How to treat umbilical cord? - page 2

HI! I my unit we use alcool 70 once a day, after the bath, but ive been reading some contradiction literature... Some says to dont apply anything, others to apply iodopovidone, clorhexidine, ...... Read More

  1. by   crysobrn
    We use alcohol once a day, unless it gets wet or soiled. Sponge baths. We dont' treat cords with lines except the intial betadine.
  2. by   Mimi2RN
    Occasionally we'll find a granuloma under the little stump that's left after the baby has had lines. By the time the baby is two or three weeks old, alcohol is not going to help at all. That's when we have to get an order for silver nitrate sticks, tx by the doc.
  3. by   BittyBabyGrower
    Nothing on them here either.
  4. by   crissrn27
    hi to all, does anyone know of any studies supporting the no treatment to cords? We still do tripledye q day and alcohol with diapers and it talkes forever for them to fall off! Nevermind the complaints we get from parents about the "blue stuff" all over the babies bellies....and sometimes in other places!
  5. by   bethem
    All we do on our cords here is give them a quick swish with water at each nappy change. We tell the parents to keep the top of disposable nappies folded down so the cord is exposed to air, and suggest they use a Q-tip to wipe around the base of the stump. We tub-bath from the word go. Our bubs are generally problem-free (cord-wise, anyway); I haven't seen any infections in cords yet.
  6. by   PrudenceNurse
    The AWHONN recommendation is for NO antiseptic treatment at all; it actually shortens cord drop off time and does not increase rate of infection/omphalitis in developed countries. The evidence has been there since 2001, but because of our attending's concerns, we just changed practice this year.....sounds like some other people need to come into the present day of evidence -based nursing care too!

    I still can't find any evidence about whether anything should be done for "cord care" if there is a UAC/UVC in place....any thoughts?
  7. by   Eyeknit
    I dont remember seeing a cord problem in the three years I have worked at my current facility. We don't put anything on them and we do tub baths every three days. We don't treat them with anything when they have lines in either.
  8. by   BabyLady
    We use alcohol twice a shift...nothing else.

    We do not use anything if there is a UAC or UVC....because one of the physicians found evidence that repeated exposure to alcohol and break down the catheter and make it more likely to snap during withdrawal...and well know how serious that is.
  9. by   HappyBunnyNurse
    Our policy is nothing if lines are in place. If no lines then we are suppose to trim and treat with triple dye then alcohol. I understand that research now points to letting it dry naturally but what should be done if you find a cord that has been "neglected". For example I had a 8 day old baby in an isolette whose cord was still as long as his arm! (cords are left long in delivery in case the baby needs lines; this baby didn't need lines but his cord was never trimmed). It was nice and dry, but the clamp was causing redness on his chest. I removed the clamp, trimmed the cord a little bit with scissors and placed him supine. (turns out he was happier supine anyway). Was it ok to trim the cord? There was no risk of bleeding because it was so old. Also what should be done to cords that have been soaked in urine? Sometimes I find a cord that was dry has become moist again because it has been allowed to "marinate" in a urine filled diaper. Is alcohol appropriate to dry it back out?
  10. by   HeartsOpenWide
    Does anyone have a link to the AWHONN statement? I went to their site but the only thing I could find was CNEs that you had to pay for to read.
  11. by   rn/writer
    We do nothing to the cords. Using alcohol actually dries the cord and turns it hard. That can make it take longer to fall off.
  12. by   ElvishDNP
    I wish we'd quit painting ours. We are using triple dye, because one of the pediatricians complained about how they weren't falling off quickly enough after d/c. I still tell parents what the EB recommendation is.
  13. by   darynash
    The skin care guidelines from AWHONN and NANN recommend that nothing be added to the umbilical cord. Their research has found that the cord actually falls off faster if nothing is applied to the cord. They also recommend tub baths from birth as tub baths are less noxious to the newborn than sponge bathing. The research has shown that it does not delay the cord falling off or an increase in infection of the cord.

    What we have all done in the past is based on tradition and not research. Time to step into the present and practice evidence-based nursing.:wink2:

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