35th Annual Fall Conference

September 23 - 25, 2009

Breezy Point Resort

Breezy Point, MN

www.minnesotaperinatal.org

Plan to Attend the 35th Annual MPO Fall Conference The Minnesota Perinatal Organization Planning Committee invites you to attend its 35th Annual Fall Conference. This unique multidisciplinary conference provides an opportunity for perinatal healthcare providers from a variety of settings to meet and increase their knowledge and skills. This year's conference highlights outstanding national and local speakers and pertinent topics in the plenary and breakout sessions. Come and enjoy the beauty of the Brainerd Lakes area with us at Breezy Point Resort in Breezy Point, Minnesota! We hope you will take advantage of this chance to get away and reenergize yourself while learning new and emerging information in maternal and child health.

WEDNESDAY SEPTEMBER 23rd

7:00 – 8:00AM REGISTRATION Continental Breakfast

12:30 – 4:30PM

Fetal Monitoring and Risk Reduction Strategies – Update 2009 Instructors: Denise G. Palmer, MS, RN, CNS Becky L. Gams, RN, MS, CNP On completion of this program, the participant should be able to: 1. Define and describe fetal heart rate baseline, variability, accelerations, decelerations and tachysystole using the 2008 NICHD workshop proceedings. 2. Review the definitions of Category I, II, and III fetal heart rates patterns and discuss implications for clinical practice. 3. Describe factors related to fetal oxygenation and state implications for clinical practice 4. Identify 3 risk reduction strategies related Obstetrical Practice based on NICHD definitions 5. Discuss the pharmokinetics of oxytocin and effect of both endogenous and exogenous oxytocin. 6. Discuss the impact of tachysystole and oxytocin administration on fetal oxygenation 7. Review the elements of Zero Birth Injury Bundle strategies for Elective Induction and Augmentation Course fee: $90 - includes refreshments.

8:00 – 4:30PM

S.T.A.B.L.E. Sugar, Temperature, Artificial Breathing; Blood Pressure; Lab Work, Emotional Support

Instructor: Deb Peters, RN, NNP On completion of this program, the participant should be able to: 1. Identify a guideline of neonatal pre-transport stabilization of newborns. 2. Describe the role of community hospital caregivers in neonatal transports. 3. Identify the components of the pneumonic S.T.A.B.L.E. A course text is required and must be studied in advance. “Transporting Newborns the S.T.A.B.L.E. Way: A Manual for Community Hospitals: Pre-transport Stabilization of Sick Newborns, 5th Edition,” by Kristine A. Karlsen, RNC, MS, NNP ©2006. The course text will be sent to the participant as confirmation of course registration. Certification by the S.T.A.B.L.E. Program will be received upon completion of this course. Course fee: $175- includes text, refreshments and snacks. Lunch is on your own.

5:30PM Welcome Reception A Thank You to our participants sponsored by Matria Healthcare, Inc & Abbott Nutrition

THURSDAY SEPTEMBER 24th

7:00 – 8:15AM REGISTRATION Continental Breakfast and Exhibits

8:15 – 10:00AM

PLENARY SESSION I NRP: Past, Present and Future Kari D. Roberts, MD Describe the history and evolution of NRP. Describe the background and rationale for the recent guideline changes. Describe the future direction and resources available through NRP.

10:00 – 10:30AM Break Visit with exhibitors

10:30 – 11:45AM

PLENARY SESSION II Prematurity Campaign Govindaswami, Balaji, MD, MPH Discuss known causes of prematurity and list three potential strategies or interventions that have positive preventative impact to use in your community. Describe updates in care of women with high-risk perinatal conditions. Identify approaches to prevent prematurity and low birth weight.

11:45 – 1:00PM Lunch Sponsored by Children’s Hospitals and Clinics of Minnesota Visit with exhibitors

1:00 – 2:00PM CONCURRENT SESSION A

A1. Safety & Risk Prevention in Obstetrics Sandra L. Hoffman, MS, RN, CNS Describe common areas of litigation relating to obstetric care and strategies to reduce risk. Identify documentation strategies to promote safe care and reduce risk. Describe organization/system changes to promote a culture of safety. A2. Trauma in the Neonate and Young Infant Ronald A. Furnival, MD Define the epidemiology and outcomes of trauma in the neonate and young infant. Describe the initial evaluation and treatment for common traumatic conditions in this age group. Detail the systematic trauma center approach to care for the acutely injured neonate and young infant. A3. Newborn Screening for Every Baby and Every Provider Beth-Ann Bloom, MS, CGC Name three conditions on the newborn screening panel and state where further information on the disorders is available. Describe how to optimize the newborn screening in the rural setting. Explain parent options in newborn screening.

2:10 – 3:10PM CONCURRENT SESSION B

B1. Shock and Trauma in the Pregnant Patient Jeffrey G. Chipman, MD Identify patients in the shock state. Recognize differences in regnant patients who are in shock. Explain the treatment and evaluation approaches for pregnant trauma patients.

B2. The Cost of Nosocomial Infections Nathanial R. Payne, MD State how nosocomial infections adversely affect the short- and long-term outcome of very low birth weight infants. Articulate the monetary costs of nosocomial infection. Describe the probable mechanisms by which nosocomial infection increase the cost of care and adversely affect the long-term outcome of very low birth weight infants. B3. Beyond Baby Blues Mary P. Goering, MPH, RN Kristi L. Hartway, MA BSN RN PH-CNS, BC Identify current evidence regarding identification and management of Postpartum Depression. Discuss current legislative initiatives affecting Postpartum Depression management. Discuss best practice nursing strategies for Postpartum Depression that obstetric nurses can incorporate into everyday practice.

3:10 – 3:40PM Break Visit with exhibitors

3:40 – 5:00PM

PLENARY III Maternal, Fetal and Neonatal Effects of Methamphetamine Lorraine C. Victor, MS, RN, CNP List effects of maternal methamphetamine use on the fetus and newborn. Explain differences in accuracy of several toxicology screen modalities. Describe interventions to assist newborns who are experiencing effects of methamphetamine. Drugs in the Community Joseph W. Meyer, Sgt. Discuss current drug trends. View and recognize several different types of drugs and drug paraphernalia to increase drug awareness. Relate signs of drug abusers and their lifestyles.

5:30PM Bonfire Sponsored by Mead Johnson Nutritionals

FRIDAY SEPTEMBER 25th

7:00 – 8:00AM REGISTRATION Continental Breakfast Available

8:00 – 9:15AM

PLENARY SESSION IV Integrating Healing Arts Therapies in Hospital Birth Centers Jeanette M. Schwartz, RNC, MA, ICCE, LCCE, CD (ICEA&DONA) List three healing arts therapies that may be used to enhance the birthing experience. Describe three ways to integrate healing art therapies into nursing practice.

9:15 – 9:30AM Break 9:30 – 10:30AM CONCURRENT SESSION C

C1. Gestational Diabetes Helen Feltovich, MD List goals for universal diabetes screening in pregnancy. Discuss the pros and cons of treatment for gestational diabetes (insulin, oral agents). Identify appropriate antenatal surveillance protocols for GDM patients. Understand controversies surrounding patients with GDM (mode of delivery, timing of delivery). C2. Hypothermia for Neuroprotection of the Newborn Beverly Wical, MD Identify infants who may benefit from neuroprotection related to hypothermia. Compare risks and benefits of cooling. Discuss outcomes of cooled infants.

C3. SIDS: New Considerations in Reducing Risk, Challenges and Opportunities for Nursery Practice and Parent Education Kathleen Fernbach, BSN, RN, PHN Identify three causes of sudden and unexpected infant death. List AAP risk reduction recommendations “Safe Sleep Top 10” and identify a sleep environment. Discuss how to develop and implement safe sleep policy in the newborn nursery.

10:40 – 11:40AM CONCURRENT SESSION D

D1. Preterm Labor Management Update Monisha P. Gidvani, MD Identify risk factors for preterm birth. Predict and detect preterm birth. Describe and compare different tocolytic therapies. D2. The Role of Cue Based Care Tricia L. Armstrong, CLC, CCC-SLP Jennifer J. Volk, OTR/L Identify three readiness cues. Identify three stress cues/stop signs. Identify two stratgies to promote improved readiness.

D3. Kernicterus – A Video Documentary Glenn R. Gourley, MD Recognize the signs and symptoms of acute and chronic bilirubin encephalopathy. Identify the risk factors associated with neonatal hyperbilirubinemia. Discuss some of the key elements of the AAP Guidelines for Management of Neonatal Jaundice.

11:40 – 12:40PM LUNCH, Business Meeting, Prizes Sponsored by: University of Minnesota Children's Hospital, Fairview, Maternal-Fetal Medicine and Neonatal Services

12:40 – 1:40PM

Strategies to Deal with Change in an Uncertain World Michael R. Kutzke, MS, BA Identify the impact of attitude on actions and interactions both personally and professionally. Explain the connection between worldview and assumptions about responding to change and future challenges. Describe strategies designed to increase productivity and reduce stress both personally and professionally.

REGISTRATION INFORMATION

MPO MEMBER, two days $180 MPO MEMBER, one day $120 NONMEMBER, two days $225 NONMEMBER, one day $165 Planning Committee Member $100 *Group Registration (5 or more) - $10.00 off for each group member Early Bird Registration - $10.00 off any Thur/Fri registration fee postmarked before 8/5/09 Registration fee includes admission to all sessions on Thursday and Friday, a comprehensive conference handbook including a CD-Rom of presentations, continental breakfasts, refreshment breaks, lunches, access to displays of exhibitors, as well as all necessary materials for continuing education certification. A Concurrent Session Schedule, based on your registration form selections, will be in the packet you receive during conference registration at Breezy Point Resort. Register early to ensure placement in the sessions of your first choice. Confirmation of registration is NOT mailed, but you may contact Bonnie Hansen, MPO Coordinator at 320-597-4405 or email MPO@clearwire.net with questions or concerns. All registrations must be accompanied by a check payable to MPO and postmarked on or before September 18, 2009. You may also register on our website www.minnesotaperinatal.org by September 18, 2009. A refund, minus a $30 processing charge, will be given if notification of cancellation is received on or before September 18, 2009. Cancellations after September 18, 2009 and no-shows will not be refunded. If a registered person cannot attend, a substitute is welcome. You may register at the conference, but there will be a late fee of $20 in addition to the usual registration fee. *To encourage “teams” of attendees from institutions or organizations, MPO is offering a $10 discount for each member of a “team” that registers together. The team must consist of at least 5 members and all team members’ registration forms must be received together. A block of rooms has been reserved at Breezy Point Resort. Room rates are $89.00 plus tax per room, for up to two people per night. More than two people per night may result in additional charges; please confirm rates with hotel upon registration. This block of rooms will be held only until Monday, August 24, 2009 so make your reservations prior to that date. Breezy Point Resort will take reservations via phone at 800-432-3777 (be sure to identify yourself as a participant in the Minnesota Perinatal Organization). Guest room check in is guaranteed by 5:00pm – rooms may be available earlier, check with hotel staff to confirm; check out is 12:00 noon. Conference meeting rooms are often cool. We recommend you bring a sweater or light jacket for your comfort. In an emergency, participants can be reached during conference hours by dialing 218-562-7146 and asking for the MPO Conference Coordinator. Calls made after meeting hours must be made to your room. Breezy Point Resort provides complimentary voicemail for each room.

2009 PLANNING COMMITTEE

MEMBERS

Bonnie Hansen Lynn Carpentier, BS Maruva Mhiripiri Mari Findley Marianne Kuehn, BSW

Kathy Westensee, RN Debra Wenisch, BSN Denise Palmer, MS, RN, CNS Julie Rassatt

Susan Boehm, RN, MS Heather Swanson, MD Deborah Freeman Jill Bauer, RN, BSN

PURPOSE AND OBJECTIVES

This program is designed to provide state-of-the-art information on obstetric and newborn care practices, and is of particular importance and value to obstetric and newborn care nurses, nurse practitioners, midwives, family physicians, physician assistants, obstetricians, pediatricians, and allied perinatal health care professionals. After attending the conference, participants should be able to:

1. Describe the process to implement individual and population-based systems of care that are irrespective of the consumer’s race, age, culture and outcomes-based research.

2. Discuss the design plans of inpatient and outpatient care for implementation by designated healthcare professionals, which address the unique nutritional, developmental, psychosocial, nursing and medical needs of mothers and infants.

3. Develop personal goals that will promote a positive outlook on their role as an essential member of the perinatal healthcare team.

Successful completion of this activity requires that participants turn in all evaluation materials for attended sessions.

PLANNING CONSIDERATIONS AND DISCLOSURE

POLICY

Content considerations and the selection of speakers are the responsibilities of the Planning Committee and Conference Coordinator. Speakers will disclose to attendees the nature of any significant financial relationships they have with the commercial firms providing financial support as well as the manufacturers of products and/or the providers of services discussed in their presentations. They will also disclose if any pharmaceuticals or medical procedures and devices mentioned in their presentations are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA).

CONTACT HOUR INFORMATION

Nurses: This three-day activity has been designed to meet the MN Board of Nursing continuing education requirements for up to 18.08 contact hours. Physicians: This activity is being reviewed for Prescribed credit hours by the American Academy of Family Physicians. Final credit numbers to be provided on site.

REMINDERS

Only registered conference attendees are eligible to attend conference sessions, meals and activities. In consideration of conference participants, we ask that children not attend any conference sessions or activities. While we sympathize with last minute schedule changes, conference attendees bringing children will be asked to leave and will be refunded their conference registration fee minus a $30 processing fee.

PASSPORT TO VENDORS

Stop by and visit with representatives from the industry’s leading companies. Many products and new patient education materials will be on hand for your review.

SPECIAL THANKS

The Minnesota Perinatal Organization would like to acknowledge the support of the following organizations: March of Dimes for sponsoring the March of Dimes Update Plenary Session. Children’s Hospitals and Clinics of Minnesota for sponsoring Thursday’s lunch and the use of LCD projector and laptop University of Minnesota Medical Center, Fairview, Maternal-Fetal Medicine/Neonatal Services for sponsoring Friday’s lunch and the use of LCD projector and laptop Matria Healthcare, Inc for co-sponsorship of the MPO Welcome Reception Gillette Children’s Specialty Healthcare for use of LCD and laptop Mead Johnson Nutritionals for sponsoring the Dessert & Cordials event Abbott Nutritionals for co-sponsorship of the MPO Welcome Reception

SPECIAL NEEDS

MPO wants to make sure no one is excluded because of the need for special dietary considerations, auxiliary aids or services. Please indicate special need(s) on your registration form. You will be contacted as needed for clarification.

2010 CONFERENCE

Would you like to help plan the 2010 MPO Fall Conference? Do you have ideas, contacts, speaker suggestions, etc. that you would like to share? All are welcome. The 2010 Planning Committee Meeting is scheduled for Wednesday, November 11, 2009 at Unity Hospital in Fridley. We will meet in Classroom B from 8:00am to 4:00pm. Date/time is subject to change. MPO Planning Committee members pay a reduced conference fee and are required to be a member of MPO. Please contact Bonnie Hansen at 320-597-4405 or MPO@clearwire.net if you are interested in attending the planning session or have ideas for us to work from. Mark your calendars for: September 22-24, 2010 DoubleTree Hotel – Minneapolis Park Place, Minneapolis MN

2009 SPEAKERS (in alphabetical

order)

TRICIA L. ARMSTRONG, CLC, CCC-SLP; Speech Pathologist, Children’s Hospitals and Clinics – St Paul BETH-ANN BLOOM, MS, CGC; Genetic Counselor, Newborn Screening Program, Minnesota Department of Health JEFFREY G. CHIPMAN, MD; Assistant Professor of Surgery, Surgical Critical Care/Trauma, University of Minnesota HELEN M. FELTOVICH, MD, MS; Maternal-Fetal Medicine Specialist, Minnesota Perinatal Physicians, Abbott Northwestern Hospital KATHLEEN FERNBACH, BSN, RN, PHN; Director, MN SID Center, Children’s Hospitals and Clinics of Minnesota RONALD A. FURNIVAL, MD; Medical Director, Pediatric Emergency Department, University of Minnesota Children’s Hospital – Fairview; Professor, Department of Pediatrics and Emergency Medicine, University of Minnesota School of Medicine BECKY GAMS, RN, MS, CNP; Perinatal Clinical Nurse Leader, Birthplace, University of Minnesota Medical Center, Fairview MONISHA P. GIDVANI, MD; Fellow, Maternal-Fetal Medicine, University of Minnesota BALAJI GOVINDASWAMI, MD, MPH; Chief of Neonatology and Director, NICU, Santa Clara Valley Medical Center, San Jose CA MARY P. GOERING, MPH, RN; Clinical Leader, United Hospital Birth Center GLENN R. GOURLEY, MD; Professor, Department of Pediatrics, University of Minnesota; Research Director and Fellowship Training Program Director, Pediatric Gastronenterology KRISTI L. HARTWAY, MS BSN RN PH-CNS, BC; Patient Care Manager, Abbott Northwestern Hospital SANDRA L. HOFFMAN, MS, RN, CNS; Clinical Nurse Specialist, WomenCare, Abbott Northwestern Hospital MICHAEL R. KUTZKE, MS, BA; Consultant, Professional Training Services; Law Enforcement Coordinator, Ridgewater College JOSEPH W. MEYER, SGT; Drug Task Force Commander, Crow Wing County Sheriff’s Department DENISE G. PALMER, MS, RN, CNS; Perinatal Outreach Manager, Maternal-Fetal Medicine and Neonatal Services, University of Minnesota Medical Center, Fairview NATHANIEL R. PAYNE, MD; Staff Neonatologist, Children’s Hospitals and Clinics of Minnesota KARI D. ROBERTS, MD; Neonatologist, Assistant Professor of Pediatrics, University of Minnesota Children’s Hospital JEANETTE M. SCHWARTZ, RNC, MA, ICCE, LACE, CD (ICEA & DONA); Clinical Director, Woodwinds Health Campus LORRAINE C. VICTOR, MS, RN, CNP; Neonatal Nurse Practitioner, Children’s Hospitals and Clinics of Minnesota JENNIFER J. VOLK, OTR/L, Occupational Therapist, Children’s Hospitals and Clinics of Minnesota BEVERLY S. WICAL, MD; Pediatric Neurologist, Gillette Children’s Specialty Healthcare

PLATINUM SPONSOR

STOP hepatitis B...

Minnesota Department of HealthP.O. Box 64975St. Paul, MN, 55164-0975651-201-5503 or 800-657-3970 www.health.state.mn.us/immunize

...For every baby

Check EVERY pregnant woman’s hep B status

HBIG within 12 hours of birth

If mom’s hep B status is:

No HBIG needed

Give HBIG if test positive

Hep B vaccine within

12 hours of birth

ALL infants should receive:

Also give infant:

Positive

Negative

Unknown(at discharge) (must be given within 7 days of birth)

• Determine maternal HBsAg status upon admission.

• If mother is high risk or unknown status, obtain order to draw stat HBsAg. Place copy of original lab result on chart.

• Report all births to HBsAg positive women to MDH within 24 hours of the birth.*

• Report mothers who admit with unknown status.

• GIVE the BIRTH DOSE.

* Reporting forms are found at:www.health.state.mn.us/divs/idepc/diseases/hepb/perinatal/reporting.html

PLATINUM SPONSOR

THE NEONATAL CORNERSTONE PROGRAMAT CHILDREN’S HOSPITALS AND CLINICS OF MINNESOTA

OUTCOMES AMONG THE BEST IN THE WORLDThe Neonatal Program at Children’s Hospitals and Clinics of Minnesota is one of the largest in the country. Our full range of services includes fetoscopic laser treatment for twin-to-twin transfusion syndrome, EXIT procedures, and ECMO. We treat critically fragile infants with highly complex medical needs to increase the chance of survival while reducing the risks of serious long-term complications.

Board-certified neonatologists are on-site and available for consultations 24 hours per day, seven days per week. Children’s neonatal team delivers some of the highest survival rates and lowest complication rates in national and international comparisons in a family-centered, therapeutic environment.

To learn more about Children’s Neonatal Cornerstone Program, visit www.childrensmn.org or call:

Children’s - Minneapolis Neonatal Intensive Care Unit 800-636-6283

Children’s - St. Paul Neonatal Intensive Care Unit 800-869-1350

PLATINUM SPONSOR

University of Minnesota Amplatz Children’s Hospital Neonatal Intensive Care Unit (NICU)

University of Minnesota Amplatz Children’s Hospital

24-Hour Consultations and Admissions

888-KIDS-UMN (888-543-7866)

We combine clinical expertise, academic medicine and science, to deliver patient-centered care

Find out more at uofmchildrenshospital.org

Neonatal Intensive Care Unit Consultations - 612-273-7032Transport - 612-273-7600

REGISTRATION FORM

All registrations must be postmarked on or before September 18, 2009. MAKE CHECK FOR CONFERENCE FEES PAYABLE TO: MPO MAIL TO: MPO c/o Bonnie Hansen, 18024 Turtle Court, Cold Spring MN 56320. REGISTER ONLINE: www.minnesotaperinatal.org – credit cards welcome (website only) For additional information call Bonnie at 320-597-4405 or email MPO@clearwire.net MPO MEMBER? ___Yes ___No MPO members pay a reduced fee to attend this conference (see fee schedule below). If you are not a member, you can qualify for the MPO rate by joining now. If you are a member, renewal fees are due with your conference registration. Yes, I wish to join Minnesota Perinatal Organization and am enclosing $40 for membership dues. ____New Member ____Renewal Enclosed find $__________ for ________ day(s). See fee schedule below.

Do you require a receipt for reimbursement? _____________

Name: _________________________________________ Credentials: __________________

Affiliation: _____________________________________________________________________

Preferred Mailing Address: _____________________________________________________

______________________________________________________

Phone: _____________________________ Email: ____________________________________

Special meal considerations: ___________________________________________________

WEDNESDAY PRE-CONFERENCE FEE

SCHEDULE

WEDNESDAY PRECONFERENCE ACTIVITIES Fetal Monitoring and Risk Reduction Strategies – Update 2009 12:30 – 4PM _____$90 STABLE 8 – 4:30PM _____ $175

THURSDAY & FRIDAY FEE SCHEDULE

THURSDAY AND FRIDAY CONFERENCE ACTIVITIES MPO MEMBER, Thur & Fri $180 MPO MEMBER, Thur OR Fri $120 NONMEMBER, Thur & Fri $225 NONMEMBER, Thur OR Fri $165 Early Bird Registration $10 off any Thur/Fri registration fee postmarked on or before 8/5/09. Group Registration of five or more together receives a $10 discount for each group member. Indicate the Concurrent Sessions that you wish to attend by filling in the session number below. Since many sessions are limited in size, your first choice may not be available; please indicate a second choice. You will be notified of session assignment at the conference. THURSDAY Concurrent Session A Concurrent Session B _____1st _____2nd choice _____1st _____2nd choice FRIDAY Concurrent Session C Concurrent Session D _____1st _____2nd choice _____1st _____2nd choice

Info to Exhibitors? Exhibitors frequently ask to receive a listing of participants (includes only name and affiliation). I give MPO permission to include my information on this list. _________

Reception attendance

I am planning to attend the Wednesday evening Welcome Reception. _____Yes _____No I am planning to attend the Thursday evening Dessert & Cordials. ______Yes ______No

DIRECTIONS

Breezy Point Resort 9252 Breezy Point Dr Breezy Point MN 56472 800-432-3777 On I-94, going north and west of the cities: Take the Clearwater exit (Highway 24) right, across the Mississippi River to Highway 10 west (left), through St. Cloud to Highway 371 (just north of Little Falls) into Baxter. Continue on Highway 371 North from Baxter, through Nisswa to Pequot Lakes, go right (east) on County Rd. 11 approximately 5 miles, through the Breezy Point front gate to the Resort Office.

From Duluth: Take I-35 or Highway 61 to Route 210 west to Brainerd.

Minnesota Perinatal Organization c/o Bonnie Hansen 18024 Turtle Court Cold Spring MN 56320