I would like to know how UAC/UVC/PICC insertion procedures at your unit for ELBWs. Do you insert them on the radiant warmers or in incubators. Are the babies still in plastic wrap ( from resus)? If its inserted inside the incubators, how do you drape etc. any videos or pictures ?

This is how I am used to do this:

1. the newborn preterm infant is wrapped in plastic after delivery and transferred to the NICU

2. the infants is placed under the radiant heater (with plastic wrappings) for umbilical catheters

3. then, incubator!

When PICC or periph arterial catheters are needed, these are generally inserted while the infant is still in the incubator.

Insertion is done on the radiant warmers then placed in isolette. We use the Giraffe beds which make it nice since they convert from a warmer to an isolette with out having to move the patient.

We also use the Giraffe Omnibed which makes it much easier - the baby is admitted onto the Giraffe, the lines are inserted and the lid is lowered. Done without having to move the baby again. We find it much more convenient for the staff (medical and nursing) and much less stressful for the baby.