RSV season is upon us...
- 0Nov 7, '02 by NicuGalDo 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!
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- 0Nov 8, '02 by NICU_NurseWe 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
- 0Nov 8, '02 by nellWe already restrict sibling visitation to only one visit per hospitalization (although we bend this rule on long-termers which for us is about 3.5 months max) and they must be screened and scrubbed.
We give Synagis just before D/C except one time when the parents of a preemie freaked out that we had an RSV kid in the unit - yes we take outside admits with RSV. They go into one of our "isolation" rooms. We have argued and argued that RSV doesn't belong in a unit like ours (6 beds to a bay, one of them isolation - sink is at the back of the isolation room and only one other sink the bay) but our CNS insists that with good handwashing, the other babies aren't at risk.
Our concern is the possibility that while one nurse is on break, the other nurse in the bay may be in the isolation room when one of the preemies bradys and needs stim STAT. Do you take time to wash? Oh yeah, we have waterless stuff, but no one uses it because it is so highly scented that IT make babies brady, and some of us are allergic to it.
Very good idea to give it sooner, and we have never shared a bottle, but what a great idea!!! I will bring up these possibilities at work.
- 0Nov 10, '02 by NicuGalLuckily, most of the readmits go to the PICU or Peds floor. Although we have to float during RSV season and even though we are supposed to get clean kids, you just know they have it...green boogies galore! BLEH
The attending that are on this month aren't seeing our point in giving these chronic kids the Synergis....we told them, well, we can't call in when we are sick, and even if we wear a mask, does that really matter?
We are getting a lot of resistance from our CNS about closing visitation...who knows why! The peds floors do it and so does the PICU and the nurseries. We feel that it should be for all MCN, and we shouldn't be the exception. Ugh, I hate these kinds of battles!
- 0Nov 17, '02 by Mimi2RNLast year one of our growing premies (an ex-26 weeker, 10 weeks old), acquired RSV from her mother and was immediately transferred to peds. We were glad no one else, babies or staff, caught it! This year we have to have 4 RSV cases on peds at the same time, before visiting will be restricted.