Quote from karnicurnc
patting (kind of aggressively) or rubbing her back, until she cries.
I see a lot of newer nurses that will be feeding a baby, know the infant is having a "moment", stop the feeding, then sit there and stare at the infant who is apneic and getting bluer by the moment, as they carefully watch the monitor (and the infant) slowly lose their sats and HR.
I'm on the other side of the room (screaming in my head), would you pat the kid, or pinch it's toe, make that baby cry!!
That's a lot less invasive than bagging or cpap. Depending on the kid, this may be the signal that we're done here for now, time for the tube (NG) but for some kids. . . I mean, being that aggressive should not be routine with any given kid, but in the moment, it's appropriate.
With some kids, you do the aggressive back pat, then the toe pinch and all you get is a little grimace, then it's game over, back to the bed, pull out the ambu, call the charge nurse and RT, and oh, by the way, your nippling attempt is concluded for now.
I also agree with the previous poster, appropriate pacing is the key, but some of these little ones are sneaky. Sometimes you can hear a certain suck and you know immediately that this kid just "bit" off more than they can handle and you immediately tilt that bottle out of their mouth, change their position a little and let them have a little time to figure out what to do with that mouthful of milk.