17th Biennial Eliza Fernie Pediatric Critical Care SymposiumDo No Harm

January 23-24, 2018

Live LocationChildren’s Hospital Colorado Anschutz Medical Campus Aurora, CO

and

Video Conference SitesColorado Springs, CO Grand Junction, CO Billings, MT Albuquerque, NM Farmington, NM Cheyenne, WY

Overview, Target Audience and Learner OutcomeEliza Fernie was well cared for as a child in the Cardiology Department at Children’s Hospital Colorado in the early 1980s. As an adult pursuing her own career now, she and her family continue to be grateful for the care she received. Their aim is to give back by helping pediatric nurses and other members of the healthcare team continue to excel in the clinical setting.

The Eliza Fernie Pediatric Critical Care Symposium is designed to provide evidenced-based critical care updates for nurses, respiratory therapists and other team members. Attendees will be able to expand their own professional development and share knowledge and resources regarding neonatal, cardiac and pediatric critical care diagnoses, trends and innovations with their teams, patients and families.

The overarching conference theme this year is “do no harm.” On the face of it, this may seem an obvious and absolute obligation, a promise above all others we make in the provision of critical care. Over the two-day conference we will delve into human experience and systems issues that can impede our efforts to prevent harm. We will learn with compassion that all people are vulnerable to biases that can contribute to unintended outcomes. We will examine challenges faced in critical care in order to balance competing and sometimes contradictory aims. We will seek guidance from professional society consensus statements, as well as from the history of medicine and nursing, to inform professional practice. We will gain clarity from clinical expert and patient perspectives to re-energize how we think about our commitment to “do no harm” to the patients we serve.

Choose to attend the live conference at Children’s Hospital Colorado or at one of the video conference sites in Colorado (Colorado Springs, Grand Junction), Montana (Billings), New Mexico (Albuquerque and Farmington) or Wyoming (Cheyenne).

ObjectivesUpon conclusion of this symposium, participants should be able to:

• Explore human reasoning, its influence on diagnostic processes and the safety of working in multi-disciplinary diagnostic partnerships.

• Describe contributing factors of different aspects of bias that can impact patient care.

• Describe the role of sleep and self-regulation on neurodevelopment with attention to the competing aims of necessary care.

• Explore the challenges of managing children with a unique life-limiting disease that did not survive in the past, including local and global efforts to maximize the length and quality of life for individuals born with a single ventricle.

• Explain the new breakthroughs and challenges for ACHD care.

• Describe the teen patient’s perspective in a medical encounter.

• Examine current consensus guidelines focused on improving outcomes from pediatric cardiac arrest.

• Describe the risks and benefits of adding Continuous Renal Replacement Therapy (CRRT) in line with Extracorporeal Membrane Oxygenation (ECMO).

• Identify appropriate pediatric palliative care consults.

• Describe challenging cases in the Neonatal Intensive Care Unit highlighting the importance of situational awareness, interdisciplinary communication and teamwork.

• Explain the importance of genetics in the care of children with cardiac disease.

• Describe historical events that can inform practice and navigation of competing aims in clinical care today.

Conference HandoutsHandout links will be emailed to each registered participant after the conference.

Continuing Education CreditRegistration, attendance, sign-in and submission of the evaluation, including a written response to questions related to any change in practice that you may make as a result of learning that took place at this activity, are required for successful completion and receipt of the certificate of attendance. Claim only those hours you attend.

NursingChildren’s Hospital Colorado is an approved provider of continuing nursing education by the Western Multi-State Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This educational offering for 12.75 nursing contact hours is provided by Children’s Hospital Colorado (1/23- 6.5 hours; 1/24- 6.25 hours).

Note: Continuing competency components and measures may now be part of your specialty certification program. Documentation of completion of the targeted education activities is required. To assist with this requirement, please keep a copy of the brochure.

Other ProvidersA general certificate of attendance is available to all other care providers.

Locations and ParkingLive Site: The conference will be held at Children’s Hospital Colorado on the Anschutz Medical Campus, 13123 East 16th Avenue in Aurora, Colorado 80045. Please enter through the main hospital entrance and take the glass elevators to the Conference and Education Center on the second floor.

Anschutz Medical Campus employees must park in their designated area. Free parking for conference guests is available on the Lower Level of the Family/Visitor parking structure, just south of the hospital’s main entrance.

Please visit www.childrenscolorado.org/directions for driving directions.

Video Conference Sites:(Please note meals and exhibitor displays are generally not provided at the video conference locations)

ColoradoColorado Springs, CO 80920: Children’s Hospital Colorado at Briargate – 4125 Briargate Parkway (Jan. 23 in Oklahoma Conference Room; Jan. 24 in Alabama Conference Room, both on 3rd floor). Free parking is available in the lots located on the east, west and south sides of the building. For questions, contact Karen Thomason, MSN, RN, CCRN, Clinical Nurse Specialist, Pediatrics / PICU, at karen.thomason@ childrenscolorado.org or 719-365-5752.

Grand Junction, CO 81501: St. Mary’s Medical Center – 2635 North 7th Street(Saccomanno Education Center, 5th floor, Room 2). St. Mary’s employees must parkin designated parking lots. Free parking for guests is available in the parking garage located at 7th and Wellington or the Pavilion on Wellington. For questions, contact Karin VanMeter, BSN, RN, Clinical Nurse Manager, Pediatrics, at karin.vanmeter@ sclhs.net or 970-298-2236.

MontanaBillings, MT 59101: Billings Clinic (CHCO Care Alliance) –2800 10th Avenue North (Mary Alice Fortin Health Conference Center, HCC-F). Free public parking for guests is available. Employees must park in designated employee parking. For questions, contact Nikki Woods, BSN, RN, CNML, NurseManager, Inpatient Pediatrics, at nwoods@billingsclinic.org or 406-435-4975.

Kalispell, MT 59901: Kalispell Regional Healthcare- 310 Sunnyview Lane. Free public parking in surrounding lots.Video Conference to be held in Harvest Room, in Education Services. For questions contact Rachel Burch, BSN, RN, Pediatric Nurse Educator at rburch@krmc.org or 406-249-4348.

New MexicoAlbuquerque, NM 87106: Presbyterian Healthcare Services (CHCO Care Alliance) –1100 Central SE (Presbyterian Hospital, Heritage Conference Room). Free parking is available in surrounding lots. For questions, contact Cheryl Hauge, BSN, RN, Clinical Education Specialist, at chauge@phs.org or 505-724-7025.

Farmington, NM 87401: San Juan Regional Medical Center – 800 W. Maple Street (Center for Workforce Excellence). Free guest parking is available. Employees must park in designated employee parking. For questions, contact Melanie Stout, BSN, RN, Pediatric Clinical Educator, at mrino@sjrmc.net or 505-609-2099.

WyomingCheyenne, WY 82001: Cheyenne Regional Medical Center (CHCO Care Alliance) – Main Campus, 214 E. 23rd Street (Auditorium A). Free parking is available in the Parking Garage. For directions, contact Justine Nusz, MBA, BSN, RN, CPN, Clinical Educator, at justine.nusz@crmcwy.org or 307-996-4742.

AcknowledgementsWe gratefully acknowledge the Fernie Family for their generous financial supportfrom the Eliza Fernie Endowment for Nursing Education that allows healthcare providers to enhance their knowledge to better care for infants, children and teens who are critically ill.

We are thankful for the William Randolph Hearst Endowed Fund for Perinatal and Pediatric Outreach Programs through Children’s Hospital Colorado that provides conference support and reduced registration fees for all attendees.

We appreciate the educational displays from participating exhibitors.

Thank you to the technical resources and on-site facilitators at the video conferencesites.

Further InformationFor questions or to request arrangements to accommodate a disability, contactDiane Gonzales, Conference Coordinator, 720-777-6160 or email diane.gonzales@ childrenscolorado.org in advance of the conference.

Registration Fees*Both Days

by 1/5 after 1/5One Day

by 1/5 after 1/5Community Providers $120 $140 $70 $90

Children’s Hospital Colorado and Care Alliance Partners, University of Colorado Health, Students and Video Conference Sites

$40 $60 $20 $40

*The William Randolph Hearst Endowed Fund for Perinatal and Pediatric Outreach Programs through Children’s Hospital Colorado has provided educational funds for conference participants to attend at reduced rates.

Students must provide verification of full-time status; Fax information, noting conference and date, within 2 days of online registration to 720-777-7258.

Cancellation Policy No refunds will be granted, although you may send a substitute by notifying Diane Gonzales. The Planning Committee reserves the right to alter the agenda or cancel the conference in the event of an unforeseen circumstance, or if the minimum registration is not attained by January 5, 2018 with a full refund to participants.

Further InformationFor questions or to request arrangements to accommodate a disability, contact Diane Gonzales, Conference Coordinator, 720-777-6160 or email diane.gonzales@childrenscolorado.org.

Save the Date18th Biennial Eliza Fernie Pediatrc Critical Care Symposium January 28-29, 2020

Children’s Hospital Colorado complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. • ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-720-777-1234. • CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-720-777-1234.ME_150046730_2017-11

Register Early!Visit our website today to register.

childrenscolorado.org/CE

Register online by January 5, 2018 to receive the early registration fee.

You will receive a confirmation by email.

Agenda

Tuesday, January 23, 20187:15 a.m. Sign-in

7:30 Check-in with Video Conference Sites

7:40 Opening AnnouncementsSusan B. Clarke, MS, RNC-NIC, RN-BC, CNSConference Chair

WelcomeEliza Fernie and John C. Fernie

Moderator Heather Fitzgerald, MS, RN

8:00 How the Brain is Hardwired: How Systems of Human Judgment Influence the Diagnostic Process Joe Grubenhoff, MD, MSCS

9:00 Panel

Illustrating Bias through Complex Case PresentationsModerator Joe Grubenhoff, MD, MSCSDavid Brumbaugh, MD, MSCS, FAAP Brian Jackson, MD, MA Beth Wathen, MSN, RN, PNP, CCRN

10:15 Break

10:45 Impact of Necessary Caregiving in the ICU: Sleep Disruption and NeurodevelopmentAnn C. Halbower, MD, Melissa Laughlin, BSN, RNC-NIC Beth M. McManus, ScD, MPH, PT

11:45 Lunch

Moderator Jodi Ulrich, BSN, RN, CCRN

12:45 p.m. Children with “Half a Heart”: They are Surviving, So Now What Do We Do? Adel Younoszai, MD

1:45 Break

2:00 Congenital Heart Disease (CHD): Adult CHD Surgeries at a Pediatric Hospital and Transition to Adult CareJoseph D. Kay, MD and Elizabeth Yeung, MD

3:00 What It’s Like from This Chair: A Teen PanelJeffrey Darst, MD

4:00 Wrap-up and Online Evaluation

4:15 Adjourn

Wednesday, January 24, 20187:30 a.m. Sign-in

Check-in with Video Conference Sites

7:45 Welcome Julie Bianco, BSN, RN, CPEN Conference Co-chair

Moderator Sarah Pihl, MS, APRN, CPNP-AC

8:00 Improving Outcomes from Pediatric Cardiac Arrest Beth Wathen, MSN, RN, PNP, CCRN

9:00 Break

9:30 Balancing CRRT and ECMO in Complex Cases Danielle E. Soranno, MD

10:30 Does Palliative Care Have a Role in the ICU Setting?Karen Williams, MSN, FNP-BC, ACHPN

11:30 Lunch

Moderator Joleen Farina, BSN, RNC-NIC

12:30 p.m. Challenging Cases in the Neonatal ICU Danielle Smith, MD

1:30 Shared Decision Making: The Impact of Genetic Testing in Critically Ill Patients Kathryn Chatfield, MD, PhD

2:30 Break

2:45 Learning from the History of Medicine: Cases for ReflectionHeather Fitzgerald, MS, RN Patricia Givens, DHA, EdM, RN, NEA-BC

3:45 Wrap-up and Online Evaluation

4:00 Adjourn

FacultyDavid Brumbaugh, MD, MSCS, FAAPAssociate Professor of Pediatrics University of Colorado School of MedicineDigestive Health Institute Associate Chief Medical Officer Children’s Hospital Colorado

Kathryn Chatfield, MD, PhDAssistant Professor of Pediatrics University of Colorado School of MedicineDirector, Cardiac Genetics Clinic Children’s Hospital Colorado

Jeffrey Darst, MDAssociate Professor of Pediatrics University of Colorado School of MedicineDirector, Heart Institute Wellness Program Children’s Hospital Colorado

Eliza FernieFormer Neonatal Patient

John C. FernieParent and Board Member Adult Congenital Heart AssociationPast Trustee Children’s Hospital Colorado

Heather Fitzgerald, MS, RNClinical Faculty Center for Bioethics and Humanities University of Colorado School of MedicineClinical Nurse Ethicist Co-chair, Ethics Committee Children’s Hospital Colorado

Patricia Givens, DHA, EdM, RN, NEA-BC Senior Vice President Chief Nursing Officer Dr. Dori Biester Chair in Pediatric Nursing Children’s Hospital Colorado

Joe Grubenhoff, MD, MSCSAssociate Professor of Pediatrics University of Colorado School of MedicineAssociate Medical Director, Clinical Effectiveness Children’s Hospital Colorado

Ann C. Halbower, MD Professor of Pediatrics University of Colorado School of MedicineDirector, Pediatric Sleep Research Breathing Institute Children’s Hospital Colorado

Brian M. Jackson, MD, MAFaculty, Center for Bioethics and Humanities Assistant Professor of Pediatrics University of Colorado School of MedicineCo-Chair, Ethics Committee Critical Care Intensivist, Pediatric ICU Children’s Hospital Colorado

Joseph D. Kay, MDAssociate Professor of Medicine and Pediatrics University of Colorado School of MedicineDirector, Adult and Teen Congenital Heart Disease Program Children’s Hospital Colorado UCHealth, University of Colorado Hospital

Melissa Laughlin, BSN, RNC-NICClinical Nurse II, Neonatal ICU Children’s Hospital Colorado

Beth M. McManus, ScD, MPH, PTAssociate Professor University of Colorado School of Public HealthPediatric Physical Therapist Children’s Hospital Colorado

Danielle Smith, MD Assistant Professor of Pediatrics Section of Neonatology University of Colorado School of MedicineAssociate Medical Director, Neonatal ICU Children’s Hospital Colorado

Danielle E. Soranno, MD Assistant Professor of Pediatrics, Bioengineering and Medicine University of Colorado School of MedicineAttending, Pediatric Nephrology The Kidney Center Children’s Hospital Colorado

Beth Wathen, MSN, RN, PNP, CCRN Clinical Practice Specialist, Pediatric ICU Children’s Hospital Colorado

Karen Williams, MSN, FNP-BC, ACHPN Instructor of Pediatrics University of Colorado School of MedicineProgram Leader, Palliative Care Program Children’s Hospital Colorado

Elizabeth Yeung, MDAssistant Professor of Clinical Pediatrics University of Colorado School of MedicineDirector, Teen Transition and Readiness UCHealth, University of Colorado Hospital Children’s Hospital Colorado

Adel Younoszai, MDProfessor of Pediatrics University of Colorado School of MedicineDirector, Cardiac Imaging Co-Director, Single Ventricle Care Program Children’s Hospital Colorado