Wrong-patient orders more prevalent in NICUs | FDA warns against codeine, tramadol for youths, breast-feeding mothers | Opioids in pregnancy: Too many cases, too few services
April 27, 2017
National Association of Neonatal Nurses SmartBrief
News for Neonatal Care Professionals
Neonatal Care
Wrong-patient orders more prevalent in NICUs
The rate of wrong-patient orders in NICUs was 117.2 per 100,000 orders, compared with 74.9 per 100,000 orders in non-NICU pediatric units, according to a study in Pediatrics. However, the findings, based on more than 4.3 million pediatric orders, showed that the ID reentry intervention and combined ID reentry and distinct naming interventions reduced NICU error frequency by 48.7% and 61.1% from baseline, respectively.
Physician's Briefing/HealthDay News (4/21) 
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FDA warns against codeine, tramadol for youths, breast-feeding mothers
The FDA issued a warning against the use of codeine and tramadol in children younger than 12, in adolescents ages 12 to 18 who are obese or have conditions that cause problems with breathing, such as sleep apnea and lung disease, and breast-feeding mothers, as well as a warning against tramadol use in children ages 18 and younger who underwent tonsil and adenoid removal, after a recent review showed serious breathing difficulties among youths who received the drugs. The FDA is requiring drugmakers to update warning labels on the drugs to reflect the new contraindications.
The New York Times (free-article access for SmartBrief readers) (4/20),  The Washington Post (tiered subscription model) (4/20),  National Public Radio (4/20) 
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Health Policy & Practice
Opioids in pregnancy: Too many cases, too few services
The growing number of women who become pregnant while abusing opioids and heroin coincides with scarcity of treatment centers geared to their needs. In Arizona, babies born exposed to narcotics nearly doubled in number between 2008 and 2015, state data show.
The Chronicle of Social Change (4/26) 
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Study evaluates risk factors for home, birth center deliveries
A study of more than 47,000 midwife-attended births evaluated 10 risk factors for maternal and neonatal outcomes associated with giving birth at home or at a birth center. The study, in the journal Birth, found risks associated with obesity and maternal age were modest, while breech presentation was associated with higher risks with home delivery.
HealthDay News (4/21) 
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Trends & Technology
DHA tests advanced birth simulator
David Grant US Air Force Medical Center at Travis Air Force Base is one of five military medical facilities testing the Complicated Obstetrics Emergency Simulator, which gathers data on how obstetrics teams work and sends the information to the Defense Health Agency. The goal is to standardize training and improve patient safety.
Air Force Times (free registration) (4/24) 
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Premature babies may continue developing inside artificial womb
Lambs born prematurely spent four weeks successfully developing in an artificial womb that could one day help keep premature babies alive. The device, which resembles an aquarium, envelops the baby in a clear, plastic bag filled with artificial amniotic fluid, with the umbilical cord attached to a machine that adds oxygen and expels carbon dioxide from the blood, according to findings published in Nature Communications.
National Geographic News (free registration) (4/25) 
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What's your neonatal story?
Do you have a neonatal story worth sharing? Share it with NANN and enter the Brighter Tomorrow Story Contest for a chance to win a complimentary registration for NANN's 33rd Annual Conference in Providence, R.I., Oct. 11-14, 2017! All entries can be e-mailed to info@nann.org.
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It's NANN awards season!
Is there a better way to recognize your nursing peers than with a NANN award? Whether they are clinical practitioners, educators, researchers, or staff nurses, NANN is dedicated to honoring the achievements of those who are advancing the field of neonatal nursing. Review the online application for each award to learn more. Nominations are due May 1.
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Neonatal Nurse Practitioner/Physician Assistant - Lehigh Valley Health Network
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