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Smith, V. C. & Wilson, C. R. (2016, July). Fam- ilies affected by parental substance use [Clinical report]. American Academy of Pediatrics. Re- trieved from http://pediatrics.aappublications. org/content/early/2016/07/14/peds.2016-1575 Stanford Children’s Health. (n.d.). Neonatal abstinence syndrome. Retrieved from http://www.stanfordchildrens.org/en/topic/ default?id=neonatal-abstinence-syndrome- 90-P02387 U.S. Depaartment of Health and Human Ser- vices. (2010). The Child Abuse Prevention and Treatment Act. Retrieved from https://www.acf. hhs.gov/sites/default/files/cb/capta2010.pdf World Health Organization (WHO). (2014). Guidelines for identification and management of substance use and substance use disorders in pregnancy. (pp. 6-7). Geneva, Switzer- land: WHO Document Production Services. Retrieved August 12, 2017, from http://www. who.int/substance_abuse/publications/preg- nancy_guidelines/en/ Issue 73, 1 2018 Pennsylvania Nurse 20 Caroline Toomey, BSN, RN, CPN, started her pediatric nursing career in 2015 at Bryn Mawr Hospital. Her interests include col- laborating with healthcare professionals on quality improvement projects to improve the health of the pediatric population. Caro- line is grateful for the opportunity to have been able to participate in the American Nurse Advocacy Institute (ANAI) and return to Pennsylvania to advocate for children affected by parental opi- oid use through this project. She is currently enrolled in gradu- ate studies and aspires to apply the knowledge and skills gained through this experien