|
 |
The Neonatal Community: Creating the Silver Lining
NANN 25th Annual Educational Conference
September 23-26, 2009
Austin, TX
|
|
| Friday, September 25, 2009 |
| 7-7:45am |
Author Attended Posters
Stop by the poster display to study the posters and talk with the presenters. |
| 8-9am |
Business Meeting with Continental Breakfast
All registrants are encouraged to attend the NANN Annual Business Meeting. President Lori Armstrong and other NANN leaders will report on NANN's many accomplishments of the last year. |
9:15-10:15am
1.0 CNE |
Concurrent Sessions
(301) Improving Medication Safety One Nurse at a Time
Robin Clifton-Koeppel, MS RNC-NIC CPNP CNS
Recent national events involving medication errors in the NICU have highlighted the urgency for safer medication systems and processes. Technology advances alone are not the complete answer to medication safety in the NICU. This presentation will focus on the "human" aspect of medication errors, using specific case examples to illustrate how errors occur in the NICU, and suggested prevention methods. Steps to create a safety culture in the NICU, methods to reduce distractions and using actual and "near miss" errors as learning tools will be discussed and illustrated.
(302) Why, How, Who and When? Empowering APNs for Professional and Political Involvement
Suzanne L. Staebler, MSN RN NNP-BC
Many APNs wonder if there is value to belonging to professional organizations or their specialty association or being politically involved; others desire to be involved but don't' know how to get started. This session will guide APNs on the importance in "belonging" to their specialty association and gaining knowledge of the political and legislative actions effecting APN practice at the state and national levels. Participants will leave the session with a "PPI Toolbox" full of strategies to promote Neonatal Advance Practice Nursing.
(303) Challenges of Neonatal Transport - Accreditation, Safety and Beyond
Webra Price Douglas, PhD CRNP; Renee Taylor, NNP APRN
This presentation will provide a brief overview of three topics, all with safety ramifications. 1). The Commission on Accreditation of Medical Transport System (CAMTS) process will be described and additional resources for accreditation will be discussed. Is accreditation beneficial for your program? 2). An excellent transport nurse is more than just a clinically competent and friendly nurse, what else do you need? 3). When requested to move multiples, the question often arises, will you take two in one isolette? Issues include: equipment, monitoring, logistics, staffing, safety and liability. Information on how to consider these questions and issues, within an evidence base model, will be provided.
(304) Initiation of an Evidence-Based Feeding Bundle
Brenda S. Walker, MSN RNC
Infant feeding success is not merely a reflection of gestational and physiologic maturity or the ability of the infant to grow and develop when nutritional goals have been met. Poor feeding outcomes can be influenced by the feeding approach and plan. Successful feeding is contingent on a positive feeding relationship that begins shortly after birth regardless of gestational age. Evidence mandates that healthcare providers reevaluate historical feeding methods and define new approaches to feeding that are individualized, consistent, and developmentally supportive. Review of the evidence allows identification of specific strategies that can be applied to promote feeding success. This concurrent session will discuss a multidisciplinary evidence-based review of neonatal feeding, creation of a feeding bundle, initiation of the bundle, and evaluation of bundle elements.
(305) So How Do You Know It Hurts? Evidence Based Assessment and Management Practices
Sharyn Gibbins, PhD NNP
Tremendous advances have been made in pain assessment over the past quarter century. However, assessing pain in newborns remains one of the most difficult challenges facing clinicians, researchers and parents. Assessment is fundamental for effective and safe pain management. Without accurate, reliable and valid pain assessments, infants are at risk for inadequate, inappropriate or poorly timed relief of their pain. This session will define pain and identify inherent difficulties with its current definition. Indicators of pain, examination of existing pain tools and barriers to pain assessment will be explored. Conference participants will participate in pain assessment activities using case scenarios and vignettes and engage in discussions of appropriate pain management strategies.
|
| |
11am-Noon
1.0 CNE
|
General Session
After 25 Years of Ethical Conflicts in Neonatal Nursing-Have We Reached Any Conclusions?
Anita Catlin, DNSc FNP FAAN; Joy Hinson Penticuff, PhD RN FAAN
In this session two nurse ethicists will speak on the dilemmas neonatal nurses have faced over the past 25 years. They will discuss dilemmas that began when ventilators and artificial nutrition were developed. They will review the pendulum swings of decision making from physician-centered to family-centered to collaborative decision making and the difficulties of each method. They will identify complex beginnings of developing palliative care for infants born with life-limiting conditions. Recommendations on methods of lessening moral distress today will be made, including NICU use of the Infant Progress Chart, increased education of families on fetal development and viability during the prenatal period, and the nurse’s use of conscientious objection to futile care.
|
2-5:45pm
3.5 CNE |
Concurrent In-Depth Symposia
(401) Catheter Associated Bloodstream Infection (CABSI) Prevention Bundles and Beyond: Creating High Reliability NICUs
Paul Kurtin, MD; Janet Pettit, MSN CNS NNP-BC
While prevention of catheter associated bloodstream infections (CABSI) and other Healthcare Associated Infections is a primary focus in our NICUs, engaging staff in prevention efforts and sustaining improvement brings additional, unique challenges. A shift in philosophy of infection being inevitable to one where infection is preventable is paramount to success. Implementation of best practices, however, requires change in both the technical and social realm. This workshop will discuss the technical aspects for prevention of CABSI with emphasis on high quality, safe care, including the use of bundles, checklists and root cause investigations, many of which were developed and successfully implemented by the NICUs participating in the California Children's Services/California Children's Hospital Association Neonatal Infection Prevention Project. Additional discussion will include the social and cultural aspects of high quality, safe care including interdisciplinary sharing of information, huddles and situational awareness, bedside rounding, and self-fulfilling prophecies that when done in conjunction with appropriate technical care can lead to a high reliability NICU where the right thing is done the first time, every time.
(402) Respiratory Modes of Ventilation: Part 1- The New Mechanical Ventilation- Can We Make a Difference? Part 2 – Introduction to Ventilator Waveforms and Graphics
Jack Sills, MD (Part 1); Lori Johnson, RCP (Part 2)
Part 1 - The New Mechanical Ventilation: Can We Make a Difference? Mechanical ventilators keep getting smarter. We cannot say the same for the micropremie who must interact with new ventilator microprocessors able to generate hybrid forms of volume, pressure and flow. The key question is, can the new mechanical ventilation reduce ventilator induced lung injury? If new ventilator modalities are to make a difference it is essential that the NICU healthcare team understand them and recognize when they are working and when they are not. Experience will be our best teacher.
Part 2 - Introduction to Ventilator Waveforms and Graphics: The use of respiratory waveforms and loops to understand the dynamics of ventilation and the clinical changes associated with various lung diseases will be discussed. This program will also help explain the use of graphics in the clinical setting as a tool to guide decision making in everyday patient care. This course will demonstrate the difference between clinical vs. mechanical issues.
(403) Use of Human Milk in the Neonatal Intensive Care Unit: Evidence and Best Practices
Paula P. Meier, DNSc RN FAAN
This presentation will focus on the latest evidence for the use of human milk with premature, surgical, and other infants cared for in the NICU. This evidence will include the nutritional, therapeutic, and cost perspectives of human milk feedings for this population of infants, including the ability of human milk to downregulate inflammatory processes and program biologic pathways. The concept of "critical exposure periods" during which exclusive human milk feedings may be especially important will be presented. Discussion of best practices based on this information will include: using risk-benefit perspectives when determining that human milk feedings are "contraindicated" due to maternal medications, protecting maternal milk volume in breast pump-dependent mothers of NICU infants, not substituting formula for human milk in order to achieve accelerated weight gain, and using lactation research technology in order to prevent, diagnose, and manage human milk feeding problems in the NICU population. Case studies will serve as examples of these best practices.
(404) Surgical Showcase...The Adventures of the Surgical Neonate
Thane A. Blinman, MD; Tracey M. Widmer, MSN RN CRNP
The surgical neonate requires specialized care in the delivery room, preoperatively, postoperatively and often beyond the NICU stay. A multidisciplinary approach with thoughtful planning is key to ensuring optimal outcomes. We will discuss planning for the surgical delivery and training for those deliveries using simulation. Review cases studies that showcase the challenges and planning required for the care of the surgical neonate. The use of minimally invasive surgery and the range of procedures that can be done. Lastly, the surprising effects of mathematics and how it affects our practice in caring for the neonate.
(405) So You Think You Provide Developmental Care? Establishing Excellence in Quality Caring
Sharyn Gibbins, PhD NNP; Mary E. Coughlin, MS NNP CCRN
Despite widespread acceptance of the principles of developmentally supportive care, inconsistent definition, application and evaluation of the impact of this practice model in the clinical setting has resulted in criticism regarding its scientific merit. This symposium will define developmental care using a standardized evidence based approach. A review of the quality improvement movement will lay the foundation for the necessity of standardization. A new conceptual model of developmental care, its operational tenets, along with change process will be presented using adult learning principles. Symposium participants will be provided with opportunities for discussion, problem-solving and practical application scenarios.
|
|
|
|
|
|
|
