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Methodist Boerne Emergency Center

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Methodist Children's Hospital

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Methodist Hospital

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Methodist Specialty and Transplant Hospital

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Methodist Stone Oak Hospital

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Methodist Texsan Hospital

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Metropolitan Methodist Emergency Center at the Quarry

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Metropolitan Methodist Hospital

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Northeast Methodist Hospital

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Pediatric & Newborn Curriculum

Pediatric Curriculum


Bronchiolitis/RSV

The purpose of this activity is to provide healthcare professionals with an understanding of the diagnosis, management and prevention of bronchiolitis in children from 1 month to 2 years of age based on the American Academy of Pediatrics evidence-based recommendations. 1 CNE

Care of pediatric patient with fluid and electrolyte imbalance

Fluid imbalance in the child can develop quickly, especially in infants and toddlers. Derangement affects many organ systems. This activity will provide the nurse with assessment skills and nursing intervention strategies to use to improve patient outcomes for pediatric patients who have potential or actual fluid and electrolyte imbalances. 1.7 contact hours

Child Abuse: "Is it an accident or is it abuse?"

A presentation for health care professionals.

Child abuse is a complex problem. This presentation is a two-hour overview of risk factors, signs and symptoms of child abuse or neglect, shaken baby syndrome and its lifelong effects, presentation of sudden infant death syndrome and the healthcare provider's responsibility as a mandated reporter. 2 CNEs

Critical Care Medications: What to give and Why

The purpose of this activity is to update the nurse on safe administration of current medications for a critically ill child. Safe medication administration and prompt recognition of adverse reactions will improve outcome for the critically ill or injured child. 2.0 contact hours

Diabetes in children

Request our two-hour presentation on the care of the diabetic child. The presentation will cover the diagnosis, pathio-physiology, signs and symptoms, types of insulin, insulin pumps, insulin resistance and nursing interventions related to the care of a child who has type 1 and type 2 diabetes. 2 CNEs

Diabetic Ketoacidosis in children

A comprehensive two-hour overview of diabetic ketoacidosis in children including: epidemiology, pathio-physiology, the American Diabetes Association defining criteria and signs and symptoms of cerebral edema. Also includes the nursing interventions for prevention of cardiac arrhythmias, brain herniation or even death in the child who is in diabetic ketoacidosis. 2 CNEs

Fever and Sepsis update

Management of infectious complications in the pediatric/neonatal patient

Severe sepsis is a significant health problem in children associated with extensive use of healthcare resources amounting to over $2 billion annually. Failure to recognize severe sepsis and implement early, goal-directed strategies can result in significant organ damage leading to death. The purpose of this activity is to update the provider regarding new trends in recognition and management of fever and sepsis in the newborn and pediatric patient. 2.0 contact hours

Medication Administration for pediatric patients

Due to their smaller size and differences in physiology, children are at additional risk for medication administration and dosing errors. This program discusses physiologic differences in the pediatric patient as well as strategies for improving the safety of medication administration. 0 contact hours

Neurological Emergencies in the pediatric patient

Children are at increased risk for seizures, with about eight percent of all people having at least one seizure in their lifetime. Due to their large head size, children are also at risk for traumatic head injuries. This program will discuss current information on systematic assessment, recognition and appropriate interventions of neurological emergencies in planning care for improved pediatric patient outcomes. 3.0 contact hours

Pediatric Respiratory Emergencies

Airway and breathing difficulties are among the most frequent causes of severe pediatric illness. Prompt recognition and treatment of respiratory distress is critical for the child’s well-being. This activity will provide the nurse with assessment and intervention strategies to use while caring for pediatric patients who have respiratory distress. 2.5 contact hours

Pediatric Splinting Workshop

The purpose of this hands-on activity is to help the healthcare provider properly stabilize and splint fractures in the child. Proper stabilization of fractures reduces complications encountered between the injury and the orthopedic evaluation resulting in improved outcomes. 4.0 contact hours

Pediatric Vascular Access Training

Vascular access in the child can be challenging and intimidating, especially for the practitioner who does not normally care for children. This lecture and skills workshop reviews techniques for vascular access in the child. It includes a hands-on skills session for pediatric IV start and intraosseous line insertion. 0 contact hours

Physical assessment of the pediatric patient

This program reviews pediatric assessment using the emergency nursing pediatric course CIAMPEDS approach to pediatric assessment as well as the pediatric assessment triangle. It also discusses anatomic and physiologic differences encountered in the pediatric patient. 0 contact hours

Procedural Sedation

Procedural sedation is a technique of administering sedatives or dissociative agents with or without analgesics to induce a state that allows the patient to tolerate unpleasant procedures while maintaining cardiorespiratory function. The purpose of this activity is to provide healthcare professionals with the necessary information that will help them understand the efficacy and safe administration of these agents as well how to recognize the risks and clinical presentation of a child experiencing an adverse event. The most current evidence-based strategies and guidelines will also be reviewed which will help decrease potential complications. 1 CNE

Newborn Curriculum

Cerebral preservation in the Asphyxiated Newborn: A whole body cooling protocol (1.0 Contact Hours)

Cooling the brain is now a widely accepted intervention for hypoxic ischemic encephalopathy (HIE). Healthcare providers will learn how cooling therapy works, which babies meet criteria, when and how to initiate the cooling protocol prior to the transport team’s arrival.

Cleft Lip and/or Palate Feeding In-service (1.0 Contact Hours)

Adequate feeding and growth are essential for all newborns. This educational in-service discusses the unique feeding needs of infants with a cleft lip and/or cleft palate. It discusses the anatomy of the cleft lip and palate, specific feeding modalities for these infants, and improving their feeding outcomes and growth.

Cue-Based Feeding Protocol (1.0 Contact Hours)

Adequate feeding and growth are essential for all newborns, whether full term or premature. Extensive research has been done to maximize feeding potential, and thus decrease an infant’s stay in the hospital, and also create a positive feeding experience for infants. The focus has changed from focusing on volume to focusing on quality feedings.  This focus and process of advancing PO feedings is laid out in a protocol called “Cue-Based feeding.” This program discusses the history of cue-based feeding, implementation, and how to address more complicated cases in relation to the pathway.

Detecting Illness in the Newborn

Each newborn is carefully examined at birth for wellness, illness and risk factors. Key elements of the comprehensive exam include gestational age assessment and infant classification. This workshop provides tools and concepts necessary to determine illness in the newborn and initiate appropriate, immediate interventions to improve outcomes. 2.5 contact hours

Hypoglycemia & Hyperbilirubinemia in the Newborn (1.0 Contact Hours)

Glucose levels and bilirubin levels are 2 things that are monitored frequently in newborns. Levels that fall outside the normal range (more often hypoglycemia and hyperbilirubinemia) require additional treatments and interventions. This educational in-service with discuss normal ranges for each, underlying reasons for abnormal levels, and associated interventions for both hypoglycemia and hyperbilirubinemia.

Imminent Delivery and Stabilization of the Newborn (2.0 Contact Hours)

Every hospital and medical facility must be prepared for an imminent delivery, and thus stabilization of the newborn, whether the facility has obstetric services or not. This program will give healthcare workers the basic foundation to treat and support a mother through labor, and stabilize the newborn. This program is a 2 part program. 1.0 contact hours are available for Part 1: Imminent Delivery, which is taught by a maternal outreach educator. 1.0 contact hours are available for Part 2: Stabilization of the Newborn, which is taught by a neonatal outreach educator. These programs are usually given in combination, but may be presented separately upon request. 

Management and Ethical Principles at the Threshold of Viability: The Grey Zone (1.0 Contact Hours)

Viability and outcomes for extreme low birth weight and premature infants are two topics that have gained much interest as the outcomes and definitions of viability have changed as advancements have been made in technology and treatment. This in-service discusses national and local outcomes for infants on the cusp of viability, aka the grey zone. 

Peripheral IV Insertion Tips for the Newborn

Initiating a peripheral IV in a newborn can be stressful for the newborn and the healthcare provider alike. This program discusses tips for inserting a PIV for a newborn to decrease stress on the infant and healthcare provider, increase confidence, and optimize success.

Newborn Apnea

Apnea is common occurrence in babies of less than 35 weeks gestation. This presentation discusses the in-hospital management of apnea and discharge planning considerations. 1.2 contact hours

 

Newborn Respiratory Distress: Causes, Recognition and Initial Intervention (1.0 Contact Hours)

Respiratory distress is the most common reason newborns are transferred to a higher level of care. There are many causes of respiratory distress in the newborn period. This presentation discusses the various causes of respiratory distress, a step-by-step approach to support breathing in the sick newborn, and criteria for transferring to a higher level of care.

Newborn Sepsis

Newborn sepsis can develop following infection by microorganisms including bacteria, viruses, fungi and parasites. Infection in infants can be contracted during pregnancy, from the mother’s genital tract during labor and delivery or after birth from contact with others. Sepsis in the newborn is more likely to develop when the mother has had pregnancy complications that increase the likelihood of infection. Healthcare providers will learn key elements for improving neonatal sepsis survival rates. Elements include common organisms, early identification of risk factors, prevention strategies, early clinical presentation of sepsis and septic shock, sepsis ‘work-up‘ procedures and skills, CBC interpretation, medication administration skills and aggressive management strategies. 1.8 contact hours

Small Baby Protocol / Stabilization of the Preterm Infant (1.0 Contact Hours)

Maintaining normal temperature in very low birth weight babies is a challenging, crucial aspect of stabilization care. This presentation teaches the healthcare provider innovative methods to support thermoregulation in the preterm newborn, minimize hypothermia and cold stress, and improve outcomes. We can also provide your facility with a resource called the “Tiny Baby Box” that includes some equipment specifically sized and appropriate for very low birth weight infants.

S.T.A.B.L.E.: Cardiac Module

Developed by the author of the S.T.A.B.L.E. program, this course provides the healthcare provider general guidelines for the assessment and stabilization of neonates with suspected or confirmed congenital heart disease. Components of the course include the clinical presentation of neonates with severe, life threatening heart defects, anatomic features of congenital heart disease (CHD) and initial stabilization of neonates with CHD. Contact hours vary based on course content

S.T.A.B.L.E. Program (8.0 Contact Hours)

Participants will be able to use S.T.A.B.L.E. guidelines and class content to recall, organize and prioritize post-resuscitation and pre-transport stabilization activities for the sick newborn, resulting in improved outcomes of sick newborns. This accessible and easy-to-remember mnemonic-based resource serves as a concise guideline to organize details and interventions necessary for stabilizing a sick infant. This program is designed for any healthcare provider involved with the care of newborns, including RNs, LVNs, RTs, MDs, EMTs and paramedics.