Cheryl Swift

Use of Triple I Classification System to Manage Early-Onset Sepsis

a 2018 AWHONN, the Association of Women’s Health, Obstetri Published by Elsevier Inc. All rights reserved. implementation of glucose-gel use (n1⁄4 394) and 6 months after implementation of glucose-gel use (n 1⁄4 375). Before implementation of glucose gel, 133 babies experienced hypoglycemia. Babies with only one episode of hypoglycemia were excluded, leaving 65 babies with additional episodes of hypoglycemia. After implementation of glucose gel, there were 126 babies who experienced hypoglycemia and 57 had additional episodes of hypoglycemia. Sixty-two babies required only one dose of glucose gel. The number of NICU admissions decreased from 11 to 4.

Healing Hearts with Time and Talent

Poster Presentation Purpose for the Program Nurses working in the maternal–child specialty are most challenged by bereaved families because they are the most vulnerable and needy in our care. Appropriate intervention can promote healing. By changing the nurses’ professional role from protective to supportive, interventions can focus on assisting the bereaved families make meaning of their loss. The creation of a program that finds ways to link time and talent offered by community members can be a win–win situation that benefits both groups. Proposed Change To enlist the aid of community groups and individuals who wanted to volunteer but were in need of direction to provide for those in need. The bereavement council from one labor, delivery, and recovery unit, with about 200 pregnancy losses per year, found difficulty with maintaining supplies for patient memory boxes. This group of nurses recognized the need to discover new resources to help. Implementation, Outcomes, and Evaluation Over the past 5 years, members of the bereavement council have uncovered numerous resources for assisting bereaved families. A local DJ started a program that provided an opportunity for the radio station listeners to make blankets and hats. A retired labor and delivery nurse joined forces with fellow nurses to create hand‐smocked dresses. Teenagers who needed to earn community service hours, scout troops, and local churches took on projects, such as decorating memory boxes and painting wooden ornaments. Several local photographers joined a national organization that offers families a photo session with their infant at no cost. The result of our community outreach program has been an increase in available items for the memory boxes, which gives nurses the opportunity to personalize the contents of these boxes for our families. Regular feedback with volunteers, which is offered through e‐mail and phone calls, indicates what works and what does not work to further personalize our care. Implications for Nursing Practice A renewed commitment to excellence is evident as our nursing staff delivers interventions that provide meaning to the tragedy of death, create a positive memory, and facilitate healing for parents who take home only a memory box. Many who have volunteered have shared stories of their own previous perinatal loss and indicated that through the process of helping others they have also healed themselves. Passion has been ignited in those who have the opportunity to help supply memory box items, evidenced by the generosity of community members and the beauty of the work donated.

Are You Ready for the Change? Embracing the Neonatal Resuscitation Program Guidelines of Simulation and Debrief

Poster Presentation Purpose for the Program Change is an inevitable, ongoing process in the healthcare profession. When significant practice changes occur, opportunities present for nursing leaders to champion innovative methods for overall performance improvement. The Neonatal Resuscitation Program (NRP) has offered a standardized approach to the teaching and practice of neonatal resuscitation since 1987. This program has more than 27,000 instructors who train more than three million healthcare providers. NRP guidelines were updated in 2010 through evidence‐based practice that revealed a need for new teaching methods. Two labor and delivery nurses recognized the chance to revamp the way NRP was taught within their level III tertiary facility. Proposed Change Traditionally, NRP instructors have conducted classes through a lecture, video, testing format, followed by a megacode to practice skills. The current changes by the American Academy of Pediatrics to the NRP guidelines have brought about a new education methodology. Instructors need to shift their roles from teachers to facilitators; which requires new skills for successful education. Each instructor previously had his/her own style of teaching, emphasized different points of NRP, and held megacodes that did not always offer the most effective cognitive, technical, and behavioral skills necessary for newborn resuscitation. The proposed change includes standardizing two to three scenarios of infant resuscitation, practicing together as an instructor group, and learning how to be less of a teacher and more of a facilitator so that participants will assume more of the responsibility for their own learning. Implementation, Outcomes, and Evaluation Initially, three standardized resuscitation scenarios were created. Next, a workshop for all unit NRP instructors was scheduled. Instructors were able to practice together and learn how to become effective facilitators of education. Proposed outcomes include successfully bringing current NRP instructors together, establish momentum for change, refocus on the fundamentals of neonatal resuscitation, increase the challenge for participants by their biennial NRP experience, and ultimately optimize improvements in the acquisition of improved performance in neonatal resuscitation. Staff and participants will be surveyed regarding their experience in this updated learning format. Implications for Nursing Practice The main goals for nurses are to create a consistent learning atmosphere, equally stimulating for all participants, led by a core group of instructors. The instructors use adult learning methods to optimize improved performance in neonatal resuscitation, which promotes safe, reliable practice. Finally, the program empowers program participants to champion excellence in the care of newborns.