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The NANN position Statement for the Palliative care for newborns and infants recommends that parents are part of the caregiving team and should participate in the decision making process. It referances the use of a family medical record (e.g.,the Penticuff Family Medical Record, Penticuff & Arheart, 2005). Using this tool allows families to track their infants progress and better understand when the infant is not "getting better".  I  have found the tool, but can not find directions or education for the use of the tool. Can any one help me, or aim me in the correct direction? Thanks
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I am looking for other units' guidelines/protocols regarding ELBW skin care; specifically what is being done to protect the most fragile skin and prevent skin breakdown. I am also searching for evidence based literature on this subject. Please post or email me with any relevant information. Thank you!

Sarah Croop, NNP
University of NC at Chapel Hill
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How often do you change your Neotubes.
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You have perfected your resume.  You have written your cover letter and started to network.  But, have you Googled yourself recently?  It shouldn’t be surprising that in today’s virtual age we often overlook the impact of our online footprint.  If a potential employer were to enter your name into a search engine, what might they find?  Be very mindful that social media content, blogs and pictures are often available to the public.  Everything you say and do online can have an impact on your reputation.  Think before you post. 


What about your voicemail message?  Does it sound professional?  Although this may seem like a minor detail, it is important to consider that more times than not, your recorded greeting is the first level of communication.  Voicemail has many benefits as well as advantages, when used properly.   The tone and content of your message are important. 

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We have no protocoll on our neonatal unit for skin to skin, it is done on an adhoc basis, with different members of staff.
I am looking to gather information to put together guidelines for skin to skin for our unit, to include NICU and High Dependency/Special Care
Would anyone be willing to share their guidelines and experiences with me.
I would be really grateful for feedback.
Sandra McPherson
Neonatal Community Nurse
Neonatal Unit
Royal Infirmary
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Any policy or practices out there re oral care. What do you use sterile water and breastmilk, when and how often etc Thanks
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I am a NNP developing a Level II nursery with a significant NAS population. Current practice in this nursery only requires 8-hours of CR monitoring once pharmacologic therapy is started with morphine 0.04 mg/kg every 3 hours. My experience at a large level III NICU was to continue monitoring until morphine is discontinued. To optimize safety and outcomes, I need data regarding onset of adverse events associated with morphine administration in NAS babies at different stages of recovery to support this practice.  Any input is appreciated, as I was unsuccessful finding specific information supporting continued monitoring in the literature, although this is a standard practice in large centers and empirically makes sense.

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What do you use to secure your et tubes?
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Hi, All :)

Does anyone have experience with your neonatologists using multiple calculation weights for TPN, intralipids, total fluid, continuous drips (pressors, sedation, etc.) on the same patient?  For example, in the NICU that I work in, we are finding that our neos sometimes use one weight for total fluids, one for pressors, and one for sedation drips with the rationale of wanting the patient to "grow out" of medication doses.  I'm on the Clinical Practice Council for my unit and we are worried about the risk for potential error with having to keep track of the different calc weights for each line change. 

I appreciate any input you might have about current trends and/or how you handle risk for medication errors in this situation.

Kristin Carnall, BS, RNC-NIC
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Many nurses do both, but the RNC requires fewer CEU's to maintain (45) CCRN is 100. Both are for 3 years. I was told when I began working in NICU that the RNC is the "GOLD STANDARD" I had my CCRN in adult Critical care. I feel that either is great and any certification benefits you and your babies! Hope this helps!
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FANNP's National Neonatal Nurse Practitioner Symposium: Clinical Update and Review, 2014



Call for Submissions


FANNP is seeking abstracts for posters and podium presentations for the annual FANNP's National Neonatal Nurse Practitioner Symposium on October 14th-18th, 2014. The planning committee invites submissions by members and non-members and participation is open to health professionals whose specialty has a focus on the Neonatal Population (this includes but is not limited to NNPs, RNs, Clinical Nurse Specialists, & Neonatologists). We invite colleagues to share their expertise in one of the following categories:

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Good afternoon everyone,
I am working with an undergraduate student who is trying to compare policies that include parent participation in the NICU. She is an undergraduate working towards an Honors Thesis. If you would be willing to share your NICU's policies, I would greatly appreciate it.
You can send them to me at

Thank you!
Michelle Kelly
Neonatal / Pediatric Nurse Practitioner
Villanova, PA
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Jan 29, 2014 


Good news!

Last night the Senate passed the Newborn Screening Saves Lives Reauthorization Act (S.1417) by unanimous consent! The Senate Bill was introduced by Senator Kay Hagan of North Carolina and had 16 cosponsors.

The Newborn Screening Saves Lives Reauthorization Act of 2013 amends the Public Health Service Act to extend and revise a grant program for screening, counseling, and other services related to heritable disorders.

Now our attention turns to the House of Representatives. H.R. 1281, Newborn Screening Saves Lives Reauthorization Act, mirrors the Senate bill and was introduced by Rep. Lucille Roybal-Allard of California. To date there are 113 sponsors. This would be an excellent opportunity to contact your Representative to cosponsor this bill. You can follow progress at the site below:

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Does anyone use a double lumen UVC?  If so, how do you maintain it (flush, how often etc,)  Any special nursing considerations?
Thank you,
Margaret McDonnell
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We are establishing a system wide tool that can be used to guide our institutions in determining minimum standard, competency and ongoing competency for procedures.  I am searching for an evidence based number of procedures that should be demonstrated in a 24 month period.  For example, we may require 10 intubations in 24 months or 5 UVC insertions in 24 months....Is anyone currently using similar guidelines?  Does anyone have a suggestion for a good text reference?

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Does someone have a reference where the standard FTE ratio for Lactation consultants in the NICU?
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Abstract Deadline: Monday, November 4 at 7 am CST

NANN’s Program Planning Committee (PPC) invites you to submit abstracts for presentation at the 30th Annual Educational Conference. The PPC  highly encourages personal findings and research that appeal to both the novice and expert neonatal nurse. The following are suggested areas of interest: pharmacology, medication safety, developmental care, advances in research, workplace violence, implementation of evidence-based practice-other topics will be considered. The 2014 Annual Educational Conference will be held September 10-13 in Phoenix. 

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Our Pain Committee is researching the use of prophalatic tylenol administraion with routine immunizations.  We have looked at articles but have seen mixed thoughts and even on our unit people's opinions differ.  Currently, tylenol is automatically ordered and given prior to immunizations.  The order is PRN and if the RN feels the baby needs, can administer other doses of tylenol for up to 24 hours I believe.
Can anyone please share their hospital's practice with giving immunizations and if tylenol is routinely used. 

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One of the concerns mentioned to us at NANN's 29th Annual Educational Conference is the dwindling number of NNP students. 

Knowing that there is an ever-increasing demand for NNPs nationwide, we'd love your input as to why you think more NICU RNs aren't interested in becoming NNPs

Additionally, we'd like to hear what it is you love about being a NNP.

Lastly, in your opinion, what are the benefits of furthering your education in order to become a NNP?

We look forward to hearing your thoughts.

Linkous & Associates, LLC
800.738.NNPs (6677)
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