There are less than 100 days before the January 24, 2019 kickoff meeting where teams will develop their plan for success. If you are excited to collaborate, enthusiastic to share resources, and eager to engage in a project aimed at improving outcomes for newborns while keeping the mom and baby together then click here and register your team to begin preparations and commence PQCNC support!
The Newborn Hypoglycemia Prevention and Care expert team decided developing a statewide hypoglycemia protocol to manage the at-risk newborn should be a goal of this project. Utilizing evidenced-based practice and tapping into the expert knowledge of our providers across the state is how we plan to accomplish this.
If your unit currently has a hypoglycemia protocol or algorithm that guides clinical practice, please consider sharing it with PQCNC. Your unit practices will help develop a statewide clinical algorithm to help standardize care for newborns in North Carolina. Submit your algorithm here
If you are a hospital interested in improving your process of identifying and treating symptomatic and at-risk newborns for hypoglycemia within the first 48 hours of life, now is the time to join the effort. Go here, download the guide, and get started - once your team is registered, the PQCNC leadership team will support you over the next few months to ensure your team is prepared for success prior to kickoff.
The dedicated NHPC expert team has successfully completed the essential documents that will guide teams toward identifying and treating symptomatic newborns with signs and symptoms of hypoglycemia and asymptomatic newborns at-risk for hypoglycemia within the first 48 hours of life. The strength of this project lies in the primary goals all teams will aim to achieve: keeping the mother and infant dyad together, supporting breastfeeding and ensuring 100% of participating hospitals develop guiding protocols in their NICUs and newborn nurseries.
To join the efforts and improve the care of newborns in your facility click HERE
The NHPC expert team has made great progress in creating the goals and interventions that will drive the work teams do to consistently manage symptomatic and asymptomatic newborns at-risk for hypoglycemia. The team focused their efforts this month on how to successfully measure improvement for higher acuity units caring for the hypoglycemic infant. The creation of an IV dextrose weaning protocol that would guide clinical care and potentially decrease length of stay was one aspiration the team deems achievable. Building capacity between higher acuity units and normal newborn nurseries is the intention of the expert team as they define the work to drive a successful plan.
The newborn hypoglycemia prevention and care panel of experts continued to have a highly engaged discussion last week as we completed our second team call focused on the goals and outcomes of the charter. The possibly of creating a statewide protocol to manage the at-risk hypoglycemic newborn was a high point of the discussion with 87% of the experts in favor of creating this resource collaboratively. Calls will continue as our multidisciplinary team of experts discuss optimal parameters and data points that will capture the work in a meaningful way and guide clinical practice change.
Experts from across the United States joined the first team call to begin the process of developing our new NHPC initiative (Newborn Hypoglycemia Prevention and Care). The multidisciplinary expert group consists of physicians, nurses, lactation specialists, and IT specialists from North Carolina as well as experts from Milwaukee, Tennessee, Oregon, New Jersey, Illinois, Alabama, New Hampshire, New York and New England. The team discussed the need to formulate a plan of care for the hypoglycemic patient and family, navigate the various guidelines that currently exist to identify, treat and manage newborns at-risk for hypoglycemia, and begin the process of developing the charter with focused outcomes.
PQCNC is recruiting for the Hypoglycemia Expert Team. In ASNS 58 of you statewide (Parents, Pharmacists, Nurses, Practitioners, Docs, Hospital Leaders, DPH folks, Infection Control Specialists) joined to design the aim statement, action plan, and key data elements to be deployed in ASNS. We hope 100 folks will step up to help craft Hypoglycemia!
What’s required? An interest, a willingness to read some basic background evidence, and commitment to try and attend webinars and share your feedback and suggestions either on webinars or via email.
The success of any PQCNC initiative starts with the commitment of an Expert Team that owns the challenge, feels its urgency and relentlessly develops an aim statement, action plan and measures that will lead hospitals to change practice. Be part of the solution. Click here to join the PQCNC Hypoglycemia Expert Team. (This is gonna be fun.)
Hypoglycemia offers PQCNC teams, collaborating together, a tremendous opportunity to standardize care within hospitals for this challenging problem, bring Newborn and NICU teams together, limit separation of mother and baby, support breastfeeding, encourage skin to skin care, consider evolving therapies like glucose gel and limit hospital days in the NICU. If we replicate the participation in Hypoglycemia that we have with ASNS, we can potentially impact the care of 5000 babies and mothers statewide. Join us in spreading best practices, partnering with patients and families, and optimizing resources.