March 25 Agenda - NAPNAP

March 25 Agenda

Noon–1 p.m. (1.0 contact hour) 

  • Interprofessional Collaboration: How to Cultivate Happy & Healthy Work Environments in Pediatric Acute and Critical Care Settings  (Recommended for pediatric NPs practicing in Acute Care/Critical 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.
  • An Antibiotic Spectrum An Approach to Choosing Antibiotics Using Antibiograms (Pharmacology)
    (Recommended for Experienced pediatric NPs)
    Kim Steanson, DNP, APRN, CPNP-PC/AC
    This presentation discusses antibiograms and ways to link potential pathogens and appropriate antibiotics to achieve successful treatment decisions in practice. The learners will (with pen and paper) construct an antibiogram with the information provided. The presenter will briefly discuss the history, dosing and pathogen coverage of each drug class. At the conclusion, the participants will have another tool to improve antibiotic stewardship within their practices.
  • Nudge: Mobilizing the Pediatric-Focused Advanced Practice Registered Nurse Workforce Towards Policy Engagement  
    (Recommended for pediatric NPs interested in Professional Issues and Leadership Development)
    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.
  • Psychopharmacology for the Primary Care Provider (Pharmacology)
    (Recommended for pediatric NPs practicing in Rural Areas)
    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.
  • Keeping up with the Kid-RASH-ians 
    (Recommended for Early Career pediatric NPs)
    Cassandra Newell, RN, MSN, CPNP
    This presentation includes an interactive, visual overview of 8-10 case-based, pediatric dermatologic scenarios from a pediatric emergency department. The presenter will review the diagnosis of each case and their differential diagnoses and discusspractical treatment plans for each case to aid providers in the future.

  • Pearls and Pitfalls for Evaluation and Management of Pediatric/Adolescent Hand Injuries 
    (Recommended for pediatric NPs in Specialty Care)
    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. 

1:30–2:45 p.m. (1.25 contact hours) 

  • Pediatric Hospital-based Opioid Use and Prescribing: The Latest Evidence for Pediatric-Focused Advanced Practice Registered Nurses (Pharmacology) 
    (Recommended for pediatric NPs practicing in Acute Care/Critical Care)
    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.
  • Asthma-Focused Telehealth Visits – Maximizing the Experience 
    (Recommended for Experienced pediatric NPs)
    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.
  • Practice Ownership 101 
    (Recommended for pediatric NPs interested in Professional Issues and Leadership Development)
    Jo Ann 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.
  • Pesticides and Rural Children’s Health 
    (Recommended for pediatric NPs practicing in Rural Areas)
    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 .
  • Preventing HIV Just in Time – Pre-exposure Prophylaxis (PrEP) 101 and Lessons Learned from a Pilot Telehealth PrEP Program (Pharmacology) 
    (Recommended for Early Career pediatric NPs)
    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.
  • Evaluation and Management of the Limping Child 
    (Recommended for pediatric NPs in Specialty Care)
    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.

3:15–4:30 p.m. (1.25 contact hours) 

  • Diagnosis and Management of Multisystem Inflammatory Syndrome in Children (MIS-C) associated with Coronavirus Disease 2019 (COVID-19) in Children and Adolescents 
    (Recommended for pediatric NPs practicing in Acute Care/Critical 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.
  • Online Dangers for Children and Adolescents: Pornography Exposure and Online Sexual Solicitation 
    (Recommended for Experienced pediatric NPs)
    Gail A. Hornor, DNP, CPNP
    The internet provides many opportunities to enrich the lives of youth by providing greater access to learning opportunities, valuable resources and positive social interactions with peers. However, the internet is a relatively unregulated entity that can place children and adolescents at risk for a variety of negative and potentially dangerous exposures including pornography, online sexual solicitations and interactions with older adolescents, peers and adults. This session will describe child and adolescent exposure to pornography and online sexual solicitation and use interactive case studies to explore implications for practice.
  • TBD 
    (Recommended for pediatric NPs interested in Professional Issues and Leadership Development)

  • Are We Listening? Barriers and Challenges for Families of Children with Medical Complexities 
    (Recommended for pediatric NPs practicing in Rural Areas)
    Emily Charles, FNP
    This presentation will guide the advanced practice provider to recognize common challenges and barriers that families encounter while caring for their children with medically complex illnesses. Gaps of care are common amongst this population, and often times are related to social, economic or psychology barriers of the family not known by the provider. Unfortunately, these unaddressed gaps of care are frequently perceived as medical noncompliance, leading to fractured relationships between caregivers and providers. We will discuss interventions to assist providers in recognizing and addressing ongoing challenges and barriers for families of children with medically complex illnesses.
  • GU Exams for Prepubertal Girls: Techniques and Comfort Measures 
    (Recommended for Early Career pediatric NPs)
    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.
  • Advancements in Conservative Management of Idiopathic Scoliosis      
    (Recommended for pediatric NPs in Specialty Care)
    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, bluetooth 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.

4:45–6 p.m. (1.25 contact hour) Concurrent Sessions – Select Only One

  • Calculations/Formulas We Need, but Easily Forget… 
    (Recommended for pediatric NPs practicing in Acute Care/Critical 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.
  • Energy Crisis: Mitochondrial Medicine for Pediatric-focused Nurse Practitioners 
    (Recommended for Experienced pediatric NPs)
    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.
  • Writing for Publication: Back to Basics
    (Recommended for pediatric NPs interested in Professional Issues and Leadership Development)
    Martha Swartz, PhD, RN, CPNP, FAAN and Sarah Martin, RN, MS, CPNP-AC/PC
    Submitting a publication can be a daunting and scary task for the novice writer. This session provides an opportunity for authors to become knowledgeable about the publishing process. Faculty will describe publishing pearls, the three “writes” (topic, time and venue) and a writing plan. They will discuss reference styles, tips for reference management and the appropriate attribution. Presenters will summarize ethical considerations of manuscript preparation, including authorship and plagiarism. They will also address the components of a review, how feedback is given and tips for revision and resubmission. Session participants will have an opportunity for open dialogue with the Journal of Pediatric Health Care editors, editorial advisory board and department editors. The goal of this session is to have reluctant advanced practice nurse authors publish!
  • When the Cough Won’t Go Away: A Step-by-Step Approach to Managing Chronic Cough (Pharmacology) 
    (Recommended for pediatric NPs practicing in Rural Areas)
    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.
  • Children, Cyberworlds and COVID-19: The Good, The Bad and The Ugly 
    (Recommended for Early Career pediatric NPs)
    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).
  • What’s that Swell?: Diagnosis and Management of Pediatric Lower Extremity Swelling 
    (Recommended for pediatric NPs in Specialty Care)
    Rachel R. Swerdlin, MS, RN, CPNP-PC
    There are several causes of localized pediatric lower extremity swelling which are associated with different etiology based on pathophysiology. While most causes are not life threatening, there are severe medical conditions that require prompt diagnosis and treatment. Appropriate evaluation and referral is imperative to eliminate unnecessary tests and doctor visits, as well as ensuring correct treatment. This presentation will review the causes of pediatric lower extremity swelling, differential diagnosis, evaluation, diagnostic work up, referrals and management of common causes.
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