In This Issue
Carrying 2018’s Success Into 2019
by Becky Moore RNC-MNN, BSN
What a busy and reflective time of year! I find myself as well as my family, friends and colleagues very busy with holiday gatherings and festivities. Many of us often reflect on the previous year and discuss plans for the next as we come together to celebrate.
2018 has been a year of exciting success for Oregon AWHONN!
We have solidified a legislative team to keep our Oregon AWHONN members abreast and coordinate action on local and national legislation related to Obstetric, Neonatal and Women’s Health issues. I am deeply grateful to Nancy C. Alt, BSN RN, RNC-OB and Amy Brase, MSN, RN, CNE, both of Salem, who will be leading this important work. Amy and Nancy will be attending AWHONN on Capitol Hill in Washington, D.C. April 7-9 and we look forward to hearing about this exciting opportunity in an upcoming newsletter.
Our annual Fall Conference was the largest ever, topping out at 267 attendees from a total of thirteen states! The evaluations were overwhelmingly appreciative of the outstanding speakers, networking and learning opportunities. One comment in particular stood out to me. “Thank you for all your hard work and dedication to AWHONN. Every year I’m blown away by the speakers. I cannot tell you how inspiring and helpful it is to be in a room of 300 nurses who share a strong passion for women and newborns. This is an indispensable resource to have in our state.”
Once again, our nurse attendees showed their generosity by donating 3,771 diapers and $1,858 to the local charity, Family Promise, adopted for this year’s conference. Oregon AWHONN matched the monetary donation for a total of $3,716. Family Promise was overwhelmed with the generosity and support of AWHONN nurses.
Let’s start planning now to keep these successes alive in 2019!
Get ready with contact information for your local and state legislators so that you can respond quickly to calls for action from our legislative team. Watch our Facebook page and newsletters for legislative information and updates. Our accomplishments at Conference demonstrate that together, AHWONN nurses are a mighty force!
Consider launching a diaper drive in your local chapter or community. AWHONN National is ready to help you coordinate the effort to eradicate diaper need. Visit the Healthy Mom&Baby Diaper Drive page at https://www.awhonn.org/page/DiaperDrive?&hhsearchterms=%22diaper%22.
If you learned something at conference that you have implemented or launched an AWHONN initiative in your place of work this year, please share! Post your story and outcomes on our Facebook page to inspire others and let us celebrate with you. The winning post will receive an Oregon AWHONN jacket.
Wishing you blessings, success and continuous learning in 2019.
Women's Health and Neonatal Update
New Perinatal Core Measure Coming: Unexpected Newborn Complications
by Pat Scheans, DNP, NNP-BC & Kara Johnson, DNP, RNC-OB, CNS
A new Joint Commission Perinatal Core measure is coming January 1, 2019. The new measure will be known as PC-06 Unexpected Newborn Complications (UNC). Taking home a healthy newborn may be the most important outcome for families. While there are several quality measures that examine clinical practice and outcomes in preterm babies, there are no other outcome measures for term newborns even though they represent the highest percentage of births in the United States. The UNC composite measure identifies babies without preexisting conditions (prematurity, multiple gestations, birth defects or other fetal conditions), and who are normally grown and were not exposed to maternal drug use, that had severe or moderate neonatal complications (CMQCC, 2018).
The Perinatal Care (PC-06) UNC measure will include three rates: overall rate, severe rate, and moderate rate. Although there is not a set target rate, a decrease in rate would indicate improvement. Complications are categorized from the viewpoint of families. For severe complications: “Would I be fearful of my baby’s survival or long term outcome if my baby had…..?” For moderate complications “Would I be upset if my baby had….?” (Main & Gould, 2016).
Severe complications include newborn death, transfer to another facility for higher level of care, extremely low Apgar Score (≤3 at either 5 or 10 minutes of life), birth injury such as intracranial hemorrhage or nerve injury, hypoxic ischemic encephalopathy, meconium aspiration with symptoms, or sepsis. Moderate complications include less severe respiratory complications (such as transient tachypnea of the newborn) or infections with a longer length of stay, excluding sepsis. Most moderate complications require a newborn length of stay that exceeds that of the mother, validating that it is a significant complication.