Making Good on Private Duty: Practical Hints to Graduate NursesLounsbery, Harriet Camp
Science
Making Good on Private Duty: Practical Hints to Graduate Nurses
Lounsbery, Harriet Camp
Private duty nursing
Until the stump of the cord has sloughed off, a baby should never
be put into the tub. If after the stump has sloughed there seems
to be any protrusion, or indeed any ulcerated look about the
naval, it is best to bathe the child on your lap. In all such
cases undress the baby as previously directed, until you come to
the band (flannel belly band). Wash, rinse, wipe and powder him,
being careful to make every part absolutely clean and dry. If the
band is soiled or wrinkled, or out of shape in any way, remove it
and put on a fresh one--looking every day, after three days, to
see if the stump has come off--and if it is still adherent, being
most careful not to disturb it in any way. Apply the fresh band
immediately. Turn the baby on its stomach, and when the back is
exposed, wash and rub the back gently with your warm hand. If the
band does not need changing, unpin it, rub the back, pin it up
again, and proceed in dressing as before. When the cord is once
fairly off, and the navel smooth and clean, you can put the baby
into the tub, very gently, slowly, and cautiously, remembering
that a sudden movement on your part may, in fact, always will make
him scream, and screaming with no band or compress on is for a
baby a very frequent cause of umbilical hernia. If the cord is
small when the child is born, there will be less danger of hernia,
but if it be a large one, then beware! It will not always be your
fault if the baby's navel is not small and flat when you are
leaving your case, but you will always be blamed for it, if it is
not. Notice carefully every morning when you bathe the child if
there is any umbilical protrusion, and report it without delay to
your doctor, if there is any, no matter how slight. This is not,
however, the place to treat of umbilical hernia, and we will go on
with the washing, If the child's skin is very tender, chafing
easily, wash with castile soap suds, rinse and dry carefully,
after every time he urinates, as well as when you bathe him.
Powder with talcum powder. Sometimes no powder will do it any
good, then try vaseline. If that will not do, ask the doctor if
you can try oxide of zinc ointment. Ordinarily, extreme care in
washing, drying and powdering will be sufficient, but it must be
done every time the diaper is changed. In this, as in other
things, eternal vigilance is absolutely necessary.
When the baby is about two or three weeks old, it is a good plan
to put some alcohol into the water in which he is bathed--two or
three ounces to the amount of water used in bathing. Have a small
bowl of cooler water, 70 degrees to 80 degrees, for the face, and
after that is washed, add a tablespoonful of alcohol to that also,
for the head. It helps to toughen the skin, and prevents the baby
from taking cold so easily.
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