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

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