Nurse survey examines post-cesarean infection prevention practices | Narrow alarm parameters may affect NICU safety, study says | Study: Aminoglycoside antibiotics may raise risk of hearing loss
 
August 3, 2015
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Nurse survey examines post-cesarean infection prevention practices
To prevent infection after a cesarean delivery, 98% of hospitals used antibiotics and 77.2% used a chlorhexidine-based antisepsis routine before delivery, according to interviews with nurses at 197 U.S. academic hospitals. Researchers reported in the journal Infection Control & Hospital Epidemiology that few centers used povidone-iodine vaginal antisepsis even though strong evidence supports it. Healio (free registration)/Infectious Disease News (7/29)
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Patient Safety & Clinical Update
Narrow alarm parameters may affect NICU safety, study says
Using narrowed oxygen saturation alarm thresholds to alert NICU staff of potential hyperoxia can lead to more alerts and possible alarm fatigue, according to researchers from Children's Hospital and Clinics of Minnesota. The team reported that modifying the high saturation alarm algorithm led to fewer alarms per patient-day and a better perception of the alarms by unit nurses. The study was published in Pediatrics. Healio (free registration) (7/15)
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Study: Aminoglycoside antibiotics may raise risk of hearing loss
Aminoglycoside antibiotics, which are given to about 80% of NICU patients in the U.S., may increase the risk of hearing loss, according to a study of mice reported in the journal Science Translational Medicine. The researchers noted that NICU survivors have a higher rate of hearing loss than full-term infants with hearing loss linked to birth defects. HealthDay News (7/29)
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Placeholder names for babies tied to medical errors, study finds
Montefiore Medical Center saw a 36.3% reduction in the frequency of incorrect patient orders for unnamed-at-birth newborns a year after researchers implemented a standard system of assigning temporary names, according to a study in Pediatrics. Researchers said more medical errors, especially for children that require intensive care, can result from using "babygirl" or "babyboy" placeholder names. Time.com (7/13)
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Pregnant women may reduce gestational diabetes risk with lifestyle changes
Pregnant women who underwent a series of moderate lifestyle interventions reduced their risk of developing gestational diabetes by as much as 39% compared with those in the control group, according to a study in Diabetes Care. The findings, based on 293 pregnant women with a history of the disease and/or a pre-pregnancy body mass index of at least 30 kg/m2, also revealed that those in the intervention group had less gestational weight gain and increased their median weekly physical activity by 15 minutes. Healio (free registration)/Endocrine Today (7/31)
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Women's well-being affected by menopause symptoms, study says
A study in the journal Maturitas found moderate to severe menopause symptoms adversely affected women's sense of psychological well-being. Australian researchers said the impact on well-being was as great as that for housing insecurity and more than that for obesity and being a caregiver. Medscape (free registration) (7/30)
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Professional Practice
Study: NICU admissions increase but babies are bigger, less premature
Hospital NICU admissions increased from 6.4% to 7.8% of infants from 2007 to 2012, but data from almost 18 million births showed babies were larger in size and less premature, Dartmouth University researchers reported in JAMA Pediatrics. Researchers said the increase raises questions about NICU usage and noted lower admittance thresholds may be a factor. U.S. News & World Report/HealthDay News (7/27), Medical News Today (7/28)
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Policy, Ethics & Legal Update
Newborn experts identify 5 NICU tests, therapies that may not be necessary
A consensus process identified five tests or treatments that NICU patients typically receive but that may not be needed because of efficacy, cost or safety. The report, published in Pediatrics, summarizes the methods used by newborn care experts to select these conditions as part of the Choosing Wisely campaign. Forbes (7/20)
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Technology & Trends
Prenatal ultrasound utilization increases
Prenatal ultrasound.
(Stephen Morton/Getty Images)
The number of routine prenatal ultrasound procedures increased 92% from 2004 to 2014, according to claims data, reaching 5.2 per delivery. Although the value of prenatal ultrasound is clear, medical experts warn frequent scans for women with low-risk pregnancies may not be medically justified and could promote false positives and other harms. Medical societies recommend only one or two for low-risk women, and obstetric experts recommend the scans be administered by a certified operator. The Wall Street Journal (tiered subscription model) (7/17), The Wall Street Journal (tiered subscription model) (7/17), DOTMed.com (7/21)
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More hospitals hire staff laborists
An increasing number of hospitals are moving away from relying solely on on-call obstetricians and hiring staff obstetric hospitalists, or laborists. Obstetrician and gynecologist Caroline Keller said the availability of laborists can be a comfort for patients. A single-center study in the American Journal of Obstetrics and Gynecology found that the presence of full-time laborists was associated with a reduction in the rate of cesarean sections. USA Today (7/26)
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News from NCC
If you are planning to attend the ANN conference in September, take a moment to connect with NCC
NCC's Executive Director, Robin L. Bissinger, Ph.D., APRN, NNP-BC, FAAN, will be available to meet with individuals who wish to discuss certification, professional practice and other topics of interest. Please look for her in the ANN Lounge. There are also a few more things that you should know before you go ...
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Credentials can get complicated. Are you displaying your achievements the correct way?
It is common practice to list credentials in order of importance starting with the highest degree earned. Followed by licensure/state requirements, national certifications, awards and honors. Get helpful tips and a quick review of NCC certification designations.
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Plaques, Certificates & Cards ... customized to you!
Customized certificates, cards and plaques from NCC
Log in to this new site with your NCC login to see the items that are available specifically for you. Give your patients the added confidence of knowing they are being cared for by a proficient, well-educated NCC certified professional. Display your accomplishment of certification!
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Learn more about NCC ->National Certification Corporation
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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Editor:  Tom Parks
 
 

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