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BACKGROUND
- Term admissions: hypothermia and
hypoglycaemia identified factors
- Environmental factors improved
- Bobble hat initiative (Surrey)
- Audit locally
- Training
Newborn Thermal Care Safety Bundle Getting it right first time to - - PowerPoint PPT Presentation
Newborn Thermal Care Safety Bundle Getting it right first time to - - PowerPoint PPT Presentation
Newborn Thermal Care Safety Bundle Getting it right first time to reduce avoidable admissions to NICU BACKGROUND Term admissions: hypothermia and hypoglycaemia identified factors Environmental factors improved Bobble hat initiative
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SLIDE 3
THERMAL CARE SAFETY BUNDLE
SLIDE 4
NEWTT checklist
SLIDE 5
Raising awareness
SLIDE 6
Sustainability - Training
- Annual Mandatory Update for all Midwives
– Saving Babies Lives Study Day
- Hypothermia
- Hypoglycaemia
- Sepsis
- (signposted to jaundice)
- Recognising and capitalising on the window of
- pportunity in order to Keep mum and baby together
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Thinner layer of subcutaneous fat Larger surface area to body weight Skin immaturity – loose heat and water through their skin Cannot shiver
- r move
position to warm themselves Cannot vasoconstrict
- r vasodilate
as efficiently as an adult Larger head proportion to their body allowing for heat loss Energy Triangle
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What is thermal care management ?
Promoting thermal regulation in the neonate
- Dry thoroughly
- Hat on
- Skin to skin 2 Hours
Plan ahead
- Room air con
- Room Temp
(26°C)
- Windows
- Fans
- Hat
- Warm towels
Birth Theatre
- Cold mum
(Fluid replacement)
- Bear Hugger
Water Birth
- Water temp
- Towels
- Dry hair
- Reheat water
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SITUATION ANTENATAL INTRAPARTUM BIRTH NEONATAL PERIOD ASESSMENT RECOMMENDATION DETERMINE RISK? (Background)
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Case Study
- Case study from a SI at Derby
- Antenatal, intrapartum, birth
- Neonatal period
– What would your plan of care be – How does it differ from actual plan – Was there a window of opportunity missed ? – What are the human factors surrounding this?
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