Neonatal Network
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EDITORIAL: on Being a Professional.
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PMID: 19892632 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - November 1, 2009 Category: Perinatology & Neonatology Authors: Fraser D Tags: Neonatal Netw Source Type: journals
Sodium valproate and the fetus: a case study and review of the literature.
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We present a case that illustrates the need for better education of mothers taking valproate and the medical staff prescribing it.
PMID: 19892633 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - November 1, 2009 Category: Perinatology & Neonatology Authors: Smith J, Whitehall J Tags: Neonatal Netw Source Type: journals
Recognizing craniosynostosis.
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This article examines this defect and discusses its embryologic origin. A systemic physical assessment guide serves as a tool to enhance early recognition of this defect. Pictorial examples increase understanding of the defect. A discussion of treatment and nursing implications, with an emphasis on family support, is provided.
PMID: 19892634 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - November 1, 2009 Category: Perinatology & Neonatology Authors: Merritt L Tags: Neonatal Netw Source Type: journals
Human-milk feeding after NICU discharge.
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This study explores the breastfeeding experiences of mothers of these at-risk infants to determine their breastfeeding patterns and to better understand reasons they prematurely stop breastfeeding and/or human-milk feeding (HMF). DESIGN: A qualitative, longitudinal, descriptive design was used. SAMPLE: The sample consisted of 144 mothers whose preterm or ill infants were cared for in either an NICU or an intermediate care nursery in a large central Canadian city; 112 mothers completed data collection to six weeks after their infants were discharged from the hospital. MAIN OUTCOME VARIABLE: The main outcome variable was con...
Source: Neonatal Network - November 1, 2009 Category: Perinatology & Neonatology Authors: Wheeler BJ Tags: Neonatal Netw Source Type: journals
Educational interventions to reduce the rate of central catheter-related bloodstream infections in the NICU: a review of the research literature.
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Catheter-related bloodstream infections (CR-BSIs) are a significant cause of morbidity and mortality in the NICU, occurring at rates ranging from 11.3 per 1,000 catheter days in infants <1,000 g to 4 per 1,000 catheter days in infants >2,500 g. Cost-effective and successful educational interventions aimed at nurses have been shown to decrease CR-BSIs with adults, but no such studies address neonatal nurses. This literature review examined how educational interventions could help neonatal nurses reduce infection rates in patients with central venous catheters. Four databases were searched: PubMed, CINAHL, Cochrane...
Source: Neonatal Network - November 1, 2009 Category: Perinatology & Neonatology Authors: Semelsberger CF Tags: Neonatal Netw Source Type: journals
Nursing liability and chain of command.
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PMID: 19892639 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - November 1, 2009 Category: Perinatology & Neonatology Authors: Smalls HT Tags: Neonatal Netw Source Type: journals
Helping NICU families through the holidays.
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PMID: 19892640 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - November 1, 2009 Category: Perinatology & Neonatology Authors: Discenza D Tags: Neonatal Netw Source Type: journals
Little boy blue.
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PMID: 19892641 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - November 1, 2009 Category: Perinatology & Neonatology Authors: Gunn J Tags: Neonatal Netw Source Type: journals
Findings from the national institute of nursing research related to neonatal care: 2009 update.
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This annotated bibliography summarizes recent findings from studies supported by the National Institute of Nursing Research (NINR) related to a broad range of maternal and neonatal health issues. By sharing this bibliography, we at NINR hope to increase the awareness of these valuable research findings within the health care community and support the continued development of evidence-based nursing practice in antenatal, postpartum, neonatal, and family care settings.
PMID: 19892642 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - November 1, 2009 Category: Perinatology & Neonatology Authors: National Institute Of Nursing Research National Institutes Of Health Department Of Health And Human Services Tags: Neonatal Netw Source Type: journals
Are you an advocate for your patient?
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PMID: 19720592 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - August 31, 2009 Category: Perinatology & Neonatology Authors: Fraser D Tags: Neonatal Netw Source Type: journals
Evidence-based guideline for suctioning the intubated neonate and infant.
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The endotracheal tube (ETT) is the most common artificial airway used in NICUs. Suctioning of the ETT is imperative to maintain patency and prevent complications. An extensive review of the literature revealed a lack of standardized criteria or guidelines for suctioning the ETT of neonates and infants in the NICU. The purpose of this article is to report the implementation of an evidence-based guideline that can be utilized in NICU care.
PMID: 19720593 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - August 31, 2009 Category: Perinatology & Neonatology Authors: Gardner DL, Shirland L Tags: Neonatal Netw Source Type: journals
Trichophyton tonsurans-Ringworm in an NICU.
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We report an infection with the dermatophyte Trichophyton tonsurans, the most common cause of tinea capitis in children but not yet described in a premature baby who has never left the nursery. Our case illustrates the need to consider this diagnosis among the causes of dermatitis in the newborn, especially in at-risk populations such as indigenous Australians. Though our infant's presentation was the classic "ring" shape, a literature review revealed varied presentations. In contrast to the usual need for long-term antifungal medication, our case responded rapidly to a topical azole preparation. Although we did not screen...
Source: Neonatal Network - August 31, 2009 Category: Perinatology & Neonatology Authors: Sproul AV, Whitehall J, Engler C Tags: Neonatal Netw Source Type: journals
Breastfeeding changes for VLBW infants in the NICU following staff education.
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PURPOSE: To assess the effectiveness of an educational intervention aimed at staff and parents in changing breastfeeding practices in the NICU. DESIGN: The breastfeeding education initiative consisted of three parts: breastfeeding training for NICU staff, issuance of complementary breastfeeding materials to mothers of infants in the NICU, and addition of a breastfeeding pathway to the individualized care plan. Infants admitted before and after the initiative were compared to evaluate for changes in breastfeeding practices. SAMPLE: The study sample included very low birth weight (VLBW) infants hospitalized in the NICU f...
Source: Neonatal Network - August 31, 2009 Category: Perinatology & Neonatology Authors: Pineda RG, Foss J, Richards L, Pane CA Tags: Neonatal Netw Source Type: journals
Bar coding from breast to baby: a comprehensive breast milk management system for the NICU.
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Breast milk errors have received increasing attention in the literature in terms of the potential infectious risk posed to the recipient baby and also the stress that results for both the donor and recipient families. Beginning in the mid-1990s, one Level III NICU began making changes in how feedings were prepared and distributed in an attempt to reduce breast milk errors. Despite these changes, breast milk errors continued to occur, and, in 2005, this NICU introduced a bar coding system to further reduce the risk of administering breast milk to the wrong infant. Breast milk errors have subsequently been substantially ...
Source: Neonatal Network - August 31, 2009 Category: Perinatology & Neonatology Authors: Dougherty D, Nash A Tags: Neonatal Netw Source Type: journals
Transthyretin (aka Prealbumin): why is it part of TPN labs?
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PMID: 19720599 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - August 31, 2009 Category: Perinatology & Neonatology Authors: Nash P Tags: Neonatal Netw Source Type: journals
Clinical practice guidelines: what are they? Where are they? How good are they?
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PMID: 19720600 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - August 31, 2009 Category: Perinatology & Neonatology Authors: Smith JR, Donze A Tags: Neonatal Netw Source Type: journals
Taking care of the NICU Mom.
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NICU NURSES HAVE CHALLENGING jobs working with both extremely fragile newborns and their families. The mother in this family unit is one of the most important people to take care of, in addition to the newborn. So much has happened and continues to happen to her child(ren) that she is in a tailspin of physical and emotional pain. There are many ways to help the new mother through this trying time, and the NICU nurse is often the one who can be the most effective in getting mom on a solid path forward. Here are some suggestions for NICU nurses working with these shell-shocked mothers.
PMID: 19720601 [PubMed - in pro...
Source: Neonatal Network - August 31, 2009 Category: Perinatology & Neonatology Authors: Discenza D Tags: Neonatal Netw Source Type: journals
The Golden Hour: care of the LBW infant during the first hour of life one unit's experience.
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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. Complications that could potentially be impacted by care in the first hour of life include thermoregulation, intraventricular hemorrhage, chronic lung disease, and retinopathy of prematurity. Our unit has implemented and revised a Golden Hour evidence-based care process that includes the use of realistic videotaped simulations, followed by team debri...
Source: Neonatal Network - June 30, 2009 Category: Perinatology & Neonatology Authors: Reynolds RD, Pilcher J, Ring A, Johnson R, McKinley P Tags: Neonatal Netw Source Type: journals
Understanding the sequence of pulmonary injury in the extremely low birth weight, surfactant-deficient infant.
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This article provides bedside clinicians with foundational information related to acute lung injury and the sequence of events that can ultimately lead to neonatal chronic lung disease and bronchopulmonary dysplasia.
PMID: 19592363 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - June 30, 2009 Category: Perinatology & Neonatology Authors: Peterson SW Tags: Neonatal Netw Source Type: journals
Supporting mothers in recovery: parenting classes.
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This article examines the prevalence of the problem. It also discusses the possible impact of parenting skills classes, as part of recovery efforts, for women seeking recovery who have recently given birth. Several programs already in place in the U.S have shown positive results for these mothers and their infants. Infants exposed in utero to illicit drugs need to be given all of the resources society can provide in an effort to stop the intergenerational cycle of drug addiction.
PMID: 19592364 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - June 30, 2009 Category: Perinatology & Neonatology Authors: Blunt B Tags: Neonatal Netw Source Type: journals
Discharge teaching in the NICU: are parents prepared? An integrative review of parents' perceptions.
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DISCUSSION: The studies that have been done need to be repeated in different centers, with greater sample sizes, and with subjects of different cultures, ethnicities, and socioeconomic status. There is a need for more research into parental perceptions of preparedness for their infant's discharge and ways to increase parental preparedness for discharge home from the NICU.
PMID: 19592365 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - June 30, 2009 Category: Perinatology & Neonatology Authors: Sneath N Tags: Neonatal Netw Source Type: journals
Serum anion gap in metabolic acidosis.
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PMID: 19592367 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - June 30, 2009 Category: Perinatology & Neonatology Authors: Mandell I Tags: Neonatal Netw Source Type: journals
Treating the infant of a minor.
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PMID: 19592369 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - June 30, 2009 Category: Perinatology & Neonatology Authors: Smalls HT Tags: Neonatal Netw Source Type: journals
Case study: trisomy 13, a palliative care case.
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PMID: 19592370 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - June 30, 2009 Category: Perinatology & Neonatology Authors: Wirth JL Tags: Neonatal Netw Source Type: journals
Evidence-based clinical guidelines.
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PMID: 19592371 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - June 30, 2009 Category: Perinatology & Neonatology Authors: Nyqvist KH Tags: Neonatal Netw Source Type: journals
Gently encouraging breastfeeding in the NICU.
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PMID: 19592372 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - June 30, 2009 Category: Perinatology & Neonatology Authors: Discenza D Tags: Neonatal Netw Source Type: journals
Fetal-to-neonatal transition--what is normal and what is not?
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These articles review the physiologic adaptations occurring during the transition from fetal to neonatal life and examine common red flags which may alert care providers to an infant experiencing delayed transition or an underlying disease process, congenital abnormality, or birth injury.
PMID: 19451072 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - April 30, 2009 Category: Perinatology & Neonatology Authors: Askin DF Tags: Neonatal Netw Source Type: journals
SCHIP renewal.
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PMID: 19451074 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - April 30, 2009 Category: Perinatology & Neonatology Authors: McCain GC Tags: Neonatal Netw Source Type: journals
Cesarean delivery by maternal request: what neonatal nurses need to know.
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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.
PMID: 19451075 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - April 30, 2009 Category: Perinatology & Neonatology Authors: Michaluk CA Tags: Neonatal Netw Source Type: journals
Catheter-associated bloodstream infections in the NICU: getting to zero.
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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.
PMID: 19451076 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - April 30, 2009 Category: Perinatology & Neonatology Authors: Curry S, Honeycutt M, Goins G, Gilliam C Tags: Neonatal Netw Source Type: journals
Kangaroo care with twins: a case study in which one infant did not respond as expected.
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PURPOSE: The purposes were to relate responses (including unacceptable ones) of twins to shared kangaroo care (KC), to provide explanations for the unexpected responses, and to offer suggestions for safe nursing practice. DESIGN: A descriptive, evaluative case study was conducted. Both twins received KC while their vital signs and maternal breast temperatures were manually recorded every 30 seconds. Descriptive statistics were computed. SAMPLE: Identical twins, born to a 19-year-old African-American primigravada, were 34 3/7 weeks postconceptional age with weights of 1,760 and 1,480 g, respectively, when tested. Preter...
Source: Neonatal Network - April 30, 2009 Category: Perinatology & Neonatology Authors: Jarrell JR, Ludington-Hoe SM, Abouelfettoh A Tags: Neonatal Netw Source Type: journals
NICU noise and the preterm infant.
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Premature infants in the NICU are often exposed to continuous loud noise despite research documenting the presence and damaging effects of noise on the preterm infant's development. Excessive auditory stimulation creates negative physiologic responses such as apnea and fluctuations in heart rate, blood pressure, and oxygen saturation. Preterm infants exposed to prolonged excessive noise are also at increased risk for hearing loss, abnormal brain and sensory development, and speech and language problems. Reducing noise levels in the NICU can improve the physiologic stability of sick neonates and therefore enlarge the po...
Source: Neonatal Network - April 30, 2009 Category: Perinatology & Neonatology Authors: Brown G Tags: Neonatal Netw Source Type: journals
Inadvertent catheterization of the ascending lumbar vein.
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PMID: 19451080 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - April 30, 2009 Category: Perinatology & Neonatology Authors: Trotter CW Tags: Neonatal Netw Source Type: journals
Linezolid.
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PMID: 19451082 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - April 30, 2009 Category: Perinatology & Neonatology Authors: Bell SG Tags: Neonatal Netw Source Type: journals
Neonatal advanced practice nurses as key facilitators in implementing evidence-based practice.
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PMID: 19451083 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - April 30, 2009 Category: Perinatology & Neonatology Authors: Smith JR, Donze A, Cole FS, Johnston J, Giebe JM Tags: Neonatal Netw Source Type: journals
NICU parents' top ten worries at discharge.
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PMID: 19451084 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - April 30, 2009 Category: Perinatology & Neonatology Authors: Discenza D Tags: Neonatal Netw Source Type: journals
The dying neonate: family-centered end-of-life care.
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There is a need in the NICU for an end-of-life care guideline that nurses can follow when working with dying infants and their families. Maintaining intravenous access to relieve the infant's pain, communicating sensitively to the family, and creating precious, everlasting memories are goals that should be part of every dying infant's care. The nurse's ability to partner with the family in caring for the infant is integral to helping the family take the first steps in their grief journey. Evidence-based literature provides NICU nurses with the knowledge that they are the facilitators of end-of-life care for dying infan...
Source: Neonatal Network - March 1, 2009 Category: Perinatology & Neonatology Authors: De Lisle-Porter M, Podruchny AM Tags: Neonatal Netw Source Type: journals
Making babies real: dressing infants in the NICU.
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This article presents the physiologic rationale for dressing infants in the NICU. It reports interview responses from mothers and nurses on their feelings about one infant dressing program, proposes a care plan, discusses the advantages and disadvantages of infant dressing, and suggests ideas for related research. The goals of the program described here are to provide preterm and/or sick infants with increased insulation to improve thermoregulation, personalize and normalize care, promote developmentally appropriate care, promote discharge planning, and support all families equally, regardless of socioeconomic status.
...
Source: Neonatal Network - March 1, 2009 Category: Perinatology & Neonatology Authors: Bosque EM, Haverman C Tags: Neonatal Netw Source Type: journals
Retinopathy of prematurity: an eye toward better outcomes.
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This article briefly reviews the history of ROP, discusses its pathophysiology, and addresses the risk factors and strategies for prevention.
PMID: 19332407 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - March 1, 2009 Category: Perinatology & Neonatology Authors: Pollan C Tags: Neonatal Netw Source Type: journals
Coarctation of the aorta: a case presentation.
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This article reviews a case study of an infant diagnosed with coarctation of the aorta on day 8 of life. It includes an overview of the etiology, clinical presentation, and management plus an account of the infant's transport to a regional pediatric intensive care unit (PICU).
PMID: 19332408 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - March 1, 2009 Category: Perinatology & Neonatology Authors: Raeside L Tags: Neonatal Netw Source Type: journals
Securing endotracheal tubes.
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PMID: 19332409 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - March 1, 2009 Category: Perinatology & Neonatology Authors: Heyman A Tags: Neonatal Netw Source Type: journals
Securing PICC lines.
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PMID: 19332411 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - March 1, 2009 Category: Perinatology & Neonatology Authors: Sharpe EL Tags: Neonatal Netw Source Type: journals
Blood gas analysis and the fundamentals of acid-base balance.
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PMID: 19332412 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - March 1, 2009 Category: Perinatology & Neonatology Authors: Farmand M Tags: Neonatal Netw Source Type: journals
Welcome to the NICU: helping parents adjust to NICU life.
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PMID: 19332413 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - March 1, 2009 Category: Perinatology & Neonatology Authors: Discenza D Tags: Neonatal Netw Source Type: journals
Scalp IV or graduation tassel? Differing perspectives of the NICU experience.
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PMID: 19332414 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - March 1, 2009 Category: Perinatology & Neonatology Authors: Lord A Tags: Neonatal Netw Source Type: journals
Documentation do's and don'ts.
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PMID: 19332415 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - March 1, 2009 Category: Perinatology & Neonatology Authors: Smalls HT Tags: Neonatal Netw Source Type: journals
When ventilator-associated pneumonias haunt your NICU--one unit's story.
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PMID: 19176309 [PubMed - in process] (Source: Neonatal Network)
Source: Neonatal Network - January 1, 2009 Category: Perinatology & Neonatology Authors: Norris SC, Barnes AK, Roberts TD Tags: Neonatal Netw Source Type: journals
Findings from the National Institute of Nursing Research Related to Neonatal Care: 2008 Update.
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A new program designed to help nurses teach parents, family members, and child care providers about risks and protective practices for Sudden Infant Death Syndrome (SIDS) is now available from the National Institutes of Health. The Continuing Education Program on Sudden Infant Death Syndrome (SIDS) Risk Reduction was developed by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the National Institute of Nursing Research (NINR), in collaboration with national nursing and infant health organizations. (Represented by Jeanette Xaichkin, RNC, MSN, The Academy of Neonatal Nursi...
Source: Neonatal Network - January 1, 2009 Category: Perinatology & Neonatology Authors: National Institute Of Nursing Research National Institutes Of Health And Department Of Health And Human Services Tags: Neonatal Netw Source Type: journals
Podium Abstracts Presented at the 8th National Neonatal Nurses Meeting Washington, DC, October 9-11, 2008.
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Authors:
These podium abstracts summarize the topics that were presented at the recent 8th National Neonatal Nurses Meeting in Washington, D.C. They represent a broad range of neonatal and perinatal issues. By sharing this information we hope to increase awareness of research and innovative programs within the neonatal health care community, and support evidencebased nursing practice in a neonatal intensive care setting.
PMID: 19176299 [PubMed - as supplied by publisher] (Source: Neonatal Network)
Source: Neonatal Network - January 1, 2009 Category: Perinatology & Neonatology Tags: Neonatal Netw Source Type: journals
Poster Abstracts Presented at the 8th National Neonatal Nurses Meeting Washington, DC, October 9-11, 2008.
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Authors:
These poster abstracts summarize the topics that were presented at the recent 8th National Neonatal Nurses Meeting in Washington, D.C. They represent a broad range of neonatal and perinatal issues. By sharing this information we hope to increase awareness of research and innovative programs within the neonatal health care community, and support evidence-based nursing practice in a neonatal intensive care setting.
PMID: 19176300 [PubMed - as supplied by publisher] (Source: Neonatal Network)
Source: Neonatal Network - January 1, 2009 Category: Perinatology & Neonatology Tags: Neonatal Netw Source Type: journals
