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08/17/2024
8:15 am - 9:15 am (MST)
8:15 am - 9:15 am (MST) 08/17/2024
Wound care is one of the most common procedures performed by health care professionals , however, ethical considerations may impact the patient or provider. Through the lens of ethical principles such as autonomy, beneficence, non-maleficence, and justice, we will scrutinizes dilemmas arising in decision-making, consent processes, and the delicate balance between pain management and opioid seeking behavior. Drawing on real-world case studies the audience will discuss ethical framework for navigating the wound care, fostering improved patient outcomes and ethical practice within the healthcare landscape.
Learning Objectives:
Define Ethics and It's importance in healthcare
Outline the Ethical principles
Identify ethical issues in your daily practice
Session 401 ·
Every Day Ethical Dilemmas: Is this the best thing for the patient?
Ottamissiah Moore
Ottamissiah (Missy) Moore is a Registered Nurse who works in Washington, DC. Her nursing career spans over 35 years supporting nurses and the long-term care community. Missy spends her time supporting nursing organizations as a volunteer, traveling the country to support nurses with education that affects the aging population. Missy Currently works as a nurse educator at Bridgepoint Healthcare as a nurse educator and if the board president of the National Alliance of Wound Care
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08/17/2024
8:15 am - 9:15 am (MST)
8:15 am - 9:15 am (MST) 08/17/2024
This session aids clinical leaders, business leadership, and frontline caregivers in rethinking the organizational approach and applying best practice guidance and smart business sense to incontinence care, skin health, and moisture management processes and mindset. This session will focus on employing best practice guidance of prevention, interventions, and treatment, achieving total staff compliance with appropriate product mix and usage, developing accurate resident care toileting and skin health care plans, and effectively impacting categorical costs by doing more with less. This conversation goes beyond the science of clinical practice and products and involves organizational stakeholder buy-in, comprehensive process analysis, incorporating current innovative and technological trends, and achieving the desired change outcomes in a value-based care model.
Learning Objectives:
1. Apply best practice clinical principles for appropriate incontinence care, skin health, and moisture management.
2. Identify gaps in practice and organization communication regarding formulary compliance and nursing and business processes.
3. Facilitate desirability with staff and change management, reduce categorical expenses, and positively impact resident care.
Session 402 ·
Rethinking the total organizational approach to incontinence care, skin health, and moisture management processes and mindset
Ronald Krinn MHA, RN, CWOCN
Ronald Krinn is the Director of Clinical Business Development and Management for Medline Industries LP. Ronald is also a current practicing clinical CWOCN for Honor Health in Phoenix, AZ. Ronald’s focus is to help acute and post-acute organizations with evidence-based prevention, intervention, and treatments. Ronald provides support and best practice guidance to empower all levels of the organizational structure to focus on improving processes and produce better clinical outcomes regarding the specialty nursing areas of wound, ostomy, and continence care. Ronald collaborates closely with caregivers and decision-makers to provide a comprehensive and dynamic approach to clinical programs, process analysis, and product formularies. Ronald excels in finding solutions to real-time challenges and incorporating data, performance measures, and evaluations into the sustainability of projects. Ronald advocates for progressive and sustainable change management and using innovation and technology in health care.
Ronald Krinn is an established public speaker and educator who represents himself and his professional expertise. Ronald has participated in multiple speaking engagements, forum expert panels, various committees, and professional associations. Ronald is an active member of the Rocky Mountain Region Phoenix Chapter of WOCN. Ronald is a member of NADONA, the WOCN Society, and a current elected volunteer chair of the WOCNCB Exam Preparation Board. Ronald occasionally represents Medline’s Personal Care Division via speaking engagements and various association dinners.
Ronald Krinn acquired his master’s degree in health administration through Capella University, his bachelor’s in nursing from the University of Wisconsin-Milwaukee, and his bachelor’s in arts of psychology from the University of Wisconsin-Oshkosh. Ronald Krinn is a graduate of Metropolitan State University and the WEB WOC program with board-certified credentials as a practicing CWOCN. Ronald has 23+ years of clinical nursing experience working in multiple facets of health care.
Ronald Krinn, MHA RN CWOCN
Ronaldkrinn@gmail.com
Cell: 323-542-0443
LinkedIn: (2) Ronald Krinn MHA, RN, CWOCN | LinkedIn
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08/17/2024
8:15 am - 9:15 am (MST)
8:15 am - 9:15 am (MST) 08/17/2024
Coordination of care across provider settings can be frustrating because modern healthcare has become increasingly fragmented. The problem is amplified by a need to understand the impact of reimbursement on setting-specific treatment decisions.
A telehealth transition model provides unique insights into the challenges and limitations of care in diverse healthcare settings.
Patient case studies and provider feedback support the efficacy of a transitional care model to improve clinical and financial outcomes and patient satisfaction across the continuum of wound care.
This session will increase the participant’s understanding of the diverse clinical and financial drivers that need to be considered during the discharge planning process.
Session 403 ·
The Buck Stops Where? Accepting Accountability for Wound Care Outcomes Across the Healing Continuum
Alicia Jenkins BS, RN, CWCN
Vice President of Clinical Operations and Partnership Success at Corstrata
Certified by the WOCNCB as a CWCN in 1999, Alicia has over 25 years of wound and ostomy experience in multiple healthcare settings including hospitals, wound centers, SNFs, rehab centers, home health, and hospice. In addition to her clinical experience, she has in-depth knowledge of the economic impact of wound and ostomy care from the provider's perspective. Alicia began incorporating virtual wound care into her practice in 2008. She joined Corstrata in 2021 where she has been instrumental in developing a virtual wound and ostomy program that is evidence-based and can be customized to a variety of care settings and emerging value-based business models.
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08/17/2024
9:20 am - 10:20 am (MST)
9:20 am - 10:20 am (MST) 08/17/2024
Wounds can be fatal, learn how to identify when wounds may be worsening, improve documentation and care.
Learning Objectives:
Identify 2 signs of wound modality failure
Describe 3 documentation pitfalls in wound cases
Session 404 ·
When Wounds Kill
Naida Rutherford NP, Coroner
Naida Rutherford, is the Coroner for Richland County, South Carolina. She is a nationally board certified nurse practitioner through the American Nurses Credentialing Center (ANCC). After working in healthcare for over 15 years with an expertise in wounds and adult geriatric acute care, she decided to use her skills to serve the citizens of Richland County. Her electoral win as Coroner in 2020 made her the first woman, first medical professional and first person of color to hold the title of Coroner in the 173 year history of the office.
She has been recognized locally and nationally for her innovation and achievements by USA TODAY, Essence, Pepsi, University of South Carolina and the NAACP.
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08/17/2024
9:20 am - 10:20 am (MST)
9:20 am - 10:20 am (MST) 08/17/2024
Hard-to-heal wounds keep the wound care clinician engaged, challenged and often perplexed. Even with a simple wound or one that is expected to heal uneventfully, biofilm formation as well as individual and intrinsic factors can lead to a long, complex healing process. Applying the 4-Step wound hygiene protocol is a game changer in hard-to-heal wounds. Each step is significant; from skin and wound cleansing, to wound bed debridement, to refashioning epithelial edges, and selecting a dressing to treat or prevent biofilm formation. When repeated consistently, the 4-step wound hygiene protocol promotes a biofilm based wound care approach. A closer look at wound hygiene, applied in several case series, reinforces the need for clinicians to apply each step of this protocol to hard-to-heal wounds until full wound healing occurs.
Learning Objectives:
List the 4-Step Wound Hygiene protocol
Apply the 4-Step Wound Hygiene protocol to sample cases
Analyze the Wound Hygiene protocol effectiveness in closure of hard-to-heal wounds
Session 405 ·
The 4-Step Wound Hygiene Protocol in Action: Cases of Hard-to-Heal Wounds and Closure Success
Nora Barrett OTR/L, CHT, WCC
Nora Barrett graduated from the Program in Occupational Therapy at Washington University in St. Louis in 1997. She has been a practicing occupational therapist (OT) since 1998 and a certified hand therapist (CHT) since 2006. She has worked at rehabilitation centers, acute care hospitals, burn units and outpatient therapy practices in Boston, MA, Washington, DC, Baltimore, MD and Bend, OR. Nora joined the Hand Therapy Team at the University of Virginia Physicians Group in 2021 where she works in the Hand Center and in an outpatient hand therapy practice. She received her Wound Care Certification in 2020 and is an active member of the American Society of Hand Therapists (ASHT) and the American Association for Hand Surgery (AAHS). Nora authored the Tissue Healing and Wound Care Chapter in the 4th edition of Cooper’s Fundamentals of Hand Therapy textbook and the Wounds Chapter in ASHT’s Clinical Assessment & Recommendations, and co-authored the Wound Classification and Management Chapter in the 7th edition of Rehabilitation of the Hand and Upper Extremity textbook and the Physiology of Wound Healing & Burns Chapter in the 4th Edition of ASHT’s Test Prep for the CHT exam.
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08/17/2024
9:20 am - 10:20 am (MST)
9:20 am - 10:20 am (MST) 08/17/2024
This session will review the current data regarding skin of color and discuss physiologic differences in skin of color. Current evidence regarding outcomes in skin of color as well as aids for assessment of skin of color will be discussed.
Learning Objectives:
1. Recognize the challenges to assessing skin of color.
2. Relate variations in presentation of pressure- and moisture-associated damage in individuals with non-Caucasian skin.
Session 406 ·
Assessment of Skin of Color
Dr. Mary Arnold Long, DNP, APRN, CRRN, CWOCN-AP, ACNS-BC, WOCNF
·View Details
Dr. Mary Arnold Long, DNP, APRN, CRRN, CWOCN-AP, ACNS-BC, WOCNF
Dr. Mary Arnold Long received her BSN from the College of Mount St. Joseph, her MSN from the University of Cincinnati, her ET Certificate from Abbott Northwestern Hospital and her DNP from Otterbein University. Dr. Arnold Long has over 35 years of nursing experience and over 25 years as an expert board-certified wound, ostomy, and continence nurse practicing in multiple settings. Her contributions to evidence-based practice and literature include colostomy irrigation; body worn absorptive garments; interventions post-catheter removal; assessment, management and coding of moisture-associated skin damage; and classification of device-related pressure injuries/ulcers. She was a member of the inaugural group of individuals receiving the Wound Ostomy Continence Nursing Fellow designation.
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08/17/2024
10:25 am - 11:25 am (MST)
10:25 am - 11:25 am (MST) 08/17/2024
ABSTRACT
Presentation Proposal for Wild on Wound Conference 2024
STAYIN’ ALIVE: How Advanced Wound Care helps Rural Hospital Thrive
Theresa Crawford, FNP-C, WCC
According to the American Hospital Association (2022) 136 rural hospitals have closed in the past decade. 57,000 rural patients, or 17% of all Americans, rely on the rural healthcare system to meet their basic healthcare needs (AHA, 2023). While these numbers do not seem alarming to some, these closings are devasting to rural Americans who are reliant on local primary care clinics and local hospitals, including emergency services. Imagine your loved one having to travel an hour or more to receive care during a critical emergency such as a heart attack, stroke, or trauma. This contributes to rural Americans increased risk of dying from chronic diseases than their urban counterparts (CDC, 2017).
So how does wound care impact these statistics? In rural northwest Missouri, on a picturesque hilltop, surrounded by rolling hills of corn and soybean fields sits Community Hospital – Fairfax (CHF). Like the little engine that could, on-going strategic planning included adding advanced wound care to help serve the needs of the local patients. Not only have those needs been met, but the bottom line has been boosted to help support the facility as a whole.
CHF’s Chief Finincial Officer, John Davis, reports that this critical access hospital profits approximately $10,000.00 per patient. Patients served in fiscal year 2022 were 85, increasing to 127 patients in FY 2023, with a projected 170 patients in 2024. This program, in its first three years of operation, has produced $1,000,000.00 annually. This not only meets a care gap for wound care patients but also helps to support all programs and departments in the system. By bringing an out-patient advanced wound care program to the facility, all patients in this rural community benefit by continued access to everything from emergency care to primary clinic care to rehabilitation services.
In my proposed presentation, I will discuss how CH-F's continuing strategic planning helps with identification of services based on patient needs as well as how return on investment analysis guides feasibility. There will be further discussion regarding how a key partnership with an outside vender, who shares our values, helping shape the success of this program. I will relay how this company helps ensure the billing works including doing the prior authorizations helping with little to no denials. Additionally, I will share how to do basic, low-cost marketing to help grow the census and secure the future of the program.
Learning Objectives:
1. Attendees will be able to describe the overall risks of rural hospital closures to the population served.
2. Understand the positive financial impact of an out-patient advanced wound care clinic on the overall stability of a rural hospital.
Session 407 ·
STAYIN' ALIVE: How Advanced Wound Care helps Rural Hospital Thrive
Theresa Crawford, FNP-C, WCC
Theresa Crawford, FNP-C, WCC is a rural health veteran spending 17 years in a critical access ER as well as time in rural health clinics. In the midst of her post-COVID burn-out Theresa has renewed her healthcare passion through advanced wound care.
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08/17/2024
10:25 am - 11:25 am (MST)
10:25 am - 11:25 am (MST) 08/17/2024
Being truly up front and honest to patients and team members can be scary and overwhelming. It can feel like there is too much pressure on your shoulders, and it’s easy to have “imposter syndrome” when it comes to telling people what you know to be true in a clinical setting. We will dive into ways to improve your confidence and communication style so that you: are trusted by patients and their families; are able to be professionally transparent with your clinical team; and can get your point across succinctly, directly, and honestly in any situation you find yourself in so that we can improve patient outcomes and satisfaction.
Learning Objectives:
1. Define honest communication within a healthcare setting.
2. Develop personalized skills to improve your ability to communicate transparently while remaining professional.
Session 408 ·
Honesty in Healthcare Communication-- How to Communicate Honestly with your Patients and Team to Improve Patient Satisfaction and Outcomes
Tiffany L. Smith RN, BSN, WCC
Tiffany has experience in a myriad of specialties, but her greatest clinical passion is wound care. With this as her licensed specialization, she is able to provide top tier care to her patients in any area of any facility she works in.
Tiffany is currently using her passion to improve systems, educate staff members, and provide individualized consultations for healthcare facilities struggling with wound care. She is expanding her consulting and educating to assist professionals with their communication skills and honesty to improve patient outcomes and satisfaction. As a dynamic and engaging speaker, she captivates her audience and provides applicable, real-life skills to improve their professional lives.
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08/17/2024
10:25 am - 11:25 am (MST)
10:25 am - 11:25 am (MST) 08/17/2024
Infection Control is a big problem, longstanding and worsening, issue in the treatment of Chronic Wounds. There continues to be an overuse of systemic antiobiotics without the appropriate use of holistic measures, including cleansing the environment the patient is in, cleansing the patient and the patient's skin and nasal area, identifying the patient's risk(s) for infection and act proactively for it, as well, as using an antiobiogram, culture and sensitivity, as well as newer interventions in the diagnosis of infection in chronic wounds. Using appropirate topical antimicrobials and cleansers,in addition to a holistic approach for at-risk or currently infected patients, will help with reducing the use of systemic antibiotics. There is an increased risk of infection in certain patients and early, aggressive infection control, with a holistic approach, can and will help decrease the amount of deaths related to antibiotic resistant infections, as well as not precipatate the overall problem of antibiotic resistant bacteria.
This course will delve very deeply into identifing what constitues a chronic wound, and how those wounds are predisposed to infection. We will identify patients who are at a higher risk for infection, and interventions that wound practioners should be implementing into their Infection Control Programs. These will include using a holistic approach from cleansers to use for the environment the patient lives in, cleanisng the skin and nares, cleansing the wound and topical antimicrobial treatments (which is often one of the biggest questions from the students---what products can we use and we'll discuss generic names of antimicrobial products to prevent or treat wound infections), and learning to read an antibiogram, having knowledge about the use of a culture and sensitivity, and newer culture or bacterial profile screening tools.
We will finish up demonstrating that Infection Control, with a Holsitic end, can prevent Infection and help wounds to heal faster with fewer complications. Infection Control in the patient with a chronic wound is needing more aggressive treatment, intelligent decisions by well trained practitioners, who are will to put a solid effort into controling a problem that is out of control.
Learning Objectives:
At the completion of this course, learners will be able to:
Identify what defines a chronic wound, and 3 factors that can lead to chronic wound infections.
State the proper identification of infection/bacteria as it relates to the infection continuum.
Identify at least 2 ways that using a holistic approach to treating the chronic wound can improve patient outcomes and improve healing rates.
Session 409 ·
Does Infection Control Really Control Infection
Tracy Lynn Rodgers RN, BSN, WCC, LNCC
Tracy Lynn Rodgers RN, BSN, WCC, LNCC, has been a registered nurse for the last 35 years; including working in intensive care, home health, hospice, and skilled and long-term care settings. She owned and operated a successful outpatient wound center treating everything from lower extremity ulcers, burns, diabetic wounds, and pressure injuries. She has a love for teaching, and educating other wound enthusiasts in their journey to board certifications, and expert work. Tracy currently travels the country, teaching for Relias, and the Wound Care Education Institute, as well as sits as an expert witness in long-term care, skilled nursing, home health, and medical/surgical cases; with an emphasis on wound care standards and geriatric care.
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08/17/2024
11:30 am - 12:30 pm (MST)
11:30 am - 12:30 pm (MST) 08/17/2024
What was the problem? Nurses lack knowledge in identifying skin failure at the end of life.
How was it solved? A multidisciplinary collaborative initiative was formed to improve nurse's knowledge of skin failure at the end of life.
What was discovered? Nurses need knowledge and understanding concerning skin failure in patients at the end of their lives.
What can be learned in your session? The participants can learn how to develop and implement a multidisciplinary program integrating recognizing skin failure in patients at the end of life and increase nurses' confidence in their ability to manage skin failure and provide optimal care for patients at the end of their lives.
Learning Objectives:
Define skin failure and skin changes at the end of life.
Identify literature on skin failure and skin failure concepts at the end of life.
Discuss a process improvement project to improve nursing knowledge of skin failure and its implications for practice.
Session 410 ·
Enhancing Nurses Knowledge of Skin Failure at the End of Life in Acute Care
Juvy Montecalvo-Acosta DNP, RN, APN-BC, CWCN
Juvy Montecalvo-Acosta is the Director of Patient Care at Riverview Medical Center Hackensack Meridian Health - managing multiple departments - Magnet Program, Professional Development, and Wound Care Program. Juvy is a certified adult nurse practitioner, and she worked as a wound care nurse practitioner since 2012 before taking on her current leadership role. Juvy has been an adjunct faculty member at Stockton University's Accelerated Nursing Program for five years. Juvy is an alumnus of Rutgers University's Doctor of Nursing Program.
Juvy is one of Hackensack Meridian Health's (HMH) excellent and impactful nurse leaders who have made exceptional, transformational, and sustained contributions to its organizational goals through her extensive range of leadership roles at Riverview Medical Center. Juvy is an impressive, credible leader in scholarship, education, and research, all linked to nursing practice, teaching, and policy. She has been a tenacious and strong advocate of staff development opportunities and, through innovative approaches, is committed to supporting the next generation of nurse leaders. She continues to be a role model, fostering a spirit of inquiry and lifelong learning.
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08/17/2024
11:30 am - 12:30 pm (MST)
11:30 am - 12:30 pm (MST) 08/17/2024
Fistula management is challenging for patients and healthcare professionals. Fistula patients are at high risk for dehydration, malnutrition, and peri fistula skin complications. The certified wound and ostomy nurse can be instrumental in effectively managing the various aspects of fistula care, such as controlling output and isolating the fistula to protect surrounding tissue. The CWON is also knowledgeable in optimizing nutrition and addressing the psychosocial needs of fistula patients.
Learning Objectives:
The participant will state the etiology, presentation, and progression of a fistula.
The participant will describe techniques for fistula isolation.
The participant will recall recommendations for nutritional support of fistula patients.
Session 411 ·
Fistula Unplugged: Mastering Isolation Techniques
Elisa Winn, MS, RN, RN-BC, CWON
Elisa Winn, a Virginia native, earned her bachelor’s degree in psychology from VCU in 2001 and her master’s degree in nursing administration and leadership from VCU in 2011. She is a Certified Wound and Ostomy Nurse and a Certified Ambulatory Care Nurse, and she currently serves as the manager of the Wound Care Team and Pressure Injury Prevention Program at VCU Health. Elisa has 20 years of nursing experience in both inpatient and ambulatory settings. Her professional objective is to support the interprofessional team in implementing organizational initiatives to reduce hospital-acquired pressure injuries. She is passionate about educating interdisciplinary team members on the importance of skin preservation, wound care, and ostomy management. She lectures frequently in the VCU Health environment.
Elisa co-authored an article on medical device-related pressure injuries published in the Journal of Wound, Ostomy, and Continence Nursing and is currently involved with a research study investigating the pulmonary benefits of verticalization therapy.