nd Annual Fall Conference

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42 nd nd Annual Fall Conference November 1-2, 2016 DoubleTree by Hilton Bloomington-Minneapolis South Bloomington MN www.minnesotaperinatal.org The Minnesota Perinatal Organization Planning Committee invites you to attend our 42 nd 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. The city of Bloomington provides visitors a dynamic mix of first-class attractions, vibrant restaurants and over 40 convenient hotels. Experience the new north expansion, plus the unique valet service at MOA. For more on what to see, do and experience while in town, visit www.bloomingtonmn.org. We encourage you to take advantage of this chance to get away and reenergize yourself while learning new and emerging information in maternal and child health. Register now seating is limited.

Tuesday, November 1 st 5:00pm- 8:00pm 6:00-7:00pm REGISTRATION, Visit with Sponsors DINNER and PLENARY SESSION I Incorporating Evidence Based Medicine into Perinatal and Neonatal Care Sixto F. Guiang, MD Discuss the principles of Evidence Based Medicine (EBM). Identify basic statistical concepts important in interpreting medical literature. Appraise the limitations of EBM. Dinner co-sponsored by Star Legacy Foundation and Sanford Health Wednesday, November 2 nd 7:00 8:00am 8:00 9:00am REGISTRATION, Breakfast, Visit with Sponsors Breakfast sponsored by CentraCare Health PLENARY SESSION II The Seven Secrets of Being Positively Unforgettable How to be your most supportive you in challenging situations Steven K. Shama, MD, MPH, FAAD Discuss ways to deeply appreciate and be present with the everyday challenges of our professional lives. Label and recognize the essential human qualities of being unforgettable. Increase fulfillment in our most noble professional calling. CONCURRENT SESSION A A1. Prenatal/Antenatal Screening, Testing, and Monitoring Daniel V. Landers, MD List the routine screenings recommended by ACOG during pregnancy. Identify indications for maternal-fetal medicine consultations. Identify indications for screening, testing and monitoring beyond the routine. 9:10 10:10am A2. Nitrous Oxide Implementation Sandra L. Hoffman, MS, RNC-EFM Discuss the history of nitrous use for birth. Describe candidates for nitrous oxide use, and contraindications for use. Discuss safe implementation of nitrous oxide for labor, including some of the challenges of implementation. A3. Prenatal Viral Infections from A to Zika Amanda M. Moen, MD List a number of viral infections that if contracted by a mother during pregnancy can have acute or long term effects on the child. Discuss infection prevention strategies for these infections in pregnant

women. Discuss recommended prenatal monitoring and initial post-natal evaluations for infants of women exposed to specific viral infections during pregnancy. 10:10 10:40am Break, Visit with Sponsors Break co-sponsored by Roche Diagnostics and Midwest Fetal Care Center CONCURRENT SESSION B B1. Nitrous Oxide Implementation (repeat session) Sandra L. Hoffman, MS, RNC-EFM Discuss the history of nitrous use for birth. Describe candidates for nitrous oxide use, and contraindications for use. Discuss safe implementation of nitrous oxide for labor, including some of the challenges of implementation. 10:40 11:40am B2. Labor Epidural: A Dynamic Picture and Process Anne-Cecile N. Malle-Barlow, APRN, CRNA Review the history of analgesia in labor. Identify the steps necessary to assess an epidural to labor. Describe the implications of an epidural not working for a c-section. B3. Neonatal Encephalopathy Case Studies Nicole J Williams Doonan, MD Recognize and evaluate encephalopathy in newborns. Describe the utility of brain MRI and EEG for diagnosis and prognosis in neonatal encephalopathy. Identify treatments available for neonatal encephalopathy. 11:40am- 12:30pm Lunch, Visit with Sponsors Lunch sponsored by Children s Hospitals and Clinics of Minnesota CONCURRENT SESSION C C1. Best Practices in Banked Human Milk Administration Janelle R. Samuelson, RN, BSN, MBA Identify common indications for banked human milk administration while in the hospital setting. List the steps associated with systematizing banked milk availability. Describe the benefits of banked human milk in terms of infant health, breastfeeding establishment and community acceptance. 12:30 1:30pm C2. Hot Topics in Fetal Monitoring Laura A. France, MD Categorize fetal tracings. Develop action plans depending on fetal tracing. Communicate findings to others. C3. Neonatal Nuggets: What Every Non-Neo Needs to Know Jeanne D. Mrozek, MD List trends leading to increased NICU days. Discuss common NICU diagnoses. Explain long-term outcomes of NICU graduates.

CONCURRENT SESSION D D1. Opioid Addiction and Dependency in Pregnancy Amy E. Langenfeld, MS, RN, PHN, APRN, CNM, SANE-A Discuss rates and trends of opioid addiction in Minnesota. Review opioid addiction and dependency in the obstetric patient. List interventions and treatment modalities for the pregnant opioid addict 1:40 2:40pm D2. Management Considerations for the Opioid Exposed Woman in Labor and Delivery Jane A. Sublette, MS, RN, CNM, WHNP-BC Describe opioid-associated risks to the mother and fetus with labor management implications. Explain rationale for opioid-assisted therapy for pregnant women who are challenged with addiction. Discuss pain management strategies for mothers who may be dependent on opioids D3. Neonatal Abstinence Syndrome: Inpatient and Outpatient Care Barbara Symalla, RN, CNS and Lorraine C. Victor, MS, APRN-CNP Identify signs and symptoms of Neonatal Abstinence Syndrome. Discuss withdrawal symptoms to discuss with families prior to discharge. Discuss important principles of safe at home care of the infant with Neonatal Abstinence Syndrome. 2:40 3:00pm 3:00-4:00pm Break, Visit with Sponsors Break sponsored by Mallinkckrodt Pharmaceuticals PLENARY SESSION III Opioid Panel Discussion Dana M. Farley, MS, BA ; Amy E. Langenfeld, MS, RN, PHN, APRN, CNM, SANE-A; Jane A. Sublette, MS, RN, CNM, WHNP-BC; Barbara Symalla, RN, CNS; Lorraine C. Victor, MS, APRN-CNP Identify current state and national trends in opioid abuse and Neonatal Abstinence Syndrome. Discuss the medical, social, and economical impact of opioid abuse and Neonatal Abstinence Syndrome to patients, family members and the community. Discuss processes/resources for treatment and referrals. Purpose & 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.

Speakers (in alphabetical order) DANA M. FARLEY, MS, BA; Alcohol & Drug Prevention Policy Director, Minnesota Department of Health LAURA A. FRANCE, MD; Medical Director, Certified Nurse Midwives, HealthEast SIXTO F. GUIANG, MD; Assistant Professor of Pediatrics, University of Minnesota SANDRA L. HOFFMAN, MS, RNC-EFM; Clinical Practice Coordinator-Masters, Mother Baby Center of Abbott Northwestern and Children s Hospitals and Clinics of Minnesota DANIEL V. LANDERS, MD; Professor, Vice Chair and Maternal-Fetal Medicine Division Director, University of Minnesota Medical School AMY E. LANGENFELD, MS, RN, PHN, APRN, CNM, SANE-A; Indian Health Board of Minneapolis, Inc; West Side Community Health Services; Amy E Langenfeld Consulting, LLC; MPO Board of Directors ANNE-CECILE N. MALLE-BARLOW, APRN, CRNA; Northwest Anesthesia AMANDA M. MOEN, MD; Pediatric Neurologist, Gillette Children s Specialty Healthcare JEANNE D. MROZEK, MD; Medical Director, Children s Hospitals and Clinics of Minnesota JANELLE R. SAMUELSON, RN, BSN, MBA; Clinical Programs Manager, Allina Health STEVEN K. SHAMA, MD, MPH, FAAD; Principle, JoyWorks Communications JANE A. SUBLETTE, MS, RN, CNM, WHNP-BC; Advance Practice Nurse Leader, Fairview Ridges Hospital BARBARA SYMALLA, RN, CNS; Clinical Nurse Specialist, Children s Hospitals and Clinics of Minnesota NICOLE J. WILLIAMS DOONAN, MD; Pediatric Neurologist, Gillette Children s Specialty Healthcare LORRAINE C. VICTOR, MS, APRN-CNP; Neonatal Nurse Practitioner, Children s Hospitals and Clinics of MN General Information Registration fee includes admission to all sessions, conference syllabus, meals and refreshments, and access to exhibits, as well as meeting materials for continuing education certification. A Concurrent Session Schedule, based on your registration form selections, will be in the packet you receive during on-site conference registration. Register early to ensure placement in the sessions of your first choice. Registrations are confirmed via email. In an effort to reduce waste, be environmentally-aware, and decrease costs, MPO is taking the following steps: 1) Handouts will be posted on our website two weeks prior to the conference. Participants are welcome to print handouts to bring to the conference. Those wishing to have handouts provided by MPO will be charged $20. Please indicate on your registration form if you wish to purchase handouts. 2) We have transitioned to an electronic distribution system. Participants are asked to include an email address for distribution of reminders and the brochure. 3) Evaluations and continuing education certificates will be completed online via the MPO website. Continuing education certificates will not be distributed at the conference. All registrations must be accompanied by a check payable to MPO and postmarked on or before October 24, 2016. You may also register via the EventBrite link on our website www.minnesotaperinatal.org/education by October 24, 2016. A refund, minus a $30 processing fee, will be given if notice of cancellation is received on or before October 24, 2016; cancellations after this date and no-shows will not be refunded. Substitutions are welcome. You may register after the cut-off date via our website or at the conference, but there will be a late fee of $20 in addition to the usual registration fee.

A block of rooms has been reserved at the DoubleTree by Hilton Bloomington-Minneapolis South. Room rates start at $135.00 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 Tuesday, October 11, 2016. You may register by phone: 800-222-TREE (or 952-835-7800 and ask for the IN- HOUSE reservation department) be sure to identify yourself as a participant of Minnesota Perinatal Organization or via our personalized Room Reservation Link. Guest room check in is 3:00pm; check out is 12:00pm. As meeting room temperatures vary throughout the day, we recommend you dress in layers for your comfort. 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. Planning Considerations & Disclosure Policy Content considerations and the selection of speakers are the responsibility of the Planning Committee. 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 / Continuing Education Information Nurses - This educational offering is designed to meet MN Board of Nursing requirements for up to 8.4 contact hours (1.2 hours on Tuesday, 7.2 hours on Wednesday). Physicians - Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. 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.

2016 Planning Committee Andrea Bailey, MHA, BSN, RN, CPHRM; Minnesota Hospital Association Jill Bauer, MA, RN; Children's Hospitals and Clinics of MN Susan Boehm, RN, MS; Optum Lynn Carpentier, BS; Gillette Children's Specialty Center Adele Clobes, JD, APRN, CNM; Regions Hospital Melissa Enger; Medela, Inc. Tom George, MD; MHealth Bonnie Hansen; Minnesota Perinatal Organization Amanda Hedin, MBA; Mother Baby Center, Abbott Northwestern & Children s Hospitals & Clinics of MN Sandy Hoffman, MS, RNC-EFM; Mother Baby Center, Abbott Northwestern & Children s Hospitals & Clinics of MN Sarah Huffman, RN, BAN; Fairview Southdale Hospital Tess Jentink, RN, BSN, PHN; Minnesota Perinatal Physicians Liv Kittelson, RN; Fairview Ridges Hospital Cindy Koslowski, FNP, MBA, MSN, RN; MHealth Amy Langenfeld, MS, RN, PHN, APRN, CNM, SANE-A; Indian Health Board of Minneapolis, Inc. Rich Lussky, MD Shari Miller, BA/Six Sigma and Project Management Certified; MHealth Jeanne Mrozek, MD; Children's Hospitals and Clinics of Minnesota Minneapolis Campus Tony Pelzel, MD; HealthEast Rice Street Clinic Deb Peters, CNNP; Essentia Health Duluth Jeanette Schwartz, RNC, MA; HealthEast Kris Scott, RNC, BSN, IBCLC; Allina Home Health Heather Swanson, MD; CentraCare Health Paynesville Join the Planning Committee Would you like to help plan the 2017 MPO Fall Conference? Do you have ideas, contacts, speaker suggestions, etc. that you would like to share? All are welcome. The next Planning Committee meeting is December 13 th from 11:30am-1:00pm at Children's Specialty Center, Room 506, 2530 Chicago Ave S, Minneapolis, MN 55404. Park in the green ramp, then take the ramp elevator to the second level and enter the building. Take the clinic elevator to level 4. Those unable to attend in-person are welcome to utilize our conference call line: Phone# 612-215-9437 Password: 12345. MPO Planning Committee members pay a reduced conference fee. Please contact Bonnie Hansen at 320-290-4909 or info@minnesotaperinatal.org if you are interested in attending the planning session or have ideas for us to work from.

Registration Form All registrations must be postmarked on or before October 24, 2016. MAKE CHECK FOR CONFERENCE FEES PAYABLE TO: MPO MAIL TO: MPO, 18024 Turtle Court, Cold Spring MN 56320 REGISTER ONLINE: www.minnesotaperinatal.org credit cards welcome For additional information call Bonnie at 320-290-4909 or email: info@minnesotaperinatal.org Enclosed find $ for day(s). See fee schedule below. Name: Credentials: Affiliation: Field (please circle): Inpatient Outpatient -- OB L&D NICU Other Preferred Mailing Address: Phone: Email: Special needs (dietary restrictions, space requirements, etc.) Standard Registration $175 Fee Schedule Full Time Student $100 Planning Committee Member $100 Handouts $20 Indicate the Concurrent Sessions that you wish to attend by filling in the session number below; session sizes may be limited. You will be notified of session assignment at the conference. Concurrent Session A: 1st choice Concurrent Session C: 1st choice Concurrent Session B: 1st choice Concurrent Session D: 1st choice Our sponsors ask to receive a list of participants (includes name and affiliation only) before the conference. Contact the Conference Coordinator if you prefer not to be listed. Photography/Video: PLEASE NOTE: Casual audience photographs and/or video may be taken and utilized for marketing purposes. By nature of your attendance, you are granting permission for your image to be used for our internal promotion as we see fit.

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Directions & Contact Information DoubleTree By Hilton Bloomington Minneapolis South 7800 Normandale Boulevard Minneapolis, MN 55439 From Duluth and the North Take Interstate 35W South to Highway 62 West. Take Highway 100 South to Industrial Boulevard and the hotel is located on the right. From Des Moines and the South Take 35W North to Interstate 494 West and then to Highway 100 North. Exit at Industrial Boulevard, go west to Normandale Boulevard, turn South and the hotel will be located on the right. From Eau Claire and the East From the airport, take I-494 West and exit at Highway 100 North. Exit at Industrial Boulevard, go west to Normandale Boulevard, turn South and the hotel will be located on the right. From St. Cloud and the West Take I-494 South to Highway 100 North. Exit at Industrial Boulevard, go west to Normandale Boulevard, turn South and the hotel will be located on the right. From Minneapolis-St. Paul International Take I-494 West and exit at Highway 100 North. Exit at Industrial Boulevard and the hotel will be located directly off of the exit Distance from Hotel: 7 miles Drive Time: 15 minutes From Flying Cloud Airport Take Flying Cloud Drive to I-494 East to 100N to Industrial Blvd Exit and turn right. The hotel will be on the left side of the road. Distance from Hotel: 8 miles Drive Time: 15 minutes From St. Paul Downtown Holman Field Take Hwy 52 South to I-494 West to Hwy 100 N. Exit on Industrial Blvd and turn right. The hotel will be on the left side of the road. Distance from Hotel: 19 miles Drive Time: 25 minutes