[QUOTE=Calabria;7271106]Your isolettes should give you instructions on the digital screen when you select the "weigh" option (i.e., lift baby, replace baby), if you can weigh in the isolette. When you lift the baby up, the bed zeroes. So, it doesn't matter how much you have on the bed, as long as whatever's on it when you lift the baby up isn't moved when you put the baby back. Regardless, I like to remove everything but the linens when I weigh my patients. Including the diaper.
When using a bedside scale, weigh a dry diaper on the scale, zero it, then place the baby wearing the same size diaper on the scale. Our NICU had a protocol based on infant weights; see if your NICU has one. We did baths M-W-F, before midnight, so infants would not be disturbed in the middle of the night.
Intubated patients were weighed on day shift, b/c there were more staff around. Non-intubated and surgery patients were weighed on night shift (because surgery fellows rounded @ 0530, and needed current weights)
Also, we had 3 portable warming lights that we could use for our smaller infants. We placed one over the scale to prewarm it. We checked a temp. before a bath, if <36.3 C, bath was deferred until temp. more stable.
When I arrived at work, one of the first things I did was to take the blankets & towels I was going to use and place them in the Isolette or warmer to prewarm them. I actually did that with most of my babies, especially if they could be held. When their family arrived, I would tell them "He/she is all ready to hold; I have his blankets all warmed up for you."
One thing our NICU implemented before I left, which I loved, was called 'swaddle bathing'. Basically, we wrapped our baby in a towel or blanket, and submerged him into a tub while still swaddled. The babies loved it, as they did not become cold due to exposure to the cooler air. We unwrapped one part of the body @ a time, washed it, then rewrapped it. It sounds time-consuming, but it's not! Babies stayed warmer, and a bonus for parents, b/c they were calm, they would usually open their eyes while in the tub.