Hello, all! We are currently revising our policy on assessments in the NICU, and would like to include minimal handling. I'm gathering the research now, but would like a consensus on what other NICUs are doing for minimal handling. How frequently are you doing full-blown, hands on assessments? Any input would be appreciated. Thanks!
Jun 4, '04
We do hands-on assessments every 4-6 hours, usually. Even if the vitals are q1h (if on pressors, etc.) we try not to touch them if they're sick - especially micropreemies or big PPHN kids. Maybe we'll just gently auscultate their lungs and check perfusion every 2 hours, but we won't go in and take irritating axillary temps or change diapers that often. On stable babies, if the feeds are q2h, we'll do hands-on every 4-6 hours, and if q3h we try to let them go q6h to allow for rest. Older chronic babies we only do assessments and vitals q8h.
Of course, it there is something crazy going on, this routine goes out the window. It's just what we like to try for, to decrease excessive stimulation.
Last edit by Gompers on Jun 4, '04