Conference Schedule: Saturday, October 14
8:30 am - 9:30 am
Business Meeting (NANN members only)
9:45 am - 10:45 am
Getting From There to Here: Implementation of the National Perinatal Association Standards for Psychosocial Support of NICU Parents and Staff (601) CE: 1
Marylouise Martin, MSN RNC
Psychosocial needs along the perinatal continuum have been well-documented in the scientific literature. However, specific guidelines for how to allocate limited psychosocial resources have been limited to date. Recent publication of the NPA's recommendations for psychosocial support of NICU parents is a step toward a more thoughtful, evidence-based approach to addressing this need. Although these recommendations focus on particular aspects of the NICU, they have broader applicability across the perinatal continuum. This presentation will provide information on the recent NPA recommendations. Within these recommendations are strategies for support of the NICU family and the professionals who care for them. A case example of application of the recommendations in a resource constrained NICU will be offered along with discussion of methods for implementing and sustaining positive change.
1. Identify and explain a minimum of two NPA interdisciplinary recommendations for psychosocial support of NICU parents and staff.
2. Discuss minimum of two strategies to implement NPA's interdisciplinary recommendations for psychosocial support of NICU parents and staff.
The Inter-dependence of Acid-base Balance and Blood Gas Values: Conquering ABG Interpretation (Finally!) (602) CE: 1
Sandra Bellini, APRN DNP NNP-BC
Co-Author: Mary B. Whalen, DNP APRN NNP-BC; Michele J. Beaulieu, DNP NNP-BC ARNP
The purpose of this session will be to explore the physiologic relationships and inter-dependence between acid-base balance and resultant ABG values. Concepts discussed will enhance ability to correctly interpret blood gas values. Background and Significance of the topic Blood gas values are obtained on a commonplace basis in the neonatal intensive care unit (NICU). Yet, the ability to understand the foundational concepts of the complex physiology inherent in blood gas interpretation remains elusive for many nurses. The ability to understand both cellular-level and systemic processes is necessary to the comprehension of these complex processes within the body. What will be covered? An interactive case-based learning approach will be used to assist the learner in understanding physiologic concepts of acid-base balance and their inter-dependent relationship with resultant blood gas values. Future directions: Understanding the physiology of acid-base balance and resultant blood gas values is necessary for nurses working in the NICU. Enhanced nurse knowledge and confidence with blood gas interpretation will increase nurses' empowerment as NICU team members and improve education for parents of NICU patients.
1. Discuss physiologic concepts of acid-base balance at the cellular and systemic levels.
2. Understand the concepts of complete compensation versus partial compensation in relation to physiologic compensatory mechanisms.
3. Interpret blood gas values correctly in select cases.
An Update on the Identification and Management of the Neonate with Physiologic and Non-Physiologic Jaundice. (603) CE: 1
Michele Savin, MSN NNP
Jaundice and its treatment is arguably something that nurses in the NICU must deal with every day. Decisions are made about methods and timing of screening. Once a bilirubin level is obtained whether, when, and by what method treatment should occur is negotiated. Follow up is necessitated, but again when and by what method is variable. Integral to all of this is the physiology of bilirubin creation, conjugation and elimination with its concomitant confounding variables. Understanding these factors is a core function of neonatal nursing. Looking at a chart of birthweight, gestation or hours of life, or an app online, will not fully engage the critical thinking required of the professional nurse. Once treatment is initiated, nurses make care decisions which can interfere with infant-parental bonding. This necessitates an informed discussion with parents about the natural course of jaundice, any additional areas of risk, and the ability to engage them in available care tasks for the duration of the treatment.This core physiologic review will offer nurses a refresher on bilirubin production, conjugation and elimination. It will aid them in determining if jaundice is physiologic or non-physiologic while improving the understanding of risk factors and supportive strategies. Breastfeeding, while often interrupted in the past, will be discussed both as a potential risk and benefit. Nurses will gain increased confidence in understanding how to approach the preterm infant with jaundice as well as how to interact with families to support bonding. Finally, core knowledge will be enhanced for competency assessment.
1. Describe the conjugation and elimination of bilirubin.
2. Differentiate physiologic and non-physiologic jaundice.
3. Identify and explain the difference between breastmilk and breastfeeding jaundice.
4. Name two challenges of bilirubin management in preterm infants and how these can be addressed.
5. Verbalize one way in which they have gained an increased comfort level caring for the infant and family with jaundice.
10:45 am - 11:00 am
11:00 am - 12:00 pm
2nd Annual March of Dimes Symposium: Transition to Home for the Child with Medical Complexities (801) CE: 1
This session explores challenges faced by families during their complex NICU/PICU hospitalization and as they begin to transition to home with an equipment-dependent child. We will share best-practice strategies focused on discharge education, teaching tools, community resource guides and at-home support. Identify five common experiences of families in the NICU or PICU who have a child with medical-complexities. Identify three challenges of care coordination in the transition from hospital-to-home. Describe educational and information tools which staff can use to prepare families transitioning to home.
1. Identify five common experiences of families in the NICU or PICU who have a child with medical-complexities
2. Identify three challenges of care coordination in the transition from hospital-to-home.
3. Describe educational and information tools which staff can use to prepare families transitioning to home.
Managing Transient Hypoglycemia with the Addition of Glucose Gel (802) CE: 1
Barbera Herzog Taft, NNP-BC CNS
A transient drop in the glucose level of a newborn is common. Few babies are symptomatic and usually the hypoglycemia is not persistent or associated with genetic causes. Babies at higher risk for hypoglycemia are identified using well researched risk criteria. Per the American Academy of Pediatrics (AAP), high risk babies should be assessed, monitored and treated according to their hospital guideline, order set or protocol. Although hospital protocols may vary somewhat, the common elements should include the AAP recommended level at which interventions are necessary. In the past, options for treatment included putting a baby to breast, offering formula or starting intravenous dextrose. Since the publication of the Lancet study in 2013 titled: "Dextrose Gel for Neonatal Hypoglycaemia (the Sugar Babies Study): a randomized, double-blind, placebo-controlled trial" conducted by DL Harris, PJ Weston, M Signal, JG Chase and JE Harding, glucose gel has been introduced as an adjunct to feeding a hypoglycemic baby to avert placement of a peripheral IV and potentially an admission to a Special Care or Neonatal Intensive Care Unit (NICU) that separates mother and baby.
1. Understand the importance of identifying babies at risk for hypoglycaemia.
2. Recognize which babies need to be assessed, monitored and treated for hypoglycaemia.
3. Describe the options for treatment of hypoglycemia including the use of glucose gel.
Neonatal Abstinence Syndrome: Rethinking Our Approach
Matthew Grossman, MD
Neonatal abstinence syndrome (NAS) is a growing problem in the United States. Neonates experiencing NAS often have long lengths of stay and, in some NICUs, up to 50% of beds are filled with neonates with NAS. The traditional model of care for NAS centers on pharmacologic care, which is directed by a scoring tool, most commonly the Finnegan Neonatal Abstinence Scoring System. When infants are started on medication, they are often weaned off of these medications over weeks. At Yale, we questioned all aspects of the traditional approach to NAS and have developed a new, family-centered approach that has produced significantly better results.
1. Understand the traditional approach to management of neonatal abstinence syndrome (NAS).
2. Evaluate the evidence for the traditional approach.
3. Analyze the Yale approach to NAS care.
12:15 pm - 1:15 pm
Closing General Session: Joyful Journey: The Life and Times of a Neonatal Nurse (GSIII) CE: 1
Pam Spivey, MSN APRN CCNS RN-BC
Being a nurse is AWESOME! It can also be tiring, stressful and downright exhausting. So why do we get up and go to work each day? It’s because of our passion, our purpose and our desire to make a difference. Pam will bring light and laughter to our final day of the conference as she shares her passion for neonatal nursing and discusses how you too can experience a rewarding, joyful career.
1. Discuss three strategies to ignite joy in your professional life.
2. Recognize the possibilities that are linked to your passion and your purpose.