Wrong-patient orders more prevalent in NICUs | Study: Cesarean delivery rate high for older women having twins | USPSTF recommends routine BP screening for preeclampsia
May 1, 2017
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Wrong-patient orders more prevalent in NICUs
The rate of wrong-patient orders in NICUs was 117.2 per 100,000 orders, compared with 74.9 per 100,000 orders in non-NICU pediatric units, according to a study in Pediatrics. However, the findings, based on more than 4.3 million pediatric orders, showed that the ID reentry intervention and combined ID reentry and distinct naming interventions reduced NICU error frequency by 48.7% and 61.1% from baseline, respectively.
Physician's Briefing/HealthDay News (4/21) 
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Patient Safety & Clinical Update
Study: Cesarean delivery rate high for older women having twins
A study of 139 women ages 45 and older who gave birth to twins delivered on average at 35.4 weeks' gestation, but 93.5% had a cesarean delivery, 44.6% developed preeclampsia and 19% had gestational diabetes, according to a study in Obstetrics & Gynecology. The average age at delivery was 47.3 years for the women in the study, 99% of whom had undergone in vitro fertilization with 95% using donor eggs.
Physician's Briefing/HealthDay News (4/11) 
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USPSTF recommends routine BP screening for preeclampsia
The US Preventive Services Task Force published updated guidelines in the Journal of the American Medical Association that call for all pregnant women to undergo routine blood pressure monitoring at every prenatal visit to screen for preeclampsia, regardless of whether they have a history of preeclampsia or high blood pressure. Separate guidelines call for pregnant women with a higher risk of preeclampsia to take low-dose aspirin after 12 weeks of pregnancy.
Reuters (4/25) 
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Congenital heart disease tied to higher risks for pregnant women
Researchers said pregnant women with complex or non-complex congenital heart disease had a higher risk of congestive heart failure and atrial arrhythmia, as well as adverse maternal and fetal outcomes, compared with those who did not have congenital heart disease. The study in JAMA Cardiology found pregnant women with complex and non-complex CHD had higher risks for cesarean delivery and fetal growth restriction.
MedPage Today (free registration) (4/12) 
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Tenofovir during pregnancy cuts hepatitis B transmission risk
Women with hepatitis B who took the antiviral drug tenofovir in the second or third trimester of pregnancy had 77% lower rates of transmission of the virus to infants, researchers reported in the journal Alimentary Pharmacology & Therapeutics. The analysis was based on data from 10 studies involving 733 women.
United Press International (4/24) 
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Study assesses beta blocker safety during pregnancy
Taking beta-blocker drugs during pregnancy may not increase the risk of fetal congenital cardiac anomalies, researchers reported in a study in JAMA Internal Medicine. The study included 379,238 births from 2003 to 2014, and researchers said the most common beta-blockers used were atenolol, labetalol, propranolol and metoprolol.
Cardiovascular Business online (4/18) 
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Professional Practice
Higher admission rates, EHR use linked to NICU provider burnout
Researchers found that NICUs with high average daily admission rates and long-time EHR use had significantly higher provider burnout rates than those with low patient volume and no EHR usage. The study, published in Pediatrics, found no significant associations between burnout and patient mortality risk, proportion of high-risk patients, in-house attending presence or teaching hospital distinction.
2 Minute Medicine (4/18) 
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Study evaluates risk factors for home, birth center deliveries
A study of more than 47,000 midwife-attended births evaluated 10 risk factors for maternal and neonatal outcomes associated with giving birth at home or at a birth center. The study, in the journal Birth, found risks associated with obesity and maternal age were modest, while breech presentation was associated with higher risks with home delivery.
HealthDay News (4/21) 
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Policy, Ethics & Legal Update
Law requires provision of perinatal hospice information
Nebraska Gov. Pete Ricketts signed into law a bill that calls for parents of unborn babies with a lethal fetal anomaly to be given information about available perinatal hospice care. Physicians would provide hospice information from the state Department of Health and Human Services.
Lincoln Journal Star (Neb.) (tiered subscription model) (4/26) 
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Technology & Trends
RN: Simulation teaches parents about post-NICU infant care
A study in MCN: The American Journal of Maternal-Child Nursing found that parents who participated in a customized simulation to prepare them to care for their infant after discharge from neonatal intensive care reported an almost 30% increase in confidence that they could perform those duties. "The advantage of simulation is that parents can experience the 'what if' problems that cannot be replicated in the clinical setting without placing the baby at risk," nurse researcher Deborah Raines said.
Medical Research (4/25) 
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News from NCC
NCC is attending these conferences in 2017 and we would love to see you!
NCC wants to connect with the nurses in our community and hear how certification has helped them professionally or personally. We feel that consumers need to know that there are proficient, well-educated NCC certified professionals available for their care and would like to use your thoughts to create a new public awareness campaign. Learn more.
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Don't have time to travel to conferences? NCC has CE to fit with your busy schedule!
CE from NCC
It can be time-consuming and expensive to travel to professional conferences to earn CE. If you prefer to use CE options that are "close to home," there are none closer than CE from NCC. You can purchase and access NCC continuing education modules from NCCwebsite.org, 24/7. See spring's top 15 selling modules -- these are the CE modules that your peers feel are most important to their practice.
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NCC recognizes certified nurses!
A place for everything and everything in its place ... NCC has gathered all of its social media, recognition and outreach programs and placed them together on one webpage. You are one click away from certification awareness PSAs, video sharing and more!
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Lapsed certification? Let's talk about the NCC reinstatement program
The NCC reinstatement program is available for individuals who failed to maintain their certification by their maintenance due date. The reinstatement program allows professionals formally certified by NCC to come back into the system without re-examination. This program is time-sensitive and must be completed within the 12-month period following the missed maintenance date.
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Learn more about NCC:
National Certification Corporation
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How vain it is to sit down to write when you have not stood up to live! -- Henry David Thoreau, writer and naturalist
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About NCC
The National Certification Corporation is a not for profit organization that provides national credentialing programs and continuing education opportunities to nurses, physicians and other licensed health care professionals within the obstetric, neonatal and women's health care specialties. NCC has awarded more than 115,000 certifications or certificates of added qualification since its inception in 1975.
Learn more about certification and continuing education opportunities for obstetric, neonatal and women's health care professionals – http://www.nccwebsite.org.
 
Contact NCC
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