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Care of Infant with Spina Bifida

  1. Perform hand hygiene and apply clean, latex-free gloves.
  2. Verify the patient's identity using two patient identifiers in accordance with institutional policy.
  3. Apply surgical cap, mask, and gown.
  4. Select a clean, flat, and dry work surface that is above waist level. Open the sterile dressing kit and empty sterile gauze, feeding tube, plastic wrap, and drape onto the sterile surface provided using sterile technique.
  5. While holding a bottle of sterile, warmed normal saline away from the sterile field with the lip of the bottle 1 to 2 inches above the gauze, slowly pour over the nonadherent gauze until it is saturated.
  6. Place the infant in a prone, kneeling position and protect the infant's knees from breakdown with the use of a protective layer such Tegaderm®. After dressing change and if approved by practitioner, place the infant in a side-lying position.
  7. Remove gloves and discard in proper trash receptacle. Perform hand hygiene and apply sterile, latex-free gloves.
  8. Place the normal saline-soaked sterile, nonadherent gauze dressing onto the defect.
  9. Place the sterile, latex-free feeding tube within the gauze mesh for intermittent infusion of warmed saline.
  10. Place a sterile plastic material or wrap over the saturated nonadherent gauze.
  11. Place a cloth tape over the outside edges of the plastic material or wrap that is covering the saturated, nonadherent gauze dressing to help secure the dressing to the infant's body.
  12. Place the drape over the infant's buttocks, below the defect, using the drape's adhesive backing to secure the drape to the infant's body.
  13. Remove gloves and discard with supplies in proper trash receptacles. Perform hand hygiene.
  14. Document the procedure in the patient's record.
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