Jerry G. Peers Lectureship—Gen. (Ret.) Ann Dunwoody
A Higher Standard
Gen. (Ret.) Ann Dunwoody was the first female four-star general and the former commanding general of the U.S. Army Materiel Command. She was also the keynote speaker at the AORN Global Surgical Conference & Expo’s Jerry G. Peers Lectureship yesterday afternoon. She started off by asking for a round of applause for the veterans and active duty military personnel in the audience. Then drawing on her 38 years of military service, Gen. (Ret.) Dunwoody told the crowd the “Power of You” is more than just a catch phrase, it’s a way of life.
One of the most important lessons she learned as a four-star general is that leaders never stop learning. “There’s no magic recipes for great leadership,” she stated. Gen. (Ret.) Dunwoody also reminded the audience that the perioperative profession is standards-based just like the U.S. Army; it’s up to you to not be satisfied with average standards and to always expect the highest standards. She said, “If you have a team of 'A' students, you’ll have a high-performing team.”
She shared a personal story of two separate hip replacement surgeries and how one went well and the other one did not. The main difference in her patient experience was the OR team and how they treated her through pre, intra, and post-op – one was an “A” team and the other team flunked.
“You do make a difference. Yes, you do have the power of you,” she pointedly emphasized.
She again compared military duty to working in an OR – lives are literally at stake. It was at this point she advised the audience to never walk by a mistake. “I learned this lesson from my first platoon sergeant. If you don’t correct something as simple as a soldier with his hands in his pockets, you set a new lower standard. In war, as in the OR, it can be a simple break in standard that leads to a fatality.”
Another important leadership tactic Gen. (Ret.) Dunwoody imparted was to remember you’re not invincible, so don’t try to be. She also pushed the audience think about diversity in a different way – the diversity of thought. “Most people think about diversity in terms of number – one of these, one of those – but I have discovered that the real power of diversity comes if you can get the best and brightest from all walks of life to share different perspectives to address a complex problem,” stated Gen. (Ret) Dunwoody.
She cautioned the crowd that in order to make big changes your team has to believe in what you’re asking them to do – make it their vision, too. Her parting wisdom centered on the age-old question – can women really have it all? She stressed, “Do not let society define or judge what having it all means. Only you can define what having it all means.” Gen. (Ret.) Dunwoody left yesterday’s audience inspired to never give up and never let anyone dissuade you from something you’re passionate about and always live your life to a higher standard.
Fun with the Foundation
Conference attendees got up early and stayed out late to raise funds for the AORN Foundation. Here are a few shots of Monday's Foundation-sponsored Zumba class and Boston T-Party at the House of Blues Boston. See more conference highlights in our Facebook gallery.
Simulation Activity—Mass Casualty Exercise
It’s Not a Game
They huddle around tables in groups of 10, standing over large laminated layouts of what look like departments of a hospital – emergency department, OR or PACU. They place what look like game pieces around their own boards, sometimes moving them over to another table. But this is no game to the nurses participating. They are working together in a simulation activity – one of many in the AORN Global Surgical Conference & Expo Exhibit Hall this year.
This 90-minute simulation is meant to mirror a mass-casualty incident involving a bridge collapse into the water of a 10-lane highway. The 50 people participating have been broken up randomly into groups of 10, each group responsible for a certain area: ED, OR, PACU, and off-site Ambulatory Surgery Center, and Command Center.
“They have to do things differently than they would do day-to-day, because they have such a big influx of patients,” Meg Femino, the Director of Emergency Management at Beth Israel Deaconess Medical Center, said.
She is directing the exercise today, wearing a bright-orange vest that adds a note of realism to the event. She moves the simulation along by bringing more patient cards to each table when it’s time. Each victim is represented by one of these little cards, and each card is color-coded.
“Red are very acute, yellow are urgent, and green are non-acute – broken bones, that kind of thing,” she said.
She believes exercises like these help nurses prepare for an actual event of this nature.
“They really have to think outside of the box and direct resources in a different way than they would do day-to-day,” Femino said.
If you missed the simulation event on Monday, you have two more times to participate: 9:30am and 12:30pm on Tuesday in the Exhibit Hall. Each simulation lasts 90 minutes and is limited to 50 people. No additional people can enter once capacity is reached, so it is recommended that participants arrive early if they would like to join.
Executive Leadership Summit General Session
Latest Update on the Future of Health Care
“We’re in for some massive change,” Paul Keckley, Ph.D said of the future of health care Monday morning.
His session, “Latest Update on the Future of Health Care,” was the morning general session for the Executive Leadership Summit.
Keckley, the Managing Editor of The Keckley Report, is a health care researcher and widely known industry expert. In addition to The Keckley Report, he authors a regular column for Hospitals & Health Networks and has published 3 books and over 250 articles.
A self-described “geek, a data guy,” Keckley says the health care industry is ripe for innovation and disruption.
"Who said hospitals are not responsible for affordability of care?" he asked.
He believes the “mark-it-up, pass-it-through” system of pricing health care is in its last days. He added that, "[People] can't afford the way it was.”
Keckley says in the future, we are going to pay less attention to how caregivers got the case done and more about the outcome of the patient. He believes the new world of health care is having doctors paid based on results and releasing those results to the public, leading to better overall patient care.
"We don't get paid to manage care - we get paid to do piece work. That works if you ‘mark it up and pass it through," he said. "‘Mark it up, pass it through’ - this is why our system is busted.”
More than 20,000 start-ups have started companies to share this information with the public, Keckley says, he believes people with money are placing their bets, and technology will disrupt the “mark-it-up, pass-it-through” system.
"The way Microsoft thinks about health care isn't the way we thought about health care at Vanderbilt,” he said.
He told those in attendance they had the power to move health care forward in their own ORs, telling them to challenge the organizations they work for to speak up on how caring for patients is done.
"Do you realize how important you are to solving this problem?" Keckley said of the power nurses hold when it comes to the future of health care. "You're an influence - leverage that influence.”
Individual Award Winners
Congratulations to our Individual Award Winners. They were presented during the Jerry G. Peers Lectureship yesterday afternoon.
Outstanding Achievement in Mentorship
Pat Mews, MHA, RN, CNOR
in Volunteer Leadership
Sheryl Eder, MSN, RN, CNOR, CRCST
Promising Professional Achievement
Jennifer Federico, BSN, RN, CNOR
Jerry G. Peers Distinguished Service Award
Lisa Wyant, AORN
AORN Journal Writers Contest Awards
Congratulations to the winners of the AORN Journal Writers Contest Awards. The winners were announced yesterday afternoon during the award ceremony at the Jerry G. Peers Lectureship. The following authors were able to join us on stage: Erin Bauer, Jennifer Fencl, Sat Gupta, and Rebecca Lee. Thank you to all who participated. Below are the 2016 winners:
- From the March 2016 issue: Pressure Ulcers: Factors Contributing to Their Development in the OR: Dawn Engels, MSN, RN, CNS, CWOCN, CWCN-AP, Melody Austin, BSN, RN, CWOCN, Laurie McNichol, MSN, RN, CNS, GNP, CWOCN, CWON-AP, Jennifer Fencl, DNP, RN, CNS-BC, CNOR, Sat Gupta, PhD, Haseeb Kazi, MD.
- From the October 2016 issue: Big Data and Perioperative Nursing: Bonnie L. Westra, PhD, RN, FAAN, FACMI, Jessica J. Peterson, PhD-C, RN, CRNA.
- From the December 2016 issue: Preoperative Screening for Sleep-Disordered Breathing in Children: A Systematic Literature Review: Erin E. Bauer, DNP, CRNA, Rebecca Lee, DNP, CRNA, Yasmine N. Campbell, DNP, CRNA.
AORN Go Clear Awards
Congratulations to the AORN Go Clear Award recipients. These five facilities received the Gold Award for their surgical smoke-free efforts during the Jerry G. Peers Lectureship on Monday afternoon.
- Jeff Belcher - Centennial Hills Hospital
- Chris Peredney - CHI Franciscan
- Vangie Dennis - The Emory Clinics
- Brenda Larkin, Aurora Lakeland Medical Center and Aurora Health Center Southern Lakes
AORN Foundation Silent Auction Item Pick Up Today
Thank you to everyone who bid on items at the Silent Auction. If you received notification that you were the high bidder on any items, please go to room 254 between 11:30am and 2:30pm to claim them. High bidders are responsible for shipping and can stop by the Mail Home Center in room 151.
AORN Foundation Day
Today is AORN Foundation Day – a time to reflect on education, giving and to help the Foundation continue to support the nurses who make surgery safe. Each year, we encourage attendees to stop by the Foundation booth to say hello to staff and make their donation. Please also remember to join us for the AORN Foundation General Session as we hear Marshall Goldsmith speak and announce our 2017 Outstanding Nurse Philanthropist Award recipient.
Doubled Donations for Certified Nurses
Through Wednesday, CCI will match any donation made by or in honor of a CNOR®, CRNFA®, CSSM® or CNS-CP® certified nurse up to $10,000. Stop by the Foundation booth and double your donation.
Steps to Health Winner
Congratulations to the AORN Foundation’s Steps to Health Challenge winner for Monday, April 3. The highest stepper was Stefanie Sorrentino with 37,352 steps! It’s not too late to sign up at the AORN Foundation booth in the North Lobby if you’d like to participate.
AORN Foundation Grant Recipients Meet Their Sponsors
Some of the AORN Global Surgical Conference & Expo Grant recipients were able to meet their sponsors and thank them in person. Stryker and Sage Products were two companies that sponsored nurses to attend this amazing conference. Thank you to all of the sponsors who helped make dreams come true.
Exhibit Hall Open
AORN Congress – Voting for Candidates
ENDS AT MIDNIGHT
Online & North Lobby
AORN Congress - Second Forum
with Education: Bariatric Patient Resources for Safe Care
AORN Foundation General Session
Marshall Goldsmith, Ph.D.
- AORN provides attendees with concession vouchers that can be used in the exhibit hall on Monday and Tuesday.
- Everyone will get the same Expo bag. Tie something to yours that makes it easy to identify, like a bandanna or ribbon.
- Additional food and drink options are only steps away at the Westin Boston Waterfront, including Sauciety, Birch Bar, City Bar, MJ O’Connor’s, and Starbucks.
Come visit us at the AORN Central Theater - Booth #1500.
Here’s what’s happening today:
- Guideline Essentials – Translate Evidence into Practice™ - 9am
- Stop Smoking in the OR - The AORN Go Clear Award - 9:30am
- What’s New with Periop 101 - 10am
- How to Make Your ASC Better - 11am
- How Do You Learn Best? The Key to CNOR Exam Success - 12pm
- AORN Online Community Demo - 1pm