2.50
Hdl Handle:
http://hdl.handle.net/10755/182909
Category:
Abstract
Type:
Presentation
Title:
Birth Trauma: Goal Zero!
Author(s):
Fowler, Debbie
Author Details:
Debbie Fowler, RN, MSN, Seton Medical Center, Austin, Texas, USA, email: dfowler@seton.org
Abstract:
Paper Presentation: The goal of the Perinatal Safety Initiative is to achieve a rate of "zero" preventable birth trauma through the implementation of evidence-based best practices. The literature reveals that the majority of neonatal injuries are potentially avoidable when there is appropriate anticipation and recognition of known risk factors. Our work on this project began in October 2003 with a focus on three major risk areas: 1) the inappropriate use of vacuum or forceps; 2) the inappropriate use of Oxytocin during delivery; and 3) the inappropriate induction of labor. Out of our commitment to "high reliability" perinatal care design, we decided to implement an "Instrumented Delivery Bundle" and a two-part "Oxytocin Bundle," along with policy stipulations of "no elective induction prior to 39 weeks gestation," "no vacuum application prior to 36 weeks gestation," and "no combined use of instruments." The process change also included revision of existing Oxytocin and Cervical Ripening protocols and incorporation of "forcing functions" into existing Induction and History & Physical forms. The group oversaw implementation of more effective communication tools (using a customized SBAR for Labor and Delivery and the promotion of a common language in interpreting fetal well-being), and established joint physician-nurse Fetal Heart Monitoring strip interpretation conferences and Emergency Simulation Training Sessions. By the end of calendar year 2005, we achieved an 83% reduction in our birth trauma rate, from a frequency of 0.3% (3 per 1,000) to 0.04% (0.4 per 1,000).
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2006
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Denver, Colorado, USA
Description:
10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, 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.titleBirth Trauma: Goal Zero!en_GB
dc.contributor.authorFowler, Debbieen_US
dc.author.detailsDebbie Fowler, RN, MSN, Seton Medical Center, Austin, Texas, USA, email: dfowler@seton.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182909-
dc.description.abstractPaper Presentation: The goal of the Perinatal Safety Initiative is to achieve a rate of "zero" preventable birth trauma through the implementation of evidence-based best practices. The literature reveals that the majority of neonatal injuries are potentially avoidable when there is appropriate anticipation and recognition of known risk factors. Our work on this project began in October 2003 with a focus on three major risk areas: 1) the inappropriate use of vacuum or forceps; 2) the inappropriate use of Oxytocin during delivery; and 3) the inappropriate induction of labor. Out of our commitment to "high reliability" perinatal care design, we decided to implement an "Instrumented Delivery Bundle" and a two-part "Oxytocin Bundle," along with policy stipulations of "no elective induction prior to 39 weeks gestation," "no vacuum application prior to 36 weeks gestation," and "no combined use of instruments." The process change also included revision of existing Oxytocin and Cervical Ripening protocols and incorporation of "forcing functions" into existing Induction and History & Physical forms. The group oversaw implementation of more effective communication tools (using a customized SBAR for Labor and Delivery and the promotion of a common language in interpreting fetal well-being), and established joint physician-nurse Fetal Heart Monitoring strip interpretation conferences and Emergency Simulation Training Sessions. By the end of calendar year 2005, we achieved an 83% reduction in our birth trauma rate, from a frequency of 0.3% (3 per 1,000) to 0.04% (0.4 per 1,000).en_GB
dc.date.available2011-10-28T15:45:31Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:45:31Z-
dc.conference.date2006en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationDenver, Colorado, USAen_US
dc.description10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, 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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