2.50
Hdl Handle:
http://hdl.handle.net/10755/182148
Category:
Abstract
Type:
Presentation
Title:
It's a Small World: How Nurse-Led Initiatives Improved Outcomes for the Tiniest of Patients
Author(s):
Dubin, Sara
Author Details:
Sara Dubin, ARNP, NNP-BC, Advanced Registered Nurse Practitioner, The University of Kansas Hospital, Kansas City, Kansas, USA, email: SDUBIN@kumc.edu
Abstract:
Poster presentation, ANCC National Magnet Conference: The nursing staff in the Neonatal Intensive Care Unit of a large academic medical center recognized the need for a multi-faceted approach for improving the morbidities of very low birth weight infants (VLBW). Believing the enhanced recognition of and development and implementation of processes to address clinical issues would result in significant changes in outcomes, the group began to research current practice, and change the ways in which care was provided. A dedicated central line team was started with the Neonatal Nurse Practitioners (NNPs) and a group of 4 staff nurses to reduce central-line associated blood stream infections. The central line team placed all PICCs and inspected and/or changed dressings on PICCs and Broviac dressings weekly. Since the initiation of this team our central line infection rate has dropped below national benchmarking standards for infants in the very low birth weight category under 1500g. A retinopathy of prematurity (ROP) team was developed to insure that all VLBW infants were screened for ROP in accordance with AAP guidelines and to ensure no infants were lost after discharge by starting an outpatient ROP clinic. Additionally all the infants have been receiving supplemental selenium to reduce the progression of ROP. Since these initiatives began the number of infants needing laser ablative surgery for advanced ROP has decreased by half (OR 0.27 CI, 0.07-1.1; p-value of 0.05). This presentation will detail these and other approaches initiated by these nurses and results of these targeted initiatives.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleIt's a Small World: How Nurse-Led Initiatives Improved Outcomes for the Tiniest of Patientsen_GB
dc.contributor.authorDubin, Saraen_US
dc.author.detailsSara Dubin, ARNP, NNP-BC, Advanced Registered Nurse Practitioner, The University of Kansas Hospital, Kansas City, Kansas, USA, email: SDUBIN@kumc.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/182148-
dc.description.abstractPoster presentation, ANCC National Magnet Conference: The nursing staff in the Neonatal Intensive Care Unit of a large academic medical center recognized the need for a multi-faceted approach for improving the morbidities of very low birth weight infants (VLBW). Believing the enhanced recognition of and development and implementation of processes to address clinical issues would result in significant changes in outcomes, the group began to research current practice, and change the ways in which care was provided. A dedicated central line team was started with the Neonatal Nurse Practitioners (NNPs) and a group of 4 staff nurses to reduce central-line associated blood stream infections. The central line team placed all PICCs and inspected and/or changed dressings on PICCs and Broviac dressings weekly. Since the initiation of this team our central line infection rate has dropped below national benchmarking standards for infants in the very low birth weight category under 1500g. A retinopathy of prematurity (ROP) team was developed to insure that all VLBW infants were screened for ROP in accordance with AAP guidelines and to ensure no infants were lost after discharge by starting an outpatient ROP clinic. Additionally all the infants have been receiving supplemental selenium to reduce the progression of ROP. Since these initiatives began the number of infants needing laser ablative surgery for advanced ROP has decreased by half (OR 0.27 CI, 0.07-1.1; p-value of 0.05). This presentation will detail these and other approaches initiated by these nurses and results of these targeted initiatives.en_GB
dc.date.available2011-10-28T15:11:17Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:11:17Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.