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>> FROM THE SPECIAL DELIVERY UNIT,
THE NEWBORN IS TAKEN TO THE CARDIAC INTENSIVE CARE UNIT
JUST STEPS AWAY FROM HIS MOTHER'S ROOM.
THE CICU AT CHOP IS AMONG THE LARGEST AND MOST
SOPHISTICATED IN THE WORLD.
>> IT'S SO NICE TO KNOW THAT I COULD DELIVER,
YOU KNOW, I COULD BE IN THE SAME HOSPITAL,
HE WOULD BE RIGHT DOWN THE HALL,
WE COULD GO VISIT HIM WITHIN HOURS,
YOU KNOW. AS MUCH AS WE WANTED,
WE WERE ABLE TO COME AND GO TO SEE HIM.
AND THAT WAS-- YEAH, IT WAS REALLY,
REALLY NICE.
>> CARE IN THE ICU IS THE BIG THING THAT'S REALLY EVOLVED
OVER THE LAST 10 YEARS IN TERMS OF MANAGING
THESE PATIENTS.
>> IT'S STAFFED BY INTENSIVE CARE DOCTORS.
IT'S STAFFED BY CARDIOLOGISTS.
WE HAVE SURGEONS COMING THROUGH,
ANESTHESIA, AN EXTRAORDINARY NURSING STAFF.
>> THE FACT THAT WE LIVED HERE FOR A GOOD 17 DAYS,
WE GOT TO MEET A LOT OF THE NURSES.
>> TO BE AN INTENSIVE CARE UNIT NURSE WHO'S TAKING CARE
OF POST-OPERATIVE CARDIAC PATIENTS REQUIRES A SPECIAL
LEVEL OF EXPERTISE.
>> THEY ARE THE GLUE THAT HOLDS THE FAMILY TOGETHER
AT TIMES.
THEY PLAY A ROLE IN EDUCATION.
THEY CAN MAKE, WITH SOME FAMILIES,
A MUCH CLOSER CONNECTION AND OFFER A ROUNDING OUT OF CARE
TO OUR PATIENTS.
>> THERE IS THE CLINICAL CARE OF THE INFANT
AND THE CHILD IN THE CARDIAC INTENSIVE CARE UNIT,
AND THEN THERE IS THE DEVELOPMENTAL CARE OF THAT
INFANT AND CHILD IN YOUR INTENSIVE CARE UNIT AS WELL.
THE IMPORTANCE OF LIGHTING AND NOISE,
THE IMPORTANCE OF SKIN-TO-SKIN CONTACT,
THE IMPORTANCE OF REALIZING THAT POSITIONING MIGHT MAKE
AN IMPACT ON THIS BABY IN THE FUTURE.
>> IT IS A GREAT THING TO BE ABLE TO WALK THROUGH THE ICU
AND SEE BABIES WHO ARE DOING ALL THE NORMAL BABY THINGS
THAT YOU WOULD EXPECT, AND YET ARE GOING TO OPEN-
HEART SURGERY IN A VERY SHORT PERIOD OF TIME.
AND THAT'S BECAUSE THEIR PRENATAL DIAGNOSIS ALLOWS
THEM TO BE MANAGED WITHOUT GETTING SICK LIKE IN THE OLD
DAYS WHEN DIAGNOSES WERE MADE AFTER BIRTH.
>> CARE IN THE CICU EXTENDS TO THE ENTIRE FAMILY.
>> IT'S VERY NICE TO SEE NORMAL FAMILY BONDING,
WHETHER IT BE A MOTHER HAVING THE ABILITY
TO BREASTFEED AT HER BABY'S SIDE OR WHETHER IT'S SIBLINGS
COMING IN TO VISIT IN THE ICU.
AND THAT REALLY HELPS TO TRY AND PRESERVE AS MUCH OF A
NORMAL EXPERIENCE FOR THEM THAT YOU POSSIBLY CAN DURING
THIS VERY STRESSFUL AND VERY DIFFICULT TIME FOR FAMILIES.
>> AN EXAMPLE OF THAT IS OUR PATIENT-CENTERED ROUNDS,
OUR FAMILY-CENTERED ROUNDS, WHERE THE FAMILY IS THERE,
IS PRESENT WITH THE NURSING STAFF,
WITH THE PHYSICIANS, WITH THE ENTIRE TEAM,
AND THEY WILL JOIN US ON ROUNDS.
THEY'LL HAVE A DISCUSSION ABOUT WHAT'S GOING ON AND
HAVE A DISCUSSION ON WHAT THE PLANS ARE GOING FORWARD.
>> IF NECESSARY, SOCIAL WORK SERVICES ARE AVAILABLE.
THERE'S CHILD LIFE AVAILABLE FOR OTHER MEMBERS OF THE
FAMILY, OTHER CHILDREN WHO ARE OBVIOUSLY GOING TO BE
CURIOUS ABOUT WHAT THE BABY'S GOING TO BE ALL ABOUT
AND WHAT STRESSES THERE MIGHT OCCUR THEREAFTER.