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Implementation of a Late Preterm Infant Protocol
(2014-07-30)
Problem: Late preterm infants are often considered and treated as functionally mature at birth. Research has proven the late preterm infant has a higher risk of morbidity and mortality in comparison to infants born at term ...
Developing Evidence-Based Practice Guidelines for Neonatal Blood Transfusions
(2014-07-30)
Premature infants receive packed red blood cell (PRBC) transfusions to maintain a hemoglobin threshold, replace laboratory losses, or treat symptoms such as tachycardia, tachypnea, apnea, or growth failure (Kasat, ...
Parental Interaction in the Neonatal Intensive Care Unit (NICU)
(2013-06-05)
Parent-infant bonding may be disrupted by premature delivery and complicated by a hospital stay and medical equipment. There are a large number of studies that show early neonatal intensive care unit (NICU) interventions ...
Necrotizing Enterocolitis in the Neonatal Intensive Care Unit (NICU): Case Control Review
(2013-06-05)
Purpose: Necrotizing enterocolitis is the leading cause of morbidity and mortality among premature infants in the neonatal intensive care unit, with higher mortality rates seen in the earlier gestation and lower birth ...
Reducing Central Line-Associated Blood Stream Infections in the Neonatal Intensive Care Unit
(2014-07-30)
A central-line associated bloodstream infection (CLABSI) can be detrimental to any hospitalized patient, but neonates are especially fragile due to their immature immune system, repeated invasive procedures, and frequency ...
Implementation of a Small Baby Team to Improve Outcomes for Infants Less than 30 Weeks of Gestation
(2020-05-16)
Background: Although extremely low gestational age infants continue to have improved rates of survival, they have the greatest risk of morbidities for infants born prematurely. These infants also incur the greatest cost ...
Implementation of a Developmental Care Program in the NICU
(2020-05-16)
Purpose: This QI project implemented a developmental care program to increase parental involvement in the care of their infant in the Doernbecher Neonatal Intensive Care Unit (DNICU).|Background: Premature infants account ...
Implementation of an Infant-Driven Feeding Algorithm
(2017-05-13)
Purpose: The purpose of this quality improvement project was to implement an infant-driven feeding tool in an effort to transition to a uniform infant-driven feeding culture in the Neonatal Intensive Care Unit (NICU).|Background: ...
Effect of Enteral Feeding Tube Maintenance on Hospital Acquired Blood Stream Infections
(2017-05-13)
Background: Enteral feeding tubes are reservoirs for bacterial contamination leading to nosocomial infections, a type of hospital-acquired infection including central line associated blood stream infections (CLABSIs) and ...
The Importance of a Protocol for Premedication Prior to Intubation
(2017-05-13)
Purpose: Endotracheal intubation is an invasive procedure that is completed frequently in the neonatal population. Premedication protocols are recommended but are infrequently utilized in neonatal intensive care units ...