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Special Topic Course: Persevering in the Face of the Opioid Epidemic: A Passion for Family Centered NAS Care.

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Speakers: Nichole Lensing, PT, DPT; Jennie Jacob, MSPT, CNT

Topic: Persevering in the Face of the Opioid Epidemic: A Passion for Family Centered NAS Care.

Course Description: Opioid exposure in neonates continues to be a national epidemic with significant associated hospital costs and public health implications related to family integrity and infant development. The NICU at Banner University Medical Center – Tucson (BUMC-T) has changed its model of care by utilizing the family as the primary treatment for the substance exposed infant. By keeping the family unified, we have decreased the need for postnatal opioids, reduced length of stay (LOS), decreased costs related to hospitalization, and decreased foster care placements and its strain on public resources. The program at BUMC-T, called Family Centered NAS Care (FC-NAS), was based on Yale New Haven’s Eat Sleep Console NAS program. Families stay with the infant and provide all care, with support and education provided by the NICU team. Changing the culture of the NICU to support a family in transition is instrumental to success. The FC-NAS program identifies families as early in pregnancy as possible, works closely with community partners to ensure a successful and safe transition home, and continues developmental assessment in follow up clinic through the age of 3. Since the initiation of this program in June of 2017, we have provided FC-NAS care for 24 family-baby dyads. To date, our average length of stay is 6.4 days, rescue morphine was provided in only 5 infants, 22 infants remained in the care of their family, and daily cost of hospitalization was decreased resulting in over $2 million in savings. This presentation is an extension of the poster “Family Centered NAS Care” from NANT 8. Updates will cover: program development, cost savings, community continuity and outreach, as well as outcomes. There will also be a focus on the importance of treating each family in our care independently and individually, without bias and judgment, to more successfully meet their needs.


Speaker Bio: Nichole Lensing, PT, DPT received her Doctor of Physical Therapy Degree from Midwestern University in 2013. Since graduation, she has worked at Banner University Medical Center-Tucson (BUMC-T), as an Acute Care Physical Therapist. This is very fitting as she received her Bachelor of Science in Health Sciences at the University of Arizona. Early in her BUMC-T career, Nichole worked with adults throughout the hospital including: Neurology, Trauma, Orthopedics, Med/surg, Emergency Department, Hematology/Oncology, and various Intensive Care Units. In 2015, Nichole then had the opportunity to transition to the Pediatric Units and subsequently join the Neonatal Therapy team in 2016. With strong mentorship, Ignite training, and continuing education; Nichole grew as a NICU Physical Therapist. She is a member of the Family Centered NAS Care program core group on the NICU, presented a poster regarding program development at NANT 8, and next will assist to roll this program out to other Banner Facilities. Nichole continues to expand her skills and is now a part of the Developmental Follow Up Clinic associated with BUMC-T NICU. She has truly found her passion as a Neonatal Physical Therapist and looks forward to continuing to learn and grow her practice.

Jennie Jacob, MSPT, CNT graduated from Washington University in St. Louis with a Master’s Degree in Physical Therapy in 2000. She entered the workforce in early intervention, and has worked in all areas of pediatrics across her career. Since 2007, Jennie has specialized in the NICU and developmental follow up for NICU graduates. She currently works in the NICU and follow up clinic at Banner University Medical Center-Tucson, as well as part time at Milk and Honey, a breast feeding and lactation therapy group where she provides outpatient therapy for children under two. She is a Certified Neonatal Therapist, a NANN designated Developmental Care Specialist, and is certified in Neonatal Touch and Massage. Jennie was as an inaugural member of the Neonatal Therapist National Certification Board, has been a clinical faculty member for The University of Arizona LEND program since 2014, and is a guest lecturer for NANT’s Ignite program. Even after almost 20 years as a clinician, Jennie still finds passion in her daily work in the NICU and is excited about all the opportunities that lie ahead.


Agenda:
0-8 min: Background information on opioid epidemic
8-15 min: Program development
15-25 min: Details of program implementation
25-32 min: Program outcomes
32-34 min: Lessons learned
34-36 min: Learning Assessment


Disclosures:
Nichole Lensing, PT, DPT
Financial Disclosures: No relevant disclosures.
Nonfinancial disclosures: No relevant disclosures.

Jennie Jacob, MSPT, CNT
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, RN, MD and Neonatal professionals

Level: Intermediate

Objectives:

  1. Identify opportunities for program development of a family centered NAS care program in other units.
  2. Describe the benefits of keeping families unified for positive long-term outcomes.
  3. List current biases and changes needed in hospital culture to support families in transition to allow for individualized care.

Instructional Method: Recorded webinar with handouts. 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 top 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 top 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: This course is offered for 0.05 AOTA CEUs (Intermediate level, Category 1: Domain of OT: Client Factors, Category 2: Occupational Therapy Process: Types of Occupational Therapy Interventions, Category 3: Professional Issues: Administration and Management). National Association of Neonatal Therapists (NANT) is an Approved Provider of Continuing Education through the American Occupational Therapy Association (AOTA). This activity has been reviewed and approved for 0.05 CEUs for occupational therapists. Approved Provider #7085. “The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.”


ASHA CEUs: This course is offered for 0.05 ASHA CEUs (Intermediate level, Professional area). Learners must complete the entire course in order to receive ASHA CEUs. No partial credit awarded.
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 CEUs: This course is approved for 0.5 contact hours from the Ohio Physical Therapy Association (OPTA) for continuing education in Ohio.
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.

Nursing Contact Hours: This continuing nursing education activity was approved by The Ohio Nurses Association, an accredited approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91) Activity # 22610. Contact Hours: 0.5. Approval valid through 10/01/2021.

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

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