I've been pondering this situation and for the life of me can't think of any solution. I've known the "old timer" neonatologists who are set in their ways and love being controlling, demanding, and spoiled. It's an ego thing. We feel most of them suffer from SDS ("short d_ck syndrome").
Anyway, if I worked there, I'd be gone as fast as I could put in my two week notice. The place sounds like a lawsuit looking for a place to happen. (5-7 babies per nurse is soooo way beyond frightening!!!) On the other hand, if you can figure out how to do it, you have an awesome chance to inflict wonderful changes for the better in your NICU. At least you
are trying to figure out an answer, thank Goodness!
Being a Level IV NICU, surely you have a Nurse Manager and/or a Clinical Nurse Specialist who can help pull together a list of current information on the benefits of developmental care to give to him. When the bottom line is that the babies get well sooner and better and this leads to less "patient days"
, this should be all you need to get your Administration to insist your Neonatologist review the literature and explain to them why he doesn't believe in saving the hospital money. I know the NICU makes money for hospitals, but they can still cost the hospitals a lot too. Sometimes these ridiculous physicians need to be hit in the pocket
in order to sit up a listen to reason.
All I can wish you is good luck... and lots of it!
One thought: We encourage our Moms to sleep in a clean t-shirt for a night or two and then bring it to the hospital for us to use as part of their baby's "roll" to help the baby get used to their Mom's scent. The Moms usually bring a new one every other day and take back the old one to wash and re-wear. (We encourage colored shirts so they don't accidentally get thrown away.) If he'd let you do that, then at least you'd have some semblance of a roll to use for containment purposes. Do you think he'd "allow" that?
I just wonder where your Nurse Manager is in all of this? Did everyone at your hospital who have any pull at all forget about nurses being Patient Advocates
???!!!! I know as a staff nurse your pull is very slight, but for Goodness sakes, surely someone
in a position of more responsibility cares!!!
God bless you all!!!!