I was wondering how many of you work in NICUs with OT/PT/ST on board? Our 56 bed NICU has an OT and ST present on the unit daily. A few years back, rehab had 3-6 infants on the caseload at a time. Since then, the rehab referrals have increased steadily, and now specific infant groups receive blanket orders. With this growth, I have observed that while some nurses are quite interested in promoting developmental care and cue-based feeding practices, many are still indifferent or even resentful of the rehab presence and recommendations, more comfortable with the "traditional" medical model of care/feeding. I have even heard parents comment on how the nurses and therapists seem to do things (like positioning) differently.
How do you weigh in? Do you see OT/PT/ST as developmentally necessary services for the general NICU population? Who should take the lead on developmental care and cue-based feeding?