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UNC REX HEALTHCARE

PQCNC-NHPC Panel

Megan Atkinson, BSN, RNC-MNN


UNC REX HEALTHCARE

Biggest Challenges

Glucose gel implementation 10/1/2018

Breastfeeding & skin-to-skin documentation

Donor milk only available for NICU population

Change in gel product


UNC REX HEALTHCARE

Glucose Gel Implementation 10/1/2018 - Resolutions

Focus on other
areas to help
Revalidated RNs
reduce admission
on gel
rate to NICU
administration
(breastfeeding
and skin-to-skin)

Minor changes to
glucose gel policy
Revalidated RNs
to include all at-
and NAs on heel
risk infants as
stick glucoses
defined by
PQCNC
Breastfeeding & Skin-to-skin Documentation - Resolution
UNC REX HEALTHCARE

An EPIC update in 10/2019 included the addition of a 1st 2 hour “Newborn Navigator” for L&D to utilize
without having to search the flowsheets for where to document initial breastfeeding and skin-to-skin
time.
Donor Milk Only Available for NICU Population -
UNC REX HEALTHCARE

Resolution

• To start, donor milk only


available for newborns in NICU

• Throughout the course of this


initiative, we started offering it to
infants of parents who did not
want to give formula when
supplementation was
necessary.

• Ongoing work in progress to be


able to offer it to all LPI/SGA
infants to start with, in hopes of
expanding to any infant needing
supplementation whose parents
desires exclusive breastmilk-
feeding.
UNC REX HEALTHCARE

Change in Gel Product - Resolution

10/1/2018 3/19/2019 2/20/2020


SugarUp by Sandbox
Glutose15 Glutose5
Medical