At the end of Phase II On-Line Education the participants will be able to implement their knowledge by being able to:
- Develop a plan of care for three neonatal diagnoses based on benefits of massage identified in the literature.
- Rearrange the sequence of three caregiving strategies provided in the NICU to optimize brain & sensory development, protect sleep, and support parents’ experience.
- Combine three neuroprotective care activities to minimize neonatal stress & pain, foster positioning & handling, and ensure trauma-informed care.
- Modify the caregiver’s role to optimize lymphatic and respiratory system function.
- Complete all On-Line Education through our training portal at your convenience in the comfort of your own home.
- The On-Line Education takes about 16 hours to complete and is self-paced with short webinars for ease of integration.
- The webinars include clinical videos, demonstrations, research reviews and lecture.
- Complete and pass (>80%) the 5 question test after each webinar with re-takes available.
- Complete within 4 months of registration and assure completion 10 days prior to attending NTMC Phase III: Hands-On Training
- Complete course evaluation
- Obtain contact hours for the On-Line Education (No partial credit is provided)
Phase II NTMC On-Line Education is available to you from the comfort of your own home, in an On-Demand format in short units to allow for full integration of information in your own timeframe. It must be completed prior to the Hands-On Training and takes ~16 hours to complete. You may re-watch and review as needed for successful completion before the Hands-On Training.
Access NTMC Speakers’ Disclosures Here
Living a Great Story, Michelle Ulrich, OTR/L, CNT, NTMTC
29 minutes| This presentation focuses on reflection of attendees own life story and their tremendous impact on the life stories of the infants and families they serve in the NICU. Developmental and Mental Health outcomes of infants and families from the NICU are reviewed. The intensity and presence of compassion fatigue in the NICU is addressed along with ways to alleviate stress for the caregiver and patient.
Theories, Conceptual Models and Praxis for a Trauma Informed Approach to Care, Mary Coughlin, MS, NNP, RNC-E
70 minutes| We all make meaning out of the world based on how the world makes us feel, beginning in infancy. These feelings create cellular memories mediated primarily by maternal caregiving experiences which influence hypothalamic-pituitary-adrenal (HPA) axis reactivity and effect the developmental trajectory of our lifelong health and wellbeing. Mitigating the iatrogenic psychological effects of medical care in the NICU and beyond is a moral and ethical imperative for quality healthcare delivery. This webinar, Theories, Conceptual Models and Praxis for a Trauma Informed Approach to Care, will ensure neonatal caregivers understand the concepts of infant medical traumatic stress and its association with alterations in brain growth and development. Additionally, the webinar highlights the biologic relevance of a trauma sensitive, developmentally aware approach to care in the NICU and beyond.
Brain and Sensory Development: Applications for Clinical Practice in the NICU, Aune Hjartarson Nunn, OT Reg. (Ont), CNT, NTMTC
93 minutes| This presentation will review critical brain and sensory system development in the context of NICU care. It will highlight tangible methods to adapt care practices, modulate the sensory environment, and support brain and sensory system development. Strategies to involve parents and caregivers will be integrated as a vital part of supporting brain development and empowering families during the NICU admission. This advanced level information will enable neonatal clinicians to be intentional in the care they provide with the goal of optimizing the short and long term outcomes for infants and families.
The 5th Vital Sign: The Vital Nature of Pain Management for Preterm Infants, Elizabeth Jeanson, PT, DPT, CNT, NTMTC
84 minutes| Pain is universal. In the NICU baby, pain can be prolonged, repetitive, and exaggerated leading to chronic stress, and long-term neurobehavioral effects. As caregivers, we must shift our focus from reactive to a more proactive approach to pain management. It is not simply enough to medicate for pain. Pain must be managed in a relationship that promotes behavioral organization, stress relief, trust and security. This presentation will identify the long-term effects of unmanaged pain, and discuss interventions and techniques to manage pain in a relationship-based care model.
Sleep Impacts Brain Development, Bridgette Rillo, BSN, RNC-NIC, C-ELBW, NTMNC
45 minutes| The purpose of this presentation is improve the learner’s knowledge of the critical role of sleep for the neonatal population. Sleep, sleep states, and sleep cycles will be explained as well as the critical role sleep has in brain development and overall biological function. Resources will also be provided for interventions to assist in safeguarding sleep.
Anatomy: Bones & Muscles, Erin Springer, MOTR/L, CNT, NTMTC
55 minutes| Anatomy of the bones and muscles is reviewed, including the cranium helping the learner understand the impact of plagiocephaly and other implications for development. Likewise, the presentation reviews the bones and muscles of the upper and lower extremities, with implications for positioning infants in the NICU to prevent shortening and deformation during the NICU stay.
Positioning & Handling of the Neonate, Ginny (Virginia) McGill, PT, DPT, CNT, NTMTC
55 minutes| Positioning of the neonate effects their postural and neuromotor development as well as their current physiologic stability and sleep. In this module you will learn why the neonate is particularly susceptible to changes in their development due to positioning and how to optimize their function now and for the future through infant positioning and handling.
Communicating with NICU Parents: It Isn’t Just the Words You Speak, Keira Sorrells, BSFCS
49 minutes| This presentation will explore the specific psychosocial needs of high-risk mothers and NICU parents to uncover common barriers of communication and provide tools, strategies, and resources to overcome those barriers and improve outcomes.
Neonatal Skin and Touch: Implications for NICU Practice, Rachel Harris, OTD, OTR/L, CNT, NTMTC
72 minutes| Skin is our largest sensory organ that provides us a conduit for learning and tactile experiences. Touch is an essential part of human interaction, development and communication. Positive touch is critical to support an infant’s development and bonding with their parents. It is the first thing a parent wants to do when their baby is born: hold, touch, and comfort them. However, we know from working in the NICU that skin and touch is a complex matter for premature infants. In this webinar, we will discuss neonatal skin and tactile development, the influence of toxic chemical exposure during pregnancy and in the NICU, practical implications for caregiving in the NICU, and ways to best support parents in providing their infants with the positive, loving, and caring touch they both need to thrive.
The Lymphatic System: Integrating Manual Edema Mobilization within the NICU, Holly Schifsky, OTR/L, CNT, NTMTC, CBIS
77 minutes| Medically complex and premature infants in the NICU can demonstrate fluctuations with excessive fluid in their extremities due to co-morbidities or genetic conditions. During this session, we will review the development of the lymphatic system, its role to allow infants the ability to obtain physiological stability, and positioning/handling interventions to maximize the ability of the integumentary system to support lymphatic flow. Discussion of therapeutic interventions and assessment of edema to determine critical reasoning for treatment planning with use of manual edema mobilization or complete lymphedema therapy.
The Respiratory System, Ann Davis, M.Ed. RRT-NPS
73 minutes| This presentation describes the major causes of lung injury in the newborn, the risk factors associated with chronic lung disease, the impact of infant positioning on the artificial airway, characteristics of respiratory support modalities, and the possible causes of a BPD “spell”.
Massage Literature Review, Rachel Harris, OTD, OTR/L, CNT, NTMTC
77 minutes| This is an extensive, up to date review of the research from the past 10 years related to neonatal massage, including the medical, therapeutic, developmental, and parental benefits of massage in the NICU.
Infant-Driven Caregiving, Kara Ann Waitzman, OTR/L, CNT, NTMTC
40 minutes| This presentation facilitates the participant to individualize the care provided to the NICU infant and family, based on the individual needs of the infant and family at the time. Likewise, developmental care practices such as skin-to-skin and swaddled bathing are shown through videos to help the participant implement these practices in the NICU.
Integration of Neurodevelopmental Positioning Products, Kara Ann Waitzman, OTR/L, CNT, NTMTC
47 minute| This presentation goes through common positioning products used in the NICU and provides tips for optimal use and precautions while using basic principles of flexion, containment, alignment and comfort. Positioning during bathing, skin to skin transfers and in prone, supine and sidelying are reviewed.
Foundation of the Listening Touch Massage, Melissa Bloomer, MA, CCC-SLP, NTMTC
47 minutes| Massage has a host of benefits such as decreased pain and stress, improved digestion and increased weight gain. This presentation provides introductory information about the Listening Touch Massage TM, which was exclusively designed for infants in the NICU and beyond. The touch-brain feedback loop, types of touch and massage, contraindications and benefits of massage are discussed, along with the overall goal to empower families to provide the Listening Touch Massage both in the NICU and after discharge.
Access NTMC Speakers’ Disclosures Here
MELISSA BLOOMER, MA, CCC- SLP, NTMTC
Melissa is a licensed SLP with nearly 20 years of experience working in a variety of acute care settings, with the last 12 years focused on infant feeding and family-integrated care. Melissa currently works in a Level IV NICU at Medstar Georgetown University Hospital in Washington DC. She is co-chair of the Feeding Committee, sits on the Developmental Care Committee and provides comprehensive education as a professional support for all regional Medstar NICUs. Melissa provides regular physician and nursing education and lectures in the Master’s Programs at Gallaudet, Howard, UDC and GWU in Pediatric Dysphagia. Melissa is passionate about infant-led feeding practices, feeding development and neurodevelopmental care. She strives to support and empower families in providing and advocating for optimized developmental care in the NICU and beyond.
MARY COUGHLIN, MS, NNP, RNC-E
Mary Coughlin, MS, NNP, RNC-E is the Founder and President of Caring Essentials Collaborative, LLC and a graduate of Northeastern University where she received her baccalaureate and master’s degrees in nursing. Ms. Coughlin has assumed roles as staff nurse, charge nurse and neonatal nurse practitioner culminating in her current position with Caring Essentials Collaborative. With a clinical background that spans over 30 years, Ms. Coughlin is the internationally recognized expert in the field of trauma-informed, age-appropriate care in the NICU. A leader in the field of neonatal nursing and international key-note speaker Ms. Coughlin is a published author of multiple publications including Clinical Practice Guidelines for Age-Appropriate Care of the Premature and Critically Ill Hospitalized Infant for the National Association for Neonatal Nursing (NANN), Transformative Nursing in the NICU: Trauma-Informed, Age-Appropriate Care and her latest book entitled: Trauma-informed Care in the NICU: Evidence-Based Practice Guidelines for Transdisciplinary Neonatal Clinicians. Ms. Coughlin lives in Boston Massachusetts with her husband Dan and their dog George.
ANN DAVIS, M.Ed. RRT-NPS
Ann is a licensed respiratory care practitioner and neonatal pediatric specialist who has cared for neonatal patients for over 34 years. She has worked in a 60 bed, single family room, level 3 NICU as a staff therapist and trainer, as an infant monitoring specialist, and as an educator for the interdisciplinary NICU team. In her role as an infant monitoring specialist, Ann was a co-author for a white paper detailing the use of documented event monitoring for pre-discharge screening. Her committee work included providing education for the small baby team initiative and she worked with Creative Therapy Consultant President Kara Ann Waitzman and other NICU professionals to develop the best practice for skin-to-skin transfer of the intubated infant. Ann also developed a comprehensive neonatal stabilization training and continuing competency program for birthing center respiratory therapists within the hospital network. As adjunct faculty at a local community college, Ann developed and facilitates an online short term certificate program focusing on respiratory care of the newborn. She also provides classroom and simulation laboratory instruction to future respiratory therapists focusing on physiology, disease processes, and best practices unique to the neonatal and pediatric patient.
RACHEL HARRIS, OTD, OTR/L, CNT, NTMTC
Rachel received her clinical doctorate in Occupational Therapy from Washington University School of Medicine. During her time at Washington University, she was actively involved in research related to maternal mental health and neonatal feeding outcomes. Rachel worked in a level IV NICU at Medical City Dallas Children’s Hospital for five years, where she also saw infants through home health with torticollis, plagiocephaly, and developmental delays. Rachel currently works in a Level III NICU in Chicago, is on the Creative Therapy Consultants’ team, is an NTMC presenter, and is passionate about improving outcomes for neonates and their families.
AUNE HJARTARSON NUNN, OT Reg. (Ont), CNT, NTMTC
Aune is an Occupational Therapist in the NICU at McMaster Children’s Hospital in Hamilton, Ontario, Canada. She received her undergraduate degree and Occupational Therapy Degree from McMaster University. She is part of McMaster NICU’s small baby team and the VON collaborative. Aune is a certified neonatal therapist, and has been privileged to call the NICU home for over 20 years. Aune is a sought after international speaker, educator, and consultant. She lectures in the McMaster University Masters OT Programme, has published in the area of clinical and video fluoroscopic assessment of aspiration in high risk infants. She was awarded the OT Practice Excellence Award at Hamilton Health Sciences. Aune is a dedicated life-long learner, and passionate about education to empower clinicians, teams, and families in the NICU.
ELIZABETH JEANSON, PT, DPT, CNT, NTMTC
Dr. Elizabeth Jeanson currently serves as the Developmental Specialist in Neonatal Intensive Care at Sanford/USD Medical Center. Dr Jeanson was NIDCAP trained, Infant Behavioral Assessment and Neonatal Network Neurobehavioral Scale certified. She is also a certified infant massage instructor and a certified child passenger safety technician (car seat). Recently Dr Jeanson completed her Neonatal Touch and Massage Therapy certification. She is a certified neonatal therapist. In her current position Dr. Jeanson is responsible for direct and indirect implementation of developmental family centered care in a large level 3 neonatal intensive care unit. Dr. Jeanson is now a Clinical Consultant for Dande LION Medical. She has spoken on topics including sensory development of preterm infants, positioning of infants in NICU, non-pharmacologic pain management for preterm infants, supporting the development of post term infants in the NICU, as well as team building and strategic planning for multidisciplinary teams. She published, One to One Bedside Nurse Education as a Means to Improve Positioning Consistency in 2013. Dr Jeanson’s passion is improving the outcomes of premature infants through cautious/thoughtful intervention, family support and staff education.
GINNY (Virginia) McGILL, PT, DPT, CNT, NTMTC
Ginny McGill graduated from Creighton University with a Doctorate in Physical Therapy in 2001. She has practiced in the NICU for 22 years, at Phoenix Children’s Hospital and Providence Alaska Children’s Hospital. She has received certifications in Neonatal Therapy, Neonatal Touch and Massage as well as wound care and lymphedema. Ginny teaches locally and nationally. You may have seen her speak through her work with the Vermont Oxford Network (VON), Engage Grow Thrive or Creative Therapy Consultants. She enjoys sharing knowledge and is grateful to her mentors, John Chappel, Mary Massery, Kara Ann Waitzman and the many babies, families and therapists she has worked with throughout her career. Ginny lives in Anchorage, Alaska with her family and dog, Finn, and enjoys exploring the outdoors, especially any water sport she can find.
BRIDGETTE RILLO, MBA, MSN, RNC-NIC, C-ELBW, NTMNC
Bridgette has been a nurse for over 18 years at a large level III-b NICU. She started her career in an emergency room and quickly learned her passion extended beyond emergency care. Bridgette transitioned to her role as a NICU nurse in 2005. She was a NICU educator for six years and continues to help other NICU nurses grow in their knowledge and experience. Bridgette has served on the unit’s Vermont Oxford Network Committee, Shared Governance Council and other NICU committees during her career. She received her Neonatal Intensive Care Nursing certification in 2015 and her Care of the Extremely Low Birth Weight Neonate certification in 2020. She received her Master of Science in Nursing Administration and a Master of Business Administration in December 2023. Bridgette’s goal is to continue her passion for improving the lives of infants and families in and beyond the NICU by sharing her knowledge, expertise, and experience with the future generation of nursing.
HOLLY SCHIFSKY, OTR/L, CNT, NTMTC, CBIS
Holly is an Occupational Therapist who has worked in pediatrics for the past 24 years with the past 16 years in a level IV NICU. She is a Certified Neonatal Therapist, Certified Neonatal Touch and Massage Therapist, Certified Brain Injury therapist, an active member of National Association of Neonatal Therapists, and has completed 6-month mentorship in infant/child NDT. She has worked within the NICU and NICU follow-up clinic to maximize patient and family outcomes for the most complex premature and medically- fragile term infants. Holly received her Bachelor of Science degree in Occupational therapy from the University of North Dakota in 1997. She has dedicated her career to clinical care and advancing developmental care practice patterns for all multidisciplinary team members. She is a faculty member for the Neonatal Touch and Massage certification and for Education Resources Incorporate. She provides educational courses to NICU clinicians across the world and has presented at many regional and national conferences. She provides Developmental Care, Feeding Intervention, and NICU education throughout the country. She is the recipient of the National Association of Neonatal Therapists Clinical Excellence award in 2018, due to her clinical expertise and dedication to advancing the therapeutic interventions for NICU infants with cardiopulmonary conditions.
KEIRA SORRELLS, BSFCS
Keira Sorrells is the mother of triplets born at 25 weeks, 5 days gestation. Ms. Sorrells spent nine and a half months in the NICU with her girls and experienced every parent’s greatest fear when one of her daughters died at 14 months old. In 2008, these traumas led Ms. Sorrells to launch the Zoe Rose Memorial Foundation, a non-profit that supports NICU families. She soon became aware that the voice of the NICU parent was underrepresented in Maternal and Infant Health community. In response, Ms. Sorrells helped launch and now serves as President of the Preemie Parent Alliance (PPA). PPA a network of over 30 NICU parent support organizations that is dedicated to representing the needs and best interests of NICU families in all facets of healthcare policy, care guidelines, advocacy, education, and family support. Ms. Sorrells strongly believes that no single organization or provider can serve all the needs of all NICU families, only through collaboration can the true voice of the NICU parent be represented appropriately.
ERIN SPRINGER, MOTR/L, CNT, NTMTC
Erin has practiced as a pediatric and neonatal occupational therapist for 22 years. She received her Master of Science from University of Puget Sound and currently works at Swedish Medical Center in Seattle. She works in the Main Campus level 4 NICU as well as the off-site level 2 nurseries. She is a Certified Neonatal Therapist, certified lactation educator, and a certified Neonatal Touch & Massage therapist. Erin has presented nationally and locally on developmental care and support for infants in the NICU. She has completed training for Small Baby Care Specialist and also participates in the Vermont Oxford Network Quality Improvement initiatives focused on enhancing the care of micro-preemies. Erin also has experience in NICU follow-up for developmental and feeding support. She is passionate about working with these little babies and their families
MICHELLE ULRICH, OTR/L, CNT, NTMTC
Michelle graduated from Indiana University with a BS in Occupational Therapy in 1992. She began her OT career in Acute Rehab with a focus on traumatic brain injury. Michelle currently works at Norton Children’s Hospital in Louisville, Kentucky. Initially Michelle treated patients all over the hospital, from 0-18 years of age. For the past 24 years, Michelle has worked specifically in the Level IV NICU. She received her designation as a Neonatal Developmental Care Specialist from NANN in 2013 and became a Certified Neonatal Therapist in 2017. She was certified in Neonatal Touch and Massage in 2019.
KARA ANN WAITZMAN, OTR/L, CNT, NTMTC
Kara Ann has been a neonatal therapist for 36 years in a level III NICU and serves as the nursery’s developmental specialist. Kara Ann is president of Creative Therapy Consultants, Founder of the Neonatal Touch & Massage Certification (NTMC®) and Original Co-Founder of Infant-Driven Feeding® and original co-developer of the Infant-Driven Feeding Scales©. She is certified in NTMC, is Pediatric Neurodevelopmental Therapy (NDT) trained and reliable in NIDCAP. She has served on the Association of Women’s Health, Obstetrics, and Neonatal Nurses (AWHONN) Continuum of Care Advisory Board and Power of Touch Committee, the National Association of Neonatal Therapists (NANT) Professional Collaborative, the Pampers Womb to World Advisory Board, and the March of Dimes Program Services Board. Kara Ann has been a nationally sought after speaker, educator, and consultant for almost three decades and has published articles on Neuroprotection, positioning and feeding, and has written a chapter on Neuromotor Development and Massage. She developed videos on Massage, Skin-to-Skin, and Swaddled Bathing. Kara Ann has received professional awards including the Ohio Occupational Therapy Pediatric Model Practice Award, the March of Dimes Healthcare Worker of the Year Award, the MVH Excellence in Service Award and the Inaugural Pioneer in Neonatal Therapy Award from the National Association of Neonatal Therapists.
Course requirements for the Phase II NTMC On-Line Education includes > 80% test score following each webinar and completion of course evaluation. No partial credit is available and learners must register for NTMC to participate.
Nurse Contact Hours
- This nursing continuing professional development activity was approved by the American Holistic Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
- Approved to award 16.5 contact hours. AHNA Approval Number 1804.
- Approval for contact hours through the American Holistic Nurses Association is based on an assessment of the educational merit of this program and does not constitute endorsement of the use of any specific modality in the care of clients.*
* Partial credit for course will not be given.