INTRODUCTION



NICU Survival Manual for Pediatric Residents

Updated 6/29/07

Welcome to the NICU. The purpose of this manual is to orient you to the NICU and help you to not make mistakes giving acute care. Please read it in its entirety during the first week of your NICU rotation, and let the NICU attendings know if the instructions in this manual are not followed while you are covering the NICU.

Neonatal Attendings:

The neonatal attendings are actively involved in every aspect of patient care and the operation of the NICU and normal nursery. It is of utmost importance that we be kept apprised of all untoward developments in the NICU at any time whether it regards a baby, its family, or the staff. If you're not sure about something, call us. If a patient's clinical course deteriorates, call us. Don't wait until you're up to your neck in meconium; we’re only physicians, not clergy. If you're tied up with the patient, have somebody else on the staff call us. If we don’t answer the beeper right away, call us directly at home. Since Dr. Hansen lives outside the 212 area code(see emergency numbers below), you will have to go through the hospital operator to reach her.

If you think we'll be annoyed if you wake us, you wouldn't believe what we're like in the morning if you don't.

We are a level 3 NICU. This means that we have agreed to provide quality intensive care for sick newborns, an awesome responsibility. When a newborn becomes acutely ill, the attending must be called. Newborns are often most acutely ill in the delivery room, so we must be notified if a sick baby is expected to be born. Specifically, as part of the state’s requirements for a level 3 NICU, the attending on call must be called to attend the deliveries of any infants known or suspected to have the following conditions prior to birth:

1. Prematurity, with birth weight ................
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