation. Additional round table focus groups will include clinical topics that such as sports injuries, ostomy care, bowel management, treatment of em-pyema and ulcerative colitis to name a few.

Our trauma SIG has submitted a position statement on Distracted Driv-ing and will be hosting a roundtable focus group to gather member input to determine how APSNA and the Trauma SIG can develop focused initi-atives related to this issue. We also have several social events planned. We will repeat the Silent Auction which was a bit hit last year and this will be sponsored by Kimberly-Clark and have planned a cocktail mixer prior to our

Founders Banquet, sponsored by AMT/ Last and most assuredly not least, our textbook Nursing Care of the Pediatric Surgical Patient has won the 2013 AJNBook of the Year Award. Congratu-lations to all of our Editors, Authors, and Contributors. We will be hosting an event to showcase this award at our Welcome Reception. Please don’t miss this and take some time to cele-brate this outstanding accomplish-ment. There is so much more to say that is beyond the scope of this intro-duction, but I would encourage you to peruse through the conference bro-chure and encourage all of you to join us this year. Neil Ead APNSA President 2013-2014

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APSNA 23rd Annual Sc ienti f ic Meet ing

Exhibit and Poster Schedule*

May 26, 2014 1700-1900 Welcome Reception: Hosted By AMT—Grand Sonoran Salons A-C Registration Open

East Registration Desk Exhibit Hall Open

Grand Sonoran Salons A-C 1730-1830 Poster Author Session

Grand Sonoran Salon D May 27, 2014 0700-0745 Registration Open

East Registration Desk Continental Breakfast Exhibit Hall Open

Grand Sonoran Salons A-C 1030-1045 Break / Exhibit Hall

Grand Sonoran Salons A-C 1230-1330 Poster Author Session

Grand Sonoran Salon D 1500-1515 Break / Exhibit Hall

Grand Sonoran Salons A-C 1800-1900 Cocktail Hour Hosted by AMT

Ballroom Lawn May 28, 2014 0700-0745 Registration Open

East Registration Desk Continental Breakfast Exhibit Hall Open

Grand Sonoran Salons A-C 1030-1045 Break /Exhibit Hall

Grand Sonoran Salons A-C 1300-1330 Dessert in Exhibit Hall

Grand Sonoran Salons A-C 1700-1900 Membership Appreciation Mixer/Silent Auction – Hosted by Kimberly Clark—Isle of Capri May 29, 2014 0600-0700 Research Walk/Run—Beachfront 0700-0745 Registration Open

East Registration Desk Continental Breakfast Exhibit Hall Open

Grand Sonoran Salons A-C 0930-0945 Break /Exhibit Hall

Grand Sonoran Salons A-C

1130-1145 Door Prizes/Poster Awards Grand Sonoran Salon E

*Times Subject to Change

Exhibits

The APSNA 23rd Annual Scientific Meeting will fea-ture booths that showcase products and services specifically designed for interdisciplinary leaders in the study and treatment of pediatric surgical nurs-ing. By visiting the exhibit floor, you will experience firsthand the technology, products, and services that can help you manage your professional goals and strategic objectives and keep you and your or-ganization at the forefront of your field.

Posters The 23rd Annual Scientific Meeting will fea-ture two categories of posters, Evidence-Based or Original Research and Innovation in Patient Care/Case Study/Reports. Presenters will be on hand to discuss their posters and answer questions dur-ing the times delineated on the left. The selected posters will present the best innovations and research in the study and treatment of pediatric surgical care. Poster abstracts selected for presentation at the annual meeting will be available online in a searchable database to allow registrants to plan their poster viewing in advance of the meeting. Poster abstracts selected for presentation at the meet-ing will be published in a supplemental issue of The Journal of Pediatric Surgical Nursing, the official journal of APSNA.

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APSNA 23rd Annual Sc ienti f ic Meet ing

Who Should Attend The 23rd Annual APSNA Scientific Meeting is intended for

a dynamic, growing body of members representing vari-ous nursing roles including bedside nurses, operating

room, advanced practice nurses, nurse managers and

educators. APSNA also welcomes other health care pro-fessionals. We enjoy the support of colleagues who iden-

tify with the challenges and rewards of pediatric surgical care. APSNA prides itself on the diverse expertise and

contributions of its members who have pioneered new

roles and continue to refine their practice to meet the demands of an ever changing health care environment.

Attendees will benefit from a wide range of topics and faculty presenting on original evidence-based, research

findings and/or new and innovative ideas for successful

approaches and clinical application to pediatric surgical nursing and/or related areas.

Paperless Meeting Internet service will be available in the meeting space of the resort FREE OF CHARGE. Registrants

will be able to access and view the handout materials

online before the annual meeting, beginning late-April 2014. APSNA will not print a paper syllabus of speakers’

handouts. Before you leave for the conference, print or download the handouts you want to your laptop or mo-

bile device. Please note that materials are posted to the

Website as soon as we receive them from the presenters. Not all sessions may have handouts. After the conference

the presentations will remain on-line for 3 months. Program Evaluation Tool APSNA offers its meeting evaluation in an online format.

Meeting registrants will receive a unique password and

instructions via e-mail explaining how to access the online evaluation before they arrive in Marco Island. The

online evaluation can be completed during the meeting or after attendees have returned home. Participants will

receive their CE certificate immediately when they submit

their evaluations online.

We encourage all attendees to complete this evaluation regardless of whether they are seeking CE credits. For

more information, visit www.APSNA.org.

Why Should You Attend…. 95% of last year’s attendees rated the meeting as good or excellent. In addition:

94% said their patient care competencies improved

because of the meeting 88% stated that their professional needs were met

95% would recommend this conference to other

colleagues

Continuing Education This program is not yet approved for contact hours. Con-ference organizers plan to request XXX NAPNAP CE con-tact hours of which XXX contain pharmacology (Rx) con-

tent and XX contain trauma content per the National As-sociation of Pediatric Nurse Practitioners Continuing Edu-

cation Guidelines.

This program is not yet approved for CME credit. Confer-ence organizers plan to request XXX of AAPA Category 1 CME credit from the Physician Assistant Review Panel.

“Excellent meeting, speakers were excellent, good organization, attention to details made the conference a success.”

2013 Conference Attendee

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APSNA 23rd Annual Sc ienti f ic Meet ing

PRE-CONFERENCE WORKSHOP PANEL AND

FACULTY

Nancy Browne, MS, PNP-BC, CBN Nancy Browne is a pediatric nurse practitioner (PNP) with over 20 years of experience in pedi-atric surgical nursing. Ms. Browne’s interest in nursing education and publication is reflected in the following professional activities: APSNA Publication Chair and publisher of the APSNA newsletter 1993-1997, Editor of Nursing Care

of the Pediatric Surgical Patient (2nd & 3rd Ed.), and currently Editorial Board Member of APSNA’s Journal of Pediatric Surgi-cal Nursing. Ms. Browne’s publications include the topics: Bias/Discrimination of obese children, weight management for chil-dren and adolescents, and writing for publication by nurses.

Lynne D. Farber, MSN, CPNP

Lynne Farber is an Assistant Professor with the division of Pediatric Surgery at UNC, and has worked with the team for 15 years. Lynne re-ceived her BSN in 1981 from Mount Saint Mary College in NY and her MSN from UNC-Chapel Hill with certification in both Pediatric Primary and Acute Care. Special interests include caregiver

education, pain control, and nutrition. Lynne has recently been honored with the Advanced Practice Provider Award for ongo-

ing excellence in the care of surgical patients and daily instruc-tion of surgical residents (2013), the APSNA Founders Award for excellence in the field of pediatric surgical nursing (2008), the Great 100 Nurses in North Carolina (2009), and the James Emonson North Carolina Children's Honour (2008). Lynne cur-rently serves on the PNCB Acute Care Pediatric Updates Com-mittee, and has served as Publications Chair, IS Chair and President of APSNA (American Pediatric Surgical Nurse Associ-ation). Several of her publications include: Care and manage-ment with patients with tubes and drains and Intussusception in the textbook, Nursing Care of the Pediatric General Surgery Patient (2012 and 2007).

Carmel McComiskey, DNP, PCPNP, CPNP-AC Dr. McComiskey is the Director of Nurse Practi-tioners and Physician Assistants at University of Maryland Medical Center and Assistant Profes-sor of Nursing, UMSON. From 1981- to pre-sent, Carmel has worked in Pediatric Surgery.

She is a member of numerous professional organizations in-cluding APSNA, where she is a charter member and served on the board for ten years and as president from 1999-00. She is currently collaborating with the ANA to revise the Scope and Standards of Pediatric Nursing and has been appointed to serve as an evaluator for the Commission on Collegiate Nurs-ing Education. She has given many professional presentations and published articles in many journals. She is an editor

of Nursing Care of the Pediatric Surgical Patient (2013) and served as Assistant Editor for The Journal of Bariatric Nursing and Surgical Patient from 2010 to 2013. Jeannette Zerpa, MSN, ARNP, PNP-BC

Jeannette Zerpa is a PNP who has lectured exten-sively, both nationally and internationally, on pe-diatric surgery topics. She has also published and presented on the topic of improving public speak-ing and formal presentations and has an interest in mentoring novice presenters. Ms. Zerpa was an associate editor Nursing Care of the Pediatric Sur-gical Patient, and has been a member of APSNA

for over 20 years, serving as President from 2008-2009. Raji Koppolu, RN, MS, CPNP Raji Koppolu is a PNP, working in pediatric surgery at Lucile

Packard Children’s Hospital. She is currently on the board NAPNAP and volunteer faculty at the University of California, School of Nursing. In these roles, she has presented posters both locally and nationally on a variety of topics in-cluding: the creation of a Hispanic Center for pediatric surgery patients and discharge man-

agement of complex cardiac patients, winning best “evidence-based project” poster award the year it was presented at the annual NAPNAP conference.

Kimberly Haus Mciltrot, DNP,CPNP, CWOCN Kimberly Haus Mciltrot began her career as an Army nurse 25 years ago specializing in Mater-

nal Child Health. For the past 15 years she has worked as a Nurse Practitioner (NP) in Pediatric Surgery at Johns Hopkins Hospital and received her Doctorate of Nursing Practice (DNP) in

2010. Dr. Mciltrot is serving her second term as Publication Chair for APSNA. She has worked to establish APSNA’s Journal of Pediatric Surgical Nursing and serves as Editor-in-Chief. Dr. Mciltrot has written articles for several journals as well as chapters in wound care and pediatric surgery. Pam Pieper, PhD, ARNP, PPCNP-BC

Pam Pieper has worked as an advanced practice pediatric surgical nurse since 1984, with a joint appointment at the University of Florida College of Nursing since 1991. She contributed to all three editions of Nursing Care of the Pediatric Surgical Patient as an author, as well as being an editor of the last two editions. Topics on which she has published include pediatric trau-

ma, health-related quality of life in children sustaining a con-cussion, ethics of children’s assent for research participation, conducting telephone interviews with children, and necrotizing enterocolitis.

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APSNA warmly welcomes all to its first Pre-Conference Workshop! This 3 hour workshop focuses on professional communication: writing for publication, poster development, and professional presentations. The workshop is sponsored by APSNA to meet the organization’s mission of promoting optimal pediatric surgi-cal nursing care for children through education. The workshop features four 30 minute presentations followed by an informal panel discussion with the Faculty. Attendees are encouraged to bring questions, challenges, and current projects for discussion with the panel and other attendees. The four presentations will focus on the following topics: Writing for Publication

Types and styles of writing Writing Process Ethics Organizing and Time management APA and AMA styles Mentorship Resources

Presentations at Podium Topic Audience Types of presentations PowerPoint tips Flow of presentation Performance tips

Poster Presentation Topic Format Design tips

Submitting for Publication/Presenting Opportunities Journal submission Call for Abstracts Conferences Call for Podium Speaker How to write an abstract How to send Query Follow-through with Editor

Early flights from major U.S. cities allow enough time for attendees to reach Phoenix and the Workshop at the Conference Center. The workshop will have its own registration and there will be a nominal fee for attendance. Attendees will receive CEU credit upon completion. Please join us for this interactive workshop that will support your presentation and publication efforts. Develop collegial relationships that will mentor you for this and future projects. Experienced faculty will be available throughout the APSNA Conference to continue conversation and mentorship! Wel-come! For further information: Nancy Browne (nancytkacz@sbcglobal.net) Lynne Farber (lynne_farber@med.unc.edu)

APSNA 23rd Annual Sc ienti f ic Meet ing

Monday, May 26, 2014

2:00 pm — 5:00 pm

“Publishing, Posters, Presentations:

Where to Start and How to Get to Your Goal”

Premier APSNA Professional Workshop

The American Journal of Nursing (AJN) recognized the best nursing and healthcare publications of 2013 with an announcement of its Book of the Year Award recipients. Winners in 17 separate categories appear in the journal’s January issue. AJN, “the leading voice of nursing since 1900s,” is published by Lippincott Williams & Wilkins. “AJN’s Book of the Year awards are sought-after by au-thors and publishers,” said Shawn Kennedy, MA, RN, AJN’s editor-in-chief. “As part of our mission to disseminate cred-ible, cutting-edge information, the awards give us the op-portunity to acknowledge high quality publications.” Since 1969, the AJN has been announcing its annual list of the best in nursing publishing. The AJNBook of the Year pro-gram is a prestigious competition that garners the atten-tion of its broad-based readership and half a million others who read the journal online or on the iPad. The most valu-able texts of each year are chosen by AJN’s panel of judg-es. Our own Nursing Care of the Pediatric Surgical Patient By Nancy Tkacz Browne, Laura M. Flanigan, Car-mel A. McComiskey, and Pam Pieper. 3rd edition. Burling-ton, MA, Jones and Bartlett Learning, won second place in the Child Health Category. Read what the judges said: Advancements in knowledge and technology are fast paced and lead to new and more complex surgical procedures. Growth in pediatric surgical subspecialties is exponential. This advanced growth demonstrates the need for ed-ucational resources to support this burgeoning field. The book is divided into chapters ranging from the uniqueness and needs of the pediatric surgical patient to the specifics of each subspecialty. The information is derived from the initial sharing of best practices by dedicated pioneer pedi-atric surgical nurses who had the vision to recognize pedi-atric surgical nursing as a unique specialty and had the need to share and collaborate to build a knowledge base from which to grow.

• Builds on the foundation of nurses’ commitment to best practice in this unique specialty.

• A resource for the pediatric surgical nurse, the pediat-ric surgical subspecialty nurse, and the general pediat-ric nurse.

• Includes diagnosis-specific teaching sheets for repro-duction in three languages from the American Pediatric Surgical Nurses Association.

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APSNA 23rd Annual Sc ienti f ic Meet ing

SCHEDULE AT-A-GLANCE

May 26th, 2014 1700-1900 Welcome Reception - Hosted By AMT Registration Open Vendor Exhibits Open 1730-1830 Poster Author Session 1900-2000 SIG Chair Meeting May 27th, 2014 0700-0745 Registration Open Continental Breakfast Vendor Exhibits Open 0745-0800 Welcome & Announcements 0800-0900 Presidential Address 0900-1215 SESSION #1-COLLABORATION, RESEARCH, AND INNOVATION 1030-1045 Breaks/Exhibit Hall 1215-1230 Pick up Boxed Lunch Exhibit Hall 1230-1330 Poster Author Session 1330-1645 ROUNDTABLE DISCUSSIONS 1500-1515 Breaks/Exhibit Hall 1645-1900 Leisure Time 1800-1900 Cocktail Hour – Hosted by AMT 1900-2200 Founder’s Banquet May 28th, 2014 0615-0730 Business Meeting-Members Only Breakfast Buffet 0700-0745 Registration Open Continental Breakfast Vendor Exhibits Open 0750-0800 Announcements 0800-0900 Key Note Address – Dr. Jo Manion 0900-1030 CHALLENGING CASE STUDIES - AUDIENCE RESPONSE SYSTEM 1030-1045 Breaks / Vendor Exhibits 1045-1200 JOINT APSNA/NAPNAP SESSION

1200-1300 Luncheon - Committee Meeting/PPAC 1300-1330 Dessert/Exhibit Hall 1330-1600 SESSION #2-PAST, PRESENT, AND

FUTURE OF PEDIATRIC SUGICAL PERSPECTIVES

1630-1730 SIG Meetings 1730-1900 Membership Appreciation Mixer/

Silent Auction – Hosted by Kimberly-Clark

1900-2000 Publication Committee—Meeting with

Lippincott May 29th, 2014 0600-0700 Research Walk/Run 0700-0745 Registration Open Continental Breakfast Vendor Exhibits Open 0745-0800 Announcements 0800-1100 SESSION #3 - PODIUM PRESENTATIONS 0930-0945 Breaks/Exhibit Hall 1100-1130 Incoming Presidential Address 1130-1145 Door Prizes/Poster Awards 1145-1200 Final Announcements/Adjournment

*Times/Details Subject to Change

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APSNA 23rd Annual Sc ienti f ic Meet ing

FACULTY

Dean M. Anselmo, MD, Children’s Hospital of Los Angeles Sheri Carson, MSN, RN, CPN, CPNP, Clinical Instructor & Pediatric Nurse Practitioner, Uni-versity of Arizona – College of Nursing Teri Coha, MSN, APN, CWOCN, Ann & Robert H. Lurie Children’s Hospital of Chicago Neil Ead, MSN, CPNP, Hasbro Children’s Hospital, Providence, RI Fran T. Gill-Appiott, MSN, CPNP-AC/PC, Nemours/Albert I. duPont Hospital for Chil-dren, Wilmington, DE Jonathan I. Groner, MD, Nationwide Children’s Hospital, Columbus, OH Pam Jones, MSN, PNP, Surgery PNP, WOCN,

Children’s Hospital & Research Center, Oak-

land, California

Stacee Lerret, PhD, RN, CPNP-AC/PC, CCTC, Children’s Hospital of Wisconsin Renee Manworren, PhD, APRN, BC, PCNS-BC, Connecticut Children's Medical Center Chris McKenna, MSN, CRNP,

Children’s Hospital of Pittsburg of UPMC

Ellen O’Donnell, MSN, CPNP-PC, Boston Chil-dren’s Hospital Marilyn M. Stoops, MSN, CNP, Cincinnati Chil-dren's Hospital Medical Center Susan N. Van Cleve, DNP, CRNP, Immediate Past President – NAPNAP, Robert Morris Uni-versity, Pittsburg, PA Lizabeth J. Wallace, MS, CPNP, AC/PC College of Medicine University of Illinois Medi-cal Kristi Westphaln, MSN, CRNP, Children’s Hos-pital of Los Angeles

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APSNA 23rd Annual Sc ienti f ic Meet ing

CONFERENCE SCHEDULE

May 27th, 2014 0700-0745 Registration Open 0800-0900 Presidential Address

APSNAs Legacy: Keeping The Legacy Alive, Neil Ead, MSN, CPNP, Hasbro’s Children’s Hospital, Providence, RI

SESSION #1-COLLABORATION, RESEARCH, AND IN-NOVATION

0900-0945 Addressing the Mental Health Needs of the Hospitalized Pediatric Patient, Susan N. Van Cleve, DNP, CRNP, Immediate Past President – NAPNAP, Robert Morris Univer- sity 0945-1030 Home Post-operative Pain Management:

Unexpected Outcomes, Renee Manworren, PhD, APRN, BC, PCNS-BC, Connecticut Chil-dren's Medical Center

1045-1130 A Collaborative Approach to Caring for Pa-

tients with Complex Esophageal Disorders,

Marilyn M. Stoops, MSN, CNP, Cincinnati Children's Hospital Medical Center

1130-1215 Is Surgical Intervention Becoming a Pediat-

ric Trauma Urban Legend?, Kristi West-phaln, MSN, CRNP, Children’s Hospital of Los Angeles

1230-1330 Poster Author Session 1330-1645 ROUNDTABLE DISCUSSIONS

May 28th, 2014 0700-0745 Registration Open

0800-0900 Key Note Speaker—Live Your Lega- cy and Your Legacy Will Live!, Jo Manion, PhD, RN, NEA-BC, FAAN, Senior Consultant, Manion Associates 0900-1030 CHALLENGING CASE STUDIES with Audience Response System: Jeannette Zerpa

Pilonidal Disease – Teri Coha Trauma – Fran Gill Appendicitis – Lizbeth Wallace Neonatal – Pam Jones

1045-1200 JOINT APSNA/NAPNAP SESSION

Transition Challenges in Chronic Care: Ex-amples from Children with Intestinal Failure, Stacee Lerret, PhD, RN, CPNP-AC/PC, CCTC, Children’s Hospital of Wisconsin, Neil Ead, MSN, CPNP, Hasbro Children’s Hospital

SESSION #2-PAST, PRESENT, AND FUTURE OF PEDI-

ATRIC SURGICAL PERSPECTIVES

1330-1415 Abdominal Damage Control in Pediatric Trauma, Jonathan I. Groner, MD, Nation- wide Children’s Hospital 1415-1500 What's Old in Pediatric Surgery: A Historical Perspective of Operating on Children, Dean M. Anselmo, MD, Los Angeles Children’s Hospital 1500-1545 Electronic Communication in Nursing Spe- cialty Organizations: The Good, The Bad, and The Ugly, Sheri Carson, MSN, RN, CPN, CPNP, Clinical Instructor & PNP, Uni- versity of Arizona – College of Nursing 1545-1630 The History of Pediatric Surgical Nursing, Ellen O’Donnell, RN, MSN, CPNP-PC, Chil- dren’s Hospital Boston

May 29th, 2014

0700-0745 Registration Open 0800-1100 Podium Presentations 1100-1130 Incoming Presidential Address: Kindling Synergy: Building Effective Teams, Christine McKenna, MSN, CRNP, Children’s Hospital of Pittsburg of UPMC

Full Session Descriptions Available Online

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APSNA 23rd Annual Sc ienti f ic Meet ing

CONFERENCE SCHEDULE

ROUNDTABLE DISCUSSIONS

Management of Complicated Infant and Pediatric Ostomies

Teri Coha, MSN, APN, CWOCN, Ann & Robert H. Lurie Children's Hospital

of Chicago, Chicago, IL; Linda Zekas, MSN, APN, NNP-BC

Member Engagement

Melanie Hanlon, MSN, RN CNP PC/AC, University of Minnesota Physicians,

Minneapolis, MN Neil Ead, MSN, CPNP, Hasbro Children’s

Hospital, Providence, RI

Bowel Management Strategies Lindsey Jackson, BSN, RN, Cincinnati

Children’s Medical Center, Cincinnati, OH

APSNA: How Can We Serve You Better

Robin Koonce, MSN, CPNP-AC, UNC Healthcare, Chapel Hill, NC

Margie Birdsong, MSN, CPNP, John Hopkins Hospital, Baltimore, MD

Kim McIltrot, DNP, CPNP, John Hopkins Hospital, Baltimore, MD

Development of Treatment Protocol for Pediatric Patients with Empyema

Rajashree Koppolu, MS, RN, CPNP, Lucile Packard Children's Hospital,

Palo Alto, CA Stephanie Chao, MD, Stanford Universi-

ty Medical Center, Stanford, CA Surgical Management of Ulcerative Colitis: The J-Pouch Suzanne Kujawa, MSN, RNC, CPNP-PC,

Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL;

Laurie Sands, MSN, RN, CPNP PC/AC

Complex Injuries of the Competitive Young Athlete: A Case Series of Signifi-cant Injuries Beyond the Concussion and Fractures

Erin D. Mayo, MSN, CPNP-AC, Riley Hospital for Children at IU Health,

Indianapolis, IN;Thomas Rouse, MD; Jodi Hackworth, MPH

Post-operative Dietary Restrictions, Are they Evidenced Based or Hearsay?

Lucy Muskthel, RD, LD, CNSC, Cincinnati Children’s Medical Center,

Cincinnati, OH

Advance Practice Nursing Billing Gretchen Niebling, CAPPM, CPC,

Cincinnati Children’s Medical Center, Cincinnati, OH

Promoting Public Awareness of the Growing Problem of Distracted Driving and Its Consequences

Debra Thomson, MSN, CPNP, Wake Forest Baptist Medical Center,

Brenner Children's Hospital, Clemmons, NC

Fran Gill-Appiott, MSN, RN, CPNP AC/PC, Albert I. duPont Hospital for

Children, Wilmington, DE Susan Ziegfeld, MSN, CRNP, John Hop-

kins Hospital, Baltimore, MD

GTs – Q&A TBA

Leadership Engagement Roundtable

Elizabeth Hood, MSN, MBA, RN, APN/CPNP, University of Chicago,

Chicago, IL Ellen O’Donnell, RN, MSN, CPNP-PC,

Boston Children’s Hospital, Boston, MA

PODIUM PRESENTATIONS

Factors Associated with Improved Out-come after Stoma Closure in Infants with Necrotizing Enterocolitis

Marissa Narr, DNP, RN, Children's Hospital of Pittsburgh, Pittsburgh, PA; Elizabeth K. Lee, MS; Thomas

W. Cline, MBA, PhD; Lisa W. Locasto, DNP, RN; David J.

Hackam, MD, PhD, FACS

Implementing and Evaluating a Stand-ardized Perioperative Process to Re-duce Errors and Improve Patient Safety in Surgical Neonates/Infants

Melissa Duran, MSN, CRNP, The Children's Hospital of Philadelphia,

Drexel Hill, PA; Tamara Meeker, MS, CRNP, NNP-

BC

Challenges in Neonatal and Pediatric Skin and Wound Care - The Extravasa-tion Injury: A Multidisciplinary Ap-proach for Prevention and Treatment.

Victoria Beall, BSN, RN, CWOCN, Diamond Children's at the Univer-

sity of Arizona, Phoenix, AZ

Safe Handling Among Pediatric Burn Patients: A Collaborative Movement

C. Robert Bennett, MSN, RN, CPNP-AC, Maricopa Integrated Health

System, Scottsdale, AZ

Nurse Driven Burn Care in the Pediatric Emergency Department: A Collabora-tive Approach

Sarah B. Vanderwagen, BSN, RN, CPEN, John Hopkins Hospital,

Baltimore, MD

Leadership: A Seat at the Table, Food for Thought

Teri Martini, BSN, RN, Cincinnati Children’s Medical Center,

Cincinnati, OH

Building a Portfolio of APRN Strategic Quality Improvement Projects Through Advanced Improvement Leadership Systems

Betsey Gerrein, DNP, APRN, Cin-cinnati Children’s Medical Center,

Cincinnati, OH

An Innovative Program for the Care of Children with Incontinence and Dys-functional Elimination

Kimberly Jarczyk, MSN, ARNP, CPNP, Nemours Children's Clinic,

Jacksonville, FL

How well is my patient REALLY doing at home? Developing a Reliable Follow Up Process

Teri Martini, BSN, RN, Cincinnati Children’s Medical Center,

Cincinnati, OH

Management of Juvenile Myasthenia Gravis with Thoracoscopic Thymectomy

Sydney Upah, MSN, CRNP, Chil-dren's Hospital of Philadelphia,

Philadelphia, PA

“Best Conference Yet.”

2013 Conference Attendee

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APSNA 23rd Annual Sc ienti f ic Meet ing

CONFERENCE SCHEDULE

POSTERS

Collaborating Care of the Developing Surgical Infant.

Monping Chiang, RN(EC), MS, FNP, Hospital for Sick Children, Toronto,

Canada Electronic Medical Record Implementa-tion for Pediatric Surgical Patients. PEDS to The Rescue.

Carmen Duque, MSN, ARNP, PNP-BC, Miami Children’s Hospital, Miami, FL

How Does a Postoperative Care Proto-col Impact Nursing Care? A study of Pyloromyotomy Patients. Jennifer Fickes, MSN, RN, CPNP-AC/PC,

Children’s Medical Center, Dallas, TX

Chest Wall Deformities Program: A Novel Approach for Patient and Family Education.

Barbara Bratton, MSN, RN, PNP-BC, UCSF, San Francisco, CA

Early Decompressive Laparotomy Can Increase Survival In Pediatric Trauma Patients. Debra Thomson, MSN, CPNP,

Wake Forest Baptist Medical Center, Brenner Children's Hospital, Clemmons,

NC

The Buzz on Honey: Use of Therapeu-tic Honey Products for Pediatric Wound Care.

Trupti Parikh, MSN, RN, CPNP, Advo-cate Children’s Hospital, Elmhurst, IL;

Ashley Mulhern, MSN, CPNP; Ginny (Mary) Fowler, MS, APN, CPNP, CPON,

CPN It's not "Just a G-tube."

Jacqueline Heying, MSN, RN, CNP, Mayo Clinic, Rochester, MN

Stress, Drugs, and H. Pylori: Gastric/Duodenal Ulcers Leading to Perforation in Pediatrics.

Laurie Sands, MSN, RN, CPNP PC/AC, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL

Preventing Dog Bites in the Pediatric Population.

Lindsey McBride, BSN, RN, Children's Hospital of Philadelphia, Philadelphia,

PA; Kaitlin May, BSN, RN

Gastrostomy Tube Care Practice Guide-lines: A Quality Improvement Initiative to Decrease Cost and Standardize Care. Linda Zekas, MSN, APN, NNP-BC, CPNP

-PC, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL;

Teri Coha, MSN, APN, CWOCN

Impact of a Standardized Post-operative Feeding Regimen After a Laparoscopic Pyloromyotomy Utilizing a CPOE Order Set.

Elizabeth A. Paton, MSN, RN, PNP-BC, FAEN, University Le Bonheur Pediatric

Specialists, Collierville, TN; Danielle Aldridge MSN, RN, FNP-C, University of

TN Health Science Center; Hillary Ar-nold MSN, RN, University Le Bonheur

Pediatric Specialists; Karen Hensley MSN, RN, Andrea Sebastian, BSN, RN;

Eunice Huang, MD, MS, University of TN Health Science Center

Transition Planning to Adult Care: Parent and Teen Groups for the Ano-rectal Malformation and Hirschsprung Disease Populations.

Kimberly A. Colapinto, RN (EC), CETN(C), Hospital for Sick Children, Canada;

Geraldine Cullen-Dean RN, Catharine Rocchi RN, Alexis Shinewald CLS,

Khush Amaria PhD, Megan Henze OT, Annie Fecteau MD

Creating a City Wide Pathway for Con-stipation An Innovative Interdiscipli-nary Experience.

Kimberly A. Colapinto, RN (EC), CETN(C), Hospital for Sick Children, Canada;

J Ted Gerstle, MD Development of the Pectus Center: An Opportunity for APRN Independent Practice. Amy Pierce, MSN, APRN, PNP-BC, Chil-

dren's Mercy Hospitals and Clinics, Kansas City, MO;

Cindy Williams, MSN, RN, CPN

Rare Neonate Morel-Lavallee Injury: A Case Study.

Margie Birdsong, MSN, CPNP, John Hopkins Hospital, Baltimore, MD

Kim McIltrot, DNP, CPNP,

Effectiveness of Hypnosis for Post-operative Pain Management of Mini-mally Invasive Thoracoscopic Approach to Repair Pectus Excavatum: Retro-spective Analysis.

Renee Manworren, PhD, APRN, BC, PCNS-BC, Connecticut Children's

Medical Center

The Use of Endoprosthetic Reconstruc-tion in Limb Sparing Surgery: Moving Forward.

Patricia V. Hagarman, BSN, RN, The Children's Hospital of Philadelphia, Philadelphia, PA; Cara Rakow, MSN, RN, CPNP

Feeding Strategies for the Infant with Gastroschisis.

Jackie J. Wessel, MEd RD CSP, Cincinnati Children’s Medical

Center, Cincinnati, OH

Is There a Difference in Postoperative Umbilical Surgical Site Infection Rates?

Laura Saksa, MSN, RN, CNP, Cleveland Clinic Children’s Hospital,

Cleveland, OH; Esther I. Bernhofer, PhD, RN-

BC

POP! Management of Spontaneous Pneumothorax - A Case Study.

Suzanne Kujawa, MSN, APN, CPNP, Ann & Robert H. Lurie Children's

Hospital of Chicago, Chicago, IL

Survival and Health Among Swedish Children Born with CDH: A Long-term Follow Up Study.

Elin Öst, PhD (c), RN, PCNS, Karolinska Institute, Stockholm,

Sweden

Mothers’ and Fathers’ Perceptions of the Emotional and Behavioral Problems of Their Children with Anorectal Malfor-mation.

Helena Wigander, PhD (c), RN, PCNS, Karolinska Institute,

Stockholm, Sweden

CHAAMPS: A Bowel Management Pro-gram for Children with Fecal Inconti-nence Secondary to Surgical Disease. Elizabeth Nanney, MSN, PNP-BC, Ann &

Robert H. Lurie Children's Hospital of Chicago, Chicago, IL

13

APSNA 23rd Annual Sc ienti f ic Meet ing

INVITED SPEAKERS Dr. Manion is a nationally recognized speak-er, author and senior management consult-ant, who offers organizations an impressive breadth of experience combined with prac-tical and creative approaches to organiza-tional and professional issues. In the past two decades her work has been with organ-izations and individuals engaged in creating effective cultural change, developing lead-ership capacity and transforming organiza-

tional structures. Her focus is on creating positive workplace environments with high impact retention strategies. As a widely published author, she has written books on organiza-tional innovation and entrepreneurship, creating a team-based health care organization, and leadership. She has au-thored 8 books--- the popular and award winning From Management to Leadership: Strategies for Transform-ing Healthcare is in its third edition. Recently released is The Engaged Workforce: Proven Strategies to Build a Positive Health Care Workplace, published by AHA Press. She is a fellow in the American Academy of Nursing and has engaged and challenged audiences around the country and internationally since the early 90s. She has published dozens of articles and book chapters on current issues in health care. Growing up in the Midwest, her undergraduate and graduate degrees are from Marycrest College and the University of Iowa. Additionally she has a Master’s degree and doctorate in Human & Organizational Development from The Fielding In-stitute. She makes her home in the central Florida area with her husband and their two dogs.

Jonathan I. Groner, MD, is the Interim Chief of the Department of Pediatric Sur-gery and Trauma Medical Director of the Level 1 Trauma Program at Nationwide Children’s Hospital and a Professor of Clini-cal Surgery at The Ohio State University College of Medicine. Dr. Groner’s research interests include the impact of trauma on

minority children, as well as firearm trauma, ATV injuries and child abuse. Dr. Groner is a past president the Central Ohio Trauma System and served on the Ohio Emergency Medical Services Board for 5 years. He is an internationally known expert on the topic of physician participation in capital pun-ishment in the United States.

Dr. Dean Michael Anselmo is an Assistant Pro-fessor of Clinical Surgery at Keck School of Medicine of the University of Southern Califor-nia. Dr. Anselmo completed his general surgery residency at UCLA, and Pediatric Surgery Fel-lowship training at Children’s Hospital Los An-geles. Dr. Anselmo is Board Certified in General Surgery and Pediatric Surgery. His areas of

expertise include general, thoracic and laparoscopic surgery in infants and children as well as vascular anomalies. Dr. An-selmo is currently the co-director of the Vascular Anomalies Center at Children’s Hospital Los Angeles.

Sheri Carson is a Certified Pediatric Nurse Practitioner (CPNP) with over 16 years of pediatric nursing experience. Prior to obtain-ing her MSN degree, Sheri worked as a pedi-atric RN in the Pediatric Intermediate Care Unit, Pediatric ICU/CICU, and NICU. In 2003, Sheri completed her MSN degree with an emphasis in the Advanced Nursing Care of

Children from Marquette University. Since that time, Sheri has worked clinically as a PNP in a variety of settings, including private practice, a military clinic, and a school health care program for uninsured children. Sheri also served as Nursing Director at a prestigious year-round medical camp for chil-dren with chronic and life-threatening illness. In addition to her work as a PNP, Sheri currently works as a Clinical Instruc-tor of Pediatrics at the University of Arizona, where she in-structs undergraduate nursing students in the classroom and clinical settings. When she isn’t teaching or working as a PNP, Sheri volunteers her time conducting sports physicals at local clinics, supervising medical students administer immuniza-tions, serving on Tucson’s Child Abuse Review Committee, and caring for sexual assault victims as a Sexual Assault Nurse.

Dr. Lerret is an assistant professor at Medical College of Wisconsin and NP at Children’s Hospital of Wisconsin. She has worked as the NP and liver transplant coordinator at Chil-dren’s Hospital of Wisconsin Milwaukee for the last 12 years. She completed her PhD in nursing from Marquette University in 2010. Her program of research focuses on

the transition from hospital to home and chronic illness for parents of pediatric solid organ transplant recipients. She has published as well as spoken locally, regionally and nation-ally on topics related to pediatric solid organ transplantation.

Dr. Van Cleve is a PNP, in Behavioral Health, Pediatrics South, Pittsburgh, PA. Dr. Van Cleve is also an integral member of a group of specialists in the Division of Developmen-tal-Behavioral Pediatrics / Child Develop-ment Unit at Children’s Hospital of Pitts-burgh of UPMC. This group of specialists includes developmental/behavioral pediatri-

cians, nurse practitioners, psychologists, behavioral consult-ants, and trainees. Dr. Van Cleve, along with other special-ists in the CDU, diagnoses conditions and helps families to understand their child’s delay in development, behavioral problems, developmental disorders, or long-term conse-quences of medial conditions, such as premature delivery or genetic disorders. Dr. Van Cleve is also an Associate Profes-sor of Nursing and Interim Director, DNP Program for Robert Morris University. Dr. Van Cleve is involved on a variety of local, state and national nursing organizations, including past president of NAPNAP, 2012-2013. Dr. Van Cleve earned her BSN from the University of Pittsburgh School of Nursing in 1977, her MSN from Boston College in 1981, and her DNP from Robert Morris University in Moon Township, PA in 2009. She is a CPNP by the Pediatric Nursing Certification Board and the state of Pennsylvania as a Certified Registered Nurse Practitioner.

14

APSNA 23rd Annual Sc ienti f ic Meet ing

Registration

Early Bird (by April 7, 2014) 1 Day Member $130 Nonmember $230 2 Day Member $260 Nonmember $360 3 Day Member $400 Nonmember $500

Regular (by May 16, 2014)

1 Day Member $180 Nonmember $280 2 Day Member $310 Nonmember $410 3 Day Member $490 Nonmember $590

After May 16, 2014-Late Registration

(on-line only) 1 Day Member $240 Nonmember $340 2 Day Member $380 Nonmember $470 3 Day Member $550 Nonmember $650

Full Registration Includes: Educational Con-tact Hours, 3 Breakfasts, 2 Lunches, 1 Dinner, Welcome Reception, Founder’s Banquet, Mem-bership Mixer, Giveaways 1 and 2 Day Registration does not include banquet. Extra Banquet Ticket is $125 **Registration for APSNA Annual Meeting only; APSA registration is by separate sub-

scription. Cancellation/Refunds: Full refunds for regis-tration and banquet tickets less a $25 fee if can-cellation. Notifications are received by Barbara Bratton, APSNA Treasurer, on or by May 16, 2014. Attire: Business casual attire is recommended for all

Educational Conference events. Founder’s Banquet: Chic Denim

Payment Options: Full, secure online payment with credit card us-ing the website form. There will be no on-site registration. Pay by check on-line "reservation" until postal payment received by Barbara Brat-ton, APSNA Treasurer. Please make checks pay-able to “APSNA.” Checks must be received by the designated deadlines. Print a copy of your e-mail registration confirmation and send with payment. Note: All educational sessions will take place at our conference hotel, the JW Marriott Phoenix Desert Ridge Resort and Spa.

Housing Hotel Accommodations JW Marriott Phoenix Desert Ridge Resort and Spa 5350 E. Marriott Drive Phoenix, AZ 85054 Phone: +1-480-293-5000 Fax: +1-480-293-3600 Toll Free Reservations: +1-800-835-6206 International Reservations: +1-480-293-5000 Click here for information about the hotel. Make your online reservations at the APSA spe-cial room rate.

15

APSNA 23rd Annual Sc ienti f ic Meet ing

General Information APSA has negotiated with the JW Marriott

Desert Ridge Resort & Spa to offer a

special room rate of $259 USD for

single/double/triple/quad occupancy, plus state and city taxes. This special

rate is applicable from May 24 through June 3, based on availability.

To reserve a room, call the JW Mar-riott Desert Ridge Resort at +1-800-

835-6206; international callers use

+1-480-293-5000, and mention you are attending the APSA Annual Con-

ference, or make your reservation online. Reservations must be made

by April 25, 2014, and rooms are

subject to availability. The APSA 45th Annual Meeting room rate may not

be available after April 25, so make your reservations early. A credit card

guarantee is required to hold your

reservation; however, the hotel will not charge the credit card if cancella-

tions are made more than 48 hours prior to arrival. Hotel check-in is 4

p.m.; check-out is 11 a.m.

The Griffin Club

The JW Marriott Desert Ridge Resort & Spa is one of the first JW hotels to

pilot the Griffin Club service -– an enhanced level of concierge service.

The Griffin Club is available 6:30 a.m.

- 11:00 p.m. daily. Included in the additional nightly fee of $65 USD/

night for the first person or $100 USD/night for two people in the same

room, is the following: Chef-prepared breakfast buffet; mid-

day lunch; hosted premium bar –

beer, wine and spirits at night; hors d'oeuvres; interactive chef dinner

experience and dessert sampling; and coffee, tea and assorted bever-

ages available all day. There is televi-

sion and lounge seating; vacation planning and full concierge services;

front desk services; business services including computer access; wireless

Internet; games; magazines and

newspapers; and a daily Revive Spa membership. You must be 21 years

or older for entrance. When making your online hotel reservations, you

will have the option of adding the

Griffin Club.

Air Travel Information Phoenix Sky Harbor International Air-

port in Phoenix is located approxi-

mately 30 minutes from the JW Mar-riott Desert Ridge Resort & Spa. Air-

line reservations may be made through FCm Travel Solutions, the

preferred agency for APSA meetings.

When you call, ask for the group de-partment and identify yourself as an

APSA 45th Annual Meeting partici-pant. FCm charges a processing fee

on transactions. International callers dial FCm Travel Solutions at +1-847-

948-9111, ext. 3; all other callers

from North America dial +1-866-341-7672.

Airport Transportation Sedan and Limousine Service

Transtyle Transportation can provide roundtrip ground transportation be-

tween the airport and the resort with advance reservations. You can make

a reservation with Transtyle Trans-portation by calling +1-800-410-

5479. Reservations are required 24

hours in advance, and rates are as follows:

Sedan service (up to 4 passen-

gers) - $60/one way

SUV service (up to 6 passengers)

- $80/one way

A shared ride service is also available

through Transtyle Transportation. Rides leave on the hour from 5:00

a.m. – 5:00 p.m. Shared service rates

are $24/one way per person. Reser-

vations are required 24 hours in ad-vance.

Taxi Service

Typical taxi fare from Phoenix Sky

Harbor International Airport to the hotel is around $60 one way, plus

gratuity.

Car Rental With the many attractions that the

Phoenix area has to offer, you may

want to rent a car during your stay. Avis Rent a Car System Inc. is the

official rental service for the APSA 45th Annual Meeting. Avis agents can

provide the best available rates for

your car needs during your stay. For on l i ne re se r va t i ons , go to

www.avis.com, or call +1-800-331-1600 and indicate APSA Worldwide

Discount number J787330 to re-ceive special pricing. Hertz Rental Car

Agency is available on site at the JW

Marriott Desert Ridge Resort & Spa. Reservations can be made at +1-

480-538-5480.

Phoenix’s average temperature high

in May is 95° F (35° C), and average low is 69° F (21° C), but hotels are

generally cool, so bring a sweater or light jacket.

Babysitting/Child Care Services Family Escape is a full service chil-

dren’s recreation program for resort guests ages 4-12. Join in the fun for

arts & crafts, games, desert adven-tures, trivia, sports and more. Family

Escape is open from 8:00 a.m. –

Noon. Fees are $35 per child and $20 per additional child from the same

family.

Fitness Center The Fitness Center at the resort is located by the Lazy River and is avail-

able to registered guests on a compli-mentary basis. The Fitness Center is

open 5:00 a.m. – 10:00 p.m.

16

As the leading meeting of the pediatric surgical nursing community, this meeting provides several exceptional and engaging educational opportunities for you to:

interact with the best and brightest in pediatric surgical nursing care, translate scientific discoveries into clinical practice, network with colleagues across settings and disciplines, learn about policy issues that directly affect you, raise questions, debate the implications, plan follow-up studies, and

discuss results, discuss your own research and clinical observations, meet with poster presenters to learn about their thinking and future

research directions, and visit a number of exhibit booths featuring products and services specifically designed for professionals who work with the pediatric surgical patient.

111 Deer Lake Rd.

Suite 100

Deerfield, IL 60015

http://www.apsna.org

Safety and Excellence in the Surgical Care of Children

“Kindling Synergy in Pediatric Surgical Care: Professional and Clinical Collaborative Practice”