Congress program

Congress program

Barbara Gruendemann, RN

“Destiny: Choice or Mandate,” the 27th annual Congress of the Association of Operating Room Nurses, will be March 9 to 14 at the Georgia World Congress Center, Atlanta. All sessions will be at the Congress Center unless otherwise noted.

Douglas Edwards

330 AORN Journal, February 1980, Vol31, No 3

Sunday

Barbara Nichols, RN Larry Alley

Saturday, March 8

Registration, 9 am to 6 pm

Sunday, March 9


Meet the Candidates, 10 am to noon

Auditorium, 10 to 11 :15 am Room 300. 11 :I 5 am to noon

Opening Session, 130 to 3:30 pm

Hall C

Presiding officer Barbara Gruendemann, RN, MS OR nurse clinician Centinela Hospital Medical Center Inglewood, Calif AORN President

Processional AORN Board of Directors Past Board of Directors AORN Nominating Committee AORN chapter presidents AORN national committee chairmen Certified operating room nurses (CNORs) Invited guests

Invocation

Welcome

Star Stegall, RN Charge nurse Gwinett Community Hospital, Snellville,

Ga

William H Muller, Jr, MD

President, AORN of Atlanta

Greetings Barbara L Nichols, RN, MS Director of inservice education St Mary's Hospital Medical Center,

President, American Nurses' Association

Larry Alley Student, nursing program Winston-Salem (NC) State University President, National Student Nurses'

Madison, Wis

Association

William H Muller, Jr, MD, FACS Vice president for health affairs and

chairman, Department of Surgery University of Virginia Medical Center,

Charlottesville President, American College of Surgeons

John S Hattox, MD Anesthesia Service Medical Group, Inc,

President, American Society of San Diego

Anesthesiologists

Introduction of guests and visitors

Recognition of certified operating room nurses

Presidential address Barbara Gruendemann, RN, MS

Keynote address Douglas Edwards News correspondent, CBS News, New

York City

AORN Journal, February 1980, Vol31, No 3 331

Monday

Monday, March 10

Forum, 7 to 9 am

Hall C

Open forums are an opportunity for all AORN members to discuss and receive information about issues that may come before the House of Delegates. Critical discussion will enable delegates to vote knowledgeably, knowing the decision has been carefully weighed. Members are encouraged to submit issues for discussion to the president. (CEU are not awarded for this session.)

Presiding officer Barbara Gruendemann, RN, MS


Educational sessions, 9:30 to 11 :30 am

Undercover: The Nurse and Drug Abuse

Hall C

In our society, we have accepted widespread chemical dependence but wonder at the implications. As professionals, we are involved in prevention of drug abuse and treatment of drug abusers. This program has been designed to assist us in knowing what to do when we are aware a coworker is abusing drugs. A representative of the US Drug Enforcement Administration will address how we can be helpful, to whom we should report abuses, and undercover investigation. Participants will have the opportunity to explore the ethical and moral ramifications of reporting a suspected drug abuser.

Objectives A. outline the signs and symptoms

characteristic of individuals who are chemically dependent

undercover investigation of the suspected drug abuser

C. analyze the ethical and moral

6. explain the process of conducting an

Moderator Joseph R Radzius, LLB Attorney-at-law Burdette and Calkins, Chicago Consumer to the Board of Directors,

AORN

Speakers Lawrence L Shipley, BS Compliance program manager Drug Enforcement Administration, Miami

Larry Snyder Compliance coordinator Drug Enforcement Administration,

Chicago

Trauma: Saturday Night Special

Auditorium

Trauma has been termed the “neglected disease of modern society.” Now regional trauma centers are being encouraged by both federal and local agencies to provide better emergency, operative, and rehabilitative care. The operating room nurse who cares for victims of penetrating wounds is presented with challenges. There are special instruments, sutures, and auxiliary equipment. Large volumes of blood and special monitoring are required. At times, many patients need urgent surgery simultaneously. The nurse in the operating room who understands the risk factors of penetrating trauma is better prepared to treat the injured patient. A paramedic will discuss first-time treatment of trauma victims on the scene, and a surgeon will provide a rationale for assigning treatment priorities and implications for the surgical team.

Objectives A. describe the role of community

resources in assisting victims of penetrating trauma

6. identify components of assessment and prioritization of care for trauma patients during triage

C. explain elements of intraoperative care of trauma patients

responsibility of reporting a suspected drug abuser Cathy Brown, RN

Moderator

332 AORN Journal, February 1980, Vol31 , No 3

Let’s get together in Atlanta. American Hospital Supply Corporation American V. Mueller American Pharmaseal American McGaw Heyer-Schulte Corporation American Hospitex American Convertors Edwards Laboratories American Ill Medical Systems/Hamilton Industries

Booth No. 452 334 542 644 549 442 134 448 344

. . ... :;: . . American Hospital Supply Corporation ;:::::: One American Plaza ... . . . Evanston, Illinois 60201

Monday

Cathy Brown, RN Kenneth L Mattox, MD

Orthopedic nurse specialist Peachtree Orthopedic Clinic, Atlanta

L 0 “Whitey” Martin Deputy chief Houston Fire Department

Kenneth L Mattox, MD Deputy surgeon-in-chief Ben Taub General Hospital Associate professor of surgery Baylor College of Medicine, Houston

Speakers

Perioperative Role: AORN Documentary

Room 300

A documented commentary patterned after a news broadcast will convey late-breaking information regarding how the perioperative role is being implemented. Network broadcasters staged in New York and Los Angeles will bring you live coverage of events of the past year. Viewers will also be involved in an analysis of the perioperative role and its interpretation. This session on the perioperative role is the first of a series of five that will be offered throughout Congress. The remaining sessions are scheduled each morning through Friday.

Obiectives A.

B.

C.

334

describe activities during 1979-1 980 that demonstrate implementation of the perioperative role identify methods that can be used by individuals and chapters to implement the perioperative role critique the perioperative role and its relevance to nursing practice

Carol J Alexander, RN Julia Kneedler, RN

Moderator Carol J Alexander, RN, MS Director of education AORN, Denver

Speakers Julia Kneedler, RN, EdD Assistant director, educationicontinuing

education AORN, Denver

Barbara Stanewick, RN Perioperative nurse coordinator Baptist Hospital of Miami President-elect, AORN

OR Instrumentation: Care and Maintenance

Room 210

Maximum utilization of surgical instruments depends on proper care and handling. An industry representative will discuss materials and the manufacturing process involved in instrument development. The nurse’s role in care and management of surgical instruments will be examined from the nurse’s perspective. Criteria for instrument evaluation and methods of inventory control will be explored.

Objectives A. relate the OR nurse’s role in the care and

maintenance of surgical instruments B. implement a system for maintaining and

evaluating inventory control of surgical instruments

C. develop criteria that can be used by the nurse to evaluate surgical instruments

AORN Journal, February 1980, Vol31, NO 3

Monday

Barbara Stanewick, RN A Jane McCluskey, RN

Moderator Rose Marie Perlosky, RN Head nurse, McDonnell Surgical Center Piedmont Hospital, Atlanta

Speakers Robert V C Giersch, BS Vice-president, research and

Edward Weck & Company, Research development

Triangle Park, NC

A Jane McCluskey, RN Retired assistant director, ORiRR Genesee Hospital, Rochester, NY

Elizabeth A Reed, RN OR supervisor Moffitt Hospital, University of California

Hospitals and Clinics, San Francisco AORN Board of Directors

What Makes a Chapter Thrive?

Sponsored by the AORN Membership Committee

Room 208

AORN chapters are always alert for a "magic formula" that will guarantee members' participation in chapter activities. Viability and survival depend on involvement of each member in chapter educational programs, projects, and membership recruitment. The Membership Committee will be available for one-on-one dialogue. They will answer questions, problem-solve, and explore new ideas that can make your chapter thrive.

Elizabeth A Reed, RN

Objectives

Carol J Applegeet, RN

A.

B.

C.

review methods of creating interest and participation by chapter members at the local level discuss the benefits of open communication between the local chapter and the national Membership Committee utilize the problem-solving process to formulate solutions that will increase chapter viability

Moderator Jane M Grayson, RN Director nursing, ORiRR Fairfax Hospital, Falls Church, Va Chairman, AORN Membership

Committee

Speakers Carol J Applegeet, RN Staff nurse, OR Baptist Hospital East, Louisville, Ky

Billie Fernsebner, RN, MSN Clinical coordinator, ORiRR Mount Auburn Hospital, Cambridge,

Mass

House of Delegates, 1:30 to 4:30 pm

Hall C

Educational sessions, 1 :30 to 3:30 pm

Victims of Sexual Assault

Auditorium

As a trauma victim, the raped person needs immediate physical assessment and care.


Monday

Margery M Sawyer, RN Brenda C Mauldin, RN John M Patton, MD

Emotional needs, however, are not only immediate but intermediate and long-term. How the health care team interacts with this person in the first few minutes and hours of care can have far-reaching effects on the victim’s health. Health care professionals, often unaware of their own attitudes toward rape and its victims, manifest anxiety, negativism, or indifference. The speaker, a victim of rape, will discuss how to deal with one’s own feelings but maintain a therapeutic rapport with the patient. She will also discuss work being done to counter sexual assaults.

Objectives A. differentiate among immediate,

intermediate, and long-term care of the rape victim

B. discuss personal attitudes toward rape and its victims

C. identify supportive behaviors the OR nurse can implement when interacting with the rape victim

Cancer in advanced stages is frequently painful. As the cancerous tissue spreads throughout the body, relief of intractable pain is difficult. Rationale for surgical intervention for pain relief will be described. The first hypophysectomy as a palliative treatment for malignant pain was performed in 1952. Refinement of techniques has resulted in today’s microneurosurgical procedure through a transsphenoidal approach. The contribution of the perioperative nurse to the success of this procedure will be explored.

Objectives A. list two criteria for identifying malignant

pain B. state rationale for a transsphenoidal

approach for hypophysectomy as a treatment for intractable pain

C. describe the role of the nurse in the perioperative period for the patient undergoing a transsphenoidal hypoph ysectomy

Moderator Moderator Margery M Sawyer, RN Supervisor, OR/RR/CS Gwinnett Community Hospital, Snellville,

Brenda C Mauldin, RN Staff nurse II, OR Emory University Hospital, Atlanta

Ga

Speaker Mary Jo Klatt, BA Member, Metropolitan Organization to

Counter Sexual Assaults, Kansas City, Mo

Transsphenoidal Hypophysectorny for Pain

Room 300

Speakers Daphne M Eitel, RN, BS Nurse clinician, neurosurgery Emory University Clinic, Atlanta

John M Patton, MD Private practice, neurological surgery Alexandria (La) Neurosurgical Clinic

George T Tindall, MD Professor of surgery, chief, Division of


Tuesday

George T Tindall, MD Alicia C Arvidson, RN

Neurosurgery

Atlanta Emory University School of Medicine,

AORN Banquet, 650 pm Atlanta Hilton Grand Ballroom

Tuesday, March 11

Forum, 7 to 8 5 0 am

Hall C

Open forums are an opportunity for all AORN members to discuss and receive information about issues that may come before the House of Delegates. Critical discussion will enable delegates to vote knowledgeably, knowing the decision has been carefully weighed. Members are encouraged to submit issues for discussion to the president. (CEU are not awarded for this session.)

Presiding officer Barbara Gruendemann, RN, MS


Educational sessions, 8:45 to 10:45 am

Film: Orientation Phase II: Reality Shock

Sponsored by the AORN Audiovisual Committee

Hall C

Reality shock occurs when an individual moves from a subculture where he feels competent and comfortable into a subculture where he must function but feels

340 AORN Journal, Februal

9. discuss causes of reality shock in nursing

C. discuss methods of coping with reality shock

Moderator Jean D Tornello, RN Department head, OR/RR Fort Myers (Fla) Community Hospital

Alicia C Arvidson, RN, BSN Adjunct instructor, nursing coordinator,

North Carolina Memorial Hospital,

Film author

OR/RR/Day-Op

University of North Carolina, Chapel Hill

Speakers R Leigh Andrews, RN, MSN Coordinator, staff and patient education North Carolina Memorial Hospital,

Universityof North Carolina, Chapel Hill

Nancy K Kilbey, RN, BSN Staff nurse, OR North Carolina Memorial Hospital,

University of North Carolina, Chapel Hill

Unions: Choice or Mandate

Auditorium

Do you know the difference between collective action and collective bargaining? In your work setting, how much power do you have as an individual nurse? As a member of a group? How can you most effectively use that power to achieve positive change? If nurses in your hospital were attempting to organize, how would you respond? Do you have the knowledge and skills necessary to respond as a professional? This session is designed to

y 1980, Vol31, No 3

Tuesday provide you with basic facts about organizing, your options to unionize or not, and guidelines for decision making.

Objectives A. differentiate between collective action

B. list criteria for selecting a collective

C. identify criterialguidelines for nurses to

and collective bargaining

bargaining agent

use in deciding whether or not to organize

Speakers Jacqulyn H Gideon, RN, MEd Associate director Missouri Nurses’ Association, Jefferson

Richard U Miller, PhD Professor, industrial relations Graduate School of Business, University

City, Mo

of Wisconsin, Madison

Perioperative Role: Schools Integrate

Room 300

Support for the perioperative role and inclusion of OR content in basic nursing education programs are gaining momentum. Contributing to this support have been AORN’s publication, Surgical Experience: A Model for Professional Nursing Practice in the OR, and the adoption of the perioperative role definition by the 1978 AORN House of Delegates. Schools of nursing are demonstrating that perioperative nursing is necessary content that should be a part of preparing a professional nurse. Nursing educators will discuss their philosophies and experiences with the perioperative role. A dean of a school of nursing will explain how and why her faculty have integrated the perioperative role into the generalist curriculum in a baccalaureate nursing program. Nursing educators will share their experiences and student outcomes from the clinical perioperative role experience.

Objectives A. describe content that incorporates

perioperative nursing concepts in a basic nursing education program

Barba J Edwards, RN Mary Ellen Hazzard, RN

B. explore rationale for including student perioperative experiences that support perioperative nursing as a professional role

C. discuss outcomes that students, faculty, patients, and nursing have experienced from the perioperative clinical experience

Moderator Barba J Edwards, RN, MA Director, surgical services Archbishop Bergan-Mercy Hospital,

Omaha

Speakers Charold Baer, RN, PhD Professor and department chairman,

medical-surgical nursing University of Oregon Health Sciences

Center, Portland

Mary Ellen Hazzard, RN, MS Associate professor University of Arizona College of Nursing,

Jannetta MacPhail, R N , PhD Dean and professor Case Western Reserve University,

Frances Payne Bolton School of Nursing, Cleveland

Tucson, Ariz

A Team Approach to Gyn Surgery

Room 210

Discussing sexual topics with patients often produces discomfort for the OR nurse. The team approach to the surgical patient is frequently a euphemism. In reality, each


Tuesday

Lawannah Chevreaux, RN Robert L Gullen, MD

team member usually functions in isolation when discussing sexuality with the gynecological patient. Consultation with and support from other team members is frequently a missing component. This session will feature a real situation. A physician, a nurse, and an actual patient will illustrate aspects of the team approach. The physician will discuss the value of the team approach, while the patient will discuss her response to the team approach and her feelings regarding gyn surgery. The nurse will discuss her responsibilities for discussing the patient's sexuality in an effort to provide assistance to other OR nurses who are involved in the preoperative preparation of patients having gynecological surgery.

Objectives A.

B.

C.

discuss a team approach to gynecological surgery that includes the patient, the surgeon, and the nurse identify nursing actions that can be taken to assist the patient having gynecological surgery assist the patient in exploring feelings about postoperative adjustment to gynecological surgery

Moderator Lawannah Chevreaux, RN Staff nurse, OR, outpatient surgery Phoenix (Ariz) Baptist Hospital

Speakers Donna Butler Patient Phoenix, Ariz

Robert L Gullen, MD

Joan Koehler, RN Janet Sabbe, RN

Obstetrician and gynecologist Fifth Avenue Gynecologists, Ltd,

Phoenix, Ariz

Joan Koehler, RN Surgical nurse practitioner Fifth Avenue Gynecologists, Ltd,

Chairman, AORN National Certification Phoenix, Ariz

Board

Techniques for the Novice Speaker

Room 208

Publicspeaking is an art and skill not usually cultivated in generic nursing education programs. Nurses, however, are increasingly aware of the importance of the ability to speak articulately and with ease. More nurses are committing themselves to public speaking before a variety of organizations from informal, small groups such as chapters to formal, large groups such as the AORN House of Delegates. This session is aimed at the novice seeking to increase effectiveness in public speaking.

Objectives A. discuss basic principles and techniques

of public speaking B. identify three ways a speaker can

develop rapport with an audience C. list five ways a speaker can overcome

stage fright

Moderator Janet Sabbe, RN, BSN Credentialing specialistiEducation

Department AORN, Denver


Tuesday

Dorothy E Babcock, RN

Speakers Dorothy E Babcock, RN, MS Clinical specialist II, psychiatric mental

Denver General Hospital

Carol Zak-Dance, PhD Instructor, Department of Speech

Arapahoe Community College, Littleton,

health

Communication

COlO

Ribbon-cutting ceremony, 11 am

Technical and scientific exhibits, 11 am to 3 Pm

Educational sessions, 3:lO to 5 pm

Film: OR View: Radiography

Sponsored by the AORN Audiovisual Committee

Auditorium

This new film provides information on radiography and radiographic procedures that take place in the operating room. The biological effects of radiation, use of equipment, and demonstration of nursing care during radiographic procedures are depicted. In addition, speakers with expertise in radiation safety, radiographic procedures, and nursing care will discuss those areas. Members attending this session will obtain an indepth view of their responsibilities in protecting the patient in the operating room.

Geraldene M Areghini, RN

Objectives

Pat Regan, RN Geraldene M Areghini, RN

Objectives

Pat Regan, RN

A.

B.

C.

state the biological effects of radiation on the human being describe the safe use of radiographic equipment during the intraoperative phase of patient care delineate nursing activities during radiographic procedures for protection of the patient

Moderator Bonnie Bruttig, RN Staff nurse, OR University of Virginia Hospital,

Charlottesville Chairman, AORN Audiovisual Committee

Author Geraldene M Areghini, RN Assistant director of nursing, Director,

Riverside (Calif) Community Hospital

Donald V Farley, MS Director, radiation safety and associate

School of Allied Health Professions, Loma

Pat Regan, RN, RT Staff nurse, OR Veterans Administration Hospital Medical

OR/RR/outpatient surgery

Speakers

professor

Linda (Calif) University

Center, Indianapolis

The Sensuous Manager

Room 300

Human organizations could contribute to a system of values and motivation that

346 AORN Journal, February 1980, Vol31, N o 3

Tuesday

Michael H Mescon, PhD Arnold Sladen, MD

recognizes the contributions of business, education, science, medicine, engineering, and the humanities. The speaker believes this but is not optimistic about it occurring unless organizations alter how they relate to individuals. He will present eight recommendations for improving relationships, which he has termed the “Mescon Eight.”

Objectives A. list common problems of organizational

8. explain the “Mescon Eight” structures

recommendations for improved relationships between organizations and individuals

C. discuss the concept of compensation for contribution rather than seniority

Moderator Brenda E Tolbert, RN Coordinator, OR Northside Hospital, Atlanta

Michael H Mescon, PhD Regents’ Professor of Human Relations

Speaker

and chairman, Department of Management

Georgia State University, Atlanta

Monitoring the Critically 111 Patient

Room 210

To monitor is to warn. Hence, monitoring the critically ill patient involves monitoring devices that warn us as to the status of our patient. Monitoring of the critically ill patient can range from electroencephalography

(EEG) and intracranial pressure (ICP) to temperature of the big toe, including almost every anatomic structure in between. Monitoring of the critically ill patient should suit the needs of the individual hospital, ranging from the simplest techniques, such as temperature, pulse, respirations and blood pressure, to invasive measurement. All of the data must be acquired correctly, or the information is useless. Wrong information results in incorrect interpretation of the status of the patient and, hence, incorrect therapy.

Objectives A. list types of devices used in monitoring

the critically ill patient 6. discuss the application of physiological

monitoring by the OR nurse to care of the critically ill patient

physiological monitoring

Charlotte Ellenberger, RN Director, OR/RR Henry General Hospital, Stockbridge, Ga

Arnold Sladen, MD Professor, clinical anesthesiology and

Director, surgical intensive care unit Montefiore Hospital, Pittsburgh

Judith Stanish, RN Staff development instructor-critical care Montefiore Hospital, Pittsburgh

C. identify the value and limitations of

Moderator

Speakers

critical care medicine

OR Documentation

Room 208

Documentation of care is an important component of each phase of the nursing process. It is critical that nurses in the operating room provide a continuing record of nursing actions relative to patient outcomes. Representatives from hospitals throughout the country will discuss the development of operating room records. They will have rationale for selection of the format used in their hospital. Drawings, codes, check-off boxes, and sliding scale systems will be described as methods to


Tuesday

Shelley C Bever, RN

assist operating room nurses in documenting care provided for the surgical patient. Various record formats will be available.

Objectives A. state rationale for documenting care on

the intraoperative nursing record B. outline the components that would be

included when developing an intraoperative record for your OR

C. describe steps for incorporating documentation of OR nursing into the permanent hospital record

Moderator and speaker Shelley C Bever, RN, BSN Clinical nurse IV, OR Moffitt Hospital, University of California

Hospital and Clinics, San Francisco

Speakers Alan Abbott, RN, BSN Supervisor, OR Portland (Ore) Adventist Medical Center

Ivy-Mae Baldwin, RN Supervisor, ORiPAR Bossier City (La) General Hospital

Annie J Clark, RN Nurse clinician, OR South Carolina Baptist Hospital,

Lynn H Fuller, RN Staff nurse, OR Methodist Hospital, Madison, Wis

Carmen G Hall, RN Education coordinator, OR Abbott-Northwestern Hospital,

Columbia

350 AORN Journal, Feb

Jacqueline L Reardon, RN Caroline Rogers, RN

Minneapolis

Sharon Herbel, RN, BS Staff nurse, OR Porter Memorial Hospital, Denver

Janie Hughes, RN Supervisor, OR Encino (Calif) Hospital

Shirley K Kupferer, RN Supervisor, OR Lancaster (Calif) Community Hospital

Margaret 0 Nehring, RN Director of nursing, surgery Mt Diablo Hospital Medical Center,

Concord. Calif

By the Rules

Room 207

AORN’s parliamentarian will clarify the more complex rules of parliamentary procedure. Members will acquire knowledge of the process that will enhance their parliamentary skills in actual practice at the local chapter level. By using Robert’s Rules of Order, Newly Revised, smooth-flowing, brief, and interesting business meetings will result.

Objectives A. outline the rights of members and how

justice and equality are ensured in any assembly

6. review the process of parliamentary procedure in conducting effective business meetings

subsidiary motions to dispose properly of a main motion

C. discuss the advantage of using

iruary 1980, Vol31, No 3

Tuesday

Nancy Ertl, RN

Moderator Jacqueline L Reardon, RN Staff nurse, OR Providence Hospital, Holyoke, Mass AORN Board of Directors

Caroline Rogers, RN Director of membership AORN, Denver

Speaker

In the Spotlight: Performance Appraisal

Room 204

The purpose of this session will be to discuss three aspects of performance appraisal: (1) interviewing by the nurse manager of the potential employee, (2) coachinglcounseling of the employee concerning work roles, and (3) evaluating employee performance. A mock movie set will be the format for presenting these three aspects of performance appraisal. A nurse supervisor and staff nurse will demonstrate correct and incorrect techniques. Once the stage is set, the moderator will discuss the theory that provides a framework for these three aspects. The audience will act as “movie critics.”

Objectives A.

B.

C.

discuss theory supporting three aspects of performance appraisal: interviewing, counseling, and evaluating list criteria for an effective performance appraisal differentiate between correct and incorrect appraisal techniques

Moderator

Nancy L Mehaffy, RN C Billye Pearson, RN

Colleen K Harvey, RN, BSN Consultative specialist/Education


Nancy Ertl, RN Director, patient care Mercy Health Center, Dubuque, Iowa

Judy Pins, RN Head nurse, OR Mercy Health Center, Dubuque, Iowa

Nancy L Mehaffy, RN Director, OR/RR Martin Luther Hospital, Anaheim, Calif AORN Vice-president

Kay Stodd, RN Director, OR/RR Canyon General Hospital, Anaheim, Calif

C Billye Pearson, RN Neurosurgical nurse practitioner Surgical Neurology, Ltd, Phoenix, Ariz

Lawannah Chevreaux, RN Staff nurse, OR, outpatient surgery Phoenix (Ariz) Baptist Hospital

Speakers

OR Nursing in Correctional Facilities

Room 201

Correctional facilities require specialization beyond that normally expected of OR nursing. Nurses from three correctional facilities will share how they have incorporated the perioperative role into this setting. Methods for keeping informed, applying new trends, and seeking education


Wednesday lnhospital Sterilization

Sponsored by the AORN Technical Standards Subcommittee

Hall C

Standards are developed as a guide to practice and can be used to measure the quality of care provided. One of the newest technical standards addresses inhospital sterilization and its impact in the operating room. A panel will present aspects of sterilization. A representative from the Association for the Advancement of Medical Instrumentation (AAMI) will discuss its role in the development of standards and review the current status of recommended practices pertinent to OR personnel. A central service director will discuss the use of central service standards in the hospital. An OR nurse will present the AORN Standards for Inhospital Sterilization and strategies for their implementation.

Objectives A. identify groups responsible for

contributing to the development and enforcement of standards that affect the operating room

B. apply the AORN Standards for lnhospital Sterilization in the practice setting

C. develop strategies to facilitate implementation of standards in the OR

Moderator Sara Rucker, RN Supervising nurse, OR/surgical day care University of California lrvine Medical

Center, Orange, Calif

Speakers Neal E Danielson Central service manager Wesley Medical Center, Wichita, Kan

Darlene K McLeod, RN, MSN Colonel, Army Nurse Corps and chief, OR

Walter Reed Army Medical Center,

Alvin M Schutta Consultant, materialslcentral service Fairview Community Hospitals,

nursing section

Washington, DC

Minneapolis

Neal E Danielson Alvin M Schutta

opportunities will be discussed. Philosophy of health care in a corrections unit, cooperation between correction officials and medical personnel, practice of the perioperative role, inmates as OR technicians and first assistants, and cost effectiveness of full surgical programs are topics.

Objectives A. discuss philosophies of providing health

care in correctional facilities B. describe implementation of the

perioperative role in a corrections unit C. relate benefits of AORN membership to

the correctional health service OR nurse

Moderator and speaker Marquetta M Origer, R N Medical services coordinator Minnesota Department of Corrections, St

Paul

Speakers Monty Ostler, RN, BA, CCRN Supervisor, OR Utah State Prison, Draper

Mary Rugiel, RN Supervisor, OR State Correctional Facility, Pittsburgh

Exhibitors Patty, 8 pm to midnight

Hall C

Wednesday, March 12


Educational sessions, 9 to 11 am


Wednesday

Salvatore Shirley V Didato. PhD

Job Satisfiers Obliterate Aliens

Iw Humphries, RN

Auditorium

Job satisfaction affects all industries and worker categories within them. How much do we really know about employee satisfaction? What internal or environmental changes result in greater job satisfaction for all categories of personnel? What does the OR nurse need to be happy in a job? Salvatore V Didato, a consulting psychologist widely known for his work in organizational development and management, will discuss the work setting and stimuli that produce worker dissatisfaction. Related social problems producing alienation will be explored. Highlighted will be mechanisms that can be employed by management and employees to increase feelings of involvement and happiness on the job.

Objectives A. identify factors resulting in worker

6. discuss actions that produce job

C. explore strategies to overcome

alienation

satisfaction

dissatisfaction in the work setting affecting the OR nurse

Moderator Margaret Panter, RN Supervisor, OR DeKalb General Hospital, Decatur, Ga

Salvatore V Didato, PhD Consulting psychologist New York City and New Rochelle, NY

Speaker

Audrey N Be!/, RN Nancy T Fennessey, RN

Perioperative Role: lnservice Incorporates

Room 300

Nurses who have been innovative in incorporating perioperative role concepts into their inservice programs have been invited to this talk show. In interviews, the guests will share how they have designed programs using perioperative role activities. They will discuss objectives, content, methods, and evaluation techniques. The audience will participate by asking about what is included in inservice programs, why it is included, and the geographic locations in the hospital where OR nurses are involved. Difficulties in developing and establishing an inservice program will also be considered.

Objectives A. analyze potential problems associated

with implementation of an inservice program for perioperative nurses

6. state one method for determining learning needs of the nursing staff

C. identify steps in developing a program that incorporates concepts of the perioperative role

Moderator Shirley M Humphries, RN CE program specialist/Education


Speakers Audrey N Bell, RN Supervisor, surgical suite Children’s Medical Center of Dallas


Wednesday

Judith I Pfister, RN

Nancy T Fennessey, RN, MS Nursing coordinator, OR/RR Salem (Mass) Hospital

Suzanne Ward, RN, MA Instructor, OR nursing UCLA Center for Health Sciences, Los

Angeles

Patient Advocacy: Protecting the Patient's Rights: Session 1

Room 210

Experimenting with human subjects is imperative for medical science to progress.. However, consumer protection groups have raised new concerns regarding experimentation and who should govern research. This is the first of a two-part program about protecting the patient involved in human research projects. Speakers will discuss their involvement in the two federal agencies that have issued documents on this topic. The role of the initial National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research will be presented. Regulations proposed by the US Food and Drug Administration (FDA) and their role in improving performance of institutional review boards will be discussed.

C. compare the Commission's

Moderator

recommendations to FDA proposals

Judith I Pfister, RN, BS Assistant executive directorlprofessioi AORN, Denver

Stuart C Nottingham, MD, MPH Chief, Institutional Review Branch Bureau of Drugs, FDA, Rockville, Md

Speakers

ial

Robert J Levine, MD Professor of medicine Yale University School of Medicine, New

Haven, Conn

Maureen Cushing, Esq, RN Attorney-at-law, Boston

CNOR: Where are We? Where Are We Going?

Sponsored by the AORN National Certification Board

Room 208

There will be four 30-minute mini-sessions. Mini-session 1: Two certified OR nurses (CNOR) who completed the November 1979 examination will describe their preparation for the test, changes in their practice, and professional and personal changes since they became certified. Mini-session 2: Creative methods being used in preparing for certification will be explored through audience participation. Mini-session 3: The focus will be on trends having implications for certification. Impact on practice and changes due to certification will also be discussed. Mini-session 4: Participants will have an opportunity to discuss the certification process. Questions regarding all aspects of certification are welcomed.

Objectives A. discuss methods of preparing for the

B. identify trends in OR nursing practice

C. explain the AORN certification process

Objectives A. explain the purpose of federal certification examination

resulting from certification regulations pertaining to experimenting with human subjects

regulations that have implications for 6. identify elements in the proposed

nursing care. Moderator


Wednesday will be discussed.

Objectives A. list five natural laws of power B. identify the source of individual power C. describe methods the perioperative

nurse may use for achieving goals

Moderator Sara D Huff, RN, MSN Department manager, ORiOutpatient

Northside Hospital, Atlanta

Nancy D Sanford, RN, MS Independent nursing educator Woodland Hills, Calif

surgery

Speaker Sara 0 Huff, RN Nancy D Sanford, RN

Joan Koehler, RN Surgical nurse practitioner Fifth Avenue Gynecologists, Ltd,

Chairman, AORN National Certification Phoenix, Ariz

Board

Speakers Meta Ruth Hodson, RN, BSN Staff nurse, OR El Camino Hospital, Mountain View, Calif

Patricia P Kapsar, RN Director, surgical services St Joseph Hospital, Kirkwood, Mo

Adele K Riley, RN, MSN Staff nurse, OR The Staten Island (NY) Hospital



Women and Power

Hall C Do you have power in the decisions made in your operating room suite? In your hospital? Gaining and using power to effect changes in health care policy is a challenge for women and nurses. The perioperative nurse has multiple opportunities for effecting changes that affect patients. Knowledge of the nature of power and the origin of individual strength will lay a foundation for using positive power that will enhance patient care. Valuable tools and methods for achieving goals in quality perioperative care

Medical Devices Update

Auditorium

Health care professionals have a responsibility not only to control modern technology but also to meet the high standards hospitals and patients expect. What new federal regulations enacted since 1976 regulate the development and utilization of medical devices? The impact on nursing personnel in the operating room, surgeons, and manufacturers can be directly translated into patient outcomes. One focus of this session will be a review of US Food and Drug Administration (FDA) standards and how they affect the health care delivery system. An attorney will discuss how standards affect the supplier of medical products and the health care professional using them. Methods and regulations for evaluation of medical devices will be explored.

Objectives A.

B.

C.

discuss mandatory and voluntary FDA standards for medical devices relate the FDA evaluation protocol for medical devices examine the impact of standards on the development and use of medical devices in the clinical setting

Moderator Donna Kirschenmann, RN, BSN Director of surgeryiRR Allen Memorial Hospital, Waterloo, Iowa

d+ AORN Journal, February 1980, Vol31, N o 3 359

Wednesday

Richard A Stimson, Ph D Carol Tyler, RN

Speakers Robert S Kennedy, PhD Associate director for device evaluation Bureau of Medical Devices, FDA, Silver

Joseph R Radzius, LLB

Richard A Stimson, PhD Associate director for standards Bureau of Medical Devices, FDA, Silver

Spring, Md

Spring, Md

New JCAH Standards Impact on Quality Assurance

Room 300

The continual review and revision of standards for hospitals by the Joint Commission on Accreditation of Hospitals (JCAH), draws from and calls on nursing’s ability to expand and adapt. Quality patient care is an obligation of all health care disciplines. History of the development of JCAH standards, what the new standards include, and why will be presented. The impact of the requirements on the hospital and methods for meeting the standards will be considered. Nursing involvement in the development of these new standards and issues surrounding the profession’s continuing involvement in quality assurance will be discussed.

Objectives A. state specific changes in the new JCAH

standards B. describe how changes in the standards

will affeet the hospital and surgical suite C. discuss ways nurses in the OR can

Norma Lang, RN Ronald G Spaeth

implement the new JCAH standards

Moderator Carol Tyler, RN Staff development, continuing education,

Evanston (111) Hospital Chairman, AORN Competency

OR

Committee

Speakers John E Affeldt, MD President Joint Commission on Accreditation of

Norma Lang, RN, PhD, FAAN Professor University of Wisconsin-Milwaukee

School of Nursing

Ronald G Spaeth, MBA Vice-president, corporate services Evanston (111) Hospital Corporation

Hospitals, Chicago

Patient Advocacy: Protecting the Patient’s Rights: Session 2

Room 210

The second of two programs on experimenting with human subjects, this session explores ethical conduct of research. Balancing the interest of society in protecting the rights of subjects with the development of a body of knowledge that will benefit society presents problems. Speakers will share the principles used to guide decisions and provide a forum for audience questions.

Objectives


Wednesday/Thursday A. relate principles for ethical conduct in

experimenting with human subjects 6. analyze one’s own value system to

determine the role of an individual in the protection of human subjects in experimental research

C. determine patient advocacy methods that can be used by the OR nurse

Moderator

Speakers

Judith I Pfister, RN, BS

Stuart C Nottingham, MD, MPH

Robert J Levine, MD

Maureen Cushing, Esq, RN

Toward More Humanistic Health Care

Room 208

A humanistic health care environment meets the physical and emotional needs of both recipient and provider to the maximum extent possible. It is a process of serving and caring without judgment, based on a humanistic belief and value system. To provide this type of care, the provider must first be aware of personal beliefs and values that may be self-limiting. In accepting one’s own vulnerability, fears, and strengths, one expands the ability to communicate with others. Speakers discuss the responsibility of the health care personnel to provide an environment of integrity, responsibility, and creativity to support humanistic care. In such an environment, policies, procedures, and guidelines can be perceived as a “game,” with rules that are not a burden but a structure.

Objectives A. discuss the philosophy and concepts of

humanism as applied to the health care delivery system

B. identify barriers to humanism in the health care environment

C. implement the concepts of humanism in the care of patients having surgery

Moderator Cynthia Hayes, RN, MN Assistant director of nursing, OR/RR Emory University Hospital, Atlanta

Cynthia Hayes, RN Paul B Hofmann

AORN Board of Directors

Paul B Hofmann, MPH Executive director Emory University Hospital, Atlanta

Sylvia Sultenfuss, RN, MSN Mental health consultant/psychotherapist Alliance for Counseling and Therapeutic

Speakers

Services, Atlanta

Thursday, March 13

Voting, 7 to 9 am

Room 307-308


Educational sessions, 9 to 11 am

Definition of Death: Urgent Need

Hall C

Death is discussed more openly due to rapid advancements that make it possible to sustain body functions. Determination of death has rested with medicine. The legal definition, however, is elusive. A physician with a legal background will clarify the necessity for an explicit definition of death. Legal aspects of wills, heirs, transplants, and insurance coverage, to name a few, will be examined for a better understanding of the problems faced by patients, families, and health care providers. As health professionals, nurses in the operating room must recognize and share this information to enhance care for the living.

d- AORN Journal, February 1980, Val 31, No 3 363

Thursday Objectives A. differentiate between definition and

determination of death B. state two examples of the need for a

definition C. identify two areas that require a legal

definition of death

Moderator Brigitte Beard, RN Private scrub nurse McCarthy DeMere, MD, Memphis

McCarthy DeMere, MD, JD Plastic surgeon, international lecturer on

Memphis

Speaker

death and dying

Financial Strategies for Nurses: Session 1

Auditorium

The nurse's ability to respond judiciously to the national mandate for hospital solvency will be addressed. The federal budget, pending health legislation, cost containment, and their impact on institutions will provide the perspective for an aggressive nursing approach to operating room finance. Criteria for budgeting strategies to support professional standards and philosophies will be presented. From her experience, the speaker will cite examples of risk, value conflicts, and resolution. This is the first session of a two-part series that involves group participation. The second session will be held from 3 : i O to 5 pm Thursday.

Objectives A. discuss factors influencing hospital

operating room finance 6. identify criteria for strategies in

budgeting C. relate the selection of cost-effective

measures to operating room goals and objectives

Moderator Star Stegall, RN Charge nurse, OR Gwinett Community Hospital, Snellville,

Ga

Speaker

McCarthy DeMere, MD Ludmila Davis, RN

Ludmila Davis, RN, BS Consultant, OR management, aseptic

San Carlos, Calif practice

Perioperative Role: The Reality of Experience

Room 300

The adoption of the perioperative role by AORN in 1978 has stimulated nurses in the operating room to seek information on how to incorporate the role into their daily practice. There are elements of the role in the practice of all nurses in the OR. However, identification of these elements by the OR nurse is often unclear. The speakers are practicing OR nurses who will share their experiences in implementing the perioperative role. An OR nurse employed by a private surgeon will discuss her activities as a perioperative nurse. A nurse educator will relate her approach to the perioperative role and her students' experiences with initiating and assuming the role. An OR nurse employed in a hospital will explain her perioperative nursing practice.

Objectives A. describe the functions performed by a

perioperative nurse in a variety of practice settings

B. evaluate methods employed by the perioperative nurse that result in improved continuity of care for the patient

C. discuss practical guidelines the OR nurse can use in daily practice to enhance her perioperative role functions

366 AORN Journal, February 1980, Val 31, No 3

Thursday Speakers

Cathy Brown, RN Orthopedic nurse specialist Peachtree Orthopedic Clinic, Atlanta

Carol A LaFlamme, RN Perioperative nurse, OR Hightine Community Hospital, Seattle

Judith D Pesetski, RN, MSN Captain, Army Nurse Corps and course

William Beaumont Army Medical Center, director, OR nursing

El Paso. Tex

Surgical Attire: Deterrent to Microbial Contamination

Room 210

Millions of dollars and countless patient hospital days are spent each year as a result of surgical infection. Total pain and suffering are incalculable. Preventing infection is a primary concern to the OR nurse. To accomplish this, the nurse must be able to control environmental factors that affect the incidence of infection. New research documenting migration of organisms in the surgical field and the identification of barrier materials will be discussed. The role and responsibilities of each member of the surgical team in preventing infection through environmental control will be featured.

Objectives A. discuss environmental control in the

operating room B. evaluate the use of surgical attire in the

prevention of microbial contamination in the surgical field

C. describe the role of the OR nurse in controlling factors within the surgical environment that contribute to surgical infections

Moderator Janet K Schultz, RN, BSN Assistant director, educationiconsultation AORN, Denver

Merrill A Ritter, MD Reconstructive joint surgery, sports

Speakers

medicine

Judith Pesetski, RN Janet K Schultz, RN

Indianapolis

A Murray Wiley, MB, FRCS Assistant professor of surgery

University of Toronto, Canada (orthopedics)

Have Your Say: Influencing Nursing Practice Acts and Administrative Rules

Room 208

Nurses should be aware of how wording in nursing practice acts and administrative rules affects them and their specialty organization. This session will elaborate on the effects of mandatory continuing education for relicensure and provide insight on how such requirements can affect the legal definition of licensure. Ways nurses can effectively present their views will be explored.

Objectives A. explain the ramifications of nursing

practice acts for you, your AORN chapter, and national AORN

B. discuss licensure as a trust, a privilege, and a property right

C. discuss strategies chapter members can use to affect or change nursing practice acts

Moderator and speaker Gwen H Dodge, RN, MS Assistant director,

education/credentialing AORN, Denver

Speakers Brenda McKonly, RN, BSN

AORN Journal, February 1980, Vo l31 , No 3 367

Thursday

Gwen H Dodge, RN Jan Harrell, RN

Nurse coordinator, ambulatory minor

Beth Israel Hospital, Boston

Frances I Waddle, RN, MSN Coordinator, ethical and legal aspects of

American Nurses' Association, Kansas

surgery

nursing practice

City, Mo



Destiny: The Vietnam Vet

Hall C

The Vietnam veteran has reentered our society with needs and problems that we as citizens and health professionals have been ill prepared to meet. What are these needs? How have these problems been aggravated by reentering our society? Hear about the veterans' perceptions of the causes of their adaptive difficulties. The speaker will also describe a new federally funded outreach program specifically for the nonhospitalized Vietnam veteran.

Objectives A. identify needs and problems of Vietnam

veterans B. discuss veterans' perceptions of how

medical-social adaptive problems occur C. describe federally sponsored outreach

program available for the Vietnam veteran

Moderator

Sandy Gaylor, RN Supervisor, OR Doctors Memorial Hospital, Atlanta

Jack R Ewalt, MD Director, mental health and behavioral

sciences services, Department of Medicine and Surgery

Veterans Administration, Washington, DC

Speaker

Financial Strategies for Nurses: Session 2

Auditorium

The operating room is a highly specialized technical and professional service functioning within the policy structure of the hospital. Its purpose is to provide the optimum in surgical services to the patient through maintenance of a safe surgical environment. This requires supplies and equipment at maximum levels of function, and enough specialized staff of high competence. How can this be achieved efficiently and implemented cost effectively? The speaker will address this in the second of a two-part series. The session involves group participation. It is strongly suggested that participants attend the morning session from 9 to 11 am.

0 bjectives A.

B.

C.

discuss the use of historical financial data trends in budgeting for the operating room identify factors influencing type and number of staff needed in an operating room describe methods of documentation relating to fiscal responsibilities of the nurse in the OR

Moderator

Speaker

Star Stegall, RN

Ludmila Davis, RN, BS

Sports Medicine

Room 300

Eighty-eight million Americans will participate in recreational activity this year.

3 70 AORN Journal, February 1980, Vol31, No 3

Thursday

Marie f irth, RN Frank W Jobe, MD Lewis Yocum, MD Diane Wilkes Elrod, RN

Professional, highly paid athletes have brought about the subspecialty called “sports medicine.” A recognized team of experts in sports medicine will speak about the impact of injury on the athlete, common causes of injury, and diagnostic and treatment measures currently used. Each team member will outline his responsibility in the area of biomechanics, surgical treatment, and nursing care. The care of the athlete will be followed from injury through rehabilitation.

Objectives A. identify common sports-related injuries

and the anatomical structures involved B. state the responsibility of each member

of the team in the care of this patient C. list three methods of treatment now used

for general orthopedic patients as a result of sports medicine research

Group, Inc

Implementing Recovery Room Nursing Standards

Sponsored by the AORN Recovery Room Nursing Standards Committee

Room 210

Nurses caring for patients in the recovery room have requested that AORN establish standards that would guide their practice. In response, the AORN Recovery Room Nursing Standards Committee will present the newly published Standards of Nursing Practice: Recovery Room to participants attending this session. Information will be provided on the development and purpose of these standards. Participants will be given the opportunity to discuss implementation and to be actively involved in examining methods of applying and measuring the

Moderator standards Jan Harrell, RN Private orthopedic scrub nurse Atlanta

Speakers Marie Firth, RN Staff nurse, OR Centinela Hospital Medical Center,

Inglewood, Calif

Frank W Jobe, MD Orthopedic surgeon Southwestern Orthopaedic Medical

Lewis Yocum, MD Orthopedic surgeon

Group, Inc, Inglewood, Calif

Objectives A. define standards as they relate to the

practice of recovery room nurses B. state the importance of using standards

when caring for the surgical patient immediately postoperatively

C. delineate three ways the Standards of Nursing Practice: Recovery Room can be implemented

Moderator Diane Wilkes Elrod, RN Coordinator, day surgeryiRR The Henrietta Egleston Hospital for

Children, Atlanta

Southwestern Orthopaedic Medical Speakers

d- AORN Journal, February 1980, Vol31, No 3 371

Thursday/Friday

Pat Robertson Hercules, RN Mary E Bushong, RN

Mary E Bushong, RN, MSN Assistant director, OR/RR nursing and

University Hospitals, Case Western assistant clinical professor

Reserve University School of Nursing, Cleveland

Pat Robertson Hercules, AN, MS Assistant professor Houston Baptist University

Edwina A McConnell, RN, MS Independent nurse consultant Madison, Wis Chairman, AORN Recovery Room

Nursing Standards Committee

Legislative Update

Sponsored by the AORN Legislative Committee

Room 208

Nurses are becoming increasingly aware of how legislation affects their professional practice. Speakers will discuss legislative issues and activities related to nursing. Experiences with the legislative process and examples, such as California Senate Bill 666, will be highlighted. Content includes an overview of state legislative activities affecting nursing practice, with discussion of definitions of practice, composition of boards of nursing, sunset laws, and malpractice insurance. How the role of the legislative liaison reflects the goals of AORN as defined by the Board of Directors will also be discussed.

Objectives

Phyllis Grillo, RN Jean E Davis, RN

A. discuss the impact of sunset laws on state boards of nursing

B. develop an awareness of the importance of the nursing practice act and the power it provides nurses to promote health care

C. list examples of state legislative activities and issues that have affected nursing

Moderator Phyllis Grillo, RN, BSN Staff nurse, OR Bexar County Hospital, San Antonio, Tex Chairman, AORN Legislative Committee

Jean E Davis, RN Associate director of nursing, OR/RR Green Hospital of Scripps Clinic, La Jolla,

June Levine, RN, MSN Clinical Specialist, pediatrics El Cajon Valley Hospital, San Diego, Calif

Frances I Waddle, RN, MSN

Speakers

Calif

House of Delegates, 5:15 to 7 pm

Hall C

Friday, March 14

Registration, 8 to 10 am

Educational session, 9 to 11 am

Perioperative Role: Strategies for Chapter Implementation

Sponsored by the National Committee on Education

374 AORN Journal, February 1980, Vol31, NO 3

Mary Ellen LePine, RN Peggy Anderson

Hall C

Integration of perioperative experiences into the basic curriculum is an AORN goal. It is time for activities at the local level to parallel national efforts. The role of the operating room nurse of the past will be compared to the modern practice of nursing in the operating room for a dramatic illustration of the expansion of nursing activities performed by the perioperative nurse. One chapter’s initiative in establishing contact with nursing educators will be spotlighted as an example of creativity. And finally, Project Alpha, a blueprint of activities for local chapters interested in communicating with faculty of nursing programs in their area, will be introduced.

Objectives A.

B.

C.

compare practice of the past with the present role described for the perioperative nurse describe methods of effective communication between curriculum planners and operating room nurses list activities a chapter can initiate to achieve integration of the perioperative experience into the basic curriculum.

Moderator and speaker Mary Ellen LePine, RN Patient care coordinator, OR/RR Community General Hospital, Reading,

Chairman, AORN National Committee on Pa

Education

Isaac Goodfriend

Staff nurse, OR St Francis Medical Center, Monroe, La

Phyllis Wells, RN Nurse consultant E I duPont de Nemours & Co, Wilmington,

Del

Closing session, 11 am to noon

Hall C

Presiding officer

Closing address

Barbara Gruendemann, RN, MS

Peggy Anderson Author of Nurse Phi I ade Ip h i a

Introduction of Board of Directors

Acceptance Barbara Stanewick, RN Perioperative nurse coordinator Baptist Hospital of Miami

Isaac Goodfriend, cantor Ahavath Achim Congregation, Atlanta

Benediction

President’s Reception, Noon

Room 100-102

Speakers Sylvia Gunter, RN, MN

AORN Journal, February 1980, Vol31, No 3 375

Documents

Congress program