Neonatal Skin Care: Clinical Outcomes of the AWHONN/NANN Evidence-Based Clinical Practice Guideline

Lund, Carolyn; Osborne, Jason W.; Kuller, Joanne; Lane, Alfred T.; Lott, Judy Wright; Raines, Deborah A.

doi:10.1111/j.1552-6909.2001.tb01520.x

Cited by 130 publications

(119 citation statements)

References 22 publications

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“…[46][47][48] The CDC recommends the use of CHGրalcohol over povidone-iodine for skin antisepsis prior to the insertion of central catheters in adults and children due to a decrease of 49% in C LABSI. All agents can lead to some adverse effects, including skin irritation, chemical burns, blisters, and absorption and the ideal antimicrobial preparation for use in neonates is unclear.…”

Section: Skin Antisepsismentioning

confidence: 99%

A National Survey of Neonatal Peripherally Inserted Central Catheter (PICC) Practices

Sharpe

Pettit

Ellsbury

2013

Advances in Neonatal Care

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This extensive national survey of NICU PICC practices showed wide variation in multiple aspects of PICC insertion and maintenance. A gap between the evidence and current practice was evident in many facets of training, insertion techniques, and maintenance processes. The data suggest a need for an increase in awareness of clinicians of current practice guidelines and standards and the need for further research to develop an evidence basis for many aspects of PICC care where lacking.

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Section: Skin Antisepsismentioning

confidence: 99%

A National Survey of Neonatal Peripherally Inserted Central Catheter (PICC) Practices

Sharpe

Pettit

Ellsbury

2013

Advances in Neonatal Care

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“…24,31,32 By obtaining an appropriate fitting hat and mask and assessing the placement of the nasal CPAP circuit so that it does not create increased pressure points, chances of nasal and septum damage are decreased. 24,31,32 By obtaining an appropriate fitting hat and mask and assessing the placement of the nasal CPAP circuit so that it does not create increased pressure points, chances of nasal and septum damage are decreased.…”

Section: Clinical Implications and Outcomesmentioning

confidence: 99%

Nursing Care Guidelines for Prevention of Nasal Breakdown in Neonates Receiving Nasal CPAP

McCoskey

2008

Advances in Neonatal Care

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Use of nasal continuous positive airway pressure (CPAP) is increasing as a means of respiratory support for respiratory distress syndrome in many premature neonates across the United States. Nasal CPAP is less invasive and may be as effective as mechanical ventilation in premature infants, and has been shown to cause less lung damage in premature neonates. Because of the increased use of nasal CPAP in neonates, especially younger and more fragile neonates, the presence of nare and nasal septum breakdown may be seen as a complication. Currently, all nasal CPAP systems use a hat and prong or mask type of delivery system. This appears to be effective for many neonates, but for some, it is difficult to appropriately fit the hat and prongs. The result of an inappropriately fitted device can be mild to severe nare and nasal septum damage. This article will discuss the need for nasal CPAP and the mechanics of nasal CPAP, but more importantly, serve to guide caregivers in the appropriate physical assessment and care of a neonate on nasal CPAP with the goal of preventing skin breakdown and nasal damage.

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“…The use of adhesives was also identified as the primary cause of skin breakdown among neonatal intensive care unit patients in a nursing research utilization project involving 2820 newborns. 28 Tape-related skin (epidermal) stripping can occur at any age and in any clinical setting, but it is especially prevalent at the extremes of life (in the elderly and neonates). 1,16,29,30 In a 1-day prevalence audit, 8% of hospitalized infants and children were found to have tape-related skin stripping.…”

Section: Medical Adhesiveyrelated Skin Injurymentioning

confidence: 99%

Medical Adhesives and Patient Safety

McNichol

Lund

Rosén

et al. 2013

Journal of the Dermatology Nurses' Association

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Skin injury related to medical adhesive usage is a prevalent but underrecognized complication that occurs across all care settings and among all age groups. If proper technique for application and/or removal of adhesive products is not used, tissue trauma can occur, impacting patient safety and quality of life and increasing healthcare costs. Little guidance exists in the literature regarding appropriate selection and proper use of adhesive products to minimize medical adhesiveYrelated skin injury, as well as best practices for skin care preventive strategies, application and removal techniques, and assessment and treatment of such injuries. In an effort to define best practices for prevention of such injury, a consensus panel of 23 recognized key opinion leaders convened to establish consensus statements on the assessment, prevention, and treatment of medical adhesiveYrelated skin injury. The consensus summit was held in December 2012 and was made possible by an unrestricted educational grant from 3M. This document details the consensus definitions and statements and identifies research priorities for development of new adhesive technologies and protocols for skin protection.

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Neonatal Skin Care: Clinical Outcomes of the AWHONN/NANN Evidence-Based Clinical Practice Guideline

Cited by 130 publications

References 22 publications

A National Survey of Neonatal Peripherally Inserted Central Catheter (PICC) Practices

A National Survey of Neonatal Peripherally Inserted Central Catheter (PICC) Practices

Nursing Care Guidelines for Prevention of Nasal Breakdown in Neonates Receiving Nasal CPAP

Medical Adhesives and Patient Safety

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