Course Description: Neonatal On Line Education Basic The Neonatal On-Line Education (NOLE) Basic is designed for all bedside neonatal caregivers (PT, SLP,OT, RN RT, CLS, LMT, Psychologists, NNP) to further their knowledge in a vast array of neonatal topics. The topics allow the participant to develop an improved understanding of the developing premature infant, as well as the significant impact of the environment and a variety of caregiving activities have on the infant. For example, positioning, massage, parent bonding, and promoting sleep are explored in detail. The topics are presented in pre-recorded webinar format from neonatal experts around the United States and Canada. Most of the presenters have completed the research, provided literature, or lecture nationally on their topic. The course takes approximately 8 hours to complete, and requires an 80% on-line test score for completion. Course Objectives: By the end of On-Line Education, the participant will be able to: 1) Name three benefits of massage identified in the research literature. 2) Describe three changes in practice related to developmental care that you can implement based on the brain and sensory development, positioning, and sleep information obtained about premature infants. 3) List two neonatal care practice changes you can make based on principles of intentional caregiving and partnering with parents. Contact Hour Approval: Approved for 10.0 CEUs From California Registered Nurses, Provider Number 15417. Course Timeline Time Content 78 minutes Intentional Caregiving 67 minutes Brain & Sensory Development 55 minutes Neurodevelopmental Positioning & Handling in the NICU 60 minutes Importance of Sleep on the Developing Brain 49 minutes Partnering with Families: Is it just a word or are we living it? Page 1 071713
62 minutes Infant-Driven Caregiving 45 minutes Development of the High Risk Infant 44 minutes Massage Literature Review 40 minutes 5 minutes for test completion X 8 webinars equals 40 minutes 500 minutes Total minutes to complete = 10.0 CEUs On Line Course Topic Review and Speaker Bios: WEBINAR #1 INTENTIONAL CAREGIVING discusses the benefits of intentional caregiving, which includes the intentional decision of how to act, touch, and speak during clinical care. The participants are challenged to question the touch they use, the language they speak, and the care they provide to create a healing experience for the NICU infant and parent. SUE LUDWIG, OTR/L, NTMTC Sue Ludwig is the President and Founder of the National Association of Neonatal Therapists (NANT). Sue is also the Co- Founder of Infant-Driven Feeding. She has been a practicing occupational therapist at the University of Cincinnati Medical Center for over 20 years. Sue is a sought after international speaker, consultant, writer, and educator. She has published articles related to neonatal feeding and developmental care and been a guest editor for Newborn and Infant Nursing Reviews. Sue has earned the Neonatal Developmental Care Specialist Designation from the National Association of Neonatal Nurses (NANN) and is certified in Neonatal Touch and Massage. She received the Laura Edmunds Lectureship Award from UMass Memorial Medical Center in 2012. Sue serves as the neonatal therapy media expert for the American Occupational Therapy Association. She s an ex-officio member of NANN s Education Provider Committee and leads the NANT Professional Collaborative. Sue is a published author and poet. She lives in Cincinnati, Ohio with her husband and 2 children. WEBINAR #2 BRAIN & SENSORY DEVELOPMENT IN PRETERM INFANTS provides up to date information on the stages of fetal brain development, the neurological and neurosensory vulnerabilities of the preterm and critically ill hospitalized infant, and the implications for care practices in the NICU are delineated. Methods to adapt care and positively support ongoing development of the brain and sensory systems are presented. AUNE HJARTARSON, OT Aune is an Occupational Therapist in the NICU and McMaster and Children s Hospital in Hamilton, Ontario, CANADA. In addition to chairing the Developmental Care Committee, Aune provides regular ongoing education for NICU Staff across the region on developmentally supportive care practice, feeding and swallowing and complex discharge planning. Aune is also a national consultant and provides advanced education for the NICU staff across CANADA and the US, in Developmentally Supportive Care and feeding Page 2 071713
Practice. She lectures in the McMaster University Masters OT Program on therapeutic assessment and intervention for premature and medically fragile infants, has completed research and published in the area of clinical and videofluoroscopic assessments of aspiration and high-risk infants and children. She is passionate about developmental care and the importance of education to empower families and caregivers to optimize the long-term outcomes of premature and high-risk infants. WEBINAR #3 NEURODEVELOPMENTAL POSITIONING & HANDLING IN THE NICU outlines the key components to the sensory motor system and implications for positioning in the NICU. Adverse consequences of malpositioning as it relates to long term development is discussed, as well as optimal positioning in the NICU to prevent long term musculoskeletal deformities and methods for appropriate handling of NICU infants when transitioning prone to supine, to skin-to-skin, etc. CHRYSTY STURDIVANT, OT Chrysty is an Occupational Therapist, who is practiced in the NICU and other pediatric environments since 1982. Her experience includes the development and implementation of Neonatal therapy programs as well as mentorship and training of a wide variety of NICU Professionals. Chrysty is a member of the National Association of Neonatal Therapists, the American Occupational Therapy Association, and she Co-Chairs the Dallas-Fort Worth Metroplex Neonatal Therapists Special Interest Group. She also operates as a Co-Chair for the NANT Annual Conference. Chrysty is an international speaker and consultant, patented inventor and published author. She lectures at advanced degree programs and universities nation-wide and her expertise in pediatrics has led to the invention of specialized equipment to be used in hospitals and NICUs today. Christy s dedication and passion for the advancement of neonatal therapy is exemplary. She is a wife, mother, and grandmother. WEBINAR #4 THE IMPORTANCE OF SLEEP ON THE DEVELOPING BRAIN provides the participant with a scientific understanding of the neuronal connections that are still developing in the NICU patient, the implications of the environment and care on these neuronal connections, the states that infants transition through, and the importance of sleep for optimal neuronal connections and development. Methods to adapt care that positively promote and protect sleep are outlined. Page 3 071713
JAN HUNTER, OT Jan is a neonatal clinician and educator, with a passion for NICU infants and their families, best clinical practice and team collaboration. She holds a Bachelor of Science degree in Occupational Therapy from the University of Kansas and a Master s degree in Occupational Therapy from Texas Women s University. Jan is an Assistant Professor in the school of health professions at the University of Texas Medical Branch at Galveston and is currently developing NICU developmental care program at Clear Lake Regional Medical Center. Among other accomplishments, Jan has authored 11 neonatal textbook chapters and co-authored several peer review journal articles in AOTA NICU knowledge and skills papers. She has been an invited speaker to local, national and international conferences, and has taught courses on Occupational Therapy in the NICU in Argentina and Taiwan. All of her own children and grandchildren were born premature. WEBINAR #5 PARTNERING WITH PARENTS gives the neonatal practitioner simple, take-home scripting of how to eliminate barriers to building a trusting relationship with families and describes how to create a collaborative practice with the healthcare team which can positively impact the family s experience. LIZ DRAKE, RN Liz holds the credentials of Registered Nurse, with a Master s in Nursing, Certified Neonatal Nurse Practitioner and Clinical Nurse Specialist. Liz has been a Neonatal Nurse for 29 years. She loves what she does and can t imagine doing anything else. Liz has been in different roles throughout her career but the times she spends at the bedside with patient, family and staff are the most meaningful. Developmental Care and Family Centered Care are her passions. Teaching how every touch experience and relational experience we have with the premature infant and their family is probably the most important thing she does. Liz has been the clinical coordinator of several research clinical trials, the author of several articles, speaker at March of Dimes in contemporary forums conferences, and is an education consultant for Phillips Children s Medical Ventures. WEBINAR #6 INFANT-DRIVEN CAREGIVING facilitates the participant to individualize the care provided to the NICU infant and family based on the individual needs of the infant and family at the time. Likewise, developmental care practices such as skin-to-skin and swaddled bathing are shown through videos to help the participant implement these practices in the NICU. KARA ANN WAITZMAN, OTR/L, CIMI, NTMTC Kara Ann has been a neonatal therapist for over 25 years in a level III NICU and serves as the nursery s developmental specialist. Kara Ann is president of Creative Therapy Consultants, Founder of the Neonatal Touch & Massage Certification (NTMC), and Co-Founder of Infant-Driven Feeding. She is certified in NTMC, is Pediatric Neurodevelopmental Therapy (NDT) trained, Page 4 071713
certified in NIDCAP, and earned the Neonatal Developmental Care Specialist Designation through NANN. She served on AWHONN's Continuum of Care Advisory Board, and currently serves on National Association of Neonatal Therapists Professional Collaborative as well as the March of Dimes Program Services board. Kara Ann has been a nationally sought after speaker, educator, and consultant for over a decade and has published articles on positioning and feeding, and written a chapter on Neuromotor Development and Massage. She developed and sells DVDs on Massage, Skin-to-Skin, and Swaddled Bathing. Kara Ann has received professional awards including the Ohio Occupational Therapy Pediatric Model Practice Award, the March of Dimes Healthcare Worker of the Year Award, and the 2011 MVH Excellence in Service Award. WEBINAR #7 DEVELOPMENT OF THE HIGH RISK INFANT is a very detailed look at important neurobehavioral changes that occur during premature infant development from gestational ages of 24 weeks through term age and beyond. Current research to guide interventions in the NICU is outlined from the Washington University Neurodevelopmental Research Group. BOBBI PINEDA, PHD, OTR/L Dr. Pineda earned her Bachelor of Health Science in Occupational Therapy from Florida Agricultural and Mechanical University, Tallahassee, FL in 1992; her Master of Health Science in Occupational Therapy from the University of Florida, Gainesville, FL in 1994; and her Doctor of Philosophy from the University of Florida, Gainesville, FL in 2006. Dr. Pineda is part of the WUNDER (Washington University Neurodevelopmental Research) lab, a multidisciplinary team working to better understand the effects of the environment, medical conditions, and interventions on brain structure and functional outcome of the developing infant. Most of their current work involves infants born prior to 30 weeks gestation. Dr Pineda s primary interest is in understanding the effects of the environment, medical conditions, and interventions on brain structure and functional outcome of the developing infant. WEBINAR #8 MASSAGE LITERATURE REVIEW is an extensive review of the research from the past 10 years related to neonatal massage, including the medical, therapeutic, developmental, and parental benefits of massage in the NICU. KARA ANN WAITZMAN, OTR/L, CIMI, NTMTC Kara Ann has been a neonatal therapist for over 25 years in a level III NICU and serves as the nursery s developmental specialist. Kara Ann is president of Creative Therapy Consultants, Founder of the Neonatal Touch & Massage Certification (NTMC), and Co-Founder of Infant-Driven Feeding. She is certified in NTMC, is Pediatric Neurodevelopmental Therapy (NDT) trained, certified in NIDCAP, and earned the Neonatal Developmental Care Page 5 071713
Specialist Designation through NANN. She served on AWHONN's Continuum of Care Advisory Board, and currently serves on National Association of Neonatal Therapists Professional Collaborative as well as the March of Dimes Program Services board. Kara Ann has been a nationally sought after speaker, educator, and consultant for over a decade and has published articles on positioning and feeding, and written a chapter on Neuromotor Development and Massage. She developed and sells DVDs on Massage, Skin-to-Skin, and Swaddled Bathing. Kara Ann has received professional awards including the Ohio Occupational Therapy Pediatric Model Practice Award, the March of Dimes Healthcare Worker of the Year Award, and the 2011 MVH Excellence in Service Award. Page 6 071713