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Our Project Aims By March 2019 reduce avoidable term admission to Neonatal Unit (NNU) due to low temperature (<36.5) by 85% By March 2019 reduce avoidable term To improve the early recognition and admission to NNU from Hypothermia due to management of deterioration of either poor feeding by 85% mother or baby during or soon after birth By March 2019 to ensure twice daily Multidisciplinary (MDT) review in the obstetric observation bay & recovery (future project) By March 2019 to ensure completion of fluid and MEOWS charts in the obstetric observation bay & recovery (future project)
Intelligence Maternity Dashboard Term Admissions Meeting Datix /SI’s DATA COLLATED Trends & Themes from Infant Themes from Feeding complaints Meetings/MVP
Staff engagement
Our PDSA Cycle Plan with MDT Make adjustments Test with Staff Evaluate tool & Women
Contributory Factors to Success Know Strength & Good introduction Weakness, buddy up to What project is about to MDT in first meeting Headlines and tasks, Face to Face selected champions in reminders to each area Matrons MDT involvement, discussion Tagging on to and team decision on which existing meetings part of the National Project to focus on as a unit. Monitor Time Line to Meet Deadlines
Achievement of Staff Engagement/Change Idea & Testing Consultant Midwife & Senior Team Member Designed Tool Reviewed At MDT Recommendations & Amendments Tested by Frontline Staff Recommendations Amendments Promotion for Launch Data Collated Data Analysed
User Engagement Women on :Postnatal Ward MVP involved in the early stages Methods Used to Evaluate Women & Their Family Experience Walking the Floor Lessons for User engagement Challenges: Language barriers, MVP not Fully established, Poor compliance of hat wearing
Run chart 10 8 6 4 Hypothermia & Hypoglycaemia Only Hypothermia 2 Only Hypoglycaemia mean 0 UCL January February March April May June July August September October November December Jan-19 Feb-19 LCL -2 -4 -6 -8
SCORE SURVEY Focus on 3 Survey Debriefing Performed • Remember • Results • Train the the Reviewed Trainer Positives
Reflection • Positives • Negatives
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