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Neonatal Glucose Testing via Prompted Intervention During the Pretransport Phase of Care

Diehl-Svrjcek, Beth C. DNP, NNP-BC, CCRN, LNCC; Price-Douglas, Webra PhD, CRNP, IBCLC; Flagg, JoAnne DNP, CPNP, IBCLC

Section Editor(s): Schierholz, Elizabeth

doi: 10.1097/ANC.0b013e31822c94bd
Issues in Neonatal Transport

Neonatal hypoglycemia is a common metabolic problem. Critically ill neonates require effective glucose metabolism to survive and thrive. Timely and urgent transport of these neonates from a level I/II nursery to a level III NICU is often needed related to complex medical and nursing care requirements. The stabilization phase prior to transport can be chaotic, resulting in a less than optimal frequency of glucose testing. Inadequate testing may result in undetected hypoglycemia that can lead to lifelong and serious neurodevelopmental sequela. The internationally utilized S.T.A.B.L.E. curriculum, which guides postresuscitation/pretransport stabilization, has an evaluative component known as the Pretransport Stabilization Self-Assessment Tool (PSSAT). This tool allows the referral hospital staff and transport team to track glucose levels during the pretransport phase of care at 3 distinct points in time. Utilization of the PSSAT has been shown to successfully prompt glucose testing that is reflective of the S.T.A.B.L.E. curriculum.

Maryland Regional Neonatal Transport Program, The Johns Hopkins Hospital (Dr Diehl-Svrjcek and Dr Price-Douglas) and The Johns Hopkins University School of Nursing (Dr Flagg), Baltimore, Maryland.

Correspondence: Beth C. Diehl-Svrjcek, DNP, NNP-BC, CCRN, LNCC, Johns Hopkins Hospital, Neonatal ICU, CMSC 2, 600 North Wolfe Street, Baltimore, MD 21287 (Bdiehls1@jhmi.edu).

Participating Institutions: Maryland Regional Neonatal Transport Program, (MRNTP) Baltimore Washington Medical Center, Carroll Hospital Center, Maryland General Hospital, Memorial Hospital of Easton, Upper Chesapeake Medical Center

This article did not receive the support of any grants.

© 2011 National Association of Neonatal Nurses