2011 Neonatal Conference

Document Sample
2011 Neonatal Conference Powered By Docstoc
					2011 Neonatal Conference
Improving the Quality and Safety of Perinatal and Neonatal Care:
Current Concepts and Challenges

                                                                 MAY 24, 2011
                                                                 Quest Conference Center
                                                                 Columbus, Ohio

                                                                 MAY 25-26, 2011
                                                                 MAIN CONFERENCE
                                                                 Quest Conference Center
                                                                 Columbus, Ohio

To learn more, or to reserve your place at the conference, please visit
2011 Neonatal Conference Neonatal Conference                                                            May 24-26, 2011    2011 Neonatal Conference Neonatal Conference
                                                                                                                                                2011                                                                                                            May 24-26, 2011

 Welcome Letter                                                                                                           Faculty
                                                                                                                              Jane Balint, MD                                                         Children’s Hospital
                                                                                                                              Pediatric Gastroenterologist, Nationwide Children’s Hospital
                                                                                                                                                                                                      George Mandy, MD
                                                                                                                              Richard Brilli, MD                                                      Neonatologist, Nationwide Children’s Hospital
      The 2011 Neonatal Conference will highlight concepts of continuous quality improvement and                              Chief Medical Officer, Nationwide Children’s Hospital
                                                                                                                                                                                                      Beth Martin, RNC
      safety in the perinatal and neonatal areas of practice. The rapidly expanding evidence in both                          John Cheatham, MD                                                       NICU RN, Clinical Leader, Nationwide Children’s Hospital
                                                                                                                              Co-Director, The Heart Center, Director, Cardiac Catheterization
      specialties pose challenges for the professional to remain current and to recognize opportunities                                                                                               Reverend Joan Maynard
                                                                                                                              & Interventional Therapy, Nationwide Children’s Hospital
                                                                                                                                                                                                      Chaplin for Obstetrics at Ohio State University Medical Center
      for change in thought and practice. The goal of the conference is to offer science, methodology,
                                                                                                                              Jill Choi, MBA, RHIA                                                    Richard McClead, Jr, MD, MPH
      practice initiatives and discussion points for the participant to explore.                                              Privacy Officer & Director, Health Information Management,
                                                                                                                                                                                                      Neonatologist, Medical Director, QIS, Nationwide Children’s Hospital
                                                                                                                              Nationwide Children’s Hospital
      You are invited to participate in this learning endeavor, share your thoughts, and broaden your                                                                                                 Larry Moss, MD
                                                                                                                              Rhonda Comer, JD                                                        Surgeon-in-Chief, Nationwide Children’s Hospital
      ability to support babies, parents and families in the health care setting.                                             General Counsel, Nationwide Children’s Hospital
                                                                                                                                                                                                      Leif Nelin, MD
                                                                                                                              Adeline Cursio, RNC, MSN, CNS,                                          Interim Division Chief, Neonatology; Director, Center for
      Sincerely,                                                                                                              NICU Case Manager, Nationwide Children’s Hospital
                                                                                                                                                                                                      Perinatal Research, Nationwide Children’s Hospital
                                                                                                                              Molly Deinhart, MD                                                      Virginia O’Keeffe
                                                                                                                              Gastroenterology Fellow, Nationwide Children’s Hospital
      The Neonatal Services Conference Planning Committee                                                                                                                                             Chief Executive Officer, Amythest House
                                                                                                                              Kathleen Dunn, JD                                                       Erika Osborn, RN, NNP-BC
                                                                                                                              Vice President and Corporate Compliance Officer, Nationwide
                                                                                                                                                                                                      Neonatal Nurse Practitioner, Nationwide Children’s Hospital
                                                                                                                              Children’s Hospital
                                                                                                                                                                                                      Steven Ringer, PhD, MD
                                                                                                                              Celeste Durnwald, MD                                                    Clinical Chief, Newborn Services, Brigham and Women’s
                                                                                                                              Assistant Professor, Obstetrics and Gynecology, The Ohio State
                                                                                                                                                                                                      Hospital, Assistant Professor of Pediatrics, Harvard Medical
                                                                                                                              University Medical Center
                                                                                                                                                                                                      School, Brigham and Women’s Hospital, Department of
                                                                                                                              Dan Ellsbury, MD                                                        Newborn Medicine
                                                                                                                              Director, Continuous Quality Improvement Center for Research,
                                                                                                                                                                                                      Brenda Ruth, RN, WON
                                                                                                                              Education, and Quality, Pediatrix Medical Group
 Call for Posters                                                                                                             Kim Farney, RRT
                                                                                                                                                                                                      Wound Ostomy Nurse, Nationwide Children’s Hospital
                                                                                                                                                                                                      Amod Sawardekar, MD
                                                                                                                              Respiratory Therapist Clinical Leader, Nationwide Children’s Hospital
                                                                                                                                                                                                      Anesthesiologist, Nationwide Children’s Hospital
      With paid conference registration, we invite you to submit your poster related to perinatal and/                        Patricia Temple Gabbe, MD                                               Jackie Schneider, PharmD
                                                                                                                              Clinical Professor of Pediatrics, The Ohio State University, Center
                                                                                                                                                                                                      Clinical Pharmacist, Nationwide Children’s Hospital
      or neonatal care topics to the 2011 Nationwide Children’s Hospital Neonatal Conference. Please                          for Child and Family Advocacy, Nationwide Children’s Hospital
                                                                                                                                                                                                      Edward Shepherd, MD
      contact Mary Gossard, RN, MSN, CNS by April 1, 2011 for a poster submission form, or follow the                         Renee Gardikes, RN, BSN                                                 J4 NICU Medical Director, Interim Section Chief Neonatology,
                                                                                                                              J4 Program Manager, Nationwide Children’s Hospital
      below link. Posters will be displayed during both days of the main conference. Authors must be                                                                                                  Nationwide Children’s Hospital
                                                                                                                              Justin and Kelly Guinthe                                                Jonathan Slaughter, MD
      present during the Poster Viewing and Wine and Cheese Reception on Wednesday, May 25, 2011                              NICU Parents
                                                                                                                                                                                                      Neonatology, Nationwide Children’s Hospital
      from 4 to 6 p.m.                                                                                                        Barry Halpern, MD                                                       Susanne Staebler, DNP, APRN, NNP-BC
                                                                                                                              Neonatologist, Central Ohio Newborn Medicine
                                                                                                                                                                                                      Assistant Director, Advanced Practice Nursing, Monroe Carell Jr.
      Mary Gossard, RN, MSN, CNS     
                                                                                                                              Carole Harvey, LISW-S, LICDC                                            Children’s Hospital at Vanderbilt
      Neonatal Services/NICU                   Phone (614) 722-6502                                                           Program Director, Amythest House                                        Stephanie Stafford, RN, MSNc
      Nationwide Children’s Hospital           Fax (614) 722-2593                                                             Nichole Hodges, MPH, CHES                                               Clinical Nurse Manager, Nationwide Children’s Hospital NSCU
      700 Children’s Drive                                                                                                    Project Coordinator, The Research Institute at Nationwide               at Grant, Nationwide Children’s Hospital
                                                                                                                              Children’s Hospital                                                     Tom Taghon, MD
      Columbus, OH 43205
                                                                                                                              Mark Hogan, MD                                                          Anesthesiologist, Nationwide Children’s Hospital                                                                         Radiologist, Nationwide Children’s Hospital                             Steven Teich, MD
                                                                                                                              Stacy Hubbard, RRT                                                      Pediatric Surgeon, Nationwide Children’s Hospital
                                                                                                                              Respiratory Therapist Clinical Leader, Nationwide Children’s Hospital   Jodi Ulloa, RN, MSN, NNP-BC
                                                                                                                              Sudarshan Jadcherla, MD                                                 Neonatal Nurse Practitioner, Nationwide Children’s Hospital
                                                                                                                              Neonatologist, Nationwide Children’s Hospital                           Christine Valentine, MD
                                                                                                                              Jill Jones, RN, MS, NNP-BC                                              Neonatologist, Nationwide Children’s Hospital
                                                                                                                              Neonatal Nurse Practitioner, Nationwide Children’s Hospital
 Conference Planning Committee                                                                                                Marion Kay, BA
                                                                                                                                                                                                      Marty Visscher, PhD
                                                                                                                                                                                                      Executive Director and Scientific Investigator, The Skin Sciences
                                                                                                                              Management Consultant, Marion Kay Management Consultant                 Institute, Cincinnati Children’s Hospital Medical Center

      Gail Bagwell, RN, MSN, CNS             Judith Hanlon, RN, MS, NNP-BC           Kim Samson, RN, MSN                      Denice and Shawn Kocher                                                 Patrick Wall, MD
                                                                                                                              NICU Parents                                                            Neonatologist, Pediatrix Medical Group
      Ruth Breier, RN                        Margaret Holston, RN, BSN               Anne Slifer
                                                                                                                              Sara Krygowski, MPH, CHES                                               Erin Geiger Wishloff, RRT
      Jim Dail, BS, MBA                      Carol Jaeger, RN, MS, NNP-BC            JoAnna Sutton, RN, MSN
                                                                                                                              Project Coordinator, The Research Institute at Nationwide               Respiratory Therapist Clinical Leader, Nationwide Children’s Hospital
      Beth Davidson, RN, BSN                 Mary Kaminski, RN, MSN, NNP-BC          Holly Strike, MD                         Children’s Hospital
      Kim Farney, RRT                        Erin Keels, RN, MS, NNP-BC              Steven Teich, MD                         Brandon Kuehne, RRT
      Mary Gossard, RN, MSN, CNS             Brandon Kuehne, RRT                     Becky Williams, MEd                      Neonatal Respiratory Therapy Program Manager, Nationwide
      Melissa Hamms, RNC, BSN, MBA           Richard Moraille, MD
2011 Neonatal Conference Neonatal Conference                                                              May 24-26, 2011    2011 Neonatal Conference 2011 Neonatal Conference                                                                             24-26, 2011
                                                                                                                                                                                                                                                       May May 24-26, 2011

 Agenda                                                                                                                       10:15 a.m. – 11:30 a.m.   Quality Improvement Initiatives in Neonatal Respiratory Care
                                                                                                                                                          Databases and Unit Auditing – Stacy	Hubbard,	RRT
                                                                                                                                                          Radio Aerogen Nebulizer Study – Kim	Farney,	RRT
 Pre-Conferences • Quest Conference Center                                                                                                                Paraextubation Project – Erin	Geiger,	RRT
 Tuesday, May 24, 2011                                                                                                                                    Rapid Extubation Guidelines – Jonathan	Slaughter,	MD
                                                                                                 Main Conference              11:30 a.m. – 1 p.m.       LUNCH
 Neonatal Pharmacology Pre-Conference                                                            Tracks
 7 a.m. – 7:45 a.m.        Registration and Continental Breakfast                                                             1 p.m. – 2 p.m.           iNO for Preterm Infants
                                                                                                                                                        	 Leif	Nelin,	MD
 7:45 a.m. – 8 a.m.        Welcome                                                               Skin                         2 p.m. – 3 p.m.           Neonatal Graphics
 8 a.m. – 9 a.m.           Neonatal Intestinal Failure                                           This mini track describes                              	 Brandon	Kuehne,	RRT
                           	 Jane	Balint,	MD
                                                                                                 the uniqueness of            3 p.m. – 3:15 p.m.        Break
 9 a.m. – 10 a.m.          Copper and Trace Elements
                                                                                                 neonatal skin including      3:15 p.m. – 4 p.m.        Surfactants
                           	 Molly	Deinhart,	MD
                                                                                                 congenital and acquired                                	 George	Mandy,	MD
 10 a.m. – 10:15 a.m.      Break
                                                                                                 disorders and wound          4 p.m. – 4:15 p.m.        Evaluations
 10:15 a.m. – 11 a.m.      Emerging Resistant Infections in the NICU
                           	 Jackie	Schneider,	PharmD                                            care for the tiniest and
                                                                                                                              Main Conference • Quest Conference Center
 11 a.m. – Noon            Regional Anesthesia                                                   most at-risk population.
                           	 Amod	Sawardeker,	MD                                                                              Improving the Quality and Safety of Perinatal and Neonatal Care: Current Concepts
 Noon – 1 p.m.             LUNCH                                                                                              and Challenges
 1 p.m. – 2 p.m.           Anesthesia Effects on the Developing Neonatal Brain                                                May 25-26, 2011
                           	 Tom	Taghon,	MD                                                      This mini track will
 2 p.m. – 3 p.m.           Update on the Use of Topical Agents in Neonates                       describe innovative          Wednesday, May 25, 2011
                           	 Marty	Visscher,	PhD                                                 initiatives and research     7 a.m. – 7:45 a.m.        Registration and Continental Breakfast
 3 p.m. – 3:15 p.m.        Break                                                                 aimed at improving           7:45 a.m. – 8 a.m.        Welcome
 3:15 p.m. – 4 p.m.        APRN Regulation and Continuing Competency                             pregnancy and birth          8 a.m. – 8:45 a.m.        Marching Towards Zero: Eliminating Preventable Harm in Health Care
                           	 Susanne	Staebler,	DNP,	APRN,	NNP-BC	                                                                                       	 Richard	Brilli,	MD
                                                                                                 outcomes for at-risk
 4 p.m. – 4:15 p.m.        Evaluations                                                                                        8:45 a.m. – 9:45 a.m.     A Comprehensive Approach to Improving the Quality of Neonatal Intensive Care
                                                                                                 populations.                                           	 Dan	Ellsbury,	MD
 Neonatal PICC Insertion and Refresher Course                                                                                 9:45 a.m. – 10:15 a.m.    Break and Vendor Displays
 7:45 a.m. – 12:30 p.m.    PICC INSERTION COURSE                                                 CQI Lessons Learned          10:15 a.m. – 11 a.m.      Health Care Reform and the Envisioned Future of APRNs
                           	 Erika	Osborn,	NNP	and	Jill	Jones,	NNP                               This mini track will                                   	 Susanne	Staebler,	DNP,	APRN,	NNP-BC
 7 a.m. – 7:45 a.m.        Registration and Continental Breakfast                                describe the lessons         11 a.m. – 11:45 a.m.      The New NRP Recommendations: The Evidence and Challenges
 7:45 a.m. – 8 a.m.        Welcome                                                                                                                      	 Steven	Ringer,	MD
                                                                                                 learned from designing
 8 a.m. – 10 a.m.          Lecture                                                                                            11:45 a.m. – Noon         Speaker Panel Q&A
                                                                                                 and implementing
 10 a.m. – 10:15 a.m.      Break                                                                                              Noon – 1 p.m.             LUNCH and Vendor Displays
                                                                                                 quality health care
 10:15 a.m. – 12:30 p.m.   Simulation                                                                                         1 p.m. – 1:45 p.m.        Breakout Session 1
                                                                                                 initiatives, so that you
                                                                                                                                                          A. (Skin) Neonatal Skin Physiology
                                                                                                 can learn from others’                                 	 	 	 Marty	Visscher,	PhD
 1 p.m. – 4:15 p.m.            PICC REFRESHER COURSE
                               	 Erika	Osborn,	NNP	and	Jill	Jones,	NNP                           experiences.                                             B. (Perinatal) Beyond the Intrauterine Environment: Fetal Links to Chronic Disease in the Diabetic Pregnancy
 12:30 p.m. –1 p.m.            Registration                                                                                                             	 	 	 Celeste	Durnwald,	MD
                                                                                                                                                          C. (CQI Lessons Learned) Decreasing Unnecessary LOS: Lessons Learned
 1 p.m. – 1:15 p.m.            Welcome                                                           Preparing for Home                                     	 	 	 Richard	McClead,	Jr.,	MD
 1:15 p.m. – 2:45 p.m.         Lecture                                                           This mini track will
                                                                                                                                                          D. (Preparing for Home) Infant Product Safety
 2:45 p.m. – 3 p.m             Break                                                             assist health care                                     	 	 	 Sara	Krygowski,	MPH,	CHES	and	Nichole	Hodges,	MPH,	CHES
 3 p.m. – 4:15 p.m.            Demonstration                                                     providers prepare for        1:45 p.m. – 2 p.m.        Break
 The four-hour didactic Neonatal PICC Insertion Course will prepare the Neonatal RN or APN to    discharges—from simple       2 p.m. – 2:45 p.m.        Breakout Session 2
 insert neonatal PICCs according to current professional standards and recommendations. Each
 attendee with be provided a PICC insertion kit for simulation.
                                                                                                 to complex.                                              A. (Skin) When the Skin Falls Apart
                                                                                                                                                        	 	 	 Steven	Teich,	MD
 The Refresher Course will update current Neonatal PICC inserters on the latest techniques and
 best practices. Simulated demonstration will be provided.                                                                                                B. (Perinatal) Cooking and Prenatal Education in Weiland Park: A Community Program to Improve
                                                                                                                                                             Perinatal Health
 Space	is	limited	to	12	participants	for	each	course.	                                                                                                  	 	 	 Patricia	Temple	Gabbe,	MD
                                                                                                                                                          C. (CQI Lessons Learned) Improving the Care of NAS Babies and Families
 Updates in Neonatal Respiratory Care                                                                                                                   	 	 	 Barry	Halpern,	MD,	Stephanie	Stafford,	RN,	Carole	Harvey,	LISW-S,	LICDC,	Virginia	O’Keeffe
 7 a.m. – 7:45 a.m.        Registration and Continental Breakfast
                                                                                                                                                          D. (Preparing For Home) Improving Feeding Outcomes
 7:45 a.m. – 8 a.m.        Welcome                                                                                                                      	 	 	 Sudarshan	Jadcherla,	MD
 8 a.m. – 9 a.m.           Neonatal Ventilation                                                                               2:45 p.m. – 3 p.m.        Break
                           	 Edward	Shepherd,	MD
                                                                                                                              3 p.m. – 3:45 p.m.        Breakout Session 3
 9 a.m. – 10 a.m.           What Type of NCPAP and Why?
                           	 Erin	Geiger,	RRT                                                                                                             A. (Skin) Prevention and Treatment of Neonatal Hospital Acquired Pressure Injuries
                                                                                                                                                        	 	 	 Brenda	Ruth,	RN,	WON
 10 a.m. – 10:15 a.m.      Break                                                                                                                                                                                                              continued	on	next	page
2011 Neonatal ConferenceNeonatal Conference
                   2011                                                                                           May ay 24-26, 2011
                                                                                                                   M 24-26, 2011       CONFERENCE INFORMATION Neonatal Conference
                                                                                                                                                          2011                                                                                 May 24-26, 2011

                                                                                                                                       and games and Rave, an 18 screen movie theater. A            using the attached registration form. Please follow the
 Agenda, continued                                                                                                                     short drive away are several public golf courses and the     instructions carefully. Credit cards must be used for
                             B. (Perinatal) Perinatal Grief: Helping Families Through Difficult Times                                  Columbus Zoo and Aquarium, recently named the No. 1          online registrations. Upon receipt of the registration
                           	 	 	 Rev.	Joan	Maynard                                                                                     Zoo in America by the USA Travel Guide.                      payment, each participant registering prior to May 9,
                             C. (CQI Lessons Learned) Implementing a Brain Cooling Program: Lessons Learned                                                     2011 will receive a confirmation letter via U.S. mail.
                           	 	 	 Jodi	Ulloa,	NNP	
                                                                                                                                                                                                    The registration fee for the main conference includes
                             D. (Preparing for Home) Improving the Discharge Process Through the COPE, PEEP and                        Hotel Accommodations
                                 VON Initiatives                                                                                                                                                    the educational materials, continental breakfasts,
                                                                                                                                       Fairfield Inn & Suites Columbus Polaris
                           	 	 	 Beth	Martin,	RN,	Renee	Gardikes,	RN,	BSN,	Adeline	Cursio,	RNC,	MSN,	CNS,	NICU	                                                                                     lunches, afternoon refreshments and access to the Wine
                                                                                                                                       900 Worthington Road
 3:45 p.m. – 4 p.m.        Evaluations                                                                                                                                                              and Cheese Reception.
                                                                                                                                       Columbus, Ohio 43082
 4 p.m. – 6 p.m.           Poster viewing, Seek and Find Contest, and Wine and Cheese Reception
                                                                                                                                                                                                    The registration fee for the pre-conference includes
                                                                                                                                       At Fairfield Inn & Suites Columbus Polaris by Marriott,
 Thursday, May 26, 2011                                                                                                                                                                             the educational materials, and continental breakfasts.
 7 a.m. – 7:30 a.m.        Registration and Continental Breakfast                                                                      you can count on a friendly welcome, a clean and
                                                                                                                                                                                                    Lunch will be provided for participants of Neonatal
 7:30 a.m. – 7:45 a.m.     Welcome                                                                                                     comfortable room, great features, amenities and service
                                                                                                                                                                                                    Pharmacology and Updates in Neonatal Respiratory
 7:45 a.m. – 8:30 a.m.     Making Changes that Make a Difference                                                                       that will make you want to return. Enjoy the indoor
                                                                                                                                                                                                    Care Pre-Conference.
                           	 Marion	Kay,	BA                                                                                            heated pool and spa with an outdoor patio. Workout
 8:30 a.m. – 9:15 a.m.     Improving the Transition from the DR to the NICU/NSCU                                                       in our state of the art fitness room featuring 17” TV’s
                           	 Patrick	Wall,	MD                                                                                          on each piece of cardio equipment. Complimentary             Cancellation Policy
 9:15 a.m. – 9:45 a.m.     Break and Vendor Displays                                                                                   wireless high speed Internet access available as well as a   A refund, minus 30% for administrative costs, will be
 9:45 a.m. – 10:30 a.m.    Interventional Radiology for Improved Outcomes in the Neonatal Period                                       24-hour business center.                                     given for cancellations received in writing before May 9,
                           	 Mark	Hogan,	MD	                                                                                                                                                        2011. After this date, no refund will be available.
 10:30 a.m. – 11:15 a.m.   The Journey Toward Quality Improvement in Surgery: Lessons for the Smallest Patients                        Rooms are available at a discounted rate of $109.00
                           	 Larry	Moss,	MD                                                                                            + tax for Single Occupancy. In order to receive this         Traveling to Columbus
 11:15 a.m. – 11:30 a.m.   Break                                                                                                       discounted rate, room reservations must be made prior        Columbus is Ohio’s capital and the nation’s 15th largest
 11:30 a.m. – 12:15 p.m.   Advanced Cardiac Catheterization Procedures in the Neonatal Period                                          to 6 p.m. on May 9, 2011. For reservations, please visit     city, with a dynamic business climate, a commitment to
                           	 John	Cheatham,	MD
                                                                                                                                       diversity, exciting annual festivals and cultural events,
 12:15 p.m. – 12:30 p.m.   Speaker Panel Discussion
                                                                                                                                       and-suites-columbus-polaris/ or call (888) 236-2427.         unique arts and entertainment opportunities and home
 12:30 p.m. – 1:30 p.m.    LUNCH and Vendor Displays
                                                                                                                                       Please use Nationwide Children’s Hospital group code         of great professional, amateur and collegiate sports.
 1:30 p.m. – 2:15 p.m.     Updates in Human Milk Science: A Perinatal Perspective
                           	 Christine	Valentine,	MD	                                                                                  (Nationwide Children’s Hospital).
 2:15 p.m. – 3:15 p.m.     Social Networking in Health Care                                                                                                                                         Airport
                           	 Rhonda	Comer,	JD,	Jill	Choi,	MBA,	RHIA,	Kathleen	Dunn,	JD,	Justin	and	Kelly	Guinther	and	Denice		         Intended Audience                                            Port Columbus International Airport, located just 20
                           	 and	Shawn	Kocher                                                                                          This conference is specifically designed to meet the         minutes from Quest Conference Center, is served by 10
 3:15 p.m. – 3:30 p.m.     Break                                                                                                       needs of the perinatal and neonatal interdisciplinary        airlines and their regional affiliates providing more than
 3:30 p.m. – 4:15 p.m.     Achieving Personal and Professional Excellence                                                              health care team.                                            340 daily arrivals and departures to 36 airports. Major
                           	 Marion	Kay	
                                                                                                                                                                                                    carriers include Air Canada Jazz, AirTran, American
 4:15 p.m. – 4:30 p.m.     Evaluation and Wrap up
                                                                                                                                       Continuing Education                                         Continental, Delta, Midwest Connect, Northwest,
                                                                                                                                       Physician – The Nationwide Children’s Hospital is            Southwest, United, USA 3000 and US Airways. All
                                                                                                                                       accredited by the Accreditation Council for Continuing       ground transportation may be accessed via the terminal
 Conference Information                                                                                                                Medical Education to provide continuing medical              walkway or baggage claim level exits.
                                                                   The Quest Conference Center is located in Columbus,                 education for physicians. The Nationwide Children’s
                                                                                                                                       Hospital designates this educational activity for a          Taxi service is provided by many vendors. The average
                                                                   Ohio, one block east of I-71 on Polaris Parkway in the
                                                                                                                                       maximum of 12.25 AMA PRA Category 1 Credit(s)™.              fare from Port Columbus International Airport to
                                                                   heart of it all—adjacent to the Polaris Fashion Place,
                                                                                                                                       Physicians should only claim credit commensurate with        Quest Conference Center is approximately $40. Airport
                                                                   offering some of the finest shopping, dining and
                                                                                                                                       the extent of their participation in the activity.           shuttles are operated by Arch Express, Super Shuttle and
                                                                   recreation Columbus has to offer.
                                                                                                                                                                                                    Urban Express Transportation. Cost varies based on the
                                                                   Polaris Fashion Place, north of Columbus off Interstate             Nursing – Nationwide Children’s Hospital (OH-033/10-         number of passengers and the distance. Reservations are
                                                                   71, has more than 150 stores—including Columbus’ only               1-11) is an approved provider of continuing nursing          recommended and can be made at www.port-columbus.
                                                                   Saks Fifth Avenue, Sephora and Von Maur—on two indoor               education by the Ohio Nurses Association (OBN-001-           com/parking/transportation/shuttle.asp.
                                                                   levels and in the new outdoor Polaris Lifestyle Center.             91), and accredited approver by the American Nurses
Quest Conference Center                                                                                                                Credentialing Center’s Commission on Accreditation.          Questions?
                                                                   Surrounding Polaris Fashion Place are dozens of                                                                                  Contact Nationwide Children’s Hospital Education, P.O.
8405 Pulsar Place, Columbus, Ohio 43240
                                                                   restaurants, shops, hotels and attractions, such as Magic           Registration                                                 Box 7199, Columbus, OH 43205. Phone (614) 355-0676,
                                                                   Mountain Fun Center with laser tag, bumper boats                    Attendees may register via the web at                        Fax (614) 355-0670 or visit our website at
                                                                                                                              or by      
                               NON-PROFIT ORG.
                                 U.S. POSTAGE
                                COLUMBUS, OH
                                PERMIT NO. 777
   P.O. Box 7199
   Columbus, Ohio 43205-0199

2011 Neonatal Conference Neonatal Conference                                                                                       May 24-26, 2011

  Registration Form                                For your convenience, register online at

Name      q Ms.     q Mrs. q Mr.        q Dr.
q Nurse        q Physician         q Other (specify)
Title                                                        Organization
Home Address
City                                                         State               Zip                 Country
Work County (if Ohio resident)
Telephone (work)                                                                 (home)
Fax                                     E-mail Address
Special Services Required
q Interpreter for the Hearing Impaired            q Wheelchair Seating
q Other (please explain) ________________________________________________________________________________
Registration Fees                                                                                                     Subtotal
  Pre-Conference (May 24, 2011): Please select only one
                 q Respiratory $160                                                                                   $ ________
                 q PICC Insertion Course $200                                                                         $ ________
                 q PICC Refresher Course $100                                                                         $ ________
                 q Neonatal Pharmacology $160                                                                         $ ________
  Main Conference (May 25-26, 2011)
  1-day              2-day           Dates
  $160               $320            q May 25           q May 26                       q both days                    $ ________
                                                                                                TOTAL                 $ ________
Online Registration Fees*
 1-day            2-day
 $150             $310
  *To register online go to:
Registration for the break-out Track (Wednesday, May 25 – see brochure agenda for descriptions).
Check only one track:
q Skin Track      q Perinatal Track     q CQI Lessons Learned Track      q Preparing For Home Track
Wine and Cheese Reception Invitation (Wednesday, May 25, 4 – 6 p.m.)
q Yes, I will attend  q No, I will not attend
Amount Enclosed: $__________________
Payment: q Cash q Check
Credit Card Information: q Visa q MasterCard
Card #                                                                                     Exp. Date
Name on Card
Please make check payable to:                     NATIONWIDE CHILDREN’S HOSPITAL EDUCATION
and mail with registration form to:               Neonatal Conference
                                                  Nationwide Children’s Hospital Education
                                                  P.O. Box 7199, Columbus, OH 43205-7696
                                                  Fax (614) 355-0670

Registration deadline is May 9, 2011
Above fees applicable if postmarked by May 9, 2011. After that date only walk-in registrations will be accepted on the day of the conference on a
space-available basis, and a $20 walk-in fee will be assessed. Cancellations will be accepted in writing until May 9, 2011 and refunds granted minus
30% for administrative costs.
Registration fee for main conference includes educational materials, breakfast, lunches, afternoon refreshments and Wine and Cheese Reception.
Registration fee for pre- conference includes educational materials, breakfast, lunch and equipment (PICC Course only)
Note: Individuals utilizing a purchase order must include an original copy of the order with a signature, number, and billing address in order to be
registered. This issuance of a purchase order to secure a registration slot is an obligation for payment whether the participant attends, cancels or is
absent from the conference. Payment for purchase orders is required within 30 days of receipt by Nationwide Children’s Hospital.

A confirmation letter, receipt, parking information and directions to the conference will be sent to all those who register by May 9, 2011.

Shared By: