Decreasing Breast Milk Volumes in the NICU: Can Clinicians Make a Difference?

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

How often have you heard mothers of infants in your unit comment that they aren’t producing enough breast milk? Have you witnessed mothers’ milk supplies initially appear sufficient, but then seem to decrease when nutritional needs of their infants increase? Although mothers work diligently to keep up with the demands of producing milk, they continue… Read More

Comfort Measures for Infants During Insertion of Nasal/Oral Gastric Tube

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

Neonatal and pediatric NG/OG tubes are placed by skilled nurses at patients’ bedsides across the country every day. This procedure happens regularly, and at times can be repeated more than once for the same patient in a day. Premature infants in the NICU almost always require enteral feeding tubes for abdominal venting and for feeding…. Read More

Can La La Land Save Our NICU Babies?

Jae Kim, MD, PhD / June 2017

I have always had a soft spot for musicals in theater or movies. When my wife and son were traveling with me to a recent conference, the two of them decided to see the movie musical “La La Land” without me. I forgave them, because I knew that my daughter and I could soon see… Read More

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