Chelli Westengaard, OTR/L
Long-Term Developmental Consequences of Positioning after the NICU Stay
There exist many challenges and opportunities when it comes to supporting and protecting an infant's developing musculoskeletal system while they are hospitalized in the NICU.
We must assess and support their muscle tone, their posture, and support their developing and fragile musculoskeletal system against the forces of gravity in order to minimize any long-term adverse effects.
In this presentation, our guest faculty will review the basics of fetal and neonatal musculoskeletal development and through case studies see the importance and implications related to proper positioning in the NICU.
Dr Elizabeth Jeanson, PT, DPT, DCS, NTMTC, CNT
Using Quality Improvement as a Change Mechanism for Improving Developmental Positioning in NICU
Quality improvement is mandated by Magnet certified hospitals. Quality improvement work is not limited to monitoring Joint Commission standards but can also be used to introduce new process and facilitate change.
In 2018, a large level 3 hospital assessed their traditional positioning program and the viability of instituting a potentially better practice. The use of a quality improvement project proved an effective change mechanism. This quality improvement project, including useful improvement tools, staff engagement strategies, and site individualization will be discussed. Quality improvement is a tool to help staff identify a need for change and create a successful intervention/process.
Michele DeGrazia PhD, RN, NNP-BC, FAAN
Building Moral Resiliency: The Nurse Education and Support Team (NEST)
The Nurse Education and Support Team (NEST) was designed to support neonatal and pediatric critical and acute care nurses in managing morally and ethically complex, and challenging situations in everyday practice. Staffed by highly experienced neonatal and pediatric critical and acute care nurses, the NEST coaches provide just-in-time peer support with the goals of supporting and building moral resiliency, positively impacting staff morale, and increasing workforce stability.