I work at a Children's hospital so I don't know a lot about deliveries. I figured someone here would have an answer.
When a baby is born with an Apgar of 0, who is a suspected fetal demise, how long do you code the baby? We have a heartbreaking situation on our unit right now and I don't know enough to understand the situation.
Thanks in advance!
Jan 12, '08
Quote from justjenny
Just my two cents to the above post (not a flame at all!)
Anyone doing chest compressions in L&D should know NRP guidelines. I also think that support staff (like yourself) should give a long, hard look into why NO ONE questioned that Neo as to why this was occuring.
Again, not a flame against you, but I think there is a point that a *reasonable* person would have to refuse to continue to what the Neo asked. This is definately an ethical/moral issue that is sure to upset a lot of people but the couple of details that you provided: 90 (?!?!?!) mls of fluid, no HR for 15 minutes, and the statement by the Neo of not wanting to call "another one" (sorry, it is a part of the job - you are not God) raises alarm bells and red flags all around for me.
Sorry if this upsets people, but I sincerely think that if the Neo is going against standard guidelines and policies - someone needs to stand up for that baby and that family and call them on it....Docs are not the "be all end all" even though they like to think so.
You weren't in the situation and unless you've been in that exact same situation and know the whole story, then you can't really criticize.
There's more to the story, but for privacy reasons I'm not going to go into major detail here.
Last edit by RainDreamer on Jan 12, '08
In that situation, the Neonatalogist is the team leader, the RN/RT cannot, in mid-resus, announce "we're going longer than NRP allows" and quit playing.
And, as Canoe pointed out, discussions about ethics and philosophy should never occur in the DR.
Sometimes you just have to "deal" w/the situation in front of you; all the Monday morning Quarterbacking in the world won't change things.
Praying for peaceful outcomes for the OP and Rain. For all the good things about NICU, this is one of the difficult things.
Last edit by prmenrs on Jan 13, '08