Student Nurse: Joshua Goodwin
Patient Demographics
Patient Name: C, H
Description of Disorder/Disease: The patient is a 1 month and 14 days old male who is diagnosisd with a congenital heart defect known as Tetralogy of Fallot. Tetralogy of Fallot consist of 4 defects: Ventricular septal defect (VSD), Overriding aorta, Pulmonary stenosis, and Right ventricular hypertrophy. This defect can result in decreased oxygen in the systemic circulation.
Potential Complications:
May not grow and develop properly
Infective endocarditis
Inflammation of the inner lining of the heart by a bacterial infection
Stroke
Blood clot in the brain
Disability by early adulthood
Death
Management of care:
Make sure the patient is maintaining oxygenation
Make sure the baby continue to get nutrients from mother?s breast milk.
Make sure there is no dyspnea, rapid breathing and deep, cyanosis, anxiety/lethargy, tachycardia, murmurs.
Vitals signs stay within the normal of age
Capillary refill time less than 3 seconds
Peripheral pulse strong and equal on both extremities.
Urine output of 1-2 ml / kg / hour.
Monitor PICC line for any complication
Client Education:
Treatment such as surgery options
Signs & Symptoms of complications
When to call their health care provider or 911
The importance of continuing to breast feed
Teach parents how to care for child
Developmental Stages & Transitions: The nurse should monitor the baby vital signs, laboratory, and diagnostics test to make sure the he will be
The nurse will return daily to check your child's weight, feedings, skin, and bilirubin levels.
The duties of a neonatal nurse comprise of caring for newborns with a variety of problems such as premature birth, surgical complications, heart malformations,
Ever since I was about 10, I was extremely interested in becoming a neonatal nurse practitioner. I love babies and love helping others so I figured this particular job could be perfect for me. A neonatal nurse practitioner means you provide care for newborns in need of specialized attention for about the first month of their life. These newborns are usually premature or very sick and the nurse practitioners are usually their primary caregiver. NNP’s are responsible for their patients, exercising judgment when necessary to assess, diagnose, and initiate medical procedures. Many tasks include monitoring specialized equipment, including incubators and ventilators. Providing education and support to patients’ families regarding neonatal, intensive
This objective will affect my future nursing practice because conducting physical head to toe assessments and obtaining vital signs is a different process when working with paediatric patients rather than adults. It is crucial to note any changes that I can catch throughout my assessments, and vital signs since paediatric patients might not be able to communicate with me if they feel any changes in their health. By understanding the anatomy and physiology, the developmental stages of children, and obtaining accurate vital signs and assessments, it will increase my knowledge, skill, ad judgment to successfully complete and distinguish any abnormities and changes during my assessments. Also, knowing the developmental stages and distraction therapy method techniques can help me provide thorough examinations and find ways to help my patients cope if they are feeling anxious and scared.
The new versus classic BPD features have changed over the years. The approaches to care, including surfactant administration, permissive hypercapnia, and noninvasive ventilation have changed. All these has increased the survival of low birth weight infants as before with classic BPD. The classic BPD was before surfactant and more management techniques, and inflammation and alveolar septal fibrosis. All these changes were associated with oxygen toxicity, infection, and barotrauma.
The demand for this level of neonatal nursing is decreasing because mothers and newborn babies are now more likely to stay in the same room together after birth. Level II nurses are much more in demand because premature and sick babies need constant attention. Level III nurses have the most intensive responsibilities, working in the NICU and monitoring seriously ill or premature infants around the clock. They check ventilators and incubators, make sure babies are responding well, and teach parents how to care for their infants properly.” Many Neonatal nurse work in the NICU. They give medical care to the babies that are at risk newborns. Neonatal nurse tend to care for 1-4 babies at a
Tetralogy of Fallot (ToF) is a rare, complex congenital heart defect. It occurs in about five out of every 10,000 babies. When babies are born with ToF, they have four different heart problems:
Premature babies typically have underdeveloped respiratory systems and problems maintaining body heat, so they may be kept on a respirator or in an incubator. Although the neonatal period is the first month after birth, these nurses often care for children up to age 2 who have long-term medical issues. While their primary focus is the health of the babies, neonatal nurses obviously will spend a lot of time with anxious parents who are visiting their children in the NICU and must be able to calmly and clearly explain the babies illnesses and treatment, as well as involve the parents in their
Labor and delivery nurses not only get to assist in delivery, but they get to help care for babies after delivery. After birth, the baby’s umbilical cord must be cut. Typically, the father of the baby will cut the cord, but if the cord is wrapped around the baby’s neck, it can restrict blood flow and must be cut immediately (Winder). The doctor must take charge and free the baby from choking by cutting the cord as quickly as possible. The nurse must remain calm and be ready to quickly check the baby to make sure everything is looking healthy. They must check its heart beat, clean out its nose and mouth, make sure it is breathing normally, make sure it has all ten fingers and toes, and check the weight and length of the baby (What Can I Do Now? Nursing
NICU Nurses are responsible for care of infants who may be diagnosed with diseases, delivery complications and, the one we see most, prematurity. They develop nursing care plans and assess, plan, implement, and evaluate the effectiveness of treatments in these plans. On
Caring for my patient is a key to having a successful business. As a Neonatal Nurse I will respect the mother and her new born. I will show my staff how much I care by working as a team to accomplishing our goals. When I encourage and motivate the mother who may face difficulties, I will keep her baby comfortable while going through medication withdrawals. By creatively performing my job to the best of my ability and completing tasks in a timely matter, will help tremendously.
An unplanned extubation (UE) in the Neonatal Intensive Care Unit (NICU) is an unforeseen occurrence observed due to various factors. One of these is due to the lack of a procedural standardization among healthcare providers. This is notably evident when staff is handling the infant during daily assessments and when care is rendered. The reason this issue was selected was because of the potential serious complications or death that a can occur to a patient due to the lack of procedural standardization, preventing UE is the issue that will be addressed.
Two wide bore cannula, were inserted and a full set of bloods was taken including blood cultures. 15 litres O2 via a rebreather mask was applied. Intravenous fluids were commenced and rapidly infused. An ECG was done by the intern. She was checked and rechecked for any signs of bleeding and an internal examine was done by the consultant to check for any retained products. Intravenous antibiotics were also started and given. All drugs such as anaesthetic drugs or analgesia that Susan had been given that day were also checked to see if it had been an adverse reaction. Over the next 40 minutes she began to improve and was transferred to the labour ward for closer observation.
The nurse would want to ensure adequate nutrition for the baby and preventing aspiration or infection
Nurses working within the neonatal unit require a particular set of skills to adequately fulfil their roles and responsibilities within this fragile setting. The role of a neonatal nurse is to provide intensive nursing care to an infant who has inherited complications at birth due to varied reasons (Tubs-Colley, Pickler, Younger, & Mark, 2015). These complications often manifest as undeveloped internal organs that make simple bodily functions such as breathing and regulating body temperature incredibly difficult. The neonatal nurse provides close monitoring and extremely individualized care per patient to stabilise and further develop these body systems artificially post-uterine (Drozdowicz & Dillard, 2014).