Skin Care protocols or guidelines

Good morning everyone,

I am hoping that some of you will be able to help me. I have been given the task from the higher ups at my hospital to implement the Neonatal Skin Risk Assessment Score, to hopefully prevent skin breakdown. However, the score was done in 1997. At the bottom of the score sheet, it states if equal to or greater than 13, implement the Standard of care of Neonate at risk for skin injury.

Needless to say, my unit doesn't have a formal Standard of care for skin care, let alone one for a neonate at risk. I was wondering if the wonderful NICU nurses that frequent this forum would share their unit's standard, Protocol or guidelines that you have for skin care.

I have looked at Nann and AWOHNN and have gotten some very good ideas from them.

I also have a second question for those units that use sheepskin. Do you use it on all babies while on Radiant Warmers regardless of gestational age, or do you only use it for those less than 35 wks? Reason I am asking is that with the Skin Risk assessment score, a term baby could easily reach a score of 13 just for being NPO, On Radiant Warmer ect...

Thanks so much in advance,
Kathy in Tallahassee.