WASHINGTON STROKE NURSING FORUM - …

1 american Heart association / american STROKE association Get With The Guidelines Pursuit of Clinical Excellence WASHINGTON STATE STROKE NURSING FORUM Thursday, September 18, 2014 9:00AM - 5:00PM Registration begins at 8:30AM The Conference Center at Seattle-Tacoma International Airport International Auditorium 17801 International Boulevard, Seattle, WA This event made possible by The Chehalis Tribe. MEET YOUR GET WITH THE GUIDELINES TEAM For more information on Get With The Guidelines, please visit: This event made possible by The Chehalis Tribe. JoAnne Pineda, MBA Senior Program Director Quality & Systems Improvement (650) 259-6736 elizabeth Peterson, RN, BSN, MPH, CHES Regional Director Quality & Systems Improvement (206) 694-7332 Rea Anne Arcangel, BSN, MBA Vice President Quality & Systems Improvement (916) 446-6505 WASHINGTON State STROKE NURSING FORUM Program Agenda Thursday, September 18, 2014 This event made possible by The Chehalis Tribe.

2 TIME PRESENTATION TITLE PRESENTER(S) 8:30AM - 9:00AM Registration & Heart Healthy Continental Breakfast 9:00AM - 9:15AM Welcome & Introductions A special thank you to The Chehalis Tribe elizabeth Peterson, RN, BSN, MPH, CHES american Heart association / american STROKE association 9:15AM -10:00AM Life Simple 7 Presentation Objectives: Describe 2 key factors in STROKE Epidemiology: STROKE is not randomly distributed, We have made great progress in reducing mortality List 2 key factors in What is Ideal Vascular Health? How was Life Simple 7 formulated and what are the options? State 2 items in What is the Implementation Plan? National plan, Hospital plan, Individual plan William H. Likosky, MD, FAAN, FAHA Swedish Medical Center 10:00AM -10:15AM Survivor Moment How My STROKE Changed My the Better!

3 Quitting Smoking, Drinking, Getting Fit & Why I Did It Wayne Lubin Puget Sound STROKE Ambassador - 2013-2014 10:15AM - 10:30AM Break 10:30AM - 11:45AM INTERACTIVE SESSION & GROUP DISCUSSION - The State of STROKE in WASHINGTON : Data Metrics, Best Practices, & Challenges from Emergency Cardiac & STROKE Regions Through Our State Smoking Cessation Counseling Door to CT Times Door to Needle Times Presentation Objectives: Identify 2 evidence based best practice in STROKE care and discuss current practice from regions across WASHINGTON State. Identify 2 strategies to implement meaningful education and follow up for patients regarding smoking cessation. Matt J. Nelson WASHINGTON State Department of Health Kelly Boardley, RN, CEN Cascade Valley Healthcare, North Region Julie Berdis, BSN, CNRN Providence Sacred Heart Medical Center, East Region Valerie Lyttle, RN, MSN, CEN, CNRN MultiCare Good Samaritan Hospital, West Region Moderator: Karen Young, RN, CPHQ Valley Medical Center 11:45AM - 12:30PM Heart Healthy Lunch & Move to Breakout Sessions Program Agenda Continued TIME PRESENTATION TITLE PRESENTER(S) 12:30PM - 3:45PM CONCURRENT BREAKOUT SESSIONS (PLEASE PICK ONE) New STROKE Nurses: STROKE Nurses Basic Survival Guide Presentation Objectives: State 2 requirements for core STROKE team s job descriptions and key competencies Describe 2 STROKE competencies.

4 List 2 contributions of inter rater reliability to the accuracy of data collection. Advanced STROKE Nurses: Complex STROKE Complications & Imaging in the First 36 Hours Presentation Objectives: Identify 2 appropriate steps in algorithm for patients with hemorrhagic STROKE Identify 3 assessment priorities patients during the first 36 hours after an acute ischemic or hemorrhagic STROKE Identify 3 early clinical signs of potential hemorrhagic conversion post ischemic STROKE Describe 3 clinical presentations of malignant MCA syndrome Discuss 3 priorities for discharge planning for patients when transitioning levels of care. See page 5 for breakout session details Karen C. Kiesz, RN, MN, CNRN, SCRN MultiCare Health System Gena Kreiner, RN, BSN Franciscan Health System Christie E.

5 Artuso, , RN, CNRN, SCRN Providence Alaska Medical Center Vicki Johnson DNP, MHSEd., ARNP Harborview Medical Center 2:00PM - 2:15PM Break 2:15PM - 3:45PM Breakout Sessions Continued 3:45PM - 4:00PM Break & Move to Back to General Session 4:00PM - 5:00PM What to Do When Your Patient Almost Has a STROKE Presentation Objectives: Describe 2 differences between a TIA and a STROKE Identify 2 factors of who should get an urgent (inpatient) evaluation for TIA Outline 2 steps of what workup should be performed for TIA Identify 2 factors determining what primary/secondary STROKE prevention measures should be taken to decrease the risk of future STROKE Michael Previti, MD Valley Medical Center 5:00PM -5:15PM Wrap Up, Surveys & Adjournment elizabeth Peterson, RN, BSN, MPH, CHES american Heart association / american STROKE association This event made possible by The Chehalis Tribe.

6 Concurrent Breakout Sessions (Please Pick One) TIME PRESENTATION TITLE PRESENTER(S) 12:30PM - 2:00PM 2:00PM - 2:15PM 2:15PM - 3:45PM New STROKE Nurses: STROKE Nurse Basics Survival Guide STROKE Core Team Job Descriptions & Key Competencies STROKE Competencies Emergency Department Practitioners STROKE Unit Staff Ancillary Staff Community EMS Swallow Screen NIH BREAK STROKE Performance Improvement Monthly STROKE Population, Action Plans+ Data Reports Communication & Feedback Inter-Rater Reliability Verification PI PLAN ----- Develop a Smoking Cessation Program STROKE Resources Karen C. Kiesz, RN, MN, CNRN, SCRN MultiCare Health System Gena Kreiner, RN, BSN Franciscan Health System Moderator: Lisa Shumaker, BSN, RN, SCRN Providence Regional Medical Center Everett 12:30PM - 2:00PM 2:00PM - 2:15PM 2:15PM - 3:45PM Advanced STROKE Nurses: Complex STROKE Complications & Imaging in the First 36 Hours Hyperacute Phase Overview of Symptomatic Hemorrhage within the first 36 hours Case Studies: Hemorrhagic Transformation - clinically stable Hemorrhagic Transformation - clinically unstable Malignant MCA Syndrome BREAK Case Studies Continued.

7 Hemorrhagic Transformation - ICP Monitoring Hemorrhagic Transformation - Prophylactic Hemicranectomy Hemorrhagic Transformation - Ventric/evacuation Admission to Transition of Care (Admit vs. Discharge ABCD) Christie E. Artuso, , RN, CNRN, SCRN Providence Alaska Medical Center Vicki Johnson DNP, MHSEd., ARNP Harborview Medical Center Moderator: Louise Jenkins, MBA, BSN, RN PeaceHealth Southwest Medical Center This event made possible by The Chehalis Tribe. Faculty Biographies NAME BIOGRAPHY DISCLOSURE Christie E. Artuso, , RN, CNRN, SCRN Providence Alaska Medical Center Speaker Christie Artuso, , RN, CNRN, SCRN, FAHA is the Director of Neuroscience Services at Providence Alaska Medical Center. The Neuroscience Division includes a nationally-accredited STROKE program, a nationally-certified concussion program, a nationally-accredited sleep disorders center, neurodiagnostic testing, and both inpatient and outpatient services for patients with neurologic and neurosurgical disorders.

8 She has more than 35 years of educational and leadership experience in university-affiliated hospitals with recognized clinical expertise in critical care and neuroscience services. In addition to her leadership role, she currently serves as a member of the Western States Affiliate STROKE Task Force for the american Heart association / american STROKE association and previously served on the american association of Critical Care Nurses (AACN) Certification Corporation Board of Directors. She is the immediate past-president of the Alaska Collaborative for Telemedicine and Telehealth and a past-president of the South Central Alaska Chapter of AACN. She earned a diploma in NURSING from Geisinger Medical Center School of NURSING in 1979 and later earned a Bachelor of Arts in NURSING at The University of the State of New York in 1986.

9 She went on to earn a Master of Arts in NURSING at New York University in 1989, a Certificate of Advanced Graduate Study from Nova Southeastern University in 2007 and completed a Doctorate of Education in Healthcare Education from Nova Southeastern University in 2009. Her doctoral dissertation focused on the development of the telestroke program currently serving rural communities in Alaska. She is a nationally recognized speaker and an expert in the field of cardiovascular and cerebrovascular health and has published on numerous topics related to critical care and emergency medicine. In June, 2014, she was recognized by the american Heart association as Volunteer of the Year (non-physician) for the Western States Affiliates.

10 Disclosure: Speakers Bureau: Genentech Conflict of Interest: Resolved Julie Berdis, BSN, CNRN Providence Sacred Heart Medical Center Speaker & Planning Committee Member Julie Berdis has been the STROKE Program Coordinator for Providence Sacred Heart Medical Center for the past 8 years and is familiar with National, Regional, local and hospital STROKE protocols and guidelines. As the STROKE Coordinator, she works closely with the Providence Sacred Heart s Joint Commission Certified Primary STROKE Center team to determine needed STROKE education, policies and procedures within the hospital setting, community, and region. Additionally, Julie has 27 years Neuroscience experience- Neuro and Neuro-trauma NURSING and has experience as the Assistant Nurse Manager on the acute care Neurology unit.