Neonatology nurses are guardians at the bedside

NICU nurses, like Diane Nyari (above), learn to recognize and interpret each infant's behaviors and teach parents to do the same. Read more.

"In the NICU we are dealing with building relationships. First we want to manage and overcome the physical crisis that brought the child to us, but we're also about helping families come together. Nurses provide our families with consistency throughout their stay at Children's Memorial."

— Paul Ocon, RN, MPA, former administrator of Critical Care.

More vulnerable and dependent than healthy newborns, all of Children's Memorial neonatal patients enter the world too early or without the ability to perform such simple functions as breathing on their own. In many cases, these babies had to be transported to Children's Memorial in an emergency, before the parents had an opportunity to welcome their new child. Whether this is a first or fifth child, it is an unsettling time for families.

Fostering parent-child relationships

In addition to their vital clinical role, nurses are instrumental in helping foster nurturing parent-child relationships in the NICU during this definitive family moment.

As the purveyors of perpetual care, NICU nurses spend hours at a time with the newborns-observing, monitoring their vital signs, administering tests and medicine, feeding and changing them.

These permanent bedside guardians navigate and guide parents through the strange and unfamiliar territory of the NICU. They translate the language of disease, procedures and test results into words that parents can understand. They give voice to a speechless child's needs and wants. They learn to recognize and interpret the intricacies of each infant's behaviors, habits, likes and dislikes, and teach parents to do the same.

Ironically, the very same technology that is saving their child's life can make it difficult for parents to get close, physically and emotionally, to their newborn. Nurses help parents overcome their fears and apprehension by modeling confidence and maneuvering among the tangle of intravenous tubes and gastro-intestinal lines with amazing strength, grace and ease. Through the technology, tubes and tape, NICU nurses urge parents to take on the rituals of newborn care and watch as families grow together.