Cooling Bed
When passive cooling it is important to us what type of temperature monitoring?
Rectal temperature attached to a monitor.
Which babies needs during resuscitation and transport to NICU require an OMNIBed?
Golden Hour Babies (less than 32 weeks gestation)
Where can you find Alprostadil (Prostin) on the unit?
In the Refrigerator.
Where do you find the Line Configuration document?
Recipe Box
Is an informed consent a requirement of blood administration?
Yes, except in emergency situations
What is the gestation cut off for cooling?
35 Weeks Gestation
What is the minimum time required to set-up an OMNIBed in Labor and Delivery?
15 minutes
When mixing medications why is syringe size important?
Minimum Flow Rates for Accurate Administration
How many solutions is transport able to take with babe?
Maximum 4
No
What temperature is important to ensure the babe stays above when being cooled?
33 Degrees Celcius
What is the process for the resuscitation team knowing that an OMNIBed is required for resuscitation?
The delivering nurse will call and ask to speak to the Charge Nurse when she admits a baby less than 32 weeks gestation.
Where do you go to obtain information on IV solutions containing electrolytes that would be available for NICU?
Recipe Box Under IV Information
What gestation requires immediate transfer to a level 3?
Less than 30 weeks
Normal Saline is a compatible with all Blood Products and Components except for?
IVIG
What does a pulse rate of greater than 110bpm possibly indicate with an infant that is being cooled? Name 3 reponses.
Infant Distress
Pain
Infection
Seizures
Do you need to lower the top of the OMNIbed for transport from Labor and Delivery to NICU ?
Yes
What do you need to consider when mixing continuous medications that are not prepared from pharmacy?
These need to be mixed using sterile technique.
What are 3 treatment options for SVT?
Medication Administration
Drug Therapy
What are 2 requirements when completing the tag to patient checks at the bedside?
Patient ID
TSIN (Transfusion System Identification Number)
What are three exclusion criteria for cooling?
Major Congenital Anomalies
Major Congenital Infections
Chromosomal Anomalies (except for Trisomy 21)
Severe IUGR (weight less than or equal to 1800 g)
Severe Uncontrolled Bleeding (DIC)
Known Congenital Neuromuscular Disease
What are four aspects of stabilization that must be done before a baby is moved from case room to the NICU?
Lines/ET tube taped and secured
2 heart rates checks over a 100
Temperature is assessed by skin probe (and interventions as needed are in place)
Ventilation maximized and supported
What volume of normal saline flush do you need to a rapid sequence flush after administration of adenosine?
5-10 mls
What are four basic considerations to follow when setting up lines?
Compatibility
Heparin Requirement
Is air filter required
Continous alsways needs a separate line from intermittent
What are four labeling requirements when you transfer blood from an original container to a syringe?
Patients Full Name
ID Number
Blood Product/Component
Volume