Transcript South 4 Immersion Bathing Project:

Where are we today?
Objectives
 Determine frequency of immersion bathing
 Assess status of transition to bedside admission
and bathing for newborns
 Examine data to determine what factors may
inhibit or impede admission and immersion
bathing at parents’ bedside
 Discuss how practice supports family-centered
care
Methods
 Data collection occurred from March 15th, 2010
through April 15th, 2010
 Staff asked to record basic information regarding
initial newborn bath, including:
 Time, location, type of bath, role of bather, type of
delivery, pre- and post-bath temperature of infant
 No identifying information collected
 If temperatures or type of bath missing, data point
discarded
Type of Bath Given
Bath Frequency by Type
90
Immersion
80
70
Sponge
Frequency
60
50
40
30
20
10
0
Type of Bath
Baths by Type
Total Baths Recorded: N = 139 – represents 73.5%
of all deliveries during this 30 day time period –
GREAT JOB, STAFF!!!
Total Immersion Baths: N = 84 – 60.4% 0f all baths
given
Total Sponge Baths: N= 55 – 39.6% of all baths
given
Type of Bath Given by Shift
Type of Bath Given by Shift
60
50
Frequency
40
Immersion
Sponge
30
20
10
0
Shift 1
Shift 2
Shift
Shift 3
Type of Bath Given by Shift
Immersion: Days –
91.1 %
Evenings – 57.1%
Nights 14.7%
Sponge:
Days Evenings Nights -
8.9%
42.9%
85.3%
Location of Bath
140
120
100
80
60
40
20
0
Nursery
Birthing Room
Postpartum
Benefits of Minimal
Separation for the Couplet
Admitting and bathing the baby at the parents’
bedside accomplishes several things:
 Teaching opportunity with parents
 Minimizes separation of baby from parents
 Reinforces idea that this is THEIR baby – not
expected that baby will “go to the nursery”
 Helps support AAP recommendation that healthy,
full-term newborns remain in skin-to-skin contact
with mother, with minimal interruptions for
“routine” tasks, during first hour of life, or until
first breastfeeding occurs.
Potential Barriers to This
Practice
 Time
 Equipment – More Tubs in accessible places?
 Personnel & Patient Assignment
 Workflow
 Habit
 Convenience
 Lack of Staff Buy-In
In Closing . . . .
What I learned from this analysis and selfexamination is that . . . It’s not really about the
bath . . . .
It’s About the Beginning of a
New Family
My Newborn Baby Boy!
 Jordan Samuel Larson, born 03/28/08 4:26pm