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Thursday, May 3

10:00 AM–6:00 PM Registration Open

Preconference Workshops

1:00–5:00 PM Afternoon Programs (3.75 contact hours)

010
Practical Pharmacology for Neonatal Pain and Sedation

John D. Barks, MD
Daniel Pak, PharmD

During this in-depth session, our speakers describe the mechanisms of pain perception in the developing nervous system, review non-pharmacologic measures for pain and distress, discuss the evidence base for pharmacologic neonatal analgesia and sedation and the pharmacologic principles associated with analgesia and sedation management in neonatal ICU patients. They’ll deliver an empowering message to help advanced practice providers comprehend and manage the complexities of analgesia and sedation in the NICU.

NCC NIC Code 3
NCC NNP Code 4

Rx = 3.75

020
Project Nurture and NAS

Joshua Reagan, MD
Fred Baker, MD
Maureen Gordon Shogan, MN, RNC

Our speakers discuss their ongoing, continuous quality improvement projects that focus on minimizing the need for pharmacologic treatment for infants with NAS by preserving the mother-infant dyad. They also describe coordination with Project Nurture, a Health Share Coordinated Care Organization, which is a sponsored pilot project focusing on providing complete care of pregnant women with opioid use disorder, from prenatal care, through inpatient maternity care, to the postpartum setting.

NCC NIC Code 4
NCC NNP Code 5

Rx = 1

030
Developing a Specialty Program for Care of the Small Baby
Mindy Morris, DNP, NNP-BC, CNS
Among NICU admissions, extremely preterm infants are at the highest risk of death, morbidities, and extended hospitalization. Although many survive to NICU discharge, too many have sequelae that can significantly impact their future. NICUs are becoming more specialized in caring for unique populations of neonates and specialty programs for extremely preterm infants have demonstrated an ability to reduce morbidity and improve outcomes. Dr. Morris discusses the key components of specialty care for a vulnerable population, the importance of an interdisciplinary team-based model of care, and use of evidence-based tools such as guidelines and checklists

NCC NIC Code 2
NCC NNP Code 2

2:00–4:00 PM Afternoon Program (2 contact hours)

040
Who Wants to Publish? A Workshop for Aspiring Authors

Debbie Fraser, MN, RNC-NIC
Bring your ideas and outlines or come prepared to develop your ideas for a manuscript.

NCC NIC Code 4
NCC NNP Code 5


Friday, May 4

6:45 AM – 4:45 PM Registration Open

6:45–7:45 AM Coffee and Tea Service 

General Sessions

7:45–8:00 AM Welcome/General Announcements 
8:00–9:00 AM

GS 101
Celebrating the Past, Present, and Future of Neonatal Nursing
If you don't know where we've come from, you can't know where we are going! Join us as we celebrate the history of neonatal nursing recognize nursing legends, past and present, and unveil the first inductees in the Neonatal Nursing Hall of Fame.

NCC NIC Code 4
NCC NNP Code 5

9:00–10:00 AM

GS 102
Update on Diagnosis and Management of Hypoxic-Ischemic Encephalopathy (HIE) in 2018

John D. Barks, MD
Dr. Barks describes the pathophysiology of HIE, which forms the rationale for treatment of HIE with hypothermia, one of the great advances of neonatal neurology. He also relates knowledge gained from preclinical research to increase understanding of possible reasons for recent unsuccessful trials for HIE, and the rationale for the next generation of clinical trials for HIE currently in progress. Medical management of infants with HIE includes possible systemic complications of HIE and pharmacologic implications of both HIE and therapeutic hypothermia.

NCC NIC Code 2
NCC NNP Code 2

10:00–11:15 AM Refreshment Break—Please Visit Exhibits and Posters (Coffee, Tea)
11:15 AM – 12:15 PM

GS 103
Getting from Good to Great: Benefit and Value Metric Composite Quality Scores
Joseph Kaempf, MD
Dr. Kaempf outlines the development of a risk-adjusted composite morbidity and mortality score for VLBW infants, and explores the only website-available resource utilization tool used for tracking multiple ongoing continuous quality improvement (CQI) projects within an NICU. Morbidities have complex etiologies and outcomes are intertwined; thus, an overall "Big Picture" of CQI efforts is clarifying, edifying, and a practical way to enhance overall value and family satisfaction in all NICUs.

NCC NIC Code 4
NCC NNP Code 5

12:15–1:30 PM Lunch in Exhibit Hall Provided by ANN
1:30–2:30 PM

GS 104
An Approach to Mechanical Ventilation in the Neonate

Fred Baker, MD
Dr. Baker leads a discussion regarding his approach to mechanical ventilation of the neonate, and more specifically the VLBW infant. The focus is on minimizing exposure to mechanical ventilation and volume-targeting to minimize trauma.

NCC NIC Code 1
NCC NNP Code 2

2:30–3:30 PM Refreshment BreakPlease Visit Exhibits and Posters (Lemonade, Iced Tea)
3:30–4:30 PM A Workshops Concurrent Sessions 111-113

111
Mothers and Medications: Effects on the Neonate

Catherine Witt, PhD, NNP-BC
What medications are women taking? What are the effects on the fetus and neonate? Dr. Witt explores common medications, including psychiatric medications, drugs of abuse, and others that may affect the neonate. Information on identification of teratogens and how drugs are classified is included.

NCC NIC Code 3
NCC NNP Code 4

Rx = 1

112
TeleBaby: Advanced Practice Maintenance and Training

Pat Scheans, DNP, NNP-BC
Maureen Gordon Shogan, MN, RNC

Our speakers describe the use of, and training strategies related to, remote NNP leadership of a telemedicine program for neonatal resuscitation.

NCC NNP Code 5

113
Gut Microbiome with Pre- and Probiotics: Are We There Yet?
Jacqui Hoffman, DNP, ARNP, NNP-BC
Dr. Hoffman explores the development of the GI microbiome and factors that may alter the normal balance of bacteria. She looks at the use of prebiotics/probiotics to assist with the colonization and establishment of a healthy microbiome which can have long-term health benefits.

NCC NIC Code 3
NCC NNP Code 4

Rx = 1

 

Saturday, May 5

6:30 AM–4:45 PM Registration Open

7:00–8:00 AM Breakfast in Exhibit Hall

General Sessions

8:00–9:00 AM

GS 201
Benefits of Family Integrated Care: Parent and Provider Perspectives

Kacy Bradshaw, NNP-BC
Cary Leach

The move toward family integration in the NICU has gained popularity across the country. The speakers discuss some successes and some setbacks with this transition. Gain an understanding of how family integration can improve safety following discharge. Join the discussion as parents describe the importance of being included in their infant's care starting at admission.

NCC NIC Code 1
NCC NNP Code 3

9:00–10:00 AM

GS 202
Neonatal Pulmonary Vascular Disease: Recognition and Treatment Strategies

Emma Olson, RN, MS, CPNP
Ms. Olson begins with a brief overview of neonatal pulmonary vascular disease (pulmonary hypertension), including pathophysiology and common etiologies, then discusses clinical presentations, current treatment strategies, and risk factors for chronic disease.

NCC NIC Code 2
NCC NNP Code 2

Rx = 0.25

10:00–11:15 AM Refreshment Break and Raffle—Please Visit Exhibits and Posters (Coffee, Tea)
11:15 AM–12:15 PM

GS 203
Interventional Cardiology and Targeted Echo

Hythem Nawaytou, MD
There are many causes for neonatal hemodynamic compromise. Dr. Nawaytou discusses the use of targeted neonatal echocardiography in evaluation of neonatal hemodynamics and how it can help guide therapy. Topics covered include assessment of pulmonary hypertension, certain critical congenital heart diseases, patent ductus arteriosus, and pericardial and pleural effusions. Dr. Nawaytou also discusses the use of echocardiography in guiding bedside procedures.

NCC NIC Code 2
NCC NNP Code 1

12:15–2:15 PM Food Trucks and Saturday Market
See why one of Portland’s mottos is “Keep Portland Weird.” Grab a colleague or two for this extended break and explore this vibrant, lively city! Head out to find downtown food trucks and grab a tasty bite in the city that started the Twitter-friendly food truck movement. You won’t find better fresh, international, and casual fare anywhere! There is plenty of green space on the Willamette River adjacent to the Marriott to people- or river-watch. Stroll down Portland’s green waterfront to the annual Cinco De Mayo Festival or the weekly Saturday Market. Both are a short walk along the waterfront.
2:15–3:15 PM B Workshops Concurrent Sessions 211-213

211
Taking the Lead: Coaching Your Resuscitation Team to their Best Performance

Jeanette Zaichkin, RN, MN, NNP-BC
The NNP in charge of the neonatal resuscitation team in the delivery room must not only assess the newborn’s response to resuscitation efforts, but maintain awareness of the team members’ skills and actions during this stressful event. Help your team achieve their best performance during delivery room resuscitation by using the strategies presented in this session: before, during, and after newborn resuscitation.

NCC NNP Code 5

212
aEEG interpretation For All!

Brian Scottoline, MD, PhD
Dr. Scottoline gives you the essentials of aEEG interpretation, from elements to pattern recognition, so that you can quickly assess neurologic status, optimize care, and accurately document.

NCC NIC Code 2
NCC NNP Code 1

213
Podium Presentations

This session has multiple presenters. These cutting-edge abstract presentations will bring you up-to-date on innovative research and clinical practice projects.

NCC NIC Code 4
NCC NNP Code 5

3:30–4:30 PM C Workshops Concurrent Sessions 221-223

221
The Latest Information about Surfactant: Timing, Delivery, and Techniques

Monique Hapgood, NP
Ms. Hapgood discusses the latest information on surfactant replacement therapy and describes different types of surfactant delivery being investigated and used.

NCC NIC Code 2
NCC NNP Code 2

Rx = 0.25

222
Targeted Neonatal Echo: Case Studies

Hythem Nawaytou, MD
Dr. Nawaytou explores cases highlighting evaluation of a PDA in premature infants and neonatal pulmonary hypertension.

NCC NIC Code 4
NCC NNP Code 5

223
Podium Presentations

This session has multiple presenters. These cutting-edge abstract presentations will bring you up to date on innovative research and clinical practice projects.

NCC NIC Code 4
NCC NNP Code 5


Sunday, May 6
7:00 AM–12:30 PM Registration Open

7:00–8:00 AM Coffee and Tea Service

General Sessions

8:00–9:00 AM

GS 301
Viral Infections in the Neonate
Michael Gilbert, MD, MS
Dr. Gilbert provides a discussion and update of common viral infections that occur in the neonatal period, including in the NICU.

NCC NIC Code 2
NCC NNP Code 2

 9:00–10:00 AM

GS 302
Doing Death Well: Reframing Neonatal and Perinatal Palliative Care
Victoria Kain, RN, MN, NICC, PhD
Death is a part of life in the NICU, and any clinician associated with labor and delivery and the care of newborns will inevitably experience perinatal death and bereavement. Palliative care principles are difficult to apply to neonatology. The social stigma of denying neonatal death coupled with the paradox of providing palliative care in a curative setting present a compelling practical problem. However, it is possible for palliative care to coexist with curative treatment modes. In this presentation, Dr. Kain explores the philosophy of a “good death,” in an effort to reframe neonatal and perinatal palliative care.

NCC NIC Code 2
NCC NNP Code 3

10:00–10:15 AM Refreshment Break (Coffee, Tea)
10:15–11:15 AM

GS 303
Are You a Good Steward? When to Use Antibiotics

Jacqui Hoffman, DNP, ARNP, NNP-BC
In the NICU, antibiotics are one of the most common medications prescribed. While antibiotics can be life-saving in the face of sepsis, one must choose wisely the appropriate antibiotic and length of therapy due to the risk of adverse outcomes. The development of drug-resistant strains of bacteria or altering the GI microbiome of the neonate are two adverse risks are explored. Finally, development of an antibiotic stewardship program is discussed.

NCC NIC Code 3
NCC NNP Code 4

11:15 AM – 12:15 PM

GS 304
Extremely Premature Birth and Periviability Guidelines

Joseph Kaempf, MD
How can we come to true, shared decision making with pregnant women who might deliver an extremely premature infant? Is NICU care or palliative comfort care the preferred course to choose? How can we understand and apply Value Pluralism as the template to address cultural, social, and religious ethical characteristics that vary among families, healthcare providers, and society-at-large? Join us for this important discussion.

NCC NIC Code 4
NCC NNP Code 5

12:15–12:30 PM Conclusion


Topics and Speakers are Subject to Change

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