2.50
Hdl Handle:
http://hdl.handle.net/10755/182529
Category:
Abstract
Type:
Presentation
Title:
Practice-Based Evidence: Best Practice of Car Seat Challenge Program
Author(s):
Lin, Jung-Tzu
Author Details:
Jung-Tzu Lin, Inova Fairfax Hospital, Falls Church, Virginia, USA, email: jung-tzu.lin@inova.org
Abstract:
Poster Presentation: Background: While nurses are implementing the evidence-based practice, looking at practice-based evidence is a new way to generate knowledge and support the best practice. The American Academy of Pediatrics (AAP) recommended hospitals to have policies that all infants less than 37 weeks gestation or < 2500 grams to have a period of observation in a car seat before discharge for possible apnea, bradycardia, or oxygen desaturation. This test was occurring in the NICU but not in the postpartum units where some premature infants are discharged from the well baby nursery. A comprehensive literature review showed no evidence regarding any programs specific to postpartum units. When benchmarked with other hospitals in the Council for Women & Infant Special Hospital (CWISH) for existing programs, three out of the nine hospitals surveyed had established CSC programs on postpartum units but the guidelines for the CSC test varied. Therefore, we decided to start the program and use the data generated from the program to support/modified our practice. Step I: Establish the practice Many key stakeholders within the hospital and community were involved to establish this program. The process included: ? Designing the program and selecting the criteria ? Development of the process ? Budget adjustment ? Training the personnel Step II: Generate evidence With the establishment of this program, we have been screening an average of 85 newborns per month. Data from all late preterm infants who were tested through this program during the period of January to September 2006 was gathered to conduct a research regarding the change of oxygen saturation Results: A total of 282 near-term/late preterm infants were included. Twenty-two infants (7.7%) had oxygen desaturation <85% within 90 minutes. Mean oxygen saturation values declined during the 90 minutes in the car seat (99.6% at baseline vs 95.5% at 30 mins vs 97.8% at 60 mins vs 96.9% at 90 mins). Infants who were born by
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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.titlePractice-Based Evidence: Best Practice of Car Seat Challenge Programen_GB
dc.contributor.authorLin, Jung-Tzuen_US
dc.author.detailsJung-Tzu Lin, Inova Fairfax Hospital, Falls Church, Virginia, USA, email: jung-tzu.lin@inova.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182529-
dc.description.abstractPoster Presentation: Background: While nurses are implementing the evidence-based practice, looking at practice-based evidence is a new way to generate knowledge and support the best practice. The American Academy of Pediatrics (AAP) recommended hospitals to have policies that all infants less than 37 weeks gestation or &lt; 2500 grams to have a period of observation in a car seat before discharge for possible apnea, bradycardia, or oxygen desaturation. This test was occurring in the NICU but not in the postpartum units where some premature infants are discharged from the well baby nursery. A comprehensive literature review showed no evidence regarding any programs specific to postpartum units. When benchmarked with other hospitals in the Council for Women & Infant Special Hospital (CWISH) for existing programs, three out of the nine hospitals surveyed had established CSC programs on postpartum units but the guidelines for the CSC test varied. Therefore, we decided to start the program and use the data generated from the program to support/modified our practice. Step I: Establish the practice Many key stakeholders within the hospital and community were involved to establish this program. The process included: ? Designing the program and selecting the criteria ? Development of the process ? Budget adjustment ? Training the personnel Step II: Generate evidence With the establishment of this program, we have been screening an average of 85 newborns per month. Data from all late preterm infants who were tested through this program during the period of January to September 2006 was gathered to conduct a research regarding the change of oxygen saturation Results: A total of 282 near-term/late preterm infants were included. Twenty-two infants (7.7%) had oxygen desaturation &lt;85% within 90 minutes. Mean oxygen saturation values declined during the 90 minutes in the car seat (99.6% at baseline vs 95.5% at 30 mins vs 97.8% at 60 mins vs 96.9% at 90 mins). Infants who were born byen_GB
dc.date.available2011-10-28T15:28:19Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:28:19Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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.-
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