Roundtables (RT2)

Roundtables

Date & Time:

March 24, 2025

4:00 PM – 5:30 PM ET

Format:

In Person

CE Credits:

1.5 Hours

UAN: No pharmacy credit

Course level:

Basic

Pediatric Content

session objectives:

What You'll Learn

DESCRIPTION

Discuss specific nutrition support topics during the Roundtables Session. Tables will be organized by topic and participants will have an opportunity to interact in small groups with faculty and peers. Each faculty leader will meet with groups for 25 minutes before participants are asked to move to another table for discussion on a different topic. Participants will have an opportunity to visit three tables during the session.

LEARNING OBJECTIVES

 A Novel Approach to Supporting Clinicians and Families Implementing Blenderized Tube Feeding (RT2-A)*

  • Identify how this series of videos can be applied to your practice to enhance equitable, accessible, and family-centered nutrition interventions for blenderized tube feeding (BTF).
  • Describe the importance of the integration of the family and caregiver perspective when developing tools for patient and clinician education.
  • Define the advantages of using an online, on demand video series as the platform to provide comprehensive education for blended tube feeds for clinicians and families.

 

The Evidence Behind and the Process for Implementing Patient Specific Milk Analysis and Target Fortification (RT2-B)*

  • Summarize available evidence surrounding targeted fortification.
  • Determine barriers or constraints to milk analysis and targeted fortification.
  • Examine case studies to assess the efficacy of a milk analysis and targeted fortification process.

 

Little Known Facts in Monitoring and Assessment of Parenteral Nutrition (RT2-C)

  • Discuss the rationale or background of the order of mixing a PN solution.
  • Utilize the various calculations for interpreting laboratory values correctly.
  • Discuss how pH can affect the interpretation of potassium and calcium levels in the body.

 

They Did WHAT? Let Us Not Have History Repeat Itself (RT2-D)

  • Identify the steps to critically evaluate an error.
  • Describe how bias and perspective can impact communication and lead to errors.
  • Identify risk points in processes where safeguards will add value and improve patient safety.

 

Diarrhea Troubleshooting In Enterally Fed Patients: Its Not the Tube Feeds (RT2-E)

  • Evaluate a comprehensive step-by-step strategy for troubleshooting diarrhea in enterally fed patients, focusing on factors beyond EN formulas.
  • Identify the effects of hyperosmotic liquid medications on diarrhea in enterally fed patients.
  • Evaluate methods for distributing institution-specific diarrhea troubleshooting guidelines to interprofessional staff.

 

Understanding Mechanical Ventilation and the Impact on Nutrition Support (RT2-F)

  • Describe ventilator basics and respiratory assessments as they relate to changes in pulmonary function.
  • Apply knowledge of ventilator basics and respiratory assessments to optimize nutrition support feeding plans in critically ill patients.

 

Thiamine Deficiency: Identification, Intervention, and Averting a Court Case (RT2-G)

  • Identify signs and symptoms of thiamine deficiency.
  • List the numerous clinical settings where thiamine deficiency has occurred and been missed (e.g., anorexia, malabsorption, marked weight loss with vomiting).
  • Intervene and treat appropriately to avoid both refeeding syndrome and Wernicke’s Encephalopathy.

 

Life Hacks You Need to Know to Make Patient Lives on PN or EN Much Easier (RT2-H)

  • Describe life hacks used by patients on PN or EN that improved their quality of life.
  • Describe products used or ways things were modified that enabled easier participation in daily life while on PN or EN.
  • Name helpful community resources that can be passed on to patients.

 

Navigating B Codes With the A-Team: Mastering Medicare Part B Guidelines for Coverage of HEN Part 1 (RT2-I)

  • Summarize Medicare Part B coverage criteria for home enteral nutrition.
  • Identify reasonable and necessary criteria for pump justification.

 

Navigating B Codes With the A-Team: Mastering Medicare Part B Guidelines for Coverage of HEN Part 2 (RT2-J)

  • Identify reasonable and necessary requirements as detailed in the Local Coverage Determination (LDC).
  • List enteral formula product categories and which require additional justification for coverage.

 

We’re Salty…Can We Get a Consensus on Treating POTS? (RT2-K)

  • Define POTS and gain awareness of nutrition-related challenges.
  • Recommend a nutrition support care plan for treating POTS.
  • Develop a list of resources applicable to various clinical settings and discuss ways to advocate for this patient population.

 

Quality Measures to Ensure Optimal Nutritional Support: What Are the Global Best Practices? (RT2-L)

  • Choose which quality measure (QM) can work in your setting.
  • Analyze the QM and improve protocols.
  • Manage the QM.

 

Managing Nutrition Challenges of Patients With Dysautonomia – Ehlers-Danlos Syndrome, Mast Cell Activation Syndrome and Postural Tachycardia Syndrome: What Works? (RT2-M)

  • Describe dysautonomia and diseases that are found under this umbrella diagnosis – POTS, EDS, MCAS.
  • Identify nutrition intervention strategies for patients with POTS, MCAS and EDS.
  • Determine resources for the patients including referral to medical experts.

 

* Pediatric Content Included

 

Topics & Presenters

A Novel Approach to Supporting Clinicians and Families Implementing Blenderized Tube Feeding (RT2-A)

Gina Rempel
MD, FRCPC, FASPEN

Medical Lead, Pediatric Nutrition Support and Complex Care Pediatrician

Department of Pediatrics and Child Health, University of Manitoba, Children’s Hospital Winnipeg

Winnipeg, MB Canada

A Novel Approach to Supporting Clinicians and Families Implementing Blenderized Tube Feeding (RT2-A)

Keri Fehler
MSc, RD

Registered Dietitian and Team Lead

Alberta Health Services

Edmonton, AB Canada

A Novel Approach to Supporting Clinicians and Families Implementing Blenderized Tube Feeding (RT2-A)

Kristina Van Nest
MSc, RD

Registered Dietitian

Alberta Health Services

Calgary, AB Canada

A Novel Approach to Supporting Clinicians and Families Implementing Blenderized Tube Feeding (RT2-A)

Julia MacLaren
RD

Research Fellow, Consultant, Registered Dietitian

University of Calgary, Alberta Health Services

Calgary, AB Canada

The Evidence Behind and the Process for Implementing Patient Specific Milk Analysis and Target Fortification (RT2-B)

Tennille Yates
MS, RDN, LDN

Clinical Nutrition Director

AdventHealth Central Florida Division

Orlando, FL

The Evidence Behind and the Process for Implementing Patient Specific Milk Analysis and Target Fortification (RT2-B)

Amber Sherman
MS, RDN, LDN

Clinical Nutrition Supervisor

AdventHealth Orlando

Orlando, FL

Little Known Facts in Monitoring and Assessment of Parenteral Nutrition (RT2-C)

Steven Plogsted
PharmD, FASPEN

Retired Clinical Pharmacist, Nutrition Support Service

Nationwide Children's Hospital

Dublin, OH

They Did WHAT? Let Us Not Have History Repeat Itself (RT2-D)

Brenda Gray
PharmD, CNSC, BCNSP, VA-BC, BCSCP, FASPEN

Senior Clinical Educator

Clinical Pharmacy Partners

Tampa, FL

They Did WHAT? Let Us Not Have History Repeat Itself (RT2-D)

Barbara Petroff
MS, RPh, FASHP, BCSCP, FNHIA, CAC, CSPP, IgCP

Owner

Shawler Petroff LLC

Detroit, MI

They Did WHAT? Let Us Not Have History Repeat Itself (RT2-D)

Mark Rowe
MNSc, RNP, VA-BC

Vascular Access Practice Consultant

University of Arkansas Medical Sciences

Little Rock, AR

They Did WHAT? Let Us Not Have History Repeat Itself (RT2-D)

Lillian Banchik
MD, FACS, FASPEN, VACCc, VA-BC, DABS

Volunteer

County of San Diego, Health and Human Services

San Diego, CA

Diarrhea Troubleshooting In Enterally Fed Patients: Its Not the Tube Feeds (RT2-E)

Ranna Modir
MS, RD, CNSC, CDE, CCTD

Clinical Dietitian, Cardiac Transplant, MCS, VAD

Stanford University Medical Center

Stanford, CA

Understanding Mechanical Ventilation and the Impact on Nutrition Support (RT2-F)

Angela Parillo
MS, RD, CNSC

Clinical Dietitian

The Ohio State University Wexner Medical Center

Columbus, OH

Understanding Mechanical Ventilation and the Impact on Nutrition Support (RT2-F)

Rebecca Wehner
RD, CNSC

Clinical Dietitian

The Ohio State University Wexner Medical Center

Columbus, OH

Thiamine Deficiency: Identification, Intervention, and Averting a Court Case (RT2-G)

Carol Rees Parrish
MS, RDN

GI Nutrition Support Specialist

Self Employed

Charlottesville, VA

Thiamine Deficiency: Identification, Intervention, and Averting a Court Case (RT2-G)

Stephanie Dobak
MS, RD, LDN, CNSC

Clinical Dietitian III

Jefferson Weinberg ALS Center

Philadelphia, PA

Life Hacks You Need to Know to Make Patient Lives on PN or EN Much Easier (RT2-H)

Bettemarie Bond
OTR/L

Patient Advocate and Ambassador

The Oley Foundation

Levittown, PA

Life Hacks You Need to Know to Make Patient Lives on PN or EN Much Easier (RT2-H)

Jayme Scali

Patient Advocate

Optum Infusion

Thornton, PA

Navigating B Codes With the A-Team: Mastering Medicare Part B Guidelines for Coverage of HEN Part 1 (RT2-I)

Cynthia Reddick
RD, CNSC

Home Tube Feeding Expert, Educator and Strategist

Home Enteral Nutrition Consultant

Sacramento, CA

Navigating B Codes With the A-Team: Mastering Medicare Part B Guidelines for Coverage of HEN Part 1 (RT2-I)

Mary Kuehl
MS, RD, CNSC

Regional Registered Dietitian

Shield Healthcare

Placentia, CA

Navigating B Codes With the A-Team: Mastering Medicare Part B Guidelines for Coverage of HEN Part 1 (RT2-I)

Vicki Emch
MS, RD

Area Vice President of Clinical Operations and Sales Support

Aveanna Healthcare Medical Solutions

Denver, CO

Navigating B Codes With the A-Team: Mastering Medicare Part B Guidelines for Coverage of HEN Part 2 (RT2-J)

Janelle Flaherty
RD, CNSC

Enteral Dietitian and Medicare Qualification Team Manager

Coram Specialty Infusion Services

Cascade, ID

Navigating B Codes With the A-Team: Mastering Medicare Part B Guidelines for Coverage of HEN Part 2 (RT2-J)

Joy Ann Vaught
MS, RD, LD

Regional Vice President

Enteral Nutrition and Speech Generating Devices, Lincare

Austin, TX

Navigating B Codes With the A-Team: Mastering Medicare Part B Guidelines for Coverage of HEN Part 2 (RT2-J)

Monica Perna
MS, RD, LD, CNSC

Nutrition Support Dietitian Manager

Enteral Center of Excellence, Option Care Health

Grand Rapids, MI

We're Salty...Can We Get a Consensus on Treating POTS? (RT2-K)

Lisa Kinder
RD, CNSC

Clinical Program Manager

Optum Infusion Pharmacy

Huntington Beach, CA

We're Salty...Can We Get a Consensus on Treating POTS? (RT2-K)

Jacquelyn Oberman
MS, RD, LDN, CNSC

Clinical Program Manager

Optum Infusion Pharmacy

Durham, NC

We're Salty...Can We Get a Consensus on Treating POTS? (RT2-K)

Jennifer Lloyd
MS, RD, CNSC, CDN

Infusion Dietitian

Optum Infusion Pharmacy

Gansevoort, NY

Quality Measures to Ensure Optimal Nutritional Support: What Are the Global Best Practices? (RT2-L)

Manpreet Mundi
MD

Professor of Medicine

Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic

Rochester, MN

Quality Measures to Ensure Optimal Nutritional Support: What Are the Global Best Practices? (RT2-L)

Simone Silvestre
MD, MSc

Coordinator, Multidisciplinary Nutrition Therapy Team

Hospital Felicio Rocho

Belo Horizonte, Minas Gerais Brazil

Quality Measures to Ensure Optimal Nutritional Support: What Are the Global Best Practices? (RT2-L)

Nilesh Mehta
MD

Senior Associate in Critical Care Medicine

Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital

Associate Medical Director

Medical-Surgical Intensive Care Unit, Boston Children's Hospital

Boston, MA

Quality Measures to Ensure Optimal Nutritional Support: What Are the Global Best Practices? (RT2-L)

Ann-Marie Brown
PhD, APRN, CPNP-AC/PC, CCRN, CNE, FCCM, FAANP, FASPEN

Professor and Acute Care Pediatric NP Specialty Director

Nell Hodgson Woodruff School of Nursing, Emory University

Atlanta, GA

Managing Nutrition Challenges of Patients With Dysautonomia - Ehlers-Danlos Syndrome, Mast Cell Activation Syndrome and Postural Tachycardia Syndrome: What Works? (RT2-M)

Carol Ireton-Jones
PhD, RDN, LD, CNSC, FASPEN, FAND

Nutrition Therapy Specialist

Good Nutrition for Good Living

Carrollton, TX

Managing Nutrition Challenges of Patients With Dysautonomia - Ehlers-Danlos Syndrome, Mast Cell Activation Syndrome and Postural Tachycardia Syndrome: What Works? (RT2-M)

Jennifer Gordon
MS, RD, AP, CNSC

Nutrition Support Dietitian

Rutgers DCN Program

Bountiful, UT