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Company Products, Features and Benefits. NeoMed Inc. Company Profile. NeoMed, Inc is focused on the design and manufacturing of the highest quality Neonatal and Pediatric products on the market today. Products include: 1. ESS System 2. Urinary Drainage Kits/Catheters
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Company Products, Features and Benefits NeoMed Inc. www.NeoMedInc.com
Company Profile • NeoMed, Inc is focused on the design and manufacturing of the highest quality Neonatal and Pediatric products on the market today. Products include: 1. ESS System 2. Urinary Drainage Kits/Catheters 3. Lumbar Puncture Products 4. Extension Sets 5. Feeding Tubes 6. Syringes 7. Specialty Kits www.NeoMedInc.com
Services • Our services to our customers include: 1. Inservicing all products to ensure proper use and successful clinical outcomes. 2. Financial and Technical support for conferences and meetings. 3. Educational support for our Hospitals and our products. www.NeoMedInc.com
Dealers • Specialty Medical-States • Innovative Medical-States • Access Medical • Nova Biomedical • Critical Concepts • Heartland www.NeoMedInc.com
Enteral Safety System www.NeoMedInc.com
Joint Commission Sentinel Event Alert • Issued to more than 12000 health care organizations • Avoid purchasing non-intravenous equipment with tubing connectors that permit connections with IV connectors • Asses risks of all tubing and take appropriate preventive measures • Avoid using adaptors to connect tubing and syringes • “The basic lesson from the reported cases of tubing and catheter misconnection error is that if it can happen it will happen” Dennis S. O’Leary, MD, President, Joint Commission www.NeoMedInc.com
Joint Commission Goal for 2006 Proposed Joint commission goals for 2006 require Hospitals to Identify and take action to minimize the risk of inappropriate clinical line connections. www.NeoMedInc.com
Converting to oral syringe delivery of medications and enteral formulas utilizing enteral only tubing eliminated the necessity for leur lock IV tubing and syringes, thereby reducing the potential for wrong route error. Neonatal Network ArticleJanuary 2006 www.NeoMedInc.com
American National Standards Institute Article • A standard was written in the American National Standards Institute about enteral feeding set connectors and adapters, The object of this article was to minimize the possibility of potentially harmful connections occurring between feeding sets and rigid leur connectors or other IV sets. It required that all adapters that provide a direct or functional connection of an enteral feeding set to a rigid female leur connector be eliminated. • The ultimate goal of this standard is the prevention of any reasonable likelihood of connections between enteral feeding sets and devices other than enteral access devices. www.NeoMedInc.com
Institute for safe medical Practices Article • In the article from ISMP nurses were extracting the medication from Nimodopine capsules per Mfg. labeling and injecting the contents with an 18 gauge needle via the NG tube and flushing with 30ml of normal saline, unfortunately in the chaos of the day the drug was drawn into a parenteral syringe and accidentally given IV resulting in death. • In light of this event the new protocol was changed for doses given via NG tube be administered with an amber oral dose syringe • Since this error has occurred numerous times with fatal results whenever like drugs are dispensed it is critical that the potential danger of accidental IV injection be communicated www.NeoMedInc.com
Silicone 30 Day Feeding Tubes • 5.0, 6.5, 8.0FR • 40, 60, 90CM Lengths • Connector Hubs come in Universal, Enteral Only, and Leur Locking. www.NeoMedInc.com
Orange Radiopaque stripe Silicone Material High density formulation 30 day dwell time Precision drilled holes Open distal end 3 different hub styles, enteral, leur locking and universal, 5,6.5,8 french sizes, 40,60,90cm lengths Identifies it as a feeding tube Ease of placement, non wetting surface, softer so baby can can suckle, no leaching of plasticizers No need for weights or stylet Lowers Hospital cost No sharp edges, less trauma Complete drainage, much less bacteria growth Silicone 30 day feeding tubes
Polyurethane 30 Day Feeding Tubes • 4.0, 5.0, 6.5, 8.0FR • 40, 60, 90CM Lengths • Connector Hubs come in Universal and Enteral Only www.NeoMedInc.com
Orange radiopaque stripe Larger bore size Open distal end Cheaper than silicone Identifies it as a feeding tube and show well on x-ray Higher flow rates, less clogging Allows for 30 day dwell time easy to aspirate 30 day Polyurethane Feeding tubes www.NeoMedInc.com
JOGNN Article • In a study in the Journal of Obstetric, Gynecological and Neonatal Nursing of Indwelling vs. Intermittent feeding tubes in Premature neonates, Of the two groups that were studied no statistical differences were found between the two groups, and that the intermittent method of feedings was more expensive www.NeoMedInc.com
Enteral feeding system Inservice www.NeoMedInc.com
Silicone requires a thicker walled catheter. As a result lower flow rates accompany smaller French sizes. Recommend shorter catheter lengths with the smaller French (5.0) sizes. Over time the patient should move from a 5 French to 6.5 to 8.0 to maximize flow rates Sizing the Feeding tube www.NeoMedInc.com
Securing feeding tubes • Securing the feeding tube can be done in a couple of ways: • Wrapping a piece of small tape completely around the tube and then placing another small piece of tape in a bow tie over that to anchor it • Using a securing device like Griplock www.NeoMedInc.com
Cleaning 30 day tubes • Should the feeding tube come out you can clean the feeding tube per hospital protocol (usually normal saline) and return after flushing www.NeoMedInc.com
Enteral Only Extension Tubing • ND-60EO- 60” male/female enteral only set. 2.0ml priming volume • ND-60EOY- 60” male/female enteral only with enteral only Y-site, 2.0ml priming vol. • IC-40ENENB- 40” male/female enteral only with extra large bore, 2.5ml Priming vol. • IC-60ENEN- 60” male/female enteral only. 2.0ml priming vol. • IC-60ENENY- 60” male/female enteral only with enteral only Y-site, 2.0ml priming vol. www.NeoMedInc.com
Enteral Only Extension tubing www.NeoMedInc.com
Extension Tubing • IC-60ENT- 60”male/female leur locking set, 1.65ml priming vol. • ND-60EN- female leur to enteral only adaptor 2.5ml priming vol. • IC-7224- 72” female leur to enteral only adaptor 2.4ml priming vol. • IB-60ENT- high flow, male/female leur lock 2.0ml priming vol. • ND-60ENYC- 60” female leur to enteral adaptor with universal Y-site connector www.NeoMedInc.com
Extension tubing • Orange color striping • Reduces chance of feeding error • Larger bore size • Better flow through • IC-40ENENB, IC-60ENEN, IC-60ENENY • Enteral only systems allow for greater patient safety by eliminating unintended clinical line connections, meets joint commission goals for 2006 • IC-60ENEN features a tethered plug • Lengths, 40, 60, 72cm • Variety of bore diameters www.NeoMedInc.com
Extension set replacement • Extension sets should be replaced every 4 hours minimum as stipulated in the American Dietetic Assoc. guidelines for (preparation of formula and breast milk in health care facilities) As adapted from Infant Feedings: Guidelines for Preparation of Formula and Breast Milk in Health Care Facilities. Pediatric Nutrition Practice Group of the American Dietetic Association, 2003 • Lines should be replaced if they become clogged www.NeoMedInc.com
7 sizes 1, 3, 5, 10, 20 35, 60ml Orange silk screen identifies with Orange Ext. Set and Orange feeding tube Available in Medically clean packaging Oral tip eliminates possibility of injection into IV line or connecting to any IV luer device Sized to fit most hospital applications Orange color enhances safety Oral Syringes www.NeoMedInc.com
Catheterization Tray • 1 Wrap, CSR 30” • 1 Sterilization Pouch • 6 Gauze 4x4 • 4 Gauze 2x2 • 1 Towel Polylined Blue • 1 Syringe 5cc Leur Locking • 1 Needle Filter 19g x 11/2 • 2 Needle Protection Device • 1 Drape • 1 Label Tape Measure and latex free tourniquet • 2 Instrument holder • 1 Tegaderm 1 ¾ x 1 ¾ • 1 Forcep, 4” Iris ½” curved • 1 Scissors 4.5” straight • 1 PVP triple swabstick • 1 Alcohol triple swabstick • 1 Steri strip ¼ X 3, 3 pack • 1 Ziplock Bag www.NeoMedInc.com
Multiple use tray, Umbilical, Chest Tube, IV cutdown Surgical Grade Instruments Exclusive Small Iris Forceps Lowers cost to Hospital Quality Instruments that Physicians are used to Built for Neonatal use Catheterization Tray www.NeoMedInc.com
Hydrocolloid Strip Velcro and adhesive fastener 2 sizes, Extra small and Small Safer for fragile skin Holds polyurethane and silicone tubing without movement X-small built for Neonate Griplok www.NeoMedInc.com
20 Micron Filter Exclusive filter media(polypropylene) Latex free Built for Neonate Improves blood flow through filter without damage to cells No allergic reactions Blood Filter www.NeoMedInc.com
Lumbar Puncture Kit • 22 Gauge 1” or 1.5” Needle • 4 Gauze Pads • 1 Polylined Drape • 1 Fenestrated Drape • 1 Spot Bandage • 1 pack of 3 Iodophor swabsticks • 4 Specifuge vials 6ml with caps www.NeoMedInc.com
4 Numbered vials with captive closure tops Tray designed with tube holders Clear needle hubs 22 gauge 1or 1.5 inch needle Quinke Point needles Ease of use with one hand Less likely to spill sample Easy to see sample Less trauma for patient Less trauma to insertion site, no tissue plugs Lumbar Puncture Kit www.NeoMedInc.com
Silicone Urinary Drainage Catheter • 3.5, 5.0, 6.5, 8.0FR www.NeoMedInc.com
Silicone Material Indelibly Marked at each centimeter Open distal end catheter, non Foley balloon catheter Drilled holes in catheter Minimal irritation to the intima of the urethra Easier placement and charting Complete drainage, less infection Eliminates sharp edges less trauma Silicone Urinary Drainage Catheter www.NeoMedInc.com
Closed System Urinary Collection Kit • 3.5, 5.0, 6.5, 8.0FR • 1 150ml Collection Burette • Antiseptic Swabsticks • Catheter Lubricant • Poly Lined Drape • Fenestrated Drape • Gauze Pads www.NeoMedInc.com
150cc burette Syringe activated port Closed system Latex free Possible billing procedure Accurate urine output measurement Ease of use Less chance of infection No allergic reaction Billable procedure as opposed to non billable Closed System urinary collection Kit www.NeoMedInc.com
Closed Urinary drainage system In-service • Closed system • 3.5, 5.0, 6.5, 8.0 sizes • Introduce the catheter using small 1cm bites • Lubricant available for use with insertion • Use a securing device like the “Griplok” to secure due to no foley balloon • Urine samples can be taken from the tubing or the bottom of the buritral • Side Velcro patch can be used to secure buritral to the side of the bed • DO NOT TURN BURITRAL UPSIDE DOWN, as this will clog the filter and will no longer drain, buritral must be replaced www.NeoMedInc.com