Back to the Basics
Can the TCOM remain on a baby when the parents are holding?
Yes, TCOM should remain on the baby at all times.
What kind of gloves need to be used when drawing a blood culture?
Sterile Gloves
Where can lab tubes/minimum volumes for blood draws be found in Epic?
In the lab catalog
What are 3 symptoms of withdrawal?
Poor feeding
Loose stools
Sneezing
Tremors
Inability to console
Exaggerated Moro
Hypertonic
How often should feeding pumps and milk warmers be sent to be cleaned?
Every 7 days, if equipment is available.
What is the most effective way to prevent infection?
Hand Hygiene!
Can blood be given through a UVC?
Yes. Utilize the stopcock method if transfusing through the UVC
How often is a care plan note required to be written?
At a minimum of every 12 hours, pay attention to babies that are cared for in 4 hour increments
What is the lowest acceptable servo set temp on the warmer?
There is no magical number!
Which wipes are used to clean the glucometer and i-Stat machines?
Clorox bleach wipes
How often should an isolette be changed when the infant is not in humidity?
Every 2 weeks or more often if needed
How often is a sump tube (replogle) replaced?
Every 7 days
For replogle I/O documentation, how often do you have to enter a value in the output row?
Any time there is an input, the output must have a value, even if it is 0 so that it will calculate. We are documenting output Q12 (at 0600/1800) or more often if necessary.
How do you document pre-op management of a patient?
In the pre-op checklist that is located in the NAVIGATOR.
How often are the Medela milk liners changed?
What is an indication that a PICC dressing needs to be changed?
Any drainage under the dressing (after 24 hours from insertion)
Lifting and no longer occlusive
Dressing is applied circumferentially
Does every admission require a type and screen?
No, it is now individualized based on patient. Discussion with the team will determine need
When should the Learning Assessment be completed?
Within 24 hours of admission, during the orientation to the unit.
The best on unit resource to use when educating parents about a g tube.
What is the G Tube Education packet? (Located behind the secretary). Give to parents when discussion of G Tube begins.
When using the Medela feeding pump to feed breast milk, should the syringe be horizontal or vertical on the pump?
Vertical, with the syringe tip up. Feed fat first!
How long should we scrub the hub for?
15 seconds
What is the Gold Standard for NG/OG placement verification?
pH testing - education to continue
The correct row to document an infant’s formula for a feed
What is the “Formula Category” Row?
Which intravascular access is not acceptable to run a pressor through>
Peripheral IV