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NICU Guide to Baby Care the Jennifer Gandel Kachura Neonatal Intensive Care Unit at Sinai Hospital NICU Guide to Baby Care

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NICU Guide to Baby Care the Jennifer Gandel Kachura Neonatal Intensive Care Unit at Sinai Hospital NICU Guide to Baby Care The Jennifer Gandel Kachura Neonatal Intensive Care Unit at Sinai Hospital NICU Guide to Baby Care The Jennifer Gandel Kachura Neonatal Intensive Care Unit at Sinai Hospital NICU Guide to Baby Care Dear Parent, Welcome to the Neonatal Intensive Care Please understand that everyone’s privacy Unit (NICU) at Sinai Hospital. Our goal is important to us. Therefore, we ask that is to provide your baby with the best care while in the NICU, you stay at your baby’s possible in a safe and family-centered bedside. environment. Your presence is important to your newborn, and our staff will help We try to keep noise at a minimum. Please you learn all about your new baby. That’s put your phone on vibrate and step outside why we consider you a care partner and the nursery for phone conversations. encourage you to be with your baby Remember to sanitize your phones and whenever possible. tablets frequently, and be sure to wash your hands before handling your baby. Please provide us with a list of up to six other adults, not including your baby’s We only have two family rooms for everyone siblings, who would be most helpful to to use, so please value your time there and you. Your list will be kept at the security treat the rooms and their contents with desk for identification when they arrive. respect. Though small, the Family Lounge They will not be allowed to hold your is also available for your use. baby or participate in your baby’s care Preventing infection is one of the most unless you give your approval. important ways that you can help your All the baby’s visitors, including siblings, baby. If you are not feeling well or think will need identification badges to enter the you may be getting sick, please stay home. department. Let your family and visitors know that they shouldn’t visit if they are sick. If In general, our space limitations permit only you’re not sure if you’re contagious, two adults per bedside. However, we know talk to your baby’s nurse or your own special situations come up. Please talk to doctor for guidance. your baby’s nurse and she will try to meet your needs. Siblings over 3 years of age may Sincerely, The NICU Staff visit with an adult and must remain under constant supervision. Only siblings in good health may visit. CHILD_0093_2/19 OVERVIEW SECTION 1 - OVERVIEW 1.1 Family-centered care ....................1 1.2 General information ....................3 1.3 Local accommodations .................5 1.4 The Hackerman-Patz House ............6 1.5 Pastoral care and chaplaincy services .....8 WEBSITE: www.lifebridgehealth.org/NICU NICU Guide to Baby Care OUR MISSION Embracing families – one baby at a time Our commitment to you: • We will be supportive partners in your family’s care. • We will provide your family with exceptional health care. • We will honor the trust you have placed in us to care for your family. • We will provide warmth and compassion in every situation. • We will always welcome you as a valued member of the NICU family. 1.1 FAMILY-CENTERED CARE What to expect while your baby is in the NICU Welcome to the NICU and the world of your new baby. Here is some information about your premature baby – what to expect, and how to meet your baby’s needs while working with their care team. The care team includes nurses, doctors, respiratory therapists, social workers, a care manager and other consultants. Together, we can promote and enhance the physical, developmental, emotional and cognitive needs of your baby during their stay in the NICU. You are the only constant in your baby’s life. Help us to help you provide care for and bond with your baby. Come to the NICU as much as possible and participate in your baby’s care. You will have a lot to learn from and about each other. It is important to understand that there are differences between full-term and preterm babies – both physically and neurologically – as far as what they are able to do on their own, such as breathing and eating. Preemies are easily startled and stressed. Watch your baby and, together with your baby’s nurses, learn the cues that show when your baby is calm and happy or stressed. When you first see your baby, you may not know what to expect. Physically, preemies are smaller, with disproportionately larger heads and smaller arms and legs. They have no fat or “brown fat,” and their skin is thin and wrinkled. This is normal; they will fill out over time. Preemies can cry; however, their cries are weaker and high-pitched. As they grow stronger, so will their cries. Overview | 1 NICU Guide to Baby Care Movement Preemies move their arms and legs in unpurposeful, uncoordinated and sometimes jerky movements, all of which are appropriate. They have the ability, although weak, to grasp your finger. The older they get, the stronger their grasp becomes. They startle easily. Learn how you can work with your baby and be comfortable with each other. Gently touching your baby without any stroking motions is more calming and soothing. While in the hospital, babies can be placed on their stomachs because they are well-monitored and snuggled in their beds tightly. While holding your baby, do skin-to-skin care when appropriate. Talk in a low, hushed voice while holding your baby firmly against you, so your baby can feel warm and secure and you both feel comfortable. Sleeping In the beginning, your preemie will sleep most of the time. As babies grow, they have longer waking and shorter sleeping periods. It is important to let your baby sleep now, as this is when babies save energy and grow. Interaction time with your baby will increase and become less stressful as your infant gets bigger and stronger. Extrasensory stimulation It is important for you to become attuned to your baby’s needs and respond appropriately, but preemies are easily startled. However, your baby knows your voice. Talk to your baby before touching so you do not startle your baby. Quietly open and close isolette doors and do not tap on the incubator. Keep lights low and noise at a minimum when baby is in the incubator, in your arms or in a crib. Excess noise and light can stress your baby and take away from quiet bonding time. Your baby’s cues Each baby is unique, so it is important to learn your baby’s individual needs. Watch for facial and body reactions when you interact with your baby. When your baby is happy and calm, your baby’s eyes will be open looking at objects and people and try to focus on them. This is a good time to gently touch or quietly talk to and smile at your baby. When your baby needs to rest, or calm himself or herself, your baby may try to suck a hand or close eyes to shut out all sights and sounds. When your baby is unhappy, your baby may frown or grimace. Your baby may yawn, sneeze, hiccup, stiffen arms or legs, arch or turn away. These are all signs that your baby needs some quiet time. You can still hold your baby, but your baby may need a break from playing and actively interacting. Decorate your baby’s incubator with pictures of you, siblings and other family members. When the time comes for your baby to wear clothes, you may want to bring them from home, new and washed, with your baby’s last name on the tag, along with baby blankets that can be brought in new and washed at any time. YOU ARE THE VOICE FOR YOUR CHILD. It is important that you actively communicate with your baby’s care team to make the transition to home that much smoother. Remember, you are the parent and an important member of your baby’s care team, not a visitor – ask questions and be proactive in your baby’s care. Overview | 2 NICU Guide to Baby Care 1.2 GENERAL INFORMATION Welcome to the NICU at Sinai Hospital Our goal is to provide your baby with the best care possible in a safe and family-centered environment. Your presence is important to your newborn, and our staff will help you learn all about your new baby. We consider you a care partner and encourage you to be with your baby whenever possible. Visitation We will ask you for a list of up to six other adults, not including your baby’s siblings, who would be most helpful to you. Your list will be kept at the security desk for identification when your visitors arrive. They will not be allowed to hold your baby or participate in your baby’s care unless you give your approval. All visitors, including siblings, will need identification badges to enter the department. In general, our space limitations permit only two adults per bedside. However, we know special situations come up. Please talk to your baby’s nurse and she will try to meet your needs. Please understand that everyone’s privacy is important to us. Therefore, we ask that while in the NICU, you stay at your baby’s bedside. We try to keep noise at a minimum. Please put your phone on vibrate and step outside of the nursery for phone conversations. Remember to sanitize your phones and tablets frequently, and make sure you wash your hands before handling your baby. We only have two family rooms for everyone to use, so please value your time there and treat the rooms and their contents with respect.
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