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99nicu.org 99nicu.org
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    South Africa

About Ruth

  • Birthday 06/27/1971

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  • First name
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  • Gender
  • Occupation
    Neonatal nursing coordinator
  • Affiliation
    KwaZulu Natal Dept. of Health
    Neonatal Nurses Assocaition of Southern Africa (NNASA)
    Council of International Neonatal Nurses (COINN)
  • Location
    Pietermaritzburg South Africa
  • Interests
    Neonatal nursing-Devlopmentally supportive care, KMC, Respiratory support, Project management, motivation and team work, networking, quality improvement

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  1. Great idea to have a journal club. Currently although parental presence is encouraged it occurs very seldom in our units.
  2. I am based in South Africa. We tried both the Neobar and Neofit. The Neofit was the better option but agree with the comments above. Having tried both we felt tape was still the better option. We use a barrier film to protect the skin (if available) then extra thin hydrocolloid strips. We then use either zinc oxide or hypofix tape (5 strips) in much the same technique as described above.
  3. In Kwa Zulu Natal South Africa we are advocating that well at risk term babies are monitored (and if necessary receive antibiotics via short line-hep locked) in skin to skin care with their mother in post natal and are only admitted to the neonatal unit if they develop problems.
  4. Have you considered kangaroo mother care? Once the mother has been taught and understands and practices 24 HR KMC in the hospital- the mother and baby could be discharged to continue KMC at home with follow up in 3 days and then weekly until term and 2500g.
  5. There is a physiological dip in glucose immediately after birth but this should be normal by 1 hour. So if the dextrose is low at one hour you should manage it. The practice appears to be treating hypoglycaemia earlier. Some centres are even suggesting 3.0mmol/l. If I remember correctly STABLE is teaching 2.8? Currently we still treat less than 2.5mmol/l
  6. This is the email address for Natalie Shellack. She is a neonatal pharmacologist who has particularly studied the use of caffeine in neonates. I would suggest contacting her. nschellack@gmail.com
  7. Hi Aymen I have many guidelines I can share with you. Please post your email address and I can send them to you.
  8. Hi. We have developed a lot of resources that we can share with you-guidelines, records, audit tools etc There is a good online self study course developed in South Africa -The Perinatal Education Programme http://pepcourse.co.za
  9. These are the charts being used in South Africa RP NN Jaundice assessment chart 2010 NT.ppt
  10. We have an excellent comprehensive chart for all gestations. I can email it to you?
  11. Correct fitting prongs and cap and crucial. Regular checks of nasal perfusion will assist in preventing necrosis. Commence immediately on any baby with moderate/ severe resp distress. Babies can be fed on CPAP. Clamp NGT for an hour after feed then place on free drainage particularly if abdom. Distension present. Keep baby comfortable and well positioined. Sucrose and pacifier work well in keeping baby calm.
  12. I agree. We don't use sedation. Find out why baby is agitated. Pacifier, sucrose/ breast milk, swaddling, KMC, correct fitting prongs and hat etc all work well. Developmental care principles esp. positioining must encouraged.
  13. Neonatal beds These are the norms we are using in South Africa District​​​3 / 1 000 local deliveries Regional​​1,5 / 1 000 deliveries in 2o catchment area Tertiary​​0,5 / 1 000 deliveries in 3o catchment area * Hospitals with 2 levels of care need to calculate the bed allocation for each level on the basis of the number of deliveries in the catchment area of each level. At district level 1/3 of neonatal beds should be KMC, 1/3rd H/C and 1/3rd low care. We also recommend at risk babies are nurses with their mothers and only recommend admitting sick babies to the nursery/ neonatal unit.
  14. Ruth

    new guidelines

    I do local neonatal resuscitation training based on the AAP and SAPA guidleines.We are recommending that babies are ventilated with room air for 30secs and then if they do not pink up or respond then to introduce oxygen. Unfortunately fewlabour wards here have blenders yet so this 100%
  15. The Council of International Neonatal Nurses (COINN) together with the Neonatal Nurses Association Southern Africa(NNASA) are pleased to announce that registration and abstract submission are now open for the above presitigious conference. It will be held in Durban, South Africa from 24-27th October 2010. An opening special of R4000 is available untill end of October. www.nnasa.org.za/2010
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