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.
Hahaha I do the O2 on the bum too when they are really bad, I've gotten really good at cutting a whole in the diaper and taping the tubing so it's at just the right angle
we use a moisturizing spray with a dab technique instead of wipe, with a barrier cream or zinc depending on the break down. Barrier cream for all babes usually
I LOVED this cream we used it in adult medicine all the time and I brought it up to our wound care nurse in the NICU and she said it wouldn't work well with neonates and gave me a bunch of lame reasons.... what do you think of it?
I have worked on a couple of different units and each did things a little different (1) Triple paste (2) Vaseline/A+D-prophylaxis most places (2) Z-Guard/Hydraguard cream (3) Desitin/Illex cream or Desitin /Illex cream/Stomahesive powder-more severe rash (4)Marathon/Cavilon-nonsting barrier (5) Oxygen to open butt-moderate to severe rashes.
I personally like open to air if possible, but it's hard to be consistent shift to shift due to the messiness factor and if the baby is wild, but I think it heals sometimes quicker than all these preparations.
At first site of redness, nurse should let doctor know and zinc oxide will be ordered. Next is either Questran (yellow stuff in a cup) or stoma paste with zinc oxide (thick, sticky, beige stuff in a cup) depending on the doctor preference. If they are bleeding and absolutely miserable we will use a no sting barrier and oxygen flow to the bottom.
I LOVED this cream we used it in adult medicine all the time and I brought it up to our wound care nurse in the NICU and she said it wouldn't work well with neonates and gave me a bunch of lame reasons.... what do you think of it?
I like it! I've seen no issues. I literally have never heard of this oxygen to the butt thing, we definitely dont do that! lol
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?
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kp1987
402 Posts
Hahaha I do the O2 on the bum too when they are really bad, I've gotten really good at cutting a whole in the diaper and taping the tubing so it's at just the right angle
we use a moisturizing spray with a dab technique instead of wipe, with a barrier cream or zinc depending on the break down. Barrier cream for all babes usually