Can we stop our kids from going blind in the NICU?

Jae Kim, MD, PhD / January 2017

Retinopathy of prematurity (ROP) has been a long-time nemesis of neonatology caregivers since uncontrolled oxygen began being delivered to preterm infants more than 50 years ago. Oxygen is a drug and, when given in excess, has a toxicity to the developing, immature eye that can lead to serious vascular changes – and ultimately blindness. There… Read More

Family-Centered Care in the NICU

Sandra Sundquist Beauman, MSN, RNC-NIC / January 2017

Family-centered care has become a buzz word in healthcare. This is important in all areas of healthcare, but particularly in the care of infants and children. What does this mean and what should it mean? I had the good fortune to hear several parents of preemies speak about their experiences at the most recent National… Read More

Oral Care: Good for One, Good for All

Meredyth Thompson, BSN, RN / December 2016

A few months ago, I opened the topic of oral care for the NICU baby. We know that it has long been established as our standard of care for our ELBW and VLBW infants. It was fun to bring a fresh idea to the table to present oral care as immune therapy and spark new… Read More

Oral Care: The Immune Powers of Human Milk

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

Are you using colostrum for oral care in your NICU? There are several studies now related to this procedure. First, this started as a measure to reduce ventilator associated pneumonia (VAP) because adult practices to avoid VAP required regular oral care with an antibacterial solution. NICU clinicians did not feel this solution would be safe… Read More

Gastric Residuals: 3 Reasons for Standardization

Kim Flanagan, MSN, CRNP / December 2016

The practice of checking gastric residuals has been a part of neonatal nursing care for as long as I can remember. Even as a graduate nurse in 1997, I can recall gently pulling back on the syringe prior to each feed to verify the stomach contents of my patient. At the time, the practice was… Read More

Is it Time to Say Goodbye to the Cow in the NICU?

Jae Kim, MD, PhD / December 2016

Each year we get closer to a reality where the only diet that is suitable for a very premature infant is one based on their mother’s milk. When that is not available, donor human milk may be a secondary substitute. In this reality, at no place is preterm infant formula a comparable replacement with early… Read More

Why Mothers Should Pump Within One Hour of Birth

Irene Murphy Zoppi, RN, MSN, IBCLC / December 2016

Until recently, mothers of very low birth weight NICU infants were instructed to begin expressing breast milk with a multi-user, double-electric breast pump within six hours after birth. Yet many institutions may have delayed milk expression beyond this timeframe, thinking the mother would be better resting after an arduous labor and a surgical delivery. Clinicians… Read More

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