Create a detailed, evidence-based presentation for neonatology fellows and NICU nurses titled “Practical Skin Care in the NICU: Protecting the Fragile Skin of Preterm and Term Neonates.” Focus on bedside clinical practice rather than theory. Include high-quality medical illustrations, clinical photographs (where appropriate), algorithms, and practical tips. Cover the following topics: 1. Why neonatal skin is fragile – differences between ELBW, preterm, and term skin. 2. Daily skin assessment – skin integrity scoring, pressure injury assessment, documentation. 3. Safe handling techniques – minimizing friction, shear, repositioning, nesting. 4. Adhesive management * Choosing appropriate tapes and dressings * Skin preparation before application * How to remove ECG electrodes, Tegaderm, PICC dressings, IV tapes, ET tube tapes, CPAP hats and fixation devices without causing epidermal stripping * Use of adhesive removers (silicone-based), warm saline, mineral oil—indications and precautions. 5. Monitoring devices * Pulse oximeter probe placement and rotation frequency * ECG electrode placement and replacement * NIRS probes * Temperature probes * Prevention of pressure injuries from monitoring equipment. 6. Respiratory device-related skin care * CPAP prongs and masks * HFNC interfaces * ET tube fixation * Prevention of nasal septal injury * Hydrocolloid barriers and interface care. 7. PICC, UVC, UAC and peripheral IV site care * Dressing selection * Inspection frequency * Preventing MARSI (medical adhesive-related skin injury) * Safe dressing changes. 8. Diaper care * Frequency of diaper changes * Cleaning techniques * Choice of wipes vs water * Zinc oxide and barrier creams * Managing diaper dermatitis and fungal infections. 9. Bathing and cleansing * Timing of first bath * Bath frequency * Cleansers versus plain water * Chlorhexidine precautions by gestational age. 10. Emollients * Evidence for and against routine emollient use in ELBW infants * Petroleum jelly, sunflower oil, coconut oil, and commercial products. 11. Extravasation injury prevention and management 12. Pressure injury prevention * Occiput * Ears * Nose * Heels * Medical device pressure injuries. 13. Common skin injuries in the NICU * Epidermal stripping * Skin tears * Contact dermatitis * Chemical burns * CHG burns * Nasal injury from CPAP * Thermal injuries. 14. Bedside dos and don’ts * Quick practical checklist for every nurse and fellow. 15. Latest evidence and guidelines * AWHONN * NANN * INS * European neonatal skin care recommendations * Recent studies (2020–2026). 16. Finish with 10 take-home messages and a NICU skin care bundle checklist that can be implemented immediately.