Communication and Teamwork: Do You Hear What I Hear?

Transcription

1 Communication and Teamwork: Do You Hear What I Hear? 33 rd Annual Fall Conference Preconference Sessions September 12, 2007 September 13-14, 2007 Holiday Inn Hotel & Suites St. Cloud, MN

2 Plan to Attend the 33 rd Annual MPO Fall Conference The Planning Committee for the Annual MPO Fall Conference invites you to attend "Communication & Teamwork: Do You Hear What I Hear? 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. Pre-conference courses are available in neonatal stabilization and fetal heart rate monitoring. Small town charm meets big city convenience at the Holiday Inn Hotel & Suites in St. Cloud, 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 12 PRECONFERENCE ACTIVITIES 7:00AM 6:30PM REGISTRATION Continental Breakfast Available S.T.A.B.L.E. Sugar; Temperature; Artificial Breathing; Blood Pressure; Lab Work; Emotional Support Debbie L. Peters, RN, NNP On completion of this program, the participant should be able to: 1. Describe appropriate monitoring of infants in the pre-transport period. 2. Identify methods of managing glucose and fluids for ill babies. 3. Explain ways to support families during the stabilization of a sick infant. 8:00AM 5:00PM 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, 2 nd Edition by Kristine A. Karlsen, RNC, MS, NNP The cost of the text is included in the course fee. 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: $ Course text and continental breakfast are included in the course fee. Lunch is on your own. The course text will be sent to the participant as confirmation of course registration. 8:00AM 5:00PM AWHONN's (Association of Women's Health, Obstetric and Neonatal Nursing) Advanced Fetal Heart Monitoring Principles and Practices Workshop (AFHMPP) Nanette V. McCaa, RNC, BSN, AWHONN Fetal Monitoring Instructor Trainer Denise G. Palmer, MS, RN, CNS AWHONN Fetal Monitoring Instructor Jasmine Rausch, MSN, RNC AWHONN Fetal Monitoring Instructor Elizabeth Stockhowe, BSN, RN AWHONN Fetal Monitoring Instructor The AWHONN AFHMPP Workshop is a one-day workshop focusing on the application of advanced fetal heart monitoring knowledge and skills in intrapartum nursing practice. The content presented in this workshop builds on the essential knowledge and skills gained through the FHMPP two-day workshop. The workshop uses a case study approach focusing on the analysis of FHM patterns/characteristics and related case information. The workshop emphasizes underlying maternal-fetal physiology, instrumentation, interpretation, intervention and verbal and written communication skills. Successful completion of a written examination is required for completing the workshop and earning continuing education credit. Expected Level of the Learner: The AWHONN AFHMPP workshop is designed for registered nurses who have successfully completed the FHMPP two-day workshop, a comparable fetal heart monitoring workshop, and/or are certified in fetal heart monitoring. In order to facilitate successful

3 completion of the AFHMPP Workshop, participants are expected to review AWHONN's Fetal Heart Monitoring Principles and Practices, Third Edition in advance of taking the course. On completion of this program, the participant should be able to: 1. Identify basic physiologic principles underlying fetal heart monitoring. 2. Describe advanced physiologic principles of maternal and fetal oxygen transfer and acidbase balance. 3. Describe advanced concepts in antenatal testing including analysis and interpretation of biophysical profiles and complex antenatal fetal heart monitoring tracings. 4. Identify physiologic principles, goals and interventions for patients undergoing antenatal testing. 5. Evaluate the effectiveness of interventions for patients undergoing antenatal testing. 6. Compare and contrast physiologic principles and causes of adult cardiac dysrhythmias with fetal cardiac dysrhythmias. 7. Analyze fetal cardiac dysrhythmia patterns and describe outcomes associated with these patterns. 8. Analyze complex fetal heart monitoring patterns including utterine rupture, maternal-fetal hemorrhage, and abruption, utilizing NICHD FHM nomenclature/definitions. 9. Apply perinatal risk management principles, communication techniques and documentation strategies related to complex and challenging patient care scenarios. Certification by the AWHONN Program will be received upon completion of this course. Course fee: $ Course text and continental breakfast are included in the course fee. Lunch is on your own. The course text will be sent to the participant as confirmation of course registration. Welcome Reception for MPO Members 5:00PM A Thank You to our members sponsored by Matria Healthcare & Ross Pediatrics THURSDAY SEPTEMBER 13 7:00 8:15AM REGISTRATION Continental Breakfast and Exhibits PLENARY SESSION I In Situ Simulation for Obstetric & Neonatal Emergencies Kristi K. Miller, MS, RNC Stan E. Davis, MD, FACOG William J. Riley, PhD 8:15 10:00AM Describe the in situ model of experiential learning that occurs through real life simulation of obstetric and neonatal emergencies. Identify human factors that may cause breaches in safety that impact perinatal teamwork. Describe the basic steps in preparing your hospital to conduct In Situ Simulation. 10:00 10:30AM Break Visit with exhibitors PLENARY SESSION II Hot Topics in Prenatal Nutrition Cathy H. Breedon, PhD, RD, CSP, FADA Describe why vitamin D and magnesium inadequacy in pregnancy are not uncommon and are 10:30 11:45AM often missed. Describe the possible consequences and suggest appropriate interventions. Describe recent research into the need for DHA in pregnancy. Describe recent research regarding nutrition and risk of pre-eclampsia. 11:45 1:00PM Lunch Visit with exhibitors 1:00 2:00PM CONCURRENT SESSION A

4 A1. Postpartum Depression: How to Help a Mother Find Hope Rosalyn R. Voigt, MS, RNC, CLC Identify risk factors for postpartum depression. Describe use of medication and support groups as interventions. Identify appropriate resources as referrals. A2. Choosing Appropriate Infant Milks and Formulas Cathy H. Breedon, PhD, RD, CSP, FADA Describe maternal nutrition factors that influence the nutritional adequacy of human milk. Describe other factors that influence the nutritional adequacy of human milk regardless of mother s intake. Describe the rationale for the appropriate use of particular special formulas, including products for premature infants, hypoallergenic products, hydrolysates, lactose-free, higher calorie, lower calorie, thickened products and specific formula components in infants with constipation and diarrhea. Describe lipid issues of importance in infant nutrition. Describe how to approach nonstandard use of feeding products for infants using Aunt Cathy s PMS System for Sorting Out Feeding Issues. Describe approaches to evaluate the adequacy of an infant s reported intake and growth when there is an apparent discrepancy or unusual nutritional needs. A3. Asphyxia-Related Infant Death: The Medical Examiner s Perspective Andrew M. Baker, MD List the types of asphyxia that are more common in infants and small children. Explain the limitations of the autopsy and the importance of a thorough scene investigation in infant deaths. Explain the basis for current safe sleep recommendations. 2:10 3:10PM CONCURRENT SESSION B B1. Vacuum Extraction: Risk Management Strategies Denise G. Palmer, MS, RN, CNS State three indications for vacuum assisted delivery. Describe two maternal and neonatal injuries potentially associated with vacuum assisted delivery and appropriate assessments to identify potential injury. State three indications for discontinuation of vacuum assisted delivery. Identify essential components of SBAR communication and documentation for vacuum assisted delivery. B2. Care of the Near Term Infant Lorraine C. Victor, MS, RN, CNP Identify major physiologic issues in planning care for the near term infant. Describe discharge criteria for the near term infant. Discuss parental teaching in preparing for discharge of the near term infant. B3. New Monitoring Language Mary P. Goering, MPH, RN Identify two important rationales for using NICHD definitions for interpreting fetal heart rate patterns. Apply the NICHD fetal heart rate pattern definitions as the standard for all inter/intradisciplinary communication between physicians and nurses. Explain SBAR and how it can be used as a tool for improving the quality of communication and determining clinical intervention. 3:10 3:40PM Break Visit with exhibitors PLENARY III CentraCare Stillbirth Program: Evaluating a Stillborn Child and Counseling Grieving Parents David Tilstra, MD 3:40 4:45PM Terri D. McCaffrey, MA, CNS, RN Joy Gustin, MS Identify the two major questions parents have after a stillbirth. List the components of a stillbirth evaluation. Discuss key components of counseling parents who have experienced a stillbirth. 7:00PM Join the Mead Johnson Team for Dessert and Cordials FRIDAY SEPTEMBER 14 7:00 8:00AM REGISTRATION Continental Breakfast Available

5 8:00 9:30AM PLENARY SESSION IV An Update of Preterm Birth in the US: Rates, Risks and Research Karla Damus, MSPH, PhD, RN Sponsored by the March of Dimes Discuss the changing epidemiology and risk factors of preterm birth and differential impact on subgroups of the population. Describe the impact of late preterm birth on increasing rates of preterm birth. Review some recent research findings related to mechanisms leading to preterm labor. 9:30 10:00AM Break 10:00 11:00AM CONCURRENT SESSION C C1. Transcervical Foley Catheter for Cervical Ripening Laura S. Mayer, MD Explain how to use the transcervical foley for ripening. Compare the transcervical foley with other ripening methods. Identify clinical situations in which using the transcervical foley is appropriate. Please note: This is an off-label use of the Foley Catheter. C2. Multiples Births: OI, OE and ART Karla Damus, MSPH, PhD, RN Sponsored by the March of Dimes Review the changing epidemiology of multiple births in the US. Describe the high risk complications of multifetal pregnancy. Define ART and OI and review trends in ART in the US. C3. The New ABC s of NRP Edward B. Chip Martin, MD Describe resuscitation techniques for infants and children. Review updated/revised CPR information/techniques for infants and children. Review patient cases and appropriate resuscitation skills needed for caregivers of infants and children through the use of scenarios. 11:10 12:10PM CONCURRENT SESSION D D1. Obesity, Bariatric Surgery and Their Implications in Pregnancy Yasuko Yamamura, MD Identify the risk to the parturient associated with obesity. Discuss the different types of bariatric surgery being performed. Identify special pregnancy considerations after bariatric surgery. D2. Breastfeeding Matters in the Near Term Infant: What s New is Not So New Jeanne L. Friebe, RN, BSN, IBCLC Describe the utilization of a near term breastfeeding policy in everyday practice. Demonstrate the correct use of a nipple shield. Describe the assessment of effective transfer of milk from the breast when working with the near term infant. All are welcome to attend. If you have experience working with near term BF infants, please Jeanne at: friebej@centracare.com. D3. Psychological First Aid Taking Care of Ourselves Donald B Sheldrew, MSW, LICSW, NREMT-P Recognize common stress responses and provide basic triage skills to know when to refer to professional behavioral health services. Recognize the signs and symptoms of personal stress and learn self care strategies to increase resilience. Recognize and discuss the differences between burnout and compassion fatigue. Perform and utilize two types of deep breathing exercises. 12:10 1:30PM LUNCH, PLENARY SESSION V Tending to the Healer Vicki Gustafson, BSN, MA, RN Describe the philosophy of wounded healer. State two methods of self-care. Describe how lateral violence impacts the caregiver. 1:30PM Adjournment & Distribution of Contact Hours

6 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 for each group member Early Bird Registration - $10.00 off any Thur/Fri registration fee postmarked before 8/8/06 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. All pre-conference activities have separate fees; see description of each activity or registration form. A Concurrent Session Schedule, based on your registration form selections, will be in the packet you receive during conference registration at the Holiday Inn. 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 or jemjab@clearwire.net with questions or concerns. REGISTRATION INFORMATION All registrations must be accompanied by a check payable to MPO and postmarked on or before September 5, A refund, minus a $30 processing charge, will be given if notification of cancellation is received on or before September 5, 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 the Holiday Inn. Room rates are $72.95 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 Wednesday, August 13, 2007, so make your reservations prior to that date. Holiday Inn will take reservations via phone at or 800-HOLIDAY (be sure to identify yourself as a participant in the Minnesota Perinatal Organization). Guest room check in is 4:00pm; check out is prior to 11:00am. 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 and asking for the MPO Conference Coordinator. Calls made after meeting hours must be made to your room. Holiday Inn provides complimentary voic for each room. PASSPORT TO VENDORS 2007 PLANNING COMMITTEE MEMBERS Stop by and visit with representatives from the industry s leading companies. Many products and new patient education material will be on hand for your review. Please note: MPO, the WNA CEAP or ANCC does not endorse any commercial products displayed in conjunction with this educational activity. Donald Asp, MD Bonnie Hansen Susan Boehm, RN, MS Kathy Westensee, RN Kirk Ramin, MD Debra Wenisch, RN Pat Soderberg, RD Denise Palmer, CNS, MS, RN Deb Peters, RN, CNP Linda Christinsen-Rengel, RN Mary Newcomb, RNC, BSN Jill Gray, RN Marianne Kuehn, BSW Angela Jacobson, MPH, RD David Tilstra, MD Lynn Carpentier, BA Janna Cannon, RN, PHN Joannie Sutliff, RNC The Planning Committee members listed above have no conflict of interest regarding the content or speakers for this program. Biographical Data Forms are available upon request.

7 PURPOSE AND OBJECTIVES CONTACT HOUR INFORMATION SPECIAL THANKS PLANNING CONSIDERATIONS AND DISCLOSURE POLICY 2008 CONFERENCE 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 respective 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. Nurses: This three-day activity has been designed to meet the MN Board of Nursing continuing education requirements for up to 18.6 contact hours. Contact hours have been applied for through the Wisconsin Nurses Association Continuing Education Approval Program Committee. Final credit numbers to be provided on site. 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. The Minnesota Perinatal Organization would like to acknowledge the support of the following organizations: March of Dimes for sponsorship of speaker Karla Damus Children s Hospitals and Clinics of Minnesota for centerpieces and place setting gifts and the use of LCD projector and laptop University of Minnesota Medical Center, Fairview, Maternal-Fetal Medicine/Neonatal Services for centerpieces and place setting gifts and the use of LCD projector and laptop Matria Healthcare for co-sponsorship of the MPO Member Reception Gillette Children s Specialty Healthcare for use of LCD and laptop Mead Johnson Nutritionals for sponsoring Dessert & Cordials event and use of LCD projector and laptop Ross Pediatrics for co-sponsorship of MPO Member Reception and the use of LCD projector and laptop St. Cloud Hospital for use of LCD projector and laptop Content considerations and the selection of speakers are the responsibilities of the Planning Committee and Conference Coordinator. Persons serving as 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 devises mentioned in their presentations are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). The Speakers listed below have no conflict of interest regarding the content for this program. Biographical Data Forms are available upon request. Would you like to help plan the 2008 MPO Fall Conference? Do you have ideas, contacts, speakers, etc. that you would like to share? All are welcome to join us to plan the 2008 conference. The 2008 Planning Committee Meeting is scheduled for Thursday, November 9 at Unity Hospital in Fridley. We will meet in Classroom A from 8:30am to 2:30pm. 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 or jemjab@clearwire.net if you are interested in attending the planning session or have ideas for us to work from. Mark your calendars for: September 23-25, 2008 Kahler Grand Hotel, Rochester, MN MPO wants to make sure no one is excluded because of the need for special dietary SPECIAL NEEDS considerations, auxiliary aids or services. Please indicate special need(s) on your registration form. You will be contacted, as needed, for clarification. REMINDERS Only registered Conference attendees are eligible to attend Conference sessions, meals and

8 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 SPEAKERS (in alphabetical order) ANDREW M. BAKER, MD; Chief Medical Examiner, Hennepin County, Minneapolis MN CATHY H. BREEDON, PHD, RD, CSP, FADA; Clinical Nutrition Specialist and Perinatal/Pediatric Nutrition Specialist, MeritCare Children s Hospital, Fargo, ND KARLA DAMUS, MSPH, PhD, RN; Associate Professor and the Director of the Division of Community Programs and Public Health in the Department of Obstetrics & Gynecology and Women's Health at the Albert Einstein College of Medicine, Bronx, NY STAN E DAVIS, MD, FACOG; Medical Quality Consultant, Fairview Health Services, Minneapolis MN JEANNE L. FRIEBE, RN, BSN, IBCLC; Board Certified Lactation Consultant & Child Birth Education Coordinator, St Cloud Hospital/CentraCare Health System, St Cloud MN MARY P. GOERING, MPH, RN; AWHONN Fetal Monitoring Instructor, AWHONN-MN Section Secretary Treasurer, Clinical Leader, United Hospital Birth Center, United Hospital, St. Paul MN VICKI L. GUSTAFSON, BSN, MA, RN; Director, Center for Professional Development and Practice, Children s Hospitals and Clinics, St. Paul MN, Faith Community Nursing Instructor, United Theological Seminary and the International Parish Nurse Resource Center JOY GUSTIN, MS; Genetic Counselor, Co-developer of the CentraCare Stillbirth Program CentraCare Clinic, St. Cloud MN EDWARD B. CHIP MARTIN, MD; Pediatric Cardiologist, Neonatologist, St Cloud Hospital/CentraCare Health System, St Cloud MN LAURA S. MAYER, MD, OB/GYN; Riverview Clinic, Coon Rapids MN NANETTE V. MCCAA, RNC, BSN; AWHONN Fetal Monitoring Instructor Trainer, AWHONN-MN Section Education Committee Chair, Resource Educator, North Memorial Health Care, Robbinsdale MN TERRI MCCAFFREY, RN; CNS/Case Manager, Cleft & Craniofacial Center, St Cloud Hospital/CentraCare Health System, St Cloud MN KRISTI K. MILLER, MS, RNC; Clinical Nurse Leader, Birthplace, Fairview Southdale Hospital, Minneapolis MN, Co-Chair of the Fairview Perinatal Safety Committee and co-leader of the In Situ Simulation Project DENISE G. PALMER, MS, RN, CNS; Perinatal Outreach Manager, Maternal-Fetal Medicine/Neonatal Services, University of Minnesota Medical Center, Fairview, Minneapolis MN DEBBI L. PETERS, BA, RNC, CNP; Neonatal Nurse Practitioner, SMDC, Duluth MN JASMINE RAUSCH, MSN, RNC; Maternal-Fetal Medicine Centers, Fairview, Minneapolis, MN; AWHONN Fetal Monitoring Instructor WILLIAM J. RILEY, PHD; Associate Dean for Student Affairs, University of Minnesota School of Public Health, Minneapolis MN DONALD B. SHELDREW, MSW, LICSW, NREMT-P; Principal Planner Special Populations, MN Department of Health/OEP, St. Paul MN ELIZABETH STOCKHOWE, BSN, RN; Maternal-Fetal Medicine Centers, Fairview, Minneapolis, MN; AWHONN Fetal Monitoring Instructor DAVID J. TILSTRA, MD; Medical Director, CentraCare Clinic, St. Cloud MN, Director of the CentraCare Clinic Genetics and Birth Defects Clinic, St. Cloud MN LORRAINE C. VICTOR, MS, RN, CNP; Neonatal Nurse Practitioner, Children s Hospitals and Clinics, St. Paul MN ROSALYN R. VOIGT, MS, RNC, CLC; Parent Educator, The Birth Center, United Hospital, St Paul MN YASUKO YAMAMURA, MD; Fellow Maternal Fetal Medicine, University of Minnesota, Minneapolis MN

9 All registrations must be postmarked on or before September 5, MAKE CHECK FOR CONFERENCE FEES PAYABLE TO: MPO Sorry, no credit cards. MAIL TO: MPO c/o Bonnie Hansen, Turtle Court, Cold Spring MN For additional information call Bonnie at or 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 REGISTRATION FORM Enclosed find $ for day(s). See fee schedule below. Do you require a receipt? Name: Credentials: Affiliation: Preferred Mailing Address: Phone: Special meal considerations: WEDNESDAY PRE- CONFERENCE FEE SCHEDULE THURSDAY & FRIDAY FEE SCHEDULE WEDNESDAY PRECONFERENCE ACTIVITIES AWHONN Fetal Monitoring 8-5PM $175 STABLE 8-5PM $175 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 8/8/06. Group Registration of five or more together receives a $10 reduction 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 1 st 2 nd choice 1 st 2 nd choice FRIDAY Concurrent Session C Concurrent Session D 1 st 2 nd choice 1 st 2 nd choice Info to Exhibitors? Exhibitors frequently ask to receive a listing of participants, state, and place of employment before the conference. I give MPO permission to include my information on this list. Coming to I am planning to attend the Wednesday evening Welcome Reception. Yes No

10 Receptions? I am planning to attend the Thursday evening Dessert & Cordials. Yes No Holiday Inn Hotel & Suites th Ave S, St. Cloud MN From I-94 West (From Twin Cities Area) Take I-94 west approx. 50 miles from NW Suburb of Maple Grove to Highway 15 North. Exit onto Highway 15 North (exit number 167B). Follow Highway 15 North 4 miles. Holiday Inn Hotel & Suites will be on the right side at the first set of stoplights, at these stoplights turn right onto 2 nd Street. Get into the left lane to turn into the Holiday Inn Hotel & Suites entrance. DIRECTIONS From I-94 East (From Alexandria/ Sauk Centre Area) Take I-94 east approx. 60 miles from Alexandria. Exit onto Highway 15 North. Follow Highway 15 North to St. Cloud, Holiday Inn Hotel & Suites will be on the right side at the first set of stoplights, at these stoplights turn right onto 2 nd street. Get into the left lane to turn into the Holiday Inn Hotel & Suites entrance. From Highway 10 North (From Detroit Lakes Area) Take Highway 10 South to St. Cloud approx. 120 miles from Detroit Lakes. When Highway 10 combines with Highway 15 South follow Highway 15 South into St. Cloud approx. 5 miles. Holiday Inn Hotel and Suites will be on the left side on the corner of Highway 15 and Highway 23. Go one block to 2 nd Street and turn left, get into the left lane to turn into the Holiday Inn Hotel and Suites entrance. From Highway 10 South (Anoka/ Elk River Areas) Follow Highway 10 North to St. Cloud approx. 45 miles from Anoka. Exit onto Highway 23 West. Follow Highway 23 West for 5 miles. Holiday Inn Hotel and Suites will be on the corner of Highway 23 and Highway 15. Turn left onto Highway 15, go one block to 2 nd Street and turn left, get into the left lane to turn into the Holiday Inn Hotel and Suites entrance. Minnesota Perinatal Organization c/o Bonnie Hansen Turtle Court Cold Spring MN 56320