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We are not slow, no really sick ones, but we are way overbabied! We have had a run of 30-35 weekers, if they've been on vents, it's not been for long. Some have just been in-and-out Curosurfed. We have a good set of triplets, a couple of sets of twins, a couple of twins whose sibs already went home. And a whole bunch of singleton grower-feeders! It's more than job security. If you want overtime, we can use you! But there is a hiring freeze.....
It has been busy here all year long except for a minor lull the end of May/first of June. Multiples are hit and miss and seem to go in spurts. We had an influx of 23-26 weekers the beginning of August that have been very chanllenging. 5 sets of twins over the past 6 weeks with the last set getting ready to go home withing a week.
This whole week we've gotten nothing but sick term kids. Which is always a nice surprise addition to the census. At least with the preterms, you have somewhat of a warning as to their admission. And all of these term kids have been really sick. A few bad mec aspirates, an unknown cardiac / other anomolies, and an unknown diaphragmatic hernia (that was fun....)
We have been kicking a$$ since around July 4th and haven't slowed down except for about 5 days at the end of August. Crazy busy with multiples and lots of 30-36 weekers and a sprinkling of 26-28 weekers. There is no end in sight right now. All this happened after a very long, very dry stretch for the previous 6-8 months.
Evidently the fun on my unit is continuing. I just got a call from one of the managers to see if I could come in to work tonight at 11pm. Evidently in the last 18 or so hours, they've gotten 35 wk twins, 27wk triplets, a kid with skeletal anomolies / hypoplastic lungs... and a giant omphalocele. Yikes...
nicu4me
121 Posts
Just wondering if anyone is seeing a downward trend in the number of mulitiples or just a general census decline? If so for how long in your NICU?