37th Annual Fall Conference

October 5-7, 2011

Breezy Point Resort

Breezy Point, MN

www.minnesotaperinatal.org

Plan to attend the 37th Annual MPO Fall Conference

The Minnesota Perinatal Organization Planning Committee invites you to attend its 37th Annual Fall Conference. This unique multidisciplinary conference provides an opportunity for perinatal healthcare providers from a variety of settings to meet and increase their knowledge and skills.

Come and enjoy the beauty of fall with us at Breezy Point Resort in Breezy Point, Minnesota! We hope you will take advantage of this chance to get away and reenergize yourself while learning new and emerging information in maternal and child health.

WEDNESDAY OCTOBER 5TH

7:00 – 8:00am REGISTRATION Continental Breakfast

8:00 – 12:00pm

and/or

12:30 – 4:30pm

Get on the Bus! Neonatal Simulation Training Karen M. Mathias, MSN, RN, APRN-CNS Barbara J. Peterson, RN Experience high-fidelity simulation and video debriefing during neonatal critical events. Apply knowledge, technical skills, and teamwork and communication skills while working as a team in various roles to resuscitate or stabilize a critically ill infant. Consider how you might utilize low and high-fidelity simulation techniques for skill and team training in your hospital. Deadline for registration is September 21, 2011. Courses may be combined or cancelled at the discretion of the planning committee. Each session is limited to eight participants.

8:00 – 12:00pm

and/or

12:30 – 4:30pm

In Situ Simulation for Obstetric and Neonatal Emergencies: A Method of Experiential Learning to Assure High Reliability Stan E. Davis, MD, FACOG Kristi D. Ehlers, RN, BSN Kristi K. Miller, RN, MS Jason R. Sandifer Observe a mock in-situ simulation to identify key active and latent “breaches” in safety that challenge consistent, clear communication and teamwork during episodes of emergent patient care. Describe four key individual and three team behaviors and communication skills utilized at “critical junctures” during an obstetric or neonatal emergency to improve patient safety. Describe how to operationalize an in situ simulation program in your hospital. Deadline for registration is September 21, 2011. Courses may be combined or cancelled at the discretion of the planning committee.

8:00 – 4:30pm

NRP Instructor Course Jill A. Bauer, BSN, RN Lorraine Victor, MS, RN, CNP This Neonatal Resuscitation Program Instructor Course is an 8-hour class for staff who would like to be certified instructors of the Neonatal Resuscitation Program (NRP). Instructor candidates will receive the 2012 Instructor Manual and DVD at the beginning of the class; which is included in their registration fee. During the course, participants will learn how to organize and set up an NRP certification course in their own hospital, administer the online assessment, and gain knowledge about how to certify staff according to the 6

th edition manual, implementing simulation and

debriefing into the training process. Upon successful completion of the 8 hour course, instructor candidates will obtain an American Academy of Pediatrics Hospital Based Instructor Card, and be prepared to set up their own NRP certification courses.

THURSDAY OCTOBER 6TH

7:00 – 8:15am

REGISTRATION Continental Breakfast Sponsored by St Mary’s Children’s Hospital Newborn & Pediatric Intensive Care Units Visit with Exhibitors

8:15 – 10:00am

PLENARY SESSION I The 36-Week Preemie: The Consequences of Late Preterm Delivery Eric W. Reynolds, MD, MPH Sponsored by March of Dimes

Discuss the epidemiology of late preterm delivery. Discuss the economic impact of late preterm delivery. Discuss the medical consequences of late preterm delivery.

10:00 – 10:30am Break Visit with exhibitors

10:30 – 11:45am

PLENARY SESSION II Stabilization of the Newborn Edward “Chip” B. Martin, MD Identify the evaluation of a cyanotic newborn. Describe the work-up and stabilization of a newborn with significant structural heart disease. Elucidate those steps needed in transitioning and stabilizing a preterm infant.

11:45 – 1:00pm Lunch Sponsored by Children’s Hospitals and Clinics of Minnesota Visit with exhibitors

1:00 – 2:00pm CONCURRENT SESSION A

A1. Methods of Induction William E. Wagner, MD, FACOG List current methods of induction of labor. Identify risk factors for induction. Compare efficacy of induction methods. Describe contraindications to labor induction.

A2. Care of the Late Preterm Baby Tom N. George, MD Discuss the physiological complications that late preterm infants face in the neonatal period and beyond. Discuss practical methods to approach the diagnosis and treatment of complications in the late preterm infant. Describe the discharge and follow-up needs of the late preterm infant.

A3. Minnesota’s Early Intervention System – Resources and Services Available to Parents and Their Preemies Shawn C. Holmes, BA, CAPS Discuss Minnesota’s early intervention system and the numerous programs available to infants and toddlers, and their families. Discuss the critical role health care providers have in helping families understand their child’s development and what to do when there are concerns. Identify resources parents of preemies can access to help them monitor their child’s development infancy to school age.

2:10 – 3:10pm CONCURRENT SESSION B

B1. Baby 411: Taking Care of Newborns While They Transition Kathleen A. Kulus, MD, FAAP Discuss the physiology of the newborn transition. Discuss problems that may occur during transition. Discuss caring for newborns from head to toe.

B2. Neonatal Guidelines: Better Protocols - Better Results Nathaniel R. Payne, MD Discuss techniques for engaging a broad array of caregivers in guideline development. Describe ways to implement guidelines. List methods for monitoring guideline adherence and changes in outcome.

B3. Neonatal Abstinence Syndrome: Infant Evaluation and Prevention of Withdrawal Barb J. Symalla, RN, CNS Identify infants at risk for developing neonatal abstinence syndrome. Describe assessment tools for the evaluation of withdrawal symptoms. Describe medication management to prevent the emergence of withdrawal symptoms.

3:10 – 3:40pm Break Visit with exhibitors

3:40 – 5:00pm

PLENARY III Translating Research into Evidenced Based Practice Sixto Guiang, MD State the principles of evidenced based medicine. Identify the common statistical terms used in presenting new information and their meaning (p value, statistical significance, confidence interval). Understand the limitations of using an evidenced based approach in clinical care.

5:00pm Bonfire Sponsored by Mead Johnson Nutrition

FRIDAY OCTOBER 7TH

7:00 – 8:00AM REGISTRATION Continental Breakfast Sponsored by St Cloud Hospital

8:00 – 9:15AM

PLENARY SESSION IV Breastfeeding Update: Where We’ve Been, Where We’re Going Tarah T. Colaizy, MD, MPH Describe the changes in breastfeeding recommendations over the past 50 years. Identify the breastfeeding initiation and continuation rates and goals in the US. Describe the Baby Friendly Hospital Initiative.

9:15 – 9:30AM Break 9:30 – 10:30AM CONCURRENT SESSION C

C1. To Push or Not to Push: Evidence-Based Management Strategies for Standardizing the Second Stage of Labor Samantha A. Sommerness, RN, MSN, CNM, DNP(c) Charles L. Hirt, MD Describe what a “normal” length of second stage labor is. State the maternal and fetal evidence based potential benefits of delaying pushing until the woman has the urge to push. Identify management strategies for mitigating the potential adverse outcomes that can result with pushing too soon. Identify why standardizing the second stage of labor in both the immediate pushing and delayed pushing group helps improve overall perinatal outcomes.

C2. Neuroprotection in the Newborn Beverly Wical, MD Discuss the pathophysiology of hypoxic injury in the newborn. Describe the process and outcomes of cooling for neuroprotection. Explain how therapeutic hypothermia alters parameters used for prognosis.

C3. Current Therapies in the Management of Nausea and Vomiting in Pregnancy Roger B. Williams, BS, MS Discuss nausea and vomiting of pregnancy, including its incidence, etiology, risk factors, symptoms, pathophysiology, and burden of illness. Describe the impact and acuity continuum from nausea and vomiting to hyperemesis, with respect to maternal and fetal implications. Describe assessment and treatment used in the management of nausea and vomiting of pregnancy.

10:40 – 11:40AM CONCURRENT SESSION D

D1. Keeping Your Eye on the Prize: Overcoming Obstacles to Breastfeeding Kathy J. Parrish, MA, RN, BSN, HN-BC, CLC Sally A. Walstrom, RN MSN CCNS Discuss causes and prevention of common breastfeeding problems. Identify barriers to successful breastfeeding. Identify strategies for creating a supportive environment for breastfeeding.

D2. Human Milk use in the NICU Tarah T. Colaizy, MD, MPH Identify the benefits of maternal human milk in the VLBW infant. Describe barriers to maternal milk use in the NICU. Describe the benefits and evidence for donor human milk use in the NICU

D3. Crucial Conversations Across the Spectrum Jon D. Tufte, MS Identify the key elements of an effective dialog. Explain the steps on how to make a conversation safe for anyone. Describe your role in “story telling”.

11:40 – 12:40PM LUNCH Sponsored by: University of Minnesota Amplatz Children's Hospital Member Meeting

12:40 – 2:00PM

PLENARY SESSION V Exploring for Excellence and the 5 “C”s Patrick F. Johns Discuss a simple yet powerful 5 "C" world strategy that will help accomplish objectives. Identify the common core values of some of the world’s most elite endurance athletes. Discover the psychology and true nature of "Drive" and "Motivation". Identify several simple focus and mindfulness techniques. Have a great time learning and be entertained by a brilliant look at the Himalayan 100 Mile run.

2:00PM Prizes, Certificate Distribution, Adjournment

REGISTRATION INFORMATION

Wednesday 1/2 day $100 Wednesday full day $175 Thursday & Friday $225 Thursday OR Friday $165 Planning Committee Member $100 *Group Registration (5 or more Thur/Fri received together) – $10.00 off for each group member *Early Bird Registration - $10.00 off any registration fee postmarked before 8/17/11 Registration fee includes admission to all sessions on Thursday and Friday, a comprehensive conference handbook, continental breakfasts, refreshment breaks, lunches, access to displays of exhibitors, as well as all necessary materials for continuing education certification. A Concurrent Session Schedule, based on your registration form selections, will be in the packet you receive during conference registration at Breezy Point Resort. Register early to ensure placement in the sessions of your first choice. Confirmation of registration is NOT mailed, but you may contact Bonnie Hansen, MPO Coordinator at 320-290-4909 or email MPO@clearwire.net with questions or concerns. In an effort to reduce waste, be environmentally-aware and decrease costs, MPO is taking the following steps: 1. Handouts will not be provided in the handbook. They will be posted on our website as of September 13

th. Participants are welcome to print handouts to bring to the conference. Those wishing to

have handouts provided by MPO will be charged $20. Please indicate on your registration form if you wish to purchase handouts. 2. We have transitioned to an electronic distribution system. Participants are asked to include an email address for distribution of reminders and the brochure. All registrations must be accompanied by a check payable to MPO and postmarked on or before September 28, 2011. You may also register on our website www.minnesotaperinatal.org by September 28, 2011. A refund, minus a $30 processing charge, will be given if notification of cancellation is received on or before September 28, 2011. Cancellations after September 28, 2011 and no-shows will not be refunded. If a registered person cannot attend, a substitute is welcome. You may register at the conference, but there will be a late fee of $20 in addition to the usual registration fee. To encourage “teams” of attendees from institutions or organizations, MPO is offering a $10 discount for each member of a team that registers together. The team must consist of at least 5 members and all team members’ registration forms must be received together. On-line registrations are not eligible at this time. A block of rooms has been reserved at Breezy Point Resort. Room rates are $89.00 plus tax per room, for up to two people per night. More than two people per night may result in additional charges; please confirm rates with hotel upon registration. This block of rooms will be held only until September 19, 2011 so make your reservations prior to that date. Breezy Point Resort will take reservations via phone at 800-432-3777 (be sure to identify yourself as a participant in the Minnesota Perinatal Organization). Guest room check in is guaranteed at 5:00 pm (guests are welcome to come early to utilize the amenities); check out is 12:00 noon. Conference meeting rooms are often cool. We recommend you bring a sweater or light jacket for your comfort. In an emergency, participants can be reached during conference hours by dialing 800-432-3777 and asking for the MPO Conference Coordinator. Calls made after meeting hours must be made to your room. Breezy Point Resort provides complimentary voicemail for each room.

2011 PLANNING

COMMITTEE MEMBERS

Marianne Kuehn, BSW Kathy Westensee, RNC, BSN Korky Schnitker, RNC, BSN, MS, CPHRM

Denise Palmer, MS, RN, CNS Tina Kippes, RNC, BSN Mark Bergeron, MD, MPH

Deb Hall, RN, FAHM Deb Peters, CNNP Bonnie Hansen Lynn Carpentier, BS Kristin McCullough

Susan Boehm, RN, MS Heather Swanson, MD Jill Bauer, RN, BSN Triniti Feldhege, NNP Thomas McNanley, MD

PURPOSE AND OBJECTIVES

This program is designed to provide state-of-the-art information on obstetric and newborn care practices, and is of particular importance and value to obstetric and newborn care nurses, nurse practitioners, midwives, family physicians, physician assistants, obstetricians, pediatricians, and allied perinatal health care professionals. After attending the conference, participants should be able to:

1. Describe the process to implement individual and population-based systems of care that are irrespective of the consumer’s race, age, culture and outcomes-based research.

2. Discuss the design plans of inpatient and outpatient care for implementation by designated healthcare professionals, which address the unique nutritional, developmental, psychosocial, nursing and medical needs of mothers and infants.

3. Develop personal goals that will promote a positive outlook on their role as an essential member of the perinatal healthcare team.

Successful completion of this activity requires that participants turn in all evaluation materials for attended sessions.

PLANNING CONSIDERA-

TIONS AND DISCLOSURE

POLICY

Content considerations and the selection of speakers are the responsibilities of the Planning Committee and Conference Coordinator. Speakers will disclose to attendees the nature of any significant financial relationships they have with the commercial firms providing financial support as well as the manufacturers of products and/or the providers of services discussed in their presentations. They will also disclose if any pharmaceuticals or medical procedures and devices mentioned in their presentations are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA).

CONTACT HOUR

INFORMATION

Nurses: This three-day activity has been designed to meet the MN Board of Nursing continuing education requirements for up to 22.1 contact hours (Wednesday: 9.0 – Thursday: 7.6 – Friday: 5.5). Physicians: This activity is being reviewed for Prescribed credit hours by the American Academy of Family Physicians. Final credit numbers to be provided on site.

REMINDERS

Only registered conference attendees are eligible to attend conference sessions, meals and activities. In consideration of conference participants, we ask that children not attend any conference sessions or activities. While we sympathize with last minute schedule changes, conference attendees bringing children will be asked to leave and will be refunded their conference registration fee minus a $30 processing fee.

PASSPORT TO EXHIBITORS

Stop by and visit with representatives from the industry’s leading companies. Many products and new patient education materials will be on hand for your review.

SPECIAL THANKS

The Minnesota Perinatal Organization would like to acknowledge the support of the following organizations: Children’s Hospitals and Clinics of Minnesota for sponsoring Thursday’s lunch and the use of LCD projector and laptop Gillette Children’s Specialty Healthcare for use of LCD and laptop March of Dimes for sponsoring Eric Reynolds, MD Mead Johnson Nutritionals for sponsoring Thursday evening’s Bonfire St Cloud Hospital for sponsoring Friday’s breakfast St. Mary’s Children’s Hospital for sponsoring Thursday’s breakfast University of Minnesota Amplatz Children’s Hospital for sponsoring Friday’s lunch and the use of LCD projector

SPECIAL NEEDS

MPO wants to make sure no one is excluded because of the need for special dietary considerations, auxiliary aids or services. Please indicate special need(s) on your registration form. You will be contacted as needed for clarification.

2012 CONFERENCE

Would you like to help plan the 2012 MPO Fall Conference? Do you have ideas, contacts, speaker suggestions, etc. that you would like to share? All are welcome. The 2012 Planning Committee Meeting is scheduled for Thursday, November 3, 2011 at Unity Hospital in Fridley. We will meet in the Unity Boardroom from 8:00am to 4:00pm. Date/time is subject to change. MPO Planning Committee members pay a reduced conference fee and are required to be a member of MPO. Please contact Bonnie Hansen at 320-290-4909 or MPO@clearwire.net if you are interested in attending the planning session or have ideas for us to work from.

Mark your calendars!! September 19-21, 2012 Duluth Entertainment Convention Center 350 Harbor Drive Duluth, MN 55802-2698

2011 SPEAKERS

(in alphabetical order)

JILL A. BAUER, BSN, RN; Neonatal Outreach Nurse, Children’s Hospitals and Clinics of Minnesota TARAH T. COLAIZY, MD, MPH; Assistant Professor, Department of Pediatrics, University of Iowa, Iowa City IA STAN E. DAVIS, MD, FACOG; Medical Director of Teamwork and Simulation, Fairview Health Services, Minneapolis MN KRISTI D. EHLERS, RN, BSN; Nurse Education Specialist of Teamwork and Simulation, Fairview Health Services, Minneapolis MN TOM N. GEORGE, MD; Professor of Pediatrics and Medical Director, NICU, University of Minnesota Amplatz Children’s Hospital, Minneapolis MN SIXTO GUIANG, MD; University of Minnesota Amplatz Children’s Hospital, Minneapolis MN CHARLES L. HIRT, MD; Medical Director of Quality Assurance for Fairview Southdale Labor and Delivery, Fairview Southdale Hospital, Paul Larson Clinic SHAWN C. HOLMES, BA, CAPS; Part C Planner, Maternal/Child Health Section, Minnesota Department of Health, St Paul MN PATRICK F. JOHNS, President/CEO PFJ Communications, Dallas TX KATHLEEN A. KULUS, MD, FAAP; Pediatrician, CentraCare Clinic – Women & Children’s, St Cloud MN EDWARD “CHIP” B. MARTIN, MD; Pediatric Cardiologist/Neonatologist, CentraCare Health System, St Cloud MN KAREN M. MATHIAS, MSN, RN, APRN-CNS; Director Children’s Simulation Center, Children’s Hospitals and Clinics of Minnesota KRISTI K. MILLER, RN, MS; System Director Clinical Safety, Fairview Health Services, Minneapolis MN KATHY J. PARRISH, MA, RN, BSN, HN-BC, CLC; Staff Nurse NICU and Lactation Support Program, Children’s Hospitals and Clinics of Minnesota, Minneapolis MN NATHANIEL R. PAYNE, MD; Medical Director, Quality, Children’s Hospitals and Clinics of Minnesota BARBARA J. PETERSON, RN; Simulation Specialist, Children’s Simulation Center, Children’s Hospitals and Clinics of Minnesota ERIC W. REYNOLDS, MD, MPH; University of Kentucky, Neonatal Intensive Care Experts (N.I.C.E.), Louisville KY JASON R. SANDIFER; Technical Coordinator for In Situ Simulation, Fairview Health Services, Minneapolis MN SAMANTHA A. SOMMERNESS, RN, MSN, CNM, DNP(c); Perinatal Advanced Practice Clinical Nurse Leader, Fairview Southdale Hospital, Edina MN BARB J. SYMALLA, RN, CNS; Nurse Specialist, Pain and Palliative Care, Children’s Hospitals and Clinics of Minnesota, St Paul MN JON D. TUFTE, MS; Facilitator of Organizational Development, CentraCare Health System, St Cloud MN LORRAINE VICTOR, MS, RN, CNP; Neonatal Nurse Practitioner, Children’s Hospitals and Clinics of Minnesota WILLIAM E. WAGNER, MD, FACOG; Minnesota Perinatal Physicians, Minneapolis MN SALLY A. WALSTROM, RN MSN CCNS; Neonatal Critical Care Clinical Nurse Specialist, Children’s Hospitals and Clinics of Minnesota, Minneapolis MN BEVERLY WICAL, MD, Pediatric Neurology; Medical Director, Pediatric Neurology and Sleep Medicine Services, Gillette Children’s Specialty Healthcare, St Paul MN ROGER B. WILLIAMS, BS, MS; Clinical Pharmacist Consultant, Alere Women’s & Children’s Health Division

PLATINUM SPONSOR

PLATINUM SPONSOR

REGISTRATION FORM

PARTICIPANT INFORMATION

All registrations must be postmarked on or before September 28, 2011. MAKE CHECK FOR CONFERENCE FEES PAYABLE TO: MPO MAIL TO: MPO c/o Bonnie Hansen, 18024 Turtle Court, Cold Spring MN 56320. REGISTER ONLINE: www.minnesotaperinatal.org – credit cards welcome (website only)

For additional information call Bonnie at 320-290-4909 or email MPO@clearwire.net

MPO MEMBER? ___Yes ___No ____New Member ____Renewal

Enclosed find $__________ for ________ day(s). See fee schedule below. Do you require a receipt for reimbursement? _____________

Do you want handouts provided in your handbook? ________________

Name: _________________________________________ Credentials: __________________

Affiliation: _____________________________________________________________________

Preferred Mailing Address: _____________________________________________________

______________________________________________________

Phone: _____________________________ Email: ____________________________________

Special meal considerations: ___________________________________________________

WEDNESDAY FEE SCHEDULE

PRECONFERENCE ACTIVITIES □ Neonatal Simulation Training – $100 _____AM Session _____PM Session □ In Situ Simulation for Obstetric and Neonatal Emergencies: A Method of Experiential Learning to Assure High Reliability – $100 _____AM Session _____PM Session □ NRP Instructor Course – $175

THURSDAY & FRIDAY FEE SCHEDULE

THURSDAY AND FRIDAY CONFERENCE ACTIVITIES Thursday & Friday $225 Thursday OR Friday $165 Planning Committee Member $100 Handouts $20 *Group Registration (5 or more Thur/Fri received together) – $10.00 off for each group member -Sorry, Group Registration not available online *Early Bird Registration - $10.00 off any registration fee postmarked before 8/17/11. Indicate the Concurrent Sessions that you wish to attend by filling in the session number below. Since many sessions are limited in size, your first choice may not be available; please indicate a second choice. You will be notified of session assignment at the conference. THURSDAY Concurrent Session A Concurrent Session B _____1

st choice _____2

nd choice _____1

st choice _____2

nd choice

FRIDAY Concurrent Session C Concurrent Session D _____1

st choice _____2

nd choice _____1

st choice _____2

nd choice

INFO TO EXHIBITORS?

Our sponsors ask to receive a list of participants (includes name and affiliation only) before the conference. Contact the Conference Coordinator if you prefer not to be listed.

BONFIRE I am planning to attend the Thursday evening Bonfire. ______Yes ______No

DIRECTIONS

Breezy Point Resort 9252 Breezy Point Dr Breezy Point MN 56472 800-432-3777

Breezy Point Resort is only 20 miles north of Brainerd/Baxter. Take highway 371 north to Pequot Lakes, go right (east) on County Rd. 11 approximately 5 miles, through the Breezy Point front gate to the Resort Office.

On I-94, going north and west of the cities, take the Clearwater exit (Highway 24) right, across the Mississippi River to Highway 10 west (left), through St. Cloud to Highway 371 (just north of Little Falls) into Baxter. Continue on highway 371 North from Baxter, through Nisswa to Pequot Lakes, go right (east) on County Rd. 11 approximately 5 miles, through the Breezy Point front gate to the Resort Office.

From Duluth: Take I-35 or Highway 61 to Route 210 west to Brainerd, then follow the above directions.

Minnesota Perinatal Organization c/o Bonnie Hansen 18024 Turtle Court Cold Spring MN 56320