Nestin Noggin, Head Positioning Devices

jwendt · Feb 22, 2011

icnclinical

i went to the website for the noggin nest and this is what it says...

our noggin nest® head support provides comfortable head support. the generous padding in a fashionable print cradles baby’s head to provide all over comfort. not intended for sleeping. this product is not a medical device and has not been medically proven to reduce "flat head syndrome." it is not intended for this use.

based on this info...i would not recommend using it for medical device...it says to not allow sleeping with it.

BabyLady, BSN, RN · Feb 24, 2011

We use gel packs in our facility under a blanket.

Physical therapy drives me nuts because they want the babies not to get "flat head" but yet they toss everything we put in an isolette out when we try to get the baby to stay in a position to reshape the head.

They don't "get" that you cannot have it both ways...the kid's head is flat because it has a side preference...without positioning aids, you cannot change that because the baby wants to turn to one side vs another.

I told one PT that was busy tossing out my things on this one kid that had major fish-head..."You do realize that as soon as you walk out of the unit, I am putting everything right back in, don't you?"

These kids are on 24/7 monitoring...we tell parents FREQUENTLY to NOT mimic the positioning when they get home because of the monitoring.

RainDreamer, BSN, RN · Feb 25, 2011

We use gel pillows and just rotate their positions. If they start getting a toaster head, I'll rotate them to supine more often with each care (i.e. left, supine, right, supine, etc.)

BabyLady - That would drive me nuts, too, if PT came and messed up my bed like that, yikes!! Especially if they're in an isolette, they're not going anywhere too soon, so they most likely still need some developmental aids, right? Once our kiddos move to the intermediate unit, we take their nests out just to prepare them for going home, and so the parents see how it should be at home.

BabyLady, BSN, RN · Feb 25, 2011

We use gel pillows and just rotate their positions. If they start getting a toaster head, I'll rotate them to supine more often with each care (i.e. left, supine, right, supine, etc.)
BabyLady - That would drive me nuts, too, if PT came and messed up my bed like that, yikes!! Especially if they're in an isolette, they're not going anywhere too soon, so they most likely still need some developmental aids, right? Once our kiddos move to the intermediate unit, we take their nests out just to prepare them for going home, and so the parents see how it should be at home.

Exactly. The PT's think that we have no respect for their discipline...I have a very high regard for what they do with our patient population..but sometimes they cannot see the forest from the trees.

I once told, a doctorate prepared PT that safety and pain took priority over development...I had a kid pretty much anchored in position because he had about two days of anitbiotics left, was a very hard stick, but if you just let him go wild he would pull out his IV's every time.

She kept saying, "That type of positioning is not compliant with good development".

I said, "Well, this type of positioning is compliant with him not pulling out his IV so he doesn't have get stuck 8 more times to start a new one."

Seriously...you would think common sense would make it obvious.