Kldrn9963

We wait 6 hrs. We do baths anytime of the day. Most parents are fine with bathing the baby if the are already awake.

Does your newborn nursery do many frenectomies? It seems many of our new moms are now coming in and asking for this to help with breastfeeding. If you do this in your hospital, who does this, the ped, ent, or does the baby come back as an outpatient? Does your lactation department play any part in this? Thank you for any insight.

What practice does your hospital follow for skin to skin after delivery? Do you continuously monitor the baby on a pulse ox? How often do you get vital signs in the baby? How long to you keep them skin to skin? Does a staff member stay in the room at all times with the mom and baby? Have you had any difficulty with your process? Any feedback would be greatly appreciated.

Does any have any hospital protocols/policies they would be willing to share with me?

In newborn nursery, does anyone routinely use unlicensed personnel (techs, CNAs) in their staffing matrix? We do not do couplet care and staff only rn's currently in the nursery. If you do use unlicensed personnel, do you care to share your staffing ratios? Thank you!

Curious what kind of cribs every uses for their newborns. We have steel and are considering going to wood for the "homey feel". Any experiences with wood versus steel? I think infection control may have an issue with wood?

We are a locked down unit using the HUGS security system. We monitor and screen all visitors. We drill once a year.

Does anyone readmit newborns from home back into their NICU? If you do, can you please share your criteria/policies with me? Our neos feel NICU RNs better care for these infants than the ped floor. Wanted to know what everyone else does. My email is: [email protected] Thanks!

Just curious how many units are placing infants in Kangaroo Care right after birth and doing the initial assessment on mom's chest. We do not routinely do this at our hospital and many nurses do not want to do this because they feel they cannot do an accurate assessment while in kangaroo care. For those hospitals already doing this, have you ran into any issues from this practice? Thanks in advance for your help!

Recently administration has told us we have to use bedside medication scanning on ALL of our newborn meds. Newborn admission meds have been problematic (vit k & erythromycin) We have a huge disconnect between pharmacy, IT and nursing staff and are running into various issues to make this successful. How are your facilities doing this with success? By the time pharmacy verifies the meds and they are loaded on the EMAR, our allotted time frame to administer these meds has lapsed. What is your process that works well?