From Incubator to Open Cot: a survey of public hospital neonatal nurseries in Australia and New Zealand.

New, K, Bogossian, F, East, C and Davies, M.W (2009). From Incubator to Open Cot: a survey of public hospital neonatal nurseries in Australia and New Zealand.. In: Journal of Paediatrics and Child Health. 13th Annual Congress of the Perinatal Society of Australia and New Zealand, Darwin, NT, Australia, (27). 19–22 April, 2009. doi:10.1111/j.1440-1754.2009.01475.x


Author New, K
Bogossian, F
East, C
Davies, M.W
Title of paper From Incubator to Open Cot: a survey of public hospital neonatal nurseries in Australia and New Zealand.
Conference name 13th Annual Congress of the Perinatal Society of Australia and New Zealand
Conference location Darwin, NT, Australia
Conference dates 19–22 April, 2009
Proceedings title Journal of Paediatrics and Child Health   Check publisher's open access policy
Place of Publication Melbourne Australia
Publisher Blackwell Scientific
Publication Year 2009
Sub-type Fully published paper
DOI 10.1111/j.1440-1754.2009.01475.x
ISSN 1034-4810
1440-1754
Volume 45
Issue s1
Start page 27
Total pages 1
Language eng
Abstract/Summary Background: The use of incubators to maintain a thermoneutral environment for preterm infants is routine practice in neonatal nurseries. Successful transition from incubator to open cot is a prerequisite for hospital discharge. Practice on the optimal timing of this transition is reported to vary widely among neonatal units; however there is a paucity of high level evidence and no recent review of current practice of transferring preterm infants from incubator to open cot. Method: A web-based survey of all public hospitals providing high dependency neonatal services in Australia (n = 91) and New Zealand (NZ) (n = 21). Results: Sisty-seven hospitals in Australia (74%) and 15 hospitals in NZ (71%) responded. 88% of all hospitals reported using a combination approach of incubator air temperature (IAT) and current weight as the determinants for transferring to an open cot. 60% target an IAT of ≤29°C and 44% a weight of 1800 g. 58% of nurseries use double walled incubators all of the time whilst 12% use single walled incubators as an intermediate step before transferring into an open cot. Eighty-six percent undertake thermal challenging prior to transfer. Thirty-nine percent report using evidence based literature most or all of the time; equally 35% indicate that historical nursery practice is a considered factor in practice most or all of the time. Conclusions: This survey of Australian and NZ neonatal nurseries indicates diversity in approaches for transferring preterm infants from incubators to open cots. Research is needed in order to establich criteria to support transition of these infants.
Subjects 111006 Midwifery
Keyword Incubator Care
Open cot
Q-Index Code EX
Q-Index Status Provisional Code

Document type: Conference Paper
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Wed, 21 Jul 2010, 15:21:11 EST by Ms Jillian Griffin on behalf of Faculty Of Health Sciences