March 24 Agenda - NAPNAP

March 24 Agenda

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8–9 a.m. (1.0 contact hour) Early Riser Sessions – Select Only One

  • 301: Understanding the Uses and Effects of Cannabis in Children and Youth (Rx)
    Dawn Garzon, PhD, CPNP-PC, PMHS, FAANP, FAAN
    The purpose of this session is to provide the pediatric-focused APRN with an introduction to the use and effects of cannabis on children and youth. The discussion includes a conversation about the current cannabis laws, the physiologic effects of cannabis, the evidence for cannabis use in pediatrics and guideline for facilitating discussions with families who have interest in using cannabis for their children. This session is appropriate for providers from all patient care settings and for the novice to seasoned APRN.
  • 302: Acute Care Speed Session (AC)
    This session will offer four focused topics in acute care that convey important education in short presentations.
  • 304: Transition Implementation and Consult Clinic: Cleveland Clinic Experience
    Carrie A. Cuomo, DNP, APRN, CPNP-AC/PC
    How providers prepare adolescents for the transition to an adult model of care has a direct effect on the success of the transfer of care. This session will review Got Transition’s six core elements and describe how to incorporate them into your daily workflow.

10:30-11:30 a.m. (1.0 contact hour) Concurrent Sessions – Select Only One

  • 305: Why Are You Prescribing Me an Antidepressant for My Anxiety? Renaming Psychiatric Medications Using Neuroscience-based Nomenclature (Rx)
    Elizabeth Hutson, PhD, APRN-CNP, PMHNP-BC
    Standard nomenclature for psychiatric medications includes names like antidepressants, ADHD medications and antipsychotics. These names do not describe what the medications do pharmacologically and more importantly, these names are confusing to patients and families. The purpose of this presentation is to describe neuroscience-based nomenclature (NbN), a novel movement in psychiatry that aims to move from a disease-based naming system to a pharmacology and mechanism of action-based system. Ultimately, this presentation arm pediatric-focused NPs with a new classification system to think about pediatric mental health and how to prescribe based on the medication’s mechanism of action.
  • 306: Pediatric Toxidromes: Special Considerations in the Poisoned Child (AC)
    Kathleen S. Jordan, DNP, RN, FNP-BC, ENP-C, SANE-P, FAEN, FAANP
    The scope of toxic substances involved in poisoning is very broad, requiring advanced practice providers to have the knowledge and skill set for early recognition and knowledge of specific theapeutic interventions.
  • 307: Differentiating Ehlers-Danlos and Marfan Syndromes
    Sharon Anderson, DNP, APN, NNP-BC, AGN-BC, CNE
    This presentation will provide an overview of two of the most common heritable connective tissue conditions, Ehlers-Danlos (focusing on the most common hypermobile subtype) and Marfan syndromes. The presenter will discuss similar and discriminating assessment features, diagnostic testing and criteria/screening tools, and recommendations for ongoing surveillance and management.
  • 308: Sexual Abuse – Test Your Knowledge
    Gail A. Hornor, DNP, CPNP, SANE-P
    This interactive session will engage participants in learning about child sexual abuse. Questions will be of increasing difficulty and will query the learner regarding the following topics: ano-genital exam physical findings, child sexual abuse consequences, sexual abuse mimics, sexually transmitted infections and child sexual abuse, pedophiles and commercial sexual exploitation of children.
  • 309: Show Me the Money: Building Documentation and Coding Confidence
    Alycia Bischof, DNP, APN, PNP-BC
    With the new evaluation and management coding guidelines instituted by CMS in 2021, payment is now based on medical decision-making and time. In addition, COVID-19 has changed the telehealth billing rules. It is essential that advanced practice providers are knowledgeable about these changes and have the skills to document patient visits in a manner that optimizes reimbursement. This presentation will explain the recent CMS changes, discuss differences between in-patient and out-patient coding and review the needed documentation to maximize reimbursement.
  • 310: What We Breathe Matters: The Effects of Environmental Toxins on the Pediatric Population
    Traci Gonzales, MSN, APRN, CPNP and Elise Whalen, MSN, APRN, FNP-C, CPN
    Preventable environmental factors, like exposure to poor air quality, are predicted to affect 23% of all global deaths. Children and pregnant women have been identified as high risk populations who are particularly susceptible to the negative effects of poor air quality. This presentation will provide an overview of health concerns related to poor quality, population specific considerations and the pediatric provider’s role in assessment and prevention.
  • 311: Big Changes to Acute Concussion Management: What Every NP Needs to Know for Ideal Outcomes
    Roni L. Robinson, CRNP
    With the growing number of recreational and sport related concussions occurring each year, the need for consensus of care for this patient population has also grown. The research community has attempted to answer this need with a plethora of publications published in this field over the last several years; however, recommendations can often be confusing, incomplete and even contradictory. This session will provide the tools the pediatric-focused NP will need to manage adolescent and pediatric concussion injuries competently and successfully.

1:10–2:25 p.m. (1.25 contact hours) Concurrent Sessions – Select Only One

  • 312: First Do No Harm: Embracing Body Positivity and Trauma-Informed Obesity Care
    Victoria F. Keeton, PhD, RN, CPNP-PC and Naomi Schapiro, PhD, RN, CPNP-PC
    Pediatric obesity interventions that focus on weight loss may unconsciously perpetuate weight stigma. In addition, interventions focused on weight loss through nutrition and exercise have limited sustained impact on BMI. This perceived lack of “success” increases frustration for clinicians and patients. In this presentation we will explore emerging evidence on body acceptance, intuitive eating and stress reduction for health promotion, rather than weight loss, framed by trauma-informed principles. Participants will learn to evaluate child weight through a holistic lens, using novel approaches to care to promote and sustain positive physical and mental health outcomes in their patients.
  • 313: Meeting the Challenges of Pediatric Behavioral Health Emergencies (AC)
    Kathleen S. Jordan, DNP, RN, FNP-BC, ENP-C, SANE-P, FAEN, FAANP
    This presentation will discuss the most common pediatric behavioral health emergencies and conditions including depression, suicidality, aggression and mood disorders, and differentiate between a medical emergency and a behavioral health emergency.
  • 314: Top Ten Countdown: Red Flags for Rapid Referral to Neuro
    Erin O’Connor Prange, MSN, CRNP
    This presentation will cover a multitude of neurological symptoms that almost always present to primary care providers in outpatient setting. We will review common complaints such as headache, toe walking, abnormal movements, vomiting and more as we journey the history taking process to recognize red flags and prompt referral to specialty care. Using case-based examples, you will learn why early hand preference may indicate stroke and why a teen girl with migraines may be presenting with a thrombosis.
  • 315: Early Recognition, Early Intervention: Diagnosing and Managing Cerebral Palsy in Young Children
    Traci Gonzales, MSN, APRN, CPNP and Ginelle King, APRN, FNP-C
    Cerebral palsy (CP) is the most common childhood disability. Given the prevalence, pediatric providers should be trained in early recognition and appropriate interventions for children diagnosed with CP. This presentation will discuss up to date recommendations and review evidence-based guidelines for multiple developmental domains including motor, cognitive, communication, eating/drinking, vision, sleep, tone and musculoskeletal.
  • 316: Child Maltreatment Prevention: Essentials for the Pediatric-focused NP
    Gail A. Hornor, DNP, CPNP, SANE-P
    Child maltreatment is a serious problem with the potential for lifelong physical and mental health consequences, even death. According to the U.S. Department of Health & Human Services, an estimated 656,000 children determined to be victims of child maltreatment in 2019 and maltreatment resulted in death for 1,840 children. Pediatric-focused NPs are uniquely positioned not only to identify potential victims of child maltreatment but also to prevent child maltreatment prior to its occurrence. This session will discuss practice-level child maltreatment prevention interventions, both universal and targeted, and allow attendees to participate in clinical case studies.
  • 317: Pesticides/Herbicides and Rural Children’s Health
    Rose M. Nealis, PhD, APRN, CPNP-AC, PPCPN-BC
    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. We will identify commonly used agricultural and home pesticides along with the risks to the fetus and child. The presenter will discuss diagnostic studies and treatment options. The presentation will include the impact of COVID-19 on lead screening and home poisonings. This session is relative to both acute and primary health care providers and students.
  • 318: Unpacking our Baggage: Mitigating Implicit Bias to Reduce Health Inequities in Youth
    Brenda Cassidy, DNP, RN, MSN, CPNP-PC
    Social justice issues and COVID-19 have exposed inequities to accessing high-quality care throughout the health care system. “This Moment in Time” presents an opportunity to leverage our outrage and take steps to make sustainable changes that promote equitable care across all populations. This presentation focuses on the critical first step in the transformation to providing equitable and inclusive care to our youth. Using a framework to recognize implicit bias, videos and cases will be critiqued to manage implicit bias with BIPOC, LGBTQIA+ and disabled youth.

2:45–4 p.m. (1.25 contact hours) Concurrent Sessions – Select Only One

  • 319: Primary Care Management of the Co-Morbidities Associated with Autism Spectrum Disorder in Children and Adolescents (Rx)
    Susan N. Van Cleve, DNP, CPNP-PC, PMHS, FAANP, FAAN and Joshua Palmer, DNP, PMHNP, RN
    This presentation will provide an extensive overview of co-occurring physical, psychiatric and behavioral conditions commonly seen in children with Autism Spectrum Disorder (ASD) and will provide the attendee with the skills to assess, diagnose and manage these conditions. The presenters will review pharmacologic and nonpharmacologic management with extensive coverage of pharmacologic options and use cases throughout the presentation to highlight the application of information. They will provide recommendations for overall management of children with ASD, with the goal of promoting optimal development and integration of the child or teen into the family, school and community.
  • 320: When Routine Care Doesn’t Go According to Plan: Common Post-operative Complications in the PICU and What to Do About Them (AC)
    Heather E. Herrera, MSN, RN, CPNP-AC/PC
    Using case studies, we will discuss common post-operative complications, as well as some unusual complications and potential intervention and treatment strategies.
  • 321: Pediatric-focused NPs Influencing the Critical State of Foster Care Placement Stability
    Sara E. Moore, DNP, RN, APRN, BC, CPNP-AC, NNP
    Due to COVID-19, children are entering the welfare system with a higher level of needs and there are fewer foster homes available. Consequently, placement availability and stability have reached a critical state and larger numbers of children in the welfare system are without placements leading to situations where children are sleeping in CPS offices and hotel rooms. The NP is a gatekeeper for the children and families involved in the welfare system. This presentation will provide practical applications that NPs can implement in their practices to support placement stability and improve the life of the child in foster care.
  • 322: Be the Bridge Builder: A How-To Guide for Creating Your Own Role as an Advanced Practice Provider
    Leah Apalodimas, MSN, APN, CCRN, CPNP-AC/PC, Leslie Rhodes, DNP, PPCNP-BC and Elizabeth Paton, DNP, PNP-C, PPCNP-BC, CPEN, FAEN
    New graduates often struggle to find employment and seasoned APRNs can find it challenging to find the “right fit”. This presentation will provide three innovative ways that pediatric APRNs established new roles in their institution. The presenters will describe how the need was identified, the challenges met in establishing the role and lessons learned.
  • 323: Differentiating Neurocutaneous Disorders: TSC and NF1
    Sharon Anderson, DNP, APN, NNP-BC, AGN-BC, CNE
    This presentation will provide an overview of two of the most common neurocutaneous disorders, tuberous sclerosis complex (TSC) and neurofibromatosis type 1 (NF1). We will discuss assessment features, diagnostic testing and criteria/screening tools, benefits and limitations of genetic testing, and recommendations for ongoing surveillance and management.
  • 324: Adapting to Achieve High-Quality Health Supervision
    Kathleen A. Kent, DNP, APRN, CPNP-PC
    This session will focus on overcoming common barriers that will enhance patient/ pediatric-focused NP relationships in a busy primary care practice setting. During this interactive learning session, pediatric-focused NPs will learn from each other about innovative adaptations, success stories, best practices and practical strategies to overcome common barriers both in regard to practice-specific and health topic-specific issues. The presenter will utilize revised Bright Futures forms and tools, additional resources and real-world case studies to demonstrate successful implementation of Bright Futures recommendations, including addressing social determinants of health.
  • 325: If You Build It, They Will Come: Reverse Engineering Clinical Pathways for Better Patient Outcomes
    Roni L. Robinson, CRNP
    How do you know when you need a clinical pathway or when it may be useful? We will discuss the use of Clinical Pathways, how to put together the right team to create a pathway and how to monitor its effectiveness.
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