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My first encounter with Nathan was on my first day on my placement on Special Care Baby Unit (SCBU).  

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Learning outcome 4 My first encounter with Nathan was on my first day on my placement on Special Care Baby Unit (SCBU). He was very poorly with a poor prognosis. He had many problems which ranged from respiratory distress syndrome which meant he was a ventilated baby; a right intraventricular haemorrhage which meant he may suffer from Cerebral Palsy in the future, plus he had to have regular blood transfusions. The nursing care he received on the NICU was from an allocated nurse on a 1:1 ratio (see LOC 4 section ref ). This was due to his very complex care needs. He had to have 1 hourly observations of his vital signs and monitor readings, in order to record evidence of deterioration or progress. As can be seen his care needs were vast, plus, he needed routine daily bloods and other daily invasive procedures. It is therefore the role of the neonatal nurse to minimise...

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