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Wirral University Hospital NHS Foundation Trust

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Who are we?

All care of babies is a team effort and the aim of the team is to provide the best care for your baby and family.

 

Consultant / Doctors

Consultants

The consultants are the most senior members of the Neonatal medical team, who are highly specialised in Neonatal medicine, with broad past experience in general paediatrics and individual areas of expertise. They each rotate for a week at a time. In addition there are other consultants for community and paediatric wards.

The consultant has overall responsibility in the care and management of each baby admitted to Neonatal Unit and they provide support to parents as required through full discussion of more complicated issues relating to the health needs of the child.

The consultants review the health and development of babies following discharge from Neonatal Unit according to their individual needs ensuring there is appropriate support and advice for the families of babies admitted to Neonatal Unit, both during admission and following discharge.

Dr David Lacey and Dr Lil Breen follow up babies who are on oxygen and lead ward rounds on the Neonatal Unit. Dr Russell Austen and Dr Todd care for babies on the post natal wards, in paediatric wards, on the community.

Each consultant has a team of registrars and senior house officers working for them.

Registrars

The Registrars who have at least two years experience of paediatric and Neonatal medicine give 24 hour on-call presence to supervise ongoing care of all babies on Neonatal Unit. They offer ongoing support, training and education to Senior House Officers. The registrars communicate with parents about individual issues concerning the health of their baby as it develops. They perform and supervise complicated procedures and investigations.

Senior House Officers (SHOs)

SHOs are qualified junior doctors from a range of specialities including paediatrics, obstetrics and surgery. They hold a daily review of all babies admitted to the Neonatal Unit including physical examinations, review of results and tests in discussion with nursing staff. They will attend complicated deliveries on the Labour Ward where risks to the health of the newborn may occur.

24 hour support for review of all babies on the Neonatal Unit where new problems or concerns have been identified by parents and Nursing Staff. The SHOs with the nursing staff ensure that GPs and Community Teams are informed of all problems and health issues relating to babies by letter or fax, and that all referrals to specialist consultants such as Cardiology and Orthopaedics are made as required.

Nurses/Midwives

Nurses/Midwives

Some or all of the following staff will be involved in the care of your baby - and their families - in the neonatal unit. A brief description of their roles is included.

Advanced Neonatal Nurse Practitioner/Educator 

Responsible for overseeing the day to day care of all babies on the unit. 

Advanced Neonatal Midwives and Nurses

Responsible for assisting medical staff with emergency and anticipated neonatal problems on the delivery suite and for liaising with postnatal ward staff. 

Senior Neonatal Midwives and Nurses

Senior Neonatal Midwives and Nurses often co-ordinate the unit and may have a special interest within neonatal care e.g.: running the eye clinic, breast feeding, infection control, transfer of babies.

Midwives

Your midwife will continue to care for you during your stay in the hospital and at home. Your Midwife can do post natal checks on the neonatal unit or you can arrange to meet her on the post natal wards. Your midwife will liaise with our community neonatal midwives about follow up care for you when baby goes home.

Neonatal Nurses

Responsible for providing direct nursing care to babies on the neonatal unit and looking after the babies from admission to going home. They support the parents with feeding, explanations of baby's condition, assisting and teaching parents in the care of their baby - aiming to assist to a smooth transition to home.

Co-ordinator on the Neonatal Unit (NNU)

The coordinator's role is to ensure the best care for babies and their parents -offering clinical neonatal care, developmental care and emotional support, so the babies on the unit reach their maximum potential. Click here to view a full description.

The Nursery Nurse/Assistant Practitioner

Responsible for the care of babies within the low and high dependency areas of the neonatal unit. Supports parents in all aspects of care.

Health Care Assistants

Support the nursing and medical staff. To ensure all the supplies are stocked and ordered and to help coordinate many of the clinics within the department and take on specific tasks within their job role e.g. Milk bank work.

Medical and nursing students

Training is essential for all health professionals so there are opportunities for students to learn about the speciality of neonatal care; if you do not wish your baby to be involved you may do so without adversely affecting his/her care please inform the manager/ nurse caring for your baby.

Infection control nurses
There are identified nurses on the neonatal unit who act as a link with the infection control team at the hospital. 
 

Community

Community

Some or all of the following staff will be involved in the care of your baby - and their families - in the neonatal unit. A brief description of their roles is included.

Neonatal Community Team

Follow up all the babies on the neonatal unit and babies who have feeding problems or are referred by the consultants from the post natal wards. The team see parents the day after discharge to chat about any concerns.

Hospital/Community midwife

Continues to provide care to Mum for up to 28 days, visiting at home or by arrangement via the communication room on Ext 2428.

Health Visitor

Will visit soon after baby is born, advising on the baby's development, weaning etc and will assist parents for up to five years. Provides parents with a health record book (Red book) which we suggest is brought into the neonatal unit so parents or staff can record the baby's weight.

General Practitioners

They are contacted by letter following a baby's admission to the neonatal unit and are kept informed by letter on the baby's condition, a discharge letter is sent to them and they receive letters from the consultants on any follow up visits from many of the health professionals involved in the baby's care.

Paediatric Oxygen Nurses 

Offer support and advice on the care of your baby receiving oxygen when the neonatal staff have handed over care to them. Initially, they will usually visit the parents weekly and liaise with the baby's health visitor , GP, physiotherapist and dietician. 

Health Professionals

Health Professionals

Some or all of the following staff will be involved in the care of your baby - and their families - in the neonatal unit. A brief description of their roles is included.

Heart specialist (cardiologist) 

The consultant to whom babies with a heart problem are referred to for assessment and treatment.

Hearing specialist (audiologist) 

Responsible for screening all babies for hearing problems as early intervention, if required is important. 

Eye specialist (ophthalmologist)

Responsible for examining a baby's eyes for signs of retinopathy of prematurity. Please see retinopathy of prematurity in the FAQ section of the website.

Physiotherapist

The role of the physiotherapist is to ensure your baby is referred on to the community physiotherapist, who will continue to treat and advise once your baby is discharged from the neonatal unit.

ITU/HDU based in the hospital

Mothers sometimes need further specialised treatment after the birth of their babies and are transferred to consultant care within the adult intensive care ward or adult high dependency unit. Everything will be done to maintain communication between medical staff caring for the mother and those caring for the baby, and the family.

Infant feeding adviser

Breast feeding support is a major part of the adviser's role. Human milk provides many health advantages to sick and preterm babies and all mothers are encouraged and supported with breast feeding and milk expressing.
Breast feeding video

Milk bank coordinator

The milk bank coordinator manages the service, ensuring stocks of pasteurised donor milk are maintained within the neonatal unit and is responsible for the donor recruitment programme. The Milkbank follows strict policies and guidelines recommended by United Kingdom Association of Milkbanks (UKAMB) ensuring safety of milk at all times.

Developmental care specialists

Responsible for interacting with the baby observing how he/she behaves, assessing what may influence and promote baby's further development, helping parents and staff to provide the best care for baby.

Pharmacists

Provide the medicines needed for your baby.

Microbiologists

Look for infections in samples of tissue or fluids and recommend suitable treatment.

Biochemists

Screen blood to check the components within it are correct and inform neonatal staff of any abnormalities.

Haematologists

Screen blood and provide blood products in order to correct any problems e.g.: blood transfusion.

Radiologists

Responsible for providing images of the body in a non invasive way for investigation, diagnosis and treatment eg MRI, X-rays Ultrasound.

Radiographer

A person qualified to take X-rays and/or to carry out specialised procedures e.g.: MRI ultrasound and CT scanning.

Dietician

Discusses the nutritional needs of baby with parents and the medical team Some babies require follow up by the community dietician at home. More information can be downloaded here

Speech therapist

Discusses feeding difficulties and offers support to parents and staff during a baby's progression to feed. Early intervention with feeding difficulties can help prevent potential feeding and speech difficulties later in life.

Social Workers

Are available to offer assistance to the family - in particular over financial and housing difficulties. They can also be involved if there are any difficulties over the care of children e.g.: another sibling needing a place in a crèche to allow parents to visit baby whilst he or she is sick in hospital.