Must Attend

Sunday, Sep 26 - Expo Hall Opening
Sunday, Sep 26 - Job Fair
Monday, Sep 27 - AWHONN's Block Party

more

Sunday, September 26, 2010

Title: Counting Beds and Shuffling Babies: Coordinating Labor and Delivery and NICU Bed Space Across Arkansas

Shannon Lewis, BSN, RN , Angels, University of Arkansas for Medical Sciences, Little Rock, AR
Sarah Rhoads, DNP, APN , Department of OB/GYN and ANGELS, University of Arkansas for Medical Sciences, Little Rock, AR
Tina Benton, BSN, RN , ANGELS Program, University of Arkansas for Medical Sciences, Little Rock, AR
Stacy Pitsch, RNC-Nic , Centers for Distance Health, University of Arkansas for Medical Services, Little Rock, AR

Discipline: Newborn (NB), Childbearing (CB)

Learning Objectives:
  1. Describe the purpose for implementing the bed coordination system statewide.
  2. Describe the partnership of the nine rural hospitals, the state’s only children’s hospital and the state’s only academic health science center.
  3. Discuss how the statewide rounding was implemented.
Submission Description:
Purpose:
 This innovative programs partners the  University of Arkansas for Medical Sciences with Arkansas Children’s Hospital to collaborate with nine outlying hospital nurseries and labor and delivery units, half with and half without Neonatal Intensive Care Units serving obstetrical and neonatal patients to launch a regional Obstetrical and Neonatal Telemedicine Triage system, virtual clinical census rounds, integration of targeted evidence-based clinical interventions and discharge management of high-risk neonates.
Goals of the Program:
  • To improve management of obstetrical and neonatal patients through access to specialty and subspecialty support
  • Improved evidenced based practice compliance
  • Provide discharge coordination for very low birth weight neonates and OB High risk patients
  • To increase accessibility for OB High risk patients who are in need of fetal echocardiography and provide training to partner sites.
Currently tele-nursery rounds are held on Monday, Wednesday and Friday at 8:15 am for a brief census rounds that include questions, consults, and follow-up information given as needed. Also, tele-OB rounds are held on Monday, Wednesday and Friday at 0800 and include a brief census rounds, questions answered in a peer review format, consults and follow-up information provided.
Next Steps
We will facilitate appropriate back transport of babies back into their home communities while offering co-management to the providers via telemedicine.
The program will provide discharge care coordination to the babies born at, or transported to UAMS/ACH from the partner sites. We will assist the PCP’s in obtaining follow up appointments with sub-specialists as well as educating the families on the importance of this follow up.
ANGELS (Antenatal Neonatal Guideline Educational Learning System) has employed a technologist who is certified in fetal echocardiography to perform regional fetal echocardiogram clinics. She will perform training to partner sites on optimal heart views. She is working with Pediatric Cardiologists at ACH to coordinate quality images utilizing interactive video and DVD recordings. Testing is currently taking place at one site in achieving these quality images of the neonatal heart and fetal heart.