We reband the baby if the band is too small, too faded, or if 1 is lost. Also if a parent loses one or it gets too faded. One band gets stapled to a paper in the chart and the other (unless it's lost) is destroyed or given to the parents to keep.
Unless the baby is a twin, our tiniest micropreemies will sometimes not be banded at all. Both bands will be taped to the bed. The edges of the band tend to be somewhat sharp and damage the baby's fragile skin (plus they are fairly wide on such a small leg). Technically this is a JCAHO no-no, but of course we do it anyway.
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