Safe sleep needs to start long before we thought. In the NICU. At 32 weeks, according to new guidelines from the American Academy of Pediatrics. Once a baby is moved from an isolette to an open crib, the head of bed should be flat, no blankets, no positioners, and no side-lying or tummy sleep. Back to sleep every time, starting at 32 weeks. It’s going to take a lot of education and prodding to steer unit culture that way.
Seriously y’all. In one day we admitted 4 known NAS babies. That’s 4 babies whose moms told us about the drugs they were using. Think we’ll come across more this week whose moms didn’t tell us, but the babies are withdrawing?
And yesterday there were 4 sets of twins. That’s 8 twin babies in 1 day. Browsing through our census at the babies we have, the Baby-A and Baby-B’s are everywhere right now! Yes, it’s a big unit, but sheesh! Twins are falling from the sky!
Great nurses problem solve, even when no one asked them to. Yesterday I was working with a baby whose only current problem is that he’s having trouble eating. Mom was there with her 2 other kids, and the feeding specialist showed up. The siblings (ages 6 and 8) were distracting mom while she fed the baby and the feeding specialist had the deer-in-the-headlights look, wondering what to do about this circus. Continue reading
Yes, thank you very much. I did that. Well, actually a general contractor did that with his team of very skilled people. But I designed it (including the board & batten shutters). And picked out the colors. And the awesome ceiling fans and light fixtures. And furniture. And the flag. Can you believe the difference our perfect porch made to the way the house looks? And I just have to say that I love, love, love sipping my coffee on the porch in the morning and sipping my wine on the porch in the evenings. It’s pretty awesome.
In one day our NICU has admitted, among a slew of typical preemies, some craziness:
- Coarctation of the aorta
- Skeletal dysplasia
- Pulmonary atresia
Last week we had 2 22-weekers and 2 23-weekers. Where are all these babies coming from?
Well, it’s rather misleading to say I’m just starting this journey. In fact I’ve started and failed many, many times. This past April I had my annual physical and found that ohmywordimdying. Well, that might be an overstatement. But, my HgA1C was high (an indicator for diabetes/prediabetes), my cholesterol was way high, and my BMI seems to be creeping up a bit each year. And all of this because I love both food and relaxing (read: not running). Continue reading
Out of curiosity, is there a minimum number of minutes to code a newborn? When I worked with adults we usually coded for ~20 minutes. Is there a standard time frame for babies? Anyone?
Walk into any educational setting and you’ll hear phrases like, developmentally delayed, differently abled. In the typical hospital you’ll hear the same conditions referred to as developmentally impaired, handicapped. Inclusive language (also known as affirmative language or person-centric language) has taken hold in certain areas of society, but unfortunately not in most acute care environments.
Born early, at 23 weeks. IUGR. Chorio. The size of one of those adorable chipmunks in my backyard. Only as heavy as one of the pair of ankle weights I use during pilates. And yet perfectly formed. Continue reading