G27(P) Quality improvement project for neonatalthermoregulation at birth

Aims Audit of impact of thermoregulation bundle and staff education on neonatal admission temperatures. Methods Importance of thermoregulation around the time of birth till admission onto the neonatal unit cannot be underestimated. Temperature instability and in particular admission temperatures 1 . We have local as well as national guidelines for optimal thermoregulation in delivery suite and during transport to neonatal unit. On our unit, the staff training was undertaken in the form of one to one educational sessions. Wall posters were also put up to increase awareness among staff members. Simple ‘thermoregulation sticker’ were used to document delivery room temperature, baby’s temperature at birth, while on the delivery suite and on admission to Neonatal unit. Prospective audit was then undertaken collecting data over a period of three months from May 2016 to July 2016. Data was collected from Badgernet admissions. Results Total 22 neonates of Conclusion Increasing awareness and staff education has had significantly positive impact in improving existing practice of thermoregulation in babies admitted to neonatal unit from delivery suite. This was observed more robustly in group of babies born with gestational age of Recommendations We recommend monitoring the temperature of newborn in the delivery suite and increasing awareness of the staff about taking additional measures to maintain normothermia during the transfer from delivery suite to neonatal unit. We also recommended inclusion of the stickers of thermoregulation in to the admission notes as a routine practice and importance of regular staff education to increase awareness of thermoregulation in the newborn babies.