8–9 a.m. (1.0 contact hour) Early Riser Sessions– Select Only One
- 301: COVID-19 Vaccine (COVID-19 mini-track) (Pharmacology)
Dana DeShon, DNP, APRN, CPNP-PC
The COVID-19 pandemic threatened our nation like no other event in recent history. The race to develop a safe and effective vaccine started in the United States in March 2020. There is concern with developing a vaccine for the vulnerable populations who have not been included in vaccine trials. The challenge will be also how to distribute the vaccine effectively. There are also questions on how the pediatric population will be affected. The presenter will address these concerns along with her personal experience of participating in a COVID-19 vaccine trial.
- 302: Obsessing Over OCD: Identifying and Treating Obsessive Compulsive Disorder in Children and Adolescents
Susan N. Van Cleve, DNP, RN, CPNP-PC, PMHS, FAANP, FAAN and Joshua Palmer, DNP, PMHNP, RN
Children or teens with Obsessive Compulsive Disorder (OCD) may exhibit unusual behaviors and thought processes that are regularly misunderstood by the public as well by health professionals and can be confused with anxiety type symptoms leading to missed referrals or undertreatment. The presenters will review why OCD behaviors occur, ways to identify them and how treatment can improve a patient’s quality of life. They will also review pediatric OCD treatment guidelines including typical medications, dosages, psychotherapies and expected outcomes.
- 303: Everyone has a First time: Preparing an Abstract for a Conference Presentation
Cathy S. Woodward, DNP, APRN, CPNP-AC, , FNP-BC
How can we face angry clients, screaming children, aggressive parents or unhappy employees but not be willing to stand in front of a smiling group of our colleagues and teach? Just remember, every presenter at this conference had to stand on that stage for the first time once! The presentation will address coming up with topics, how to define and expand on the topic and how to present it in a way that is interesting enough to catch the eye of a conference committee.
304: Pearls and Pitfalls for Evaluation and Management of Pediatric/Adolescent Hand Injuries (Ortho mini-track)
Gerad Montgomery, MSN, RN, APRN, FNP-C
The hand is one of the most frequently injured parts of a child’s body, accounting for approximately 15% of pediatric fractures and 2.3% of all pediatric emergency room visits. Early recognition along with appropriate and timely management of these injuries is necessary in order to prevent potential functional deficits or cosmetic deformities. The presenter will provide clinical pearls for evaluating pediatric/adolescent hand injuries and review current treatment recommendations for both definitive care as well as initial management in the primary care and acute care emergency room settings.
10:30-11:30 a.m. (1.0 contact hour) Concurrent Sessions – Select Only One
- 306: The Journey has Begun: Direct to Consumer (DTC), On-demand Telehealth Video Visits for Minor Illness and Injuries (Telehealth mini-track) (Acute Care)
Michelle Widecan, DNP, APRN, CPNP-AC/PC, CPEN
This presentation will describe the planning process for the development of a direct to consumer telehealth offering for minor illnesses and injuries including the business plan, staffing model, location, EMR documentation development and education. It will also discuss the ongoing work that is occurring and the expansion of the service line that occurred with COVID-19. Finally, the presenter will review the ongoing work as we continue to learn moving forward into the future of telehealth and pediatrics including what the advance practice provider can offer with their expertise.
- 307: COVID-19 Call to-Action: NAPNAP’s Federal Advocacy Response the Pandemic (COVID-19 mini-track)
Rajashree Koppolu, RN, MSN, CPNP, MSL
This presentation will provide an overview of NAPNAP’s response to key pieces of federal legislation in relation to the COVID-19 pandemic. These include, but are not limited to reauthorization of the Title VIII nursing workforce programs, the authorization of NPs to certify Medicare home health services, telehealth expansion provisions and the Provider Relief Fund to help practices, hospitals, rural facilities and nursing homes impacted by the pandemic. The presenter will review the background and policies’ impact on child health and professional practice.
- 308: Helping Children and Adolescents who Live in Families Affected by Substance Use Disorders (Substance Abuse mini track)
Angela J. Nash, PhD, APRN, CPNP-PC, PMHS
In our country, 8.7 million children live with a parent who has a substance use disorder (SUD), and they often suffer psychosocial, behavioral and/or medical problems and face a higher risk of developing SUDs themselves. Frequently presenting with developmental, behavioral, or nonspecific physical symptoms, pediatric-focused NPs are uniquely positioned to identify and provide hope for these children. This case-based presentation will teach participants to recognize signs of familial SUD, screen and assess risk, provide early intervention and refer for appropriate services.
- 309: Advancements in Conservative Management of Idiopathic Scoliosis (Ortho mini- track)
Carrie T. Chan, MSN, CPNP
Since the landmark bracing study in 2013, bracing has increasingly been considered best practice in conservative scoliosis treatment to prevent progression and need for surgery. Since that time, more research has gone into advancing bracing options and other modalities to prevent progression. This presentation will provide an overview of scoliosis management as well as an update on braces including new 3D-printed brace methods. The presenter will discuss the use of technology to encourage brace wear in the target adolescent population including compliance monitoring, blue tooth capabilities and building a “smart brace.” This presentation will also cover a multimodal approach to optimize conservative management in addition to bracing. We will also discuss the growing research on the effect of dietary supplementation to decrease risk of progression. This presentation serves to synthesize the current science to form a comprehensive approach to maximize conservative management of idiopathic scoliosis.
- 310: Pediatric Feeding Disorder: Tackling Common Feeding Concerns in Primary Care
Amber C. Wright, MSN, RN, CPNP
Annually, more than 2.3 million children under age 5 years are estimated to have feeding problems, and prevalence of parent-reported feeding difficulties range from 25% to up to 80% among children with developmental disabilities. Parent-reported feeding difficulties may include physiologic symptoms, problematic mealtime behaviors, selective/restrictive eating and/or oral processing difficulties, all of which can contribute to significant stress on the entire family. This case study-style presentation will provide both novice and experienced primary care clinicians with detailed strategies to assess for and manage common feeding problems as well as considerations for further evaluation and/or therapeutic intervention.
1:10–2:25 p.m. (1.25 contact hours) Concurrent Sessions – Select Only One
- 312: Asthma-Focused Telehealth Visits – Maximizing the Experience (Telehealth mini- track)
Tammy Rood, DNP, APRN, CPNP-PC, AE-C
Due to the COVID-19 pandemic, telehealth visits exploded in 2020, and will likely continue to be a way to improve access and care, especially for those with chronic conditions such as asthma. Telehealth visits are a convenient and cost-effective method to improve health care access and encourage preventive care as recommended. This presentation will provide approaches to maximize the telehealth experience and deliver quality asthma care through a telehealth platform. Evidence-based telehealth strategies include use of validated questionnaires, evidence-based tools, physical exam techniques, documentation, inhalation instructions, airflow measurement and assessment of environmental triggers in order to improve outcomes and reduce costs.
- 313: Mother and Baby – Breaking the Habit Together (Substance Abuse mini-track) (Acute Care) (Pharmacology)
Lisa M. Clark, DNP, CPNP-AC/PC
This presentation will discuss the mother baby dyad and substance use with differences in maternal and neonatal treatment. The discussion will include non-pharmacological and pharmacologic therapies including buprenorphine, a new emerging option for the treatment of Neonatal Abstinence Syndrome (NAS). You will learn to create a supportive environment of non-pharmacological management, parent involvement to achieve the ultimate goals of positive parenting and decrease length of stay. The presenter will use case studies to describe the newest therapeutic modalities for mother and baby.
- 314: Locked, Loaded, and Ready to Save Lives: The PNP and Firearm Safety
Catherine Goodhue, MN, RN, CPNP
This presentation will provide important information on firearm injuries including both air-powered and gunpowder firearms. The presenter will highlight policies and legislation surrounding firearm control; she will also emphasize the current management of these injuries. PNP will learn the ways in which to provide the family with anticipatory guidance measures for firearms and firearm safety in the home.
- 315: Evaluation and Management of the Limping Child (Ortho mini-track)
Lauren Roos, RN, MSN, RNFA, CPNP
The presenter will discuss the evaluation of the limping child with an overview on possible diagnoses, confirmation of diagnosis and proper management . The presentation will highlight the common conditions and emergency conditions.
- 316: Preparing Pediatric-focused APRNs During a Pandemic: Lessons Learned while Looking Ahead (COVID-19 mini-track)
Anne L. Derouin, DNP, APRN, CPNP, PMHS, FAANP and Jennifer Sonney, PhD, ARNP, PPCNP-BC, FAANP
- 317: Energy Crisis: Mitochondrial Medicine for Pediatric-focused Nurse Practitioners (Acute Care)
Beth A. Heuer, DNP, CRNP, CPNP-PC, PMHS
Mitochondrial disorders are multi-systemic genetic diseases affecting approximately one in 4,300 persons. Children with these disorders develop a myriad of symptoms related to impaired energy production and present in primary, acute and specialty care settings. This presentation will help pediatric-focused APRNs recognize symptoms of these disorders, understand basic diagnostic and management strategies, and anticipate associated medical complications.
2:45–4 p.m. (1.25 contact hours) Concurrent Sessions – Select Only One
- 318: Preventing HIV Just in Time – Pre-exposure Prophylaxis (PrEP) 101 and Lessons Learned from a Pilot Telehealth PrEP Program (Telehealth mini-track) (Pharmacology)
Carrie T. Chan, MSN, CPNP
In 2018, over 20% of new HIV diagnoses in the United States were adolescent and young adults under the age of 25. Pre-exposure prophylaxis (PrEP) has been shown to be highly effective for preventing HIV, reducing the risk of sexual transmission by about 99% when taken daily. However, adolescents represent the group with the greatest unmet PrEP need, with only 11.4% of persons with indications for HIV prophylaxis being prescribed PrEP. This presentation will teach pediatric and adolescent providers about PrEP and how to provide it as well as share tools that can support providers to recommend PrEP in their practices. The presenter will also discuss lessons learned from the first year of a pilot telehealth PrEP program for adolescents and young adults.
- 319: When Your Not Born With It! Critical Cases in Acquired Cardiac Disease (Acute Care)
Jennifer L. Joiner, MSN, CPNP -AC/PC
Acquired heart disease in children can lead to significant morbidity and mortality and remain tricky for even the most expert nurse practitioners to diagnose. In this presentation, nurse practitioners will sharpen their abilities to diagnose and treat acquired heart disease by reviewing real life case presentations. In these cases, we will identify key diagnostics, imaging and up to date strategies for effective management. We will discuss common acquired heart diseases such as rheumatic fever and Kawasaki’s disease , as well as the latest information on the more novel Multisystem Inflammatory Syndrome (MIS-C).
- 320: Breastfeeding and Returning to Work—Helping Families Get Past the Obstacles
Mary C. Ryngaert, MSN, PPCNP-PC, IBCLC
Returning to work after a baby is born is always a challenge. The added challenge of providing breastmilk for a baby’s optimal nutrition and to prevent a myriad of illnesses can prove daunting. In this session we will explore all that the pediatric provider needs to know to provide support: from pumps and bottle, to safe storage and preparation to maintaining a supply to help the family meet their goals. A variety of pumps will be on hand to demonstrate the how-to of putting the kits together and making the milk flow.
- 321: Stopping the Youth Tobacco Use Epidemic (Substance Abuse mini-track)
Laura Searcy, MN, APRN, PPCNP-BC and Alison Moriarty Daley, PHD, APRN, PPCNP-BC, FAAN
Tobacco use by youth is correlated with health risks, increased risk for other substance misuse, mood disorders, and has emerged as a risk factor for COVID-19 infection. In addition, nicotine, is highly addictive and known to negatively affect youth brain development. The presenters will review the current trends in youth e-cigarette use, the evolution of federal tobacco policy regarding e-cigarettes, an overview of FDA and congressional actions, current enforcement activities, and the delays in the enactment of regulations to protect adolescents from access to and the use of e-cigarettes. The experts will also discuss NAPNAP’s Position Statement Regarding the Use and Exposure to Tobacco Products in Children, Adolescents, and Young Adults. Attendees will leave this session armed with knowledge of screening and prevention measures that can be utilized, across practice settings, to aid in youth prevention and cessation.
- 322: Top 10 Things to Know About Acute Pediatric Fracture Management (Ortho mini- track)
Gerad Montgomery, MSN, RN, APRN, FNP-C
In the United States it is estimated that approximately one out of five primary care and emergency room visits are related to pediatric musculoskeletal injuries and conditions. Of these injuries 10-15% will result in a fracture and the majority of these will initially be managed by a primary care, urgent care or emergency room provider. Recognizing common pediatric fracture patterns and understanding the basic principles of acute management with these injuries will help providers to safely manage them and avoid iatrogenic injuries from missed diagnosis and inappropriate early management.
- 323: Children, Cyberworlds and COVID-19: The Good, The Bad and The Ugly (COVID-19 mini-track)
Lisa K. Militello, PhD, MPH, CPNP and Elizabeth Hutson, PhD, APRN-CNP, PMHNP-BC
Prior to the pandemic of 2020, nearly all adolescents had access to a smartphone and nearly half reported being online “almost constantly.” Online connectedness during the COVID-19 pandemic highlighted both benefits and challenges to pediatric health and well-being. In this discussion, particular attention will be paid to social media and smartphone applications, evidence, quality, where to locate relevant digital health tools and how to integrate these technologies into pediatric clinical practice. Special emphasis will be placed on tools that support stress regulation and psychological well-being (e.g. such as cognitive-behavioral therapy, mindfulness, meditation).