March 27 Agenda - NAPNAP

March 27 Agenda

Noon–1:15 p.m. (1.25 contact hour)

  • Ethics in the PICU: The Art of Providing Care for the Chronically Critically Ill Child
    (Recommended for pediatric NPs practicing in Acute Care/Critical Care)
    Heather E. Herrera, MSN, RN, CPNP-AC/PC
    Pediatric-focused nurse practitioners in the PICU provide care for chronically, critically ill children every day. With the advancement of technology, many of these children are surviving and even thriving. However, ethical conflict can sometimes arise between providers and caregivers when these children become critically ill. Providers must then discuss and merge these conflicts while keeping the best interests of the child in mind. The presenter will review an ethical principles and discuss relevant cases studies, providing in-depth discussion regarding strategies to providing compassionate, ethical care in the PICU for these critically ill children.
  • While We are Sleeping, the Glymphatic System is Hard at Work 
    (Recommended for Experienced pediatric NPs)
    Elizabeth K. Rende, DNP, RN, CPNP-PC, PMHS-BC, FAANP
    The identification of a waste removal system in the brain has been named the glymphatic system (GS). Come learn more about the anatomy and physiology of the brain and its amazing ability to remove waste products, occurring only while we sleep. A discussion about the significance of the circadian rhythm of CSF production, transport and drainage will suggest that suppression of the GS may contribute to the pathology in traumatic brain injury, autoimmune disorders and neurodevelopmental disorders such as autism. Case studies will illustrate the potential significance of dysfunction of the GS in specific neurological conditions and the importance of the assessment and management of impaired sleep patterns or behaviors. 
  • COVID-19 Call to-Action: NAPNAP’s Federal Advocacy Response the Pandemic
    (Recommended for pediatric NPs interested in Professional Issues and Leadership Development)
    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.
  • Workshop in Agricultural Safety Resources – Keeping Children Safe 
    (Recommended for pediatric NPs practicing in Rural Areas)
    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 presenters 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.
  • Blood Dyscrasias and the Primary Care Provider
    (Recommended for Early Career pediatric NPs)
    Terea A. Giannetta, DNP, RN, CPNP, FAANP
    This presentation will provide the definition of a variety of blood issues and how those diagnoses may impact primary care. Specific diagnoses will include Sickle Cell disease, Thalassemia, Hemophilia, vonWillebrand Disease and Immune Thrombocytopenia (ITP). The presentation will help the primary care provider understand the lab results that support a diagnosis as well as how primary care can assist the family. The presenter will share diagnostic lab review for each process. There will also be a hematology management overview and application to the primary care setting.
  • Strokes in Newborns; Early Recognition Improves Outcomes (Acute Care)
    (Recommended for pediatric NPs in Specialty Care)
    Mona P. Jacobson, MSN, CPNP
    Strokes occur in the pediatric population with the highest risk in the perinatal period. Many pediatric care providers are unaware of strokes in infancy. The goal of this presentation is to improve knowledge and recognition of perinatal strokes so these infants receive prompt evaluation and subsequent early intervention services which will hopefully lessen future deficits.

1:30 –2:45 p.m. (1.25 contact hours) 

  • Non-invasive Ventilation: What’s Old is New Again 
    (Recommended for pediatric NPs practicing in Acute Care/Critical Care)
    Christyne M. Kyper, MSN, CPNP
    From fumigators to BiPAP, learn how non-invasive ventilation is being used in the PICU and how it is keeping our patients from being intubated. Enjoy a brief historical review of non-invasive ventilation as we discuss various disease states and indications for NIV.
  • Gender-neutral Conversations with LGBTQIA+ Youth: Disclosure and Health Outcomes 
    (Recommended for Experienced pediatric NPs)
    Brenda Cassidy, DNP, RN, MSN, CPNP-PC
    Sexual minority youth report stigmatization and negative reactions from healthcare providers when disclosing LGBTQIA+ status. Practice how to start the conversation through case discussion in an interactive learning module on LGBTQIA+ health. Focus group methodology was used to develop themes for module content: appropriate terminology, health disparities and interactive cases to demonstrate respectful communication about gender identity and sexual orientation. Participants will receive a toolbox of resources on caring for LGBTQIA+ youth.
  • Shaking the Fat Out of Fatty Liver Disease
    (Recommended for pediatric NPs in Specialty Care)
    Debra K. Browne, MSN, CPNP
    An estimated $14 billion dollars is spent per year in medical costs associated with childhood obesity. Non-Alcoholic Liver Disease (NAFLD) is now the most common liver disease in children. Learn about NAFLD staging, interpret screening guidelines, discuss interventions and new research projects related to disease management.
  • The Journey has Begun: Direct to Consumer (DTC), On-demand Telehealth Video Visits for Minor Illness and Injuries 
    (Recommended for pediatric NPs interested in Professional Issues and Leadership Development)
    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.
  • Evidence-based Screening and Mental Health Interventions for Primary Care: Anxiety, Depression, and Stress Related Disorders (COVID-19)
    (Recommended for pediatric NPs practicing in Rural Areas)
    Pam Lusk, DNP, PMHNP-BC, FAANP and Bernadette Mazurek Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN
    In this presentation, faculty will identify evidence- based screening tools for anxiety, depression and stress related disorders. In addition, we will discuss the follow up assessment of the teen or child based on the screenings, including stressor related (COVID-19) mental health concerns. The presenters will demonstrate the brief interventions for busy pediatric practices that address 1) anxiety (breathing, relaxation, safety strategies), 2) depression (CBT based strategies, patient safety templates) and 3) acute stress/trauma (identifying helpers, self-soothing and dealing with strong emotions strategies) and provide handouts and guides for practice.
  • Name That Spot: Is it Genetic or Not?
    (Recommended for Early Career pediatric NPs)
    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.

3–4:15 p.m. (1.25 contact hour) 

  • Locked, Loaded, and Ready to Save Lives: The PNP and Firearm Safety
    (Recommended for pediatric NPs practicing in Acute Care/Critical Care)
    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.
  • Pediatric Feeding Disorder: Tackling Common Feeding Concerns in Primary Care 
    (Recommended for Experienced pediatric NPs)
    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.
  • Trustworthy, Evidence-based, Affirming, Multidisciplinary: Pediatric Vignettes from the TEAM LGBT Clinic 
    (Recommended for pediatric NPs interested in Professional Issues and Leadership Development)
    Kayla L. Carr, PhD, RN, FNP-C and Sharon McElwain
    Sexual and gender minority youth face unique health needs and significant disparity. Through three patient vignettes, we will explore practical care strategies inspired by common patient presentations from the TEAM Clinic, an interdisciplinary LGBTQ clinic, including: 1) well-child visit of a non-sexually active adolescent 2) sexually active adolescent seeking Pre-Exposure Prophylaxis (PrEP) and 3) gender dysphoria in a patient desiring sex-affirming hormone therapy.
  • Child Labor Trafficking: Essential Elements for Pediatric-focused Nurse Practitioners 
    (Recommended for pediatric NPs practicing in Rural Areas)
    Gail A. Hornor, DNP, CPNP
    Human trafficking is a form of modern-day slavery and is a significant pediatric healthcare problem in the United States. The term human trafficking encompasses both sex and labor trafficking. Sex trafficking, especially child sex trafficking, has received significant public and professional attention. However, few efforts have focused on learning more about youth experiencing labor trafficking in the U.S. Pediatric-focused nurse practitioners are likely to encounter victims of child labor trafficking in their practice. A basic understanding of child labor trafficking will assist pediatric-focused nurse practitioners in timely identification of and appropriate intervention for victims. The presenter will discuss child labor trafficking and provide interactive case studies highlighting implications for practice.
  • Using Simulation to Improve Clinical Lactation Skills for Pediatric-focused Nurse Practitioners
    (Recommended for Early Career pediatric NPs)
    Elaine D. Webber, DNP, PPCNP-BC, IBCLC
    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.
  • Baby It’s Cold Outside: STI Exposures in Newborns
    (Recommended for pediatric NPs in Specialty Care)
    Mary E. Flynn, DNP
    Pregnant women are diagnosed with STIs at alarming rates putting their infant at risk for serious infections while in utero and after delivery. NPs working in nurseries and primary care offices must be vigilant to monitor for STI exposures and understand the immediate management and continued surveillance for these infants. This presentation will provide the current evidence-based guidelines for NPs who routinely care for newborns in the nursery or primary care setting.
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