Saturday, December 12, 2009

A mother knows...

A meeting was set up between Samantha, Jonathan (yes I forget to mention him) and myself with the attending, neonatal nurse practitioner and social worker regarding the current plan of care for Zane.  The attending did a great job going over what has happened with Zane so far and what can be expected to happen in the next few weeks.  Both parents wanted to know when he would start to eat and they were told Sunday. Eating to most parents equals progress.  Saturday will be his last day of antibiotics and one more xray and he should start trophic feeds Sunday morning.


While mom was watching him she kept telling his nurse and the NNP that Zane was trying to pull his tube out of his mouth. He holds onto the tube and the tape, and because he has some much saliva in his mouth the tape loosens up and he can pull on it, as you can see from the photo is awake and he does respond when you talk to him.  Notice the red mark on his cheek that is from the RT (respiratory therapist) retaping  the tube.  The white tape that says SPO2 is a monitor that is placed on different extremities to read his oxygen saturation.  If he moves his hands the reading can go down, most parents watch the screen as they are aware of the meaning of the numbers, I always tell the parents watch the baby but it is so hard---the life of the baby comes down to numbers while in the hospital.  Saturation, heart rate, blood pressure, labs....
After I snapped the photo we had the meeting when we walked back to see the baby again we noticed that his tape and been redone...mmmmm seems as if maybe Samantha was right Zane was trying to pull out that tube :-)  Notice in the photo's he keeps his hands up by his face.  This is developmental correct if he was still inside the womb he would be placing his hands into his mouth, by placing Zane is these positions it is hoped that he will have fewer problems when he leaves the hospital

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