Decisional Analysis -Nursing

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Submitted By jmontalt02
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I scampered through the hallways at Dartmouth Hospital searching for a sign to direct me towards the neonatal intensive care unit (NICU). My heart was racing knowing that I was walking into the experience completely empty handed. When I found the unit, I walked into a huddle of nurses going over the day’s census. I was assigned to a nurse who had the most severe and critical case on the unit. This was a full term baby, 40 weeks and 1 day. Though the charting from the hospital where he was born was not completely clear, it is said that the fetus was experiencing bradycardia for 17 minutes at 50bpm. This otherwise known low-risk pregnancy quickly turned into a STAT C-section. When the baby was delivered its ABGAR scores were 0, 0, and 3. The baby was intubated, put on a cardiac and brain monitor, and rushed to the Dartmouth NICU. An umbilical line and a venous line were all drawn to gain access to the circulation to hydrate and nourish. An arterial line was drawn because frequent blood gases were needed. As you can imagine, like I had, this baby looked like an experimental nursing tool.
When I first saw him he looked as though he was fake. He had lines and tubes going in and coming out of every possible place on the body. He was hooked up to the EEG monitor to record his brain waves because it had been showing signs of abscence seizures. The baby had no swallowing reflex so frequent suctioning was crucial. When I arrived I was told that the baby would be going down to get an MRI to determine if in fact there was little to no brain activity. The results of the MRI would help develop a prognosis for the baby. Doctors had mentioned to the parents at the time of birth that this baby was seriously deprived of oxygen and the outcome did not look great. By the end of the shift I had met the parents and the grandmother who were all extremely devastated about their…...

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