March 26 Agenda - NAPNAP

March 26 Agenda

Noon–1 p.m. (1.0 contact hour) 

  • Bigger is Not Always Better: Pediatric Obesity and its Implications for Critical Care with Case Study Discussions 
    (Recommended for pediatric NPs practicing in Acute Care/Critical Care)
    Heather E. Herrera, MSN, RN, CPNP-AC/PC and Jennifer L. Joiner, MSN, CPNP -AC/PC
    Pediatric obesity is a growing public epidemic that has significant implications in critical care medicine. Obesity-related comorbidities often complicate the safe care of the critically ill child and pose unique challenges for providers. The presenter will review strategies to best benefit the care of the obese child using relevant case studies with a concise review of the latest information on the care of the critically ill obese child.
  • COVID-19 Vaccine  (Pharmacology)
    (Recommended for Experienced pediatric NPs)
    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.
  • Everyone has a First time: Preparing an Abstract for a Conference Presentation
    (Recommended for pediatric NPs interested in Professional Issues and Leadership Development)
    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.
  • Common (and Not So Common) Genetic Syndromes
    (Recommended for pediatric NPs practicing in Rural Areas)
    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.
  • Meningitis B in Young Adults: Clinical Applications & Personal Stories
    (Recommended for Early Career pediatric NPs)
    Patti Wukovits, BSN, RN and Alicia Stillman, MBA, MPH Candidate
    Curious about the public health challenges associated with Meningitis B vaccination in young adults? This presentation aims to improve your understanding of the clinical applications of current Meningitis B vaccination recommendations through a range of perspectives – a fellow nurse practitioner, two advocates personally affected by Meningitis B and a student health center provider from a college with recent Meningitis B cases. Through real-life case studies and personal stories, you will build your knowledge of Meningitis B prevention as well as available tools and resources to support your clinical practice.
  • Helping Children and Adolescents who Live in Families Affected by Substance Use Disorders
    (Recommended for pediatric NPs in Specialty Care)
    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.

1:30-2:45 p.m. (1.25 contact hour)

  • When You’re Not Born With It! Critical Cases in Acquired Cardiac Disease
    (Recommended for pediatric NPs practicing in Acute Care/Critical 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).
  • Stopping the Youth Tobacco Use Epidemic 
    (Recommended for Experienced pediatric NPs)
    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.
  • Leadership Development: Making the Most Out of Mentoring 
    (Recommended for pediatric NPs interested in Professional Issues and Leadership Development)
    Catherine M. Haut, DNP, CPNP-AC/PC, FAANP, FAAN and Susan Van Cleve, DNP, RN, CPNP-PC, PMHS, FAANP
    Pediatric APNs work in a variety of settings where they care for children with complex health and social problems, teach APNs and engage in research or evidence-based practice activities. Novice nurses as well as experienced APNs benefit from mentors who can provide support and guidance in establishing these new roles, mastering technical skills and navigating professional opportunities. This presentation will focus on mentoring expertise. The presenters will share their experience in a mentoring relationship and will encourage participants to identify their personal experiences as the mentee, mentor or both.
  • Prescribing Medications to Prevent and Treat Viral Infections in Pediatric Patients (Pharmacology) 
    (Recommended for pediatric NPs practicing in Rural Areas)
    Teri M. Woo, PhD, CPNP, CNL, FAANP
    Pediatric patients become infected with viral infections ranging from the common cold to severe, life threatening systemic infections. Unlike bacteria, viruses are obligatory intracellular microbes which may rapidly mutate making the development of effective antivirals challenging. The presenter will review viral infections seen in pediatric patients and the medications prescribed. The expert will also review immunizations that prevent or mitigate viral infections including influenza, polio, rotavirus hepatitis B, human papillomavirus and newly FDA approved antiviral treatments for adolescents with hepatitis C. Participants will learn about prescribing and monitoring antiviral treatment for influenza, varicella, herpesvirus, and HIV.
  • Contraceptive Education for Adolescent Males 
    (Recommended for Early Career pediatric NPs)
    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.
  • The Science of Neuropsychiatric Medications and The Application in Pediatric Practice (Pharmacology)
    (Recommended for pediatric NPs in Specialty Care)
    Joshua Palmer, DNP, PMHNP, RN and Susan N. Van Cleve, DNP, RN, CPNP-PC, PMHS, FAANP, FAAN
    This presentation reviews the neurological/biological basis and treatment of psychiatric conditions common to children and adolescents. The presenters will cover the basic anatomy and physiology of the brain to guide a neurological review of common pediatric psychiatric conditions. This knowledge is then used to discuss the pharmacological treatment of psychiatric conditions in the clinical setting.

3:15–4:30 p.m. (1.25 contact hours)

  • Mother and Baby – Breaking the Habit Together   (Pharmacology)
    (Recommended for pediatric NPs practicing in Acute Care/Critical Care)
    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.
  • Telehealth: What the APRN Student Needs to Know & How to Teach Them
    (Recommended for Experienced pediatric NPs)
    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.
  • Patient Safety Program in Pediatric Primary Care: Speak up for Safety
    (Recommended for pediatric NPs interested in Professional Issues and Leadership Development)
    Cheryl L. Cairns, DNP, CPNP, RN
    Safety is a primary concern in health care, with pediatric primary care being no exception. How does your office handle errors and safety concerns? In this presentation, we will delve into high reliability and a culture of safety. You will be provided with tools to use for identifying, mitigating and addressing barriers to reporting errors to assist you in leading efforts to improve patient and caregiver safety in the primary care office.
  • Nursing Beyond the Borders: Addressing Healthcare Needs and Health Disparities for Children in Immigrant Families 
    (Recommended for pediatric NPs practicing in Rural Areas)
    Teresa M. Whited, DNP, APRN, CPNP-PC and Albrey Love, DNP, APRN, PNP-PC
    Approximately one in four children in the United States lives in an immigrant family. Caring for children in immigrant families (CIF) presents healthcare providers with a unique challenge of addressing the health care needs and health disparities these children and their families face. This interactive presentation will define the nurse practitioners’ role in caring for CIF and provide targeted interventions to address these children’s medical and social needs to achieve optimal health outcomes in these vulnerable patients.
  • Amox Rocks! Understanding Penicillin Allergy in the Pediatric Patient (Pharmacology)
    (Recommended for Early Career pediatric NPs)
    Trisha Wendling, DNP, APRN, CNP
    Penicillin allergy, the most commonly reported allergy in a pediatric patient, is associated with increases in cost of care, hospitalization and morbidity, as well as contributing to antibiotic resistance. However, 95% of patients labeled with a penicillin allergy do not have a true allergy. The Centers for Disease Control & Prevention has identified improper use of antibiotics to be an important factor that must be addressed for both patient safety and public health. This presentation will identify high-risk symptoms of allergy, differentiate between adverse reactions, IgE-mediated allergic reaction and delayed T-cell reactions, as well as discuss appropriate testing for penicillin allergy. Additionally, the presenter will address alternative antibiotics that can be used until a formal allergy evaluation can be completed.
  • Obsessing Over OCD: Identifying and Treating Obsessive Compulsive Disorder in Children and Adolescents
    (Recommended for pediatric NPs in Specialty Care)
    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.

4:45–6 p.m. (1.25 contact hours) 

  • Manage These Cases: Complications of Endocrine Disorders (this session will end at 7 p.m. )
    (Recommended for pediatric NPs practicing in Acute Care/Critical Care)
    Maureen Madden, DNP, CPNP-AC, CCRN, FCCM; Valarie Eichler, MSN, CPNP-PC/AC and Lauren Sorce, PhD, RN, CPNP-AC/PC, CCRN, FCCM
    Despite improved surveillance and management, endocrinologic disorders remain a major cause of illness, disability and hospitalization. The key endocrinological disease content that will be discussed are DKA, pheochromocytoma and thyroid disturbances. Each case will be presented using a case study format which includes the presenting signs and symptoms, diagnostic evaluation, diagnostic challenges, clinical complications and therapeutic interventions.
  • Can You Hear Me Now? Updates on Pediatric Hearing Loss and Technology to Improve Hearing 
    (Recommended for Experienced pediatric NPs)
    Summer L. Hayhurst, CPNP, CNS
    Learn the most current information about patients at risk for hearing loss, associated genetic syndromes, new FDA-approvals for cochlear implants and Osia hearing aid in this session. The presentation will include videos and photos of surgical device implantation and activation. Congenital hearing loss is one of the most common birth defects. Early identification, referral and intervention for pediatric hearing loss is critical for language development and cognition.
  • Breastfeeding and Returning to Work—Helping Families Get Past the Obstacles
    (Recommended for Early Career pediatric NPs)
    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.
  • Preparing Pediatric-focused APRNs During a Pandemic: Lessons Learned while Looking Ahead 
    (Recommended for pediatric NPs interested in Professional Issues and Leadership Development)
    Anne L. Derouin, DNP, APRN, CPNP, PMHS, FAANP and Jennifer Sonney, PhD, ARNP, PPCNP-BC
  • Top 10 Things to Know About Acute Pediatric Fracture Management 
    (Recommended for pediatric NPs practicing in Rural Areas)
    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.
  • Screening, Interviewing and Managing the Suicidal Child or Adolescent in Pediatric Practice – Latest Evidence-Based Recommendations 
    (Recommended for pediatric NPs in Specialty Care)
    Pam Lusk, DNP, PMHNP-BC, FAANP and Jessica Kozlowski, DNP, RN, CPNP-PC
    The presenters will discuss the critical need to screen children and teens for depression, thoughts of death and self-harm routinely in pediatric practice. If the patient screen is positive for suicide ideation or suicidal behavior, we will demonstrate how to use the National Institute of Mental Health (NIMH) Youth ASQ Toolkitwhich includes a follow up screening tool with the specific questions to ask next about intent, plan, acuity and other key materials. Faculty will demonstrate how to use the toolkit, assess risk and determine need for hospitalization. Presenters will also demonstrate how to use the evidence-based outpatient intervention: Patient Safety Template and manage follow up visits for those who can be treated as outpatients.
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