March
March 11, 2015: 4:00 – 5:00 pm ET
ASPEN Clinical Nutrition Informatics Webinar: PN Prescribing and Electronic Health Record Systems
Informational Webinar - No CE credit
Description
This informational webinar, presented by the ASPEN Clinical Nutrition Informatics Committee, will present findings from a recent multi-organizational survey on clinical nutrition care and Electronic Health Records Systems as a background on the use of EHR systems in nutrition care. The speakers will then focus on Parenteral Nutrition prescribing, using 2 large EHR systems, and the tenets and challenges with order writing this complex therapy within hospitals. They will share their experiences with working with the EHR vendors and modifications needed to make their systems successful.
Learning Objectives
- Discuss the results of the recent ASPEN electronic health record (EHR) survey.
- Review tenets for successful parenteral nutrition prescribing using an EHR.
- Describe challenges associated with parenteral nutrition prescribing using the EHR.
Topics and Faculty
EHR and Nutrition Overview and ASPEN Survey Data
Vincent W. Vanek, MD, FACS, FASPEN, HMHP, Chief Medical Informatics Officer, Surgical Education St. Elizabeth Health Center, Professor of Surgery, Northeast Ohio Medical University (NEOMED), Youngstown, OH
Parenteral Nutrition Prescribing Using the Epic EHR system
Michael D. Kraft, PharmD, BCNSP, Clinical Associate Professor - University of Michigan College of Pharmacy, Assistant Director-Education and Research - University of Michigan Health System, Department of Pharmacy Services, Ann Arbor, MI
Parenteral Nutrition Prescribing Using the Cerner EHR system
Vicki M. Ross, RN, PhD, CNSC, Nutrition Support Nurse Scientist, Truman Medical Center, Kansas City, MO
Moderator
Vincent W. Vanek, MD, FACS, FASPEN, HMHP
Access the recording here!March 25, 2015: 4:00 – 5:30 pm ET
Temporary Enteral Access Placement Verification in Pediatric Patients: A Continuing Conundrum
Description
There is a serious clinical challenge for pediatric clinicians who order or place temporary enteral access devices, commonly referred to as nasogastric (NG) or orogastric (OG) tubes. Placement verification methods that are commonly used for adults, such as an abdominal radiograph, are avoided by or not available to pediatric clinicians. Use of bedside techniques to verify placement have also failed to be 100% reliable. This session will address the current status of bedside techniques to verify placement of NG or OG tubes in infants and children with special emphasis on those in the PICU or NICU. We will make recommendations for best practice based on current literature and will summarize the results of a point prevalence study conducted by the New Opportunities for Verification of Enteral Tube Location (NOVEL) project. Using data from that study as a platform, speakers will address the wide variation among the 63 participating organizations in how they verify placement of these tubes. We will also share information about the population who has one of these tubes. Until technology is available to assure accurate assessment of NG and OG location, standardization of practice is a priority for the organizations participating in the NOVEL project.
Learning Objectives
- Discuss the commonly used methods to verify placement of a temporary enteral access device.
- Analyze the unique characteristics of the PICU and NICU population that make verification of temporary enteral access device placement a challenge.
- Summarize how the results of the prevalence study might guide future research.
Topics and Faculty
Temporary Enteral Access Device Placement Verification in the Critically Ill Child
Sharon Irving PhD, RN, CRNP, FCCM, Assistant Professor, Pediatric Nursing, University of Pennsylvania
Nurse Practitioner, Department of Nursing, The Children’s Hospital of Philadelphia, Philadelphia, PA
Temporary Enteral Access Device Placement Verification in the NICU Patient
Kerry Wilder, BSN, RN, MBA, Quality Program Manager, NICU, Children’s Health, Dallas, TX
Moderator
Beth Lyman MSN, RN, CNSC, Sr. Program Coordinator for the Nutrition Support Team, Department of Gastroenterology, Children’s Mercy Kansas City, Kansas City, MO
Level: Intermediate
UAN: 0216-0000-15-079-L04-P
Access the recording here! April
April 8, 2015: 4:00 – 5:30 pm ET
Assessment of Growth in the Pediatric Patient with Chronic Disease
Description
Assessing growth is an important part of the nutrition assessment of all children and can be challenging in those with chronic disease. This program will address updates to the growth charts, including their development, why and how they were changed, charts for special populations, and the advantages and disadvantages of these charts. Pragmatic approaches to the assessment of growth and nutrition in children with chronic disease will be discussed including use of mid arm circumference and triceps skin fold in addition to more standard weight and height measurements.
Topics and Faculty
Babette Zemel, PhD, Associate Program Director, Clinical and Translational Research Center; Director, Bionutrition Core Laboratory; Academic Investigator, Healthy Weight Program, The Children’s Hospital of Philadelphia, Philadelphia, PA
Beth Smith, RD, CNSC, LDN, Clinical Dietitian, Department of Clinical Nutrition, Children’s Hospital of Philadelphia, Philadelphia, PA
Moderator
Kathy Chessman, PharmD, FCCP, BCPS, BCNSP, Professor and Clinical Pharmacy Specialist, College of Pharmacy, Medical University of South Carolina, Charleston, SC
Level: Intermediate
UAN: 0216-0000-15-080-L01-P
Access the recording here! May
May 13, 2015
Building a Hospital Structure to Enhance Clinical Ethics and Quality of Life Care
Learning Objectives
- Develop a process to prevent nutrition support ethical dilemmas.
- Apply patient-centered care, shared decision making, health literacy, and preventive ethics.
- Use a proactive, integrated, systematic process, with measurable outcomes and sharing of best practice.
- Explore end of life decision making and parenteral nutrition support.
- Focus on patient autonomy in decisions to provide, withhold or withdraw nutrition support.
- Utilize effective communication skills in preventing or dealing with ethical dilemmas.
Topics and Faculty
Building a Hospital Structure to Enhance Clinical Ethics and Quality of Life Care
Denise Baird Schwartz, MS, RD, CNSC, FADA, FAND, FASPEN, Nutrition Support Coordinator, Food and Nutrition Services, Providence Saint Joseph Medical Center, Burbank, CA
Case Study: Parenteral Nutrition Support at the End-of-Life: An Ethical Challenge
Angela DiTucci, RD, LDN, Nutrition Support Team Chair, Food and Nutrition Services, VA Boston Healthcare, West Roxbury, MA
Moderator
James Hughes, PharmD, BCNSP, BC-ADM, Clinical Pharmacist, Critical Care, VA Boston Healthcare, West Roxbury, MA
Level: Intermediate
UAN: 0216-0000-15-082-L04-PAccess the recording here!
May 28, 2015
Top Nutrition Research and Implications for Practice
Description
This is your chance to receive a synopsis and critical evaluation of a selection of the leading recent nutrition support studies in adult populations. The strengths, weaknesses and important take-home clinical messages from these studies will be discussed. This webinar will help clinicians stay up-to-date with the latest information and understand if the latest research applies to their patients.
Learning Objectives
- Recognize the importance of critical appraisal of nutrition support research.
- Identify key portions of a research article that are fundamental to critical appraisal.
- Demonstrate an understanding of key results of research in the past year.
Faculty
Joe Krenitsky, MS, RDN, Nutrition Support Specialist, Division of Gastroenterology and Hepatology, University of Virginia Health System, Charlottesville, VA
Moderator
Maya Guggari, MS, RD, CNSC, LD, Clinical Dietitian, Department of Nutrition, Seton Network Hospitals, Austin, TX
Level: Intermediate
UAN: 0216-0000-15-081-L04-P
Access the recording here!
June
June 10, 2015
Nutrition in Renal Disease, Part 1: Acute Kidney Injury
Description
This 2-part webinar program will provide the learner with the tools to identify the differences between nutrition support in acute kidney injury and chronic kidney disease. The first program will focus on AKI as a disease state and provide the opportunity to apply knowledge-based learning in the areas of nutrition assessment, identification of nutrition requirements, and pharmacologic and non-pharmacologic therapeutic management through interactive case studies. The second program will focus on CKD as a disease state and will challenge the learner to apply knowledge-based learning in the areas of nutrition assessment and support as it evolves through the different types of renal replacement therapies, utilizing case-based scenarios. Both sessions will focus on literature-based support for these recommendations.
Learning Objectives
- Identify the metabolic abnormalities associated with acute kidney injury
- Describe different nutrition support strategies in AKI using oral supplements, enteral and parenteral nutrition support
- Optimize therapeutic outcomes for a patient, given pertinent medical information via an interactive case study
Topics and Faculty
Jane Hughes, PharmD, BCNSP, Clinical Pharmacist, Critical Care, VA Boston Healthcare System, West Roxbury, MA
Nutrition Assessment and Support in AKI
Mary S. McCarthy, PhD, RN, CNSC, Senior Nurse Scientist, Center for Nursing Science and Clinical Inquiry, Madigan Army Medical Center, Tacoma, WA
Moderator
Harlan Husted, PharmD, BCPS, Pediatric Clinical Pharmacist, NICU, Community Regional Medical Center, Fresno, CA
Level: Intermediate
UAN: 0216-0000-15-083-L01-P
ACCESS THE RECORDING HERE!
June 24, 2015
Nutrition in Renal Disease, Part 2: Chronic Kidney Disease
Description
This 2-part webinar program will provide the learner with the tools to identify the differences between nutrition support in acute kidney injury and chronic kidney disease. The first program will focus on AKI as a disease state and provide the opportunity to apply knowledge-based learning in the areas of nutrition assessment, identification of nutrition requirements, and pharmacologic and non-pharmacologic therapeutic management through interactive case studies. The second program will focus on CKD as a disease state and will challenge the learner to apply knowledge-based learning in the areas of nutrition assessment and support as it evolves through the different types of renal replacement therapies, utilizing case-based scenarios. Both sessions will focus on literature-based support for these recommendations.
Learning Objectives
- Identify the metabolic abnormalities associated with chronic kidney disease
- Develop strategies to provide nutrition support to patients on various types of renal replacement therapies
- Compare and contrast the differences in recommendations brought forth by KDOQI and KDIGO in the management of nutrition in patients with CKD
Topics and Faculty
Lynda N. Newman, MSN, ACNS-BC, NP-C, Nurse Practitioner, Gastroenterology, Cleveland Clinic, Cleveland, OH
Marcia Kalista-Richards, BS, MPH, RD, CNSC, LDN, Faculty, Department of Nutrition, Cedar Crest College, Allentown, PA
Moderator
Wing Yan (Venus) Ng, RD, CNSC, Clinical Dietitian, VA Puget Sound Health Care System
Level: Intermediate
UAN: 0216-0000-15-084-L01-P
ACCESS THE RECORDING HERE!
July
July 15, 2015 - 1:00 - 2:30 PM EST
Pediatric Nutrition Support: Challenging Cases
Description
This is your opportunity to learn more about common clinical scenarios that pediatric practitioners face and receive practical suggestions so that you can formulate recommendations to take back to the bedside of your patients. Pediatric patients in need of nutrition support can present complicated clinical challenges to the inpatient and outpatient practitioner. Three cases will be discussed, specifically an overweight neurologically impaired child, a former premature infant with history of NEC, and a 10 year old with ileal resection on all enteral feedings. Practical information on meeting micronutrient needs with a low calorie diet, use of blenderized diets, provision and monitoring of minerals and trace elements, and vitamin supplementation will be discussed. The faculty for this program have varied backgrounds and will address these challenges from each perspective.
Learning Objectives
- Identify resources for safe provision of a blenderized diet
- Assess need for minerals, trace elements, vitamins and essential fatty acids in the premature patient with short bowel syndrome
- Determine how to supplement and monitor vitamins in enterally fed patient with prior ileal resection
Faculty
Mimi Girten, RD, CSP, LDN, Clinical Dietitian, Clinical Nutrition, Children’s Hospital of Philadelphia, Philadelphia, PA
Kristi King, MPH, RDN, CNSC, LD, Senior Dietitian, Texas Children’s Hospital; Clinical Instruction of Pediatrics, Baylor College of Medicine; Section of Gastroenterology, Hepatology & Nutrition, Houston, TX
Amber Carbajal, MBA, RD, CD, Clinical Nutrition Manager, Clinical Nutrition, Children’s Hospital of Wisconsin, Milwaukee, WI
Moderator
Jane Balint, MD, Co-director Intestinal Support Service, Nationwide Children’s Hospital, Columbus, OH
Level: Intermediate
UAN: 0216-0000-15-085-L01-P
ACCESS THE RECORDING HERE! September
September 16, 2015 - 1:00 - 2:30 PM EST
Micronutrients: Assessment of Deficiency and Guidelines for Replacement
Topics and Faculty
Bedside Clinician on Assessment and Deficiencies
Krishnan Sriram MD, FRCS(C), FACS, FCCM, Fellowship Program Director/Surgical Critical Care Director, Nutrition Support Team; Section Chief, Surgical Nutrition; Co-Director, Surgical Intensive Care Unit, Stroger Hospital of Cook County; Associate Professor of Surgery, Rush University, Chicago, IL
Repletion Strategies from the Pharmacist Perspective
Lingtak-Neander Chan, PharmD, BCNSP, Associate Professor, School of Pharmacy, Interdisciplinary Faculty, Graduate Program in Nutritional Sciences, University of Washington, Seattle, WA
Level: Intermediate
UAN: 0216-0000-15-087-L04-P
ACCESS THE RECORDING HERE!
September 28, 2015 ∙ 4:00 – 5:30 pm ET
Addressing Pediatric Malnutrition: A Carepath from Admission to Discharge
DescriptionMalnutrition Awareness Week™ will be held September 28th-October 2nd, 2015. This is the fourth annual ASPEN Malnutrition Awareness Week™ Program. Malnutrition is common in hospitalized patients in the United States (US), and it is associated with unfavorable outcomes including higher infection rates, poor wound healing, longer lengths of stay, and higher frequency of readmission. The purpose of Malnutrition Awareness Week™ is to raise awareness in healthcare professionals to consider assessing and intervening earlier. Our focus this year will be on the provision of evidence-based tools and resources for practitioner to use when diagnosing and treating malnutrition. We will also bring awareness to the importance of addressing malnutrition at the community level. It’s important for the public to realize that they need to ask about their nutrition status and advocate for optimal nutrition care as much as possible.
In this webinar, we will launch the week’s Malnutrition Awareness WeekTM agenda with an overview of ASPEN’s pediatric malnutrition publications along with a description of all the latest tools and resources for pediatric practitioners to use when they are evaluating patients. We have invited Jodi Wolff and Sandra Bouma to be our presenters with Dr. Mark Corkins as the moderator.
Learning Objectives
- Name 3 factors to consider when selecting a pediatric nutrition screening tool.
- Discuss the characteristics used to identify pediatric malnutrition.
- Explain 3 reasons why it’s important to document and code for pediatric malnutrition.
Topics and FacultyAddressing Pediatric Malnutrition: Nutrition Risk Screens and Assessment ToolsJodi Wolff MS, RDN, LD, CNSC, FAND, Pediatric Dietitian, Rainbow Babies and Children's Hospital, University Hospitals Solon Health Center, Solon, OH
Addressing Pediatric Malnutrition: Documentation and CodingSandra Bouma, MS, RDN, CSP, Dietitian Senior, Pediatric Bone Marrow Transplant, C.S. Mott Children’s Hospital, University of Michigan Health System, Ann Arbor, MI
ModeratorMark Corkins, MD, CNSC, SPR, FAAP, Division Chief Pediatric Gastroenterology, Professor of Pediatrics, University of Tennessee Health Sciences Center, Memphis, TN
Level: Intermediate
UAN: 0216-0000-15-099-L04-P
ACCESS THE RECORDING HERE!
September 30, 2015 ∙ 4:00 – 5:30 pm ET
Adult Malnutrition – Tools and Algorithms to Optimize Early Recognition of Malnutrition
DescriptionMalnutrition Awareness Week™ will be held September 28th-October 2nd, 2015. This is the fourth annual ASPEN Malnutrition Awareness Week™ Program. Malnutrition is common in hospitalized patients in the United States (US), and it is associated with unfavorable outcomes including higher infection rates, poor wound healing, longer lengths of stay, and higher frequency of readmission. The purpose of Malnutrition Awareness Week™ is to raise awareness in healthcare professionals to consider assessing and intervening earlier. Our focus this year will be on the provision of evidence-based tools and resources for practitioners to use when diagnosing and treating malnutrition. We will also bring awareness to the importance of addressing malnutrition at the community level. It’s important for the public to realize that they need to ask about their nutrition status and advocate for optimal nutrition care as much as possible.
In this, we will begin with an overview of ASPEN’s adult malnutrition publications along with a description of all the latest tools and resources for adult practitioners to use when they are evaluating their patients. We have invited Rose Ann DiMaria-Ghalili and Susan Brantley to be our presenters with Ainsley Malone as the moderator.
Learning Objectives
- Describe the pros and cons of adult malnutrition screening and assessment tools.
- Discuss how an algorithm can optimize nutrition care of malnourished or nutritionally-at-risk adults.
- Develop a facility-specific algorithm to optimize early recognition of adult malnutrition.
Topics and FacultyChoosing the Best Adult Malnutrition Screening and Assessment Tools
Rose Ann DiMaria-Ghalili, PhD, RN, CNSC, FASPEN, Associate Professor, Doctoral Nursing Department, Nutrition Sciences Department, College of Nursing and Health Professions, Drexel University, Jenkintown, PA
Susan Brantley MS, RDN, CNSC, LDN, University of Tennessee Medical Center, Pharmacy Department
Metabolic Support Service Coordinator, Knoxville, TN
ModeratorAinsley Malone, MS, RDN, CNSC, FAND, FASPEN, Nutrition Support Dietitian, Mt. Carmel West Hospital, Columbus, OH
Level: Intermediate
UAN: 0216-0000-15-100-L04-P
ACCESS THE RECORDINGS HERE!
October
October 7, 2015 - 1:00 - 2:30 PM EST
Peri-Procedure Feeding: When to Stop and When to Start
DescriptionLearn more about evidence-based practices regarding peri-procedure/peri-operative NPO time and the resumption of feeding after the procedure.
Learning Objectives
- Summarize the concept of enhanced recovery after surgery (ERAS) with respect to its nutritional components.
- Identify strategies to implement ERAS in the patient care setting
- Develop solutions to any potential barriers that may arise when implementing ERAS
Topics and Faculty
Enhanced Recovery After Surgery
Bryan Collier, DO, CNSC, FACS, Chief, Trauma Surgery, Carilion Clinic; Associate Professor of Surgery, Virginia Tech Carilion School of Medicine, Roanoke, VA
A Dietitian's Perspective on ERAS
Tracy Schmotzer MS, RD, CNSC, Clinical Nutritionist Department of Surgery, UW Health - University of Wisconsin Hospital and Clinics, Madison, WI
ModeratorAisha Violette, MD, Assistant Professor of Surgery, Department of General Surgery Cleveland Clinic, Cleveland, OH
Level: Intermediate
UAN: 0216-0000-15-088-L04-P
ACCESS THE RECORDINGS HERE!