Breast Milk Management
After this many hours, fresh milk must be discarded
What is 48 hours
The size of feeding tube used for infants on CPAP or NIMV
8Fr
The minimum acceptable urine output for monitoring
What is 1-2ml/kg/hr
Weight criteria for donor milk eligibility
What is equal or less than 1500 grams at birth
Minimum gestational age for non-nutritive breast time
What is less than 32 weeks CGA
Two nurses must validate this when removing breast milk from the freezer
What is co-signing in EMR
How often feeding tubes must be changed
What is every 28 days
Optimal daily weight gain for NICU infants
What is 15-30 grams/day
Gestational age when donor milk is typically discontinued
What is 33 6/7 weeks corrected
Two recommended positions for breastfeeding preterm infants
What are cross-cradle and football holds
When fortifying breast milk, the syringe must be changed every this often
What is 24 hours
Amount of sterile water needed to flush 5Fr tubes after medications
What is 0.5-1ml
Required bed position and duration after feeds for safe sleep infants
What is HOB 30 degrees for 30 minutes
Location where donor milk is prepared daily
Who is the NICU Lactation nurse
When mother should pump after nursing
What is after feeding lasting less than 10 minutes
For continuous drip with breast milk, the syringe must be changed every this often
What is 2 hours
For infants less than 32 weeks, pump feedings should be infused over this time period
What is 30min to 1 hour
These three items must be at bedside at all times
What are ambu bag, oxygen source, and suction setup
Process for transitioning off donor milk at 34 weeks
What is alternating donor milk and formula for one day
Required documentation for breastfeeding assessment
What are pre and post weights using breastfeeding scale
When preparing breast milk, these 3 things must be on the label
What are contents, date, and time
Two conditions requiring venting of tubing after pump feeding
What are respiratory support >2lpm high flow nasal cannula/Vapotherm and CPAP
Four GI assessment points before initiating feeds
What are abdominal condition/distension, bowel sounds, discoloration, and emesis color
Two criteria that qualify infants for donor milk
What are weight less than or equal to 1500g and GI defects requiring surgery
The criteria for assessing effective breastfeeding
What are effective latch, swallowing signs, and length of nursing