Rn

[johan john]

hai Friends,

I just want ur valuable opinion n the following concern. we have an outbreak of Pserretiaa And acetinobacter in our unit.this is a level111 NICU,most babies below 28 weeks on prolonged ventilation.(Mst of them are ETT Secretions).DOes the retained secretion and lung pathology itself contribute to this?we change he receptal bags for suction every 3days and also the tubings.most of the babies with CLD WE INSTILL NS for suction.Another cocern is about sealing the iv pricked site (either HEAL or Venous sites ) with Dry cotton .this is our practice after pricking.BUt now our Docs told us not to keep it,apply pressure and clean the site with alcohol. Iwould like to know about the policies in your unit.

[RN4Little1s]

We use in-line suction with our ETTs, changed when soiled or deamed necessary. Suction tubing and canisters are changed daily and dated. We use Q4H mouth care kits shown to decrease VAP and have reduced our VAP rate tremendously.

Oh the debate for NS with suction... when secretions are thick, we use it. When not using it we have noticed thick clots causing some scares.