Neonatal network : NN
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Neonatal network : NN · Jul 2009
The Golden Hour: care of the LBW infant during the first hour of life one unit's experience.
Care practices during the first hour of life, the Golden Hour, can have a significant impact on outcomes of low birth weight infants. Although the latest edition of the Neonatal Resuscitation Program added guidelines for preterm infants, additional care is often indicated. ⋯ Our unit has implemented and revised a Golden Hour evidence-based care process that includes the use of realistic videotaped simulations, followed by team debriefing sessions. Early results of the revised process show reductions in the targeted complications.
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Neonatal network : NN · May 2009
ReviewCesarean delivery by maternal request: what neonatal nurses need to know.
The rate of cesarean deliveries by maternal request (CDMRs) is rising in the U. S. This article explains why women choose this type of delivery, notes the risks of CDMR for the infant, and suggests ways neonatal nurses can minimize the risks for well infants, as well as for those who must be admitted to the NICU.
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Neonatal network : NN · May 2009
Review Case ReportsInadvertent catheterization of the ascending lumbar vein.
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Neonatal network : NN · May 2009
Catheter-associated bloodstream infections in the NICU: getting to zero.
The neonatal population is at a particularly high risk for catheter-associated bloodstream infections (CABSI). Chlorhexidine for skin antisepsis is well documented to effectively decrease the incidence of bloodstream infections associated with central venous catheters in other populations. The project described in this article demonstrates that chlorhexidine for central venous catheter insertion and line maintenance in the neonatal population safely and effectively reduces CABSI.