Miami Neuro Nursing Symposium________

 
The Biltmore Hotel, Coral Gables, Florida | November 30, 2017


Overview
Nurses are a crucial part of treatment and recovery of neuroscience patients. The Neuro Nursing Symposium offers a broad curriculum focusing on state-of-the-art evidence-based practices for nursing and other healthcare professionals who treat and care for neuroscience patients. The program will address the treatment and nursing care of the neuroscience patient from the emergency department through rehabilitation. The expert faculty will educate the audience about nursing issues related to neurological complications, hypothermia, stroke, epilepsy, rehabilitation and pharmacologic management of neuroscience patients. The goal of the program is to share the most innovative and evidenced-based clinical practices that have been implemented and are available to optimize patient outcomes throughout all areas of neuroscience.


Who Should Attend
Adult and Pediatric Neurologists, Adult and Pediatric Medical Oncologists, Neurosurgeons, Neuro-Oncologists, Stroke Neurologists, Neuroradiologists, Diagnostic Radiologists, Radiation Oncologists, Critical Care Physicians, Neuro Critical Care Physicians, Emergency Medicine Physicians, Internal Medicine Physicians, Interventional Neuroradiologists, Family Physicians, General Internists, Neuropsychologists, Critical Care Nurses, Neuroscience Nurses, Neurosurgery Nurses, Nurse Practitioners, Physical Therapists, Respiratory Therapists, Dietitians, Radiology Technologists, Clinical Pharmacists, Rehabilitation and Pain Management Specialists, as well as other specialists interested in the field of neuro-oncology and neuroscience. 

 

 
 
  

Schedule_________________________

7:00 a.m. Registration, Continental Breakfast, Visit Exhibits and Abstracts
7:30 a.m. Welcome and Introductions
Jayme Strauss, MSN, R.N., MBA, SCRN and Amy K. Starosciak, Ph.D.
7:45 a.m. Cranial Nerves: Stick your Tongue Out!
Elizabeth Kim, R.N.
8:20 a.m. Complex and Hard to Diagnose Strokes
Michelle Kearney, MSN, R.N., ACNP-BC 
8:55 a.m.

Feeling the Pressure... (As in Intracranial Pressure)
Elizabeth Kim, R.N.

9:30 a.m.

Cryptogenic Stroke Clinical Pathways
Michelle Kearney, MSN, R.N., ACNP-BC

10:05 a.m. Break and Visit Exhibits and Abstracts
10:35 a.m. Introduction to Intraoperative Neurophysiological Monitoring
Kunal Patel M.S, CNIM
11:10 a.m. Acute Delirium in the Neurologically Injured Patient
Vera Bryant, ARNP
11:45 a.m. Lunch
12:45 p.m. Movement Disorders
Bruno V. Gallo, M.D.
1:20 p.m. Endovascular Update: Where Have We Come From and What Lies Ahead?
Kiffon Keigher, ACNP-BC, R.N.
1:55 p.m. Clinical Evaluation of the Acute Stroke Patient: The NIHSS and Beyond
Felipe De Los Rios La Rosa, M.D.
2:30 p.m. Aneurysm Repair: Ruptured, Unruptured and Reversal Options
Kiffon Keigher, ACNP-BC, R.N.
3:05 p.m. Break and Visit Exhibits and Abstracts
3:35 p.m. Stroke is Treatable: Update on Endovascular Therapy of Intracranial Aneurysms and Acute Ischemic Stroke
Italo Linfante, M.D.
4:10 p.m. Interventions to Improve Acute Ischemic Stroke Treatment Times
Jayme Strauss, R.N.
4:30 p.m. Poster Award Presentations and Closing Remarks
Moderator: Amy K. Starosciak, Ph.D.
​4:45 p.m. Adjourn


Schedules are subject to change.  

 

Learning Objectives_____________________
 
Cranial Nerves: Stick your Tongue Out!
Upon completion of this presentation, participants should be better able to:
● Perform an organized cranial nerve exam.
 
Complex and Hard to Diagnose Strokes
Upon completion of this presentation, participants should be better able to:
● Identify the signs and symptoms of a posterior circulation stroke.
● Apply the best work-up for hard-to-diagnose strokes.
● Implement appropriate treatments for posterior circulation strokes.

Feeling the Pressure... (As in Intracranial Pressure)
Upon completion of this presentation, participants should be better able to:
• Describe the components of intracranial hemodynamics.
• Identify signs and symptoms of increased intracranial pressure.
• Apply appropriate treatment algorithm for increased intracranial pressure.

Cryptogenic Stroke Clinical Pathways  
Upon completion of this presentation, participants should be better able to:
• Define cryptogenic stroke.
• Apply the current diagnostic testing to identify cryptogenic stroke.
• Implement appropriate interventions for cryptogenic stroke.

Introduction to Intraoperative Neurophysiological Monitoring
Upon completion of this presentation, participants should be better able to:
● Apply the basic principles of intraoperative neurophysiological monitoring.
 
Acute Delirium in the Neurologically Injured Patient
Upon completion of this presentation, participants should be better able to:
• Assess patients for acute delirium
• Identify common etiologies of delirium in neurologically injured patients
• Implement early nursing interventions to help reduce the risk of delirium in neurologically injured patients

Movement Disorders
Upon completion of this presentation, participants should be better able to:
● Identify and define the hallmark findings of Parkinson Disease. 
● Recognize the appropriate algorithm and treatment strategies for movement disorder patients.
● Identify patients who are medically refractory and good candidates for advanced therapies.
 
Endovascular Update: Where Have We Come From and What Lies Ahead?
Upon completion of this presentation, participants should be better able to:
• List at least three important turning points in stroke systems of care development.
• Explain the evolution of thrombectomy therapy.
• Name at least three important research trials that have changed the landscape of thrombectomy treatment.
 
Clinical Evaluation of the Acute Stroke Patient: The NIHSS and Beyond
Upon completion of this presentation, participants should be better able to:
● Evaluate patients with an acute ischemic stroke.
● Utilize the NIH stroke scale.
● Determine eligibility for IV tPA or endovascular treatment beyond an NIHSS cut off.
● Identify warning signs of acute complications following an acute ischemic stroke.

Aneurysm Repair: Ruptured, Unruptured and Reversal Options
Upon completion of this presentation, participants should be better able to:
• List common antiplatelet therapy for endovascular aneurysm repair.
• Describe considerations for the elective aneurysm repair patient prior to starting antiplatelet therapy.
• Describe special considerations when using antiplatelet therapy for ruptured aneurysm.
• Explain interventions and reversal options.

Stroke is Treatable: Update on Endovascular Therapy of Intracranial Aneurysms and Acute Ischemic Stroke 
Upon completion of this presentation, participants should be better able to:
● Recognize how gradual adoption of perfusion-based imaging modalities has begun to refine patient selection and improve treatment of large-vessel occlusions.
 
Interventions to Improve Acute Ischemic Stroke Treatment Times
Upon completion of this presentation, participants should be better able to:
● Implement interventions to improve outcomes for acute ischemic stroke patients.
● Identify opportunities in stroke treatment workflow to optimize treatment times and outcomes.

 

Symposium Directors____________________
 

Jayme Strauss, MSN, R.N., MBA, SCRN, is Director of neuroscience clinical and business operations at Baptist Hospital of Miami. She received her BSN from Cedar Crest College in Allentown Pennsylvania, and her MSN and MBS at Grand Canyon University in Phoenix. Jayme also is an adjunct clinical professor of Nursing at Barry University. She holds her Stroke Certified Registered Nurse.
 
 
 
  

Amy K. Starosciak, Ph.D., is supervisor of clinical research at Baptist Health Neuroscience Center and voluntary clinical assistant professor in the Department of Neurosciences at Florida International University Herbert Wertheim College of Medicine. Amy earned her Ph.D. in neuroscience at the Uniformed Services University in Bethesda, and completed postdoctoral fellowships at University of Miami and Florida International University.  She currently is a member of American Stroke Association, Society for Neuroscience, and American Association for the Advancement of Science.

 

 

Guest Faculty___________________________

 


Vera Bryant, DNP, ARNP, ACNP-BC, CNRN, SCRN, CCRN,
is an acute care nurse practitioner for the Neuro Critical Care Service Line at Baptist Hospital of Miami. As a member of the Neuro Critical Care healthcare team, she is responsible for the care of the critically ill neurologically injured patients in the Neuro ICU and the acutely ill patients in the Neuro Progressive Care Unit. Dr. Bryant received her BSN from the University of Miami, and her MSN and DNP from Saint Louis University and has over 25 years of clinical nursing experience.  

 


Felipe De Los Rios La Rosa, M.D.
, is medical director of the comprehensive stroke center at Baptist Hospital of Miami. Dr. De Los Rios La Rosa received his medical degree from Universidad Peruana Cayetano Heredia in Peru. He completed an internship in internal medicine, a residency in neurology and a neurovascular fellowship at the University of Cincinnati, where he also received a certificate in clinical and translational research. He is a Diplomate of the American Board of Psychiatry and Neurology in the specialties of neurology and vascular neurology, and a member of the American Academy of Neurology and American Stroke Association.    
 

Bruno V. Gallo, M.D.,
is director of the Parkinson and Neuromodulation Center at Baptist Health Neuroscience Center. Dr. Gallo is associate professor of neurology at Florida International University Herbert Wertheim College of Medicine. Dr. Gallo is a neurologist with over 24 years of experience. He completed innovative bench work on anticonvulsant agents during his training and has served as principal investigator and co-investigator in over 43 Phase I and Phase II clinical research trials. 
 
 

Michelle Lee Kearney, MSN, R.N., ACNP-BC,
is a nurse practitioner in stroke neurology and the stroke program at St. Thomas West Hospital in Nashville, Tennessee. She received her doctor of nursing from the University of Alabama and her masters from Vanderbilt University.   
 
 
 
 

Kiffon Keigher, ACNP-BC, R.N.,
has over 12 years of experience in neurosurgery and neuroscience nursing. She has been at Rush University Medical Center since 2003 working with the neurologically affected patient population. She worked as a neuroscience ICU nurse before starting her career as an advanced practice provider for University Neurosurgery. She holds a Bachelor of Science in Public Affairs from Indiana University, Bloomington and completed both her Bachelor and Master of Science in nursing at Rush University College of Nursing.
 
 
 

Elizabeth Kim, R.N.,
works as an advanced practice provider with the Stanford Neurocritical Care team. She cares for acute stroke patients and other neurologically critically ill patients in the intensive care unit. Elizabeth has a master’s in nursing, is board certified as an adult clinical nurse specialist, and licensed in the state of California as a clinical nurse specialist. She is currently in a post-master’s program at UCSF for adult-gerontology acute care nurse practitioner. Elizabeth maintains certification as a CCRN and is a fellow of the American Heart Association. She has served on state task forces addressing stroke legislation, national panels to develop stroke quality metrics, on the American Heart/Stroke Association’s Council on Cardiovascular and Stroke Nursing, and the Advanced Practice Provider Committee for the Neurocritical Care Society. She is also an intermittent reviewer for the Joint Commission for disease specific certificate in stroke. 
 

Italo Linfante, M.D., FAHA,
is medical director of interventional neuroradiology and endovascular neurosurgery at Baptist Health Neuroscience Center and Miami Cardiac & Vascular Institute. He is a clinical associate professor of radiology, neurology and neurosurgery at Florida International University’s Herbert Wertheim College of Medicine. Dr. Linfante is president-elect of the Society of Vascular and Interventional Neurology.
 

 

Kunal Patel M.S, CNIM
is a Supervisor for Intraoperative Neurophysiological Monitoring at Baptist Hospital of Miami for 3 years. He received his B.S from Mumbai University and M.S from South Methodist University in Dallas Texas. He has been with Baptist Hospital of Miami for 9 years and has over 16 years of experience in Intraoperative Monitoring. He is a member of the American Society of Electrodiagnostic Technologists (ASET) and American Society of Neurophysiological Monitoring (ASNM).