Neonatal Nursing Case Study

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Neonatal Nursing Case Study



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NICU Baby

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Assuming that an ABG was obtained prior to intubation, provide, interpret and explain the anticipated results must fit the clinical situation. What other lab, medication, test, and therapies are you expecting the medical staff to order? Two days later you return to work the unit. There is an order to wean the patient from mechanical ventilation. How do you assess readiness? What would you suggest to the physician in terms of post extubation therapy for the patient? How would you proceed based on your assessment? SBAR format recommended.

You are called to the ED to await the arrival by ambulance of a 31 wk grams baby girl delivered in the field by EMS. The patient was intubated in the field and manually ventilated. Upon arrival the patient appeared to be in severe respiratory distress with peripheral cyanosis. A CXR is done. The physician asks for your assistance in administering surfactant to the patient. Describe the procedure and the equipment you will need. Assuming that an ABG was obtained prior to intubation, provide, interpret and explain the results must fit the clinical situation.

Interpret, explain the results must fit the clinical situation and take appropriate steps to correct it. The patient is moved to the NICU. The patient remained initially stable. The physician asked you to initiate HFOV. Four days later you return to work the unit to find the patient on conventional ventilation. How would you proceed according to your assessment? Unlimited revisions at NO extra charges! Real money back guarantees! Guaranteed high-quality content! No Lateness! Our orders are delivered strictly on time without delay. Confused, even? With equipment intended for infants and medical staff specially qualified in newborn care, the NICU is an intensive care unit. The NICU is often cluttered with loud, unpredictable noises from a variety of sources; such as cardiorespiratory alarms, ventilators, phones, opening and closing of portholes on incubators, and staff conversation.

Simple caregiver tasks such as running water, opening packages inside an incubator, disposing of trash in a metal container, and. Family-centered care has been recognized as being an integral part to patient health, satisfaction and health care quality Kuo, et al, Family-centered care is implemented with the goal to increase partnerships between, families, patients and providers; and has been. Everyday there are neonates across the globe who are not only suffering through the pain but also fighting for their lives. This can be an intensely overwhelming, stressful, and emotionally draining experience for the families and, especially the parents, of the infants requiring care in the NICU. With the help of an emerging care delivery model known as family centered care, health care providers can ease some of the stress during a NICU stay by involving the parents in the cares of their infant.

Basic ideas of family. So, what requirements and duties are necessary to become a neonatal nurse? You need to graduate from an accredited school of nursing, become licensed, gain experience in neonatal. NICU RNs undergo annual skills tests and are subject to additional training to maintain contemporary practice. Becoming a neonatal nurse isn't a simple task, as it requires a great deal of hard work and an interest in biology in order to be successful. A college degree is not needed. All neonatal care nurses are registered nurses or midwives with The Nursing and Midwifery Council.

The first step to qualify is to complete a nursing degree. To gain entry into a nursing degree, it is required to have at least GCSE A-C in English, Mathematics and a science-based subject, and two to three A-levels with one being in a biological science. Once a registered practitioner you can work in special care and some high dependency areas. It is a requirement to complete a recognised neonatal intensive care course to become qualified in speciality QIS to care for intensive care babies and to supervise other nurses. Two years of nursing experience are needed, as is practical experience and employment in the neonatal unit before being eligible to undertake postgraduate studies in neonatal nursing.

Duties of a neonatal nurse usually include supplying vital nutrients to newborns, changing feeding tubes, administering medication, observing vital signs, performing intubations and using monitoring devices. In the common situation where premature and sick newborns' lungs are not fully developed, they must be certain infants are breathing and maturing properly. Neonatal nurses work together with upper-level nurses and physicians to facilitate treatment plans and examinations.

Neonatal nurses can also work with speech-language pathologists who specialise in the assessment and treatment of feeding, swallowing and communication in preterm infants. They have regular interaction with patients' families, therefore are required to educate parents or relative on the infant's condition and prepare care instructions after the infant is discharged from the hospital. If parents have questions which neonatal nurses are incapable of answering, they may direct them to another medical staff member who is able to. The Academy of Neonatal Nursing was founded in and serves as a professional organization for neonatal nurses. Nurses who belong to the organization have the ability to locate continued education, apply for scholarships and awards, and receive other benefits.

They can also receive the Academy's healthcare journal, Neonatal Network. All nurses working in a birthing centre have an important role in assessing the newborn immediately after birth. Each of the five assessment areas is given a score of 0, 1, or 2. The maximum score possible is Scores of 7 or above are considered normal for full-term newborns. If the total score is below 7, or any area is scored 0 at 5 minutes of life, resuscitation efforts and scoring should continue every 5 minutes until 20 minutes of life. At 10 minutes neonates with an APGAR score of 3 or lower are at risk of having neurological dysfunctions and cerebral palsy in the future although there is no guarantee. Despite how every individual's case varies; as time goes by with the score not improving the risk becomes higher.

However, there are numerous other factors to take into consideration when determining future complications, an APGAR score cannot do it alone. Beyond assessing the five components that make up the APGAR score, it's essential to understand its meaning. All subsequent APGAR scores reflect the newborn's response to interventions during the transition from intrauterine to extra-uterine life. There are, however, multiple different factors that can impact the APGAR score which include anesthesia, gestational age and initial lower oxygen.

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