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Vermont Oxford Network Data Base. Joyce Zwane. Introduction. This is a non-profit voluntary collaboration of healthcare professionals, that was started in 1987 in Vermont. The purpose is to improve the quality and safety of medical care for the neonates and their families.

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introduction
Introduction
  • This is a non-profit voluntary collaboration of healthcare professionals, that was started in 1987 in Vermont.
  • The purpose is to improve the quality and safety of medical care for the neonates and their families.
  • Mission: The network has two database’s
  • That contain information about the care and outcomes of high-risk newborns. We supply data of all our VLBW infants and all infants admitted into our ICU.

.

purpose of data
Purpose of Data
  • Provides reliable and confidential data to the units for quality management, audits and improvements.
  • Provides data for research and epidemiological studies
  • Creates platform for education for health professionals and families.
slide4

I was one of the lucky

five to spread my wings

over the Atlantic Ocean to attend the eighth VON congress in Washington D.C

advantages of von
Provides global uniformity in terms of Neonatal Care

Ensures correct capturing of data, thus improving correct documentation

Gives time-frame for administration of Survanta or Curosurf

Reduces the indiscriminate use of oxygen

Encourages the use of Neopuffs instead of ambubags

Suggests that oxygen to be increased by three gradings at a time

Advantages of VON
slide6
Emphasizes the importance of blending oxygen
  • Standardizes alarm settings for oxygen saturation of between 85-95%
  • Encourages the use of CPAP more than conventional ventilation thus reducing the no. of ventilation days and therefore complications such BPD
infant nutrition
InfantNutrition
  • Promotes the use of early Breastmilk feeding where possible, Or Total Parenteral Nutrition as early 6 hours post delivery if infant is stable and blood sugar monitoring daily or prn
  • Adding FM85 if infant tolerates 100ml/kg/24hrs
general
General
  • Focus on admission temperature
  • Use of Caffeine instead Aminophyllin
  • Use of sucrose for pain during procedures
  • Eye-testing Criteria :Infant s < 35 weeks & < 1.5kg for R.O.P
  • Cranial Ultrasound as above
  • Reduction of noise levels in the N.I.C.U.
  • More focus on infection prevention and control i.e. Basic hand washing, use of non-touch dispensers- sprays.
proper use of equipment and cleaning techniques
Proper use of equipmentand Cleaning techniques
  • Focus on specific area’s:
  • Humidification systems
  • Trolleys, outside equipment brought into the unit (X-ray machines)
  • Stethoscopes, thermometers
  • Calculators, patient files
  • Telephones
  • Temperature control and cleaning of fridges
  • Control of Visitors
  • Weekly incubators and Ventilator changes
  • Long nails, nail polish, wrist watches and religious strings