ROUNDTABLE BREAKFAST DISCUSSIONS

Enjoy a continental breakfast while meeting others with similar concerns and challenges. The roundtable discussions offer 1 hour of CE.

Tuesday, October 25, 2022, 7:00 AM - 8:00 AM
RT-01 APRN Roundtable: Being On-Call

This roundtable discussion will engage APRNs in a conversation about the legal and clinical responsibilities associated with on-call duty. We will discuss the importance of clear, structured communication during on-call encounters and appropriate documentation of the interaction. Participants will have an opportunity to share their experiences and concerns related to being on-call and discuss strategies that promote good clinical decision-making and improved patient outcomes.

RT-02 Using Virtual MAT In a Jail-to-Community Transition Program

This session will discuss a virtual Medication Assisted Treatment (MAT) program that is used in the several jailsand is integral for jail-to-community transition programs. Attendees will learn how the program was developed inclusive of sample assessment and treatment tools, MAT determination processes for long-acting injectables, tracking and reporting systems, on-site MAT injectable/oral medication procedures, on-site medical staff training, discharge tools for tracking, referral and jail-to-community processes and referral systems for continuity of care and medication consistency.

RT-03 Buprenorphine/Naloxone Microdosing Initiation in JailsWithdrawal from fentanyl has been characterized as more rapid and severe than from other opioids, leading to a higher risk of precipitated withdrawal during buprenorphine initiation. Grounded in the harm-reduction model, microdosing initiation protocols were developed to improve treatment retention and stabilization of patients due to frequent complications arising during conventional initiation protocols. This discussion will review the microdosing initiation protocol along with patient considerations and special populations.
RT-04 I Can't Sleep: The Most Common Complaint in Juvenile FacilitiesA study identified inability to sleep as the most common mental health sick call complaint in juvenile institutions in Puerto Rico over a 12-month period. This discussion will share findings, including potential correlations with any Axis 1 diagnoses. It also will summarize a literature review of pharmacological treatments and examine how the Puerto Rican patients’ pharmacological treatment “preferences” predict effectiveness.
RT-05 Resilience Through Loss, Grief, and TraumaThe COVID-19 pandemic has had a pernicious reach into the lives of people all over the world, affecting group culture and changing the way of life for billions, and wreaking havoc on medical, economic, social, political, and psychological infrastructure. Nevertheless, we have withstood the impact of this all-consuming storm, mourned the loss of life of millions, and labored to protect our own health while trying to find meaning in the aftermath and rebuild almost every aspect of our lives.
RT-06 How to Create a Jail Health Elective for Resident Physicians

Family physicians are ideally suited to provide health care in correctional settings; however, correctional medicine residency training is uncommon. In an elective jail health rotation at King County Correctional Facility, residents learn about health care in an urban county jail and gain insights into the patient experience. They see how jail health care is a link in the care continuum for medically underserved people. The roundtable will provide a framework for how this program could be replicated elsewhere and how correctional health experiential education may improve the quality of health care people receive post release.   

RT-07 Strengthening Moral Resilience in the Face of Ethical DilemmasHow many nurses are told to take a "hands off" approach to care? This is contrary to nursing education and illustrates one example of an ethical dilemma correctional nurses face daily. This roundtable will focus on evidence-based actions that nursing and correctional administrators can use to address ethical issues to increase moral resilience in staff. Using ethical principles and evidence-based practices, the audience will learn practical, interdisciplinary approaches to promote moral resilience.
RT-08 Implementing a Jail-Based Competency Restoration ProgramAs the state hospital waitlists continue to grow, there is a crisis of overpopulation of mental health patients confined in the jail system with nowhere to go. For patients deemed incompetent to stand trial, their case is at a standstill until they can be restored to competency. The introduction of a Jail Based Competency Restoration program has been a viable solution in the Harris County Jail, one of the largest detention facilities in the state. This presentation will focus on the development and implementation of Harris County's JBCR and discuss the factors contributing to its over 90% success rate.
RT-09 Looking at Litigation with an Attorney and a Medical DirectorThis discussion will provide counsel and physician perspectives in best practices to defend lawsuits. We will cover charting and documentation issues, witness and testimony concerns, as well as case valuation from two different perspectives. Attendees will see how claims and lawsuits are viewed from the different perspectives and historically how claims can be resolved.
RT- 10 Key Ingredients for Creating a Successful MAT Program

While there is an abundance of evidence encouraging the proven effectiveness of medicated-assisted treatment/medicated-assisted recovery for opioid use disorder, starting such a program can be a huge undertaking especially for a correctional facility that may not have the full support or buy in to initiate such a program. Where do we start? How can we financially pay for this? Learn the steps firsthand from correctional facilities across the country (Illinois and California) on how they began their journey in starting an MAT/MAR program along with the burdens they faced along the way.

RT- 11 Prioritizing Incarcerated Populations for COVID-19 Vaccination: How'd We Do?COVID-19 has presented a massive public health crisis and incarcerated communities have been among the most impacted. Before wide availability of vaccines, The National Academies of Science, Engineering and Medicine developed an equitable framework to guide COVID-19 vaccine allocation. This discussion will analyze how various states did and did not use the framework for vaccine prioritization in incarcerated populations.
RT- 13 Learn about Project ECHO for Democratizing Health Care ExpertiseThe mission at ECHO (Extension for Health Outcomes) is to democratize knowledge and get best practice care to the underserved, including the incarcerated. Corrections administrators are challenged with limited health care resources, high rates of infectious diseases including hepatitis C, and the epidemic of opioid addiction. ECHO is an ideal model to improve health care and provide education for medical staff and the incarcerated. The model allows for rapid learning and best-practice dissemination. Come learn more.
RT- 14 Blending Trauma-Informed Practices into the Correctional Officer's RoleUsing a trauma-informed and trauma responsive approach, Montana's "Riverside" Treatment Program had the best sucess rates in Montana's history. Attendees will learn about the implementation process, the pit falls, and ways to avoid the pitfalls of implementing a trauma-informed program into an incarcerated facility. Attendees will also learn the challanges posed by current DOC policies and how to avoid breaching them.