Has anyone ever 'taped' a gravity feed?
- 0Mar 12 by tinkerbell419I remember once seeing a nurse tape the gravity feed to the cotside to allow the milk to go down. As a student i didnt question it and thought that it must be ok to do that.
Unfortunately I made that mistake when running against the clock and was told off for attempting to do it and that it is unsafe.
I wanted to ask others about this and whether your ward says that you must hold the gravity feed?
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- 0Mar 12 by katierobin23This is interesting to me, because my unit always puts it on a feeding pump...we confirm placement and check residual before we start it and make sure it's well taped. (The exception being less that 10mls, we can slow push that if the baby will tolerate it)
How long does it take to go in when it's held like that? We typically set the pumps for 30 minutes, but can go up to 2 hours for a reflux-y baby...we used to do continuous but don't anymore except in extreme cases of intolerance or reflux.
I can't imagine standing next to the bed just holding a feeding for however long, especially if I had a 4- baby assignment... Funny how different units can have such different policies and procedures
- 0Mar 12 by TiffyRNI have rarely seen syringes taped to the "cotside" (not a common term in American English and I love it!). What we do instead is hang the syringes from "arms" typically inside isolettes. These are usually smaller volume feeds of less than 10mls and most of our kids are on bubble CPAP so they need the syringe left vented anyway. Even with the little ones, I rarely stand there and watch the feeding drip in though I will be aware to watch for any signs of not tolerating (bradys, desats) and intervene. We have a device (kind of wedges under the mattress) to hang bigger syringes in the open cribs but these are often larger volumes and while it wouldn't be wrong to hang these, most kids will not tolerate it and need a syringe pump. But you will probably not find me sitting there holding a 45ml feeding while it slowly drips in! I'll either hang it, tape it or find a syringe pump (most likely).
- 0Mar 16 by katierobin23I've never done feedings this way so I'm having a hard time wrapping my mind around it.
Is there a benefit to that over using a syringe pump? The only thing I can think of is not wasting the 2mls for tubing if it's a breast milk feed.
I'm just picturing a mess of tape residual on isolates and lots of spillage lol