The PANDA Prep Curriculum: Preparing the adult hospice nurse to care for the pediatric patient

The PANDA Prep Curriculum is a dual curriculum designed to prepare the adult hospice nurse to care for the pediatric patient. You may be eligible to participate in the initial testing of a unique blended curriculum using virtual precepting and a self- paced online curriculum regarding pediatric hospice/palliative care.

  • Are you a hospice nurse now?
  • Have you had less than 3 years of experience working with pediatric patients?
  • Have you completed palliative care training for adults such as ELNEC- Core, Oncology or Geriatrics?

If you answered yes to these three questions, then you are eligible to take the course.

This course will increase your confidence in caring for the pediatric patient, by increasing your knowledge of the differences while building on and highlighting the similarities between the populations. At the completion of this course, you will be more confident, competent, and knowledgeable about caring for pediatric patients in the hospice setting.

Target Audience

This training is intended for clinicians who have prior experience in adult palliative and hospice in the United States. 

Licensed and practicing providers with previous experience and training with adult hospice and palliative in the United States.

Learning Objectives

This module is designed to build knowledge, competence, and confidence in caring for the pediatric palliative/hospice patient.

Course summary
Course opens: 
Course expires: 

How much time will this take?

The 10 self- paced modules will each take about 30 minutes to complete and virtual precepting for 3 planned visits will take an average of 30 minutes to complete. Total estimated time = (300 + 90 =390 minutes or 6.5 hours). In addition, you will complete a pre and post test to assess knowledge. Finally, you will complete a course evaluation to receive CEs for completion of the course.

Module Content:

  1. Common Pediatric Serious Illnesses
  2. Concurrent Care
  3. Pathophysiology Distinctions
  4. Pain
  5. Pharmacological Distinctions
  6. Perinatal/ Neonatal Nuances
  7. Experiencing Illness and Death as a Child
  8. Communicating with the Care Team & Family
  9. Ethics, Boundaries and Burnout
  10. Grief and Bereavement

Deborah Fisher PhD, RN, PPCNP-BC, CHPPN

Debbie FisherDr. Fisher is a pediatric nurse practitioner with over 35 years of experience in pediatrics and over 25 years of experience as a nurse practitioner. During her career, Dr. Fisher taught undergraduate pediatric nursing, published on pediatric pain and palliative care topics, developed an online pediatric pain module, and continued her clinical practice. In 2003, she was selected as one of the first 100 ELNEC-PPC Trainers. In 2005 she collaborated with a local pediatrician and pediatric hospice medical director in developing the first pediatric palliative care service at Children's Hospital of Richmond at Virginia Commonwealth University.  Under her leadership, the program grew from a small nurse practitioner (NP) run service to a robust interdisciplinary model with paid positions for 2 MDs and 1 NP with a pediatric palliative care fellowship. She is now a part of the PANDA Palliative Care service at Children's National Medical Center in Washington, DC.  In 2018, she was selected as a Cambia Sojourns Scholar. She relished the opportunity to focus on developing the PANDA Prep Curriculum and her leadership skills within the palliative care community. She is a member of the Maryland Alliance of Hospices and served as the education committee co-chair. In addition, she is a member of the NHPCO and serves on the Pediatric Advisory Council.

Dr. Deborah Fisher discloses that funding for this project was received in part from the Cambia Health Foundation as part of the Sojourns Scholars Leadership Program and from a Suzanne Feetham Nursing Research Support Grant. 

ANCC continuing education credits through Children's National Hospital

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Instructions for enrolling in this course

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Required Hardware/software


The modules of this pilot program have been tested in the latest running versions of browsers and are acceptable to use throughout the training: Firefox, Safari, and Chrome browsers on Windows or Macintosh computers. 

Safari, Firefox, or Chrome browsers are recommended for best results. 

The Internet Explorer browser is not recommended as it is no longer supported by Microsoft. 

Virtual Preceptor Tech Requirements

During the virtual precepting portion of the training modules, it is necessary that participants are able to attend a video call. Thus, computers with microphones and the ability to use video cameras are required. 
Waiver of documented consent for video recording and will get verbal consent.