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  • Breast milk is medicine for your premature baby. If you intend to breastfeed, inform your baby’s nurse so she can help you get started with pumping and storage of breast milk. Our lactation consultant is available to ensure your success.
  • Please notify your insurance company of the baby’s birth as soon as possible to place the baby on your policy.
  • Choose and/or notify your pediatrician as soon as possible.
  • Obtain an appropriate infant car seat, and if necessary, a preemie insert.
  • Obtain and read the CPR book (Life Saver Baby), view the CPR video and perform a hands-on CPR demonstration with baby’s nurse.
  • Our Case Management Social Worker Team is available to support you; please ask your nurse, or you may call the department at 1-845-333-2179.
  • If your baby is going home with a special monitor; please obtain a letter from us to give to your telephone and electric companies.
  • Clergy Services are available at 845-333-1014, should you be need of spiritual support.
  • Gifts such as flowers and latex balloons are not permitted in the NICU.
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If your baby has been admitted to our Neonatal Intensive Care Unit, there may be a number of medical terms you will hear during your baby’s stay.

As always, we encourage you to ask questions about your baby. Do not hesitate to discuss any concerns with the nurse or doctor. If you do not understand a term that is used or what to expect of your care as it is explained to you, please speak up and allow us to further explain.

We want to make sure that you understand the care your baby is receiving and want you to be an active participant during their stay in our NICU.

Anemia
A low number of red blood cells in the blood.

Antibiotics
Medication to help fight infection.

Apnea
A period when breathing has stopped. The baby may start to breathe on his or her own or may need stimulation.

Bagging
A method of filling your baby’s lungs with air and oxygen by using a rubber bag, mask and oxygen.

Bilirubin
A yellow-colored substance in the body that is made when red cells in the blood are digested by the liver. Too much bilirubin in the body can lead to jaundice.

Blood Gas
A blood test that measures the concentration of oxygen in the baby’s blood.

Bradycardia
A heart rate that is slower than normal. This can happen when the baby has apnea.

Desaturation (desats)
Short periods of time when the oxygen in your baby’s system drops below the normal level.

Grams
A measurement of weight. Your baby is weighed in grams in the hospital. You can convert grams to pounds and ounces. 1 ounce = 28 grams; 1 pound = 454 grams.

Heel Stick
A way to obtain a blood sample by pricking the baby’s heel.

Hyperalimentation or TPN
Providing nutrition through a vein when your baby cannot be fed or is not taking enough nutrition by mouth.

Jaundice
The yellow skin color caused by too much bilirubin in the blood.

Lipids
Fats and proteins given through an IV to help your baby grow.

Metabolic Screening
A state required newborn screening that tests the blood for several diseases. Sometimes called PKU test, although this is not the official name.

NPO
Abbreviation for nothing by mouth.

Phototherapy
Special fluorescent light treatment for jaundice that helps break down the bilirubin in the blood.

Pneumothorax
A collection of air in the space between the lung and the chest wall that causes the lung to collapse.

Residual
The amount of undigested food left in your baby’s stomach. This is checked before the next feeding if your baby is being fed with a feeding tube.

Sepsis
An infection in the blood or other part of the body.

Tachycardia
An abnormally fast heart rate.

Tachypnea
An abnormally fast breathing rate.

Vital signs
Your baby’s heart rate, breathing rate, temperature and blood pressure.

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Age: 39
Date of Surgery: May 16, 2011
Pounds Lost: 135

Before Surgery

Two years ago, I weighed 285 pounds. I was a type 2 diabetic, had high cholesterol and unstable asthma and that’s just naming a few of my health issues.

Today, I am so thankful I had the surgery and received the tools I needed to improve my health. Prior to my surgery, I wasn’t able to walk far because of my asthma. My heel hurt because of plantar fasciitis, I had increased back pain and my ankle and knee would swell up. My blood sugar was always high because I used food to comfort me when I was stressed or tired. I was stressed and tired all of the time because I was always in pain. When I watched people exercise and jog, I wished I would be able to do it -someday.

I no longer have to wish. Since my surgery, I’ve lost a total of 135 pounds. I now weigh 150 pounds. Eating the right foods, the moderate amount for the size of my stomach and exercise has helped me maintain my weight. My diabetes went away immediately after surgery and I don’t have health problems. I don’t take any medication, only supplements.

I’m also achieving my dreams. I’m able to run and jump and feel free – from asthma, aches and pains. I’ve learned to eat healthy foods in the right moderation. I have a membership at the gym and my daughters and I go four times a week. I participate in Zumba, yoga and cycling classes. I’ve gone ice skating, skiing, horseback riding and rode amusement park rides with my daughters. These are things I would have never done without the surgery.

At work, some of my banking customers, who are snowbirds, hadn’t seen me for a while and didn’t even recognize me when they came into the bank. I now carry the picture I took before the surgery so that I can show people that’s it’s still me.

Even my personality has changed – from feeling miserable, depressed and irritable to feeling beautiful, confident, healthy, young and energetic. I live a healthy lifestyle and instill that within my daughters. This surgery has given me a second chance in life and has given my daughters a mother they can enjoy for even longer.

I want everyone to have the joy and good health I feel. This is one reason I will always encourage obese people to consider Gastric Bypass surgery. I am proud of my progress and share my story with anyone who is willing to hear it.

After Surgery

From day one of my surgery to my discharge, Garnet Health Medical Center was caring, patient and professional. Garnet Health Medical Center has such an awesome friendly staff. Manager of the Bariatric Surgery Program, Janet Kovler, is professional, knowledgeable and there when you need her. The support groups at Garnet Health Medical Center are very informative and helpful. The Bariatric team was very efficient with providing the proper programs, education and support I needed to have a successful surgery and future. Whenever I had a concern or question they were always there to help.

Garnet Health Medical Center sets itself apart because it genuinely cares about the patients they serve. The staff are professional, friendly and efficient. The Bariaric Surgery team works together to demonstrate its efforts in making sure the patient is cared for properly. You don’t get that kind of care anywhere else.

Jessica Escobar

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Use This Falls Checklist to help eliminate obstacles that can cause falls.

  • Remove obstacles
  • Clear path to restroom, kitchen & bedroom
  • No clutter
  • Secure Cords
  • Keep Objects off steps
  • Fix uneven surfaces
  • Light Stairway
  • Switches on both sides of rooms/ stairs/ hallways
  • Firmly attach carpet to stairs
  • Install Grab bars
  • Non slip mats
  • No throw rugs
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  • Use Seatbelts
  • Do Not Drink Then Drive
  • Use Car Seats
  • Do Not Text & Drive
  • Observe Road Signs
  • Pay Attention When Driving
  • Be cautious when driving …

View videos on adult backseat seat belt usage.

Are you a seat belt safety expert? Take a quiz and find out!

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Car Seat Safety

  • Use a seat appropriate for the age & weight of your child
  • The safety of your child depends on them being appropriately fitted to the car seat
  • Register your car seat
  • This allows you to receive any recalls or important information on your car seat
  • Install the seat properly
  • Improperly installed seat are not protecting your child, and can become dangers for other passengers in the vehicle
  • Get your car seat inspected by a Child Passenger Safety Technician
  • Visit Garnet Health Medical Center and have one of our certified technicians check your car seat
  • Keep your children safe, learn about your car seat
  • Buying a used car seat can be dangerous. Car seats must be replaced after an accident.
  • Car seats have expiration dates. Check the manual to see where the stamped expiration date is on your seat.
  • Never leave your child alone in a car

Visit these resources:


Water Safety

  • Buddy Up – always swim with a partner
  • Learn lifesaving skills such as CPR and first aid
  • Never leave a young child unattended by the water
  • Teach children to always ask permission to go near pools, oceans, bath tubs and lakes
  • Learn to swim
  • If you own a pool be sure it is fenced in, has a barrier, or uses water alarms
  • Drink plenty of water to avoid dehydration when swimming, boating or lounging by the pool
  • Have inexperienced swimmer, or children wear approved life jackets in the water, or on boats
  • If boating, jet skiing or rafting, be sure to bring water proof whistles and a phone to call for help
  • When swimming in the ocean, swim in lifeguard zones only
  • If anyone is missing around pools, lakes or oceans, always call for help and check the water first

Anchor It

  • Every 24 minutes a child is injured by furniture, or TV’s falling on them
  • 81% of tip-over deaths occur in homes
  • A TV can fall with the force of 1000 pounds
  • Most tip-over incidents result in head injuries
  • Most injuries occur to toddlers
  • What Can Parents Do
  • Use straps or brackets to secure any TV that’s not wall mounted
  • Secure top heavy furniture with anti-tip brackets
  • Mount flat screen T.V.’s
  • Only place televisions on furniture that is able to support it
  • Remove objects children will be tempted to climb, pull down or reach for
  • Do a walk through, look for items that may injure your child in each room

Bicycle Safety

  • Wear a properly fitted bike helmet
  • Check your equipment prior to riding
  • Wear clothing that makes you be seen…bright colors, reflective of safety vests
  • Watch out for road hazards i.e. garbage in road, pot holes, loose gravel, leaves and animals
  • Avoid riding at night
  • Go with the traffic flow
  • Obey traffic laws
  • Stay alert
  • Do not pass on the right
  • Dress appropriately for weather conditions
  • Make eye contact with drivers, be sure you are noticed by drivers
  • Ride with a partner or group

Check out how to properly size your bike helmet

Resources
wsdot.wa.gov/bike/safety.htm
nhtsa.gov/people/injury/pedbimot/bike/KidsandBikeSafetyWeb/


Head’s Up: Concussion Prevention

Did you know?

  • Emergency departments treat about 173,000 sports, and recreational traumatic brain injuries
  • Traumatic brain injury (TBI) is caused by a force exerted on or into the head that disrupts normal brain function
  • Traumatic brain injuries can range from mild to severe, even death
  • Leading causes of TBI is falls, blunt trauma accidents, and assaults
  • TBI affects all ages

How to prevent TBI

  • Use Seatbelts and car seats
  • Helmets save brain tissue, use them:
  • Bikes, motorcycles, ATV’s, and snowmobiles
  • Contact sports lacrosse, football, boxing or wrestling
  • Roller skates, blades, ice skating or skateboards
  • Baseball, horseback ridding, snowboarding or skiing
  • Practice safety at home for young children
  • Window guards
  • Safety gates on stairs
  • Electric cords for appliances secured
  • Use fall prevention strategies
  • Remove tripping hazards
  • Secure all rugs
  • Clear pathways to restrooms, kitchen and bedroom
  • Keep objects off steps
  • Light stairways
  • No throw rugs
  • Fix uneven surfaces

Hypothermia Facts & Prevention

  • In cold temperatures your body loses heat quicker than it can produce it
  • Body temperatures that are too low affects the brain
  • Heavy exertion, not taking in fluids and not eating in cold weather can lead to hypothermia
  • Ensure you have adequate food, clothing and heat sources
  • Keep blankets in your car, and extra around house
  • Limit time outside on cold days
  • Protect hands, ears, face and feet in extreme cold
  • Move around, activity generates body heat
  • Dress in layers, outer layers should have wind protection
  • Stay dry, take off wet clothing as soon as possible
  • Keep emergency supplies in your vehicle; extra jackets, matches, candles and kitty litter for traction
  • STAY WARM!!!!!!!

Snowmobile Safety Tips

  • Use protective gear (helmets, goggles, gloves, buoyant suits)
  • Dress in layers
  • Know your abilities
  • Know your ridding area
  • Alcohol and snowmobiles Do Not Mix
  • Have a snowmobile buddy
  • Leave route information with family or friends
  • Be aware of ice, drowning is the leading cause of snowmobile deaths
  • Stay Alert!!!!
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