did I make the wrong decision??? allowing a parent to hold

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Today I split an extra shift with another nurse because my former 24wk primary who is now 36wks was extubated for the 5th time. He has failed the four other times. As soon as the tube was pulled he became very aggitated. I tried positioning, warm blankets, passifiers, containment, just leaving him alone but nothing helped and his heart rate was well over 200. I obtained an order for a half dose of versed and an hour latter he was screaming again. I managed to hold him off for annother hour and got an order to repeat the dose of versed. The sedond dose only lasted a half hour. After exhaustin all options for soothing I asked the nnp if I should try letting the mother hold. She agreed that crying in his issolette agitated was doing no good so to let the mother hold. I gave him to his mother and he calmed down right away and stayed that way untill I was done giving report to the nurse I split the shift with, which was almost an hour and a half. We decided at that point to let the mother have a break and the oncoming nurse would do an assessement, give a dose of decadron that was due and get him settled down again. The mother went to pump and said she would return to see if he needed to be held again. He remained aggitated through the assesment and we gave him back to the mother at which point he lost his iv. I told annother nurse that he lost his iv and she told me that we have got to stop with the holding and he is not going to make it.

Specializes in NICU level III.

I think you did the right thing by letting the mom hold. I think that other nurse must have been on a tiff or something. Seriously just because he lost his IV doesn't mean the infant ISN'T going to survive. Goodness! Bonding for mom & baby is ESPECIALLY important.

It is the parent's God given Right to hold Their Baby! Good job! :)

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