NPGs
How long is fortified breastmilk good for?
24 hours
What glucose level needs to be reported to LIPs?
< or equal to 50 and greater than 150
What is the minimum temp in Celsius an infant must be to have a bath to minimize hypothermia?
36.5
When are bath nights?
Tuesday, Friday, and Sunday
All gestational ages, just needs to be >72 hours for neuroprotection
What alarming respiratory symptoms would need to be reported to LIPs?
What is an expected BP for a 32 weeker?
30-70
How many teams do we have and who makes up the teams?
yellow (NP/PA)
blue (NP/PA)
green (residents)
orange (residents)
You’re trying to check your NG placement via pH. You cannot aspirate any gastric output. What are your next steps?
Call the provider to get an x-ray
Your baby has had 5 apneic episodes in the last 2 hours. What are you expecting the providers to do?
Increase respiratory support and/or septic workup
What are the locations for pre and post ductal
Right hand for pre and any other extremity for post
What is our visitation policy?
2 parents at bedside 24/7, 4 visitors ok, >10 years old sibling
Walk us through the implementation of reflux precautions.
order needs to be in, elevate head of the bed, slow bolus feed as needed, if PO'ing keep elevated for 10-15 minutes after
You turned your patient's phototherapy off 3 hours ago. You go in for your next set of cares and your patient doesn’t wake up with the cares and isn’t feeding well. What do you do?
Ask for a bili level
What are two things that can be initiated/offered to parent to increase bonding with their infant?
skin to skin, participating in cares, 4 handed cares
How do I get in contact with the interpreter?
Page them on the paging directory or call their number 476-7100
Walk us through the process of weaning a baby out of an isolette.
Baby needs to be 1600-1800 grams with continued air temp 27-29 for 24 hours. Dress, swaddled and add hat to baby and switch isolette to air mode set to 29. Take baby's temperature every 2 hours for 12 hours. After 12 hours can go down to 28, after another 12 hours can go down to 27. Do not go lower than 27. Then can pop the top. Wait 24 hours before moving to a crib.
Your baby is having a PICC placed at bedside. the provider orders fentanyl 5mcg for a 1kg baby. Is this an appropriate dose?
no - fentanyl range is 1-4mcg/kg. This dose is 5mck/kg.
What labs are we collecting for a septic work-up?
BMP
CBC
Culture (blood/urine/resp)
CRP
Gas (full EPOC?)
LP (if necessary)
PCR (if necessary)
Name 3 charge nurses
Maria, Megan, Nadia, Marilyn, Daisy, Jenn, Ondjelle, Dolores