Introducing the new NeoFlow Bonnet

Implementation in Clinical Practice

2nd March 2020

Senior Sister Rachel Oakes & Sister Hannah Mangan from Leeds Teaching Hospitals NHS Trust discuss implementing our new NeoFlow bonnet in clinical practice.

NEO BONNET

Senior Sister Rachel Oakes
ANDS Child branch, PG Certificate in Neonatal Care, Senior Sister, Leeds Teaching Hospitals NHS Trust.

Sister Hannah Mangan
RGN, B.Sc. Hons., PG Certificate in Neonatal Care, Neonatal Clinical Educator, Leeds Teaching Hospitals NHS Trust.

How long have you been using the NeoFlow Bonnet System?

Sr Oakes: On one of our sites we have been using the bonnets for several months now and it could be used every week due to the complexity of the patients we nurse. In the past 3 months we have started using it on the other site.

Why did the unit choose the NeoFlow Bonnet System?

Sr Oakes: We met with Armstrong Medical who demonstrated the benefits of the new bonnets, we liked what we saw so decided to trial. After the initial trial period we saw the benefits of using the bonnets on one of the units in the trust so, therefore, decided to start using them on the second unit as well.

Photo of baby in Neonatal Care

“The new bonnet also caters for premature infants
considering their vulnerable skin & increasingly small sizes.”

What concerns and challenges did you have when starting?

Sr Mangan: The initial concern was the securement of the bonnet, masks and prongs as it was different to our previous equipment. Staff were used to what they always had done and often reverted to that without trialing the new equipment. As they didn’t necessarily have a concern, they did not see the benefits of trialing new products. However, through training from the reps there have been some key benefits, such as a better patient and family experience from having a hole at the crown of the baby’s head for families to hold and see their baby’s head. The new bonnet also caters for premature infants considering their vulnerable skin and increasingly small sizes.

How does the NeoFlow bonnet compare to traditional nCPAP hats?

Sr Mangan:
There are a few key benefits to the bonnet.

  • There is a hole in the top of the bonnet for families to hold their baby’s head and see their baby’s head, which improves families’ experience on the ward.
  • The hole in the bonnet allows babies to have important head scans carried out.
  • The Velcro® system to attach the prongs/mask and generator to the bonnet is better for the patient’s skin integrity as it does not need to be pulled and stretched onto the face.
  • The measuring of both the bonnet and prongs/mask is easy for staff to use.
bonnet generator circuit v2

“The new bonnets are easy to use and more comfortable for the babies.”

Do you feel that the NeoFlow bonnet helps improve patient comfort and outcomes?

Sr Mangan: Yes. The new bonnets are easy to use and more comfortable for the babies. They are soft in material but also easy to wear. Babies’ heads are exposed to the air which is helpful for the above reason, but allows them to regulate their own temperature as our babies lose a lot of their heat from their head so they can grow and learn to keep warm without a constant ‘hat.’

Sr Oakes: Yes. The new bonnets are really soft as are the fastenings; we appear to get a better seal on the prongs and masks when using the new bonnets meaning babies get the constant pressure they require and therefore don’t require more invasive ventilation. The cradle support keeps everything in place and does not move around on the baby’s face and therefore does not irritate them.

“The babies appear comfier with the improved bonnets and well sized masks/prongs.”

What advice would you give anyone wanting to implement the NeoFlow bonnet in their Neonatal unit?

Sr Mangan: I would ask that they give it a try. Not only from a medical side of things, with regards to an easy transition when stepping down patients, but also that the babies appear comfier with the improved bonnets and well sized masks/prongs.

Sr Oakes: I would recommend that they tried it as we have seen a great benefit since using them. I would advise them to get the support from the educators as they have been a great benefit in the implementation of the bonnets. I would let them know how much easier it is nursing a baby with these bonnets and how much more comfortable the patients appear with them on.