-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
June 02, 2025 - Shadowing Another Professional Tool
Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care providers often do not understand other disciplines’ daily responsibilities, teamwork, and communication iss…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
June 02, 2025 - Observing Patient Care Rounds
Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentinel events. Communication among disciplines can be improved if viewed through the eyes of an objective observer.
What are obser…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 02, 2025 - Module 3: Best Practices in Pressure Injury Prevention
Module 3: Best Practices in Pressure Injury Prevention
Module Aim
The aim of this module is to support your efforts to use best practices as outlined in the Preventing Pressure Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program.
Mo…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
June 02, 2025 - How To Measure Pressure Injury Rates and Prevention Practices
How To Measure
Pressure Injury Rates
and Prevention Practices
ADD Hospital Name Here
Module 5
1
Basic Quality Improvement Principle
If you can’t measure it, you can’t improve it.
2
2
Quality Improvement Principle
Pressure injury rates and preven…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
June 02, 2025 - How can IT professionals help with communicating about the program?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
June 02, 2025 - How To Implement the Pressure Injury Prevention Program in Your Organization
How To Implement the
Pressure Injury Prevention Program in Your Organization
ADD Hospital Name here
Module 4
What We Have Done Thus Far
Up to this point, you have:
Looked at your organization’s readiness to improve pressure injury preventi…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
June 02, 2025 - Best Practices in Pressure Injury Prevention
Best Practices in
Pressure Injury Prevention
ADD Hospital Name
Module 3
Best Practices
Best practices are those care processes—based on literature and expert opinion—that represent the best ways we currently know of preventing pressure injuries in the hospital.
AHRQ Pati…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-bpd.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Bronchopulmonary Dysplasia
Bronchopulmonary Dysplasia
Characteristics
■ Need for supplemental oxygen at 36 weeks postmenstrual age, with radiographic changes on
chest x-ray (bilateral, diffuse hazy lungs; interstitial thickening; increased lung inflation).
■ Symptoms: …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-apnea.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Apnea Of Prematurity
Apnea Of Prematurity
Characteristics
■ Respiratory pause for at least 20 seconds, or a pause that is accompanied by bradycardia (heart
rate <100 bpm), cyanosis, or pallor in an infant <37 weeks postmenstrual age (PMA).
■ Types of apnea:
– Central…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ger.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Gastroesophageal Reflux
Gastroesophageal Reflux
Characteristics
■ Common problem in premature infants.
– Lower esophageal sphincter hypotonia.
– Transient relaxation of the esophageal sphincter.
– Less frequent esophageal peristaltic activity.
– Delayed gastric em…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Neurodevelopment
Neurodevelopment
Risk Factors for Poor Neurodevelopmental Outcome
■ Developmental progress may be variable for motor and language skills.
■ BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay.
■ Peri- or intra…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ostomy.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Ostomy Care
Ostomy Care
Ostomy Basics
■ An ostomy is usually temporary and created as part of a staged surgical approach to divert
fecal matter, allow for resolution of inflammation, and to provide time for infant to grow and
stabilize.
■ Often has 2 parts: proximal o…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sbs.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Short Bowel Syndrome
Short Bowel Syndrome
Pathophysiology
■ Functional disorder caused by alterations of normal intestinal anatomy and physiology.
■ Shortened bowel combined with malabsorption; dependent on parenteral nutrition >3 months.
■ May result from: necrotizin…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus
Patent Ductus Arteriosus
Characteristics
■ A persistent open connection beyond 3 months of age between the pulmonary artery and the
aorta with blood flow from the aorta to the pulmonary artery.
■ An open ductus may lead to:
– Congestive heart…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sleep.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Sleep in Preterm Infants
Sleep in Preterm Infants
SIDS
■ Preterm infants are known to be at higher risk for SIDS; high-risk period lasts up to 10
months.
■ To reduce risk:
– Use supine positioning on a firm mattress with no fluffy or loose bedding.
– Be sure the in…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Nephrocalcinosis
Nephrocalcinosis
Characteristics
■ Renal lithiasis in which calcium deposits form in the renal parenchyma and result in reduced
kidney function and hematuria.
■ Seen with renal ultrasound, or occasionally on plain radiographs of the kidneys.
■ Resul…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Tracheostomies
Tracheostomies
Tracheostomy Basics
■ Indications: upper airway obstruction, long term ventilation, ease of pulmonary toilet, to
protect the airway.
■ Tube selection based on:
– Indication for tracheostomy.
– Tracheal width/length/shape.
– Upper a…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-breastmilk.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Breast Milk
Breast Milk
Benefits
■ Optimal food for almost all infants regardless of gestational age.
■ Has been shown to improve subsequent mental development in term/preterm infants as well
as provide enhanced protection against infection.
■ Premature infants with …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-medication.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Medications
M
ed
ic
a
ti
o
n
In
d
ic
a
ti
o
n
U
su
a
l D
o
si
n
g
R
eg
im
en
R
ec
o
m
m
en
d
ed
M
o
n
it
o
ri
n
g
Si
d
e
Ef
fe
ct
s
W
h
en
T
o
S
to
p
A
lb
ut
er
ol
(V
en
to
lin
H
FA
®
) o
r L
ev
al
bu
te
ro
l
(X
op
en
ex
H
F…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-vision.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Vision Screening and Retinopathy
Vision Screening and Retinopathy of
Prematurity
Visual Deficits Seen in Preterm Infants
■ High-risk infants are more likely to have permanent visual deficits and/or show a delay in
visual development that persists until adolescence.
■ …