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Something Old, Something New: A Guide to the Mystery of Acute Flaccid Myelitis [Enduring]

Release Date: 12/08/2022
Expiration Date: 12/08/2024
Originally presented at Virtual NASN2021.

Cost: $20.00/Free for NASN members!

Upon successful completion of this offering,
participants will be awarded 1.0 Nursing Continuing Professional Development (NCPD) contact hour.

Instructions to Complete This NCPD Program
To receive a Certificate of Completion and be awarded NCPD contact hours for this program, follow the steps below, and complete and view the full content of the program including the program evaluation. If an assessment is included in the content, you will need to have 75% of the answers correct in order to pass the assessment. You will also have unlimited retakes on the assessment.

NASN will conduct an outcome assessment of a sample of participants at a later date. Please be advised that, if you complete this program, you may be asked to participate in this outcome assessment.

Step 1: Enroll in the program through the e-commerce system. Select the Purchase button. You will be directed to the e-commerce system. The program should already be in your shopping cart (look for the shopping cart icon at the top of the e-commerce web page). Select the shopping cart and choose "check out." You will receive a confirmation email with a link back to this program after your transaction.

Step 2: Complete and view the full content of the program. Content items are indexed at the bottom of this screen. After you enroll, you will return to this screen. The first content item will be “unlocked” so that you can begin completing the course. Subsequent items will “unlock” as you complete previous items.

Step 3: Retrieve the certificate.  After completing all content items, you will earn a certificate. You can save or print it.  Certificates are also stored in your Learning Center Profile.

Program Overview
Acute flaccid myelitis (AFM) is a rare but serious polio-like illness characterized by rapid-onset flaccid weakness and paralysis. AFM has been gaining global attention since its first large outbreak in 2014. Since then, AFM has peaked every 2 years, late summer to fall, with researchers anticipating the next wave in 2020. Without a clear understanding of what causes or triggers AFM, healthcare providers are struggling to recommend specific action to prevent AFM and to establish treatment guidelines.

School health plays an important role in the early awareness and advocacy of AFM. School nurses should be vigilant for possible cases by identifying AFM symptoms and advocating to rule out the diagnosis. Gathering a history of any recent respiratory or GI illness, regardless of fever, will be helpful when referring for further assessment. Most children experienced a respiratory illness or fever consistent with a viral infection before developing arm or leg weakness.

This session will provide the education and resources to enable the school community to increase the identification of early symptoms. This session will also prepare the school nurse to lead the transition of a student diagnosed with AFM back into the school setting. Perspectives from parents as well as multidisciplinary team members will offer insight into the multiple phases of AFM. While the outcome for children diagnosed with AFM is uncertain, a multidisciplinary team that includes the school nurse is essential to the support the child and family will require.

Learning Outcomes
As a result of participating in this educational program, learners will be able to: 

  • Define acute flaccid myelitis (AFM) and summarize current CDC updates.
  • Utilize resources to educate the school community about global emergence of AFM as a public health epidemic.
  • Collaborate with pediatric rehabilitation facilities to advance understanding of multidisciplinary treatment and medical management of a student re-entering school. 
  • Apply the Framework of the 21st Century School Nursing for Coordinating Care and Leadership to support students with AFM.

Intended Audience
This continuing education program is a practice, skill, and knowledge NCPD program developed to meet the educational needs of registered nurses who are interested in child, adolescent health, community/public health, and school nursing.

Megan Roesler, MSN, RN, CPN
Nurse Educator
Kennedy Krieger Institute 

Barbara Obst, MSEd, BSN, RN, NCSN
Educator SHNIC Coordinator
Kennedy Krieger Institute

Faculty and Nurse Planner(s) Disclosures
NASN must ensure that all educational program content is free of commercial interest, bias, influence, and that the integrity of the content is uncompromised. The intent of this disclosure is to provide learners with information on which they can make their own judgments.

The nurse planner(s), faculty, and reviewers disclose there are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this program.

Accreditation Statement
The National Association of School Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Accredited status does not imply endorsement by NASN or ANCC of any commercial products discussed in this learning program.

Commercial Support or Grant Funding
This program did not receive commercial support or grant funding.