- 0Dec 9, '13 by HyperSaurus, RNI've been trolling through a lot of the older threads here lately, just trying to soak up anything I can--Merenstein and Gardner is my friend.
Last night was my first night on my own (just doing feeder/growers right now). I have one infant who is a bit of an oddball--a bit 'neuro-y' as some other nurses have described her. When she's mad (and it's not hard to get her mad), she arches like crazy, some cortical thumbing has been noted, and she's really hard to console. She gets so frantic that she won't suck on her pacifier, instead she just continually roots. She doesn't nipple particularly well. She scooches herself out of her swaddle.
She sometimes calms with cuddles, tight swaddling, or being held in a 'centered' position (arms in, legs bunched up, upright against the chest), but not always.
It's hard not to get flustered with her (esp since I'm new and not particularly adept at methods of consoling or cuddling or even keeping that stream of soothing talk that other nurses do)
I'm not sure if I'm asking anything particular right now--is it normal to get flustered with a kid like that (I've seen references here to dreams of jumping out a window to escape screaming babies), or are there any good ideas to calm a baby?Last edit by Joe V on Dec 11, '13 : Reason: spacing
- 5Dec 9, '13 by Bortaz, RN, ADNI've been known to ask for an assignment change after 3 or 4 days of a baby like yours. I don't think it's odd at all to be frustrated. A lot of times I just put them in the crib, swaddled tightly, and walk away to do something else. Just let her cry. Sometimes that's all you CAN do.
- 3Dec 9, '13 by zeus&lincolnThe description you provided of that baby sounds like a lot of our NAS (drug w/d) babies on the unit. They do tend to be "extremely fussy." It sounds like you are doing all the "right" things. It is totally ok to be frustrated and I think the fact that you recognize it is awesome! I have no particular suggestions, I just wanted to see what other, way more experienced nurses had to say about this-- great post!
- 1Dec 11, '13 by milkglassWithdrawal and neuro babies are tough no matter how long you've been there. I agree with the walking away and letting her cry at some points, and I agree with trading assignments (sometimes we do even after one shift). Otherwise it sounds like you're doing everything right!
Sometimes we use vibrating chairs, swings, and a fancy "swing" chair brand called a Mamaroo which as been a complete sanity saver for the withdrawal kids! Not sure if a neuro kid will like that stimulation, we haven't had any in a long while.
- 5Dec 11, '13 by Bortaz, RN, ADNI also have been successful using my iPod on my phone to play them some soothing music. Can't do that much now, because there's one particular heifer on my unit that will write you up for doing it, because she's convinced it's "the wrong kind of music" and non-therapeutic.
I hate my job sometimes.