kaibigan

we change our TPN Q 24 hours and our Intralipids 20% Q 12 hours. with or without additives, the bag has to be changed Q 24 hours; but, the tubings can be changed Q 72 hours only if the IV solution is plain D10%, D5%, NSS.

my preceptor called the NNP and asked if the Zantac and Reglan should be given via NGT since babe on NPO, NNP said "give it NG."

are you fellow nurses using the swaddle bath or the conventional bath? do you use a special kind of soap or shampoo or bathing equipment? how warm is the water should be? some of my co-staff i have seen directly places the baby under the flowing water from the faucet on the sink inside their pods. there was a discussion among RNs and LPNs as to which to be bath/wet first, is it the head or the body? kind of silly question but i would like to hear from the different units/places their practice. thanks again.

thanks tweety

:rotfl: sorry about the post, wrong sent comment. this should be on another thread.

how often do you change the dressing for central lines, broviac? do you have a special nurse to change it? does anyone has a policy on this? thanks!

we do not have a vapotherm but it is a practice in this hospital to give NC 2-3L. there are times they used the blender and at times not. there was one baby handled by one of the preceptors who was on NC@ 3L O2 with blender @ 40%, eventually the baby was weaned down from the blender until it reached 21%. however, he still remains on 3L for a few hours. it was weaned down to 2.5L then to 2L, down to 1.5 up to 1L (still without the use of the blender),not until another NNP came in and have noticed it on the shift change. the baby's nose is somewhat raw and blasted. no incident report was made.

thanks for the immediate response. i got confused 'coz one of our NNP ordered Reglan and Zantac P.O. for our baby who has GER. she's very much aware that the baby is having reflux, she didn't change her order to IV but instead asked my co-staff to give it via NGT. so, my co-staff gave it via NG and didn't ask to change the NNP's order. i was shadowing this nurse the reason i have learned of this incident. is that correct action to do?

what is your protocol for car seat study? how long do you usually keep the baby in the car seat? while doing the test, do you apply any kind of material, cloth or towel rolls if the baby seem to be very small for the car seat? then, when the baby goes home, you will not allow the parents to put anything on the sides or back to act as a support in the same manner while you were conducting the car seat test? or should the baby be positioned the same as the way you did the study with all the paraphernalias that supported him? one of my co-staff asked me to placed some kind of support to keep the baby's head up and straight and with the pulse probe attached to his leg while doing the study prior to discharge. eventually the baby passed the test for 45 mins. however, the baby was sent home on the car seat without any material to support his head, am afraid that something might happen to the baby on his way home. did i do it right or not?

how would you give the Zantac or Reglan, and or Sucrose if the baby was placed on NPO? would sucrose serve it's purpose if given via ngt or ogt? then, how about the reglan and zantac?

hi all, is it a practice for all to use NC 2L-3L without blender or blenderizer for preemies and term baby?

thank you sparkyrn, that is what i believe too. i just wionder why in our flow sheet, there were two spots where we have to record the gastric output (residual or gastric aspirate) when we mean the same thing. aside from that portion in our flow sheet, one of the nurses i handed over with a few weeks back have asked me if i have a residual and gastric aspirates. it is good, perhaps, that there was no output when i aspirated the NGT that i have to say 'zero' or none, otherwise, i might have had a dialogue with her. thanks again for your so precious and immediate responses to all of my questions.

another trivial question, i may say. if the baby is on continuous suction and is attached to a repogle, is there a need to aspirate for drainage every 3 or 4 hours (during cares)? any opinion?

when you use corpaks, how often do you change it? also, how often do you check for 'residual' or 'gastric aspirates'? according to one of my colleagues, it is not necessary to check for the corpak placement prior to giving the bolus, intermittent or continuous feeds. on the other hand, there is also another colleague of mine who said that i am supposed to check it everytime before i start with any type of feedings. your opinion matters a lot to me. thanks!