We successfully increased the rates of NG hydration in eligible children with bronchiolitis by using educational and system-based interventions.

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Marshall Teen Talk is an established, successful after-school program that teaches reproductive health to high school students in McDowell County using telehealth. This study focuses on the expansion of this program involving the addition of online reproductive health modules on the program website (www.marshallteentalk.org). The purpose of this study was to identify if the use of online modules contributed to overall reproductive health knowledge among a group of high school students. Topics covered in the afterschool telehealth sessions and online modules included Anatomy, Relationships, Birth Control, and STD prevention. Knowledge scores were measured by a set of 20 reproductive health questions given as a pre and post test before and after the program. Thirty-five students voluntarily participated in at least one telehealth session and/or online module. The majority of students who completed the modules liked the format and found the information to be easily understood. The differences in overall knowledge scores were significantly improved from pre to post-test (14.38 vs. 17.14, p<0.001), however, the completion of the online modules did not contribute significantly to an improvement in reproductive health knowledge.

Introduction: Delayed cord clamping (DCC) has numerous benefits to the neonate, including increased hemoglobin levels, decreased need for red blood cell transfusions, and decreased incidence of necrotizing enterocolitis and intraventricular hemorrhage. A preliminary observational study at our institution demonstrated 12% of the observed deliveries met the DCC standard, defined as umbilical cord clamping at least 30–60 seconds after birth. Therefore, we designed a quality improvement project to increase the percentage of deliveries using DCC. Methods: We planned a quality improvement project aiming to increase DCC rates on the university obstetrics service. Our interventions included provider education, installation of timers in the delivery suites, and modification to documentation in the electronic health record. We measured our results through the documented status of cord clamping, either: (1) greater than or equal to 30 seconds or (2) less than 30 seconds. We analyzed the DCC rates weekly and compared those results to the DCC goal of 80% of all deliveries. Results: Postintervention DCC rates were 96% overall. Rates of DCC met our aim of 80% or greater each of the 6 weeks we collected data. Conclusion: Simple and inexpensive interventions quickly led to improvements in DCC rates on our university obstetrics service. Our interventions including, provider education, installation of timers in delivery suites, and modification to cord clamping documentation in the electronic health record can be easily instituted at other hospitals. Additionally, the simplicity of this system can produce long-term sustainability of DCC.

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