Program Descriptions


April 

Critical Care Nutrition: Adults and Pediatrics

April 18, 2018 | 5:00-6:30 PM ET

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Description
Since publication of the 2016 American Society of Parenteral and Enteral Nutrition and Society of Critical Care Medicine’s Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient, numerous randomized controlled trials have challenged the recommendation for early enteral nutrition, suggesting early exclusive parenteral nutrition is safe, feasible, and associated with equal outcomes.  New data has also challenged the recommendation for supplemental parenteral nutrition in the critically ill adult and will be discussed thoroughly in this webinar.  

Additionally, there will be an evaluation of the 2017 ASPEN Comprehensive Nutritional Guidelines for Critically Ill Pediatric Patients and their application to patients in the inpatient and outpatient clinical settings.  Highlights include laboratory monitoring parameters for long-term parenteral nutrition, ideal additives and supplementation to parenteral nutrition and recommendations to reduce the incidence of central-line associated blood stream infections.

Learning Objectives

  1. Describe guideline recommendations for use of exclusive and supplemental parenteral nutrition in the critically ill adult.
  2. Identify and appraise landmark randomized controlled trials comparing early enteral versus early exclusive parenteral nutrition in critically ill adults.
  3. Identify and appraise landmark randomized controlled trials comparing early enteral plus supplemental parenteral nutrition to enteral nutrition alone.
  4. Cogitate on scenarios for exclusive and supplemental parenteral nutrition.
  5. Describe long-term parenteral nutrition lab monitoring in the inpatient and outpatient settings
  6. Define the role of levocarnitine in parenteral nutrition
  7. Identify strategies to reduce the incidence of Central Line Associated Blood Stream Infections related to parenteral nutrition use in the pediatric critical care setting

Faculty and Topics
Updates on Use of Early Exclusive and Supplemental Parenteral Nutrition in the Critically Ill Adult
Jayshil Patel, MD, Associate Professor of Medicine, Division of Pulmonary and Critical Care Medicine, Medical College of Wisconsin, Milwaukee, WI

Parenteral Nutrition in the Pediatric Critical Care Setting
Michael Haight, MD, MHA, Director Chief, Pediatric Gastroenterology, UCSF Fresno Pediatrics, Fresno, CA

Moderator
Harlan Husted, PharmD, MBA, BCPS, Pediatric Clinical Pharmacist, NICU, Community Regional Medical Center, Fresno, CA

CE Credit: 1.5 hours
Level: Intermediate
UAN:  JA0002345-0000-18-061-L01-P

 

 

May

 

 Nutrition Assessment: Nutrition Focused Physical Exam

May 10, 2018 | 2:00-3:30 PM ET

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Description
This webinar will provide an overview of the Nutrition Focused Physical Exam (NFPE) for both the adult and pediatric patient populations.  The speakers will discuss characteristics of malnutrition such as muscle wasting, fat loss, edema and micronutrient abnormalities and how to identify them.  They will provide examples of how they have incorporated NFPE into their current practice and how they have overcome the barriers to get to this point.  They will examine case studies to put the entire NFPE to use and review coding for malnutrition.

Learning Objectives

  1. Summarize the use of a nutrition focused physical exam in identifying malnutrition in both pediatric and adult patients.
  2. Identify clinical signs of malnutrition, including muscle wasting, fat loss, edema and micronutrient abnormalities.
  3. Determine how to incorporate the nutrition focused physical exam into practice.

Faculty and Topics
Nutrition Assessment in Adults
Elizabeth “Betsy” Gallant, RD, LD, CNSC, Nutrition Support Dietitian, Nutrition Support Team, Cleveland Clinic, Cleveland, OH

Nutrition Assessment in Pediatrics
Bette Klein, MS, RD, CSP, LD, Advanced Practice Pediatric Dietitian, Pediatric Nutrition Support Team, Pediatric Gastroenterology Cleveland Clinic Children’s Hospital, Cleveland, OH

Moderator 
Rose K. DeLaGarza RD, CNSC, CPHQ, Clinical Dietitian for Transplant Services, Dignity Health St. Joseph's Hospital, Phoenix, AZ

CE Credit: 1.5 hours
Level: Intermediate
UAN:  JA0002345-0000-18-062-L04-P 

 

 

June

 

Microbiome

Details to be Announced Soon!

 

CE Credit: 1.5 hours
Level: Intermediate
UAN:  JA0002345-0000-18-063-L04-P 

 

 

July

Enteral Nutrition Access and Medication Administration

July 11, 2018 | 1:00-2:30 PM ET

Description
This webinar will explore enteral nutrition (EN) access and caring for enteral feeding tubes. The first part of the webinar will include education on the identification of medications that are incompatible with or may have potential negative interactions with EN that warrants the holding of EN. Concerns regarding the pharmacokinetics of different forms of medication and the use of pharmacologic agents to unclog feeding tubes will also be discussed. The second part of the webinar will focus on the different types of commonly placed enteral feeding tubes and considerations on the choice of formula and infusion rate to prevent complications. Both sessions will focus on practical tips using case-based scenarios and up-to-date research studies.

Learning Objectives

  1. Assess three risk issues for medications which will present difficulties when administered via feeding tube.
  2. Evaluate a feeding tube clog using the recommended procedures and processes and select remedies to restore flow.
  3. Recognize and differentiate between types of enteral access and the key components of each.

Faculty and Topics
Tips from a Plumber’s Helper: A Guide to Drug Administration Through Feeding Tubes
Mark G. Klang, MS, RPh, BCNSP, PhD, Core Manager Research Pharmacy, Memorial Sloan Kettering Cancer Center, Lynbrook, NY

The In’s & Outs of Enteral Access
Liz Page RD, CNSC, LDN, Clinical Nutrition Manager, RUSH Oak Park Hospital, Chicago, IL

Moderator
Berri Burns, RD, CNSC, LD, Advanced Practice Registered Dietitian, Infusion Pharmacy at Home, Cleveland Clinic, Cleveland, OH

CE Credit: 1.5 hours
Level: Intermediate
UAN:  JA0002345-0000-18-064-L04-P 

 

 

August 

Use of Alternative Lipid Injectable Emulsions: A Whole New World of Products 

August 21, 2018 | 3:00-4:30 PM ET

Description
Lipid injectable emulsions (ILEs) are a dense source of calories and are a source of the essential fatty acids (EFAs), important for cell membrane development and precursors to key modulators involved in cellular pathways of the immune response. In the early 1970s, the ILE approved for use in the United States was a solely soybean oil-based fat emulsion (SOFE) and until recently was the only FDA approved product available in the US market. While very little has changed in the provision of ILEs over the last four decades in the United States, multiple products have come to market in other areas of the world such as Latin America, each with the intent of being an ideal oil source.  With the recent approval of newer ILEs in the US market, opportunities for expanded use of alternative lipid sources have been possible.  This webinar will include a discussion of the use of recently FDA approved ILE products, particularly the mixed-oil based fat emulsion (MOFE) with practical tips from those with experience using the products. 

Learning Objectives

  1. Compare and contrast the various lipid injectable emulsions currently available.
  2. Describe the benefits and challenges in using the newer lipid injectable emulsions.
  3. Determine the appropriate use of newer alternative lipid injectable emulsions in neonatal, pediatric, and adult populations. 

Faculty and Topics
Practical Aspects for Prescribing Alternative Lipids Emulsions In Adults Based on the Latin-American Experience
Diego Arenas Moya, MD, Director, Clinical Nutrition and Functional Medicine, SANVITE, Zapopan, Jalisco, Mexico 

Alternative Lipid Emulsions in Neonatal and Pediatric Patients: Evidence for Use and  Our 1-year Experience
Beth Deen, PharmD, BCNSP, BCPPS, Senior Clinical Pharmacy Specialist, Nutrition Support Cook Children’s Medical Center, Fort Worth, TX

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

CE Credit: 1.5 hours
Level: Intermediate
UAN:  JA0002345-0000-18-065-L04-P 

 

September

 

Malnutrition Awareness Week

Details to be announced soon!

 

 

October

Promoting Safety of the PN Use Process Through Nutrition Support Competencies

Date & Time to be Announced Soon!

 

Description
Parenteral nutrition (PN) is a high alert medication that is commonly used in the hospital and home care settings and is a life-sustaining therapy for patients who cannot meet their nutrition and hydration needs by oral or enteral means or have contraindications to enteral therapy.  The PN use process (ordering, order review, compounding, and administration) is associated with risk, however the use of evidence based protocols for PN management focus on minimizing PN related errors and have demonstrated that PN can be safely used in appropriate patients.  Safe and effective use of PN requires input from skilled clinicians of multiple disciplines. Ensuring the competency of all team members is essential to promoting safe practices and maximizing clinical outcomes throughout the PN use process.  This webinar will focus on strategies for ensuring competency in PN ordering, order review and verification, compounding, and administration to patients.  It will also discuss methods of evaluating the competency of clinicians involved in providing PN within an institution.

Learning Objectives

  1. Identify procedures for PN ordering, order verification, compounding, and administration that promote safe PN practices.
  2. Describe risk mitigation strategies for PN ordering, order verification, compounding, and administration
  3. Construct a method to assess and maintain competency for clinicians involved in providing PN

Faculty and Topics
Competency in the Pharmacy with Parenteral Nutrition
Joseph Boullata, PharmD, RPh, BCNSP, FASPEN, FACN, Pharmacy Specialist in Nutrition Support, Hospital of the University of Pennsylvania and Clinical Professor, Department of Nutrition Sciences, Drexel University, Philadelphia, PA

Maximizing Safety Through Parenteral Nutrition Administration Competency 
David Keeler, BSN, RN, CPN, Intestinal Rehabilitation Program Coordinator, Division of Gastroenterology, Hepatology, and Nutrition, Children’s Mercy Kansas City, Kansas City, MO

Applying Nutrition Support Competencies to Your Institution
Kyle Hampson, PharmD, BCNSP, CNSC, Clinical Pharmacy Specialist, Nutrition Support and Intestinal Rehabilitation, Department of Pharmacy, Children’s Mercy Kansas City, Kansas City, MO

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

CE Credit: 1.5 hours
Level: Intermediate
UAN:  JA0002345-0000-18-066-L05-P

 


November 

Oncology and Nutrition Support
Details to be announced soon!