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Newborn Hypoglycemia

Prevention and Care


Kristen Coggin, MD
Beth Dempster, MSN, C-EFM
Lisa Fikac, MSN, RNC-NIC
Christie Jones, BSN, RNC-MNN
Goals

• Decrease NICU
admissions
• Increased bonding
• Improvement of
breastfeeding rates
Implementation

• Ground Zero….adding • Develop an education


glucose gel to the plan
hospital formulary – PowerPoint and gel
• Approval from – application video from
PQCNC Resources
– Pediatric Section
– Gap analysis showed a
– Neonatal Advanced need to focus on the
Practice Service algorithm, gel
– Pharmacy and administration, and
Therapeutics Heelstick technique
– Forms

3
Challenges

• Epic Go Live!!! • Changing the culture


• Underestimated the – Formula use
complexity of the – Waiting the hour to
implementation of reassess the blood sugar
algorithm
• Staff having differing
interpretations of the
algorithm
– Questions regarding whether
or not to start gel count over