Journal of Obstetric, Gynecologic, and Neonatal Nursing This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Preventing Newborn Falls
Poster PresentationPurpose for the ProgramIn fiscal year 2012, six newborn falls were reported at Anne Arundel Medical Center (AAMC). As a result of this disturbing trend, the Mother/Baby Quality Council developed a Newborn Falls Prevention Task Force. The goals of the task force were to identify factors associated with newborn falls and make recommendations to reduce newborn falls.Proposed ChangeAfter reviewing the literature, examining and analyzing the information related to the falls in our hospital, and attending the 2013 Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) convention, we developed a ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Mary M. Hantske Tags: Newborn Care Source Type: research

Telemedicine for Neonatal Resuscitation
Poster PresentationPurpose for the ProgramMaintaining high levels of readiness for neonatal resuscitation in settings with low‐risk maternity services is challenging. Use of the American Academy of Pediatrics Neonatal Resuscitation Program (NRP) algorithm is a community standard in the United States; however, training is often only required every 2 years, and few staff receive enough exposure to these critical events to be proficient at timely implementation of the algorithm and advanced procedures such as umbilical vein access and endotracheal intubation. Birth centers may not have a practitioner immediately available t...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Pat Scheans, Lori McElwain Tags: Newborn Care Source Type: research

Collaborating to Create a Comprehensive Neonatal Resuscitation Form
Poster PresentationPurpose for the ProgramHigh‐quality care of the newborn at birth is critically important in obstetrics. To assess response to newborns who require extra assistance at birth, a newborn code review committee was formed in July 2012. Newborn resuscitation documentation was audited for 3 months, and it was determined the current form was a barrier to accurate documentation and care. Of the 16 indicators audited, documentation was found to be 0% to 67% complete in seven categories. The code committee searched the literature, Internet, and area hospitals to find a better documentation form. Forms found were ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Bonnie Hibbs, Mary Ann Bell Tags: Newborn Care Source Type: research

Empowering Nurses to help Reduce the Rate of Primary Cesarean Births
Poster PresentationPurpose for the ProgramCesarean birth has come to the forefront of discussion by The Joint Commission, Association of Women's Health, Obstetric and Neonatal Nurses, and American College of Obstetricians and Gynecologists because of its effect on the increased risk of maternal morbidity. Of particular focus is the primary cesarean. A program to facilitate the safe prevention of the primary cesarean will optimize patient outcomes, decrease hospital length of stays, and decrease the rate of repeat cesarean births.Proposed ChangeTo promote positive patient outcomes and reduce the rate of primary cesarean bir...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Amy W. Prince, Emily Armstrong Tags: Childbearing Source Type: research

A Multidisciplinary Team Approach to Management of Postpartum Hemorrhage
Poster PresentationPurpose for the ProgramThis hospital is a teaching facility with a diverse population of families. It is the only free‐standing women's hospital in the state and averages 6200 births per year. Despite being a groundbreaker in many ways, the rate of postpartum hemorrhage (PPH) was almost equal to the state and national averages. There was no standardized approach to the management of PPH, and with an increasing urgency to improve PPH outcomes, the nursing staff made the decision to make a change. The goals were to develop a PPH protocol, decrease the rate of PPH‐related transfusions, and decrease the ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Jenny C. Clapp Tags: Childbearing Source Type: research

Innovative Programs to Enhance the Experience for the Obstetric Patient
Poster PresentationPurpose for the ProgramImprovement of the birth experience to focus on providing nurses additional tools and interventions for a wide range of comfort modalities for obstetric patients in the antepartum period, labor, and postpartum periods.Proposed ChangeTo improve the woman's experience, the following innovative changes were put into place: (a) a comfort menu used by women to control their pain management choices, (b) aromatherapy that is available to all women with education and rationale for use, (c) acupressure for women in labor, (d) a water birth and water therapy program for women in labor, (e) g...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Debbie Biffle, Kelsi Le Tags: Childbearing Source Type: research

Promoting Normal Physiologic Birth through Partnership with Consumers, Providers, and Hospitals
Poster PresentationPurpose for the ProgramIncreasing access to care that promotes and supports physiologic birth is a major national strategy for achieving high‐quality, high‐value, maternity care. The multidisciplinary Normal Birth Task Force works to engage consumers and professionals in efforts to promote full‐term physiologic childbirth.Proposed ChangeQuality improvement efforts that aim to reduce cesarean births and improve overall birth outcomes will require participation from various disciplines: nurses, nurse–midwives, physicians, doulas, hospital administration, and quality managers. The Normal Birth Task ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: MaryJane Lewitt Tags: Childbearing Source Type: research

Initiation of Group Prenatal Care in the Center for Fetal Diagnosis and Treatment
Poster PresentationPurpose for the ProgramGroup prenatal care has been piloted in the Center for Fetal Diagnosis and Treatment as an intervention designed to improve psychosocial outcomes in a high‐risk population. The Center for Fetal Diagnosis and Treatment is a unique, referral‐based program for women whose pregnancies are complicated by prenatally diagnosed fetal anomalies. These women receive prenatal care and give birth in the same facility where their neonates receive postnatal care. This intervention is based on the premise that group care is most effective and efficient when groups are facilitated rather than ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Lisa Kugler, Mari‐Carmen Farmer Tags: Childbearing Source Type: research

Achieving the Triple Aim of Accredited Birth Centers
Poster PresentationPurpose for the ProgramTo describe accredited birth centers and their role in the U.S. maternity care system.Proposed ChangeTo provide factual information to professional perinatal nurses to promote collaborative care across systems.Implementation, Outcomes, and EvaluationCompare outcomes of selected birth centers to average U.S. statistics using Healthy People 2020 maternal, child, and infant objectives. Compare costs of birth centers to traditional U.S. maternity care and present patient satisfaction rates of selected birth centers. The results indicated that birth centers are achieving the elusive tri...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Olga R. Ryan Tags: Childbearing Source Type: research

Notification of Obstetric Emergency
Poster PresentationPurpose for the ProgramEmergency activation models relied on the nurse pressing the nurse call button and requesting help, vocally calling out for help, and then relying on a person to notify each team member needed in the response effort. This meant that other staff had to be able to hear and respond to a nurse's calls, and nonclinical personnel had to be available to relay medical information to physicians and other care team members. The response was unfocused and highly variable.Proposed ChangeTo implement swift notification of team response in obstetric (OB) emergencies using a cap code pager team a...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Nan Ybarra Tags: Childbearing Source Type: research

Reducing Infection Rates after Cesarean Birth
Poster PresentationPurpose for the ProgramThe purpose of this innovative educational program was to implement changes to reduce the rate of infection after cesarean at a Midwestern regional health care facility. From 2011 to 2013, this rate ranged from 0.62% to 1.23%. Clearly, there is an upward trend in the rate of infection that needs to be managed to decrease postoperative infections.Proposed ChangeTo implement standardized preoperative and postoperative education for all women who have cesarean births.Implementation, Outcomes, and EvaluationThe interdisciplinary, evidence‐based practice (EBP) project involved physici...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Cindra S. Holland, Katie Adkins, Peggy Foster, Deborah Ulrich, Kim Job, Jessica Akemon Tags: Childbearing Source Type: research

Integration of a Mental Health Professional in a Multidisciplinary Team Caring for the Pregnant Woman after Diagnosis of Fetal Anomaly
Poster PresentationPurpose for the ProgramPregnancy is a time of psychologic change for women and their families. Even women with uncomplicated pregnancies report increased rates of depression, stress, and anxiety during the perinatal period. In addition, maternal mental health conditions may complicate 13% to 25% of all healthy pregnancies. The prenatal diagnosis of a fetal structural or genetic abnormality may further compound the psychologic effect on the pregnant woman. The Center for Fetal Diagnosis and Treatment and the Garbose Family Special Delivery Unit are outpatient and inpatient programs dedicated to caring for...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Susan R. Miesnik, Joanna CM Cole, Tyra Jones Tags: Childbearing Source Type: research

How Our Hospital Successfully Reduced Cesarean Rates
Poster PresentationPurpose for the ProgramTo demonstrate how one Washington state hospital reduced its cesarean delivery rate dramatically by implementing a Centers for Medicare & Medicaid Services (CMS)‐funded project called Leading Edge Advanced Practice Topics (LEAPT) as part of a larger project to help reduce cesarean births regionally and nationally.Proposed ChangeTo decrease the rate of cesarean births, the project, which occurred from December 2013 to December 2014, involved labor and induction management tools/bundles and patient education.Implementation, Outcomes, and EvaluationThe tools were piloted, revise...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Trish L. Nilsen Tags: Childbearing Source Type: research

Patient Falls in Labor and Delivery
Poster PresentationPurpose for the ProgramAt an urban academic medical center with approximately 2200 births per year, 10 falls occurred in labor and delivery (L&D) unit in a 12‐month period. None of the patients who fell was categorized, as high risk for falling, which led the nurses to ask if the current risk scale for falls was useful in the perinatal population. The hospital‐wide falls screening tool had little application in the perinatal population because the tool was validated in the geriatric population. A review of the literature revealed little evidence as most studies excluded perinatal patients from th...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Brenda Baker, Jeanette Dupree Tags: Childbearing Source Type: research

Using the Lean Process to Achieve Skin‐to‐Skin after Cesarean Births
Poster PresentationPurpose for the ProgramTo use Lean improvement methods to improve a clinical process: facilitating skin‐to‐skin contact between the mother and newborn after cesarean birth.Proposed ChangeThe goal of this project was to establish a process to facilitate keeping the mother and newborn together and provide skin‐to‐skin contact in the operating room or recovery room after cesarean birth. Previously, we separated the mother and newborn and moved the newborn to the nursery for assessment while the mother remained in the birth center, which delayed skin‐to‐skin contact.Implementation, Outcomes, and ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Kim Price, Jackie Weaver, Stacey B. Tribbett, Christine Carpenter Tags: Childbearing Source Type: research