P0011 / #688: THE APPLICATION OF THE NURSING CARE PLAN OF THE MINIMAL MANIPULATION IN THE NEONATAL INTENSIVE CARE UNIT

Abstract

Aims & Objectives: To verify the impact of the application of the Protocol of minimal manipulation in the control of Intraventricular Hemorrhage in the Neonatal Intensive Care Unit. Methods: Inclusion criteria: newborns with gestational age ≤ 29 6/7 weeks and/or ≤ 1,500g. Strict minimum manipulation was maintained in the first 72 hours of life and could be extended up to the 7th day of life 3-5. The release of the change of decubitus is allowed from the 7th day of life. First Ultrasound of Cranial Fontanelles between the 3rd and 7th day of life of the newborn, to verify hemorrhage6,7. There was an explanation of the content for the multidisciplinary team and family of the newborn, fixed support material in the unit and fixed identifier in the incubator for visualization of the newborn participants of the protocol. Results: There was a positive impact on the application of the Protocol demonstrating a significant decrease in cases of Intraventricular Cerebral hemorrhage. There was a decrease between grade I and III. The incidence of intraventricular cerebral hemorrhages decreased from 39,5% in 2018 to 29,2% in 2019. Grade III and IV Hemorrhages showed a decrease of 50,9% from 2018 to 2019. Conclusions: Considering the non-measurable results on the implementation of the Protocol, we can observe the involvement of the nursing team that conducted the protocol orientation and there was great adherence to the multidisciplinary team and the newborn’s family. The support material that was essential support for conducting the implementation, also reinforced the orientation of Protocol.