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National Advanced Practice Neonatal Nurses Conference

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Program & Schedule

Tuesday, September 10
4:00–6:00 PM     Registration Open
Wednesday, September 11
7:00 AM–7:30 PM     Registration Open
Preconference Workshops (separate fee required)
8:00 AM – 4:00 PM     Full Day Programs (6.5 contact hours)

6th ANNual Symposium for Nurse Leaders
Are you a nurse leader that inspires and motivates your team? Someone interested in leadership roles in the future? Maybe you are hoping to refine your skills to advance to the next level of leadership? This day is for you! In this 6th iteration of the Symposium for Nurse Leaders the content focuses on building the culture of our unit to provide the best neonatal care. There are opportunities to interact with other nursing leaders to compare and share. Join us and maximize you impact!

Conflict Management: Finding Resolution Without Rock-Paper-Scissors
Tiffany Gwartney, DNP, APRN, NNP-BC
Learners can anticipate identifying types and levels of conflict, recognizing communication methods that contribute to or diffuse conflict, and demonstrating techniques to manage conflict. 

Building Joyful Cultures: When All Else Fails, Bring Chocolate!
Lucy Haughton, MS, RN
We will explore what's needed to build and lead joyful cultures in today's workforce. Participants gain insights into why healthy cultures are so important in healthcare and how each leader can make small changes on their units to build their own joyful cultures.

Nursing Workload and Missed Nursing Care
Heather Tubbs Cooley, PhD, RN, FAAN
Missed nursing care is a frequently theorized link between nurse workload and infant outcomes in neonatal intensive care units. We will explore the state of the science regarding missed nursing care in the NICU, how nurse workload affects missed care, and what the evidence means for nursing leaders. 

NCC Code NNP 5
NCC Code NIC 4
NCC Code LRN 5

Neonatal Pharmacology: Practical Pointers for Managing Neonatal Infections and Training the Neonatal Brain
Christopher McPherson, PharmD
Jason Newland, MD, PharmD
In the morning, Drs. McPherson and Newland focus on antimicrobial therapy in neonates. Specific topics include risk stratification and diagnosis of sepsis in the newborn, prevention and treatment of late-onset sepsis in hospitalized neonates, and opportunities for antibiotic stewardship to benefit infants in both inpatient and outpatient settings. In the afternoon, the focus is on training the neonatal brain. Specific topics include practical pointers for counseling parents and treating neonate with in utero drug exposure, providing optimal pain control, and nutritional support for the preterm neonate.

NCC Code NNP 4
NNC Code NIC 3
NCC Code LRN 4

8:00 AM–11:30 AM Half Day Morning Sessions (3.25 contact hours)
Electronic Fetal Monitoring: Maximizing Safety for the Fetus and Care Team

Cyndy Krening, MS, CNS, RNC-OB, C-EFM, RN
Electronic fetal monitoring is a sensitive, yet non-specific technology that is routinely used during labor and birth in the U.S. Nurses must possess comprehensive knowledge of strip interpretation, underlying physiology and evidence of fetal stress in order to maximize safety for all. This session will include a discussion of strip interpretation, underlying physiology, evidence of fetal compromise, and methods to minimize risk for the fetus and medico-legal risk for the nurse.

NCC Code INP 1

12:30–4:00 PM Half Day Afternoon Sessions (3.25 contact hours)
Back to Basics for Neonatal Nurses

David Burchfield, MD
This half day session is divided into three themes. During "Radiology for the NICU Nurse," Dr. Burchfield discusses principles of radiology, and reviews endotracheal tube placement, pneumothorax, and common respiratory diagnoses. During the "ABCs of ABGs," he discusses arterial blood gas measures, how to interpret the results, and describes some limitations to the measures. In "Fluids are Not a Cookbook," Dr. Burchfield explores fluid management, why fluid requirements change, and discusses conditions that require extra attention.

NCC Code NNP 1
NCC Code NIC 1
NCC Code LRN 2

Conference Opening Keynote Address

4:30-5:30 PM Keynote Address (All attendees invited)

There's No Place Like Home: Using Simulation to Educate Families and Improve Patient Outcomes

Jennifer Arnold, MD, Msc, FAAP
Dr. Arnold explores applications of healthcare simulation for non-healthcare providers. Included is a description of applications and research opportunities of simulation for training parents and other caregivers in how to care for medically complex infants and patients.

NCC Code  NNP 5
NCC Code NIC 4
NCC Code LRN 5

 5:30-7:30 PM Welcome Reception
Exhibit Hall Opening, Poster Viewing, Appetizers, Cash Bar (All attendees invited)


Main Conference
Thursday, September 12 
7:00 AM-7:30 PM Registration Open

7:45–8:00 AM     Welcome/General Announcements

General Sessions
8:00 – 9:00 AM

GS 101 
Neonatal Pharmacology and Pharmcokinetics: A Non-Fatal Review

Bryan L. Ohning, MD, PhD
Basic principles of neonatal pharmacology and pharmacokinetics are defined, simplified, and explained. The essentials of drug administration and drug elimination are outlined and these concepts are related to allow the clinician to begin to customize pharmacotherapy to the individual patient. Dr. Ohning's goal is to make this ordinarily perplexing subject more simple, understandable, and useful.

NCC Code NNP 4
NCC Code NIC 3
NCC Code LRN 4
Rx = 1

9:00 – 10:00 AM

GS 102
Therapeutic Cooling for HIE: Where are We Today?
Michael D. Weiss, MD
Dr. Weiss describes the pathophysiology of hypoxic ischemic encephalopathy (HIE) and how hypothermia interrupts the injury. In addition, practical beside cooling physiology is discussed. Finally, emerging therapies and the latest trends in hypothermia are explored.

NCC Code NNP 2
NCC Code NIC 2
NCC Code LRN 3
Rx = 0.25

10:00-11:30 AM Refreshment Break - Please Visit Exhibits and Posters (Coffee, Tea)

11:30 AM-12:30 PM

GS 103
Nutrition for Extremely Preterm Infants: Fact, Fiction, and Everything in Between
Leslie Parker, PhD, APRN, NNP-BC, FAAN
Dr. Parker explores the most current up-to-date nutritional interventions in the care of extremely premature infants. Traditional practices will be challenged and the audience is asked to really look at their current practice to determine potential ways to improve care of neonates.

NCC Code NNP 3
NCC Code NIC 1
NCC Code LRN 2

12:30–2:00 PM     Lunch provided by ANN―Exhibits Open and Poster Viewing

2:00 – 3:00 PM (A Workshops)

GS 211
Neonatal Cardiac Pharmacology: Getting to Know Your Heart Drugs
Nicole Bowie, DNPc, MSN, NNP-BC
Dr. Bowie provides an overview of medications used in various neonatal cardiovascular disorders. Included is a review of medications used for congenital heart disease (CHD) Pre/post operatives, inotropes and those used in pharmacologic manipulation of the ductus arteriosus.

NCC Code NNP 4
NCC Code NIC 3
NCC Code LRN 4
Rx= 1

3:00–3:15 PM    Passing Break
3:15 – 4:15 PM

GS 212
Necrotizing Enterocolitis: Why Such an Enigma?
Josef Neu, MD
The pathogenesis of necrotizing enterocolitis (NEC) is multifactorial and treatment of NEC once the disease occurs, is extremely difficult. Therefore, prevention is the best treatment. The intestinal microbial environment along with developmental aspects of the GI tract are key in understanding the pathogenesis of NEC. Dr. Neu explores the latest research (enteroids, organoids, and others) used to evaluate mechanisms that fulfill criteria for causality. Once we understand the causes of the different forms of NEC, we will be best able to target preventative strategies.

NCC Code NNP 2
NCC Code NIC 2
NCC Code LRN 3

Friday, September 13
7:00 AM–5:00 PM Registration Open

7:45–8:00 AM Announcements
 General Sessions
8:00–9:00 AM

GS 231
CLABSI: So What's the Hype?

Jacqui Hoffman, DNP, ARNP, NNP-BC, NNP-DNP
Central line-associated bloodstream infections (CLABSI) are the most common type of nosocomial infections in the neonate. In this session, we discuss why as an advanced practice nurse it is imperative to have prevention strategies in place to decrease the incidence of this type of infection.

NCC Code NNP 1
NCC Code NIC 1
NCC Code LRN 3

 9:00-10:00 am

 GS 232
Pulmonary Artery Hypertension: Where We are and Where We are Going

James Moore, MD, PhD
Pulmonary artery hypertension pathophysiology with be discussed, including mechanisms. Also included is a discussion of current therapeutic approaches and exploration of new therapies on the horizon with potential clinical impact.

NCC Code NNP 2
NCC Code NIC 2
NCC Code LRN 3

Rx= 0.25

10:00–11:00 AM    Refreshment Break- Last Chance to Visit Exhibits (Raffle, Coffee and Tea Service)

11:00 AM – 12:00 PM

GS 233
Current Trends in Neonatal Ventilation...and a Look to the Future

Bryan L. Ohning, MD, PhD
Dr. Ohning discusses the fundamentals of "conventional" positive pressure ventilation and the evolution to newer modes presently available to the clinician. How ventilators now communicate with babies and why volume-targeted ventilation is now "hot" is presented. He also briefly discusses the basics of high-frequency ventilators and then speculates where we are going next. 

NCC Code NNP3 
NCC Code NIC 1
NCC Code LRN 1

12:00–1:30 PM     Lunch and  ANN Member Meeting

1:30 – 2:30 PM (A Workshops)

Management of Congenital Diaphragmatic Hernia

James Moore, MD, PhD
Dr. Moore presents a detailed review of pathophysiology, and management strategies for CDH. He explores the evidence on steroids, surfactant, iNO, and others. Timing of repair and overall management strategies are also discussed.

NCC Code NNP 2
NCC Code NIC 2
NCC Code LRN 3

Shock in the Newborn

Patricia A. Scott, DNP, APRN, NNP-BC, C-NPT
Dr. Scott defines shock and describes the different types of shock in the newborn. She discusses the most common forms of shock along with etiology, clinical presentation, and management strategies.

NCC Code NNP 2
NCC Code NIC 2
NCC Code LRN 3

Podium Presentations
Multiple Presenters
Peer-reviewed abstracts have been selected for podium presentations. Each session has multiple presenters. These cutting-edge presentations will bring you up-to-date on innovative research and clinical practice projects. Discover what your colleagues from across the country are doing as they share their unique experiences. A balance of clinical, research and education-themed abstracts are presented.

NCC Code NNP 5
NCC Code NIC 4
NNC Code LRN 5

2:30–2:45 PM     Passing Break

2:45-3:45 PM (B Workshops) Concurrent Sessions

Neonatal Abstinence Syndrome: Journeys of the Inconsolable

Lance Wyble, MD
Dr. Wyble explains the epidemiology of Neonatal Abstinence Syndrome (NAS) and the pathophysiology of NAS. The variety of interventions for NAS are presented with a description of outcomes from statewide quality collaborations in the local area. In addition, he discusses the limited evidence for the long-term development outcomes from NAS.

NCC Code NNP 2
NCC Code NIC 2
NCC Code LRN 2
Rx= 0.5

New and Alternative Pain Therapies for the NICU

R. Whit Hall, MD
This discussion focuses on newer therapies, pharmacologic and nonpharmacologic, of neonatal pain relief. Newer pharmacologic data to include PK/PD data from preterm neonates for commonly used drugs including the opiates is discussed, to include their application in pain relief. Evidence from studies on complementary and alternative medicine for neonatal pain relief is also be shared. Questions and answer period follows, so bring your problematic cases to this session.

NCC Code NNP 4
NCC Code NIC 3
NCC Code LRN 4

Rx = 0.25

Advances in Human Milk Feeding for Optimal Neonatal Nutrition

Jenelle Ferry, MD
Breastfeeding and human milk are the gold standard for infant feeding and nutrition. A donor human milk program can improve breastfeeding in all infants. Advances in donor human milk and fortifiers have also enabled clinicians to provide optimal nutrition for the highest risk infants. Providing pasteurized donor milk and an exclusive human milk diet can improve outcomes in VLBW and ELBW infants.

NCC Code NNP 3
NCC Code NIC 1
NCC Code LRN 2

3:45-5:00 PM              Poster Viewing Reception
Enjoy appetizers and a beverage (cash bar) while examining posters and interacting with the authors. Ask questions, exchange ideas, find out what other units are doing and what challenges they have.

NCC Code NNP 5
NCC Code NIC 4
NCC Code LRN 5

Saturday, September 14
6:30 AM–12:00 PM Registration Open

7:45–8:15 AM Announcements & Award Presentations

General Sessions
Combined Sessions with National Mother Baby and Neonatal Nurses Conference

8:15 – 9:15 AM

GS 401
Breaking Bad News: Helping Families When They Need Us the Most

Anthony J. Orsini, DO
How do you discuss tragic news with parents and families in the most effective and compassionate manner? Dr. Orsini covers the history of delivering bad news in medicine, its impact on short-term and long-term coping mechanism, and why healthcare professionals are traditionally poor communicators, especially when breaking bad news. You will learn key communication techniques that will help you work with families when break bad news. You will also learn how the same communication techniques can be used in everyday practice. 

NCC Code NNP 5
NCC Code NIC 4
NCC Code LRN 5

9:15-9:30 AM Refreshment Break- Coffee, Tea

9:30-10:30 AM

GS 402
Legal "Ins and Outs" for Nurses

Scott E. Gwartney, Esq.
Mr. Gwartney, a plaintiff's lawyer, explains what a malpractice claim is, the process of evaluating potential malpractice claims, pre-litigation issues, and the litigation and deposition process.

NCC Code NNP 5
NCC Code NIC 4
NCC Code LRN 5

10:30-11:30 AM

GS 403
Oh No...Not More Fluffy Stuff!

Rich Bluni, RN
Sometimes things get in the way of us feeling we are at our best. When you talk about those “things” some may call that the “Fluffy Stuff”! But what if that Fluffy Stuff is exactly what we need? What if we concentrated on our own stories? This talk focuses on how the Fluffy Stuff can help you thrive in today’s complex healthcare world.

NCC Code NNP 5
NCC Code NIC 4
NCC Code LRN 5

11:30 – 11:45 AM     Concluding Remarks

Topics and Speakers are Subject to Change

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