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PA PQC QI Collaborative Virtual Meeting - Shared screen with speaker view
Douglas Haughton
43:46
Would you please be able to share the hospital checklist that you mentioned?
Laura
44:12
can you please share the phone number to call in, the one I have does not work
Jennifer Condel
49:21
+1 929 436 2866, meeting ID 96117415552#
tririver
49:34
Gysella, I may have missed this, but are you still using Finnegan scoring to guide pharmacologic treatment for those babies that require that in addition to non-pharmacologic treatment.
Celina Migone
49:44
how is parental presence monitored?
Krystal a Krawczyk
51:08
I have a question from UPMC Hamot
Sharon Silks
52:01
Do you quantitatively measure parental presence and if so how?
Amy Lembeck
52:49
Einstein montgomery does monitor quant parental presence. We will say how shortly
Gysella Muniz’s iPhone
53:41
ESC form monitors for parental presence. it is embedded in the form
Amy Lembeck
54:04
Your form is paper though correct?
Gysella Muniz’s iPhone
54:24
Magee still uses FNASS to guide pharmacologic treatment
Jim Cook
54:24
What outcome measures after discharge are you tracking at Doylestown and how is this data collected?
Amy Lembeck
57:07
Standardization is an on-going question/issue as well from the nursing perspective at our hospital. Any solutions/suggestions?
Laura
58:14
Do any of your facilities have a parent consent or Expectations form they sign when they stay with baby?
Jim Cook
01:01:13
Have there been any problems with mothers receiving their Subutex or methadone after they are discharged from the hospital and while they are staying with their infants in the hospital to complete the 5 day hospital stay.
Amy Lembeck
01:02:17
I asked that same questions at the last meeting and am curious to hear responses as we ran out of time. We have gotten creative with COIVD restirctions but we dont' have a dispensary at our hospital.
Tina Willier
01:04:21
We do not have parents sign anything but we have created a "care agreement". This describes what ESC is, discussed how we will support parents through the minimum 5 day process of ESC as well as what our expectations are of the parents: caring for their bayskin to skin, etc
Laura
01:06:48
Doylestown, are you able to share?
Laura
01:07:23
Thank you, we have developed a draft and was hoping to compare.
Amy
01:07:30
Would you be willing to share your pamphlet?
Amy Lembeck
01:07:31
I've worked at hospitals that do both. Some parents are offended that they have to sign a contract. They feel they are being marginalized.
Robert Ferguson
01:08:44
Re: moms who may need MAT treatment, Dr. Whalen talked about how they use a cuddler program with volunteers, RNs, and others.
Krystal a Krawczyk
01:09:17
How are those NICUs using ESC WITH morphine treatment and weaning? Does anyone have a protocol?
mdesmond
01:12:16
It is possible to work with the OTP to provide the Mom with Take Home medication for the duration of their stay so that the Mom does not have to leave.
Robert Ferguson
01:13:10
Krystal, Slide 69 in Dr. Whalen's presentation includes guidance for initiation and weaning when using ESC protocols for infants requirement pharm RX (morphine)
Krystal a Krawczyk
01:14:05
thank you
Krystal a Krawczyk
01:17:03
are you Still monitoring for 24-48 hours after last prn morphine dose?
Krystal a Krawczyk
01:18:51
can we possibly have a nicu specific sub group
Krystal a Krawczyk
01:18:55
or chat
josephm
01:20:04
We will monitor infant 24 hours after the last of dose of morphine is given
Krystal a Krawczyk
01:20:23
thank you