Day 223 - Advocating for James & Procedures Scheduled!
Tuesday, August 10th, 2021 Last night we had a nurse that took it upon herself to come up with an improved breastmilk prep process to help everyone get on the same page. In the PICU, they do not have a "milk room" which is a team of team solely responsible for providing breastmilk to the RNs when needed. The PICU nurses need to count, thaw, measure, and prep all of the breastmilk. Sometimes this can be time consuming. There is a fine line between prepping in advanced and wasting milk. There are strict guidelines from the CDC regarding breastmilk. Once frozen breastmilk is thawed it has to be used within 24 hours, even if it's in a refrigerator. The key word is "thawed". In the middle of the night we changed the end tidal CO2 and it drenched James' onesie. So Mom put him in just a top. At 8am, James projectile vomited a lot of his feed all over himself. Time for wipe down bath, trach care, and 2nd outfit change! They decided to wean methadone again today. The...