Holding with UAC/UVC lines

Specialties NICU

Published

Just another thread to pick everyones brain..

We have recently had some issues with parents on the unit complaining that the nurses will not let them hold their babies.

The RN has explained each time that the baby is too unstable, too small, temp unstable and in some cases has umbilical lines. In one case, we were told by nursing office that we HAD to take the baby out for the parents to hold. Alot of us felt that this was taking "family centered care" too far! We are in a critical care unit and I feel that we have an obligation to the patient, first and foremost to promote a safe environment. I really felt that management had no place over-riding our nursing judgement and especially not backing us with the parent. It did not look very professional in my opinion. Back to the original point... I would like to know what the policies are at different facilities about taking babies out with lines. We all know how touchy they are. Our policy has now changed saying that we CAN take them out. I feel like it goes against common sense. If a baby is that small and that sick, they should have as litle stimulation as possible to prevent bleeds, loss of temp, etc, etc.

I also am surprised that any parent would demand to hold their baby when they are clearly sick or small enough to be in our unit. As a parent, I want what is best for my child!

Specializes in NICU, PICU, PACU.

Not with an arterial line...too risky and our population tend not to be too careful and only think that they know what is best for their baby. I've seen them play pass the baby when the nurse turns her back and yes, we have had lines pulled out...not fun. UVC's we play by ear...if it is the kids only access at that point and has access issues, the kid stays in bed.

It only takes a few bad experiences to ruin it for all families, but we have to safeguard our kids, they are our number one priority. Our unit manager backs us up when we make decisions not to take the kids out, thankfully!

Specializes in NICU.

Just today took out a vented baby with UVC/UAC, dopa at 15 to give to Mom.

...

But baby is brain dead with no pain response, so I thought it was okay. It's just a matter of having the lines organized, another person to help, and telling Mom which tubes are important.

Specializes in NICU, Telephone Triage.

Maybe these parents will understand while they're holding their infant with a UAC and the line comes out and blood spills all over? Some parents are ridiculous. Just like the home birth gone wrong families who bring their babies in to get medical help and then refuse it!!!

This is about nursing judgement. The managers ARE NOT at the bedside and do not "get it" 9 times out of 10...they just want to kiss parents' butts so as not to get complaints. Forget about pt. safety! what matters most is what the parents want!

Sorry if I was too harsh, but crap like this bugs me a lot.

Specializes in NICU, Telephone Triage.
FWIW, nurses use the excuse of "the baby is too unstable" when the real issue is that it takes time and energy to get that baby out for parents to hold. I can't tell you how many times I've been the nurse who was the one that let parents hold for the first time. After WEEKS of hospitalization.

Granted there are times when the baby is too sick to be held. But more often than not, it's the nurse not wanting to take the time. JMHO.

Sometimes this is true...but don't forget about those times when the parent is holding for 5 min and decides they're scared and want the baby to be put back...or when the baby becomes unstable in the parents' arms and has to be bagged or suctioned. I agree with UAC's, PIA's and UVC's it;'s too risky. Those lines are the life-lines and are not always easy to get in. We also have to worry about PICC lines as well. The parent has other options...touching, placing hands in a cradling position, soft music, etc. If I had a sick baby and it was too risky to hold the baby, I wouldn't do it...but then again I'm a NICU nurse!

we really encourage kangaroo care at our facility and if the infant is stable then we allow them to be held with lines, vents etc... we just monitor very closely, usually mother and baby are very happy about it. so far i have not run into any problems doing this.

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