Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | The role of the nurse during the neonatal emergency transport service in Italy |
|---|---|
| Name | Morselli Eugenia |
| Supervisor(s) | Masoni Barbara; Sabbioni Federica |
| Academic Year | 2017/18 |
| Thesis type | Non research thesis |
Abstract
It is estimated that 1-2% of neonatal emergencies are not preventable, despite the efforts of obstetrical-gynecological networks to centralize high-risk pregnancies in high care-intensity hospital centers, there present the Neonatal Intensive Care (NIC). The usefulness of the Neonatal Emergency Transport Service (NETS) stems from two shortcomings of the Provincial Hospitals: the lesser experience in managing neonatal criticality, due to the lower number of assisted parts, and the lower availability of specialist neonatal care, not having a NIC available. In case of neonatal emergency, NETS contributes to the transfer of the critical newborn, born in Provincial Hospitals, in a NIC. The NETS Team consists of a Nurse of the NIC and a Neonatologist, responsible and cooperating in the timely assistance to the critical newborn, taking advantage of advanced means and devices to improve the stabilization, monitoring and stress of the newborn transported. From the observation of different clinical audits of some Italian regions is known to increase neonatal survival and improve the quality of life in newborns assisted and transported by the team NETS: less than 3 dead babies in 1000 live births, then, in half a million births today, 500 newborns live instead of dying. It can be said that the NETS succeeds in reducing the statistical data of stillbirths, contributing to the quality of neonatal life. The NETS is implemented by a consolidated preparation of the nurse, identified among operators who have a documented training and professional experience in NIC. The NETS nurse is responsible for constantly monitoring and evaluating the vital parameters of the critical newborn, detecting signs and symptoms of any changes in clinical conditions and contributes qualitatively to neonatal stabilization and transport to the NIC.