Session Type: Skills Lab

Enteral Nutrition Skills Lab (M21)

Skills Lab

Date & Time:

March 24, 2025

10:30 AM – 12:30 PM ET

Format:

In Person

CE Credits:

2 Hours

UAN: JA0002345-0000-25-045-L99-P

Course level:

Basic

Register for In Person Session
session objectives:

What You'll Learn

Managing the placement, care, and monitoring of long-term enteral access devices can be challenging given the complexities of these processes. Clinicians often have limited experience in the important aspects of enteral access devices. This session will address knowledge gaps through hands-on demonstrations and interactive discussions. Participants can move among stations with topics including feeding access, device care and complication management, feeding tube removal, and transitioning from hospital to home.

 

LEARNING OBJECTIVES

  • Determine appropriate enteral access.
  • Prevent and manage complications associated with enteral tubes and enteral nutrition.
  • Execute safe enteral nutrition discontinuation.

Topics & Presenters

Enteral Feeding Access

Shirley Paski
MD, MSc, FRCPC, CNSC

Gastroenterologist

Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic

Cleveland, OH

Enteral Tube Care

Martha Hagenbrock
MS, APRN, CNP, CNSC

Nurse Practitioner

Home Parenteral and Enteral Nutrition, Mayo Clinic

Rochester, MN

Enteral Tube Complication Management

Linda Lord
NP, ACNP-BC, CNSC

Nutrition Support Nurse Practitioner

Adult Outpatient Nutrition Support Clinic, University of Rochester Medical Center

Rochester, NY

Adult Enteral Feeding Tube Removal Guidelines and Aftercare

Lisa Epp
RDN, CNSC, LD, FASPEN

Home Enteral Nutrition Coordinator

Mayo Clinic

Rochester, MN

Adult Enteral Feeding Tube Removal Guidelines and Aftercare

Lisa Miller
RDN, LD, CNSC

Home Enteral Nutrition Coordinator

Mayo Clinic

Rochester, MN

Transitioning Enteral Nutrition From Hospital to Home

Cynthia Reddick
RD, CNSC

Home Tube Feeding Expert, Educator and Strategist

Home Enteral Nutrition Consultant

Sacramento, CA

Moderators:

Hailey Wilson

MS, RD, CSO, CNSC

Clinical Dietitian III

Medical Nutrition Therapy, Fred Hutchinson Cancer Center

Seattle, WA

Carol Ireton-Jones

PhD, RDN, LD, CNSC, FASPEN, FAND

Nutrition Therapy Specialist

Good Nutrition for Good Living

Carrollton, TX

Pediatric Skills Lab (SU36)

Skills Lab

Date & Time:

March 23, 2025

1:30 PM – 3:30 PM ET

Format:

In Person

CE Credits:

2 Hours

UAN: JA0002345-0000-25-031-L99-P

Course level:

Basic/Intermediate

Pediatric Content

Register for In Person Session
session objectives:

What You'll Learn

DESCRIPTION

This hands-on and interactive session addresses knowledge gaps for individuals who wish to delve deeper into challenges associated with pediatric nutrition support. Building on foundational knowledge, speakers will present information that provides the scaffolding to expand expertise through the discussion of complex clinical situations. Participants can move among stations covering a variety of topics that will help them create individualized nutrition support plans in challenging circumstances.

LEARNING OBJECTIVES

  • Prescribe parenteral nutrition (PN) for neonates in the face of clinical challenges of complex patients in the NICU.
  • Discuss the indications for pediatric enteral formulas in complex clinical scenarios, the transition process, and strategies for shortage management.
  • Summarize the characteristics, features, preparation, and possibility for contamination for human milk fortification and commercial high-calorie pediatric enteral formulas.
  • Manage fluids, electrolytes, and nutritional needs in neonates.
  • Identify central venous access devices (CVADs) commonly used with PN in pediatric patients.
  • Identify enteral access devices (EADs) commonly used with enteral nutrition (EN) in pediatric patients.
  • Identify common gastrostomy site skin complications and develop management strategies based on clinical evaluation.
  • List the components of a nutrition focused physical exam (NFPE).
  • Discuss the safety of the clinical practice of nutrition support prescribing, particularly during transitions of care, and ensure nutrition support ordering practices meet all federal, state, and local standards.
  • Describe the interpretation of micronutrient monitoring with an emphasis on dosing for treatment and prevention of deficiencies.
  • Evaluate muscle status changes in response to nutritional therapy utilizing point of care ultrasound (POCUS) in NFPE.
  • Explain the advantages and challenges of the implementation of small-bore connectors to prevent enteral misconnections.
  • Summarize the concepts of intestinal rehabilitation and the various methods used to facilitate reaching intestinal autonomy.

 

Topics & Presenters

Pediatric Enteral Nutrition: Choosing and Managing Appropriate Devices

Ruba Abdelhadi
MD, CPNS, CNSC, NASPGHAN-F

Professor of Pediatrics

University of Missouri-Kansas City School of Medicine

Director of Nutrition Support

Children's Mercy Kansas City

Kansas City, MO

Pediatric Enteral Nutrition: Choosing and Managing Appropriate Devices

Richard J. Hendrickson
MD, FACS, FAAP

Professor of Surgery

University of Missouri-Kansas City School of Medicine

Surgical Director, Small Intestine Rehabilitation; Surgical Director, Prenatal Consultation

Department of General and Thoracic Surgery, Children's Mercy Kansas City

Kansas City, MO

Neonatal Nutrition Challenges and Parenteral Nutrition Order Writing in the Face of Clinical Challenges

Teresa Puthoff
PharmD, BCNSP

Advanced Patient Care Pharmacist

Neonatal Intensive Care Unit, Nationwide Children’s Hospital

Columbus, OH

Pediatric Enteral Formulas: Not All Formulas Are Created Equal – Choosing Wisely in the Face of Medical Complexity

Elizabeth Bobo
MS, RD, LDN, CNSC

Clinical Dietitian Lead

Nemours Children’s Health

Jacksonville, FL

Choices in the Face of Challenges: Human Milk, Formulas, and Higher Calorie Preparations

Irmalis Flores Gonzalez
RD, LD, MS

Registered Dietitian

Division of Nutrition Therapy, Cincinnati Children’s Hospital Medical Center

Cincinnati, OH

Choices in the Face of Challenges: Human Milk, Formulas, and Higher Calorie Preparations

Anna Busenburg
RD, LD, CSP, CLC

Nutrition Affairs Manager

American Dairy Association Mideast

Columbus, OH

Fluid, Electrolyte, and Nutrition Challenges in the First Week of Life and Neonatal Period: Integrating the Neonatal Malnutrition Guidelines Into Clinical Practice

Jacqueline Wessel
MEd, RDN, CNSC, CSP, CLE

Neonatal Surgical Nutritionist

Cincinnati Children’s Hospital Medical Center

Cincinnati, OH

Central Venous Access Devices and Troubleshooting Recurrent Line Infections

Patrice Czerkawski
RN, BSN

Clinical Nursing Coordinator

Intestinal Rehab Program, Children's Mercy Kansas City

Kansas City, MO

Gastrostomy Site Problems: Solving Clinical Challenges in Skin Management

Melissa Naugle
RN, BSN

Clinical Nurse Coordinator

Enteral Access Team, Children's Mercy Kansas City

Kansas City, MO

Nutrition Focused Physical Examination

Sirine Belaid
MBBS, MPH, Med

Pediatric Gastroenterologist

Division of Gastroenterology, Hepatology, and Nutrition, Children’s Hospital of Pittsburgh

Pittsburgh, PA

Nutrition Focused Physical Examination

Meera Al-Rajabi

High School Student Volunteer

The Barstow School

Kansas City, MO

The Transcription of the Infusion Pharmacy Label to an Inpatient Pediatric Parenteral Nutrition Ordering System

Brandi Weller
PharmD, BCNSP

Clinical Pharmacy Specialist

Children's Mercy Kansas City

Kansas City, MO

The Interpretation of Micronutrient Levels, Monitoring, Dosing, and Prevention of Deficiency

Michele Spurlock
RD

Clinical Dietitian

Pediatric Critical Care, Children's Hospital of the King's Daughters

Norfolk, VA

The Use of Point of Care Ultrasound (POCUS) in Nutrition Focused Physical Examination

Corey Hawes
DCN, RD, CNSC, CSO, LD

Pediatric Hematology/Oncology Dietitian

DanceBlue Pediatric Hematology/Oncology, Kentucky Children’s Hospital

Clinical Assistant Professor

The University of Texas Rio Grande Valley

Lexington, KY

Small-Bore Connectors: The Benefits, Indication, Design, Successful Transition, and Implementation

Ben Davis

Executive Director

Global Enteral Device Supplier Association (GEDSA)

Woodstock, GA

Small-Bore Connectors: The Benefits, Indication, Design, Successful Transition, and Implementation

Beth Lyman
MSN, RN, CNSC, FASPEN, FAAN

Nutrition Support Nurse Consultant

Private Practice

Kansas City, MO

Small-Bore Connectors: The Benefits, Indication, Design, Successful Transition, and Implementation

Molly Yeselson

Patient Advocate; ENFit Clinical Advisory Board Member

Global Enteral Device Supplier Association (GEDSA)

Washington, DC

The Art of Intestinal Rehabilitation: Dotting the I’s and Crossing the T’s During the Journey to Enteral Autonomy

Vikram Raghu
MD, MS

Assistant Professor of Pediatrics

Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh School of Medicine

Pediatric Gastroenterologist and Transplant Hepatologist

UPMC Children's Hospital of Pittsburgh

Pittsburgh, PA

Moderators:

Ruba Abdelhadi

MD, CPNS, CNSC, NASPGHAN-F

Professor of Pediatrics

University of Missouri-Kansas City School of Medicine

Director of Nutrition Support

Children's Mercy Kansas City

Kansas City, MO

Basic Skills in Parenteral Nutrition Management – Skills Lab B (SU21)

Skills Lab

Date & Time:

March 23, 2025

10:30 AM – 12:00 PM ET

Format:

In Person

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-026-L99-P

Course level:

Basic

Register for In Person Session
session objectives:

What You'll Learn

DESCRIPTION

This hands-on and interactive session addresses knowledge gaps for individuals who wish to delve deeper into challenges associated with parenteral nutrition support. Participants can move among stations to hear the latest practices, research, and guidelines to enhance clinical practice skills. Speakers will present information using case studies and focused, interactive presentations.

This skills lab will have two sessions: Part A and Part B. Topics covered in Part B include fluid assessment and sodium homeostasis, calcium and phosphorus balance, patient assessment, PN order writing, and access devices.

LEARNING OBJECTIVES

  • Analyze differences in nutrient dosing and utilization based on clinical condition.
  • Identify assessment and treatment strategies to manage electrolytes in parenteral nutrition patients.
  • Create a safe parenteral nutrition formulation per compound and stability limits.

 

Topics & Presenters

Fluid Assessment and Sodium Homeostasis In Parenteral Nutrition Patients

Rina Patel
PharmD, BCNSP, FASPEN

Clinical Pharmacy Specialist - Critical Care / Nutrition Support

The University of Texas MD Anderson Cancer Center

Sugar Land, TX

Walking the Tightrope: Balancing Calcium and Phosphorus in the Parenteral Nutrition Patient

M. Petrea Cober
PharmD, BCNSP, BCPPS, FASPEN

Professor of Pharmacy Practice

Northeast Ohio Medical University, College of Pharmacy

Director of Professional Development

Office of Education, Northeast Ohio Medical University, College of Pharmacy

Rootstown, OH

Patient Assessment: A Focus on Patient Specific Considerations and Parenteral Nutrition Components

Jacob Hall
BCNSP

Clinical Pharmacy Specialist - Critical Care/Nutrition Support

The University of Texas MD Anderson Cancer Center

Houston, TX

Patient Assessment: A Focus on Patient Specific Considerations and Parenteral Nutrition Components

Roaxana Poskey
MS, RDN, LD, CNSC, FAND

Nutrition Support Dietitian

Michael E. DeBakey Veterans Affairs Medical Center

Houston, TX

Key Calculations in Parenteral Nutrition Order Writing

Sara Bliss
PharmD, BCPS, BCNSP, BCCCP, FASPEN

Clinical Pharmacist, Nutrition Support & Trauma

Department of Pharmacy, University of North Carolina Medical Center

Chapel Hill, NC

The Ins and Outs of Parenteral Access Devices

Kathleen Tushar
RN, BSN

Nutrition Support Registered Nurse

Center for Human Nutrition, Cleveland Clinic

Cleveland, OH

Moderators:

Karrie Derenski

PharmD, BCCCP, BCNSP, CNSC, DPLA, FASPEN

Assistant Director of Pharmacy Operations

CoxHealth

Springfield, MO

Basic Skills in Parenteral Nutrition Management – Skills Lab A (SA21)

Skills Lab

Date & Time:

March 22, 2025

2:30 PM – 4:00 PM ET

Format:

In Person

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-020-L99-P

Course level:

Basic

Register for In Person Session
session objectives:

What You'll Learn

DESCRIPTION 

This hands-on and interactive session addresses knowledge gaps for individuals who wish to delve deeper into challenges associated with parenteral nutrition support. Participants can move among stations to hear the latest practices, research, and guidelines to enhance clinical practice skills. Speakers will present information using case studies and focused, interactive presentations. 

This skills lab will have two sessions: Part A and Part B. Topics covered in Part A include glycemic management, acid-base disorders, PN formulations (including compatibility and compounding), potassium and magnesium imbalances, and management of IV access. 

LEARNING OBJECTIVES 

  • Explain basic acid-base disorders and how they apply to the patient receiving parenteral nutrition. 
  • Identify assessment and treatment strategies to manage electrolytes and glycemic control in parenteral nutrition patients. 
  • Effectively manage IV access and parenteral nutrition compounding complications. 

Topics & Presenters

Glycemic Management of the Patient Receiving Parenteral Nutrition

Anne Tucker
PharmD, BCNSP, FASPEN

Clinical Pharmacy Specialist – Critical Care / Nutrition Support

The University of Texas MD Anderson Cancer Center

Houston, TX

It’s All About the Acid-Base, No Trouble: Identification and Treatment of Acid-Base Disorders

Angela Bingham
PharmD, BCPS, BCNSP, BCCCP, FASPEN, FCCP, FASHP, FCCM

Acting Chair and Clinical Associate Professor

Department of Pharmacy Practice and Administration, Philadelphia College of Pharmacy at Saint Joseph's University

Critical Care Clinical Pharmacy Specialist

Cooper University Health Care, Camden, NJ

Philadelphia, PA

Mixing It Up: Parenteral Nutrition Formulations, Compatibility, and Compounding

Sarah Cogle
PharmD, BCCCP, BCNSP

Clinical Pharmacist Specialist, Burn ICU/Nutrition Support

Vanderbilt University Medical Center

Nashville, TN

To Add or Not to Add: Treatment of Potassium and Magnesium Imbalances in the Parenteral Nutrition Patient

Karrie Derenski
PharmD, BCCCP, BCNSP, CNSC, DPLA, FASPEN

Assistant Director of Pharmacy Operations

CoxHealth

Springfield, MO

To Add or Not to Add: Treatment of Potassium and Magnesium Imbalances in the Parenteral Nutrition Patient

Jessica Monczka
RD, CNSC, FASPEN

Nutrition Quality Assurance Manager

Option Care Health

Bannockburn, IL

Assessing the Access: Review of the Management of IV Access in the Parenteral Nutrition Patient

Kathleen Tushar
RN, BSN

Nutrition Support Registered Nurse

Center for Human Nutrition, Cleveland Clinic

Cleveland, OH

Moderators:

Karrie Derenski

PharmD, BCCCP, BCNSP, CNSC, DPLA, FASPEN

Assistant Director of Pharmacy Operations

CoxHealth

Springfield, MO

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