Readiness
What PMA do we typically start PO?
34 weeks
Strong and coordinated suck, swallow, breathe throughout the feeding
Which feeding position do we typically feed in?
Incline sidelying
Where can you find feeding recommendations in EPIC?
Nursing handoff/Patient plan
What is the professional designation for a Rehab professional working in the NICU?
Certified Neonatal Therapist (CNT)
What Readiness score would we offer PO?
Readiness score of 1 or 2
When do babies start coordinating sucking and swallowing?
>34 weeks PMA
Which feeding strategy supports swallowing and breathing?
Pacing
What respiratory support can we feed PO on?
2L HFNC or less
What are the flow levels of the disposable nipples on the unit?
Slow (PURPLE), Medium, (TEAL), Fast (CLEAR)
Name 3 hunger readiness cues
Consistent awake/alertness, hands to mouth orientation, sucking on pacifier
At what age to babies show consistent SSB coordination
> 38 weeks PMA
Which feeding strategy supports the flow of milk?
Nipple flow rate
Which infants automatically receive a Dr Brown bottle when ready to start PO?
High risk infants - those who are born under 30 weeks GA
Including families in decision making at the bedside is a part of what?
Family-Centered Care
What Readiness scores would we not PO feed and offer a gavage feeding for that care time?
Readiness score of 3, 4 or 5
Coughing and choking is a possible sign of?
Mismanagement (Aspiration)
Which feeding strategy can support the flow rate of milk during breastfeeding?
Pre-pumping or Laid-back breastfeeding
What is the period of time called where a caregiver can come in and latch without the introduction of a bottle/nipple?
Protected BF time
How many cranial nerves and muscles are required for coordinated swallowing?
5 cranial nerves and 30 muscles
At what age do we begin assessing for Readiness under IDF Guidelines?
Infants 33 6/7 PMA on 2L HFNC or less
Name 3 cranial nerves involved in swallowing
Vagus nerve, Glossopharyngeal nerve and Hypoglossal nerve
Which feeding strategy do we typically recommend NOT using in the NICU?
Chin and cheek support
When would we initiate Cue-based PO under IDF Guidelines?
When an infant demonstrates a readiness score or 1 and/or 2 for 50% of care times in a 24hr period
What instrumental assessment do SLPs use to assess swallowing in the NICU?
Modified Barium Swallow Study (MBS)