Breastfeeding Promotion in Infants of Substance Abusing Mothers

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

This article is intended to address the topic of infants born to mothers with a substance abuse condition, not a mother who was monitored as a patient on other medically necessary prescription medication throughout pregnancy. While the occurrence of substance abuse in pregnant women has increased dramatically over the last several years, it is not… Read More

Cue-Based Feeding: Who is Driving the Feed?

Kim Flanagan, MSN, CRNP / April 2017

Let’s face it: Back in the day, a NICU nurse who could encourage an infant to take the entire feed (every time) was considered a rock star. And, although I am ashamed to say it, I was a rock star. I considered my ability to get the last 5 or 7 mL into my patient… Read More

Backorders and How to Avoid Them

Kathleen Quellen, RN, BSN / April 2017

Most hospitals have had to wrestle with the issue of backorders at some point. The end users (usually nurses) have to deal with the consequences. But I’ll ask you a question: What if you could do something today, right now, to help prevent such things from happening in your unit? There are things you can… Read More

ASPEN Safe Practice for Enteral Nutrition Therapy, 201: An Update

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

From early on in my career as a NICU nurse and later as a clinical nurse leader, I have always found great value in learning as much as possible from others with the goal of continuously improving my clinical knowledge. I always find it so interesting to review evidence-based research, best practices, and learn from… Read More

Why Do We Keep Getting It Wrong In Neonatology?

Jae Kim, MD, PhD / March 2017

I started in pediatrics a few decades ago. Back then, it was commonplace to provide postnatal corticosteroids in very high doses from the first few weeks of life to dampen the massive inflammation that occurs in chronic lung disease of prematurity. The result was often visible improvement and the ability to get an infant off… Read More

Breastfeeding Support in the NICU

Kim Flanagan, MSN, CRNP / March 2017

It can be a time of unbearable stress to learn that your child is critically ill. The visions of holding a healthy, pink, vigorous newborn baby disappear all too quickly when an infant is born prematurely or with critical health issues. NICU nurses are extraordinary at helping families deal with this crisis while balancing the… Read More

Minding Your Milk: Helping Mothers in the NICU

Kim Flanagan, MSN, CRNP / February 2017

It is well documented in research that mothers own milk remains the gold standard for nutrition to critically ill infants in the Neonatal ICU. But despite the fact that the mother may be willing to provide milk for her infant, there can still be potential challenges to achieving that goal, particularly if that infant is… Read More

Purging the Line: Reducing Fat and Nutrition Loss

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

Delivering Full Human Milk Nutrition in the NICU: Part 2 of 2 (Read part 1) Human milk is the very best nutrition for all newborn infants, and even more so for very premature and critically ill infants in the neonatal intensive care unit (NICU). Oftentimes these infants are receiving early nutrition of mother’s own milk… Read More