Neonatal Intensive Care Unit (NICU)

 

Neonatal Intensive Care Unit (NICU)

About the Unit

NICU is a 37-bed unit, located in the Bristol-Myers Squibb Children’s Hospital on the sixth floor.  There is also a Special Care Nursery (SCN) which resides within the NICU.  The  NICU is open 24-hours- a-day, 7-days-a-week.


Staff

Head Nurse: Laura Sarris, RNC-NIC

Head Nurse: Randi Fundaro, RN, CCRN

Head Nurse: Tracey Koplik, BSN, RN, CCRN

Lactation Consultant: Rachel Cruz, RNC-NIC, IBCLC

Neonatal Follow Up Program Coordinator: Cathleen Duffy, RN

Case Manager: Rosa Aquino, RN

Social Worker: Carolyn Wells

There is one pediatric care technician each shift who assists with the needs of the NICU.  There is a unit secretary on each shift to perform data entry and secretarial duties.


Patient population

The NICU nursing staff care for neonates who are critically ill.  These neonates need intensive monitoring due to gestational age or physical status.  These neonates may have been diagnosed with prematurity, respiratory distress, transient tachypnea of the newborn, anoxic brain injury, complications associated with meconium aspiration, persistent pulmonary hypertension, hyperbilirubinemia, infectious processes, neural tube defects, congenital anomalies or other medical conditions requiring advanced level of monitoring and or intervention. The NICU has the ability to care for two neonates requiring negative pressure isolation.


Patient Care Needs

Patients in the NICU require 1:1 or 1:2 nursing care.  Promoting family centered care is a top priority.  The NICU beds are designated for neonates requiring:

  • Oxygen therapy via nasal cannula
  • Bi-level positive airway pressure (BiPAP)
  • Continuous positive airway pressure (CPAP)
  • Conventional mechanical ventilation
  • High frequency oscillatory ventilation (HFOV)
  • High frequency jet ventilation (HFJV)
  • Use of nitric oxide (NO)
  • Tracheostomies
  • Chest tubes
  • Hemodynamic monitoring
  • Centrally and peripherally placed venous and arterial catheters (including umbilical catheters)
  • Titration of vasoactive medications
  • Management of the post-operative neonate
  • Pharmacological paralysis
  • Pain management
  • Ventricular reservoirs
  • Ventricular peritoneal shunts
  • Management of fluid and electrolyte imbalances
  • Frequent comprehensive newborn assessments. 
  • Cool Cap

The Special Care Nursery (SCN) neonates require 1:4 nursing care.  Nursing care is provided to neonates progressing from NICU care.  SCN neonates do not require mechanical ventilation, Bi-Pap or CPAP.


About Our Nurses

Nursing care is provided by professional registered nurses competent in the care of critically ill neonates.  Competencies include, but are not limited to:

  • TelemBasic Life Support (BLS) certification
  • Neonatal Resuscitation Program (NRP) certification
  • IV certification
  • Neonatal assessment
  • Pain management
  • Managing mechanical ventilators
  • Administering and titrating medicated IV infusions 
  • Managing peripherally inserted central catheters
  • Managing peripheral arterial and venous lines
  • Managing umbilical arterial and venous catheters
  • Managing neonates receiving moderate sedation 
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