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Oxygen With Love: Reducing Complications of Oxygen Administration in
Oxygen With Love: Reducing Complications of Oxygen Administration in
Background:
Background:
Problem statement
Problem statement
Contributing Causes
Contributing Causes
GOAL:
GOAL:
Solutions Implemented
Solutions Implemented
Results: DRAMATIC Improvement in maintaining oxygen saturations within
Results: DRAMATIC Improvement in maintaining oxygen saturations within
Recommendations for Further Action
Recommendations for Further Action
Oxygen With Love
Oxygen With Love
Seemore the Owl says
Seemore the Owl says
Seemore the Owl says
Seemore the Owl says

Презентация на тему: «Oxygen With Love: Reducing Complications of Oxygen Administration in Preterm Infants». Автор: LUHS. Файл: «Oxygen With Love: Reducing Complications of Oxygen Administration in Preterm Infants.ppt». Размер zip-архива: 179 КБ.

Oxygen With Love: Reducing Complications of Oxygen Administration in Preterm Infants

содержание презентации «Oxygen With Love: Reducing Complications of Oxygen Administration in Preterm Infants.ppt»
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1 Oxygen With Love: Reducing Complications of Oxygen Administration in

Oxygen With Love: Reducing Complications of Oxygen Administration in

Preterm Infants

Team Members Marianne Chybik, APN/CCNS, Neonatal Case Manager Pat Hummel, APN/CNNP, Neonatal Nurse Practioner Elaine Trulis RN, BSN, Nurse Manager, NICU Jeanette Cronin RNC, BSN, Barb Hering, RNC, MSN & Joanne Kurek RNC, BSN, NICU Staff Nurses Marc Weiss, MD, Director of Neonatology

2 Background:

Background:

Oxygen is a commonly administered drug in the Neonatal Intensive Care Unit Oxygen is vital to survival, but also has toxic effects in the premature infant, such as contributing in the development of Retinopathy of Prematurity (ROP) Recent research has demonstrated that the incidence of severe ROP may be reduced by maintaining the premature infant’s oxygen saturation levels (SaO2) within lower, controlled, specific ranges

Oxygen With Love

3 Problem statement

Problem statement

Retinopathy Of Prematurity is a common complication of prematurity associated with high levels of oxygen administration. Baseline data indicates that at Loyola’s NICU, premature infants are within the correct oxygen saturation range 33% of the time.

Oxygen With Love

4 Contributing Causes

Contributing Causes

Lack of awareness of current best practice guidelines Difficulty in maintaining SaO2 within tight control at all times – intensive surveillance at bedside is required, with frequent adjustments in percentage of oxygen administered

Oxygen With Love

5 GOAL:

GOAL:

Oxygen saturation levels are within the ordered saturation range 75 % of the time for the target population, which includes all premature infants receiving oxygen, weighing less than 1500 grams (3 lbs 5 oz)

Oxygen With Love

6 Solutions Implemented

Solutions Implemented

Participation in Tufts Medical Center NOPOP survey (Nursing Opinions and Practices for Oxygenation in Prematures) Multidisciplinary staff education: nursing, respiratory, and medical from January - April 2005 “Oxygen is a Toxic Drug” Seemore the OWL (Oxygen With Love) cards at each bedside with ordered SaO2 range SaO2 ranges added to EPIC admission order sets Follow up evaluations at 6 and 12 months

Oxygen With Love

7 Results: DRAMATIC Improvement in maintaining oxygen saturations within

Results: DRAMATIC Improvement in maintaining oxygen saturations within

tight controls

Oxygen With Love

8 Recommendations for Further Action

Recommendations for Further Action

Monthly chart review to evaluate continued compliance with ordered oxygen saturation levels EPIC SaO2 orders and Seemore the OWL cards have been incorporated into practice. The original in-service presented to all staff “Oxygen is a Toxic Drug” is incorporated into nursing orientation in the NICU. Follow laser ablation intervention to assess impact of current changes in practice in infants with ROP (Retinopathy of prematurity)

Oxygen With Love

9 Oxygen With Love

Oxygen With Love

10 Seemore the Owl says

Seemore the Owl says

“Be an OWL (Oxygen With Love) kind of person!” My OWL sat range is 85 – 92% since I am less than 28 weeks gestation. **Keep my oxygen saturation alarm limits set at 80 – 95% and wean my oxygen as needed**

11 Seemore the Owl says

Seemore the Owl says

“Be an OWL (Oxygen With Love) kind of person!” My OWL sat range is 90 – 95% since I am 28 – 34 weeks gestation. **Keep my oxygen saturation alarm limits set at 85 – 98% and wean my oxygen as needed**

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