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Facilitating Breastfeeding in the Neonatal Intensive Care Unit: Identifying Barriers
(2016-06)
The evidence for the use of human milk as the gold standard in infant nutrition is well documented. The American Academy of Pediatrics,1 the U.S. Department of Health and Human Services, the U.S. Surgeon General,2 the ...
Outcomes of Infants Admitted Under the Golden Hour: A Quality Improvement Initiative
(2018-05-12)
Background: The “golden hour” refers to the first hour of a premature infant’s life. Golden hour protocols focus on thermoregulation, prompt initiation of intravenous fluids, prompt initiation of antibiotics, and timely ...
Hyperoxia and Hypoxia in the NICU: The Impact of RN Education on Alarm Limit Compliance and Alarm Response
(2018-05-12)
Oxygen is the most common drug used in the medical management of preterm infants. Nurses in the Neonatal Intensive Care Unit (NICU) are primarily responsible for responding to oxygen saturation (SpO2) alarms and titrating ...
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: ...
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 ...
Introducing Infant Driven Feeding Guidelines in a Level III NICU
(2020-05-10)
The purpose of this project was to establish an Infant Driven Feeding (IDF) protocol for preterm and late preterm infants to facilitate the time to full oral feeds and reduce length of stay. In the Neonatal Intensive Care ...
Extracorporeal Membrane Oxygenation in the NICU
(2015-05-01)
Extracorporeal membrane oxygenation (ECMO) was developed for adults but has been used in neonates as a life-saving rescue therapy for infants with respiratory failure and/or cardiac collapse as a result of congenital ...
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 ...
The Relationship Between Adverse Events and the Administration of Fluids, Medications, and Blood Products Through an Umbilical Arterial Catheter in Neonates
(2014-07-30)
The field of neonatology lacks adequate research to support or oppose the use of umbilical arterial catheters (UACs) for the administration of most fluids, medications, and blood products. There are recognized risks of ...
Parent and Nurse Attitudes towards Parental Engagement in the Neonatal Intensive Care Unit
(2014-07-30)
A significant group of parents with babies in the Neonatal Intensive Care Unit (NICU) fail to build strong relationships with the nurses caring for their babies. Many parents feel unsupported and unwelcome at the bedside ...