Proposed Topic (Most preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Proposed Topic (Second preferred): :
Enhancing Partnership with Patients and Community (Projects initiated to engage patients / carers / community to improve efficiency / quality of care)
Authors (including presenting author) :
Lo KY (1), Lee WF (1), Wong PK (1), So HY (2)
Affiliation :
(1) Neonatal Intensive Care Unit, Hong Kong Children’s Hospital (2) Neonatal Intensive Care Unit, Kowloon Central Cluster
Introduction :
Neonatal Intensive care unit (NICU) of Hong Kong Children’s Hospital is mainly handling paediatric surgical cases. Most surgical cases are necrotizing enterocolitis (NEC). Short gut syndrome is one of the complications. It may prolong hospitalization period due to milk intolerance, and long term intravenous total parental nutrition (TPN). Home TPN education for parents is proposed for the stable cases to solve this problem.
Objectives :
To release the pressure of full occupied hospital beds.
To update the staff’s knowledge on parent’s TPN education.
To empower parents to care baby and enrich their knowledge in caring baby at home.
Methodology :
Assigned 2 APN as case manager, case manager coordinated and trained case nurse to teach parents.
Case nurse demonstrated TPN administration, parents need to return demonstration.
Standardize teaching materials.
Prepare purchasing list of consumables to parents.
Provide resources for rent home equipment.
Result & Outcome :
Total 5 cases educated home TPN in NICU.
4 cases are NEC with short gut syndrome. 1 case is Aganglionosis. Total education days for parents on TPN administrations are from 1 to 33 days. Average 15.4 days. Total length of stay of these five cases are from 185 to 265 days, average 224.4 days.
NICU can transfer long term TPN cases to Mixed Specialty Ward after complete education, parents can continue education by rooming in and caring baby with nurse support, and trial to use home equipment in ward.
Patients can reduce length of stay, NICU will have vacancies to admit critical case for operation.
