Improving Newborn Car Seat Safety Before Hospital Discharge [Poster]
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Background: A significant cause of infant and childhood injuries and mortality is motor vehicle accidents. Assessment and remediation studies have determined there are many common errors parents make regarding positioning of a newborn in a car safety seat (CSS). A multi-phased project was undertaken to determined CSS misuse rates at baseline and after implementing newborn CSS positioning educational strategies among parent/newborn dyads at a large urban 60-bed postpartum unit.
Method: A 12 registered nurse trained quality improvement team using a 7-point checklist, based on positioning recommendations from the American Academy of Pediatrics, conducted dyad assessments at baseline and phase I (N=192). In phase I, a step-by-step CSS positioning educational pamphlet was added to mothers’ discharge teaching. In phase II, a CSS positioning YouTube demonstration video was designed, developed and evaluated by registered nurses working in the field of maternal-child health. Phase II data collection metrics included website viewing and educational tool evaluation of the CSS parental video in continuation of the Plan-Do-Study-Act process.
Results: At baseline CSS 7-point criteria was met by few (n=20; 20.8%) dyads with most dyads (n=76) demonstrating one or more positioning errors. Shoulder-strap misalignment was the highest criteria missed. After education, CSS criteria was met by 67 (69.8%) dyads. For phase II, all of the nurse evaluators considered both tools useful and would welcome both types of CSS education on the unit.
Conclusion: CSS positioning education at the point of care supports parent safety behaviors.