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Advances in Neonatal Care:
doi: 10.1097/ANC.0b013e3181afab5b
Professional Growth and Development: 2.3 hours Continuing Education

Supporting Staff Recovery and Reintegration After a Critical Incident Resulting in Infant Death

Roesler, Roberta MSN, RNC1; Ward, Debra MSN, RN1; Short, Mary MSN, RN2

Continued Education
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Abstract

A critical incident is described as any sudden unexpected event that has the power to overwhelm the usual effective coping skills of an individual or a group and can cause significant psychological distress in usually healthy persons. A Just Culture model to deal with critical incidents is an approach that seeks to identify and balance system events and personal accountability. This article reports a critical incident that occurred at the Neonatal Intensive Care Unit, Methodist Hospital of Indianapolis, when 5 infants received an overdose of heparin that resulted in the death of 3 infants. Although care of the family after the critical incident was the immediate priority, the focus of this article was on the recovery and reintegration of the NICU staff after a critical incident based on the Just Culture philosophy.

© 2009 National Association of Neonatal Nurses

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