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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Fetal Circulation01:14

Fetal Circulation

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Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Implementing a Maternal Rest Bundle to Prevent Newborn Falls.

Kenisha Karlsson, Julie Makatura, David Mulkey

    Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
    |August 2, 2021
    PubMed
    Summary

    Implementing a maternal rest bundle successfully eliminated newborn falls in a hospital unit for two years. This quality improvement initiative demonstrated the effectiveness of staff and patient engagement in enhancing infant safety.

    Keywords:
    baby dropbaby fallfallshospitalmaternal restnewbornnewborn drop preventionnewborn falls

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    Area of Science:

    • Healthcare Quality Improvement
    • Patient Safety
    • Maternal-Infant Care

    Background:

    • Newborn falls pose a significant risk in mother-baby units, with one severe injury documented.
    • Nine infant falls occurred over 3.5 years in a 40-bed urban teaching hospital unit.

    Purpose of the Study:

    • To examine newborn fall demographics and implement a maternal rest bundle.
    • To reduce newborn falls to zero within three months.

    Main Methods:

    • A quality improvement project with a pre-/post-intervention design was utilized.
    • A maternal rest bundle, including education, a safe sleep pledge, quiet time, and signage, was implemented.
    • Data collected included newborn fall rates, staff evaluations, and patient experience interviews.

    Main Results:

    • No newborn falls occurred for two years post-intervention (October 2018-December 2020).
    • Staff supported maintaining quiet time, citing daily tasks as barriers.
    • 95% of women found quiet time beneficial.

    Conclusions:

    • The maternal rest bundle effectively eliminated newborn falls.
    • Sustained success is attributed to staff support and engagement.