Implementation and Evaluation of “Golden Hour” Practice in Infants Less Than 33 Weeks Gestation
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Authors
Wallingford, Brenda
Rubarth, Lori
Abbott, Amy
Miers, Linda
Issue Date
2012-01-31
Volume
Issue
Type
Manuscript
Language
Keywords
Pulmonary Disease , Neonatal Intensive Care , Newborn
Alternative Title
Abstract
Upon review of Vermont Oxford Network data, a Midwest Level III Neonatal Intensive Care Unit (NICU) 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 upon 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 three and six months post-practice shows increasing compliance with the "golden hour" practices. Furthermore, after six months of utilizing "golden hour" practices, there is a decreased incidence of CLD.
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Citation
Publisher
Creighton University
License
Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University
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