APGNN Program
Friday, November 5 -Saturday, November 6

Friday, November 5

7:30 AM–8:00 AM Breakfast and welcome
  Sharon Perry, CPNP, Rainbow Babies and Children's Hospital

8:00 AM-9:00 AM Session I: Keynote and business meeting
  8:00 AM Keynote: Keeping calm during COVID
  Robin Shannon, PNP, University of Minnesota Children's Hospital
  Learning objectives
  • Identify stressors to nursing during the COVID-19 pandemic
  • Understand the use of hypnotherapy within the nursing role
  • Identify techniques nurses can use during times of stress
  8:30 AM Business meeting: APGNN year in review
  Teresa Carroll, MSN, RN, APRN, PGNA Las Vegas/APGNN President

9:00-10:00AM Session II: Enteral tubes
  9:00 AM Update on the NOVEL Project
  Beth Lyman, MSN, RN, CNSC, Children's Mercy Kansas City and Rose Pauley, APRN, MS, Boys Town Hospital
  Learning objectives
  • Provide overview of the “New Opportunities for Verification of Enteral Tube Location Project”
  • Review evidence-based practice for nasogastric tube placement
  • Identify provider and family education materials
  9:30 AM Enteral tubes 101
  Macy Carobene, MS, RN, CPNP-BC, Children's Hospital At Montefiore
  Learning objectives:
  • Review types of enteral tubes available for pediatric patients
  • Discuss management of enteral tubes
  • Identify troubleshooting techniques for problem tubes
10:00 AM-10:30 AM Committee meetings and break

10:30 AM-12:00 PM Session III: Inflammatory bowel disease
  10:30 AM The state of inflammatory bowel disease
  Jonathan Moses, MD, Rainbow Babies and Children's Hospital
  Learning objectives:
  • Review the latest treatments in IBD
  • Review model care guidelines for standardizations of care
  • Discuss the interdisciplinary team approach to care of the IBD patient
  11:00 AM The use of biosimilars in pediatric IBD: What you need to know?
  Ross Maltz, MD, Nationwide Children's Hospital
  Learning objectives:
  • What are biosimilar agents
  • Explore the place of biosimilar agents in Pediatric IBD
  • Review data on switching to a biosimilar agent
  11:30 AM Mental health screening in IBD patients
  Michele Maddux, PhD, Children's Mercy Hospital and Clinics
  Learning objectives:
  • To highlight targets of mental health screening most relevant to pediatric IBD
  • To describe implementation of mental health screening during in-person visits and telemedicine, using specific examples from multidisciplinary care models
  • To review key barriers to mental health screening and sustainable ways to incorporate screening into clinical workflow
  • To highlight impact of COVID on mental health among youth, using medical and mental health claims data

12:00 PM-1:30 PM Lunch and Poster Session

1:30 PM-3:00 PM Session IV: Motility
1:30 PM Approach to the pediatric patient with chronic nausea
Kataja Kovacic, MD, Children's Wisconsin
Learning Objectives
  • Identify causes for nausea in the pediatric patient
  • Review ROME IV criteria used to diagnose functional nausea
  • Discuss pharmacologic and nonpharmacologic treatments for functional nausea
2:15 PM Treatment options for intractable constipation
Kim Osborne, DNP, RN, CPNP-PC, Nationwide Children’s Hospital
Learning objectives:
  • Educate on use of transanal irrigations (TIA) and antegrade colonic enemas (ACE)
  • Discuss use of biofeedback for treatment of constipation

3:00 PM-4:15 PM Session V: Aerodigestive and feeding
3:00 PM Trans-nasal endoscopy
Ramy Sabe, MD, University Hospital of Cleveland
Learning objectives:
  • Describe the procedure of trans-nasal endoscopy
  • Review diagnostic benefits of trans-nasal endoscopy for different populations
3:30 PM Updates in thickening: The IDDSI framework
Kara Larson, MS, CCC-SLP, Boston Children's Hospital
Learning objectives:
  • Review the rationale for thickening in patients with aerodigestive disorders
  • Discuss the new guidelines for thickening per the International Dysphagia Diet Standardization Initiative (IDDSI)
  • Learn how to implement the IDDSI testing method in clinical practice
4:00 PM Blenderized enteral feeds: Safety and outcomes
Mimi Girten, RD, LDN, FAND, Children's Hospital of Philadelphia
Learning objectives:
  • Provide overview of blenderized feeding principles
  • Review safety and outcomes of using blenderized enteral feeding in pediatric patients

4:30 PM-5:00 PM APGNN Awards and presentations

6:00 PM APGNN Social event
Saturday, November 6

8:00 AM–8:30 AM Breakfast and welcome

8:30 AM-10:00 AM Session VI: Management of the special needs child
  8:30 AM Constipation management in the patient with special needs
  Kent Williams, MD, Nationwide Children's
  Learning objectives:
  • Discuss the approach to management of constipation in the child with autism
  • Identify pharmacologic and nonpharmacologic treatment options
  9:00 AM Feeding evaluation in the patient with special needs
  Ajay Kaul, MD, Cincinnati Children's Hospital
  Learning objectives:
  • Review approach to feeding evaluation in patients with special needs
  • Discuss diagnostic testing used in pediatric feeding evaluations
  9:30 AM Nutrition management in the patient with special needs
  Kristi L. King, MPH, RDN, CNSC,LD, Texas Children's Hospital
  Learning objectives:
  • Review difference in caloric and RDI requirements in special needs patients
  • Discuss tools used to identify malnutrition
  • Discuss appropriate means of nutrition supplementation

10:00 AM-12:00 PM Session VII: Hepatology
  10:00 AM Hepatitis overview
  Rima Fawaz, MD, Yale University
  Learning objectives:
  • Discuss differences between Hepatitis A, B, and C
  • Review work up necessary to diagnose
  • Review treatments available for Hepatitis
  10:30 AM Inherited liver disease
  Norberto Rodriquez-Baez, MD, UT Southwestern
  Learning objectives:
  • Review basics of inherited liver disease
  • Discuss diagnostic work up
  • Discuss treatments available
  11:00 AM Diagnosis and treatment of NAFLD   Debra Browne, CPNP, Children's Hospital of Los Angeles
  Learning objectives:
  • Review pathophysiology of NAFLD
  • Discuss criteria for NAFLD and diagnostic testing
  • Provide treatment overview of NAFLD
  11:30 AM Nutritional treatment for NAFLD
  Paula Mrowczynski-Hernandez, MEd, RD, CSSD, Children's Hospital of Los Angeles
  Learning objectives:
  • Review the impact of nutrition on NAFLD treatment
  • Highlight the key nutritional interventions for pediatric patients with NAFLD

12:00-2:30 PM Lunch and poster session

2:30-6:30 PM NASPGHAN concurrent sessions