Pediatric Urology Nurses & Specialists
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2018 Program Agenda

Program | Urodynamics Course

Wednesday, September 12
6:00 - 7:00 pm Meet and Greet Reception
  Annual Meeting Registration Materials Available for Pick Up
Thursday, September 13
7:00 - 5:00 am 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, Chair
8:00 - 9:00 Session 1: Pediatric Urology Pharmacology, PUNS 2018
  Angelique Champeau, RN, PNP
This session will review common urological medications used in the pediatric urology patient. A discussion and interactive session will include anticholinergics, Botox, alpha blockers, off label drugs, experimental medications in addition to clinical scenarios and practice implications.
9:00 - 10:00 Session 2: Surgical Management of Urinary Tract Stones
  Wolfgang Cerwinka, MD
This presentation will include discussion of renal, ureteral and bladder stones. Radiology examples will be reviewed and common causes along with risk factors in the pediatric population. Algorithms for decision making of medical or surgical management will be presented along with the recommended follow-up and future management. A brief overview of surgical management of stones in the Spina Bifida population will be included in this session.
10:00 - 10:15 Break/Exhibits/Poster Viewing
10:15 - 11:15 Session 3: Exploring Pediatric Urology from a Nursing Ethics Perspective
  Melissa Young, MSN, RN, CPNP
Nurses have a long recognized commitment to our patients and to ethical practice. In this session, we will use the basic principles of medical ethics to examine ethical concerns and dilemmas that occur in nursing, and specifically, pediatric urology.
11:15 - 12:00 Session 4: The Way We Were - No PUNS Intended
  Valre Welch, MSN, RN, CPNP
A historical review of PUNS, from inception to the present, including a pictorial walk down memory lane reviewing the history of our organization. Highlights of the major accomplishments of PUNS and its members.
12:00 - 1:00 Lunch
1:00 - 2:00 Session 5: Abstract Presentations
  Selected abstracts reviewed by Research Special Interest Group peer review members utilizing Clinical Research Abstracts Grading Criteria will be presented.
Abstract Time Title Presenter Institution
1 1:00 pm Lower Urinary Tract Symptoms in Older Children With and Without Diabetes Mellitus Maryellen S Kelly DNP Duke University
2 1:08 pm Ureteral Stent Tracking Jinae E Spear Texas Children's Hospital
3 1:16 pm Is Renal Linear Growth a Good Marker for Contralateral Compensatory Hypertrophy in Patients with Unilateral Hydronephrosis Mandy R Rickard MN NP The Hospital for Sick Children
4 1:24 pm Understanding the Impact of a Nurse Practitioner Led Circumcision Clinic Vivian W Williams MSN Boston Children's Hospital Department of Urology
5 1:32 pm What Can We Learn From an Innocent Bystander?
Contralateral Linear Growth Pattern in Children with Unilateral Hydronephrosis
Mandy Rickard MN,NP The Hospital for Sick Children
6 1:40 pm Randomized Open Label Trial Comparing Triamcinolone to Hydrocortisone for the Treatment of Phimosis Christina Chalmers CHOC Children's Hospital
7 1:48 pm Advanced Practice Providers and Their Role in Procedural Care in a Pediatric Urology Practice Danielle L Gosser MPAS University Pediatric Urology
2:00 - 3:00 Session 6: Breakouts
  Urology 101 - Skills Stations: CIC, Bladder Irrigations and Malones/Enemas
Andria Haynes, BSN, RN
Kathy Wheeler, RN
Kristina Booth, MSN, FNP
This session will include 3 skills stations. Attendees will have the opportunity to review clean intermittent catheterizations (CIC), bladder irrigations and enemas/Malones (MACE).
CIC - We will cover the basics of CIC including how to catheterize a pediatric patient, tips and tricks for challenging catheterizations and how to teach a patient/family CIC. Bladder irrigations - We will review and practice bladder irrigations. Commonly used bladder irrigation solutions will also be discussed. Enemas/Malones- Rectal enema options will be reviewed including cone enemas, foley catheter enemas and Peristeen. We will also discuss care of Malone channels.

Master Class - Billing and Coding for the APN/PA - What You Need to Know Now
Natalie Plachter, CPNP, RN, MSN

This session will review goals for independent billing: Independent practice / Access / Revenue. There will be discussion on when you can and cannot bill independently due to state or practice limitations. A review of other billing models: Ambulatory = Incident to billing / Inpatient = split shared. Requirements for different billing models will be explored. Answers to your questions on "How do you find the correct Level of Service" and "How do you support you level of Service" will be addressed.
3:00 - 3:30 Break/Exhibits/Poster Viewing with Poster Authors
3:30 - 4:30 Session 7: Gender and Its Manifestations
  Thomas Mazur, PsyD
The purpose of this presentation is to introduce participants to gender and its various manifestations. Basic terms will be defined as well as welcoming clinical approaches to persons with gender dysphoria or gender non-conforming presentations, resulting is respectful and quality care. Healthcare disparities for this population will be discussed, as well as resources for continuing education of the healthcare professional.
5:00 - 6:00 Welcome Reception
Friday, September 14
7:00 - 8:00 am Continental Breakfast/Poster Viewing
8:00 - 9:00 Session 8: Complementary Pharmacology: "Supplementing" Traditional Urological Treatment
  Kristen Nichols, Pharm D, BCPS (AQ-ID), BCPPS
The use of complementary and alternative pharmacological treatments is increasing in pediatric urological care. During this session, we will discuss the use of supplements, vitamins, probiotics and prebiotics and their implications in our patients' care.
9:00 - 10:00 Session 9: Looking for Submarines in the Huron River
  Barry Kogan, MD
This session will review the basic skills of reading pediatric urological radiology imaging and case studies of Renal ultrasounds; KUB, VCUG and Nuclear Medical Scans.
10:00 - 10:15 Break
10:15 - 10:30 PUNS Annual Business Meeting (PUNS Members ONLY)
10:30 - 11:30 Session 10: Physical Therapy Approach to Evaluation and Treatment To Pediatric Pelvic Floor Dysfunction
  Dr. Carin Cappadoci, PT, DPT
This session will provide an understanding to a physical therapist approach for the evaluation and treatment of common pediatric pelvic floor dysfunctions. Participants will get an overview of pelvic floor muscle anatomy and physiology, review of common diagnoses that are referred to physical therapy, pediatric pelvic floor muscle examination and generalized treatment options.
11:30 - 12:30 Lunch
12:30 - 1:30 Session 11: PUNS Special Interest Groups (SIGs)
  Melissa Young, MSN, RN, CPNP
In this session, we will review updates from PUNS SIGs, highlighting their achievements, current projects, and goals for the future.
1:30 - 2:30 Session 12: Breakouts
  Urology 101 Bladder and Bowel Dysfunction Primer
Andria L. Haynes, BSN
This session will provide an overview of bladder and bowel anatomy and function for persons new to pediatric urology and a great review for experienced staff. Pediatric disorders of the urinary tract commonly seen in addition to interactive case reports of common urological problems will be addressed.

Master Class - Pelvic Floor Dysfunction and Therapy
Dr. Carin Cappadoci, PT, DPT

This one-hour hands on lecture will guide you through a physical therapy pediatric pelvic floor muscle examination, as well as abdominal assessment, to better your understanding in how the musculoskeletal system relates to urologic and colorectal dysfunction. It is very common for pediatric patients to present with increased connective tissue restrictions surrounding the abdominal viscera which can create pelvic floor dysfunction. You also will be instructed in a pelvic physical therapy treatment progression.
2:30 - 3:30 Session 13: Breakouts
Urology 101 - Mental Health/Coping Strategies for the Healthcare Provider
  Lauren Mednick, PhD
Taking care of yourself is an important aspect of being an effective caregiver for your patients. This session aims to help clinicians recognize signs of stress and burnout and learn helpful strategies for managing stress so that it does not negatively impact their emotional well-being or care they provide to their patients. In addition, tips and strategies for avoiding and managing common difficult situations with patients and families will be discussed.
Master Class: Stomas and the Skin Around Them
Gerda Swenson, RN
Stomas for urinary and bowel management present unique challenges. Caring for a patient with one (or both) requires knowledge of how and why the stoma was created as well as potential skin care issues. Review of different types of stomas, new approaches to management of skin care issues for these patients as well as newer techniques for skin care in the immobilized patient will be discussed. Newer adaptive equipment, treatment of incontinence dermatitis and other genital rashes and treatments will be presented.
3:30 - 3:45 Closing Comments