F05-a Care of the Newborn Receiving Morphine for Opioid Withdrawal: Is NICU Care and Continuous Monitoring Really Necessary?

Purpose:

To present findings of a 10 year retrospective chart review that seeks to answer the question if it is safe to care for newborns who are initiated on morphine therapy for opioid withdrawal outside of the NICU and without cardio-respiratory monitoring.

Learning Objectives:

Following this session, participants will be able to:

1. State the incidence of respiratory depression in infants who are receiving morphine for NOWS.

2. Identify the impact of NICU admission and continuous cardio-respiratory monitoring on the mother infant dyad.

3. Reflect on the implications of this proposed practice change to the care of mothers with babies who are experiencing opioid withdrawal in their own communities.

Presenter:

Lani Wittmann, RN, MN, IBCLC, PNC(C), Senior Practice Leader, BC Women's Hospital, Vancouver, BC, Canada

Jola Berkman, RN, BScN, BSc(med)Hons, Neonatal Care Coordinator, Perinatal Services BC, Vancouver, BC, Canada

F05-b Moving Neonatal Abstinence Care to a Mother Baby Unit: Using Baby Steps to Move Practice Forward

Purpose:

The purpose of this presentation is to describe implementation of a new care model for infants receiving NAS care; shifting the care from a NICU environment to being care for with their parents on a Mother Baby Unit.

Learning Objectives:

1. By the end of this presentation participants will be able to describe the steps taken to move NAS care from the NICU to the Mother Baby Unit.

2. By the end of this presentation participants will be able to state the challenges for families in providing this intense care to their infants and the tools developed to support them.

3.  By the end of this presentation participants will be able to describe the outcomes for infants, families and the health system using this new model of care.

Presenters:

Cynthia Mann, RN, MN, MHA, PNC(C), IBCLC, Clinical Nurse Specialist, IWK Health Centre, Halifax, NS, Canada

Rebecca McLeod, RN, IBCLC, IWK Health Centre, Halifax, NS, Canada