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Neonatal Essay Papers

Neonatal Nursing Essay

Neonatal nursing is a field of nursing designed especially for both newborns and infants up to 28 days old. The term neonatal comes from neo, "new", and natal, "pertaining to birth or origin”. Neonatal nurses are a vital part of the neonatal care team. These are trained professionals who concentrate on ensuring that the newborn infants under their care are able to survive whatever potential life threatening event they encounter. They treat infants that are born with a variety of life threatening issues that include instances of prematurity, congenital birth defects, surgery related problems, cardiac malformations, severe burns, or acute infection. Neonatal care in hospitals was always done by the nursing staff but it did not officially become a specialized medical field until well into 1960s. This was due to the numerous advancements in both medical care training and related technology that allowed for the improved treatment and survival rate of premature babies. According to the March of Dimes, one of every thirteen babies born in the United States annually suffers from low birth weight. This is a leading cause in 65% of infant deaths. Therefore, nurses play a very important role in providing round the clock care for these infants, those born with birth defects or other life threatening illness. In addition, these nurses also tend to healthy babies while their mothers recover from the birthing process. Prior to the advent of this specialized nursing field at risk newborn infants were mostly cared for by obstetricians and midwives who had limited resources to help them survive (Meeks 3).
What are the qualifications of a neonatal nurse? It goes without saying that the primary quality needed is a deep sincere desire to care for babies who may be at the threshold of death. Another essential quality is the ability to be calm and focused when confronted with an emergency. As a neonatal nurse, there will be a many of these critical care babies, particularly when they are neonates. These delicate beings can take a turn for the worse in a matter of minutes. It is also important to be empathetic and compassionate while also dealing with very frightened parents. Therefore it is critical to develop a patient demeanor and excellent communication skills. Unfortunately, not all the critical babies survive; therefore it is critical that the nurse will be able to deal with emotional trauma associated with the death of a baby. This nurse will be the one the parents will turn to for emotional support and as well as be a source of consolation.
Ever since its inception neonatal nursing, training has gradually become more technologically advanced. There are now three distinct levels of neonatal nursing. A Level I is usually a healthy newborn nursery—it is basically nonexistent since now mothers and babies have a very short hospital stay and often together in the same room. Level II on the other hand is an intermediate care or special care nursery...

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Surfactant Replacement in Neonates with Respiratory Distress Syndrome Type

3492 words - 14 pages Surfactant Replacement in Neonates with Respiratory Distress Syndrome Type The innovation of surfactant replacement therapy in the treatment of respiratory distress syndrome has proven to increase the survival and minimize the complications of the premature neonate. Replacing surfactant has lessened time on ventilators, and allowing the neonate and parents an opportunity to grow together earlier outside of intensive care. This paper...

Women's Health Nurse Practitioner Essay

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Catheter Associated Bloodstream Infection

830 words - 3 pages Catheter associated bloodstream infection (CRBSI) occurring in the neonatal intensive care unit (NICU) are frequent, complication related to it are potentially fatal and costly (Kim & Sandra, 2009). According to the center of disease control, an approximate of two hundred and fifty thousand cases of CRBSIs have been estimated to occur annually which cause health care to cost approximately twenty five thousand dollars per case, and between 500...

Cesarean Delivery vs Vaginal Delivery

1618 words - 6 pages Worldwide, the rate of cesarean section is increasing. According to the CDC, in 2012 the rate of cesarean sections comprised 32.8% of all births in the United States (CDC, 2013). Between 1996-2009 the cesarean section rate has risen 60% in the U.S (CDC, 2013). According to the World Health Organization (WHO), more than 50% of the 137 countries studies had cesarean section rates higher than 15% (WHO, 2010). The current goal of U.S. 2020...

Nursing: Why Not Men?

1513 words - 6 pages “Males make up about 5% of all RNs working in the United States today” (Poliafico). Nursing is a profession in the health care field that concentrates on the nurturing care of individuals. The United States currently lacks testosterone (the male hormone) in the nursing field. The subject is something many people have thought about at least once in their lives. Some may argue nursing is a career meant for a woman, while others may argue it is a...

The Registered Nurse Career Field

1095 words - 4 pages In the United States, there are more than 2.5 million individuals who, when addressed as a nurse, will respond (Frederickson, 4). Nursing occupations make up the largest group of workers in the health care field. Such occupations include Advance Practice Nurses, Certified Nurse-Midwives, Clinical Nurse Specialists, Community Health Nurses, Critical Care Nurses, Emergency Nurses, Geriatric Nurses,

Concept Analysis: Breastfeeding

1057 words - 4 pages Concept analysis is the breakdown of a problem into pieces to figure out ways to form a conclusion on how to correct, or improve, the problem. This response reviews a concept analysis that looked at problems with successful breastfeeding. In the Journal of Obstetric, Gynecologic, & Neonatal Nursing (JOGNN), Mulder (2006) identifies the four key elements of effective breastfeeding: “positioning, latch, sucking, and milk transfer” (p. 334) using...

Parental Loss Pertaining to the Pediatric and Infant Population: A Concept Analysis

2360 words - 9 pages Loss is inevitably a recurring theme in the human experience. According to Simpson (1953, as cited by Robinson & McKenna, 1998), it is notable that the word ‘loss’ is derived from the Latin word ‘damnum,’ meaning damage and as such it implies injury. We lose many things over the course of a lifetime, and whether perceived or actual, loss can affect the individual in a variety of ways. In the outpatient pediatric caregiver and parent population,...

A Career in Nursing

1569 words - 6 pages Nursing is defined as “as an application of scientific knowledge enhanced by artful practice in a socially responsible manner.” (Gregory 5). Nurses provide leadership as members of interdisciplinary teams, provide client centered care to promote health, prevent disease, and restore and maintain client integrity throughout the life span. (Krannich 71). This makes it one of the most interesting professions, in my opinion. General...

Risk Management

1787 words - 7 pages The delivery of healthcare is complex, and becomes more complex each day. Patients's deserve and expect safe, quality care. The S.T.A.B.L.E. Manual (2005) quotes the Institute of Medicine (2003) in describing patient safety as "freedom from accidental injury." Medical errors can and do happen from all processes in the delivery of care, some of these errors result in patient injury or death. The difficulty comes when trying to quantify fully...

Jean Watson's Nursing Theorya nd Philosophy

2224 words - 9 pages One of the most influential and widely accepted nursing theorist of today is Jean Watson. Her nursing theory Philosophy and Theory of Transpersonal Caring was developed to help foster the caring compassionate side of nurses. The theory is focused around ten carative factors and transpersonal healing and caring relationships. “We are the light in institutional darkness, and in this model we get to return to the light of our humanity” (Alligood...

This research will begin with the statement that neonatal nurse practitioners are registered nurses who have advanced qualifications in neonatal care and nursing. They provide care and assess the neonates who are acutely ill and are admitted in the NICU-neonatal intensive care unit- for any reason. A neonatal nurse requires very high standards of competencies for the care of the newborns. Educational eligibility criteria for this certification are registered nurse practice and Masters in Science in Nursing. These programs are usually affiliated with medical centers and extend over a period of two years. This particular designation in the nursing field was introduced in 1980s after the certification by the National Certification Corp. Nowadays a total of 46 programs for Nurse practitioners also offer training courses for Neonatal nurse practitioners (NNPs). The role of the neonatal nurses extends from physical examination of the newborns, their assessments to the critical care of the acutely ill neonates and their follow-up. The role of the neonatal nurse is conspicuous and her expertise is needed in various aspects regarding the neonate. The neonatal nurse should have command over regulating ventilators, hemodynamic monitoring, transfusion methods, blood sampling, newborn examination and assessment, management of acutely ill neonates in NICU. ... Neonatal nurse has to make sure that she assesses the underlying problem and provides immediate resuscitation to the neonate. Assessment of the

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baby includes noting the baby’s color, tone, heart rate and respiratory rate. These should be ensured by a neonatal nurse that they are within the normal ranges. Thermoregulation, glucose monitoring, fluid balance and feeding regulations are to be monitored regularly by the neonatal nurses, especially for the neonates in the intensive care unit. Pre-term babies require intense care routine from the time of birth till the time that they remain admitted in the NICU. Neonatal nurse plays an important role in reducing the heat loss at the time of birth and in creating an environment that suits the thermal requirements of the neonate. Neonatal nurses also play an important role in the neonatal transport procedure. This transport is indicated in circumstances when the medical expertise of a particular health center is found to be inadequate for the neonate. The transport is indicated in conditions like premature babies, respiratory distress, seizures, hypoxia, congenital heart diseases and other medical emergencies of neonates. Neonatal nurse practitioners are an important part of the transport team along with two or three more medical professionals. The Neonatal Nurse Practitioner replaces a doctor in the transport team in many areas. These nurses lead the whole transport teams and carry out the complete neonatal transfer procedure. The nurse qualifies in not only intensive neonatal care but also in neonatal care.

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