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ET Tube suction.
we don't use inline suction either. We do suctioning 2-3 hours but i prefer doing it 3-4 hours interval unless the baby has desat and i can hear secretions. When I started my orientation at the NICU, the common practice was to use saline flush to loosen secretions. I had to go online for any EB lit on the use of saline to assure myself that I'm not shoving a foreign body to my baby's lungs. Most research i found though does not recommend the use of saline because it increases the risk for infection and a worsening oxygenation esp if the patient doesn't have a cough reflex. Over the years, I noticed that most of the saline I instill in the ET I don't get back when i suction. (). Naturally, that makes me nervous. I don't routinely use saline nowadays, but when I do, I use 0.5-1ml. Oh, and btw it is routine in our unit to do CPT with all back tapping, vibration and stuff. I was shocked at first especially since most of the RTs working in our hosp are males and they're quite rough so yeah, even if it's annoying to be doing somebody's job, I'd rather not let those RTs touch my baby.
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pros and cons of prone positioning
I observed my babies to be more comfortable in prone position especially after feeding and during phototherapy. I've heard though that prone position is a no-no in some NICU's (ie in Dubai). I don't know prone is good for oxygenation though and reflux at that. I think I might read more on that. Thanks for the info. And if you can send me a link, I'd appreciate it.
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To Filipino Nurses in NEW ZEALAND? Have questions please..
Hello. I am on Stage 1 of my NCNZ application. I don't have a credit card and my only option is bank draft. IS ANZ the only bank recognized by the NCNZ council to issue a bank draft or do I have other options. What banks are associated with ANZ (within the Philippines)? I can't seem to find any thread regarding this. Thanks a lot.
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Member-recommended neonatal reading list!
i received an offer from a specialty hospital to work in the NICU. Im currently w0rking at a med-surg unit and have been exposed in the NICU for just about 12days during my orientation. I have no idea where to start preparing myself. Need a little help pls. thank you.