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Neonatal Course: Advancing Prematurity Care
Powerful new advances in neonatal care offer hope and healing for your littlest patients
To help preemies survive and thrive you need to be on top of your game. But your days are non-stop and it’s tough to stay up to date on the newest evidence and best practices.
Engage in the Neonatal Course and discover the latest evidence and best practices for this vulnerable patient population.
This comprehensive online training provides essential information and strategies for every practitioner who works with preemies… from the NICU team to early intervention rehab professionals. We’ll take the most critical topics in neonatal care – from seizures and hypoxic-ischemic encephalopathy to the mouth-body connection in infants – and translate them into practical, real-world solutions you can implement the very next day.
You’ll walk away with:
Solutions for feeding challenges, both in hospital and at home
Clinical strategies for pain assessment and management
How to manage complex neonatal conditions including respiratory distress, sepsis, and hypoglycemia
Best practices for minimizing developmental delay, promoting growth, and reducing adverse neonatal outcomes
How to transport a baby safely… either sending or receiving
How to create a healing NICU environment for the patient, family, and staff
Register now for the most comprehensive neonatal course available!
You’ll get online training from an interdisciplinary team of 15 neonatal experts to elevate your knowledge… so that you can deliver the very best care.
Who should participate? Nurses, nurse practitioners, physician assistants, physical therapists, speech-language pathologists, occupational therapists, lactation consultants, and all other clinicians who take care of premature infants.
Course Features
Flexible, online course, designed to advance your abilities to the next level!
Presented by 15 multi-disciplinary neonatal specialists, including MDs, NPs, PTs, OTs, IBLCCs, PharmDs, and more
7 FREE bonus videos
Neonatal Course
1. Assessing and Treating Infant Feeding and Swallowing Disorders in the NICU with a Focus on High-Risk Populations
Alissa Bobek, SLP, CNT
In the NICU, every feed matters for our tiniest heroes. Whether they’re on the cusp of discharge or facing complex medical challenges, their neuroprotective feeding journey is pivotal. This course is your roadmap to identifying and supporting these high-risk infants, crafting safe feeding care plans, and collaborating seamlessly with the multidisciplinary team. We’ll delve into comprehensive assessment, share real-life case studies, and empower you to make neuroprotective decisions that prioritize family-centered care, ensuring brighter futures for our neonatal warriors.
Neuroprotective feeding practices in the NICU
Advocacy and education
Family-centered care
Comprehensive Evaluation of Feeding and Swallowing
Clinical bedside evaluation…chart review, identifying high-risk Infants…pre-feeding assessment, breast/bottle trials, collaboration with team
Instrumental assessment…indications and timing, MBSS, FEES, interpreting results, developing feeding plan with medical team and family
Individualized Feeding Plan
Family-centered
Pre-feeding stimulation and therapeutic feeds
Breastfeeding
Bottle feeding
Practice challenges
Discharge planning case studies
Success stories…challenges
2. Breastfeeding in the NICU
Kendra Shelby, IBLCLC, CLC
Let’s explore the multifaceted world of breastfeeding in the NICU, which includes both art and science. Discover cutting-edge techniques and evidence-based practices to empower these tiny warriors…including skin-to-skin contact, early breastfeeding initiation, breast milk expression approaches, safe and efficient milk storage, enteral feeding, and more! Create a supportive breastfeeding environment in the NICU that allows you to provide holistic support for premature infants on their path to health and growth.
Challenges and Requirements
Uncover the unique challenges of breastfeeding premature infants.
Explore the impact of gestational age, medical conditions, and nutritional needs.
Skin-to-Skin Contact and Early Initiation
Emphasize the importance of skin-to-skin contact and early breastfeeding initiation in the NICU.
Delve into best practices for facilitating these vital bonding experiences.
Expressing, Collecting, and Storing Breast Milk
Explore methods and technologies for efficient milk management.
Ensure safe handling, expressing, collecting, and storing of breast milk for premature infants.
Interdisciplinary Collaboration
Recognize the significance of interdisciplinary collaboration in creating a supportive breastfeeding environment in the NICU.
Assessment and Adjustment
Utilize appropriate assessment tools to monitor feeding progress and nutritional needs of premature infants.
Make necessary adjustments to the breastfeeding plan for optimal care.
Empowering Parents for Home Care
Equip parents with the knowledge and skills needed to continue breastfeeding and provide care for their premature infants at home after NICU discharge.
3. Pain Assessment and Management in the Neonate
Includes .5 hour of pharmacology content
Jennifer Humphries, DNP, CRNP, NNP-BC
In the heart of every neonatal clinician lies the profound challenge of understanding and alleviating pain in our smallest patients and avoiding short- and long-term adverse sequelae. In this session, Dr. Humphries will guide you through the intricacies of neonatal pain…so that you can recognize even the most subtle cues and empower you to provide relief. Learn the latest evidence about optimal pain management and the importance of interdisciplinary teamwork in delivering comprehensive neonatal pain care.
Primary Principles of Neonatal Pain
Regardless of past assumptions, neonates feel pain.
Assessment of severity and the effects of analgesia can be measured in the neonate.
Neonatal morbidity may be increased by prolonged or severe pain.
Avoiding or minimizing painful or stressful procedures
Swaddling during procedures or stressful events
Skin to Skin
Nonnutritive sucking
Oral Sucrose
Effectiveness of Pain Management
Reassess pain
Document the effectiveness of pain relief
Neonatal Withdrawal
Neonatal opioid withdrawal syndrome (NOWS)
Neonatal abstinence syndrome (NAS)
Education Component for Providers and Families
Written guidelines and protocols for the management of pain in neonates
Healthcare providers have the responsibility to identify, prevent, and manage pain in neonates.
Sedation is not a pain relief and could mask the ability to respond to painful stimuli.
Limitations of the Research and Potential Risks
Limited studies on pain management in neonates
Barriers related to multiple reasons (fear of use, misconceptions of pain in a neonate, long-term effects of analgesic use, etc.)
4. Collaborative Neonatal Intensive Care Support Team
Christine Perez, PhD, BSN, RN, CEIM
In the NICU, where vulnerability meets resilience, families face unimaginable challenges. As a healthcare professional, you have the incredible opportunity to make a monumental difference in the experience of families. Discover how teamwork, empathy, and effective communication can transform the NICU from a stressful to a nurturing environment. Gain actionable insights and strategies to implement immediately in your NICU practice, enhancing the well-being of both infants and their families.
Interprofessional Collaboration
Review current standards for levels of neonatal care
Identify Interprofessional NICU team members
NICU physical design layouts and environmental considerations
Effective Communication
The art of shared decision-making
Achieving health equity
Unmasking implicit bias
Strategies and approaches for effective communication
Supporting Families
Building and maintaining relationships
Resiliency skills: Equipping families
Empowering families: Enabling self-management
Best practices for guiding families
5. Nurturing Connections: Exploring the Mouth-Body Connection in Developing Infants
Kristin Horwath, PT, DPT, CNT, NTMTC
Jennifer Ainsworth, MS, OTR/L NTMTC
Join us for an enlightening session that delves into the fascinating world of the mouth-body connection in developing infants. We will explore the crucial role of oral motor skills, sensory experiences, and early feeding behaviors in an infant’s overall development. We will explore evidence-based strategies and techniques to support infants’ development.
Sucking Reflex
Begins in utero
After birth at term…coordinated suck-swallow-breathe reflex
Interruption in sequence in premature birth
Reflexes and movement patterns…influenced by environmental, physiological, neurological, and behavioral factors.
Posture and Mobility
Affects feeding patterns and impact a baby’s posture and mobility
Function of the mouth and body are inextricably linked
Understanding this connection and avoid treating either aspect in isolation
Neonatal Movement Patterns
Foundation in the development of the baby’s oral motor skills
Subsequent feeding progression and feeding journey beyond the NICU
Best practices in caring for premature infants include intentional touch and handling
Optimal base for oral motor and respiratory patterns
Functional movement patterns and positioning for optimal development
6. Micronutrients is Premature Neonates: Bringing the Macro Problems to Parenteral Nutrition
Includes 2.0 hours of pharmacology content
Julia Muzzy Williamson, PharmD, BCPPS, BCNSP, C-ELBW
Nutritional care for preterm neonates remains a challenge in clinical practice. In this session, we will delve into assessing nutritional needs of neonates, the significance of micronutrients in the growth and development of neonates, and evidence-based recommendations for TPN administration. You will be well-equipped to effectively manage micronutrient supplementation and TPN in neonates, within a team environment, ensuring optimal nutrition and growth for these vulnerable patients.
Guideline Comparison
Dive into the neonatal nutrition guidelines.
Spotlight differences in practices and resources.
Analyze current products with guideline recommendations.
Micronutrient Insights
Understand the role of each micronutrient.
Identify the risk of deficiency and toxicity.
Navigate dosing challenges and monitoring limitations.
Preterm Neonates: Dosing and Products
Explore the latest research on dosing in preterm neonates.
Uncover product limitations and applications.
Apply knowledge to patient case scenarios.
Patient Case Scenarios
Assess for deficiency and toxicity.
Evaluate lab data and create monitoring plans.
Tackle shortage management for complex cases.
Electrolyte Disturbances
Focus on intrauterine growth restriction.
Spotlight recent product shortages and challenges.
Tackle issues with multivitamins, calcium gluconate, and cysteine.
Delve into the evolving nature of Hypoxic Ischemic Encephalopathy (HIE), uncovering the cascade of biochemical events that lead to irreversible neuronal injury. Gain valuable insights into the identification of causes, comprehensive management strategies, and potential outcomes, equipping neonatal healthcare professionals with the knowledge to make informed decisions in the critical care of newborns.
Hypoxic Ischemic Encephalopathy (HIE)
Definition of HIE and its prevalence in full-term newborns
Pathophysiology of HIE, including the cascade of adverse biochemical events
Evolving nature of HIE and the progression to irreversible neuronal injury
Different Causes of Neonatal Encephalopathy
Risk factors and potential causes leading to neonatal encephalopathy
Identification of prenatal, intrapartum, and postnatal factors contributing to HIE
Importance of recognizing and addressing these causes promptly
Management Approach for HIE
Early recognition and assessment of HIE in newborns
Immediate and ongoing medical interventions to mitigate hypoxic-ischemic injury
Therapeutic hypothermia and other emerging treatments for HIE management
Interdisciplinary approach involving obstetricians, neonatologists, and other healthcare professionals
Potential Outcomes of HIE
Long-term consequences of HIE on neurodevelopment
Impact on cerebral palsy, mental retardation, learning disabilities, and epilepsy
Strategies for early intervention and rehabilitation to improve outcomes
Consideration of family support and counseling in the context of potential outcomes
8. Seizing the Spotlight: Understanding Neonatal Seizures
Includes 1.0 hour of pharmacology content
Shannon Tinkler, MSN, CNS, RNC-NIC
Neonatal seizures are a commonly encountered neurologic condition in neonates…with unique pathophysiology and electrographic findings resulting in clinical manifestations and diagnostic nuances. We will discuss the evaluation and treatment of neonatal seizures and highlight the role of the interprofessional team in evaluating and treating infants with seizures…including the transition to home.
The Neonatal Seizure Landscape…Pathophysiology and Clinical Manifestations of Seizures
Common conditions associated with neonatal seizures
Differentiating abnormal movements and seizures…a crucial skill for early diagnosis
Path to Diagnosis
Conventional electroencephalogram for diagnosis and continued monitoring
Amplitude-integrated electroencephalogram for screening and diagnosis
Advanced imaging to aid in the determination of cause and assessment of injury
Easing the Seizure Burden…Treatment Approaches
Common medications used to treat seizures in the neonatal population
Strategies for mitigating effects of neonatal seizures on long-term outcomes
Limitation of current evidence and potential risks
PLUS, when you register today, you’ll receive 7 FREE bonus sessions!
1. Respiratory Distress Syndrome of the Neonate: A Comprehensive Approach
Includes 1.0 hour of pharmacology content
Benjamin Courchia, MD
The first hours and days of life are of crucial importance for the newborn infant, when they are particularly vulnerable to a range of respiratory diseases, many unique to this period of early life as the developing fluid-filled fetal lungs adapt to the extrauterine environment. The clinical signs of respiratory distress are important to recognize and further investigate, to identify the underlying cause. The epidemiology, diagnostic features and management of common neonatal respiratory conditions are covered in this presentation.
Introduction to Neonatal Respiratory Challenges
Overview of Common Respiratory Problems in Neonatology
Prevalence and Impact on Neonatal Health
Overview of respiratory mechanics
Evidence-Based Management of Neonatal Respiratory Disease
Presentation of Respiratory Distress
Common and Non-specific
Differential Diagnosis
Evidence-Based Practices in Treatment and Care
Case-Study
Diagnostic Framework for Neonatal Respiratory Distress
Understanding the Spectrum of Respiratory Distress in Neonates
In the high-stakes realm of neonatal care, every second counts, and every move must be precise. In this session, you’ll gain an invaluable understanding of the specialized skills required to handle fragile neonates during these life-defining moments. Led by an experienced transport team member, you’ll master techniques for assessing and stabilizing neonates and ensuring a seamless transition to a higher acuity NICU, where these tiny patients continue their fight for life.
Introduction to Neonatal Transport
Importance of neonatal transport
Key factors influencing transport decisions
Modes of Transport
Ambulance transport…Advantages and limitations
Proper equipment and setup
Airlift transport…When to consider
Ensuring safety during air transport
Assessing Neonatal Stability
Comprehensive neonatal assessment
Indicators of stability and readiness for transport
Strategies for stabilizing the neonate before transport
The Hand-off Process
Effective communication between sending and receiving facilities
Standardized hand-off protocols
Sharing critical patient information
Ensuring continuity of care during the hand-off
Supporting Parents
The emotional aspect of neonatal transport
Providing information and reassurance to parents
Involving parents in the care process when possible
Resources and support for families
Emergency Response and Decision-Making
Handling complications during transport
Rapid decision-making in high-stress situations
Ensuring the safety of the neonate and transport team
Conclusion and Future Directions
Recap of key takeaways
The evolving landscape of neonatal transport
Natural disasters preparation
Commitment to ongoing professional development in neonatal care
3. Knowing More Than the ABCs to Promote Safe Infant Sleep Practices
Stephanie Abbu, DNP, RN, CNML
NICU graduates, especially those with racial/ethnic disparities are at a high risk for sudden unexpected infant death (SUID). Learn how to successfully establish a safe sleep program in the hospital setting and help parents transition these practices to home. Tactics to talk with families about safe sleep and risk reduction strategies will be presented. Next steps will focus on sustaining our efforts and increasing community engagement to further decrease SUID rates.
History of safe sleep practices
Sudden Unexpected Infant Death (SUID) defined
AAP recommendations – 30 years of evidence
In-hospital initiatives / safe sleep program
Policy development
Crib cards
Model behavior
Sleep sacks
Discharge gift
Barriers/opportunities in NICU and nursery
Family and Staff Education
Developmental Care
Supportive positioning
Staff workload and personal experiences
Health Disparities
Mortality gap
State variations
Racial/Ethnic trends
Decreasing racial disparities
Home health/pediatrician office follow-up
Discuss sleep safety
Assess sleep environment
Risk reduction efforts
Next steps
Sustainability tactics
Community engagement
4. Neonatal Hypoglycemia and Hyperglycemia
Includes 1.5 hours of pharmacology content
Julia Muzzy Williamson, PharmD, BCPPS, BCNSP, C-ELBW
Whether it is hypoglycemia or hyperglycemia in a neonate, it signals a failure of the normal transition from fetal to postnatal patterns of glucose homeostasis, and both can lead to complications and are important risk factors for mortality and morbidity in the neonatal period. In this session, Julia Muzzy Williamson will provide a comprehensive overview of both conditions, their complex etiologies, and the most current guidelines for management. Learn how to work within the interdisciplinary team to treat these challenging conditions and improve outcomes for these little patients.
Hyperglycemia
Etiology
Prematurity and Intrauterine growth restriction
Increased stress hormones
Causes related to feeding/total parenteral nutrition (TPN)
Sepsis
Iatrogenic
Transient neonatal diabetes mellitus
Drugs
Evaluation
History and Physical
Workup
Glucose
Electrolytes
Differential Diagnoses
Treatment and Management – Interdisciplinary
Glucose Infusion Rate (GIR)
Role of Insulin
Hypoglycemia
Etiology
Insufficient glucose supply, with low glycogen or fat stores or poor mechanisms of glucose production
Increased glucose utilization (excessive insulin production or increased metabolic demand)
Failure of counter-regulatory mechanisms
Evaluation
History and Physical
Workup
Differential Diagnoses
Treatment and Management – Interdisciplinary
Early feeding
Intravenous dextrose
Second line – corticosteroids
5. Transition from NICU to Home: Great Expectations with Evaluation and Treatments
Karen Pryor, PhD, PT, DPT, CH, CFPS
Evaluation of the fragile infant takes special skills and connection to family. There may be intensive treatments based on work – rest and goals established, to catch up to milestones with their peers. Looking at the medical findings, scans, genetic tests, and equipment needs will provide knowledge about what is happening on the outside. Neurological findings enlighten the therapist to what is working and what may need to be rewired for optimum function. Accommodations may need to be designed for special cases. Tracheostomies, feeding tubes and oxygen are a few items we must work around to encourage rolling, coming to sitting and other milestones.
History
Neurological findings
Genetics
Function
Evaluate motor functions that are working
Assess what is not working well
Asymmetry – face, neck, trunk, upper and lower extremities
Positional movements
Tummy time
Supine positions
Accommodations for tracheostomy, oxygen, tube feeding equipment
Asymmetrical presentations
Torticollis
Scoliosis
Tone
Arm and leg lengths
Determine pain influence
Methods of treatment
Myofascial assistance
Building a home program for the newborn
Activities to gently awaken the nervous system
Positioning and movement
6. Optimizing Ventilation of the Premature Infant
Michelle Donahoo, RRT-NPS
In the NICU, the aim of any ventilation strategy is to support the neonate’s respiratory system during compromise while limiting any long-term damage to the lungs and the skin. In this session, we will review the many different ventilation modes and strategies that are available to assist with the optimization of non-invasive ventilation management and help the team make the best choice for treatment.
Standard NC
Type and indications
High flow NC
Review Vapotherm system
Review Optiflow system
Heating and Humidity
CPAP
Flow generated
Bubble
Heating and Humidity
Non-Invasive Ventilation modes in various ventilators
Review differences between a few ventilators and their NIV modes and how they work
Review interfaces differences connected to ventilator
RAM NC
F&P Interface
Heating and Humidity
Complications
7. Neonatal Sepsis
Includes 0.5 hour of pharmacology content
Mel Cook, MSN, RNC-NIC, C-ELBW, PHN, DNP-C
One of the most common clinical issues you will encounter while working in the NICU is neonatal sepsis. Do you feel confident in identifying a neonate’s unique risk factors, along with recognizing the subtle signs and symptoms for neonatal sepsis? What about collecting and analyzing the relevant diagnostics, integrating multiple clinical interventions, and participating in infection prevention measures, all the while promoting family engagement to best manage these situations? Or would you like a refresher? Whether you are a 20-year NICU veteran, transitioning to the NICU, or a new grad, this dynamic course led by Mel Cook will equip you with the knowledge and confidence you need to effectively manage neonatal sepsis.
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