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Sunday, September 26, 2010
Title: "Baby, Baby Are You OK?" - An Inpatient Infant CPR and Choking Class in Response to the Potential for Respiratory Distress in the Late Pre-Term Infant
Discipline: Newborn (NB)
Learning Objectives:
Submission Description:- Increase parents' confidence and ability to appropriately respond to an emergency involving a baby that is not breathing or is actively choking
- Apply the fundamentals of the American Heart Association Infant CPR Anytime Program to all parents with late preterm infants and other parents who choose to attend class
- Distribute AHA Family and Friends resource booklet and discuss contributing factors that lead to CPR and choking emergencies
The late pre-term infant (34 – 36 6/7 weeks gestation), often treated as a term infant, is at increased risk for several complications. Discharge instructions to parents of late preterm infants include, but are not limited to, observing their infant for changes in temperature and skin color, feedings problems, breathing difficulties and safety issues. An increase in parents verbalizing their fear of finding their infant not breathing once they are home, led to the implementation of an inpatient infant CPR and Choking Class. In response to the increasing numbers of late preterm infants and the concern voiced by parents, it was determined that the parents needed additional knowledge and resources prior to discharge. Steps prior to the implementation of the class in December of 2007 were:
The purpose of the inpatient Infant CPR and Choking Class is to increase parents’ confidence to detect and respond to an infant with breathing difficulty and/or an infant who is choking. It is also a forum for discussing several infant safety issues that potentially could lead to respiratory problems. Though the focus is to identify and teach parents of late preterm infants, all Mother Baby/RNICU parents are invited to attend.
Adult learning principles are applied utilizing visual, auditory and kinesthetic characteristics. The parents have the opportunity to attend class with an RN BLS instructor present. (To properly instruct the class, an RN needs to be a certified BLS instructor). Parents watch the American Heart Association Infant CPR Anytime DVD. It is an interactive DVD that translates knowledge into action. The RN BLS instructor observes the parents’ skills and educates as needed. Parents may ask questions at any time. An evaluation form that measures their response to the class is completed.
To date, 581 parents have been educated. Evaluations are reviewed twice a year. Presently, the Mother Baby instructors and the Neonatal Intensive Care Unit instructors are meeting to coordinate efforts in hopes of offering the Inpatient CPR and Choking Class more often.
The Mother Baby nurses find the class to be an important addition to discharge teaching and it is regarded as a valuable asset to the hospital in our provision of regional perinatal care.
- Meeting with Mother Baby RN BLS instructors
- Consultation with American Heart Association
- Development of class outline
- Grant to purchase equipment and supplies
The purpose of the inpatient Infant CPR and Choking Class is to increase parents’ confidence to detect and respond to an infant with breathing difficulty and/or an infant who is choking. It is also a forum for discussing several infant safety issues that potentially could lead to respiratory problems. Though the focus is to identify and teach parents of late preterm infants, all Mother Baby/RNICU parents are invited to attend.
Adult learning principles are applied utilizing visual, auditory and kinesthetic characteristics. The parents have the opportunity to attend class with an RN BLS instructor present. (To properly instruct the class, an RN needs to be a certified BLS instructor). Parents watch the American Heart Association Infant CPR Anytime DVD. It is an interactive DVD that translates knowledge into action. The RN BLS instructor observes the parents’ skills and educates as needed. Parents may ask questions at any time. An evaluation form that measures their response to the class is completed.
Examples of parent responses are:
- “Thrilled that this is offered while I am at the hospital”.
- “I really appreciated the opportunity to actually practice these techniques”.
- “The instructor was very knowledgeable and gave extra details not in the video. She was very clear and very helpful”.
- “This class should be mandatory”.
- “I feel much more confident about this subject”.
- “The class was definitely helpful and I feel more confident in case a situation were to arise”.
- “Please continue to offer the class. This was the first time offered to us after 3 children…Strongly recommend the class to all parents”.
To date, 581 parents have been educated. Evaluations are reviewed twice a year. Presently, the Mother Baby instructors and the Neonatal Intensive Care Unit instructors are meeting to coordinate efforts in hopes of offering the Inpatient CPR and Choking Class more often.
The Mother Baby nurses find the class to be an important addition to discharge teaching and it is regarded as a valuable asset to the hospital in our provision of regional perinatal care.
