AdvAnced PrActice Neonatal Nurses Conference

Ce l e b ra t ing and Advanc ing Neonata l Nurs ing Prac t i c e

8th National

April 27–30, 2011Sheraton, Waikiki • Honolulu, Hawaii

Co-provided by

the AcAdemy of neonAtAl nursing

2 8th National Advanced Practice Neonatal Nurses Conference

8th

Nat

iona

l

Advanced PracticeNeonatal Nurses Conference

April 27–30, 2011

Honolulu, Hawaii

Celebrating and Advancing Neonatal Nursing PracticeAloha and welcome to the 8th National Advanced Practice Neonatal Nurses Conference. Join colleagues at this year’s conference designed for neonatal nurse practitioners, clinical nurse specialists and experienced neonatal nurses. We are excited to offer a conference tailor-made for you. This is an outstanding program with a world-class faculty in the Land of Aloha.

The ideal conference to combine with a vacation, we have planned this program so that we conclude each day at approximately 1:00 pm. Come and experience Hawaii at this beachfront hotel. The fresh, floral air will energize you; the warm, tranquil waters will refresh you; the breathtaking, natural beauty will renew you. There’s no place on earth like Hawaii. Whether you’re a new visitor or a returning one, Hawaii offers distinct experiences to entice you. We warmly invite you to experience this conference, explore the islands, and discover the ideal conference and travel experience together. Mahalo.

Tuesday, April 263:00 pm–6:00 pm Registration Open

Wednesday, April 27, Day 17:00 am–1:30 pm Registration Open7:00 am–8:00 am Networking Opportunity (Coffee, Tea, Bagels, Pastries)—Exhibits Open

General Sessions8:00–8:15 am Welcome/Annoucements8:15–9:15 am

101 To Feed or Not to Feed…What is the Evidence?Terry S. Johnson, APN, NNP-BC, MN

The literature provides an abundance of articles, but few prospective, randomized, double-blind, controlled trials (PRDBCT), regarding feeding issues in the premature infant. Ms. Johnson discusses the current best evidence and best clinical practices regarding feeding and enteral nutrition in this vulnerable population.

9:15–10:15 am

102 Cardiac Stabilization for Transport Rx = .5Laura Shumock, MN, NNP-BC

Our speaker addresses cardiac conditions seen in the neonatal period. Medications and therapies used to stabilize the infant for transport to a surgical center are discussed.

10:15–11:15 am Exhibits Open—Refreshment Break (Coffee, Tea)11:15 am–12:15 pm

103 Noninvasive VentilationLois Chiu, MD

Noninvasive ventilatory strategies in newborns include the use of nasal CPAP and high-flow nasal cannula. They are associated with fewer complications than mechanical ventilation if used in the right patient population. The indica-tions for noninvasive ventilation are discussed during this presentation.

12:15–1:15pm

104 Mechanisms of Cellular InjuryTerry S. Johnson, APN, NNP-BC, MN

All pathology has its origin at the cellular level and over time evolves to clinical presentation. Our speaker reviews the cellular concepts of hypoxic-ischemic-reperfusion injury, oxidative stress injury, molecular and cellular host-pathogen recognition in sepsis, systemic inflammatory response, and multiple organ dysfunction syndrome in the neonate.

8th National Advanced Practice Neonatal Nurses Conference 3

Thursday, April 28, Day 27:00 am–1:15 pm Registration Open7:00 am–8:00 am Networking Opportunity

(Coffee, Tea, Bagels, Pastries)—Exhibits Open

Pharmacology DayGeneral Sessions8:00–9:00 am

201 Pharmacologic Management of Hypotension Rx=.75Istvan Seri, MD, PhD, HonD

Dr. Seri discusses novel aspects of developmental cardiovascular physiology during transition to extrauter-ine life. He discusses the pathophysiology and phases of neonatal hypotension and the different forms of neonatal shock later in the postnatal period in preterm and term neonates. With the pathophysiology in place, our speaker the explains the mechanisms of action, clinical indications, and doses of vasopressors-inotropes (dopamine, epinephrine norepinephrine), inotropes (dobutamine) and lusitropes (milrinone) as well as steroids. Finally, the evidence of the risks and short- and long-term benefits of these vasoactive agents is discussed.

9:00–10:00 am

202 PDA Management Rx=.5Istvan Seri, MD, PhD, HonD

The physiology of ductal closure and the pathophysiology and hemodynamic impact of ductal patency are addressed in this valuable session. Current evidence for pharmacologic and surgical treatment vs conservative medical management of preterm neonates with a hemodynamically significant PDA is discussed. Data on the mechanisms of action, dosing, efficacy, and side effects of indomethacin and ibuprofen are presented.

10:00–11:00 am Exhibits Open—Refreshment Break (Coffee, Tea)11:00 am–12:00 pm

203 The Evolving Ecology Causing Sepsis in the Neonate Rx=1Terry S. Johnson, APN, NNP-BC, MN

The organisms responsible for sepsis in neonates continue to evolve. In this presentation, Ms. Johnson discusses the epidemiology of current and emerging pathogens, diagnostic tools, novel therapeutic strategies, and pharmaco-logic intervention for infants on the sepsis continuum.

12:00–1:00 pm

204 What Drugs Should I Have Memorized? The Neonatal Pharmacology of Emergencies: Resuscitation, Intubation, and Acute Cardiac Events Rx=1

Kenneth Nakamura, MDDr. Nakamura discusses the pharmacology of medications used in neonatal resuscitation, maternal medications that can affect neonatal resuscitation, sedation for intubation, and emergency pharmacologic treatment of common cardiac arrhythmias.

Friday, April 29, Day 37:00 am–1:15 pm Registration Open7:00 am–8:00 am Global Good Morning Networking Opportunity (Coffee, Tea, Bagels, Pastries)—

Exhibits Open

General Sessions8:00–9:00 am

301 Evaluating the Effectiveness of Golden Hour Care: The One Hour Apgar ScoreJay P. Goldsmith, MD

The first hour of life is the most important hour of a very low birth weight infant’s care. It requires the scripted response of a well-trained and coordinated team to optimize the transition from the intrauterine environment. Dr. Goldsmith discusses the “Golden Hour” and addresses a newly developed process measure for evaluating the effective-ness of care called the “1 Hour Apgar Score.”

4 8th National Advanced Practice Neonatal Nurses Conference

9:00–10:00 am

302 Ethical Issues at the Limits of ViabilityJay P. Goldsmith, MD

The limits of viability continue to be pushed by various new technologies. Reports of infant survival at 22–25 weeks gestational age have come from several sources. Dr. Goldsmith describes the process of ethical decision making and discusses the new International Liaison Committee on Resuscitation (ILCOR) guidelines for the initiation or withhold-ing of care for infants at the margins of viability.

10:00–11:00 am Exhibits Open—Refreshment Break (Coffee, Tea)

A Workshops (Concurrent Sessions)11:00 am–12:00 pm

311 Care of the Late Preterm InfantDebbie Fraser, MN, RNC-NIC

Given the increasing rate of late preterm births in North America, we are challenged to provide appropriate care for these infants in a timely and cost-effective manner. In this session, our speaker examines the most common problems experienced by the late preterm infant and provides strategies to address these issues.

312 Music, Massage, and the NeonateRosanne Harrigan, EdD, APRN-Rx Terry Shantani, MD, MPH, JD

Our speakers discuss the evidence for the efficacy of music and massage as adjunctive therapies focused on improving neonatal outcomes.

313 Electronic Charting/Electronic Medical Records: Everyday Gift or the Bane of Our Existence?

Tracy Karp, RNC, MS, NNP-BCMost NNPs either use electronic charting or a fully integrated medical record. Does it meet your “meaningful use” criteria? Join this presentation and group discussion about a technology that affects our daily professional lives.

B Workshops (Concurrent Sessions)12:05–1:05 pm

321 A Parent’s PerspectiveDana Ing, MSN, NNP-BC, APRN

Nothing can change your perspective on something as much as personal experience. Ms. Ing was once a NICU staff nurse and is now an NNP, realized that everyone in the NICU thought she knew and could do everything. What they forgot, and not intentionally, was that she was now the mother of two NICU babies whose main objective was to protect and do what was best for them. She will give you a new perspective and valuable pointers for working with NICU families in this workshop.

322 Quality Improvement in Respiratory CareJay P. Goldsmith, MD

Despite various improvements in ventilator support for VLBW infants, chronic lung disease continues to be a major morbidity in this weight group. The wide variance of this complication among institutions (5–65% in the Vermont Oxford Network [VON]) has prompted the concept that QI programs can decrease the incidence of this morbidity. Dr. Goldsmith discusses a QI program used in the VON QI Collaborative that has helped decrease the incidence of chronic lung disease in participating institutions by greater than 20 percent over a two year period.

323 Neonatal MillionaireEllen Tappero, DNP, RN, NNP-BC

Come and join us for an exciting game featuring a potpourri of neonatal topics. Laugh and learn your way through the recognition, identification, and effects of neonatal diseases and syndromes. The latest research as it relates to the different neonatal topics is presented. Discover the depth of your neonatal knowledge base and see how you score against other neonatal nurses.

The Academy of Neonatal Nursing™ gratefully acknowledges the

continuing support of

8th National Advanced Practice Neonatal Nurses Conference 5

Saturday, April 30, Day 4General Sessions6:45 am–1:00 pm Registration Open6:45–7:45 am

401 Breakfast SymposiumNNP Workplace and Credentialing Issues

Tracy Karp, RNC, MS, NNP-BC Ellen Tappero, DNP, RN, NNP-BC

Join two NNP program leaders from two different practice environments to discuss current workplace issues. Topics will be, in part, audience-generated. Subjects addressed include, but are not limited to: staffing, finan-cial support, workforce competencies, and NNP/patient ratios. Share your practice model and learn from others.

8:00–9:00 am

402 End-of-Life Care for Those with Predictions of Poor OutcomesDaniel Murai, MD

Modern neonatal care has been miraculous in terms of survival of infants. However, there are still occa-sions when even with our best therapies, our patients will have poor outcomes. Dr. Murai discusses the interaction between palliative care consultation, information sharing with parents, and futile therapy policies.

9:00–10:00 am

403 Substance Use and Abuse: Perinatal/Neonatal Management Rx=.8COL Mark Thompson, MD

Dr. Thompson discusses various aspects of maternal drug use and abuse, including various categories of pharmaceuticals, and their effects on the fetus and neonate. Discussion will focus on neonatal management strategies based on a maternal history of substance use.

10:00–10:30 am Refreshment Break—Coffee and Tea10:30–11:30 am

404 Thermoregulation: What You Thought You KnewPamela Almeida, MS, NNP-BC

Ms. Almeida’s focus in this session is the current practices used to provide a neutral thermal environment for both preterm and term infants. She discusses thermoregulation principles, current practices, and new ways both warm and cold can be used to benefit the neonate.

11:30 am–12:30 pm

405 A World View of Neonatal CareCOL Mark Thompson, MD

In the closing session, Dr. Thompson discusses neonatal practice and care throughout the developed and developing world. Particular focus is on delivery of neonatal care in the Third World and how multiple governmental and non-governmental organizations are playing a role in raising the standard of care in those areas.

12:30–1:00 pm Closing and Evaluations

Topics and speakers are subject to change.

6 8th National Advanced Practice Neonatal Nurses Conference

Statement of PurposeEducational sessions and posters

exhibited at this conference are meant to provide the advanced practice neonatal nurse and the experienced neonatal staff nurse with current infor mation on evi-dence-based practice. By addressing clinical and research topics, our hope is to engage neonatal health care providers in a dialogue that will support best practices and improve neonatal and infant health care.

Continuing EducationThe main conference provides 17 contact

hours. Additional contact hours are available for poster sessions.

Neonatal Network is an approved con-tinuing education provider by the Florida Board of Registered Nursing, Provider #FBN 3218, content code 2505; Iowa Board of Nursing, Provider #189; and Alabama Board of Nursing, Provider #ABNP0169. This conference provides 17 contact hours.

The Provider, Neonatal Network, approved by the California Board of Registered Nursing, Provider #CEP 6261, for 17 contact hours.

This conference is coprovided by the Academy of Neonatal Nursing and Anthony J. Jannetti, Inc.

Anthony J. Jannetti is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditatiom (ANCC-COA).

Registration FeesSee fee schedule on the registration

form. Payment of the registration fee must accompany the registration form.

Cancellation and Refunds• Toreceivearefund,cancellationof

your conference registration must be received in writing at the conference management firm, A.J. Jannetti, on or before April 13, 2011.

• A$50administrativefeeisappliedtoallregistration refunds.

• Sendrefundrequeststo:A.J.Jannetti,East Holly Avenue/Box 56, Pitman, NJ 08071.

• Refundswillbeprocessedwithin2 weeks after the conference.

• Membershipsarenonrefundable.

• Ifitbecomesnecessarytocancelthe8thNational Advanced Practice Neonatal Nurses Conference for any reason, including labor strikes or acts of God, liability shall be limited to a full refund of registration fees.

• Notificationofacancelledconferencewill be mailed at least 15 days prior to the first day of the conference, if possible.

ParkingValet parking is available at the hotel

forarateof$33pernightpervehicleand

self-parkisavailablefor$25pernightpervehicle. Both have in and out privileges. Parking prices are current at the time of printing and are subject to change.

Hotel InformationOn the best stretch of legendary

Waikiki beach sits the towering Sheraton Waikiki—a true medium of endless energy and electric excitement. Trendy, sophisti-cated, and completely refreshed, this resort ushers in a new level of comfort, style, and panache to the Waikiki scene, promis-ing an inspired vacation for one and all. The resort is known for its breathtaking ocean-front views offered from 80 percent of the 1,636 newly transformed guest rooms and suites, a first-of-its-kind newly opened “Superpool,” and award-winning dining venues. The 8th National Advanced Practice Neonatal Nurses Conference room rateis$189single/doubleCity/Mountainviewroomsor$209single/doubleOceanview rooms, plus 13.96% tax. To receive the conference rate, you can make your reserva-tion by choosing one of the following: Call Reservations at 808-922-4422 and refer to the National Advanced Practice Neonatal Nurses Conference, or make online reserva-tions directly through www.academyonline.org. Reservations must be made on or before March 25, 2011. Reservations made after this date will be subject to space and rate availability.

Dining and EntertainmentFrom casual oceanfront lunches to

fine dining 30 stories above the glittering lights of Waikiki, you will never hunger for options at the Sheraton Waikiki.

The newest hotspot for tapas, tastings, and libations in Honolulu is RumFire. Located in the heart of Waikiki, RumFire offers a dining experience like no other on Oahu with the largest selection of vintage rum in the United States, an expansive menu selection, pre-embargo Cuban cigars, and dramatic fire pits. RumFire serves lunch and dinner daily. Crowning the resort and embracing Oahu’s most spectacular views, Twist at Hanohano takes fine dining to all new heights—followed by nightly

dancing among the stars. Ingredients is Honolulu’s newest innovation in casual dining. Their made-to-order gourmet meals and fresh, healthy ingredients cater to guests on-the-go. For a more relaxed pace, enjoy traditional island melodies as Hawaii’s finest entertainers play every night at RumFire’s Patio.

Peet’s Coffee & Tea kiosk in the Sheraton Waikiki Hotel, with its existing shop near the Infinity Pool, offers delicious gourmet coffee and coffee products, quick service sandwiches, salads and breakfast items.

TemperatureThe weather should be wonderful in

Hawaii in April! Usual temperatures reach a high of about 84° during the day, with a low at night of about 70°.

Airport/TransportationHonolulu International Airport is

approximately 30 minutes from the hotel.Taxi service from the airport is approxi-

mately$40oneway,oryoucouldcatchtheRobertsHawaiiairportshuttlefor$9oneway per person. Both can be boarded near the baggage claim area. Prices are subject to change.

Airline TransportationAmerican Airlines has been contracted

as the official airline for the 8th National Advanced Practice Neonatal Nurses Conference. To obtain the discounted fares offered through American Airlines, make your reservation online at www.aa.com and be sure to use Promotion Code 3341AY.

Car RentalAvis has been chosen as the official car

rental agency for the 8th National Advanced Practice Neonatal Nurses Conference. Rates will be in effect for rental between April 20 and May 7, 2011, and will include unlimited free mileage. To make a reserva-tion, call Avis directly at 800-331-1600 or make reservations online directly through www.academyonline.org. To receive the discounted rates please refer to the Avis Worldwide Discount (AWD) number J907463.

Conference HotelSheraton, Waikiki

2255 Kalakaua Avenue, Honolulu, HI 96815 Reservations: 808-922-4422 or online at www.academyonline.org Refer to National Advanced Practice Neonatal Nurses Conference

All reservations require a one night deposit (including 13.96% tax) to guarantee the reservation. Payment can be made by telephone, with your major credit card, or by mailing a check or money order covering the first night’s stay.

Type of Room Conference RatesSingle/Double (mountain view) $189 + 13.96% taxSingle/Double (ocean view) $209 + 13.96% taxEach additional person add $ 80

One night’s room and tax will be deducted from a deposit or billed through a credit card if cancellation is not made 72 hours prior to arrival.

Register online via our website at academyonline.org or return form to: APNNC Conference Registration, Anthony J. Jannetti, Inc., East Holly Ave./Box 56, Pitman, NJ 08071 • 856-256-2352 • Fax: 856-218-0557

Payment must accompany registration.

Join the Academy of Neonatal Nursing now and Save up to $65 on your conference registration fees!

8th

Nat

iona

l

Advanced PracticeNeonatal Nurses Conference

April 27–30, 2011

Honolulu, Hawaii

Register Early and Save! Register online at academyonline.org

A Full Conference Registration Best Offer!

RegistrationAcademy Members

Non- Members

Join & Register U.S.

Join & Register Canada/International

Early bird registration (prior to March 25, 2011)

M $345 M $410 M $415 M $425/$450

Early registration (prior to April 18, 2011)

M $395 M $460 M $465 M $475/$500

Regular/Onsite (April 19, 2011 and beyond)

M $445 M $510 M $515 M $525/$550

Group Discount: Register 3 attendees and the 4th goes free. Group registrations must be submitted together. Register online and select “Group Registration,” or submit together by mail or Fax.

Student Discount: Main conference registration $210. (Student ANN membership $60 [optional], you can join and register for $270.) Must provide copy of student ID, including name of institution, with registra-tion. Must be full-time student, nursing program only.Retiree Discount: Main conference registration $210. Must be at least 65 years of age, and a previous ANN member for 2 years.

F Total

A or B $_________________

D $_________________

Total $_________________

B 1-Day Registration

RegistrationAcademy Members

Non- Members

Daily $125 $150

Wednesday Thursday Friday Saturday

(circle one)

C Session Selections(circle one in each time period)

Friday

A Workshops 11:00–12:00

311 312 313

B Workshops 12:05–1:05

321 322 323

D DonationSupport your colleagues by making a donation to ANN’s Nursing Scholarship fund today.

$5_____ $10_____ $________ other

Please let us know who you are:1. Level of neonatal unit in which you practice: q Level I q Level II q Level III q Other

2. Are you involved in any purchase decisions in your unit? q Yes q No

3. Your primary role is: q Staff Nurse q Practitioner q Manager

q Transport Nurse q Clinical Nurse Specialist q Educator q Other

4. Your highest level of nursing education is: q Associate 5. Certified? q Yes

q Diploma q Baccalaureate q Master’s q Doctorate q No

Please print legibly—Confirmation will be sent via email only.

Name ___________________________________________________________________ Credentials _______________________________

Home Address ___________________________________________________________ City ______________________________________

State _________________ Zip _____________________ Daytime Phone ___________________________________________________

Billing Address, if different from above _________________________________________________________________________________

E-mail Address ___________________________________________________ Nursing License # ______________________________

Employer/Hospital __________________________________________________ ANN Member # _______________________________

M Home/Cell M Work

Cancellation Policy: All cancellation requests must be received in writing on or before April 13, 2011. See Page 6 for refund policy.

8th National Advanced Practice Neonatal Nurses Conference 7

(required to receive your receipt/confirmation and conference information) State

E Payment

(payment must accompany registration)

M Check enclosed payable in U.S. funds to: APNNC

M VISA M MasterCard

Credit Card #

Expiration Date 3-digit Security Code

Signature

- - -

8th National Advanced Practice Neonatal Nurses Conference—Register Early for Best Price!

Pamela Almeida, MS, NNP-BC Neonatal Nurse Practitioner Kaiser Permanente Medical Center, Hawaii Region Kapi'olani Medical Center for Women and Children Honolulu, Hawaii

Lois Chiu, MD Attending Neonatologist Kaiser Permanente Hawaii Region Honolulu, Hawaii

Debbie Fraser, MN, RNC-NIC Associate Professor Athabasca University Neonatal Nurse Practitioner St. Boniface General Hospital Executive Editor, Neonatal Network® Executive Director, Academy of Neonatal Nursing™ Winnipeg, Manitoba

Jay P. Goldsmith, MD Clinical Professor of Pediatrics Tulane University School of Medicine New Orleans, Louisiana

Rosanne Harrigan, EdD, MS, APRN-Rx Professor and Chair, Complementary and Alternative Medicine Adjunct Professor of Pediatrics Director of Faculty Development John A. Burns School of Medicine, University of Hawaii Honlulu, Hawaii

Dana Ing, MSN, NNP-BC Neonatal Nurse Practitioner Kaiser Permanente Medical Center, Hawaii Region Lead Clinical Faculty-NeoRISK Program, Hawaii Cohort University of Hawaii at Manoa, School of Nursing Honolulu, Hawaii

Terry S. Johnson, APN, NNP-BC, MN Neonatal Nurse Practitioner Founder, Lode Star Enterprises, Inc. Downer’s Grove, Illinois

Tracy Karp, RNC, MS, NNP-BC Manager, Neonatal Nurse Practitioner Program Intermountain Medical Center The LDS Hospital and Primary Children’s Medical Center Intermountain Healthcare Salt Lake City, Utah

Daniel Murai, MD Chairperson, Bioethics Committee Kapi'olani Medical Center for Women and Children Associate Professor John A. Burns School of Medicine University of Hawaii Honolulu, Hawaii

Kenneth Nakamura, MD Professor of Pediatrics John A. Burns School of Medicine University of Hawaii Kapi'olani Medical Center for Women and Children Honolulu, Hawaii

Istvan Seri, MD, PhD, HonD Professor of Pediatrics Keck School of Medicine University of Southern California Director, Center for Fetal and Neonatal Medicine Head, USC Division of Neonatal Medicine Children’s Hospital Los Angeles Director, Institute of Maternal-Fetal Health Los Angeles, California

Terry Shantani, MD, MPH, JD Professor and Associate Chair Complementary and Alternative Medicine John A. Burns School of Medicine, University of Hawaii Honlulu, Hawaii

Laura Shumock, MN, NNP-BC Neonatal Nurse Practitioner Kaiser Permanente Medical Center, Hawaii Region Kapi'olani Medical Center for Women and Children Honolulu, Hawaii

Ellen Tappero, DNP, RN, NNP-BC Director, Neonatal Nurse Practitioner Neonatology Associates, Ltd. Phoenix, Arizona

COL Mark Thompson, MD Deputy Commander for Clinical Services Madigan AMC Pediatric Consultant to the Surgeon General Tacoma, Washington

Faculty

Debbie Fraser, MN, RNC-NIC Associate Professor Athabasca University Neonatal Nurse Practitioner St. Boniface General Hospital Executive Editor, Neonatal Network® Executive Director, Academy of Neonatal Nursing™ Winnipeg, Manitoba

Rosanne Harrigan, EdD, MS, APRN-Rx Professor and Chair, Complementary and Alternative Medicine Adjunct Professor of Pediatrics Director of Faculty Development John A. Burns School of Medicine, University of Hawaii Honlulu, Hawaii

Dana Ing, MSN, NNP-BC Neonatal Nurse Practitioner Kaiser Permanente Medical Center, Hawaii Region Lead Clinical Faculty-NeoRISK Program, Hawaii Cohort University of Hawaii at Manoa, School of Nursing and Honolulu, Hawaii

Sally Russell, MN, CMSRN, CPP Director of Education Services Anthony J. Jannetti, Inc. Pitman, New Jersey

Conference Chairpersons

PRSRT. STD.U.S. POSTAGE PAIDNEW RICHMOND, WI

54017PERMIT NO. 16

Academy of Neonatal Nursing1425 N. McDowell Blvd., Suite 105 Petaluma, CA 94954-6513

Group Discount Offer!Register 3, the 4th Goes Free!Come with your staff as a group and save! If you register 3 nurses from the same facility, the 4th goes free!

Take advantage of this offer today. Visit academyonline.org and access the online registration form, then select “Group Registration,” or copy the form on page 7 and submit by mail or fax. Group registrations must be submitted together. Cannot be combined with any other offer.