Intensive care unit (neonatal)
As mandated by State law, the California Department of Health Services requires acute care hospitals to maintain minimum nurse-to-patient staffing ratios and to develop various systems to ensure adequate nurse coverage and quality, leading to more reasonable workloads, lower patient mortality, and higher job satisfaction.
A comprehensive set of protocols and practices virtually eliminates catheter-related bloodstream infections in the neonatal intensive care unit, generating estimated annual savings of $750,000 to $1,000,000.
A neonatal palliative care program supports and arranges needed services for families who experience the loss of a baby, generating very positive anecdotal feedback from those served.
Standardized clinical management of extremely low birthweight infants born at less than 30 weeks' gestational age decreases rates of pneumothorax and mortality through the use of evidence-based medicine.
A sound monitoring and alert system in a neonatal intensive care unit alerts clinicians and visitors when sound levels are too high.
As part of a system-wide effort to transform inpatient care and eliminate preventable injuries and deaths, Seton Healthcare Family developed and implemented a comprehensive set of practices that collectively led to a substantial reduction in the incidence of birth trauma.
Children's Healthcare of Atlanta developed and implemented a program to reduce the incidence of ventilator-associated pneumonia in three intensive care units, including two pediatric intensive care units and one cardiac intensive care unit. The program adapts a bundle of evidence-based interventions commonly used to prevent ventilator-associated pneumonia in adults to the pediatric population.
Bridge to the Future provides nursing home visits to low-income families with medically fragile infants who have been discharged from the neonatal intensive care unit, thus ensuring a smooth transition to long-term care in the home.
Children's Healthcare of Atlanta developed and implemented a comprehensive skin care program to reduce pressure ulcers in its intensive care units, reducing pressure ulcer incidence by 59 percent.
A nurse specialist maintains regular telephone contact with the primary caregivers and health care providers of premature infants with chronic lung disease who are discharged from the hospital.