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NYSPQC Webinar: COVID-19 & the NICU - Shared screen with speaker view
Pinchi Srinivasan
20:51
If support person/partner testing is pending or positive with mother's test negative, is the baby still considered a PUI?
Jeff Meyers
25:22
@Pinchi - i think that is context specific. Adriann’s comment about asymptomatic positivity rates should influence this decision, in my opinion. A very low asymptomatic positivity rate should not make the baby a PUI, in my opinion. It just doesn’t make sense based on the data you have. It also probably matters in the setting of universal masking, screening visitors, eye protection, etc.
Sukhvinder Ranu
25:50
Mom is covid positive and refused testing for baby. How do you deal with this situation
Pinchi Srinivasan
28:08
@ Jeff, Thanks, I agree, but I think Dr.Campbell mentioned at Montefiore they are treating these babies as PUI ( mom -ve, Partner/support person +ve or pending)
Regina Spinazzola
28:39
we have not implemented any routine re-testing of parents unless symptomatic. We have still limited visiting to no more than 2 hours per day unless there are requirements for parent education in preparation for discharge.
Damaris Lopez
30:40
we have not extended visitation to father/partner. mom's only for 1 hour , scheduled visits.
Damaris Lopez
31:00
our unit is open, we don't have pods. all moms are screened daily.
Corey Greene
33:11
From Liberty M. Abelido:At ELMHURST NICU: NOT RETESTING but screens visitors.Mother (COVID - 19 Negative) or Father (1 visitor at a time can visit the BabyWe modify visitation 1:30-5:30 pm in NICU so they can participate in 2 feeding opportunities
Damaris Lopez
37:20
To echo Dr. Combs, staff is very scared.
Kristen Lawless
37:45
Please chat in questions or points of discussion to “Everyone”.
Corey Greene
40:04
Chat From Liberty M. Abelido:For COVID + Mother we use Tele-visitation using iPADs, iphone, and Android phone
Dyane Cavagnaro-Irvine
40:38
We used an I-Pad for these moms to facetime/Zoom with their newborn and the providers.
PRABHAKAR KOCHERLAKOTA
41:52
how long we need to isolate babies in NICU ? and why do we need to isolate, if two PCR are negative for the babies
Vera Appiah-Agyemang
42:43
At Kings, we restrict visitation for +covid Mums, we use Ipads with facetime for parents to see newborns
Mary Crittenden
42:51
What about hospitals that are testing the support person and making them leave after delivery until the result of the test is back?
Damaris Lopez
43:24
we also use iPad, FaceTime for parents of covid positive mom/puis
Damaris Lopez
44:26
As far visitation, what does the visitation entail? holding, breast feeding? what level, acuity?
Dyane Cavagnaro-Irvine
45:23
We swab our newborns born to COVID positive mothers at 24 and 48 hours. If both are negative, we discontinue isolation precautions.
Marilyn Kacica
49:43
There are outliers - moms who have been positive for a prolonged period up to a month - 6 weeks. What do you do as far as visitation in this scenario.
Rebecca Corwin
49:45
what screening tool are you using for visitors as they come in? digital? assessed by a staff member? we know no fever does not mean no early covid so I'm hesitant to use temp checks as a reliable screening tool.
Michael Brandler
50:54
Who is testing the father or support person? Labor and delivery, or elsewhere in the hospital?
Aimee Parow
51:40
what are people doing for Nicu visitation with exclusive breastfeeding mothers?
Vera Appiah-Agyemang
52:32
The father or support people are being testing at the Ambulatory care practice
Dyane Cavagnaro-Irvine
55:43
We give support person script or lab voucher, and they can have the test taken in the hospital inpatient or outpatient lab. NICU ACPs are responsible to f/u results and support person not allowed in NICU until negative results available.
Damaris Lopez
56:14
"post partum temperature" moms who've tested previous negative ? how are you addressing ? retesting?
Liberty M. Abelido
57:59
Yes, we receive EBM from COVID + Mother brought in by the significant other. Thecontainer is wiped down with disinecting wipes and placed in specimen bag thereafter.
Kristen Lawless
01:03:30
Just received the following question via the NYSPQC mailbox: How are you handling visitation in the NICU of parents who are traveling to the restricted states?
Liberty M. Abelido
01:04:54
We schedule infants of COVID + Mother follow-up check up in the afternoon clinic and COVID Neg in the morning.
Liberty M. Abelido
01:08:07
We send them a pack of masks (10/pack) for parents, emphasize virtual Breastfeeding support, and early WIC application to anticipate needs prior to discharge. Our department had made a gift pack (with diaper, sleep sack/bundle, wipes, receiving blankets) for NB and PT Babies.
Kristen Lawless
01:14:41
Thank you, Dr. Campbell, Dr. Combs and Dr. LaGamma! Great and informative discussion.
Kristen Lawless
01:15:19
Please send additional questions to NYSPQC@health.ny.gov or use the chat function here. Thank you!
Damaris Lopez
01:15:22
Thank you all for your continued dedication and support. Be safe everyone.
Arlette Bustamante
01:15:33
thank you all presenters for an informative discussion