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infection control

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Specializes in NICU. Has 21 years experience.

I would like to know who might have a policy for changing incubators. Where I work, we do it every 7 days but am always wondering if this is really necessary?? Has there ever been a study/investigation about this in your unit? Thanks for your input in advance!

Imafloat, BSN, RN

Has 13 years experience.

We change them out every 7 days. Not sure if there has been a study done in my unit. Most of our policies are backed up with research so I am sure they researched the research.

RN4BABES

Specializes in NICU. Has 21 years experience.

I went to the link about previous discussion on changing isolettes. We are not "allowed" to use those beloved Giraffes due to infection control reasons. Something to do with the humidity...of course we love those but the management is getting rid of them one by one. We have the new Drager "Caleo's" so they might/must be different in some regard! I am looking for any literature on infection control...if your unit's policies are based on studies...where are they? A colleague of mine searched the net for hours and came up with nothing! Would appreciate any links to published studies.... Does anyone else out there find the Caleo's difficult to maneuvre? (when changing them)

RainDreamer, BSN, RN

Specializes in NICU. Has 16 years experience.

We change all or our beds out every 2 weeks.

We primarily use giraffes with and without humidity. If there is any sort of humidity in the bed, there is to be absolutely NO "pretty" blankets, stuffed animals, beanies, frogs, etc, etc. All that is allowed to be in there is the bottom sheet and the roll.

I don't know of any studies done regarding the bed changes and/or humidity. I know we had a lot of infection issues a couple of years ago, but we switched to doing sterile line changes and just being more aware of how we wash our hands and what we put in the bed and touch the baby with. Our infection rates have gone down drastically just doing those things, we never changed our bed changing policies.

BittyBabyGrower, MSN, RN

Specializes in NICU, PICU, educator.

We change them every 2 weeks as per manufacturer's recommendations.

RN4BABES

Specializes in NICU. Has 21 years experience.

what manufacturer? Who makes your incubators?

SteveNNP, MSN, NP

Specializes in Neonatal ICU (Cardiothoracic). Has 9 years experience.

We use giraffe isolettes and omnibeds. They are changed every 30 days and prn. At my last job we changed them every 14 days, and used a mixture of Draeger Caleo and Giraffe beds. We use humidity on all our preemies.

BittyBabyGrower, MSN, RN

Specializes in NICU, PICU, educator.

We have Dragers. All isolette manufacturers have recommended change times.

faltura, RN

Specializes in OB-GYNE and Infection COntrol.

Hi! Im an Infection Prevention and Control Nurse, as far as I know, you change the isolettes because of maintenance reasons. Just like in a normal private room, you have to transfer the patient after 15 days confinement to another room, so that we could do general cleaning for the room. Let us remember that the longer the hospitalization, the bigger the risk for Healthcare Acquired Infection (HAIs), so all of these are just preventive actions.

With the humidity, there is a belief that the higher the humidity the higher the risk for Ventilator Associated Pneumonia (VAP) although rcently, there was a research saying that increased humidification improve the mucociliary clearance of the patient's airway and Decrease incidence of airway infection.

Hope this could help

SteveNNP, MSN, NP

Specializes in Neonatal ICU (Cardiothoracic). Has 9 years experience.

With the humidity, there is a belief that the higher the humidity the higher the risk for Ventilator Associated Pneumonia (VAP) although rcently, there was a research saying that increased humidification improve the mucociliary clearance of the patient’s airway and Decrease incidence of airway infection.

Hope this could help

But all the gases the baby are breathing come from outside the isolette, through the vent tubing (humidified and filtered)....unless you're talking about ventilator circuit humidity here..

elizabells, BSN, RN

Specializes in NICU.

But all the gases the baby are breathing come from outside the isolette, through the vent tubing (humidified and filtered)....unless you're talking about ventilator circuit humidity here..

I do sometimes notice more tubing rainout in the hotter, more humid isolettes. Of course, those new Fisher-Paykels we're using are much wetter than the old ones, so I dunno.

NicuGal, MSN, RN

Specializes in NICU, PICU, PACU. Has 30 years experience.

I'm with Steve...I don't get what humidity you are talking about. Actually, we don't just change them for maintence...if you go to IHI.org and look at bundles, you will see that changing isolettes is recommended, esp with long term kids, with or without humidity. Think about what can grow in there, esp with things that spill like HAL from leaking IV's or formula/MBM that gets spilled. Great medium for bacteria. As for humidity in the Vent tubing, that is controlled usually by what temp the humidifier is set at, usually around core body temp. We get occas rainout with hotter beds, but it is pretty rare. VAP is more contributed to other things, as once again evidenced by IHI bundles.

We change beds according to the manufacter's recommendation, which is every one to two weeks if stable.

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