Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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J Obstet Gynecol Neonatal Nurs · Mar 2013
Review Comparative StudyUnplanned extubation in the NICU.
Unplanned extubation (UE) in the neonatal intensive care unit (NICU) is a significant patient safety and quality control issue. I describe the implementation of a quality improvement program using multifactorial prevention strategies, including staff education, identification of neonates at risk for UE, extubation and weaning, standardization of procedures, and comprehensive documentation. Additional research on quality improvement with strategies for neonates may prove beneficial in reducing UE rates in neonates.
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J Obstet Gynecol Neonatal Nurs · Mar 2013
ReviewRoom air resuscitation and targeted oxygenation for infants at birth in the delivery room.
The results of several clinical trials suggest that infants born depressed can be successfully resuscitated with room air. In 2010, the American Heart Association, American Academy of Pediatrics, Neonatal Resuscitation Program, and the International Liaison Committee published new guidelines to initiate the resuscitation of the term neonate with 21% oxygen. Although this recommendation cannot be extrapolated to the preterm neonate, the use of oxygen for resuscitation in this population can be used cautiously.
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J Obstet Gynecol Neonatal Nurs · Mar 2013
Comparative StudyA rounding system to enhance patient, parent, and neonatal nurse interactions and promote patient safety.
Comfort rounds, an approach to assessing and meeting the needs of patients and families in a neonatal intensive care unit (NICU), was created based on nursing rounds. The purpose of comfort rounds is to provide information to parents and assess and enhance the neonate's comfort and safety. I describe a comfort rounds process that was implemented through presentations, huddles, and discussions and was validated through parent comments, employee documentation, and an increase in patient satisfaction scores.
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Helping Babies Breathe (HBB) is an educational curriculum using the train-the-trainer model to teach neonatal resuscitation in resource limited areas. The purpose of this evidence-based program is to reduce global neonatal mortality by educating birth attendants to provide basic neonatal resuscitation. This program directly addresses the Millennium Developmental Goal #4 of reducing child mortality.