Zane's day was filled with multiple ventilator changes and blood gas draws. Today he had a resident (new MD) taking care of him, who in my opinion should not be in the intensive care units. They are learning how to take care of patients, but this particular population is too fragile. Samantha wanted to know what a grade II bleed meant and the resident handed her a paper and told her to "read this" as, "it explains it in terms you can understand". This was really rude in my opinion and it did not answer her questions.
When I saw Zane tonight he just looked like he was getting "septic" (sick) with some sort of infection. His white count is up again and he was not moving as much. His BUN is high >80 and his
creatine is high 1.4 which indicates he can be dehydrated, which he is, as his fluids are kept lower to help close up the
PDA and also he has immature kidneys.
I am thankful for the wonderful nurses he has, as they are the ones who make all the difference in his care, they are the ones who reviews labs, anticipate orders and can help make suggestions on what Zane likes best, the public does not realize what an important part the nurse plays in the care of the patient. The knowledgeable nurse can make a great save whereas the newer inexperienced nurse may follow orders that are not in the best interest of the infant
One of the great things our unit does is called primary care nursing, this helps to ensure that each baby has a team of nurses who will take care of him when they are scheduled to work. This allows the nurse to learn the babies "natural" behaviors and also to alert the health care team when the baby is just not right. It allows the parents to bond with a team of nurses and to feel more confident that anyone who cares for their infant is taking care of him on a daily basis.
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