newborn thermal care safety bundle
Post on 16-Oct-2021
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Newborn Thermal Care Safety Bundle
Getting it right first time to reduce avoidable admissions to NICU
BACKGROUND
• Term admissions: hypothermia and hypoglycaemia identified factors
• Environmental factors improved
• Bobble hat initiative (Surrey)
• Audit locally
• Training
THERMAL CARE SAFETY BUNDLE
NEWTT checklist
Raising awareness
Sustainability - Training
• Annual Mandatory Update for all Midwives
– Saving Babies Lives Study Day
• Hypothermia
• Hypoglycaemia
• Sepsis
• (signposted to jaundice)
• Recognising and capitalising on the window of opportunity in order to Keep mum and baby together
Thinner layer of subcutaneous fat
Larger surface area to body weight
Skin immaturity – loose heat and water through
their skin
Cannot shiver or move
position to warm
themselves
Cannot vasoconstrict or vasodilate
as efficiently as an adult
Larger head proportion
to their body
allowing for heat loss
Energy Triangle
What is thermal care management ?
Promoting thermal regulation in the neonate
•Dry thoroughly •Hat on •Skin to skin 2 Hours
Plan ahead
•Room air con •Room Temp (26°C) •Windows •Fans •Hat •Warm towels
Birth
Theatre •Cold mum (Fluid replacement) •Bear Hugger
Water Birth • Water temp •Towels •Dry hair •Reheat water
SITUATION
ANTENATAL INTRAPARTUM BIRTH NEONATAL PERIOD
ASESSMENT
RECOMMENDATION
DETERMINE RISK? (Background)
Case Study
• Case study from a SI at Derby
• Antenatal, intrapartum, birth
• Neonatal period
– What would your plan of care be
– How does it differ from actual plan
– Was there a window of opportunity missed ?
– What are the human factors surrounding this?
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