Special Care Baby Unit ( Scbu )

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The aim of this assignment is to describe, analyze and reflect a specific scenario throughout my time in special care baby unit (SCBU).. The concept of reflective practice, popularized by Schön’s (1983) work, has been applied in nursing for various purposes, including as a way to narrow the gap between theory and practice in clinical practice(Clarke, 1986) and a way to discover knowledge embedded in practice (Benner at al. 1996). Reflection, or thinking about our experiences, is the key to learning. Reflection allows us to analyze our experiences, make changes based on our mistakes, keep doing what is successful, and build upon or modify past knowledge based on new knowledge. According to the NMC guidance (2015), the infant concerned will…show more content…
As St Georges policy states, a baby greater than 1.500kg can be nursed in a cot if it has an adequate thermo control and is gaining weight in an incubator set at a minimal temperature . Mark´s incubator was decreased by 0,5ºC every 1-2 hours during the morning and was well tolerated. Temperature was checked regularly and was always >36,8ºC. Despite of baby was less than 1.5kg, medical team was agree to transfer the patient in to a cot due temperature was very stabilized. The last incubator temperature registered was 29ºC. So what According to Thomas (1994), temperature control or thermoregulation in the neonate is a critical physiological function that is strongly influenced by physical immaturity, extent of illness and environmental factors. St George´s Hospital guidelines suggest that the acceptable range for axial temperature is 36.6 - 37.2°C. This range should be maintained at all times to allow normal physiological function and body metabolism. The nursing diagnosis of hypothermia is “the state in which an individual’s body temperature is reduced below normal range” (Wilkinson, 2000, p. 205). Term and specially pre-term infants are more susceptible to become cold and hypothermic. They have a higher body surface- area-to-body-mass ratio, higher metabolic rate with limited stores of metabolic substrates, and limited and immature thermoregulatory behaviors, including a poorly developed shivering response (Hackman, 2001) It is essential that neonates are

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