
We talk a lot about growing as NICU nurses. But we do not talk enough about the environments we are growing in. Nurses are leaving. New nurses are struggling. And some of the hardest parts of this job are not the patients. It is the culture we work in. Turnover, burnout, and bullying are not separate issues. They are connected.
Premature babies are supposed to be growing during the third trimester. When they are born early, the NICU team has to recreate that environment outside the womb. That means carefully balancing fluids, calories, protein, and micronutrients while watching growth trends and lab values.
Evidence based practice is not just a school assignment. It is how high performing NICUs reduce variation, improve outcomes, and strengthen culture.
Acyanotic congenital heart defects are often misunderstood because oxygen saturation may remain normal.