The Golden Hour: care of the LBW infant during the first hour of life one unit's experience.
Care practices during the first hour of life, the Golden Hour, can have a significant impact on outcomes of low birth weight infants. Although the latest edition of the Neonatal Resuscitation Program added guidelines for preterm infants, additional care is often indicated. Complications that could potentially be impacted by care in the first hour of life include thermoregulation, intraventricular hemorrhage, chronic lung disease, and retinopathy of prematurity. Our unit has implemented and revised a Golden Hour evidence-based care process that includes the use of realistic videotaped simulations, followed by team debriefing sessions. Early results of the revised process show reductions in the targeted complications.
Reynolds
Regina D
RD
Baylor University Medical Center , 3500 gaston Avenue, Dallas, TX 75246, USA. gina.reynolds@baylorhealth.edu
Pilcher
Jobeth
J
Ring
Ashley
A
Johnson
Rose
R
McKinley
Pamela
P
D000465:Algorithms; D002543:Cerebral Hemorrhage / Q000517:prevention & control; D002552:Cerebral Ventricles; D002908:Chronic Disease; D004282:Documentation; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D055317:Evidence-Based Practice; D019983:Guideline Adherence; D006801:Humans; D007035:Hypothermia / Q000517:prevention & control; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000379:methods* / Q000592:standards; D008171:Lung Diseases / Q000517:prevention & control; D017283:Neonatal Nursing / Q000193:education / Q000379:methods* / Q000592:standards; D015403:Nursing Evaluation Research; D009737:Nursing Records; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D012151:Resuscitation / Q000193:education / Q000379:methods* / Q000451:nursing / Q000592:standards; D012178:Retinopathy of Prematurity / Q000517:prevention & control; D013997:Time Factors; D017749:Total Quality Management / Q000458:organization & administration