Andrology and Surgical Sexual Medicine

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June 13th, 2016

Andrology and Surgical Sexual Medicine

Dr. Michael Butcher spoke on Andrology and Surgical Sexual Medicine. Dr. Butcher is the Director of the Sexual Medicine Department and Head of Male Infertility Division at Park Nicollet. Andrology is the branch of physiology and medicine that deals with diseases and conditions specific to men. It includes sexual medicine, male infertility, and benign prostatic diseases. He reviewed the surgical procedures that can be done for male infertility: varicocele, bilateral varicocelectomy, and vasectomy reversal (vasovastomy or vasoepididymyostomy). He also included male diseases that could be corrected surgically which included Peyrones disease (curved penis), venous fistulas, arterial insufficiencies, radical orchiectomy (for chronic pain) and priapism. It was a very interesting presentation especially since the majority of members present do not perform these types of cases at their facilities.[/vc_column_text][/vc_column][/vc_row]

Massive Transfusion Protocols

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May 9th, 2016
Massive Transfusion Protocols

By Barb Weimann, Jane Oksnevad, Mary Mirick, and Marilyn Westphal

Massive Transfusion Protocols
For Bleeding and Non-Bleeding Practices

Dr. Susan Wheaton is the Laboratory Medical Director at the Allina Medical Clinics in Minneapolis and Golden Valley. She spoke on designing Massive Transfusion Protocols for bleeding and non-bleeding practices. She described the “massive transfusion protocol” definition as greater than four units of RBCs in one hour, blood loss greater than 150ml/minute with hemodynamic instability, or the need of ongoing transfusions. Dr. Wheaton explained that anyone in the emergency situation can call for the “massive transfusion protocol” by making the correct statement to the lab and then they reconfirm the massive transfusion. She defined the difference between empiric and tailored protocols. Empiric is based on an algorithm and tailored is based on what the individual needs. The protocol is used for bleeding patients such as trauma, medical, or surgical. It is also used for non-bleeding patients such as unstable GI bleeds, post partum bleeding, AAA, hypotension with the concern of internal bleeding, and a spine patient or a surgical such as a CV patient coming off the pump. It was an excellent presentation and very well received by members present.

 

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Spring Workshop – April Showers Bring Hot Topics

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April 23rd, 2016
Spring Workshop – April Showers Bring Hot Topics

By Barb Weimann, Jane Oksnevad, Mary Mirick, and Marilyn Westphal

Robotic Assisted Joint Replacement Surgery

Dr Robert Hartman from the Twin Cities Orthopedics spoke on Robotic Assisted Joint Replacement Surgery, and described the use, precision, and accuracy of robotics in orthopedics especially related to the bone cuts in joint arthroplasty. It was a great review of knee anatomy and osteoarthritis. He discussed non surgical and surgical treatments of the knee joint in the past and present, and proceeded to demonstrate future trends. This minimally invasive technique enhances patient outcomes and recovery times. He answered many questions from the captive nursing audience, as many of us feel the effects of years of hard work on our legs, joints, and feet. He briefly talked about robotics for hip replacement surgery as well.


Mobi-C Cervical Disc Replacement

The second speaker, Scott Peterman from LDR Spine, presented on the Mobi-C Cervical Disc Replacement now available for one and two level cervical spine surgery. Approximately 1.1 million patients each year in the U.S. alone suffer from symptomatic cervical spine disease that could lead them to surgery such as a cervical fusion vs. total disc replacement. Neck anatomy and pathology were reviewed for a basis of understanding the treatment options. The Mobi-C technology is designed to replicate the natural cervical motion as a significant benefit over fusion surgery.


Safe Patient Handling and Mobility(SPHM) in the Peri-operative Setting

The third speaker was Nancy Kirchner, MAN, RN, the SPHM Coordinator from Minneapolis VA Medical Center.  She talked about Safe Patient Handling and Mobility(SPHM) in the Peri-operative Setting. She incorporated the AORN Safe Patient Handling Toolkit into her presentation. She defined many high risk patient handling tasks that occur in the peri-operative setting and provided possible solutions. Patient handling is risky business because patients are often times asymmetric, awkward to handle, have no handles, and cannot be held close to our body during handling. Patients are delicate and prone to injury if dropped. Patients are larger, sicker, and more physically dependent on staff and often do not realize their limited mobility status when ill. Healthcare workers are the only profession that thinks 125 pounds is light and that we can do a one man lift. One caregiver taking care of five 200 pound patients could lift as much as 1.8 tons in an 8 hour shift! Besides the safety of our patients, we need to keep our staff and their backs safe as well. Thirty five lbs is the recommended safe weight limit for one individual. There are many ergonomic tools available to do the job properly now. We must change the culture of patient handling.


Peri-Operative Standardization

Kelly Wellbrock, a Senior Quality Care Consultant from Care Fusion, was our last speaker. Her topic was Quality Care in Surgery: Peri-Operative Standardization. She spoke about the impact of quality issues in healthcare. She identified risk factors in surgical care and discussed the benefits of standardization to improve quality. Her focus was with skin preparation processes. Healthcare Associated Infections (HAIs) kill nearly 100,000 people per year and cost the U.S. close to $35 million dollars annually…quite significant numbers![/vc_column_text][/vc_column][/vc_row]

Early Onset Scoliosis: Why Do We Care & How Is It Managed

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March 14, 2016
By Barb Weimann, Jane Oksnevad, Mary Mirick, and Marilyn Westphal

Early Onset Scoliosis: Why Do We Care & How Is It Managed?

Dr. Guillaume is an Orthopedic Surgeon at Gillette Children’s Specialty Healthcare. He started the presentation with defining scoliosis as a lateral deviation of the spine and of a curvature greater than 10 degrees. Early onset is described when a child is between 8 to 10 years of age. There are multiple causes of early onset including idiopathic: either infant or juvenile. It may also be caused by neuromuscular conditions, syndromic which includes chromosomal abnormalities, congenital or thoracogenic issues. Dr. Guillaume reviewed each of the types with case studies. He reinforced that the goals of early management are to minimize further spinal deformities and complications, maximize thoracic volume and function, and to include considerations of child development.
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2016 AORN Surgical Conference and Expo

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2016 AORN Surgical Conference and Expo

The 63rd Surgical Conference and EXPO Business Meetings Highlights
(Anaheim, California – April 2nd-6th, 2016)

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Saturday April 2nd

AORN Syntegrity® Perioperative Documentation Solution

The procedure list and perioperative nursing documentation content that is utilized within an Electronic Health Record. In 2015, $375,000 was made and returned to AORN. In the future they will continue to standardize the content at the point of care, and are developing a unique device tracking identification work such as screws implanted where the ID numbers are hard to identify.

BSN or higher degree in Nursing for Candidates running for National Board of Directors

The National Leadership and Developing Committee led this discussion. Based on surveys of 10,000 members, the NLDC recommended this be a requirement for candidacy by 2020 in alignment with the Institute of Medicine Future of Nursing recommendation and ANCC. There will be further discussion with the membership.

Go Clear – AORN’s Program and Awardto Eliminate Surgical Smoke

AORN developed a comprehensive approach to ensure a smoke-free environment wherever surgical smoke is generated to protect patients, colleagues and staff’s safety. The Go Clear Award, supported by Medtronic through the AORN Foundation, recognizes health care facilities committed to a surgical smoke-free environment for their perioperative team and patients. You can look for more information at aorn.org/goclear[/vc_column_text][vc_column_text]First House of Delegates
Monday April 4th

Delegates registered for meeting 2240

The NLDC reported that 135 names were submitted for the national ballot last year. Of that number 39 submitted applications and 20 names were placed on the ballot. The committee continues to emphasize their goal to attract qualified candidates for office and their desire to increase engagement in the election process among the members.

Multiple chapter awards were given at 3 levels of chapter sizes and the Chapter of the Year was AORN of Las Vegas. A new chapter was formed this past year: Chapter 3417, Carolina Blue of Chapel Hill, North Carolina.

AORN Foundation Report: The foundation had their eighth straight year of profits, a very successful year of growth revenues by eight percent. They contributed 2.6 million dollars to AORN and expect continued success in 2017.

 

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OPPORTUNITIES WITH NATIONAL

AORN By Cheryl Langford

First I would like to say a huge “THANK YOU” for all your support, well wishes, and votes that elected me to be on the National AORN Nominating & Leadership Development Committee (NLDC) for 2016-2018. I am honored to serve you on behalf of MN and the Midwest! Two other new members were elected the NLDC this year as well, Brandi Miller and Reuben Barrios.  There are five members total and the past president. We had orientation the day after Expo while in Anaheim and also attended the Volunteer Leadership Academy in May which included the Board of AORN and chapter leaders. Nominations for potential candidates for a 2017 National Office in AORN took place until May 23rd, and then those members nominated by their peers were called by one of the NLDC members to ask if they were interested in pursuing a nomination for 2017. Wow, sounds crazy that we are working so far ahead for 2017, but really, the next Expo is not that far away! Have you requested for time off for the next Expo in Boston, MA from April 1-5, 2017? The week at Expo is so inspiring and energizing; you have to experience it to believe it!

Want to become more involved in AORN opportunities locally or nationally? If you answered yes, please feel free to contact me at any time and we will connect and chat. There are so many great opportunities. Locally with our Chapter, AORN of Twin Cities Chapter 2401, we have multiple committees such as membership, education & workshop, finance, community, newsletter/communication, and awards. Every year, we also hold local elections for positions on our board of directors, nominating and leadership committee, secretary/treasurer (opposite years), and for president elect. All positions are for a two year term. Serving locally is a great way to meet new perioperative RNs, hear some wonderful local speakers on engaging perioperative topics, and get involved in some really fun committee and volunteer work such as the Ronald McDonald House, Toys for Tots, and Feed my Starving Children organizations.

Another outstanding opportunity to become more involved is to go to Expo as a Twin Cities Chapter Delegate to the Congress Sessions. As a chapter delegate you receive some money towards your Expo expenses and commit to attending the business meetings (Congress) that take place during Expo (meet the candidates, the house of delegate sessions, and forums which typically end up taking about 6 hours total of your time during Expo). You must also write an article for our chapter newsletter – which is what you are reading now- called “Stereoscope.” To attend Expo as a Chapter Delegate there is a form to fill out, this form is in this Stereoscope. Please consider this for 2017. It is like a sneak peek into how National AORN is run and I guarantee once you try it, you will be hooked and want to get more involved. Just ask Marilyn or Mary Kay! They went as chapter delegates a few years ago, served on our chapter NLDC and now Marilyn is our chapter president and Mary Kay is very active with organizing our chapter community relations.

With National AORN there are many opportunities to volunteer in as well as committees and task forces that you can become involved with. Go to www.aorn.org and then “communications and government affairs,” then “get involved” and then “volunteer.” Also read your AORN Journal, Periop Insider, and watch for emails for future opportunities. The upcoming president advertises each spring as to which committees and task forces will need members for the upcoming year. The applications can then be turned in to National Headquarters. This year Barb Wiemann is the chair for the National Awards Committee! Thank you Barb for all your hard work and dedication to AORN!

Don’t forget that you can submit member names for awards at both the local and national level. We would love to honor our chapter members for all they do. Please consider submitting at least one name for the local awards listed in this newsletter, as well as a national award that will be communicated to all shortly via email, your journal, and Periop Insider.

I challenge each of you to bring a co-worker to a meeting this upcoming year and to also reach out to your student RNs or periop 101 RNs and get them to a chapter meeting. Let’s strengthen our chapter- AORN of Twin Cities- with the power each of YOU have![/vc_column_text][/vc_column][/vc_row]

Cheryl Langford at Nationals

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Fairview Ridges Nurse Speaks, Shines at National

Congratulations to Cheryl Langford, RN, Clinical Informatics Specialist and Endoscopy Nurse Manager at Fairview Ridges Hospital. Cheryl was elected April 6 to the Nominating and Leadership Development Committee (NLDC) of the Association of periOperative Registered Nurses (AORN).

As part of the election process, Cheryl developed and presented a speech to several thousand people during a national candidate forum. She credits the public speaking skills she learned through a Fairview Organizational Development and Learning class with giving her the confidence to shine on stage.

“My continued enthusiasm and passion for perioperative nursing motivated me to run for the NLDC,” says Cheryl. “I’ll strive to use my leadership and perioperative expertise to encourage, motivate, and influence others to grow personally and professionally as I network, collaborate, and advocate for excellence and safety for our perioperative nursing practice and our patients.”

AORN represents the interests of more than 160,000 perioperative nurses by providing nursing education, standards, and practice resources to enable optimal outcomes for patients undergoing operative and other invasive procedures. The responsibilities of the NLDC are to solicit and receive nominations for potential candidates for all elected positions, prepare and present a slate of candidates to serve for all elected positions, and establish effective processes for the development of members to serve in leadership roles at all levels of AORN. (Cheryl is second from the right in the right hand photo).

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Ronald McDonald House – Cook for Kids Program

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Community Relations
Ronald McDonald House(RMH) –  Cook for Kids Program

By MaryKay Boell

logo_rmh2A big shout out and thank you to Marilyn Westphal, Alyce Brekke, Kris Delfun-Peterson, her friend Nancy, Kathie Adams, and Kathie’s daughter-in-law Elizabeth, Cheryl Langford, Rorie Chinnock, MaryKay Boell, and MaryKay’s friend,Cordy. On Sunday, May 15th they served lunch to 65 people at the Ronald McDonald house located inside Children’s Hospital. The house serves families of children receiving treatment at Children’s in Minneapolis. The Cook for Kids program that we participate in serves over 4,500 families a year at the four Ronald McDonald House locations in the Twin Cities.

After a long day in the hospital and seeing your child ill, families can look forward to a “home away from home cooked meal.” We received many compliments on our Taco Bar. The families are very appreciative of the giving of our time, and are very grateful for the food
we served.

A few of the families shared their stories with us as we mingled. There was a family from north of Bemidji whose baby was airlifted to Children’s Minneapolis for respiratory distress. Another family shared that they were told by the medical staff to gather their family and prepare to say their goodbyes to a baby with cardiac issues. Volunteering a few hours of our time is minimal in comparison to what the families at RMH are facing on a daily basis.

At our May monthly chapter meeting, we also had collected $65.00 that allowed us to purchase items (breakfast cereal, granola bars, peanut butter, and jelly,etc) for the pantry at RMH in addition to the meal we served. Serving a meal at the Ronald McDonald House is a rewarding experience. I hope you can join us in the future as we continue our involvement with the Cook for Kids Program. KUDDOS and thank you again for volunteering at the Ronald McDonald House![/vc_column_text][/vc_column][/vc_row]

2016 Fall Kick Off Dinner / Education

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FALL KICKOFF DINNER/EDUCATION

AORN OF TWIN CITIES – CHAPTER #2401

Monday, September 12th, 2016

5:30-6:00 Registration / Socializing
6:00-6:50 Dinner / Chapter Introduction / Awards
7:00-8:00 Speaker

Children’s Hospital

2nd Floor Education Center
2525 Chicago Avenue, Minneapolis, MN

 Topic: WHY NURSES EAT THEIR YOUNG
Presenter:  ELLEN ANDERSON-MANZ, MSN, RN

Did you know……that a high percentage of new nurses leave their jobs and career within the first year of graduating? What are we doing to include and engage the next generation of nurses as well as retain current nurses in this work environment?

The objectives for this night are:

  • Define the types of workplace violence at different levels
  • Describe overt and covert bully behaviors
  • Use action steps to confront bullies

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FALL KICKOFF REGISTRATION FORM

1 CEU / Dinner $30.00 (Due by September 5th)

Name:

Phone:

Address:

Employer:

Email:

Make check payable to: AORN of the Twin Cities Chapter #2401
Mail registration form and check to:
Marilyn Westphal, 3157 Doneene Lane, Eagan, MN 55121
Any questions or concerns can be directed to guywestphal@yahoo.com
See you there!

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