A Call for Culture Change and Re-prioritization of Our Most Vulnerable Patient: Establishing Neurodevelopmental Protection for the Neonate
At this institution prioritization is often given to patients who are three to seven years old. This has led to a disparity in providing appropriate care for the neonatal population. New research on the short and long term consequences of common procedures and interventions performed on hospitalized infants led this hospital to implement evidence-based guidelines utilizing multi-modal strategies for neonatal pain management and promotion of healthy neurodevelopment.
1. Integrate evidenced based practices to support the neurodevelopment of the hospitalized infant 2. Identify pharmacological and nonpharmacological ways to decrease pain in infants and articulate a strategic plan for rolling out new guidelines for treating stress and pain in infants
3. Consider ethical implications and implement methods to protect infants from the morbidities associated with long-term hospitalization, trauma and stress.
4. Assess and identify signs/symptoms of pain, stress, under-, and over-stimulation 5. Utilize methods for implementing culture change in terms of neurodevelopmental protection strategies
Suggested Domain: Ethics
CCLS, CEIM, CPST
Katrena Froh worked as a child life specialist in the NICU and participated in educational information sessions for NICU staff members. Since her time in the NICU Katrena has continued to present this information in other venues and throughout the hospital. Katrena is infant massage certified.
RN, MSN, CPNP-AC
Robert Froh is a critical care pediatric nurse practitioner working in the PICU at Helen DeVos Children’s Hospital. Rob attended the pediatric pain master class at Minnesota Children’s Hospital and has since been working on implementing an institution wide quality improvement project regarding pain management.