Capital Budget Request
CAPITAL BUDGET REQUEST
A Case for Portable Pulse Oximetry in the OB Unit –
A Capital Budget Request
Ashlee Lake
HCS 571
December 17, 2012
Professor Joe Rudd
A Case for Portable Pulse Oximetry in the OB Unit –
A Capital Budget Request According to the Centers for Disease Control, Critical Congenital Heart Disease (CCHD) accounts for approximately twenty-four percent of all infant deaths related to birth defects (2011). Congenital heart defects in infants may not be diagnosed until after the patent ductus arteriosus closes which typically occurs after the infant is discharged to home. Every year approximately 4,800 infants are born with CCHD and if left untreated these infants can suffer serious health issues and or death (Centers for Disease Control, 2011). It is the recommendation of both the CDC and the American Academy of Pediatrics to screen all infants for CCHD prior to discharge. Pulse oximetry screening can help to identify children with CCHD before they show symptoms of CCHD. The mission of Licking Memorial Hospital is “To Improve the Health of the Community”. In order to ensure that the mission is successfully achieved; the maternity department is proposing to purchase portable pulse oximetry units for newborn screening. The portable pulse oximetry units would ensure that all babies delivered at Licking Memorial Hospital would have access to Critical Congenital Heart Disease screening prior to discharge.
Critical Congenital Heart Disease Screening
Critical Congenital Heart Disease screening is a non-invasive pulse oximetry test to determine the amount of oxygen circulating in the baby’s blood. The pulse oximetry probe is placed on the infant’s right hand (pre-ductal reading) and this result is compared to a pulse oximetry reading on the infant’s foot. The pulse oximetry reading must be greater than 90% and less than a difference of 5 points between the hand and foot in order to consider the
A Case for Portable Pulse Oximetry in the OB Unit –
A Capital Budget Request
Ashlee Lake
HCS 571
December 17, 2012
Professor Joe Rudd
A Case for Portable Pulse Oximetry in the OB Unit –
A Capital Budget Request According to the Centers for Disease Control, Critical Congenital Heart Disease (CCHD) accounts for approximately twenty-four percent of all infant deaths related to birth defects (2011). Congenital heart defects in infants may not be diagnosed until after the patent ductus arteriosus closes which typically occurs after the infant is discharged to home. Every year approximately 4,800 infants are born with CCHD and if left untreated these infants can suffer serious health issues and or death (Centers for Disease Control, 2011). It is the recommendation of both the CDC and the American Academy of Pediatrics to screen all infants for CCHD prior to discharge. Pulse oximetry screening can help to identify children with CCHD before they show symptoms of CCHD. The mission of Licking Memorial Hospital is “To Improve the Health of the Community”. In order to ensure that the mission is successfully achieved; the maternity department is proposing to purchase portable pulse oximetry units for newborn screening. The portable pulse oximetry units would ensure that all babies delivered at Licking Memorial Hospital would have access to Critical Congenital Heart Disease screening prior to discharge.
Critical Congenital Heart Disease Screening
Critical Congenital Heart Disease screening is a non-invasive pulse oximetry test to determine the amount of oxygen circulating in the baby’s blood. The pulse oximetry probe is placed on the infant’s right hand (pre-ductal reading) and this result is compared to a pulse oximetry reading on the infant’s foot. The pulse oximetry reading must be greater than 90% and less than a difference of 5 points between the hand and foot in order to consider the
References: Centers for Disease Control. (2011). Screening for Critical Congenital Heart Defects. Retrieved from http://www.cdc.gov/ncbddd/pediatricgenetics/pulse.html Licking Memorial Health Systems. (2012). 2011 Statistics. Retrieved from http://www.lmhealth.org/pdf/LMHfacts.pdf Masimo. (2011). HEART Program. Retrieved from http://www.masimo.com/heartprogram/ Ohio Department of Health. (2012). Women and Infant Health: Infant Mortality. Retrieved from http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/cfhs/infant%20mortality%20task%20force/OHIO%20FACT%20SHEET-MI-InfantMortality%2011-19-12.ashx