assessment for a minimum of two hours post-delivery. This policy change would include education of mother and other care givers, one to one nursing ratio during this time period, and implementing the RAPP assessment tool as a competency with each delivery, with hopes to have it added to the EMR within one year. This change will involve making staff familiar with the RAPP tool, as well as education on sudden unexpected postnatal collapse.
POLICY13Evaluation PlanMeasurable OutcomesMethod and Tools for MeasuringResponsibilityTimelinesApproval by nursing best practice and go live date setConstant contact between policy creators and physicians with policy creationStephanie Nicholson, BSNKara Schroeder, BSNKellie Bush, RN30-45 daysAll staff are able to perform RAPP assessment as well as perform teach-back of SUPCCreation of RAPP assessment tool and PP presentation on SUPC. April Whalen, RN30 days post approvalfrom nursing best practice committeeNew policy found to be successful and RAPP assessment added to EMR for easier completionDocumented decreasein SUPC and/or near miss SUPC as evidenced by RAPP assessment toolsStephanie Nicholson, BSNApril Whalen, RNApproximately one year from go live date. Included in this EBP project will be found the proposed skin to skin policy as well as the RAPP assessment tool as adopted from the article, Infant Assessment and Reduction of Sudden Unexpected Postnatal Collapse Risk During Skin-to-Skin Contact.
POLICY14REID HEALTH FAMILY BIRTHING CENTERPage ___SKIN-TO-SKIN CARE PURPOSETo provide guidelines to promote and provide safe skin-to-skin care while reducing the risk for Sudden Unexpected Postnatal Collapse (SUPC) and aligning with the facility’s infant feeding policy.GENERAL INFORMATION1.Skin-to-skin care is defined as the practice of placing infants in direct contact withtheir mothers or other caregivers with the ventral skin of the infant facing and touching the ventral skin of the mother/ caregiver (bared skinned, chest-to-chest).2.Skin-to-skin care is also a term used to describe continued holding of the infant inthe manner described above beyond the immediate delivery period and lasting throughout infancy, whenever the mother/ caregiver and infant have the opportunity. 3.Skin-to-Skin care is recommended for all mothers and newborns, regardless of feeding or delivery method, immediately after birth (as soon as the mother is medically stable, awake, and able to respond to her newborn) and to continue forat least 1 hour, as defined by the World Health Organization’s (WHO’s) “Ten Steps to Successful Breastfeeding.”4.Skin-to-skin care has been researched extensively as a method to provide improved physiologic stability for newborns and potential benefits for mothers. Skin-to-skin care immediately after birth stabilizes the newborn body temperatureand can help prevent hypothermia. Skin-to-skin care also helps stabilize blood glucose concentrations, decreases crying, and provides cardiorespiratory stability, especially in late preterm newborns. Skin-to-skin care has been shown