sofiam

Hi everyone! My unit only receives PT > 32w but soon will start receiving PT >28 w. Based on your experience, what strategies, material and equipment do you use and prefere to prevent heat loss in LBW after delivery and at the inicial stage in NICU? Thank you, Sofia

But aren´t the new borns nasal respirators !? Doesn´t the NG tube make them more difficult to breed?

Sorry about this question, but there is any cientific reason for this???

HI! How often do you change your OG Tube?

Hi! That´s exactly what we do here...And all our preparations and changes are sterile and made by 2 nurses in the afternoon shift every 24hours... All the connections are protected with a sterile field and when we need to do medication (on the central lines)we untape he sterile field, wear sterile gloves and desinfect the conecctions with 70º alcool.

Hi! I know that some units put their tubbing and connections from central lines outside the incubator, because of the humidity and warm environment inside that may help bacterias coloninzing them... How do you do in your unit? Do you have any cientific evidence that support this, based on the reduction of infection associated to central lines? Just one more thing: do you protect your connections with any steril paper or fabric? Big thank you

But how long does it take to warm a 90 ml of formula in a botlle?

We warm it because like I give you more news when the machines starts working in our unit...

The machine supposedly will be always working - 24h/7d! - because its not individual for each baby, you may warm about max. of 10 bottles at the same time. And the machine has a termostat that keep it always on the programed temp, eg: 37ºC. In our unit we dont have pre determined routined hours of feeding the babies like in some units that i know - eg: every days at 9h, 12h, 15h, 18h, 21h, 00h, 3h and 6h its milk time! And the ones that have this routine and this machine, about 10`before this hours, they put all the bottles in to the machine for warm... But we prefer more "a free regimen" about feeding the babies, trying to respect their individual "timings" - if it needs 2.5h or 3.5h for interval we do it, so our machine on these conditions will necessarily has to be on and on...

In our unit If it is just a litlle of milk, we do it under the warm water but if dont we do it on the microwave, but i and my colleagues dont agree and im trying to change it .... We now have the possibility of having a machine that warms the bottles, till a programated temperature by the water steam. How do you warm your babies milk, and what do you think about this equipment? Thank you sofia

hi| whats your opinion and experience about the results of using this kind of philosophy in nicu? and what about the team; do they had adhered well when it was implemented? were doing " developmental care" of course , but not quite official... im trying to develop an official protocol in my unit and i would like to know about your experience on this...thanks

We do tub baths with the cord still on.After the bath we put 70º alcool .

HI! I my unit we use alcool 70º once a day, after the bath, but i´ve been reading some contradiction literature... Some says to dont apply anything, others to apply iodopovidone, clorhexidine, ... Wthats your experience on this? And when they have umbilical catethers with briges,do you apply anything?

HI! Our Kids (comming for home after discharge) with respiratory infections are all in to goticula isolation measures. Most of them after cultures reveals RSV. And we kept the goticula isolation measures and adding contact isolation measures. How do you do about isolation measures in your units with the respiratory infections coming from home, and specially with RSV?

Hi! When you change your vent tracheas, gastric tube,babys incubator, - q72h, q 5d, q 7d, SOS?