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Pediatric Urology Nurses & Specialists
2021 Preliminary Program

Program | Urodynamics Course

Tuesday, November 30
6:00 pm - 7:00 pm
Meet & Greet Reception / Pick-Up Registration Materials

Wednesday, December 1
7:00 am - 5:00 pm
Registration Open
7:00 am - 7:45 am
Continental Breakfast / Visit Posters and Exhibits
7:45 am - 8:00 am
Welcome to PUNS Annual Meeting
Melissa Young, MSN, RN, CPNP
Riley Hospital for Children, Fishers, IN
8:00 am - 8:45 am
Session 1: Keynote: Cloacal & Anorectal Malformations
Richard Wood, MD
Nationwide Children's Hospital, Columbus, OH
8:45 am - 9:00 am
Break - Visit Posters & Exhibits
9:00 am - 10:15 am
Session 2: Cloacal Management Panel

Description: Panelists will review medical and surgical considerations for the nurse and APP when caring for cloacal patients. Opportunities for open discussion with attendees is encouraged.

Objectives:
  1. Attendees will be presented the concerns that arise for bladder function in a cloaca patient
  2. Attendees will understand the rationale and complications that can arise for catheterizeable channels
  3. Attendees will understand the various considerations for bowel management in the cloacal population
  4. Attendees will understand hydrocolpos and options for vaginal reconstruction and long-term care
  5. Attendees will have gained knowledge they can use in their clinic to better provide care for cloacal patients
Daniel DaJusta, MD
Nationwide Children's Hospital, Columbus, OH

Antoine E. Khoury, MD
Children's Hospital of Orange County, Orange, CA

Alexandra W. Rehfuss, MD
Albany Medical Center, Albany, NY

Armando J. Lorenzo, MD
Hospital for Sick Children, Toronto, Canada

Richard Wood, MD
Nationwide Children's Hospital, Columbus, OH
10:15 am - 11:15 am
Session 3: Congenital Urology Conditions and Family Considerations
Maria-Jose Bouey
Director for the OAA IOA 20/40 Focus Group
11:15 am - 11:30 am
Break - Visit Posters & Exhibits
Session 4

Breakout 1

Breakout 2

11:30 am - 12:30 pm
Clean Intermittent Catheterization (CIC)

Description: This breakout session is intended to educate nursing staff on the history and importance of clean intermittent catheterization (CIC).We will identify the various types of catheters available and discuss some of the products that makes it easier for patients and families. This presentation includes an outline of what a typical nurse visit entails for teaching sessions. We will review top tips for success and lastly identify support systems and barriers that could affect compliance.

Learning Objectives:
  1. Define CIC
  2. Discuss the different types of catheters and resources available for families.
  3. Review tips and tools on introducing CIC to families and patients during nurse visits.
  4. Identifying and addressing possible barriers to compliance with CIC.
Kennary Choung, RN
Boston Children's Hospital, Boston, MA

Ann B. Roper, RN
Children's Hospital of Richmond, VCU, Richmond, VA

Carrie Endara, BSN, RN
Duke University Medical Center

Allison Cleary, RN
Riley Hospital for Children

Shelby Risner, RN
Riley Hospital for Children
Research-IRB, Grants, & Proposals
Moderator: Karla Giramonti, NP

Description: Attendees will get an overview on IRB submission categories and processes as well as information on where to look for funding. The intended audience will be early-stage investigators and those looking to expand from Quality Improvement projects into funded research.

Objectives:
  1. Attendees will have an improved understand of the IRB process, IRB exemptions and IRB expedited reviews
  2. Attendees will acquire resources to increase their ability of finding grants and funding to support their research
Maryellen S. Kelly, DNP, CPNP, MHSc
Duke Children's Health Center, Durham, NC

Mandy Rickard, NP
Hospital for Sick Children, Toronto, Canada
12:30 pm - 1:30 pm
Lunch - Hollister CIC Program

The Quest for a Cure

Marc Buoniconti
President, The Miami Project To Cure Paralysis
President, The Buoniconti Fund To Cure Paralysis
1:30 pm - 2:30 pm
Session 5: Anticholinergics: It Ain't No Lie, Baby -- Dry, Dry, Dry
Samantha Eaker DNP, CPNP
Duke University Medical Center, Durham, NC

Description: This talk will review anticholinergic medications commonly used for the pediatric urology patient population and detail administration routes and side effects of such. We will discuss historical trends for and recent changes of usage and coverage.

Learning Objectives:
  1. Identify anticholinergic medications that are used for pediatric urology patients.
  2. Review common side effect profiles and administration routes of said anticholinergics.
  3. Discuss past and upcoming changes to anticholinergic medical therapy in pediatrics.
2:30 pm - 2:45 pm
Break - Visit Posters & Exhibits
2:45 pm - 3:45 pm
Session 6: SIG Group Meetings
Leigh T. Hamm , CPNP, SIG Liaison
3:45 pm - 4:45 pm
Session 7: Impact of the COVID-19 Pandemic on Pediatric Urology
Katy Morgan, CPNP-AC
UVA Children's Hospital, Charlottesville, VA

Description: This talk will explore the effects of the pandemic on various pediatric urology patients and diagnoses as well as on pediatric urology providers and nurses. Opportunity for discussion will be provided.

Learning Objectives:
  1. Identify if and how the pandemic has affected patients with common pediatric urologic diagnoses.
  2. Identify how the pandemic has affected pediatric urology nurses and providers personally and professionally, informed by a recent survey to PUNS members.
  3. Provide opportunity for dialogue on how we can use recent data and practice impacts/changes in a positive way.
Thursday, December 2
7:00 am - 5:00 pm
Registration Open
7:00 am - 8:00 am
Continental Breakfast / Visit Posters and Exhibits
8:00 am - 9:00 am
Session 8: The Do’s and Don’ts of Successful Mission Work: Lessons learned from 25 years of International Surgical Outreach
Martin Kaefer, MD
Riley Children's Hospital, Indianapolis, IN

Learning Objectives:
  1. At the completion of the presentation the participant will be able to identify some of the key pitfalls and potential errors that can occur when involved in International Mission Work.
  2. At the completion of the presentation the participant will be able to identify some of the elements required to maximize sustainability in International Mission Work.
9:00 am - 9:15 am
Break - Visit Posters & Exhibits
9:15 am - 10:15 am
Session 9: Abstracts
Moderator: Azadeh P. Wickham, MSN, Children's Mercy Hospital, Leawood, KS

1. Active Women Incontinence Screening Tool (AWIST): A Comprehensive Tool to Assess Female Athletic UI
Bridget Linehan1, Hailey Stevens2, Emily Galasyn1, Renee Pepin1
1Dartmouth Hitchcock Medical Center, Lebanon, NH, USA, 2University of New Hampshire, Durham, NH, USA

2. Bladder Irrigation Programs: Who Benefits? Usage Defines Risk
Lindsey Austenfeld, Azadeh Wickham MSN, APRN, FNP-BC, Shiva Balasubramanian BA, Prathi Pitchyaiah BA, Vincent Staggs PhD, John M Gatti MD
Children's Mercy Hospital- Kansas City, Kansas City, MO

3. An Observational Study Evaluating Pediatric Patients with Neurogenic Bowel Dysfunction Using the Neurogenic Bowel Dysfunction Score within the Electronic Medical Record
Joy C. Kerr, Jennifer Webster, Elizabeth Kauffman
Children's Hospital of Philadelphia, Philadelphia, PA, USA

4. Effects of COVID-19 Shutdown on Children with Bladder Dysfunction
Susan V. Leroy, Dylan Hutchison, Nora G. Kern
University of Virginia, Charlottesville, VA USA

5. Outcome Analysis of Personalized Pre-Clinic BBD Nursing Telemedicine Visit
Jennika Finup1, Walid, Ruthie Su1, Fardod O'Kelly2, Dana Perry1, Sarah Truscott1
1University of Wisconsin, Madison, WI, USA, 2Beacon For Kids, Beacon Hospital, Sandyford, Dublin
10:15 am - 11:15 am
Session 10: Decisions, Pitfalls and Perioperative Care of Urinary Tract Reconstruction
Rosalia Misseri, MD
Riley Children's Hospital, Indianapolis, IN

Elizabeth B. Yerkes, MD
Lurie Children's Hospital, Chicago, IL

Learning Objectives:
At the conclusion of this session, the participants will be able to:
  1. Describe the intent and potential complications of urinary tract reconstruction components.
  2. Tailor urodynamics testing to answer the preoperative question.
  3. Identify family dynamics and home resources that may generate challenges after urinary reconstruction.
  4. Suggest alternative interventions, such as incontinent diversion and botulinum toxin injection, for patients who need intervention but are not ready for major reconstruction.
11:15 am - 11:30 am
PUNS Annual Business Meeting
(PUNS members only)
Melissa Young, MSN, RN, CPNP
Riley Hospital for Children, Fishers, IN
11:30 am - 12:30 pm
Lunch Symposium
Supported by Coloplast
12:30 pm - 1:30 pm
Session 11: Physical therapy and Pediatric Voiding Dysfunction
Carin Cappadocia, PT
Albany Medical Center, Albany, NY

Description: A physical therapist approach to pediatric voiding dysfunction with treatment technique. A review of the pelvic floor muscle anatomy, diagnoses commonly seen in PT, and ways to improve home habits and implement exercise.

Learning Objectives:
  1. Identify pelvic floor muscles
  2. Evaluate external pelvic floor muscle movement and function
  3. Understand home bladder and bowel habits, in order to education family and patients
  4. Provide exercises to patients to improve pelvic floor muscle function
  5. Be able to know when to refer to physical therapy
1:30 pm - 1:45 pm
Break - Visit Posters & Exhibits
Session 12

Breakout 1

Breakout 2

1:45 pm - 2:45 pm
Billing and Coding Update: Making Sense of the 2021 Guidelines
Natalie Plachter, CPNP
Children's Hospital of Philadelphia, Philadelphia, PA

Description: The focus of this lecture is to outline key changes to E/M office visit coding that went into effect on January 1, 2021.

Objectives:
  1. Explain the E & M office visit code changes that are result of the new 2021 CMS coding guidelines
  2. Review changes to time based billing guidelines
  3. Dive into challenges surrounding medical decision making
  4. Walk through definitions provide by the AMA
Becoming a Pediatric Urology Nurse Practitioner: Mapping Your Course to Specialty Care
Marlo A. Eldridge, NP
Johns Hopkins Hospital, Baltimore, MD

Description: Presentation will cover various pathways to developing oneself as a pediatric urology NP, certifications, requirements, challenges, and opportunity.

Objectives:
  1. Audience will understand the various certifications available for NP specialty care in urology as well as the current certification requirements.
  2. Audience will gain greater knowledge of the educational needs for an NP transitioning to urologic care from either acute or primary care practice.
  3. Audience will understand the continuing educational needs of a urology NP as well as their opportunities to educate colleagues NP/MD/RN both in the specialty, and at the PCP referral level.
  4. Audience will better understand the specific niche areas of NP urologic care and how to develop their areas of expertise.

The Journey to become a Pediatric Urology Nurse: Challenges in Role Transition- Triumphs in Professional Development
Rosemary H. Grant, RN
Boston Children's Hospital, Boston, MA

Description: This presentation will outline the process to specialize in Pediatric Urology Nursing, The lecture will outline the Benner Model form "Novice to Expert" as it applies to the unique role of the Pediatric Urology Nurse. Challenges in the career journey will be discussed as well as finding the joy in the workplace.

Objectives:

  1. Identify 2 clinical skills to master as a level I pediatric Urology Nurse
  2. Outline 3 strategies to become an expert Pediatric Urology Nurse
  3. State 2 Challenges in career transition
2:45 pm - 3:45 pm
Session 13: Part 1: CKD in Urology Patients / Part 2: Nephrolithiasis—Metabolic Evaluation and Treatment
Michelle A. Baum, MD
Boston Children's Hospital, Boston, MA
3:45 pm - 4:00 pm
Closing Remarks