what's your policy on switching out isolettes? - page 2

Hi all! I'm new to this forum, just happened to be surfing and stumbled upon you! I work at a fairly small 18 bed level III nicu- the current raging debate (isn't there always one?) is in regards to... Read More

  1. by   Gompers
    Quote from minniemiteRN
    Our policy is 7 days, but since it was never being followed because how do you keep track of when the last day was that you changed out we picked a day and it just so happened to be wednesday.
    We label the isolette when we change it. We'll take a patient label sticker and write the date the baby went into the new isolette, and the date it should be changed. We make sure to put down a piece of tape under the label, so it peels off easily when cleaning. We thought about using a certain day each week, but if you just moved a baby from a warmer to an isolette the day before, why change it the very next day? It also helps the cleaning staff, because no one would want to work on the day they all need cleaning! Instead, we trade them out, one at a time, as needed.
  2. by   prmenrs
    The CNA's keep track of this on a calender posted in the storeroom. They also label the bubble. If there is a toxic waste spill (if you don't know what I mean by that.....) the RN can see if there's a clean bubble available, and switch it out.

    I don't think there is a schedule per se, but if the baby's been living in the condo for 2-3 weeks, the CNA will come and see if the RN wants to switch. They might have someone hold the baby and clean it, change the filter and all that right there.
  3. by   Mags4711
    We use the Omnibed and our change is now q two weeks.

    When we used to use the Air Shield/Vickers Isolette, it was q 1 week.
  4. by   danissa
    Quote from luv-r-babies
    thank you so much for your replies! :kiss
    I'm in a busy nicu in scotland. we also change the incubators every seven days and have a daily clean with disenfectant wipes.
  5. by   tracy6fan
    One of the reasons I joined this forum was to network and see what other units are doing. This was one of the questions at the top of my list. Like Luv, I too am having a difficult time finding evidence based information on changing isolettes less frequently than weekly. We're seeing some breakage and breakdown in parts from the weekly cleaning cycles.

    We do leave the unstable, ELBW babies in the same Giraffe until they're bigger and more stable to move. In some cases that could be 4-6 weeks. Most nurses are good about wiping down their beds every shift with disinfectant.

    As for labeling, we have cut-out houses made from construction paper that say "please change my house" or "please change my condo" with multiple lines for writing the next change date.
  6. by   jnsatc
    We change our isolettes every 2 wks
  7. by   elizabells
    Quote from jnsatc
    We change our isolettes every 2 wks
    2 weeks here, too.
  8. by   lovemyjob
    We dont change ours....
  9. by   tampa,rnc-nic
    We change ours out as often and I have the same concerns as yours. Do you know of any evidence based practice or clinical trial articles that I can research?
    Thanks
  10. by   mawjood
    we usually change every 7 days
  11. by   Mimi2RN
    7 days if stable. The fragile ones stay longer in giraffes.
  12. by   lvnurs9
    Our policy is every 2 weeks, although on the sick and tiny it doesn't always happen. We just try to keep them clean as possible until we cna change them. I have never had an issue changing a bed.
  13. by   catlover314
    Has anyone found any evidence based research on change time-frame? We do weekly, marking the date to be changed on a tape label on the isolette. If the baby is stable I also change if a septic workup is done...my rationale is "if there is something wrong enough to warrant a workup, the least I can do is make sure the condo is clean!" But that's my own thing, not a policy.

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