Team Members Marianne Chybik, APN/CCNS, Neonatal Case Manager

Slides:

Advertisements

Similar presentations

Real Time Abstraction A Multidisciplinary Approach

Advertisements

Quality Management Branch Cady Clark, MSN, RN Branch Manager Claudia Himes-Crayton, BSN, RN Patricia Palm, MS, RNC Nurse Consultants.

CARRIE-ELLEN FLANAGAN, BSN, RN 2 ND YEAR PHD STUDENT IN NURSING LEND FELLOW Neonatal Follow-up Programs.

Pregnancy and Related Conditions Quality Measures Benchmark Data: Core Measures Agency for Healthcare Research and Quality National Perinatal Information.

Nevada Medicaid Looks at Increased Cesarean Section Rates and Early Induction of Labor Marti Coté, RN 1.

A Timely 1 st Latch for Breastfeeding Team Members Dr. John Gianopoulos, MD Pamela Allyn, RN, IBCLC Maureen Davey, RN Patricia Karczewski, RN, IBCLC Katherine.

 Never Alone Perinatal Palliative Care Program Eileen Ludden, BSN, RNC –OB C-EFM Director Labor and Delivery Nancy Wood, BSN, RNC-OB, C-EFM, CDE Director.

Confidential for Quality Improvement Purposes Only Hospital Acquired Pressure Ulcer Reduction Project Jodi Blaszczyk RN, BSN, CWOCN, Skin Care Liaison.

Peds PLACE Changes effected CAR Effects in the SubC Survival across sites Support Intervention Current and planned telemedicine sites Conclusions Potential.

Team Members The Outstanding NICU Nursing Staff

LOYOLA UNIVERSITY HEALTH SYSTEM Loyola University Chicago ProfessionalDevelopmentProfessionalDevelopment ClinicalPracticeClinicalPractice EvidenceBasedPracticeEvidenceBasedPractice.

1. 2 Implementing and Evaluating of an Evidence Based Nursing into Practice Prepared By Dr. Nahed Said El nagger Assistant Professor of Nursing H.

Hugo A. Navarro, M.D. Medical Director SCN Alamance Regional Medical Center Assistant Professor DUMC.

Quality Nurse Champion 質の看護婦のチャンピオン. Objectives Infuse quality into the culture of ARMC Achieve Top Hospital status in the implementation of Best Practice.

1. Women & Infants Hospital Partnering with Parents, The Medical Home, and Community Providers to Improve Transition Services for High-Risk Preterm Infants.

Improvement of Medical Management of Parkinson’s Disease in Inpatients Tom Stoker MA (hons.) MB B.chir MRCP(UK) Learning To Make a Difference.

Team Membership Stephanie Detterline, MD Mary E. Altier, MSN, RN Clinical Departments: Emergency Medical Services, General Medicine, Cardiac Services Hospital.

DECREASING HOSPITAL ACQUIRED METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) THROUGH ACTIVE SURVEILLANCE Confidential: For Quality Improvement Purposes.

4-07 CHANGE IS GOOD: THE BASAL BOLUS INSULIN CONCEPT Management of Hyperglycemia in the Adult Hospitalized Patient: Admission to Discharge TEAM MEMBERS:

Prevention of blindness from retinopathy of prematurity (ROP) in India Dr Praveen Kumar Professor, Neonatology Post Graduate Institute of Medical Education.

Sickle Cell Pain Management in the Emergency Department B. Probst, MD; J. Williams, RN; D. Speed, RN, MSN; M. Cichon, DO; C. Jackson, MD; M. Pearlman,

Big Strides for Small Patients: Developmental Screening in Pediatric Primary Care Department of Pediatrics Jerold Stirling, MD Rebecca Turk, MD Melanie.

4-06 CHANGE IS GOOD: THE BASAL BOLUS INSULIN CONCEPT Management of Hyperglycemia in the Adult Hospitalized Patient TEAM MEMBERS: Physicians: Maryann Emanuele,

Retinopathy of Prematurity: A Neglected Public Health Issue Krishnendu Sarkar Professor Regional Institute of Ophthalmology Kolkata.

Community Management of Retinopathy of Prematurity Alex R. Kemper, MD, MPH, MS Sheri Carroll, MD David K. Wallace, MD, MPH November 13, 2007 CM-ROP.

Standardization of Oxygen Monitoring and Suctioning for Inpatient Care of Bronchiolitis in an Academically-Affiliated Community Setting Grant Mussman,

Adult Pain Assessment on the Maternity-Newborn Unit Team Membership: Christine Murphy, RN, MSN Carol Anderson, RN Rita Risatti, RN.

Community Acquired Pneumonia in the Emergency Department (ED) Emergency Department Nurses & Physicians Dr. Mark Cichon, Director; Bridget Gaughan, Manager.

Department of Critical Care Medicine Calgary Delirium Assessment and Treatment.

Evaluation of Ergonomics of Data Entry System in Neonatal Intensive Care Unit John Fonge 1, Kendra Mills 1, and Brandy Scott 1 Advisor: Dr. William Walsh,

11 Tiny Steps: Improving Neonatal Skin Through Prevention & Early Intervention Pamela Dozier-Young, BSN, RNC, NIC; Pamela Allen, RN, NIC; June Amling,

Infant Car Seat Challenge (ICSC)

Procedure to Measure and Control Blood Oxygen Saturation Levels in Premature Infants Team: Jean Pappalardo Trent Roszell Payal Sehgal Advisors: Dr. John.

Patient Sensitive Pain Management at LUHS Project Committees: Pain Executive Committee Pain Management Committee Pain Resource Nurse Planning Committee.

Improvement Associates Ltd. 1 St Joseph’s Hospital & Ridgewood Veterans Wing Preventing Falls Through Staff Empowerment Preventing Falls Through Staff.

ROP. What is ROP  Retinopathy of prematurity (ROP) is a potentially blinding eye disorder that primarily affects premature infants weighing about 2¾.

Provider Adherence to Oral Chemotherapy Dose Adjustment Guidelines UT Clinical Safety & Effectiveness Conference San Antonio, TX October 27-28, 2011 Amy.

NPASS and the journey to improved documentation Team Members: Elaine Trulis, RN, BSN – NICU Manager NICU Nursing Staff Patricia Hummel, RNC, MS, APN-NNP/PNP.

NICU Communication Improvement University of San Francisco Mater of Science of Nursing Clinical Nurse Leader Joy Lawley “The single biggest problem in.

PNEUMONIA Team Membership Clinical Departments: Emergency Medical Services, General Medicine Hospital Departments: 6 Northeast, 3NESW, Emergency Department,

Kelli Pirruccello, BSN, RN. Background  Monitoring systems are intended to increase patient safety in the hospital setting by quickly alerting caregivers.

Decreasing PIV Infiltrate Rates Improvement Theme: Quality Improvement Identify Problem of increasing rates of PIV infiltrates. Formulate a plan to gather.

HEART FAILURE TEAM MEMBERSHIP DEPARTMENTS OF CARDIOLOGY, CARDIOVASCULAR SURGERY, MEDICINE, NURSING, QUALITY AND RESOURCE MANAGEMENT, THE CENTER FOR CLINICAL.

Retinopathy of Prematurity: Oxygen Weaning in the NICU

Performance Improvement Model Implications for Practice

Collaborative Initiatives on Improving the Quality of Post-Anesthesia Care by Decreasing Postoperative Nausea and Vomiting in the Post-Anesthesia Care.

Panel: Strategies for Family Engagement in QI

A Team Approach to Improve Patient Satisfaction on 6 East

Feeding Error Reduction in Neonatal Intensive Care Unit Graduates During the Transition from Hospital to Home Rupalee Patel, DNP, C-PNP, C-PHN, IBCLC,

Transfusion-Related Necrotizing Enterocolitis- A Retrospective Review Diane Farley, RN, BSN, Ellen Mallard RNC, BSN & Christy Wood, RN, BSN RESULTS Mean.

Long –Term Developmental Outcomes in Preterm Neonates Exposed to Hyperglycemia Camila Goldner Pérez, Judy Saslow MD, Vilmaris Quiñones Cardona MD, Elizabeth.

Impact of NCCN Distress Thermometer screening at new patient oncology visits in a large community cancer institute Shanthi Sivendran M.D.1, Patti Inama.

Correlation of developmental outcome with severity of bronchopulmonary dysplasia in extremely low gestational age neonates Karen Belen, Chengqiu Lu, Narges.

Loyola Outpatient Center

A VALUE ADDED STRATEGY TO IMPROVING

The Development of Clinical Nursing

THE UNIVERSITY of TENNESSEE HEALTH SCIENCE CENTER

FEATURED TEAM: Neonatal Intensive Care Unit, Panorama City Medical Center Easing the pain for babies and families WHAT THEY DO RESULTS Percent of families.

Department of Critical Care Medicine Calgary

Rooming-in for success: preparing patient/families for discharge

Gentamicin Use in Neonates Mary Catherine Pilkington, BSN-SN NUR 401

Hamilton General Hospital Hamilton, Ontario

National Neonatal Audit Programme 2016

Adam A Vukovic, MD, MEd1, 2; Corrie Berry, RN, MMHC, BSN, CPEN2

Retinopathy of Prematurity

Horbar JD, Edwards EM, Greenberg LT, et al

Estonian Perinatal Society Main current goals and challenges

First Hour Care audit data

Neonatal Abstinence Syndrome Survey

Presentation transcript:

Oxygen With Love: Reducing Complications of Oxygen Administration in Preterm Infants Team Members Marianne Chybik, APN/CCNS, Neonatal Case Manager Pat Hummel, APN/CNNP, Neonatal Nurse Practioner Elaine Trulis RN, BSN, Nurse Manager, NICU Jeanette Cronin RNC, BSN, Barb Hering, RNC, MSN & Joanne Kurek RNC, BSN, NICU Staff Nurses Marc Weiss, MD, Director of Neonatology

Background: Oxygen With Love Oxygen is a commonly administered drug in the Neonatal Intensive Care Unit Oxygen is vital to survival, but also has toxic effects in the premature infant, such as contributing in the development of Retinopathy of Prematurity (ROP) Recent research has demonstrated that the incidence of severe ROP may be reduced by maintaining the premature infant’s oxygen saturation levels (SaO2) within lower, controlled, specific ranges

Problem statement Oxygen With Love Retinopathy Of Prematurity is a common complication of prematurity associated with high levels of oxygen administration. Baseline data indicates that at Loyola’s NICU, premature infants are within the correct oxygen saturation range 33% of the time.

Contributing Causes Oxygen With Love Lack of awareness of current best practice guidelines Difficulty in maintaining SaO2 within tight control at all times – intensive surveillance at bedside is required, with frequent adjustments in percentage of oxygen administered

GOAL: Oxygen With Love Oxygen saturation levels are within the ordered saturation range 75 % of the time for the target population, which includes all premature infants receiving oxygen, weighing less than 1500 grams (3 lbs 5 oz)

Solutions Implemented Oxygen With Love Participation in Tufts Medical Center NOPOP survey (Nursing Opinions and Practices for Oxygenation in Prematures) Multidisciplinary staff education: nursing, respiratory, and medical from January - April 2005 “Oxygen is a Toxic Drug” Seemore the OWL (Oxygen With Love) cards at each bedside with ordered SaO2 range SaO2 ranges added to EPIC admission order sets Follow up evaluations at 6 and 12 months

Results: DRAMATIC Improvement in maintaining oxygen saturations within tight controls Oxygen With Love

Recommendations for Further Action Oxygen With Love Monthly chart review to evaluate continued compliance with ordered oxygen saturation levels EPIC SaO2 orders and Seemore the OWL cards have been incorporated into practice. The original in-service presented to all staff “Oxygen is a Toxic Drug” is incorporated into nursing orientation in the NICU. Follow laser ablation intervention to assess impact of current changes in practice in infants with ROP (Retinopathy of prematurity)

Oxygen With Love

“Be an OWL (Oxygen With Love) kind of person!” Seemore the Owl says “Be an OWL (Oxygen With Love) kind of person!” My OWL sat range is 85 – 92% since I am less than 28 weeks gestation. **Keep my oxygen saturation alarm limits set at 80 – 95% and wean my oxygen as needed**

Seemore the Owl says “Be an OWL (Oxygen With Love) kind of person!” Seemore the Owl says “Be an OWL (Oxygen With Love) kind of person!” My OWL sat range is 90 – 95% since I am 28 – 34 weeks gestation. **Keep my oxygen saturation alarm limits set at 85 – 98% and wean my oxygen as needed**