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

Bacteria in Human Milk: Helpful or Harmful?

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

Bacteria exists in human milk. In fact, it is very important, as it contributes to normal colonization of the intestines of the newborn. Even bacteria often thought of as harmful can be harmless or even beneficial to the infant. Lin (2016) gives an eloquent summary of the benefits of these bacteria, and their role in… Read More

The Venting Spill Nightmare: Stopping the Spill on Gastric Venting

Evi Dewhurst / October 2016

You’ve been there before: You finished the initial assessment on a new admission. The new patient was receiving nothing by mouth, but you knew expelled gastric fluid was on the way. To prevent imminent spillage, you placed the feeding tube, attached a feeding syringe, and filled the syringe with gauze to contain the vented fluid… Read More

Going Toxic in the NICU: Dealing with Workplace Negativity

Jae Kim, MD, PhD / October 2016

The presence of incivility is not new to medicine, and certainly not foreign to us in the NICU environment. Over the past two decades, I have seen several situations develop in different institutions that create an environment where it is uncomfortable, threatening, or unsafe to conduct oneself fluidly as part of a highly functioning team…. Read More

Getting the Skinny on Malnutrition in the NICU

Jae Kim, MD, PhD / September 2016

Our smallest infants now deliver at birth weights well below 500g, which is just about the size of my adult hand. Successfully surviving and growing a micropreemie is a modern day miracle. They start off being mostly water, with a mixture of soft tissue and bone, virtually no body fat, and limited muscle mass. This… Read More

5 Enteral Feeding Regulatory Recommendation Priorities

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

These are dynamic times in healthcare, with a high focus on improving patient outcomes through quality measures and implementing best practices. Enteral feeding safety has improved; however, there is still work to be done. There are regulatory associations diligently making additional improvements toward decreasing the risk of misconnections. Some of these improvements include implementation of… Read More

Navigating California Law and ENFit Connectors (in all 50 States)

Evi Dewhurst / September 2016

Improving outcomes and patient safety are top priorities for all hospitals. It’s no surprise that these priorities include using enteral feeding best practices, which reduce the risk of adverse events.  ENFit™ enteral connectors fall solidly within these best practice efforts. This is especially true for the neonatal intensive care unit, where a tiny error can… Read More

Standardization of Warming Infant Feeds: Effect on Outcome

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

The benefits of practice standardization in the hospital are well-documented. In the NICU, where vulnerable patients can be affected by the smallest inconsistencies, standardization can have perhaps an even larger impact on patient outcomes. While additional evidence is needed to support specific temperatures at which feeds should be delivered, it is impossible to draw any… Read More