aimeern33

We are footprinting our infants in the delivery for identification in the event of an abduction. We also fingerprint mom. This is sometimes difficult during a section as mom is strapped down and draped. Is this something everybody is doing or are we the last to stop?

We are talking about no longer using a 0.22 micron filter on our IV fluids for our neonates. We currently filter all fluids except lipids, insulin and prostaglandins. I have been told we are one of the only NICU's still filtering our fluids. I wondered if this were true.

My hospital is in the process fo building a new building with some private rooms. The thing I dread is that the parents of our babies will most likely see it as an opportunity to move in, I do not want to walk in on them when they are having some "private time" with each other. Some of them cannot control themselves in hte unit and now we are giving them a bed?? We also have the occasional prostitute mom so I can only imagine that scenario. We have had them entertain in the waiting room before.

yes, the rifampin is for a mrsa positive blood culture and the baby is going to be on it for 30 days. The NNP even tried running a heparin drip with the med to prevent the problem and of course that did not work as the problem is not a blood clot but i believe a problem with particulate from the med. It actually clots off mid infusion.

They are no longer going to pay for many things other than CR-BSI's. The fear is that private insurance companies will follow suit and do the same. I am trying to introduce a new IV catheter tip that Vanderbuilt and Duke are starting to use hospital wide that actually cuts down on infection by it's design. It is called the InVision Plus. Look it up and see it if could help you. It probably costs more, but if it reduces what the hospital loses it should be worth it.

Is anyone else having a problem with rifampin clotting off their picc lines? We had a picc that had only been in for a day clot off during the rifampin infusion. One of the NNP's that I work with said she has seen this in the past and even seen it happen with a Broviac. Anybody else with similiar experience?

I spoke with the company about our problem with infiltration and they said that you have to thread the catheter very slowly at small increments especially on micropreemies to avoid nicking the side of the vessel. She also recommended warming the vein before insertion to dilate it.

I agree it depends on the size of the PICC a neonatal PICC is only a 1.9FR so you are not allowed to draw labs or infuse blood with these lines. The CICU in our hospital has a tendency to disregard this policy when they care for cardiac babies, and the lines clot off.

We started using them several months ago and the nurses on my PICC team are still mad at me for switching from the BD PICC. This catheter is much stiffer and they feel is more difficult to thread past the shoulder. We also seem to be having more infiltrates of late. I am doing some investigating as to the root cause of this. I do know that in the past Kendall has has several recalls on these lines. Unfortunately as far as a double lumen goes there are not a lot of options.