Mira

Sorry I can't seem to get the point,maybe I'm thinking about the theory of having your meal and going in a rollercoaster ride, or maybe I'm thinking about bathing the baby right after feeding.Is'nt it they have glucose reserve from maternal influence and unless they have a metabolic problem and they had cold stress they should maintain their glucose level within normal range? :)

This is interesting. In comparison to the practices in United Kingdom, bathing in the first few hours is not common. They can have their bath whenever convenient or necessary (i.e. going home and it's the first born child,baby got dried lochia,parents wishes). Admission to the NICU because of cold stress is usually caused by forgetting to keep the baby warm all the time, and in our setting nothing to do with bathing.(NICU nurse)

I heared about mec testing to detect drugs taken in early trimester or entire pregnancy accurately,apparently it is more expensive to do that`s why urine testing is more popular(w MDs order).I know somebody who has taken methampetamineHCl on her first trimester,discovered she was pregnant on the 2nd tri and a dramatic change happen to her-she stopped taking drugs,she become responsible for her unborn child and swear she is drug free for 5mos now,should I believe her?or never give her the chance to change and be with her child?or let the child be with foster parents/case worker who might not be able to provide full time motherly love?Sorry, I am just curious about the point of checking meconium for drugs taken in early pregnancy where urine can check the most recent drugs taken,most of them take drugs when they know they are about to deliver,they can`t stand the blows of life how much more with contractions.

I think it`s Mt. Sinai-NYC(top10).

Thanks Kristi,I`m still hanging:chuckle

I`m hoping Mt.Sinai-Chicago is not blacklisted by the NICU nurses in America, because I`m looking forward to working there by the end of this year.

`important thing is your desire to work in NICU,I think you will be a great NICU nurse with this driving force.Your experience in the med-surg will make you appreciate NICU job-you don`t mind changing diapers frequently as they don`t smell like adult`s.Sometimes Med-Surg will give you actual background knowledge about:gastrostomy ,thoracostomy,tracheostomy,oro/nasogastric tubes and colostomies,dressing or wound care(NICU sometimes got cases of extravasation injury,and diaper rash).For the meantime enjoy your work because the more you hate it the more it will become undesirable,who knows you might love it(I remember my first day on wound management unit,I almost throw-up as soon as I saw a gangrenous wound but after 2weeks I was loving cleaning it that I noticed my tounge was coming out from excitement getting all the scabs-so happy to see that the wound was healing,unfortunately I didn`t stay coz of too much politics in that said unit). I wish you all the best wherever you might be in.

oh well,probably they are working too hard and no time to visit this site.

Hi all! Anyone working/have worked/going to work in the NICU of Mt.Sinai?Please share some info. Thanks a lot.:)

Fergus got a good point,conflicting ideas/advice(sometimes some parents take it literally) from different nurses from different shifts and from different experience would lead to a distressed and confused mother,sometimes the frustration will pave way to other complaints(I have seen this many times),like the service and the facilities w/c will eventually lead to a lawsuit or front page on a tabloid.We remedied this incidents by accepting a breastfeeding consultant into the unit,she conducts training so we have a unified ideas about breastfeeding.

What about writing an anonymous letter to the Chief Executive, I guess they will not tolerate people who will be a burden to other health care members. Sometimes teaching how to breastfeed take so much time specially with premature baby, you cannot just leave the mother knowing that the sucking,swallowing, and breathing are not fully coordinated.In UK,we call them Breastfeeding Consultants,luckily they are active in this area because of the Government`s Mother and Baby Friendly Initiative.They conduct prenatal classes and brestfeeding(postnatally) is included.

I have worked in operating room,I`ve seen repeat circ,usually cases when they have it during infancy(prob coz of immaturity of d foreskin so sometimes difficult to do it properly or do it with style ie,german cut,gomco cut etc.),if you go ahead with the plan,I think it`s better for your boy to have it before going to school by then circ will be more appreciated,effects of lignocaine will not be as bad as during infancy.

When I just started working with the neonates,I was told that those formula fed babies are more prone to NEC & it was proven when I`ve seen babies developing NEC so slowly,puking for 24hours or so,visible veins on abdomen,not passing stool >24h etc. it was when I was in the countryside,but when I moved to a city,the scenario was so different most of the babies who had NEC actually were on breastmilk,and the effect of NEC was so quick,I just handed over to the night staff that the baby was fine,stable vital signs apart from resps of 80-100br/min,tolerating feeds,opening bowels to a soft yellow stool every diaper change(4-6h).Then the following day(

When I just started working with the neonates,I was told that those formula fed babies are more prone to NEC & it was proven when I`ve seen babies developing NEC so slowly,puking for 24hours or so,visible veins on abdomen,not passing stool >24h etc. it was when I was in the countryside,but when I moved to a city,the scenario was so different most of the babies who had NEC actually were on breastmilk,and the effect of NEC was so quick,I just handed over to the night staff that the baby was fine,stable vital signs apart from resps of 80-100br/min,tolerating feeds,opening bowels to a soft yellow stool every diaper change(4-6h).Then the following day(

I just love the slurping sound of mucus from the trachy suctioning(boarder peds in NICU), but what make my stomach turn is the melena+intestinal worms(looking back when I was working in Endoscopy), really horrible.