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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 ...
Examination of Neonatal Nurse Practitioner Competence and Confidence: Insight for Educational Programs and Faculty
(2017-08-17)
Purpose: The purpose of this pilot study was to determine any relationship between education level, type of educational program, number of clinical practice sites as a student, and time in practice with the self-reported ...
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: ...
Integrated Neonatal Intensive Care: Intensive Care for Baby at the Mother’s Bedside
(2018-05-12)
The traditional model of the Neonatal Intensive Care Unit (NICU) has separated babies from their mothers after delivery to receive intensive care in a different unit. This has the potential to increase parental anxiety and ...
Implementation of Postnatal Depression Screening for NICU Fathers
(2020-08-15)
Background: Paternal postnatal depression (PPND) is a potential mental health disorder for new fathers. Postpartum depression (PPD) in women is well recognized and understood, but the same cannot be said about PPND. Women ...
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 ...
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 ...
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 ...