Transcript Upstate New York Shaken Baby Syndrome Education Program: The Nursing Perspective

Upstate New York
Shaken Baby Syndrome
Education Program:
The Nursing Perspective
Kim Smith, RN
Kathy deGuehery, RN
Shaken Baby Syndrome
Education Program
Who are we?
• We are RN’s with over 50 years combined experience
in maternity and pediatrics
• We were staff nurses & nurse managers on units in the
hospital
Shaken Baby Syndrome
Education Program
How we became involved in program?
• After two years of the pilot project a grant was
awarded to expand the program into the next region
• We were hired to coordinate this program
• Already familiar with program
• Believed in program
Shaken Baby Syndrome
Education Program
Goals of program:
• To educate every parent, upon the birth of every
child, before leaving the hospital
• Track success of program through returned
commitment statements
• Confirm a reduction of SBS
Shaken Baby Syndrome
Education Program
How did we expand the pilot program ?
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Set-up meeting with nurse manager at each hospital
Need nurse manager support to make program work
Emphasize the importance of staff buy-in !!
This is a totally nurse driven program
Without nurses this program would fail
Shaken Baby Syndrome
Education Program
Steps to implement program in hospital
• Explain components of program
• Give options for training staff
Nurse coordinator provide in-service vs. nurse manager
train their staff
• Let nurse manager decide what works best on their unit
• Supply unit with educational materials for training
Shaken Baby Syndrome
Education Program
Arrange for delivery of program materials to hospitals
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Determine number of deliveries in hospital per year
Order supplies from vendors
Prepare monthly return envelopes for year
Have supplies delivered to hospitals
Follow–up to ensure hospitals received education materials
Shaken Baby Syndrome
Education Program
The Nuts and Bolts of the program
Guidelines for educating staff
How the program is done!!
Shaken Baby Syndrome
Education Program
• Education needed to
remind both mother and
father at the correct time.
• When they are primed to
receive information.
• When they will soon be
exposed to the frustrations
of being a new parent.
Shaken Baby Syndrome
Education Program
Educate parents to be
advocates to disseminate
information to others.
Shaken Baby Syndrome
Education Program
• Give all parents written
materials:
• AAP ‘Preventing Shaken Baby
Syndrome’ leaflet.
• SBS information provided
separate from other newborn
materials.
Shaken Baby Syndrome
Education Program
• Discuss with parents how
to cope with a crying baby.
• Refer to the AAP leaflet.
Shaken Baby Syndrome
Education Program
• Offer parents opportunity to watch 8 minute video,
‘ Portrait of Promise’
• If parents decline video, they can still participate
in the program.
• Display poster “ Never, Never, Never Shake a
Baby” on nursing unit.
Shaken Baby Syndrome
Education Program
• Both parents are also asked to sign a commitment
statement verifying receipt of the information.
• Signed by both parents if possible.
• Witnessed by nurse/educator.
Shaken Baby Syndrome
Education Program
• For tracking purposes send
one copy of commitment
statement to study coordinator
in monthly self-addressed
return envelopes
• Give other copy to parents.
Shaken Baby Syndrome
Education Program
If parents refuse to participate in the program (by
not signing the commitment statement) please
educate them about the dangers of SBS and return
unsigned form to study coordinators for tracking.
Shaken Baby Syndrome
Education Program
Who do we reach ?
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35 hospitals
20 counties
Western 1/3 of New York State
Approximately 35,000 families
educated per year !
• This program has educated over
120,000 families since it’s inception.
Shaken Baby Syndrome
Education Program
WNY Hospitals:
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Children’s Hospital of Buffalo
Brooks Memorial Hospital (Dunkirk)
United Memorial Medical Center (Batavia)
Intercommunity Hospital (Newfane)
Jones Memorial Hospital (Wellsville)
Lockport Memorial Hospital
Medina Hospital
South Buffalo Mercy
Millard Fillmore Suburban Hospital (Buffalo)
Niagara Falls Memorial Hospital
Olean General Hospital
Sisters of Charity Hospital (Buffalo)
WCA Hospital (Jamestown)
Wyoming Intercommunity Hospital (Warsaw)
Mount St. Mary’s Hospital (Lewiston)
Westfield Hospital
Finger Lake Region Hospitals:
1. Arnot-Ogden Memorial Hospital (Elmira)
2. Nicholas Noyes Hospital (Dansville)
3. Newark-Wayne of Via Health (Newark)
4. Park Ridge Health Systems-Unity Health (Rochester)
5. Lakeside Memorial Hospital (Brockport)
6. Geneva General Hospital
7. F.F. Thompson Hospital (Canandaigua)
8. Schuyler Hospital (Montour Falls)
9. Corning Hospital
10. St. James Mercy Hospital (Hornel)
11. Rochester General Hospital
12. Ira
Watertown Region Hospitals:
1. Samaritan Medical Center
2. Carthage Area Hospital
3. Lewis County General Hospital
4. Canton-Potsdam Hospital
5. E.J. Noble Hospital
6. Claxton-Hepburn Medical Center
7. Massena Memorial Hospital
Shaken Baby Syndrome
Education Program
• Monitor monthly commitment statement return rate
• Notify nurse manager of any changes in compliancy and
follow through with corrective action
• Post trouble shooting reminders on unit for staff
• In-service as needed
Shaken Baby Syndrome
Education Program
A message from the SBS Prevention Program
Please remember to ask all parents to sign the commitment
statement . If they don’t want to participate in the program, it’s
OK. Just remember to fill out a commitment statement and
write refused. To have continued success we need at least 75%
of commitment statements returned. Thank you for all your
help.
Shaken Baby Syndrome
Education Program
Nurse Coordinator Responsibilities
• Generate and maintain database of information provided
by commitment statements
• This information is used for statistical analysis and for
tracking purposes
• All Commitment statements and database are confidential
and kept under lock and key at all times
Shaken Baby Syndrome
Education Program
• Conduct monthly, random follow-up parent phone calls
What do parents remember?
What works best about the program?
Do they share information learned with other caregivers?
• Enter this information into database
Shaken Baby Syndrome
Education Program
Nurse Coordinator Responsibilities
Identify cases of SBS by communicating with:
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Staff from hospitals
County medical examiner
Child mortality review boards
Child protective services
Media outlets
Shaken Baby Syndrome
Education Program
What do we do if there is a suspected case of inflicted
head injury?
• Assist with information gathering of SBS cases
• Cross-reference mother’s name in database to determine if there
is a signed commitment statement
• Record information to monitor number of cases for tracking
Shaken Baby Syndrome
Education Program
Steps to ensure program’s success
Shaken Baby Syndrome
Education Program
Establish good working relationship with nurse manager.
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Initial face to face contact with nurse manager
This gives a face to the program
Need “buy-in” of the nurse manager
If the nurse manager understands the value
of the program, then the staff will too!
• Monthly phone/ e-mail to
maintain open communication
Shaken Baby Syndrome
Education Program
Keep staff interested in program:
• Frequent program updates
• Quarterly newsletter
• Media coverage
(news, radio, TV)
Shaken Baby Syndrome
Education Program
Important for coordinator of program to be a nurse.
• Can relate to how nurse feels
• Understands overwhelming work load
• A leader who will interact with and motivate staff
Shaken Baby Syndrome
Education Program
The right approach with parents:
• Same message to every new parent
• Non-threatening approach
• Advocate for child
• Relay message to other caregivers
Shaken Baby Syndrome
Education Program
Nurse-Driven Program:
• This program is the first to have demonstrated that a parent
education program delivered completely by nurses can
have a documented impact in significantly reducing SBS.
• Nurses are in a unique position to spread the word on SBS
to the most important audience at the most critical time.
Shaken Baby Syndrome
Education Program
Key Challenges:
• Tendency for others to make this harder than it is
• The program works because it is short and sweet
• Remember to keep the program simple!
Shaken Baby Syndrome
Education Program
As a result of this program:
• Increased awareness of SBS
• Decreased incidence of inflicted head injury
Shaken Baby Syndrome
Education Program
New York Times article: May 29, 2001
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Sparked a huge interest in program
Got the word out
Many requests for information
World recognition
Good Morning America
BBC interview
Shaken Baby Syndrome
Education Program
Legislation:
• December 2001: New York State Law mandates that all
parents of newborns be given written information about the
dangers of infant shaking.
• November 25, 2004: New York State Law mandates that
all parents of newborns be offered the opportunity to view
SBS prevention video prior the discharge from hospital.
Shaken Baby Syndrome
Education Program
• The first 6 years of study results published in the April 2005
edition of the Journal, “PEDIATRICS”.
• 2005 Commissioner’s Award for New York State
This award is given for outstanding contributions toward the
prevention, intervention, and treatment of child abuse and neglect.
Parent Comments:
• “very informative, a must for first time as well as veteran
parents (grandparents and caregivers too!)”
• “it opened my eyes to others watching my baby and letting
them know about SBS”
• “informed parents are the best parents, keep on educating
people it will help better our society”
• “Great program!!”
Shaken Baby Syndrome
Education Program
The next phase of the program:
• Involvement of community physicians
• “Booster shot” of educational materials provided at the first
doctor’s office visit
• Reinforces the message provided at birth
• Helps parent cope with infant crying
Shaken Baby Syndrome
Education Program
Upstate New York has shown the
world how to prevent SBS !!!!
Shaken Baby Syndrome
Education Program
Thank you for joining the fight to eliminate SBS
once and for all. Your compassion and support
will save babies’ lives one family at a time !