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Sajeev Job

 

Sajeev Job

Rosie Hospital, United Kingdom

Abstract Title: Project Ropes, Routine Pulse Oximetry Screening in the Newborn, East of England

Biography:

Sajeev Job a Neonatologist at Cambridge University Hospitals NHS Trust is also the Lead Clinician for the East of England Neonatal Operational Delivery Network (ODN), contributing towards neonatal care across 17 units in the region specializing also in retrieval medicine, neonatal and pediatric cardiology and point-of-care ultrasound. His
roles encompass intensive care, neonatal retrieval, and cardiac assessments. An advocate for innovation he has also published over 13 papers in reputed journals and has been serving as an editorial board member of repute alongside also being a tutor with the European school of neonatology and previous tutor Royal College of Paediatrics.

Research Interest:

Project Ropes, Routine Pulse Oximetry Screening in the Newborn, East of England

Aim: Babies born in East of England to receive pulse oximetry screening aiding timely diagnosis of critical congenital heart disease.

Process:
1. Screening performed between 4 and 12 hours of life in hospital.
2. From 2 hours of age if home birth or standalone midwifery unit.

Existing screening programme for heart defects in NHS:
Antenatal ultrasound – between 2014 and 2017 in the UK, less than half (42%) of babies with heart defects that required intervention were identified before birth (2018 NICOR report). Postnatal examination – fails to identify up to 45% of babies with critical congenital heart defects and up to 30% are sent home without diagnosis.

Project Ropes:
Commenced in late 2022 with the aim to establish a 100 % postnatal pulse oximetry screening in the East of England by 2024. Working closely with the Operational Division Network, ODN, and working with the support from each individual unit we formulated a way to implement pulse oximetry screening. This included effectively disseminating guidelines, organizing virtual meetings where we discussed the guideline and addressed questions and challenges and shared our experiences having had screening within our services for nearly 10 years. The project witnessed an uptake in pulse oximetry screening from 50 % to a 100 % in the East of England (two hospitals within one Trust have their education teams now training midwives to implement the screening programme.