8–9:45 a.m. (1.0 contact hour)
ICW: 100: AFPNP Member Meeting and Education Session
10:15 a.m.–Noon (1.25 contact hours)
General 101: Conference Opening: Breakthrough Opportunities to Improve Care and the Social Factors that Make Patients Sick in the First Place
Rishi Manchanda, MD, MPH
The early work in the upstream movement has focused on improving the individual social needs through integration in health care settings. A more recent focus strives to transform and improve relationships not only between caregivers and patients but also between health systems and the larger community and social structures that influence health. As this movement matures, institutions, multi-sector collaborative and entire communities face similar challenges. How do we take a bundle of interventions purporting to address a variety of social needs and social determinants and shape them into a cohesive strategy that can achieve long-term health and financial impact for patients and communities? Dr. Manchanda shares insights and answers from the front lines of the upstream movement.
1:30–2:45 p.m. (1.25 contact hours) Concurrent Sessions – Select Only One
- 102: Pediatric Hospital-based Opioid Use and Prescribing: The Latest Evidence for Pediatric-Focused Advanced Practice Registered Nurses (Pharmacology)
Kristin Gigli, PhD, RN, CPNP-AC, CCRN
The opioid epidemic brought to light the extent of opioid use across America. Among hospitalized children, 40% receive an opioid prescription. While acute pain management is essential to hospital care and opioids are a mainstay of treatment, children who receive an opioid prescription have a greater risk of develop opioid use disorder. This presentation will cover the latest evidence-based recommendations for opioid use in management of acute pain, including the first-ever pediatric-focused recommendations. Attendees will have exposure to controlled substance education necessary for ongoing APRN licensure and prescriptive authority.
- 103: Diagnosis and Management of it Multisystem Inflammatory Syndrome in Children (MIS-C) associated with Coronavirus Disease 2019 (COVID-19) in Children and Adolescents (Acute Care)
Tania Shiminski-Maher, MS, CPNP and Sadahf Shujauddin, MS, CPNP
Coronavirus Disease 2019 (COVID-19) arrived in New York at the end of February and while much of the pediatric population was spared from the disease, in mid-March patients with what we now identify as Multisystem Inflammatory Syndrome in Children (MIS-C) began arriving in the hospital. This presentation will describe our children’s hospitals experience with the pandemic and our clinical approach to MIS-C in children and adolescents, focusing on the differential diagnosis, treatment and follow up these patients.
- 104: Telehealth: What the APRN Student Needs to Know & How to Teach Them
Katherine E. Chike-Harris, DNP, APRN, CPNP-PC, CNE and Kelli Garber, MSN, APRN, PPCNP-BC
Telehealth education for graduate nursing students is an essential part of their curriculum. The questions is, “What and how should this be integrated?” This presentation will give the attendee an overview of the essential telehealth elements that all telehealth providers need to be familiar with and how to scaffold these components into the graduate nursing students’ plan of study. This presentation will discuss telehealth competencies and the Multimodal Framework for telehealth education.
- 105: When the Cough Won’t Go Away: A Step-by-Step Approach to Managing Chronic Cough (Pharmacology)
Traci Gonzales, MSN, APRN, CPNP-PC and Tomika Harris, DNP, RN, CPNP
Cough, both acute and chronic, is one of the most common complaints in the primary and acute care settings. Cough can be stressful and instigate fear and sleepless nights for both children and parents. Early and accurate diagnosis, as well as appropriate therapeutic management, is imperative. This presentation will guide the pediatric focused provider in decision making when diagnosing chronic cough as well as provide a review of current diagnostic testing recommendations and pharmacological updates.
- 106: Name That Spot: Is it Genetic or Not?
Sharon Anderson, DNP, NNP-BC, AGN-BC, CNE
During this presentation, the expert will share images of various dermatological findings and lead a discussion surrounding whether those findings may suggest an underlying genetic condition. If recognized as an associated lesion, there will be an overview of the underlying genetic condition.
- 107: Pesticides and Rural Children’s Health
Rose M. Nealis, PhD, PPCNP-BC, CPNP-AC
Pesticide drift is exposure to pesticides and herbicides and is estimated to impact 500,000 children per year in rural and urban settings. For children in rural areas their involuntary exposure is commonly due to agricultural pesticides while working and playing in contaminated fields. Children in urban settings are often exposed through common household pesticide/herbicide applications. The presenter will identify commonly used agricultural and home pesticides along with the risks to the fetus and child. The exposure risk will include pharmacological content. The presenter will also discuss diagnostic studies and treatment options .
3:10–4:25 p.m. (1.25 contact hours) Concurrent Sessions – Select Only One
- 109: Calculations/Formulas We Need, but Easily Forget… (Acute Care)
Marisa G. Mize, DNP, CPNP-AC/PC, CCRN
This presentation will give the opportunity to understanding the importance of calculations for three pediatric situations that commonly, but with little notice. The presenter will take the time to go over the steps of these formulas. The presenter will review three formulas using a case approach and application with explanation. The child with respiratory distress with looming failure is guided by the oxygen delivery equation. Sodium imbalances occur in children with regularity ranging from traumatic brain injury to severe dehydration. Calculating the replacement of sodium has to be done over a safe period of time so as not to cause organ damage. Children with brain injury or endocrine issues often need a balance of free water. Calculating the free water deficit for replacement with maintenance of electrolytes has to be done with attention paid to balance.
- 110: Practice Ownership 101
Jo Ann B. Serota, DNP, RN, CPNP, FAANP, IBCLC
Nurse practitioner practice ownership is on the rise. Twenty-two states and the District of Columbia have passed laws to enable NPs to provide patients the high quality, affordable health care they need. It is imperative that NPs become business entrepreneurs and establish their own practices. This presentation will introduce NPs to the business side of practice ownership and entrepreneurial skills necessary to promote a practice.
- 111: Contraceptive Education for Adolescent Males
Jaytoya Manget, DNP, MSPH, FNP
Sexual and reproductive health education has traditionally been an area of little focus in adolescent males. This session presenter assessed the educational deficiencies related to available female contraceptive options and the role of adolescent males in pregnancy prevention in a high-risk population of Washington, D.C. The results of this project will help guide provider discussions to encourage adolescent males to discuss, educate and plan their reproductive health goals.
- 112: Using Simulation to Improve Clinical Lactation Skills for Pediatric-focused Nurse Practitioners
Elaine D. Webber, DNP, PPCNP-BC, IBCLC and Nadine Wodwaski, DNP, MSN-Ed
Breastfeeding knowledge of providers is paramount in the success of nursing parents; however, most nurse practitioners receive minimal education regarding clinical breastfeeding management. Simulation is now being used extensively in clinical nursing education, but few resources exist on the use of simulation to provide NPs with practice lactation opportunities. This presentation will walk participants through the development and implementation of clinical lactation simulation scenarios using both low and high-fidelity products. This is a hands-on educational approach that can be utilized for students as well as experienced providers working with breastfeeding dyads.
- 113: Caring for Children In Crisis Speed Session
This session will offer five focused topics in Caring for Children in Crisis that convey important education in short presentations.
4:40–5:40 p.m. (1.0 contact hour) Concurrent Sessions – Select Only One
- 114: Psychopharmacology for the Primary Care Provider (Pharmacology)
Dawn Lee Garzon, PhD, CPNP-PC, PMHS, FAANP
The purpose of this presentation is to provide the primary care provider with in-depth evidence-based knowledge of the common psychotropic medications used in primary care. This presentation focuses on medications used for anxiety/depression, attention deficit and disruptive behavior disorders. It will include practical tips for the novice to expert clinician to prescribe, monitor and educate patients and families about these medications.
- 115: Interprofessional Collaboration: How to Cultivate Happy & Healthy Work Environments in Pediatric Acute and Critical Care Settings (Acute Care)
Michelle M. Wilson, MSN, APRN-CPNP, CPNP-AC and Sarah Martin, RN, MS, CPNP-AC/PC
Interprofessional collaboration (IPC) has been shown to improve quality, safety and patient/family satisfaction in healthcare delivery. In this session, we will discuss IPC, provider resiliency and professional happiness in the context of pediatric acute and critical care. Faculty will identify essential self-care strategies and effective communication patterns to mitigate burnout and turnover. They will present evidence-based strategies, practical lessons learned and anecdotal experiences with integrated Q&A session.
- 116: Nudge: Mobilizing the Pediatric-Focused Advanced Practice Registered Nurse Workforce Towards Policy Engagement
Kristin Gigli, PhD, RN, CPNP-AC, CCRN
Pediatric-focused advanced practice registered nurses (APRNs) understand the importance of advocacy and report pride in their support for a diverse array of child health issues. However, child health priorities and development of the pediatric-focused APRN workforce are often overlooked in policymaking. This presentation will illustrate strategies for engaging in advocacy on behalf of our profession and our patients using the latest data on the pediatric-focused APRN workforce and timely, policy-relevant pediatric health priorities, to increase the impact of pediatric advocacy.
- 117: GU Exams for Prepubertal Girls: Techniques and Comfort Measures
Shenoa R. Williams, CPNP, SANE-A, SANE-P
Female prepubertal gynecological examinations are often an experience that make both providers and patients uncomfortable. There are many medical reasons why evaluating the health of this area of the body is necessary, such as concerns of genital warts, lichen sclerosis, labial adhesions, genital lesions and sexual abuse. There are a variety of comfort measures that can be employed during prepubertal gynecological examinations to reduce the stress of the experience on the patient, including positioning, distractions and age-appropriate explanations. Additionally, a strong foundational understanding of female genital anatomy and normal estrogen changes across childhood leads to more accurate evaluations and less stress for the provider. The goal of this presentation is to increase the provider’s knowledge about ways to comfortably and competently perform this task using a patient-centered approach and implementing developmentally appropriate comfort measures.
- 118: Common (and Not So Common) Genetic Syndromes
Sharon Anderson, DNP, NNP-BC, AGN-BC, CNE
This presentation walks participants through several common (and not so common) genetic syndromes resulting from chromosome rearrangements, microdeletion/duplications, imprinting defects and skeletal/connective tissue disorders. The presenter will discuss physical findings, presenting symptoms, incidence rates, causes, modes of inheritance, confirmatory testing and treatment/management considerations.
- 119: Workshop in Agricultural Safety Resources – Keeping Children Safe
Jill F. Kilanowski, PhD, RN, CPNP-PC, FAAN
More than 22 million people are employed in an agricultural-related field, which is one of our nation’s most dangerous industries and the only worksite where children can be present. Every day, 33 children are seriously injured and every three days, a child dies in agricultural-related incidents. The presenter will use case studies to provide a hands-on workshop enabling participants to explore the incidence and causes of child injuries/fatalities and provide access to free, scientifically based anticipatory guidance materials and agricultural safety resources.