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28 March 2008 - Melbourne

Creating a Level 2 SCN -3 cots Presenter: Anne-Maree Pollard Hospital: Cougar 3 Key Contact: Mary Dwyer ,m.dwyer2@sdmh.org.au Tel 90761572. 28 March 2008 - Melbourne. KEY PROBLEM.

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28 March 2008 - Melbourne

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  1. Creating a Level 2 SCN-3 cotsPresenter: Anne-Maree PollardHospital: Cougar 3Key Contact: Mary Dwyer,m.dwyer2@sdmh.org.au Tel 90761572 28 March 2008 - Melbourne

  2. KEY PROBLEM • Babies requiring constant supervision (i.e. isolette care with O², IV fluids) were cared for by ward staff. Therefore reducing the number of staff available to the ward or increasing the workload of the member of staff allocated the nursery. • The area allocated for SCN babies was inadequate

  3. AIM OF THIS PROJECT • Employ SCN trained staff • Improve the SCN and create a dedicated resuscitation area • Reduce the transfer out rate of neonates, allowing more mothers and babies to remain together in the hospital • Within a 6 month time frame: • Apply for funding from DHS • Create the space to build the SCN • Employ nurses/midwives for the area

  4. KEY CHANGES IMPLEMENTED • A project officer was employed to plan for the new unit and apply for funding • The SCN was relocated, increased in size and new equipment purchased • Dedicated SCN staff were employed: • 4.5-5 EFT

  5. OUTCOMES SO FAR Comparative Data Group 1(Aug 05 to Jan 06) v Group 2 (Aug 07 to Jan 08)

  6. OUTCOMES SO FAR • 355% increase in admissions • 20% decrease in transfers out to tertiary hospitals • 14% increase on transfers in

  7. PROJECT EVALUATION • Staffing!!! • Finding the right skill mix • Having flexible staff who are willing to assist on the ward when the nursery isn't busy

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