An Evidence-Based Approach to Therapeutic Interventions in the NICU

Mary Vanesko MOT, OTR/L, CIMI

An Evidence-Based Approach to Therapeutic Interventions in the NICU

CE Information

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Course Brochure

Contains CE information for additional professionals

Course Highlights

  • Accurate assessment and powerful interventions in the NICU: Developing the safest age appropriate individualized treatment plans
  • Functional hands-on labs for handling and positioning, case studies and small group discussions
  • Practical strategies to develop a collaborative and effective NICU program and rehab team
  • Brain and sensory development strategies to implement effective treatment protocols for premature infants
  • Confidently provide the most optimal parent education, promote safe and effective feeding and sleeping interventions, as well as understand the impact of environmental modifications in the NICU

Additional Info

According to the CDC and World Health Organization, 10% of all births in the United States are premature. Prematurity is the leading cause of mortality amongst children under 5 years of age. This is a steady increase in the last two years and the numbers continue to rise. Despite the advances in technology, the developing fetal brain is placed in a "mismatched" environment during a critical period of maturation. The artful skill of understanding the neurodevelopmental expectations of these tiny infants and the impact of the NICU environment on the long-term development of the brain has been effectively researched, resulting in the Developmental, Family Centered Care model of service delivery. Highly skilled and trained neonatal therapists, including OT, PT and SLPs have a responsibility to provide "Brain Care," implementing specialized, up to date evidence-based interventions to reduce the acute and long term developmental deficits of this fragile population.

This one-day, interactive course will provide summaries of theory in the neonatal intensive care unit and strategies to effectively apply evidence-based, developmental, family- centered care. Through discussion, case studies, videos, and hands on lab, participants will have an advanced understanding of the neonatal therapist's scope of practice and interventions to promote neurobehavioral, neuromotor, musculoskeletal, and sensory development. Participants will feel confident to provide parent education, promote safe and effective feeding and sleeping interventions, as well asunderstand the impact of environmental modifications in the NICU. Participants will leave the course with knowledge on how to successfully impact the neonatal intensive care unit,by becoming a leader in the NICU, improving long term outcomes of the neonates and their families.

[ASHA:Intermediate level, Related Area]
  1. Identify theoretical concepts that have guided implementation of developmental and family -centered care.
  2. Implement a healing, neuroprotective environment, fostering brain care to positively affect short term and long term outcomes.
  3. Utilize age appropriate, developmentally supported,evidence-based assessment and interventions.
  4. Interpret the maturation of the brain and sensory systems and the most appropriate, safe, timely and effective interventions.
  5. Examine methods to overcome specific challenges in the NICU related to families in crisis with medically fragile infantsand unique cultural sensitivities/considerations.
  6. Distinguish the current evidenced based research to be an effective advocate and leader in your NICU.
  7. Establish a collaborative, therapeutic NICU team and program, becoming a leader in positively impacting the long term outcomes of our patients and families.
  1. The Neonatal Intensive Care Unit (NICU): Getting up to Speed
    1. The evolution of the NICU
    2. Interpret theoretic practice frameworks
    3. What every therapist should know about working in the NICU
  2. Developmental Care and Neurobehavioral Organization
    1. Recognizing the premature infant
    2. Fetal and developmental maturation
    3. Brain and sensory development, implications for treatment
    4. Video/case study small group discussion
  3. Developmental Family-Centered Care Principles in the NICU
    1. Distinguish family centered care as developmental care
    2. The role of the neonatal therapist
    3. Developmentally appropriate assessment and interventions
    4. Case study/individualized treatment plans
  4. Evidence-Based Interventions for Positioning and Handling
    1. Positioning and product recommendations
    2. Handling and caregiver implications
    3. Environmental modifications/recommendations
    4. Positioning lab
  5. Overcoming Challenges in the NICU
    1. Specific diagnoses
    2. Feeding culture (task oriented vs infant driven)
    3. Cue-based feeding strategies
    4. Safe sleep
    5. Parent education and continuity of care/safe transition home
    6. Follow up clinic/early intervention
  6. Implementing a Developmentally Supportive NICU: Roles and Goals for Optimized Care
    1. Referrals
    2. Medical rounding
    3. Policies, procedures, and protocols
    4. Developmental committee
    5. Bridge the gap between hospital and home

Mary Vanesko, MOT, OTR/L, CIMI has extensive clinical training and experiences as she has practiced in 4 different neonatal intensive care units, including level II, III and IV NICUS over the last decade. Mary has assisted in the implementation of an outpatient pediatric program and recently performed as the NICU expert in the build and development of a level II Neonatal Intensive Care Unit. Mary completed her undergraduate degree at Bloomsburg University in Pennsylvania, with a bachelor's of the arts degree in Psychology. Mary soon after received her Masters of Occupational Therapy degree from Temple University in Philadelphia, Pennsylvania. Mary has since been certified as an infant massage instructor and yoga instructor. She has practiced occupational therapy in many facilities across the country, including both adult and pediatric inpatient acute care and inpatient rehabilitation settings, skilled nursing facilities, outpatient pediatrics, school settings, early intervention and neonatal intensive care units.Mary has provided guest lectures at Thomas Jefferson University in Philadelphia, Pennsylvania. She is an active member of American Occupational Therapy Association (AOTA) as well as the National Association of Neonatal Therapists (NANT). Mary has practiced Occupational therapy in 5 states and in over 10 facilities. She provides course instructor trainings for the International Loving Touch Infant Massage Foundation, certifying professionals in infant massage. She continues to work in the Neonatal Intensive Care Unit as well as provide independent consulting services to NICU programs and therapists. She works independently to provide her occupational therapy services to the neonatal and pediatric populations and their families.

DISCLOSURES

FINANCIAL: Mary Vanesko is compensated by Summit as an Instructor. She is compensated as the owner of and consultant to WELL-Nurtured Development. She also receives compensation by Philips Health Care Solutions as a consultant, and by the International Loving Touch Foundation as a Certified Infant Massage Instructor.

NONFINANCIAL: Mary Vanesko is a member of the American Occupational Therapy Association (AOTA) as well as the National Association of Neonatal Therapists (NANT).

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Content Level: Intermediate

ASHA CE Information

ASHA Continuing Education

Summit Professional Education

Intermediate Level

ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures.

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Test & Certificate

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What is the post course test like, what is a passing score, and how many times can I take it?

Post course tests consist of True/False and/or multiple choice questions. You will be able to retake the post course test as many time as necessary to receive a passing grade. A passing "grade" is 75% or higher for general content, 80% or higher for certain state specific workshops, like ethics, jurisprudence, and laws and rules courses. You will be able to retake the post course test as many times as necessary to receive a passing grade.

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Course at a Glance

All our courses are available at a number of locations and at various dates. You can also take many of our courses online whether in video or text format. Below are all the available options for

LIVE
  • There are no currently scheduled live options available for this course.

ONLINE VIDEO
  • An Evidence-Based Approach to Therapeutic Interventions in the NICU |6 Hour Course

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  • Developmentally Appropriate Care in the NICU |2 Hour Course

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  • Sensory Interventions for the NICU |1 Hour Course

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ONLINE TEXT
  • Developmentally Appropriate Care in the NICU |2 Hour Course

    Add to Cart

  • Sensory Interventions for the NICU |1 Hour Course

    Add to Cart