MARCH 17–20, 2010 · in neonates, especially when given to premature infants. By appreciating the effects of too little, as well as too much ... Dr. Bernstein provides an update

Hyatt Regency EmbarcaderoSan Francisco

MARCH 17–20, 2010MARCH 17–20, 2010MARCH 17–20, 2010

NEONATALNETWORK

The Academy ofNeonatal Nursingand

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Advanced PracticeNeonatal Nurses Conference

March 17–20, 2010

San Francisco, California

“Building the Evidence—Supporting the Practice”Welcome to the 7th National Advanced Practice Neonatal Nurses Conference. Join colleagues at this year’s conference designed for experienced neonatal nurses, neonatal nurse practitioners, and clinical nurse specialists. We are excited to offer you a conference tailor-made for you. This is an outstanding program with a world-class faculty in the great “City by the Bay.”

Wednesday, March 17Preconference Day 9:00 am–7:00 pm Registration Open12:30–5:00 pm

Preconference Workshops010 Hot Topics in Neonatal Pharmacology Rx = 4

Part I Nitric Oxide Use in the Preterm Infant: What are the Issues?Roberta Ballard, MD

Dr. Ballard addresses the biological basis for the use of iNO in the preterm infant and reviews the clinical trials that have been completed. The issues of both short- and long-term pulmonary and developmental outcomes and safety, along with the cost effectiveness of iNO in this group of high risk infants are also considered.

Part II Effects of Pulmonary and Systemic Vasoactive Agents in the NeonateRoberta L. Keller, MD

Dr. Keller will critique and discuss current clinical use of pulmonary and systemic agents in the at-risk neonate.

Part III TPN in Neonates and Probiotics for the Prevention of Necrotizing EnterocolitisGina Rosito, PharmD

Dr. Rosito discusses the indications for parenteral nutrition (PN) as well as the need for probiotics. Maximum dextrose concentrations for central and peripheral PN, starter formula to goal PN, and the management of electrolytes and addi-tives are addressed. Our speaker also discusses the current usage of and the indication for probiotics for the prevention of necrotizing enterocolitis.

Part IV Patent Ductus Arteriosus: Evidence For and Against TreatmentRonald Clyman, MD

Dr. Clyman describes the role of the patent ductus arteriosus in neonatal lung disease. He reviews the evidence supporting the treatment of PDA in preterm infants, and discusses the evidence against the treatment of PDA in preterm infants.

020 Developing Advanced Practice Nursing Skills: Do It with Simulation!Kristine Boyle, MS, NNP-BC Kimberly Yaeger, RN, MEd

This workshop allows participants an opportunity to delve into the novel methodology of simulation-based education as a way to enhance the skills of advanced practice neonatal nurses. A hands on, interactive format has been created to allow participants to understand the methodology, its many applications and uses, and participate in a live scenario and debriefing.

030 Lessons on LeadershipMadge E. Buus-Frank, RNC, MS, APRN-BC and Dorothy M. Mullaney, MHSc, APRN

Leadership is not just about the corner office—every advanced practice nurse is called upon to lead, both formally and informally, in a variety of dynamic and challenging clinical and organizational situations. Join your colleagues in this interactive workshop focused on the current strengths, weaknesses, opportunities, and threats to the NNP role. Learn how to be both a better leader, a better follower, and how to incorporate innovative strategies to position the NNP role for success.

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Thursday, March 18, Day 17:00 am–6:00 pm Registration Open7:00–8:00 am Coffee and Tea Service—Networking Opportunity—Exhibit Hall Opens8:00–8:15 am Welcome and Announcements

General Sessions8:15–9:15 am

101 Advanced Nursing Education: What You Need to Know—DNP or Not?Kathleen Dracup, RN, DNSc, FNP, FAAN

The Doctor of Nursing Practice (DNP) is a professional degree recommended by the American Association of Colleges of Nursing for all advanced practice nurses. Will it be required for accreditation of educational programs and for cer-tification in the future? Is it a good idea for the profession? For the individual nurse? What is the difference between a DNP and a PhD? The importance of this recommendation to the nursing profession is discussed.

9:15–10:15 am

102 Neonatal Metabolic Disorders and Newborn Screening Rx =.5 Gregory M. Enns, MB, ChB

Dr. Enns describes clinical and laboratory presentations of inborn errors of metabolism in neonates. Current treat-ments, including dietary management, vitamin and cofactor supplementation, alternative pathway medications, and dialysis are discussed. The impact of expanded newborn screening on neonates with metabolic disorders is also examined.

10:15–11:00 am Refreshment Break (Coffee and Tea)—Exhibit Hall Open11:00 am–12:00 pm

103 Health Care Provider Work Schedules, Sleep Deprivation, and Patient SafetyChristopher P. Landrigan, MD, MPH

Dr. Landrigan describes the manner in which sleep and circadian biology affect human performance. He presents studies on the effects of sleep deprivation and long work hours on resident physician performance and patient safety. He also discusses recent data on the effects of eliminating traditional 24-hour shifts, the Institute of Medicine recom-mendations on resident work hours, and the implications for neonatology and advanced practice nurses in particular.

12:00–1:30 pm Lunch on your own1:30–2:30 pm

104 Implementation of Cerebral Cooling for Hypoxic-Ischemic EncephalopathyCarolyn Lund, RN, MS, FAAN

Our speaker focuses on the implementation of selective head cooling (SHC) for treatment of full-term neonates with hypoxic-ischemic encephalopathy. After a brief overview of the scientific basis for hypothermia in neonates and the studies that support its use, the care of patients on SHC, including thermal management, monitoring, skin care, and effects of hypothermia on different organ systems is discussed. Ms. Lund also describes the hypo-thermia program at one center with over 50 patients treated over a 5-year period.

2:30–3:30 pm

105 Management of the Drug-Affected Newborn Rx = 1Christine Gleason, MD

Our speaker discusses drugs used and abused in pregnancy, both legal and illegal, and how maternal use of these substances contributes to neonatal and pediatric outcomes. Dr. Gleason describes how to identify infants at risk, signs of neonatal drug withdrawal, and treatment of the drug-exposed neonate.

3:30–4:15 pm Refreshment Break (Iced Tea, Lemonade) Exhibits Open

Concurrent Sessions—A Workshops4:15–5:15 pm

111 Intestinal and Liver Transplantation in Infants and Children: State of the ArtMarcia Castillo, RN, BSN, CCTC

Our speaker discusses the immunosuppression therapy currently used in intestinal transplantation. The discussion includes IV induction therapy and oral maintenance.

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112 Thrombosis in the NeonateJames Huang, MD

In the pediatric population, the neonate has the highest risk of pathologic thrombus formation. Dr. Huang describes factors that contribute to this elevated risk, including peculiarities of the developing neonatal hemostatic system. Diagnostic and management strategies are also discussed.

113 Life in the Gray Zone: Moral, Ethical, and Clinical Challenges in Caring for Infants on the Edge of Viability

Madge E. Buus-Frank, RNC, MS, APRN-BCOur speaker examines a myriad of complex moral, ethical, and legal issues related to the dilemmas inherent in caring for very low birth weight infants at the margins of viability. You will review current national and international out-comes of this population, as you attempt to objectify the risks and benefits of aggressive therapeutic interventions. A dialogue focusing on pragmatic strategies and resources to process ethical dilemmas in the clinical setting is provided.

5:15–7:00 pm Welcome Reception in Exhibit Hall and Poster Viewing

Friday, March 19, Day 27:00 am–4:00 pm Registration Open7:00–8:00 am Coffee and Tea Service—Networking Opportunity

Exhibit Hall Open

General Sessions8:00–9:00 am

201 Neonatal Oxygen Physiology Rx = 1William D. Rhine, MD

Oxygen has been used as a therapy for neonates for hundreds of years, yet only recently has there been an appreciation of the physiology behind oxygen delivery in this vulnerable population. Our speaker begins by explaining the physi-ologic principles of oxygen transport. Dr. Rhine then discusses the clinical trials studying the outcomes of oxygen use in neonates, especially when given to premature infants. By appreciating the effects of too little, as well as too much oxygen, we will try to better understand the implications of targeting oxygenation in neonates.

9:00–10:00 am

202 Oxygen: The Good, the Bad, the Ugly Rx = 1David J. Durand, MD

Delivery of oxygen is an essential goal of respiratory and cardiovascular support. However, oxygen is a toxic drug with adverse effects on multiple organ systems. Our speaker presents information on assessing oxygen delivery, as well as the rational for maintaining SpO2 within tight limits

10:00–10:45 am Refreshment Break (Coffee and Tea) Exhibits Open10:45–11:45 am

203 Oxygen at Birth: What do We Know? Rx = 1Neil Finer, MD

For many years the use of oxygen has been a cornerstone of delivery room resuscitation. Growing evidence about the potential toxic effects of oxygen has lead to questions about the use of this therapy in the initial phases of newborn resuscitation. Dr. Finer discusses current and future approaches to the use of oxygen in the delivery room.

11:45 am–1:15 pm Lunch on your own1:15–2:15 pm

204 Podium Presentations

Concurrent Sessions—B Workshops2:30–3:30 pm

211 Controversies in Management of Acid/Base Balance and Neonatal Resuscitation Rx = 1Yao Sun, MD, PhD

Although acid-base balance is considered essential to physiologic stability, the role of acute correction of metabolic acidosis has more historical momentum than support through data. The evidence for/against pharmacologic correction of metabolic acidosis in neonatal resuscitation and stabilization is presented and discussed in this session.

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212 Ventilator Strategies in the NICU: What’s New in 2010?David J. Durand, MD

Ventilation has come a long way in the last decade. Dr. Durand presents the latest strategies for conventional, high frequency, and non-invasive ventilator support.

Saturday, March 20, Day 37:00 am–12:00 pm Registration Open7:00–8:00 am Coffee and Tea Service—Networking Opportunity

General Sessions, Day 38:00–9:00 am

301 Current Nutritional Therapies for Growing Bigger and Better PremiesValerie A. Ruth, PhD, NNP

Dr. Ruth discusses new advances in nutritional support for premature infants.

9:00–9:20 am Refreshment Break (Coffee, Tea)9:20–10:20 am

302 Update: Neonatal OrthopedicsRobert Bernstein, MD

Dr. Bernstein provides an update on common orthopedic problems in the NICU, including osteopenia, infection, developmental dysplasia of the hip, and club foot.

10:20–11:20 am

303 Multigenerations in the WorkplaceJanice Nuuhiwa, MSN, RN, APN/CNS, CPON

The multigenerational workforce creates challenges in collaboration between Millennialists, Gen-X-ers, Boomers, and Trads. Creating awareness of the lived experiences that shaped each generation facilitates communication through appreciation. Explore generational characteristics and how they impact values, communication styles, and work ethic. Be prepared to explore your own generational influences as well as those around you.

11:20–11:50 am Closing and Evaluations

Topics and speakers are subject to change.

The Academy of Neonatal Nursing™ gratefully acknowledges the

continuing support of

Join us in Savannah! 10th National Neonatal Nurses

Conference

September 12–15, 2010

Savannah Convention Center

Register 3, 4th Goes Free!

Come with your staff as a group and save! If you register 3 nurses, the 4th goes free!

Take advantage of this offer today. Group registrations must be submitted together. See academyonline.org or neonatalnetwork.com and select “Group Registration,” or copy the form on page 7 and submit by mail or fax.

6 7th 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 evidence-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.

Continuing Education Information

The main conference provides 14.5 contact hours. Additional contact hours are available for preconference and poster sessions.

Neonatal Network is an approved continu-ing education provider by The Texas Nurses Association, Provider #04-296795-A; 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 confer-ence provides 14.5 contact hours. The Provider, Neonatal Network, approved by the California Board of Registered Nursing, Provider #CEP 6261, for 14.5 contact hours.

Neonatal Network is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity meets Type I criteria for manda-tory continuing education requirements toward relicensure as established by the Board of Nurse Examiners for the State of Texas.

Registration FeesSee fee schedule on the registration form.

Payment of the registration fee must accom-pany the registration form.

Cancellation and Refund Policy• Toreceivearefund,cancellationofyour

conference registration must be received in writing at the conference manage-ment firm, A.J. Jannetti, on or before March 2, 2010.

• A$50administrativefeeisappliedtoallregistration refunds.

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

• Refundswillbeprocessedwithin2weeksafter the conference.

• IfitbecomesnecessarytocanceltheNational Advanced Practice Neonatal Nurses Conference for any reason, includ-ing labor strikes or acts of God, liabil-ity shall be limited to a full refund of registration fees.

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

Hotel InformationThe Hyatt Regency San Francisco is the

official hotel for the 7th National Advanced Practice Neonatal Nurses Conference. The Hyatt is the only Four-Diamond downtown San Francisco hotel and it is situated on the Embarcadero waterfront.

A block of rooms is available at our special conferencerateof$185single/double,plustax.To make your reservation, please call 415-788-1234 or make your reservation online at www.neonatalnetwork.com. Reservations made after February 12, 2010, are subject to space and rate availability.

WeatherThe weather should be nice, though slightly

chilly for your visit to San Francisco in March. Temperatures range from the low 60s during the day to about 50° in the evening. You might want to bring a jacket if you’re planning to do some sightseeing in the evenings!

ParkingThehoteloffersvaletparkingat$50.00per

day with in/out privileges. Prices subject to change. Self parking is available adjacent to the hotelintheEmbarcaderoCenter.Hourlyrates:$2.50each20minuteinterval.Maximum$32per day.

Airline/Ground Transportation

American Airlines has been designated as the official carrier for the 7th National Advanced Practice Neonatal Nurses Conference. To obtain discounted rates, visit www.neonatal network.com to make your res-ervations. You may also call American Airline’s Meeting Services Desk at 800-433-1790, but pleasebeawarethatthereisa$20ticketingcharge for reservations made via phone. For this conference, use STARfile number 2630AJ.

The hotel is approximately 14 miles from San Francisco International Airport. Lorrie’s ShuttleServiceisapproximately$15eachway.Taxicabserviceisapproximately$45eachway.

Car RentalAVIS has been contracted for car rental

service during the time of the conference. To make your reservations, call 1-800-331-1600 and refer to AWD code J907463 or make your reservations online at www.neonatalnetwork.com.

City HighlightsA perennial favorite among travelers, March

is a remarkable time of the year to visit San Francisco. The city is surprisingly fog-free in the spring. The city is renowned for its steep streets with panoramic views of beautiful San Francisco Bay.

Often described as almost European in ambience, the City by the Bay packs a panoply of vibes into its surprisingly small 50-odd square miles. The city’s Chinatown, the largest in the western U.S., serves tastes of the East, and the ever-gentrifying Mission district has some of the nation’s best taco shops. Golden Gate Park, a masterpiece of nineteenth-century urban planning, combines the natural beauty of its gardens with the culture of its museums. Haight-Ashbury clings to traces of its hippie past, while well-heeled neighborhoods such as Pacific Heights claim some of the priciest real estate on the planet.

Step outside the Hyatt and you can enjoy immediate access to both the Financial District and the city’s most famous attractions. With so many options, you may choose to wander through Chinatown to Fisherman’s Wharf, shop in Union Square or board the cable cars for a riding tour of the city. Or, catch a cable car to ride to the top of Nob Hill. Take a ferry to tour Alcatraz (be sure to book in advance) or stroll the Embarcadero to Pier 39, Fisherman’s Wharf, or Ghirardelli Square. Cross the street to the historic Ferry Building and explore the Ferry Building Marketplace, filled with local food, wine, and chocolate purveyors. It’s a waterfront foodie’s paradise. San Francisco is one of the world’s top travel destinations. Enjoy this lively and vibrant city!

Conference HotelHyatt Regency San Francisco

5 Embarcadero Center, San Francisco, CA 94111 Reservations: 415-788-1234 or online at www.neonatalnetwork.com

Refer to National Advanced Practice Neonatal Nurses Conference

All reservations require a one night deposit (including 14% 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.

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.

Type of Room Conference RatesSingle/Double $185 + 14% taxTriple $210 + 14% taxQuad $235 + 14% tax

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Register online via our website at academyonline.org, neonatalnetwork.com or return form to: APNC 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 $70 on your conference registration fees!

Nat

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Advanced PracticeNeonatal Nurses Conference

March 17–20, 2010

San Francisco, California

Register Early and Save! Register online at neonatalnetwork.com

A Full Conference Registration Best Offer!

RegistrationAcademy Members

Non- Members

Join & Register U.S.

Join & Register Canada/International

Early registration (prior to February 8, 2010)

M $325 M $395 M $395 M $405/$430

Regular registration (prior to March 8, 2010)

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

Onsite M $430 M $500 M $500 M $510/$535

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.

G Total

A or B $_________________

C $_________________

E $_________________

Total $_________________

C Preconference Workshops(Half-day 12:30–5:00 pm) (circle one)

#010 #020 #030 $100

B 1-Day Registration

RegistrationAcademy Members

Non- Members

Daily (Thursday or Friday) $175 $200

Daily (Saturday only) $90 $100

D Session Selections(circle one in each time period)

Thursday

A Workshops 4:15–5:15

111 112 113

Friday

B Workshops 2:30–3:30

211 212

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

$5_____ $10_____ $________ other

Please indicate with a check mark: Level of neonatal unit in which you practice: 1. Level II ____ 2. Level III ____ 3. Other ____ Are you involved in any purchase decisions in your unit? 1. Yes ____ 2. No ____ Your primary role is: 1. Staff nurse ____ 2. Practitioner ____ 3. Manager ____

4. Transport nurse ____ 5. Clinical nurse specialist ____ 6. Educator ____ 7. Other ____

Please print legibly—Confirmation will be sent to address below.

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 M Work

/ / /

F Payment

(payment must accompany registration)

M Check enclosed payable in U.S. funds to: Neonatal Network

M VISA M MasterCard

Credit Card #

Expiration Date 3-digit Security Code

Signature

Cancellation Policy: All cancellation requests must be received in writing on or before March 2, 2010. See Page 6 for refund policy.

7th National Advanced Practice Neonatal Nurses Conference—Register Early for Best Price!

Roberta Ballard, MD Professor of Pediatrics University of California, San Francisco School of Medicine San Francisco, California

Robert Bernstein, MD Director of Pediatric Orthopedic Surgery Cedars-Sinai Medical Center Los Angeles, California

Kristine Boyle, MS, NNP-BC Neonatal Nurse Practitioner Center for Advanced Pediatric and Perinatal Education Lucile Packard Children’s Hospital at Stanford Palo Alto, California

Madge E. Buus-Frank, RNC, MS, APRN-BC Neonatal Nurse Practitioner The Children’s Hospital at Dartmouth Faculty, Dartmouth Medical School Lebanon, New Hampshire

Marcia Castillo, RN, BSN, CCTC Pediatric Liver/Intestinal Transplant Coordinator Pediatric Liver/Small Bowel Transplant Lucile Packard Children’s Hospital at Stanford Palo Alto, California

Ronald Clyman, MD Professor of Pediatrics University of California, San Francisco School of Medicine Neonatologist University of California, San Francisco Medical Center San Francisco, California

Kathleen Dracup, RN, DNSc, FNP, FAAN Dean and Professor University of California, San Francisco School of Nursing San Francisco, California

David J. Durand, MD Director, Division of Neonatology Children’s Hospital & Research Center Oakland Oakland, California

Gregory M. Enns, MB, ChB Director, Biochemical Genetics Program Division of Medical Genetics Stanford University Stanford, California

Neil Finer, MD Director, Division of Neonatology University of California, San Diego Medical Center Professor of Pediatrics University of California, San Diego School of Medicine San Diego, California

Christine Gleason, MD W. Alan Hodson Endowed Chair in Pediatrics Professor of Pediatrics and Head, Division of Neonatology University of Washington Seattle, Washington

James Huang, MD Director, Pediatric Hematology University of California, San Francisco Children’s Hospital San Francisco, California

Roberta L. Keller, MD Assistant Professor of Clinical Pediatrics University of California, San Francisco School of Medicine San Francisco, California

Christopher P. Landrigan, MD, MPH Director, Sleep and Patient Safety Program Brigham and Women’s Hospital Research Director, Children’s Hospital Boston Inpatient Pediatrics Services Assistant Professor of Pediatrics and Medicine Harvard Medical School Boston, Massachusetts

Carolyn Lund, RN, MS, FAAN Neonatal Clinical Nurse Specialist/ ECMO Coordinator Intensive Care Nursery Children’s Hospital & Research Center Oakland Oakland, California

Dorothy M. Mullaney, MHSc, APRN Director, Neonatal Nurse Practitioners The Children’s Hospital at Dartmouth Faculty, Dartmouth Medical School Lebanon, New Hampshire

Janice Nuuhiwa, MSN, RN, APN/CNS, CPON Staff Development Specialist Children’s Memorial Hospital Chicago, Illinois

William D. Rhine, MD NICU Medical Director Professor of Pediatrics Lucile Packard Children’s Hospital at Stanford Stanford University School of Medicine Stanford, California

Gina Rosito, PharmD Neonatal and Pediatric Clinical Pharmacist California Pacific Medical Center Department of Pharmacy San Francisco, California

Valerie A. Ruth, PhD, NNP Neonatal Nurse Practitioner Lucile Packard Children’s Hospital at Stanford Stanford University Medical Center Stanford, California Assistant Professor Dominican University of California San Rafael, California

Yao Sun, MD, PhD Associate Professor of Pediatrics Director, Neonatal Clinical Programs University of California, San Francisco San Francisco, California

Kimberly Yaeger, RN, MEd Principal, Scenario Solutions, LLC Menlo Park, California Visiting Scholar Boston College School of Nursing Boston, Massachusetts

Faculty

Annette Carley, MS, NNP-BC, PNP-BC Associate Clinical Professor University of California, San Francisco School of Nursing San Francisco, California

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

Carolyn Lund, RN, MS, FAAN Neonatal Clinical Nurse Specialist/ ECMO Coordinator Intensive Care Nursery Children’s Hospital & Research Center Oakland Oakland, California

Valerie A. Ruth, PhD, NNP Neonatal Nurse Practitioner Lucile Packard Children’s Hospital at Stanford Stanford University Medical Center Stanford, California Assistant Professor Dominican University of California San Rafael, California

Conference Chairpersons

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

54017PERMIT NO. 16

The Academy of Neonatal Nursing2220 Northpoint ParkwaySanta Rosa, CA 95407-7398