Mariam

Dear netter, We have a neonatal nurse who gave birth to a 23 weeks GA female baby on December, 2008. The nurse finished her maternity leave and joined back last month. She insisted to be assigned on her baby beside taking care of another baby as the ratio is 2:1. The baby now weighs 1680 gm, on full NGT feed, has ROP stage IV and brain US showed dilated ventricles. Otherwise, she is stable. The question is, have you ever encountered such situation where the nurse taking care of the baby, is the mother? Do you think its ethical to deny this mom the right to take care of her baby while she is on duty? Would she be able to take care of the other assigned baby? Would she treat them equally? and if you were in her place, what would you do? Does anyone has any reference about this issue? any input is appreciated

We have an infant in our NICU who developed Methicillin-resistant Staphylococcus aureus infection. Infection control ppl asked as to bathe him with hibscrub which contains (4% chlorhexidine, meythlated spirit and perfume) they said it can be dilluted before the procedure. I am concerned about the systemic absorption and irritation that such contents may cause to the infant's skin anybody can share with me their policy for infants with MRSA infections Thanks a lot

We dont bathe sick newborns. They are cleaned with gauze and warm water after stabilization. Even the normal newborn bath is postponded for 4-6 hours until their body temperature is stabilized. The daily bath also is not recommended

Thanks to you all I am forewarding your advices to the administrator and to the Respiratory therapist and see what can be done. Thanks again

We dont have a policy for fake nails, but nurses are not allowed to wear nail polish. I dont see it as a problem in our unit because we rarely see ppl wearing fake nails.

We recently had an incident where two of the nurses taking care of a baby on nitric oxide fainted, and one doctor complained of lightheadedness. We had the respiratory therapiest check for any leak but he found the connections are ok and that there is no leak. I wonder if anybody had the same incident and what they did to overcome it. Thanks

Great effort, keep it up

I am looking at the same subject. Thanks for bringing it up

Thanks Terry

I am in the process of developing a protocol about premies skin care. I wonderd if anyone would like to share their experience and practice with me. Thank you

This is interesting. this is the first time I see such a case

The site you mentioned is comprehensive.. I have used it for my seminar presentation Thanks

WOOOOW that is a great site and sure I will benefit from it Thanks a lot Stefan

We dont use Ibuprofen in our practice. However I have done a seminar about the use of Ibuprofen for the treatment of PDA. all RCT concluded that IBU & INDO have similar efficacy on PDA, but infants treated with IBU experience lower serum creatinine values, higher urine output, and less undesirable decreased organ blood flow and vaso-constrictive adverse effects. I can send the links of the articles if anyone is interested

gastric lavage should not be done as a routine care. The newborn usually will tell you if he is gonna need one...