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COURSE DESCRIPTION:
This intermediate-advanced course will provide a systems-based approach to assess the premature/medically complex infant in the NICU/PICU setting. This course will focus on understanding the co-morbidities associated with prematurity and medically complex infants and increase critical reasoning skills for the clinician to create treatment plans to advance motor and feeding skills for the infant. It will build on information provided during the “Baby Beats and Breaths” course but can be a stand-alone course for advanced clinicians working with medically complex infants. This course will provide the clinician with hands-on treatment techniques for positioning/handling infants in the Small Baby unit (infants under 32 weeks gestation), oral motor interventions to support pre-feeding/feeding development, edema management including lymphatic facilitation, post-surgical considerations for infants, trunk facilitation to support cough development, extremity facilitation to support ribcage development, pelvic floor activation for stooling, abdominal facilitation for infants with GI complications, scar assessment/treatment, and feeding techniques for infants with multi-system co-morbidities.
LEARNING OBJECTIVES:
- Identify three anatomical and kinesiological developmental changes for the premature and newborn thoracic and abdominal cavity as related to motor development for oral feeding and postural control
- Apply at least two positioning/handling interventions for small babies, with focus on interventions for infants 28 weeks and younger
- Identify three neurological and gastrointestinal co-morbidities of prematurity (including anatomical changes post-surgical interventions for necrotizing enterocolitis) and the effects those co-morbidities have on feeding/motor development for the infant
- Differentiate the lymphatic system of the premature infant from that of the full-term infant and how those differences affect feeding skills
- Assess infant edema within face, extremities, and trunk using objective measurements
- Apply two treatment strategies with positioning, handling and edema management using the provided case study
- Integrate a systems approach to a current individualized care plan for a premature and/or medically complex infant
AUDIENCE:
This course is recommended for intermediate to advanced neonatal therapists, PTs, PTAs, OTs, OTAs, and SLPs, working with infants in the Neonatal Intensive Care Unit.
To receive a certificate of completion all registered attendees are required to attend and participate fully in all applicable course activities (i.e., labs, discussions, group work, polls, post-tests with passing grade of 80% or greater etc.) and complete the evaluation form.
Speech Language Pathologists must report their ASHA participant form within seven days of course completion. Fill out the form on our website, and ERI will submit your information for you.
SCHEDULE:
Schedule – Day 1
- Updates in Literature
-Resources and References, GI, Neuro, Feeding, Sleep safe, Evidence-based Outcomes, Renal, Oral Motor
- Typical Development of Premature Infant
-Anatomy and Kinesiology of trunk, extremities, and oral cavity
- NICU Admissions
-A Systems Perspective
- Small Baby Unit
-Neonatal Therapy Interventions
-Evidence Based Practice for Infant Driven Care, Neurodevelopmental/Neuro Protective Care, Sleep Protection
-Handling/Protection for Skin protection
-STOP Approach
-Core Concepts – Side lying
Schedule – Day 2
- Core Concepts Continued
Manual Techniques and positioning
Prone, Supine, Flexion Swaddling, Developmental Diapering and family support. Positioning Considerations for medically fragile neonate
- Metabolic Bone Disease (MBD)
Boney development and cycle and Application to clinical practice
LAB
- Oral Sensory Motor Development
Review of gestational development of oral skills. Oral Cares and evidence-based practice
Manual Techniques for Oral Motor Development
Advancing to pacifier and milk drops
Environmental modifications
- Oral Feeding
-SPIN program Feeding Dyad, Assessing readiness and cues.
-Strategies for Oral Motor interventions
-Bottle selection and considerations
-Postural support and positioning
-Oral motor supports and treatment interventions
-Atypical Feeding
-GI Development and considerations
-Intro to NEC and Chart Reviews
Schedule – Day 3
- NEC/LAB Lecture GI Considerations
-Critical Reasoning and chart reviews
-Line management, TMJ mobilizations, stool facilitation, controlled oral feeding, surgical plans, scar assessment and wound healing, scar mobilizations, MFR, facilitating movement. Foot reflexology
- Nutritional Considerations and Positioning options to support GI
-LAB Positioning, burping techniques, considerations for thickening feeds, tech for stooling
- Abdominal Wall Defects
-Gastroschisis, Omphalocele
-Strategies and Surgical outcomes
-Therapy assessment and treatment
-Abdominal Facilitation Lab demo
-Lit Review
- Neurological System
-Review of PVL, IVH, Cerebellar Hemorrhage, hydrocephalus
- LAB for premature infants with Brain injuries
-Motor facilitation and postural control
Schedule – Day 4
- Oral Motor Facilitation for “Term” babies, with Brain injury
-Alignment and Support for feeding
- Hypoxic Ischemic Encephalopathy (HIE)
-Equipment, Monitoring, complications, clinical and oral feeding considerations
- Skeletal System
-Arthrogryposis
-Hip Dysplasia
-Osteogenesis imperfecta-
- Cardiopulmonary System
-Fetal vs Newborn circulation and Anatomy
-Preterm vs Term
-Impacts on Chest Wall development
-CHD Types and screenings
-Surgical Options, precautions, addressing scar tissue, Red Flags
-Outcomes and Developmental Care
-Case Studies
-Post surgical Oral Feeding outcomes
- Lymphatic and circulation System
-Development, assessment, management, clinical reasoning, contraindications
-LAB Extremity Sequences, face sequence for fluid movement
- Goal Writing/Charting/Documentation and closing
- Post-test
Holly Schifsky, OTR/L, CNT, NTMTC, CBIS, CLT has worked in pediatrics for the past 30 years with the past 19 years in a level IV NICU. She is a Certified Neonatal Therapist, Certified Neonatal Touch and Massage Therapist, Certified Brain Injury therapist, a member of National Association of Neonatal Therapists, and has completed 6-month mentorship in infant/child NDT.
She has worked within the NICU and NICU follow-up clinic to maximize patient and family outcomes for the most complex premature and medically-fragile term infants. Holly received her BS in OT from the University of North Dakota. She is a faculty member for the Neonatal Touch and Massage certification; and Manuel Edema Mobilization training. She is the recipient of the National Association of Neonatal Therapists Clinical Excellence award in 2018, due to her clinical expertise and dedication to advancing the therapeutic interventions for NICU infants with cardiopulmonary conditions.
Financial Disclosure: Holly Schifsky receives an honorarium from Education Resources, Inc.
Non-Financial Disclosure: Holly Schifsky has no relevant non-financial relationships to disclose.
Once you purchase an online course you will have access to the course materials. If you have purchased this course, please ensure you have logged in to your account in order to take the exam.
Once you purchase an online course, you will have the opportunity to take an exam to test your retention of the material. If you have purchased this course, please ensure you have logged in to your account in order to take the exam. The exam must be completed with a pass rate of 80% or more in order to receive your certificate of attendance.
This course meets the criteria for 15.5 contact hours (1.55 CEUs) Intermediate Level.
If your state is not listed below and you have three or more therapists interested in attending, please contact us at info@educationresourcesinc.com or call 800-487-6530 to speak with a team member. We will review whether approval can be obtained for your state.
To receive a certificate of completion all registered attendees are required to attend and participate fully in all applicable course activities (i.e., labs, discussions, group work, polls, post-tests with passing grade of 80% or greater etc.) and complete the evaluation form.
AOTA – American Occupational Therapy Association
AOTA - Education Resources Inc. is an AOTA Approved Provider of professional development. Course approval ID#02868. This Distance Learning-Independent course is offered at 15.5 contact hours 1.55 CEUs. (Intermediate level, OT Service Delivery). AOTA does not endorse specific course content, products, or clinical procedures.
NBCOT - This course can be used toward your NBCOT renewal requirements for 15.5 units.
FL OT - Approved provider of the FL Board of Occupational Therapy-CE Broker – 18.5 hrs. This course meets the approval of the TX Board of OT Examiners.
ASHA – American Speech-Language-Hearing Association
ASHA - ASHA CE Provider (Intermediate level) 1.55 ASHA CEUs. ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures. SLPs that require ASHA must submit your ASHA participant form to ERI. (add link)
TX SLP - ASHA credits are accepted by the Texas Department of License and Renewal.
PT – Physical Therapy by State
MD PT - Approved by the Maryland Board of Physical Therapy Examiners.
MN PT - Application has been made to the Minnesota Board of Physical Therapy.
NJ PT - Approved by the New Jersey Board of Physical Therapy Examiners.
IL PT - Approved sponsor by the State of Illinois Department of Financial and Professional Regulation for Physical Therapy for 18.5 contact hours.
ILEI - The Illinois Early Intervention Training Program has approved this event for 15 hours of EI credential credit in the area of Intervention.
NY PT - Approved provider by the New York State Board of Physical Therapy for 18.5 contact hours (1.85 CEUs).
Education Resources, Inc. is an approved provider for Physical Therapy CEUs in the following states: CA, NM, OK, TX and the assignment do not imply endorsement of specific course content, products, or clinical procedures for these.
The following state boards of physical therapy accept other states’ approval: AK, AR, AZ, DC, DE, GA, HI, ID, IN, KS, KY, MA, MI, MO, MS, NC, OR, PA, RI, SC, UT, VA, VT, WI, WY. The following state boards of physical therapy either do not require course pre-approval or do not require CEUs for re-licensure: AL, CO, CT, IA, ME, MT, NE, ND, NH, SD, WA.
NDTA - 12 hours of this course qualify towards the discipline-specific hours for the 20-hour requirement for NDTA re-certification. They do NOT qualify towards the 8-hour NDTA Instructor requirement for re-certification.
NTNCB - This course meets the criteria for 15.5 hours that can be applied toward the Neonatal Therapy National Certification.
Education Resources Inc. 266 Main St, Suite 12, Medfield, MA 02052 • 800-487-6530
