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Digital Seminar

Feeding Practices and Necrotizing Enterocolitis


Speaker:
Jennifer Humphries, DNP, CRNP, NNP-BC
Duration:
2 Hours 02 Minutes
Format:
Audio and Video
Copyright:
Nov 17, 2022
Product Code:
POS078505


Description

Enteral feedings is the preferred method of nutrient delivery for preterm infants with evidence supporting significant nutritional and non-nutritional benefits. Practices vary in NICUs leaving best practice abroad. Barriers for initiating and advancing enteral feeds include provider fear of Necrotizing Enterocolitis (NEC), limited evidence, and excessive growth leading to high adiposity. This recorded session will demonstrate supporting evidence that enteral feedings, especially early enteral feedings, has an impact on the overall health, growth, and development of the preterm infant.

Additionally, NEC continues to remain an indicator for high mortality rates in preterm infants, despite ongoing research and advancements in neonatal care. Here we will review the current understanding of the disease, risk factors, pathophysiology, and its epidemiology. We will discuss management and prevention of NEC in addition to new emerging research.

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

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For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


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PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 2.0 contact hours. Expires: 11/03/2025.


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PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 2.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


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PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 2.0 self-study contact hours.

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PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 2.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


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PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 2.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 2.0 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

 


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Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 2.0 continuing education hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 2.0 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 2.0 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 2.0 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 2.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 2.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Speech-Language Pathologists & Audiologists - Speech-Language Pathologists & Audiologists

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Speech-Language Pathologists & Audiologists - California Speech-Language Pathologists & Audiologists

PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 2.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.


Speech-Language Pathologists & Audiologists - Florida Board of Speech-Language Pathology and Audiology

PESI, Inc. is an approved provider with the Florida Board of Speech-Language Pathology and Audiology. Provider Number: 50-399. This self-study course qualifies for 2.0 continuing education credits. 


Speech-Language Pathologists & Audiologists - Kansas Speech-Language Pathologists

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PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™.


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Handouts/Brochure

Speaker

Jennifer Humphries, DNP, CRNP, NNP-BC's Profile

Jennifer Humphries, DNP, CRNP, NNP-BC Related seminars and products


Dr. Humphries is a Board-Certified Neonatal Nurse Practitioner (NNP). She has over 20 years of experience that includes registered nurse in the Burns and Trauma Unit and Regional Neonatal Intensive Care Unit at UAB, SICU at Walker Baptist Medical Center, and Psychiatric Unit at Montclair Baptist. She found her calling in the Neonatal Intensive Care Unit (NICU) and furthered her career as an advanced practice nurse practitioner. She currently works at DCH Northport Medical Center in the NICU. In addition, Dr. Humphries plans to expand her career to include education and leadership.

Dr. Humphries graduated from Bevill State Community College with an Associate degree in Nursing (ADN) in 2001, received her Bachelor of Science in Nursing degree (BSN) from the University of North Alabama in 2011, her Master of Science in Nursing degree (MSN) in the NNP tract at the University of Alabama of Birmingham (UAB) in 2014 and her Doctor of Nursing Practice degree (DNP) and Nursing Education Certification at UAB in 2019.

She was recently awarded the Kim Noland Spirit Award from the Florida Association of Neonatal Nurse Practitioner (FANNP). Additionally, she received two scholarships from FANNP while in graduate school. She published a literature review titled Perinatal Palliative Care in the FANNP newsletter in 2018 and a peer-reviewed article in the Alabama Nurse titled Early Placement of PICC Lines and Early Removal of UVC to Reduce CLABSIs in the NICU in 2019. She holds memberships with ASNA, FANNP, and AAP. In 2018, she served as President Elect of District 2 in the Alabama State Nurses Association (ASNA) and then President of the district in 2019-2021. Dr. Humphries currently serves as the Vice President at the state level for ASNA. Dr. Humphries is chair of the Research and Poster committee for FANNP and recently lectured on a Neonatal Pharmacology in the FANNP 2021 conference.

 

Speaker Disclosures:
Financial: Dr. Jennifer Humphries has employment relationships with Birmingham Vital Care, the University of Alabama at Birmingham, and Northport Medical Center DCH. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Jennifer Humphries is a member of the Alabama State Nurse Association, the American Nurses Association, and the Florida Association of Neonatal Nurse Practitioners.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Determine the benefits of enteral feedings.
  2. Formulate safe feeding practices for preterm infants.
  3. Determine specific nutritional requirements.
  4. Analyze the pathophysiology of necrotizing enterocolitis (NEC).
  5. Distinguish signs and symptoms of NEC.
  6. Differentiate medical and surgical interventions for NEC.
  7. Assess for complications related to NEC.

Outline

  • Nutritional Requirements for Preterm Infants
    • Human Milk Vs Formula
    • Nutrient per Kg
    • Growth chart
  • Benefits of Early Enteral Feedings
    • When to start enteral feeds
    • Stable infants
    • High risk infants
    • Colostrum as mouth care
  • Advancing Feeds/Full Feeds
    • Trophic feeds
    • Assessing Feed Tolerance
    • Rate of advancement
  • Barriers
    • Understanding best practice
    • Infants with congenital abnormalities of the GI tract or following GI surgery
    • Standardization of Practice across NICUs
  • Etiology and Pathophysiology of NEC
    • Multifactorial
    • Prematurity
    • Bacteria Flora
    • Incidences
  • Clinical indicators
    • Subtle Indicators
      • Feeding intolerance
      • Delayed gastric emptying
      • Abdominal distention
      • Ileus
      • Hematochezia
      • Pneumatosis
    • Systemic Signs
      • Apnea
      • Decreased tone
      • Shock
      • Cardiovascular response
    • Laboratory Studies
      • Metabolic acidosis
      • Hyponatremia
      • Thrombocytopenia
      • Neutropenia
  • Differential Diagnosis
    • Malrotation
    • UTI
    • Meningitis
    • Septicemia
    • Hirschsprung’s Disease
  • Diagnosis
    • CBC, Chemistries, blood culture, blood gas
    • Abdominal X-rays (AP and Lateral)
    • Upper GI
    • Abdominal Ultrasound
  • Management and Surgical indicators
    • Bell Stages of NEC
    • NPO
    • Antibiotics
    • Vasopressors
    • Volume expanders
    • Parenteral nutrition
    • Antifungals
    • Central line access
  • Prognosis and complications related to NEC
    • Survival rate
    • Long term complications
    • Intestinal Strictures
    • Short gut syndrome
  • Prevention
    • Prevent asphyxia
    • Antenatal steroids
    • Use of Human Milk
    • prevent infection risks
    • monitor feed tolerance
  • Barriers
    • Limitations of Research
    • Understanding all potential risks and causative factors

Target Audience

  • Nurses
  • Nurse Practitioners
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Physical Therapists
  • Physical Therapy Assistants
  • Physician Assistants
  • Speech Language Pathologists
  • Other Professions

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