You know we are Jewish and follow our religious beliefs faithfully. You messed up my wife’s mealsand didn’t remember we keep Kosher; now you don’t respect us to know that his Bris is on his 8thday of life and performed by a mohel. This hospital is not what we expected. Many mistakes havebeen made, and we want to complain to an administrator! EHR Nursing 9/23 1100 NICU Nursing Notes: Daniel maintains SpO2 on room air, maintaining temperature with skin-to-skin and bundling. Mom attempted to breastfeed–latching on to the right breast and nursed 1-2 minutes before falling asleep. Nursed on the left side for less than a minute and became mildly tachypneic. Lactation consultant requested. Vital Signs 9/23 1100 98.0 °F(36.7 °C) 132 48 90/62 97% RA PROVIDER PRESCRIPTIONS & NOTES 9/23 0600 Prescriptions: Titrate oxygen to maintain SpO2 > 95% Discontinue servo-control when temperature stable, allow skin-to-skin and monitor temperature Replace infiltrated IV to a saline lock Allow to breastfeed or feed pumped milk via bottle Consult lactation specialist Consult surgery for circumcision before discharge Plan for discharge when tolerating feedings and maintaining SpO2 COLLABORATIVE CARE 9/23 1330 Lactation Consultant: 2 hours since last breastfeeding attempt. Demonstrated several holds for Anna and means to arouse Daniel without expending too much energy. Assisted with the latch on both breasts. Daniel nursed 5 minutes with a good latch and swallowed actively on the left side. Burped and given a 10-minute rest. Latched and nursed on the right side for 7 minutes. Active swallowing, mild tachypnea after nursing. Burped and placed on back in the crib. The family consented to continued lactation consultant visits while in hospital and home. Identify appropriate responses by the nurse. Select three (3) responses.
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