Professional Documents
Culture Documents
Marissa Brown
Trent University
REFLECTION 2
This week in placement, I was placed in the NICU. In the NICU I got to perform a lot of
assessments on premature babies such as respiration rate, temperature and switching the O2
saturation machine to their opposite foot. I also got to feed some babies when their mothers were
not present as well as cuddle them when I had time. There were varying diagnoses in the NICU
from extreme prematurity to a variety of problems such as Omphalocele when the intestines
protrude out the umbilicus in the fetus. In the NICU there was this one baby who was diagnosed
with Neonatal Abstinence Syndrome (NAS) and was on the Finnegan scoring system. The child
was withdrawing from cocaine and methadone and had no prenatal checkups or care. After
talking with the nurse, I found out that the child had been apprehended by the Childrens Aid
Society (CAS) and was now legally owned by them. The baby, once recovered, would go to a
foster family. When the charge nurse was asked where the child would go, she responded that
she would probably go to the same foster home that her four other siblings were at. After hearing
this, I realized that the mother of this baby has had five children total and all of them have since
been apprehended and living in foster care. The mother and father showed up to see the baby,
however, they could not see the child without a representative of CAS with them. When the
mother was visiting, she did not seem sad at all that the child she had just been given birth to had
Analysis of Experience
Seeing a child experiencing the withdrawal symptoms such as tremors and coughing and
vomiting after feedings especially from the actions of her mother made me feel sad and shocked
that someone would do that to their own baby. Realizing also that this baby sits in the NICU
REFLECTION 3
most of the day and doesnt have a parent with them most of the time like a lot of the other
babies, made me feel upset and want to spend more time cuddling with the baby. I also felt bad
thinking about what type of future the baby was in for and compared it to mine. I hoped in that
moment that the baby would be lucky enough to be adopted by a nice family. I was overcome
with emotion thinking that this baby didnt do anything to deserve this and doesnt have a good
support system. I was so emotional that in my irrational mind I felt like I needed to more for this
baby and wished that I was at the point in my life where I could adopt her myself.
The fact that the mother and father who visited did not seem upset about having to leave
their child and not get to take it home made me feel shocked that they could not care that much
about a child, especially their own. This probably could be because they apparently have gone
through this before with four other children but myself being such a sensitive and caring person
The other nurses working the floor did not seem very upset about the situation either and took
more of a judgemental tone towards the parents. This is probably because they like the parents-
are used to it happening all the time and having to deal with these sensitive situations as just
part of the job. Although I felt very emotional, I tried my best not to show it because it would
seem unprofessional. I did not like however, that the nurses were very judgemental of the family.
Although the drug abuse was a choice, if the nurses got caught speaking the way they did, they
Looking back on this experience, I realized that my emotions all though I did not show
them on the outside, were a little over exaggerated, irrational and potentially unprofessional. I
believe that I am allowed to feel the emotions that I felt however I must get used to being in
REFLECTION 4
sensitive situations such as this one and acting in a professional and unbiased way. Obviously,
this was my first time experiencing a situation like this and was not aware of what emotions I
might have and I am glad that I did not let them overcome my ability to act professionally. I also
learned that I should take some advice from the other nurses and try not to let it affect me
however I should not act as judgementally as they did. To control my emotions, I told myself
that I must act professional and cannot take these situations too seriously. I also told myself that I
could potentially be experiencing a lot of situations like this in the future and related cases such
as child abuse, domestic violence etc., and that it would be extremely emotionally draining if I
From this situation, I also learned what specific procedures the hospital puts in place for
children in CAS care and a lot of information about the Finnegan scale and NAS babies. I also
learned that if I have any questions about policies, where to look for them and that I can always
I can use this learning in future situations to control my emotions and can use this not only in
my nursing career but in other life situations as well. For example, it would not be very
appropriate or very safe to break down and cry when driving by a horrific car crash. I can use my
techniques to control my emotions by thinking how dangerous it would be to cry and drive to
control them.
In future nursing situations, I will just have to keep my emotions in check by thinking about
the professionalism and image that I must withhold while working and how draining it would be
to get upset over every little thing. I can also use this experience to help other students and future
REFLECTION 5
co-workers and help them to overcome their emotions and tell them if they are acting
appropriately or not.
In the future, I believe that the learning I have gained from this experience, can benefit me in
my career as a nurse. I will also continue to develop strategies to help deal with sensitive
situations with every situation that I am faced and can experiment with other techniques and
which one works better than others. I can also share my techniques and gain advice from co-
I believe that this experience and the techniques I have developed will push me to become a
better nurse and prepare me to be able to handle every situation that comes my way. I will also
be able to relate to other patients based on the previous experiences that I have had to create a
strong nurse-client relationship. This experience has taught me a lot however it will also stay