Preparing for the discharge of a NICU baby is an exciting yet overwhelming time for parents. Ensuring that families are confident and equipped to care for their baby at home is essential. The American Academy of Pediatrics (AAP) has videos that you can watch that help prepare you for your baby’s discharge home.
Here’s a guide to also help you prepare:
1. Learn About Your Baby’s Care
- Attend discharge planning meetings: Many NICUs hold meetings to discuss your baby’s progress and readiness for discharge.
- Ask questions: Understand your baby’s specific needs, such as feeding, medications, or special equipment.
- Practice caregiving tasks: Take part in activities like feeding, diaper changes, bathing, and administering medications while your baby is still in the NICU.
2. Understand the Medical Needs
- Medications: Learn the names, dosages, and purposes of any medications your baby will need at home.
- Follow-up appointments: Know when and where your baby needs follow-up care, including pediatrician visits, specialists, or therapy sessions.
- Equipment training: If your baby requires medical devices (e.g., oxygen, feeding tubes, monitors), ensure you’re trained on their use and troubleshooting.
3. Learn Infant CPR
- Take a CPR class: Many NICUs offer training for parents on infant CPR and choking response to prepare you for emergencies.
4. Feeding Plans
- Breastfeeding or formula feeding: Ensure you’re comfortable with your baby’s feeding routine. For breastfeeding, work with lactation consultants if needed.
- Monitor feeding progress: Learn signs of hunger, adequate intake, and how to handle feeding difficulties.
5. Know the Warning Signs
- Recognize signs of illness: Learn to identify when your baby may need medical attention, such as difficulty breathing, poor feeding, fever, or unusual behavior.
- Emergency contact information: Keep a list of your baby’s doctors, local emergency services, and poison control center handy.
6. Create a Safe Home Environment
- Car seat safety: Have your baby’s car seat checked for proper installation and fit. Most NICUs require a car seat test before discharge.
- Sleep safety: Follow safe sleep guidelines—place your baby on their back in a crib or bassinet without loose bedding or toys.
- Sanitation: Practice good hand hygiene and minimize exposure to sick individuals.
7. Emotional Support and Resources
- Find support groups: Connect with other NICU families for emotional support and advice.
- Utilize community resources: Access programs for early intervention, therapy, and financial assistance if needed.
8. Prepare for Adjustments at Home
- Routine changes: Your NICU baby may have a different schedule than a full-term baby. Be prepared to adjust to their specific needs.
- Sibling and pet preparation: Discuss the baby’s arrival with siblings and ensure pets are introduced carefully.
9. Know When to Reach Out for Help
- Be clear on when to contact your pediatrician or go to the hospital in case of concerns.
By being actively involved in your baby’s care while in the NICU and preparing for home life, you can ease the transition and feel more confident as a caregiver. Always remember, your NICU team is there to support you even after discharge!
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