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Nursing change in a low resource setting: improving maternal and newborn outcomes through a clinical outreach program

to medical staff at 4 tertiary NICU’s and neonatal transport service in Victoria. Demographic response data was collected and responses were collated and compared in 2groups – hospital clinical photography and smart phone clinical images. Results: 124 participants were invited and 54 completed surveys were received (43%). 45 (84%) of respondents reported using hospitalclinical photography and 48 (89%) reported use of smart phones for obtaining clinical images. The majority of respondents reported clinical photographs were taken by medical staff (n = 33, 39%). Smart phone clinical images were used for consultation (50%). There was limited awareness of clinical photography guidelines by medical staff. Conclusions: This study demonstrates that neonatal medical staff are poorly informed as to institutional clinical photography guidelines and procedures for consent, storage and distribution. This highlights the need for appropriate clinical governance for clinical photography, keeping pace with technological advances, to reduce possible breeches in patient privacy and medicolegal risk.