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2017 Neonatal/Perinatal Conference Improving Safety and Quality of Neonatal and Perinatal Care: Current Concepts and Challenges May 17–19, 2017

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Page 1: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

2017 Neonatal/Perinatal Conference

Improving Safety and Quality of Neonatal and Perinatal Care: Current Concepts and Challenges

May 17–19, 2017

Page 2: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference
Page 3: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

2017 Neonatal/Perinatal Conference

May 17, 2017 - Pre-ConferenceNationwide Hotel and Conference Center, Lewis Center, OH

May 18-19, 2017 - Main ConferenceNationwide Hotel and Conference Center, Lewis Center, OH

The 2017 Neonatal Conference will highlight concepts of continuous quality improvement and safety in the perinatal and neonatal areas of practice. The rapidly expanding evidence in both specialties poses challenges for the professional to remain current and to recognize opportunities for change in thought and practice. The goal of the conference is to offer science, methodology, practice initiatives and discussion points for the participant to explore.

You are invited to participate in this learning endeavor, share your thoughts and broaden your ability to support babies, parents and families in the healthcare setting.

Sincerely,

The Neonatal/Perinatal Conference Planning Committee

Page 4: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

Conference Planning CommitteeGail Bagwell, DNP, APRN, CNSRoopali Bapat, MDCaitlin Beggs, MSN, RNCRuth Breier, RNCElizabeth Davidson, MHA, BSN, RNMary Gossard, MSN, APRN, CNSKelly HallbergMelissa Hamms, MBA, BSN, RNJudith Hanlon, MS, RN

Daia Hatchett-Jackson, EdDJennifer Hofherr, MS, OTR/L, C/NDTMargaret Holston, BSN, RNErin Keels, DNP, APRN, NNP-BCStacy Notestine, RN, BSN, IBCLC Richard Moraille, MDKim Samson, MSN, RNVanessa Shanks, MDRachel Wildman, MS, RN

Pre-Conference FacultyJulie Arafeh, MSN, RNSr. Simulation Specialist and Instructor, CAPE at Stanford Medicine, Palo Alto, CACaitlin Beggs, MSN, RNC-NIC, AHN-BCNeonatal Skills Center Coordinator, Nationwide Children’s Hospital, Columbus, OHAshley CavalieriManager, OhioHealth Learning, Columbus, OHKrisanna Deppen, MDFamily Medicine, OhioHealth, Columbus, OHTricia Edwards, RNLearning Consultant, OhioHealth, Columbus, OHErin Keels, DNP, APRN, NNP-BCDirector of Neonatal Practitioner Program, Nationwide Children’s Hospital, Columbus, OHSara Keim, PhDPrinciple Investigator, Nationwide Children’s Hospital, Columbus, OHStephanie Justice, MSN, RNSkills Lab Supervisor, Otterbein University, Columbus, OHJackie Magers, PharmDAdvanced Patient Care Pharmacy, Nationwide Children’s Hospital, Columbus, OH

Mohannad Moallem, MDPhysician, Neonatology, Nationwide Children’s Hospital, Columbus, OHGreg Notestine, DDSCosmetic Dentistry Dayton, Dayton, OHPablo Sanchez, MDNeonatologist, Nationwide Children’s Hospital; Neonatology Faculty, The Ohio State University Wexner Medical Center, Columbus, OHVanessa Shanks, MDNeonatologist, Nationwide Children’s Hospital; The Ohio State University Wexner Medical Center, Columbus, OHDiane Spatz, PhD, RN-BC, FAANProfessor of Perinatal Nursing and Helen M. Shearer Term Professor of Nutrition, Nurse Research Director, Lactation Program; Director, Mother’s Milk Bank, The Children’s Hospital of Pennsylvania (CHOP), Philadelphia, PAJulie Ware MD, MPH, IBCLCStaff Physician II, Division of Community Pediatrics, Cincinnati Children’s Medical Center, Cincinnati, OhioScott Wexelblatt, MDNeonatologist, Medical Director, Regional Newborn Services; Assistant Professor, University of Cincinnati Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Page 5: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

Main Conference FacultyLisa Alianiello, MS, APRN, NNP-BC, AC-PNP- BCClinical Nurse Educator, Grief Neonatal Advance Survival Program, Office of Global Health, The Ohio State University Wexner Medical Center, Columbus, OHJulie Arafeh, MSN, RNSr. Simulation Specialist and Instructor, CAPE at Stanford Medicine, Palo Alto, CALori Armstrong, MSN, RN, NEA-BCChief Nursing Officer, Kaiser Permanente, Santa Clara, CAJohn Barnard, MDChair, Department of Pediatrics, Nationwide Children’s Hospital, Columbus, OHTarun Bhalla, MDAnesthesiologist, Nationwide Children’s Hospital, Columbus, OHMichael Cackovic, MDObstetrics, The Ohio State University Wexner Medical Center, Columbus, OHRachel Chon, RNRN Clinical Leader, Nationwide Children’s Hospital, Columbus, OHPaola Genovese, MDPhysician, Palliative Care, Nationwide Children’s Hospital, Columbus, OHJay Goldsmith, MDElsie Shaefer Professor of Pediatrics, Section Chief, Neonatology, Tulane University School of Medicine, New Orleans, LASusan Hale, MSN, RN, C-EFMHealth System Nurse Educator, The Ohio State University Wexner Medical Center, Columbus, OHPamela Harris-Haman, DNP, CRNP, NNP-BCHoly Spirit Hospital, Harrisburg, PARichard Kirschner, MDChief and Surgeon, Plastic Surgery and Director, Craniofacial Center, Nationwide Children’s Hospital, Cleft Palate Center; OSU Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, OH

J. Wells Logan, MDNeonatologist, Division of Neonatology, Director of Community Neonatology and Outreach, Neonatology, Nationwide Children’s Hospital, Columbus, OHRichard McClead, MD, MHAAssociate Administrative Medical Director, Nationwide Children’s Hospital, Columbus, OH Leif Nelin, MDDean W. Jeffers Endowed Chair Neonatology; Division Chief, Division of Neonatology, Nationwide Children’s Hospital and Professor of Pediatrics at The Ohio State University College of Medicine, Columbus, OHMarliese Nist, RNPatient Care Services Supervisor, Nationwide Children’s Hospital, Columbus, OHGregory Pearson, MDSurgeon, CSA Plastic Surgery, Nationwide Children’s Hospital; Assistant Professor, Department of Plastic Surgery, OSU Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, OHPablo Sanchez, MDNeonatologist, Nationwide Children’s Hospital; Neonatology Faculty, The Ohio State University Wexner Medical Center, Columbus, OHMonica Terez, RNNationwide Children’s NICU at The Ohio State University Wexner Medical Center, Columbus, OH Joseph Tobias, MDChief, Anesthesia, Nationwide Children’s Hospital, Columbus, OHMarsha Campbell Yeo, PhD, APRN, NNP-BCCertified NNP, Assistant Professor at the School of Nursing, Dalhousie University; Clinical Scientist at IWK Health Centre, Nova Scotia, Canada

Page 6: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

Preconference Day: May 17, 2017Simulation Pre-Conference7:45 – 8:00 a.m. Welcome Caitlin Beggs8:00 – 9:00 a.m. Practice with a Purpose: Combining Simulation Training with Quality Improvement Julie Arafeh 9:00 – 11:30 a.m. The Art of Debriefing: Techniques to Improve Learning Experiences Tricia Edwards11:30 – 12:45 p.m. Lunch

12:45 – 1:45 p.m. The ‘I’ in Team: Using Simulation to Focus on Interdisciplinary Team Performance Julie Arafeh1:45 – 2:45 p.m. Keeping it Real: Moulage Techniques for Simulation Stephanie Justice2:45 – 3:15 p.m. Break (Visit Vendors)

3:15 – 4:15 p.m. Simulation on a Budget: Making the Business Case for a Simulation Program Ashley Cavalieri 4:15 – 4:30 p.m. Wrap-up and Evaluations Caitlin Beggs

Lactation Latte: Hot Topics in Lactation 7:45 – 8:00 a.m. Welcome Vanessa Shanks8:00 – 9:00 a.m. Improving the Use of Human Milk & Breastfeeding Through the Spatz 10 Steps and Use of Breastfeeding Resource Nurses Diane Spatz 9:00 – 10:00 a.m. Tongue Tied, Lip Tie, Oh My! Greg Notestine10:00 – 10:30 a.m. Break (Visit Vendors)

10:30 – 11:30 a.m. Breastfeeding the Late Preterm Infant & NICU Graduate Vanessa Shanks

Page 7: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

11:30 a.m. – 12:45 p.m. Lunch

12:45 – 1:45 p.m. Engaging the Community to Enhance Breastfeeding Success

Julie Ware1:45 – 2:45 p.m. Got Milk? The Milk Sharing Epidemic Sara Keim 2:45 – 3:15 p.m. Break

3:15 – 4:15 p.m. Breastfeeding & Substance Use Disorder… Fact vs. Fiction Krisanna Deppen4:15 – 4:30 p.m. Wrap-up and Evaluations Vanessa Shanks and Stacy Notestine

Advanced Neonatal Pharmacology7:45 – 8:00 a.m. Welcome Erin Keels8:00 – 9:00 a.m. Empiric Therapy, Super Bugs and Antibiotic Stewardship in the NICU Pablo Sanchez 9:00 – 10:00 a.m. Medical Management of NAS: Current and Emerging Therapies Scott Wexelblatt10:00 – 10:30 a.m. Break (Visit Vendors)

10:30 – 11:30 a.m. Updates in Parenteral Nutrition Jackie Magers11:30 a.m. – 12:45 p.m. Lunch

12:45 – 1:45 p.m. Ohio Prescribing Rules and Legislative Update Erin Keels1:45 – 2:45 p.m. Pump It Up: Steroids in the NICU Mohannad Moallem 2:45 – 3:15 p.m. Break (Visit Vendors)

3:15 – 4:15 p.m. Breastfeeding & Substance Use Disorder… Fact vs. Fiction Krisanna Deppen4:15 – 4:30 p.m. Wrap-up and Evaluations Erin Keels

End of Preconference Day - Guided Tour of Nationwide Children’s Hospital with registration

Page 8: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

Main Conference – Day 1: May 18, 20177:45 – 8:00 a.m. Welcome Erin Keels8:00 – 8:45 a.m. Infant Mortality, Prematurity and the Future Leif Nelin8:45 – 9:15 a.m. Moving Research from the Bench to the Bedside John Barnard 9:15 – 10:15 a.m. Practice for Performance: Using Simulation to Improve the Quality of Interdisciplinary Team Performance Julie Arafeh10:15 – 10:45 a.m. Break (Visit Vendors and Posters)

10:45 – 11:45 a.m. Improving Outcomes by Decreasing Noxious Stimuli in Babies Marsha Campbell Yeo11:45 a.m. – 12:45 p.m. Lunch

12:45 – 1:45 p.m. Breakout Session 1

Perinatal: Saving Our Moms One mL at a Time Susan Hale Tertiary: Pathophysiology and Neurocognitive Outcomes of Neonatal Pain

Joseph Tobias Quality/Safety: Congenital Infections Pablo Sanchez 1:45 – 2:45 p.m. Breakout Session 2

Perinatal: When Mom and Baby Go Home: Intimate Partner Violence in the Context of a Home Visitation Model Rachel Chon Tertiary: Nonpharmacologic Strategies and the Use of Sucrose to Manage Neonatal Pain Marsha Campbell Yeo

Page 9: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

Quality/Safety: HFNC vs NCPAP: What is the Evidence? Jay Goldsmith2:45 – 3:15 p.m. Break (Visit Vendors and Posters)

3:15 – 4:15 p.m. Is Baby Friendly Baby Safe? Jay Goldsmith 4:15 – 4:20 p.m. Evaluations, End of Day Announcements

4:20 – 6:00 p.m. Wine & Cheese Reception and Poster Viewing

Main Conference – Day 2: May 19, 20177:45 – 8:00 a.m. Welcome Gail Bagwell8:00 – 9:00 a.m. The Journey to High Reliability: It’s Up to You….Yes, You!! Lori Armstrong9:00 – 10:00 a.m. Publishing Your Outcomes Richard McClead10:00 – 10:30 a.m. Break (Visit Vendors and Posters)

10:30 – 11:30 a.m. Pierre Robin Sequence: Assessment and Management of the Airway

Greg Pearson and Richard Kirschner11:30 a.m. – 12:30 p.m. Lunch

12:30 – 1:30 p.m. Breakout Session 3 Perinatal: Where in the World?! Adventures of International Perinatal Nursing Monica Terez, Lisa Alianiello, Pamela Harris-Haman Tertiary: Calling Anesthesia: The Pros and Cons of Regional, Local and Inhaled Anesthetics for Neonates Tarun Bhalla Quality/Safety: It Takes a Village: Improving Neonatal Skin Care Through Skin Rounds Marliese Nist

Page 10: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

1:30 – 2:30 p.m. Breakout Session 4

Perinatal: Teratogens in Pregnancy Michael Cackovic Tertiary: From the Ordinary to the Extraordinary: Pharmacologic Management of Complex Neonatal Pain Paola Genovese Quality/Safety: Regional Use of a Quality Scorecard to Improve Neonatal Outcomes Wells Logan2:30 – 3:00 p.m. Break (Visit Vendors and Posters)

3:00 – 4:00 p.m. Don’t Let the Change Manage You: Strategies to Finally Make the Change Stick! Lori Armstrong 4:00 – 4:15 p.m. Wrap Up and Evaluations Gail Bagwell

Conference and Hotel AccommodationsNationwide Hotel and Conference Center100 Green Meadows Drive | Lewis Center, Ohio 43035(614) 880-4300

Located 25 minutes from downtown Columbus, Nationwide Hotel and Conference Center is one of the country’s premier private and corporate event destinations. Owned by Nationwide Mutual Insurance Company, this award-winning facility anchors a picturesque 15-acre park-like setting designed exclusively for meetings, conferences, weddings and private events. Sophisticated, customizable meeting spaces, state-of-the-art-technology, exceptional cuisine and beautifully appointed guest rooms create a dynamic, results-driven environment in which productivity and purpose merge seamlessly. Crisp, modern rooms and suites offer flat-screen TVs, desks and small safes, plus free Wi-Fi. All accommodations also contain microwaves, mini-fridges and coffeemakers. Some suites have separate dining or living rooms, stereo systems and/or fireplaces.

Amenities include 35 meeting rooms and a full-service business center, as well as a breastfeeding room off of the main women’s lounge near concierge.

Page 11: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

A fitness center and seasonal outdoor pool as well as an on-site restaurant that serves New American cuisine and features a patio that overlooks a duck pond. A pub offering lighter fare has a full bar.

Visit the Columbus Zoo, voted the Number 1 Zoo in America, one of the oldest and largest zoos in the country and home to more than 6,000 animals across 700 species in eight regional exhibits. For science exploration and hands-on fun, visit COSI Science Museum or, for shoppers, hunt for bargains at Polaris Fashion Place. From shopping to sports venues to cultural attractions, this Columbus hotel puts you close to it all. Shuttle services are available upon request to some of these attractions. See concierge for more information.

Hotel AccommodationsRooms are available at a discounted rate of $139 + tax for single occupancy. In order to receive this discounted rate, room reservations must be made prior to April 7, 2017. For reservations, please visit http://tinyurl.com/NHCC-hotel-reservation

Traveling to ColumbusColumbus is Ohio’s capital and the nation’s 15th largest city, with a dynamic business climate, a commitment to diversity, exciting annual festivals and cultural events, unique arts and entertainment opportunities and home of great professional, amateur and collegiate sports. For more information: http://www.experiencecolumbus.com/

AirportJohn Glenn Columbus International Airport, located 20 minutes from Nationwide Hotel and Conference Center, is served by 6 airlines and their regional affiliates providing more than 340 daily arrivals and departures to 36 airports. Major carriers include Air Canada Express, American, Delta, Southwest, United, and US Airways. All ground transportation may be accessed via the terminal walkway on baggage claim level exits.

Taxi service is provided by many vendors. The average fare from John Glenn Columbus International Airport to Nationwide Hotel and Conference Center is approximately $60. Airport shuttles are operated by Arch Express, Super Shuttle and Urban Express Transportation. Cost varies based on the number of passengers and the distance. Reservations are recommended. For more information, see: http://flycolumbus.com/to-from-port-columbus/.

Page 12: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

Intended AudienceThis conference is specifically designed to meet the needs of the perinatal and neonatal interdisciplinary healthcare team within hospitals and community practices.

Continuing EducationPhysician: Nationwide Children’s Hospital is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Nationwide Children’s Hospital designates this live activity for a maximum of 6.25 AMA PRA Category 1 Credit(s)TM for one Pre-conference and up to 12 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing: Please call 614-355-0676 for information on Nursing Education Credit for this activity.

RegistrationAttendees may register via the web at http://tinyurl.com/neonatal-conference or by using the attached registration form. Please follow the instructions carefully. Upon receipt of the registration payment, each participant registering prior to May 5, 2017 will receive a confirmation letter via email.

Walk-in registration will be available after May 5 as space allows. Materials will be limited. The registration fee for the main conference includes the educational materials, Wi-Fi, breakfasts, lunches, afternoon refreshments, access to the Wine & Cheese Reception on the first day of the conference, and access to the Nationwide Children’s Hospital Tour on the day of the pre-conferences.

The registration fee for the pre-conference includes the educational materials, Wi-Fi, breakfasts, and lunches.

All lunches and snacks are buffet style, providing a variety of offerings to meet most dietary needs.

Page 13: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

Social EventA Wine & Cheese Reception will take place on Thursday, May 18, 2017, following the conclusion of the Day 1 conference. Registration for the Wine & Cheese Reception is complimentary to those registered for the main conference. Please indicate on the Registration Form if you plan to attend.

*Nationwide Children’s Hospital NICU Tour limited to 20 by RSVP only.*

Nationwide Children’s Hospital Neonatal Services consists of eight Neonatal Intensive Care and one Special Care units located on seven campuses in the greater Columbus, Ohio area. On this tour you will see the state-of-the-art main campus NICUs and learn about our nationally recognized programs offered at the main campus NICUs. This complimentary guided tour is by RSVP only and is limited to the first 20 registrants.

Scholarships & Call for PostersA limited number of scholarships are available to those with financial need. For a scholarship application, please email the conference program administrator at [email protected].

**CALL FOR POSTERS** Take this opportunity to highlight your institution’s innovative quality, educational, safety or research projects. Poster submissions are peer reviewed. Please email [email protected] for abstract submission forms. Complete submissions are due by April 3, 2017.

Confirmation A confirmation letter, receipt, parking information and directions to the conference will be sent to all those who register by May 5, 2017.

Cancellation PolicyA refund, minus 30% for administrative costs, will be given for cancellations received in writing before May 5, 2017. After this date, no refund will be available.

Questions?Contact Nationwide Children’s Hospital Education, 700 Children’s Dr., Columbus, OH 43205. Phone (614) 355-0676, Fax (614) 355-0670 or visit our website at NationwideChildrens.org/Conferences.

Page 14: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

2017 Neonatal/Perinatal Conference | May 17-19, 2017For your convenience, register online at http://tinyurl.com/neonatal-conference .

Title (select one): q Ms. q Mrs. q Mr. q Dr. q Nurse q Other (specify: ____________________________________)Name (First, Last) __________________________________________________Organization ______________________________________________________Home Address _____________________________________________________City _____________________________ State ______________ Zip __________ Work County (if Ohio resident) _______________________________________Telephone - Work _______________ Home _______________ Fax _______________ Email Address _____________________________________________________Special Services Required: q Interpreter for the Hearing Impaired q Wheelchair seating q Other (please explain) ______________________________________________

Registration Fees: Pre-Conference (May 17, 2017): Please select only one q Simulation $175 q Advanced Neo Pharmacology $175q Lactation Latte $175

Main Conference (May 18-19, 2017) q 1-day $175 q 2-day $350 Dates: q May 18 q May 19 q Both Days

All 3 Days (includes Preconference) q $475 ($50 discount)

**Early Bird Special Discount** (if registered BEFORE March 22, 2017 with payment IN FULL) Pre-Conference (May 17, 2016) Please select only oneq Early Bird 1-day $150 q Early Bird 2-day $300 Dates: q May 18 q May 19 q Both Days q Early Bird All 3 Days (includes Preconference) $400 ($50 discount)

Registration for the Breakout Sessions: Breakout Session 1: Thursday, May 18, 12:45-1:45 p.m.q Perinatal: Saving Our Moms One mL at a Timeq Tertiary: Pathophysiology and Neurocognitive Outcomes of Neonatal Painq Quality/Safety: Congenital Infections

Subtotal$_______

$_______

$_______

$_______

Page 15: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

Breakout Session 2: Thursday, May 18, 1:45-2:45 p.m.q Perinatal: When Mom and Baby Go Home: Intimate Partner Violence in the Context of a Home Visitation Modelq Tertiary: Nonpharmacologic Strategies and the Use of Sucrose to Manage Neonatal Pain q Quality/Safety: HFNC vs NCPAP: What is the Evidence?

Breakout Session 3: Friday, May 19, 12:45-1:45 p.m.q Perinatal: Where in the World?! Adventures of International Perinatal Nursingq Tertiary: Calling Anesthesia: The Pros and Cons of Regional, Local and Inhaled Anesthetics for Neonatesq Quality/Safety: It Takes a Village: Improving Neonatal Skin Care Through Skin Rounds

Breakout Session 4: Friday, May 19, 1:45-2:45 p.m. q Perinatal: Teratogens in Pregnancyq Tertiary: From the Ordinary to the Extraordinary: Pharmacologic Management of Complex Neonatal Painq Quality/Safety: Regional Use of a Quality Scorecard to Improve Neonatal Outcomes

NCH NICU Tour (Preconference - Wednesday, May 17, 2017 4:30 – 6:00 p.m.) q Yes, I will attend q No, I will not attend

Wine & Cheese Reception Invitation (Thursday, May 18, 2017 4:20 – 6:30 p.m.) q Yes, I will attend q No, I will not attend

**OPT to be listed as conference attendee in conference listing?**q Yes q No

Payment: q Cash q Check q VISA q Master Card Amount Enclosed: $_______Card #____________________________________ Exp. Date _______________ Name on Card ____________________________________________________Please make checks payable to Nationwide Children’s Hospital and mail with registration form to:2017 Perinatal/Neonatal Conference | Nationwide Children’s Hospital EducationATTN: Daia Hatchett-Jackson, EdD or Kelly Hallberg700 Children’s Drive, Columbus, OH 43205-7696 | Fax: (614) 355-0670

Registration deadline: May 5, 2017 | Early Bird Registration deadline: March 22, 2017Above fees applicable if postmarked by May 5, 2017. After that date only walk-in registrations will be accepted on the day of the conference on a space-available basis, and a $20 walk-in fee will be assessed. Cancellations will be accepted in writing until May 5, 2017 and refunds granted minus 30% for administrative costs.

Registration fee for main conference includes educational materials, breakfasts, lunches, afternoon refreshments and Wine & Cheese Reception. Registration fee for preconference includes educational materials, breakfast, and lunch. Note: Individuals utilizing a purchase order must include an original copy of the order with a signature, PO number; contact person and billing address in order to be registered. This issuance of a purchase order to secure a registration slot is an obligation for payment whether the participant attends, cancels or is absent from the conference. Payment for purchase orders is required within 30 days of receipt by Nationwide Children’s Hospital.

TOTAL$_______

Page 16: 2017 Neonatal/Perinatal Conference2017 Neonatal/Perinatal Conference May 17, 2017 - Pre-Conference Nationwide Hotel and Conference Center, Lewis Center, OH May 18-19, 2017 - Main Conference

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