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Neonatal Network: NN

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https://www.readbyqxmd.com/read/29789061/news-of-the-academy-of-neonatal-nursing
#1
(no author information available yet)
No abstract text is available yet for this article.
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29789060/continuing-education-course
#2
(no author information available yet)
No abstract text is available yet for this article.
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29789059/when-a-baby-is-sent-away-evidence-to-support-best-practice-after-neonatal-transport
#3
Sabrina Schwartz, Deborah A Raines
Every day neonates are transported from the birth hospital to a tertiary neonatal care center. Separation of mother and neonate in the hours immediately following birth interrupts the bonding process and can have long-term implications for the mother-child relationship. This article synthesizes the literature focused on mothers' experiences with a neonate being transported to a tertiary NICU and identifies evidence-based practices specific to these situations.
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29789058/prevention-and-treatment-of-respiratory-distress-syndrome-in-preterm-neonates
#4
Christopher McPherson, Jennifer A Wambach
Respiratory distress syndrome (RDS) impacts a high proportion of preterm neonates, resulting in significant morbidity and mortality. Advances in pharmacotherapy, specifically antenatal corticosteroids and postnatal surfactant therapy, have significantly reduced the incidence and impact of neonatal RDS. Antenatal corticosteroids accelerate fetal lung maturation by increasing the activity of enzymes responsible for surfactant biosynthesis, resulting in improved lung compliance. Maternal antenatal corticosteroid treatment has improved survival of preterm neonates and lowered the incidence of brain injury...
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29789057/case-study-cystic-fibrosis-in-the-newborn
#5
Paulina A Saravia, Cheryl Riley
Cystic fibrosis (CF) is considered one of the most commonly occurring fatal genetic disorders. This disorder is associated with pancreatic insufficiency and pulmonary complications. However, at birth the initial complications are associated with bowel obstruction. Cystic fibrosis management warrants an interdisciplinary team because this disorder affects various organ systems. Effective management of the newborn with CF assists in improving the child's overall prognosis. Family support is critical throughout the prenatal and postnatal periods...
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29789056/the-six-hour-window-how-the-community-hospital-nursery-can-optimize-outcomes-of-the-infant-with-suspected-hypoxic-ischemic-encephalopathy
#6
Dafina Ibrani, Shanon Molacavage
Perinatal hypoxia is a devastating event before, during, or immediately after birth that deprives an infant's vital organs of oxygen. This injury at birth often requires a complex resuscitation and increases the newborn's risk of hypoxic-ischemic encephalopathy (HIE). The resuscitation team in a community hospital nursery may have less experience with complex resuscitation and post-resuscitation care of this infant than a NICU. This article provides the neonatal nurse in a Level I or Level II nursery with information about resuscitation and post-resuscitation care of an infant at risk of HIE while awaiting transport to a NICU for therapeutic cooling...
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29789055/advertising-index
#7
(no author information available yet)
No abstract text is available yet for this article.
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29789054/applying-developmentally-supportive-principles-to-diapering-in-the-nicu-what-we-know
#8
Media Esser, Sharon Dore, Felicia Fitzgerald, Kelli Kelley, Joanne Kuller, Sue Ludwig, Debianne Peterman
Developmental care measures are integrated in the NICU, but these measures are largely overlooked when it comes to standard care activities such as diapering. This general review of developmental care in the NICU discusses how caregivers can apply appropriate, individualized developmental care measures to diapering regimens. Numerous opportunities to expand developmental care measures into diapering care are identified; these opportunities can protect and promote sleep for hospitalized infants, enhance the diapering environment, minimize stress that infants may experience with diapering, improve infant skin health outcomes through use of evidence-based skin care practices, and foster family involvement during diapering care in the NICU...
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29789053/management-of-meconium-stained-newborns-in-the-delivery-room
#9
Chintan Kiritkumar Gandhi
The approach to the management of meconium-stained newborns in the delivery room has been changing for over 40 years. The goal is to prevent meconium aspiration syndrome (MAS) and complications related to MAS. For decades, airway obstruction was believed to be a major component of MAS and, consequently, suction maneuvers to remove meconium from the airways were recommended to decrease the frequency and severity of MAS. Initial recommendations were based on observational studies. However, the incidence of MAS and mortality related to MAS has declined since the 1970s, mostly because of a decrease in the number of postterm deliveries...
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29789052/congenital-bilateral-eyelid-eversion-and-chemosis-a-case-study
#10
Ashley Kirkpatrick, Donna Ledlow, Eunice Dixon, Joseph B Philips
This case reports the findings and management of a late preterm female infant born with congenital bilateral eyelid eversion with chemosis. The pathogenic process remains unknown but typically presents at birth, predominantly affecting the upper eyelid of both eyes. Black males, patients with trisomy 21, and collodion infants have a higher incidence of eyelid eversion. Treatment modalities range from conservative therapy including eye patching with antibiotic and lubricating ointment to invasive surgical eyelid suturing...
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29789051/nurses-inspire-innovate-and-influence
#11
Debbie Fraser
No abstract text is available yet for this article.
May 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615161/news-of-the-academy-of-neonatal-nursing
#12
(no author information available yet)
No abstract text is available yet for this article.
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615160/continuing-education-course
#13
(no author information available yet)
No abstract text is available yet for this article.
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615159/antimicrobial-stewardship-in-neonates-challenges-and-opportunities
#14
Christopher McPherson, Caren Liviskie, Brandy Zeller, Miranda P Nelson, Jason G Newland
Neonatal infections result in significant morbidity and mortality. Antibiotics are vital for the treatment of infections but disrupt the neonatal microbiome, put the infant at risk for an adverse drug reaction, and may lead to the development of antibiotic resistance. Immediately after birth, clinicians must determine which infants require empiric antibiotics. Online risk stratification tools may provide a superior approach to decision trees. In infants who require empiric therapy for early-onset sepsis, ampicillin and an aminoglycoside with dosing based on recent pharmacokinetic studies represents the most appropriate first-line agents; third-generation cephalosporins should be reserved for patients with a high likelihood of Gram-negative meningitis...
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615158/reduction-in-central-line-associated-bloodstream-infections-in-a-nicu-practical-lessons-for-its-achievement-and-sustainability
#15
Judith A Hawes, Kyong-Soon Lee
Central venous catheters are commonly used for the provision of parenteral nutrition and medications for critically ill neonates in the NICU. However, central line-associated bloodstream infections (CLABSIs) are a major complication associated with their use and remain an important cause of nosocomial sepsis in NICUs. Central line-associated bloodstream infection has shifted from being an expected routine complication of central line use to an adverse event now evaluated as a critical event with the goal of identifying root causes so future CLABSI events are prevented...
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615157/implementing-a-systematic-process-for-consistent-nursing-care-in-a-nicu-a-quality-improvement-project
#16
Renay Marie McCarley, Donna A Dowling, Mary A Dolansky, Amy Bieda
AIM: The global aim of this quality improvement project was to develop and implement a systematic process to assign and maintain consistent bedside nurses for infants and families. METHODS: A systematic process based on a primary care nursing model was implemented to assign consistent care for a 48-bed, single-family room NICU. RESULTS: Four PDSA cycles were necessary to obtain agreement from the nursing staff as to the best process for assigning primary nurses...
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615156/promoting-newborn-safety-using-the-rappt-assessment-and-considering-apgar-criteria-a-quality-improvement-project
#17
Susan M Ludington-Hoe, Barbara L Morrison-Wilford, Marguerite DiMarco, Marilyn Lotas
PURPOSE: The aim of this project was to evaluate the implementation of the Respiratory, Activity, Perfusion, Position, and Tone (RAPPT) instrument in assessing the infant's transition to extrauterine life while in skin-to-skin contact (SSC). Sample/Design: Nurses (n = 17) completed a pretest and posttest of RAPPT and Apgar scoring knowledge, attended an in-service about accurate scoring, and were observed during 17 deliveries when newborns were in SSC. OUTCOME VARIABLES: Primary variables were knowledge scores, use of RAPPT, and accurate RAPPT scoring...
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615155/the-history-and-state-of-neonatal-nursing-quality-improvement-practice-and-education
#18
Aniko Kukla, Donna A Dowling, Mary A Dolansky
Quality improvement has evolved rapidly in neonatal nursing. This review outlines the history and current state of quality improvement practice and education in neonatal nursing. The future of neonatal nursing includes a stronger emphasis on quality improvement in advanced practice education that promotes doctoral projects that result in clinical improvements. A collective focus will ensure that neonatal nurses not only deliver evidence-based care, but also continually improve the care they deliver.
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615154/structured-educational-intervention-leads-to-better-infant-positioning-in-the-nicu
#19
Saadieh Masri, Perla Ibrahim, Daniel Badin, Samar Khalil, Lama Charafeddine
PURPOSE: The purpose is to test the effectiveness of an educational intervention in improving infant positioning because positioning may interfere with neuromotor development. METHODS: A quality improvement (QI) project was initiated to increase knowledge and improve the compliance of nurses and physicians in infant positioning using the Infant Positioning Assessment Tool (IPAT). The project was part of Neonatal Individualized Developmental Care Assessment Program (NIDCAP) training...
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615153/letters
#20
(no author information available yet)
No abstract text is available yet for this article.
March 1, 2018: Neonatal Network: NN
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