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Jessica Scheller, MSN, RNC-NIC, ACCNS-N

Neonatal Clinical Nurse Specialist


James and Connie Maynard Children’s Hospital
Vidant Medical Center
Struggles, Actions, Improvements
Struggle Action Improvements

• Understanding new • Tip Sheets • Appropriate


protocol • Tracking Tool application of
• Use of glucose gel • Rounding protocol
• Case studies • Consistent,
appropriate
• Data and Outcome
administration of
Sharing
glucose gel

Struggle Action Improvements

• New glucometer roll- • Rep rounding • Less discrepancies


out • Troubleshooting between POCT and
technique serum
• Review of POCT • Continue to see
versus STAT serums increase in number
• Safety Intelligence of hypoglycemic
tracking infants/ transfers to
higher LOC

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Results

Pre- versus Post- Newborn Hypoglycemia Initiative


100%

POST
90%
94%

80%
PRE
79%
70% POST
PRE
71% 72%

60%

50%
POST
48% POST
40% 46%
PRE
PRE
40%
33%
30%
Skin to Skin 60 mins - VMC at d/c - VMC Supplement - VMC

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Next Steps…

• Nursing Annual Competency


• Breastfeeding Taskforce collaboration
• Plan for continued data collection and
evaluation