APRN Week 2021

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  Advanced Practice Registered Nurses as Health Influencers in the Covid Era

  Jacqueline Broadway-Duren PhD, DNP, APRN, FNP-BC

  • APRNs have demonstrated effectiveness as healthcare providers and influencers
  • Evidence has substantiated improved outcomes in NP-provided patient care
  • APRNs are generally well-trusted by patients.
  • APRNs are in a unique position to influence health policy

  Jacqueline Broadway-Duren pictured.

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  A Quality Improvement Initiative to Increase Postoperative Virtual Visits

  Mini George DNP, FNP-C, RNFA; Bushra Manakatt DNP, FNP-C; Susan Varghese PhD, APRN, FNP-C; and Tam Huynh MD

  Recommendations

  • Extending virtual visit education and scheduling virtual visits during preoperative education is a feasible option.
  • Recommends planned education and decision making regarding postoperative visit before surgery to promote patient safety.

  Mini George pictured.

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  Clinical characteristics of COVID-19 in oncology patients: Case control design- Pilot study

  Bilja Kurian Sajith MSN, APRN, FNP

  There was no significant difference between cases and controls in any of the matching variables such as age, gender, cancer histology, cancer site, and cancer behavior.

  Bilja Kurian Sajith pictured.

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  Evaluation of the feasibility of use of continuous glucose monitoring (CGM) in a cancer hospital

  Veronica Brady PhD, FNP-BC, BC-ADM, CDCES and Denise A. Palma MS, MBA, RD, LD, BC-ADM, CDCES

  The use of RT-CGM could be useful in improving overall glycemic management among this population. In addition, continuous glucose monitors can alarm if a patient's glucose is outside of target range which can allow more real-time glucose management and proactive treatment of hypoglycemia in an asymptomatic patient.

  Veronica Brady pictured.

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  Importance of Advance Care Planning & End of Life Communications with Cancer Patients in Global COVID-19 Pandemic: Practical Tips for Oncology Advanced Practice Providers

  Poonam Goswami DNP, FNP, AOCNP

  Oncology APPs have the potential to initiate advance care planning & end of life discussions.

  Following the practical tips on verbal & non-verbal communication, APPs can ensure the delivery of high quality patient care.

  Ensure patients receive the care they want & align the care that is delivered based on patients’ values and goals.

  Poonam Goswami pictured.

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  Improving Medication Reconciliation within 24 Hours of Admission to General Internal Medicine

  Lijo Saji DNP, APRN; Ed Kheder MD; Ali Zalpour PharmD; Samuel Swanson BS; Sreedhar Mandayam MD; and Marina George MD

  References

  1. Barnsteiner JH. Medication Reconciliation. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 38. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2648/
  2. https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/MedicareEHStage2_2018_Obj5.pdf
  3. https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2020/npsg_chapter_hap_jul2020.pdf

  Lijo Saji pictured.

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  Increasing the Number of Kept Appointments to Lifestyle Modification Program for Newly Diagnosed Breast Cancer Women with a BMI > 25

  Bukola Azeez DNP, APRN, FNP-BC

  The results of the QI project demonstrated a modified telephone reminder with education may be effective in increasing appointments to a lifestyle program among eligible patients and increasing competency of goals of the lifestyle appointment.

  Bukola Azeez pictured.

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  Li-Fraumeni Syndrome Education and Early Detection Clinic: Making a difference in quality of life and long-term survival through screening and education

  Heather Meador APRN, CPNP, CPHON and Whitney Throckmorton MPAS, PA-C

  At this time, 224 pediatric patients have been tested for TP53 mutations at MDACC, and 34 have tested positive for LFS. There are currently ~20 patients receiving care in the MDACC pediatrics LEAD clinic. Of those 18, five patients have received treatment for at least one malignancy. Once a patient turns 21, they transition to our adult LEAD clinic, as they focus on additional malignancies that affect the adult population.

  Heather Meador (pictured left); Whitney Throckmorton (pictured right)

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  Management of Giant Cell Tumor of the Spine

  Laurel Westcarth MBA, MSN, APRN-BC

  Implications for APPs

  • Care coordination amongst the multidisciplinary team including surgery, Sarcoma, Pain, IR and Radiation
  • Instrumental in educating the patient on disease, hospitalization, pre-operative process, admission, disability, post-operative process and long -term complications due to neurological deficits
  • Management of surgical and neurological complications
  • Manage long term neurological symptoms and coordinate multidisciplinary long-term follow-ups

  Laurel Westcarth pictured.

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  Meeting Inpatient Glycemic Targets through Increased use of Basal Bolus Insulin Therapy

  Sigi Varghese APRN; Conor Best MD; Victor Lavis MD; Natalie C. Walton MD; Michelle Sibille Senechalle MD; Michael Rizk MSN, APRN, FNP-C, BC-ADM; Marjorie Ortiz APRN; Veronica Brady PhD, FNP-BC, BC-ADM, CDCES; Mara Wilson APRN; Celia Levesque APRN; Vivian Crowder APRN; Benzy John APRN; Lijo Saji DNP, APRN; Jessica Williams PA; and Sonali Thosani MD

  • The implementation of IDS tool, which is integrated in the Epic, can assist providers in placing appropriate BBI insulin orders.
  • Increased use of BBI use can result in reduction in hyperglycemia and hypoglycemia which can enhances overall patient safety and outcomes.
  • Expanding or standardizing the intervention to other areas can help change prescriber practice and better glycemic control.
  • Provider involvement and interest is an important factor in the utilization of the IDS tool.

  Sigi Varghese pictured.

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  PICC lines in patients with chronic kidney disease and cancer: What are we saving the vein for?

  Joanne Dalusung MSn, APRN, AGACNP-BC; Valda Page BS, MPH; Biruh Workeneh MS, MD; Omar Mamlouk MBBS; and Sreedhar Mandayam MD

  PICC lines should be allowed in patients with cancer and CKD stage 3 and beyond as the risk of ESRD is significantly less than risk of progression of cancer or death.

  Based on the results of the study, future research and practice need to evaluate current guidelines in appropriateness of PICCs among patients with cancer and CKD.

  Joanne Dalusung pictured.

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  The Impact of a Checklist on Quality Patient Care and the Reduction of Clinic Visit Times in Pediatric Patients with Neurofibromatosis Type I

  Racheal Pickney-Bingham DNP, CPNP-PC, CPON

  CLs allowed for providers to document individualized patient information to readily identify each patients’- specific disease burden, diagnostic workup needed for further evaluation, and ongoing needed management. It will also serve as a personalized, educational tool for families and patients with NF1. This evidence-based CL is created with common clinical symptoms of patients with NF1 currently limited in the literature

  Rachael Pickney-Bingham pictured.

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  The Role of Nurse Practitioners in Global Cancer Care

  Kathleen Doughtie BSN,DNP,MSN,RN; Melissa Lopez-Varon; Ellen Baker; Mila Pontremoli Salcedo PhD; Natacha Poolcharoen; Michael Stauder MD; Simona Shaitelman; Maria Daheri; Karen Rabel; and Kathleen Schmeler MD

  The aim of incorporating NPs into the global healthcare community, is to broaden the depth and scope of services available around the world, including in LMICs and remote environments. NPs can become involved in global health through national and international nursing organizations.

  Kathleen Doughtie pictured.

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  Using Communication through Technology to Reduce Wait Time in Ambulatory Care

  Dietrich Davis MSN, APRN, FNP-BC

  • Improving wait times will likely lead to customer retention.
  • Employing cost effective measures improved wait times and improved patient satisfaction.
  • Improved wait times can reduce overhead cost in ambulatory settings by reducing the need for over time staff.

  Dietrich Davis pictured.