ScammRNC

What is your policy on automatic NICU admissions for babies delivered via C/S to mom with a primary HSV status? Our neos are in disagreement.

What is the practice if the medical team is unable to place a UVC?

36 bed Level III. No mandatory call but it has be "threatened". If call help is needed a text message is sent out via our scheduling system. If no response, we then make direct phone calls. Unfortunately, there is not anymore incentive right now o...

Just a general question about what everyone's ways of securing IV's are. We are looking to change our practice but would like to see pros cons from everyone. What do you use?? Stat Lock, SorbaView, tape, other??

We only do these kind of "back" transports if out unit is full and potentially going on diversion. But if they take place, out transport team is responsible for doing the transport.

We use Z-flow, bendy bumpers and/or frogs.

Thanks, got the articles.

Recently 2 members of our medical team went to a feeding conference and heard from a leading expert in NEC that his hospital does not check residuals or abdominal girths. So now we are looking into possibly changing our practice. What is everyone el...

During flu season, We close to all visitors under 16 years of age. We recently had a mother come in that "wasn't feeling the best" and now her infant has rhinovirus. The only thing that keeps the adults out is a temp and then maybe some common sens...

We use Penguins. Gave up the pitcher with warm water quite a few years ago.

We allow 4 at the bedside and a parent has to be present in that number, but we also have private rooms so crowding is not an issue. Parents can also designate up to 4 people that can be independent visitors. Of course with palliative care, it is l...

My unit has always used double lumen UAC's, but after a change in suppliers we now have a difficult time obtaining a waveform on our in-line BP. Hardly ever works the first few days and it doesn't matter if it is a 23 weeker or a 34 weeker. Does an...

Right now our policy is to not hold with either a UAC or UVC, but that policy is being revised. It will be changed so that it is based on the stability of the baby. If a baby has a UVC because of blood sugars or the inability to place a PICC then i...

How do other units handle discharging infants that are less than 5 lbs? We typically require the parents to purchase 4 lb car seats or the infant will be placed in a car bed. But we have had physicians at times "OK" a baby that weighs a couple of o...

Our neo's will not attend any delivery of any infant

We do not attend deliveries of babies less than 23 weeks. If time allows, our neos visit with the parents and give them all the statistics on outcomes. We have decent outcomes with 24 weekers but of course would always rather see at 25 or 26 weeker...

I work in a 32 bed Level 3 and we have a PICC inserting team which consists of 2 NNP's and 3 staff nurses. We then have a core group of PICC dressing "changers" that include the inserting team and 4-5 others nurses that have been trained on dressing...

Our policy is to only pop the top in emergency situations. We too our implementing the "Golden Hour" and try to get all procedures done in that time frame so the top can be closed and the baby be "left alone".

We have private rooms and have also seen an upswing in NAS babies. Parents can stay in the rooms 23 hours out of the day, but have to leave for change of shift am and pm. They are expected to care for the infant as well as comfort them in-between f...

Our policy is 72 hours with head midline. That can be supine or on the sides, but we don't do prone.

We have just recently switched over to strictly using the Neobar for our intubated babies. What type of tape does everyone use to wrap around the Neobar and the ET tube? We are presently using a cloth tape and it is very, very sticky when trying re...

Ahh I just talked to some nurses that recently went to a conference and what the first two commenters are talking about seems to be a Neofit. I am asking about Neobar. Thanks

Our Neobar has no Velcro with it and the tabs that attach to the face are like duoderm so I am confused

For us, 3 negative cultures and they can be taken out of isolation.

our unit has been having a lot of problems lately with our lipids reading occlusion. :uhoh21: we still filter our lipids, but i am curious as to how many other units still do?