Published Jun 10, 2010
wooby
1 Post
Can anyone share their policy/protocol for using servo control-on a dressed or naked baby? And at what weight do you dress/take off servo?? The nicu I am currently working in dresses them sometimes at 600 g, but yet continues to keep them on servo?? Sometimes I can't find the baby they are under so many covers, yet their temp will be unstable!!! I am desperate to change/revise the policy for servo/manual control and dressing a neonate and need "evidence based" info....Any and all comments are appreciated!!
SteveNNP, MSN, NP
1 Article; 2,512 Posts
Servo shouldn't be used on a dressed neonate. It irritates me when people wrap babies in so many blankets that they are impossible to find in the pile of fabric. Wrapping a baby who is already on the cool side is like trying to melt an ice cube with a blanket. All it ends up doing is insulating a baby AGAINST the warm air in the isolette. Never put more than 2 blankets and a hat on a baby. If he needs more than that to stay warm, you either need to go back up on the temp, or examine whether or not an infection is present. Kids like these end up burning SO many calories to stay warm, just because we want to push them into a crib.
dawngloves, BSN, RN
2,399 Posts
All it ends up doing is insulating a baby AGAINST the warm air in the isolette.
What he said.
darynash
75 Posts
Check the Core Curriculum for Neonatal Intensive Care Unit Nursing for servo and air control as well as neutral thermal environment. Try doing a lit search also.
llg, PhD, RN
13,469 Posts
When doing a lit search on a basic topic like this, you often need to go back several years -- not just 3-5. That's because a lot of the research was done years ago (e.g. 1970's? 1980's?). Since it has already been researched and the evidence/rationale is already established, more recent researchers have focused on other things.
Another place to look would be the "practice guidelines" of the various neonatal/pediatric professional organizations. Visit their websites and see what they have. That would give you the national standards for such issues.