We use the MOMS (Mother's Own Milk System) put out by Timeless Medical Systems. Each infant & mother are entered into the system giving the infant a barcode. This barcode prints on each label. These labels are printed and given to mom to place on bottles when pumped. Each label provides place for meds & time/date. When mom brings milk back we scan the bottle and location to be stored (refrigerator or freezer), the system then generates another label with an expiration date. When it is time to feed the infant you scan the infant and the bottle and it identifies the right milk and that it is in date.
We use a barcode system to scan breastmilk to verifiy that it belongs to correct mother and baby. What do other NICU's do? Do you use barcode systems, double check with another person before feeding, or do you verify at all?
We have recently had an increase in the number of unintentional extubations. We have looked into several different causes and can not pin point one particular cause. They have recently implimented a change in the way we position the babies in the bed and ventilators in the room. We use giraffe isolettes and have always placed the head towards the outside of the bed and feet towards inside where switches are, with the vents begin at the end of bed near head. Now we have turned the babies with heads at other end and vents to side of isolettes. It doesnt seem to be working well and gives less working space. What are something things that you do positioning infant/equipment that you feel help prevent/reduce extubations?