QUIZ: How Well Do You Know NICU Enteral Feeding Safety Recommendations?

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

Over the past several years, enteral feeding safety has risen to a high level of concern related to misconnections with enteral feeding tubing. In 2014, the Joint Commission put out a call to action that included strategies for managing enteral feeding and decreasing the risk of tubing misconnections. These days we are all very familiar… Read More

The Importance of Using Human Milk for Oral Care

Meredyth Thompson, BSN, RN / August 2016

Human milk for oral care: It has long been a part of our everyday routine, a standard of care for every baby—particularly the very low birth weight (VLBW) or ventilated patient. And yet, at the bedside, it is often easy to overlook this simple task. However, this simple, easy, small thing is quite possibly the… Read More

Bacteria and Biofilm: Why Feeding Tubes Need a Closer Examination

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

What’s growing in your feeding tubes? We certainly watch our own food to make sure it is fresh, with no mold, and that it smells right and tastes right. But the pictures found in several of the studies mentioned below of biofilm found in enteral tubes are not very appetizing! Several studies have now investigated… Read More

Initiating Breast Milk Expression in the NICU: How NICU Clinicians Can Assist Mothers

Michelle A. Krauklis, RNC-NIC, MSN / July 2016

(This article was originally published in the Spring 2016 issue of Neonatal Intensive Care) Undeniably, human milk is the preferred nutrition for all infants. This is especially true for fragile, premature infants in the NICU as human milk provides protection from multiple prematurity-specific morbidities. Evidence demonstrates greater protection to the infant with the delivery of… Read More

The Value of Mother’s Milk in the NICU – Infographic Resource

Evi Dewhurst / July 2016

Just how valuable is mother’s milk in the NICU? Research has repeatedly demonstrated the many ways human milk can give sick and preterm infants the best possible start. Some are noticeable, such as impact to necrotizing enterocolitis rates. Other ways are more subtle, including boosting antibodies, and influencing discharge timing. Medela’s international team of education… Read More

Delayed Umbilical Cord Clamping: The Controversy Continues

We’ve heard a lot about delayed umbilical cord clamping in preterm infants over the last several years. I recently began work on an extensive literature review to prepare for a lecture on this topic. I was surprised to see the level of disagreement, reported inconsistency in practice, and continued discussion on this topic. There were… Read More

Neonatal Gravity Feeding: What Are The Challenges?

Sandy Sunquist Beauman, MSN, RNC-NIC / June 2016

When giving enteral feeds in the NICU, we have several options. The solution to be fed, use of breastmilk, addition of fortifiers, formula, protein additives etc., are determined by the primary provider. Once the determination has been made that a feeding of whatever sort of milk will be given via gavage, the nurse will have… Read More

9 Human Milk Post Resources for NICU Professionals

Evi Dewhurst / June 2016

The NICU and human milk go hand in hand. This healthcare dynamic is how hospital professionals can help mothers connect to their preterm and at-risk infants, and how they can influence provision of the best nutrition to improve patient outcomes, discharge time, and even hospital budget. Where can a NICU professional go to find additional… Read More

4 Amazing Ways Preterm Human Milk Differs From Term Human Milk

Evi Dewhurst / May 2016

Healthcare professionals know the many benefits of human milk to infant health. Especially fascinating is how human milk varies based on the timing of childbirth. It continues to change over the duration of breastfeeding to meet the needs of the growing infant and offer a defense against illness. Infants born preterm are particularly vulnerable to… Read More