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Enhancing Level 2 SCN: Improving Neonatal Care and Staffing Efficiency

This project aimed to address the challenges faced by babies requiring constant supervision in the Special Care Nursery (SCN) at Cougar Hospital, where ward staff were stretched thin. The initiative involved employing SCN-trained staff, creating a dedicated resuscitation area, and increasing the size and resources of the SCN. Key outcomes included a 355% rise in admissions, a 20% reduction in transfers to tertiary hospitals, and improved staffing flexibility. The project emphasizes the importance of skilled staffing to support neonatal care continuity and strengthen mother-baby bonding.

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Enhancing Level 2 SCN: Improving Neonatal Care and Staffing Efficiency

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  1. Creating a Level 2 SCN-3 cotsPresenter: Anne-Maree PollardHospital: Cougar 3Key Contact: Mary Dwyer,m.dwyer2@sdmh.org.au Tel 90761572 28 March 2008 - Melbourne

  2. KEY PROBLEM • Babies requiring constant supervision (i.e. isolette care with O², IV fluids) were cared for by ward staff. Therefore reducing the number of staff available to the ward or increasing the workload of the member of staff allocated the nursery. • The area allocated for SCN babies was inadequate

  3. AIM OF THIS PROJECT • Employ SCN trained staff • Improve the SCN and create a dedicated resuscitation area • Reduce the transfer out rate of neonates, allowing more mothers and babies to remain together in the hospital • Within a 6 month time frame: • Apply for funding from DHS • Create the space to build the SCN • Employ nurses/midwives for the area

  4. KEY CHANGES IMPLEMENTED • A project officer was employed to plan for the new unit and apply for funding • The SCN was relocated, increased in size and new equipment purchased • Dedicated SCN staff were employed: • 4.5-5 EFT

  5. OUTCOMES SO FAR Comparative Data Group 1(Aug 05 to Jan 06) v Group 2 (Aug 07 to Jan 08)

  6. OUTCOMES SO FAR • 355% increase in admissions • 20% decrease in transfers out to tertiary hospitals • 14% increase on transfers in

  7. PROJECT EVALUATION • Staffing!!! • Finding the right skill mix • Having flexible staff who are willing to assist on the ward when the nursery isn't busy

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