Pediatric Urology Nurses & Specialists
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2017 Program Agenda
Wednesday, September 6, 2017
6:00 - 7:00 pm Meet and Greet
Registration Materials Available for Pick Up
Thursday, September 7, 2017
7:00 - 5:00 Registration Open
7:00 - 7:45 Continental Breakfast / Exhibits / Poster Viewing
7:45 - 8:00 Welcome to PUNS Annual Meeting
Cheryl Baxter, MSN, RN, CPNP, PUNS Chair
Cheryl Baxter, MSN, RN, CPNP
8:00 - 9:45 SESSION 1: Vesicoureteral Reflux
Saul Greenfield, MD
Saul Greenfield, MD
  The focus of this session will be on the common practice patterns seen throughout the world in the management of VUR. A historical perspective of VUR along with current practices will allow the participant to identify evidence based practice in the care of these children.
  • Overview of Reflux
  • Radiology Review: A Picture is Worth a Thousand Words
  • Update on RIVUR: Are We Flowing in the Right Direction
  • Treatment Options: Waiting, Correcting or Drug
Allyson Fried, MSN, CPNP, PUNS Council Member
Allyson Fried, CPNP
9:45 - 10:00 Break/Exhibits/Poster Viewing
10:00 - 11:00 Session 2: Updates on Urology Pharmacology
Kristen Nichols, PharmD, BCPS (AQ-ID), BCPPS
Kristin Nichols, Pharm D
  This presentation will explore the pharmacology, optimal use, and adverse effects of antibiotics, with particular focus on avoiding the development of and treating multi-drug resistant pathogens. An overview of the current controversies surrounding antibiotic prophylaxis in pediatric urology patients will be provided. Patient cases will be utilized to communicate and highlight key points.
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11:00 - 12:00 Session 3: Special Interest Group Breakouts
Melissa Young, MSN, RN, CPNP, PUNS Council Member
Melissa Young
  This session will provide the participant with an update on current projects of the SIG and opportunities for developing projects/goals for the upcoming year. SIG participants have significantly contributed to the information available to members of pediatric urology. All members are welcome to participate in a SIG group.

BioFeedback SIG ROOM TBD
Patient Education/School SIG ROOM TBD
Urodynamics SIG ROOM TBD

12:00 - 1:00 Lunch
1:00 - 2:30 Session 4: Abstract and Quality Presentations
Azadah Wickham, CPNP
Azadah Wickham
  This session will provide the participant with research and QI projects.

1:00 What Are The Implications Of Obtaining VCUGs For All Infants with High-Grade Prenatal Hydronephrosis
Mandy Rickard1,2,3, Armando J. Lorenzo2,3, Adriana Dekirmendjian2,4, Natasha Brownrigg1,2, Jorge DeMaria1,2,4, Luis H. Braga1,2,4
1McMaster Children's Hospital, Hamilton, Ontario, Canada, 2Clinical Urology Research Enterprise (CURE) Program, Hamilton, Ontario, Canada, 3The Hospital for Sick Children, Toronto, Ontario, Canada, 4McMaster Pediatric Surgery Research Collaborative, Hamilton, Ontario, Canada
1:10 Variations in Practices Preparing Children and Families for Pediatric Urodynamic Evaluations: A National Survey
Jean Dearn1, Karen Thomas1, Assaf Oron2
1Seattle Children's Hospital, Seattle, WA, USA, 2Seattle Children's Research Institute, Seattle, WA, USA
1:20 Quality Of Reporting For Randomized, Controlled Trials In The Vesicoureteral Reflux Literature: Wher
Michele Gnech1, Mandy Rickard2,3, Armando J. Lorenzo1,2,3, Stephanie Sanger4, Bethany Easterbrook3,5, Luis H. Braga2,3,5
1The Hospital for Sick Children, Toronto, Ontario, Canada, 2McMaster Children's Hospital / McMaster University, Hamilton, Ontario, Canada, 3Clinical Urology Research Enterprise- McMaster Children's Hospital, Hamilton, Ontario, Canada, 4Health Sciences Library, McMaster University, Hamilton, Ontario, Canada, 5McMaster Pediatric Surgery Research Collaborative, Hamilton, Ontario, Canada
1:30 Questions for Abstract Authors and Discussion

1:50 Session 5: Critical Appraisal of Clinical Studies - How to Interpret a Research Paper
Cheryl Baxter, MSN, RN, CPNP, PUNS Chair
Cheryl Baxter

Natalie Plachter
  This session will be interactive and assist the participant to identify quality clinical research studies to determine if the results will help in caring for a similar patient.
2:30 - 3:30 Session 6: Quality of Life Assessment in Spina Bifida for Adults (QUALAS-A): What We Thought And What We Now Know
Konrad M. Szymanski, MD, MPH
Konrad M. Szymanski
  This session will be focused on the findings of Dr. Szymanski's research regarding the self-reported quality of life in patients with spina bifida, using the QUALAS-A instrument.
3:30 - 4:00 Break/Exhibits/Poster Viewing with Poster Authors
  Display Posters:

Evaluation of Spina Bifida Transitional Care Practices in the United States
Maryellen S Kelly1, Judy Thibadeau3, Sara Struwe2, Lisa Ramen2, Lijing Ouyang3, Jonathan Routh1
1Duke Medicine, Durham, NC, USA, 2Spina Bifida Association, Arlington, VA, USA, 3Centers for Disease Control and Prevention, Atlanta, GA, USA

Segmental vs. diffuse cortical thinning in Society of Fetal Urology Grade IV hydronephrosis patients
Mandy Rickard1,2, Luis H. Braga1,2,3, Natasha Brownrigg1,2, Adriana Dekirmendjian2,3, Jorge DeMaria1,2,3, Armando J. Lorenzo2,4
1McMaster Children's Hospital/McMaster University, Hamilton, Ontario, Canada, 2Clinical Urology Research Enterprise, Hamilton, Ontario, Canada, 3McMaster Pediatric Surgery Research Collaborative, Hamilton, Ontario, Canada, 4The Hospital for Sick Children, Toronto, Ontario, Canada

Standardized education and follow-up coaching: Impact on resolution of nocturnal enuresis in children using a bedwetting alarm
Denise D. Ferguson, APRN, CNP, MSN; Elizabeth C. Jackson, MD; & Marion E. Schulte, MHSA, BSN, RN

Dedicated Neurogenic Bowel Provider with a Multidisciplinary Myelomeningocele Clinic: Is there an Advantage
B J Manz, MSN, APRN, Tammy Lingsch, MSN, APRN, Brian Vanderbrink, MD

Pediatric Nurse Practitioner Curriculum of LGBTQI Information
Penny Noto
Augusta University
4:00 - 5:00 Session 7: Breakout Sessions Basic and Advanced (Choose One)
Christine Danielson, MS, RN, CPNP, EMT-B
Christine Danielson, MS
  BASIC: A&P of the GU System

This session will provide a basic overview of the embryological development of the genitourinary tract. We will discuss how common abnormalities seen in pediatric urology, such as horseshoe kidney and undescended testis, result from deviations in the normal development. If you have wondered how a duplex kidney develops or what theories are current in regards to undescended testicles, plan on attending this session.
Karla Giramonti, MSN, RN, FNP-BC, PUNS Advisor to the Board
Karla Giramonti, FNP-BC
  ADVANCED: Pediatric Urological Surgeries From the Bottom UP - What the surgeon Did and How We Follow

This session will provide a basic overview of the various surgeries done by Pediatric Urology. We will start with basic newborn circumcision versus OR circumcision and other male GU anatomy procedures. We will then move up the body to the bladder and then kidneys. Will include different surgical options and post operative care. Will use the SUNA Core Curriculum as reference to the many things we see in pediatric urology.
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5:30 - 6:30 Welcome Reception
Friday, September 8, 2017
7:00 - 8:00 Continental Breakfast/Poster Viewing
8:00 - 9:30 Session 8: Hydronephrosis: Prenatal and Beyond...
C.D. Anthony Herndon, MD
Anthony Herndon, MD
  This session will discuss the latest treatment protocols and the multi-institutional longitudinal population registry. What do you do with the patient that presents with a history of prenatal hydronephrosis? What diagnoses do we consider and how do you proceed with evaluation of these patients immediately after birth and throughout the next year? Case studies will be presented. Valre Welch, MSN, CPNP, PUNS Advisor to the Board
Valre Welch, CPNP
9:30 - 10:00 PUNS Annual Business Meeting (PUNS Members ONLY)
10:00 - 10:45 Session 9: What's New at Night - Updates in Primary Nocturnal Enuresis: Meds, Alarms and Waiting
AnnMarie Hannon, CPNP
AnnMarie Hannon, CPNP
  This session will provide recent and past theories and research about the etiology of PNE. Although the etiology of PNE is still unknown, there is newly published information about the relationship between micturition and arousal by the corticotropin releasing factor, a neurohormone. A discussion about the use of anticholinergics, antidiuretics, and tricyclics medication will be included in this session. The use of bedwetting alarms and other methods for dealing with PNE will be included.
10:45 - 12:00 Session 10: Bowel/Bladder Management Constipation
  Moderator: Karla Giramonti, FNP-BC

Karla Giramonti, MSN, RN, FNP-BC, PUNS Advisor to the Board
Karla Giramonti, FNP-BC
  A & P of the Pelvic Floor Anatomy

Will review common GU surgeries including: Circumcision, Hypospadias, Hydrocele/hernia, Undescended Testes, Testicular torsion, Varicoceles, Bladder, Ureterocele, Kidney, UPJ obstruction, Primary Megaureter, Renal Calculi
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Kristina Booth, MSN, FNP
Kristina Booth
  Neurogenic - The Ifs, Ands, or Butts About It

This session will provide a basic overview for bowel management options for patients with a neurogenic bowel. Topics of discussion will include medications vs. enemas (both rectal and antegrade options) and enema constituents.
Maryellen Kelly, DNP, CPNP
Maryellen Kelly
  Functional Constipation

This session will cover the physiology of functional constipation and how it effects bladder function. It will review the common treatment and evaluation options, and suggest educational techniques to use in the clinic.

12:00 - 1:00 Lunch
1:00 - 2:00 Telephone Triage in the Age of the Electronic Medical Record Protocols, Top 10 Reasons Why you are Called, How to make triage easier
Sally Dunn, RN
Sally Dunn, RN
Riley Hospital for Children
  Rosemary Grant, RN
Rosemary Grant, RN
Boston Childrens Hospital
2:00 - 3:00 Tips and Tricks
  Christine Danielson, CPNP

In this session participants will present their experience in pediatric urology, particularly with novel or innovative approaches to patient care. Specific topics will be announced when submissions have been reviewed.
3:00 Closing Remarks
  Cheryl Baxter, CPNP