Neonatal Sepsis

Credit

Speaker

Mel Cook, MSN, RNC-NIC, C-ELBW, PHN, DNP-c Related seminars and products

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Mel Cook, MSN, RNC-NIC, C-ELBW, PHN, DNP-c, has been a registered nurse for over 9 years and most recently served in a Level III Neonatal Intensive Care Unit (NICU) while obtaining a Master of Science in Nursing (MSN) degree, certifications in Neonatal Intensive Care (RNC-NIC) and extremely low birth weight (C-ELBW) infants and becoming a Neonatal Resuscitation Program (NRP) Instructor. She is skilled at stabilizing critically ill neonates through collaboration with interdisciplinary teams, while managing all physical, psychosocial, and medicinal aspects of the neonate’s care. Additionally, she has a keen eye for process improvement and is committed to supporting interdisciplinary health care teams, enhancing the quality of care for neonates and their families in the NICU. This is augmented through pursual of a Doctor of Nursing Practice (DNP) degree, where she is refining her ability to evaluate and disseminate solid research evidence to enhance clinical environments, therein promoting safe, cost-effective, and patient-centered care.

 

Speaker Disclosures:
Financial: Mel Cook has an employment relationship with Children's Hospital of Orange County. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Mel Cook has no relevant non-financial relationships.

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Objectives

1. Define the physiology of a neonate’s immune system.
2. Identify a neonate’s risk factors.
3. Characterize Early Onset Sepsis vs Late Onset Sepsis.
4. Describe the clinical presentation of a septic neonate.
5. Evaluate the diagnostics for neonatal sepsis.
6. Discuss the clinical treatments for neonatal sepsis.

Outline

• What is Neonatal Sepsis
  • Impact
  • How the Immune System Works
    • Innate Immune System
    • Adaptive Immune System
  • Routes of Transmission
    • Congenital
    • Perinatal
    • Postnatal
• Risk Factors
  • Maternal
    • History and Delivery Summary
    • TORCHS
      • Toxoplasmosis
      • Rubella
      • Cytomegalovirus
      • Herpes Simplex Virus
      • Syphilis
  • Neonatal
    • Prematurity and Sepsis
    • Infection Risks and Evidence-Based Infection Prevention Strategies
      • Skin Integrity
      • Respiratory Tract
      • Gastrointestinal Tract
  • Hospital
    • Environmental Exposure
    • Medical Interventions
• Early Onset Sepsis
  • Definition
  • Group B Streptococcus (GBS)
    • Centers of Disease Control (CDC) Guidelines
    • Risk Assessment
  • Escherichia Coli (E. Coli)
• Late Onset Sepsis (LOS)
  • Definition
  • Coagulase-Negative Staphylococcus (Coag-Neg Staph)
  • Care Bundle
    • LOS
    • Central Lines
• Infection Prevention
  • Hand Hygiene
  • NICU Environment
• Clinical Presentation
  • Vital Signs
  • Early Clinical Presentation
  • Late Clinical Presentation
  • Differential Diagnosis
• Diagnostics
  • Blood Culture
  • Complete Blood Count with Differential
    • Absolute Neutrophil Count (ANC)
    • I/T Ratio
  • C-Reactive Protein (CRP)
  • Lumbar Puncture
• 3 Case Studies
• Clinical Treatments
  • Antibiotics
    • Ampicillin
    • Gentamicin
    • Vancomycin
    • Amphotericin B
    • Ceftazidime
    • Clindamycin
  • Respiratory Support
    • Conventional Mechanical Ventilation
    • High Frequency Ventilation
    • Continuous Positive Airway Pressure
    • Nasal Cannula
  • Hemodynamics
    • Cardiac Output Equation
    • Fluid Bolus
    • Dopamine
    • Dobutamine
    • Epinephrine
• Family Perceptions
  • Sepsis is Traumatic
  • Family-Centered Care
• NICU Caregiver Considerations
  • Full Circle

Target Audience

• Nurses
• Nurse Practitioners
• Occupational Therapists
• Occupational Therapy Assistants
• Physical Therapists
• Physical Therapy Assistants
• Physician Assistants
• Speech Language Pathologists
• Other Professions