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Brent Skall
Neonatal Intensive Care Unit
Kimber Zolnier
3/15/18
Neonatal Intensive Care Unit (NICU) Experience
This week I had the opportunity to participate in an off-site clinical, St. Elizabeth’s in Boardman. I
was assigned to a NICU nurse to follow around for the day. On the unit, I got to see a lot of different
premature babies. To my surprise, most of the patients on the unit that day were twins. All the
premature infants could be found in little incubators to help them survive. From what I noticed, most of
the infants required help breathing because their organs were so underdeveloped. The largest of the
babies was a meager 2 pounds, 6 ounces. The setting of the NICU was very different from a typical
hospital floor, especially for the NICU nurses. After speaking with one of the nurse’s, I learned that they
are assigned to a maximum of three patients but may only have one. The reason behind this is that the
premature infants require much more attention than your average newborn. They are hooked to
machines that help them meet temperature, hydration, and nutritional needs. Moreover, it is not
uncommon for the NICU nurses to sit in the room with the babies because they require close
monitoring. The best thing I found about this experience was that the nurses worked well as a team, and
collaborated in the care of all the patients, making sure that all needs were met. In addition, they
provided the families with excellent education about their child and informed them about the care they
were providing. I also noticed that the physical assessment of the premature infants was different than
that of a full-term infant. The assessment was very focused and more complete than a typical
assessment and was also done very carefully because the babies are very fragile. The NICU nurses tried
to perform most of the assessment with the infants in the incubator to keep them protected from the
outside environment. All the nurses seemed very well rehearsed in performing the assessment and did a
great job in protecting the baby from any harm. Overall, I had a wonderful experience at the NICU and
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feel that I learned a lot of new things. Seeing the daily routines of NICU nurses and the little premature
infants gave me a different viewpoint on nursing care that I had never seen before.