Robin Underwood, MSN, RN-BC, APRN, Clinical Nurse Specialist of the Special Care Nursery, Sue Haddad, MSN, RNC-OB, Bayhealth Nurse Manager of Labor and Delivery, and Melody Wireman, MSN, RNC-OB, APRN, Clinical Nurse Specialist of Labor and Delivery and Women’s Services, presented a winning poster at the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) National Convention last month in Nashville, TN.
The poster, titled “Second Shift Holiday Neonatal Code: A Recipe for Stress,” was determined to be the outstanding poster in the Case Conference category.
“We are doing unique things here at Bayhealth as we look to solve problems and provide excellent patient care,” said Underwood. “It is a true honor that we were recognized for improving our response to neonatal codes.”
Haddad, Underwood, and Wireman worked together to create a poster and accompanying brochure describing the pressures and stress which often accompany a complicated emergency delivery and neonatal code. Including details on the patient’s unique condition, background, laboratory results, plan of action, and results, the materials are an invaluable educational asset to clinicians who may find themselves in similar circumstances.
Wireman recreated a code scenario using staff to play the crucial roles, and Marketing Communications Webmaster Leigh Ann Coleman shot the photos.
Bayhealth Senior Graphic Designer Brian Murray and Plant Operations staff member Dan Nicar collaborated with the nurses to produce a high-quality print piece that stood out among the other posters at the AWHONN event.
“It wasn’t just the three nurses who contributed to this win,” commented Haddad. “We were so proud that several groups from our hospital had been part of the process. We received a lot of very positive feedback, and that’s something we share with everyone who helped us.”
The Bayhealth poster was honored in a ceremony at the conference. Haddad and Wireman accepted their award onstage in front of thousands of attendees.
Underwood is heading a new group in Women’s and Children’s Services, the Neonatal Emergency Management Organization (NEMO), which will work towards improving neonatal patient safety and facilitating response team effectiveness during actual neonatal codes. Strategies will include routine mock neonatal code drills; reviews of existing neonatal code processes and recommendations for changes; and the development of innovative processes that will impact neonatal outcomes.
One such initiative was revamping the Neonatal Emergency Box. At one time containing over 350 line items that required 2.5 hours to stock and inventory, the new box now contains 6 bags of supplies, clearly labeled with contents and quantity.
Creating a new Neonatal Emergency Box, building a specific Neonatal Code Resuscitation Sheet, developing a Neonatal Code Pink Policy, and revising team members and processes led to improved outcomes and better patient care. Supply lists, code sheets, evaluation forms, and a pen are firmly attached to the lid of the box for use during a code.