Qualifying factor an infant need to be consider for our Small Baby Guidelines
</equal 28 weeks or </equal 1500 g
What is proper feeding technique of a preterm infant
Patient is out of bed, swaddled, midline position, low stimulation, approved ST bottle, with pacing as needed.
** Now please demonstrate correct position **
This is who you would call to evaluate your patient's feeding techniques
Speech Therapist
This sheet is specific to each patient and updated each week
What is their Code Sheet
Found on InDEx
Clinical Skills
Policies
MicroMedix
This two structures differentiate Premature Infants skin from Term infants
What is Smaller Stratum Corneum layer and underdeveloped Epidermis.
What device decompresses the stomach during feedings?
What is a Ferrel Bag.
Please correctly set up a Kangaroo bag with Ferrel Bag. Set for a 60ml feeding for 1 hour
Person who help families cope with their baby's NICU stay
Social Workers
What should the standard NICU patient's Bag settings be at? (PIP/PEEP)
PIP:20-25, PEEP:5
What is NANN
National Association for Neonatal Nurses - provides education and support through evidence based practices to NICU nurses.
Time period at highest risk for IVH
First 72 hours of life
Analyze this....
ABG: pH: 7.52, C02: 31 HCO3: 24
What is this blood gas?
This group receives all our tickets to ensure our technology is working
IT (ticket through InDEx)
What should NEVER go through a UAC
Vasopressors & Indomethacin
Pharmacies Tip Sheet on SCM
What is Pharmacy/Medication Info - list frequently used compatibilities.
Give 4 reasons why preemies have Apnea, Bradycarida, &/or Desats events
1. Neuro dev (apnea of prematurity)
2. Under developed lungs
3. PDA
4. Over stimulated
5. Poor positioning
Play the Matching Game
Match the term/age with definition
Accounts for all LMS hours and keeps your licenses up to date
Who is Katie Johnson
Temperature instability leads to (4)
Low BG
Respiratory Depression
Concerns for infection or worsening condition
Small Babies = IVH, NEC, BPD
Happens every Quarter in the NICU
NICU Quarterly Education, required by all NICU staff.
5 things that increase our Small Babies risk for IVH
1) not mid-line for 1st 72 hours
2) Temperature instability
3) BP instability (high or loe)
4) High Ventilator needs
5) CO2 instability (high or low)
6) Rapid Volume expansion (flushing too quickly, rapidly infusing products)
7) Transportation (especially Air vac )
All the blood
All our airway needs
Who is Respiratory Therapist
Your buddy is giving the following medication and needs an Independent Double check.
Please complete the following:
Your buddy is decreasing her Dopamine Drip from 25 mg/kg/min to 20mg/kg/min on their pt who is 2.2 kg. Medication concentration: 1600mg/ml. What would the new rate be?
Your resources on the floor (name 5)
1) Buddy/coworkers
2) CS
3) CLNA
4) CERN
5) Resource Binder
6) Clinical Skills