September 12, 200718 yr comment_743 Does any of your units still use the red similac nipples for feeding? If so do you stop using them a certain time before discharge? Our neos want to stop using them but I need some evidence based info. Thanks! Christy Baggarly RN Patient Care Coordinator, NICU Carolina Medical Center- NorthEast Concord, NC Send Sticky Note
October 1, 200718 yr Our level 3d unit has not used "red" nipples for several years due to the rapid flow and increased risk of aspiration/apnea and bradycardia we see in premature infants. We typically use a "tri-flow" nipple set on "slow" for most premature infants, feed in a side lying position and move to straight yellow or NUK nipple as tolerated then to semi-upright positioning based on infant tolerance as demonstrated by no apnea/brady or desaturations below target range, no mottling with feedings and good suck swallow breathe coordination. Donna Lynette Lewis RNC, WCC Clinical Resource Nurse NICU/NN Saint Francis Children's Hospital Tulsa, OK
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