Pediatric Nurses: Trusted Voices, Partners in Excellence

Conference Agenda & Concurent Session Descriptions

Session/Track: I-A

Perspectives in Behavioral Health
Nearly one in seven children aged 2 to 8 years in the United States has a mental, behavioral, or develop­mental disorder. Among children and adolescents aged 9 to 17 years, as many as one in five may have a diagnosable psychiatric disorder. Yet not a single state in the country has an adequate supply of child psychiatrists, and 43 states are considered to have a severe shortage. This panel will share what their institutions are doing to provide care for this patient population

Claire Alminde, MSN, RN, CPN, NEA-BC | St. Christopher's Hospital for Children
Jennifer T. Davis MSN, RN, CBC | The Children's Hospital of Philadelphia
Nancy A. Praglowski, MS, RN-BC | Johns Hopkins Hospital
Teresa Worley PSC, NA | Nemours/Alfred I. duPont Hospital for Children

Session/Track: I-B

An Alternative Method to Hydrate a Patient with Bronchiolitis
Patients with bronchiolitis often have difficulty or lack of interest in eating and drinking, leading to dehydration and inadequate nutrition. Typically, bronchiolitis patients receive intravenous (IV) hydration which does not provide adequate nutrition and may increase the risk of harm including IV infiltrates and iatrogenic electrolyte abnormalities. This quality improvement initiative identified patients who would benefit from Nasogastric (NG) hydration as an alternative hydration method and would decreased the risk of IV infiltrate harm. The presentation will review the development and implementation of this Quality Improvement project, the adapted hospital bronchiolitis pathway, affect on patient family education, and the overall impact on harm prevention related to IV infiltrates.

Elena M. Becker, BSN, RN, CPHQ | The Children's Hospital of Philadelphia
Maura A. Nitka, MSN, RN, CPN | The Children's Hospital of Philadelphia

Session/Track: I-C

Stop the Bleed: Basic Bleeding Control Course
Learners will be able to identify the ABC's of bleeding control, recognize the signs of life threatening bleeding, and will be able to identify which types of wounds and circumstances will require wound packing versus tourniquet application. Following the presentation, learners will practice wound packing and tourniquet application with trained instructors.

Adam Zwislewski, BSN, RN, CCRN, PHRN | Hahnemann University Hospital

Session/Track: I-D

Utilization of Voice Memo Recording for Discharge Instructions of Non-English Speaking Patients and Families
Analyze communication challenges to provide comprehensive discharge instructions to Non-English speaking patients and families. Demonstrate the use of innovative technology approach to providing discharge instructions using voice memo recording. Describe pilot process and use of reliable methods and audit tool for clinicians.

Michelle A. Wagner, MSN RN NE-BC | Nemours/Alfred I. duPont Hospital for Children
Meredith Johnson, BSN RN CPN NC III | Nemours/Alfred I. duPont Hospital for Children
Siobhan Joseph, LSW | Nemours/Alfred I. duPont Hospital for Children
Jodie Puzio-Bunguard, MSW | Nemours/Alfred I. duPont Hospital for Children

Session/Track: I-E

Transitioning new graduate nurses to practice; overcoming orientation challenges in the ICU
This presentation will describe two organizations' creative approaches to onboarding newly licensed nurses in the critical care environment. These organizations' nurse residency programs support transition into practice for newly licensed nurses and help critical care units overcome challenges related to patient census and acuity, as well as nurse staffing.

Kellyanne LaFrado, RN, MSN, CPN | The Children's Hospital of Philadelphia

Session/Track: Roundtable 1

Vaccines


Chris DiPaolo | Nemours/Alfred I. duPont Hospital for Children

Session/Track: Roundtable 2

Workforce related: Strategies to improve retention with Team steps


Michele Cimino | Shriners Hospitals for Children - Philadelphia

Session/Track: Roundtable 3

Behavioral Health Challenges in Acute Pediatric Care


TBD | The Children's Hospital of Philadelphia
The Children's Hospital of Philadelphia

Session/Track: II-A

Over Use Injuries in Children
Overuse injuries are most commonly seen with children participating in sports. As children specialize in sports at younger ages, they begin playing the same sport all year round. This year-round play makes them more susceptible to injuries that are subtle and occur over time. Overuse injuries are challenging to diagnose and treat. They are the result of repetitive micro-trauma to the tendons, bones, and joints. This workshop will expand the pediatric nurse’s knowledge of overuse injuries and how they occur. It will enhance the foundation knowledge for clinical decision making and stimulate thinking about practice. Clinical interventions discussed will be research and evidence-based practice to support best practices.

Katie M. Marino, PT, DPT | Theraplay Inc.

Session/Track: II-B

Ethical Issues in Pediatric Palliative Care
The care of children with life-threatening diseases and their families often poses ethical challenges and dilemmas for pediatric nurses, particularly during palliative and end-of-life care. Exploring these issues through case studies and discussing principles of ethical decision-making has the potential to reduce ethical and moral distress in pediatric nurses.

Dyane Bunnell, MSN, APRN-BC, AOCNS, CPON | Nemours Alfred I. duPont Hospital for Children

Session/Track: II-C

Implementation of an Abusive Head Trauma Prevention Program through Interdisciplinary Collaboration - A Pilot Study
Learners will be able to identify the key educational concepts associated with the Period of PURPLE Crying abusive head trauma/shaken baby syndrome prevention program. Learners will be able to understand the planning and conceptualization behind launching an educational intervention at their institution. Learners will be able to identify the impact of the Period of PURPLE Crying education on staff and caregivers at a level I pediatric trauma center. Learners will be able to identify the importance of, and opportunities to, disseminate education in both community and professional settings.

Susan McInerney BSN, RN,CPN | St. Christopher's Hospital for Children
Heather Lavella MSN, RN, CPN | St. Christopher's Hospital for Children
Rebecca Sandhu BSN, RN, CPN | St. Christopher's Hospital for Children
Autumn D. Nanassy MA | St. Christopher's Hospital for Children
Rochelle Thompson, MS | St. Christopher's Hospital for Children

Session/Track: II-D

Helping Children with Medical Complexity Live at Home with their Families
A growing population of infants and children currently survive once-fatal conditions but remain chronically impacted, with long-term dependence on medical technologies, prolonged and recurrent stays in the intensive care unit (ICU), and adverse outcomes. Research suggests that the availability of home health care, including home nursing and durable medical equipment, is the core issue determining whether children with medical complexity are able to spend time in their family homes, vs. in inpatient settings. We will present findings about the state of pediatric home health care learned through interviews with key informants (e.g. parents, clinicians, administrators, and home care staff) across the United States. Attendees will learn about what pediatric home health care entails and become familiar with significant barriers and facilitators in the United States. Finally, evidence-informed recommendations to enhance home-based services for children with medical complexity, helping them to live at home with their families.

Susan Huff, RN, MSN | Johns Hopkins Hospital
Jessica Raisanen, MSPH | Johns Hopkins Berman Institute of Bioethics

Session/Track: II-E

Mentoring Essentials for Nurses
Many new graduate nurses are coming into the field of nursing stressed with the transition from student to professional; while many experienced nurses are becoming more established in their careers and struggling to find opportunities to stay engaged in their practice. Mentoring can be the perfect opportunity to develop professionally for both the new nurse mentee as well as the experience nurse mentor. This presentation will describe the importance of mentoring in the nursing field with special attention to the benefits that this opportunity gives to both the mentee and the mentor as established in the literature. It will also discuss the key items that are necessary when creating and sustaining a successful mentoring relationship.

Kristin Schoonover MSN, CPNP-AC, CRNP, ACCNS-P | The Children's Hospital of Philadelphia

Session/Track: III-A

Attacking Sepsis Before It Strikes
Pediatric sepsis is a complex clinical syndrome that leads to significant morbidity and mortality. The prompt recognition and treatment of sepsis is important for shortening length of stay and decreasing deaths. At Nemours/Alfred I DuPont Hospital for Children, an Inpatient Sepsis Pathway, a formalized Shock Huddle process, and the role of a Shock Nurse were developed to improve recognition and the timing of treatment for sepsis and septic shock.

Whitney Schoch, BSN, RN, CCRN | Nemours/Alfred I. duPont Hospital for Children
Teresa Mulholland, MSN, APRN, ACCNS-P, CCRN | Nemours/Alfred I. duPont Hospital for Children

Session/Track: III-B

Caring for LGBTQ Pediatric Patients: A Nursing Perspective and a Patient’s Perspective
Discussion of the challenges faced by nurses in providing care for transgender youth. The discussion will include a transgender youth who will share their experience in the healthcare system. Will provide insight into some of the challenges that pediatric nurses face and some suggestions to improve communication and ways to structure care to improve overall patient experience.

Sharon Ray, RN, BSN, CPN | St. Christopher's Hospital for Children
Patricia Shea, RN, BSN | St. Christopher's Hospital for Children
Brianna Sobolewski, RN, BSN | St. Christopher's Hospital for Children

Session/Track: III-C

Trauma Challenges
Providing high-quality care to traumatically injured children requires extensive resources and the collaboration of multiple professionals. This session provides multiple perspectives on challenging issues in trauma care.

Sarah Dalessio | The Children's Hospital of Philadelphia
Jenny Kloss, MSN, CPNP-AC/PC | The Children's Hospital of Philadelphia
Kerri Lyman, MSN, RN, CPEN | Robert Wood Johnson University Hospital

Session/Track: III-D

Growing with Cerebral Palsy A Musculoskeletal Journey
The presentation is aimed to increase learner's awareness of cerebral palsy (CP) and its impact on the musculoskeletal system. Also will show how monitoring for certain musculoskeletal system can be correlated with distinct periods of development in childhood and what interventions are recommended. Including: review of CP risk factors for screening, musculoskeletal clinical exam, discussion of interventions (orthotics, bracing,therapies), purpose monitoring with radiographic imaging and when to encourage referral to specialty providers.

Margaret Salzbrenner Hoopes | Nemours/Alfred I. duPont Hospital for Children

Session/Track: III-E

Implementation of a Multidisciplinary Team to Address Patients with Behavioral Health Concerns in a Pediatric Medical Hospital
This presentation will describe the implementation of a Centralized Behavioral Health team providing patient care interventions and educational opportunities to the staff. This team provides in order to provide high-quality care for the behavioral health population.

Laurie Chiambalero RN | The Children's Hospital of Philadelphia

Session/Track: IV-A

Advances in Type 1 Diabetes Mellitus (T1DM) Treatment and Technology
The care of children and adolescents with Type 1 Diabetes Mellitus (T1DM) has evolved over the years to include the use of technology that can improve care outcomes and quality of life. This session will provide updated information on the care of this population and will include an overview of various diabetes technology devices including continuous glucose monitors (CGM) and closed loop technology insulin pumps.

Kristine M. Welsh, MSN, CPNP | Nemours AI duPont Hospital for Children
Kimberly Shoe, MSN, CPNP, CDE | Nemours AI duPont Hospital for Children

Session/Track: IV-B

Brachial plexus injury in the pediatric population


Nicole Ralston, RN | Shriners Hospitals for Children - Philadelphia
Jamie M.Sperduto, RN BSN | Shriners Hospitals for Children - Philadelphia

Session/Track: IV-C

Current Trends in Pediatric Burn care
Burns are a major cause of traumatic injury for children in the U.S. each year. In this session, you will discuss the current trends in burn care, the importance of and how nurses can make a difference in the quality of life for the pediatric burn patient.

Loreen K. Meyer, MSN, RN, CCRN, CPEN | St. Christopher's Hospital for Children

Session/Track: IV-D

Alphabet Soup: Acronyms to enhance care for children with behavioral disorders
The goal of this presentation will be to share the meaning of various acronyms and terms utilized in special educational and behavioral care services. In addition, participants will learn how to incorporate elements of that care into the provision of medical care to ensure successful outcomes.

Lauren Frederick Troy, M.A., BCBA | The Children's Hospital of Philadelphia
Elizabeth A. Steinmiller MSN, PMHCSN-BC | The Children's Hospital of Philadelphia

Session/Track: IV-E

Mindfulness at the Bedside
This presentation will focus on how mindfulness can be utilized by pediatric nurses to potentially improve patient care and promote self-care. During this presentation, practical mindfulness practices will be presented that pediatric nurses can utilize to increase their focus and decrease their level of stress with the goal of improving patient care.

Jackie Murphy MSN, RN, CPN, CNE | Drexel University - School of Nursing
Glenn Murphy MSN, RN, CNE | Pennsylvania College of Health Sciences

Session/Track: V-1

From Complicated to Perplexing: Concussion Cases that will have you thinking twice
This presentation will use complex concussion case studies to highlight the most recent pediatric mTBI guidelines by the CDC.

Roni Lynn Robinson, MSN, CRNP | The Children's Hospital of Philadelphia
Lindsey Calandra MSN, CRNP | The Children's Hospital of Philadelphia

Session/Track: V-2

E-cigs, Vapes & Hookah...Oh MY!
Discover prevalence rates of e-cigarette use
Local and national prevalence rates and graphs by demographic
Identify e-hookah, vape pens, mods and vaping devices
Overview of devices, composition and function
Discuss the products and substances being used in these devices
Discussion of several products (legal and illegal) including chemical composition and counterfeit substances
E-cigarette/vape pen clouds and third hand exposure
Discuss chemical exposures secondary to aerosols expelled from e-cigarettes
Explore the ways e-cigarette/vape pen companies target young people in their marketing
Discussion regarding targeted marketing and device/substance appeal aimed at youth using social media and other mechanisms


Keith Fishlock DNP, APRN-BC, PCNS-BC, FNP-BC, CPEN | Nemours/Alfred I. duPont Hospital for Children

Session/Track: V-3

Trauma Stewardship for Pediatric Nurses
This presentation will provide both novice and experienced pediatric nurses with insights into their own trauma-exposure responses and suggestions for self-care practices that promote trauma stewardship. In addition, awareness of trauma stewardship by nurse leaders and administrators may provide insight and ideas to promote healthier and more sustainable work environments.

Natalie Cyphers PhD, RN, CPN, FCN | DeSales University Division of Nursing