Neonatal Conference 2018

Originally offered 2018 at our GOLD Neonatal Conference. GOLD Neonatal provides an unique educational opportunity for healthcare professionals caring for high-risk neonates.

When working with this vulnerable population and their families, it's essential to stay up to date with the latest research and best practice guidelines in the neonatal field. Our goal is to provide evidence-based continuing education that will help bridge the gap between established protocols, practices and the rapid growth of new research

$155.00 USD
Total CE Hours: 11.50   Access Time: 8 Weeks  
Lectures in this bundle (11):
Durations: 67 mins

Christine Bishop is a neonatologist, bioethicist, medical educator, and Assistant Professor of Pediatrics at Wake Forest University School of Medicine and Brenner Children’s Hospital in Winston-Salem, NC. She founded and directs the Brenner Children’s Hospital Care Always ™ Neonatal/Perinatal Palliative Care Program that provides holistic care for infants with life-limiting and complex medical conditions. Dr. Bishop received her MD from The Ohio State University School of Medicine and Public Health and completed her pediatric residency and neonatology fellowship at the University of Texas Health Sciences Center San Antonio. She completed a Master of Arts in bioethics at the Wake Forest University Center for Bioethics, served as the lead clinical ethics consultant for Wake Forest Baptist Medical Center, chairs the Clinical Ethics Consultation Committee, and co-directs the undergraduate medical humanities course at Wake Forest University School of Medicine.

Objective 1: Describe the focus and various approaches to care involved in Neonatal and Perinatal Palliative care;

Objective 2: Summarize general pharmacologic and non-pharmacologic methods of symptom management for infants with common end-of-life symptoms;

Objective 3:Identify common ethical issues involved in neonatal/ perinatal palliative and end-of-life care.


Abstract:

Palliative care is a dynamic, multidisciplinary field of medicine that focuses on holistic care for patients with complex, serious, and life-limiting conditions. Neonatal/perinatal palliative care involves care for women pregnant with fetuses who have potentially life-limiting conditions, a holistic approach to family care and decision making, and care for infants with life-limiting or complex medical conditions. This session will discuss key aspects of neonatal/perinatal palliative care. We learn so much from our patients and families, and their stories will provide the framework as we work through important concepts in neonatal/ perinatal palliative care. Topics to be discussed include communication, shared decision making, managing uncertainty, pharmacologic and non-pharmacologic approaches to care, the role of hospice, and ethical issues involved in care of neonates at the end of life.

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Durations: 120 mins
Jodi Dolezel, BSN, RNC-NICU
The Power of Storytelling - The Human Experience in the Neonatal Intensive Care
USA Jodi Dolezel, BSN, RNC-NICU

Jodi is registered nurse with a strong passion for preemies, developmental care in the NICU, parent teaching, and education. When not at the bedside, Jodi is hard at work offering support and lending a virtual hand to parents of NICU babies through her organization Peekaboo ICU. Jodi is the president/CEO as well as a Family Support Specialist that heads up the organization’s Journey Bead Program- offering a tangible way to track, document, and celebrate milestones in the NICU. Jodi attended college in Ontario Canada where she completed her nursing degree. After college, Jodi earned a number of certification in neonatal nursing including her RNC-NIC, Developmental Care Specialist certification, and an Advanced Certification in Neonatal nursing while attending BCIT’s Bachelor of Science in Neonatal Nursing degree program. Jodi is currently working towards her Masters of Science in Nursing-Care Coordination degree through Capella University.

Objective 1: Recognize and understand the importance of family support and the human experience in the Neonatal Intensive Care (NICU);

Objective 2: Discuss strategies and ways to better integrate parents and families into routine bedside caregiving in the NICU;

Objective 3: Identify the key components necessary for providing an engaging and therapeutic educational program to families in the NICU;
Objective 4: Employ practical tools and techniques for developing the art of leading through narrative medicine;

Objective 5: Understand the importance of human connections and how positive relationships enhance job satisfaction, therefore, decreasing burnout and compassion fatigue among healthcare providers.


USA Jodi Dolezel, BSN, RNC-NICU
Abstract:

Storytelling is the foundation of the human experience and can be an extraordinarily powerful tool used to connect families and healthcare providers in the neonatal intensive care. The NICU is a fast-paced, high stress environment so it’s easy to lose site of the story, but it is the story that can make a difference, not only to the families you serve, but to you as well. It is through storytelling that a compassionate, real approach to care and medicine will bring change to the NICU experience, increase patient satisfaction, and decrease burnout and compassion fatigue. In this presentation you will learn how to develop more empathetic relationships with families on the basis of a deeper understanding of their human experience. Follow Jodi as she explores the principles of storytelling, evaluates the use of narrative medicine in NICU education, and teaches ground breaking strategies to recreate a positive and profound NICU experience through the power of human connections.

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Durations: 69 mins
Robin Glass, MS, OTR/L, IBCLC
Helping Premature Babies Learn to Breastfeed: We Can Do It!
USA Robin Glass, MS, OTR/L, IBCLC

Robin Glass, MS, OTR, IBCLC practices occupational therapy at Seattle Children's Hospital in Seattle, WA. Her clinical specialty is the treatment of infants, both as hospital inpatients and outpatients with a strong focus on feeding issues. She is NDT trained and a Board Certified Lactation Consultant, with extensive national and international experience speaking about the infant feeding. Robin holds a clinical faculty appointment at the University of Washington in the Department of Rehabilitation Medicine. She has authored numerous journal articles as well as the book with her co-author Lynn Wolf, Feeding and Swallowing Disorders in Infancy: Assessment and Management. She was a recipient of the National Association of Neonatal Therapists (NANT) Pioneer Award in 2015.

Objective 1: Describe factors that affect the premature infants' ability to learn to breastfeed;

Objective 2: Develop a systematic model for breastfeeding acquisition using evidenced-based approaches;

Objective 3: Use several methods to enhance milk transfer between mother and infant during breastfeeding.


USA Robin Glass, MS, OTR/L, IBCLC
Abstract:

Learning to breastfeed is the optimal and ideal method of feeding for any baby. For the baby born prematurely, however, there are factors related to the infant, to the environment and to the mother that can make this process more challenging. Many mother-baby dyads often leave the NICU not fully breastfeeding and continue to struggle once at home. This presentation will describe systematic, evidence based approaches to developing breastfeeding in the premature infant. It will review developmental and co-morbid factors affecting the infant’s feeding acquisition. A model pathway to develop breastfeeding will be outlined and this can serve as a template for varying NICU’s.

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Durations: 60 mins
Carolyn Lund, RN, MS, FAAN
Highlights from the Neonatal Skin Care Guideline
USA Carolyn Lund, RN, MS, FAAN

Carolyn Lund has been a Clinical Nurse Specialist in the NICU at UCSF Benioff Children's Hospital Oakland for over 30 years, and is also an Associate Clinical Professor at the University of California, San Francisco.

She has contributed to knowledge of neonatal skin care through original research in the areas of skin maturation, skin integrity and adhesive damage, and bathing. Under her leadership, the first evidence-based Neonatal Skin Care Guideline was developed and evaluated in 51 nurseries in the US in 2001. She then served as team leader on revisions of guideline in 2007 and 2013 and is currently working on the 4th revision due in 2018.

In addition to neonatal skin care, Carolyn has lectured extensively on surgical care and vascular access for neonates.

Objective 1: Describe the unique anatomic and physiologic differences in premature and newborn skin, compared to older children and adults;

Objective 2: Review evidence-based skin care in the areas of bathing and skin disinfectants;

Objective 3: Identify best practices for using medical adhesives and prevention and treatment for diaper dermatitis.


USA Carolyn Lund, RN, MS, FAAN
Abstract:

An evidence-based neonatal skin care guideline has been available since 2001, and the 4th edition of this guideline was published in 2018. The unique properties of newborn and premature infant skin places them at risk for potential toxicity and skin injury. Knowledge of these differences can inform providers about improved and safer techniques in the areas of bathing, skin disinfectants, use of medical adhesives, prevention and treatment of diaper dermatitis.

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Durations: 59 mins
Franco Carnevale, RN, PhD (Psych), PhD (Phil); Nurse, Psychologist, Clinical Ethicist(Children & Youth)
Newborns are Children too! Ethical Challenges in Neonatology
Canada Franco Carnevale, RN, PhD (Psych), PhD (Phil); Nurse, Psychologist, Clinical Ethicist(Children & Youth)

Franco A. Carnevale is a nurse, psychologist and clinical ethicist. He completed: an undergraduate nursing degree, three master's degrees (nursing, education, bioethics), and doctorate in counseling psychology at McGill University; a master’s degree in philosophy at Université de Sherbrooke and a second doctorate in moral philosophy at Université Laval. Dr. Carnevale is the founder and principal investigator for VOICE (Views On Interdisciplinary Childhood Ethics); a McGill University-based international initiative to advance knowledge and practices relating to ethical concerns in childhood. Current academic appointments include (McGill University): Full Professor, Ingram School of Nursing; Associate Member, Faculty of Medicine (Pediatrics); Adjunct Professor, Counselling Psychology; Affiliate Member, Biomedical Ethics Unit. Clinical appointments include: Associate Member, Pediatric Critical Care, Montreal Children's Hospital; Clinical Ethics Consultant, The Lighthouse, Children and Families (pediatric hospice and respite care); Clinical Ethicist, Child, Adolescent, and Family Services, Douglas Mental Health University Institute; Chair, Clinical Ethics Committee, Shriner's Hospitals for Children (Canada). Dr. Carnevale is a founding member of the Board of Directors of the World Federation of Pediatric Intensive and Critical Care Societies (WFPICCS) and founding member of the Editorial Board of Pediatric Critical Care Medicine.

Objective 1: List major ethical concerns in neonatology;

Objective 2: Describe the particular challenges involved in the care of newborns and their families that underlie these ethical concerns;

Objective 3: Discuss strategies for analyzing and reconciling these ethical concerns.

Canada Franco Carnevale, RN, PhD (Psych), PhD (Phil); Nurse, Psychologist, Clinical Ethicist(Children & Youth)
Abstract:

Advances in pediatric ethics have helped identify ethical concerns that arise in the care of children as well as strategies for addressing these concerns. Despite these important innovations, some significant ethical problems persist in neonatology, which seem rooted in particular challenges involved in the care of newborns and their families. These include concerns regarding: excessive care for infants with limited prognoses; dismissive care toward projected disability; providing palliative care; parental roles and responsibilities; inadequate pain management; cross-cultural disagreements; and moral distress among staff and parents. These tensions commonly relate to: (a) difficulties in defining infants’ best interests; (b) tensions regarding the respective decisional authority of parents and health professionals; and (c) tragic situations where all treatment options seem wrong. Strategies for analyzing and reconciling these ethical concerns will be discussed.

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Durations: 61 mins
Renee Flacking, RN, Professor
Closeness and Separation and Its Importance for Parenting and Feeding in NICUs
Sweden Renee Flacking, RN, Professor

Renée Flacking is Associate Professor and the leader for Reproductive, Infant and Child Health (RICH) at the School of Education, Health and Social Studies, Dalarna University, Sweden. Renée has a background as a Paediatric Nurse, having worked in a Neonatal Care Unit for more than 10 years. In 2007, she received her PhD in Medical Science, Uppsala University: Breastfeeding and Becoming a Mother – Influences and Experiences of Mothers of Preterm Infants. In 2009-2010 she undertook her PostDoc, conducting an ethnographic study in neonatal units in Sweden and England focusing on infant feeding and relationality. Renée has published more than 40 articles on neonatal care and is the Editor, together with Professor Fiona Dykes, for the book Ethnographic Research in Maternal and Child Health, Routledge. Renée’s main research interest is in the area of parenting and feeding in families with preterm infants focusing on emotional, relational and socio-cultural influences.

Objective 1: Describe emotional and physical effects of parent-infant closeness and separation;

Objective 2: Describe how different open-bay designs of neonatal units impact on parenting/feeding;

Objective 3: Describe how secure places /single-room designs impact on parenting/feeding.


Sweden Renee Flacking, RN, Professor
Abstract:

This presentation highlights the impact of separation and closeness on the parent and infant but also the impact of the design in neonatal units on breastfeeding/feeding and relationships. Most neonatal units across the world are designed as Open-bay units with little privacy and few means for mothers to stay in close proximity with their infants. Such units are challenging for parents and even more so in terms of breastfeeding support. With single room units, new challenges appear and hence new strategies need to be sought. Through consideration of the literature and by examples from different studies I will try to illuminate the impact of neonatal units’ design on feeding and parenting.

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Durations: 65 mins
Alice Farrow, BSc, IBCLC, Cert PPH
Back to Basics for Cleft Lip and Palate: An Overview of Strategies to Support Lactation in the Neonatal Period and Beyond
Italy Alice Farrow, BSc, IBCLC, Cert PPH

Alice Farrow is an IBCLC, writer, speaker, and infant feeding and health equity advocate. Parent of a child born with a cleft lip and palate, Alice has worked extensively, since 2006, with parents, parent organisations, cleft teams health providers and lactation specialists in order to increase awareness of the specific challenges faced by cleft affected infants and their families and to imprve access to adequate lactation support for this community.

Currently based in Rome, Italy, Alice advocates for, and teaches regularly on, the topic of breastfeeding/chestfeeding with an oral cleft via presentations, courses, articles, booklets and handouts and supports parents and professionals wordwide via their Cleft Lip and Palate Breastfeeding website and associated online support group, and in person and distance consultations.


Objective 1: Participants will be able to recognise three classes of clefts and the different expected breastfeeding/chestfeeding outcomes for each class;

Objective 2: Participants will be able to list three important tools in the lactation specialist toolbox necessary for supporting an infant born with an oral cleft;

Objective 3:Participants will be able to give examples of three barriers to breastfeeding/chestfeeding that may affect the feeding outcomes that are not directly related to the cleft.


Italy Alice Farrow, BSc, IBCLC, Cert PPH
Abstract:

A common misconception among care providers and families is that babies born with an oral cleft cannot breastfeed/chestfeed. This presentation corrects that misconception by exploring cleft types and their expected breastfeeding/chestfeeding outcomes and sharing tools that lactation specialists can use to more effectively support parents when their baby is born with a cleft lip/palate. In particular, during the neonatal period, the lactation specialist is uniquely positioned to support parents to make informed decisions about their feeding choices and create a going home care plan to help them achieve their breastfeeding/chestfeeding goals in the long term.

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Durations: 58 mins
Dr. Souvik Mitra, MD, RCPC (Affiliate)
Automated Control of Inspired Oxygen…. Is it the Future of Oxygen Therapy in Preterm Infants?
Canada Dr. Souvik Mitra, MD, RCPC (Affiliate)

Dr. Souvik Mitra is an Assistant Professor and neonatologist at the Division of Neonatal Perinatal Medicine, Department of Pediatrics, Dalhousie University, Halifax, Canada. He completed his medical school and pediatric residency from Calcutta Medical College, India. Dr Mitra went on to complete his neonatal fellowship at McMaster University, Hamilton, Canada and is currently pursuing his Masters in Clinical Epidemiology from the same institution. Cerebral oxygenation and cardiovascular physiology in premature infants are his primary clinical research interests. He also has extensive epidemiological research experience having published a number of systematic reviews and meta-analyses. He has shared his research through webinars across Canada and the United States as well as through platform presentations at various international conferences. He has special expertise in targeted neonatal echocardiography and is a member of the Pan-American Hemodynamics (TnECHO) Collaborative.

Objective 1: Participants will be able to explain the need to improve oxygen saturation targeting in premature infants;

Objective 2: Participants will be able to describe ways to improve oxygen saturation targeting through manual oxygen control;

Objective 3: Participants will be able to describe the concept, working principle, and evidence behind the use of automated oxygen control


Canada Dr. Souvik Mitra, MD, RCPC (Affiliate)
Abstract:

There is increasing evidence that optimizing time spent within targeted oxygen saturation limits improves clinical outcomes in premature infants. Recent randomized clinical trials show that preterm infants who spend more time above the target saturation range tend to have increased retinopathy of prematurity and bronchopulmonary dysplasia, while those infants who spend a considerable time below the target range tend to have more necrotizing enterocolitis and death. Hence it is imperative that we find out the best way to optimize oxygen saturation targeting in preterm infants. Education programs followed by implementation of oxygen titration guidelines for the bedside nursing staff have been shown to have some benefit. However, the ever-increasing NICU workload often makes it impossible for nurses to adhere to strict oxygen titration guidelines. Automated control of inspired oxygen may provide some respite to the nurses as this recent technology has not only been shown to reduce nursing workload but also to improve oxygen saturation targeting in preterm infants. This is an exciting new innovation which, with more refinement in technology and practice, has the potential of becoming the standard of NICU care in future.

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Durations: 75 mins
Mary Coughlin McNeil, MS, NNP, RNC-E
Touch a Life, Impact a Lifetime: The Therapeutic Value of YOU
US Mary Coughlin McNeil, MS, NNP, RNC-E

A leader in neonatal nursing, Mary Coughlin MS, NNP, RNC-E has pioneered the concept of trauma-informed care as a biologically relevant paradigm for hospitalized newborns, infants, and their families. An internationally recognized expert in the field of age-appropriate care, Ms. Coughlin has over 35 years of nursing experience beginning in the US Air Force Nurse Corp and culminating in her current role as President and Founder of Caring Essentials Collaborative. A published author of a myriad of manuscripts, chapters and textbooks, Ms. Coughlin has mentored close to 10,000 interdisciplinary NICU clinicians from over 14 countries to transform the experience of care for the hospitalized infant and family in crisis.

Objective 1: Participants will be able to define two examples of early life adversity;

Objective 2:Participants will be able to list 3 outcomes associated with toxic stress in early life;

Objective 3: Participants will be able to describe the role of socio-emotional support in modulating early life stress


US Mary Coughlin McNeil, MS, NNP, RNC-E
Abstract:

Early life adversity and the associated toxic stress literally gets under our skin and is embedded in our biology. Authentic nurturing experiences during early life, or the lack of them, are directly linked to mental health outcomes. The sense of touch plays a salient role in social relationships with important neurodevelopmental and psycho-socio-emotional outcomes. Healing presence and authenticity underlie caring actions, attitudes and behaviors. This talk will introduce the biological underpinnings of our unique therapeutic value in the clinical setting.

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Durations: 60 mins
Michael Narvey, MD, FRCPC, FAAP
Sweet and Sour: Hypoglycemia in the Newborn
Canada Michael Narvey, MD, FRCPC, FAAP

Dr. Narvey began his training in Pediatrics at the University of Manitoba in Winnipeg where he completed a year of further training in Neonatology, followed by two years of Neonatal fellowship were completed at the University of Alberta in Edmonton. Afterwards he began his career as a Neonatologist in the same city and over the 6 years he spent there, his career included both clinical and administrative duties including 4 years as the Fellowship Program Director and two years as the Medical Director for a level II unit. In late 2010 he accepted a position in Winnipeg to become the Section Head of Neonatology and continues to hold this post.

Objective 1:Review the “sweet” history of neonatal hypoglycemia;

Objective 2: Explore the definition and treatment options for low BG in the newborn;

Objective 3: Discuss strategies to appreciate the “sour” challenges in determining thresholds for investigation and management of hypoglycemia in the newborn;

Objective 4: Describe the “sweet and sour” of our recent journey of decision making with respect to neonatal hypoglycemia in Manitoba


Canada Michael Narvey, MD, FRCPC, FAAP
Abstract:

Hypoglycemia is one of the most common problems encountered by the practitioner in newborn care. How low is too low and how does the age of the patient influence these thresholds? Moreover, when a patient’s blood glucose is found to be low, what are the best steps to take in order to normalize it? This is not your usual talk on hypoglycemia but rather one that looks at the journey one center took in its quest to answer these questions. On this path we encountered some results that were definitely “sweet” and others that left a “sour” taste in our mouths. In this talk you will be follow the story of our center which produced a cautionary tale that demonstrates that you shouldn’t always believe everything you read!

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Durations: 55 mins
Amy Holmes, PharmD, BCPPS
Updates in Pharmacotherapy for NAS
USA Amy Holmes, PharmD, BCPPS

Amy Holmes has practiced as a pharmacist for 21 years with the last 9 years being focused in neonatal critical care at Novant Health Forsyth Medical Center in Winston Salem, NC. She holds degrees in pharmacy from University of North Carolina (BS) as well as the University of Maryland at Baltimore (PharmD). Amy serves as the Residency Program Director for the acute care PGY1 program at Novant Health Forsyth Medical Center. She is active in state and national pharmacy organizations including the Pediatric Pharmacy Advocacy Group (PPAG) and the American Society of Health-System Pharmacists (ASHP).

Objective 1: Participants will be able to describe etiology and presentation of neonatal abstinence syndrome;

Objective 2: Participants will be able to discuss various treatment options for neonatal abstinence syndrome;

Objective 3: Participants will be able to discuss recent literature evaluating buprenorphine as a treatment for NAS.


USA Amy Holmes, PharmD, BCPPS
Abstract:

This presentation will provide a general overview of neonatal abstinence syndrome (NAS) followed by a more detailed discussion of some of the more recently published approaches to treatment. This will include review of alternative dosing strategies for morphine as well as the use of buprenorphine for management of NAS symptoms.

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Accreditation

CMEs - Continuing Medical Education
This Enduring Material activity, has been reviewed and is acceptable for credit by the American Academy of Family Physicians. Term of approval begins 06/04/2018. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CNEs - Nursing Contact Hours
This activity has been approved by the American Nurses Association of Massachusetts. ANA Massachusetts is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. Main Conference - 11.5 contact hours

CERPs - Continuing Education Recognition Points
GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07
11.5 CERPs (8.5 R CERPs, 3 L CERPs)

If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please sent us an email to team@goldlearning.com if you have any questions.

Additional Details

Viewing Time: 8 Weeks

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