Intervention for the High Risk Infant: Providing Services in the NICU and During the Transition Home

Audience: Pediatric Therapists with some experience working with infants and families in the NICU setting, follow-up and early intervention programs. Pediatric PT, OT, SLP
Course level: Intermediate
Date: November 15-16, 2013
Check in time: Friday: 7:30-8 a.m. Registration
Class time: Friday: 8-5:30 p.m.
Saturday: 8-3:15 p.m.
Location: Holiday Inn Bloomington I-35
1201 W 94th Street, Bloomington, MN 55431 
Held in the Hyland Meeting Room

Course Fee: $395.00

Contact Hours: 15.0

Register for this course

Rosemarie Bigsby, Sc.D., OTR/L, FAOTA
renowned for her knowledge, skill and expertise, has worked as a pediatric occupational therapist and consultant for the Brown Center for the Study of Children at Risk, Department of Pediatrics, Women & Infants hospital, Providence, RI and Clinical Associate Professor of Pediatrics, Psychiatry & Human Behavior, The Warren Alpert Medical School of Brown University.  She is a Fellow of the American Occupational Therapy Association, a contributor to the AOTA guidelines for NICU Practice, and the author of a number of journal articles and book chapters.  She is coauthor of Developmental & Therapeutic Interventions in the NICU, a book for NICU therapists, and The Posture & Fine Motor Assessment of infants, and contributed to the development of the NICU Network Neurobehavioral Scale (NNNS). Her research focuses on motor development, behavioral cues, physiologic regulation and feeding in early infancy. 
Rosemarie Bigsby receives royalty payments from Pearson Publishing and Brookes Publishing Company.
Course Description

This two day seminar offers practical strategies toward a contextual approach to behavioral, developmental and feeding assessment and intervention.  Video, demonstration and case examples will be used throughout the seminar to introduce the NICU Network Neurobehavioral Scale (NNNS), to illustrate feeding assessment and intervention and to train participants in administration and scoring of the Posture and Fine Motor Assessment of Infants. Network Neurobehavioral Scale (NNNS), to illustrate Participants will enhance their clinical skills through creative problem-solving around developmental and therapeutic intervention in the NICU and during the transition home.

At the completion of this seminar, participants will be able to:

  • Explain how a contextual model can be used to enhance fulfillment of occupational roles, tasks and expectations for infants, families and staff within the NICU environment and during the transition home.
  • List key elements of behavioral, developmental and feeding assessment for high risk infants in the NICU and at home.
  • Describe appropriate use of the NICU Network Neurobehavioral Scale (NNNS) for high risk infants between 28 weeks and 2 months corrected age.
  • Administer and score the Posture and Fine Motor Assessment of Infants to high risk infants and young children who are functioning at levels between 2 months and 12 months corrected age.
  • Incorporate family caregivers as well as environmental, physiologic, sensory, motor and psychosocial influences in planning early intervention for high risk infants.

7:30-8 a.m.                Registration/Continental Breakfast

8:00-10 a.m.              Supporting occupational engagement
                                and performance of infants and their
                                families: A contextual systems view.
                                Stress and sensory stimulation in the
                                NICU environment: What do we know
                                and what do we need to learn?

10-12 p.m.                Positioning strategies, modification of
                                care practices and therapeutic
                                intervention for term and pre term infants.
                                Optimizing physiologic stability and
                                postural and motor development in the
                                NICU. Demonstration; Video

12-1 p.m.                  Lunch (on your own)

1-3 p.m.                    Evaluation of infant behavior and
                                development in the NICU and during the
                                transition home: Introduction to the NICU
                                Network Neurobehavioral Scale (NNNS)
                                Video; Demonstration

3-5:30 p.m.                    Identifying infant and caregiver
                                strengths and enhancing caregiver
                                participation in the in the NICU and at home. 
                                Case Examples

7:30-10 a.m.                  Is this baby ready to be nipple fed?
                                Essential components of neonatal
                                feeding evaluation
                                Video; Case examples

10-12 p.m.                Providing optimal sensory experiences
                                around feeding: Feeding interventions
                                that work
                                Video; Demonstration; Case Examples

12-1 p.m.                  Lunch (on your own)

1-3:15 p.m.                   Using the Posture and Fine
                               Motor Assessment of Infants (PFMAI)
                               for assessment and intervention
                               planning in the NICU and in Early
                               Intervention Programs
                               Video; Demonstration

                               Pulling it all together: Supporting
                               families and enhancing infant behavior
                               and development in the NICU and during
                               the transition home
                               Video; Case examples; Group
                               problem solving

Two 15 minute breaks will be scheduled each day

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