isolettes and premies
- 0Oct 8, '12 by ladytravilerHI! Thanks in advance for any and all help. I tried to find a site on all nurses for NICU nurses but couldn't find any.
I was always taught that if you had a baby in an isolette for longer than an hour that you needed a temp probe. Does this still hold true? Can anyone direct me to hard evidence this needs to be done or not? Also how do you dress your infants in an isolette?
- 0Oct 8, '12 by Twinmom06, ASN, RNwhile I don't know exactly about the temp probe (I worked as an aide in OB) any of our infants that were in the isolette were in a diaper only with their t-shirts and hats in the isolette with them so they were warm...
note I worked with well babies that sometimes had a temp drop...
- 1Oct 8, '12 by umcRNWell I work in a NICU so any baby in an isolette or on a warmer will always have a temp probe. I would guess that that's recommended because without a temp probe you could over heat. We do NOT dress or swaddle infants in isolettes unless they are beginning the weaning to open crib protocol, then they are dressed. Otherwise they are in a diaper and hat only
- 0Oct 11, '12 by JoryAre you talking about a temp probe on the isolette or do you mean a temp monitor on the baby?
I didn't know they made isolettes without a temp probe. You can't put a baby into one without turning the isolette on (technically you could, but not recommended) because the temperature inside the isolette will be colder than the outside if you don't, because you don't get heat from the room. Thus, defeating the purpose.
We always dressed the babies as soon as the central lines came out. Onesies if they have a PIV, sleepers if they were feeders/growers. We swaddled for comfort. A baby that is not swaddled is not "organized"...a physical therapist can explain that further. So it needs to be swaddled as soon as it safely can be.
The isolettes here are never turned down below 27 C.
- 1Oct 11, '12 by umcRNa micro preemie (<1000g) is not going to be wearing clothing or swaddled (not in my hospital anyways) but can certainly feel "organized" with appropriate nest making with boundaries for their arms/hands/legs/feet. Babies requiring humidity will also not be able to be swaddled or clothed. Nesting works until the baby is appropriate for swaddling at which time they should also be almost ready to wean from the isolette.
- 0Oct 27, '12 by JoryQuote from TheMissUh...that is what I said. I never stated you could.@ Jory
You can NEVER put a baby into an isolette without it being turned on. The Isolettes depend on the aircirculation they create when being turned on. So if they are off CO2 could accumulate inside and the air might become deoxygenated.