Hot & Cold
This mode is used to maintain a baby's temp at a constant temperature by changing the environment around the baby when the infant is under phototherapy lights.
What is skin/servo/baby mode?
This is completed every 3 days with parents on either shift and charted under hygiene care along with linen changes. Update the date on the duck.
What is infant bath?
This condition is one of the most common respiratory problems in neonates and is defined by the cessation of breathing for 20 seconds or more if accompanied by cyanosis, pallor, or bradycardia.
What is apnea of prematurity?
Safety equipment required at every NICU beside
What are
Bag w/correct sized mask
Monitor alarms set correctly
Emergency drug sheet
Wall suction set up (80-100 mmHg)
Bulb syringe
A multidisciplinary approach to NICU care that allows for periods of care followed by good rest for the baby.
What is clustered care?
This mechanism, otherwise known as nonshivering thermogenesis, is the most important means of heat production in the neontate.
What is Brown Fat Metabolism?
The process for assessing an PIV that is infusing.
What is flushing, comparing extremities, feeling, looking for redness, swelling, or hardness ?
List 4 signs/symptoms of respiratory distress
What is:
1. Nasal flaring
2. Retractions
3. Grunting
4. Tachypnea
5. Cyanosis
6. Altered mental status (Lethargy, decreased tone)
Additional Check that you should do at the beginning of your shift and found ON the infant?
What is confirm patient ID bands?
The developmental technique that exposes the baby to certain intensities of light during the day and reducing light at night. This typically starts around 32 weeks gestation.
What is light cycling?
Add a hat, double swaddle, t-shirt with a sleeper, warmed blankets, or place back into an isolette.
What to do if the infant gets cold in a crib?
The name of the tab that you can review to make sure all of the admission required charting has been completed.
What is Required Doc?
Found in the Summary tab
The white, milky substance that is produced in the lungs to help keep our alveoli open during inhalation and exhalation.
What is surfactant?
Preventing falls in the NICU for an infant in an isolette
What is ensuring isolette portholes are closed and side walls are locked?
A technique that can allow parents to provide touch if they are unable to hold their baby.
What is a hand hug, containment or therapeutic touch?
Hypoglycemia, hypoxia, metabolic acidosis, increased respiratory distress, feeding intolerance, and poor weight gain are all short term or chronic consequence, of this.
What is cold stress?
The normal temperature range for a NICU baby
What is 36.5C - 37.5C?
A disease state that is caused by delayed clearance of lung fluid after birth, commonly seen after a c-section.
What is Transient Tachypnea of the Newborn (TTN)?
Review these at change of shift report and throughout your shift. Goal is to review every 2 hours.
What are orders in Epic?
The four key concepts to consider when thinking about positioning a NICU baby.
What are flexion, midline, containment, and comfort?
The hormone released in response to cold stress.
What is norepinephrine?
The car seat test requires 2 different charting times.
What are the start and stop times?
A common respiratory disease in neonates caused by their insufficiency of surfactant production and structural immaturity of the lungs. S/S include increased work of breathing, retractions and grunting.
What is respiratory distress syndrome (RDS)?
Safety checks should include these if your baby is on respiratory support.
What is checking your respiratory support settings, monitor alarm settings and FiO2?
This is the LAST sense to develop in a neonate, but one that they are often overexposed to in the NICU.
What is sight (visual sense)?