Johns Hopkins NeuroIntensive Care Nursery Monthly Newsletter – May 2010 Ed. C. Park inson [email protected]
News/Info May 2010 marks the completion of the first full year that the NICN has been officially in “business.” It has been a year full of exciting new things. The hypothermia protocol has been drastically improved and we have recruited 17 nurses and 2 respiratory therapists to be part of the NICN team. The NICN is very appreciative to all the nurses and respiratory therapist that improve the quality of care for the neuro patients in the NICU but we are especially thankful for those who have made the dec ision to be an active part of the NICN team. In the fall the NICN started the IRB process to seek approval to obtain and maintain databases to follow all NICN patients admitted to the NICU. In April the NICN was awarded IRB approval to allow the team to follow all NICN patients (hydrocephalus, hypoxic ischemic encephalopathy as well as those who were evaluated for encephalopathy) until the age of 5 years. This will allow the NICN to monitor developmental outcomes and markers in order to continue to improv e the quality of care that we are able to provide our patient population. Some of the outcomes we are currently looking at are length of stay (LOS), use of pressors, lumbar punctures and taps, day of life (DOL) when full feeds are achieved, initial blood g ases and lowest pCO2 , shunt surgeries or revisions, as well as any complications. We are currently developing outcome indicators that we will like to follow until they are school age. This will allow the NICN to provide recommendations to the NICU as to h ow we might improve the quality of care for the NICN patients.