Medical Team Nursing Staffing Issues Poor Communication Support Leadership Patient Care Guidelines Not Followed Sepsis Badgernet Inter-team Collaboration Shift Understaffed Resus Exhaustion Delays Treatment Documentation Confidence Escalation Pathway Clinical Handover IVAbx Delay Aseptic Technique Plan Neonatal Paediatric Inappropriate Decision Making Failure to Escalate Outcome from Management NICU Breakdown Parental Updates Cot Space Incompetence Confusion