000			02169nam a22002177a 4500
005			20240120110702.0
008			240120b ph ||||| |||| 00| 0 eng d
022			_a0361-929X
040			_cOCT
100			_aSmith, Pamela
240			_aThe American journal of maternal and child nursing / _hSeptember-October 2023
245			_aStandardizing care of the late pretem infant / _cPamela Smith
260			_aHagerstown ; _bWolters Kluwer Health, _c2023
300			_avol.48(5) : pages 244-251
500			_aAbstract Background: Late preterm infants are infants born between 34 and 36 6/7 weeks gestation. Compared to term infan, late preter infants are at increased risk for breastfeeding difficulties, hypoglycemia, hyperbilirubinemia, and hypothes. mia due to their relative physiologic and metabolic immaturity. Problem: Medical record reviews performed at a level Ill maternal and newborn hospital in central Illinois revea ed onl 64% of late preterm infants admitted to the newborn nursery received care per the unit late preterm infant policy. The aim of this quality improvement project was to increase nurse adherence to the policy to 80%. Methods: Between May 2022 and September 2022, several interventions were implemented for maternal-child nurse and support clinicians: an education offering, creation of a late preterm infant-specific breastfeeding log, and electronic medical record updates. Post-intervention medical record reviews measured policy adherence through documentation of feeding sessions, hypoglycemia, hypothermia, and hyperbilirubinemia. Descriptive statistics were performed to determine improvement. Results: Nurse adherence to the late preterm infant policy increased to 90% over the period of the project. Clinical Implications: Late preterm infant care protocols should be in place in all newborn nurseries. Late pretermi fant policy adherence can be supported through electronic medical record prompts, use of a late preterm infant-speci breastfeeding log, and continuing education.
650			_abreast feeding
650			_ainfant nurseries
650			_anewborn
700			_aSmith, Pamela
942			_2ddc _cCR _n0
999			_c9445 _d9445