Texas Nurse Practitioners

27th Annual Conference

September 24-27, 2015

Sheraton Dallas | Dallas, Texas

From the President

The Texas Nurse Practitioner Board of Directors invitesnurse practitioners, advanced practice nurses, and stu-dents to the 27th Annual TNP Conference. TNP’s 27th“Redefining the Landscape” Conference will be held atthe Sheraton Hotel in downtown Dallas September 24-27, 2015.

If you are not already a TNP member, we welcome youto join Texas Nurse Practitioners and receive substantialdiscounts on your registration. Register now and arrivea day early (Thursday) for the phenomenal half day pre-conference day workshops.

While you are registering, please take a moment to signup for the Legislative Champions Dinner on Friday evening.This fundraising event will include important legislativeinformation and special guests. In addition, immediatelyfollowing the dinner will be Casino Night where youwill have an opportunity to win some great prizes! Thewelcome reception will be held on Thursday from 5:00-7:00 p.m. near the registration desk.

Don’t forget about the ever popular Foundation SilentAuction and Walkathon. So, even if you do not want tobe up at the crack of dawn-you can simply pay to NOTwalk! Remember if you are going to walk, take sometime to get sponsors as a prize will be awarded to the in-dividual who raises the most support. It’s a wonderfulway to meet others from around the state and supportscholarships.

We look forward to seeing you in September.

Sincerely,

Michael Hazel DNP, RN, FNP-BCPresident TNP

Thank You!

Special Thanks to the 2015Conference Planning Committee

Sheri Innerarity, Chair & Vice PresidentJune Belt

Joanna GuentherJohnanna Hernandez

Anna JessupShelagh Larson

Cathy LuxSandy McCoy

Robert MetzgerKim Oas

Peggy Ostrander

Jan Allen, TNP Meeting PlannerEmily Eastin, TNP Executive Director

Welcome from the TNP 2015 Conference Planning Committee

Welcome to the Texas Nurse Practitioners (TNP) 27thAnnual Conference in downtown Dallas. As you look atthe planned conference you will see great diversity in topicsincluding Pediatrics, Family Practice, Acute Care, Geriatric,Women’s Health and Professional Development. Addi-tionally, we have included sessions that will meet the TexasBoard of Nursing requirements for Pharmacology (RX),Ethics (E), Jurisprudence (J), Gero (G) and ControlledSubstances (CS) requirements. Don’t forget the pre-conference workshops where there is opportunity to learnspecial skills and immerse yourself in areas of special interest.There truly is something for everyone! Take advantage ofthe high quality speakers we have selected to enhance yourprofession and your practice. We encourage you to takethis opportunity to network, learn and enjoy all of the offerings at the 27th Annual TNP Conference. We lookforward to seeing you.

Sincerely,Sheri Innerarity, RN, PhD, ACNS, FNPTNP Education Chair

Wednesday | September 23, 20153:00 – 7:00 p.m. Registration

Thursday | September 24, 20157:00 a.m. – 7:00 p.m. Registration8:30 – 11:45 a.m. Workshops (break from 10:00-10:15) 7:15 – 8:15 a.m. Thursday Breakfast Symposium

(Non-CE)12:00 – 1:00 p.m. Thursday Lunch Symposium

Strategies for Effective Weight Management(Non-CE) Sponsored by: Novo Nordisk

1:15 – 4:30 p.m. Workshops (break from 3:00 – 3:15)5:00 – 7:00 p.m. Welcome Reception in Lone Star

Ballroom Foyer 7:15 – 9:00 p.m. Pre-Conference Board Meeting

Friday | September 25, 20157:00 a.m. – 5:00 p.m. Registration7:00 – 8:00 a.m. Friday Breakfast Symposium

Diabetes Update (Non-CE)Sponsoredby: Sanofi

7:15 – 8:15 a.m. Breakfast Concessions in Lone StarBallroom Foyer

8:30 – 8:45 a.m. Welcome/Housekeeping Items byMichael Hazel, TNP President

8:45 – 9:00 a.m. General Session (GS01): Welcome 9:00 – 10:15 a.m. General Session (GS02): 5 things all

NPs Need to Know (1.25CE)10:15 – 10:45 a.m. Morning Break in Exhibit Hall, and

Silent Auction Opens10:45 – 11:45 a.m. First Breakout Session12:00 – 1:00 p.m. Concessions (Lone Star Ballroom

Foyer)1:15 – 2:15 p.m. Second Breakout Session2:15 – 2:45 p.m. Break/Exhibits/Silent Auction/

Posters (2.2CE)2:45 – 3:45 p.m. Third Breakout Session3:45 – 4:15 p.m. Break/Exhibits/Silent Auction4:15 – 5:15 p.m. Fourth Breakout Session6:30 – 8:30 p.m. Legislative Champions Dinner

(Ticketed Event) (1CE)8:30 – 10:00 p.m. Casino Night (Ticketed Event)

Saturday | September 26, 20157:00 a.m. – 5:00 p.m. Registration7:00 – 8:00 a.m. TNPF Walkathon (Ticketed Event)7:30 – 8:30 a.m. Breakfast Concessions in Lone Star

Ballroom Foyer7:30 – 8:30 a.m. Saturday Breakfast Symposium

(Non-CE)8:45 – 9:45 a.m. First Breakout Session9:45 – 10:15 a.m. Break/Exhibits/Silent Auction10:15 a.m. Silent Auction Closes & TNPF

Drawings in Exhibit Hall10:15 – 11:15 a.m. Second Breakout Session11:45 a.m. Exhibit Hall Closes11:45 a.m. – 1:00 p.m. Awards/Business Luncheon (Members

Only) (Those not attending membershipluncheon will be on their own for lunch.)

1:15 – 2:15 p.m. Third Breakout Session2:15 – 2:30 p.m. Break2:30 – 3:30 p.m. Fourth Breakout Session3:30 – 3:45 p.m. Break3:45 – 4:45 p.m. Fifth Breakout Session

Sunday | September 27, 20157:00 – 12:00 p.m. Registration7:00 – 8:00 a.m. Sunday Breakfast Symposium

(Non-CE)8:15 – 9:30 a.m. General Session (GS03): Legislative

Update - What do we do now?(1.25CE)

9:30 – 9:45 a.m. Break9:45 – 10:45 a.m. General Session (GS04): Ethical

Dilemmas in Advanced Practice:Origins and Resolution (1CE)

10:45 – 11:00 a.m. Break11:00 a.m. – 12:00 p.m. General Session (GS05): Jurispru-

dence for Advanced PracticeNurses in Texas (1CE)

12:15 p.m. Post-Conference Board Meeting

OVERALL AGENDA

This program is approved for 22.7 contact hour(s) of continuing education (which includes 14.5 hours ofpharmacology) by the American Association of Nurse Practitioners. Program ID 1506296. This program was

planned in accordance with AANP CE Standards and Policies.

For your convenience we have listed the programs within particular tracks that are being offered at the Fall Conference.

Many of the topics are family practice topics, but if you are looking for a track please see the programs below:

Acute: F01, F08, F15, F22, S29, S36, S43, S50, S51, S57

Gero: F09, F16, S30, S37, S46, S57

Pediatric: F03, F10, F17, F23, S31, S38, S45, S49, S53, S59

Women’s Health: WS06, F04, F24, S32, S38, S44, S56, S57

Psych/Mental Health: WS04, F05, F26, S46, S53

Practice/Professional: F07, F14, F27, F28, S34, S40, S47, S54, S60

In addition, new this year, we will include information next to the descriptionif the session includes any of the following hours required by the Board of Nursing:

Pharmacology (RX) (will be noted upon AANP approval)

Controlled Substance (CS)Ethics (E)

Jurisprudence (J)Gero (G)

Please see the conference program for a description of each workshop and session offered.

TRACK DETAILS

Thursday, September 24, 2015 | 8:30 - 11:45 a.m.

(WS01) Pharmacology Update (Amelie Hollier, DNP, FNP-BC,FAANP) The presentations will highlight new trends and strategiesto treat and prevent infectious diseases, treat and manage asthma/COPD in primary care In addition, the 20 most commonly prescribeddrugs in primary care will be discussed as well as a review of older genericdrugs that are valuable medications in primary care. (3CE; 3RX)

(WS02) Basic Suturing (Michael Hazel, DNP, APRN, FNP-BC) Basic wound closure is a must for the NP in the office, operatingroom or emergency department. This workshop will discuss woundhealing, multiple types of wound closure with the opportunity foreach participant to practice and receive help from experts in the areaof suturing in a non threatening and friendly manner. (3CE; 0.5RX)

(WS03) Evaluation and Treatment of Common Hip and KneeProblems in the Adult Patient (William Crowe, RN, MSN, FNP-BC) Hands-on class designed to increase the Nurse Practitioner'sconfidence in evaluating an adult patient with common hip and kneeproblems. (3CE; 0.5RX)

(WS04) Psychiatry Cliff Notes - Mood Disorders (Cynthia Kidd,PMHNP-BC) Diagnosing, coding and treatment options for primarycare practitioners. (3CE; 1RX)

(WS05) Understanding X-Rays: Chest and Abdominal Imaging(Ronald Thompson, MD, MD - University of Michigan 1979; MS - Me-chanical Engineering - University of Michigan 1975; BS - Mechanical Engi-neering - Ohio University 1972) This presentation will benefit anyonewho has a desire to understand the basic principles of RadiographicImaging as related to chest x-rays and abdominal imaging. This pres-entation will help the attendee to look at and understand chest andabdominal x-rays in a way that is logical and makes sense! This pres-entation addresses basic, important, fundamental concepts and prin-ciples of radiographic imaging and how these concepts and principlescan be used in diagnosing illnesses. Common radiographic findingswill be presented and discussed, along with their interpretation andcorrelation with the patient's clinical findings and disease process.(3CE)

(WS06) Reproductive Healthcare - Naturally!(Pamela Richardson, MSN, APRN, FNP-C, FCP, NFPNP) ExploreFertility Awareness Based Methods of family planning including: his-tory of FABMs, modern FABMs, incorporating FABMs into yourpractice, and FABM resources. Practical exercises in medical applica-tions of FABMs will provide basic skills for using FABM in the treat-ment of female reproductive disorders. (3CE; 1RX)

(WS07) 12 lead EKG interpretation: The Basics and Beyond(Cindy Weston, DNP, RN, CCRN, CNS-CC, FNP-BC) This sessionwill review the basics of 12 lead electrocardiogram: when to order it,the 12 most common rhythms and their treatment and the identifi-cation of acute myocardial infarction. (3CE; 1RX)

Thursday, September 24, 2015 | 1:15 - 4:30 p.m.

(WS08) Controlled Substances Update: Are you Ready?(Amelie Hollier, DNP, FNP-BC, FAANP) This 3 hour presentation willreview federal rules, discuss strategies for prescribing common con-trolled substances, and avoidance of common prescribing errors.(3CE; 3RX; 3CS)

(WS09) Advanced Wound Closure (Michael Hazel, DNP, APRN,FNP-BC) Advanced wound closure is for the NP who is ready to ad-vance their skills to include wound blocks and complex wounds. Thisworkshop will allow the learner to expand their scope of practice totackle a more difficult wound which will need more than one stitch.This will allow the attendee to utilize multiple techniques of closure.(3CE; 1RX)

(WS10) Evaluation and Treatment of Common Shoulder andElbow Problems in the Adult Patient (William Crowe, RN, MSN,FNP-BC) Hands-on class designed to increase the Nurse Practi-tioner's confidence in performing a shoulder-elbow exam in the adultpatient. (3CE; 0.5RX)

(WS11) Spirometry Workshop for Primary Care Nurse Prac-titioners (Catherine “Casey” Jones, PhD, RN, ANP-C and Joyce Danter,MSN, APRN-BC, ANP, GNP) Hands on spirometry with interpre-tations of common results. (3CE)

(WS12) What's New in the Treatment of Diabetes(Celia Levesque, RN, MSN, NP-C, CNS-BC, CDE, BC-ADM) Thisworkshop will cover all of the 2015 guidelines for treatment of dia-betes. The lecture will cover prescribing an individualized treatmentplan based on history, physical assessment, laboratory findings. All ofthe current diabetes medications on the United States market will bediscussed. (3CE; 1RX)

(WS13) Understanding X-Rays: Brain Imaging(Ronald Thompson, MD, MD - University of Michigan 1979; MS - Me-chanical Engineering - University of Michigan 1975; BS - Mechanical Engi-neering - Ohio University 1972) This presentation will benefit anyonewho has a desire to understand the basic principles of RadiographicImaging in relation to CT scans of the brain. This presentation willhelp the attendee to look at and understand x-rays in a way that is log-ical and makes sense! This presentation addresses basic, important,fundamental concepts and principles of radiographic imaging andhow these concepts and principles can be used in diagnosing diseasesof the brain. The information is presented from a radiologist's pointof view, in a manner that can be understood by a non-radiologist, andgives the participants insight into the thinking process involved in in-terpreting x-ray examinations. Common radiographic findings ofbrain abnormalities will be presented and discussed, along with theirinterpretation and correlation with the patient's clinical findings. (3CE)

(WS14) Dermatology: Skin Biopsy (Trina Lanza, RN, MSN,WOCN, APRN, FNP-C) This workshop will provide a review of as-sessment, appropriate biopsy choices and management of differentskin lesions. Participants will have the opportunity to perform a shavebiopsy, punch biopsy, and simple suture procedures. (3CE)

PRE-CONFERENCE WORKSHOPS

CANCELLED

Friday, September 25, 2015 | 10:45 - 11:45 a.m.

(F01) Acute Heart Failure: Diagnostics and Treatments(Ruben Melendez, MSN, ACNP) Heart failure prevalence and hospi-talization is on the rise and it is important for the nurse practitionerto be familiar with pharmacologic strategies to manage symptoms andimprove outcomes. This presentation will discuss acute exacerbationmanagement of heart failure as well as strategies to reduce hospitalreadmission. (1CE; 0.5RX; 0.5G)

(F02) Evaluation of Two Common Respiratory Complaints:Cough & Dyspnea (Catherine "Casey" Jones, PhD, RN, ANP-C) Patients commonly present with the respiratory symptoms of coughand dyspnea. Diagnosing and evaluating these acute or chronic com-plaints in primary care may be overwhelming at times. A systematicapproach will be presented. (1CE; 0.25RX)

(F03) Myofunctional Therapy, An Evidence Based Therapy forADD/ADHD and More Without the Use of Medication (Martin Denbar, DDS) Myofunctional Therapy is an evidence basedtreatment that is new to the US but is presently being used extensivelyin Brazil, Britain, Europe and Australia. It can be used as a medicationfree therapy for ADD/ADHD, long face syndrome, pediatric bed wettingand more. For adult patients it can be an adjunctive therapy for OSA.(1CE)

(F04) What exactly are bio-identical hormones and whatshould I tell my patients? (Christy Blanco, DNP, RN, WHNP-BC)Everyone is hearing about Suzanne Sommers taking bio-identicalhormones and the push that she gives women to take these hormones.Then you hear that the FDA is going after compounded pharmacieswho compound bio-identical hormones. Medical providers and patients are confused and frustrated. The presentation will explainwhat types of estrogen are causing the controversy and how medicalproviders can counsel their patients regarding hormone therapy.(1CE; 1RX)

(F05) Achieving Sustained Remission in Major Depressive Dis-order: Patient-Centered Strategies for Improved Outcomes(AANP CE Series)(Cindy Parsons, DNP, PMHNP-BC, FAANP) Thisinteractive program will be designed to improve the ability of NPs andPas to provide optimal care for their patients with residual symptomsof MDD. The content of the interactive program will cover routinemonitoring of MDD symptom resolution, impact of acute and resid-ual MDD symptoms on cognitive dysfunction, quality of life, relapserisk and overall outcomes. (1CE; 0.4RX)

(F06) Insulin Pump Therapy: Initiation and Adjustment(Celia Levesque, RN, MSN, CNS-BC, NP-C, BC-ADM, CDE) This session will teach the Advanced Practice Nurse how to calculateinitial insulin pump doses and how to adjust doses based on gluocsepatterns and special situations. (1CE; 1RX)

(F07) What New NPs Need to Know - Beginning Your NPPractice in Texas (Monica Alleman, DNP, FNP and Rachelle Campbell,MSN, FNP) Starting practice as a new FNP is Texas can seem daunting.If you are wondering what it will take, DEA, APRN, DPS, NPI, etc.or need help understanding what is the right first step - this session isfor you. Seasoned nurse practitioner faculty Dr. Monica Alleman,

DNP, FNP and FNP business owner, Rachelle Campbell, FNP-BCwill provide you insight into the transition from the role of NP student to the role of a practicing NP. (1CE)

Friday, September 25, 2015 | 1:15 - 2:15 p.m.

(F08) Preventing Stroke in Patients with Atrial Fibrillation(Mary Ellen Roberts, DNP, RN, APNC, FAAN, FAANP) Stroke Pre-vention in Atrial Fibrillation-Case based presentation designed to pro-mote evidence-based decision making in implementing appropriatestroke prevention measures based on risk stratification and patientcharacteristics for individuals diagnosed with atrial fib. (1CE; 0.5RX)

(F09) Polypharmacy and the Pain of Arthritis Management(Johnanna Hernandez, PhD, RN, MSN, APRN, FNP-BC)Arthritis is one of the most common diagnoses in older adults. Man-aging persistent pain associated with conditions such as osteoarthritisand rheumatoid arthritis involves decision-making based on multipleconsiderations, including judicious examination of polypharmacy.Analgesics are considered a high-risk class of medications in the olderadult and critical analysis is needed to avoid drug-to-drug interactions.This presentation will focus on guiding principles for optimal persistentpain management in older adults, including special considerations,types of analgesic medications, drugs to avoid in older adults, andcommon drug-to-drug adverse reactions. (1CE; 0.5RX;1G)

(F10) Hypertension in the Pediatric Population(Angela Gooden, MSN, RN, CPNP-PC/AC) Evidence shows that primaryhypertension in children is an emerging issue with serious long-termhealth risks. Early detection and intervention are needed to reducethese health risks and improve long term outcomes. (1CE; 0.5RX)

(F11) It's Time to Talk: About Complementary Health Ap-proaches - Part 1 (Catherine Hill, DNP, APRN, GNP-BC) This twopart session prepares Nurse Practitioners to talk and treat using cur-rently popular complementary heath approaches. Complementaryhealth approaches are popular. NP's can help patients make wisehealthcare decisions if they ask about it then discuss their use and thecurrent evidence. Part one focuses on patient interview and assessmentapproaches using “Talking Tips” from the National Institute of Healthand evidence based assessments. (1CE)

(F12) Managing Inflammatory Bowel Disease: Advances inImmunopathogenesis and Treatment (AANP CE Series) Thisinteractive program will be designed to improve the management ofIBD patients among NPs, from symptom assessment to coordinatingcare and management of therapy. The ultimate goal is to deepen theNP impact on the quality of care and the overall quality of the healthand lives of their patients with IBD. (1CE; 0.25RX)

(F13) Sleep Apnea and Oral Appliances Therapy(Martin Denbar, DDS) Sleep apnea is a pervasive condition that goeslargely untreated among your patient population. Untreated sleepapnea negatively impacts numerous disease conditions making man-agement more diffiuclt, expensive and time consuming. Evidencebased research has shown Oral Appliance Therapy to be efficaciousand more accepted than CPAP therapy. By providing the patient andclnician more treatement choices the patient has a better chance tomanage their disease. (1CE)

PROGRAM SESSIONS

(F14) After I’ve Earned My DNP: Looking Back and Forward:Was it Worth It? (Barbara Cherry, MBA, DNSC, Emily Merrill, PhD,RN, FNP-BC, CNE, FAANP, Melanie Richburg, DNP RN FNP BCand Martha Zinn, DNP RN FNP BC) The proliferation of DNP pro-grams and its impact on graduate education presents many optionsfor NPs. Listen to NP panelists who have earned a DNP and howtheir professional lives and practice have been impacted. (1CE)

Friday, September 25, 2015 | 2:45 - 3:45 p.m.

(F15) Biomarker Assistance in Antibiotic Duration in COPDExacerbations (Essence Carter-Griffin, DNP, RN, ACNP-BC) COPDexacerbations requiring acute medical treatment are frequently en-countered by providers within the ICU. Standard of care for patientspresenting with a COPD exacerbation according to the GOLDGuidelines include the use of bronchodilators, oxygen therapy,steroids and antibiotics. However, controversy surrounds the use ofantibiotics in all COPD cases secondary to the lack of causality in one-third of severe COPD exacerbations. This project adds to the growingbody of literature favoring the use of procalcitonin as an aid to antibi-otic stewardship without the development of poor outcomes. (1CE;0.5RX; 0.25G)

(F16) Aortic Stenosis - No longer a death sentence for the eld-erly. Evaluation and new treatment options (Debbie Lewis, RN,MSN, FNP-C) This session will discuss how to evaluate patients withAS, medical management and best treatment options. In addition, anoverview of Transcatheter Aortic Valve Replacement (TAVR) procedure,knowing who and how to refer for the procedure as well as post pro-cedure follow up will be outlined. (1CE; 0.25RX; 1G)

(F17) Let’s Get Teens Immunized Against HPV (Patricia Obulaney,DNP, ANP-C) The Human Papillomavirus (HPV) Vaccine and cervicalcancer prevention. (1CE)

(F18) It’s Time to Talk: About Complementary Health Ap-proaches - Part 2 (Catherine Hill, DNP, APRN, GNP-BC) Part twofocuses on diagnosis and treatment options using evidence based practice.This session will guide NP's in the application of talk and treat prin-ciples in 3 real world case studies according to current evidence in theNational Institute of Health, National Center for Complementaryand Integrative Health’s website. (1CE)

(F19) When the Hgb A1c Cannot Be Trusted (Debbie Mahoney,PhD, APRN, FNP-BC) Clinicians rely heavily on the glycated hemo-globin or hemoglobin A1c (HgbA1c) in managing diabetes. The accuracy of the hemoglobin A1c is dependent upon red blood cells(RBCs) with a normal lifespan of 120 days and a 1% turnover daily.Failure to recognize clinical situations where the HgbA1c is not anaccurate reflection of long term glucose control can lead to under-orover- treatment of diabetes. (1CE)

(F20) Controlled Substance Part 1 (Susannah Herkert MS, DEADiversion Investigator) Prescriptive drug use and abuse is currently apriority issue for health care and an urgent Public Health Issue. TheDEA is charged with oversight of these medications and enforcingcontrolled substance laws and regulations. NPs have a legal and eth-ical responsibility to uphold these laws and protect society thru safeprescriptive practices. This program will focus on the problem, therole of the DEA in the state of Texas, and strategies for safe practicefrom the perspective of the DEA. (1CE; 1RX; 1CS,0 .5J)

(F21) Your Feet are Made for Walking (John Early, MD) Muscu-loskeletal examination of the foot and ankle. (1CE)

Friday, September 25, 2015 | 4:15 - 5:15 p.m.

(F22) What’s Wrong with a Little More Blood? (Elizabeth Gigliotti,NP-C, ACNP-BC) Severe anemia is correlated with increased mor-tality, however, correction of moderate anemia to a more “normal”level has not been shown to decrease morbidity or mortality. Thereare several deleterious consequences of transfusion. Evidence comparingrestrictive and liberal transfusion strategies will be discussed in certainpatient populations. (1CE)

(F23) Food Allergy Management (Kathryn Reveles, PhD(c), DNP,APRN, CNS, CPNP) Food allergies are an increasing issue for fam-ilies and children. Understanding the prevalence of food allergies,signs and symptoms, and being able to assist families in developing afood allergy exposure emergency plan are of importance to primarycare providers. (1CE; 0.25RX)

(F24) Low Risk Ovarian Cancer Screening Discussion of overa Decade Long Study (Gwen Corrigan, MSN, FNP) Presenting re-sults from the low risk ovarian study of serial CA 125 and discussionof ovarian cancer screening. (1CE)

(F25) Controlled Substance Part 2 (Kim Oas, MSN, FNP and JanZdanuk DNP, APRN, FNP-BC, FAANP) This program focuses onthe practicing NP in reference to pain management and the use ofcontrolled substances. It will address specific requirements in the stateof Texas for practicing NPs to prescribe as well as Key concepts ofpain management to include both pharmacologic and non-pharma-cologic. The most commonly asked questions regarding prescriptiverequirements for NPs in the state of Texas will be addressed. (1CE; 1RX)

(F26) The Onus is on You: Managing Psychiatric Conditionsin Primary Care (Luis Berrios, DNP, MHA, ANP, PMHNP) Providesa practical approach to the art of managing depression, bipolar disor-der, and anxiety in primary care. (1CE; 0.5RX; 0.25 G)

(F27) Nurse Practitioners with a Mission; Making a DifferenceGlobally (Lori Spies, PhD, RN, NP-C) This presentation will look atthe work that nurse practitioners are doing around the world and ex-plore best practice guidelines in conducting global missions. NursePractitioners are making a significant impact on health in Texas andaround the world. APRNs are battling Ebola in Liberia, treatingHansen’s disease in India, and providing community health educationin Guatemala. (1CE)

(F28) Starting A Nurse Practitioner Business (Peggy Ostrander,DNP, APRN, FNP-C and Rachelle Campbell MSN, FNP) Starting anew NP owned practice in Texas can seem daunting. If you have everwondered what it would take, how long the planning process shouldbe or if opening your own business in Texas would be the right step,this is the session for you. FNP business owner, Rachelle Campbell,can provide you insight into owning your own practice in Texas andgive you a step by step guide on how to get started. (1CE)

Saturday, September 26, 2015 | 8:45 - 9:45 a.m.

(S29) Treatment of Acute Respiratory Failure of VariableCauses: Invasive vs. Non-Invasive Ventilation (Louisa Chika Ikpeama, DNP, CCRN, ACNP-BC) There are at least four differentcauses of acute respiratory failure. Mechanical ventilation (invasiveor non-invasive) may be required in the management and support ofthese patients, but clinicians must also quickly determine and treatunderlying cause of decompensation. (1CE; 0.25RX)

(S30) Dementia, Effective Pharmacological Management(Amanda Mullins, FNP-BC) Pharmacological Management of Dementiaincluding effects of co-morbid disease. (1CE; 0.5RX; 1G)

(S31) HPV and Associated Diseases - How Are They EffectingTexans? (Kathleen Doughtie, RN, MSN, WHNP) Best practices listedin research studies from MD Anderson's HPV vaccination environ-mental scan regarding increasing HPV vaccination uptake in children.(1CE; 1RX)

(S32) The “V”: One Word You Still Cannot Say on TV(Shelagh Larson, MS, RNC, WHNP, NCMP) Believe it or not one cannotsay “Vagina” on in the media. The menopause societies have renamedthis issue to Genitourinary Syndrome of Menopause (GSM). Now,we can say that on TV. Many new drug treatments are available forGSM and many more are in their final trail phase. You will soon starthearing “GSM” across the media and so will your patients. Be able tohave knowledgeable discussion without having to use the “V”word.(1CE; 0.5RX)

(S33) Smoking Cessation Interventions for the Medically/Eco-nomically Underserved Populations (Susan Chaney, EdD, RN,FNP-C, FAANP and Susan Sheriff, PhD, RN, CNE) Cigarette smokingcontinues to be the leading preventable cause of chronic illness in theUnited States. A disproportionate number of smokers are medicallyand/or economically disadvantaged. The presentation will review theetiology, health benefits of cessation, and pharmacology interventionsfor smoking cessation. (1CE; 0.5RX)

(S34) Negotiating Your NP Contract (Sandy McCoy, RN, MSN,FNP-BC) This presentation is designed to teach you how to analyzea written contract with the how and what you can ask for during negotiations of a contract. (1CE)

(S35) The Role of APRNs in Prediabetes Screening (Tracie Kirkland,DNP, APRN, ANP-BC, PNP-BC) There is a growing epidemic ofdiabetes with significant burden to patients, families, communities,payors, and society. Early identification and implementation oflifestyle changes can decrease the risk of developing diabetes; therebydecreasing risk of complications including micro/macrovascularchanges. Obesity is a risk factor associated with pre-diabetes. Thegrowing concern of obesity and its associated link to disease processessuch as diabetes provided the window of opportunity to assess currentscreening practices of APRNs to determine whether early screeningfor pre-diabetes was performed. (1CE; 0.25RX)

Saturday, September 26, 2015 | 10:15-11:15 a.m.

(S36) Anaphylaxis: Rapid Recognition and Treatment(Kevin Letz, DNP, MSN, MBA, RN, CEN, ANP, BC, FNP-C, PNP,BC) Anaphylaxis is a potentially fatal disorder and the occurrence isincreasing particularly in industrialized countries. Anaphylaxis is not

always recognized as it can mimic many other conditions. This coursewill review the recognition and treatment of anaphylaxis by clinicians.(1CE; 0.25RX)

(S37) Care of the Injured Patient: A Geriatric Perspective(Kara Jones, MSN, RN, FNP-BC) This session will guide the nursepractitioner in providing high quality care to the geriatric patient withtrauma and thermal injuries in a variety of practice settings. We willprovide evidence based practice information that will help nurse prac-titioners understand principles of pathophysiology that mandatechanges in care provided to geriatric patients with injuries, and delineateprinciples to maximize care for optimal outcomes for the aged. Most im-portantly, we will give the nurse practitioner practical information tocare for the geriatric injured patient and improve quality of life aftertrauma or thermal injury. (1CE; 0.25RX; 1G)

(S38) Contraceptive Update (Shelagh Larson, MS, RNC, WHNP,NCMP) Afraid of the latest birth control methods on the market?Not sure of which one to prescribe/insert? The latest reommendationswill surprise you. (1CE; 1RX)

(S39) Defining the beat: Getting to the heart of atrial arrhyth-mias (Carole Moore, APRN, MNSc, ACNP-BC) Atrial arrhythmiasrange from benign to malignant with atrial fibrillation involving the mostcomplex and multifaceted management. Understanding assessmentfindings promotes comprehensive management of atrial fibrillation/flutter. This discussion will focus on identifying and effectively managingatrial fibrillation and flutter with brief review of all atrial arrhythmias.(1CE; 0.5RX)

(S40) Precepting the Challenges and Rewards (Anna Jessup,MSN, APRN, FNP-C) This session has been developed for clinicalNurse Practitioners who are currently precepting or considering therole of precepting. Introducing students to your professional life as aNurse Practitioner can be one of the most satisfying experiences ofyour professional life. This session will focus on ways to maximizeboth the preceptor’s productivity, and the student’s clinical experi-ence. (1CE)

(S41) The Cancer Patient in Primary Care (Jill MacPherson, DNP,RN, FNP-BC, AOCNP) Cancer patients are returning to the primarycare setting more frequently with greater restrictions on health caremanagement and reimbursement. With a solid knowledge of generalcancer management in the primary care setting, advance practice cli-nicians will be able to support their patients more effectively acrossthe health-illness continuum. (1CE; 0.5RX)

(S42) Spine Examination (Robert Metzger, DNP, APRN, FNP-BC)This presentation will be designed to present attendees with anoverview of spine anatomy and present neurological examinationtechniques with a focus on radiological exams. (1CE)

Saturday, September 26, 2015 | 1:15 - 2:15 p.m.

(S43) The 3 Ps of Atrial Fibrillation: AF Managment (Jose Villa,DNP, APRN, FNP) Atrial fibrillation management guidelines includ-ing medications for rate control, stroke prevention and maintenance.(1CE; 0.5RX)

(S44) Female Sexual Health (Peggy Francis, DNP, RN, FNP,CUNP) The purpose of this presentation is to increase awareness ofthe complex issues related to Female Sexual Health. (1CE)(S45) Sex Drugs and Rock & Roll (Kathryn Reveles, PhD(C), DNP,

APRN, CNS, CPNP and Christy Blanco DNP, APRN, WHNP) Talk-ing to patients about sex is uncomfortable for approximately 80% ofmedical providers. If the patient is a teenager the whole experience ismore difficult for both the provider and the patient. Knowing how toask the difficult questions and which Texas laws apply will assist youin getting through these stressful situations. (1CE)

(S46) Common Mental Health Issues in Primary Care(Kathryn Kremer, RN, MSN, FNP-C) Recognition and treatment ofdepression, anxiety and insomnia with both pharmacological and non-pharmacologic methods. The emphasis will be on low-cost treatmentsfor uninsured patients. (1CE; 0.5RX; 0.25G)

(S47) Errors Happen! Malpractice Case Studies(Jennifer Flynn and Lynn Pierce, BSN, RN) Nurse Practitioner LiabilityUpdate with Case Studies (1CE; 1J)

(S48) ER/LA OPIOID REMS: Achieving Safe Use While Im-proving Patient Care Part 1 (Anand (Andy) Joshi, M.D.) Presenta-tion of the Collaborative On REMS Education (CO*RE) educationalactivity to become compiant with the ER/LA Opioid AnalgesicsREMS education requirements issued by the FDA. (1CE; 1RX; 1CS)

(S49) Food Allergy: What you need to know (Kevin Letz, DNP,MSN, MBA, RN, CEN, FNP-C, ANP-BC, PNP-BC) Review of foodallergy testing, treatment and advice. (1CE; 0.25RX)

Saturday, September 26, 2015 | 2:30 - 3:30 p.m.

(S50) Sepsis Update: Early Identification and Management(Blaizie Goveas, MSN, APRN, AGACNP-BC) Although early detectionand treatment of sepsis can be very challenging, it is key in improvingoutcomes and reducing mortality. Knowing the high risk patients andrecognizing the early clinical signs and symptoms of sepsis can helpthe nurse practitioner detect and diagnose sepsis in its early stages. Effective management of the disease process with evidence basedtreatment guidelines, such as early goal directed therapy with earlyantimicrobial therapy has shown to reduce mortality. (1CE; 0.25RX)

(S51) COPD Exacerbations: Prevention, Treatment & Avoid-ing Admission/Readmission (Catherine "Casey" Jones, PhD, RN,ANP-C) Exacerbations of COPD cause a decline in lung function andincrease morbidity and mortality. Readmitting a patient with COPDwithin 30 days will not be financially reimbursed, so strategies to pre-vent readmission are important. NPs play a key role in the chroniccare of individuals with COPD. (1CE; 0.5RX)

(S52) Antibiotic Overview, Antibiotic Resistance, and Emerg-ing Pathogens Effecting the U.S. Part 1 (Elizabeth Race, MD) Cov-ering major antibiotics, treatment of pathogens, and identifyingcommon resistance prevalence in the US. In addiion, this presentationwill cover emerging pathogens emerging in the US and the treamentof these pathogens. (1CE; 1RX)

(S53) My Patient Has ADHD. Now What? (Jill Laughlin, MSN,CPNP, CPMHS) ADHD is being managed in the primary care settingrequiring the Advanced Practice Nurse to understand its etiology andhow to properly diagnose with the new DSM V criteria. In addition, know-ing and understanding various treatments (medication and behavioraltherapies) is essential in the clinical setting. As well as understandinghow to help families navigate the school system to provide the neces-sary academic accommodations and support for the ADHD child.(1CE; 0.25RX)

(S54) Writing for Publications (Mary Jo Goolsby, EdD, MSN, NP-C, FAANP, FAAN) Professional publications are an important aspectof evidence based practice, as clinicians such as NPs disseminate in-formation with others. It is an area in which many lack confidenceand skills. This presentation is relevant to the entire NP audience,with the exception, perhaps, of those who have been successful inpublishing journal articles, book chapters, and books. (1CE)

(S55) ER/LA OPIOID REMS: Achieving Safe Use While Im-proving Patient Care Part 2 (Anand (Andy) Joshi, M.D.) Presenta-tion of the Collaborative On REMS Education (CO*RE) educationalactivity to become compiant with the ER/LA Opioid AnalgesicsREMS education requirements issued by the FDA. (1CE; 1RX; 1CS)

(S56) Hold It Up Sister - Pelvic Organ Prolapse (Peggy Francis,DNP, RN, FNP, CUNP) This presentation will cover the use and careof pessaries for pelvic organ prolapse. (1CE)

Saturday, September 26, 2015 | 3:45 4:45 p.m.

(S57) Valvular Heart Disease: Diagnosis, Implications & Ther-apies (Aaron Rossett, BSN, MSN, FNP-C, ACNP-C) Valvular HeartDisease affects nearly 1 in 8 patients over the age of 75. Aortic Stenosisand Mitral Regurgitation make up the majority of these diagnoses.The appropriate assessment, diagnostic testing and referral will be ofincreasing importance as the population continues to age. This talkreviews key clinical findings, diagnostic criteria, medical therapy options,recommendations for appropriate referral and brief discussion of inovative minimally invasive therapies. (1CE; 0.5RX; 0.75G)

(S58) Evaluation and Management of Acute Abdominal Painin Primary Care (Joanna Guenther, PhD, RN, FNP-BC, CNE) Acuteabdominal pain is a common reason for primary care visits and has along differential diagnosis list, ranging from benign to potentially life-threatening conditions. A methodological approach to clinical evalu-ation will be utilized to aid in accurate evaluation and timely diagnosisof acute abdominal pain. (1CE)

(S59) Pediatric Headaches: Pearls for the Primary Care Prac-titioner (Deanna Duggan MS, RN, CPNP-PC, PMHS) PediatricHeadache Review (1CE; 0.5RX)

(S60) Consultations & Referrals: Optimizing Safe Passage toEnhance Outcomes (Mary Jo Goolsby, EdD, MSN, NP-C, FAANP,FAAN) Consultations and referrals are high-risk processes involvingpatient “hand-offs” that are commonplace in primary and specialtycare. Evidence supports processes to promote safe passage for patientand to minimize risks. (1CE)

(S61) Antibiotic Overview, Antibiotic Resistance, and Emerg-ing Pathogens Effecting the US Part 2 (Elizabeth Race, MD) Thissession will primarily discuss Emerging Pathogens of Chikungunya& Ebola Virus Infections (1CE; 1RX)

(S62) Hormone Havoc: Dispelling the Myths about HormoneReplacement Therapy (HRT) (Terri Suresh, RN, MSN, ACNP,DNP-s) This presentation explores the confusion surrounding hormonereplacement therapy (HRT) in the general and medical communities.Disseminating evidence based data with specific attention to increasingawareness of the role optimized hormones play in overall health, increased sense of well being and disease prevention, this presentationwill explore many unanswered questions for the practitioner addressingthe most common primary care issues and complaints. (1CE;0.25RX)

(S63) Hepatitis C: Simplifying the Cure and the Role of theNurse Practitioner in Treatment (Saira Khaderi, MD, MPH) Anestimated 3.2 million persons in the United States have chronic hep-atitis C. Most don't know they're infected because they don’t have anysymptoms. For many years, treatment for hepatitis C was a gruelingprocess that included injections and medications with difficult sideeffects. Today treatment for hepatitis C can be as simple as one pilldaily for eight weeks with no side effects and over a 90% cure rate.For many patients, traveling to a major medical center for treatmentby a hepatologist is expensive and not feasible. We feel patients shouldbe treated locally, by their primary care provider. Project ECHO is atele-mentoring program that uses teleconferencing and video-con-ferencing to connect specialists with primary care providers in under-served Texas communities. Together, the specialist and PCPs are ableto collaborate and co-manage the patients’ treatments. (1CE; 0.25RX)

LEGISLATIVE DINNER (LD01)Friday, September 25, 2015 | 6:30 - 8:30 p.m.Legislative Champions DinnerCelebrate TNP's Legislative Champions, learn insider infor-mation and be part of the movement to achieve Full PracticeAuthority in Texas. (Ticketed Event) (1CE)

CASINO NIGHTFriday, September 25, 2015 | 8:30 - 10:00 p.m.Immediately following the Legislative Champions Dinner - theglitz and glamour of Las Vegas will come alive. You will havethe opportunity to play Blackjack, Craps, Roulette and more!Upon your arrival, you will receive $20,000 in chips and at theend of the evening, you may choose to cash in your Casinowinnings for drawing tickets for some exciting prizes. Neverbeen to Vegas or not sure how to play craps, never fear. All thedealers are accustomed to dealing with both experienced andinexperienced players and are eager to teach the games to every-one. What a better way to learn to play these games than in anenvironment in which you have nothing to lose? If you knowhow to play - join the FUN and what happens at the TNPCasino Night will stay at the TNP Casino Night. Promise!(Ticketed Event)

TNPF WalkathonSaturday, September 26, 2015 | 7:00 - 8:00 a.m.Enjoy an invigorating walk on Saturday morning to benefit TexasNurse Practitioners Foundation (TNPF). Participants are eligible forprizes and will receive a goodie bag. A special prize will be awarded tothe walker who raises the most money for TNPF. The district raisingthe most money for TNPF will be recognized. You are encouragedto commit and collect from sponsors prior to coming to the conference.Registration is $15. If you prefer not to walk please consider makinga donation to TNPF. So come join us and have fun while raisingmoney for TNPF.

TICKETED EVENTS

Friday, September 25, 2015 | 9:00 - 10:15 a.m.

(GS02) 5 things all NPs Need to KnowCarolyn Buppert, MSN, JD Every day, the speaker, an attorney who focuses on health law,hears from nurse practitioners who have gotten themselves intolegal trouble, or who are worried, and want to stay out of trouble.This talk focuses on 5 areas of the law that nurse practitionersshould understand, in order to protect their careers. (1.25CE)

Sunday, September 27, 2015 | 8:15 - 9:30 a.m.

(GS03) Legislative Update - What do we do now?Michael Hazel, DNP, APRN, FNP-BC and Jan Zdanuk DNP,APRN, FNP-BC, FAANPThis session will discuss details of the 84th Legislative Session,how any new laws will impact their practice and what the nextsteps will be going forward. (1.25CE)

Sunday, September 27, 2015 | 9:45 - 10:45 a.m.

(GS04) Ethical Dilemmas in Advanced Practice: Originsand ResolutionJoy Penticuff, PHD, FAAN, RN This session presents an overview of ethical issues encounteredby nurses in expanded roles and ethical decision making thatfacilitates resolution. Topics include characteristics of ethicaladvanced practice, influence of practice environments, barriersto autonomous practice, social justice and the role of the APN,and a case discussions. (1CE)

Sunday, September 27, 2015 | 11:00 - 12:00 p.m.

(GS05) Jurisprudence for Advanced Practice Nurses inTexasGlenda Joiner-Rogers, PhD, APRN, ACNS-BC Nursing jurisprudence is that area of law that is comprised ofthe legal laws, rules and regulations affecting the practice ofnursing. Knowledge of and compliance with these rules andregulations assists in ensuring patient safety. (1CE)

GENERAL SESSIONS

Thursday Lunch Symposium (Limit 200)12:00 - 1:00 P.M.

Sponsored by: Novo Nordisk

Strategies for Effective Weight ManagementJoy Pape, MSN, RN, FNP-C, CDE, WOCN, CPT, CFCN,FAADEThis presentation will review the chronic nature of obesity anddiscuss effective weight management strategies. It will also ex-amine the clinical benefits of targeted appetite regulation viathe glucagon-like peptide-1 (GLP-1) pathway in improvingweight loss in patients affected by overweight or obesity.

Friday Breakfast Symposium (Limit 150)7:00 - 8:00 A.M.

Sponsored by: Sanofi

Diabetes UpdateJennifer Whaley, PharmD, BCPS; Senior Regional Medical Liai-son; Sanofi DiabetesPresentation Objectives:• Briefly review the natural history of Type 2 DM• Briefly overview the 2015 ADA/EASD Position Statement on

Antihyperglycemic Therapy in T2DM• Discuss the unmet need & clinical challenges associated with

the initiation & intensification of insulin therapy• Review the pharmacology & clinical efficay & safety of two

novel insulin therapies:o Insulin Glargine U300 (Toujeo®)o Inhaled Insulin (Afrezza®)

SYMPOSIUMS

Sheraton Dallas Hotel400 North Olive Street | Dallas, Texas 75201

Hotel reservation online at:https://www.starwoodmeeting.com/StarGroupsWeb/res?id=1501162863&key=30FD318E

or by calling 800.627.8191 and mention the name of the event “Texas Nurse Practitioners 27th Annual Conference”

Check-in: 3:00 pm Check-out: 12:00 pm

The negotiated room rate is $169.00 (single/double)

This rate is based on availability through August 13, 2015.

PARKING INFORMATION:

Negotiated Self-Parking: $15

Valet Parking:Overnight: $25 per dayDay Use: $16 per day

DRIVING DIRECTIONS:

HOTEL INFORMATION

From East• Take I-20 West to Highway 80.• Take Highway 80 West to I-30.• Take I-30 West to US Highway 75 North.• Exit at Elm Street (exit is on the left) and merge onto

Elm Street. • Turn right onto Harwood Street at the 3rd light.• Harwood becomes Olive Street. Follow Olive Street

to hotel entrance.

From North• Take US Highway 75 south.• Take the Downtown/Live Oak Street exit (exit is on

the left).• Turn right onto Live Oak Street.• Turn right onto Olive Street. Follow Olive Street to

hotel entrance.

From West• Take I-30 east to the Downtown /Central Expressway

exit.• Follow Central Expressway until it becomes Pearl

Street.• Turn left onto Live Oak Street.• Turn right onto Olive Street. Follow Olive Street to

hotel entrance.

From South• Take I-45 north to US Highway 75 North.• Exit US Highway 75 at Elm Street (Elm Street is one

way).• Turn right onto the Central Expressway which becomes

Pearl Street.• Follow 2 blocks to Live Oak Street and turn right.• Go to Olive Street and turn right. Follow Olive Street

to hotel entrance.

Special Thanks to Our Online Brochure Sponsor: