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Conference Schedule: Friday, October 19

NANN's conference continues with sessions on physical assessment, neonatal abstinence syndrome, and neonatal skincare.

 

8:00 am - 9:00 am

Breakfast Snack in Exhibit Hall


9:00 am - 10:00 am

Premature Birth and Neonatal Illness May Contribute to Childhood and Adult Kidney Disease (201) CE: 1

Bobby Bellflower, NNP-BC

In the past 30 years there has been an increase in the prevalence of chronic kidney disease from 12 to 14 percent. Based on recent literature, a low nephron count in the kidney may contribute to an increase in chronic kidney disease and hypertension in childhood and adulthood. Several factors in the fetus and preterm infant may contribute to a low nephron endowment including prematurity, intrauterine growth development, maternal diabetes, and exposure to maternal medications. Acute renal injury may contribute to the loss of nephrons. By understanding the factors associated with low nephron endowment, we may be able to educate families and long term follow-up providers on how to monitor and identify signs of chronic kidney disease and slow the progression of the disease.

Learning Objectives:

  1. Identify causes of low nephron endowment.
  2. Analyze risk factors for childhood and adult chronic kidney disease.
  3. Discuss lifelong implications of prematurity on kidney disease.

9:00 am - 10:00 am

Fundamentals of NICU Surgical Nursing: Tracheoesophageal Fistula and Esophageal Atresia (202) CE: 1

Tamara Meeker, MSN NNP-BC CRNP

TEF/EA is a relatively rare diagnosis requiring astute nursing assessments and expert clinical management by both the medical and surgical teams to optimize patient outcomes. Adding to and reinforcing the knowledge base of NICU clinicians is one way to ensure this. Parents will need ongoing teaching, reinforcement and detailed discharge teaching that the NICU nurse and practitioner are perfectly poised to do.

Learning Objectives:

  1. Explain the embryology and pathophysiology leading to TEF/EA including pregnancy and neonatal presentations.
  2. Define primary repair versus staged/delayed repair of TEF/EA including rationales for each.
  3. Discuss the importance of maintaining post-operative tubes and drains in the infant with TEF/EA.
  4. Identify common post-operative outcomes related to surgical repair of TEF/EA.

9:00 am - 10:00 am

Advocacy Session: The Role of the Neonatal Nurse in Public Policy and Advocacy (203) CE: 1

Christine Murphy, Director of Public Policy and Advocacy - National League for Nursing

This session will provide NANN Annual Conference attendees an overview of the nursing and health related policy issues Congress will be working on for the remainder of 2018. The session will also discuss how the 2018 elections at the federal level will impact issues related to the nursing profession.

Learning Objectives:

  1. Identify and explain the policy issues facing Congress for the remainder of 2018.
  2. Describe the impact of the 2018 election cycle on nursing and health issues in the 116th Congress (2019-2020).
  3. Identify policy and advocacy resources session attendees can use to influence the policy making process.

9:00 am - 10:00 am

3rd Annual March of Dimes Presentation: Talking About My Generation (211) CE: 1

Heather Lyman, BSN RN CCRN

Never before have so many generations of nurses worked together in the workplace, each with their own unique strengths and challenges. This interactive session, with a group breakout activity based on age/generation, will provide tips for leveraging strengths and communicating with all generations.

Learning Objectives:

  1. Examine various forms of communication and messaging used in hospital.
  2. Identify strategies for overcoming communication challenges related to multi generational workforce.
  3. Explore the challenges and benefits of social media in a healthcare setting.

11:00 am - 12:00 pm

General Session II: The Surprising Value of a Physical Assessment in the Age of Technology (GSII) CE: 1

Janelle Aby, MD

Amid the rapid expansion of technology in medicine, physical assessments can seem old-fashioned and even useless. Why bother looking at or listening to the baby when there are multiple tests or studies that can be ordered?  This session will focus on the benefits of a careful physical assessment and will highlight some specific physical findings that could dramatically alter management decisions.


12:00 pm - 2:00 pm

Lunch in Exhibit Hall


 

 


2:00 pm - 4:00 pm

Neonatal Abstinence Syndrome (204) CE: 2

This session will consist of four presentations on Neonatal Abstinence Syndrome (NAS)

Blasting off: The NASA Initiative at Tucson Medical Center (Neonatal Abstinence Syndrome Annex)

Elizabeth Burcin, RNC-NIC MS
Co-Author: Cami Barr, BSN RNC-NIC

In Arizona, according to the AZ Department of Health Services (2015), the rate of NAS increased 237% from 2008-2014, and newborns exposed to narcotics rose 218% since 2008. All states have been seeing large increases in the numbers of infants diagnosed with NAS. Our initiative can assist others who are looking for innovative ways to handle these infants and families.

Learning Objectives:

  1. Describe TMC’s Neonatal Abstinence Syndrome Annex initiative.
  2. Explain the management of optimal treatment for infants in the NICU.
  3. Interpret the standard work document for NASA.

Better Bottoms: Using an Evidence-Based Protocol to Prevent and Manage Diaper Dermatitis for Infants with NAS

Terrie Lockridge, MSN RNC

Diaper dermatitis is a potentially painful condition that can be avoided or minimized by consistent use of appropriate skin care practices and barrier products. Effective preventive strategies are especially indicated for populations at risk, such as infants with NAS.

Learning Objectives:

  1. Describe the structure and function of newborn skin, as well as the etiology of perineal skin breakdown.
  2. Examine the appropriate use of barrier products in the prevention and management of diaper dermatitis.
  3. Discuss the development and implementation of an evidence-based protocol to prevent and minimize diaper dermatitis.

Factors Associated with Use of Neonatal Medication-Assisted Treatment, Hospital Length of Stay, and Hospital Cost among Neonates Born to Opioid Dependent Mothers

Lisa Scott, MSN NNP-BC RN

A growing number of infants are experiencing NAS and the resources needed for both short and long term complications are extensive. The immediate outcomes of this study will be to determine correlations between factors which may impact initiation of medication, hospital length of stay and hospital costs.

Learning Objectives:

  1. Evaluate the impact of mediating and moderating factors which may increase risk and severity of NAS and incorporate this into routine assessment of opioid exposed infants.
  2. Critique and apply the study findings in order to formulate and implement acceptable treatment strategies for infants with NAS.

National Epidemic of Neonatal Drug Exposure

Sandra Sundquist-Beauman, MSN RNC-NIC

Recently, the abuse of opioids has prompted a declaration of a national public health emergency. The effects infants in the care of neonatal nurses and requires that providers be current in this area.

Learning Objectives:

  1. Discuss the incidence of drug exposure during pregnancy and NAS.
  2. Classify substances of abuse in our current environment.
  3. Identify specific signs of withdrawal in the neonate.

 


2:00 pm - 4:00 pm

A Risk-based Approach to Early-onset Sepsis: To Treat or Not to Treat (205) CE: 2

Linda  A. Wynsma, RNC-NIC MSN CNS
Mandhir Gupta, MD
Arlene Pilarca, RNC-MNN
Julie Chen, PharmD BCPS

Early-onset sepsis impacts approximately 3,300 infants in the United States annually. This session will address the identification of this disorder and how it can be effectively managed using a risk-based approach. In addition, Antibiotic Stewardship in the NICU will be discussed.

Learning Objectives:

  1. Identify risk factors and signs and symptoms of early-onset sepsis in the neonate.
  2. Discuss the development and use of the Kaiser Permanente Early-onset Sepsis Calculator.
  3. Identify two strategies to implement the Early-onset Sepsis Calculator in a community facility.
  4. Define Antibiotic Stewardship as it relates to the NICU.
  5. Identify the impact of the Early-onset Sepsis Calculator and Antibiotic Stewardship on the use of antibiotics in a Level III NICU and health care system.

 

2:00 pm - 4:00 pm

Life after the NICU: It's Not What You Think (206) CE: 2

Karin Mitchell, MA CCC-SLP CNT CLE
Mindy Morris, DNP NNP-BC CNS
Ginny Shaffer, Parent Navigator - NICU

Research demonstrates growth failure is associated with poor neurodevelopmental outcomes and the current rate of growth failure for the VLBW infant is 50%. Research also demonstrates that we have the knowledge and tools to reduce growth failure and thereby improve neurodevelopmental outcomes. Consistent application of essential processes and tools throughout the NICU experience is essential in reducing growth failure.

Learning Objectives:

  1. Identify three minor morbidities commonly seen in extremely preterm infants.
  2. Classify three care practice strategies to implement in the NICU to reduce the occurrence or impact of minor morbidities.
  3. Consider the parent perspective of the long-term impact of the NICU on the lives of the infant and their families.

 

4:00 pm - 4:15 pm

Break


4:15 pm - 5:15 pm

The Nurse Narrative (207) CE: 1

Lorraine Dickey, MD MBA

Information coming soon.


4:15 pm - 5:15 pm

Classify three care practice strategies to implement in the NICU to reduce the occurrence or impact of minor morbidities. (208) CE: 1

Frances Strodtbeck, FAAN NNP-BC PHD RN
Co-Author: Leah Seehusen, BS, Pharmacist

Parenteral nutrition-associated liver disease (PNALD) is becoming more common in NICUs as a consequence of diseases such as necrotizing enterocolitis. There are a number of risk factors for PNALD including the type of intravenous lipids used in total parenteral nutrition. Each product has advantages and disadvantages based on available research that should be incorporated into the management plans of NNPs.

Learning Objectives:

  1. Discuss the problem of parenteral nutrition-associated liver disease in the NICU.
  2. Identify the pros and cons of the available intravenous lipids products in the prevention of parenteral nutrition-associated liver disease.

4:15 pm - 5:15 pm

Managing the Patient with Persistent Pulmonary Hypertension of the newborn (PPHN) at the Bedside: Risk factors, Pathophysiology and Treatment Strategies to Optimize Outcomes. (209) CE: 1

Mary Whalen, DNP ARNP NNP-BC
Co-Authors: Michele  J. Beaulieu, DNP NNP-BC, ARNP; Sandra L. Bellini, DNP APRN NNP-BC CNE

A clear understanding of the pathophysiology of PPHN is important not only to the understanding of this disease and the treatment benefits, but also the potential risks for worsening disease if the infant does not respond to treatment (Spillers, J. (2010). Complex nursing management of infants with PPHN requires a balance of pharmacologic and developmentally supportive care measures based on the latest evidence (Gomella 2013).

Learning Objectives:

  1. Compare and contrast fetal, transitional and neonatal circulation with that of the infant with PPHN.
  2. Evaluate the current evidence associated with best outcomes for the infant with PPHN.
  3. Define pharmacologic and non-pharmacologic treatment options for the infant with PPHN.

5:15 pm - 5:30 pm

Break


5:30 pm - 6:30 pm

Bonus General Session