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Our
Patient and Families
Holden
is a 37-bed NICU for newborns who require intensive medical
and nursing care. Approximately 30% of the infants are transported
in for care, while the remaining 70% are delivered in the
high-risk delivery rooms. At least half of the infants are
premature with some type of respiratory distress; about 25%
have surgical problems such as TEF, cardiac disease, bowel
obstruction, gastroschisis, omphalocele, etc.; and the remaining
25% have metabolic disorders such as infants of diabetic mothers,
Rh isoimmunization, aminoacidurias, etc. Approximately 75%
of the infants are ventilator-dependent. Many infants are
referred to Holden from other Level III NICUs throughout the
state for the very specialized treatments offered - ECMO,
HFJV, surfactant replacement therapy, nitric oxide, liquid
ventilation, and various other procedures.
Philosophy
of Care
The Holden
nursing team is a part of a quaternary neonatal center serving
our region, state and beyond. We exist to provide quality
nursing care to neonates from the acute phase of illness through
recovery. We provide individualized support and education
to families during hospitalization and in preparation for
discharge. We empower families to participate in decision
making for, and in the care of, their child. The Holden nursing
team includes staff nurses, a clinical nurse specialist, a
perinatal outreach coordinator, lactation consultants, and
neonatal nurse practitioners.
Within
the Holden NICU, we espouse a family-centered approach to
care. Visiting is open 24-hours a day to whomever the parents
wish to visit their infant, including siblings. Parents are
encouraged to participate in care as soon as their infant's
condition allows. A focus on growth and development is maintained
for all infants.
Our
Nursing Team
The state
of Michigan is regionalized in order to provide high-quality
perinatal care to all high-risk mothers and babies in the
state. Our region covers a 75-mile radius area from Ann Arbor
(excluding the Detroit area). The newborn transport team consists
of a Holden nurse, a neonatal fellow or NNP, and a pediatric
respiratory therapist. Modes of transport include ambulance,
helicopter, and fixed wing.
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