A Web-based Teaching Module For The Prevention Of Sudden Unexpected Postnatal Collapse (SUPC) Of The Newborn | 94115
Advanced Practices in Nursing
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Sudden unexpected postnatal collapse (SUPC) is characterized by apnea, limpness, pallor, bradycardia, cyanosis, and
cardiorespiratory failure in apparently healthy term newborns soon after birth, often during initial skin-to-skin contact, in
the prone position, or with the first breastfeeding attempt. The etiology for this devastating clinical entity is not well understood,
but maternal fatigue and/or distraction appear to play key roles. The objective of this poster presentation is to discuss a
quality improvement project that was designed to educate clinicians and parents, in order to prevent SUPC cases. A task force
implemented an educational program; using the words ???pink and positioned??? to teach staffs how to educate parents about proper
distraction-free positioning of their infant. Education consisted of poster presentations and lectures on maternity units. A video
depicting a (simulated) SUPC case and two other videos showing an obstetrician and post-partum nurse counseling a new
mother about SUPC-prevention were created, circulated internally, and later added to a mandatory web-based training module
and also publications. Practice changes included more frequent post-natal assessment of the newborn and documentation of
???Pink and Positioned??? into our electronic medical record. Responses from 254 nurses and patient care technicians (PCTs) to a
pre-and post- test questionnaire, suggest that after taking the module, they were more knowledgeable and reported feeling more
comfortable teaching parents about SUPC prevention. We anticipate that, as a result of this comprehensive education, SUPC
cases will be prevented.
Nancy Adrianna Garofalo is a Neonatal Nurse Practitioner at the NorthShore University HealthSystem and a Senior Clinician Researcher at the Pritzker School of Medicine, University of Chicago. She received a BSN from Loyola University, an MS in Nursing Administration from Aurora University, an MSN in the Neonatal Nurse Practitioner specialty from Rush University, and later a PhD from Rush University, Chicago IL. She spear-headed the development of a web-based teaching module for SUPC prevention and has published three papers on the topic of SUPC prevention. In collaboration with several neonatologists, she will measure outcomes post-implementation of this training module.