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    Feeding and Swallowing in the NICU:    SNEAK PEEK

    Assessment, Intervention, and Transition Home

  • RESOURCES & DISCIPLINES       Bring This Course to You!

    Appropriate Disciplines


    • Speech Language Pathologist
    • Occupational Therapist
    • Nurse
    • Certified Occupational Therapy Asst
    • Speech Language Pathology Asst

Course Description



Feeding difficulties in the NICU are common and can be challenging for even experienced therapists. Premature infants and medically fragile/sick newborns are unique from typically developing healthy newborns. An appreciation of their fragile and immature sub systems, maturation of these subsystems around feeding and swallowing, as well as our ability to impact these systems, are required to be a successful clinician serving this population. This two day seminar will provide a strong foundation in evidence based information, theory and critical analysis of: sub system analysis, swallowing safety and function, appropriate and effective therapeutic interventions, family/caregiver engagement and discharge planning. Infant's communication skills, positioning impact on feeding and swallowing, pre-feeding skills, therapeutic feeding trials, bottle and breast feeding, family involvement, and feeding in palliative care will also be discussed. Along with interactive lectures; videos, pictures, case studies, demonstrations and activities will be used to further expand learning opportunities and empower participants as feeding therapists with this fragile population in the NICU and beyond.

What to Bring:
  • A baby doll with soft movable extremities OR a "NDT doll"
  • One receiving blanket
  • One baby bottle

Course Level: Introductory

Assessment Methods: Labs, Case Study Discussions, Q&A, Self-Assessment on Evaluation
For events that are Live Streamed, the streaming participants will verify attendance through codes given throughout course and complete a multiple choice quiz (80% passing score) and evaluation at the end

AOTA Classification Codes
Domain of OT: Client Factors, Activity Demands
OT Process: Intervention

Course Objectives

Upon successful completion of this course, participants will be able to:

  • Describe embryologic development and maturation and impact of prematurity on feeding and swallowing skills
  • Explain environmental, physiologic, sensory motor and psychosocial influences in this specialized population that affect feeding and swallowing
  • Identify readiness signs to begin pre-feeding and oral feeding opportunities
  • Indicate appropriate clinical analysis for thorough evaluation of feeding and swallowing skills
  • Detail at least 3 feeding treatments to enhance feeding and swallowing skills
  • Determine appropriate involvement of feeding therapy in palliative care
  • State common feeding difficulties that can arise with NICU graduates following transition home
  • Detail 3 appropriate techniques and plan to facilitate a successful transition home
  • Establish thorough discharge recommendations and follow up needed

Karin Mitchell

M.A. CCC-SLP

Karin Mitchell is a worldwide respected Speech Language Pathologist specializing in the care and treatment of pediatric feeding and swallowing, developmental care of the medically fragile infant and child, and pediatric traumatic brain injury. Her love of teaching and helping others drives her to create and deliver fun and empowering continuing education courses across the nation and internationally. Areas covered are Developmental Care in the NICU, Cue Based Feeding, pediatric feeding and swallowing analysis and treatment, including the use of VitalStim, swallow studies, enhancing decision making and clinical analysis, breast feeding the medically fragile infant and child, and developmental milestones supporting feeding skill acquisition. Beginning her practice in 1995, Karin sought out learning opportunities and creative ways to teach others. She now serves as a lead therapist for the NICU and Feeding Teams at CHOC Children’s Hospital in Orange, CA. With a clinical practice formed by a strong theory base in NDT and SI therapies, Karin is also NOMAS trained and VitalStim certified. She provides ongoing education in-services and hands-on labs for appropriate developmental care, positioning, handling, and feeding skills for clinical staff including medical residents, nurses, physical therapists, occupational therapists, and speech pathologists. Karin was a key player in the development of unit protocols and care plans for evidence-based developmental care in the highly specialized Small Baby Unit (ELBW) at CHOC which includes an ongoing education series required by all medical and support personnel. She is an active committee member for multiple qualities of care committees including Skin to Skin Care, Developmental Care, Infant Driven Feeds, Breast Feeding Coalition, Palliative Care, Neuro NICU Team, Trauma Team, and Family Centered Care. A dedicated leader, Karin devotes much of her time to the support and development of clinicians, serving as a mentor committed to building therapist's skills in clinical analysis and therapeutic effectiveness with medically fragile patients. She is a strong advocate for her patients and their families and speaks at local associations, community centers, local universities, and school districts to support medically fragile infants and children.

Financial Disclosure: Karin receives an honorarium from CIAO for the presentation of this course. She also receives royalties for the purchase of her recorded course(s)
Non-financial Disclosure: Karin uses VitalStim in her clinical practice.

Day 1

07:30 - 08:00
Registration (snack/refreshments provided)
08:00 - 08:30
Objectives & Clinical Expectations
08:30 - 09:00
Embryology & Maturation of Feeding and Swallowing
09:00 - 10:00
Brain & Sensory Development
10:00 - 10:15
Break
10:15 - 12:00
NICU Environment: impact on the Patient, Family & Feeding Development
12:00 - 01:00
Lunch (on your own)
01:00 - 01:30
NICU Medical Terminology & Hot Topics
01:30 - 03:00
Suck Patterns & Swallowing Development
03:00 - 03:15
Break
03:15 - 04:00
Feeding Readiness Assessment & Programs
04:00 - 04:30
Signs of Stability vs Stress
04:30 - 05:00
Questions & Answers

Day 2

07:00 - 07:30
Registration (snack/refreshments provided)
07:30 - 08:30
Key Components of a Thorough Evaluation
08:30 - 09:00
Analysis of Readiness to Oral Feed: Video Interpretation
09:00 - 10:00
Quality of Nippling Analysis: Video Interpretation
10:00 - 10:15
Break
10:15 - 11:15
Set Up for Success: Pre-Feeding Interventions
11:15 - 12:00
NNS Interventions
12:00 - 01:00
Lunch (on your own)
01:00 - 02:00
NS Interventions
02:00 - 02:15
Break
02:15 - 03:00
Swallowing & Feeding Interventions: Sensory Processing Disorders, Oral Aversion & Severe Swallowing
03:00 - 03:30
Successful Transition Home
03:30 - 04:00
Questions & Answers

Delivery VIA:

  • Live On Tour - This course is now being offered live on location throughout the United States.
  • Live By Request - This course is available to come to you! Contact us to see how easy that can be.
  • Live Stream - This course is offered from our Live Stream studio. Watch (and interact) from wherever you are or join us in person in sunny Gulf Breeze, FL.

Contact hours pre-approved for:

  • 14.5 hours (1.45 CEUs)
  • CIAO is an ASHA approved provider #AAWA (SLPs) Bubblesheet required
  • This program is offered for 1.45 ASHA CEUs (Introductory level; Professional area)
  • CIAO is an AOTA approved provider #4119 (OT/COTA)
  • This course meets PDU requirements for NBCOT (14.5 PDUs)
  • 14.5 hrs by the CA Board of OT for Advanced Practice (Swallowing): #25-S22
  • 15.0 Hrs Illinois EI (3.0 Assessment, 3.5 Atypical Development, 5.0 Intervention, 3.0 Typical Development, 0.5 Working with Families)
  • 17.0 Hrs. OT/OTAs in FL (CE Broker #20-588048)
  • 14.5 Hrs PT/PTAs in LA, MS

Course meets requirements for:

  • Call CIAO 888-909-CIAO(2426) if you have questions about CE Approval
  • Participants who successfully complete this course will receive CEU Certificate at the end of the course.


  • The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.



    CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)



    This program is offered for 1.45 ASHA CEUs (Introductory level; Professional area)



    CIAO Automatically reports to CE Broker for Florida Occupational and Physical Therapists and Assistants. Florida SLPs can either use the ASHA CE Participant Form (Bubble Sheet) or self-submit through CE Broker.


    Reviews

    "On the first day, the transmission was very poor. Video kept skipping and freezing. It wasn't until the second day that i realized that i could adjust the speed of video and this helped a lot. It was nice to do course in the comfort of my home. "

    - Live Streaming or Studio Audience, FL / Oct 2019

    "I loved how you did day two with the questions and answers. I felt the first day the questions were taking away from the material. It was kinda of frustrating the first day. Definitely will take another CIAO class in the future. "

    - Live Streaming or Studio Audience, FL / Oct 2019

    "I took this course to get an introduction to this environment. I do not currently work in a NICU but have had an interest in it for a long time. This is going to help me further my quest in whether to move in this direction with my career. I enjoyed the course very much. It was a wealth of knowledge and you made it very understandable and interesting. Thank you so much! "

    - Live Streaming or Studio Audience, FL / Oct 2019

    "This is a great workshop. The speaker is passionate about providing the best practices to this population. She is also very knowledgable and eager to share her knowledge. I would definitely recommend this class to others."

    - Live Streaming or Studio Audience, FL / Oct 2019

    "I really enjoyed this course! I highly recommend it to anyone who wants to gain neonate knowledge and foundation. "

    - Live Streaming or Studio Audience, FL / Oct 2019

    "Karin is an organized, very professional presenter who has built their presentation experience's and evidence based research. She makes learning fun: I will definitely recommend this course."

    - Orlando, FL / Aug 2019

    "This was a great introductory course and very informative for a beginner, enlightening how to teach and educate others in NICU. "

    - Houston, TX / Jun 2019

    "Wonderful knowledge and labs to learn strategies. "

    - Houston, TX / Jun 2019

    "Overall a great class! I feel like this will be a great foundation to my NICU career. Thank you!"

    - Houston, TX / Jun 2019

    "Karin's teaching manner was excellent! Her voice was calming, her rate and volume were perfect. She was not rushed. I liked the repetition & format."

    - San Antonio, TX / Jan 2019

    "I loved the holistic approach of this course!"

    - San Antonio, TX / Jan 2019

    "great, friendly presentation. Thanks for the opportunity to ask questions. "

    - San Antonio, TX / Jan 2019

    "Great course! Karin is knowledgable with a wealth of information. Took time to answer questions & help problem solve various cases. Valuable information that I can immediately use in my daily work."

    - Austin, TX / Oct 2018

    "Really appreciate all Karin's up to date research studies & appreciation. More videos would be great!"

    - Austin, TX / Oct 2018

    "Karin is an awesome teacher! She's full of knowledge & shares it in an interesting, organized & easy-to-follow way. I feel much more comfortable with my tx skills!"

    - Austin, TX / Oct 2018

    "I learned more in the first 2 hours than I learned in 75% of my grad school career. Karin was engaging, knowledgeable and encouraging throughout her teaching and it makes me eager to go back to work."

    - Austin, TX / Oct 2018

    "Love all of Karin's presentations. She is up to date on studies/techniques and treatment and makes sure you get ideas for intervention."

    - Austin, TX / Oct 2018

    "None. Karin's presentation was excellent. She explained information thoroughly and consistently in a way even a graduate student can benefit from!"

    - Austin, TX / Oct 2018

    "Karin was a great instructor and very passionate about her job. She is very knowledgable and great at presenting the material in ways that is easy to understand."

    - Live Streaming or Studio Audience, FL / Sep 2018

    "Thank you so much for providing this course via Live Stream! I would not have been able to attend otherwise due to having a newborn at home :)"

    - Live Streaming or Studio Audience, FL / Sep 2018

    "Great info and demonstrations! Seamless and convenient livestream experience"

    - Live Streaming or Studio Audience, FL / Sep 2018

    "This course was fantastic, I was a little worried about taking a course like this online but was blown away at how quick and responsive the staff was when there were technical difficulties or questions. Thank you Karin and CIAO staff!"

    - Live Streaming or Studio Audience, FL / Sep 2018

    "Please keep offering amazing courses like this one. Not many great course like this come to Hawaii. I am willing to continue to wake up at 2am if it means I can grow an learn as therapist for the better of my patients. "

    - Live Streaming or Studio Audience, FL / Sep 2018

    "Ms. Karin is a wonderful and knowledgeable presenter! She teaches in a way that is retainable and opens opportunities for questions!"

    - Gulfport, MS / Jun 2018

    "Crazy amazing!"

    - Gulfport, MS / Jun 2018

    "I was given confidence in knowing that I am on the right track in treatment. Also, I have increased confidence in implementing therapeutic strategies. "

    - Gulfport, MS / Jun 2018

    "Karin was phenomenal! Experienced, knowledgeable, approachable and passionate. I have learned so much from this course. The CIAO staff was also first-class. Thank you! "

    - Live Streaming or Studio Audience, FL / Apr 2018

    "This course was very, very informative and helpful for my real world practice. I look forward to more CIAO courses."

    - Irvine, CA / Dec 2017

    "Karin is Excellent, in depth & practical"

    - Irvine, CA / Dec 2017

    "Advertise or under objectives would be beneficial to mention that the course is intro course. Also offer option to attend only day 2 for experienced therapists. Excellent, Excellent course for the therapist new in NICU!"

    - Irvine, CA / Dec 2017

    "Awesome course! Love Karin's presentation style, personality and knowledge!"

    - Nashville, TN / Aug 2017

    "After 39 years of practicing in the field, it is challenging to find courses that offer much new information. Karin provided much new information from beginning to end! Thank you! Excellent!"

    - Nashville, TN / Aug 2017

    "Wonderful course! full of knowledge to truly help these babies eat safely."

    - Nashville, TN / Aug 2017

    "I loved this course and found the presenter engaging and loved her attitude and approach to feeding."

    - Nashville, TN / Aug 2017

    "Loved, loved the second day- lots of useful info. The first day was slow for experienced therapists- maybe move quicker with first material."

    - Nashville, TN / Aug 2017

    "Best course I've attended!"

    - Nashville, TN / Aug 2017

    "Karen was very knowledgeable and kept everyone's attention. The course was very enlightening and beneficial in making me aware of the role of OT in NICU's."

    - Corpus Christi, TX / Jun 2017

    "Great class; best NICU course I've ever taken!"

    - Corpus Christi, TX / Jun 2017

    "This will allow me to more confidently assess and treat NICU babies."

    - Corpus Christi, TX / Jun 2017

    "This course has given me the skills to be successful in my job and has given me more confidence."

    - Corpus Christi, TX / Jun 2017

    "This was by far one of the best CEU courses I have been to. Not only did it give me a better understanding of what many of my NICU children have previously experienced but also how NICU SLPs do to support the babies and families which in turn helps me understand where they are coming from when they get to me after NICU discharge. Such an empowering course!!"

    - Jacksonville, FL / Feb 2017

    "Excellent/well worth the cost and time. Looking forward to additional courses by this presenter! Lots of info - would be nice if there was more time! More videos would be helpful!"

    - Jacksonville, FL / Feb 2017

    "Very informative and applicational, different perspective take on feeding/swallowing. Loved the interactional videos very helpful."

    - Jacksonville, FL / Feb 2017

    "This was a fantastic course with many valuable ideas supported by research."

    - Jacksonville, FL / Feb 2017

    "Wonderful course. Karin and Kathy were great. Cindy thank you for everything! This was my first CIAO course and I can not wait for another one. Great organization!"

    - Houston, TX / Dec 2016

    "Loved this course! So much great info! Thank you!!"

    - Houston, TX / Dec 2016

    "Great course and very informative of treatment and assessment skills for transitioning home. Always enjoy Karin and Kathy."

    - Houston, TX / Dec 2016

    "Love x 1,000,000. Best NICU course I have been to that provides a strong foundation for the new or expert NICU clinician. "

    - Metairie, LA / Oct 2016

    "Karin is a fantastic presenter! Her knowledge is extensive & her style is professional yet warm."

    - Metairie, LA / Oct 2016

    "I loved the videos and examples of equipment. Did a great job at providing a foundation and explaining in depth."

    - St Louis , MO / Sep 2016

    "Karin was very knowledgeable & articulate during the entire workshop. Wonderful presenter!!"

    - St Louis , MO / Sep 2016

    "Hands down best course I've been to!! The course provided the most important part , the foundation! I can't wait to see my babies on Monday!"

    - San Antonio (Fri-Sat), TX / Feb 2015

    "Great course! Loved the combination of OT and SLP input to the learning process."

    - San Antonio (Fri-Sat), TX / Feb 2015

    "Awesome examples & overall organization of information presentation."

    - San Antonio (Fri-Sat), TX / Feb 2015

    "Very enlightening. Should be a must course (required) for beginning feeding therapists."

    - San Antonio (Fri-Sat), TX / Feb 2015