Schedule of Events

SGNA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. 

Educational sessions are being approved by ABCGN for GI-specific contact hours and CBSPD for CBSPD-specific contact hours on a rolling basis. If a session is not listed as offering GI or CBSPD-specific contact hour(s), it may not have been approved by the accrediting organization yet. Please continue to check back on the website for updates.

Continue to check back often for educational program updates for the SGNA 46th Annual Course. 

Pre-Meeting Events

Friday, April 12, 2019

8:00 am - 5:00 pm

OS-01: GI/Endoscopy Nursing Review Course | 14.25 Contact Hours

Kelly Osborne, MSN RN CGRN
Mary Grealish, MSN RN CGRN

The GI/Endoscopy Nursing Review Course will provide an overview of key areas related to GI/endoscopy nursing practice. Additionally, tips on how to prepare for the CGRN Certification exam will be presented.

8:00 am - 12:00 pm

OS-02: Nuts and Bolts for Hospital and Ambulatory Managers | 3.75 Contact Hours

Betty L. McGinty, MS HSA BS RN CGRN
Cynthia M. Friis, MEd BSN RN-BC
Michelle Day, MSN RN CGRN

Description coming soon

8:00 am - 10:00 am

OS-03: EUS-The Basics | 2.00 Contact Hours

Jeanine Penberthy, MSN RN CGRN

This course will cover the EUS imaging of the digestive tract. The physics of Ultrasound will be reviewed. The anatomy will be described in the context of a live image. There will also be an interactive review of the anatomy. The procedures performed during EUS, such as: Fine Needle aspiration, Fine Needle Injection, Fiducial Placement, and Pseudocyst drainage will be reviewed. The role of the nurse/assistant during these procedures will be covered, along with the potential complication and how to avoid/treat.

8:00 am - 12:00 pm

OS-04: Engaging Your Patients: Surefire Strategies to Raise Satisfaction Scores,  Decrease Miscommunication and Dramatically Enhance Compliance 3.75 Contact Hours 

Edward Leigh, MA

According to the Joint Commission, effective communication is a cornerstone of patient safety. This high-energy interactive session provides skills to dramatically improve your interactions with patients. Learn strategies to raise your patient satisfaction scores through the roof! The session covers: opening and closing patient interviews with impact, listening skills to gain patient trust, empathic responding to establish immediate rapport, questioning techniques to quickly and efficiently get the information you need, handling sensitive issues, dealing with angry patients and top tips to educate your patients! The evidence-based techniques will significantly enhance the patient experience (and decrease your stress!).

8:00 am - 12:00 pm

LS-01: Regional Leadership | 3.75 Contact Hours

TBD

This condensed version of the SGNA Regional Leadership Conference summarizes expectations, responsibilities and resources available to local leaders. The meeting will provide abundant opportunities to network, learn and exchange information and ideas with local leaders. Anyone who is currently a SGNA Regional Leader or considering becoming a Regional Leader should attend.

8:30 am - 10:30 am

OS-05: Understanding Constipation and Fecal Incontinence: A Guide for Understanding Testing and Treatments for Nurses and their Patients 2.00 Contact Hours | 2.00 GI specific Contact Hours

Kyle Staller, MD MPH

In this session, we will talk about how a gastroenterologist approaches a patient complaining of constipation or fecal incontinence including symptom assessment, testing (including anorectal manometry), and treatment options for patients. Additionally, we will talk about bloating and the role of irritable bowel syndrome (IBS) in this patient population with fun insights into your own and your patients' bowel health.

8:30 am - 11:30 am

OS-06: Identifying and Mitigating your Infection Risks: Performing an In-depth Infection Control Risk Assessment for your GI Lab | 2.75 Contact Hours

Darlene Carey, MSN RN CIC NE-BC FAPIC

In this session, you will learn to assess and examine the infection risks within the endoscopy practice setting.  A systematic auditing process will be presented for the endoscope reprocessing area, including a plan to sustain appropriate practice; keeping our patients safe and ensuring compliance with accreditation organizations.

1:00 pm - 4:00 pm

OS-07: Advanced Hands-On EUS | 3.75 Contact Hours

Jay S. Lardizabal, MAN BSN RN CGRN
Marilyn Johnston, RN CGRN
Michele Tyring, BSN RN CGRN
Teresita Foliacci, MSN RN CGRN

At the end of this 3-hour intensive hands-on course, the participants will possess knowledge and skills related to the indications, set-up, and techniques of Endoscopic Ultrasound. 

1:00 pm - 3:00 pm

OS-08: Beyond the Re-Processing Controversy: Legal Issues & Prevention Strategies in Endoscopy Practice | 2.00 Contact Hours

Carol M. Stock, JD MN RN

Is your group following current infection prevention and sedation administration standards? Can you prove it? Do you staff properly for procedures? What is an “interruptible task”? Which regulations should you follow when they conflict? (Which regulations should you follow when they conflict among gastroenterology organizations?) How do you document “that”? From procedure room set up to follow-up, explore every day legal risks, discuss practice situations, and explore risk prevention strategies  Perhaps it’s time to re-evaluate and retool your practice! (Send questions/situations prior to session for possible discussion in the session to cstock@carolstock.com)  

1:00 pm - 3:00 pm

LS-02: House of Delegates Workshop | 2.00 Contact Hours

TBD

This workshop is designed to introduce Delegates and Alternates to the workings of a House of Delegates and its role in a professional society. Basics of parliamentary procedure will be reviewed and attendees will participate in mock sessions of both a House of Delegates and a Reference Hearing. Find out what happens and how you can participate.

1:30 pm - 3:30 pm

OS-09: Epiploic Appendagitis | 2.00 Contact Hours 

Sanjay Bhat, MD

Description coming soon.

 

Saturday, April 13, 2018

7:30 am - 12:00 pm

OS-10: Train the Trainer: The Reprocessing Competency Defined | 3.50 Contact Hours 

Jim Collins, BS RN CNOR
Betty L. McGinty, MS HSA RN CGRN CER
Alana Hernandez, BSN RN CGRN
Cathleen Shellnutt, DNP APRN AGCNS-BC CGRN
Christine Wahinehookae, BSN RN CGRN

This course is for the nurse or technician in the GI setting who is responsible for ensuring that the cleaning and disinfection of endoscopes is done safely and effectively. The session will offer hands-on opportunities to practice the reprocessing steps.

8:00 am - 2:00 pm

OS-11: Hands-on ERCP | 5.00 Contact Hours 

Barbara A. Zuccala, MSN RN CGRN
Jay Lardizabal, MAN BSN RN CGRN
Marilyn Johnston, RN CGRN
Michele Tyring, BSN RN CGRN
Michelle Oilar, CST

At the end of this 6-hour intensive hands-on course, the participants will possess knowledge and skills necessary for ERCP.

8:00 am - 11:30 am

LS-03: Session Title Coming Soon! | 2.75 Contact Hours

Barbara Bonnice, MSN RN

Description coming soon. 

8:30 am - 10:30 am

OS-12: Cleaning Up Our Mess: Preparing for Joint Commission | 2.00 Contact Hours 

Nicole Smith, RN BSN
Ann Benco, MS BSN RN CNOR
Rebecca Kazaonofski

The aim of this presentation is to discuss the development of partnerships among internal departments that perform high-level disinfection. Within this partnership, a comprehensive reprocessing oversight committee was used to guide standardization. It was difficult to effectively communicate and manage changes in process at an organizational level because our endoscopy lab’s reprocessing area was isolated from central sterile processing and other areas performing high-level disinfection. The focus of this presentation will describe findings of the Joint Commission surveyors, action plan items, development and usage of the oversight committee, effects of collaboration and standardization, and continued measurements of process improvement.

8:30 am - 10:30 am

OS-13: Endoscopic Submucosal Dissection (ESD) | 2.00 Contact Hours | 2.00 GI specific Contact Hours

Jason Samarasena, MD

This lecture will cover advanced techniques such as endoscopic mucosal resection, endoscopic submucosal dissection, and full thickness resection for removal of polyps and cancer in the GI tract.

8:30 am - 11:30 am

OS-14: Bariatric Endoscopic Treatments | 2.75 Contact Hours 

Dilhana Badurdeen, MBBS MD

This session will provide an overview of currently available endoscopic bariatric therapy, including indications, contraindications and an overview of the procedures.

1:00 pm - 5:30 pm

OS-15: Train the Trainer: The Reprocessing Competency Defined | 3.50 Contact Hours 

Christine Wahinehookae, BSN RN CGRN
Alana Hernandez, BSN RN CGRN
Cathleen Shellnutt, DNP APRN AGCNS-BC CGRN
Jim Collins, BS RN CNOR
Betty L. McGinty, MS HSA RN CGRN CER

This course is for the nurse or technician in the GI setting who is responsible for ensuring that the cleaning and disinfection of endoscopes is done safely and effectively. The session will offer hands-on opportunities to practice the reprocessing steps.

1:00 pm - 5:00 pm

OS-16: Pursuing Excellence in Motility/pH Procedures | 3.75 Contact Hours | 3.75 GI specific Contact Hours

Janet King, BSN RN DIPL
Nancy Denton, BSN CGRN CER
Rebecca A. Chandler, BSN RN CGRN

This session provides an opportunity to expand your Nursing Practice to better understand the activities taking place in a Motility/pH Lab. It will include  overview and discussion of the anatomy and physiology of the swallowing tract, Esophageal motility disorders and Gastro/Esophageal reflux disease. Esophageal motility disorders using the Chicago Classification will be reviewed including Achalasia.  New research will be discussed regarding recommended treatments of Motility disorders. Hands on opportunities with demonstration and break out tables will be offered using the latest technology available for both Motility and pH testing.

1:00 pm - 4:00 pm

LS-04: Leadership in Action | 2.75 Contact Hours 

Catherine Bauer, RN MSN MBA CGRN CFER
Kristine Barman, BSN RN CGRN
Lea Anne Myers, MSN RN CGRN
Lisa Fonkalsrud, BSN RN CGRN
Michelle Day, MSN RN CGRN

Learn from SGNA officers some of the leadership skills learned in Henry Givray’s Leadership Institute and how they have been applied in their own practice settings both professional and personal.  Energy management, crucial conversations, goal setting, mentoring, and building success in your region are some of the skills presented in this interactive presentation. This session is designed to “pay it forward“ to the rising members in SGNA, to encourage and better equip them to take the next steps in SGNA involvement. 

1:00 pm - 4:00 pm

OS-17: Safety in the GI Lab | 2.75 Contact Hours 

James Barnett, PhD MSN RN

Description coming soon. 

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*Schedule subject to change

General Sessions

 

Sunday, April 14, 2019

8:00 am - 10:15 am

GS-01: Leadership: It Starts with You | 1.5 Contact Hours

Michelle Ray

"We've often heard the adage ""everyone can be a leader"", but what does this mean? The most practical answer is to think of leadership in terms of character, not position or title. A leader is someone at any level who has grasped the ability to take charge of their thoughts, and consequently their actions, in any situation. We are often tested to be the best version of ourselves. When we take the initiative, we open our minds and lead ourselves with greater confidence. Michelle’s energizing, informative and popular keynote presentation offers practical strategies to use long after the event ends."

10:45 am - 12:15 pm

GS-02: Diversity, Challenges and What’s New in the Practice of Gastroenterolog | 1.50 Contact Hours

Arif Nawaz, FAC FACG

The presentation will consist of two parts. The first part will review the practices of GI around the globe and highlight the challenges and opportunities for the audience. The second part will provide an update on the progress made in the field of gastroenterology and hepatology in the last few years
 

 

Monday, April 15, 2019

8:15 am - 9:45 am

GS-03: Advances in Endoscopy | 1.50 Contact Hours

Tolga Erim, DO

Advanced endoscopy has expanded well beyond the tradition ERCP and EUS. This session will focus on intramural endoscopy techniques that are starting to replace traditional surgical techniques.
 

Tuesday, April 16, 2019

3:15 pm - 4:15 pm

GS-04: SGNA: Unstoppable Excellence! | 1.00 Contact Hours 

Stuart Ellis-Myers

How does any SGNA member or someone living with a rare, incurable and socially bizarre neurological disorder re-invent their life story? By becoming Unstoppable! Now more than ever SGNA members are looking for fresh ideas, new understandings and immediately usable actionable insights to turn great expectations into greater personal and professional excellence. Stuart Ellis-Myers aka ‘Twitchy’ is living proof that anyone who overcomes overwhelming circumstance tends to develop extraordinary approaches to every day challenges – often achieving extraordinary results. In this keynote learn how to learn, laugh and turn SGNA ‘great expectations into greater excellence’ while leveraging a new understanding on how to never give in and go from failure-to-failure with great enthusiasm!
 

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*Schedule subject to change

 

Sunday, April 14, 2019

 

8:00 am - 10:15 am

GS-01: Leadership: It Starts with You | 1.5 Contact Hours

Michelle Ray

"We've often heard the adage ""everyone can be a leader"", but what does this mean? The most practical answer is to think of leadership in terms of character, not position or title. A leader is someone at any level who has grasped the ability to take charge of their thoughts, and consequently their actions, in any situation. We are often tested to be the best version of ourselves. When we take the initiative, we open our minds and lead ourselves with greater confidence. Michelle’s energizing, informative and popular keynote presentation offers practical strategies to use long after the event ends."
 

 

10:45 am - 12:15 pm

GS-02: Diversity, Challenges and What’s New in the Practice of Gastroenterolog | 1.50 Contact Hours | 1.50 GI specific Contact Hours

Arif Nawaz, FAC FACG

The presentation will consist of two parts. The first part will review the practices of GI around the globe and highlight the challenges and opportunities for the audience. The second part will provide an update on the progress made in the field of gastroenterology and hepatology in the last few years
 

 

2:15 pm - 3:15 pm

CS-01: Cyst Assist: Pancreatic and Hepatic Cyst Evaluation and Management | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Patricia Raymond, MD FACG

Explore the clinical approach to cystic pancreatic lesions, and review recent guidelines directing observation, endoscopic evaluation, and surgical referral for patients with pancreatic cystic neoplasms. Much of our focus will be to understand the natural history and management of the four subtypes of pancreatic cystic neoplasms (PCNs): Serous cystic tumors, Mucinous cystic neoplasms (MCNs), Intraductal papillary mucinous neoplasms (IPMNs), and Solid pseudopapillary neoplasms (SPNs). Pseudocyst management, and cystic lesions of the liver will be included in this review of these increasingly frequent and often incidental and asymptomatic CT and MRI findings.

CS-02: Managing the Patient with Cirrhosis| 1.00 Contact Hours

Amanda Chaney, DNP APRN FNP-BC FAANP

The purpose of this presentation will be to review the background and current management of the patient with cirrhosis. In the United States, cirrhosis is the 12th most common cause of death.  Nurse practitioners are frequently the first providers to see patients in the acute care setting for admission and should be knowledgeable of cirrhosis and its complications. Nurse practitioners in the primary care setting are seeing patients with cirrhosis much more often, as more patients have chronic diseases which cause liver fibrosis and cirrhosis, such as Laennec cirrhosis or hepatitis C related liver disease. Proper diagnosis and quick management is essential in both primary care and acute care settings to ensure patient improvement and a stable outcome.

CS-03: Reducing Pre-Procedure Anxiety in the Pediatric Population | 1.00 Contact Hours

Christina McArdle, BSN RN PCCN
Oneida Wands, BSN RN

"Purpose: The purpose of this evidence-based practice project was to decrease pre-procedure anxiety among the pediatric patients receiving treatment in a hospital endoscopy unit. A social story was developed as an intervention to explain the procedure to the patients to decrease their pre-procedure anxiety.
Relevance: Children are often unable to verbally express their fears.  This can activate a cascade of events leading to poorer outcomes for children.  Evidence supports that even the simplest pre-procedure education can assist in decreasing pediatric anxiety, and lead to better overall outcomes.  
Implementation: The social story was read to the patients prior to the procedure with the parent(s) present. Equipment explained in the social story was available for exploration. A Children's Anxiety Meter-State (CAM-S) was used to assess anxiety before and after the endoscopy procedure. Results: Twelve pediatric patients aged 8-15 years participated in the project. The pre- and post-procedure analysis demonstrated a 15% decrease in anxiety with use of the social story. Practice Implications: The CAM-S scale results support the use of a social story to decrease pre-procedure anxiety among the pediatric patients in an endoscopy unit. Evidence demonstrated that implementation of this intervention will provide a decrease in both patient and parental anxiety."

CS-04: Pursuing Greatness Through the Infection Prevention Champions Program | 1.00 Contact Hours

Karen E. Wilson, MN RN CGRN
Karen A. Zervopoulos, RN CGRN CFER

Infection prevention is the number one issue facing GI labs today, and being non compliant places facilities at risk for litigation as well as regulatory censure. The Infection Prevention Champions program is one way that facilities can help to prevent an outbreak from occurring.  This session will describe the program, discuss why facilities should participate as well as present pitfalls and pearls that facilities have experienced.

CS-05: GI Bleed Management | 1.00 Contact Hours

Jodie Barkin, MD

Description coming soon. 

CS-06:Seeing the Light: Illuminating Applications of Laser in the Soft Tissues of the GI Tract | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Chris Moreau, BSBME AASBMET
Michael Reyes, ST GTS
Robert Edwards, RN
Sandeep Patel, DO

Applications of laser in gastroenterology have focused on laser lithotripsy, but uses in soft tissue are rarely reported.  Our clinical team reviews 9 years of experience with Ho:YAG laser for cutting and ablation in the GI tract.  Laser fundamentals are discussed, including room setup, safety, assistant and nursing concerns.  Laser-tissue interaction is reviewed including original studies in porcine bile ducts and pancreas.  Cases including re-canalization of biliary anastomoses, ablation of stent tumor ingrowth, pancreatic duct tumor resection, laser-assisted stent removal and laser-assisted esophageal dilatation are presented.  Future applications are discussed including Laser Esophageal Submucosal Dissection and Pancreatic Tumor Ablation.

CS-07: Gastroenterology Nursing — Development of Effective Orientation and Staff Education | 1.00 Contact Hours

Lino DeGuzman, MD AGAF FACG

Endoscopic mucosal resection (EMR) is a technique used to remove cancerous or other abnormal lesions found in the digestive tract.  EMR has been advocated for early esophageal cancers (those that are superficial and confined to the mucosal layer only) and has shown to be a less invasive, safe and an effective non surgical therapy for these early squamous-cell carcinomas.  It has also been shown to be safe and effective for early adenocarcinoma arising in Barrett's esophagus....and the prognosis after treatment with EMR is comparable to surgical resection.    The most common modalities of EMR include strip biopsy, double snare polypectomy with the combined saline and epinephrine and resection using a cap.  This lecture will include an depth discussion of the pros and cons of EMR and highlight several case studies.

CS-08: How to Write an Abstract for the SGNA Annual Course | 1.00 Contact Hours

Jay S. Lardizabal, MAN BSN RN CGRN
Michele Tyring, BSN RN CGRN
Teresita Foliacci, MSN RN CGRN

This 1-hour panel discussion aims to provide information to participants who would like to learn more about formulating an abstract. This course will focus on the criteria used by SGNA and will provide tips from representatives of the program committee to become successful. A detailed instruction on how to submit the abstract using the SGNA portal will also be discussed.    
 

 

3:30 pm - 4:30 pm

CS-09: Acute Pancreatitis | 1.00 Contact Hours

Jodie Barkin, MD

Description coming soon. 

CS-10:  Fun Functional Gallbladder Disorders: Update on Hypo and Hyperkinetic Gallbladder and Sphincter of Oddi Dysfunction | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Patricia Raymond, MD FACG

Functional gallbladder disorder is biliary pain from motility disturbance in the absence of gallstones, sludge, or microcrystal disease. In patients with biliary-type pain and a normal US, the prevalence is  8% men and 21% women. We will review the clinical manifestations, diagnosis, and management of patients with suspected functional gallbladder disorder, and also address current evaluation and management of sphincter of Oddi dysfunction and gallbladder polyps.

CS-11: Emotional Intelligence: A Factor for Nurses Coping with Occupational Stress | 1.00 Contact Hours

Ann Marie Mazzella-Ebstein, PhD RN CGRN

Associations between levels of emotional intelligence in newly hired oncology nurses from a national cancer institute and their responses to stress and coping were examined, as well as whether emotional intelligence could moderate their choice of problem-focused or emotion-focused coping strategies. Using survey methodology data was collected between the eighth- and twelfth-weeks post-hire date. Though emotional intelligence did not moderate coping strategies in newly hired nurses, using more problem-focused coping to address occupational stress during the initial employment period may be a protective factor for coping with stress in the oncology workplace.

CS-12: Expecting Greatness: Pursuing Excellence by Challenging Biofilm: the Good, the Bad, and the Ugly | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Betty L. McGinty, MS HSA RN CGRN CER
Lynn Sharrer, MSN RN CIC

This presentation highlights biofilms, both beneficial and harmful.  An infection preventionist and high level disinfection safety and quality GI professional combine efforts to  share examples of the "bad" and "ugly" biofilms.  They will focus upon the dilemma posed regarding GI medical devices, offering both combative and preventive solutions.

CS-13: Personal Greatness and Team Excellence | 1.00 Contact Hours | 0.33 GI specific Contact Hours

Bridget Blanchard, CNA MA AGTS
Teri Mallard, BSN RN

"We live in a dynamic healthcare climate of consistent change.  These changes can develop and refine a team centered on achieving excellence.  In this session we will explore the evolution of change in the Endoscopy World, and how to convey the message to our team that all great things start with an idea.  Our ideas lead to implementation of evidence based investigation, and moves us towards best practice.  
How can a team replace their anxiety and resistance to change with a foundation that embraces the positive effects and adapts?  Experience has taught us the importance of fostering empowered team members to share their ideas.  We will share our journey that has changed attitudes, enhanced communication, improved efficiency, quality, safety and patient experience."

CS-14: Digital Transformation of  Gastroenterology and Endoscopy: The Time is Now!! | 1.00 Contact Hours

Ashish Atreja, MD

"Digital health has been defined as the convergence of the digital and genomic revolutions with health, health care, living, and society. With the changing healthcare landscape and push for value-based care, there is an urgent need for GI practices and Endoscopy practices to adopt digital health initiatives and decrease revenue leak. Nurses and Practice Managers play a central role in digital transformation by enabling engagement of patients through patient education, remote patient monitoring or periprocedural guidance. Evidence regarding the efficacy, effectiveness, economics, and clinical preferences of digital health is growing in many specialties, including GI. 

Through this talk, SGNA membership will become aware of the urgent need for solutions to support value-based healthcare, review the challenges faced in digital medicine adoption and demonstrate how digital medicine prescriptions can support health care transformation for GI procedures and GI conditions. 

Dr. Atreja will present an overview of existing applications that can impact Gastroenterology, including apps (for chronic disease management) , analytics (for quality improvement) , telemedicine (for patient access), augmented reality (for pain reduction) and Bots (for peri-procedural care). Using real-world examples, members will learn how they can implement these tools into their practices and have improvement in patient experiences and outcomes."

CS-15: HCV Unknown? Capture them | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Megan Scott, BSN RN
Renee A. Martin, MN RN PHCNS-BC CGRN

Hepatitis C (HCV) is a curable health threat-when it has been identified. It is especially prevalent in the Baby Boomer population-the same cohort that makes up the majority of Endoscopy patients. They are at your beck and call-ready to be asked and tested. Collaborate and establish a protocol for testing and you can be an HCV slayer.
 

 

3:30 pm - 5:30 pm

CS-16: Writing for Publication | 2.00 Contact Hours

Kathy Baker, PhD RN ACNS-BC FAAN

This presentation by the Gastroenterology Nursing Journal Editor will discuss the "how-to" of writing for publication including tips for increasing the success of being published. Gastroenterology nurse authors and members of the editorial board will be present to talk one-on-one with workshop attendees. Participants complete the workshop with the beginnings of a published manuscript.

 

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*Schedule subject to change

Monday, April 15, 2019

8:15 am - 9:45 am

GS-03: Advances in Endoscopy | 1.50 Contact Hours

Tolga Erim, DO

Advanced endoscopy has expanded well beyond the tradition ERCP and EUS.  This session will focus on intramural endoscopy techniques that are starting to replace traditional surgical techniques.
 

 

10:30 am - 11:30 am

CS-17: Liver: Everything You Thought You Knew and More: A Complicated Puzzle | 1.00 Contact Hours | 1.00 GI-Specific Contact Hours

Teri A. Derimanoczy, MSN FNP-BC RN CGRN

The liver is responsible for a multitude of complicated functions including but not limited to protein synthesis, detoxification and metabolic processes.  We often take for granted just how important this one organ is to our health and well being until we develop symptoms.  With over 500 complex functions, the liver is a very important organ to understand and protect from injury or disease.  Too often, we see patients with end stage liver disease in our GI Labs and do we really understand how the liver progressed from health to disease to failure.   Problems in the liver are often discovered incidentally through routine lab testing or screening for blood donation.  How do we a clinicians know when to sound the alarm and become worried by these tests?  Liver disease is like a complicated puzzle:  you need to put the pieces together to see the whole picture and figure out what the liver is saying and sometimes "screaming" to you.  An understanding of basic liver functions, histology and embryology  is essential to understanding this dynamic and forgiving organ.  This lecture will logically look at the functions of liver, implications for disease and briefly discuss the crisis of cancer and fatty liver disease.

CS-18: Inflammatory Bowel Disease: What You Need  to Know | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Peter Buch, MD AGAF FACP

The evaluation and treatment of Inflammatory Bowel Disease (IBD) is rapidly evolving.  Yet basic questions still remain unanswered. Come explore the "Best Practices" in treating IBD and learn about the controversies in this very practical, interactive seminar.

CS-19: A Standardized Care Pathway for the Minimally Invasive Esophagectomy Patient | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Cathleen Shellnutt, MSN RN AGCNS-BC CGR

The post-operative care of an esophagectomy patient is complex. This session will describe how one facility transitioned to minimally invasive esophagectomy surgery and utilized the literature to create a standardized care pathway. Pre- and post-implementation data will be discussed.

CS-20: How Staffing Can Change Your World | 1.00 Contact Hours 

Adam C. Poche, BSN

Creative staffing can have a huge impact on the daily activities within Endoscopy.  Learn how we have standardized our staffing model at the University of Utah to maximize patient satisfaction, prevent burnout and decrease costs all while promoting a shared culture and vision of “We are Endoscopy!”  Let’s discuss staffing ratios, roles, scheduling, and responsibilities we have used to build a cohesive and happy team.  Efficient and creative staffing has helped us achieve greatness and it can for you too!

CS-21: Verifying Endoscope Safety Using Polymerase  Chain Reaction and DNA Sequencing | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Marilee Schmelzer, PhD RN​
Glenda L. Daniels, PhD RN  CNS CGRN

Endoscopes are heavily contaminated during use, and therefore undergo a detailed series of reprocessing steps to avoid infection of subsequent patients. Recent outbreaks of antibiotic resistant infections traced to infected endoscopes highlight the importance of verifying reprocessing effectiveness and detecting failures in the system.  ATP testing and microbiological cultures are used to verify reprocessing effectiveness, but a newer method based on DNA amplification and sequencing shows promise as a cheaper, faster, more reliable alternative.  The presenters will describe the challenges of microbe detection, explain how microbes are identified by their DNA codes, and discuss future implications.

CS-22: Unravelling the Mysteries of High Resolution Esophageal Manometry: Decoding the Chicago Classification | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Julie A. Forsberg, DIPL CGRN
Karyn L. Pechinski, BSN RN CGRN

HREM is considered the best way to evaluate esophageal motility.  The Chicago Classification is an algorithm that helps interpret esophageal pressures and distinguish abnormal motor function.  Learning how to navigate these classification parameters will help identify minor and major motility disorders, such as achalasia, EGJ outflow obstruction, esophageal spasm, and absent contractility.

CS-23: Transitional Communication: One Tool for all Areas | 1.00 Contact Hours 

Shara Chess, MSN APRN FNP BCGRN

Transitional communication, that which occurs between nurses as patient’s progress from one area in the GI Unit to another, is essential for the safety of our patients. Our skilled nursing assessment reveals vital information which contributes to safe quality care. However, even the very best assessment is futile unless these findings can be effectively communicated to others. Sadly, we sometimes fail at this essential activity, as stated by George Bernard Shaw, “The single biggest problem in communication is the illusion that is has taken place”. This presentation will describe the development and use of a communication tool, called the “Rainbow Sheet”, which is utilized in the GI Unit of Cedars-Sinai Medical Center to enhance transitional communication.

CS-24: Pursuing Excellence in the Management of Pulmonary Specimens in the GI Lab | 1.00 Contact Hours 

Aileen Laboriante, BSN RN
Eileen R. Babb, BSN RN CGRN CFER

Accurate specimen collection is vital for the recovery of pathogenic organisms responsible for diagnosis and staging. This presentation was developed to equip the Endoscopy personnel with best practice information for the collection and preparation of specimens obtained during bronchoscopy, EBUS, and ENB. The presenters will provide perspectives from a community hospital and advanced tertiary setting. Thoracic anatomy, chemical safety, specimen preparation methods, tools, and sampling techniques will be discussed. A better understanding of this foundational knowledge will enhance multidisciplinary team relationship, creating a more cohesive and mutually respectful environment.
 

 

2:30 pm - 4:00 pm

CS-25: Irritable Bowel Syndrome (IBS); Sometimes It Takes A Village! Evaluation of Both Medical and Naturopathic Management of IBS. | 1.50 Contact Hours | 1.50 GI specific Contact Hours

Alison Egeland, ND
Kimberly Kearns, APRN, ANP-B

Irritable bowel syndrome is a complex, multifactorial disease process; this in-depth educational session will review epidemiology, pathophysiology and diagnostics of irritable bowel syndrome. Attendees will also explore both conventional and naturopathic treatment options available for the management of irritable bowel syndrome.

CS-26: Getting Filthy Clean: One Center’s Journey to Improving Infection Prevention | 1.50 Contact Hours | 1.50 GI specific Contact Hours

Frank Daniels, CFER, CER, CMLSO
Kyle Holmes, BSN RN
Madison Hughes, BSN RN
Wendy Archer, MSN RN PCCN

Improving a center’s outcomes takes all hands on deck.  The panel will discuss infection prevention from different viewpoints on the unit including:  nursing, endoscopy technicians, high level disinfection staff, nursing management as well as the hospital infection prevention staff.    This unit’s journey to turn around the Endoscopy Center will inspire others to embark on a similar improvement effort in their facility.

CS-27: Endoscopy Nurse Orientation: Expecting Greatness from your Team | 1.50 Contact Hours 

Charles E. McKeen

"This lecture is intended to review the orientation process for new hires to the Endoscopy Unit as well as discuss how our orientation processes could be improved in the future. The review will include a look at the responsibilities of the Endoscopy nurse; Safety, Physiological responses, infection prevention, behavioral responses, and systemic requirements. It will also seek to include issues facing Endoscopic nursing and nursing in general. The lecture will then focus on the orientation process itself. This section will focus on preceptors and how they precept (how do they qualify?), learning styles (can we actually assign you one), providing real constructive feedback, and making the new member feel team worthy. Within these elements we will discuss what does “a great team” look like and what realistic achievements can we expect from our team. We will also look at researched differences between experience vs. inexperience nurses, evidence based practices as they pertain to orientation and the expanding role of the registered nurse in the Endoscopic health arena. Copyright 2018, Charles E. McKeen II, BSN, RN, CNOR"

CS-28: ERCP 101 | 1.50 Contact Hours | 1.50 GI specific Contact Hours

Kimberly F. Venturella, BSN RN CGRN

Are you new to GI Endoscopy?  Is ERCP something you are ready to dive into?  This course is for you if you answered yes to either of those questions.  Anatomy, Procedure basics, equipment, risks and potential complications will be covered.  By the time we are done you will think ERCP is Everybody's Really Cool Procedure!

CS-29: So You Want to be a Mentor… | 1.50 Contact Hours 

Cynthia M. Friis, MEd BSN RN-BC
Lisa Heard, MSN RN CGRN CPHQ

A mentor has been defined as a wise and trusted counselor or teacher. In healthcare, mentors play an important role in clinician development. Studies show that mentorship relationships have additional benefits such as decreasing medical errors, enhancing staff retention, improving recruitment and aiding in leadership development. Being a mentor carries the responsibility to help others to recognize and achieve their goals in their pathway to excellence. How can you perfect your skills at being a mentor?  This session will help the mentor develop and manage the mentorship relationship. Interactive exercises will be utilized to enhance learning. Participants will take away tools for development and maintaining a successful mentorship relationship.

CS-30: Presentation Power | 1.50 Contact Hours 

Kristen L. Seay, MSN RN CGRN

Learn key steps in delivering a powerful presentation with the theme of Dedicate-Design-Delivery. Dedication of time spent on the preparation of your presentation is an essential beginning. Design your slides to visually enhance your information and tell your ‘story’. And finally, delivery. Use your passion of the topic and let the enthusiasm show! The most influential factor which separates the mediocre presenters from ‘world class’ presenters are those who are able to connect with the audience in an exciting and honest way.

CS-31: ESD, EMR, EFTR, FTRD...This is the New GI Alphabet Soup | 1.50 Contact Hours | 1.50 GI specific Contact Hours

Paul Korc, MD

Endoscopic resection techniques in GI have expanded tremendously in the last several years. Various mucosal resection techniques exist and will be discussed in detail, along with an introduction to the newer realm of full thickness resection.

CS-32: Abdominal Pressures: Looping and Ergonomics | 1.50 Contact Hours | 1.50 GI-Specific Contact Hours 

Raymond Hucke, CHT OT
Maureen Cain, MSN RN CGRN

Providing abdominal pressure during colonoscopies can be helpful in the procedure being successful.  It is important to provide comfortable and safe technique both for the patient and for the well-being of the GI Technician and RN.  This session will provide information on providing safe abdominal pressure and information on some possible complications.
 

 

4:15 pm - 5:15 pm

CS-33: The Scope of Barrett’s Esophagus | 1.00 Contact Hours 

Habiba Habib, BSN CGRN

An understanding of Barrett's Esophagus, its pathophysiology, and risk of the disease.  A description of the diagnostic tools used and understanding guidelines for Barrett's screening.  Discussing different treatment modalities to achieve the best result for the patient.

CS-34: Bootcamp for Elevated Liver Function Tests | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Peter Buch, ME AGAF FACP

The evaluation of elevated liver function tests can at times feel overwhelming. Through practical case examples, presented in a very interactive and fun format, we will explore how to develop a clinical tool box that will explore the common presentations of elevated liver function tests.

CS-35: Endoscopic Surveillance in High Risk Genetic GI Cancer Susceptibilit | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Patrick Lynch, JD MD

Specialized endoscopic approaches are or should be employed for patients with inherited risk of GI cancer.  Guidelines for FAP, HNPCC, Hereditary Diffuse Gastric Cancer (HDGC) will be covered.  Use of enhanced imaging techniques for mucosal detail as well as special considerations for sampling and polypectomy will be addressed

CS-36: Describing a Professional Development Model for Improving Recruitment and Retention in GIFocused Ambulatory Care and Outpatient Centers | 1.00 Contact Hours 

James Barnett, PhD MSN RN

Nursing literature is replete with conceptual articles focused on describing processes that define, design, and plot the various pathways posited to move the profession toward excellence - excellence in patient care, in implementation of evidence, in sustained professional development and engagement of staff, and in improvements in a variety of nurse-, patient-, and organization-sensitive outcomes. However, no model has been described that is specific to GI-Focused Ambulatory Care and Outpatient Centers. The aim of this presentation is to present findings from a meta-synthesis conducted on multiple professional development models that culminates into one, evidence-based recommendation that promises the greatest impact on recruitment and retention. The speaker will discuss the process of meta-synthesis, focusing on model selection and inclusion, defining key concepts, and describing the methods used to create the new model. Potential research questions and opportunities for application will be explored.

CS-37: Endobariatric Procedures for the GI Nurse and Technician: Gaining Confidence in the Endo Unit | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Ayesha Angelito, BSN RN CGRN
Celina D. Silverio, BSN RN CGN
Mary Steszewski, BSN RN CGRN

Comprehensive overview of Endobariatric procedures,  placing emphasis on GI nurse and tech responsibilities in pre, intra, and post procedure.

CS-38: Necrotizing Pancreatitis | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Irene M. Rader, BSN CGRN

Necrotizing pancreatitis is a complication of acute pancreatitis.  Patients with necrotizing pancreatitis require continuous assessment and care to prevent further complications

CS-39: How to Achieve Greatness in your SGNA Region | 1.00 Contact Hours | 0.66 GI-Specific Contact Hours | 1.00 CBSPD Contact Hours

Candice Morton, BSN RN CGRN
Kelly M. Osborne, MSN, APRN, CNS-BC, CGRN

SGNA Region 42 Eastern North Carolina will discuss how the regional board made a plan and worked through identified opportunities to turn a struggling region to SGNA Region of the Year.

CS-40: Esophageal Manometry Basics | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Kimberly F. Venturella, BSN RN CGRN

We are going to put that where?  What are all those colors??  Manometry/Motility what's the difference?? These questions and more will be answered at this presentation. Manometry is the study of pressures, but what  can it tell us about esophageal motility?  Esophageal anatomy and physiology, Motility disorders and diagnosis via Esophageal manometry will be covered.
 

 

5:30 pm - 6:30 pm

CS-41: Know GI Inside & Out? Recognizing Skin Lesions of GI Disorders | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Patricia Raymond, MD FACG

"Skin lesions seen with disorders of the digestive tract are not rare; would you recognize and correctly correlate erythema nodosum, dermatitis herpetiformis, pyoderma gangrenosum? Those were easy-- how about pyoderma vegetans, pyostomatitis vegetans, sweet’s syndrome, xanthomas, tripe palms, palmoplantar keratoderma, or trichilemmomas? Stumped?
Join us and learn the art of GI diagnosis without resorting to our endoscopes."

CS-42: The 411 of the Patient Experience Survey — Tips to Help you Exceed the Expectation | 1.00 Contact Hours

Rebecca Kazanofski

Anyone that has been to a hotel, restaurant or bought an item online has likely received a survey asking them to rate and share their overall consumer experience. Hospitals are no different, and now nurses are being expected to not just pass meds, but to commit to delivering an overall "very good" experience which is rated and reported to the organization and benchmarked against other units and hospitals across the country. With all the other demands on their time, how can they also meet this demand? How do you get them to see the value and importance of this quality metric? How do you use key words at key times to show care to the patients that they can then relate to the survey questions? This presentation will show how the Endoscopy Lab at Vanderbilt Medical Center did a deep dive in their Press Ganey Survey data to educate and engage their team and raise their survey scores 26% in less than three month’s time, plus create a positive and accountable team atmosphere where exceeding the patient expectation is the new standard of care.

CS-43: A Guide to Patient Safety: Infection Prevention and Reprocessing | 1.00 Contact Hours

Betty L. McGinty, MS HSA RN CGRN CER

Nurses and associates who work in endoscopy share a vow to patients in their care to prevent infection.  A major infection prevention focus area in endoscopy/reprocessing  involves the preparation  of patient-ready endoscopes and accessories.  A successful program that supports such processes is one that is described as robust.  I will share with the participants a vision of such a program and will include tools for success.

CS-44: What Type of Nursing Leader Are You? | 1.00 Contact Hours 

Emily J. Salisbury, BSN RN CGRN

Welcome Aboard to the USS Endoscopy !!!!!! Join us on an adventure to help you determine what type of captain is steering your endoscopy unit.   Is your ship sinking ?  Are you the one rowing the boat ?  Are you the captain steering the crew into unknown waters.  The journey may be long and at times hard but a good endoscopy crew provides exceptional care to patients and to each other.

CS-45: Video Capsule Endoscopy Inside/Out! | 1.00 Contact Hours 

Tina Gaudet, RN

Video capsule endoscopy  what are the steps and methods utilized in the GI practice.  Respective roles of the participants.  The equipment use in VCE, and various problems that could occur.   What diagnosis  warrant a video capsule.  Different capsules on the market currently.  Several case studies with videos.

CS-46: Enhancing Colorectal Cancer Patient Care:  The Role of the Colorectal / Survivorship Nurse Navigator | 1.00 Contact Hours

Shell Portner,  BSN BA RN

The Colorectal/Survivorship Nurse Navigator plays a vital role in transitioning patients from diagnosis and treatment into extended post-treatment survivorship. Discussion focuses on implementation of a survivorship care plan established at diagnosis and updated as a patient progresses through the cancer care continuum. The need for management of long-term side effects, education, surveillance for disease progression and secondary cancers, and promotion of physical, psychological, and psychosocial well-being become priorities. Survivorship care provides the education and support needed for patients to adopt and adapt to positive lifestyle changes. Nurse navigators teach and give direction guiding patients on the path of prolonged survival.

CS-47: Using Functional Nutrition to Impact Gastrointestinal Health: Applications for FreeLiving Patients | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Brian McFarlin, PhD FACSM FTOS

In the first section of this session we will provide a detailed background linking gastrointestinal health and disease. This will include a mechanistic exploration of the underlying anatomy and physiology. We will also discuss targets and side effects of various pharmaceutical treatments that are currently on the market. In the second phase of this session we will discuss various functional nutrition treatments (i.e. probiotics, prebiotics, and other active components) that can be used to improve gastrointestinal health and reduce disease risk. We will focus on the mechanism of action for these treatments and how to monitor their effectiveness in free-living patients. The latest trends in functional nutritional will be explored using a combination of research from our laboratory and others. The key goal of this session is to empower the attendees with practical knowledge that they can use to implement functional nutrition into a larger outpatient treatment strategy.

CS-48: Excel Your Skill: Analyze & Interpret Esophageal Manometry | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Simi J. Joseph, DNP RN APN NP-C

Gastroenterology specialty has many diagnostic tests to identify and treat different conditions of the GI tract. Gastroenterologists primarily focus on endoscopy and its interventions. To make a definite diagnosis in gastroenterology, there are additional testings’ required to aid a physician to confirm the diagnosis. Some of them are Wireless capsule endoscopy, wireless PH study, Catheter based PH Impedance study, Esophageal manometry and Anorectal manometry. The diagnosis that can be made by esophageal manometry are: Achalasia, Nutcracker esophagus, Presbyesophagus, Diffuse esophageal spasm, Cricopharyngeal Achalasia, and Jackhammer esophagus. This diagnostic test is a non-sedated procedures done in a GI lab that can be easily done by a trained GI nurse or Nurse Practitioners. Earning a certification and performing esophageal manometry, it’s analyze, and interpretation of results with gastroenterologists, makes a gastroenterology nurse practitioner valuable to the practice. This one hour session on esophageal manometry will be a great learning opportunity for all advanced practice nurses, on performing this procedure, its analysis and interpretation of the results based on patient presentation.
 

 

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*Schedule subject to change

Tuesday, April 16, 2019

7:00 am - 8:00 am

CS-49: Poster Oral Presentation 1 | 1.00 Contact Hours | 0.75 GI-Specific Contact Hours

The top scoring poster abstract authors will present their poster content and findings orally in 10-minute mini-sessions. Authors will share their topic expertise or research findings with attendees during this interactive offering. Abstract authors and topics will be determined by December 2018 and additional information will be available on the SGNA website.

CS-50: Poster Oral Presentation 2 | 1.00 Contact Hours | 0.75 GI-Specific Contact Hours

The top scoring poster abstract authors will present their poster content and findings orally in 10-minute mini-sessions. Authors will share their topic expertise or research findings with attendees during this interactive offering. Abstract authors and topics will be determined by December 2018 and additional information will be available on the SGNA website.

CS-51: Poster Oral Presentation 3 | 1.00 Contact Hours | 0.75 GI-Specific Contact Hours

The top scoring poster abstract authors will present their poster content and findings orally in 10-minute mini-sessions. Authors will share their topic expertise or research findings with attendees during this interactive offering. Abstract authors and topics will be determined by December 2018 and additional information will be available on the SGNA website.

CS-52: Poster Oral Presentation 4 | 1.00 Contact Hours | 0.75 GI-Specific Contact Hours

The top scoring poster abstract authors will present their poster content and findings orally in 10-minute mini-sessions. Authors will share their topic expertise or research findings with attendees during this interactive offering. Abstract authors and topics will be determined by December 2018 and additional information will be available on the SGNA website.

CS-53: Understanding Fatty Liver Disease | 1.00 Contact Hours 

Amanda Chaney, DNP ARNP FNP-BC FAANP

Nonalcoholic fatty liver disease (NAFLD) is becoming more common in the United States and worldwide.  There is a wide spectrum of disease progression when discussing NAFLD. The mainstay of treatment is lifestyle modification. There are ongoing research endeavors that are promising. This session will discuss important information for the primary care provider to offer best care for the patient with NAFLD.

CS-55: Sedation Emergencies in the GI Lab/Anesthesia | 1.00 Contact Hours

Chloe Allen-Maycock, MD

Description coming soon. 

CS-56: Radiation Safety | 1.00 Contact Hours | 1.00 GI specific Contact Hours

John Gratzle, MS CMLSO RRPT

Applied Radiation Safety: What Can I do to keep my radiation exposure low? You must keep your exposure within regulatory limits but also as low as possible while performing necessary tasks involving radiation exposure in the workplace. Precautions to be used near X-Ray machines? General Best Practices and answers to common questions about X-ray machine generated radiation environments."
 

 

8:15 am - 9:15 am

CS-57: Tics and Other Unusual Anomalies of the Esophagus | 1.00 Contact Hours 

Nikolai A. Bildzukewicz, MD FACS

The esophagus acts as a conduit for the transport of food from the oral cavity to the stomach.  To carry out this task safely and effectively, the esophagus is constructed as an 18- to- 26 cm long hollow muscular tube with inner  "skin-like" lining of stratified squamous epithelium.   Between swallows, the esophagus is collapsed, but the lumen distends up to 2 cm anteroposteriorly and 3 cm laterally to accommodate a swallowed bolus.  Structurally, the esophagus wall is composed of 4 layers and unlike the remainder of the GI tract, the esophagus has no serosa.  Because this conduit is so special and performs such a vital function, it is subject to disease, injury and various anomalies.  This lecture will cover in depth and with case studies the unusual and rare disorders specific to the esophagus.  You will come away with a new understanding of diverticulum's, fistulas, atresia, rings, webs and inlet patches. You will also come away with a  new understanding of why protecting this vital hollow tube from injury and disease is so important.

CS-58: Hepatocellular Carcinoma-Treatable or Sure Demise? | 1.00 Contact Hours |

Janice A. Provenzano, MSN-ED RN CGRN

Hepatocellular carcinoma is on the rise in the United States. This is a diagnosis with limited treatment options and consequential poor prognosis. What, if anything can be done to minimize the risk of this disease?  Etiology, risk factors, diagnosis, treatment options and prognosis will be discussed.  Case studies will be presented. The knowledgeable gastrointestinal nurse can assist the patient and his family/significant others in education and supportive services, walking with the patient along this health care journey.

CS-59: Gastric Cancer:  The Evolving and Silent Killer | 1.00 Contact Hours

John Lipham, MD

Gastric cancer develops in the lining of your stomach from mucus secreting cells.  Early symptoms may include GERD, abdominal pain, nausea and early satiety.  The onset of symptoms is often attributed to  other anomalies and often go undetected until the patient presents with extreme weigh loss or anemia.  The most common cause in 60% of the cases is infection by the bacterium Helicobacter pylori.   The second greatest cause is from chronic use of NSAIDS.   As this is a silent, slow growing tumor, it may take years for the tumor to develop.  In the early stages, there are no symptoms.  Sadly, most symptoms that make the patients seek help reflect advanced disease. By the time the patient develops symptoms, it is almost invariably too advanced for a cure.  Globally, gastric cancer is the fifth leading cause of cancer and the third leading cause of death, yet no one is championing this disease.  Very little if any information is provided to the public on gastric cancer.  This cancer remains difficult to cure in Western societies because to the use of OTC acid reducing medications.  This lecture will cover the latest research, recommendations and treatments for this silent killer.

CS-60: Developing a Digestive Health Service Line:  A Pathway to Excellence | 1.00 Contact Hours | 0.58 GI specific Contact Hours

Brenda Carlson, RN MS
Nancy S. Schlossberg, BA BSN RN CGRN CER

"Transitioning to value requires health systems to rethink and strategically redesign care delivery across service lines with growth potential to ensure provision of services needed in the community. This session examines establishing the John Muir Digestive Health Digestive Health Services program. Discussion moves from concept and development of a mission statement and business plan through implementation, measurement of outcomes and next steps. The presentation identifies roles and responsibilities of multidisciplinary program team members, including the Medical, Service line and Program Directors, Endoscopy Nurse Manager, GI Hospitalists, GI nurse practitioner and Marketing. It also examines risks and benefits associated with starting, growing and incorporating a therapeutic endoscopy program into a digestive health program."

CS-61: Gastroenterology Nursing — Development of Effective Orientation and Staff Education | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Ann Benco, MS BSN RN CNOR

Many gastroenterology suites do not have a dedicated Nursing Education Specialist to design orientation and staff education plans for annual competencies specifically for Endoscopy. This is an illustration of one method to develop a robust evidence-based plan for orientation and annual competencies.  Initial competencies and annual competencies are designed based on the Donna Wright model.  Annual competencies are based on current need eliminating repeating competencies every year. Unit specific competencies are limited to one or two per role.  Using this methodology has created a dynamic plan for orientation and eliminated unnecessary repeats of skills annually.

CS-62: Implementing the Direct Access Screening Colonoscopy Program: Decreasing Barriers and Increasing Patient Satisfaction | 1.00 Contact Hours

Julie Carpenter, BS BSN
Laurie Polakoff, MS RN  CGRN CFER

Advocate Good Samaritan Hospital, a Midwestern community hospital, has implemented the Direct Access Screening Colonoscopy (DASC) program in an effort to decrease barriers in obtaining a colonoscopy through streamlining scheduling and allowing patients with average health risks to schedule their colonoscopy over the phone.  This benefits the patient in several ways. It is economically beneficial to the patient because it eliminates an extra office visit therefore reducing the cost to the patient. It is psychologically beneficial to the patient because it allows for a phone discussion with a nurse about the fears associated with the procedure and the colonoscopy preparation.  A relationship is built between the nurse and the patient which not only decreases patient fears but it also increases patient satisfaction. This nurse is available to the patient throughout the process to discuss any questions that may arise which results in patients who are well prepared for their procedure. All of this benefits our ultimate goals of increasing our community's colon cancer screening rates and early detection of cancerous or precancerous polyps, which ultimately decreases the incidence of colon cancer in our population.

CS-63: Missing the Small Can Result in Big Problems | 1.00 Contact Hours 

Cynthia M. Friis, MEd BSN RN-BC

"We are challenged to think big, explore big data, and focus on the big picture in an attempt find success. No one ever tells us to think small and shrink our vision.  We don’t see motivational quotes that encourage us to do very little in order to achieve greatness.  

Are we passing up opportunities by not acting upon the small? During this session we will examine ways that we can affect big changes through small actions. Participants will discover the impact of small whether tackling big projects at work or building high quality connections through lecture, discussion, and group exercises."

CS-64: Beyond Engagement | 1.00 Contact Hours 

Kristen L. Seay, MSN RN CGRN

Leadership development is essential for building a successful team. Managers will find that when recognition is a priority, their job will be easier. Recognition that works well, can energize and revitalize a workplace. Discover the importance of staying in touch with your staff in order to retain your top employees.
 

 

11:15 am - 12:15 pm

CS-65: Celiac Disease, or Something Else? | 1.00 Contact Hours | 1.00 GI-Specific Contact Hours

Peter Buch, MD AGAF FACP

"Celiac Disease affects approximately 3 million people in the US, but only 300,000 have a diagnosis.  Non Celiac Gluten Sensitivity probably affects millions more. How do we make a diagnosis of Celiac Disease especially on a patient who is already on a gluten free diet?  How do we diagnose Non Celiac Gluten Sensitivity? How do we differentiate these illnesses from Irritable Bowel Syndrome?  Explore these issues in a case based, very interactive and FUN format."

CS-66: Colorectal Cancer: The Role of Food | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Paula Gallagher, MFN RD LD

Globally, colorectal cancer is a common and deadly disease. Dietary habits are considered to be easily changeable regarding the prevention of colorectal cancer. High calorie diets, red meat, and salt intake may increase the risk of developing this disease. What other evidence based strategies do we have for the prevention and treatment of colorectal cancer? Is intermittent fasting really a ‘thing’ when trying to prevent this disease? Is more fiber always better? Join us for this exploration of the association of diet and colorectal cancer.

CS-67: Achalasia: A Frustrating and Unique Swallowing Disorder | 1.00 Contact Hours 

Nikolai A. Bildzukewicz, MD FACS

The esophagus is a muscular tube that connects the back of the throat to the stomach.  When a person swallows, coordinated muscular contractions propel the food down into the stomach in a smooth rhythmic way.   When these contractions become dis coordinated or absent, this condition is classified as a motility disorder.    Achalasia is one of several sub types of motility disorders.  the characteristic absence of muscular contractions in the lower esophagus and failure of the LES to open with food of fluid bolus is one of the hallmarks of Achalasia.  Early in the disease process, inflammation can be seen in the muscle layers of the distal esophagus and frequently patients seek help for their GERD.  As the disease progresses, these nerves degenerate and ultimately disappear, which further impairs the function of the LES.  This progresses to regurgitation of undigested food sometimes on a daily basis.  It can take up to 10 years after the first symptoms appear to correctly diagnose Achalasia.  At the time of diagnosis, patients have developed sophisticated  and unique ways of eating and social interaction.  There is no cure for Achalasia.  This lecture will discuss in depth the latest research and treatment modalities for Achalasia.

CS-68: Psychological Stress and Pancreatic Cancer | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Ann Marie Mazzella-Ebstein, PhD RN CGRN
Simi J. Joseph, DNP RN APN NP-C

"Among all cancers, pancreatic cancers are associated with poor prognosis and highest
levels of stress. Improved treatment options have not greatly improved outcomes. Receiving a diagnosis pancreatic cancer, the patient may experience varying levels of stress knowing there is limited treatment options and resources. In providing patient-focused care, the stressful experiences reported by pancreatic patients would guide healthcare practitioners is providing the psychological and emotional support to potentially improve outcomes and the quality of care to the pancreatic cancer patient.

Drs. Ann M Mazzella Ebstein and Simi J Joseph are SGNA Scholars 2017-2018.  We wish to recognize  the Center for Translational Research: A JBI Center of Excellence at Texas Christian University, Fort Worth, Texas, USA for ongoing support of these scholarly activities."

CS-69: Chronic Cannabis Use Increases Sedation Requirements for an Elective Colonoscopy | 1.00 Contact Hours 

Julie Gregg, CRNA

Description coming soon. 

CS-70: To Intervene or Not To Intervene: Utilization of Advanced Endoscopy in Pediatrics | 1.00 Contact Hours | 1.00 GI Specific Contact Hours

Chris Moreau, BSBME AASBMET
Michael Reyes, ST GTS
Robert Edwards, RN
Sandeep Patel, DO

Recent advances in diagnostics and imaging have facilitated improved understanding of pancreaticobiliary diseases in children, but intervention decisions are complicated by lack of tools and long-term outcome data.  We present 10 years of pediatric advanced endoscopy experience, including EUS and ERCP cases from two academic tertiary referral centers and the nation’s first dedicated pediatric advanced endoscopy training program.  Nursing considerations, procedural setup, and assistant techniques are reviewed.  Medical devices are discussed, including concerns about off-label and age-appropriate products.  Patient selection and follow up, including indications and contraindications for intervention are discussed.  Analysis of long-term interventional outcomes will be presented.

CS-71: Bariatric Surgery | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Ninh Nguyen, MD

The session provide state of the art update on the indications for bariatric surgery, common type of procedures, and common complications and its management as it relates to the gastrointestinal tract

CS-72: Building Quality into Endoscope Reprocessing: Would You be Scoped in Your Own Unit? 1.00 Contact Hours | 1.00 GI-Specific

Nancy S. Schlossberg, BA BSN RN CGRN CER

Currently, the complex design and features of endoscopes make it hard to evaluate and adequately clean and disinfect some part of the devices. Consequently, users may be unaware of potential hazards developing in the most intricate parts of this equipment that plays an integral part in patient care. Utilizing cleaning verification methods may help ensure patient safety and assist in the evaluation of staff competency in endoscope reprocessing. This presentation will update current evidence-based guidelines related to endoscope processing as well as discuss methods to engineer quality and endoscopy unit workflow into reprocessing, such as surveillance testing of flexible endoscopes and various methods of cleaning verification of endoscopes and automated endoscope reprocessors. 

CS-73: The Sluggish Gut Chronicles: Chronic Constipation & Diet 1.00 Contact Hours | 1.00 GI-Specific Contact Hours

Paula Gallagher, MFN RD LD

Chronic constipation is a massive clinical problem, occurring in about 1 in 5 people worldwide. The tried and true recommendations of drink more water, eat more fiber, and take a laxative are likely not enough for these patients. What other evidence based approaches do we have to manage constipation-predominant IBS and Chronic Idiopathic Constipation? Do probiotics really work? What type of fiber is best? What about fermentable carbohydrates? Join us for the ‘fast tract’ to ease constipation.
 

 

1:30 pm - 2:30 pm

CS-74: Colorectal Cancer: From the Beginning to the End | 1.00 Contact Hours | 1.00 GI specific Contact Hours

Cathleen Shellnutt, DNP APRN AGCNS-BC CGRN
Gwen A. Spector, BSN RN COCN

"Colorectal cancer (CRC) is the #3 diagnosed cancer in men and women in the United States. Nurses working in a variety of inpatient and outpatient settings will care for patients with CRC. There is often a knowledge gap in the nurses’ understanding of the colorectal cancer patient’s continuum of care, leading to missed opportunities for patient education and follow through.  
This session will explain colorectal cancer from screening exams to after treatment and how it relates to the nurse’s care of these patients."

CS-75: GERD...The Progression of Esophageal Cancer You Can't Ignore Anymore! | 1.00 Contact Hours | 1.00 GI-Specific

John Lipham, MD

What if all the advertising about "acid reducing meds" was incorrect and you only received the information the pharmaceutical companies wanted you to hear. What if these meds were unavailable? What if your information about GERD has been wrong and the approach to "acid reflux" has been proven incorrect. What is a patient to do? The long tern use of PPI's now carries a warning label  is no longer recommended. What if you were to find out that "bile" is just as damaging to the sensitive lining of the esophagus as acid, but all the products on the market only block acid?  Esophageal cancer is the sixth most common cause of death worldwide.  It is estimated that more than 20,000 NEW cases in the US alone will be diagnosed. Esophageal cancer has seen a 600% increase in incidence despite the use of PPI's, yet there is no national screening being done. Esophageal cancer in the next decade will surpass colon cancer in estimated deaths.  This watch and wait surveillance of GERD and Barrett's esophagus is simply not enough to prevent the rise in this cancer.  This lecture will explore current research and treatment modalities for esophageal cancer.

CS-76: The Role of a Clinical Nurse Specialist in a Gastroenterology Program | 1.00 Contact Hours 

Kelly M. Osborne, MSN, APRN, CNS-BC, CGRN

A Clinical Nurse Specialists is one of the four advanced practice roles. Typically CNSs work with in-patient population to improve patient outcomes and decrease readmission rates.  This presentation will highlight the process improvements managed by the Clinical Nurse Specialist of a university based health care system that bridged the gap between the business and the practice of Gastroenterology.

CS-77: Can Artificial Intelligence Help us Protect our Patients from Colorectal Cancer and Reduce Redundancy? | 1.00 Contact Hours 

William Karnes, MD AGAF

Can artificial intelligence help us protect our patients from colorectal cancer and reduce redundancy?

CS-78: Pursuing Excellence: The Endoscopy Associate Pathway to Advancement | 1.00 Contact Hours 

Michelle Oilar, CST

This presentation is for the endoscopy associate or technician that wants to know what is available to them in the way of advancement in their field.

CS-79: Introduction to Bronchoscopy and Pleural Procedures | 1.00 Contact Hours 

Nicholas Wysham, MD

An overview of the variety of diagnostic and interventional procedures encountered in pulmonary medicine including flexible bronchoscopy, bronchoalveolar lavage, forceps biopsy, endobronchial ultrasound, navigational bronchoscopy, rigid bronchoscopy, endobronchial stents, bronchial thermoplasty, endobronchial valve, thoracentesis, pleural catheters, and pleuroscopy.  Special emphasis will be made on the role of the nurses and assistants in performing the procedures and recognizing and responding to potential complications.

CS-80: C. Diff & Current Treatments | 1.00 Contact Hours 

C. Gregory Albers, MD FACG AGAF

Description coming soon. 

 

3:15 pm - 4:15 pm

GS-04: SGNA: Unstoppable Excellence! | 1.00 Contact Hours

Stuart Ellis-Myers

How does any SGNA member or someone living with a rare, incurable and socially bizarre neurological disorder re-invent their life story? By becoming Unstoppable! Now more than ever SGNA members are looking for fresh ideas, new understandings and immediately usable actionable insights to turn great expectations into greater personal and professional excellence. Stuart Ellis-Myers aka ‘Twitchy’ is living proof that anyone who overcomes overwhelming circumstance tends to develop extraordinary approaches to every day challenges – often achieving extraordinary results. In this keynote learn how to learn, laugh and turn SGNA ‘great expectations into greater excellence’ while leveraging a new understanding on how to never give in and go from failure-to-failure with great enthusiasm!
 

 

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*Schedule subject to change

Vendor Programs

Current Vendor Program Participants:

  • 3M Health Care 
  • Advanced Sterilization Products (ASP) 
  • Boston Scientific 
  • CANTEL 
  • ConMed 
  • Erbe 
  • Healthmark Industries 
  • Stryker 

Saturday, April 13, 2019, 5:00 pm – 6:30 pm

TBD 

Sunday, April 14, 2019, 12:30 pm – 2:00 pm

TBD

Monday, April 15, 2019, 7:00 am – 8:00 am

TBD

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*Schedule subject to change

Booth CEs

SGNA provides a Booth CE Program to increase the value of your time in the Exhibit Hall. The Booth CE Program will offer brief educational presentations within the participating exhibitors’ booths. Sessions are 30 minutes in length and may include a lecture presentation, video presentation and/ or hands-on demonstration of procedures and equipment use. The company giving the presentation will award contact hours for participation. Booth CE’s will take place during the following times: 

Monday, May 21, 2018

11:15 am - 11:45 am

12:00 pm - 12:30 pm

12:45 pm to 1:15 pm

1:30 pm - 2:00 pm

 

Tuesday, April 16, 2019

9:15 am - 9:45 am 

9:30 am - 10:00 am 

10:00 am - 10:30 am

 

Current Booth CE participants:

  • 3M Health Care
  • CANTEL
  • Healthmark Industries
  • STERIS Corporation and US Endoscopy
  • The Ruhof Corporation 

 

 

Networking

If this is your first time attending the SGNA Annual Course, attend one of these informal welcome sessions to learn tips and tricks to help you get the most out of the course. This interactive session will offer first-timers a chance to meet fellow first-timers and network with veterans. Members of the SGNA Board of Directors, Program Committee and SGNA headquarters staff will be present to answer questions and provide information about Annual Course activities in addition to SGNA and the services it provides.

First-time Attendee Orientations

Friday, April 12, 2019
12:00 pm – 1:00 pm

Saturday, April 13, 2019
12:00 pm – 1:00 pm
4:00 pm – 5:00 pm

 

Exhibit Hall Opening Reception

Sunday, May 20, 2018
4:30 pm – 6:45 pm

Location: Exhibit Hal B-C, Oregon Convention Center

Nearly 100 exhibiting companies are eager to introduce you to their products and services. Experience the latest in gastroenterology and endoscopy techniques and instruments through hands-on demonstration, video procedures and conversation with knowledgeable representatives. Drinks and heavy hor d'oeuvres will be served. All registered attendees are invited to attend.

SGNA Celebration

Monday, April 15, 2019
7:30 pm – 9:30 pm

Location: Lloyd Center Ballroom, DoubleTree by Hilton Portland

Let us Bring Portland’s food cart scene to you! Come and celebrate a week of learning and networking by experiencing live music and dancing while indulging in Portland’s food cart scene. During this celebration, you’ll be treated to the sounds of Hit Machine – Portland’s premier dance band playing hits from all eras. Attire is casual. All registered attendees are invited to attend.

Sponsored by Ruhof.

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