Pajefferson16

Also, I've heard some of the nurses say they hate using Desitin because it burns the babies whenever they have diaper rash. Anyone feel the same way?

Thank you everyone for your replies! I mentioned to the nurses in my unit about using A&D prophylactically and some of them raised concerns that it could possibly do more harm than good in the long run. I didn't think so, but has anyone had any problems with this? Also, does anyone have any good articles that they have found regarding diaper rashes in the NICU?

Hello all! I am currently working on a unit improvement project regarding skin care for neonates- specifically diaper rashes. I am curious to see what everyone else is doing! Is there anything that you guys do in your units as far as preventing diaper rashes? I am currently thinking of implementing a procedure where we automatically start using A&D on babies who are more susceptible to getting diaper rashes (for example, babies on antibiotics, NAS babies, etc.). Does anyone have anything else they do, or any articles they would like to share? Also, what do you guys do for those babies who already have diaper rash? Our unit is split; some nurses use desitin for diaper rashes, and some nurses will continue to use A&D. Thanks in advance for the input!

Our unit requires us to sign up for at least 32 hours a pay period (6 weeks) of call. We get paid $2 an hour for every hour we are on call and if we get called in (which rarely happens, only if someone is going out on transport) we get paid time and a half for when we are at work. When census gets high (which has been happening a lot more as of late) we pull nurses from peds and OB to take care of the babies who do not need a lot of care. If they are swamped and not able to come over they send out a mass text asking for people to come in.

What are everyone's policies regarding hypoglycemia in the NICU? Our unit does not really have a set policy, and we are looking to create one. I have talked to some of the nurses in our unit who have come from the bigger hospitals in Chicago who've said that they had a policy and set numbers they went by. For instance if blood sugar is XX then you would do XX. Just curious to see what other units think!

Hello! New NICU nurse here with a question about oxygen. There's a little 30 weeker in our unit with a medium sized PDA. She's currently on oxygen, & she frequently desats into the low 70's and takes a while to come back up. How long should I wait for her to come up on her sats before I do something? I don't want to mess around with her oxygen if it's not needed. Thanks in advance!