Sunday, April 11, 2010

I Want to Scream!!!!

He had another rough day.  :(  

Yet again, he had nurses that, in our three week and one day hospital stay, we have never seen before.  From what I am understanding, these nurses are the regular NICU nurses that are being made to work in the NICU step down as part of their scheduled overtime.  

   I just don't understand how he goes from having 3's, 4's, and 5's to having 10's, 13's, and other high scores.  Yes, I know that he is going through the weaning process, but he must really put on a show for us while we are there because we aren't seeing the reasons behind the high scores.  He, besides a few tremors we saw tonight, acts like a normal three week old baby.  He eats, sleeps, and poops just like a normal baby.  He wants to be held and loved.  When he wakes up and he is hungry, he does cry, but what three week old baby doesn't.  When he wants to be fed, his pacifier isn't going to make him happy all the time.  

Tonight, we had a nurse that rubbed me the wrong way.  She seemed (my own opinion, here) to think that we didn't know what we were doing.  I was pretty upset and wanted to give her a piece of my mind, but I didn't.  I wanted to tell her that after three weeks of sitting in the NICU for countless hours in those ever so comfortable hospital recliners, that I think I know how to hold my son. 

Here's the thing...as much as I hate him being there, I know that he is being well cared for.  He is fed and his diapers are changed when they are dirty.  He gets weighed and gets clean blankets when his are dirty.  He gets a bath every other night.  I am not doubting their ability to care for him.  

What I am doubting is the system for accessing the withdrawal symptoms for a full term baby and the ability for those who are not normally around those types of babies to score those babies correctly, as a nurse would who comes into contact with them on a regular basis.  

I've had some people ask about the scoring.  Here are some of the symptoms that he is scored on:
Symptoms of withdrawal in full-term babies may include:
  • tremors (trembling)
  • irritability (excessive crying)
  • sleep problems
  • high-pitched crying
  • tight muscle tone
  • hyperactive reflexes
  • seizures
  • yawning, stuffy nose, and sneezing
  • poor feeding and suck
  • vomiting
  • diarrhea
  • dehydration
  • sweating
  • fever or unstable temperature
Please pray that I will have patience, that I will be nice and considerate of those nurses that aren't our normal ones.  Pray that the doctors will see the high scores and look into the reasons behind them verses just accepting his high scores as fact.  Help the nurses that we really like, that have gotten to know the little man, to have him this week and be able to comfort us as we question the system.  

Here are some pictures of the little man from tonight.  He looks very flustered and hard to console, right???????  I'm just not seeing it.  :(



On a much happier note, we had our shower at church tonight and it was pretty fun.  We didn't have the normal shower, but one that was much more relaxed, kind of an open house style.  We got lots of new things for N and now I get to put them all away and find places for them.  I'll have to take a pictures of all of the stuff out of the bags.  Thank you, church family.  :)

I'll post more shower pictures another day.  Right now, I have to go to bed.  Back to work in the morning.  

4 comments:

jessicaladi said...

Are you able to talk to his doctor and relate your worries? I'd try explaining to him the discrepancies between the different nurses' scoring. Tell him/her that you're not trying to tell on the nurses, you're just looking out for your baby and trying to do what's best for him. Or, you could speak to the nurse manager of the step-down NICU and relate these concerns. Actually, I'd talk to the dr. and the nurse manager. If they scored Cam like they seem to be doing Nate, they'd think he was withdrawing b/c he was irritable from colic:) Also, being under lights all day in a hospital can make a baby irritable as well. We're praying for things to even out for the little guy so you can take him home soon!

Elaine said...

Ok - now I see that you approve commments before posting...

Are you at Shands???

Ms. Tracy said...

Seems to me he is being overstimulated in the NICU environment. He has so many different people handling him but he has already bonded with you and Dave. He know his parents and he responds accordingly. He does not know these many different faces and voices coming at him all day and all night long. I totally see where you are coming from Jen. Hang in there. I know this tough and I'm praying for you.

Anonymous said...

Oh my heart goes out to you. I am Elaine's mother (she just posted to you and sent me the link to your blog). We went through what you are going through but only for 5 days. My advice to Elaine and Dave was always ... make each nurse your friend. Show interest in them personally and they will in turn show more interest in you and in your precious little one, we hope. All nurses rated our baby differently. I don't think we had the NICU nurses rotating through the step down unit so I can see that it would cause you frustration. We had some great nurses and then we had some that we worked hard on working with. Some allowed certain things, others did not. It was a challenge every day to learn each nurse and how she did things.

I will pray for your precious family. This hits so close to home. I'll also pray for the nurses and doctors too.

Norma

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