NICU refines protocols, cuts LOS for neonatal abstinence syndrome | Hospital care for very premature babies varies widely, study finds | Atopy, wheezing tied to neonatal vitamin A supplementation for girls

May 14, 2015
National Association of Neonatal Nurses SmartBrief
News for Neonatal Care Professionals

Neonatal Care
NICU refines protocols, cuts LOS for neonatal abstinence syndrome
Nationwide Children's Hospital in Ohio reduced its NICU length of stay for neonatal abstinence syndrome from 27 days to 18 days through retraining nursing staff and refining treatment protocols. The unit originally had reduced LOS from more than 36 days to 31 days using a methadone protocol, and then to 27 days using an oral morphine regimen, the researchers reported in Pediatrics. Medscape (free registration) (5/6)
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Hospital care for very premature babies varies widely, study finds
Hospitals varied widely in whether they gave active treatment or only comfort care to extremely premature babies, a new study found. Eighteen of 78 cases of babies born at 22 weeks gestation who were given active medical intervention survived, compared with none of the babies who did not receive treatment. The study, which included almost 5,000 babies born before 27 weeks' gestation between 2006 and 2011, was published in the New England Journal of Medicine. The New York Times (tiered subscription model) (5/6), Portland Press Herald (Maine)/The Associated Press (5/7)
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FEATURED VIDEO: The Traits of Very Successful Leaders
Someone who is a good leader knows how to get work done, but a great leader is someone who inspires employees to do their best all the time. Linda Rottenberg, the co-founder and CEO of Endeavor, tells us about some common traits among successful leaders. Watch the video now.

Health Policy & Practice
CMS to expand hospital infection reporting requirements
The CMS intends to widen reporting of central line-associated bloodstream and catheter-associated urinary tract infections beyond hospital intensive care units to include medical and surgical units. The measures were developed by the CDC, and data will be collected by its National Healthcare Safety Network. HealthLeaders Media (5/8)
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Group issues recommendations to protect newborns from whooping cough
The Global Pertussis Initiative says vaccinating pregnant women against whooping cough, followed by immediate family members, caregivers and other people who come in contact with infants, is the most effective way to prevent newborns from contracting the infection. The recommendations were published in Pediatrics. Reuters (5/12)
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Trends & Technology
Mom shares story of how son's donations are helping researchers
Bethany Conkel writes about learning how her infant son's whole body, liver, cord blood and skin donations are helping researchers seek cures for liver conditions and type 1 diabetes, improve pediatric emergency care and increase understanding of how the condition anencephaly develops. Images from his whole-body donation were instrumental in gaining FDA approval for a new insertion site for a lifesaving procedure for children, Conkel writes. "My heart always beats a little faster when I share that part of his story," she writes. Yahoo/The Mighty (5/11)
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Antibiotic use in infancy may lead to illnesses later in life
A study published in the journal Cell Host and Microbe found that overuse of antibiotics in infants may cause changes in their gut bacteria which can lead to conditions such as obesity, allergies and other diseases in adulthood. "We think these findings help develop a roadmap for future research to determine the health consequences of antibiotic use and for recommendations for prescribing them," study author Dan Knights said. United Press International (5/13)
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Did you hear?
Registration is now open for NANN's 2015 Annual Educational Conference in Dallas, Thursday, Oct. 22, to Sunday, Oct. 25. This year's conference will allow you to discover new ways to lead, grow as a neonatal nurse, empower your practice and improve patient care. No matter where you are in your career, you can learn from esteemed leaders dedicated to the field of neonatal nursing. Attendees can chose from 26 concurrent sessions, four interprofessional sessions, five paper sessions, and eight special interest group meetings. This is your opportunity to learn the latest in neonatal care and how to implement these ideas when you return home. A total of 23.5 CNE contact hours and 7.5 pharmacology hours are available at this year's conference. Learn more.
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New position statement: Human Milk and Breastfeeding in the NICU
The use of human milk and breastfeeding are essential components in providing optimal health for the critically ill newborn. As the professional voice of neonatal nurses, the NANN encourages all neonatal nurses to provide mothers of critically ill newborns with the education, support, and encouragement needed to provide human milk for their infant. Released in mid-April, "The Use of Human Milk and Breastfeeding in the Neonatal Intensive Care Unit" position statement covers five recommendations to facilitate human milk consumption for neonates in the NICU and after hospital discharge. Read more.
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