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NICU Tragedy: New Nurses' Nail Choices and Newborn's Fate
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NICU Tragedy: New Nurses' Nail Choices and Newborn's Fate

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Questions and Answers

What symptoms did Baby Jessie develop before her rapid deterioration?

rapid respirations, diarrhea, and a rash on her abdomen

What bacteria was found in Baby Jessie's bloodstream during the autopsy?

E.coli

What protocol did the nurses fail to honor, leading to the death of Baby Jessie?

wearing short nails and washing hands up to elbows without fail

What level was Baby Jessie in the NICU before her rapid deterioration?

<p>level 2</p> Signup and view all the answers

What action did the code team take when Baby Jessie went into asystole?

<p>CPR, ventilator support, rounds of epinephrine, and bicarb</p> Signup and view all the answers

What was the outcome of the autopsy performed on Baby Jessie?

<p>bacteria, specifically E.coli, was found</p> Signup and view all the answers

What were the basic cardinal rules for nurses in the NICU?

<p>Always wash your hands and keep your fingernails trimmed.</p> Signup and view all the answers

What type of unit was the NICU?

<p>It was a fast-paced unit with levels 2-4, where the higher the level, the higher the babies’ acuity.</p> Signup and view all the answers

What were some of the health conditions of the babies in the NICU?

<p>Most were born prematurely, others had defects, congenital anomalies, and immature lungs.</p> Signup and view all the answers

Why did the new nurses' refusal to keep their fingernails trimmed pose a problem in the NICU?

<p>Because it violated the standard and mandatory protocol of good hygiene, which included keeping fingernails trimmed to prevent the spread of infection.</p> Signup and view all the answers

What was the main reason for the new nurses' refusal to keep their fingernails trimmed in the NICU?

<p>Fashion and personal appearance</p> Signup and view all the answers

What were the acuity levels of the NICU where the new nurses were working?

<p>Levels 2-4</p> Signup and view all the answers

What were some of the health conditions of the babies in the NICU?

<p>Prematurity, defects, congenital anomalies, immature lungs</p> Signup and view all the answers

What were the standard and mandatory protocols before touching the babies in the NICU?

<p>Washing hands up to the elbows with soap, gowning, and gloving</p> Signup and view all the answers

What was the cause of Baby Jessie's rapid deterioration?

<p>Sepsis caused by E.coli bacteria found in her bloodstream</p> Signup and view all the answers

What were the consequences of the new nurses' failure to honor the mandatory protocol?

<p>The death of Baby Jessie</p> Signup and view all the answers

What specific actions did the code team take when Baby Jessie went into asystole?

<p>CPR, ventilator support, rounds of epinephrine, and bicarb</p> Signup and view all the answers

What were the circumstances of the new grads' arrival that management overlooked?

<p>The new grads had long stiletto-type nails</p> Signup and view all the answers

What were the initial health conditions of Baby Jessie when she was born prematurely?

<p>Hypoglycemic, grossly underweight, and unable to feed without a feeding tube</p> Signup and view all the answers

What were the findings of the autopsy performed on Baby Jessie?

<p>E.coli bacteria</p> Signup and view all the answers

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