MI-NADONA Sessions

Presenter: Jack Stahlmann

Inspired by his course certification from Yale on “The Psychology of Well-Being”, this is the newest of Jack’s presentations, so it still has that fresh keynote smell. The human kindness shared in times of crisis has Jack examining the common thread that creates positivity during hardship. And he examines how hard times can bring big things to anyone, if you look in the right place. But as the GI Joe Fallacy (yes, that GI Joe) demonstrates, simply seeing the silver lining is not enough. It’s the doers find the upside.

Along this journey, you’ll learn about The Gift and how to channel your inner-Clooney to make everyone you encounter feel like the most important person in the room. We’ll examine The Shift by exploring the secret sauce that has given Tom Hanks such career longevity in an ever-changing industry. And with The Connect we will dive into ways you can be more memorable to anyone you meet – and it might be as simple as wearing a Dolly Parton tee shirt. For real.

You could call this presentation the spoonful of sugar with the medicine because it delivers the fun and humor you want with the applicable takeaways that you just might need.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report on the post session evaluation a knowledge gain of how to see the upside in challenging situations, get a better understanding of how others perceive them and learn how to better communicate to have a greater positive impact at work and home.

Learning Objectives:

1. The Gift: Describe how to channel your inner-Clooney by making everyone you encounter feel like the most important person in the room.
2. The Shift: Examine how to make small adjustments to have a long-lasting Tom Hanks-ian career.
3. The Connect: Discover how you can become unforgettable to others by creating a mental stamp for them to remember you.

Presenter: Cindy Fronning, RN, GERO-BC, IP-BC, AS-BC, RAC-CT, CDONA, FACDONA, EFLA, CALN

CMS released the long awaited QSO (Quality, Safety and Oversight) memo (QSO-22-19-NH) and an advance copy of the Appendix PP on June 29, 2022, which provides us with both revised guidance to surveyors as well as new guidance regarding Phases 2 & 3 of the 2016 Reform of Requirements for Long Term Care or Rules of Participation. This session is going to explore §483.80 (Infection Control): F Tags F880, F881 and F882 and the changes identified in the new guidance. We will also review the new recommendations from CDC regarding Enhanced Barrier Precautions.
Confused? Unsure of what you need to do to be in compliance with these tags going forward after 10/24/22? Join this session for some clarity and walk away with some tools to assist you in implementing these revisions.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report on the post session evaluation a knowledge gain of how the Infection Prevention F Tags are going to be interpreted and how to implement these changes.

Learning Objectives:

1. Identify 2 measures that can be put into place to minimize the risk of a Legionella outbreak.
2. List 3 topics that CDC recommends Infection Preventionists have training in.
3. Explain the difference between contact precautions and enhanced barrier precautions.

Presenter: Adrienne V Bambach, Ph.D., D(ABMM)

You know the impact of UTIs in the elderly. But do you know the complexities involved in accurate UTI testing or the impact it has on antimicrobial stewardship? Much like a family camping tent, UTIs are far more complicated than most people realize and raise a host of questions: Is urine sterile? Can more than one organism cause a UTI? What is PCR anyway? And why is there an extra tent pole in this bag?

Pull up a cold, wet tree stump next to the campfire, get some smore ingredients and join us for “Beyond the Burn: The Secret World of UTIs. You’ll get the answers to these burning questions…and charred marshmallows!*  We’ll guide you through a fun and engaging session where you have the chance to apply your newfound knowledge of the challenges and complexities facing UTI testing in several realistic testing scenarios.  You’ll learn, play some games, and maybe win fantastic prizes for participating (if you define “fantastic prizes” as chocolate). You’ll never look at UTIs the same way again!

*Tree stumps, campfires, and smore ingredients totally not included… except maybe the chocolate!

Nurse Learner Outcome: At the conclusion of this session, participants will self-report on the post session evaluation a knowledge gain of the different methods of testing for a UTI and how to apply the results from these methods when making treatment decisions.

Learning Objectives:

1. Explain the issue of urinary tract infections (UTIs) in long-term care facilities.
2. Describe the different methodologies involved in getting UTI results and the impact they have on the patient and antimicrobial stewardship.
3. Apply UTI testing knowledge to realistic test ordering and resulting scenarios.

Presenter: Steve Palmreuter, BS

1. Describe the tiered huddle process.
2. Examine how huddles have been applied in skilled nursing to improve communication and staff engagement.
3. Identify the connection between the huddle process and best practices identified via CMS.

Presenter: Jennifer Card, BSN, RN, BC-VA

Nurse Learner Outcome: At the conclusion of this session, participants will self-report on the post session evaluation a knowledge gain of how to identify and care for various Vascular Access Devices used in the medical field to prevent infections and complications.

Presenters: Tara Frazier, MSN, AGNP-C, APRN, WCC

You are the Director of Nursing at a Michigan LTC center. Last week the state and two federal surveyors arrived at your facility and immediately focused on three (3) facility acquired stage 4 pressure injuries that were documented as “unavoidable”. To your amazement, survey walked out without giving your facility citations and you successfully defended your unavoidable assessments! How did we do it? In this session, you’ll learn the specific process we followed to prove these pressure injuries were truly “unavoidable.”

Nurse Learner Outcome: At the conclusion of this session, participants will self-report on the post session evaluation a knowledge gain of skin injuries that are found in patients at the end of life and understand the terms used to describe these unavoidable skin conditions.

Learning Objectives:

1. Review different Federal tags related to wound care.
2. Discuss concepts of end of life skin changes; including Skin Failure, Kennedy terminal ulcer, Skin Changes At Life’s End, & Trombley-Brennan terminal tissue injuries.
3. Identify risk factors and physiologic changes involved in skin failure.
4. Analyze CMS regulatory guidelines and demonstrate proper documentation related to unavoidable pressure injuries.
5. Identify and differentiate other skin conditions that may mimic skin failure.

Presenters: Dr. Tiziano Scarabelli, MD, PhD, FACP, FAHA, FACC, AMDA member

Pain management in post-acute care and LTC is challenging as it requires to incorporate opposing goals, such as effective pain relief leading to prevention of disability on one side and preservation of decision-making capacity with minimization of side effects on the other. This presentation will focus on treating pain as a symptom of each patient’s overall condition and not as a separate issue. Pain assessment, diagnosis and cause-effect analysis, identification of care objectives, selection of interventions, including use of opioids and monitoring of progress/outcomes represent integral components to this approach.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report on the post session evaluation a knowledge gain of pain management techniques.

Learner Objectives:

1. Identify/describe the pathophysiology and clinical factors underlying pain.
2. Treat pain via the use of multiple modalities, including pharmacological, non pharmacological and alternative therapies
3. Choose the most appropriate analgesic based on the type of pain, pain severity and potential side effects
4. Describe a bowel regimen to reduce the risk of constipation when starting an opioid.
5. Examine risk evaluation and mitigation strategy (REMS) on the use of opioid analgesics.

Presenter: Kathy Parry

In this session, Kathy Parry walks participants through a circuit of power. First participants will acknowledge and examine how organizational and personal energy have been drained over the last couple of years. After understanding how fatigue and burnout can set in, Kathy gives clear tactics to re-energize. Participants examine how purpose, ownership, celebrating and resilience all create powered up teams. Finding the right power source for your team is critical to Power UP. But with some re-wiring, Kathy will have you ready to flip on the switch for you own Power Up initiatives.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report on the post session evaluation a knowledge gain of which tasks consume their energy each day and how to be more efficient and energized.

Learning Objectives:

1. Identify where organizational, leadership and personal energy goes each day so that deficits in productivity can be found.
2. Examine energy drains in your organization and the types of events and interactions that decrease retention, productivity and engagement
3. Identify the five power sources that create an energized work environment and create a plan for your organization
   

Presenter: Vickie Burlew, RN, LNHA

Presenter: Betty Brunner, RN, BS, NHA, CDON, FACDONA

Nurse Learner Outcome: At the conclusion of this session, participants will self-report on the post session evaluation a knowledge gain of the development of a clinical staff recruitment strategy to attract high qualified nursing candidates to fill open positions and identify training opportunities that result in improved competence, awareness of regulatory compliance and accountability to be present as a prepared professional as a member of the nursing team.

1. Discuss development of a Recruitment Strategy System.
2. Identify the Onboarding process.
3. Review the Challenges of Early Career Nurses.
4. Develop an implementation plan to addresses the solution to measure outcomes of re-training and retaining new hire nursing staff.
5. Incorporate these strategies in your QAPI program.

Presenters: Jeffrey Stamps, RPh

Learning Objectives:

1. List operational strategies to improve processes related medication cost containment, medication safety and security, and optimize pharmacy related services
2. Discuss opportunities to maximize the relationship between communities and the consultant pharmacist
3. Evaluate how to navigate current and upcoming regulatory requirements and how to involve your pharmacy provider

Presenters: Doug Campbell, RN, BSN, CDONA, RAC-CT, LNHA

This presentation will assist you to have a successful journey by mapping the way (care planning) for everyone on the trip to follow for person centered care.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report a knowledge gain on the post session evaluation of ways to collect care goals, and plan care in a more person-centered way.

Learning Objectives:

1. Discuss regulatory requirements for Care Planning
2. Discuss the PELI inventory and its ability to collect person centered information to tailor care planning in a person-centered way.
3. Discuss Rothschilds Care Planning as a way to honor resident choices that contain a risk.

Presenter: Dr. Jon Barch, PhD

Presenter: Diane Sanders-Cepeda, DO, CMD

What is Long COVID? And, why does it matter? This program will seek to answer questions around Long COVID and the impact that it is having across the Post-Acute and Long-term care continuum. Long COVID, also known as Post – Acute Sequelae of COVID, has many unknowns associated with it. This session will address those unknowns by describing prevalence predictors, symptom recognition, and management strategies.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report on the post session evaluation a knowledge gain of the symptoms of PASC, discuss management approaches, and considerations for documenting this condition

Learning Objectives:

1. Define Long COVID (Post Acute Sequalae of COVID) and describe clinical pathophysiology concepts
2. Discuss treatment options and rehabilitation guidelines
3. Consider prevalence and describe the challenges with recognition of Long COVID in the PALTC resident
4. Review identification of Long COVID and discuss how it can impact other acute and chronic conditions

Presenter: Celeste Saunders, MIM, BSN, RN and Debra Lyons, RN

1. Identify where to find CMS guidance for nursing homes
2. Identify what significant changes are coming for nursing homes in October
3. Identify where to find training for nursing home providers on upcoming changes