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Neonatal-Pediatric Specialist course




The AARC's Neonatal-Pediatric Specialist course is a comprehensive course developed to enhance the critical skills necessary for respiratory therapists who work in the neonatal and pediatric critical care environments. This is an excellent course to assist those respiratory therapists preparing to challenge the National Board for Respiratory Care (NBRC) Neonatal-Pediatric Specialist examination.

The content of this course is reflective of the most recent NBRC ACCS detailed content outline, effective as of October 2018.

In addition to preparing the respiratory therapist for the NBRC NPS examination, this course is an excellent tool for those who are new to neonatal-pediatric care. With content geared toward respiratory care and critical care for both the neonatal and pediatric population, this course is a comprehensive orientation to the respiratory therapist's role in caring for the critically ill neonatal and pediatric patient.

Successful completion of this course requires a score of 70% on the post-test.

**Please note that this program requires the participant to view the entire intro video prior to taking the final quiz and obtaining a course certificate.**


Approved for 20.00 CRCE Hours.





SEMINAR OBJECTIVES


Discuss general critical care practices, such as assessing patient status and changes in status, anticipate care based on laboratory results, anticipate care based on imaging and reports of imaging, anticipate effects of pharmacologic agents, anticipate care based on nutritional status, prevent ventilator associated pneumonia, and recognize and manage patients with infections and sepsis in the neonatal/pediatric population.
Discuss respiratory critical care procedures, such as managing airways, administering specialty gases, manage ventilation, and deliver pharmacologic agents in the neonatal/pediatric population.
Identify necessary components to prepare for disasters, including patient protection and equipment and supply management in the neonatal/pediatric population.
Identify components of acting as an interdisciplinary team member in the neonatal/pediatric population.
Discuss performing critical care procedures and troubleshoot systems such as chest tube drainage, bronchoscopy, hemodynamic monitoring, and inhaled delivery of vasodilators in the neonatal/pediatric population.
Discuss issues with patient autonomy, surrogate decision making, and end of life in the neonatal/pediatric population.



CHAPTERS
Welcome to the NPS Course

The welcome video is approximately 3 minutes in length. It is recommended that you take the pre-course practice examination (see the document in the "papers" tab) prior to accessing the course materials.

Course faculty conflicts of interest are disclosed below. Brand names of products and pictures of products may be used only as examples of available technology. No endorsement of any one product or device is intended.


Speaker Information

Alex Brendel: no relationships to disclose
Ira Cheifetz: Philips, Ikaria
Kathy Deakins: Hill-Rom, Masimo
Dabney Eidson: no relationships to disclose
Dana Evans: Chiesi USA
John Gallagher: AARC liaison to the American Academy of Pediatrics NRP program
Bill Galvin: no relationships to disclose
Douglas Gardenhire: no relationships to disclose
Janet Lioy: no relationships to disclose
Timothy Myers: no relationships to disclose
Natalie Napolitano: Dräger, Aerogen, Philips Respironics, Nihon Kohden, CVS Health
Howard Panitch: Philips Respironics
Steve Sittig: no relationships to disclose
Shawna Strickland: no relationships to disclose
Shari Toomey: No relationships to disclose
Jenn Watts: no relationships to disclose
Sara Wing Parker: no relationships to disclose


Pediatric Patient Assessment

This presentation discusses components of neurologic, basic cardiovascular, renal, gastrointestinal, metabolic, and musculoskeletal assessments as well as reinforce the recognition of respiratory failure in the pediatric patient. The presenter reviews normal and abnormal findings of these assessments in the context of the pediatric critically ill patient.

This video is approximately 1 hour and 33 minutes in length.

NBRC NPS matrix items IA; II A


Speaker Information

Alex Brendel MBA, RRT, RRT-NPS


Neonatal Patient Assessment

This presentation discusses components of neurologic, basic cardiovascular, renal, gastrointestinal, metabolic, and musculoskeletal assessments as well as reinforce the recognition of respiratory failure in the neonatal patient. The presenter reviews normal and abnormal findings of these assessments in the context of the neonatal critically ill patient.

This video is approximately 49 minutes in length.

NBRC NPS matrix items I A; II A


Speaker Information

Sara Wing Parker MPH, RRT, RRT-NPS, AE-C


Pediatric Cardiopulmonary Disease

This presentation focuses on the cardiopulmonary disease processes that are common to the pediatric patient and are specifically addressed on the NBRC NPS examination. These processes include asthma, pneumonia, croup, bronchiolitis, neuromuscular diseases, trauma, inhalation injuries, and cystic fibrosis.

This video is approximately 1 hour and 4 minutes in length.

NBRC NPS matrix items I A; I B; and those disease processes listed in the secondary test specifications


Speaker Information

Kathy Deakins MHA, RRT, RRT-NPS, FAARC


Neonatal Cardiopulmonary Disease

This presentation focuses on the cardiopulmonary disease processes that are common to the neonatal population and are specifically addressed on the NBRC NPS examination. These processes include congenital heart diseases, prematurity, meconium aspiration, pulmonary hypertension, and bronchopulmonary dysplasia.

This video is approximately 1 hour and 6 minutes in length.

NBRC NPS matrix items I A; I B; and those disease processes listed in the secondary test specifications


Speaker Information

Sara Wing Parker MPH, RRT, RRT-NPS, AE-C


Laboratory Results

Part 1 discusses normal and abnormal values in relation to blood gases and co-oximetry. These diagnostic laboratory studies are also discussed in context with the conditions of neonatal and pediatric patients.

Part 2 discusses normal and abnormal values in relation to blood chemistries, electrolytes, microbiology, and other clinical laboratory diagnostic studies. These diagnostic laboratory studies are also discussed in context with the conditions of neonatal and pediatric patients.

The part 1 video is approximately 54 minutes in length and the part 2 video is approximately 48 minutes in length.

NBRC NPS matrix items I A; I E; I G


Speaker Information

Janet Lioy MD


Pharmacology

This presentation reviews the common medications (pulmonary and non-pulmonary) used in the treatment of neonatal and pediatric patients. In addition, information on the effects/side effects and the role of the respiratory therapist in the administration of these medications is provided.

This video is approximately 43 minutes in length.

NBRC NPS matrix items I F, II F


Speaker Information

Douglas Gardenhire EdD, RRT, RRT-NPS, FAARC


Airway Management

This presentation identifies the indications and contraindications for the use of various specialty gases in the treatment of neonatal and pediatric patients as well as the use and hazards of various artificial airways.

This video is approximately 1 hour and 4 minutes in length.

NBRC NPS matrix items I B, I C, I M, II B, and II C


Speaker Information

Steven Sittig RRT, RRT-NPS
Shawna Strickland PhD, RRT, RRT-NPS, RRT-ACCS, AE-C, FAARC


Airway Clearance

This presentation identifies common airway clearance issues in neonatal and pediatric patients, including secretion removal and devices for airway clearance.

This video is approximately 23 minutes in length.

NBRC NPS matrix item I C; I D


Speaker Information

Kathy Deakins MHA, RRT, RRT-NPS, FAARC


Non-Invasive Ventilation

This presentation provides an exploration of the indications, contraindications, hazards, side effects, and beneficial effects of non-invasive ventilation in the neonatal/pediatric population.

This video is approximately 53 minutes in length.

NBRC NPS matrix item II D


Speaker Information

Dana Evans MHA, RRT, RRT-NPS


Mechanical Ventilation and Waveform Analysis

This presentation provides a review of the basics of volume versus pressure ventilation as well as a discussion of appropriate initial mechanical ventilation settings, ventilator graphics interpretation, and weaning techniques for neonatal and pediatric patients.

This video is approximately 53 minutes in length.

NBRC NPS matrix items II D


Speaker Information

Dana Evans MHA, RRT, RRT-NPS


Pediatric Mechanical Ventilation and Pediatric ARDS

This presentation will define ARDS in the pediatric population and review recommendations to maximize conventional ventilation and gas exchange goals as well as discuss modalities such as high frequency ventilation and various adjunct approaches, including ECMO.

This video is approximately 57 minutes in length.

NBRC NPS matrix item II D


Speaker Information

Ira Cheifetz MD, FCCM, FAARC


Mechanical Ventilation Strategies

This presentation discusses mechanical ventilation strategies to optimize the patient-ventilator interaction as well as liberation from mechanical ventilation in neonatal and pediatric patients.

This video is approximately 48 minutes in length.

NBRC NPS matrix item II D


Speaker Information

Ira Cheifetz MD, FCCM, FAARC


Patient-Ventilator Monitoring

This presentation provides an overview of the vital components of an advanced cardiopulmonary assessment in the neonatal/pediatric population, including airway pressure monitoring and ventilator-patient interaction. In addition, the presentation discusses the various components of hemodynamic monitoring, including normal and abnormal values, and relate these to the neonatal/pediatric patient.

This video is approximately 36 minutes in length.

NBRC NPS matrix items I B; II D


Speaker Information

Shari Toomey MBA, RRT, RRT-NPS


Imaging Assessment

This presentation focuses on the indications and diagnostic uses of various diagnostic imaging tests, including: radiographs, computerized tomography, magnetic resonance imaging, ultrasonography, echocardiography, cardiac catheterization/angiography, and fluoroscopy.

This video is approximately 44 minutes in length.

NBRC NPS matrix items I A, I H


Speaker Information

Howard Panitch MD


Special Procedures and Troubleshooting

This presentation focuses on a variety of procedures classified as "special procedures" by the NBRC and the respiratory therapist's role in performing or assisting in the procedure as well as troubleshooting various situations. These procedures includeperipheral and umbilical intravenous acess; intra- and inter-hospital transport; intubation and extubation; oxygen challenge, and transillumination.

This video is approximately 55 minutes in length.

NBRC NPS matrix items I A; I B; II E


Speaker Information

Jenn Watts BS, RRT, RRT-NPS, C-NPT


Special Procedures: Bronchoscopy

This presentation focuses on bronchoscopy in children and the respiratory therapist's role in performing or assisting in this procedure as well as troubleshooting various sitations.

This video is approximately 38 minutes in length.

NBRC NPS matrix items I E


Speaker Information

Howard Panitch MD


Complications of Medical Interventions

This presentation will discuss two major complications of medical interventions: ventilator associated events and nutrition. The topics incude prevention of development of ventilator associated infections through various interventions and nutritional interventions that may produce cardiopulmonary compromise.

This video is approximately 10 minutes in length.

NBRC NPS matrix items I I; II G


Speaker Information

Shawna Strickland PhD, RRT, RRT-NPS, RRT-ACCS, AE-C, FAARC


Ethics, the Team Concept, and Disaster Management

This presentation addresses ethical conflicts and concepts common to the neonatal and pediatric population, including patient autonomy, surrogate decision-making, informed consent, ventilatory support at the end of life, withdrawal of life support, and organ donation. A discussion of working as part of a multidisciplinary team and essential components of effective disaster management and safety.

This video is approximately 20 minutes in length.

NBRC NPS matrix items I K; I L; II H


Speaker Information

Shawna Strickland PhD, RRT, RRT-NPS, RRT-ACCS, AE-C, FAARC


Emergency Interventions: PALS

This presentation provides an overview of the major principles of the American Heart Association's Pediatric Advanced Life Support program.

This video is approximately 33 minutes in length.

NBRC NPS matrix item I J


Speaker Information

Natalie Napolitano MPH, RRT, RRT-NPS, AE-C, FAARC


Emergency Interventions: NRP

This presentation provides an overview of the major principles of the American Heart Association/American Academy of Pediatrics' Neonatal Resuscitation Program.

This video is approximately 50 minutes in length.

NBRC NPS matrix item I J


Speaker Information

John Gallagher MPH, RRT, RRT-NPS


Family and Patient Education

This presentation discusses issues regarding patient and family education, including discharge planning, tracheostomy care, resuscitation, home monitoring, and home mechanical ventilation.

This video is approximately 27 minutes in length.

NBRC NPS matrix item I M


Speaker Information

Alex Brendel MBA, RRT, RRT-NPS


NPS Case Studies

These chapters use a case-based approach to gather and interpret clinical information to assist the neonatal pediatric specialist in making appropriate clinical decisions.

Case study #1: This module is approximately 11 minutes in length.

Case study #2: This module is approximately 13 minutes in length.

Case study #3: This module is approximately 10 minutes in length.

Case study #4: This module is approximately 11 minutes in length.

Case study #5: This module is approximately 17 minutes in length.

Case study #6: This module is approximately 6 minutes in length.


Speaker Information

Natalie Napolitano MPH, RRT, RRT-NPS, AE-C, FAARC
Dana Evans MHA, RRT, RRT-NPS
Shawna Strickland PhD, RRT, RRT-NPS, RRT-ACCS, AE-C, FAARC
Dabney Eidson BS, RRT, RRT-NPS
Timothy Myers MBA, RRT, RRT-NPS, FAARC
Steven Sittig RRT, RRT-NPS


Test Taking Skills

This module identifies keys to successful performance on examinations by addressing major concepts associated with proper preparation and study: issues of memory, the forgetting process, and the principles and stages of learning.

This video is approximately 1 hour and 14 minutes in length.


Speaker Information

Bill Galvin MEd, RRT, CPFT, FAARC


  • Member: $225.00
  • Non-Member: $275.00