• (S01) Advanced Practice
• (S02) Education
• (S03) Management
• (S04) NNP Faculty
• (S05) Research
• (S06) Staff Nurse

(102) Standardized Approach to Very Low Birth Weight Infants: Impact on Outcomes and Benchmarks
Balaji Govindaswami, MD MPH
Standardizing care from birth through hospital stay and its impact on measurable short and intermediate outcomes over a 3 year period from a regional NICU in California will be discussed. Interpretation of the NICU's performance as it relates to benchmarks in its' region, state, and nationally will also be presented.

(103) The Neonatal Resuscitation Program (NRP) Changes Course: The Move to Simulation and Debriefing
Jeanette Zaichkin, MN RN NNP-BC
The Neonatal Resuscitation Program (NRP) is developing a new approach to teaching and learning neonatal resuscitation skills. Educational methodologies no longer support lecture-based teaching. NRP is moving toward a teamwork and communication approach that integrates simulation training and debriefing as the major course component. NRP will also raise the bar on instructor quality and make learners more accountable for their own experience. Learn what the future holds, understand the reasons for change, and prepare to take a more active role as an NRP instructor and learner.

(104) The First Step to Healthy Relationships: Getting Disruptive Behavior Under Control
Judith H. "Ski" Lower, MSN RN CNRN
Do you want to know how to finally successfully address The "BMW" Club, Negaholics and "Queens"? Most managers lack the specific skill to do it (it seems like Mission Impossible), or lack the support from Human Resources or even their own staff. Come learn how to turn all this around and go home with the knowledge level and tools to "DIY". This session is helpful for anyone "in charge" (manager, charge nurse, educators, nurse clinician IV, etc.) or anyone who is tired of working with "them" and would love some new insight.

(105) Carnitine, Cysteine & Phosphorus, OH MY! The Components of Parenteral Nutrition: What Are They and Why Are They Important? (PN)
Evelyn K. Stephenson, MSN NNP RNC-NIC
Have you ever wondered how all of those additives in PN contribute to neonatal nutrition? This session will discuss what is in PN, the normal ranges, current controversies and purpose of each additive. A discussion of labs necessary for determining the amount of components will also take place. At the end of this session the participant will have a greater understanding of PN which will contribute to increased patient safety.

(202) Heart Rate Characteristics Monitoring in the Early Diagnosis of Neonatal Sepsis
J. Randall Moorman, MD
Prior to clinical signs of illness, septic neonates often display abnormalities in the heart rate pattern with what we have called abnormal heart rate characteristics of reduced variability and transient decelerations. We developed mathematical measures to detect these features, and further developed and externally validated a predictive mathematical model for neonatal sepsis. Using the HeRO system, which provides a continuous display of the fold-increase in risk of neonatal sepsis, physicians, mid-level providers and nurses have made the diagnosis of neonatal sepsis prior to clinical signs of illness.

(203) Evacuation of a Maternal-Newborn Area During Hurricane Katrina
Marirose Bernard, MN APRN CNA-BC; Pamela Mathews, BSN RNC
Hurricane Katrina, the most destructive natural and man-made disaster to occur in United States' history, inflicted devastation across the Gulf Coast. This massive disaster challenged survival for patients and healthcare professionals. Nurses faced arduous and multifaceted challenges to the usual standard of care during the 6 days after the disaster and had no choice but to improvise using what limited resources were available. Nurses at Memorial Medical Center provided care to patients in multiple areas of the hospital as the temperature soared to 110 degrees Farenheit and evacuation efforts became chaotic. This presentation describes the heroic efforts of a nursing team in caring and providing for the evacuation of 16 neonatal intensive care patients and 5 well newborns and mothers. Post-Katrina disaster preparedness improvements were tested during Hurricane Gustav and will be examined and recommendations for further improvement will be described.

(204) Questions From the Front Lines, Answers From the Guidelines: The Latest in Care and Maintenance of Neonatal PICCs
Elizabeth Sharpe, MSN ARNP NNP
The evolving "pay for performance" climate in health care reimbursement has launched heightened awareness of the potential impact of PICC care and maintenance practices in our special babies in the NICU. This presentation will highlight specific issues in ongoing care and strategic measures for prevention of iatrogenic complications. This will be presented in a stimulating question and answer format including supportive visuals and illustrative case studies, featuring the current NANN and Infusion Nurses Society guidelines and most recent relevant literature. This session should exert broad appeal, relevant not only to those involved in direct care at the bedside, but to those involved in practice and policy development as well.

(205) The Little Ones: Intrauterine Growth Restriction
Rebecca L. Cypher, MSN PNNP
High-risk obstetrical patients are women whose complex conditions threaten the well-being of the fetus and newborn. Meeting the needs of these patients requires multi-disciplinary strategies that evolve from a firm understanding of the processes associated with these complicated problems. Intrauterine growth restriction (IUGR) is a fetus with an estimated fetal weight <10th percentile for gestational age. One of the most common plights in obstetrics, IUGR is one of the leading causes of perinatal morbidity and mortality. This presentation will provide information that will allow perinatal and neonatal nurses to create an environment that balances knowledge with quality care. Definitions, etiologies, risk factors, diagnostic techniques, and management strategies based on the current literature will be discussed. Nurses play a powerful role in delivering quality health care to these patients. This session will challenge and inspire participants to improve nursing care in the high risk pregnancy and neonate affected by IUGR.