Speakers

The LNC’s Guide to Emergency Room Triage

Emergency Room documentation is different from admission documentation. The ER is viewed and treated as an outpatient entity, so the documentation is geared toward the outpatient setting. Even in hospitals that utilize the same electronic medical record system, such as EPIC, the admission units do not have access to the ER nursing documentation.

How do you find this documentation?

Diane will cover

• What is the expected process and the deviations that can arise.
• What are ESI and EMTALA as they relate to required documentation.
• How to interpret the ER triage documentation in the EMR.
• Reasons for delay in care.
• How QA figures into the equation.

Diane Honeygosky BSN RN CLNC has been an ER nurse since 1993. Her experience spans from Level I to Level III trauma centers to joining the ER Quality Assurance Department in 2016. This gives her unique insight into the expected triage procedures and the ramifications of complications that include patients who; leave without being seen by a provider, elope from triage or are discharged prematurely from triage. She is certified in ACLS, PALS and NIHSS with previous certifications in PHTLS, TNCC, NALS and NRP.

The LNC’s Guide to Investigating an Abuse, Neglect, or Mistreatment Allegation Against an Individual with an Intellectual Disability 

What are the critical steps needed to investigate an allegation?

You will discover an organized approach to efficiently investigate the allegation by all means possible:

• The process to analyze the data and draw a conclusion.
• How to determine if the outcome of the allegation will be substantiated or unsubstantiated.
• How to determine which federal regulation(s) the facility violated.

Deneene Bradford MSN, MBA has served the State of Illinois for the past 11 years as a Health Facilities Surveillance Nurse.  In the division of long-term care, her position involves conducting annual licensure and certification surveys and complaint and facility-reported incident investigations.  These processes occur in the following settings: nursing homes; group homes and state facilities where individuals with intellectual disabilities reside; and on long-term care units, in acute hospitals.  The role also includes being an advocate for those who are unable to speak and stand up for their rights.  The surveys and investigations focus on ensuring the residents are protected from abuse, neglect, mistreatment, and sub-standard health care.

The LNC’s Guide to Cardiac Standards of Care

Care of the cardiac patient is an area of healthcare that is continually improving. How do you know if the patient was treated appropriately? Is the patient on the most current medical regimen? This session will provide a brief overview of key changes in cardiac disease management and how to locate the current standards of care.

Ruth will cover:

• • What are clinical practice guidelines and how to locate them.
• • What are the key updates in cardiac disease management.
• • Key terminology to understand.

Ruth Pierce MBA, MHA, RN, CCRN-K, CPHQ has been a nurse for over 37 years. Her experience includes Emergency Department, Flight Team, Paramedic, CCU, CVICU and Organ Transplants. Currently, she works as a cardiac reviewer for a national accreditation company. Visiting and certifying hospitals across the country gives her a unique ability to understand the current cardiac standards and trends in patient care. Ruth is also the past president of her local American Association of Critical Care Nurses chapter and NC Association for Healthcare Quality.