20156 - critical care nursing e-brochure (june 9, 2016).pdfcanadian association cal nurses dynamics...

20152016

Canadian assoCiation of CritiCal Care nursesdynamiCs of CritiCal Care ConferenCe™ 2016september 25 to 27, 2016, delta prinCe edward, Charlottetown, prinCe edward island

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Critical care nurses have always been on the leading edge of change. The realities of our aging population, increasing complexity of disease and treatments, rapid advances in technology and environments of care, funding limitations and shifting societal expectations are forces that drive this tide of change and test our capacity to lead and adapt. Dynamics 2016 in Charlottetown will address how these tides

rise and recede in a never-ending cycle. We will explore the vital role of the Canadian critical care nurse in collaboratively building the future of critical illness care for Canadians. We will share new knowledge, inspire leadership and nurture innovation. Delegates will be galvanized and prepared to navigate and Be the Difference, today and in the future.

Dynamics of critical care conference™Dynamics is the annual national convention and product exhibition of the Canadian Association of Critical Care Nurses (CACCN). Diverse programming allows participants to choose from a broad selection of evidence-based topics that are geared to enhancing clinical practice, leadership, education and research. With paediatric and adult critical care opportunities provided, participants design educational agendas to meet their own unique needs. Dynamics brings colleagues together from coast to coast, providing a forum to share ideas and experiences in a new and exciting Canadian location each year.

conference theme: changing tiDes in critical care nursing: riDing the Waves together to ProviDe Quality care

certifieD nurse in critical care (canaDa) – cncc(c), cnccP(c)Numerous educational opportunities are provided at the Dynamics of Critical Care Conference™ to assist nurses who are preparing for or renewing the national critical care specialty examination offered by the Canadian Nurses Association (CNA).

continuous learning hours (cl hours)Continuous Learning Hours (CL Hours) are calculated based on the total hours of education provided each day (i.e. 8-hour day = 6 hours of education per conference day). Continuous learning hour certificates are provided upon completion of the online conference evaluation. Please contact CACCN National Office – [email protected] if you have any questions regarding Continuous Learning Hours and the Online Evaluation.

caccn/aciisi BoarD of Directors

president: Renée Chauvin, MEd, BA, BScN, RN, CNCC(C), Kemptville, ON Vice-president: Katherine (Kathy) Bouwmeester, RN, ACCN, Calgary, AB treasurer: Robert (Rob) Mazur, BN, RN, Winnipeg, MB directors: Mélanie Gauthier, M Int. Care N., BScN, RN, CNCC(C), Montréal, QC Carla MacDonald, MN, RN, CNCC(C), New Glasgow, NS Shirley Marr, MHScN, MHEd, RN, Mississauga, ON Lara Parker, MSN, RN, CNCC(C), Port Moody, BC editor, CJCCn Journal: Paula Price PhD, RN, Calgary, AB

Chief operating officer CaCCn: Christine Halfkenny-Zellas, PMgr, CIM, London, ON

Dynamics 2016 conference Planning committee

Chairperson: Ruth Trinier, MN, RN, CNCCP(C), Toronto, ON

Committee members: Barbara Fagan, BScN, RN, CNCC(C), Middle Sackville, NS Carla MacDonald, MN, RN, CNCC(C), New Glasgow, NS Tanya Matthews, BScN, RN, CNCC(C), Charlottetown, PE Lindsey Smith, BScN, RN, CCNP, Stratford, PE Christine Halfkenny-Zellas, PMgr, CIM (CACCN COO), London, ON


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sPeaKers

Keynote sPeaKerelizaBeth hennemanElizabeth (Beth) Henneman is an Associate Professor in the College of Nursing at the University of Massachusetts in Amherst. Dr. Henneman received her undergraduate nursing degree from Boston College, her Masters of Science in Nursing from the University of Colorado in Denver and her PhD from the University of California Los Angeles. She has expertise as a researcher, educator and critical care clinician. Her 30 plus years of experience as a staff nurse and clinical nurse specialist have informed her program of research which centers on testing interventions that enhance patient safety and facilitate patient and family centered care for the acute and critically ill. Dr. Henneman has extensive experience mentoring staff nurses and graduate and undergraduate students in nursing, engineering, and computer science. She has a strong track record of disseminating her research at local, national and international venues and an impressive record of publications in well respected, clinical and research peer-reviewed journals.

Plenary sPeaKerKaren a. mcQuillanKaren received her Bachelors of Nursing and Masters of Science in Trauma/Critical Care Nursing from the University of Maryland, Baltimore. She has worked for the past 29 years as a Clinical Nurse Specialist at the R Adams Cowley Shock Trauma Center at the University of Maryland Medical Center in Baltimore, Maryland. Karen has lectured on neurological and trauma topics at numerous regional, national, and international conferences. She has also mentored other nurses as speakers and authors. Karen has worked in countries around the world including India and Brazil to foster improvements in trauma care. In addition, she serves as the Past President for the American Association of Critical Care Nurses.

closing sPeaKercolleen Breen Colleen Breen is a staff nurse in a pediatric critical care unit (PCCU) at a Children’s Hospital at London Health Sciences Centre and a part time clinical educator at Fanshawe College in London, Ontario. Colleen is currently finishing her Master of Science in Nursing at York University. Colleen is passionate about palliative care for children, creating memories at end of life, advocacy for children with special needs, critical incident stress management and understanding nursing grief. She has volunteered with many groups in the community, including Heart and Stroke Foundation, Special Olympics, and currently as the President of the Fanshawe College Alumni Association. Nursing has been a legacy of hope that has inspired, challenged and gifted her life journey!


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inviteD sPeaKers

margie BurnsMargie Burns grew up in Prince Edward Island (PEI), then moved to Halifax, Nova Scotia where she received her Bachelor of Science in Nursing in 1997. Since her graduation, she has worked as a registered nurse in a number of intensive care units (ICUs) and coronary care units (CCUs), including the Medical Surgical Neurological ICU at the Halifax Infirmary, the General and Liver Transplant ICU in the Royal Infirmary of Edinburgh, Scotland, and the CCU in the Epworth Hospital, Melbourne, Australia. During her time in Edinburgh, Margie received her Specialist Practitioner Qualification in Critical Care Nursing from the University of Edinburgh, and her Leading and Developing Clinical Practice Certificate from Napier University, Edinburgh. In 2005, she returned to PEI and accepted the position of Clinical Nurse Educator in ICU at the Queen Elizabeth Hospital, Charlottetown. In this position, she has been involved in the implementation of numerous initiatives such as targeted temperature management, and early goal directed therapy for sepsis. Since her return, Margie has obtained her Canadian Critical Care Nursing Certification from the Canadian Nurses Association, and is nearing the completion of her Master of Nursing from the University of Prince Edward Island. Her thesis is focused on the lived experience of family members of patients who undergo targeted temperature management.

Kim BustarDKim Bustard grew up on PEI and received her BA at the University of PEI in 1993 and received her Masters in Divinity at the Atlantic School of Theology in Halifax, Nova Scotia in 1996. In June 2014, Kim obtained her “Specialist in Clinical Pastoral Education” designation from the Canadian Association of Spiritual Care (CASC). In April 2015 Kim was excited to become a CASC Provisional Supervisor in Clinical Pastoral Education (CPE). This has allowed Kim to do some teaching as well as continuing her work in Spiritual Care. Kim is the Coordinator of Spiritual Care at the Queen Elizabeth Hospital since June 2006. It has been her work with staff that has inflamed Kim’s awareness of the need for staff care in regards to helping them deal with work-related grief, secondary trauma, and compassion fatigue.

renée chauvinRenée Chauvin is an Improvement Facilitator with the Centre for Continuous Improvement at Queensway Carleton Hospital in Ottawa, ON. Renée’s critical care nursing career began in 1987 at the McGill University Health Centre. Over her career, Renée has held positions in healthcare, including clinical nurse, mentor, assistant head nurse, Professional Development Educator, Practice Consultant and Manager of the Intensive Care Unit. Renée is the current President of the CACCN National Board of Directors.

marie eDWarDsMarie Edwards is an associate professor in the College of Nursing at the University of Manitoba. Marie teaches and does research in the area of ethics, with a particular interest in critical care. She completed a PhD program in nursing and bioethics at the University of Toronto and a one-year residency in clinical ethics in Edmonton. Marie served as a member of the Board of Directors of the Canadian Association of Critical Care Nurses from April 2013 to March 2015. Marie also served as the Chair of the conference planning committee for the Dynamics of Critical Care™ Conference 2015 in Winnipeg.

sanDra golDsWorthySandra Goldsworthy is a recognized critical care expert, researcher and author. She is the author or editor of six books including: ‘Simulation Simplified: A Practical Guide for Nurse Educators’, ‘Simulation Simplified: Student Lab Manual for Critical Care Nursing’ and ‘The Compact Clinical Guide for Mechanical Ventilation’. As an Associate Professor in the Faculty of Nursing at the University of Calgary, she holds a Research Professorship in Simulation Education. Sandra holds two national CNA credentials in Critical Care and Medical Surgical Nursing. Her research focus is simulation and transfer of learning, job readiness and transition of new graduates into critical care. Sandra has conducted and published research involving the use of simulation and technology in nursing education. Her recent publications and national and international presentations have concentrated on critical care nurse retention, critical care nurse work environments and the use of simulation to build confidence and competence among nurses.


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inviteD sPeaKers cont’d

trevor Jain Trevor Jain grew up in the Annapolis Valley, Nova Scotia where he received his BSc from Acadia University in 1993. While still in high school Dr. Jain joined the Canadian Armed Forces as an infantry soldier. He continued his studies in Halifax where he obtained his MD from Dalhousie Medical School. During medical school he was seconded by the military for the Swiss Air Disaster to design, set up and run the morgue as the pathology operations officer. He was awarded the Meritorious Service Medal of Canada for his efforts by the Governor General in 1999. He attended Ottawa University where he completed family medicine residency and joined the Royal Canadian Medical Service branch in 2001. Dr. Jain deployed to multiple austere locations providing medical support to both armed conflicts and humanitarian operations. He completed a Masters in Science in Disaster medicine from the University of Brussels in 2013. He is the Medical Director for Paramedicine Programs at Holland College and the Program Director for the Degree Program in Paramedicine at UPEI. Through his experiences he has witnessed secondary trauma to his peers including life changing moments during their daily work as care givers in multiple environments. inviteD sPeaKers

BrenDa saBo Brenda Sabo is the Associate Director, Undergraduate Nursing Program and Associate Professor with Dalhousie University School of Nursing. Until recently, she also maintained a clinical practice as a psychosocial oncology specialist with the Psychosocial Oncology Team, Cancer Care Program at the Nova Scotia Health Authority where she saw patients and families living with and affected by cancer across the continuum from diagnosis to end of life. Her research focuses on psychosocial issues (depression, anxiety, trauma) affecting patients, spouses, caregivers (professional and lay) arising out of the cancer experience; palliative and end-of-life related issues; and, innovative knowledge translation approaches through the use of art to change attitudes held by healthcare professionals, patients and families about palliative and end-of-life concerns. She has been funded at the local, provincial and national level for her work. Brenda has numerous publications on psychosocial health and wellbeing and the need for earlier transition to palliative care. She is a past president of the Canadian Association of Nurses in Oncology; is a member of the Board for the Beatrice Hunter Cancer Research Foundation and serves as a reviewer for several oncology and supportive care journals.

orla smith Orla Smith is a certified critical care nurse who has worked at St. Michael’s Hospital since 2000. She is the manager of the Critical Care Clinical Care Research Unit (CCCRU), part-time Director, Nursing/Clinical Research, and an Associate Scientist in the Li Ka Shing Knowledge Institute. Orla is involved in a variety of local, national, and international research and quality improvement projects. Her personal area of research interest focuses on the experiences and outcomes of patients and families during and after ICU. She is a member of numerous critical care committees as well as the SMH Research Ethics Board, the ReQUIST review committee, and the Canadian Critical Care Trials Group Executive and Patient and Family Partnership Committee.


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sPonsoreD sPeaKers

Jean-francois alleno Jean-Francois worked in the Intensive Care Unit for 6 years prior to joining Philips as a Clinical Specialist. Jean-Francois has worked in multiple modalities – defibrillators, fetal and cardiac monitoring. He has been the Canadian Clinical Specialists Manager for Patient Monitoring since 2013.

Sponsored by Bard Canada

roByn alPert Robyn joined Philips as a Sales Specialist in 2014. She is part of the Patient Monitoring Team and supports a number of modalities including but not limited to IntelliSpace Perinatal and IntelliVue Guardian Solution. Robyn began her professional career as a Peri-operative Nurse at the Hospital for Sick Children in Toronto. While working she completed her Masters of Nursing and went on to work in a Clinical Informatics position at another local hospital. With over 10 years of Clinical Informatics experience, Robyn has a strong interest in the use of technology in healthcare and the impact it has on patient and staff safety. She is a strong advocate when it comes to introducing technology into healthcare environment to ensure it fits into the clinical workflow.

Sponsored by Philips Healthcare

Julie BilBrey In 2004, Julie Bilbrey graduated from the University of Nevada Las Vegas with a Bachelors of Science in Nursing. Throughout her undergraduate education Julie maintained her Academic All-Conference status while competing for the UNLV Mountain West Conference Swimming Team. Post-graduation, Julie was first employed by the University of Washington in the Liver Transplant ICU which provided a rich environment of learning, and led to further ICU employment nation-wide. While working in the ICU, Julie was exposed to a highly functional Vascular Access Team and spent the next several years growing her knowledge base as a Vascular Access Expert in PICC, Midline and Extended Dwell insertion under Ultrasound Guidance. Julie was promoted to supervisor of the same multi-state team, applying her knowledge base across adult, pediatric, and neonate populations. In her new role, Julie was focused on improving patient outcomes, increasing efficiency, and expanding the Clinical Team. Julie was a board member for the AVA NashVAN chapter. After moving to Canada, Julie worked for the PICC team at Surrey Memorial Hospital. Julie is currently employed by Bard Canada. As Sr. Clinical Specialist she provides product support and education to her customers.


michelle DecKer Prior to joining Philips Healthcare, Michelle worked 23 years as a registered nurse in the emergency department. Michelle’s role at Philips Healthcare is Clinical Nurse Specialist. She has experience with multiple modalities – defibrillators, fetal and cardiac monitoring – and is now focusing on general hospital wards and workflow analysis.

Sponsored by Philips Healthcare


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sPonsoreD sPeaKers cont’d

lila gottenBos Lila Gottenbos is a Registered Nurse and a Surgical Clinical Reviewer at Langley Memorial Hospital in British Columbia. Lila has been with the National Surgical Quality Improvement Program (NSQIP) since its inception in 2011 at Langley Memorial Hospital. Prior to becoming a Surgical Clinical Reviewer, Lila has worked as a nurse on an inpatient surgery unit, a perioperative nurse, and a Clinical Nurse Educator. Lila has spent her 15-year career dedicated to improving outcomes for patients at Langley Memorial Hospital.


Denice Klavano Denice Klavano is the co-chair for Patients for Patient Safety Canada, a program of the Canadian Patient Safety Institute. As part of PFPSC, Denice served on the working group to develop guidelines for the disclosure of adverse events, served an on a national committee for patient safety in mental health and is the Canadian representative to the Pan-American Health Organization (PAHO). Denice is also past chair of the family faculty for the IWK Women’s and Children’s Hospital, and additionally serves on an advisory body to the World Health Organization (WHO) on patient safety and patient experience. Denice is completing her term as an expert advisor to the board of the International Society for Quality in Healthcare (ISQUA) representing the patient and family experience. Through ISQUA, Denice also serves as a mentor to their Fellowship program. She works in the field of patient relations in Nova Scotia, Canada.

Sponsored by Canadian Blood Services

DaviD Kuhl David Kuhl is a Professor in the Faculty of Medicine at the University of British Columbia. Through his work in family practice, palliative care, providing psychological support to health care providers and with men in transition from military to civilian life it became evident to him that integrating medicine, psychology and the social sciences is fundamental to his work. While he is presently focusing his efforts on creating a Centre for the Integrity and Wellbeing of Men and Boys, he continues to bring his understanding of relationship centered care, as a consultant, to health care teams.



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sPonsoreD sPeaKers cont’d

Josée roy Josée Roy is a Nursing graduate of CEGEP Bois-de-Boulongne and an Ordre des infirmières et des infirmiers du Québec (OIIQ) Registered Nurse. Her nursing career includes experience in Oncology, where she worked for over fifteen years at Bethesda Memorial Hospital in Florida, beginning as a charge nurse and then earning a promotion to Nurse Manager. Josée led the setup of the hospital Infusion department and eventually developed a bedside nurse insertion PICC program, utilizing ultrasound. As leader of the department preceptorship program, Josée trained and mentored numerous new staff. Currently, Josée provides training and support to clinicians using Bard vascular access products. She maintains memberships with several professional associations, including AVA, CACCN, CVAA, INS and RNAO.


chris soDer Chris Soder is the Associate Professor of Anesthesia and Pediatrics at Dalhousie University and a Pediatric Anaesthesiologist-Intensivist at the IWK Health Centre. He was Chief of the Department of Pediatric Critical Care at the IWK for over thirty years and was also Medical Co-Director of EHS LifeFlight, the Nova Scotia air medical transport system. Dr. Soder’s clinical, teaching and research interests include pediatric cardiac anesthesia, airway management, critical care and emergency medicine. He is an instructor for the Airway Interventions & Management in Emergencies Course (CAEP AIME). Dr. Soder is the recipient of numerous accolades and awards which he began collecting even prior to entering medical school at the University of Alberta (UofA) in 1969. They include UofA Queen Elizabeth Scholarships; the Conn Memorial Gold Medal in Obstetrics (UofA); and the Garner King Memorial Award which is awarded for physician leadership and support to respiratory therapy. He was named a member of Dalhousie Medical School’s COPS High-Five Club (1999-2000) which recognizes excellence in undergraduate medical teaching. He was awarded the IWK “Best Pediatric Grand Rounds Award” for 2009-2010. Before joining the Department of Anesthesia in 1981, Dr. Soder completed residencies in pediatrics (UofA) and anesthesia (University of Toronto) and a fellowship in pediatric critical care (Hospital for Sick Children and University of Toronto)

Sponsored by Fisher-Paykel Healthcare

mattheW Weiss Matthew Weiss is a paediatric intensivist working in Quebec City. Originally from Kansas City, a love of French fries and cheese curds brought him to finish his paediatric and PICU training at the Montreal Children’s Hospital, which he did in 2010. His interest in Paediatric Donation After Circulatory Death began after caring for a potential donor patient, and realizing that neither his own hospital, nor any other in the province of Quebec, had a protocol in place to perform pDCD. Since then, he has worked with CBS and a multidisciplinary team to develop the first national pediatric specific DCD guidelines.



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conference agenDa

saturDay, sePtemBer 24, 2016

1900 – 2100 early registration Delta Prince Edward

sunDay, sePtemBer 25, 2016

BreaKfast: on your oWn Morning coffee / breakfast is not provided

0700 – 0750 registration Delta Prince Edward

0800 – 0945 oPening ceremonies KEYNOTE SPEAKER creating a sea of change in Patient safety: the role of the critical care nurse – Past, Present and future Critical care nurses have a long and distinguished history of successfully transforming the care of patients and their families

through the conduct of research and the application of evidence-based practices. Despite these successes there remain challenges and barriers that threaten the safety of our critically ill patients and their families. This keynote session will present evidence of past and current patient safety strategies and offer suggestions for new patient safety practices in the future. A focus of the presentation will be on practical strategies that are within the control of the critical care nurse and can be immediately applied in both clinical and educational settings.

Elizabeth (Beth) Henneman

0945 – 1030 BreaK # 1: ePoster anD PrinteD Poster vieWing

1030 – 1115 concurrent session one 1a navigating rough seas - Keeping our head above Water in a flood & its aftermath Picture an average evening in the ICU. You notice a trickle of water ... just in time to see a gush! In the evening of

September 24, five floors including the ICU experienced a catastrophic flood from a broken pipe. We will share our experience of evacuating patients and equipment. We will describe how an ICU a few blocks away, responded to make patients and staff welcome in trying times. In the weeks that followed, we provided care in a number of temporary ICU locations, as well as providing emergency onsite care at the site impacted by the flood. Join us as we share our story of the flood and its aftermath. This story will demonstrate the capacity of ICU nurses to respond swiftly and appropriately. It will also reveal the importance of camaraderie and how central our work family is to our well-being and resilience. It will show the challenges to providing evidence-based, family-centered care in temporary ICU spaces, and our commitment to advocating for patients and families.

Karen Webb-Anderson, Marlene Ash, Shashi Bangera, Catherine Bent, Patricia Daley, Audrey Gallant, Pam Hughes, Cynthia Isenor, Ken Oates, Walter Somers, Shannon Stride, Andrew Watson and Debrah White

1B the meaning of the Breastfeeding experience for mothers in critical care A small percentage of women will require hospitalization in a critical care unit during the postpartum period, and

breastfeeding is a goal for many of these mothers. Critical care units are staffed by highly skilled health care providers; however, breastfeeding support is not part of the critical care unit culture. There is little research on the breastfeeding experience of mothers in critical care to guide nurses caring for these mothers. This interpretive phenomenology study explored the experience of women being in a critical care unit soon after having a baby that they planned to breastfeed. Three themes were developed; Separation from my baby, with sub-themes planning helps with separation and creative connections; Breastfeeding, an afterthought in the ICU; and Surviving pre-empts breastfeeding. This study provided insights about the meaning of the breastfeeding experience to mothers in critical care, as well as suggestions for practice, services, education and research.

Michele McShane, Faith Wight Moffatt, Marilyn Macdonald, Glenda Carson and Maureen White


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conference agenDa cont’d

1c navigating the challenges of Delirium management in the Picu; a nursing student’s Perspective in Providing a strengths-Based approach

Delirium is a phenomenon that occurs in all critical care settings, including pediatric intensive care units. Overall, 1 in 3 children admitted to the PICU will experience delusions or hallucinations comparable to those described by adults experiencing organic delirium. The prevalence of delirium in the PICU is significant as children diagnosed with this disorder have increased morbidity and a 20% higher mortality rate. Though valid and reliable age appropriate tools have recently been developed to assess pediatric delirium- notably the Pediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU), this condition remains poorly understood in the younger population. Our goal is to propose evidence-based nursing interventions that are strengths-based and family-centered in order to properly assess, act, and prevent the incidence of delirium in the pediatric critical care setting.

Elaine Doucette, Annie Chevrier, Catherine Bigras, Vanessa D’Aquila, Jodi Kalubi, Palmina Montenaro and Teodora Riglea

1D cerebral microdialysis, traumatic Brain injury, metabolic markers Traumatic brain injury is a key cause of death and disability. Following traumatic brain injury (TBI) the intensive

care unit focuses on preventing secondary insults which can lead to poor neurologic outcomes and irreversible brain damage. Micro-dialysis analyzes local brain biochemistry, providing information related to secondary injury. Ongoing insult to brain cells is manifested in dramatic changes of metabolic markers related to the production of ATP. Microdialysis focuses on biochemical markers of ischemia and cell damage such as pyruvate, glucose, glycerol, glutamate and lactate in the brain’s extracellular fluid. It is used to evaluate the success of therapeutic interventions and ongoing secondary injury. The presentation will focus on the principles of microdialysis, including brain metabolism and biochemical markers that identify ischemia and cell damage in traumatic brain injured patients.

Laura Robinson, Joan Harris and Sandy Manuel

1e lightening up and spreading it around: a successful implementation of the aBcDe Bundle using change management and lean strategies

Clear guidelines exist for approaching pain, agitation, and delirium in the Critical Care population. However, implementing these guidelines can be challenging as they present a need for transformation in unit culture and change in multidisciplinary practice. We present highlights from implementing the ABCDE bundle in a community hospital Critical Care Unit. Strategies for planning, implementing, and sustaining this change will be outlined. Preliminary pre and post data on drug choice, duration of infusion, and staff compliance with elements of the bundle will be presented. We will also reflect on challenges encountered and next steps. This how-to session is sure to get ideas flowing for your own unit.

Sarah Grin, Melanie Gillison, Lorna McLellan, Mary Miller-Lynch, Laura Ocolisan, and Amber Wagler


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1125 - 1210 concurrent session tWo 2a expanding the Donor Pool: increasing lung transplantation through ex-vivo lung Perfusion This presentation will discuss the background and history and lung transplantation, the criteria and contraindications

for transplant, and new technology in the field of lung transplantation, such as ex-vivo lung perfusion. In Ontario, 60-100 people are listed every year for a lung transplant and while the average wait time is 4-6 months, many wait years and the 1-year mortality while on the transplant list is about 30%. With only five lung transplant centers across Canada, the Toronto center was the first in the world to successfully transplant lungs perfused through ex-vivo technology. Despite the high demand for lungs, almost 80% of donor lungs are rejected for transplant due to barotrauma, lung edema, aspirations, and pneumonias. Ex-vivo lung perfusion allows these lungs to be further assessed and healed at normal body temperature. This presentation will also discuss nursing considerations for post-operative care, such as immunosuppression, infection and rejection.

Diana Heng

2B Brain under attack - anti nmDa receptor encephalitis A 26 year-old female presents to an emergency room with a one-week history of flu-like symptoms which quickly

progress to a psychosis with paranoia, hallucinations, mood changes and eventually seizures. Her initial diagnosis is encephalitis with the cause unknown. This presentation will describe the newly characterized, highly lethal but treatable autoimmune disorder Anti-NMDA receptor encephalitis. This disease occurs when the immune system attacks the NMDA receptors in the brain. This condition is usually associated with a tumor particularly a teratoma of the ovary. Using a case study, we will discuss the patient’s presentation to the emergency room, admission to the Intensive Care Unit, treatment of the disease and recovery in hospital. Throughout history this disorder has most likely been misdiagnosed with patients being sent to psychiatric wards or have undergone exorcisms for presumed demonic possessions.

Colleen Shepherd and Rhonda Thorkelsson

2c how healthy is your Work environment? How healthy is your work environment? This interactive presentation is aimed at discussing the current state of

critical care nursing work environments in Canada and globally. Current literature will be explored and results from a doctoral study among Canadian nurses will be presented. Challenges and opportunities in environment we work in will be discussed. Improving work environment conditions will help stabilize the critical care nurse workforce across Canada. Global innovations will be shared along with potential solutions for future consideration.

Sandra Goldsworthy

2D i.c.u. m.o.v.e.s: intensive care unit mobility, optimizing a very early start Today, more critically ill patients are surviving. However, patients can experience a myriad of complications, such as

physical deconditioning with profound muscle weakness, neurocognitive decline and skin breakdown. Early mobility can help mitigate all of these deleterious effects. But a focus on long-term outcomes requires a culture shift. No longer are we just “keeping alive”; we are helping patients get back the life they want. We will share our story of shifting our culture from “keeping alive” to optimizing long-term outcomes, by implementing an early mobility program. Recognizing the importance of frontline knowledge and capacity, the implementation phase and evaluation has been led by a team of frontline nurses and physiotherapists. We will explore how the planning and implementation of an early mobility program, and a commitment to evidence-informed practice has enhanced collaboration in our multidisciplinary ICU team, helping patients get back the life they want.

Marlene Ash, Elinor Kelly, Tara Mercier, Giselle Davis, Marie-Helene Renault, Patricia Daley, Cynthia Isenor and Karen Webb-Anderson


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2e cardiac critical care in Developing nations: improvise, innovate, empower Congenital heart disease contributes significantly to childhood morbidity and mortality in many developing

countries, largely due to late recognition and lack of skills and facilities for definitive intervention (Bernier, Stefanescu, Samoukovic, & Tchervenkov, 2010). Through video footage and personal narratives, this presentation follows the lived experience of a Canadian nurse working in some of the most impoverished nations in the world. A nurse’s ability to improvise and innovate is crucial to positive patient outcomes universally. This presentation will capture the similarities and differences of ICU nursing around the world and illustrate the concurrent benefits for patients, nurses and health care organizations.

Kate Earley

2f turning silver into gold – using innovative technology to reduce urinary tract infections and improve Patient outcomes

Langley Memorial Hospital (LMH) is a 200 bed community hospital located in the Lower Mainland of British Columbia. In 2012, it was identified that LMH had an unacceptably high risk-adjusted rate of urinary tract infections (UTI’s). We invite you to walk with us through our journey, from start to finish and hear how we cut UTI’s by 80% at our hospital. Our discussion will focus on how we formed action teams and engaged stakeholders, how we implemented practice changes, and finally, how we used innovative technology to reduce UTI’s at LMH.

Lila Gottenbos

1220 – 1345 l1 lunch # 1 annual general meeting

The 32nd Annual General Meeting of the Canadian Association of Critical Care Nurses will be held during the luncheon period. All CACCN members and conference delegates* are invited to attend the meeting.

*Only current active members of the association will hold voting privileges.

Sponsored by


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1355 - 1440 concurrent session three 3a Why is it always Beeping? smart Pump alarms: an interactive experience on Why and When they occur Reducing alarms and associated fatigue is a priority based on The Joint Commission’s 2016 National Patient Safety

Goals. Participants will take part in a question and answer game show regarding infusion pump alarms and why they are a patient safety priority. Learn which infusion therapies are associated with the greatest number of alarms in the ICU.

Timothy Kavanagh and Jennifer Lehr

3B continuous renal replacement therapy in the critically ill child Acute kidney injury is a common occurrence in critically ill children, frequently seen as a result of complications from

other disease treatments or processes with multiple comorbidities common. Continuous renal replacement therapy (CRRT) is often considered the treatment of choice for these children however, morbidity and mortality remain high, and complications of therapy are frequent. The nurse administering CRRT requires a solid understanding of the critically ill child, continuous renal replacement therapy and the potential for complications. This presentation will include a case-based approach to the nursing care of the critically ill child requiring continuous renal replacement therapy. Scenarios will review indications, access, filters, blood flow rates, anticoagulation, dosing, ECMO, & CRRT outcomes. Techniques to assist in learning and maintaining competence will also be reviewed.

Ruth Trinier and Cecilia St. George-Hyslop

3c coping with moral Distress in critical care nursing Moral distress is a significant issue in critical care nursing that hinders the provision of quality patient care. It arises

when individuals perceive that they are constrained from pursuing what is ethically correct (Epstein & Hamric, 2009). Moral distress is problematic as it can cause nurses to experience negative emotions, leave positions, and emotionally withdraw from patients and/or their families (Gutierrez, 2005). Despite the issues that it causes, there are few nursing studies that have focused on how critical care nurses cope with moral distress. Studies that have explored this phenomenon have shown that critical care nurses often use evasive coping strategies to distance themselves from sources of it (Gutierrez, 2005; McClendon & Buckner, 2007). This presentation will use Lazarus and Folkman’s (1984)’s stress and coping theory to explore how critical care nurses can use proactive strategies to cope with their moral distress.

Dana Forozeiya

3D family Presence in the adult icu during Daily rounds Discussions: riding the Waves of change! Communication is a choice and how we choose to communicate is a reflection of our critical care environment. Our

presentation will examine family presence during multidisciplinary rounds discussions, as well as Regional and Site-specific initiatives that were developed to promote effective communication, collaboration and partnership between families and the critical care team. Strategies to improve stakeholder engagement and the patient/family experience of care will also be explored.

Basil Evan, Jodi Walker-Tweed, Bojan Paunovic, Kendiss Olafson and Dave Easton

3e teamwork competency Development: how and What We should Be teaching nurses about teamwork Since the Institute of Medicine recommended enhancing the coordination and communication abilities of healthcare

teams, many educational initiatives targeting teamwork competency development have surfaced. Registered nursing teams comprise the primary human resource structure for patient care delivery, and individually nurses are central figures within interprofessional healthcare teams. Nurses heavily influence overall team coordination and outcomes yet little is known about the team training; if any that they receive. This presentation aims to clarify ambiguous definitions about teamwork commonly used in healthcare and summarize key findings in the education literature. In discussing these findings participants will reflect on future implications for teamwork content in nursing education as well as teaching best practices that build competent nursing team performance.

Glenn Barton


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3f changing from rate-Based to volume-Based enteral feeding for critically ill Patients - it takes team Work This presentation will discuss how a ICU changed from hour feeding rate to a nurse empowered volume based feed

protocol. With an introduction of a clinical protocol and education, calories were increased from an average of 67% to 80% of requirement and protein was increased from 64% to 80%. This change took team work from nurses, physicians, and dietitians and showed the importance of ongoing support and education to overcome old beliefs such as residual volume and rates allowed.

Shirley Marr and Stefani Morra

1450 - 1535 concurrent session four 4a stepping it up: transitioning to Proficient critical care nurses. Does it work? Step-Up Guideline is a tool that fosters optimal learning experiences for successful skill and knowledge acquisition

structured around critical care competencies. This results in the development of confident and competent practitioners. In this presentation, we will report our results of the evaluation and explore the future of the SUG for critical care nursing competency development.

Ingrid Daley and Elizabeth Gordon

4B frailty in critical care: understanding risks, identifying Patients, and examining implications for current clinical Practices

Understanding frailty is essential for the delivery of excellent care to older adults in critical care. As a complex state of impairment that results from multisystem physiologic and cognitive losses, frailty may affect up to 40% of patients admitted to intensive care. Frail patients have an increased risk of adverse outcomes including procedural complications, delirium, significant functional decline and disability, prolonged length-of-stays, extended recovery periods, and death. Drawing from recent literature that has examined frailty in critical care, this session will highlight frailty-associated risks in critically ill populations and overview commonly used approaches to identify frailty. This session will also explore implications and recommended clinical practices such as minimization of sedation, delirium screening and prevention, early physical rehabilitation, end-of-life planning, and the prioritization and clarification of treatment goals.

Jennifer A. Gibson

4c Prone positioning and acute respiratory Distress syndrome Acute respiratory distress syndrome (ARDS) is a common condition seen in critical care units that affects almost

200,000 people every year and has a mortality rate of up to 45 percent. Multiple lung protective strategies exist including low tidal volume ventilation, recruitment maneuvers, high-frequency ventilation, PEEP, and prone positioning. Recent studies have shown that prone positioning may reduce mortality in acute respiratory distress syndrome when used with other lung protective strategies. This presentation will review the pathophysiology of acute respiratory distress syndrome. The respiratory mechanisms of prone positioning will be examined. Nursing intervention used when caring for the patient in the prone position will be discussed. To integrate these concepts a case study will be presented.

Tom Scullard


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4D exploring age related strategies to enhance child visitation in the adult intensive care unit The presence of children visiting their loved one in the adult intensive care unit is often one that is not encouraged and

can be the result of the nurse’s personal bias and perception of harm to both patient and child rather than rooted in evidence. We will examine the barriers of child visitation in the adult intensive care environment that were discovered both in literature and one particular adult intensive care unit as well as identify appropriate age related strategies to overcome them to facilitate an environment and culture that encourages child participation in the adult intensive care unit.

Rachel Schofield

4e the consequence of caring - moral Distress re-examined Moral distress is a phenomenon that affects all critical care nurses. The painful psychological disequilibrium that

results from knowing what the ethically appropriate action is, yet not taking it because of external constraints, results in moral residue that over time leads to burnout. If not recognized and addressed, it may create job dissatisfaction or leaving the profession. At time when quality of care is threatened by the current nursing shortage, it is paramount that efforts to recognize, understand, and address this issue are intensified.

Debbi Beukes


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1800 – 2030 gala recePtion

2115 – 0100 sPacelaBs ‘sunDay social’

Our ever popular poster reception is offering some new and exciting changes for Dynamics 2016. together with our sponsors and exhibitors, we have partnered to showcase their products and services, along with highlighting the outstanding Dynamics 2016 poster submissions. Plan to join us for the gala reception!

This is a complimentary ticketed event. Delegates must indicate attendance at the time of registration and provide their ticket for entrance to the event. Light snacks and cash bar will be available.


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monDay, sePtemBer 26, 2016


0700 registration Delta Prince Edward

0800 – 0900 Welcome greetings from canaDian nurses association

PLENARY SPEAKER courageous care Nursing care can make a lasting difference in the lives of patients and families and takes tremendous courage to deliver.

Courageous care requires critical care nurses to care with compassion, renew themselves, maintain a sound knowledge base, and serve as leaders. This presentation will emphasize the importance and describe key nurse behaviors of compassionate care. While providing care, nurses are vulnerable to compassion fatigue, moral distress, burnout and change fatigue. These will be defined and interventions that may help nurses develop resilience to overcome these phenomena will be discussed. Rationale for maintaining a strong knowledge base, questioning practice, and developing others will be emphasized. Nurses must lead practice changes that improve outcomes so need for nurses to learn to lead and be effective change agents will be underscored. Tips for how nurses develop courage to drive courageous care will be provided throughout the presentation.

Karen A. McQuillan, Immediate Past President, American Association of Critical-Care Nurses

0900 – 1000 BreaK # 2: exhiBits, ePoster anD PrinteD Poster vieWing

1000 – 1130 concurrent session five mastery sessions Each mastery session will be approximately 90 minutes in length and offer educational member engagement/participation.

Registration in the sessions will be limited (see individual sessions). Register early to avoid disappointment. Delegates who are unable to register for a mastery session will be registered for session 5G.

5a it’s time to turn over…Way over! Pronation therapy…how one micu triumphed in manual therapy maximum number of Participants: 56 learners This session covers cost reduction, knowledge, application, and monitoring to safely manually pronate a patient

utilizing the pronation wedges ‘Burrito Method’. Simulation will be utilized with active audience participation. Anita White and Christina Canfield

5B right Patient, right line, right time: an in-depth Discussion on appropriate vascular access Device selection and tip verification

maximum number of Participants: 25 learners Prerequisite: completion of online training module: Ultrasound and 3CG; link for online training will be sent

following registration. This session’s goal is to provide the Intensive Care Unit Healthcare Professional with the core principals surrounding

CVAD device selection. This session will also discuss proactively managing CVAD complications in addition to improving patient workflows using ECG waveforms to confirm PICC line placement. This session is comprised of 2 components; an interactive didactic and white board session followed by a hands on skills session and discussion. The hands on skills session will consist of small groups facilitated by a clinical specialist team. All participants will be requested to come prepared to participate by completing an online ultrasound and 3CG training session prior to the event. Information for this course will be provided upon registration.

Josée Roy and Julie Bilbrey

Sponsored by


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5c traumatic Brain injury: Putting all the Pieces together maximum number of Participants: 20 learners Prerequisite reading: Cecil, S., Chen M., Callaway, S., Rowland, S., Adler, D., Chen, J. (2011). Traumatic brain

injury: advanced multimodal neuromonitoring from theory to clinical practice. Critical Care Nurse, 31(2), 25-26. The complexity of caring for patients with traumatic brain injury can be challenging. Using case studies that increase

in complexity in a small group format, this mastery session will enhance participants’ knowledge of TBI. Participants will apply their learning to a treatment protocol, as well as integrating the data from advanced monitoring techniques including brain oxygen and temperature, micro dialysis and pulse pressure reactivity to put the pieces together.

Tricia Bray, Pamela Hruska and Joan Harris

5D nasal high flow – a low tech solution to a high stress Problem maximum number of Participants: 60 learners This session will explain how nasal high flow works and will cover the physiological and the clinical outcomes that it

can provide to patients. The session will briefly review anatomy and physiology, provide an evidence based approach to using nasal high flow and cover its indications and contraindications. The presentation will wrap up with a summary of Dr Soder’s practical experience with nasal high flow in his current practice.

Chris Soder

5e understanding shock states using Pac: Pulmonary artery catheter or Preload, afterload, contractility maximum number of Participants: 30 learners Shock is a complex and life threatening syndrome. It is vital for today’s Critical Care nurse to be able to recognize,

comprehend and manage shock, as it is foundational to patient survival. Within this engaging and interactive presentation, utilizing the multimedia of iBook® on iPad®, the three most common states of shock will be explored in relation to preload, afterload and contractility and analyzed further using pulmonary catheter numbers. Case studies will be provided.

Lara Parker and El Ladha

5f how early Warning score systems impact rapid response team calls and intensive care unit Workflow maximum number of Participants: 40 learners Prerequisite Preparation: Attendees who are currently using an EWS should bring an example or be prepared

to share their organization’s process (how is the Rapid Response Team called? What parameters/process are currently used? etc.).

The goal of this session is to raise awareness of the growing need of implementing Early Warning Score Systems (EWS) in general hospital wards and to demonstrate the positive implications on patient outcomes, RRT calls and Intensive Care Unit (ICU) workflows. Hands on experience will help delegates to understand what EWS systems are and the impact they have.

Robyn Alpert, Jean-Francois Alleno, and Michelle Decker

5g Pump failure = multi-system shutdown: case studies of acute heart failure maximum number of Participants: unlimited Prerequisite: Pre-existing knowledge of ACS and hemodynamic theory including preload, afterload, and

contractility would be beneficial. Acute Heart Failure is a sudden, complex syndrome in which altered myocardial function results in inadequate

systemic perfusion. There are many causes of heart failure, and in this mastery session the audience will be walked through two unfolding ICU case studies with differing etiologies and management strategies. Audience participation will be invited during the case studies during the analysis of patient assessment data (lab results, CXR, ECG, Heart Sounds), and discussions around the anticipated plan of care.

Margie Burns

Sponsored by

Sponsored by


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1140 – 1230 l2 luncheon sPeaKer 2015 acls guidelines: What’s new? The guidelines for Advanced Cardiac Life Support (ACLS) have recently been updated based on the current state of

resuscitation science. This presentation is aimed at outlining the new changes in the guidelines, the rationale for these changes and how they will impact practice for critical care nurses. New and emerging research in the area of adult resuscitation will be discussed. In addition, tips and resources for instructors will be included in the presentation.

Sandra Goldsworthy * This presentation is also being offered on Tuesday, September 27 at 1300 hrs.

or lunch: exhiBits anD Poster vieWing

1230 – 1320 l3 luncheon sPeaKer cognitive Dysfunction: Post intensive care unit Patients who survive an Intensive Care Unit (ICU) stay can experience significant adverse cognitive outcomes

that persist for years after ICU discharge. The purpose of this presentation will be to discuss ICU survivorship and introduce the concept of Post-Intensive Care Syndrome, with a particular focus on cognitive impairment. We will review key issues related to ICU delirium, and post-ICU outcomes, and discuss best practices for delirium prevention and management in the ICU. Current research on the topic will be integrated throughout.

Orla Smith


1330 – 1410 caccn aWarDs Presentation Share in congratulating your colleagues in critical care on their achievements.

1410 – 1500 Plenary sPeaKer What We Know cures; Who We are heals. Health care is about curing and healing; art and science, mind and heart, skills and knowledge, technology and compassion,

living and dying. Health care is based on a business model of efficiency while the work we do is all about relationship—with self, other and Other. When we provide care for patients we work one-on-one; when we provide care for families, and function in teams we work in groups. Through this presentation participants will enhance their understanding of relationship centered care and be invited to reflect on what it is that we bring to the bedside, namely that what we know, cures and who we are heals.

David Kuhl

1500 – 1545 BreaK # 3: exhiBits, ePoster anD PrinteD Poster vieWing

1545 – 1630 concurrent session six 6a explicit recalls: What icu nurses need to Know Patients receiving mechanical ventilation in the intensive care unit (ICU) experience discomfort, breathlessness,

invasive treatments, physical restraints, disrupted sleep cycle, an inability to communicate, and so on. Some patients may remember events, sensory perceptions, and emotions that occurred when they were mechanically ventilated in the ICU, namely explicit recalls. This presentation aims to provide participants with a better understanding of explicit recalls in order to better prevent, assess, and manage explicit recalls in the ICU while improving the experience of patients who are mechanically ventilated. Literature review of the etiology, risk factors, and psychological impact of explicit recalls will be presented. Specific nursing interventions in the ICU for the management of explicit recalls will also be discussed.

Mylène Suzie Michaud and Marilou Gagnon

Sponsored by


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6B navigating the transition of critical care to end-of-life care using a strengths-Based nursing approach Nurses working in critical care environments are often challenged with the difficulty of transitioning patients and

families from aggressive and curative treatments to a palliative, end-of-life focus. Using a strengths based approach to care, which is collaborative and multidisciplinary and embodies values of holism, patient-centeredness and the creation of a healing environment can be useful in the support of families experiencing the difficulty of accompanying a loved one at the end of life. And in so doing, it allows nurses to provide support and advocate for families in complicated and emotionally challenging situations.

Annie Chevrier, Elaine Doucette, Sophie Bastarache, Valerie Duff-Murdoch, Julie Marceau and Cecilia Marti

6c “the gentle ask” ~ a Donor family’s Perspective on Donation A passionate exploration of the decision to donate organs and tissues by a mother who has lived it. What I hope

listeners take away from my presentation, is a new comfort in approaching a family about donation. A new way of looking at the ask for organ and tissue donation…not as an intrusion at a difficult time, but as a way of offering meaningful comfort to a family. It is the gentle ask, and the gift of a legacy.

Denice Klavano

6D hearing silent voices: augmentative communication for Patients in critical care For critical care patients, communication is often hindered by ventilation, medication, weakness, and treatment,

resulting in frustration, fear, and sadness which can jeopardize recovery. Medications may be required to promote comfort, alleviate anxiety and enhance care. Nurses feel helpless and ineffective when they are unable to understand patient needs and provide appropriate support. Improved patient communication leads to better quality of care, improved outcomes, and decreased morbidity and enhances job satisfaction for nurses. Technology enhances the physical care of patients and can also provide communication methods to improve their emotional care as well. Based on lived experience, this interactive presentation describes and demonstrates augmentative communication program for children in critical care, focusing on the benefits to patients, families, care providers, and health care organizations.

Colleen Breen and Jane Houghton

6e Pushing the Boundaries of critical care nursing education: the experience of operationalizing a complex high fidelity simulation

High fidelity simulation uses lifelike mannequins that can be programmed to run complex scenarios, with multiple hemodynamic fluctuations. In our critical care program, to bridge the theory to practice gap, we use advanced simulation scenarios to support students’ to make complex clinical decisions without the pressure of a real deteriorating patient. In this engaging presentation we would like to share our faculty’s pearls and pitfalls from developing and delivering complex evolving simulations.

Sarah Desrosiers, Lara Parker, Cecilia Baylon, Robert Kruger and Andrea Ford

6f alcohol Withdrawal syndrome Alcohol Withdrawal Syndrome is a common complication of the critical care patient that can lead to increased

morbidity, mortality, and length of stay. Goals of therapy are to alleviate symptoms, prevent further progression, and treat underlying comorbidities and plan for long –term rehabilitation. Discussion of this starts with prevalence and populations at risk for alcohol withdrawal. The stages of Alcohol Withdrawal Syndrome are explained including, autonomic hyperactivity, hallucinations, neuronal excitation and delirium tremens. Nursing interventions include recognition of alcohol withdrawal, patient safety and nursing safety. Instruments such as the Clinical Institute Withdrawal Assessment Scale will help the participant grade the patient’s severity of alcohol withdrawal. Treatment strategies, symptom triggered regimen and fixed scheduled regimens, and medications used to treat alcohol withdrawal will be discussed. To integrate these concepts several case studies are presented.

Tom Scullard

Sponsored by


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1845 – 0100 caccn annual Dinner

After a great day of learning, let’s have some fun!

Join us for a “PEI Beach Party” Bring your flip flops, sunglasses and sun hats! Enjoy some true Island flavor. Entertainment includes a musical performance by local youth talent “Fiddle Monsters” - this is a treat you won’t want to miss, a true island specialty. Take home a memory of the evening by visiting the Dynamics 2016 photo booth featuring local PEI props. Then dance the night away with our DJ! This will truly be an evening to remember!

1845 hrs.: Cocktail Hour with Dynamics 2016 photo booth

1915 hrs.: Dinner with Entertainment – Fiddle Monsters; Spud In Ceremony

2100 hrs.: Beach Party with Disc Jockey Cash bar available starting at 1845 hrs.

Dinner Tickets $ 70.00 per person (gratuity/tax included)

Pre-purchase required/tickets are non-refundable

Dinner Selections Selection is required at time of ticket purchase

Bacon Wrapped Salmon

Smoky Risotto Cake, Olive OilTossed Medley of 4 SeasonalVegetables ~ Lemon Garlic Aioli

Pan Seared Island Pork-Loin “Island Honey & Apple Glazed”

Herb & Buttermilk Mashed PotatoesAsparagus Spears, Succotash ofCorn, Pumpkin, Red Pepper &Edamame ~ Dijon Demi-Glaze ~

Mushroom Risotto (Vegan)Beet Risotto, GrilledPortobello Mushroom Steak, Fried Tofu, Peas

Spud In CeremonyWhen purchasing your dinner ticket, why not join Seaside Seacil during the Spud In Ceremony to become an “honorary islander”. During the fun and interactive ceremony, each participant will be served PEI moonshine served in a real potato shot glass, an oyster on the half shell and a certificate. This fun interactive ceremony is a definite must for all from ‘away’ and a long standing Island tradition.

Spud In Ceremony $ 17.00 per person (gratuity/tax included)

Dynamics 2016 will be recognizing ge healthcare for their support of our educational program at the annual Dinner


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tuesDay, sePtemBer 27, 2016


0745 – 0815 registration Delta Prince Edward

0815 – 0900 concurrent session seven

7a Defragmenting care: nurse led, multidisciplinary team approach to transitions of care in complex icu Patients

A case based presentation that demonstrates an innovative multidisciplinary team and patient and family centered care approach to the care of a young spinal cord injured patient during the acute phase of his illness and in transition from the ICU.

Kelly Lehmann and Michael Metzger

7B improving interdisciplinary Delirium management in the icu: riding the Waves of change Delirium is a frequent complication experienced by patients in the intensive care unit (ICU). Untreated, it significantly

impacts patient morbidity and mortality, families, the healthcare system, and society. An interdisciplinary ICU team implemented a dual pronged quality improvement initiative with the goal of establishing a cohesive delirium mitigation strategy. With education and the implementation of non-pharmacological interventions, the team observed an initial improvement in both delirium knowledge and screening frequency. Screening has continued to improve over time, however, an observed decline in knowledge retention has highlighted the need for regular review of the risks of delirium and its sequelae. It also highlighted the need to engage new team members to maintain enthusiasm and project momentum.

Sharon Hickin and Sandy White

7c Donor management: optimizing care of the Patients after neurologic Determination of Death (nDD) to improve organ transplantation and family support

The period between the neurologic determination of death and organ retrieval can pose many challenges to bedside healthcare providers. Complex physiologic changes can create hemodynamic instability that might put the entire process of organ donation at risk. At the same time, the potential donor’s family will likely be experiencing acute grief, and need substantial emotional support. The goal of this presentation will be to review practices that ensure providers can give the best care possible to the donor and the donor’s family during the critical period of donor management.

Matthew Weiss

7D an innovative and collaborative approach to managing Patients requiring renal replacement therapy in the icu

Generally, most Intensive Care Units (ICUs) have the ability to offer various therapies for treatment of Acute Kidney Injury (AKI); like Continuous Renal Replacement Therapy (CRRT) or Intermittent Hemodialysis (IHD). In two centers in Calgary, AB; South Health Campus (SHC) and Rockyview General Hospital (RGH); a patient population was identified in which conventional 72 hour CRRT was not appropriate or IHD was unavailable. A collaborative nursing process identified this as an area for improvement based on a lack of IHD availability; challenges with ICU delirium surrounding day/night cycle and mobilization, and to negate a need for inter-facility transport of patients between sites for therapy. Based on these factors a new “modified” renal replacement therapy was developed.

Catherine McIntyre, Nancy Waite and Kari Taylor

7e the influence of Professional Development on intent to stay among critical care nurses The intensive care unit has the highest turnover rates among nurses in the country. Factors affecting nurse

turnover include: nurse manager leadership ability, work environment, the availability of professional development opportunities, nurse- physician collaboration, feeling valued and recognized and workload. Results of a doctoral study that examined the influence of professional development opportunities on intent to stay among critical care nurses will be presented along with their implications for nurses, managers, educators and policy.

Sandra Goldsworthy

Sponsored by


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0910 – 0955 concurrent session eight

8a finding equilibrium in the chaos: Patient & family Perspectives on acute illness In summer 2014, shortly after returning home from his honeymoon, a young man was diagnosed with Acute

Lymphoblastic Leukemia. Despite three rounds of induction chemotherapy and participating in a Canadian clinical trial, his condition rapidly deteriorated. His physicians suggested a transition to palliative care. As a last resort the couple traveled to the United States to participate in a clinical trial for a novel experimental treatment with a promising success rate. After completion of the trial, and subsequent complications, the young man was declared cancer free in early 2015. He has since undergone a successful stem cell transplant and as of late 2015, is well on his way to recovery. This mixed-media presentation aims to provide participants with an intimate insight into critical illness from the perspective of both the patient and their family. A basic review of hematologic malignancies, CART clinical trials, and hematopoietic stem cell transplant will provide participants with context and a better understanding of this patient’s lived experience.

Karine Allard and Mélanie Gauthier

8B critical care visiting guidelines The purpose of this project was to develop evidence-based guidelines for visiting within an adult intensive care

unit (ICU). While nurses play a significant role in collaborating with families to meet their needs, few studies have explored strategies that might be incorporated into daily care to achieve family-centered care. In order to enhance the collaboration between families and nurses, there is a need for nursing leadership and supportive resources within the adult ICU.

Tina Breckenridge and Adam Gagnon

8c simulation by Distance: leading the Waves of change in critical care education In this interactive and engaging presentation, we will share how we have developed a non-high fidelity, distance

simulation learning experience specifically for distance students that uses videos, iPads, and principles of debriefing to develop critical thinking, clinical decision making, and clinical judgment. Participants will be invited to explore the simulation experience, and consider how it may be used in their work environment. We will also share our iterative process for future development towards virtualized simulation as well as the capacity building necessary for teaching in this type of simulation.

Michelle House-Kokan and Rob Kruger

8D transitioning a chronically ventilator Dependent Patient home from a community hospital: an interdisciplinary approach

This presentation will outline the steps taken in order to transition a chronically ventilated patient home from a community hospital ICU using an interdisciplinary approach. Key points will include obtaining funding, sourcing equipment, education of the family and home care providers. The importance for planning and ongoing follow up from the hospital, barriers and solutions will be discussed.

Shirley Marr, Robyn Klages and Domenico Capolongo

8e the role of technology in enhancing a family-centered approach to care Families of patients admitted to the ICU often experience high levels of stress and uncertainty which can be exacerbated

by poor communication, unclear information about patient status, and a lack of guidance and support. Harnessing the power of modern communication technologies using smart phone and tablet applications is a new and exciting area of development within critical care settings. These devices have been shown to help alleviate the communication gaps between families and caregivers by allowing family members to express concerns, and have more timely access to information regarding their loved ones. The goal of this presentation is to demonstrate some of the technological alternatives that can improve communication and promote a strengths-based approach to care that can ultimately enhance the patient-family experience in these settings.

Elaine Doucette, Annie Chevrier, Gianni Santella, William De Luca, Amir Albahouth and Yi (Karen) Wang


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0955 – 1045 BreaK # 4: exhiBits anD Poster vieWing

1045 – 1200 Plenary: Panel Discussion silent voices: When compassion hurts - secondary trauma in critical care Critical care nurses are called to provide care in traumatic events. At some point in their careers most health care providers

will experience secondary trauma. Secondary trauma is often suffered in silence. Drawing on their experiences, three panelists including an emergency room physician, a nurse researcher and a pastoral care provider will offer their insights on identification, coping strategies and best practice in relation to secondary trauma in critical care. Join us for this thought provoking discussion to reflect, break the silence and Be the Difference.

Kim Bustard, Trevor Jain and Brenda Sabo. Moderator: Renée Chauvin

1200 – 1250 l4 luncheon sPeaKer medical assistance in Dying and conscientious objection: implications for critical care nurses As a result of the landmark 2015 Supreme Court of Canada decision in Carter v. Canada (Attorney General), revisions

to the federal Criminal Code and a legislative framework for physician-assisted death (PAD) are anticipated in Canada by June of 2016. In this presentation, the law related to PAD in Canada will be examined, with a particular focus on the balancing of patients’ right to request PAD when certain criteria are met and health care providers’ right to declare a conflict of conscience. The critical care experience with PAD in jurisdictions where euthanasia or assisted suicide is legal (e.g., Belgium, the Netherlands) will be explored, with attention paid to nurses’ roles and the approach taken to conscientious objection in those countries. Finally, the guidance provided to nurses regarding PAD and conscientious objection by legislation, the CNA Code of Ethics, and nurses’ regulatory bodies in Canada will be discussed.

Marie Edwards


1300 – 1350 l5 luncheon sPeaKer 2015 acls guidelines: What’s new? The guidelines for Advanced Cardiac Life Support (ACLS) have recently been updated based on the current state of

resuscitation science. This presentation is aimed at outlining the new changes in the guidelines, the rationale for these changes and how they will impact practice for critical care nurses. New and emerging research in the area of adult resuscitation will be discussed. In addition, tips and resources for instructors will be included in the presentation.

Sandra Goldsworthy * This presentation is also being offered on Monday, September 26 at 1140 hrs.


1400 – 1450 closing sPeaKer suffering: a gift or a Burden Suffering is woven into the tapestry of life. Within the fibers of each unique tapestry, suffering leaves jewels of hope,

understanding, and meaning. At times, these gifts are woven so deeply within the fabric that years may pass before the gifts shine through. There are also times when suffering shreds, the fabric, leaving ragged edges and loose threads that damage the material of life beyond repair. Suffering is a complex, subjective, and multi-dimensional concept. Many factors may impact the experience of suffering, creating or diminishing opportunities to find new meaning. In this presentation, based on lived experiences, the meaning of suffering will be explored. The presence of the burden and the gifts of suffering will be debated, with examples to support the discussion. Factors that influence the discovery of the gifts of suffering will be discussed. Participants will be encouraged to explore their personal and professional experiences of journeying with the suffering, through reflective and creative activities.

Colleen Breen

1450 – 1520 closing ceremonies Invitation to Dynamics 2017 – Toronto, ON. official closing Dynamics of critical care 2016™


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Poster (PrinteD) Presentations

Posters will be available for viewing from Sunday, September 25 to September 27. Voting for the Delegate’s Choice Poster Award will be open until the end of the Gala Reception on Sunday, September 25.

PP1: a Personal handprint: making a Difference in a Patient’s intensive care unit stay An Intensive Care Unit can be an overwhelming, frightening and traumatic experience for both patients and their families, it is

important, as part of our nursing care to address a patient and families holistic care needs. At Norfolk General Hospital, we created a program “My Personal Handprint”, as a way for families and patient to express specific details they would like staff to know about themselves, particular care needs and concerns/fears during their hospital stay. This poster will explore how families and patients felt about this program, the positive and negative effect it had on their hospital stay, overall staff compliance with completing the program and any areas for change or improvement. A hospital, especially the ICU can be a scary and difficult time, hopefully the little things we can do that make a patient feel more involved and comfortable with their care; will provide for improved outcomes and patient experiences.

Rebecca Chudyk, Robin Mummery, and Christine Keba

PP2: Development of an early mobility Protocol for critical care Immobility in the intensive care unit (ICU) negatively impacts patient outcomes. In our four ICUs, patients are mobilized

inconsistently due to gaps in staff knowledge and experience as evidenced by staff surveys and clinical practice. The objective was to develop and implement an interprofessional critical care early mobility protocol that promotes the initiation of safe mobilization of medically stable patients within 24-48 hours of ICU admission. The mobility protocol will also guide mobility progression during the patient’s ICU stay and facilitate communication among clinicians with regard to patient mobility.

Melissa Guiyab, Christine Leger, Orla Smith, Mary Mustard, Vasuki Paramalingam, Prafulla Savedra, and Shannon Swift

PP3: harnessing nursing expertise and lean methodology to champion change to arterial Blood Pressure monitoring Direct arterial blood pressure monitoring can provide accurate hemodynamic monitoring to guide treatments and medications.

Critical Care Nurses play a pivotal role in setting up, monitoring, and maintaining the equipment to ensure an arterial blood pressure reading is accurate and true.

This poster will describe the steps taken, strategies used and challenges overcome in order to institute a successful nursing led practice change in the critical care unit. This change ensures accurate arterial blood pressure monitoring for all members of the health care team to assist with their clinical decisions as well as additional benefits to staff and patients.

Lorna McLellan and Sarah Grin

PP4: implementation of a follow-up Program: extending the Walls of the intensive care unit Readmission to ICU is considered a factor in increasing patient mortality. Among the reasons researchers consider as factors for

readmission are discharge from ICU too early and deficient handover report at point of transfer. The ICU follow-up program assists with the transition from ICU by ensuring the patient has remained stable since transfer and the receiving unit was given a full handover report and had no outstanding issues or questions. Our goal is to ensure each patient transferred from ICU receives the best possible care through collaboration, support and communication.

Merica Chase and Gwen Stevenson

PP5: influence of a Delirium education Program on intensive care nurses’ Knowledge regarding Delirium identification and mitigation

Delirium in the ICU is a distressing syndrome that is of major concern to patients, tier family and the caregiver. Education, of staff is often thought to be the starting point for better delirium care. This presentation will outline a research project completed in an ICU regarding whether an education session on delirium causes, treatments, mitigation for nurses’ influence knowledge and whether educational level or experience in ICU influences the results. The results clearly show that education alone is not of benefit. Participants found the sessions beneficial but the number of participants has fluctuated. The results will inform us about the areas for improvement including attendance. A quarterly interdepartmental journal club has commenced.

Shirley Marr


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Poster (PrinteD) Presentations cont’d

PP6: introducing Bedside continuous electroencephalography monitoring in a non-neuro intensive care unit Technology in critical care is constantly changing and evolving. The use of bedside continuous electroencephalography (EEG) is one

example of evolving technology that can have a considerable impact on critical care patients. Bedside continuous EEG monitoring can be used to provide information on the status of the brain in real – time. This enables critical care nurses to assess their patients’ level of consciousness, and to monitor the effects of therapy, such as sedatives. Bedside continuous EEG monitoring can also be used by the interdisciplinary team to detect and manage seizures, and to provide additional data for prognostication when planning goals of care for patients with brain injuries (e.g. post-cardiac arrest, anoxic brain injuries, etc.). The purpose of this presentation is to describe the process undertaken to implement this technology including planning, implementation, as well as lessons learned for the future.

Sarah Crowe, Caroline Penner and Judith Mehregani

PP7: medication safety huddles in the intensive care unit: a Patient safety initiative led by our critical care Pharmacists and nurses

The literature identifies that ICU patients experience on average 1.7 errors per day and 78% of these are medication related. Given patients’ medical complexity and the limited ability to compensate for errors, life-threatening consequences are probable. It is estimated that 50 to 96% of mediation errors are not reported, presenting a challenge to improving patient safety. Barriers to reporting are many. In addition to the threat to patient safety, the psychological repercussions of errors threaten the well-being of care providers. In our ICUs, we have implemented weekly Medication Safety Huddles, led by our Pharmacists and Charge Nurses. Safety Huddles are helping to foster positive relationships within the team, contributing to a positive patient safety culture. They are becoming one of our key avenues to understand problems, share information, both within a unit and between our units. Medication Safety Huddles are helping to change the conversation from problems to solutions.

Karen Webb-Anderson

PP8: nurse satisfaction with medication management Before and after introduction of an electronic medication system in the intensive care unit

Medication errors are common in the intensive care unit (ICU) and can result in adverse events. Computer-based systems that automate processes for medication ordering, validation, and administration can ensure standardized, legible, and complete orders and may reduce errors compared to traditional paper-based approaches. A significant proportion of nursing time in the ICU is dedicated to medication-related processes and therefore nurses’ experiences with changing medication systems are important to elicit and understand. Our objective was to examine ICU nurses’ satisfaction with medication-related processes before and after introduction of a computer-based system.

Orla Smith, Cecilia Santiago, Elizabeth Butorac, Kathryn Bell, Maria Teresa Diston, Ellen Lewis, Norine Meleca, Mary Mustard, Lisa Poon, Prafulla Savedra, Karen Wannamaker and Gail Wilson

PP9: nursing Processes related to unplanned intensive care unit admissions Patients requiring admission to the ICU during hospitalization have increased mortality, longer length of stay and prolonged recovery

post discharge (Johns, 2014). In Canada, 11% of persons hospitalized require a critical care environment; of those 19% will die during their ICU stay (Garland, Olafson, Ramsey, Yogendran & Randall, 2013). Communication, documentation and recognition of patient deterioration are key components of nursing practice where we can improve patient care outcomes. Strengthening these aspects of nursing care will improve patient outcomes and in turn help to prevent the need for unplanned intensive care unit admissions.

Jennifer Martin

PP10: riding the Wave together from Beginning to end: a review on cognitive function after critical illness There are a myriad of obstacles critically ill patients and their families’ face that can start acutely and end chronically. Cognitive

decline is only one of many of these obstacles. It is a bedside clinician’s role to care for the patient to improve both acute and chronic health outcomes by incorporating daily evaluation and screening, and implementing proven cognitive activities. Further research of post-discharge cognitive outcomes and their impact on patient wellbeing can allow clinicians to recognize these issues earlier on and mitigate potential destruction of a patients’ cognition to improve health outcomes for the future.

Esperanza Malubay and Sarah Louise Gyorfi


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Poster (PrinteD) Presentations cont’d

PP11: the effect of a Preceptor’s attitude on a new graduate’s transition into the intensive care unit As the nursing profession continues to grow, it is important to provide a supportive and positive learning environment for new

graduate RNs. This is especially important in a fast paced and critical thinking area, such as the ICU, where nurses need to feel as part of a team and be able to rely on their co-workers during critical events to save lives. Our research and plan for this poster is to explore the effects a mentor can have on the transition of a new graduate RN directly into the ICU. As well as ways to change in order to provide a more supportive experience and transition into employment in an ICU. Our poster will include a survey conducted; outlining the issues identified by six new graduate RNs in the ICU, and a plan and orientation process to explore ways to improve in order to provide a more supportive learning environment and experience.

Rebecca Chudyk, Kristy Klein, Robin Mummery and Christine Keba

PP12: time to change: from families as visitors to families as Partners in care Changing the concept in visiting policy in the ICU is now being adapted by many Canadian Hospital. They are now more open with

concept of unrestricted and flexible visiting policy. Early implementers of unrestricted visiting policy are unanimous in saying that it has positive impact in their patient’ and family’s health. As this was recently implemented in our ICU, we can share our experience and the impact in our work place.

Catherine Rodriguez and Sherly Mathew

PP13: transfer of accountability among the operating room, Post anesthesia care unit, and intensive care units The transitions of care for critically ill patients are complex, involving interaction and communication between health care

professionals from different departments and disciplines. Gaps in the transfer of patient information have been highlighted by staff, and may be a source of patient safety breach in the transitions of patients among the Operating Room (OR), Post Anesthesia Care Unit (PACU), and Intensive Care Units (ICUs).

Melissa Guiyab, Nancy Rudyk, Mary Mustard, Joyce Grandy, Debbie Snatenchuk, and Pamela McLachlan

PP14: utilizing frontline intensive care unit (icu) nurses as super users to assist nurses transition to a new Digital icu The Humber River Hospital (HRH) is Canada’s first fully digital hospital upon moving to the new facility on October 18, 2015. Two

ICUs from HRH’s legacy sites were combined to become the new 48-bed ICU. The use of frontline ICU nurses as Super users to support nurses for the successful transition was implemented.

A team of ICU Super users completed the train-the-trainer program developed and facilitated by educators from HRH and George Brown College. The ICU Super users facilitated all training and education sessions to all ICU nurses before the move and trained additional staff to build capacity for Super user support post move. Staff evaluated each training session, and assessed their clinical proficiency with new equipment.

This project evaluates the use of ICU Super users in facilitating ICU staff ’s transition orientation and providing support post-move through mentorship. Successes, lessons learned, and identified opportunities during this monumental journey are also highlighted

Francis Cacao, Maria Diego, Mamta Modgil, Thanusah Sanmugavadivel, Manpreet Kainth, Patricia Collantes, Sarah Luckhardt, Yemi Adebayo, Jane Cornelius, Marisa Vaglica, and Cecile Marville-Williams


29

Poster (electronic) Presentations

Posters will be available for viewing from Sunday, September 25 to September 27. Voting for the Delegate’s Choice Poster Award will be open until the end of the Gala Reception on Sunday, September 25.

eP1: advanced Practice Partners transforming healthcare Delivery in critical care with a nurse Practitioners fellowship: inspiration to implementation

The way patient care is delivered in today’s ever changing healthcare system is requiring new imaginative ideas to ensure all patients have access to comprehensive, appropriate, universal care. In the Fraser Health Authority, we are changing the way our critical care population is being cared for by integrating NPs into our interdisciplinary ICU team. In order to accomplish this the NP Lead and the Clinical Nurse Specialist for Critical Care, two advanced practice nurses, worked together to create a Critical Care Fellowship Program for NPs entering critical care. The goal of the fellowship program is to ensure the NPs were prepared with the necessary advanced skills and knowledge to be an alternative care provider able to deliver efficient, safe, high quality, cost – effective care to critical care patients and their families. The aim of this presentation is to share the process undertaken, including the planning and implementation process, evaluation plan, and lessons learned.

Sarah Crowe and Wendy Bowles

eP2: Behind the collar: Prevention strategies of occipital Pressure ulcers in trauma intensive care unit Patients Recently a significant increase in occipital pressure ulcers was noted in our ICU patient population. Anecdotally 1-2 occipital ulcers

were typically seen on a per annum basis, however in 2015, we identified 6 pressure ulcers over a 6-month period. Therefore, the critical care Education & Practice Council lead a quality improvement initiative to advance the quality of care related to prevention of occipital pressure ulcers.

Aisha Abdalla, Viksit Bali, Nicola Farrow, Orest Kornetsky, Jennifer Lovering and Grace Walter

eP3: Development of an interprofessional education curriculum for a study of low-flow extracorporeal co2 removal in the intensive care unit

The SUPERNOVA study (NCT02282657) will evaluate the role of ECCO2R in reducing tidal volumes, to enhance lung protective ventilation, in patients with moderate acute respiratory distress syndrome (ARDS). The purpose of this presentation is to introduce the concept of ECCO2R and describe development of an interprofessional education curriculum to support the conduct of the study in our intensive care unit.

Orla Smith, Michael Sklar, Hilary Every, Pamela Greco, Kurtis Salway, Carolyn Campbell, Melissa Guiyab, Margaret Oddi, Gyan Sandhu, Prafulla Savedra, Shannon Swift, Karen Wannamaker and Laurent Brochard

eP4: “every Patient must have a Destination”: transitioning care Within the intensive care unit Patients that require prolonged mechanical ventilation fall outside of the routine care process and often require more complex

interventions and longer time in ICU. There is a recognition that patients need to transition to other areas, including the ward, ventilation weaning units, or referring hospitals. With this in mind for long-term ICU patients, care needs to re-focused and both short and long term goals need to be set. To that end, we have created a guideline/checklist to use proactively at weekly long-term care rounds, which addresses issues such as de-medicalization the patient, development of a written weaning and mobility plans, increasing patient/family involvement in care, and initiating communication with future care facilities/units.

Mary Mustard, Darren Day and Ellen Lewis

eP5: message given and received: Developing a standardized tool for shift-to-shift transfer of accountability (toa) in an intensive care unit

Clinical handover is an important area to target for improvement, given that nearly 70% of sentinel events are caused by a breakdown in communication. Often what is lacking is a common structure that standardizes the information that is handed over. Preliminary data identified a lack of structure for handover between critical care RNs. To that end a checklist tool was developed. Ideally the standardization of handover will reduce communication breakdowns and ultimately improve the quality of patient care.

Janice Glen, Alana Harrington and Ellen Lewis


30

Poster (electronic) Presentations cont’d

eP6: the icu-cares initiative: icu collection, analysis, and response to evaluations of satisfaction Excelling in the care of the critically ill requires a systematic approach to soliciting and utilizing patient and family feedback. The

purpose of ICU-CARES is to capture data to identify areas of excellence and targets for improvement. This poster highlights our efforts to obtain continuous feedback from patients and families about their ICU experience.

Orla Smith, Elizabeth Butorac, Melissa Guiyab, Ellen Lewis, Nikki Marks, Mary Mustard, Karen Wannamaker, Lisa Poon, Jan Friedrich and Andrew Baker

eP7: understanding moral Distress experienced by critical care nurses Moral distress is a conflict between knowing the right course of action believed to be morally correct and the inability to follow that

course of action (Corley, Elswick, Gorman, & Clor, 2001; Pendry, 2007). For example, Intensive Care Unit (ICU) Registered Nurses (RNs) often provide aggressive and invasive treatments aimed at saving lives notwithstanding the human costs nor the expressed wishes of the patient and family. Adding to the distress, such treatments can, contrary to some nursing practices, adversely affect a patient’s quality of life. A clear, consistent understanding of moral distress by RNs would assist in managing and decreasing this phenomenon. This presentation reports on a project aimed at understanding moral distress experienced by ICU RNs in a trauma center. Causes, symptoms, effects, and potential solutions to moral distress will be presented.

Ila Vargas Will and Karen Then

transPortation information

air canada Promo code a8hK96D1 (web coupon code) West Jet Promo code P2QoyQx (web coupon code)

Flights must be booked using the Air Canada or WestJet websites. Potential discounts are available when using the booking codes. CACCN/Dynamics 2016 does not guarantee flight discounts by providing the booking codes.


31

hotel information

Delta Prince edward 18 Queen Street, Charlottetown, PEReservations: 888-890-3222 / Direct Hotel: 902-566-2222

A personalized web site for booking accommodation is available at www.caccn.ca

Booking Code: Dynamics of critical care nursing conference

Attendees may be required to guarantee the reservation with one night’s pre-paid room and tax with a major credit card valid on check in September 2016. Accommodation rates are available 3 days prior/after the conference. Accommodation is available until the room block is full or august 22, 2016, whichever occurs first.

guest rooms Per night:

$239.00 plus applicable taxesVarious Rooming Options availableAdditional occupants after double occupancy $20.00 per room, per night (max 4 persons per room)

BOOK EARLY, AS THE ROOM BLOCK SELLS OUT QUICKLY!

conference tuition fees

save on your registration By BooKing Before the early BirD DeaDline!All DEADliNES ARE iN EASTERN STANDARD TiME

SAVE • SAVE • SAVE regular rate early BirD rate Registration/Payment Registration/Payment due before due before August 22, 2016 at 2359 EST September 5, 2016 at 2359 EST

MeMbers NoN-MeMbers studeNts† MeMbers NoN-MeMbers studeNts**

three Day tuition $450* $650* $235* $495* $695* $235*

two Day tuition $345* $545* $175* $425* $625* $175* (any two days)

one Day tuition $200* $400* $100* $240* $440* $100* (any one day)

* Payment required: tuition Plus 14% hst

final registration Deadline: september 5, 2016 at 2359 est

member rate: Delegate must have a current CACCN membership or must join at the time of registration (sign in on the website to complete registration).

non-member rate: Delegate does not have a current CACCN membership and does not join at the time of conference registration.

student rate:Any student in an accredited professional nursing program, currently not licensed as a Registered Nurse / Graduate Nurse. Student registration cannot be processed online. Student registration may be faxed or emailed with credit card information to CACCN National Office by the deadline of September 5, 2016 at 2359 EST.

† Nursing Students may be required to provide proof of full-time undergraduate student status.

early Bird registration: • Registration/full payment due before: august 22, 2016 at 2359 est• Mailed applications must be postmarked on or before August 22, 2016

regular registration: • Registration/full payment due before: september 5, 2016 at 2359 est • Mailed applications must be postmarked on or before September 5, 2016


32

imPortant information

Registration may be completed as follows:

online: via Visa or MasterCard.

email: registration form w/Visa or MasterCard to [email protected].

facsimile: registration form w/Visa or MasterCard to: 519-649-1458.

mail:: registration form w/cheque, money order, Visa or MasterCard to: CaCCn, p. o. box # 25322, london, on, n6C 6b1

register early! first choice options are not guaranteed. Online Registration available June 2016 at www.caccn.ca. Registrations are confirmed upon receipt of the registration form and full

payment. Registration confirmation is provided via email only. On-site registration will not be available.

comPlimentary social events caccn annual Dinner ticKets sPuD in ceremony ticKets Advance registration is required for complimentary events. Advance purchase is required for the Annual Dinner and Spud In

Ceremony. Tickets will not be available at the venue.

tuition Discounts Tuition discounts are coupons provided by Dynamics 2016 and CACCN National Office. Coupon Code(s) must be entered at the

time of online registration or a copy of the coupon must accompany registration completed by email, mail or facsimile. Refund of coupon discounts will not be provided if not used at the time of registration. The Tuition Discount Coupon policy: refer

to coupon and www.caccn.ca for more information.

receiPts Receipts are issued for on conference tuition/taxes only. Receipts are not issued for dinner tickets, souvenirs and special event

purchases. Online registrants receive an email receipt showing the payment processed. The ‘official’ receipt will be provided in the onsite registration package. ‘Official receipts’ will not be issued prior to the conference. Replacement receipts will be issued if there is an error on the receipt and a written request is received by CACCN National within 60 days of the conference closing date. Replacement receipts will be issued via regular mail.

cancellation Policy Cancellations of conference registration will only be accepted in writing. Dinner ticket, souvenir and special event purchases are

non-refundable. Refunds will be issued less a 30% administration fee on the full value of the registration fees paid if written notice of cancellation is received prior to september 5, 2016, 2359 hrs. eastern time. no refunds will be issued for cancellation after september 5, 2016.

Cancellations: must be sent via mail to Dynamics 2016, P. O. Box # 25322, London, ON, N6A 6B1 or fax to 519-649-1458 or email to [email protected]. Dynamics/CACCN will not be responsible for refund requests that do not reach CACCN National Office by the cancellation deadline. Refunds will be issued by cheque via mail, approximately one month after the conference concludes. In the event of cancellation CACCN/Dynamics will be responsible for the refund of tuition fees only.


33

imPortant information cont’d

conference attenDee BaDges Conference attendee badges are required at all times when on the conference floor. Badges will be required for entrance into all

sessions, exhibit hall and functions. Badges may only be used for the date(s) of paid registration.

guest attenDance All conference activities* are exclusively reserved for conference attendees. Non-registered guests (including spouses, children,

family members, colleagues, etc.) cannot be granted access to conference areas without prior approval by CACCN National Office. Non-registered guests will not be granted access to the exhibit hall and special event functions.

*conference activities include educational sessions, exhibit hall, meal functions, special events, etc.

leaD retrieval Lead retrieval scanners/phones will be used by exhibitors in the exhibit hall. Exhibitors may ask to scan your badge providing your

contact information. Delegates who allow exhibitors to scan their badge are consenting to the release of contact information.

PhotograPhy at the conference CACCN reserves the right to use any photo or video images recorded at Dynamics 2016. By registering for Dynamics, the registrant

is hereby acknowledging and agreeing that CACCN may photograph and/or video you at these events, as well as use the photographs and/or videos in any publication or media, without further notification or any compensation. Photographs may be taken during sessions, special events and breaks. These photographs may be used by CACCN for professional displays, advertisements, printed publications, and/or on the CACCN website. The registrant also acknowledges and agrees to waive any right to inspect or approve any future educational and promotional activities/materials that may include photographs and/or videos of the registrant.

fragrance/scent free environment We strive to maintain Dynamics as a scent-free event. We ask for your cooperation in our efforts to accommodate health concerns.

Dietary reQuirements Delegates with food allergies and dietary health concerns (i.e. celiac) should contact CACCN National Office at [email protected] or

866-477-9077. CACCN will make arrangements with the Conference Centre to accommodate the dietary needs of delegates, where possible. Delegates with food allergies and/or dietary health concerns will be required to self-identify to the catering staff at the center during breaks/lunches.


34

memBershiP registration

Please only fill out membership registration if you are renewing or joining the CACCN at this time.

Active Member: Any Registered Nurse who possesses a current/valid license/certificate in the province/territory/country in which they practiceStudent Member: Any student in an accredited professional nursing program, currently not licensed as a registered nurse / graduate nurseAssociate Member: Any person with an interest in critical care, who does not meet the requirements for an Active Member.

� 1 Year Membership $ 75.00 � 2 Year Membership $ 140.00 � 1 Year Student Membership $50.00

� I am renewing my CACCN membership # _________________________________ expires: _________________ � I am joining CACCN now

Membership Payment: � Cheque � Money Order � VISA/MASTERCARD

VISA/MASTERCARD NUMBER EXPIRATION DATE

Cardholder’s Name

Signature

Name (If Different from Above)

Home Address

City Prov/State Postal/Zip Code

Country Home Telephone

Email Address

Area of Employment (eg. ICU, CCU)

Nursing Registration Number Prov/State CNCC(C) OR CNCCP(C) No. Year ofCertification

Person who recommended joining CACCN

Are you a member of CNA? � Yes � No

/

BENEFITS OF CACCNMEMBERSHIPAs a member of the Canadian Association ofCritical Care Nurses, you can make asignificant contribution to advancing bothCritical Care Nursing and your Association.Membership in CACCN includes both nationaland local chapter membership, as well as thefollowing: a subscription to the quarterlypeer-reviewed Dynamics Journal of CACCN, acopy of the CACCN Standards for Critical CareNursing Practice, publications such asCACCN’s Annual Report and positionstatements, awards and educational funds,reduced conference fees at chapter andnational conferences, access to CACCN’swebsite, and various opportunities toaccumulate continuing education hours.

CACCN… THE VOICE FOR CANADIANCRITICAL CARE NURSES

Your highest level of education is:

Nursing � Diploma � Specialty Certificate� Baccalaureate � Masters � Doctorate

Non-Nursing � Diploma � Specialty Certificate� Baccalaureate � Masters � Doctorate

You are presently studying towards:

Nursing � Diploma � Specialty Certificate� Baccalaureate � Masters � Doctorate

Non-Nursing � Diploma � Specialty Certificate� Baccalaureate � Masters � Doctorate

Are you interested in being contacted by your localChapter regarding involvement in any of the followingactivities?

� Fundraising � Certification � Education� Professional Issues

� I am interested in becoming a Chapter liaison representative.� I would like more information on starting a Chapter in my area.� I am interested in becoming involved with the Chapter Executive.

Total size of hospital (# of beds) ____________

A SEPARATE cheque payable to CACCN or VISA/MASTERCARD information MUST be enclosed along with this completed application for CACCN membership. Please do not include membership fees on the same cheque as the conference registration fees.

Plus applicable taxes based on province of residence _____________________

Are you a member of CNA, RNAO (ON) or ARNM (MB)?


Active Member: Any Registered Nurse who possesses a current/valid license/certificate in the province/territory/country in which they practice.Student Affiliate: Any student in an accredited professional nursing program, currently not licensed as a registered nurse / graduate nurse.Associate Affiliate: Any person with an interest in critical care, who does not meet the requirements for an Active Member .

❏ 1 Year Membership $ 75.00 ❏ 2 Year Membership $ 140.00 ❏ 1 Year Student Membership $50.00

❏ I am renewing my CACCN membership # _________________________________ expires: _________________ ❏ I am joining CACCN now

Membership Payment: ❏ Cheque ❏ Money Order ❏ VISA/MASTERCARD

VISA/MASTERCARD NUMBER EXPIRA CVV #TION DATE

Cardholder’s Name

Signature


Home Address



Email Address



Person who recommended joining CACCN ❏ Yes ❏ No


Email Address

/

r


Nursing ❏ Diploma ❏ Specialty Certificate❏ Baccalaureate ❏ Masters ❏ Doctorate

Non-Nursing ❏ Diploma ❏ Specialty Certificate❏ Baccalaureate ❏ Masters ❏ Doctorate











Cardholder’s Name

Signature


Home Address



Email Address





Email Address

/

r














Cardholder’s Name

Signature


Home Address



Email Address





Email Address

/

r







BENEFITS OF CACCNMEMBERSHIPAs a member of the Canadian Association ofCritical Care Nurses, you can make asignificant contribution to advancing bothCritical Care Nursing and your Association.Membership in CACCN includes both nationaland local chapter membership, as well as thefollowing: a subscription to the quarterlypeer-reviewed The Canadian Journal of Critical Care Nursing, a copy of the CACCN Standards for Critical CareNursing Practice, publications such as CACCN’s Annual Report and positionstatements, awards and educational funds,reduced conference fees at chapter andnational conferences, access to CACCN’swebsite, and various opportunities toaccumulate continuing learning hours.

CACCN…THE VOICE FOR EXCELLENCE IN CANADIAN CRITICAL CARE NURSING

Name of Employer

Credentials

By completing your membership payment with a credit card (Visa or MasterCard), you are agreeing to continuous renewal of your membership when the membership term expires. Continuous Renewal will remain in place until such time as you notify CACCN of cancellation. A minimum of 15 days’ notice of cancellation of the continuous renewal prior to the renewal date. CACCN will not issue refunds for memberships processed via the continuous renewal system.


35

registrations will not be processed until both registration form and payment are received

at national office.

Dynamics 2015, P.o. Box 25322london, ontario n6c 6B1

tel: (519) 649-5284fax: (519) 649-1458

toll free: 1-866-477-9077

for office use onlyDYN2016: __________________

Amount Pd: __________________

Paid by: q Self q Employer

Method: q Chq q Visa q MC

Chq/Approval #: ______________

Processing Date: ______________

Detach and complete both sides of this registration form and mail with your cheque or money order (made payable to Dynamics 2016) or VISA/MASTERCARD information. Online registration is available at www.caccn.ca Faxes only accepted with VISA/MASTERCARD/AMEX as method of payment. Student registration cannot be processed online. Please forward the registration form with payment to CACCN National Office prior to the deadline.

Please Print clearly.

CACCN Member Number

Name as it will appear on name badge

Credentials

Home Street Address



Work Telephone Ext Fax

Email Address

Name of Employer

Area of Practice: q Adult q Pediatric/Neonatal q All Ages/Multifocus

Area of Focus: q Clinical q Administration q Advanced Practice q Education q Research

Are you CNCC(C) or CNCCP(C) certified? q No q Yes Number Year

early registration · Form and payment is received on or before midnight EST on August 22, 2016.

regular registration · After August 22, 2016, registrants must pay the regular Conference fee.

registration DeaDline · Registrations must be received by midnight EST on September 5, 2016. · No further registrations will be accepted after September 5, 2016.

cancellation Policy · Cancellations of conference registration are only accepted in writing · A 30% administration fee will be withheld from the full value of the registration fees provided

written notice is received prior to september 5, 2016 at 2359est

· no refunds will be issued for cancellation after september 5, 2016

· Cancellations can be sent via mail to Dynamics 2015, P. O. Box # 25322, London, ON, N6A 6B1 or fax to 519-649-1458 or email to [email protected]

· Dynamics/CACCN will not be responsible for refund requests that do not reach CACCN National Office by the cancellation deadline noted above

· Refunds will be issued by cheque via mail, approximately one month following the conclusion of the conference

· In the event of cancellation of Dynamics, CACCN/Dynamics will be responsible for the refund of tuition fees only

conference registration


36

conference choices• First and Second Choices MUST be selected • if you are a presenter of a session, select “presenter” • Delegates must select “Lunch” as one of the L2/L3, L4/L5 options. If Lunch

is not selected, the registration being revised to include a luncheon period.

sunDay, sePtemBer 27, 2015

SeSSion 1 1St ChoiCe q A q B q C q D q E oR q PrEsEntEr 2nd ChoiCe q A q B q C q D q ESeSSion 2 1St ChoiCe q A q B q C q D q E q F oR q PrEsEntEr 2nd ChoiCe q A q B q C q D q E q FSeSSion L1 CACCn AnnuAL GeneRAL MeetinG / LunCh (ALL deLeGAteS)SeSSion 3 1St ChoiCe q A q B q C q D q E q F oR q PrEsEntEr 2nd ChoiCe q A q B q C q D q E q FSeSSion 4 1St ChoiCe q A q B q C q D q E q F oR q PrEsEntEr 2nd ChoiCe q A q B q C q D q E q F

monDay, sePtemBer 26, 2016

SeSSion 5 MAstEry sEssions: rEgistrAtion in sEssions 5 A to F ArE liMitED – rEgistEr EArly to AvoiD DisAPPointMEnt. DElEgAtEs who ArE unABlE to rEgistEr For sEssion 5A-F will BE rEgistErED in sEssion 5g.

1St ChoiCe q A q B q C q D q E q F q g oR q PrEsEntEr 2nd ChoiCe q A q B q C q D q E q F q gSeSSion L2 1St ChoiCe q sPEAkEr oR q lunCh, ExhiBits, PostErs oR q PrEsEntEr 2nd ChoiCe q sPEAkEr oR q lunCh, ExhiBits, PostErs

SeSSion L3 1St ChoiCe q sPEAkEr oR q lunCh, ExhiBits, PostErs oR q PrEsEntEr 2nd ChoiCe q sPEAkEr oR q lunCh, ExhiBits, PostErs

SeSSion 6 1St ChoiCe q A q B q C q D q E q F oR q PrEsEntEr 2nd ChoiCe q A q B q C q D q E q F , 26, 2016

tuesDay, sePtemBer 27, 2016

SeSSion 7 1St ChoiCe q A q B q C q D q E oR q PrEsEntEr 2nd ChoiCe q A q B q C q D q E

SeSSion 8 1St ChoiCe q A q B q C q D q E oR q PrEsEntEr 2nd ChoiCe q A q B q C q D q E



social events

SePteMBeR 25, 2016the Gala Reception and the Spacelabs Sunday Social are complimentary tiCKeted events. delegates must indicate attendance at the time of registration to receive ticket(s).

GALA ReCePtion q AttendinG q not AttendinGSPACeLABS “SundAY SoCiAL” q AttendinG q not AttendinG

Subtotal Tuition Fees less discounts (Box 1 minus Box 2 and 3. Balance less than zero, enter zero)

ADD: HST (PE) 14% (Calculate on total of Box 4. Balance less than zero, enter zero)

Subtotal of Tuition Fees plus taxes (14%)(Calculate Box 4 and 5)

ADD: Social Events/Souvenir (Taxes included)Pre-purchase required; Tickets are non-refundable

PEI Beach Party - Annual Dinner Tickets# _________ Tickets X 70.00 p.p

Dinner Choice: ❑ Salmon ❑ Pork Loin ❑ Vegetarian

Spud In Ceremony# _________ Tickets X $17.00 p.p

TOTAL AMOUNT OWING(Total Boxes 6 thru 9)

CACCN ANNUAL DINNER TICKET - $ 70 per personTickets must be ordered in advance and are non-refundable

PLEASE CHECK ALL DAYS YOU WILL BE ATTENDING� � �

LESS: Tuition Discount(s)(List Codes and Cpn Amounts)

❑ Sun, Sept 25 ❑ Mon, Sept 26 ❑ Tues, Sept 27

Conference Tuition Fees

CONFERENCE FEE:

Cheque

VISA/MASTERCARD NUMBER EXP. DATE

CARDHOLDER’S NAME CVV#*(back of card)

SIGNATURE

/

❑ Money Order❑ VISA❑ MASTERCARD❑

BOX 1

BOX 2

BOX 3

BOX 4

BOX 5

BOX 6

BOX 7

BOX 8

BOX 9

For Member, Non-Member and Student registration criteria please refer to page 31.

imPortant note:

early Bird Deadline: August 22, 2016 @ 2359 hrs. ESTregular Deadline: September 5, 2016 @ 2359 hrs. EST

Early registration is strongly recommended. 1st choice options are not guaranteed and are issued on a first come, first serve basis.

on-site registration will not be available



aisha abdalla Markham, ON

yemi adebayo Toronto, ON

amir albahouth Montréal, QC

Karine allard Montréal, QC

Jean-francois alleno Toronto, ON

robyn alpert Toronto, ON

marlene ash Halifax, NS

andrew baker Toronto, ON

Viksit bali Toronto, ON

shashi bangera Halifax, NS

Glenn barton Ottawa, ON

sophie bastarache Montréal, QC

Cecilia baylon New Westminster, BC

Kathryn bell Toronto, ON

Catherine bent Halifax, NS

debbi beukes Victoria, BC

Catherine bigras Montréal, QC

Julie bilbrey Surrey, BC

wendy bowles Surrey, BC

tricia bray Calgary, AB

tina breckenridge Bathurst, NB

Colleen breen London, ON

laurent brochard Toronto, ON

margie burns Charlottetown, PE

Kim bustard Charlottetown, PE

elizabeth butorac Toronto, ON

francis Cacao Toronto, ON

Carolyn Campbell Toronto, ON

Christina Canfield Cleveland, OH

domenico Capolongo Brampton, ON

Glenda Carson Dartmouth, NS

merica Chase New Maryland, NB

renée Chauvin Kemptville, ON

annie Chevrier Ste-Julie, QC

rebecca Chudyk Brantford, ON

patricia Collantes Toronto, ON

Jane Cornelius Toronto, ON

sarah Crowe Langley, BC

ingrid daley Mississauga, ON

patricia daley Halifax, NS

Vanessa d’aquila Montréal, QC

Giselle davis Halifax, NS

darren day Toronto, ON

michelle decker Toronto, ON

william de luca Montréal, QC

sarah desrosiers Burnaby, BC

maria diego Toronto, ON

maria teresa diston Toronto, ON

elaine doucette Beaconsfield, QC

Valerie duff-murdoch Montréal, QC

Kate earley London, ON

dave easton Winnipeg, MB

marie edwards Winnipeg, MB

basil evan Winnipeg, MB

hilary every Toronto, ON

nicola farrow Toronto, ON

andrea ford Surrey, BC

dana forozeiya Ottawa, ON

Jane friedrich Toronto, ON

adam Gagnon Bathurst, NB

marilou Gagnon Ottawa, ON

audrey Gallant Halifax, NS

mélanie Gauthier Montréal, QC

Jennifer a. Gibson Vancouver, BC

melanie Gillison Kitchener, ON

Janice Glen Toronto, ON

sandra Goldsworthy Calgary, AB

elizabeth Gordon Toronto, ON

lila Gottenbos Langley, BC

Joyce Grandy Toronto, ON

pamela Greco Toronto, ON

sarah Grin Kitchener, ON

melissa Guiyab Toronto, ON

sarah louise Gyorfi Burnaby, BC

alana harrington Toronto, ON

Joan harris Calgary, AB

diana heng Toronto, ON

elizabeth henneman Amherst, MA

sharon hickin New Westminster, BC

Jane houghton Glencoe, ON

michelle house-Kokan Burnaby, BC

pamela hruska Calgary, AB

pam hughes Halifax, NS

Cynthia isenor Halifax, NS

trevor Jian Charlottetown, PE

manpreet Kainth Toronto, ON

Jodi Kalubi Montréal, QC

timothy Kavanagh Montréal, QC

Christine Keba Waterford, ON

elinor Kelly Halifax, NS

robyn Klages Brampton, ON

denice Klavano Halifax, NS

Kristy Klein Brantford, ON

orest Kornetsky Toronto, ON

robert Kruger Surrey, BC

david Kuhl Vancouver, BC

el ladha Burnaby, BC

Christine leger Toronto, ON

Kelly lehmann Red Deer, AB

Jennifer lehr Bethlehem, PA

ellen lewis Toronto, ON

Jennifer lovering Toronto, ON

sarah luckhardt Toronto, ON

marilyn macdonald Halifax, NS

esperanza malubay Richmond, BC

sandy manuel Calgary, AB

Julie marceau Montréal, QC

nikki marks Toronto, ON

shirley marr Mississauga, ON

Cecilia marti Montréal, QC

Jennifer martin Mississauga, ON

Cecile marville-williams Toronto, ON

sherly mathew Delta, BC

Catherine mcintyre Calgary, AB

pamela mclachlan Toronto, ON

lorna mclellan Kitchener, ON

Karen a. mcQuillan Severna Park, MA

michele mcshane Halifax, NS

Judith mehregani Surrey, BC

norine meleca Toronto, ON

tara mercier Halifax, NS

michael metzger Red Deer, AB

mylène suzie michaud St-Joseph-de-Madawaska, NB

mary miller-lynch Kitchener, ON

mamta modgil Toronto, ON

palmina montenaro Montréal, QC

stefani morra Brampton, ON

robin mummery Lyndoch, ON

mary mustard Etobicoke, ON

Ken oates Halifax, NS

laura ocolisan Kitchener, ON

margaret oddi Toronto, ON

Kendiss olafson Winnipeg, MB

Vasuki paramalingam Toronto, ON

lara parker Port Moody, BC

bojan paunovic Winnipeg, MB

Caroline penner Langley, BC

lisa poon Toronto, ON

marie-helene renault Halifax, NS

teodora riglea Montréal, QC

laura robinson Calgary, AB

Catherine rodriguez Richmond, BC

Josée roy Toronto, ON

nancy rudyk Toronto, ON

brenda sabo Halifax, NS

Kurtis salway Toronto, ON

Gyan sandhu Toronto, ON

Thanusah sanmugavadivel Toronto, ON

Gianni santella Montréal, QC

Cecilia santiago Toronto, ON

prafulla savedra Toronto, ON

rachel schofield Hamilton, On

tom scullard Farmington, MN

Colleen shepherd Winnipeg, MB

michael sklar Toronto, ON

orla smith Toronto, ON

debbie snatenchuk Toronto, ON

Chris soder Halifax, NS

walter somers Halifax, NS

Cecilia st. George-hyslop Toronto, ON

Gwen stevenson Fredericton, NB

shannon stride Halifax, NS

shannon swift Toronto, ON

Kari taylor Calgary, AB

Karen Then Calgary, AB

rhonda Thorkelsson Winnipeg,MB

ruth trinier Toronto, ON

marisa Vaglica Toronto, ON

ila Vargas will Calgary, AB

amber wagler Kitchener, ON

nancy waite Calgary, AB

Jodi walker-tweed Winnipeg, MB

Grace walter Toronto, ON

yi (Karen) wang Montréal, QC

Karen wannamaker Toronto, ON

andrew watson Halifax, NS

Karen webb-anderson Beaver Bank, NS

matthew weiss Montréal, QC

anita white Cleveland, OH

debrah white Halifax, NS

maureen white Halifax, NS

sandy white New Westminster, BC

faith wight moffatt Halifax, NS

Gail wilson Toronto, ON

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