ISPAN 37th Annual Convention Program

April 12-13, 2019
Westin Convention Center
Tucson, Arizona

12:00 p.m. – 6:00 p.m.
CPSN Review Course
Marcia Spear DNP, ACNP-BC, CPSN, CWS

8:00 a.m. – 5:00 p.m.
ISPAN Board Meeting
8:00 a.m. – 12:00 p.m.
10:30 a.m. – 12:30 p.m.
Core Essentials of a Successful Non-Surgical Practice (at CC)
Melanie Balestra, RN, MN, NP, JD
Marie Czenko Kuechel, MA
Dawn Sagrillo, BSN, RN, CPSN
Jill K. Jones, RN, CPSN
Rebecca Anderson, PhD
Jason Pozner, MD, FACS
*NOTE: Registration is run through the ASPS

In cooperation with ISPAN: Designed for the Plastic Surgery Team
This compact and intensely robust two-hour workshop will detail, outline, and explore the basic practice components critical for the thriving non-surgical aesthetics practice. The principles and practices shared in this program will be delivered by a team of expert professionals and highly successful practitioners from this specialized discipline. Upon completion of this workshop, the practitioner will take away proven methods to enhance a new or existing non-surgical aesthetics practice

Continuing Nursing Education: This activity has been submitted to the Georgia Nurses Association for approval to award nursing contact hours. The Georgia Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
1:00 p.m. – 4:00 p.m.
Wound Care Dressing Workshop: Touch, Feel, and Learn
Facilitator: Amanda Bailey, ACNP-BC, CWS, CPSN
Kathleen M. Berry, FNP-BC; MSN, BSN, CWON, 3M
Natalie Duperreault-Rohde, BSN, RN, KCI
Karen Winn, RN, MSN - Smith & Newphew
Judy Placek, MSN
  • Identify the correct dressing and skin care products provided by 3M appropriate for different wound beds.
  • Describe the role of compression in treating LEVD/
  • Identify different dressing provided by KCI/
  • Knowledge of KCI WoundVAC and new products available for Clinical use.
  • Describe a brief overview of the indications for and appropriate use of the dressing products provided by Smith & Nephew.
  • Demonstrate appropriate application of the dressing products and Negative Pressure Devices provided by Smith & Nephew.

8:00 a.m. - 9:00 a.m.
Welcome & Formal Opening of 2011
9:10 a.m. – 10:10 a.m.
General Session I
Fundamental of Gender Reassignment (6mb)
William M. Kuzon, Jr., MD, FACS, PhD
  • To explain the clinical presentation and overall management plan for patients with gender identity disorders.
  • To discuss the surgical management of patients with male to female gender disorder.
  • To discuss the surgical management options for the management of female to male gender identity disorder.
10:10 a.m. - 10:20 a.m.
10:20 a.m. - 11:20 a.m.
General Session II
A Team Approach (37mb)
Thomas Kinney, MD, FACS
Cynthia L. Leu, BSN, RN, CPSN
Melissa Fisher, ST/SA
  • Recognize how effective "team work" can improve surgical outcomes for the patient and the physician.
11:30 a.m. - 1:00 p.m.
Roundtable Discussions & Lunches

Advances in Skin Care Treatments and Daily Care
Barbara Dugas, BS, RN, CPSN
  • Discuss the various approaches to skin care depending on condition.
  • Identify the pros and cons of the new and older products and treatments.

Fundamentals of Neurotoxins & Dermal Filler Treatments
Haley Wood, MSN, WHNP, CPSN
  • Describe the current toxins used for cosmetic purposes.
  • Recite MOA of toxins.
  • Report difference between toxins and dermal fillers.
  • Discuss types of fillers on market and on/off indications.

Limiting the Potential for Chemotherapy Induced Alopecia
Gerrie Obi, RN, CPSN
  • Describe and explain the premise of Penguin Cold Capstm
  • Explain the protocol and use of the Penguin Cold Capstm during Chemotherapy
    • before infusion
    • during infusion
    • immediately post infusion
  • Alternate choices for reducing the potential for alopecia during the course of infusion chemotherapy.

The Importance of Certification
Darlene Jumpp, BSN, RN, RNFA, CNOR, CPSN
Christine Brajkovich, BSN, CNOR, RNFA, CPSN
Jacqueline Frazee, BSN, CNOR, RNFA, CPSN
Jo Ann Garofalo, BSN, RN, CPSN
Renee Hinojosa, MSN, RN, CPSN
Sheri Levin, BSN, RN, CPSN
  • Describe how having a certification promotes patient safety and a higher level of quality patient care.
  • Discuss how certification promotes personal growth and self satisfaction.

Hot Topics
Pat Terrell, MSN, CPNP, CPSN
ISPAN Past Presidents
  • Discuss topics in the recent news concerning Plastic Surgery as a profession, Plastic Surgeons, and Plastic Surgery nurses.
  • Share thoughts regarding changes that have occurred in the Plastic Surgery working environments over the past year.

Weight Changes and Growth Patterns
Linda Duffy, RN, CPSN, CPN
  • Identify the postoperative feeding challenges following palatoplasty.
  • Identify the expected changes based on the outcome of this study

How to Get Involved with the ISPAN
Patricia McKenzie, BAS, RN, CPSN
Georgia Elmassian, M.A., RN, CPSN, CFLE
Cynthia Leu, RN, BSN, CPSN
  • Explain the value of volunteerism.
  • Discuss different venues of becoming active within their nursing specialty
1:15 p.m. – 2:15 p.m.

Emerging Trends in Laser and Light Based Therapy
Barry DiBernardo, MD, FACS
  • Recognize and distinguish the different technologies available in aesthetic treatment

Facial Defect Reconstruction Following Cancer Resection
David L. Brown MD, FACS
  • Describe and discuss various options for defect reconstruction with patients.
  • Discuss likely outcomes and complications of defect reconstruction with patients.

Fire Safety in the OR and Other Procedural Areas**
Robert B. Dybec MS, RN, CPSN, CNOR
  • Review basic fire safety information and discuss issues specific to fire safety and management in the operating room and other clinical procedural areas.
  • Discuss the planning of fire and evacuation drills in the operating room

Mastopexy Augmentation: Principles, Practice and Updates (18mb)
Laurence T. Glickman MD, MSc, FRCSC, FACS
  • Describe selection process for mastopexy augmentation.
  • Discuss complications and management of mastopexy.
  • Identify current innovations and emerging techniques in the field of breast augmentation/mastopexy.
2:25 p.m. – 3:25 p.m.

The Art of the Aesthetic Consultation
Connie M. Brennan, RN, CPSN
  • Describe "beauty".
  • Recognize the importance of the aesthetic analysis.
  • Describe how to develop an aesthetic plan

Stem Cells and Regenerative Medicine (15mb)
Geoffrey Gurtner, MD, FACS
  • Understand different types of stem cells and how they may be used clinically

TUG (Inner Thigh) Free Flap Breast Reconstruction (23mb)
Karen Horton, MD, MBc, BScH, FRCSC
  • Discuss the principal of microsurgical breast reconstruction.
  • Demonstrate the indications for TUG flap

Traumatic Facial Fractures
Kevin Kelly, MD, DDS
  • Discuss the evaluation of traumatic facial fractures.
  • Identify modalities of complex repair of traumatic facial fractures
3:30 p.m. – 6:30 p.m.
PSNCB Meeting
4:00 p.m. – 5:00 p.m.
Poster Judging
4:00 p.m. – 4:30 p.m.
4:30 p.m. – 7:00 p.m.
Supported by Paradigm Medical Communications, LLC
Noninvasive Injectables in Facial Aesthetic Therapy
7:00 p.m. – 8:30 p.m.
37th National Convention Meet & Greet Reception
Supported by Medicis

7:45 a.m. – 8:45 a.m.
General Session III
Into Proportion: Total Body Circumferential Lipectomy in Women

David Teplica, MD, MFA
Selena Forkes, RN
  • List disadvantages of standard SAL techniques for women.
  • Describe the wound healing mechanism that can be harnessed to improve outcomes in SAL.
  • Replicate the process of preop volume assessment & surface marking for total-body circumferential lipectomy.
  • Outline safety parameters for total body intervention.
  • Distinguish case with proportionate changes from those receiving localized care.
8:55 a.m. – 9:55 a.m.
General Session IV
The Importance of Patient Safety and the Administration of Anesthesia in the Plastic Surgeon's Office & Ambulatory Surgery Center**
Debra J. Faulk, MD, MS
  • To recognize the importance of appropriate patient selection for office-based or outpatient sedation.
  • To discuss the concept of sedation as a continuum and the potential for unintended deep sedation as a result.
10:00 a.m. – 10:15 a.m.
Welcoming Remarks from ASPS President
Phil Haeck, MD
10:15 a.m. – 10:30 a.m.
10:30 a.m. - 11:30 a.m.
Membership Meeting
11:40 a.m. - 12:40 p.m.
General Session V

Perioperative Nursing Care Management for the Mommy Makeover

Henry G. Wells, MD
  • List the procedures typically associated with a “Mommy Makeover”.
  • Outline critical elements of a perioperative nursing care plan for patients undergoing a “Mommy Makeover”
12:40 p.m. - 1:30 p.m.
Lunch with ISPAN Exhibitors
1:30 p.m. – 2:30 p.m.
Supported by Aventis
Volumetric Correction of the Aging Face with Poly-L-Lactic Acid (28mb)
Burke Robinson, MD., FACS
  • Understand the etiology of volume loss as it relates to the aging face.
  • Understand the proper technique and application of Poly-L-Lactic Acid (Sculptra Aesthetic) in the correction of volume loss of the face.
2:40 p.m. - 3:40 p.m.

Roles of Nurse Providers of Nonsurgical Aesthetic Care in Plastic Surgery Practices (4mb)
Susan M. Wells, MS, RN
  • Describe behaviors critical to the successful interface of the surgical and nonsurgical service lines to optimize clinical and organizational outcomes

Sorting Supplies (8mb)
Cynthia L. Leu, BSN, RN, CPSN
  • Recognize how supplies can be organized in a medical office

Patient Safety in Office Based Surgery**
Rachelle Springer, MS, ARNP, CS, CPSN, LHRM
  • Identify office surgical and patient characteristics that contribute to patient safety.
  • Identify patient factors that impact patient safety in the office based surgical setting.
  • Discuss patient safety in the physical environment of office based surgery.
  • Discuss the influence of state/federal regulatory and accreditation standards on office based surgical patient safety

Current Concepts in Thumb Reconstruction
Kevin C. Chung, MD, MS, FACS
  • Describe the indications and options for treating thumb injuries
3:50 p.m. - 4:50 p.m.

Laser Lipolysis: What Every Practitioner Should Know (22mb)
Mark Blake, MD
Sue Kunz, BS, RN, CPSN
  • Discuss the mechanism of laser lipolysis.
  • Compare different liposuction techniques and outcomes.
  • Identify the benefits and risks of laser lipolysis.
  • Discuss the pre and post operative teaching and nursing care provided

Burn Reconstruction
Brian Porshinsky, MD
  • Identify burn-related sequelae amenable to reconstruction.
  • Recognize problems in postoperative care of the burn reconstruction patient

Patient Safety in Office Based Surgery – Session II**
Rachelle Springer, MS, ARNP, CS, CPSN, LHRM

Healthy Aging: How You Age Is Now an Option (7mb)
Renee Hinojosa, MSN, RN, CPSN
  • Explain the inflammation-aging connection.
  • Discuss bio-identical hormone replacement, nutrition and fitness as it pertains to the aging process
5:00 p.m.
President's Social (by invitation)
5:30 p.m.
ISPAN Fun Run/Walk
6:30 p.m. – 7:30 p.m.
Sponsored by Life Cell
Advances in Breast Reconstruction (22mb)

6:30 a.m. – 8:00 a.m.
Breakfast Symposium
Supported by Baxter
8:00 a.m. – 9:00 a.m.
General Session VI
Adding Volume in the Face of Disease

David Teplica MD, MFA
Selene Forkes, RN
Lynda Davis, ORT
  • Identify the anatomic deformities created by HIV.
  • Recognize safety issues for patients and staff.
  • Cite the disadvantages of injectable therapies.
  • Outline an analysis and marking system for natural restoration of facial form
9:10 a.m. – 10:10 a.m.
General Session VII
Aesthetic Surgery of the Lower Face and Neck: How Anatomy, Artistry, and Advanced Techniques Make the Difference

Patrick K. Sullivan, MD, FACS
  • Demonstrate how rejuvenation of aesthetic regions of the face and neck can be accomplished in a way that gives a beautiful natural result rather than an operative appearance.
  • Discuss how teamwork is absolutely critical in providing the best patient care and in obtaining an optimal result.
10:20 a.m. – 11:20 a.m.
General Session VIII
Peri-Operative Management of Anticoagulation in the Surgical Patient***
Sean P. Kane, PharmD
  • Compare and contrast the available anticoagulants and review their pharmacological properties.
  • Provide recommendations for the pre- and post-operative anticoagulation management of surgical patients
11:30 a.m. – 2:30 p.m.
Lunch Break – Visit Exhibitors!
11:30 a.m. – 1:30 p.m.
PSN Editorial Board Meeting
2:40 p.m. – 3:40 p.m.

Toyota Production System and CRM (Crew Resource Management) Approaches for Systems Development
Mark Jewell, MD
  • Identify the application of Toyota Production System & CRM (Crew Resource Management) within a medical practice

Surgical Management of Arthritis of the Base of the Thumb (19mb)
Steven C. Haase, MD, FACS
  • To identify surgical treatment of basal joint arthritis, including: presentation, preoperative workup, surgical options, postoperative care, and long-term results

Go Team Go! Empower Your Team to Maximize the Patient Experience in the Office Setting (8mb)
Teresa Barroca, RN, MSN
  • Identify the key touch points of the patient journey in the office setting.
  • Describe how to use your staff most effectively at each pint in order to enhance patient satisfaction

Pearls and Pitfalls of Cranial Vault Remodeling
Helena Taylor, MD, PhD
Stephen Sullivan, MD, MPH
  • Identify indications for and approaches to the correction of abnormal head shapes in infants.
  • Describe intraoperative complications and how to avoid them.
3:50 p.m. – 4:50 p.m.

Service Mapping and Systems Management
Mary Lind Jewell, RPT
  • Develop operational excellence through service mapping.
  • To identify and improve operational excellence through systems management.

Traumatic Wound Reconstruction-A Truly Collaborative Approach (13mb)
Ginger Mars, CCRN, MSN, NP-c
  • Identify the members of the reconstructive team.
  • Explain the reconstructive ladder for traumatic wounds.
  • Discuss specific issues relevant to traumatic wound reconstruction.

Health Information Technology and the Electronic Medical Record: What Every Patient Care Provider Needs to Know
Paul S. Cederna, MD, FACS
Lynn Jeffers, MD
Loren S. Schechter, MD, FACS
  • Identify the critical elements of the EMR and how they can be utilized to improve patient safety.
  • Discuss the importance of medical logic modules within the EMR and how it can assist with patient care and improve patient safety.

Treating Post-operative Delirium: A Review of Antipsychotics*** (1mb)
Karen Berger, PharmD, BCPS
  • Compare and contrast the pharmacologic agents available for the treatment of post-operative delirium.
  • Review the data supporting antipsychotics for the treatment of delirium and provide a summary of recommendations.
5:15 p.m. – 5:45 p.m.

8:00 a.m. - 9:00 a.m.

Cosmetic Treatment of Spider Veins: Selecting the Appropriate Treatment Modalities
Jennifer Griffith, RN, NP-C
  • Explain how to identify the appropriate treatment of spider veins
  • Identify the anatomy of the lower extremity venous system, assessment of treatment options, different sclerosants, and injection technique.

Pressure Sores and the Inter-Professional Team (3mb)
John D. Bauer, MD
Linda G. Phillips, MD
  • Discuss the definition of definition, etiology, diagnosis and staging of pressure sores.
  • Distinguish both the preoperative and postoperative challenges which are encountered in pressure sore patients.
  • Outline the typical sites and surgeries addressed in the pressure sore patient.
  • Identify both patient centered and interprofessional strategies for preventing recurrence of pressure sores.

Pearls for a Successful Office (2mb)
Guy Williams, CMPE
  • Communicate more effectively with colleagues to make the plastic surgery practice run more efficiently and successfully.
  • Explain how federal government guidelines and other factors are impacting plastic surgery practices.
9:10 a.m. - 10:10 a.m.

Anaplastic Large Cell Lymphoma (ALCL)-Defining The Process For Management of Late-Term Periposthetic Fluid.
Mark Jewell, MD
  • Describe a process for the evaluation of periprosthetic fluid in breast implant patients.

Reconstruction of the Sarcoma Defect (6mb)
James H. Boehmler, MD
Susan M. Lamp, BSN, RN, CPSN
  • Explain the decision making process for plastic surgical reconstruction following sarcoma resection.
  • Discuss the patient education needs of the patient and family members undergoing sarcoma reconstruction.

Delivering Patient Centric Care: Fact or Fantasy
Marie Oleson, CEOP, LJCSC
  • Discuss concept of patient-centered care.
  • Review patient lifecycle and nursing communication plans per step in lifecycle.
  • Elicit patient feedback to validate care and communication program.
  • Boost team performance with 360 degree team review system.
10:20 a.m. - 11:20 a.m.
General Session IX
It’s Easy to Get Social - The Beginners Guide to Web 2.0
Alex Knezevic, BSSE, CIW, GAC
11:30 a.m. - 1:30 p.m.
Lunch Symposium
Sponsored by Merz
Facial Rejuvenation with Liquid Contourplasty
John J. Obi, MD, FACS
  • List several aesthetic effects and the anatomical changes resulting from the aging facial components.
  • Discuss various causes and changes in the aging facial anatomy.
  • Accurately assess and plan the appropriate placement of soft tissue injectables to provide a more natural looking appearance by putting the “V” shape back into the aging face.
1:45 p.m. - 2:45 p.m.
General Session X
When Bad Things Happen to Good Nurses: Discovery to Recovery (1mb)
Cynthia McDonough, RN, CPSN, CNOR, CSPDT
  • Identify the key elements of a Root Cause Analysis.
  • Identify the key elements of the Failure Mode Effects Analysis.
2:55p.m. - 3:55 p.m.
General Session XI
Correction of Rhinoplasty Deformities
Marc E. Yune, MD
Tracey Gregory, NP-C
  • Identify patients who are candidates for non surgical correction vs. surgical correction of rhinoplasty deformities.
  • Educate these patients in order to enable them to make informed decisions regarding their treatment.
4:00 p.m. - 4:10 p.m.
New Orleans Sneak Peak
4:15 p.m. -5:15 p.m.
General Session XII
Self Care in Health Care
Rebecca Anderson, PhD
  • Evaluate current levels of stress and copies through self assessment.
  • Identify one or more strategies to find balance and manage stress.
  • Participate in brief guided imagery session.
5:15 p.m.
Closing Remarks
** = Safety Credit
*** = Pharmacology Credit


P1. Communication Between Breast Cancer Patients and Their Physicians about Breast-Related Body Issues
Mallory Cohen, M3; Rebecca Anderson, PhD; Kathleen Jensik, MCW; Alonzo Walker, MD

P2. Plastic Surgery in a Publicly Funded Healthcare System, the British National Health Service Experience
Daren Edwards, RGN, ENB 264, CNS; Susie Michie, BN, RN, ENB 264, ENB N41 HDU; Lyn Selim, BSN, RN, CNS Scar Management

P3. A Holistic Retreat for Adolescent Girls Recovering from Burn Injuries
Victoria Vandenberg, RN, BS, MBA

P4. Novel Herbal Formula Superior to Petrolatum in Cutaneous Healing
Carl Thornfeldt, MD

P5. Efficacy of Natural Vitamin E Tocotrinol on the treatment of Surgical Scars
OSU Plastic Surgery