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APRIL 26, 2018 Eric P. Newman Education Center St. Louis 12 TH ANNUAL PERSPECTIVES IN PEDIATRICS CONFERENCE Nationally Recognized Magnet Hospital

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APRIL 26, 2018Eric P. Newman Education Center • St. Louis

12TH ANNUAL

PERSPECTIVES IN PEDIATRICS CONFERENCE

Nationally Recognized Magnet Hospital

DEAR COLLEAGUES,St. Louis Children’s Hospital is proud to present our 12th Annual Perspectives in Pediatrics Conference on April 26, 2018. As a top-ranked children’s hospital, we continually strive to improve pediatric health care locally and across the country. In keeping with this goal, this year’s conference will focus on the theme of “Innovative Practices in

Pediatric Healthcare,” highlighting work being done by a variety of our inter-professional teams that is breaking new ground and improving care for children and youth.

Topics planned include an innovative approach to health care screening of adolescents in the emergency department, palliative care for complex chronic conditions and innovations in pain management. These are important topics in light of our current opioid epidemic. Effective approaches for assessing risky behavior in adolescents and managing pain in young people are strategies that can prevent future opioid dependency in adulthood.

We recently launched a specialty clinic for children with gender dysphoria and disorders of sexual development. An expert physician on this topic will share what we are doing as the only provider of this service in the region.

In addition to innovations in care for children, we will share our efforts to support our staff facing secondary trauma associated with situations at work. The We Care Program offers support from specially trained local peers in the aftermath of a critical incident. Many clinicians have found We Care extremely helpful.

Lastly, several of our team members will be presenting the results of evidence-based practice projects they have completed to improve patient care within the hospital.

If you are from another pediatric organization, you’ll hear about innovative practices that you can take back to your own organization. As pediatric health care providers, we need to share our new ideas, evidence and practices to provide ever more effective and value-based care. We hope that you will join us for an exciting day of learning and networking with your colleagues!

Peggy Gordin, MS, RN, NEA-BC, FAANVice President, Patient Care ServicesSt. Louis Children’s Hospital

Perspectives in Pediatrics Conference

Conference Objectives

Promote innovation in health care by:

• Highlighting innovative practices that have advanced pediatric care and improved patient outcomes.

• Sharing experiences of team members closest to patient care in advancing improvement ideas from concept to implementation.

Contact Hours and Trauma Hours

7.4 Nursing Contact Hours provided by St. Louis Children’s Hospital for participants attending the entire session.

St. Louis Children’s Hospital is an approved provider of continuing nursing education by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Program qualifies for one trauma hour.

THURSDAY, APRIL 26, 2018

0730-0750 Conference Opening/Poster Presentations/Breakfast

0750-0800 Welcome

0800-0930 Keynote Address

0930-1015 General Session

1015-1035 Break/Poster Presentations/ Vendor Display

1035-1135 General Session

1135-1220 Lunch (provided)/Poster Presentations/Vendor Display

1220-1320 General Session

1320-1420 General Session

1420-1435 Break/Poster Presentations/ Vendor Display

1435-1520 General Session

1520-1620 Closing Session

1620-1630 Closing

Conference Agenda at a Glance

KEYNOTE SPEAKERRussell G. Hoffmann III, PhD

Russell Hoffmann is Vice President, BJC Institute of Learning and Development (BILD), for BJC HealthCare. He leads a team that provides system-wide services in the areas of Talent Management, Organizational Development, Learning and Career Development. BILD services support achieving BJC’s mission: To improve the health and well-being of the people and communities whom we serve.

Russell joined BJC 22 years ago, and previously served in leadership roles at the BJC-affiliated St. Louis Children’s Hospital. As the Director of Cultural Transformation and Organizational Effectiveness, he focused on aligning individual, team and organizational efforts with the hospital’s mission and vision. Russell also served as the Director of the Department of Psychology, where he led a clinical service in providing inpatient and outpatient care to youth facing medical and/or mental health conditions. He also served as a clinical psychologist during his tenure at St. Louis Children's Hospital, and an adjunct faculty member of the Department of Pediatrics, Washington University School of Medicine.

Russell received his graduate training (Master’s Degree and PhD) in clinical psychology at the University of Florida with a focus in child and family systems psychology.

7:30-7:50 a.m.CONFERENCE OPENING/POSTER PRESENTATIONS/VENDOR DISPLAY

7:50-8 a.m.WELCOME

8-9:30 a.m.KEYNOTE ADDRESS

Bringing to Life the Next Best Idea: Contributing to SLCH’s Culture of Innovation

As with any health care system, the best ideas for making improvements in areas such as safety, clinical care, patient experience and teamwork come from those team members closest to the bedside. This presentation will share how team members can cultivate improvement ideas from concept to implementation, as well as support co-workers in bringing to life their innovative solutions.

Russell G. Hoffmann III, PhD Vice President, BJC Institute for Learning & Development (BILD) BJC HealthCare

9:30-10:15 a.m.GENERAL SESSION

Electronic Health Screening for Adolescents in the Emergency Department

An overview of a novel program designed to improve care for reproductive health issues among adolescents seeking care in the St. Louis Children’s Hospital Emergency Department.

Fahd Ahmad, MD, MSCI Assistant Professor of Pediatrics

10:15-10:35 a.m.BREAK/ POSTER PRESENTATION/ VENDOR DISPLAY

10:35-11:35 a.m.Pediatric Advanced Care Team: An Extra Layer of Support

An overview of St. Louis Children's Hospital's Pediatric Advanced Care Team (PACT), also known as palliative care. At its core, palliative care is a comprehensive approach to care that offers an extra layer of support from an interdisciplinary team of doctors, nurses, social workers, chaplains and other pediatric specialists. Such care provides relief from the symptoms, pain, psycho-

social, emotional and spiritual stress of disease for both the patient and the family. It is appropriate for any stage of illness and can be concurrent with curative treatments. A panel discussion will follow to answer audience questions.

Dr. Kathryn Bucklen, MD, Assistant Professor of Pediatrics, Washington University, Pediatric Advanced Care Team

Carol Massmann, MSN, RN, CPNP, Pediatric Advanced Care Team

Pam Piel, MSN, RN, CPNP-PC, Pediatric Advanced Care Team

11:35 a.m.-12:20 p.m.LUNCH (PROVIDED)/POSTER PRESENTATION/ VENDOR DISPLAY

12:20-1:20 p.m.GENERAL SESSION

Spotlight presentations by St. Louis Children’s Hospital Research Fellowship Participants

A Randomized Controlled Trial Comparing Reduced Flat Times versus Standard of Care in Pediatric Patients Post Cardiac Catheterization

Pediatric patients undergoing cardiac catheterization procedures are required to lie flat for four to six hours and at times up to eight hours. Results of research in adult patients were found that flat time could be safely decreased to as little as one-and-a-half to two hours post cardiac catheterization procedure. The purpose of this study was to determine if decreased flat time for the post cardiac catheterization pediatric patient would affect the incidence of site bleeding, additional sedation and need for a critical care admission.

Rebecca Roiger, MSN, RN, CPNP-PC

Pain Control and Positioning in Children Following Selective Dorsal Rhizotomy Surgery

A practice was changed from elevating the head of bed (HOB) on day one to elevating HOB on day three following a Selective Dorsal Rhizotomy surgery with the goal to improve pain control. The purpose of this mixed methods study was to determine if better pain management was achieved with this practice change. Both quantitative and qualitative results supported a return to one day of flat time.

Janette Coble, MS, BSN, RN

Conference Program • THURSDAY, APRIL 26, 2018

“We’re so CRAFFT-y: The implementation of an alcohol and drug screening tool”

The CRAFFT screening tool is used to screen adolescents for alcohol and drug use. Previously, this screening was only done on admitted injured patients. In 2017, the Trauma Services team joined with Social Work and the patient care team on the 10th floor to extend this screening to all admitted patients age 12 and older. Simulation and roundtable discussions were used in the education plan prior to implementation.

Michele Herndon, MSN, RN, CPEN, TCRN

Mary Sudbrock Lucido, MSW, LCSW

Bobbi Wentzel Williams, MSW, LCSW

1:20-2:20 p.m.GENERAL SESSION

The Changing Landscape of Pediatric Pain Management

This session will focus on pediatric multimodal pain management and the many factors that are driving changes. Reduction of opioid use, improved pain education and use of regional blocks for pain are some topics that will be explored.

Jacob AuBuchon, MD Assistant Professor Director of Pediatric Pain Management Department of Anesthesiology Washington University in St. Louis St. Louis Children’s Hospital

Anne LaBarge, RN-BC, CPNP Pediatric Nurse Practitioner Acute and Chronic Pain Service Department of Anesthesiology Washington University School of Medicine St. Louis Children’s Hospital

2:20-2:35 p.m.BREAK/POSTER PRESENTATION/VENDOR DISPLAY

2:35-3:20 p.m.GENERAL SESSION

Secondary Traumatic Stress in Health Care: Understanding the Impact on Caregivers

Secondary traumatic stress (STS) is the emotional and physical distress that health care staff can experience as they provide care. They are exposed to repeated loss, pain and suffering. The stress symptoms associated with STS can have a significant and lasting impact on the caregiver’s personal and professional life. This session will describe the trajectory of secondary traumatic stress and identify key strategies to support staff.

Debbie Robinson DNP, PPCNP, BC, CPON

3:20-4:20 p.m. GENERAL SESSION

Caring for Transgender Patients

This lecture will help professionals who provide care and support for gender variant children to understand the health and social support needs of this population. Participants will learn current best practices for medical care of gender non-conforming patients. The knowledge gained by participants in this program will prepare them to improve the care they provide to transgender and gender-questioning youth and their families.

Sarah Garwood, MD Assistant Professor, Pediatrics at Washington University School of Medicine Division of Adolescent Medicine Associate Program Director, Pediatric Residency Program at St. Louis Children’s Hospital Medical Director for the SPOT at Jennings High School

4:20-4:30 p.m.CLOSING

Conference Program • THURSDAY, APRIL 26, 2018 Conference Program • THURSDAY, APRIL 26, 2018

Conference FeesFees include educational program, continental breakfast and lunch.

Fees• Early bird registration (postmarked on or before

March 22, 2018) .................................................. $125• Registration (postmarked after March 22, 2018)

............................................................................ $150 • Conference pricing for BJC employees/students

............................................................................ $100 Registration/Payment MethodOnline registration is available/preferred at https://www.stlouischildrens.org/classes-events/perspectives-in-pediatrics-conference

If registering by mail, fees must accompany the registration fee in the form of check or money order. Registrations received without fee payment will not be processed. A confirmation email will be sent approximately two weeks after payment is received. Please make your check payable to St. Louis Children’s Hospital.

CancellationsCancellations must be made in writing. A full refund will be given prior to March 22, 2018. Cancellations between March 22 and April 19, 2018, will incur a $25 processing fee. After April 19, 2018, all cancellations will be non-refundable.

Registration DeadlineRegistrations will be accepted until April 19, 2018. After April 19, 2018, please contact Susan Marten at St. Louis Children’s Hospital, 314-286-0385 or [email protected], to verify availability.

Please Note• Sessions are open to paid conference attendees only.• Conference room temperature may be variable, so

please dress in layers for comfort.

Questions Sue Marten at St. Louis Children’s Hospital, 314-286-0385 or [email protected]

Hotel InformationThe conference will be held at the Eric P. Newman Education Center located in the City of St. Louis’ central corridor, in a cosmopolitan area known as the Central West End. For hotel accommodations, contact the Parkway Hotel at 866.314.7700 or 314.256.7777. For more information on the hotel and its services, please visit www.theparkwayhotel.com.

ParkingConference attendees can park at the Metro parking garage located on Children’s Place. All BJC central campus employees should park at their designated garages and ride the employee shuttle or walk to the conference. Please note you will be responsible for any fees obtained from parking in non-designated areas.

Registration

Questions regarding this conference may be directed to: Susan Marten at St. Louis Children’s Hospital 314.286.0385 or [email protected]

REGISTRATION INFORMATION

Name:

Phone Number:

Title:

Place of Employment:

City: State: ZIP code:

Please indicate your mailing address below:

Street:

City: State: ZIP code:

Email (Required for Communication):

Fees: Make check or money order payable to: St. Louis Children’s Hospital Attention: Susan Marten, Clinical Education One Children’s Place, St. Louis, MO 63110

Registration Deadline: April 19, 2018

After April 19, 2018, contact Sue Marten at 314.286.0385 or [email protected] to verify availability.

• Early Bird (post-marked on or before March 22, 2018)...............................................................................$125

• Postmarked after March 22, 2018 ...............................................................................................................$150

• One-day BJC/SLCH/students conference pricing .......................................................................................$100

• Total amount due: ...................................................... $ ___________________________________________ Registrations received WITHOUT fee payment will NOT be processed.

If employed by BJC/SLCH, please enter your employee ID number: ___________________________________________

St. Louis Children’s Hospital

One Children’s Place | St. Louis, MO 63110

StLouisChildrens.org

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