Neonatal Gastric Feeding Tubes, Part 1: Placement

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

One of my first memories of the NICU took place during nursing school. Our class took a tour of the Neonatal Intensive and Intermediate Care Nurseries, two separate units in the hospital where I trained (yes, I was in one of the last diploma training programs in the country!). On our tour through the intermediate… Read More

Risks of Volume-Driven Feeding Methods

Kim Flanagan, MSN, CRNP / June 2017

Did I accurately draw up the Epi in that code? Did I hear a murmur when I auscultated that baby’s chest? Does that baby’s abdomen look more distended? Out of all the critical management decisions nurses make in the NICU, how we manage feeding a “feeder grower” is probably not high on the list of… Read More

Initiating Milk Supply: Infographic

Irene Murphy Zoppi, RN, MSN, IBCLC / May 2017

Nature has provided female mammals the ability to provide nutrition to their young after giving birth. This amazing natural marvel occurs due to a sequence of physiologic events, and culminates with sufficient quantities of species-specific nutrition for infant survival, growth, and development. The process of lactation begins during gestation and is referred to as Secretory… Read More

Benefits of Kangaroo Care for NICU Infants

Jenny Murray, BSN, RN / May 2017

The kangaroo mother figured out the best way to feed, care, and bond with her joey long, long ago. But it took humans much longer to learn the benefits of what is now known in the world of neonatology as “kangaroo care” (KC). The beginning of kangaroo care Kangaroo care first came about as a… Read More

Enteral Feeding Pump ASPEN Practice Recommendations: Safe and Accurate Delivery

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

Several years ago, I remember hearing discussions about having neonatal enteral-only feeding pumps. It was one of those conversations that was in the background of another conversation, and really did not hold my attention. Fast forward a couple of years later, and this recommendation was coming through loud and clear from several regulatory associations. Those… Read More

Guidelines for Neonatal Enteral Feeding

Kathy Quellen, RN, BSN / May 2017

Three regulatory agencies work well together when researching best practices for feeding in the NICU. They are the Academy of Nutrition and Dietetics, the American Society for Parenteral and Enteral Nutrition (ASPEN), and Human Milk Banking Association of North America (HMBANA). The Academy of Nutrition and Dietetics (formerly known as American Dietetic Association) has excellent… Read More

5 Reasons for NICU Tubing Misconnections

Sandy Sundquist Beauman, MSN, RNC-NIC / May 2017

Figuring out why accidents might happen can be much more difficult than understanding why an accident actually occurred. Certain things (such as the lack of a stop sign at a blind intersection) seem inherently obvious that an accident will most likely happen. However, things like connecting a blood pressure monitor tube to an IV seem… Read More

Neonatal Enteral Feeding Pumps: Delivering Full Human Milk Nutrition

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

Delivering Full Human Milk Nutrition in the NICU: Part 3 Are you focused on improving nutrition in your NICU?  Does your unit have a feeding committee that is focused on optimizing human milk delivery?  If there was one change you could make in your current practice to improve fat delivery by 40%, would you be… Read More

Human Milk Microbiome: A Paradigm Shift

Shelley McGuire, PhD / April 2017

Until very recently, researchers and clinicians assumed that all healthy bodily fluids like blood, lymph, urine, amniotic fluid, and milk were sterile unless they were produced by an infected or ill person. This belief was reasonable at the time, because the only ways that researchers had to really “see” and study bacteria were to look… Read More