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The advocate and leading change agent for the neonatal nursing profession to optimize care for neonates and their families.

The Neonatal Community: Creating the Silver Lining

NANN 25th Annual Educational Conference
September 23-26, 2009
Austin, TX

 


Saturday, September 26, 2009
8:45-9:45am
1.0 CNE
(501) Intimidating Behavior in the Workplace
Beverly Jorgenson, MSN RNC NNP CNE "I don't think we are in Kansas anymore!" The NICU environment is a place to exemplify awesome teamwork, but can also be a place of intimidation. Intimidation takes place in many different settings, between disciplines, and among fellow nursing colleagues. This presentation will equip the attendee with skills for dealing with intimidating behavior, incorporating the tools of humor and story telling.

(502) Recent Scientific Advances in the Pathophysiology and Prevention of NEC
Patricia Lin, MD FAAP
This presentation will provide an overview on the pathophysiology of Necrotizing Enterocolitis (NEC). By reviewing current scientific literature, we will provide a framework for understanding key genetic, developmental, and environmental influences that can predispose premature infants towards developing NEC. This framework will then be used to discuss potential preventive strategies and therapies (both accepted strategies and those under investigation).

(503) Now and at the Hour of Our Death: Multicultural Dimensions in Palliative & End-of-Life Care
Barbara Dean, BSN RNC ; Melanie Chichester, BSN RNC
Providing palliative care to the dying infant can be a difficult shift in care for the neonatal nurse. In today's multicultural society, nurses must be able to integrate diverse practices with standards of care to provide the best options for the family. End-of-life issues for the infant may be similar or different to that of an adult, depending on the family's/community's beliefs and traditions. In order to support and educate the parents as they face saying goodbye to their infant, nurses must be aware of and respect cultural and religious beliefs from which the family draws comfort, including decisions surrounding palliative care choices, withdrawing life support, when an autopsy is appropriate, ritual care of the body, and funerary practices. This presentation provides information to assist the neonatal nurse by discussing practices surrounding infant death for African American, Old Order Amish, Chinese Americans, Hindu/Indo-Asians, Hispanic/Latinos, Jews, and Muslims.

(504) Neonatal Arrhythmias - How to Mend a Broken Heart
Howard Stein, MD
This presentation will focus on the recognition and treatment of common neonatal arrhythmias including SVT and complete heart block. Using case presentations we will discuss risk factors, presentation, treatment and outcome of these arrhythmias.

(505) Establishing a Total Body Cooling Program (Total Body Hypothermia)
Beth Huizinga, BSN RNC-NIC
This presentation will consist of an overview of the purpose of body cooling (total body hypothermia) in relationship to the pathophysiology of hypoxic-ischemic encephalopathy. The necessary equipment, protocols, and personnel will be outlined along with process of determining eligibility for this therapy. Situational examples involving a transport patient from an outlying facility and an in house admission will illustrate the process from common perspectives. A model for evidence based, interdisciplinary implementation will assist participants to consider involvement in similar strategies within their areas of practice. Data on outcomes may be shared from a global perspective.
10-11 am
1.0 CNE
(601) Promoting Parent and Professional Partnerships
Pamela S. Spivey, MSN RN
Recognizing and valuing parental strengths and weaknesses can enhance the care giving abilities of health care professionals. Nurses in particular can play a significant role in assisting mothers and fathers in meeting their needs toward becoming a parent in the NICU. Nurses are in a unique position to help empower parents and to increase their feelings of self-confidence and effectiveness as a parent. Establishing partnerships between families and nurses is essential. Promoting a nurturing, collaborative environment can help facilitate the families' development throughout the NICU experience. This presentation will address opportunities in promoting parent and professional relationships in the neonatal intensive care setting. Self-awareness, building rapport, and understanding parent behavior will be explored. The participants will be able to evaluate their own communication styles and reflect on what they bring to each relationship that is cultivated. Specific approaches and methods used to facilitate positive relationship building will be discussed.

(602) The Balancing Act: Managing Pulmonary and Systemic Circulations in the Infant with Congenital Heart Disease

Bryan Cannon, MD
Infants with complex cyanotic congenital heart disease can be challenging to manage due to differences in the blood flow to the pulmonary circulation versus the systemic circulation. Understanding the anatomy and physiology of complex lesions is important in the care of these critically ill patients in preparation for surgery. Following surgery, understanding the nature of the surgery (correction versus palliation) and the resulting hemodynamics is crucial to the continued care of these infants. This session will focus on understanding the anatomy and physiology of complex congenital heart lesions and how this understanding impacts the care of these patients.

(603) Create Optical Wonder (COW)
Michele L. Deck, MEd BSN RN LCCE FACCE
Over eighty percent of the population are visual assessors of information. Improve the visuals you create for different media, and increase the effect of those visuals on your participants. This idea packed session will provide you with numerous tips and skills you can immediately incorporate into your classes.

(604) Implementation of a Safe Sleep Program for Preterm, Low Birth Weight and Sick Newborns in a Level III NICU
Jeanne M. Giebe, MSN RN NNP-BC
Sudden Infant Death Syndrome (SIDS) continues to be the leading cause of death in the United States between the ages of 2 and 4 months of age in normal newborns. The risk of SIDS is even greater in the preterm and very low birth weight infant (VLBW) when these infants are placed in any non-supine position for sleep. Preterm and VLBW infants are more likely to be placed prone during their hospitalization and after discharge from a Newborn Intensive Care Unit (NICU). Infants with a history of respiratory distress, gastro esophageal reflux (GER) or developmental issues may begin their transition to safe sleep by 34-36 weeks post conceptual age. Safe sleep practices should begin on admission to the NICU and continue throughout the first year of life. Parents and other caregivers often model nursing practices observed in the NICU and continue these practices in the home setting.

(605) Necrotizing Enterocolitis: A Basic Overview

Patricia Lin, MD FAAP
This presentation will provide a basic overview on NEC. We will review the epidemiology, basic pathophysiology, and clinical presentation of NEC. Finally, we will review practical clinical considerations in the prevention, diagnosis, and treatment of NEC.
11:15am-12:30pm
1.0 CEU
Closing General Session
Wear Your Rose Colored Glasses

Michele L. Deck, Med BSN RN LCCE FACCE It is important for professionals to use creativity to maximize impact and potential. The ROSE process allows you to become a creative thinker even when you are surrounded by naysayers. Travel with the presenter on your own personal journey to creativity, and depart energized, ready to innovate, and wearing your own rose-colored glasses.
12:45-1:45pm
1.0 CNE
NANNP Luncheon
The National Association of Neonatal Nurse Practitioners luncheon presentation will provide information on the National Council of State Boards of Nursing and the new Licensure, Accreditation, Certification, and Education (LACE) project, present strategies for the neonatal nurse practitioner (NNP) who graduated before 2005, is not currently National Certification Corporation (NCC) certified but wishes to gain eligibility to sit for the NCC exam, review the final draft the of revised NNP Education Standards, and update attendees on accomplishments achieved by NANNP during the previous year. All NANN attendees are welcome at this event, but preregistration is requested.