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Just doing a little research on cord care and what other hospital and doctors are doing? How soon after clamping do you remove the clamp? Do you still remove it if the cord is moist? And is anyone still doing triple dye? Does anyone have any good reseach info on this? Thanks
Our policy is that we remove within 24hrs....we also use the triple dye........I hate this stuff.......I am very particular with this trying not to get it all over the baby...but some nurses I think triple dye everything but the cord....lol........we teach the moms to alcohol every diaper change..........in my 9 years I have never seen an infected cord....
Sherry
we just let them dry, when infectionsigns are beginning we apply Beta.
Tell the parents to put the diaper under the stump, when it gets wet, dry it off with a clean, dry papertowel.
Clamp comes off, depending on how dry the stump is, usually after 24 hours.
(the 5.5 kg, 60 cm boy, we had a few weeks ago, took 4 days!! Mum was not a diabetic, but 1.90m and 100kg, dad 2.05m and about 120 kg. Normal birth, no epi, no rupture, but not enough milk!!)
Take care, Renee
We have a doc now that does not want triple dye or alcohol on her cords. THE ONLY DOC! Not that I have a strong opinion either way, but this is what I was taught, it's part of our baby assessment, and it's a hard habit to break. The triple dye is easier. It's a one time order that can be easily carried out. But the alcohol... it's not an order... just a nursing policy... part of our routine assessment.
I guess I just wish our hospital would take a stand and quit doing it all together. All of the other docs DON'T care. I'm all for one less thing to do!
On another note... my post above was the first time I ever posted here! HAHA!
Heather
Originally posted by obnurseinNWJust doing a little research on cord care and what other hospital and doctors are doing? How soon after clamping do you remove the clamp? Do you still remove it if the cord is moist? And is anyone still doing triple dye? Does anyone have any good reseach info on this? Thanks
Hello...this is my first post! I have been a nursery nurse since 1977 and have found that if a cord is still moist after 24 hours, the clamp may be causing the problem. Sometimes I find that the clamp "pulls" on the cord and actually causes the cord to start pulling away at the base. (This is even more common with smaller , thinner cords). After removing the clamp, I allow it to air dry after applying ETOH. This usually stops the problem. I have actually argued with co-workers about sending babies home with the clamp on. I just would not do this unless the baby is
Q.
2,259 Posts
Our facility actually abandoned the practice of swabbing the cord with alcohol after the current literature suggested that cords swabbed with alcohol have no lesser incidence of infection than cords that were not swabbed.
Also, we remove the clamp per nursing judgement.