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All care provided in our nurseries is directed by a neonatologist. We provide developmentally appropriate stimuli and take steps to minimize stress.
Neonatal Transport Team
Our Neonatal Transport Team consists of 10 registered nurses with advanced training focused on providing the highest level of care while en route to the hospital. The team operates within a 150-mile radius of Houston using ground and air ambulance services.
Beyond 150 miles, transport is by Learjet. The transport team also accompanies infants for surgery or in-house tests, transports stable infants back to the referring hospital, attends all high-risk deliveries at Memorial Hermann Hospital and performs advanced procedures in the nursery under physician direction.
Extracorporeal Membrane Oxygenation (ECMO)
Children's Memorial Hermann Hospital is one of only two hospitals in Houston offering extra-corporeal membrane oxygenation ECMO, a treatment which is used for newborns and children who are critically ill with respiratory failure. The extracorporeal Life Support Organization (ELSO) has named the ECMO program at Children’s Memorial Hermann a “Designated Center of Excellence.” Our program is one of only six in the world to receive the ELSO Award for Excellence in Life Support for 2006-2008.
The ECMO machine functions like a heart-lung bypass machine used in open heart surgery. It uses an artificial lung (membrane) located outside the body (extracorporeal) to put oxygen into the blood. The blood carries the oxygen to body tissues (oxygenation). ECMO can take over the function of the heart and lungs only for a short time.
ECMO is done by siphoning the blood out of the body via a large tube inserted into a vein in the neck. The blood is pumped through the artificial lung where toxic gases, such as carbon dioxide, are removed and replaced with oxygen. The blood is heated and pumped back into the body using the same process. While ECMO does not cure heart or lung disease, it allows time for the heart and lungs to rest and heal.
Kangaroo Care
Kangaroo care, also called skin-to-skin care, means holding your baby next to your bare chest. The name comes from the way a mother kangaroo cares for her prematurely born baby by holding her little one close to her body in her pouch.
Kangaroo care is good for both mother and baby. When a mother snuggles her baby against her chest, the baby relaxes, breathes easier, sleeps better and may gain weight more quickly.
Care-by-Parent Rooms
Because most neonatal patients require special care even after discharge, parent education is important. Our seven care-by-parent rooms offer parents an opportunity for “on-the-job” training in which they learn home care techniques and treatments their infant may require.
Parents may take the time they need, spending the night if necessary, until they feel fully prepared to provide the care their baby needs at home.
Neonatal Pain Management
Comfort activities have been shown to help newborns experiencing pain. These activities include gentle handling and movement, holding the newborn snugly next to your body, rocking, swaddling in a blanket, positioning or holding the baby with arms and legs tucked close to the body, keeping the room quiet and calm and providing a pacifier or fingers for sucking.
When pain is strong, medicine may be needed for relief. Pain medicine can be swallowed, applied to the skin, injected into the skin or muscle or given through a small tube placed in a blood vessel (intravenous catheter or IV).
How the medicine is given depends on the medicine itself, the type and location of the pain and the age and abilities of the baby.
Care Conferences
Family sessions with the members of your baby's care team are a good way for parents to help plan their baby's care during hospitalization. Care conferences may be called by anyone who is part of the baby's team, including parents. They can be very helpful for babies with multiple care needs.
Updates on Your Baby’s Condition
Our neonatal medical team will make every effort to meet with you in the afternoon to discuss your baby’s progress and any issues that may have developed. The team is available daily until 5 p.m.
After 5 p.m., doctors on call staff the nursery, and they may not know all the details of your baby's care. If you can only visit at night, please let the nurse know. We can make special arrangements to schedule an evening meeting when your doctor is on call.
Guidelines for Parents and Visitors
For your baby's safety and security, a picture ID is required of anyone entering the nursery, including parents.
Nursery Closed Hours
The nursery is closed from 6:15 to 7:15 mornings and evenings to allow our nurses to complete their change-of-shift reports.
The nurseries are also closed during medical team rounds. In the Level III nursery (Duck B, Bear, Giraffe and Rabbit) rounds are scheduled from 9 a.m. to noon. In Level II (Duck A, Elephant, Cat and Sheep) rounds take place from 9:30 a.m. to noon.
Married Parents
If the parents are married, both husband and wife are legal guardians of their baby, and they determine who may visit. A parent must accompany visitors during each visit.
With the parents’ permission, two designated visitors or grandparents may visit by themselves. For privacy, only minimal information will be given to these designated visitors. Parents will be asked to designate a password so that the staff may give detailed information about their baby’s condition by telephone.
Unmarried Parents
If the mother is single, the mother is the legal guardian of the baby, and she determines who may visit.
With her permission, the father may come into the nursery by himself. The mother can designate two visitors or grandparents who may visit without her presence. For privacy, only minimal information will be given to these designated visitors. The mother of the baby will be asked to designate a password so that the staff may give her detailed information by telephone.
Children as Visitors
Brothers and sisters of the baby may visit if they are at least 3 years old and accompanied by a legal guardian of the baby. Children younger than 3 years may not come into the nursery. Children other than siblings must be at least 13 years of age to visit.
Preventing the Spread of Infection
Sick and premature babies can catch illnesses from adults and children. Parents and visitors who are ill should speak with a staff member about their symptoms before going into the nursery. If you have sores, suspect you have a contagious illness or have been around someone who is sick or may have chickenpox, please avoid coming to the hospital.
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Our Level III nursery provides the full range of care for neonates born prematurely or with congenital birth defects, infection, metabolic problems or other medical or surgical needs. The nursery is equipped to care for premature babies born as early as 23 weeks of gestation and weighing as little as one pound. We provide specialized respiratory care, including high-frequency ventilation, 