Webinars



Sessions

Enteral Nutrition: Adult Inpatient Formularies to Outpatient Delivery

Jul 9, 2014 12:00pm ‐ Jul 9, 2014 1:30pm

Identification: WEB140709

Credits: None available.

Learning Objectives:

  • Design an institutional enteral formulary using evidence based guidelines
  • Apply evidenced based guidelines to select appropriate enteral formulas for individual patients
  • List the criteria for Medicare coverage for home enteral nutrition therapy
  • Compare characteristics of patients who are candidates for placement of enteral access devices in the outpatient vs. inpatient setting

Speaker(s):
Standard: $39.00
Members: $19.00

Nutrition in the Critically Ill Pediatric Patient

Aug 20, 2014 4:00pm ‐ Aug 20, 2014 5:30pm

Identification: WEB140820

Credits: None available.

This webinar will focus on the nutritional care of the pediatric critically ill patient. Specifically, nuances in the nutritional management of the premature and critically ill neonate and older child will be discussed. The timing of parenteral nutrition can promote nitrogen balance and in the neonate can result in improved growth at discharge. Early provision of human milk has been shown to result in an earlier discharge and reduce the likelihood of necrotizing enterocolitis, chronic lung disease, late onset sepsis, and retinopathy of prematurity in the neonatal population. Strategies to promote feeding protocols and evaluate priorities during periods of critical illness are key to streamlining nutritional care and quality. The right amount of energy and protein delivery during this period of vulnerability and its relationship to outcomes has been shown in multiple settings. In addition, the particular nutrition ramifications of long-term critical illness in children and methods for measuring, preventing and counteracting these effects will be addressed.

Learning Objectives:

  • Describe the rationale for early parenteral nutrition and optimization of human milk enteral feeding in the neonate
  • Summarize findings of recent literature related to enteral and parenteral nutrition in the PICU
  • Discuss optimal energy and protein goals for critically ill children with a particular attention to outcome measures in pediatric nutritional research

Speaker(s):
  • Christina Valentine, RD, MD, Neonatologist/Medical Director, RB Health; Visiting Associate Professor in Obstetrics and Gynecology, The University of Cincinnati, Terrace Park, OH
  • Nilesh Mehta, MD, Director, Critical Care Nutrition; Associate Medical Director, Medical and Surgical ICU; Director of Quality and Outcomes, Boston Children’s Hospital, Boston, MA
  • Biren Modi, MD
Standard: $39.00
Members: $19.00

Enteral Nutrition in Neonates/Infants

Sep 10, 2014 4:00pm ‐ Sep 10, 2014 5:30pm

Identification: WEB140910

Credits: None available.

Provision of enteral nutrition in the neonatal and infant population can be seen as a maze with many options. Many different sources and types of enteral nutrition exist for this population, but an increasing amount of literature supports the use of maternal breast milk as the superior form of nutrition in this population. This program will focus on the importance of human milk, the use of donor milk when maternal milk is available, fortification of human milk in the preterm neonate population, and the use of infant formulas when other sources of enteral nutrition are either not available or the patient's underlying disease state necessitates its use.

Speaker(s):
  • Christina Valentine, RD, MD, Neonatologist/Medical Director, RB Health; Visiting Associate Professor in Obstetrics and Gynecology, The University of Cincinnati, Terrace Park, OH
Speaker(s):
Standard: $39.00
Members: $19.00

Preparing Your Patient for Parenteral Nutrition at Home

Oct 15, 2014 4:00pm ‐ Oct 15, 2014 5:30pm

Identification: WEB141015

Credits: None available.

Parenteral nutrition (PN) is a complex therapy that may result in serious harm if not properly prescribed, prepared, and administered. The patient who is discharged home on PN for the first time poses significant safety challenges and requires coordination of care between several healthcare disciplines within and outside the hospital. This program will review strategies for successful transition to the home environment; including laboratory management, education and monitoring strategies to improve safety and efficacy of parenteral nutrition therapy for the home patient.

Learning Objectives:

  • Review the necessary steps to successfully establish a patient on home parenteral nutrition support
  • Analyze strategies to monitor and avoid long term complications of parenteral nutrition
  • Discuss the role of the Sustain patient registry in quality improvement

Speaker(s):
  • Vanessa J. Kumpf, PharmD, BCNSP, FASPEN, Nutrition Support Pharmacy Specialist, Vanderbilt Center for Human Nutrition, Vanderbilt University Medical Center, Nashville, TN
  • Marion F. Winkler, PhD, RD, LDN, CNSC, FASPEN, Associate Professor of Surgery (Teaching Scholar), Surgical Nutrition Specialist, Department of Surgery and Nutritional Support Service, Rhode Island Hospital, The Warren Alpert Medical School of Brown University
Speaker(s):
  • Michelle Romano, RDN, LD/N, CNSC, Parenteral Nutrition Manager, Fresenius-Kabi USA, Jacksonville, FL
  • Toni Neal, RN, CRNI, CNSC, VA-BC, Senior Clinical Infusion Nurse, Cleveland Clinic Home Care Service, Independence, OH
Standard: $39.00
Members: $19.00

Prescribing Parenteral Nutrition: Losing the Shortage Mindset

Nov 12, 2014 1:00pm ‐ Nov 12, 2014 2:00pm

Identification: WEB141112

Credits: None available.

A one-hour informational webinar on appropriate prescribing of PN components now that shortages are resolving. This program will briefly review the history of PN component shortages, current shortages and their impact. It will also review A.S.P.E.N. management strategies and how to prescribe appropriately when supply is adequate. These recommendations will highlight key macro- and micronutrients including new and imported products.

Pediatric considerations for dosing will be presented as well.

Learning Objectives:

  1. Outline the PN components in shortage and the impact on patients.
  2. Describe the A.S.P.E.N. management recommendations for PN component shortages.
  3. State appropriate dosing mechanisms for macro- and micronutrients.
  4. List specific strategies for prescribing PN in pediatric patients.

Speaker(s):
  • Peggi Guenter, PhD, RN, FAAN, FASPEN, Senior Director of Clinical Practice, Quality, and Advocacy, American Society for Parenteral and Enteral Nutrition, Silver Spring, MD
  • Beverly Holcombe, PharmD, BCNSP, FASHP, FASPEN, Clinical Practice Specialist, American Society for Parenteral and Enteral Nutrition (ASPEN)
  • Steven W. Plogsted, PharmD, BCNSP, CNSC, FASPEN, Clinical Pharmacy Consultant, Dublin, OH
Standard: $39.00
Members: $19.00

A.S.P.E.N.Clinical Nutrition Informatics Webinar: PN Prescribing and Electronic Health Record Systems

Mar 11, 2015 4:00pm ‐ Mar 11, 2015 5:00pm

Identification: WEB150311

Credits: None available.

This informational webinar, presented by the A.S.P.E.N. Clinical Nutrition Informatics Committee, will present findings from a recent multi-organizational survey on clinical nutrition care and Electronic Health Records Systems as a background on the use of EHR systems in nutrition care. The speakers will then focus on Parenteral Nutrition prescribing, using 2 large EHR systems, and the tenets and challenges with order writing this complex therapy within hospitals. They will share their experiences with working with the EHR vendors and modifications needed to make their systems successful.

Learning Objectives:

  • Discuss the results of the recent A.S.P.E.N. electronic health record (EHR) survey.
  • Review tenets for successful parenteral nutrition prescribing using an EHR.
  • Describe challenges associated with parenteral nutrition prescribing using the EHR.

Speaker(s):
  • Vincent W. Vanek, MD, FACS, FASPEN, Regional Medical Informatics Officer, Associate Program Director for Surgical Education, and Professor of Surgery, Bon Secours Mercy Health, St. Elizabeth Youngstown Hospital, Youngstown, OH; Northeast Ohio Medical Univeristy, Rootstown, OH
  • Michael Kraft, PharmD, BCNSP, Assistant Director, Education and Research, Department of Pharmacy Services, University of Michigan Health System; Clinical Professor, University of Michigan College of Pharmacy, Ann Arbor, MI
Speaker(s):
  • Vicki M. Ross, PhD, RN, CNSC, Nutrition Support Nurse Consultant, Truman Medical Center, Kansas City, MO
Standard: $39.00
Members: $19.00

Temporary Enteral Access Placement Verification in Pediatric Patients: A Continuing Conundrum

Mar 25, 2015 4:00pm ‐ Mar 25, 2015 5:30pm

Identification: WEB150325

Credits: None available.

There is a serious clinical challenge for pediatric clinicians who order or place temporary enteral access devices, commonly referred to as nasogastric (NG) or orogastric (OG) tubes. Placement verification methods that are commonly used for adults, such as an abdominal radiograph, are avoided by or not available to pediatric clinicians. Use of bedside techniques to verify placement have also failed to be 100% reliable. This session will address the current status of bedside techniques to verify placement of NG or OG tubes in infants and children with special emphasis on those in the PICU or NICU. We will make recommendations for best practice based on current literature and will summarize the results of a point prevalence study conducted by the New Opportunities for Verification of Enteral Tube Location (NOVEL) project. Using data from that study as a platform, speakers will address the wide variation among the 63 participating organizations in how they verify placement of these tubes. We will also share information about the population who has one of these tubes. Until technology is available to assure accurate assessment of NG and OG location, standardization of practice is a priority for the organizations participating in the NOVEL project.

Learning Objectives:

  • Discuss the commonly used methods to verify placement of a temporary enteral access device.
  • Analyze the unique characteristics of the PICU and NICU population that make verification of temporary enteral access device placement a challenge.
  • Summarize how the results of the prevalence study might guide future research.

Speaker(s):
  • Beth Lyman, MSN, RN, CNSC, FASPEN, FAAN, Consultant, Nutrition Support Nurse Consultant, LLC, Smithville, MO
Speaker(s):
  • Sharon Irving, PhD, CRNP, FCCM, FAAN, Assistant Professor, Pediatric Nursing, University of Pennsylvania School of Nursing, Philadelphia, PA
  • Kerry Wilder, BSN, RN, MBA
Standard: $39.00
Members: $19.00

Assessment of Growth in the Pediatric Patient with Chronic Disease

Apr 8, 2015 4:00pm ‐ Apr 8, 2015 5:30pm

Identification: WEB150408

Credits: None available.

Assessing growth is an important part of the nutrition assessment of all children and can be challenging in those with chronic disease. This program will address updates to the growth charts, including their development, why and how they were changed, charts for special populations, and the advantages and disadvantages of these charts. Pragmatic approaches to the assessment of growth and nutrition in children with chronic disease will be discussed including use of mid arm circumference and triceps skin fold in addition to more standard weight and height measurements.

Learning Objectives:

  • Describe updates to the growth charts and the implications for clinical practice
  • Identify the benefits and limitations for growth charts in special populations
  • Determine when the use of mid arm circumference and triceps skin fold can be useful in nutrition assessment

Speaker(s):
  • Babette Zemel, PhD
  • Katherine H. Chessman, PharmD, FPPAG, FCCP, BCPS, BCNSP, Professor, Clinical Pharmacy Specialist, Clinical Pharmacy and Outcome Sciences, Medical University of South Carolina, Charleston, SC
  • Beth Smith, RD, CNSC, LDN, Clinical Dietitian, Department of Clinical Nutrition, Childrens Hospital of Philadelphia, Philadelphia, PA
Standard: $39.00
Members: $19.00

Building a Hospital Structure to Enhance Clinical Ethics and Quality of Life Care

May 13, 2015 4:00pm ‐ May 13, 2015 5:30pm

Identification: WEB150513

Credits: None available.

Learning Objectives:

  • Develop a process to prevent nutrition support ethical dilemmas
  • Apply patient-centered care, shared decision making, health literacy, and preventive ethics
  • Use a proactive, integrated, systematic process, with measurable outcomes and sharing of best practice
  • Explore end of life decision making and parenteral nutrition support

Speaker(s):
  • Denise Baird Schwartz, MS, RD, CNSC, FADA, FAND, FASPEN, Nutrition Support Coordinator, Providence Saint Joseph Medical Center (PSJMC), Burbank, CA
  • Angela DiTucci, RD, LDN, VA Boston Healthcare
  • Jane Hughes, PharmD, BCNSP, BC-ADM, VA Boston Healthcare System
Standard: $39.00
Members: $19.00

Top Nutrition Research Papers of the Year

May 28, 2015 1:00pm ‐ May 28, 2015 2:30pm

Identification: WEB150528

Credits: None available.

This webinar will provide a synopsis and critical evaluation of a selection of the leading recent nutrition support studies in adult populations. The strengths, weaknesses and important take-home clinical messages from these studies will be discussed. This webinar will help clinicians stay up-to-date with the latest information and understand if the latest research applies to their patients.

Learning Objectives:

  • Recognize the importance of critical appraisal of nutrition support research.
  • Identify key portions of a research article that are fundamental to critical appraisal.
  • Demonstrate an understanding of key results of research in the past year.

Speaker(s):
  • Maya Guggari, MS, RD, CNSC, LD, Registered Dietitian Specialist, Seton Medical Center, Austin, TX
Standard: $39.00
Members: $19.00
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