Plyon0962

Good morning Here in Fort Worth once a baby goes home from the hospital - the age does not matter the baby would go to PICU now we do transfer infants from one NICU to another admission discharge policy - Newborn Clinical Guideline - NICU Admissions Discharges and Transfers.mhtadmission discharge policy - Newborn Clinical Guideline - NICU Admissions Discharges and Transfers.mht

any suggestions and imput for things that you forgot or changes of things that ya'll did would be appreciated...we are still in the design phase....and have not broke ground yet on the new hospital bldg.

We too are going to be designing a new unit...for our women's Infant's and childrens's hospital....we have seen lot's of changes over the years...and I think that you need to be able to offer several different types of areas.... and acute admission , and stabilzation area a step down area that has more space but not separate rooms an area for chronic infants that may need extra developmental therapys then an area for seperate rooms for rooming in families with at least 2 class rooms one for families and 1 for staff with at least 2 lunch/ break rooms one for families and one for staff 2 family waiting areas one with a play area call rooms for nnp and dr and a office area and conf area also it needs to be close to labor and delivery at least the at least the admission and stablization area does I could probably keep going......

For a quick general reference I like the following book mainly due to it has alot of topics and it has alot of quick info Neonatolgy: Managment, procedures, on call problems, diseases and drugs 25th ed. by Tricia Lacy MD, Gomella Douglas MD, Cuningham Fabien MD, Eyal and Deborah It has been a great resource for my interns and residents as well as nurses on our unit. Patricia Lyon RNC BSN

we occasional use mastisol but very rare, our ett tubes come with holders that do secure to the face, and above and below the lip, we have used logans bows and tape, neobars, but the ones that come with the ett tubes tend to work the best for us.

avia is the vent that we use

we do use non invasive cpap on our infants but we use either the oral ett or we have a mask and nasal prong that is used with our vents. what has helped us with ventilation is the use of bubble cpap and curosuf

Hi from Texas, hope to find you all well We try here to keep the rooms at about 72 degrees which is 25-26 degress celsius but it does get hot here and some times it is warmer in our delivery rooms. we use bothe nrp and stable to get our infants stabalized as quick as possible. here are some articles and the who guidelines, you can also pull up standards from awohnn and aap (american academy of pediatrics) Effect of delivery room temperature on the admission temperature of ...www.ncbi.nlm.nih.gov/pubmed/22858889You +1'd this publicly. Undo by YS Jia - 2012 - Related articles Aug 2, 2012 – Effect of delivery room temperature on the admission temperature of premature infants: a randomized controlled trial. Jia YS, Lin ZL, Lv H, Li YM ... [PDF] Thermal Protection of the Newborn: - libdoc.who.int - World Health ...whqlibdoc.who.int/hq/1997/WHO_RHT_MSM_97.2.pdfYou +1'd this publicly. Undo File Format: PDF/Adobe Acrobat - Quick View Optimal room temperatures for newborns at delivery are very warm by adult standards. Therefore adults should not determine the delivery room temperature ... Hope this helps Plyon0962

There was a pretty good study published by the march of dimes in 2001 by Dr Ellen R Shaffer, her email was ershaffer@earthlink.net I do not know if it is still correct but you can still see her paper on line.

my favorite is Neonatology: Mangement, procedures, on-call problems, diseases, and drugs, by Tricia Lacy Gomella, and if you order it from amazon the nicu.org does benfit, this is a great book and has alittle about everything, that I have looked up, smiths recognizable malformations is a good one for genetics and syndromes, neofax for medications....let me know if you need any others that is all I have with me today. Pat Lyon BSN RNC

from several different companies a resusitation manikin is available for program in things ours is Hal, and he is wonderful for teaching the new staff and review the old....we use it for mock codes, so every one from the nurse to the respiratory therapist and the doc get involved.

we always use zantac with decadron, and very rarely do we have problems with vomiting the med or feeding up. but we also only use it in certain cases. we use dexamethosone very sparingly

you may order these all on line from the american academy of pediatrics, you should be able to down load them also. how are you unit resources when it comes to books for the nurses to update from? I can give you the names of a few that I have found useful over the years. like the neofax for medications.

we reveiw every year what we would do for different internal and external emergencys. we have special aprons that we can carry 5-6 baby's in. we also have double windows for high winds...we do live in tornado alley....and our hospital does daster drills every year.

It also helps with neuro development in the preterm infant.

we have been holding feedings in esp. the preterm infants and even those that are less then 37 weeks gestation and have been on full feeds for a while....we hold feeds during the transfusion and as long as 6 hours post transfusion....

First you need to check the scope of practice for an RN, and what a Dr can delegate to an RN. I as and NRP instructor can run a code. and my hospital sent me to a course to learn the uvc placement, intaubation, I was even checked off on intubations by my DR. but have never done one since. Do you nit have physican in house, or anesthia person either Dr, or CRNA. you can have your hospital attone y check in to the legal implications. but the standard is if you deliver baby's to have some one 24 hours a day 7 days a week that can do all that stuff.

congrates from very cold texas it is 9 degrees here.... she is beautiful...makes you wonder what you've done to be blessed with such a wonderful little girl....

under the american academy of pediatrics you can pull up the new guidelines for neonatal resuscitation, there have been some changes and updates if you let me know what you are needing and I will send you some stuff...also you can pull up neonatolgy on the web and it has a ton of sites and information available to you from all over, and not just the us.