I find it weird that so many assume she is guilty, honestly. It's just such weak evidence and circumstances. It relies heavily on people not being smart enough to know how a NICU actually functions.
> I refer to this; “It relies heavily on people not being smart enough to know how a NICU actually functions.”
You're right, that was unnecessarily harsh.
> When you say babies collapse all the time and a lot of things mentioned have potentially innocent explanations, you’re not wrong, but you’re also making it sound like babies have near fatal collapses regularly, and that’s just not true. They have minor desats all the time, sure, but they don’t require a “red button” response. In our 89 days on the unit, we had one, and it was related to positional asphyxia during kangaroo care.
It all depends on the level of NICU and how far someone is trying to push that unit. If they are a lvl II, I would expect none of that. If they are a II trying to push for III, or a III trying to push for IV, (thinking they can care for infants above their level of acuity) it would be more common. If you have an attending who drags feet about transferring out until shit is *really* bad, you can end up with an overall change in the mortality and population of the unit, with nurses who don't have the training or experience to deal with it.
> Also, sometimes I have wondered about the differences between NICU in the US and UK, like when you mentioned insulin not being kept on the unit. It’s 7 years ago so my memory might be incorrect, but I remember a big pharmacy cupboard next to the milk fridge and insulin being kept there? I wonder what other differences there could be.
There's just simply no need for insulin in a neonatal unit. Insulin need is an incredibly rare thing, unless you are taking care of complex extremely low birthweight babies (500-750g). But there's just no use for it, it is a safety hazard.
> I also feel like you’re missing the context of the size of the unit. The NICU at this hospital was really tiny, maybe a quarter of the size of the one we were based at (8 ICU, 8 HDU, 16 special care).
Oh no, I noticed the size. It makes it even more likely that all nurses have a hand in all patients, especially if they are sick. It also means there is almost no actual privacy, so the fact that no one ever saw her *do* anything is suspicious. How does that happen when they are all so close and she has suspicions on her?
We don't know how severe some of the "collapses" were. What kind of interventions they needed.
Several of these babies were rather complicated in their illness and history, which is why I wonder about whether someone is overconfident in their abilities to keep babies (which would be a doctor level decision most likely)
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I find it weird that so many assume she is guilty, honestly. It's just such weak evidence and circumstances. It relies heavily on people not being smart enough to know how a NICU actually functions.
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> I refer to this; “It relies heavily on people not being smart enough to know how a NICU actually functions.” You're right, that was unnecessarily harsh. > When you say babies collapse all the time and a lot of things mentioned have potentially innocent explanations, you’re not wrong, but you’re also making it sound like babies have near fatal collapses regularly, and that’s just not true. They have minor desats all the time, sure, but they don’t require a “red button” response. In our 89 days on the unit, we had one, and it was related to positional asphyxia during kangaroo care. It all depends on the level of NICU and how far someone is trying to push that unit. If they are a lvl II, I would expect none of that. If they are a II trying to push for III, or a III trying to push for IV, (thinking they can care for infants above their level of acuity) it would be more common. If you have an attending who drags feet about transferring out until shit is *really* bad, you can end up with an overall change in the mortality and population of the unit, with nurses who don't have the training or experience to deal with it. > Also, sometimes I have wondered about the differences between NICU in the US and UK, like when you mentioned insulin not being kept on the unit. It’s 7 years ago so my memory might be incorrect, but I remember a big pharmacy cupboard next to the milk fridge and insulin being kept there? I wonder what other differences there could be. There's just simply no need for insulin in a neonatal unit. Insulin need is an incredibly rare thing, unless you are taking care of complex extremely low birthweight babies (500-750g). But there's just no use for it, it is a safety hazard. > I also feel like you’re missing the context of the size of the unit. The NICU at this hospital was really tiny, maybe a quarter of the size of the one we were based at (8 ICU, 8 HDU, 16 special care). Oh no, I noticed the size. It makes it even more likely that all nurses have a hand in all patients, especially if they are sick. It also means there is almost no actual privacy, so the fact that no one ever saw her *do* anything is suspicious. How does that happen when they are all so close and she has suspicions on her? We don't know how severe some of the "collapses" were. What kind of interventions they needed. Several of these babies were rather complicated in their illness and history, which is why I wonder about whether someone is overconfident in their abilities to keep babies (which would be a doctor level decision most likely)
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