Do you all restrict visitation during this time? We are thinking about no siblings and limiting extra visitors during this time.
Also, do you give your chronics the Synargis while they are on the unit? That is another thing we are debating. We have several older kids...one is over 1 year old, awaiting a liver and gut transplant. The other is 9 months old(BPD) and the last one is 6 months old with a bad gut. The nurses are really lobbying to get these kids vaccinated, but the docs aren't seeing what we are trying to say!
We vax them as inpatients, and let them do follow-ups with the Peds clinic. This works out nicely for everyone. We have to order the Synagis in a batch, and three babies have to have orders for it before Pharmacy will send it up, so sometimes the order can sit in the chart for a week or more, but usually it isn't a problem. when we have three or more babies, we fax all the orders again and Pharmacy send it up and we hit them all at the same time. ;>)
As far as I see it, their immunity is so weak already, being preemies or being hospitalized for so long, that it would be a crime to NOT give it while we have access to them. Lord only knows what happens to them once they leave our care. I feel almost like it's an obligation, but one I am glad to fulfill.
Visitation on our unit is strict to begin with, no siblings ever unless they're adult (I think...might be over 17?). I wish we did restrict more during RSV season. There has been a horrible cold going around on our unit and so far the babies seem fine, but almost ALL of the nurses have had it. We were all trying to figure out where we got it, and apparantly a mom visiting her baby had it, passed it to one nurse, and it's just been a chain reaction from there. Maybe we should keep the nurses home, too. ;>) Mandatory time off for sniffles and a hacking cough? Whaddya think? I'd go for it.
Last edit by NICU_Nurse on Dec 2, '02