Are Patient Expectations Lowering Satisfaction Scores?

Evi Dewhurst / November 2017

“The first step in exceeding your customer’s expectations is to know those expectations.” – Roy H. Williams Healthcare facilities are prioritizing patient satisfaction more than ever before. Your own hospital has probably been examining satisfaction surveys for ways to improve. But there is one critical element closely linked to patient satisfaction that’s easy to miss…. Read More

Patient Satisfaction: Why it Matters to Hospitals

Patrice Hatcher, MBA, BSN, RNC-NIC / November 2017

Why does it matter to hospitals if patients are satisfied with their care? How does the patient’s experience impact healthcare organizations and their overall business? These are just a few of the questions that have been asked by members in healthcare. If you have worked in the healthcare industry for more than ten years, you’ve… Read More

Is Your Hospital Prepared for Natural Disasters?

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

Natural disasters seem to be more and more common these days. When I lived in California, we were often reminded to be prepared for an earthquake-related disaster. Sure enough, it happened while I was at the hospital. I was working the night shift when one of the stronger earthquakes hit. We had practiced and reviewed… Read More

The Death of the Gastric Residual: R.I.P.

Jae Kim, MD, PhD / October 2017

We all know the truth deep inside: The gastric residual (GR) is a meaningless sign. My sense, in speaking to audiences around the country, is that more and more NICUs are deciding that they too have had it with the GR. Many are stopping the practice of looking. Why has checking the GR lasted so… Read More

Breastfeeding Barriers: 4 Infant At-Risk Conditions

Evi Dewhurst / October 2017

Are you an L&D nurse, a maternity nurse, or neonatal nurse? I’ve got something for you. It’s something that will help you deliver more human milk nutrition to infants in your care. I recently wrote about 10 at-risk conditions for mothers which negatively impact breastfeeding success and duration. Interest in such information is high, because… Read More

NICU Product Research: A Best Practice

Kathy Quellen, RN, BSN / October 2017

As a clinician, I was always being shown research and opinions on why products were the best. It’s very easy to hear good information, especially when it’s presented by a company talking about their own product line. But not all research is the same, and understanding the difference between a real scientific study and other… Read More

Protecting Developing Brains with Human Milk

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

The concept of the “neuro NICU” came about around the time that hypothermia for hypoxic ischemic encephalopathy (HIE) came into general practice. These babies have a high likelihood of brain damage, and while cooling (hypothermia) has been shown to improve outcomes, it is apparent that we need to do as much as possible to aid… Read More

Lactational Abscess: How Deep Can It Go?

Carol Chamblin, DNP, APN, RN, IBCLC / October 2017

Helping mothers learn to breastfeed at times can be challenging. Because breastfeeding is considered a natural process, it is often assumed that infants will simply know how to latch easily to their mothers’ breasts. When I teach breastfeeding instruction to pregnant mothers, I want to boost maternal confidence in being able to breastfeed, and to… Read More

Neonatal Gastric Feeding Tubes, Part 4: Clinical Management of Feeding Tubes

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

In part 3 of this blog series, we discussed several studies around bacterial growth in feeding tubes. The knowledge that this occurs in a fairly short amount of time, and can lead to feeding intolerance and perhaps clinical sepsis, requires that we evaluate our clinical practice. Changes in practice may be indicated based on those… Read More

The NICU Enteral Feeding Tube Checklist

Evi Dewhurst / September 2017

Those darn OG and NG feeding tubes. Remember the last time one of your NICU babies managed to pull his loose? I figured you would. That may have been the last time you looked at a feeding tube and really considered it at length (no pun intended). Enteral feeding tubes may not stand out too… Read More