Sixty golden minutes.
The golden hour concept started in the trauma setting but is becoming more familiar in the neonatal intensive care unit (NICU). For a premature baby, the first hour of life can make the difference between a good outcome, a poor outcome, and death. The golden hour is 60 minutes of team-oriented and task-driven protocols. The focus is on resuscitation, thermoregulation, early administration of antibiotics for suspected sepsis, early intravenous parenteral nutrition, hypoglycemia management, and completed admission within one hour of life. To a premature baby, the first 60 minutes of life are golden and can last a lifetime.
Riley Hospital for Children, Indianapolis, IN 46202, USA. 2kimdoyle@gmail.com
Kimberly Jane
KJ
Doyle
Wanda T
WT
Bradshaw
D000465:Algorithms; D002543:Cerebral Hemorrhage / Q000451:nursing / Q000517:prevention & control; D006801:Humans; D007035:Hypothermia / Q000451:nursing / Q000517:prevention & control; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000451:nursing* / Q000517:prevention & control*; D015931:Intensive Care, Neonatal / Q000379:methods*; D008171:Lung Diseases / Q000451:nursing / Q000517:prevention & control; D017283:Neonatal Nursing / Q000379:methods*; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D012151:Resuscitation / Q000379:methods / Q000451:nursing; D012178:Retinopathy of Prematurity / Q000451:nursing / Q000517:prevention & control; D018805:Sepsis / Q000451:nursing / Q000517:prevention & control; D013997:Time Factors