Practical Procedures

Is there any point in delaying clamping the cord after the placenta has been delivered which sometimes happens before 3 minutes, the time recommended for term babies in the webnar Also neither AAP nor WHO or Gynecological societies mention 3 minutes as the recommended time as yet. So can there be medico legal issues

We got this question on our FB page, please share your advice:

I’m trying to identify a good fool proof method of securing ET tube and there doesn’t seem to be a consensus. I’d like to hear what methods do you all use on your units and if you could share any thoughts, experiences and ideas here please. Sent from my iPhone using Tapatalk

Hello Everyone, Does your unit change IVF from an old central line ( UVC fluid) to a new central line (PICC)? On rare occasions we ran into a problem where a UVC fluids was infusing with TPN fluids and a new PICC line was inserted a few hours later. To minimize the cost to the patient, fluids are switched until new TPN comes available on the next pm shift. Our TPN comes at 2100 every day. The IV tubing is not changed when the switched is made because there is not enough fluids to prime it again. We have been zero CLABSI for the past two years, our last incident was from a UVC line. Any guidance would be greatly appreciated. Thank you,

Dear colleagues Just a naïve question. Endotracheal, nasopharyngeal and oral suctioning in infants -- what first, second and third? My idea was 1. Trachea 2. Oropharyngeal 3. Nose. But some colleagues told that oropharyngeal suctioning first because we need to clean upper airways in order to avoid risk of microaspiration by ETT during the endotracheal suctioning. For example guidelines from Ireland https://www.olchc.ie/Healthcare-Professionals/Nursing-Practice-Guidelines/Suctioning-Guideline-Sept-2017.pdf support my opinion. But the other opinion sounds reasonable too. Where the truth? Many thanks!

Does some body use it? Any report?