2018 TNA and TSNA Joint Annual Conference

2018 TNA-TSNA JOINT CONFERENCE | ADVOCACY IN ACTION
Recommendations for Practice/Research:
N/A
Unrestricted Intrapartum Oral Intake; Affects on Clinical Outcomes and Satisfaction with the
Labor Experience in Low-Risk Patients.
Nadia Robinson (Presenter)
Problem Addressed:
Since Mendelson’s landmark 1946 study warned of the significant risk of aspiration to intrapartum patients
who did not fast while hospitalized, nurses on labor and delivery wards have maintained NPO or severely
restricted intrapartum PO intake policies (Mendelson, 1994). These policies have persisted despite advances
in intrapartum anesthesia delivery methods, airway protection/intubation technology and current evidence
which demonstrates that aspiration in labor is rare in low-risk patients (Harty, 2015). Furthermore, evidence
shows that benefits of eating during labor are decreased duration of labor (Ciardulli et al., 2017), improved
fetal tolerance of labor (Harty, 2015), and increased patient satisfaction (Vallejo et al, 2013).
Objectives:
The purpose of our proposed innovate project is to increase patient satisfaction with all stages of labor by
recommending the implementation of unrestricted intrapartum oral intake policies for low-risk patients.
Methods/Procedures:
N/A
Findings:
N/A
Recommendations for Practice/Research:
For 12 months preceding implementation of an unrestricted intrapartum PO intake policy for low risk
patients, collect anonymous labor experience satisfaction data from postpartum patients who had been
low-risk throughout labor, prior to discharge. For 12 months following implementation of an unrestricted
intrapartum PO intake policy for low-risk patients, collect this same data. Provide eligible patients with
written and verbal information on the risks and benefits of intrapartum oral intake. This data will enable us
to serve as informed nurse advocates for optimal nutrition intake to benefit patients during the course of
their labor.
Prior to implementation of policy change and/or study, we will seek engagement, input and approval
from facility legal counsel, administration, ethics teams, Institutional Review Boards, and staff to ensure all
stakeholders are appraised of the current evidence, and effectively prepared to support the study and/or
change in facility policy.
Using Facebook in the Classroom: A Developing Case Study
Rebecca Bush (Presenter)
Problem Addressed:
Students are more technology driven and tend to gravitate toward alternative learning techniques.
Facebook is a common social medium that is actively used by college students. As discovered, Facebook
can be used effectively as a teaching tool in the classroom.
Objectives:
Participants will discover alternative learning and teaching strategies by using Facebook as teaching tool in
the classroom.
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