Association of Advanced Practice Psychiatric Nurses
Advancing your practice, your career, and our community.

“Solutions for Today’s Challenges in Advanced Practice Psychiatric Nursing”

Saturday, March 30, 2019
8:30 a.m.-5:00 p.m.
Bastyr University, Kenmore, WA

Online registration is closed.
To register by phone, please call 360-920-7283.
You can also register at the door.

CEs: 6.25, including 4.75 toward pharmacotherapeutic CE requirement.

Join your friends and colleagues for the AAPPN’s 2019 annual conference on the beautiful campus of Bastyr University in Kenmore, WA. Driving directions and campus map

Explore the full spectrum of treatment considerations and modalities that psychiatric nurse practitioners utilize to treat clients optimally. Sessions will offer new information, research support, methods, and tools.

Participants will examine the impact of marijuana on mental health, mind/body wellness techniques, self-care strategies, and ethical considerations in psychopharmacology. We will also enjoy an interactive session on political and practice issues affecting the profession.

Be sure to stay after the conference for our Member Reception, with award presentations, door prizes, refreshments, and more.

Conference Presentations

“Marijuana Psychosis” with Richard Granese, MD, MBA

Roughly 55 million Americans (15%) admit to using marijuana on a consistent basis. Marijuana usage poses a significant health concern to vulnerable individuals. This impacts treatment by healthcare providers.  

Clinicians should have a better understanding of the long term effects of chronic use of marijuana. Mental Health clinicians especially should be aware of the psychiatric effects of using marijuana, including predisposition to psychotic disorders and other morbidities.

Richard Granese will provide an in-depth examination of marijuana psychosis. This session will include:

  • Updates on common psychiatric conditions involving marijuana use;
  • Examination of marijuana and psychosis; and
  • Effective treatments for marijuana psychosis.

Learning outcomes:

  1. Identify symptoms of marijuana psychosis.
  2. Discuss potential diagnostics differentials for marijuana psychosis.
  3. Effectively utilize three treatments for marijuana psychosis.

About the Speaker:

Richard Granese, MD, MBA, is a board-certified psychiatrist. He co-founded and serves as Medical Director for A Mission for Michael, a premier resource for treatment of Bipolar Disorder, Schizophrenia, Depression and Schizoaffective Disorder.

Richard teaches Nurse Practitioner students from Walden University and Cal State—San Marcos. He also serves as Assembly Representative for California for the American Psychiatric Association and Chair of the Substance Use Disorder for California Psychiatric Association.

“Nursing Commission Update: What Do You Need to Know?” Q&A with Donna Poole, MSN, ARNP, PMHCNS-BC

A unique opportunity to bring your questions to discuss with Donna Poole, who is in her second term on the Nursing Care Quality Assurance Commission. This is an open-ended, Q&A session to discuss questions in our practice. Topics include:

  • “Snapshot” of ARNPs in Washington State with emphasis on the Psychiatric Mental Health ARNP
  • The Disciplinary Process with emphasis on the Psychiatric Mental Health ARNP
  • Brief update of the Advance Practice Nurse Compact and License reciprocity
  • Newly updated Medical Marijuana (Cannabis) Authorization Guidelines

Other Advanced Practice Issues:

  • New Opioid Rules
  • CMS rules restricting access to care for Medicaid & Medicare patients

What are the issues that impact your practice? Bring your questions and hear from your colleagues.

Learning outcomes:

  1. Compare and contrast Washington PMHP Advance Practice nurses with other Advanced Practice Nurses
  2. Describe the current status of the Advanced Practice Nurse Compact
  3. Discuss other issues that affect the current practice of Advanced Practice Nurses in Washington State

About the speaker:

Donna L Poole, MSN, ARNP, PMHCNS-BC, works part-time at FQHC within an integrated primary care and behavioral health setting, and one day a week as the psychiatric provider at the Port Gamble S’Klallam Tribe. She has extensive experience providing direct mental health treatment services as well as psychiatric consultation-liaison services. She is a past president of AAPPN and WSNA. She is serving her second full term as a gubernatorial-appointed Commissioner on the Washington State Nursing Care Quality Assurance Commission.

“Ethical Decision Making in Prescribing Dilemmas” with Barbara Limandri, PhD, PMHNP, BC

Although legal aspects of advanced practice prescribing are commonly discussed, we rarely examine the ethical reasoning process in analyzing psychopharmacological interventions in nursing.

Using case studies, Barbara Limandri will describe a process for ethical reasoning of issues that arise in prescribing in psychiatric nursing practice.

Examples of ethical issues include (but not limited to):

  • Recognizing dual relationships and boundary limitations/extensions;
  • Addressing a colleague who you believe is skirting ethical limits;
  • Understanding the nuances of conflict of interest; and
  • Reasoning through off-label use of medications.

Although there is no one right answer to ethical issues, it is necessary to have a well-reasoned framework to assist when faced with ethical dilemmas.

Learning outcomes:

  1. Describe common ethical dilemma in advanced practice psychopharmacological interventions.
  2. Discuss steps in ethical reasoning of clinical situations in psychiatric nursing.
  3. Apply ethical reasoning process in examining selected case studies.

About the Speaker:

Barbara Limandri, PhD, PMHNP, BC, is Professor Emerita at Linfield College in Portland, OR. Her teaching career spanned both the Good Samaritan School of Nursing at Linfield, and as an Assistant and Full Professor of Nursing at Oregon Health and Science University.

Barbara also worked as a Psychiatric Mental Health Nurse Practitioner with the Portland Dialectical Behavior Therapy Institute.

“Grace, Grit and Gratitude: Finding Ikigai: Our Reason for Being” with Gretchen Schodde, MN, ARNP, FNP-BC, NC-BC

Components of Ikigai are “that which you love, that which you are good at, that which the world needs, and that which you can be paid for.” It brings together one’s passion, mission, profession, and vocation. 

Gretchen Schodde will share the story of how she found her Ikigai—her calling to service at Harmony Hill—through the mountains of her life. She will include examples of things to be on the lookout for as one discerns their Ikigai.

Components of the “Blue Zones” will be described, including diet, exercise, and community (called Moai.) She will tell stories of participants rediscovering a new Ikigai in the Harmony Hill Cancer program.

Data from the short form of a validated tool, The Integrative Health and Wellness Assessment, will demonstrate increased awareness of well-being.

Nurse burnout and the need for practices of extreme self-care will be briefly discussed. The conclusion will include examples of Innovative/Integrative Health Care Practices based on nurse clinicians finding their Ikigai.

Learning outcomes:

  1. Describe Ikigai’s components for a life of well-being.
  2. Describe “Blue Zones” key elements of healing living for a long and meaningful life.
  3. Describe the use of the Integrative Health and Wellness Assessment (IHWA) evaluation tool in the care of Harmony Hill’s Cancer Retreat participants.

About the Speaker:

Gretchen Schodde, MN, ARNP, FNP-BC, NC-BC, serves as Founder and Executive Director Emerita at Harmony Hill in Union, WA. She is an Associate Faculty member for International Nurse Coach Association. She served for more than 20 years on the Clinical Faculty of the UW School of Nursing Bio Behavioral Health Systems.

Gretchen is a long-time leader with AAPPN. The association’s highest award, the Gretchen Schodde Lifetime Achievement Award, is named in her honor.

CEs: This continuing nursing education activity was approved by Oregon Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Approval valid through 3/30/2021

OCEAN ID #2019-12

Registration Info

Online registration is closed. To register by phone, please call 360-920-7283. You can also register at the door.

  • Members – $230
  • Student Members – $150
  • Nonmembers – $280
  • Nonmember students – $200

Fees include all materials, refreshments, CEs, and a delicious, organic lunch!

Refund Policy
Balance minus $35 processing fee refundable until March 15. After March 15, refund minus processing fee as a coupon for a future AAPPN event.

Additional Information

Post-Conference Reception: Come celebrate your community at the Member Reception and Awards Ceremony immediately following the conference.

Support the Lois Price Spratlen Foundation

At the post-conference reception, be sure to take part in the raffle to support the Lois Price Spratlen Foundation. Prizes are a getaway retreat on Lummi Island and a relaxing stay at Lake Chelan. Raffle ticket sales will be matched 100% by the LPSF Foundation up to $2,000!