Research Week Abstract Book - Northern Health

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Women’s Health and Paediatrics PROMOTinG CUE BASED FEEDING PRACTICE ThrouGH The IMPLEMENTATION of A Cue BASED FEEDinG CHART Naughton C & O’Callaghan A. Background Accurate feeding documentation in Special Care Nursery is essential to intervention and discharge planning. The current Special Care Nursery Feed Chart (IP 720) records feeding progress through the comparison of volumes taken orally over successive days. This information is subjective. There is no scale or agreed terminology used to classify or rate feeds. Finally, discharge based on the information in the current feed chart is a clinical risk due to the omission of information regarding the quality of the feeding and the caregiver strategies required. Aim To profile the limitations of the Special Care Nursery Feed Chart (IP 720). This information will be used to revise the chart with the goal to identify and include an objective feeding rating scale 3 . Methodology A documentation audit was conducted with the IP720. Audit criteria were developed in line with developmental care recommendations 4 and cue based feeding 1 . Ten preterm infants born less than 32 weeks GA with birth weights less than 2000g were selected. 162 feeds were audited. The audit spanned the entire admission. Results The quality of feeds was only evident in 45.5% of the audits. Comments were subjective descriptions such as “sucked fairly”. Feeding cues were documented in 0.02% cases. Of the 162 feeds audited 0% included caregiver strategies. Conclusion Results identified the current feeding chart omits information regarding quality of feeding, feeding cues, and caregiver strategies. Description of feeding quality is subjective and lacks clinical evaluation. Intervention and discharge planning based on information in the current feed chart is a clinical risk. 38 Research Week Abstract Book Northern Health 2013
Women’s Health and Paediatrics IMPlemenTATION OF THE ARC GuiDeline 13 FOR NEWBORNS AT THE NORTHERN HOSPITal Ramudu L 1 , Milonas A 1 , Keenan R1, Castillo G 2 . Women’s Health AND PAEDIAtrics 1 Education Department, The Northern Hospital 2 Quality, Safety & Risk Unit, The Northern Hospital Background In 2012, the Australian Resuscitation Council (ARC) was updated to reflect evidence based practice for the resuscitation of all newborns. Aim This poster will aim to depict the implementation in practice change within Northern Health specifically The Northern Hospital (TNH) site. Methodology The Quality Improvement Cycle was utilised in the implementation at several stages. This continuous quality improvement process consisted of Monitoring Activities, Assessment, Action and Evaluation. Results The Monitoring Activities process involved a phone survey conducted at eight maternity units to establish a working baseline of present practice. The survey allowed benchmarking to occur within TNH as well. The Assessment phase reviewed current neonatal resuscitation equipment and the accessibility of the equipment by specialised health teams. The Action stage involved the implementation phase of equipment upgrade and simplification in its existing locations. Purchase of recommended equipment occurred in conjunction with a standardised approach to all resuscitation equipment stock across Northern Health. Evaluation stage consisted of a repeat of the phone survey to ensure benchmarked consistent practice. Regular audits of neonatal resuscitation equipment have been undertaken since the Action phase. Conclusion Northern Health, TNH, has successfully implemented the ARC Guideline 13 for newly born infants to ensure and promote best practice. Whilst the physical nature of the existing clinical environments remain a challenge for all health teams, the consistent approach to practice, equipment access and its use has been improved to meet national standards. 39
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Page 7 and 8: Introduction cont’d IntRODUCTION
Page 9 and 10: Event Schedule cont’d event sched
Page 11 and 12: ABSTRACTS Abstracts 9
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Page 21 and 22: Chronic Disease Management A SYSTEM
Page 23 and 24: Chronic Disease Management APProPri
Page 25 and 26: Chronic Disease Management INTRODUC
Page 27 and 28: CHROnIC DISEASE Management 25
Page 29 and 30: Haematology HaematOLOGY THE IMPleme
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Page 37 and 38: Women’s Health and Paediatrics MU
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Page 43 and 44: Women’s Health and Paediatrics SA
Page 45 and 46: Health Service Evaluation ESTablish
Page 47 and 48: Health Service Evaluation EValuaTIN
Page 49 and 50: Health Service Evaluation INNOVATIV
Page 51 and 52: Health Service Evaluation EMERGENCY
Page 53 and 54: Health Service Evaluation Northern
Page 55 and 56: Orthopaedics ORTHOPAEDICS DisTAL RA
Page 57 and 58: Orthopaedics ORTHOPAEDICS RETURNING
Page 59 and 60: Orthopaedics ORTHOPAEDICS THEATre S
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Research Week Abstract Book - Northern Health

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