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Therapeutic Hypothermia Cooling Audit Figures Apr 2012 – Dec 2012

Therapeutic Hypothermia Cooling Audit Figures Apr 2012 – Dec 2012. Nikki Baker Neonatal Transport Nurse. Cooling Activity . Requests from . Transfers requests from each network. Transfers Performed from each network. 11. Transfer To. Transfers performed To each network. 14. 17.

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Therapeutic Hypothermia Cooling Audit Figures Apr 2012 – Dec 2012

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  1. Therapeutic HypothermiaCooling Audit FiguresApr 2012 – Dec 2012 Nikki Baker Neonatal Transport Nurse

  2. Cooling Activity

  3. Requests from

  4. Transfers requests from each network

  5. Transfers Performed from each network 11

  6. Transfer To

  7. Transfers performed To each network 14 17

  8. Transfers performed Referral age

  9. Transfers performed Response time (Call → Arrival on Ref. NNU)

  10. Transfers performed Age at Cooling centre

  11. Transfers performed Age 33-34°C Achieved

  12. Transfers performed Methods of cooling

  13. Transfers performed Babies not cooled

  14. Transfers performed Respiratory support

  15. Transfers performed Paralysis & sedation

  16. Transfers performed Phenobarbitone use

  17. Transfers performed Inotropic support

  18. Stabilisation • Stabilisation times varied from 1hour 17mins to 11hrs 55mins. • Clinical factors influencing stabilisation included; • ♦ Intubation ♦ Umbilical line insertion • ♦ X-ray confirmation ♦ Loading dose phenobarbitone • ♦ Starting morphine ♦ Starting inotropes • Other factors influencing stabilisation included; • ♦ Counselling parents ♦ NTS shift handover • ♦ TOBY paperwork ♦ Discharge letter

  19. Joint network therapeutic hypothermia study day; Early recognition of babies meeting criteria Early clinical management of these babies Rapid referral to Cooling Centre Rapid referral to NTS. All neonatal units using rectal temperature monitoring as gold standard. Use of Tecotherm mattress on transfers; Earlier achievement of 33-34°C Reducing incidents of temperature fluctuations Plans for an educational DVD on early management of cooling babies. The future

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