Dandle·LION Medical webinars are recorded and can be viewed live, with an opportunity to ask questions, or as a recording. Both ways offer a FREE CEU!! Go to www.dandlelion-webinars.com to register for a current webinar and view all previous webinars.

Webinar: The NeuroNICU Trend and Expanding Roles for EVERY Bedside Care Provider

Webinar Date:  Thursday, December 6, 2018:  9 am PT, 11 am MT; 10 am CT, 12 pm EST

The NeuroNICU Trend and Expanding Roles for EVERY Bedside Care Provider

Many say that the brain is the last frontier of neonatal care and to support this belief Neuro-Intensive Care Nurseries or NeuroNICU’s are popping up all over the globe.

Since the definition of a NeuroNICU is not well-defined, each hospital capitalizes on their local expertise and specific interests to develop their plan for creating a NeuroNICU program.

For the last 5 years, Kathi Randall has been traveling the globe supporting NICUs who have an interest in creating a NeuroNICU program and increasing their use of brain monitoring and neuro-protective care at the bedside. Through this experience, Kathi has developed a framework for other NICUs to follow, and has created the “4 Pillars of NeuroNICU Care”.

Within each of these 4 pillars there are opportunities to observe, evaluate, initiate, or improve existing practices in the NICU that may affect the developing brain. And this creates opportunities for every member of the care team (including parents) to take their NICU to the next level.

In this one-hour webinar, Kathi will share the 4 Pillars of NeuroNICU Care, provide examples of projects that can be implemented, and share some exemplary case examples from her travels to other NICUs around the world.

Faculty: Kathi Randall, RN, MSN, CNS, NNP-BC

Kathi is the founder of Synapse Care Solutions, an education and consulting company dedicated to supporting Neonatal Neuro-Critical Care Units. Through Synapse Care, Kathi offers NeuroNICU program consultation, in-person workshops, online courses, and an annual nurses’ conference. 

Kathi has been helping hospitals implement bedside aEEG brain monitoring into the NICU for more than a decade and over the last 5 years, Kathi has been spending her time with the NeuroNICU Team at Stanford University and traveling the globe supporting NeuroNICU programs throughout the US, Thailand, Lebanon, Oman, and Brazil. She is a frequently invited speaker at international conferences with a focus on educating others on the use of aEEG, therapeutic hypothermia for HIE, and creating Neuro-Nurturing NICUs.

Our Learning Objectives: 

  1. List the four pillars of the NeuroNICU practice framework
  2. Describe at least two daily clinical practices, or QI opportunities, that bedside providers can influence related to one of the NeuroNICU care pillars

Click here to register for the webinar, listen to the recording and earn a free CE.                                                                                Download the flyer DL Webinar_Aug2018_Berkwitt:

Webinar:- Neonatal Abstinence Syndrome: Rethinking our Approach

Webinar Date:  Thursday, August 23, 2018:  9 am PT, 11 am MT; 10 am CT, 12 pm EST

Neonatal Abstinence Syndrome:  Rethinking Our Approah

The traditional approach to caring for substance-exposed infants includes a NICU admission, extended separation for their families, and pharmacological strategies.   The team at Yale-New Haven have developed another way that is centered around a baby’s job description – to eat, to sleep and to be consoled.   This strategy has been adopted in other units around the US with similar success and with incredible outcomes for infants, parents and care-givers.

Join us for an in-depth review of this new approach and be inspired to change the way you care for exposed infants and their families.

Faculty:  Adam Berkwitt, MD

Adam Berkwitt, MD, is a Pediatric Hospitalist at the York Street Campus of Yale-New Haven Children’s Hospital. He is an Assistant Professor of Pediatrics at Yale School of Medicine, and currently serves as the Medical Director of the Pediatric Short Stay Unit. He graduated from the University of Connecticut School of Medicine and completed his internship and residency in Pediatrics at Yale-New Haven Children’s Hospital, where he later served as a Pediatric Chief Resident. Dr. Berkwitt’s areas of interest include: family centered care, medical education, and quality improvement research and projects.

Our Learning Objectives: 

  1. List the three required tasks for a baby in the ESC Model
  2. Discuss two or more limitations of the Finnegan scoring tool for NAS
  3. Describe at least two differences between the traditional model of care for substance-exposed infants and the ESC model of care in terms of length of stay, pharmacological management, and parental involvement

Click here to register for the webinar, listen to the recording and earn a free CE.                                                                                Download the flyer DL Webinar_Aug2018_Berkwitt:

Webinar: Supporting and Enhancing NICU Sensory Experiences (SENSE)

Webinar Date:  Wednesday, June 6:  11 am PT, noon MT; 1 pm CT, 2 pm EST

Supporting and Enhancing NICU Sensory Experiences (SENSE):                                                                                                    A new guideline for implementing consistent, developmentally appropriate and positive sensory exposures in the NICU

The goal of the SENSE (Supporting and Enhancing NICU Sensory Experiences) intervention is to engage parents in consistently providing positive, developmentally appropriate sensory exposures to their high-risk infants in the neonatal intensive care unit (NICU) every day of hospitalization. The SENSE intervention includes specific doses and targeted timing (based on postmenstrual age, PMA) of evidence-based interventions such as skin-to-skin care, infant massage, auditory exposures, holding, and rocking.  The guideline was developed with the intention of optimizing parent engagement, while maximizing daily positive sensory exposures to improve infant development and parent-infant interaction.

In this presentation, the specific guideline on auditory, tactile, vestibular, kinesthetic, olfactory and multi-modal stimulation for preterm infants in the NICU will be described. SENSE development and preliminary evidence will also be discussed.

Faculty:  Bobbi Pineda, PhD, OTR/L

Bobbi Pineda is an occupational therapist with Neonatal Therapy National Board Certification. She is an Assistant Professor at Washington University School of Medicine and has been conducting clinical research in the NICU for more than 10 years. The focus of her work has been on defining factors that impede function while developing interventions to optimize outcomes. She leads the Washington University Neonatal Therapy Research lab..  Over the past 5 years, her team has developed and implemented the Supporting and Enhancing NICU Sensory Experiences (SENSE) intervention in the NICU, and they are currently doing a randomized clinical trial on its efficacy.  As a scientist and the mother of 3 preterm children, she constantly strives for a better understanding of how to improve outcomes for those who start their lives in the NICU.

Our Learning Objectives: 

  1. Understand the importance of consistent, positive and developmentally appropriate sensory exposures in the NICU
  2. Understand research that led to the development of the SENSE intervention and the evidence that supports it
  3. Identify specific targets for tactile, auditory, vestibular, kinesthetic, olfactory, and visual interventions for each week of postmenstrual age

Click here to register for the webinar, listen to the recording and earn a free CE.                                                                                Download the flyer here:   DL Webinar_June2018_Pineda

Webinar: Creating and Sustaining Transformation – Evidence-based Best Practice

Webinar Date:  Wednesday, April 4:  9 am PT, 10 am MT; 11 am CT, noon EST

Making change happen, and more importantly, making change stick seems straightforward on the surface. But, for anyone who has embarked on improvement work, there is nothing about the journey that is straightforward. In this webinar, participants will learn the techniques, the strategies, and the habits of improvers that result in measurable and sustainable transformation.

Our Learning Objectives

  1. Describe 3 tactical best practices to create and sustain practice transformation

  2. Describe 3 reflective best practices to create and sustain practice transformation

Webinar: From Preemie to Young Adult: A 26-year retrospective look at parenting a NICU graduate

Webinar Date:  Friday, May 12, 2017:  9 am PT, 10 am MT; 11 am CT, noon EST

Faculty: Laura Mller

Have you ever thought to yourself, “I wonder what happened to that family, once they left the NICU?” Thousands of infants and their parents spend time in NICUs every year, but once they transition to home, we often lose track of them.

Through pictures and stories, Laura will share a long-range view of her life, and of her 27-week twins, after their NICU experience.  You’ll hear how a six-month NICU stay impacted every aspect of their lives. Laura will talk candidly about PTSD, disabilities, mental health, coping and adapting; and how she discovered new personal and professional paths as a result of her experiences from the early 1990’s.

Our Learning Objectives:

  1. Identify three long-term effects on parents of a NICU stay
  2. List two minor-morbidities that don’t seem so minor to NICU graduates or their parents
  3. Discuss two strategies to support NICU families during and following their stay in the hospital

Webinar: 100 Billion Neurons: Exploring the next generation of NICUs designed to support optimal brain development

Webinar Date:  Friday, March 17, 2017:  9 am PT, 10 am MT; 11 am CT, noon EST

Faculty: Kathi Salley Randall, RN, MSN, CNS, NNP-BC

At birth, a baby’s brain is made up of about 100 billion neurons, roughly the same number of stars in the Milky Way.

In the NICU there exists many challenges and opportunities when it comes to supporting the health of these neurons and the rapidly developing neonatal brain.

In this presentation, we will review the basics of fetal and neonatal brain development and explore potential social and biological threats to its normal development and how some NICU’s are altering design and culture to optimize brain health.

Our Learning Objective

Webinar: Baby It’s Cold Out There: Myths and Facts about Thermoregulation

Webinar Date:  Friday, December 2, 2016:  9 am PT, 10 am MT; 11 am CT, noon EST

Faculty: Liz Drake, MN, NNP, CNS, RN-NIC

Evidence shows that hypothermia is an independent risk factor for morbidity and mortality. However, by implementing a few simple modifications to the environment, we can dramatically improve temperature regulation and in turn, infant outcomes
and survival.

Products and devices intended to provide neuro-protection and musculo- skeletal support are standard of care in the NICU. Despite their positive effects on the neonate’s development, these products have complicated the simple task of temperature management; and in turn, have resulted in the need for bedside care givers to rethink our understanding of thermoregulation and modify traditional practices.

In this one-hour presentation our presenter, Liz Drake will dispel several myths related to neonatal temperature management and will offer practical recommendations to provide both a developmentally supportive environment and a neutral thermal environment.

Our Learning Objectives

Webinar: Integrating Parents in Newborn Pain Care – Evidence and Implementation

Webinar Date:  Friday, October 14, 2016:  9 am PT, 10 am MT; 11 am CT, noon EST

Faculty: Marsha Campbell-Yeo, PhD, NNP-BC, RN

Hospital care and medical interventions are sources of separation and stress, leading to a diminished capacity for the infant to endure painful procedures and situations.  Involvement of parents in newborn pain management is of increased interest in both research and clinical settings.

Recent research has focused on finding non-pharmacological interventions or sweet tasting solutions as a substitute to drugs; or at least to decrease the number of drug doses needed for optimal analgesia.  There is a growing interest in interventions that involved parents, e.g. skin-to-skin care, breastfeeding, or facilitated tucking.

Despite the growing knowledge base on non-pharmacological interventions, clinicians and parents often struggle with which strategy should be recommended as first line therapy or whether several should be given in combination.  In this one-hour seminar presentation, Dr. Marsha Campbell-Yeo will describe the powerful benefits of integrating parents into the neonatal pain management care plan as well as the effective ways to implement these interventions in clinical settings.

Our Learning Objectives:

Go to www.dandlelion-webinars.com to register for the webinar, listen to the recording (after October 14, 2016), earn a free CE and/or download the flyer.

Webinar: Affective Capabilities and Vulnerabilities of the Hospitalized Infant

Webinar Date:  Friday, May 6, 2016:  9 am PT, 10 am MT; 11 am CT, noon EST

Faculty: Mary Coughlin MS, NNP, RNC-E

Normal development of an infant’s “sense-of-self,” and “sense-of-other,” depends in part on an optimally engaged and functional sensory system. Early exposure to trauma — extremely fearful events — and high levels of stress affect the developing brain, particularly in those areas involved with emotions and learning. The amygdala and the hippocampus are two brain structures involved in fear and traumatic stress. These two structures in concert with the insula cortex comprise the neural circuitry for neuroception, the mechanism by which we distinguish whether situations or people are safe, dangerous, or life threatening.  This webinar will introduce the learner to the neuroscience underpinning the affective capabilities and vulnerabilities of the hospitalized infant and describe how translation of this information into clinical practice can transform the developmental potential of the hospitalized infant.

Our Learning Objectives:

Go to www.dandlelion-webinars.com to register for the webinar, listen to the recording (after May 7, 2016), earn a free CE and/or download the flyer.

Webinar: Neurobehavioral Assessment of High-Risk Infants in the NICU

Webinar Date:  Friday, March 4, 2016:  9 am PT, 10 am MT; 11 am CT, noon EST

Faculty:  Bobbi Pineda PhD, OTR/L

Neurobehavioral assessments can be used to evaluate the efficacy of therapeutic interventions, to define and communicate an individual infant’s strengths and weaknesses, and can empower parents to understand the developmental potential of their premature infant.  When used to cover the span of a NICU stay, they offer powerful insights and clues to an infant’s brain development and potential challenges for the future.

In this presentation we will discuss the purpose of the neurobehavioral exam, define different assessments available for use with high risk infants in the NICU, and discuss how to administer and interpret assessment results.

Our Learning Objectives:

Go to www.dandlelion-webinars.com to register for the webinar, listen to the recording (after March 5, 2016), earn a free CE and/or download the flyer.