Neonatal Audit form 2017

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<p>RCOT Implementation Toolkit – Audit Form</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>This audit tool is to be used in conjunction with the evidence-based practice guideline</p><p>Occupational therapy in neonatal services and early intervention (RCOT 2017).</p><p>These evidence-based recommendations are not intended to be taken in isolation and</p><p>must be considered in conjunction with the contextual information provided in the full</p><p>guideline, together with the details on the strength and quality of the recommendations.</p><p>The recommendations are intended to be used alongside clinical expertise and, as such,</p><p>the occupational therapist is ultimately responsible for the interpretation of the evidence-</p><p>based guideline in the context of their specific circumstances and service users.</p><p>The full practice guideline together with implementation resources can be found on the</p><p>Royal College of Occupational Therapists website: www.RCOT.co.uk</p><p>Reference</p><p>Royal College of Occupational Therapists (2017) Occupational therapy in neonatal services</p><p>and early intervention. London: RCOT.</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in</p><p>England and Wales (No. 275119) and in Scotland (No. SCO39573) and a company registered in England (No. 1347374)</p><p>Royal College of Occupational Therapists</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>Please ensure that you save this PDF to your desktop BEFORE making any changes, otherwise your data will be lost</p><p>Recommendations</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in England and Wales (No. 275119) and in Scotland (No. SCO39573) and a company registered in England (No. 1347374)</p><p>Occupation-based assessment What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>1 It is recommended that occupational</p><p>therapists safely and appropriately</p><p>assess the neurobehavioural status of</p><p>the high-risk infant, in order to plan/</p><p>deliver developmentally supportive care.</p><p>2 It is recommended that occupational</p><p>therapists assess neurobehavioural</p><p>and neurodevelopmental status to</p><p>provide guidance and identify infants</p><p>appropriate for developmental follow-up</p><p>following discharge.</p><p>3 It is recommended that occupational</p><p>therapists liaise with community teams</p><p>and assess neurodevelopmental status</p><p>for high-risk infants in the first two</p><p>years of life to provide guidance and</p><p>implement early intervention services</p><p>where indicated.</p><p>(Please note, the font size will adjust automatically to fit the box)</p><p>Page 2 of 12</p><p>Date of audit Auditor Role</p><p>Location Review due date</p><p>Royal College of Occupational Therapists</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>Please ensure that you save this PDF to your desktop BEFORE making any changes, otherwise your data will be lost</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in England and Wales (No. 275119) and in Scotland (No. SCO39573) and a company registered in England (No. 1347374)</p><p>Developmentally supportive care What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>4 It is recommended that developmentally</p><p>supportive care principles are</p><p>implemented for high-risk infants</p><p>admitted to neonatal units to enhance</p><p>short term health and developmental</p><p>outcomes.</p><p>5 It is recommended that occupational</p><p>therapists promote an appropriate</p><p>developmental environment, based on</p><p>the infant’s age and status and individual</p><p>needs.</p><p>Pain management What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>6 It is recommended that occupational</p><p>therapists promote and support parent</p><p>provision of skin-to-skin care with their</p><p>infant during appropriate, planned, painful</p><p>caregiving procedures (e.g. heel lance).</p><p>(Please note, the font size will adjust automatically to fit the box)</p><p>Page 3 of 12</p><p>Date of audit Auditor Role</p><p>Location Review due date</p><p>Royal College of Occupational Therapists</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>Please ensure that you save this PDF to your desktop BEFORE making any changes, otherwise your data will be lost</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in England and Wales (No. 275119) and in Scotland (No. SCO39573) and a company registered in England (No. 1347374)</p><p>Pain management (cont’d) What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>7 It is recommended that occupational</p><p>therapists promote the use of facilitated</p><p>tucking by all caregivers (parents and</p><p>practitioners) for pain management</p><p>during relevant caregiving procedures</p><p>(e.g. endotracheal suctioning).</p><p>8 It is recommended that occupational</p><p>therapists support parent understanding</p><p>and facilitate engagement in appropriate</p><p>pain management strategies to enable</p><p>them to provide sensitive support to</p><p>their infants and promote parent self-</p><p>efficacy.</p><p>9 It is recommended that occupational</p><p>therapists work with the neonatal</p><p>team to promote routine assessment</p><p>of neonatal pain and identification</p><p>of appropriate pain management</p><p>strategies.</p><p>Page 4 of 12</p><p>Date of audit Auditor Role</p><p>Location Review due date</p><p>(Please note, the font size will adjust automatically to fit the box)</p><p>Royal College of Occupational Therapists</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>Please ensure that you save this PDF to your desktop BEFORE making any changes, otherwise your data will be lost</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in England and Wales (No. 275119) and in Scotland (No. SCO39573) and a company registered in England (No. 1347374)</p><p>Skin-to-skin (kangaroo) care What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>10 It is recommended that occupational</p><p>therapists collaborate with the neonatal</p><p>team to facilitate parent engagement</p><p>in skin-to-skin care for high-risk</p><p>infants to promote breastfeeding, pain</p><p>management, physiological regulation</p><p>and parent self-efficacy.</p><p>Positioning What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>11 It is recommended that occupational</p><p>therapists collaborate with the neonatal</p><p>team to facilitate individualised</p><p>positioning recommendations for infants</p><p>that promote infant motor outcomes,</p><p>self-regulatory behaviours and prevent</p><p>respiratory compromise.</p><p>12 It is recommended that occupational</p><p>therapists review the selection and</p><p>use of neonatal positioning aids for</p><p>their ability to promote infant motor</p><p>outcomes, the development of infant</p><p>postural control and self-regulatory</p><p>behaviours.</p><p>Page 5 of 12</p><p>Date of audit Auditor Role</p><p>Location Review due date</p><p>(Please note, the font size will adjust automatically to fit the box)</p><p>Royal College of Occupational Therapists</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>Please ensure that you save this PDF to your desktop BEFORE making any changes, otherwise your data will be lost</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in England and Wales (No. 275119) and in Scotland (No. SCO39573)</p><p>and a company registered in England (No. 1347374)</p><p>Positioning (cont’d) What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>13 It is recommended that occupational</p><p>therapists use a positioning assessment</p><p>tool to support the education of</p><p>the neonatal team and promote</p><p>individualised positioning of high-risk</p><p>infants in the neonatal unit.</p><p>Page 6 of 12</p><p>Date of audit Auditor Role</p><p>Location Review due date</p><p>Infant feeding What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>14 It is recommended that occupational</p><p>therapists collaborate with the neonatal</p><p>team to support parents in reading and</p><p>responding to infant feeding readiness</p><p>cues to promote the shared occupation</p><p>of feeding in the neonatal unit and</p><p>following transition to home.</p><p>15 It is recommended that occupational</p><p>therapists promote an appropriate</p><p>environment in the neonatal unit to</p><p>support parent/infant participation</p><p>in early feeding experiences.</p><p>Environmental support factors may</p><p>include space, seating, privacy, sensory</p><p>environment and NICU culture.</p><p>(Please note, the font size will adjust automatically to fit the box)</p><p>Royal College of Occupational Therapists</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>Please ensure that you save this PDF to your desktop BEFORE making any changes, otherwise your data will be lost</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in England and Wales (No. 275119) and in Scotland (No. SCO39573) and a company registered in England (No. 1347374)</p><p>Parent engagement What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>16 It is recommended that occupational</p><p>therapists work with parents of high-risk</p><p>infants to support parenting roles and</p><p>relationships, and to provide sensitive</p><p>and appropriate parent engagement in</p><p>the infant’s care in the neonatal unit.</p><p>17 It is recommended that occupational</p><p>therapists facilitate the development of</p><p>shared occupations of feeding, dressing</p><p>and play activities of daily living with</p><p>preterm and low-birthweight infants</p><p>to ensure sensitive and appropriate</p><p>caregiving and promote occupational</p><p>performance of infants and parents.</p><p>18 It is recommended that occupational</p><p>therapists working with families of high-</p><p>risk infants build a positive therapeutic</p><p>collaboration with parents to enhance</p><p>parental learning about their infant both</p><p>during and following the transition to</p><p>home.</p><p>Page 7 of 12</p><p>Date of audit Auditor Role</p><p>Location Review due date</p><p>(Please note, the font size will adjust automatically to fit the box)</p><p>Royal College of Occupational Therapists</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>Please ensure that you save this PDF to your desktop BEFORE making any changes, otherwise your data will be lost</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in England and Wales (No. 275119) and in Scotland (No. SCO39573) and a company registered in England (No. 1347374)</p><p>Parent engagement (cont’d) What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>19 It is suggested that occupational therapists</p><p>explore both traditional and innovative</p><p>means (e.g. video-conferencing) of</p><p>supporting families post-discharge from</p><p>the neonatal unit as a means of promoting</p><p>parent confidence and competence</p><p>in caring for their infant following the</p><p>transition to home.</p><p>Page 8 of 12</p><p>Date of audit Auditor Role</p><p>Location Review due date</p><p>(Please note, the font size will adjust automatically to fit the box)</p><p>Parent support What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>20 It is recommended that occupational</p><p>therapists support engagement in</p><p>parenting occupations in the neonatal unit</p><p>and following discharge (including, but</p><p>not limited to reading infant cues, guided</p><p>participation in care, skin-to-skin, positive</p><p>touch and holding) to promote decreased</p><p>parent stress and positive improvements</p><p>in parent–infant relationship and self-</p><p>efficacy.</p><p>21 It is recommended that occupational</p><p>therapists employ parent-focused</p><p>interventions that incorporate parental</p><p>sensitivity elements (e.g. reading infant</p><p>cues and responding in developmentally</p><p>appropriate ways) in order to reduce</p><p>the psychosocial impact of delivering a</p><p>high-risk infant, foster sensitive nurturing</p><p>behaviour and promote the cognitive</p><p>development of preterm infants.</p><p>Royal College of Occupational Therapists</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>Please ensure that you save this PDF to your desktop BEFORE making any changes, otherwise your data will be lost</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in England and Wales (No. 275119) and in Scotland (No. SCO39573) and a company registered in England (No. 1347374)</p><p>Parent support (cont’d) What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>22 It is suggested that occupational therapists</p><p>engage parents in brief activity-based</p><p>interventions during their infant’s admission</p><p>to the neonatal unit and that this can have a</p><p>short-term effect in lowering parent anxiety.</p><p>Page 9 of 12</p><p>Date of audit Auditor Role</p><p>Location Review due date</p><p>(Please note, the font size will adjust automatically to fit the box)</p><p>Identifying developmental concerns What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>23 It is recommended that occupational</p><p>therapists should be involved in the</p><p>screening and assessment of high-risk</p><p>infants for problems related to cognitive</p><p>performance and social interaction, in</p><p>order to support the development of the</p><p>infant’s occupations, with referral to early</p><p>intervention services as indicated.</p><p>24 It is recommended that occupational</p><p>therapists should be involved in the</p><p>screening and assessment of high-risk</p><p>infants for problems related to functional</p><p>motor skills, in order to support the</p><p>development of the infant’s occupations,</p><p>with referral to early intervention services as</p><p>indicated.</p><p>Royal College of Occupational Therapists</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>Please ensure that you save this PDF to your desktop BEFORE making any changes, otherwise your data will be lost</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in England and Wales (No. 275119) and in Scotland (No. SCO39573) and a company registered in England (No. 1347374)</p><p>Identifying developmental concerns</p><p>(cont’d)</p><p>What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>25 It is recommended that occupational</p><p>therapists should be involved in the</p><p>screening and assessment of high-risk</p><p>infants for problems related to sensory</p><p>processing difficulties, in order to support</p><p>the development of the infant’s occupations,</p><p>with referral for early intervention services</p><p>as indicated.</p><p>Page 10 of 12</p><p>Date of audit Auditor Role</p><p>Location Review due date</p><p>(Please note, the font size will adjust automatically to fit the box)</p><p>Early intervention What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>26 It is recommended that occupational</p><p>therapists provide early developmental</p><p>intervention programmes for preterm</p><p>infants to promote improved cognitive</p><p>performance</p><p>through the preschool years.</p><p>27 It is recommended that occupational</p><p>therapists provide home-based early</p><p>intervention programmes for infants born</p><p><30 weeks gestation in the first year of life as</p><p>this may result in decreasing parent anxiety.</p><p>Royal College of Occupational Therapists</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>Please ensure that you save this PDF to your desktop BEFORE making any changes, otherwise your data will be lost</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in England and Wales (No. 275119) and in Scotland (No. SCO39573) and a company registered in England (No. 1347374)</p><p>Early intervention (cont’d) What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>28 It is recommended that occupational</p><p>therapists facilitate individualised</p><p>functional motor interventions for</p><p>high-risk infants and young children</p><p>to promote engagement in early</p><p>occupations such as play, exploration</p><p>and participating in personal care</p><p>(activities of daily living).</p><p>29 It is recommended that occupational</p><p>therapists incorporate home routine/</p><p>occupation-based approaches in early</p><p>intervention programmes for children at</p><p>risk for developmental delay as a means</p><p>of promoting occupational performance.</p><p>30 It is recommended that occupational</p><p>therapists be routinely referred preterm</p><p>infants with the following co-morbidities:</p><p>septicaemia, extremely low birth</p><p>weight (ELBW), chronic lung disease,</p><p>periventricular leukomalacia (PVL) or</p><p>intraventricular haemorrhage (IVH)</p><p>(grade III–IV), for early intervention.</p><p>Page 11 of 12</p><p>Date of audit Auditor Role</p><p>Location Review due date</p><p>(Please note, the font size will adjust automatically to fit the box)</p><p>Royal College of Occupational Therapists</p><p>Occupational therapy in neonatal services and early intervention</p><p>Audit Form</p><p>Please ensure that you save this PDF to your desktop BEFORE making any changes, otherwise your data will be lost</p><p>This Audit Form may be copied and adapted for non-commercial use.</p><p>© Royal College of Occupational Therapists 2017. The Royal College of Occupational Therapists Ltd is a registered charity in England and Wales (No. 275119) and in Scotland (No. SCO39573) and a company registered in England (No. 1347374)</p><p>Early intervention (cont’d) What is your current practice?</p><p>How do you evidence this?</p><p>Comments</p><p>Action to be taken/by whom and when</p><p>31 It is recommended that occupational</p><p>therapists working in early</p><p>intervention settings with high-risk</p><p>infants consider key elements when</p><p>building a therapeutic collaboration</p><p>with parents – promoting effective</p><p>collaboration amongst multi-agency</p><p>providers, supporting family social/</p><p>emotional needs in addition to</p><p>infant developmental concerns, and</p><p>consistency of service provision.</p><p>Page 12 of 12</p><p>Date of audit Auditor Role</p><p>Location Review due date</p><p>(Please note, the font size will adjust automatically to fit the box)</p><p>Date of audit:</p><p>Auditor:</p><p>Role:</p><p>Location:</p><p>Review due date:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists safely and appropriately assess the neurobehavioural status of the highrisk infant in order to plan deliver developmentally supportive care:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists safely and appropriately assess the neurobehavioural status of the highrisk infant in order to plan deliver developmentally supportive care:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists assess neurobehavioural and neurodevelopmental status to provide guidance and identify infants appropriate for developmental followup following discharge:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists assess neurobehavioural and neurodevelopmental status to provide guidance and identify infants appropriate for developmental followup following discharge:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists liaise with community teams and assess neurodevelopmental status for highrisk infants in the first two years of life to provide guidance and implement early intervention services where indicated:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists liaise with community teams and assess neurodevelopmental status for highrisk infants in the first two years of life to provide guidance and implement early intervention services where indicated:</p><p>Date of audit_2:</p><p>Auditor_2:</p><p>Role_2:</p><p>Location_2:</p><p>Review due date_2:</p><p>What is your current practice How do you evidence thisIt is recommended that developmentally supportive care principles are implemented for highrisk infants admitted to neonatal units to enhance short term health and developmental outcomes:</p><p>Comments Action to be takenby whom and whenIt is recommended that developmentally supportive care principles are implemented for highrisk infants admitted to neonatal units to enhance short term health and developmental outcomes:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists promote an appropriate developmental environment based on the infants age and status and individual needs:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists promote an appropriate developmental environment based on the infants age and status and individual needs:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists promote and support parent provision of skintoskin care with their infant during appropriate planned painful caregiving procedures eg heel lance:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists promote and support parent provision of skintoskin care with their infant during appropriate planned painful caregiving procedures eg heel lance:</p><p>Date of audit_3:</p><p>Auditor_3:</p><p>Role_3:</p><p>Location_3:</p><p>Review due date_3:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists promote the use of facilitated tucking by all caregivers parents and practitioners for pain management during relevant caregiving procedures eg endotracheal suctioning:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists promote the use of facilitated tucking by all caregivers parents and practitioners for pain management during relevant caregiving procedures eg endotracheal suctioning:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists support parent understanding and facilitate engagement in appropriate pain management strategies to enable them to provide sensitive support to their infants and promote parent self efficacy:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists support parent understanding and facilitate engagement in appropriate pain management strategies to enable them to provide sensitive support to their infants and promote parent self efficacy:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists work with the neonatal team to promote routine assessment of neonatal pain and identification of appropriate pain management strategies:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists work with the neonatal team to promote routine assessment of neonatal pain and identification of appropriate pain management strategies:</p><p>Date of audit_4:</p><p>Auditor_4:</p><p>Role_4:</p><p>Location_4:</p><p>Review due date_4:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists collaborate with the neonatal</p><p>team to facilitate parent engagement in skintoskin care for highrisk infants to promote breastfeeding pain management physiological regulation and parent selfefficacy:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists collaborate with the neonatal team to facilitate parent engagement in skintoskin care for highrisk infants to promote breastfeeding pain management physiological regulation and parent selfefficacy:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists collaborate with the neonatal team to facilitate individualised positioning recommendations for infants that promote infant motor outcomes selfregulatory behaviours and prevent respiratory compromise:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists collaborate with the neonatal team to facilitate individualised positioning recommendations for infants that promote infant motor outcomes selfregulatory behaviours and prevent respiratory compromise:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists review the selection and use of neonatal positioning aids for their ability to promote infant motor outcomes the development of infant postural control and selfregulatory behaviours:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists review the selection and use of neonatal positioning aids for their ability to promote infant motor outcomes the development of infant postural control and selfregulatory behaviours:</p><p>Date of audit_5:</p><p>Auditor_5:</p><p>Role_5:</p><p>Location_5:</p><p>Review due date_5:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists use a positioning assessment tool to support the education of the neonatal team and promote individualised positioning of highrisk infants in the neonatal unit:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists use a positioning assessment tool to support the education of the neonatal team and promote individualised positioning of highrisk infants in the neonatal unit:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists collaborate with the neonatal team to support parents in reading and responding to infant feeding readiness cues to promote the shared occupation of feeding in the neonatal unit and following transition to home:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists collaborate with the neonatal team to support parents in reading and responding to infant feeding readiness cues to promote the shared occupation of feeding in the neonatal unit and following transition to home:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists promote an appropriate environment in the neonatal unit to support parentinfant participation in early feeding experiences Environmental support factors may include space seating privacy sensory environment and NICU culture:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists promote an appropriate environment in the neonatal unit to support parentinfant participation in early feeding experiences Environmental support factors may include space seating privacy sensory environment and NICU culture:</p><p>Date of audit_6:</p><p>Auditor_6:</p><p>Role_6:</p><p>Location_6:</p><p>Review due date_6:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists work with parents of highrisk infants to support parenting roles and relationships and to provide sensitive and appropriate parent engagement in the infants care in the neonatal unit:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists work with parents of highrisk infants to support parenting roles and relationships and to provide sensitive and appropriate parent engagement in the infants care in the neonatal unit:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists facilitate the development of shared occupations of feeding dressing and play activities of daily living with preterm and lowbirthweight infants to ensure sensitive and appropriate caregiving and promote occupational performance of infants and parents:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists facilitate the development of shared occupations of feeding dressing and play activities of daily living with preterm and lowbirthweight infants to ensure sensitive and appropriate caregiving and promote occupational performance of infants and parents:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists working with families of high risk infants build a positive therapeutic collaboration with parents to enhance parental learning about their infant both during and following the transition to home:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists working with families of high risk infants build a positive therapeutic collaboration with parents to enhance parental learning about their infant both during and following the transition to home:</p><p>Date of audit_7:</p><p>Auditor_7:</p><p>Role_7:</p><p>Location_7:</p><p>Review due date_7:</p><p>What is your current practice How do you evidence thisIt is suggested that occupational therapists explore both traditional and innovative means eg videoconferencing of supporting families postdischarge from the neonatal unit as a means of promoting parent confidence and competence in caring for their infant following the transition to home:</p><p>Comments Action to be takenby whom and whenIt is suggested that occupational therapists explore both traditional and innovative means eg videoconferencing of supporting families postdischarge from the neonatal unit as a means of promoting parent confidence and competence in caring for their infant following the transition to home:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists support engagement in parenting occupations in the neonatal unit and following discharge including but not limited to reading infant cues guided participation in care skintoskin positive touch and holding to promote decreased parent stress and positive improvements in parentinfant relationship and self efficacy:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists support engagement in parenting occupations in the neonatal unit and following discharge including but not limited to reading infant cues guided participation in care skintoskin positive touch and holding to promote decreased parent stress and positive improvements in parentinfant relationship and self efficacy:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists employ parentfocused interventions that incorporate parental sensitivity elements eg reading infant cues and responding in developmentally appropriate ways in order to reduce the psychosocial impact of delivering a highrisk infant foster sensitive nurturing behaviour and promote the cognitive development of preterm infants:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists employ parentfocused interventions that incorporate parental sensitivity elements eg reading infant cues and responding in developmentally appropriate ways in order to reduce the psychosocial impact of delivering a highrisk infant foster sensitive nurturing behaviour and promote the cognitive development of preterm infants:</p><p>Date of audit_8:</p><p>Auditor_8:</p><p>Role_8:</p><p>Location_8:</p><p>Review due date_8:</p><p>What is your current practice How do you evidence thisIt is suggested that occupational therapists engage parents in brief activitybased</p><p>interventions during their infants admission to the neonatal unit and that this can have a shortterm effect in lowering parent anxiety:</p><p>Comments Action to be takenby whom and whenIt is suggested that occupational therapists engage parents in brief activitybased interventions during their infants admission to the neonatal unit and that this can have a shortterm effect in lowering parent anxiety:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists should be involved in the screening and assessment of highrisk infants for problems related to cognitive performance and social interaction in order to support the development of the infants occupations with referral to early intervention services as indicated:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists should be involved in the screening and assessment of highrisk infants for problems related to cognitive performance and social interaction in order to support the development of the infants occupations with referral to early intervention services as indicated:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists should be involved in the screening and assessment of highrisk infants for problems related to functional motor skills in order to support the development of the infants occupations with referral to early intervention services as indicated:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists should be involved in the screening and assessment of highrisk infants for problems related to functional motor skills in order to support the development of the infants occupations with referral to early intervention services as indicated:</p><p>Date of audit_9:</p><p>Auditor_9:</p><p>Role_9:</p><p>Location_9:</p><p>Review due date_9:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists should be involved in the screening and assessment of highrisk infants for problems related to sensory processing difficulties in order to support the development of the infants occupations with referral for early intervention services as indicated:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists should be involved in the screening and assessment of highrisk infants for problems related to sensory processing difficulties in order to support the development of the infants occupations with referral for early intervention services as indicated:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists provide early developmental intervention programmes for preterm infants to promote improved cognitive performance through the preschool years:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists provide early developmental intervention programmes for preterm infants to promote improved cognitive performance through the preschool years:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists provide homebased early intervention programmes for infants born 30 weeks gestation in the first year of life as this may result in decreasing parent anxiety:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists provide homebased early intervention programmes for infants born 30 weeks gestation in the first year of life as this may result in decreasing parent anxiety:</p><p>Date of audit_10:</p><p>Auditor_10:</p><p>Role_10:</p><p>Location_10:</p><p>Review due date_10:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists facilitate individualised functional motor interventions for highrisk infants and young children to promote engagement in early occupations such as play exploration and participating in personal care activities of daily living:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists facilitate individualised functional motor interventions for highrisk infants and young children to promote engagement in early occupations such as play exploration and participating in personal care activities of daily living:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists incorporate home routine occupationbased approaches in early intervention programmes for children at risk for developmental delay as a means of promoting occupational performance:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists incorporate home routine occupationbased approaches in early intervention programmes for children at risk for developmental delay as a means of promoting occupational performance:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists be routinely referred preterm infants with the following comorbidities septicaemia extremely low birth weight ELBW chronic lung disease periventricular leukomalacia PVL or intraventricular haemorrhage IVH grade IIIIV for early intervention:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists be routinely referred preterm infants with the following comorbidities septicaemia extremely low birth weight ELBW chronic lung disease periventricular leukomalacia PVL or intraventricular haemorrhage IVH grade IIIIV for early intervention:</p><p>Date of audit_11:</p><p>Auditor_11:</p><p>Role_11:</p><p>Location_11:</p><p>Review due date_11:</p><p>What is your current practice How do you evidence thisIt is recommended that occupational therapists working in early intervention settings with highrisk infants consider key elements when building a therapeutic collaboration with parents promoting effective collaboration amongst multiagency providers supporting family social emotional needs in addition to infant developmental concerns and consistency of service provision:</p><p>Comments Action to be takenby whom and whenIt is recommended that occupational therapists working in early intervention settings with highrisk infants consider key elements when building a therapeutic collaboration with parents promoting effective collaboration amongst multiagency providers supporting family social emotional needs in addition to infant developmental concerns and consistency of service provision:</p>