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• W1566016157 abstract "Poster Presentation Purpose for the Program Late preterm infants (LPIs) are born between 34 and 36 6/7 weeks of gestation. They comprise a unique population requiring enhanced awareness of transition, infection, nutrition, discharge readiness, and parent education that needs to begin shortly after birth. At Sharp Mary Birch Hospital for Women and Newborns we have on average of 60 to 80 late preterm births per month. Approximately 50% of those newborns go to the NICU, whereas the other half are cared for in the postpartum unit. Caring for LPIs in a postpartum setting comes with its own set of challenges. Although we had specific late‐preterm guidelines in our newborn guidelines of care, policies and order sets were all primarily developed with the term infant in mind, which caused inconsistencies in the care provided and on occasion led to hospital readmission of the late‐preterm infant. Proposed Change To develop more targeted guidelines, clear late preterm orders, streamlined supplementation protocols, and discharge criteria that are specific to late preterm infants. Implementation, Outcomes, and Evaluation The project had several phases. Our team completed the following: We developed educational materials for the nurses, families and physicians to raise awareness of the unique circumstances surrounding the LPI. We revised policies and procedures relating to newborn care, feeding, and supplementation of infants to reflect best practice for the LPI. We created a separate supplementation policy for LPIs and developed individual feeding management guidelines for LPIs with optional donor milk supplementation. We edited the Nursing Guidelines of Care to include more detailed information relating to LPIs. We restructured the newborn admission orders to include specific orders to address the unique nature of LPIs. Newborn orders now have a nested late‐preterm newborn orders subset. Implications for Nursing Practice Implementing these specific interventions had measurable positive effects on the late preterm newborn population at Sharp Mary Birch. Our utilization of donor milk was well received by staff and patients. Readmission rates to the NICU have steadily decreased. As a result of the improved care provided, the readmission rate of LPIs to the NICU had decreased 40% in the past 24 months based on the equivalent ratios 0.3 to 0.18 = 100% to 60%." @default.
• W1566016157 created "2016-06-24" @default.
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• W1566016157 date "2015-06-01" @default.
• W1566016157 modified "2023-09-29" @default.
• W1566016157 title "The Use of Pasteurized Donor Human Milk for Late Preterm Infant Supplementation" @default.
• W1566016157 doi "https://doi.org/10.1111/1552-6909.12706" @default.
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