NICU Family-Integrated Care: Mommy Knows Best (Just Ask Her)

Jae Kim, MD, PhD / September 2017

In our NICU, as I suspect in many other units, we have been actively involved in providing family-centered care practices for more than a decade. We did this to bring parents more into the fold of their baby’s care. This has become increasingly challenging on so many fronts, given the rising complexity of neonatal care… Read More

NICU Human Milk Preparation: Do We Need Dedicated Milk Technicians?

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

Have you noticed that there is a human milk preparation practice change that is sweeping across the nation? The actual process for preparing human milk feedings for the most part is still the same. However, the BIG CHANGE that is being implemented by many Children’s Hospitals is with “who” is preparing the feeds, and “where”… Read More

Neonatal Gastric Feeding Tubes, Part 3: Bacterial Risks and Benefits

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

I recently discussed the state of the evidence related to gastric tube placement in the Neonatal Perspectives blog, including proper measurement, securing of the tube, and checking of placement. So, what’s left? This is, after all, considered a very simple procedure, and one that is often taught as a first procedure in the neonatal intensive… Read More

Can Pharmacy and Enteral Nutrition Resources Be Streamlined?

Kathy Quellen, RN, BSN / August 2017

The clinical complexities and requirements of your neonatal patient population when dealing with enteral feeding systems impact your resource decisions. When looking at purchasing an enteral feeding system for the NICU, the focus is on feeding. When looking at enteral administration systems in the pharmacy, the focus is on the medication. Feeding and medication: One… Read More

8 Ways to Drive Change Management in Healthcare

Jenny Murray, BSN, RN / August 2017

Change is never-ending. Unfortunately, that hasn’t made us, as individuals, any more comfortable with it. John Kotter, an internationally known speaker on topics of leadership and change, describes an “emotionally charged change behavior” that helps employees overcome negative feelings toward change and adopt feelings that promote change.1 Fueled by emotion, a change in behavior is… Read More

5 Nutrition Myths in Neonatology

Jae Kim, MD, PhD / July 2017

It seems we may live in a day of alternate truths, myths, and misconceptions. I thought it would be interesting to review a few myths in nutrition (some of which are perhaps more pet peeves of mine). Because there are so many details involved in nutrition management, it can be easy to hit a snag… Read More

Neonatal Gastric Feeding Tubes, Part 2: Confirming Gastric Tube Placement

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

Last month, we reviewed the initial steps to ensure proper placement of a feeding tube or gavage tube in a neonate. Important steps to proper placement are measurement of the tube, and securing the tube to prevent accidental displacement. This month, we will review the recommendations around placement confirmation. The position of the tube should… Read More

ENFit Syringes and Their Impact to New Standards in the NICU

Kim Flanagan, MSN, CRNP / July 2017

The goal of implementing the new ENFit system is simple: improve patient safety. The implementation itself however, may not always be that simple. But as clinicians and hospitals navigate the challenging waters of change, perhaps it may be beneficial to keep the big picture in mind. To keep the daily struggles in check and maintain… Read More

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