NICU Case Study: Hepatitis B2B

p. 1). Exposure to the wrong EBM is a patient safety issue. While the risk of infection is low, breastmilk is a wrong milk reaches the wrong patient) is considered a bodily fluid exposure (Choc-Children’s, bodily fluid and concerns about transmission of Hepatitis B, Hepatitis C, and HIV exist (Choc-Children’s, 2016, p. 3). When the benefits of change outweigh the risk of a “sacred cow”, it is time to give her a good tipping and put her out to pasture. This process of “tipping sacred cows” must involve change.
Implementing Change In order for change to occur there needs to be a driving force. Marquis, & Huston, (2017), indicates that forces driving change include new quality imperatives, the dynamic nature of knowledge, and in the NICU case,
191). My unit educator made herself available in the NICU to help nurses walk through using the system and to address and problems or concerns with the new process. By doing this she was able to calm fears and reduce the presents of driving forces that were impeding the progress of change. Over time the nurses in the NICU began to accept the Timeless way of handing EBM as the new norm. The “sacred cow” has been put out to pasture and handling EBM now looks something like
This is especially true when a parent brings in 15 bottles of EBM at once that must be entered into the system. According to Marquis, & Huston, (2017), it is easier to change knowledge levels than attitudes (p. 195). Change is an important part of life. Without there would be no growth. It is important to replace our “sacred cows” with EBP. As technology evolves and provides a safer way of caring infants in the NICU it is important for the bedside nurse to embrace it. With the help of change theories, like Lewin’s theory of unfreezing, movement, and refreezing, the process of change can be better understood. It is important to remember that how we go about presenting change is almost as important as the change itself. Furturmore, patient safety should always be the main