NICU

Target Fortification: Considerations for the Clinician

Human milk is the safest and best source of nutrition for neonates. Due to the high nutrition demands for growth and brain development in the postnatal period, addition of macro- and micronutrients to human milk with fortifiers is needed.  It is standard of practice to use human milk fortifiers to create higher calorie levels estimating […]

Target Fortification: Considerations for the Clinician Read More »

Change Management Strategies in the Healthcare Environment

“Change is the only constant in life.” -Heraclitus Humans crave consistency in a world where change is constant. This is no different within the walls of healthcare. Consistency comes with predictability and safety – the desire for consistency stems from our innate need for stability and serves as a foundation that allows us to navigate

Change Management Strategies in the Healthcare Environment Read More »

Breast Milk Misappropriation: Prevention and Mitigation 

The benefits of breast milk, as a source of nutrition for all infants, have been well established in the literature. However, the benefits of breast milk are amplified for premature or critically ill infants cared for in a Neonatal Intensive Care Unit (NICU).  The evolution of breast milk collection and storage has undergone tremendous change

Breast Milk Misappropriation: Prevention and Mitigation  Read More »

The Battle Against NEC: Insights into Prevention, Diagnosis, and Treatment

Necrotizing enterocolitis (NEC) is the most common, and most serious gastrointestinal emergency in newborn infants. The pathophysiologic mechanism(s) leading to NEC are complex, and remain somewhat elusive. It is characterized by severe inflammation of the intestinal mucosa, invasion of enteric bacteria, and dissection of gas that can extend into the portal venous system and result in perforation. There

The Battle Against NEC: Insights into Prevention, Diagnosis, and Treatment Read More »

Increasing Breastfeeding Rates in the NICU via Utilization of the Neonatal Transport Team

The benefits of human milk and colostrum are well recognized, specifically for an infant requiring admission to the Neonatal Intensive Care Unit (NICU). Human milk offers an optimized defense against such co-morbidities as necrotizing enterocolitis (NEC), sepsis, respiratory infections, chronic lung disease and retinopathy of prematurity (ROP). Enteral feedings are better tolerated, feeding progression enhanced

Increasing Breastfeeding Rates in the NICU via Utilization of the Neonatal Transport Team Read More »

Posters By Our Hospital Partners: March 2023 Update

1. Presented by Baystate Children’s Hospital at the Academic Pediatric Association Region 1 (Spring) Meeting 2023. CONCLUSIONS based on 2 years of data. 2. Presented by Connecticut Children’s at NEANN 2021, the annual meeting of the New England Association of Neonatal Nurses. RESULTS based on 12 months of data: March 1, 2020 to March 1,

Posters By Our Hospital Partners: March 2023 Update Read More »

Feed Order Standardization in the NICU

Whether it’s your favorite online store or food delivery service, we’re all used to choosing a product or service and having it delivered without difficulty. When was the last time what you ordered was not what you received?  In neonatal intensive care units everywhere, professionals spend hours each day discussing the merits of one therapeutic

Feed Order Standardization in the NICU Read More »

Do You Want To Build A Milk Lab?

The goal of this blog is to provide my own “hindsight,” when building the NICU milk/formula lab; and things that helped me with its successful construction and implementation.  Throughout my career in neonatal and pediatric nursing, I’ve been fortunate to experience moving into new clinical units. My first was as a charge nurse, where our team

Do You Want To Build A Milk Lab? Read More »

The End Of An Error

A three-part series that looks at how understanding the root causes of mistakes involving infant feeding management can help prevent them in the NICU. Originally published in Neonatal Intensive Care, The Journal of Perinatology-Neonatology: Part 1 (page 38), Part 2 (46), and Part 3 (40). Part 1: Introduction We all know that the NICU is

The End Of An Error Read More »

6 Questions To Answer Before Bringing In A Feeding Management System

If you are considering a feeding management system, here are the 6 things you need to know about your organization. What are your compliance goals? Who is preparing feeds? Which units need the solution? When should each site go live? How do you approach staff and clinical education? Why should your institution make a change?

6 Questions To Answer Before Bringing In A Feeding Management System Read More »