Program Descriptions


April 

Modifying the Gut Microbiota: Clinical Applications and Current Evidence

April 20, 2017 | 2:00-3:30 PM ET

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Description
In this webinar, Drs. Tappenden and DiBaise will discuss the gut microbiome’s relationship to human health, with an emphasis on methods aimed at modifying the microbial communities in individuals with gut dysbiosis. Specific topics to be addressed include the use of fecal microbiota transplant for treating Clostridium difficile (C. difficile) infections, the potential to apply this treatment to other conditions associated dysbiosis, and the role of pre- and probiotic supplementation in restoring balance of gut dysbiosis. These focus areas build off of the October 2016 webinar, “Microbiome: Research Update and Cutting Edge Applications,” which provided an overview of the gut microbiome and its proposed impact on health and disease.

Learning Objectives
1. Describe the essential components of fecal microbiota transplantation (FMT). 
2. Discuss the role of FMT in the eradication of C. difficile infections and explore other potential clinical applications of this treatment.
3. Describe the role of pre- and probiotics in restoring and maintaining healthy microbial communities. 
4. Identify appropriate pre- and probiotics sources for use in individuals with dysbiosis. 

Topics and Faculty 
Fecal Microbiota Transplantation: Clostridium difficile Infection and Beyond!
John Dibaise, MD, Professor of Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic in Arizona, Scottsdale, AZ

Prebiotics and Probiotics Therapies for Gut Dysbiosis
Kelly Tappenden, PhD, RD, FASPEN, Professor of Nutrition and Gastrointestinal Physiology, University of Illinois at Urbana, Urbana, IL

Moderator
Gail Cresci, PhD, RD, LD, CNSC, Staff, Pediatric Research Center, Lerner Research and Digestive Disease and Surgery Institutes, Departments of Gastroenterology and Pathobiology, Cleveland Clinic, Cleveland, OH

Level: Intermediate
CE Credit: 1.5 hours
UAN: 0216-0000-17-080-L01-P

 

May

 

 Micronutrients 2-Part Series

Part 1:  Assessing and Correcting Micronutrient Abnormalities in Pediatrics

May 3, 2017 | 4:00-5:30 PM ET

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Description
This 2-part webinar program will educate the learner on identifying micronutrient deficiencies using physical exams, clinical signs and symptoms, and biochemical tests. The first program will focus on pediatrics and the second program will focus on critically ill adults. Research on specific nutrients (Zinc, Copper, Selenium, Iodine, Manganese, Iron, Vitamin D for example) and recommendations on correcting those deficiencies (or toxicities) with pharmacotherapy/dosage will be discussed. Both sessions will focus on practical tips using case-based scenarios and up-to-date research studies.

Learning Objectives
1. Identify risk factors for developing micronutrient deficiencies/toxicities in pediatric patients.
2. Recognize signs and symptoms of micronutrient deficiencies/toxicities in pediatric patients.
3. Determine appropriate laboratory monitoring for micronutrient deficiencies/toxicities in pediatric patients.
4. Identify strategies for repletion of micronutrient deficiencies in pediatric patients receiving enteral and parenteral nutrition support.
5. Develop a strategy to prevent micronutrient toxicities in at-risk pediatric patients. 


Topics and Faculty 
Micronutrients in Pediatric Patients
Kyle Hampson, PharmD, CNSC, Clinical Pharmacy Specialist, Intestinal Rehabilitation and Nutrition Support, Department of Pharmacy, Children’s Mercy Hospitals and Clinics, Kansas City, MO

Micronutrients in Pediatric Patients
Katherine H. Chessman, PharmD, FPPAG, FCCP, BCPS, BCNSP, Professor, Clinical Pharmacy and Outcome Sciences, Medical University of South Carolina College of Pharmacy; Clinical Pharmacy Specialist, Pediatrics/Pediatric Surgery, MUSC Children’s Hospital, Charleston, SC

Moderator
Wing Yan (Venus) Ng, MS, RD, CNSC, Clinical Nutrition Supervisor, Pharmacy and Nutritional Care, VA Puget Sound Health Care System, Seattle, WA

Level: Intermediate
CE Credit: 1.5 hours
UAN: 0216-0000-17-081-L04-P

 

Micronutrients 2-Part Series
Part 2:  Assessing and Correcting Micronutrient Abnormalities in Adults

May 16, 2017 | 3:00-4:30 PM ET

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Description
This 2-part webinar program will educate the learner on identifying micronutrient deficiencies using physical exams, clinical signs and symptoms, and biochemical tests. The first program will focus on pediatrics and the second program will focus on critically ill adults. Research on specific nutrients (Zinc, Copper, Selenium, Iodine, Manganese, Iron, Vitamin D for example) and recommendations on correcting those deficiencies (or toxicities) with pharmacotherapy/dosage will be discussed. Both sessions will focus on practical tips using case-based scenarios and up-to-date research studies.

Learning Objectives 
1. Assimilate recent research data on micronutrients with practical guidelines for safe and effective applications in the ICU.
2. Identify which critically ill patients will most likely benefit from supplementation of selenium, zinc, vitamin C, vitamin D, and thiamin therapy to improve outcomes.
3. Devise patient-specific micronutrient management plans based on available clinical information through case studies.

Topics and Faculty 
Vitamins and Trace Elements in the Critically Ill: From Current Evidence to Clinical Practice
William Manzanares, MD, PhD, Department, Institution: Associate Professor of Critical Care. Department of Intensive Care Medicine, Faculty of Medicine. Universidad de la República (UdelaR), University Hospital, Montevideo, Uruguay

Case Analysis on Micronutrient Management- Focusing on Assessment, Monitoring, and Treatment Strategies
Lingtak-Neander Chan, PharmD, BCNSP, FACN, Professor Pharmacy & Nutritional Sciences, University of Washington, Seattle, WA

Moderator
Nancy Hakel-Smith, PhD, RD, LMNT, Manager, Clinical Nutrition Services  Bryan Medical Center, Lincoln, NE

Level: Intermediate
CE Credit: 1.5 hours
UAN: 0216-0000-17-082-L04-P

 

 

June

 

Nutritional Management of Enterocutaneous Fistulas (ECF)

June 27, 2017 | 3:00-4:30 PM ET

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Description
Enterocutaneous fistula (ECF) can be a difficult nutritional challenge. In this webinar, Drs. Yeh and Arenas will explore the medical and surgical management of ECF as it relates to the provision of nutrition. They will also examine who is an appropriate candidate for a trial of enteral nutrition and describe the practice of fistuloclysis. Additionally, nutrient loss and TPN use in these patients will be discussed.

Learning Objectives
1. Describe an ECF and how it can affect nutrient uptake.
2. Determine who is an appropriate candidate for a trial of enteral nutrition and who is a candidate for parenteral nutrition.
3. Describe fistuloclysis and its role in the treatment of ECF.
4. Discuss medical and surgical treatments for ECF.

Faculty and Topics
Fistuloclysis and Re-infusion of Succus Entericus: “You Want Me To Do What???"
Daniel Dante Yeh, MD, 
CNSC, Associate Professor of Surgery, Department of Surgery, University of Miami Ryder Trauma Center, Miami, FL 

Nutrition and Surgical Treatment of ECF
Humberto Marquez Arenas, MD, FACS, FASPEN, Director, Department of Surgery, Intestinal Failure Unit, San Javier Hospital, Zapopan, Jalisco, Mexico

Moderator
Aisha Violette, MD, Division of Trauma and Acute Care Surgery, University Hospital, Cleveland Medical Center, Cleveland, OH

Level: Intermediate
CE Credit: 1.5 hours
UAN: 0216-0000-17-083-L01-P

 

 

August

Acid-base Abnormalities 2-Part Series

Register for the Two-Part Series 


Part 1: Fluids and Electrolytes

August 1, 2017 | 1:00-2:30 PM ET

Register for Part 1 Only 

Description 
Nutrition support clinicians play a critical role in the diagnosis and management of fluid, electrolyte, and acid- base balance in acutely ill patients.  A comprehensive understanding of these disorders is critical for optimizing management of parenteral nutrition, intravenous fluids, and electrolytes.  Join our expert faculty for a review, update, and interactive case-based approach designed to assess, challenge, and enhance your knowledge in this area.  This two part-webinar program is intended for dietitians, nurses, pharmacists, physicians, or any allied health professional desiring to learn a systematic approach to fluid, electrolyte, and acid-base disorders and update their nutrition clinical skills set.

Learning Objectives
1. Discuss the homeostatic mechanisms responsible for sodium and water balance.
2. Explain the common etiologies of hyponatremia and hypernatremia with specialized nutrition support.
3. Compare current clinical formulas and their utility in developing treatment plans for hyponatremia and hypernatremia in the nutrition support population.
4. Identify clinically relevant electrolyte (potassium, magnesium, phosphorus, calcium) disorders and appropriate dosage ranges for replacement.
5. Review the etiologies of common electrolyte (potassium, magnesium, phosphorus, calcium) disorders with specialized nutrition support.
6. Compare clinical estimations and their utility in developing treatment plans for common electrolyte (potassium, magnesium, phosphorus, calcium) disorders in the nutrition support population.

Topics and Faculty 
Fluid and Electrolytes: Part One
Gordon S. Sacks, Pharm.D., BCNSP, FCCP, Professor and Head, Department of Pharmacy Practice, Harrison School of Pharmacy, Auburn University, Auburn, AL

Fluid and Electrolytes: Part Two
Todd W. Canada, PharmD, BCNSP, BCCCP, FASHP, FTSHP Clinical Pharmacy Services Manager & Nutrition Support Team Coordinator, University of Texas MD Anderson Cancer Center – Division of Pharmacy, Galveston/Houston Regional Internship Director University of Texas at Austin College of Pharmacy, Houston, TX

Moderator
Jane Hughes, Pharm.D., BCNSP, BC-ADM, Clinical Pharmacist and Clinical Research Coordinator, VA Boston Healthcare System, Boston, MA

Level: Basic

CE Credit: 1.5 hours
UAN: 0216-0000-17-084-L04-P 

 

 

 

Acid-base Abnormalities 2-Part Series 

Part 2: Blood Gas Analysis and Acid-Base Disorders

August 8, 2017 | 1:00-2:30 PM ET

Register for Part 2 Only 

Learning Objectives
1. Describe the role of the lungs, kidneys and buffer systems in acid-base maintenance.
2. Discuss basic principles involving metabolic and respiratory acidosis/alkalosis.
3. Learn how to interpret ABG's in common acid-base disorders. 
4. Describe common acid-base disorders seen in patients receiving nutrition support.
5. Discuss appropriate management of acid-base disorders in nutrition support patients.
6. Evaluate case studies involving acid-base disorders and parenteral/enteral nutrition.

Topics and Faculty
Understanding Basic Acid-base Principles 
Phil Ayers, PharmD, BCNSP, FASHP, Chief, Clinical Pharmacy Services, Department of Pharmacy, Baptist Health Systems; Clinical Associate Professor, University of Mississippi School of Pharmacy, Jackson, MS

Acid-base Disorders in the Nutrition Support patient 
Anne Tucker, PharmD, BCNSP, Clinical Pharmacy Specialist-Critical Care/Nutrition Support, Division of Pharmacy, University of Texas MD Anderson Cancer Center, Houston, TX

Moderator
Kyle Hampson, PharmD, CNSC, Clinical Pharmacy Specialist, Intestinal Rehabilitation and Nutrition Support, Department of Pharmacy, Children’s Mercy Hospitals and Clinics, Kansas City, MO

Level: Basic

CE Credit: 1.5 hours
UAN: 0216-0000-17-085-L04-P 

 

September

 

Malnutrition Awareness Week
Improving Standardization of Oral Nutrition Supplement Provision in Malnourished Patients

 September 18, 2017 | 4:00-5:30 PM ET

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Description
Despite increasing awareness and diagnosing of malnutrition and its effects, one in three patients continue to be malnourished with an annual cost of $156.7 billion for disease-related malnutrition in the U.S across eight diseases. Malnutrition is now also becoming a leading cause of hospital re-admissions and increased health care costs. Thus, treatment and prevention programs are now even more imperative. The purpose of Malnutrition Awareness Week is to continue to raise awareness of malnutrition and its negative effects on individuals and health care costs. In addition, Malnutrition Awareness Week activities intend, to provide specific strategies for addressing and implementing programs and resources to combat malnutrition within the hospital and community settings. 

This webinar will address the feasibility of providing cost effective oral nutrition supplements (ONS) to malnourished patients in the hospital and how standardization of administration can improve patient outcomes.

Learning Objectives
1. Identify current gaps in addressing the treatment of malnutrition during hospital admission and after discharge
2. Describe how standardization of ONS administration and documentation in EHR can improve patient outcomes in regards to malnutrition
3. List example of potential barriers to developing an ONS protocol in any institution
4. Describe feasible interventions to increase ONS consumption and compliance in the malnourished individual

Topics and Faculty 
A Comprehensive Nutrition-Focused Quality Improvement Program Improves Patient Outcomes
Krishnan Sriram, MD, FCCM, FRCS(C), FACS, Surgeon, Advocate Health Care, Chicago, IL

Optimizing the EHR to Standardize Administration and Documentation of Nutritional Supplements
Sandra Citty, PhD, ARNP-BC, Clinical Assistant Professor, College of Nursing, University of Florida, Gainesville, FL

Moderator
Amanda Legro, MS, RD, CNSC, Clinical Pediatric Dietitian at Miller Children’s Hospital Long Beach, Lecturer @ California State University, Long Beach, CA

Level: Intermediate
CE Credit: 1.5 hours
UAN: 0216-0000-17-093-L04-P

 

Malnutrition Awareness Week
A Multi-disciplinary Approach to Increasing Awareness of Enteral Nutrition in the Pediatric Patient: a Provider and Parent Perspective 

 
September 19, 2017 | 4:00-5:30 PM ET

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Description
Despite increasing awareness and diagnosing of malnutrition and its effects, one in three patients continue to be malnourished with an annual cost of $156.7 billion for disease-related malnutrition in the U.S across eight diseases. Malnutrition is now also becoming a leading cause of hospital re-admissions and increased health care costs. Thus, treatment and prevention programs are now even more imperative. The purpose of Malnutrition Awareness Week is to continue to raise awareness of malnutrition and its negative effects on individuals and health care costs. In addition, Malnutrition Awareness Week activities intend, to provide specific strategies for addressing and implementing programs and resources to combat malnutrition within the hospital and community settings.  

This webinar will address supplemental enteral nutrition in pediatric patients as a way to prevent and treat malnutrition through a multi-disciplinary approach. The barriers to initiation and weaning of enteral nutrition, as well as the psychological aspects, will also be addressed.

Learning Objectives
1. Define inadequate oral intake and provide examples of etiology in children
2. Describe how inadequate oral intake can lead to malnutrition 
3. Explain the psychological dynamics involved for caregivers in deciding to initiate and discontinue enteral nutrition
4. Describe how initiation and discontinuation of enteral nutrition has a greater success rate when completed with a multi-disciplinary feeding team

Topics and Faculty 
Treating the Pediatric Tube-fed Patient from all Aspects 
Sarah Edwards, DO, CNSC, Pediatric Gastroenterologist; Division of Pediatric Gastroenterology, Hepatology and Nutrition; Children’s Mercy Kansas City, Kansas City, MO

A Parental Perspective on Caring for a Child who Receives Enteral Nutrition 
Traci Nagy, Founder & Executive Director, Feeding Tube Awareness Foundation, Merrick, NY

Moderator
Jodi Wolff  MS, RDN, LD, FAND, FAACPDM, Pediatric Dietitian, Rainbow Babies & Children’s Hospital, University Hospitals Solon Health Center, Cleveland, OH

Level: Intermediate
CE Credit: 1.5 hours
UAN: 0216-0000-17-094-L04-P

 

Malnutrition Awareness Week
On the Fast Track with the Enhanced Recovery After Surgery (ERAS) Protocol 

 September 20, 2017 | 4:00-5:30 PM ET

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Description
Despite increasing awareness and diagnosing of malnutrition and its effects, one in three patients continue to be malnourished with an annual cost of $156.7 billion for disease-related malnutrition in the U.S across eight diseases. Malnutrition is now also becoming a leading cause of hospital re-admissions and increased health care costs. Thus, treatment and prevention programs are now even more imperative. The purpose of Malnutrition Awareness Week is to continue to raise awareness of malnutrition and its negative effects on individuals and health care costs. In addition, Malnutrition Awareness Week activities intend, to provide specific strategies for addressing and implementing programs and resources to combat malnutrition within the hospital and community settings.  

This webinar will address the prevention and treatment of malnutrition pre- and post-operatively in the surgical patient through the Enhanced Recovery After Surgery (ERAS) protocol. It will also address the improvement in patient outcomes, barriers to patient compliance and utilization with in the United States.

Learning Objectives
1. Define ERAS and the development of the program
2. Explain the implementation process of ERAS in the surgical patient
3. Describe potential barriers to implementation within the healthcare system and individual patients 
4. List strategies for increasing acceptance and adoption of the ERAS program with in the United States 

Topics and Faculty 
Paul Wischmeyer, MD, E.D.I.C, Professor of Anesthesiology and Surgery, Associate Vice Chair for Clinical Research, Dept. of Anesthesiology, Director of Perioperative Research, Duke Clinical Research Institute, Co-Director-Nutrition Support Service, Duke University Hospital, Duke University School of Medicine, Durham, NC

Moderator
Ainsley Malone, MS, RD, LD, CNSC, FAND, FASPEN, Clinical Practice Specialist, ASPEN, New Albany, OH 

Level: Intermediate
CE Credit: 1.5 hours
UAN: 0216-0000-17-095-L04-P 


Malnutrition Awareness Week
Approaching an Audit Through Accurate Documentation and Coding for Malnutrition Diagnosis

 September 21, 2017 | 4:00-5:30 PM ET

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Description
Despite increasing awareness and diagnosing of malnutrition and its effects, one in three patients continue to be malnourished with an annual cost of $156.7 billion for disease-related malnutrition in the U.S across eight diseases. Malnutrition is now also becoming a leading cause of hospital re-admissions and increased health care costs. Thus, treatment and prevention programs are now even more imperative. The purpose of Malnutrition Awareness Week is to continue to raise awareness of malnutrition and its negative effects on individuals and health care costs. In addition, Malnutrition Awareness Week activities intend, to provide specific strategies for addressing and implementing programs and resources to combat malnutrition within the hospital and community settings.  

This webinar will address the need for accurate documentation and coding of the malnutrition diagnosis by institutions in order avoid and/or prepare for a potential audit by CMS. The criteria in which CMS uses to determine the need for audits will also be discussed.

Learning Objectives
1. Describe potential outcomes of increased malnutrition documentation and coding on CMS and institutions
2. L
ist ways institutions can prepare for possible audits by CMS
3. Describe the process CMS goes through in deciding if an audit is necessary
4. Facilitate the provider and coding specialist working together to ensure accurate, complete and appropriate coding/billing

Topics and Faculty 
James S. Kennedy, MD, CCS, CCDS, CDIP, President, CDIMD – Physicians Champions, Smyrna, TN 

Ashely Strickland, RDN, LDN, CNSC, Adult Clinical Dietitian Supervisor, Clinical Nutrition Services, Vidant Medical Center, Greenville, NC

Additional Panel Member for Q&A Period
Terese Scollard, MBS, RD, LD, FAND, Regional Clinical Nutrition Manager, Providence Health & Services, Beaverton, OR

Moderator
Stephanie Cutrell, MS, RDN, LDN, CNSC,  Nutrition Support Dietitian, Pharmacy Department, Vidant Medical Center, Greenville, NC

Level: Intermediate
CE Credit: 1.5 hours
UAN: 0216-0000-17-096-L04-P


Malnutrition Awareness Week
Electronic Clinical Quality Measures (eCQMs): A Malnutrition Quality Improvement Initiative

September 22, 2017 | 12:00-1:30 PM ET

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Description
Despite increasing awareness and diagnosing of malnutrition and its effects, one in three patients continue to be malnourished with an annual cost of $156.7 billion for disease-related malnutrition in the U.S across eight diseases. Malnutrition is now also becoming a leading cause of hospital re-admissions and increased health care costs. Thus, treatment and prevention programs are now even more imperative. The purpose of Malnutrition Awareness Week is to continue to raise awareness of malnutrition and its negative effects on individuals and health care costs. In addition, Malnutrition Awareness Week activities intend, to provide specific strategies for addressing and implementing programs and resources to combat malnutrition within the hospital and community settings.  

This webinar will address the purpose of clinical quality nutrition measures in health care, the need for these measurements and how they were development. The current status of these measures will also be addressed.

Learning Objectives
1. Outline reasons for development of nutrition e-measures
2. Define the process for e-measure development for nutrition
3. Identify the current status of the measures
4. Explain the process and results of feasibility testing of these measures

Topics and Faculty 
A Developmental Overview of the eCQMs
Angel Valladres, MPH, Manager, Avalere Health, Washington, DC

Addressing the Need for Adoption of the eCQMs for Improvement in Malnutrition 
Alison Steiber PhD, RDN, LD,  Chief Science Officer, Academy of Nutrition and Dietetics, Chicago, IL

The eCQMs and the Assessment of Feasibility
Kenneth Nepple, MD, FACS, Assistant Chief Medical Information Officer, Clinical Associate Professor, Department of Urology, University of Iowa Health Care, Iowa City, IA

Moderator
Peggi Guenter, PhD, RN, FAAN, FASPEN,  Senior Directory for Clinical Practice, Quality and Advocacy; the American Society for Parenteral and Enteral Nutrition, Silver Spring, MD

Level: Intermediate
CE Credit: 1.5 hours
UAN: 0216-0000-17-097-L04-P
 

October

Parenteral Nutrition: Back to the Basics 2-Part Series

Part 1: Writing Parenteral Nutrition – Where do I Start?

October 10, 2017 | 2:00-3:30 PM ET 

Description
An increase in the education and understanding of writing parenteral nutrition is needed for all patient populations.  The overall purpose of this two part educational session will be to provide the learner with the knowledge to accurately create a parenteral nutrition prescription for adult, pediatric, or neonatal patients given varying patient case scenarios.  The first session will introduce the learner to the decision process of which patients are appropriate for parenteral nutrition therapy, appropriateness of the patient’s venous access, and the initiation and advancement of macronutrients within a parenteral nutrition solution.  The second session will introduce the learner to the decision process of initiation and advancement of micronutrients, particularly electrolytes, as well as, formulation and compounding challenges (e.g., osmolality, calcium-phosphate solubility, 2-in-1 vs 3-in-1).    

Learning Objectives
1. Determine the appropriateness of parenteral nutrition for given a patient scenario.
2. Describe the benefits and challenges of peripheral versus central venous access for a patient receiving parenteral nutrition.
3. Develop a patient specific parenteral nutrition formulation considering initiation and advancement of volume, amino acids, dextrose, and injectable lipid emulsion.

Topics and Faculty  
Mary Petrea Cober, PharmD, BCNSP, BCPPS, Clinical Coordinator – NICU, Akron Children’s Hospital/Associate Professor – Pharmacy Practice, Northeast Ohio Medical University, Akron, OH 

Jessica Monczka, RD, LDN, CNSC, Registered Dietitian, Option Care, Denver, CO

Level: Basic
CE Credit: 1.5 hours
UAN: 0216-0000-17-086-L04-P

 

Parenteral Nutrition: Back to the Basics 2-Part Series

Part 2: Writing Parenteral Nutrition – An Art Rather Than a Science

October 24, 2017 | 2:00-3:30 PM ET 

 Register for Part 2 Only 

 
Learning Objectives

1. Develop a patient specific parenteral nutrition formulation considering initiation of electrolytes, multivitamins, and trace elements and subsequently adjustment of electrolytes based on patient laboratory findings.
2. Understand the calculations required to determine osmolarity and the principles behind the determination of calcium-phosphate solubility.
3. Compare and contrast the advantages and disadvantages of a 2-in-1 versus 3-in-1 parenteral nutrition solution.

Topics and Faculty
Mary Petrea Cober, PharmD, BCNSP, BCPPS, Clinical Coordinator – NICU, Akron Children’s Hospital/Associate Professor – Pharmacy Practice, Northeast Ohio Medical University, Akron, OH

Jessica Monczka, RD, LDN, CNSC, Registered Dietitian, Option Care, Denver, CO

Level: Basic

CE Credit: 1.5 hours
UAN: 0216-0000-17-087-L04-P