2019 APR MONONA TERRACE · After 20+ years, this year will also be Dave’s last hurrah at our conference; he is retiring from the University. Please stop by and wish him well and

33RD ANNUAL

APRN PHARMACOLOGY & CLINICAL UPDATEAPR 11-13

20

19 MONONA TERRACE MADISON, WISCONSIN

NURSE PRACTITIONER FORUM

12019 WNA APRN Forum Pharmacology & Clinical Update

WELCOMEThe Wisconsin Nurses Association Advanced Practice Registered Nurse Forum

welcomes you to the 33rd Annual Pharmacology and Clinical Update!!This intensive three-day conference will review current and identify new evidence-

based pharmacologic and clinical approaches to management of common conditions in primary and acute care, with the goals of safe prescribing practice and optimal therapeutic outcomes. If you have questions or concerns during the conference,

please stop at WNA registration or look for an APRN Conference Planning Committee member wearing a “COMMITTEE” ribbon.


Planning Committee

Andrea Pollema, DNP, PMHNP-BC, APNP (CHAIR)Psychiatric Mental Health Nurse Practitioner, Journey Mental Health Center

Ann Baggot, MS, WHNP-BC, APNPNurse Practitioner, Department of OB/GYN - UW Health/UW Medical Foundation

Gina Bryan, DNP, PMHCNS-BC, APNPClinical Professor, UW-Madison School of Nursing; APNP, Rock County Human Services

Sarah Endicott, DNP, GNP-BC, APRNClinical Assistant Professor, UW-Madison School of Nursing; APNP, Monroe Clinic

Sherrie Gilbert, FNP-BC, APNPNurse Practitioner, Family Medicine - Aspirus Iron River Hospital & Clinics

Susan E. Medd, MSN, RN, CPNP-PCPediatric Nurse Practitioner, NICU Developmental Follow-Up Clinic; Neonatal Staff Development Specialist

Teresa Prattke, MSN, RN, WHNP-BCPrimary Nurse Planner, Wisconsin Nurses Association Continuing Nursing Education Program

Sarah Saari, DNP, AGACNP-BC, APNPAcute Care Nurse Practitioner, Hospital Medicine, University of Wisconsin Medical Foundation

The WNA NP Forum wishes to especially thank the Wisconsin Chapter of the National Association of Pediatric Nurse Practitioners for their efforts in planning this

annual conference.


WNA APRN Forum…Your Professional Voice!

The WNA Nurse Practitioner Forum is a mutual interest group (MIG) of the Wisconsin Nurses Association that advocates for Nurse Practitioners, Clinical Nurse Specialists, Certified Nurse Midwives, and Certified Registered Nurse Anesthetists. Areas of focus include:

• Educating employers and consumers about the role of the Advanced Practice Registered Nurse

• Ensuring that all APRNs can practice to the fullest extent of their scope of practice

• Monitoring practice regulations (such as the protection of title and autonomy)

• Watching billing/access issues (such as reimbursement by all insurance companies)

• Keeping an eye on legislative issues, pursuing legislation through the lobbying power of WNA (such as the APRN Modernization Act)

• Developing educational programs specific to the needs of advanced practice nurses

• Sponsoring up to four Mary Barker Advanced Practice Registered Nursing Scholarships each year

WNA NP Forum Board:

Tina Bettin, DNP, MSN, RN, FNP-BC, APNP, FAANP (President)

Jessica Dekan, APNP, FNP-BC

Jeff Kobernusz, MS, RN, APNP, ACNP-BC

Mary Beck Metzger, DNP, FNP-BC, APNP

Lisa Pisney, RN, MSN, ANP-C

Andrea Pollema, DNP, PHMNP-BC, APNP

Jean Roedl, FNP-BC, ADM-BC

Ronda Thompson, APCNP-BC, GPCNP-BC

Terri Vandenhouten, MSN, APNP


Disclosures and General Information

Conference OutcomesBy participating in the sessions offered at the conference most applicable to their professional learning needs, participants will be able to:

• Apply leadership and advocacy skills to improve collaborative partnerships at the local, state, and national level to ensure that APRNs can practice to the fullest extent of their scope of practice.

• Identify opportunities to promote health and prevent disease for self, clients, and the community.• Implement strategies in the management of chronic, acute, and complex health conditions to

achieve optimal therapeutic outcomes for clients and their families.• Apply the current research and evidence-based indicators for safe and effective prescriptive

practice.

The 33rd Annual APRN Pharmacology & Clinical Update is jointly provided by the Wisconsin Nurses Association and the Wisconsin Chapter of the National Association of Pediatric Nurse Practitioners. Wisconsin Nurses Association is approved with distinction as a provider of continuing nursing education by the Montana Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Continuing Nursing Education CreditThis conference offers participants up to 18.0 contact hours of continuing nursing education (CNE) credit. Participants must complete the online conference evaluation by the due date to receive CNE credit. The number of ‘Pharmacology’ contact hours available for a given session is noted as ‘Rx =’ next to the session title whenever applicable. Estimates for pharmacology credit were based on information submitted by presenters; it is the responsibility of the participant to determine whether the content provided meets the specific requirements of their certifying or licensing body.

Online Evaluation – Required to receive CNE CertificateTo receive CNE credit, participants must complete the online conference evaluation at the web address below by May 5, 2019.

• Your conference registration ID number on the back of your conference nametag (or in the registration confirmation email) is required to access the evaluation form.

• If you are unable to finish the evaluation form in one sitting, use the “Save” button at the bottom to receive an emailed link to return to your form at a later time.

• Do not use the “Submit Evaluation” button until you have completed the evaluations for ALL sessions attended.

• A Certificate of Completion will be emailed to the address provided immediately after you “Submit Evaluation.”

https://wisconsinnurses.org/aprn-eval/


Disclosures and General InformationThe online evaluation must be completed by May 5, 2019 to obtain CNE credit and a

Certificate of Completion for this Conference.

Participants who miss the evaluation deadline and still wish to earn the CNE credit may submit a request to reopen the evaluation for up to 6 months following the conference.

There will be a $25 charge for this service.

https://www.wisconsinnurses.org/reopen-eval/

Handouts• All handouts submitted by presenters have been posted at the web address below and will be

available for six months following the conference. • A link to the handouts webpage can also be found on the conference webpage or in the emails

sent to registrants prior to the conference. • Enter the password ‘practitioner’ to access the posted handouts.

https://wisconsinnurses.org/aprn-handouts/

Conflicts of InterestThere is no conflict of interest for any of the planners or presenters of this educational activity.

Commercial SupportThe following commercial support was received for this educational activity:

• Bayer – Pharmaceuticals Division – loan of IUD pelvic models


http://www.stvin.org/careers


Don’t Miss These Special Eventsat the Conference!

RaffleBring your $5s, $10s, and $20s … and show your support for APRN education! Raffle tickets will be sold throughout the conference for great prizes to be given away on Saturday morning at breakfast – must be present to win...or arrange for another attendee to keep your ticket and claim your prize for you. Put a ticket in each bucket for a try at all of the prizes, or focus your efforts on winning this year’s coveted Fitbit Versa Smart Watch! All proceeds benefit the Mary Barker APRN Scholarship fund.

UW Bookstore Display and Services Dave Jewell from the UW Bookstore in Madison will again be at the conference with books, Littman stethoscopes, otoscopes, ophthalmoscopes, reflex hammers and more. Stop by his booth near conference registration and receive a 10% discount on your purchase. Drop off your Littmann stethoscope to be cleaned onsite for only $10 – and repaired for the cost of parts only.

After 20+ years, this year will also be Dave’s last hurrah at our conference; he is retiring from the University. Please stop by and wish him well and thank him for the many, many years of support for our conference. You will be missed, Dave!

Exhibit HallFRIDAY, APRIL 12, 7:00 AM – 1:15 PMVisit and talk with representatives from industry, education and professional organizations pertinent to your APRN practice – Friday only. Please thank them for their support of our conference! A list of exhibitors can be found at the conference registration desk.

Mary Barker Advanced Practice Registered Nurse Scholarship WinnersFRIDAY, APRIL 12, 12:00 PMWinners of the Mary Barker APRN Scholarship for nursing graduate school students will be announced during the general conference luncheon. Please join us in congratulating them! The scholarship is named after Mary Barker, honoring one of Wisconsin’s pioneer nurse practitioners and leaders.

WI Chapter of NAPNAP Luncheon and Annual Business MeetingFRIDAY, APRIL 12, 12:00 – 1:15 PMMembers of the WI Chapter of NAPNAP attending the conference are encouraged to attend the WI Chapter of NAPNAP Luncheon and Annual Business Meeting.

APRN Research and Project Poster DisplaySATURDAY, APRIL 13, 7:00 AM – 1:00 PMView the juried display of posters prepared by your fellow APRNs/student APRNs highlighting their academic projects and research focused on enhancing patient outcomes, advanced nursing practice, or the professional work environment. Poster Presenters will be available in the Capitol Promenade during breakfast and breaks to explain their projects and answer questions.


How Can You Help When Disaster Strikes?Learn more and sign up at the Wisconsin Emergency

Assistance Volunteer Registry (WEAVR)

https://weavrwi.org/

PUT YOUR SKILLS TO WORK FOR WISCONSIN!Register on WEAVR for a more prepared Wisconsin.

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33rd Annual Pharmacology & Clinical Update sponsored by the WNA NP Forum

Thursday, April 11 – Saturday, April 13 | Monona Terrace, Madison

CONFERENCE SCHEDULE

Thursday, April 117:30-8:15 AMMorning Preconference Registration and Continental Breakfast

8:15 AM – 12:15 PMMORNING PRECONFERENCE - Ballroom A“The Professional Business of Being an Advanced Practice Registered Nurse” (Rx 1.5)

Introduction and WelcomeTina Bettin, DNP, MSN, RN, FNP-BC, APNP, FAANP – President, WNA NP Forum; Family Nurse Practitioner, ThedaCare Physicians

Federal Update: Trends in Health CareLisa M. Grabert, MPH - Visiting Research Professor, Marquette University, College of Nursing

The Opioid Epidemic: Logistics, Legislation, and Real Life Gina Bryan, DNP, PMHCNS-BC, APNP - Clinical Professor, UW-Madison School of Nursing; APNP, Rock County Human Services

Improving Patient Adherence to Blood Pressure Self-Management: A Collaborative Pilot between Pharmacy and the InsurerKari Trapskin, PharmD - Vice President of Health Care Quality Initiatives, Pharmacy Society of WisconsinAlan Lukazewski - Director of Clinical Pharmacy, NeuGen

Update on APRN Modernization Act LegislationGina Dennik-Champion, RN, MS, MSHA - Executive Director, Wisconsin Nurses AssociationForbes McIntosh - President, Government Policy Solutions, LLCGina Bryan, DNP, PMHCNS-BC, APNP - Clinical Professor, UW-Madison School of Nursing; APNP, Rock County Human ServicesTina Bettin, DNP, MSN, RN, FNP-BC, APNP, FAANP – President, WNA NP Forum; Family Nurse Practitioner, ThedaCare Physicians

Participants at the MORNING PRECONFERENCE will receive a box lunch (included in your registration fee). Lunches will be available beginning at approximately 10:45 AM.


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CONFERENCE SCHEDULE

12:00 – 1:00 PMConference Registration

1:00 – 3:00 PMPRECONFERENCE SESSION 1

1A An Introduction to Primary Wound Closure, Principles and Practice Jeff Kobernusz, MS, RN, APNP, ACNP-BC – Orthopedic Acute Care Nurse Practitioner, Unity Point Health-Meriter, Division of Orthopedics; Clinical Instructor, DNP Acute Care Nurse Practitioner Program, UW-Madison School of Nursing

(Rx .50) Hall of Ideas G

1B APRN Preceptor Workshop Sarah Endicott, DNP, GNP-BC, APRN - Clinical Associate Professor, UW-Madison School of Nursing; APNP, Monroe ClinicKristen Panther, RN, MS, ANP-C - Nurse Practitioner, UW Medical Foundation(continued in 2B - must attend both sessions to receive CNE credit)

Hall of Ideas E

1C Skills for Advanced Practice Nurses: IUD Insertion Workshop Ann Baggot, MS, WHNP-BC, APNP – Nurse Practitioner, Department of OB/GYN-UW Health(continued in 2C - must attend both sessions to receive CNE credit)

(Rx 2.0 for both sessions)

Hall of Ideas J

1D Basic Interpretation of the 12 Lead ECG Maureen T. Greene, PhD, RN, CNS-BC, ACNP-BC, APRN-P, CIFM - Critical Care Clinical Nurse Specialist, Research Coordinator, Ascension Healthcare - St. Joseph HospitalBetty Ross Aguilar, MS, RN, CEN - Clinical Educator, Wheaton Franciscan Healthcare (retired)(continued in 2D - must attend both sessions to receive CNE credit)

(Rx 1.0 for both sessions)

Hall of Ideas F

1E Introduction to Chest Radiographs: Basics, Pearls, and PitfallsMaria Daniela Martin, MD - Assistant Professor, Thoracic Imaging, University of Wisconsin School of Medicine and Public Health

Hall of Ideas H

1F Development and Implementation of Enhanced Recovery After Surgery in Gynecology Christine A. Heisler, MD, MS – Surgeon, Female Pelvic Medicine & Reconstructive Surgery, University of WisconsinAngela Sergeant, RN, ANP-BC - Nurse Practitioner, Advanced Pelvic Surgery, UW HealthAmanda Beal, NP - Advanced Pelvic Surgery Nurse Practitioner, UW HealthMegan Peterson, DNP, APNP, RN, WHNP - Gynecologic Oncology Nurse Practitioner, UW Hospital

(Rx .50) Hall of Ideas I

3:00 – 3:15 PMRefreshment Break


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3:15 – 5:30 PMPRECONFERENCE SESSION 2

2A Beyond Suturing Basics Jeff Kobernusz, MS, RN, APNP, ACNP-BC - Orthopedic Acute Care Nurse Practitioner, UW Health - Division of Orthopedics; Clinical Instructor, UW-Madison School of Nursing - Adult, Geriatric & Acute Care NP Cohort, DNP Program


2B APRN Preceptor Workshop (continued from 1B) Hall of Ideas E2C IUD Insertion Workshop (continued from 1C) Hall of Ideas J2D 12 Lead ECG (continued from 1D) Hall of Ideas F2E Orthopedic Exam of the Shoulder, Hip and Knee

Brian Bruno, PA-C - Physician Assistant, UW Health Sports Medicine Clinic, UW Health/University of Wisconsin Medical Foundation

(Rx .50) Hall of Ideas H

2F Topics in Long-Term Care Veronica L. Zimmer, MSN, APNP, FNP-C - Post Acute Network Nurse Practitioner, Advocate Aurora Health Nancy McClellan, MSN, GNP-CS, DNP, APNP - Health Care Provider, Optum Health Care Elaine Makarowski, RN, MS, APNP - Clinical Supervisor Long Term Care, UW Health

(Rx .75) Hall of Ideas I

6:00 pmNexplanon® TrainingPrior registration with Merck required. Dinner will be provided for those attending this training.

Friday, April 127:00 – 8:45 AMRegistration/Continental Breakfast/Exhibits - Capitol Promenade and Grand TerraceExhibit Hall open Friday only!

8:45 – 9:00 AMWelcome and Announcements, and process for obtaining CNE Credit - Ballroom AB

9:00-10:00 AMKEYNOTE ADDRESS "Health Reform: What Happened? What’s Happening? What’s Next?" - Ballroom ABDonna Friedsam, MPH - Health Policy Programs Director, University of Wisconsin Population Health Institute

CONFERENCE SCHEDULE


10:00 – 10:45 AMExhibits/Refreshment Break - Grand Terrace

10:45 AM - 12:00 PMBREAKOUT SESSION 3

3A The Medical Response to Sex Trafficking in MinorsAngela Rabbitt, DO - Associate Professor of Pediatrics, Medical College of Wisconsin

Hall of Ideas G

3B Caring for Victims of Rape – What Really Happens during and after a SANE ExamKatherine Veerhusen, MEd, BSN, RN, SANE-A, SANE-P - Forensic Nursing Program Supervisor, UnityPoint Healthy – Meriter Hospital


3C Diagnosis and Management of Acute Kidney InjuryBrenda Muth, RN, MS, ACNP - Nurse Practitioner, Transplant Nephrology Consult Service, University of Wisconsin Medical Foundation

(Rx .25) Hall of Ideas EF

3D Functional GI DisordersLisa D. Pisney, ANP - GI Nurse Practitioner, Gundersen Health

(Rx .75) Meeting Room KLOP

3E Riveting Reasons for Refocusing on Refractory DepressionCasey Gallimore, PharmD, MS - Associate Professor, University of Wisconsin-Madison School of Pharmacy

(Rx 1.25) Hall of Ideas IJ

12:00 - 1:15 PMGeneral Luncheon/Exhibits/WNA APRN Forum Business Meeting - Ballroom AB & Grand TerraceDuring Lunch, the Mary Barker APRN Scholarship winners will be announced. We welcome your participation in honoring these outstanding Advanced Practice Registered Nurse students.

2019 Scholarship Winners:• Ashley Lukes, BSN, RN• Sarah Adams, BSN, RNC-OB, C-EFM Tina Bettin, DNP, MSN, RN, FNP-BC, APNP, FAANP - President of WNA NP Forum will

also present a ‘state of the state’ on advanced practice nursing in Wisconsin. Don’t miss this important information!

12:00 - 1:15 PMWI Chapter of NAPNAP Luncheon Business Meeting - Meeting Room MNQRMembers of the WI Chapter of NAPNAP attending the conference are encouraged to attend the WI Chapter of NAPNAP Luncheon and Annual Business Meeting.

CONFERENCE SCHEDULE


1:15 - 2:30 PMBREAKOUT SESSION 4

4A Contraception Updates: Management of Bleeding Side Effects & When It's an EmergencyMary S. Landry, MD - Professor of Obstetrics and Gynecology, UW-Madison; Physician Manager, University Health ServiceMarta Staple, RN, MSN, WHNP - Women's Health Nurse Practitioner, UW-Madison University Health Services

(Rx 1.25) Hall of Ideas EF

4B Perioperative Risk Stratification & Anesthesia Basics for the InternistScott Wilson, DO - Clinical Professor, University of Wisconsin School of Medicine and Public HealthBecky MacAllister, MD - Clinical Assistant Professor of Hospital Medicine, UW Health


4C Alphabet Soup for the Diabetic Soul - GLP1 and SGLT2 EditionDaniel Wilk, PharmD - Clinical Pharmacist, SSM – Monroe ClinicJacob Keeffe, PharmD, BCACP - Clinical Pharmacist, SSM – Monroe Clinic

(Rx 1.25) Meeting Room KLOP

4D Using Antipsychotic Medications in Different Settings with Differing Adult PopulationsDebra Day, RN, APRN - Psychiatric Nurse Practitioner, WRIC Monroe and Jackson CountiesAmy Harter, APNP - Psychiatric Nurse Practitioner, Geriatric NP, La Crosse CountyBecky J. Bole, BAN, MSN, PMHNP-BC - Nurse Practitioner, La Crosse County Integrated Support and Recovery Services Outpatient Clinic


2:30 – 2:45 pmRefreshment Break - Capitol Promenade

CONFERENCE SCHEDULE


CONFERENCE SCHEDULE

2:45 - 4:00 PMBREAKOUT SESSION 5

5A Binge Drinking on College CampusesPaula Cody, MD, MPH - Medical Director of Adolescent Medicine, University of Wisconsin School of Medicine and Public Health Maria Standiford, DNP, RN, CPNP - Nurse Practitioner, UW Health

Hall of Ideas H

5B Opioid Use Disorder in PregnancyAmy E. Langenfeld, APRN, CNM - Certified Nurse Midwife, Minnesota Community Care

(Rx 1.25) Hall of Ideas G

5C New Goals for Patient Blood ManagementScott Wilson, DO - Clinical Professor, University of Wisconsin School of Medicine and Public Health


5D Atrial Fibrillation: Guideline Directed TreatmentMelissa Wendell, FNP-C, MSN - Heart Failure-Lead Nurse Practitioner, Aspirus Wausau Hospital and Aspirus Cardiology

(Rx .75) Meeting Room KLOP

5E Psychopharmacology of Eating DisordersElizabeth Hamlin, MD, MA - Medical Director, Adult Inpatient Eating Disorder Services, Rogers Memorial Hospital


4:00 – 4:15 PMBreak

4:15 - 5:30 pmBREAKOUT SESSION 6

6A Taking the Mystery out of Lyme Disease – Pediatric FocusBetsy Roth-Wojcicki, MS, CPNP-PC - Pediatric Nurse Practitioner, Rheumatology, Children's Hospital of Wisconsin/Medical College of Wisconsin


6B Vulvovaginal Disorders and TreatmentJoy Lane, PA-C - Advanced Practitioner, Pelvic Health Clinic and Vulvovaginal Disorders Specialist, SSM Health


6C The Management of Acute Heart Failure with a Successful Transition to HomeJoan Hermsen, MS, APNP, AAHFN-CB - Advanced Heart Failure & Transplant Cardiology Nurse Practitioner, UW Health


6D The Role of Palliative Care in Advanced Heart FailureRosanne Champagne, ANP-BC, APNP, ACHPN - Palliative Care Nurse Practitioner, Aurora Health Care



6E Sleep Disorders and Chaotic Schedules: Evaluating, Diagnosing, and Treating Common Sleep ConcernsJennifer Fiegel-Newlon, FNP, PMHNP, APNP, DNP - Psychiatric Mental Health Nurse Practitioner, Gundersen – St. Joseph’s Healthcare; Clinical Assistant Professor, University of Wisconsin-Madison


Saturday, April 137:00 – 8:30 AMConference Registration - Capitol Promenade

7:00-8:30 AMNetworking Breakfast, Announcements, and Raffle Drawing! - Grand Terrace

7:00 AM – 1:00 PMAPRN Research and Project Poster Display - Capitol Promenade

Support nursing research by visiting this juried display of APRN/Student APRN research and clinical projects during the breakfast and break times. Conference participants may earn .50 contact hours of CNE by indicating on the online conference evaluation which posters you viewed and/or discussed with the poster presenters.

Improving Orientation for Nurse PractitionersPresenter: Joan Hermsen, MS, APNP - Edgewood College and UW Health

Maternal Experience of Breastfeeding TeachingAmanda Veeder, RN, DNP Student, IBCLC - Clarke University

8:30 – 9:45 AMPLENARY SESSION - Ballroom AB Identification of Opioid Abuse Risk in Chronic Pain Patients (Rx 1.25)Michael McNett, MD - Medical Director for Chronic Pain, Aurora Healthcare GMS

9:45 – 10:00 AMRefreshment Break / Poster Display - Capitol Promenade

CONFERENCE SCHEDULE


CONFERENCE SCHEDULE

10:00 – 11:15 AMBREAKOUT SESSION 7

7A Health Issues for Women VeteransSandra R. Schumacher, PhD, CNM, WHNP, BC, RN - Women Veterans Program Manager, William S. Middleton Memorial Veterans Hospital and Clinics


7B Management of Acute Pulmonary Conditions in the Hospitalized PatientAlexis Waters, PA-C - Hospitalist, UW Health


7C Seizure Disorders and Antiepileptic Pharmacology in AdultsTroy Lawrence, DNP, APNP, AGPCNP-BC - Adult Epilepsy Nurse Practitioner, UW Health

(Rx 1.0) Hall of Ideas G

7D Erectile Dysfunction – Evaluation and ManagementBunmi Kumapayi, RN, MS, BC-NP - Nurse Practitioner, UW Health – Department of Urology

(Rx .50) Hall of Ideas IJ

7E Pediatric Psychopharmacology for the Primary Care Provider - ADHD & Disruptive Behavior DisordersEric Heiligenstein, MD - Consultant, Prest and Associates


11:15 – 11:30 amBreak / Poster Display - Capitol Promenade

11:30 AM - 12:45 PMBREAKOUT SESSION 8

8A Primary Care Management of Migraine HeadacheMary Beck Metzger, DNP, FNP-BC, APNP - Family Nurse Practitioner, Fort HealthCare


8B “My patient needs a line, but what kind do I order?”Deborah Roe, MS, RN, APNP, VA-BC - Hospitalist NP, Fort Hospital

Hall of Ideas H

8C Hyperlipidemia: The Ins and Outs of TreatmentMelissa Wendell, FNP-C, MSN - Heart Failure-Lead Nurse Practitioner, Aspirus Wausau Hospital and Aspirus Cardiology

(Rx 1.0) Ballroom AB

8D Pediatric Psychopharmacology for the Primary Care Provider - Mood & Anxiety DisordersEric Heiligenstein, MD - Consultant, Prest and Associates


12:45 PM Conference Closes




Spring into ActionAs We Sow the Seeds of Heart Health

MEETPEOPLE

MAKE ANIMPACT

FINDINSPIRATION

LEARN FINDANSWERS

SHARESTORIES

Join theWisconsin Heart Health Community of Practice

https://wisconsin-heart-health-cop.mn.co/landing?space_id=851221


THE APRN MODERNIZATION ACT

Goal of Legislation: The goal of the legislation is to amend Wisconsin’s Nurse Practice Act, State Statute Chapter 441, to better reflect the legal practice of Advanced Practice Nursing in Wisconsin using the agreed upon principles and terminology being adopted nationally. The new title will be Advanced Practice Registered Nurse (APRN).

Who are Advanced Practice Registered Nurses (APRN)? APRNs are Registered Nurses who have acquired, through graduate-level education, advanced clinical knowledge and skills to provide direct patient care.

There are four distinct types of Advanced Practice Registered Nurse:• Certified Nurse Midwife (CNM)• Certified Registered Nurse Anesthetist (CRNA)• Clinical Nurse Specialist (CNS)• Nurse Practitioner (NP)

What will be found in the legislative proposal? Wisconsin State Statute Chapter 441 will be modernized to reflect a national consensus model being adopted across the country.

To modernize Wisconsin State Statute 441; the following principles will be applied:• Add definition for Advanced Practice Registered Nurse (APRN).• Provide formal licensure for advanced practice registered nurses (APRN), recognizing the four

different practice roles listed above.• Repeal 441.15 – Nurse Midwife Practice Act• Repeal 441.16 – Prescription Privileges for Advanced Practice Nurses• Describes the conditions for an APRN to prescribe.• Identify the specific criteria to be licensed as an Advanced Practice Registered Nurse:

• National board certification;• Master’s degree or higher in an APRN role;• Graduated from a school of nursing with national accreditation; and• Medical malpractice insurance.

• Provide technical amendments to replace Advanced Practice Nurse Prescriber (APNP) with APRN.


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HEART DISEASE IN WI: WE CAN DO BETTER!

• 94.6 million Americans (39.7%) have a total cholesterol over 200 mg/dl (heart.org, 2017)• Someone dies from cardiovascular disease every 38 seconds (American Heart Association)

RISK FACTORS:• Combination of genetic and dietary factors• Diet high in saturated fat, trans-fat, whole fat dairy, and red meat will increase cholesterol levels.• BMI greater than 30• Sedentary lifestyle• Large waist circumference• Smoking• Diabetes• Genetic differences in lipid-metabolizing enzymes and abnormal cellular lipid receptors• Hypothyroidism• Pancreatitis• Renal nephrosis• Medications; diuretics, glucocorticoids, interferons, antiretrovirals (Huether, 2016)

WHY HYPERLIPIDEMIA MATTERS:• Major complications include atherosclerosis, chest pain, heart attack, and stroke

GOAL LAB VALUES:• Total cholesterol < 200• LDL < 100• Triglycerides < 150• HDL > 40

LIFESTYLE CHANGES:• Heart healthy diet

• Limit saturated, trans fat and cholesterol (Huether, 2016)• High fiber• Drink plenty of water

• Exercise• 150 minutes of moderate intensity exercise or 75 minutes of vigorous intensity exercise per week.

• Lose weight• Stop smoking:

• Smoking causes vasoconstriction that further narrows blood vessels.

• Associated with increased LDL and decreased HDL (Huether, 2016)

• Increase HDL by: Exercising, losing weight, consuming fish oil, limiting alcohol (Huether, 2016)

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2019 APR MONONA TERRACE · After 20+ years, this year will also be Dave’s last hurrah at our conference; he is retiring from the University. Please stop by and wish him well and

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