sore bums

  1. Hi guys,
    Has anyone out there got a nursing policy for sore babies bums. we are currently looking at cavilon, no sting, has anyone had much success with this.Or is zinc and castor oil still in fashion? Thanks a mil.
    Corks
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  2. 24 Comments

  3. by   ShortFuse_LPN
    We used an ointment called Lantiseptic in LTC. My sister-in-law was over with my nephew and he had a red bottom. I happened to have a couple of packets so she tried it. It worked so well that she had me order a jar of it from work!
  4. by   gwenith
    Neonates, Paeds or Adults it does not matter excoriation is excoriation and I have been wanting to see a thread on this for some time!!

    Some of the interventions I have seen used on adults include zinc and castor oil, pawpaw ointment and Convatec's Conva Care. I am at present a fan of convatec's convacare but I am open to any and all suggestions.

    This is such a basic part of nursing but it seems to be one of the poorest in research!!
  5. by   corks
    Totally agree gwenith. we go through spates of sore bums in our unit and when you go to the babies lockers, you will find a pot pourri of lotions, from tovaline to metanium, we are currently using aquaform a hydrogel on the really bad ones. I call them the cheese grated bums But other units i believe have been using this cavilon no sting, as well as a barrier it also moisturises, which we need for healing. Has anyone got any opinions on Nursing exposed? Anyone using any assessment tools. Would be grateful for any help as it is my task to update our nursing guidelines! Cheers. corks
  6. by   RN from OZ
    If they are really bad bums we nurse them exposed with o2 blowing over for 20 min every 4 hours.... just swaddle them with bottom half out and pop them on their tummy and a o2 mask on their butt.
    Otherwise we use Eucerin as a barrier or intrasite gel..Like a hydrogel I'm guessing
  7. by   gwenith
    Originally posted by RN from OZ
    If they are really bad bums we nurse them exposed with o2 blowing over for 20 min every 4 hours.... just swaddle them with bottom half out and pop them on their tummy and a o2 mask on their butt.
    Otherwise we use Eucerin as a barrier or intrasite gel..Like a hydrogel I'm guessing
    I'm sorry but I just had a mental image of some new medical resident walking in and looking puzzled ask "Don't O2 masks usually go on the other end?"
  8. by   Mira
    We use metanium/orobase cream on really sore bottom.on mild ones,zinc oxide or sudocream,I don`t put any when I need to expose the bum(blanket or sheet wrap around the torso,mittens on hands and feet,body shield or a bit of modesty for the babe,apnea monitor)-I accept sore bum for big babes with diarrhea and drug withdrawal babies and for those who had the diaper for longer periods because of unavoidable circumstances but for prem less than two kilos it is unacceptable for me because it means poor nursing care,I feel pity on the sick child suffering from a sore bottom.
  9. by   NicuGal
    If it is really bad, we use Harvard paste...it is made up of Desitin, bacitracin, nystatin and stomahesive powder. We put it on when the diaper is on. We leave the bigger kids nekey We also use Aquafor....that can be used under bili lights as long as it is the name brand, not the generic equivilant
  10. by   MomNRN
    When I did my pediatric clinicals, the hospital had a potion called "magic butt." Now I don't think that was its name, but that is what all the nurses called it.

    It was a concoction the pharmacy had made up. It required a doctors' order, but all doctors had no problem writing the order. Very thick and creamy!

    The nurses there swore by it.

    I wonder if they would give out their secret?
  11. by   ShortFuse_LPN
    Originally posted by MomNRN
    When I did my pediatric clinicals, the hospital had a potion called "magic butt." Now I don't think that was its name, but that is what all the nurses called it.

    It was a concoction the pharmacy had made up. It required a doctors' order, but all doctors had no problem writing the order. Very thick and creamy!

    The nurses there swore by it.

    I wonder if they would give out their secret?
    When I worked on a surgical floor we had something called Happy Heine. And that's what the docs would write on the order! No idea what it was exactly, it was also mixed by the pharmacy.
  12. by   lilyuk
    We call "Harvard Paste"........ "Magic Butt Cream". I'm not sold on it though. I have seen the best results with Critic Aid paste and stomahesive powder. You have to have a special cleansing agent to get it off though.
  13. by   corks
    Thanks to you all, you certainly have given me plenty to think about. It just shows you the diversity of potions out there. Cheers. Corks
  14. by   shelbabyrn
    We use two different items. Questran with Aquaphor ( made by the pharmacy) and a relatively new product called ILEX. It works great for sore bums, ostomies, and excoriations. You only put it on once a day. We have had some really horrible diaper rashes and raw bums clear up in as little as 3 days.

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