isolettes and premies

while 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...

Well 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

Are 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.

Moved to NICU forum.

a 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.

@ 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.

Uh...that is what I said. I never stated you could.

We always put temperature probes on our babies in isolettes, immediately. If not you can overheat the baby very easily.

We start our babies off in an ISC, which in this case they have a temp probe on. Once we switch the over to an NTE we remove the temp probe.