Brenda Neff MSN, RN, NE BC
1400 s newborns have a soul 1600 s estimated that only 10% of the abandoned infants reached the age of 5 years.
1857 first incubator documented in western lit 1857 first incubator documented in western lit. Denuce
Am J Dis Child, 1912
1920 s Neonatal Transporters
First clear description in the English literature of necrotizing entercolitis (NEC) as distinct clinical entity Description of natural history of respiratory distress syndrome (RDS) and correlation with X rays Surfactant deficiency is the cause of respiratory distress syndrome (RDS)
First use of terms "neonatologist" and "neonatology First successful ventilation of a preterm infant with hyaline membrane disease Commercial availability of fetal heart rate monitors (Corometrics) First description of use of an open radiant warmer for newborns.
Regionalization of Perinatal care Decrease in infant mortality rates Levels of nursery care developed d Prostaglandin E can maintain patency of ductus arteriosus Controlled trial: indomethacin treatment of patent ductus arteriosus (PDA) in prematures
Description of surfactant as treatment for respiratory distress syndrome (RDS) "Baby Fae, " first cross species species heart transplant in newborn at Loma Linda University Medical Center Neonatal resuscitation training program launched by AAP and AHA
Development care Family Centered Care Infection control Confidentiality Family presence and privacy Consumer demand Competition
Nicole Pendenza, RNC NIC, BSN Clinical Nurse Manager Family Care Suites & Special Care Nursery
Design and Lay Out Amenities of the unit Patient Flow Staffing Nursing Philosophy hl h
4 Family Care Suites Postpartum Care Space Neonatal Care Space Couch/Bed/ Full Bathroom Refrigerator Microwave
4 Single Room SCN Rooms 2 rooms with double head wall Wireless cardiac monitoring Couch/Bed Refrigerator for breast milk storage Storage Space for clothes
3 Bay Stabilization Room
Family Lounge Kitchen/Dining Room Living Room with children s play area Bathroom with shower and locker area Washer and Dryer
Patient Population in the Special Care Nursery 32 weeks or greater Short term ventilation (< 24 hours) CPAP Infants requiring special care (i.e. NAS, long term antibiotics, ect.) t) Respiratory stable back transfers from tertiary care facilities
Infant born on the Mom s Place Level F Stabilized in DR or Nursery Stabilization area Remains with mother on Mom s Place or transferred to Family Care Suites (FCS) after recovery
SCN nurse assume care for the Couplet (post partum care and neonatal care) Couplet remains in FCS until mom is discharged d Infant transferred to SCN room until ready to go Infant transferred to SCN room until ready to go home
25 Nurses and 8 LNA s Trained NICU RN S to postpartum Staffed with 3 4 RN s per 12 hour shift Patient to Nurse Ratio 1 High Risk Couplet (infant on CPAP or during initial stabilization) 1 Couplet and 1 SCN infant 2 3 3 SCN infants (feeder/grower)
Parent encourage/expected to be involved in all aspects of the care of their infant When possible regular treatment delayed or altered to facilitate mother infant bonding All procedures done with family involvement Nurses act as coaches, parents as caregivers
Mom s are too sick to come to Family Care Suites Staffing Social and Economic Issues (some parent just don t stay)
Home visits from CMC SCN nurses Active Parent Advisory Committee