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.

Implementing an Enhanced Birth Experience for Family‐Centered Cesarean Birth
Poster PresentationPurpose for the ProgramTo create a more family‐centered birth experience for the woman undergoing a cesarean birth.Proposed ChangeBased on evidence, our perinatal clinical practice committee chose to implement specific changes to create an enhanced birth experience called Family‐Centered C‐Section. We realized that about one third of our patients did not get to experience a home‐like birthing environment or have immediate skin‐to‐skin contact with their newborns. Our interventions included dim operating room (OR) lighting, patient‐selected music, minimal to no family separation (i.e., suppo...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Amy Lavigne, Sarah R. Washburn, Colleen Gosiewski, Andrea Kuester Tags: Childbearing Source Type: research

The Fast Track from a New Practice Recommendation to Nurse Sensitive Indicator
Poster PresentationPurpose for the ProgramIn response to the recent surge in pertussis across the United States, specific recommendations for pregnant women have been made by the Advisory Committee for Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) along with the American College of Obstetricians and Gynecologists (ACOG). Infants younger than age 6 months, who are too young to be vaccinated against pertussis, are the most vulnerable population with the highest mortality from this disease. The recommendations from ACIP and ACOG focus on protecting the newborn directly by targeting vacc...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Alyssa Elaine Leimberger, Jennifer Brickey, Kasondra Lynn Miller Tags: Childbearing Source Type: research

Implementation of an Obstetric Emergency Response Bag
Poster PresentationPurpose for the ProgramThe development and implementation of an emergency response kit to provide standardized care to women with postpartum hemorrhage (PPH) in the postpartum unit.Proposed ChangeTo create a Grab & Go bag containing essential first‐line emergency response supplies in a standardized location on three postpartum units.Implementation, Outcomes, and EvaluationImplementation included the following: debriefing after an event and identification of multiple interruptions in care because of repeated trips to multiple locations for supplies. Using the shared governance model and Lean process...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Cathy M. Gilson, Beverly Ferreira, Marjorie A. Tose Tags: Childbearing Source Type: research

Labor and Birth Improvements at Mercy Hospital St. Louis
Poster PresentationPurpose for the ProgramMercy Hospital St. Louis is ranked among the top 20 hospitals in the nation related to birth volume, and approximately 8600 neonates are born there annually. In 2009, it became obvious the labor and birth unit in this hospital needed significant updating so the decision was made to build a new unit. In the months post move, the team recognized that many of the workflow processes and culture needed to change based on new demands.Proposed ChangeTo begin the process, the organization turned to Lean daily huddles called “innovation time.” This protected time with no meetings allowe...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Heather Thompson, Tony Vago, Ashley M. Bell Tags: Childbearing Source Type: research

A Collaboration of Providers and Registered Nurses on Early Assessment and Identification of Patients with Risk Factors for Postpartum Hemorrhage
Poster PresentationPurpose for the ProgramTo prevent harm to the woman, health care providers and nursing staff collaborated to implement early identification triggers for women at risk of postpartum hemorrhage (PPH). Audit information was collected from six women who experienced PPH in May 2014. The obstetric units consist of 16 beds in the labor and delivery unit and 15 beds in the mother/infant unit in a community‐based medical center. During the audits, the chief of obstetrics and the administrative director questioned if the hemorrhages could have been prevented.Proposed ChangeNursing staff receive education on PPH,...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Erin T. Robson, Barbara Gesme Tags: Childbearing Source Type: research

Screening for Perinatal Depression at County WIC Offices
Poster PresentationPurpose for the ProgramTo train staff of the Special Supplemental Nutrition Program for Women, Infants, Children (WIC) in the administration of a perinatal depression screening tool appropriate in a culturally and linguistically diverse population. Behavioral Health Care Services helped to designated specific health care providers to be contacted in cases (based on screening tool scores) that required immediate or urgent response.Proposed ChangePostpartum depression (PPD) affects 10% to 12% of women worldwide, and its effect on families can be devastating. PPD has been associated with discontinuation of ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Barbara J. Fritz Tags: Childbearing Source Type: research

Decreasing Assessment to Disposition Time in Labor and Delivery Triage
Poster PresentationPurpose for the ProgramThe purpose of this program was to enhance efficiency in a labor and delivery (L&D) triage managed by registered nurses (RNs).Proposed ChangeThe Anne Arundel Medical Center (AAMC) L&D staff implemented five major changes in triage. These changes started with decreasing registration time to facilitate timeliness in getting the woman to triage. The creation of a patient care technician (PCT) position expedited entry of the woman's information into the Electronic Medical Record. Defining standard work for nurses and creating a standard physician triage order set completed the ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Robin Colchagoff Tags: Childbearing Source Type: research

A Multidisciplinary Approach to Bringing the Obstetric Emergency Team Together
Poster PresentationPurpose for the ProgramCurrent evidence indicates that maternal mortality rates are increasing. The purpose of this project was to initiate a program that would improve multidisciplinary communication, increase efficiency, decrease staff confusion, and improve patient outcomes during an obstetric emergency.Proposed ChangeTo quickly bring the integral maternal‐child personnel together in order to address the obstetric emergency, three separate unique codes (code Neo [neonatology], code OB [obstetric], and code L&D [labor and delivery]) were developed. The current practice was to individually call ea...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Leah Romine Tags: Childbearing Source Type: research

Implementing Complete Couplet Care
Poster PresentationPurpose for the ProgramRecognizing that the best place for a stable newborn is with its mother, a collaborative effort was made to change practices and workflows to eliminate unnecessary separation of mothers and their newborns. This initiative was given the descriptive name of complete couplet care (CCC).Proposed ChangeTo implement the CCC, that is, the mother/infant dyad would remain intact unless separation was indicated for medical or safety reasons. Nursing interventions, pediatrician examinations, and most testing and procedures would occur at the mother's bedside.Implementation, Outcomes, and Eval...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Lori Davies, Candice Michael Tags: Childbearing Source Type: research

A TeamSTEPPS Approach to Improving the Pain Experience of Obstetric Patients
Poster PresentationPurpose for the ProgramTo improve the pain experience of obstetric patients during the inpatient care continuum.Proposed ChangeTo improve pain management as measured by our patients by utilizing a TeamSTEPPS‐based approach through strategic use of technology to standardize pain management practices and medication regimens that account for transitions in care and common sources of pain.Implementation, Outcomes, and EvaluationA multidisciplinary team created computerized pain management order sets. These sets were used to standardize pain medications while taking into account the mode of birth (cesarean ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Linda Gibbons Tags: Childbearing Source Type: research

Role of the Obstetric Clinical Nurse Coordinator
Poster PresentationPurpose for the ProgramThe scheduling of procedures on the unit was formally an ad hoc process. This resulted in no true clinical oversight of the procedures being scheduled. The American College of Obstetricians and Gynecologists, The Joint Commission, and Centers for Medicare & Medicaid Services call for regulation surrounding the elective induction of labor of pregnancies before 39 weeks gestation. There also are controlled criteria for exclusions to these guidelines. Gaps in adhering to the guidelines as well as patient and physician dissatisfaction resulted in the vision of a single point of con...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Nan Ybarra Tags: Childbearing Source Type: research

Delayed Cord Clamping: A Multidisciplinary Approach
Poster PresentationPurpose for the ProgramIn evaluating adverse outcomes in our hospital, we recognized an opportunity to affect the rate of intraventricular hemorrhage (IVH) in infants born before 32 weeks gestation. Neonatal intensive care unit (NICU) nurses and neonatologists felt that preterm infants could benefit from delayed cord clamping (DCC) to reduce IVH rates by nearly 50%. Staff from labor and delivery (L&D) and the NICU partnered to develop and implement a process for DCC with the end goal of improving patient outcomes.Proposed ChangeTo ensure success, an interdisciplinary team consisting of NICU and L&...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Diana Rich Tags: Childbearing Source Type: research

Adapting Nursing Care to Alternative Uses of the Placenta
Poster PresentationPurpose for the ProgramIn our large, Mid‐Atlantic hospital, which has approximately 6500 births annually, an increasing number of women desire alternate methods to dispose of the placenta. These methods include burial and placentophagy (e.g., raw, cooked, or encapsulated). This presentation is an overview of how our unit is adapting to this emerging need.Proposed ChangeTo assist staff nurses on the ethical, legal, and safe way to send the placenta home with the woman, a procedure is being developed. This practice will provide the staff nurse with education on the alleged benefits of placentophagy, the ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Gina M. Scott, Valerie Rappa Gray, Kathy Brereton, Pamela Kay Turner Tags: Childbearing Source Type: research

Surgical Counts in the Delivery Room
Poster PresentationPurpose for the ProgramAn opportunity existed to reduce or eliminate the risk of retained surgical items (RSIs) in response to the Joint Commission's October Sentinel Event Alert regarding RSIs. Within perinatal nursing there is a keen awareness that a discrepancy exists between the approaches to surgical counts in the perioperative suite versus the vaginal delivery room. It is very likely that during vaginal births, the surgical count error rate is greater than the overall 10% to 15% error rate noted by The Joint Commission.Proposed ChangeTo implement a highly reliable and standardized count process dur...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Tonnyann T. Hurley, Amy Meyer Tags: Women's Health Source Type: research

Implementing a Massive Transfusion Protocol in Labor and Delivery
Poster PresentationPurpose for the ProgramNurses in the labor and delivery unit at Baylor University Medical Center recognized a need to guide staff during a massive hemorrhage. Postpartum hemorrhages continue to be a leading cause of maternal death in the United States. Staff felt that developing an interdisciplinary protocol and standardized education would help foster timely communication that leads to improved patient outcomes.Proposed ChangeTo develop an obstetric (OB)‐specific massive transfusion protocol (MTP) by utilizing current evidence‐based practice transfusion recommendations. Our hospital has had a MTP fo...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: LaToya Scales Tags: Women's Health Source Type: research