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Special Topic Course 24: Neonatal Abstinence Syndrome: Rethinking Our Approach

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Speaker: Adam Berkwitt, MD
Adam Berkwitt

Topic: Neonatal Abstinence Syndrome: Rethinking Our Approach

Course Description: This presentation challenges the traditional model of care that has been in place for decades in the management of neonatal abstinence syndrome (NAS). Through analysis of a quality improvement project to improve care for infants with neonatal abstinence syndrome at Yale-New Haven Children’s Hospital, the presentation focuses on the rationale behind many of the changes in our model of care, focusing on a novel approach to assessing infants and optimization of non-pharmacologic care.

Speaker Bio: Adam Berkwitt, MDis a Pediatric Hospitalist at Yale-New Haven Children’s Hospital. He is an Assistant Professor of Pediatrics at Yale School of Medicine, and currently serves as the Medical Director of the Pediatric Short Stay Unit. He is an Associate Program Director for Yale’s Pediatric residency, and Director of the Clinical Pathways Program. He graduated from the University of Connecticut School of Medicine and completed his internship and residency in Pediatrics at Yale-New Haven Children’s Hospital, where he later served as a Pediatric Chief Resident.

0:00 – 2:30 min: The Impact of NAS
2:30 – 6:00 min: Blueprint & Key Points to Our Novel Approach to Care
6:00 – 18:30 min: Overview of Non-Pharmacologic Care
18:30 – 25:00 min: Neonatal intensive care unit (NICU) vs General Unit
25:00 – 36:00 min: Eat, Sleep, Console (ESC) Assessment Tool & Use of PRN Medications
36:00 – 45:00 min: Outcomes, Creating Culture Change & Next Steps
45:00 – 58:00 min: Recorded question and answer session
58:00 – 61:00 min: Learning assessment

Adam Berkwitt, MD
Financial Disclosures: No relevant disclosures.
Nonfinancial disclosures: No relevant disclosures.

Conflict of Interest: There is no conflict of interest for anyone with the ability to control content for this activity.

Target Audience: OT, SLP, PT, MD and Neonatal professionals

Level: Intermediate


  1. Identify the rationale for the changes we implemented in the care of infants with neonatal abstinence syndrome.
  2. Define a committed, intensive non-pharmacologic care plan for these infants with neonatal abstinence syndrome.
  3. Select a novel tool for assessing infants that moves away from a traditional Finnegan-based protocol.

Instructional Method: Recorded webinar, lecture, videos, pictures, and PowerPoint slides. Learning assessment and course evaluation follow course.

Course Completion Requirements: The learner must view the entire webinar, complete the course evaluation and complete the post webinar learning assessment with at least 80% to receive education credit. Login and logout times will be recorded and documented.
Following completion of this course physical therapists, nurses and other disciplines will receive a certificate of completion and a zip file containing information necessary to submit to their individual state for education credit. Zip file will include course bibliography. Physical therapists are responsible for knowing and adhering to their state’s deadlines, rules and regulations.

Registration information:

In order to obtain access to the course, click the “Register now” button at the bottom of the screen. You are required to be a NANT member in good standing to have access to this course. You may also purchase this courses as a non-member by clicking the “Buy Now” button at the bottom of the screen.

For ADA accommodations, please call NANT Customer Service for more information at (866) 999-5524.

Cancellation Policy: Click HERE to review NANT’s Course Cancellation Policy.

Continuing Education Information*

AOTA CEUs: National Association of Neonatal Therapists® (NANT) is an AOTA Approved Provider of professional development. Course approval ID # 01719. This Distance Learning-Independent Course is offered at 0.1 CEUs (Intermediate Level, Occupational Therapy Service Delivery and Professional Issues). AOTA does not endorse specific course content, products, or clinical procedures.

ASHA CEUs: Learners must complete the entire course in order to receive ASHA CEUs. No partial credit awarded. ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures.
ASHA CE Registry users: NANT will submit your ASHA CEU credit to ASHA on your behalf. ASHA CEUs may take up to 100 days to appear on your ASHA Transcript.

Non-ASHA CE Registry users: Maintain your course records and please keep your registry status current in your NANT account. Update your NANT account with your ASHA number if your registry status changes. NANT is not responsible for tracking your registry usage.

PT CE Credit: This activity has been approved by the Texas Board of Physical Therapy Examiners for 1.0 CCUs for PTs and PTAs.

NANT is recognized by the New York State Education Department’s State Board for Physical Therapy as an approved provider of physical therapy and physical therapist assistant continuing education.

Questions regarding CE credit should be directed to the National Association of Neonatal Therapists at or (866) 999-5524.

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