Healthcare Professional Interview

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Health Care Professional Interview
Emily is a neonatal intensive care unit (NICU) nurse of 11 years. Emily routinely provides care for babies as small as 800 grams (about 1 and ¾ pounds), babies born with drug addictions, and the routine twins and triplets born as a result of fertility medications and assisted reproductive technologies (ART). As a strong Christian woman, Emily wasn't sure she could fulfill the tasks required of her when she first came on. Nor did she think she could cope with the occasional “expiration” of a young life. However, after more than a decade, Emily continues to provide exemplary care to babies, and parents alike, in the first few weeks and months of life. Throughout her decade long career, Emily has seen much change and continues to see the landscape transform within her small part of the nursing community.
Change in Scenery
For over two decades the NICU was comprised of large open bays often housing eight to ten babies in a single space. More similar to a barracks instead of a place of such fragile care, the rooms felt cold and antiquated. Long overdue, the NICU was moved to a brand new state-of-the-art facility to continue their award winning care. Dr. Jeff, the NICU medical director, welcomed the move with open arms stating that “this is like Christmas”. The move provides the fragile lives with brand new high tech equipment and privatized rooms, while providing the nurses and staff with a whole new set of responsibilities.
Technology and Implementation of HIT
The staff will now have to rely heavily on technology to monitor delicate vital signs and feeding schedules as well as charting assessments. The large panoramic view of a room has been replaced with walls and a nurse watching a com...

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...lly dispensed in every situation where reflux was an issue with a baby. That has since changed in the more conservative, minimally invasive approach of healthcare. Zantac is now only given when all other avenues have been exhausted.
The omnipotent promise of ART, coupled with parents’ deep desires to have their “own child”, overwhelms and overshadows the capacity to think, sometimes with tragic consequences. We see parents who relied on reproductive technologies to conceive now expect other technologies will rescue and maintain their babies. It is heartbreaking to hear NICU parents wonder if their pregnancy would have been healthier and the baby more likely to thrive if they had transferred only one embryo. Or listen to them worry that it was the selective reduction from quads to twins that brought on the premature labor and then birth at only 25 weeks.
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