I am really surprised at the amount of tape our Level III RNICU puts on our babies. I can barely assess peripheral IVs (forget seeing the catheter insertion site) because there is just SO much tape. Just recently a baby's IV went bad and they have a burn...barely visible before all the tape came off. I worked in adult med/surg for almost 2 years and I am used to seeing everything nicely under tegaderm. To make matters worse our unit makes its own armboards with tongue depressors and gauze. So it's a mess of coton balls, wood, and oh-so-much of that horrible thick clear tape. With half of a tegaderm right over the insertion site. Everyone there is used to it. We also use tegaderm to secure nasal cannulas and NG/OGs to the babies.
They're collecting ideas to improve the unit and I want to suggest reducing the amount of tape we put on the babies' skin. I don't even like using that much on adults and here we are putting it all over babies...it can take days for the redness to go away.
How does your unit secure these items? Do you have pictures? What products/brands does your unit use?
I know exactly where you are coming from. Just a couple of days ago (at the end of the shift) there were 3 of us wresting a tube back into a big ole chronic that knew all the tricks. When I finished I had to rush over to do withdrawal scoring on an infant with NAS. I almost scored him an extra point until I figured out that I was the one with the tremors.
Oh and I meant to add this, though we may joke about staple guns, I found this link for a securement system that involves looping umbilical tape around the back of the patient's vomer bone (at the back of the nose). Seems a bit drastic and dangerous even for a full-grown adult.
Last edit by TiffyRN on Jan 17, '13
: Reason: adding link for AMT bridle