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Maureen Shogan is a Neonatal Clinical Nurse Specialist in an NICU and Mother-Baby Unit at the Deaconess & Valley Medical Centres in Spokane, Washington, and Neonatal Nurse Consultant to 23 community hospitals. A graduate of Sacred Heart Nursing School, Gonzaga and Washington State Universities, she has experience as an NICU manager, transport nurse, clinical educator and parenting educator. On the editorial board for the Neonatal Network, Mother Baby Journal and JOGNN, Maureen has taught at national and regional workshops for NANN, AWHONN and others. Maureen has worked with chemically addicted pregnant and parenting moms for over 10 years and is a consultant to the Washington and Idaho Departments of Child Welfare and Social Services.
It is estimated that up to twenty percent of all newborns are exposed prenatally to alcohol, illicit drugs, and prescription opiates. Identifying the mother and her newborn are the first steps required for individualized treatment for the specific drugs. Neonates are extremely sensitive to the environment which must be altered by creative nursing interventions. Nurses can potentially have greatest impact, since women are most likely to be receptive to treatment while pregnant or immediately postpartum. Participants will leave equipped to assess mothers and their newborns and intervene with individualized care.
The World of Drug Use: Crack, Crank, Oxys, Weed, Speed, & Ecstasy
- Manufacture & use of Methamphetamine, Cocaine, Opiates, Marijuana, & Ecstasy
- The Difference Between Crack and Crank
- Snorting, Smoking, Shooting, Injecting, Bumper Boosting, & Welders’ Oxygen
- How does a Mom Smoke Rocks? Speed Balling, Ice, Crystal, Rollin’, & Special K
Identifying Physiologic Symptoms of Maternal Use
- Major Clues that a Mom is using: What are the Signs?
- Physical Complications of Use: Abscesses, Tooth Loss, Meth Mite Zits
- Possible Maternal Physiologic Effects of Meth, Cocaine, Marijuana, & Opiates
- Complications: Changes in Fetal Heart Rate and Uterine Responses to Vasoconstrictors
- When Labour Drugs Given by the Nurse Interact with Other Drugs in the Mom's System
Maternal Lifestyle and Behavioural Red Flags
- Dispelling the Myths of what a Drug User “Looks Like”
- Maternal Issues of Intimate Partner Violence, Isolation, Illegal Activities, and Infections
- What in the Maternal History may Lead you to Suspect Drug Use?
- Deciphering Mysteries of Maternal Behaviours while High on Uppers or Downers
Neonatal Symptoms and Care of the Prenatally Exposed Newborn
- Differentiate Neonatal Symptoms of Uppers versus Downers Exposure
- Neonatal Abstinence Scoring (NAS). When do we Start and how Often do we Assess?
- What is the Difference between Neonatal Drug Withdrawal and “Drug Affected”?
- Special Nursing & Environmental Care Interventions for the Neonate
- Considerations when the Mom wants to Breast Feed
Potential Outcomes of the Infant Exposed Prenatally to Drugs
- Who experiences “Dopamine Depletion Syndrome”?
- Potential Outcomes of Prenatal Marijuana & Meth Exposure at 4 to 9 Years of Age
- Where does Prematurity fit into the Drug Exposure Puzzle?
Quarrying in the Quagmire of Maternal Drug Use Assessment
- Which Questions will elicit Factual Maternal History of Drug Use?
- Why do some Patients tell some Nurses Everything & Other Nurses Nothing?
- Using the 4 Ps: Use in Pregnancy, Partner, Parents, & Prior to Pregnancy
- Staying Non-Judgemental in Difficult Situations
* Obstetrical Nurses; L&D, Midwives, Ante and Postpartum; Fetal Assessment Nurses, Lactation Consultants
* Neonatal Nurses: Level 1, 2, & 3 Nursery Staff; Neonatal Nurse Practitioners
* Childbirth, Obstetrical and Neonatal Educators; Managers
* Women's Health Practitioners; Intimate Partner Violence Counsellors; Selected Gyne & Public Health Nurses
* Social Workers, Drug Addiction Counsellors, Sexual Health Counsellors