When changing your central lines, if you have lipids Y'd into your TPN are you changing your lipid lines every 24 hours down to the Y, and then changing the Y with the TPN lines every 72 hours? We been struggling with the thought that everthing with lipids running in it should be changed every 24 hours, but don't want to change all lines that frequently
3 Comments - We made the decision to leave the PICC, extension set and needleless access device in place for the duration of the PICC
We have had an issue with the bifurcated feeding side port collecting over time with formula or breast milk even with judicial flushing after access. We are proposing to go to a non bifurcated tube and have the bifurcation on the extension tubing, yet some staff are preferring to stay with the bifurcated feeding tube. Can i ask how many use a bifurcated feeding tube and rationale to keep it?
We are looking and new VAP bundles and reduction practices and I was wondering how often do you change out your suction cannisters and tubing?
5 Comments - our VAP prevention Bundle starts with meticulous hand hygiene oral care-oral care kits or sterile water, we replace our neosuckers atleast q24hrs we have separate suction canisters for ETT and oral suctions and we replace all canisters and tubing every M,W,F and PRN Ambu bags are changed every Friday for ventilated infants
I also was looking to reach Sue Ludwig in regards to the cue based feeding protocols she authored
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?
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
3 Comments - The med line is "Y'd" into the second port tubing. Our IV tubing (even tubing infusing TPN) is changed every 72 hours. Exceptions include interlipids, med tubing, any tubing with visible blood, and when the tubing has been disconnected for any reason
Because the RNs do not have a protocol for managing the epidural (operating the pump or changing out the medication bags etc), the anesthesiologist changes out the bags and changes the bags
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"How do you know if the mother is taking any medications that would be contraindicated for breast feeding? She was not satisfied with any of our answers
CALL FOR PARTICIPATION This is a call for participation in a study titled “ Cup Feeding in the ICU: The Influence of Knowledge, Beliefs, Experience, and Education.”
Could anyone answer the following questions: Do you allow anyone other the parent to hold and feed the baby? Do you limit the number of vistors that a parent can agree to bring in for the entire length og their stay?