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Change is never easy. We hear this all the time. But change is often worth the effort in the end. What if knowing and understanding that the needed change would potentially save a life, improve quality of life, keep a family intact, or save a career? Would this change seem important then, even if you… Read More about “Successfully Navigating the Path to ENFit Transition”
Were you aware that on April 1, 2018, Anthem Blue Cross/BlueShield decreased reimbursement rates for breast pumps by 45%, from $169 to $95? Anthem is a large independent licensee of Blue Cross/Blue Shield that insures about one-third of individuals and families in the United States. Alarmed by the impact of not being able to secure… Read More about “Breast Pump Insurance Reimbursement: What’s In It For Mothers”
Last year, I was invited to be part of the International Neonatal Consortium (INC). This group is a non-profit organization whose mission is to accelerate the development of safe and effective therapies for neonates. The consortium engages the global neonatal community – families, neonatal nurses, academic scientists, regulators, pharmaceutical investigators, advocacy organizations, and funders –… Read More about “Research in Neonates Survey: For Clinicians and Families”
When I was first attracted to neonatology, I was told some great stories of its birth by many of my mentors who witnessed the beginning. Those early pioneers were working desperately to break new ground to save lives, as preterm infants were routinely dying from respiratory illness, sepsis, and other morbidities. They experimented with whatever they… Read More about “Neonatal Hocus POCUS: When Did We Become Laggards in Using Point-Of-Care Ultrasound Magic?”
Mother’s own milk (MOM) provided to an infant is by far the best source of nutrition available. We know, though, that there is a marked disparity between mothers who are providing MOM initially, and those that continue to pump or breastfeed prior to or shortly after NICU discharge. In addition, we know low income populations… Read More about “Breastfeeding Mothers in the NICU Benefit From Education and Support”
How frequently are you changing feeding tubes? Several years ago, I had the pleasure of transitioning to a clinical specialist role working for a company that is passionate about human milk, and manufactures enteral feeding products. I am frequently asked for the manufacturer’s recommendation for changing feeding tubes. Another question is, “How long can the… Read More about “NICU Feeding Tubes: A Source of Infection”
Increasing the provision of breast milk to infants in the NICU has long been a goal in NICUs around the world, given our knowledge about the multiple protective health benefits of human milk to infants, and to premature infants in particular. Successful breastfeeding in the NICU is impacted by numerous factors, including the support provided… Read More about “Breastfeeding and Maternal Depression in the NICU”
What is stress? How do we manage it, and how do we reduce it, or know when we need to? I’ve seen several messages pop up lately on my social network feeds about stress reduction, which is always a hot topic for healthcare professionals! Stress is an important component and natural phenomenon of our lives… Read More about “Is Stress Just another Buzzword? How Healthcare Professionals Can Care for Themselves”
In 2006, a premature infant nearly died due to a mix-up of feeding and IV lines. That same year an expectant mother and her unborn baby did not survive after a bag of ready to hang enteral feeding was delivered via her PICC line. And by 2011, there were 116 documented cases of these type… Read More about “A NICU Success Story: Converting to ENFit Enteral Connectors”
Parts of my state of California were burning at their worst levels in history recently while I was planning my September blog topic. I couldn’t help but connect the occurrence to a topic of some events when I have gotten “burnt” myself trying to communicate with my patient’s parents. These at times scorching moments have… Read More about “Burn, Baby, Burn: Lessons From Messy Communications with NICU Parents”
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