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Vicky Payne

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  1. Oh no, sorry, I did not mean to share private information! Please do not do this! ;-) I just wondered if there was a UK survey, for example, that might @ali in reviewing current practice!
  2. Thanks @Roland NNP . It would be interesting to know which units are using it, @ali and what their data looks like for CLABSI rates.......
  3. Agree re: quiz about paper and follow up with discussion/author interview 🤩
  4. Not a bad score given that I only skimmed the abstract whilst on a gondola 🚠 🤭😬🫣😂 I guess I am the cynical middle aged-educationalist woman now. I think ChatGPT MCQs are ok for facts, but not so great at generating questions that test reasoning or judgement…. I think the distractor questions can be easy to game. I guessed an ok score having read the abstract only! Also, if we want to test facts from the paper, fine, if we want application to practice, maybe less so- although I didn’t even read the full paper and did ok 😬🤭 I’m afraid I’m am currently re-designing an assessment based upon MCQ design for Level 7 MSc exam, so probably viewing this too strictly as an academic rather than something easy! 😂🤣 I am going to be using assertion-reasoning style questions for M level, and have tried to use ChatGPT to write them but do not think they are very good. But they get you started with something to scaffold from and help generate ideas to get me started. it will be interesting to see how much activity the quiz gets AND if it starts up any debate on the forum?! That would be ideal! Eg rates of antibiotic use already low (compared to some countries) staffing resources required, is it implementable etc
  5. Vicky Payne changed their profile photo
  6. Thank you very much. It was a surprise but an absolute honour to receive the award, and to raise the profile of the wonderful profession of neonatal nursing ;-) Perhaps I shall write a blog post about it, or maybe we can have a neonatal nursing career forum within our @99nicu.org platform?!? To all the neonatal nurses who are members of the 99nicu forum.... where are you? Say hi! Lets create a space here where we can network, collaborate, and share ideas!
  7. I am curious to hear more about this possibly even more restrictive approach! It would be interesting to know what your practice looks like!
  8. Sort of on this topic but slightly different..... I think this might be the first RCT (cluster RCT including both non-inferiority and superiority outcomes) on the EOS calculator versus 'categorical guidelines? Performed in 10 centres in the Netherlands. https://www.thelancet.com/action/showPdf?pii=S2589-5370%2825%2900351-7 @Gustaf Lernfelt as @Stefan Johansson has highlighted in the antibiotic exposure paper (Giannoni et al 2022) Sweden has one of the lowest antibiotic exposure rates. I guess it would be a case of determining if an EOS risk calculator would reduce antibiotic exposure in Sweden, or are you already using these judiciously? Thoughts?!
  9. NPASS tool is used in several UK neonatal networks. I think achieving regular record keeping of pain assessments remains challenging. Common intubation induction agents commonly include fentanyl, some use proposal and some may use ketamine in specific patients. Infusions commonly morphine & fentanyl (in my experience) and it seems there is increasing interest in dexemedetomine. Non pharmacological approaches for LP. Some low doses of fentanyl used for LISA, sometimes non-pharmacological, and a report also of midazolam.
  10. The evidence is pretty outdated now (for ANNPs in UK): https://fn.bmj.com/content/85/2/F100.short?casa_token=9i4GItNNUZsAAAAA:ZtUt3FZLPUDi24aUARK7_r-SO1lrgUDbaEweY3MQO0DGmcH4h_XZO4voFZ0QsS3qGz3xqNrsiW8 I am afraid I am not sure of published evidence for midwives, but I can find out ;-) A taster below ;-) ADC Fetal & Neonatal EditionRoutine examination of the newborn and maternal satisfact...Objective: To determine whether the routine examination of the newborn by a midwife compared with a junior paediatrician (SHO) affects maternal satisfaction with this examination. Methods: Randomi...
  11. Many places in UK now have midwives undertaking many of the newborn baby checks, and it is included in their undergraduate training. Some places will have a checklist of which checks can be reviewed by a trained midwife, and those that are considered more 'complex' or 'at risk' will be seen by a junior doctor or by an advanced neonatal nurse practitioner, including reviews of babies on antibiotics etc. Advanced neonatal nurse practitioners often also perform NIPEs (newborn infant physical examinations) as well, have baby check 'clinics' etc
  12. Our 5th and final webinar in our series on The Honesty Sessions in collaboration with the Adult Preemies Advocacy Network is on Wednesday 27th November at 10:00 GMT. This webinar will discuss The PERIScope Project- An Insight into What Matters for Adults Born Preterm with Dr Rachel Collum. Register here and join over 200 participants from across the world to join in the conversation! Rachel had a baby born pre-term (in 2017) and has since been working within the neonatal sector to improve experiences of the neonatal unit for families. She is a huge proponent of the concept of Family-Integrated Care and campaigns to embed this into our UK units, considering families as partners in their babies’ cares and not visitors. Rachel is Chair of the Northern Neonatal Network Parent Advisory Group and is also Family Advocacy and Support Lead for BAPM, as well as working with charities such as the Tiny Lives Trust and Neonatal Nurses Association. Rachel’s research is focused on how we can better understand what prematurity looks like across the lifespan, and she works with a group of adults born pre-term to co produce recommendations to raise awareness of some of the life-long impacts of prematurity that can inform improved practice. Here is a link to the PERIScope Padlet: PERIScope: An exploration of identity in individuals born pre-term. Register here for the final webinar, and we look forward to seeing you online!
  13. Our 4th webinar in The Honesty Sessions series is on Monday 18th November at 19:00 GMT, titled: Introducing the BPD Collaborative & Insights into Preterm Lung Health in Later Life. Introducing the BPD Collaborative & Insights into Preterm Lung Health in Later Life will provide an in-depth look at bronchopulmonary dysplasia (BPD), also known as chronic lung disease, and the long-term impacts of prematurity on lung health. This webinar will feature three guest speakers alongside Lauren Ingledow, co-founder of the Adult Preemies Advocacy Network. Register here and join >190 attendees from all across the globe! Dr. Steven Abman is Professor of Pediatrics and Director of the Pediatric Heart Lung Center (PHLC) at the University of Colorado Denver Anschutz School of Medicine and Children’s Hospital Colorado. Having completed fellowship training in Pediatric Pulmonary and Critical Care Medicine, Dr. Abman has maintained strong translational research and clinical interests in neonatal lung injury, lung vascular development, pulmonary hypertension, chronic lung disease in the newborn (bronchopulmonary dysplasia, BPD), pulmonary hypertension, and related topics. Dr. Abman was one of the co-founders and is Vice-Chair of the international BPD Collaborative. He recently completed his tenure as President of the American Pediatric Society (APS). Dr Sharon McGrath-Morrow, MD is a Pediatric Pulmonologist and physician scientist at the Children’s Hospital of Philadelphia (CHOP). Her research centre's around the effects of neonatal lung injuries and infections on lung immune responses, alveolar growth, and adult pulmonary outcomes. Her clinical research focuses on developmental lung diseases caused by preterm birth and the role of environmental modifiers in influencing long-term respiratory outcomes throughout the lifespan. Dr. J. Michael Collaco is a professor of pediatrics at the Johns Hopkins University School of Medicine. His primary research interest is in the epidemiology of pediatric respiratory diseases, with a focus on environmental risk factors for cystic fibrosis and bronchopulmonary dysplasia as well as a special interest in the effects of second-hand smoke and electronic cigarette emissions. The BPD Collaborative | Improving Babies Bronchopulmonary Dysplasia Register for the webinar series here!
  14. Our next LIVE webinar in the 5-part series on Adults Born Preterm: The Honesty Sessions is on Monday 11th November 16:00 GMT. Register here! Webinar 3: Preterm Birth History Matters – To Both of Us: How to Foster Communication Between Clinicians and Patients focuses on the importance of effective communication between healthcare professionals and those born preterm, highlighting how understanding preterm birth history can enhance patient care and foster stronger clinician-patient relationships. Michelle Kelly, PhD, CRNP, FAANP, FAAN is an Associate Professor at Villanova University’s M. Louise Fitzpatrick College of Nursing and previous Research Fellow at the University of Rhode Island College of Nursing. As a paediatric and neonatal nurse practitioner, Dr Kelly is an advocate for promoting the health of people born preterm throughout the lifespan, particularly related to neurodevelopmental outcomes and long-term health risks. She has published extensively on the topic. She presents nationally and internationally on preterm birth outcomes, nurse practitioner practice and leadership. She is a Fellow in the American Academy of Nursing and the American Association of Nurse Practitioners. Register here! We look forward to seeing you online! Remember, we invite you to actively participate by sharing any questions or topics you'd like our speakers to address during the webinars. Your input will help shape the conversation, so don't hesitate to ask what's on your mind!
  15. We are looking forward to webinar 1 of The Honesty Sessions coming this Saturday 2nd November at 15:00 GMT. Please see our previous post for more information and you can register here for all webinars! Our next webinar is released on Wednesday 6th November at 1pm GMT titled "It's Time to Talk... Preterm Birth is For Life" with Lauren Ingledow and Mandy Daly. It is pre-recorded and will be released on our YouTube channel . Join Lauren and Mandy as they delve into the lasting impact of preterm birth, addressing the challenges and experiences faced by families and individuals born preterm after NICU. Register here for all webinars! Mandy Daly is a parent of a preterm infant, the founder of the collaborative multi-stakeholder, multi-disciplinary platform, The Irish Neonatal Health Alliance (www.inha.ie) and a EUPATI Fellow and Tutor. She specializes in the areas of Advocacy, Education and Research. Her accomplishments in the field include collaborating on several neonatal and paediatric health system reviews and clinical audits, reviewing obstetric, neonatal and bereavement clinical guidelines, developing and delivering curricula and continued education for medical, nursing, allied health professional and patient expert students. She mentors PhD students, serves on the advisory boards of the PPI Ignite Network, the Clinical Research Facility for University College Cork and the National Office Of Clinical Audit. She has served on the NIDCAP Federation International Board since 2012 and has worked as patient collaborator and embedded patient researcher on over 70 national and international research studies including developing several Core Outcome Sets. She is a chair committee member of group that developed the European Standards of Care For Newborn health, a public reviewer for the Irish Health Research Board and the British Medical Journal Open Pediatrics, a member of the National Office of Research Ethics Clinical Trials Committee. She works with the National Clinical Trials Office Stakeholder and Management Committee, the EMA and the Health Products Regulatory Authority of Ireland and has published papers in several peer reviewed journals. We invite you to actively participate by sharing any questions or topics you'd like our speakers to address during the webinars. Your input will help shape the conversation, so don't hesitate to ask what's on your mind! Please do post any questions you may have for Mandy and Lauren in the comments below 👇

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