Stanford University
JACQUELYN M (ZIRBES) SPANO, DNP, CPNP-AC/PC, CCRC. Translational Research Nurse Practitioner. Cystic Fibrosis NBS and GDMCC Coordinator
College of St. Catherine, St. Paul, Minnesota BA 05/1986 Nursing
College of St. Catherine, St. Paul , Minnesota MA 05/1991 Nursing
University of Minnesota, Minneapolis, Minnesota DNP12/2007 Doctorate of Nursing Practice
I have long history in caring for patients with cystic fibrosis since 1986 with the start of my nursing career. Over the past almost 3 decades, my roles have evolved from bedside nurse, nurse practitioner, researcher, program coordinator, educator and project management. I have expertise in translating basic science to the clinical setting, sharing knowledge and implementing evidence-based cystic fibrosis standards of care. As the CF Newborn Screening Coordinator at Stanford University, I provide direct clinical care to infants diagnosed through the newborn screening program. I have developed this program from the inception of newborn screening in the state of California and my site is a highly regarded referral destination. Over half of the patient population is Hispanic with Spanish as the primary language. I have had the privilege throughout my career to be involved in the care of persons with cystic fibrosis of all ages from birth, to transplant, to adult and end of life. I am acutely aware of the importance of concise culturally sensitive communication. I recently completed training and working on implementing a International Mentoring Training Iniative to coach and mentor CF teams based in low and Middle Income countries. I am looking forward to what is next in the care of persons with cystic fibrosis.
1. Blumenfeld YJ, Hintz SR, Aziz N, Barth RA, Spano JM, El-Sayed YY, Milla C. Treatment of Fetal Cystic Fibrosis With Cystic Fibrosis Transmembrane Conductance Regulator Modulation Therapy. Ann Intern Med. 2023 Jul;176(7):1015-1016. PubMed PMID: 37307583.
2. Spano J, Milla CE. Defining the Clinical Utility of the Lung Clearance Index. Are We There Yet?. Am J Respir Crit Care Med. 2021 Apr 15;203(8):937-939. PubMed Central PMCID: PMC8048751.
3. Kao JE, Zirbes JM, Conrad CK, Milla CE. Lung clearance index is sensitive to small airway disease in pediatric lung transplant recipients. J Heart Lung Transplant. 2017 Sep;36(9):980-984. PubMed PMID: 28651906.
4. Prach L, Koepke R, Kharrazi M, Keiles S, Salinas DB, Reyes MC, Pian M, Opsimos H, Otsuka KN, Hardy KA, Milla CE, Zirbes JM, Chipps B, O'Bra S, Saeed MM, Sudhakar R, Lehto S, Nielson D, Shay GF, Seastrand M, Jhawar S, Nickerson B, Landon C, Thompson A, Nussbaum E, Chin T, Wojtczak H. Novel CFTR variants identified during the first 3 years of cystic fibrosis newborn screening in California. J Mol Diagn. 2013 Sep;15(5):710-22. PubMed Central PMCID: PMC5707181.
APP-NRS: Open Forum Discussion
Wednesday, November 1, 2023
5:15 PM – 6:15 PM MST