Abstract
Upon review of Vermont Oxford Network data, a Midwest level III neonatal intensive care unit noted increased levels of chronic lung disease (CLD) in infants born at less than 33 weeks gestation. Initial analysis of delivery room practices with these infants showed great variance based on each provider's experience and knowledge. In an effort to standardize processes and to reduce the level of CLD within this subpopulation of infants, providers adopted "golden hour" practices focused on providing respiratory support (use of an inspiratory hold, early continuous positive airway pressure, and intubation criteria), oxygen targeting, thermal regulation, and teamwork. Compliance was tracked via delivery room documentation. Although this is an ongoing quality improvement project, examination at 3 and 6 months postpractice shows increasing compliance with the golden-hour practices. Furthermore, after 6 months of using golden-hour practices, there is a decreased incidence of CLD.
| Original language | English |
|---|---|
| Pages (from-to) | 86-96 |
| Number of pages | 11 |
| Journal | Newborn and Infant Nursing Reviews |
| Volume | 12 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jun 2012 |
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All Science Journal Classification (ASJC) codes
- Pediatrics
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Implementation and Evaluation of "Golden Hour" Practices in Infants Younger Than 33 Weeks' Gestation. / Wallingford, Brenda; Rubarth, Lori Baas; Abbott, Amy A.; Miers, Linda J.
In: Newborn and Infant Nursing Reviews, Vol. 12, No. 2, 06.2012, p. 86-96.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Implementation and Evaluation of "Golden Hour" Practices in Infants Younger Than 33 Weeks' Gestation
AU - Wallingford, Brenda
AU - Rubarth, Lori Baas
AU - Abbott, Amy A.
AU - Miers, Linda J.
PY - 2012/6
Y1 - 2012/6
N2 - Upon review of Vermont Oxford Network data, a Midwest level III neonatal intensive care unit noted increased levels of chronic lung disease (CLD) in infants born at less than 33 weeks gestation. Initial analysis of delivery room practices with these infants showed great variance based on each provider's experience and knowledge. In an effort to standardize processes and to reduce the level of CLD within this subpopulation of infants, providers adopted "golden hour" practices focused on providing respiratory support (use of an inspiratory hold, early continuous positive airway pressure, and intubation criteria), oxygen targeting, thermal regulation, and teamwork. Compliance was tracked via delivery room documentation. Although this is an ongoing quality improvement project, examination at 3 and 6 months postpractice shows increasing compliance with the golden-hour practices. Furthermore, after 6 months of using golden-hour practices, there is a decreased incidence of CLD.
AB - Upon review of Vermont Oxford Network data, a Midwest level III neonatal intensive care unit noted increased levels of chronic lung disease (CLD) in infants born at less than 33 weeks gestation. Initial analysis of delivery room practices with these infants showed great variance based on each provider's experience and knowledge. In an effort to standardize processes and to reduce the level of CLD within this subpopulation of infants, providers adopted "golden hour" practices focused on providing respiratory support (use of an inspiratory hold, early continuous positive airway pressure, and intubation criteria), oxygen targeting, thermal regulation, and teamwork. Compliance was tracked via delivery room documentation. Although this is an ongoing quality improvement project, examination at 3 and 6 months postpractice shows increasing compliance with the golden-hour practices. Furthermore, after 6 months of using golden-hour practices, there is a decreased incidence of CLD.
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UR - http://www.scopus.com/inward/citedby.url?scp=84861413513&partnerID=8YFLogxK
U2 - 10.1053/j.nainr.2012.03.008
DO - 10.1053/j.nainr.2012.03.008
M3 - Article
VL - 12
SP - 86
EP - 96
JO - Newborn and Infant Nursing Reviews
JF - Newborn and Infant Nursing Reviews
SN - 1527-3369
IS - 2
ER -