babies who were born and nursed in the facility must be selected and audited by the auditing team. Provider Skills Assessments and Maternal interviews are conducted by members of assessing Team. INDICATORS ASSESSED Fifteen indicators were selected for this assessment. Input & Process Output Clinical audits HCP Skills assessments Maternal Interviews Indicators Indicators Infrastructure: Care 4 clinical records: First examination of the Post natal ward X3 Neonatal Unit assessment: 2 Prem babies newborn mothers Maternity Unit Labour Ward weighing 1500g & Neonatal resuscitation in Neonatal nursery X Resus Equipment Neonatal Unit below the labour ward 2 mothers Support Services PN Unit 1x Sick Term Neonatal resuscitation in Staffing KMC 1xWell Well Term the neonatal Nursery Monitoring & Kangaroo mother care Process Indicators: Evaluation Breastfeeding CPAP initiation Statistics Systems Intubation (Regional Hospitals) Critical Items to achieve a Critical Items to achieve a Gold Critical Items to achieve a Silver Accreditation Accreditation Platinum Accreditation Total score of 50% Total score of 65% Total score of 80% One indicator per category Eight indicators must be Twelve indicators must above 60% above 60% score above 60% Dedicated MO that does not The Operational Numbers of nurses / shift rotate for 6 months Nurse/Sister in charge has meets the norms for beds 50% non rotation of an appropriate qualification beds correctly spaced with nursing staff Hand spray at every bed no overcrowding Hand washing facilities are 50% of maternity staff have There are records of weekly appropriate received HBB training HBB fire drills There is a functional Functional nasal CPAP is In and out surfactant resuscitaire and available and used therapy is available and resuscitation trolley Record and infection audits used available in are conducted monthly Clinical audits are Labour ward conducted annually Caesar theatre 10% institutional reduction Neonatal nursery targets in NMR, PCI and 100% of pre-term deliveries receive IHMR have been met antenatal steroids Results: Results will be available by end of April 2016. Lessons learnt: Communication with the facility prior to the assessment makes the process run smoothly
babies who were born and nursed in the facility must be selected and audited by the auditing team. Provider Skills Assessments and Maternal interviews are conducted by members of assessing Team. INDICATORS ASSESSED Fifteen indicators were selected for this assessment. Input & Process Indicators Output Indicators Clinical audits HCP Skills assessments Maternal Interviews Infrastructure: Neonatal Unit Maternity Unit Resus Equipment Support Services Staffing Process Indicators: Statistics Systems Care assessment: Labour Ward Neonatal Unit PN Unit KMC Monitoring & Evaluation 4 clinical records: 2 Prem babies weighing 1500g & below 1x Sick Term 1xWell Well Term First examination of the newborn Neonatal resuscitation in the labour ward Neonatal resuscitation in the neonatal Nursery Kangaroo mother care Breastfeeding CPAP initiation Intubation (Regional Hospitals) Post natal ward X3 mothers Neonatal nursery X 2 mothers Critical Items to achieve a Silver Accreditation Critical Items to achieve a Gold Accreditation Critical Items to achieve a Platinum Accreditation Total score of 50% One indicator per category above 60% Dedicated MO that does not rotate for 6 months 50% non rotation of nursing staff Hand washing facilities are appropriate There is a functional resuscitaire and resuscitation trolley available in Labour ward Caesar theatre Neonatal nursery 100% of pre-term deliveries receive antenatal steroids Total score of 65% Eight indicators must be above 60% The Operational Nurse/Sister in charge has an appropriate qualification Hand spray at every bed 50% of maternity staff have received HBB training Functional nasal CPAP is available and used Record and infection audits are conducted monthly Total score of 80% Twelve indicators must score above 60% Numbers of nurses / shift meets the norms for beds beds correctly spaced with no overcrowding There are records of weekly HBB fire drills In and out surfactant therapy is available and used Clinical audits are conducted annually 10% institutional reduction targets in NMR, PCI and IHMR have been met Results: Results will be available by end of April 2016. Lessons learnt: Communication with the facility prior to the assessment makes the process run smoothly
Proceedings-2016.docx