Are Milk Prep Rooms An Injury Risk?

Evi Dewhurst / December 2016

At first glance, a hospital milk preparation room seems harmless. This specialized area dedicated to the storage and preparation of human milk for neonatal intensive care infants does not have any seemingly dangerous equipment with the potential to cause healthcare staff harm. Or does it? The Occupational Safety and Health Administration (OSHA) reported in 2013… Read More

Mother’s Own Milk Versus Donor Milk

Sandy Sundquist Beauman, MSN, RNC-NIC / November 2016

It no longer remains a question about whether breast milk is best for babies. If anyone has doubts, there are multiple sources and examples of how breast milk is better for all babies, but particularly for our premature infants in the NICU. There have been other blogs detailing all the advantages of mother’s own milk… Read More

Reducing Waterborne Pathogens In Your NICU

Evi Dewhurst / November 2016

Waterborne pathogens in the NICU have been identified health hazards for many years now. Although invisible to the human eye, they are regardless a very real threat to human health. While they are a danger in adult patient populations, these pathogens can pose an even more significant risk to the smallest and most vulnerable patients:… Read More

Feeding Tubes: The Case of the Disappearing Numbers

Meredyth Thompson, BSN, RN / November 2016

It’s happened to all of us a time or two (or twenty)! It’s 0830 (or 2030 for you nightshifters), and you’re running late for an 0800 feed. You hurry through your assessment, get the baby settled, and go to check your feeding tube to make sure it’s secure, and check your residuals (if your unit… Read More

Enteral Feeding: Clinical Units and the Pharmacy

Kathy Quellen, RN, BSN / November 2016

Enteral feeding choices in the NICU are normally decisions made by clinicians in the NICU, based on nursing preference, and with possibly a bit of purchasing guidance for some of the financial pieces. Pharmacy has always had a small part in enteral feeding, as they send up enteral syringes for both PO and enteral administration…. Read More

The Right Tools for the Right Patients: Enteral Feeding in the NICU

Patrice Hatcher, MBA, BSN, RNC-NIC / November 2016

As a NICU clinician, I am sure you have been in the unit, possibly at the start of your shift, and found that products or equipment you had been using would be changing (or had already changed) to a new manufacturer. The product could have been as simple as a new brand of tegaderm, or… Read More

Occlusion Alarms and Alarm Fatigue in the NICU

Kim Flanagan, MSN, CRNP / November 2016

Providing developmentally appropriate care to critically ill newborns is a priority in the neonatal intensive care unit, which includes a provision of quiet environment with low levels of stimulation. But walk into any NICU in the world, and you will hear a plethora of sounds: caregivers communicating, phones ringing, equipment alarming, pagers going off, and… Read More

Are You Maximizing Nutrition for Bigger NICU Infants?

Kim Flanagan, MSN, CRNP / October 2016

It is well established in the literature that human milk in the Neonatal ICU serves as a critical intervention to improve clinical outcomes for extremely low birth weight and very low birth weight infants. Numerous researchers have studied the positive role human milk plays in necrotizing enterocolitis, sepsis, retinopathy of prematurity and bronchopulmonary dysplasia. However,… Read More

Implementing ENFit into the NICU: The Plan Versus the Reality

Kathy Quellen, RN, BSN / October 2016

ENFit is coming! We need a plan! Who is working on this? If you have not heard these words yet, you will soon. Many changes are coming to the way we work with enteral feeding products, in the NICU and the entire general population in the acute and non-acute care setting. The Association for the… Read More

Why an Enteral Feeding Pump is a Best Practice

Patrice Hatcher, MBA, BSN, RNC-NIC / October 2016

How many times have you been in this situation? You have observed your overloaded colleague during a very busy shift in the NICU. You want to assist. You ask your coworker if there is anything that you can do to help. She asks something very simple, like, “Can you turn off my patient’s feeding? The… Read More