Regina Grazel is a certified perinatal advanced practice nurse with more than 30 years of neonatal nursing experience. She holds several clinical designations, including ANCC board-certified high-risk perinatal nurse, neonatal resuscitation program regional trainer, NANN neonatal developmental care specialist, and certified breastfeeding counselor. Jean is currently serving on the National Association of Neonatal Nurses (NANN) Board of Directors as the Immediate Past President having completed her term as President in October 2016. Jean is also a former president of the Delaware Valley chapter of NANN. After many years as a Perinatal Clinical Nurse Specialist in the acute care setting, she has moved into the public health arena. Jean is employed by the New Jersey Chapter of the American Academy of Pediatrics as the Program Director for the New Jersey Department of Health Critical Congenital Heart Defects Screening Program and Zika Infant Surveillance.
This presentation will review the background and importance of newborn screening with pulse oximetry to aid in the early detection of critical congenital heart defects and other serious conditions. Factors influencing implementation of the screening including legislation, advocacy efforts and recommendations by professional medical associations will be covered. Best practices for performing the screening will be reviewed as well as implications for screening in the NICU and other special populations. The results of the first statewide screening program implemented in the US will be shared to demonstrate the unique contribution of pulse oximetry in the detection of previously unrecognized CCHD.
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